an â„¥ j. s. Mix them well together XI For diversion of the Morbific Matter apply Pidgeons dissected alive to his Feet or else this following Medicine â„ž Leaves of red Cabbage white Beets an â—… j. s. beat them in a Mortâ—…r and make them into a Past with sowre Levea â„¥ iiij Salt Ê’ij Vinegar of Roses q. s. XII About Night give gr iiij of Laudanum in a Pill or if he refuse a Pill dissolve three Grains of that Laudanum in one ounce of Decoction of Barley adding an ounce of Syrup of Poppy Rheas to provoke Sleep XIII While these things are done for his usual Drink give him small Ale or Whey of sowr Milk or Fountain Water having some Pieces of Citron steeped in it adding a little Sugar and rose-Rose-Water or else this Julep â„ž Lettice Leaves M. iiij Endive M. ij Red Currants M. j. Barley-water q. s. Boil them to a Pint to the Straining when cold add Syrup of Violets and Limons an â„¥ j. of Poppy â„¥ s. Iuice of Citron q. s. to make it pleasing XIV Let him also take of this Conditement often in a day â„ž Powder of Diamargarite cold ℈ iiij Pulp of Tamarinds Conserve of Violets pale Roses Robb of red Currants an Ê’ iij. Syrup of Violets q. s About Evening when he does not take his Laudanum Opiate let him drink one or two Draughts of this Emulsion â„ž Four greater Cold seeds an Ê’ ij Seed of white Poppy â„¥ s. Decoction of Barley q. s. Make an Emulsion of about â„¥ vij To which add Syrup of Violets and Poppy Râ—…eas an Ê’ v. XV. When the Distemper begins to asswage the sooner to dissolve the peccant Matter cut alive Hen in the middle and lay it to his Head or else the Lungs of a Calf or Sheep newly killed XVI Let his Air be between cold and moist and his Chamber somewhat dark His Diet sparing and cooling prepared with Lettice Endive Borrage Sorrel and the like his Drink as before Let him not be tâ—…oubled with much company nor Talk Only let those for whom he had a Kindness in his Health endeavor now and then to pacifie his Rage with good Words Lastly keep his Belly soluble HISTORY III. Of Melancholly A Learned Man forty years of age of a melancholly Constitution in the Summer time walking out of the City with a Son of his came to the River side pulling off his Cloaths leaâ—…t into the Water to please himself with Swimming to which he perswaded his Son likewise to make him skilful of the same Art but his Son leaping into the Water sunk to the bottom and was drowned before his Father could come to his Assistance Upon which the Father fell into such a deep Sadness continuing thinking of his Misfortune and believing himself the Author of his Childs Death that he did nothing but weep Day and Night without sleeping and within a few Days was brought to that pass that he believed himself guilty of Murther and for that reason eternally damned He also thought the Devil who had tempted him to do the Fact alway stood at his side and shewed his horrid Shape to those that stood by pointing at him with his Finger wondring they did not see him as well as He. As to other things he was well enough only this false Imagination stuck so deeply in his Mind that no Perswasions or Consolations of his Friends could root it out I. VVhen the seat of the Principal faculties in the Brain was endamag'd and the Imagination deprav'd it was a sign the Patients Brain was out of order as appeared by his sadness and fear II. This Malady is Melancholly and a deprav'd Distemper of the Brain hurting the Imagination and deluding it with false Apparitions and causing fear and sadness without any reason which are two unquestionable Signs of Melancholly according to Hippocrates Therefore we may well define Melancholly to be a Delirium without a Fever arising from a Melancholly Fancy III. The first and external Cause of this Mans Malady was his grievous Misfortune having his Son drown'd which seiz'd him the more violently as being naturally Melancholly Which when he could not forget but spent whole Days and Nights continually thinking upon it without any Sleep the Animal Spirits prone to Melancholly were disorderly agitated in the Brain and so contracted a Specific and Ocult distemper which they communicated not to the Brain but to the Heart and whole Body Hence horrible thoughts sadness and fear VI. When he thought of his Son whom he believed to be drown'd by his fault he perswaded himself he was guilty of Murder which because he knew it was a Sin hareful to God therefore he thought himself Damn'd and the Devil to be always at his Elbow the continual thinking upon which had shaped the Idea of a Devil so firmly in his mind that he could not be otherwise perswaded but that the Devil was always before his Eyes nor could any Body dispossess him of that Imagination In other things he was well because his perception and judgment of things was no way hindred by that false Imagination as being wholly taken up with that Imagination and nothing so much not with such an emotion of Mind intent upon other things V. Because this occult Distemper of the Brain and Animal Spirits was bred in the Brain plain it is that this was a primary or self-suffering Melancholly VI. This Melancholly Delirium tho' very troublesom yet is it not Mortal and gives great hopes of Cure because only the Imagination is depraved the Ratiocination and Memory little endamaged then again he was sound in Body and lastly because he was a Learned Man and so much the sooner to be governed by Reason besides that it was in the Summer when this happened which was a Season more proper for Cure VII In the Cure the Evil Melancholly Matter and the ill Temper of the Brain is to be amended that the purer Spirits may be freed from that Specific Melancholly Contamination and generated anew The same evil Matter is also to be evacuated and his Head to be corroborated and all means try'd to take off the Patients thoughts from false and horrible Imaginations VIII First therefore Purge him with this Bolus â„ž Conâ—…ection Hamech Elect. Diaphoenicon an Ê’ j. s. Diagridion gr vij Mix them Or if he will not take that give him this Glister â„ž Emollient Decoction to which an Ounce of the Leaves of Senna has been added â„¥ ix Elect. Diaphoenicon â„¥ ij Oyl of Camomil â„¥ j. s. Salt Ê’ j. IX Because such a Patient has not much Blood therefore to preserve his strength there is no Blood letting to be used unless there be a Palpitation of the Heart or any such Symptom which requires it X. After the Belly is well cleansed to prepare the Melancholly humor and strengthen the Head let him drink three or four times a day a draught of this Apozem â„ž Root of Polypody of the Oak â„¥ j. Calamus Aromatic Fennel rind of Caper-rooâ—…s
happen to be of the Number of the great Personages or one of their Children who will not be satisfy'd with such plain and ordinary words of the Physitian then you may prescribe a small quantity of Bezoar Stone with Magistry of Pearls or Crabs Eyes or Essence of Corral adding thereto some few Grains of Saffron or some such thing that will not disturb Nature in her work and satisfie the importunity of Friends or Parents But if Nature seem insufficient in the performance of her Duty so that she requires Assistance we must have recourse to other remedys that may succour Nature in her Endeavors Now among those Expulsives that are to be prescribed upon the first coming of the Physician are most of those Diaphoretics and Antidotes which we have said are to be prescrib'd at the beginning of the Pestilence lib. 3. cap. 5. out of which the Physician may choose those that he thinks most proper for his Patient For some are most proper for Infants and Children others for grown People others for the robust some for the feeble others for such as have but slight Fevers and others for those whose Fevers are more violent For the robust the most generous Medicins are Treacle and Diascordium with Salts of Wormwood Carduus Benedictus and the like For Children and Nice Persons make choice of such things as have a grateful Taste compos'd of the Species of Hearts-horn coral Pearls Saffron Alkermes Hyacinth and such like But above all the rest I never found any thing more effectual then our treacle-Treacle-water which we have describ'd in our Treatise of the Pestilence lib. 3. cap. 5. which has no ungrateful Taste and therefore may be given alone or with some pleasing Syrup to Children and Infants If the Small Pox do not come forth freely in the first place let the Patient take some Sudorific prescrib'd after the following manners â„ž Treacle of Andromachus Ê’j Salt of Carduus Benedict ℈ j. s. Water of Carduus Benedict â„¥ ij Mix them for a draught â„ž Diascordium of Fracastorius Treacle of each Ê’ s. Extract of Carduus Ben. Salt of Wormwood of each ℈ j. Decoction of Carduus Ben. q. s. Mix them for a draught â„ž Diascordium Ê’j Hearts-horn burnâ—… red Coral prepared of each ℈ j. of our treacle-Treacle-water â„¥ j. s. Syrup of dry Roses â„¥ s. mix them for a draught if there be any fear of a looseness â„ž Of our Treacle water â„¥ j. or â„¥ j. s. double refined Sugar Ê’j mix them for a draught for very nice Children â„ž Confect Hyacinth Diascordium Harts-horn burnt of each ℈ j. Mix them for a Bolus â„ž Pulv. Liberants ℈ ij Saffron gr iiij Harts-horn burnt ℈ j. Mix them for a Powder â„ž Pearls red Coral prepared Harts-horn burnt of each Ê’j Manâ—…s Christi ℈ j. Mix them for a Powder to be taken in some Cordial Liquor â„ž Seed of Columbines and Turnip-seed an ℈ j. s. of Nosesmart seed ℈ j. make a Powder for ordinary People â„ž New Sheeps dung Ê’ vj. or â„¥ j. small VVhite-wine Decoction of Barley an â„¥ j. s. Mingle them together and let them stand two or three hours then strain them gently and give the Liquor strained for one draught which powerfully expels the small Pox. After these and such like other forms Sudorifics may be conveniently prescribed and exhibited There is it requisite in this Case to prescribe many laborious Compositions as the same Physitians especially the Scholars of Paracelsus with great Ostentation will be studying to do in regard that a few are sufficient for this Indication When the Patient has taken his Sudorific he is to be well cover'd with Blankets and other Coverings and so be provoked to Sweat Nevertheless care is to be taken least being covered too hot or lying in a hot Stove he do not fall into a Swoon for as in all other things so there is a Moderation to be observed in this sort of swoonding Here by the way we are to take notice that Fracastorius Io Paschalis Forestus Riverius and many others recommend for the better provoking of Sweat that the Patient should be covered with red Coverlets whether they believe that there is something of a Singular property in red which contributes very much to the Expulsion of the Small Pox or that a Sweat provoked by such red Coverlets is more Efficacious to bring out the Small Pox or that the looking upon red provokes the Colours outward as Velescus de Taranta and Duncan Liddelius write But they all seem to be under a great mistake who expect any thing particular from the red Colour of the Coverlets For it is not the Colour but the heat provoked by the Coverlets which causes the Expulsion of the Small Pox. But this same Errour seems to have derived its Original from hence that formerly in the time of our great Grand-Fathers the best and thickest Coverlets were dy'd of a red Colour the thinner and courser Sort were dy'd of other Colours and hence it was that when the Physitians of those times saw it necessary for their Patients to be well covered they ordered them to be covered with the best and thickest Blankets which the succeeding Physitians not really observing thought the preceding Physitians had ordered their Patients to be covered with red Coverlets as if they had Experienced something more notable and singular in a red that in any other Colour to provoke the Small Pox. After the Patient has Sweat well according to the proportion of his strength the Cloaths may be somewhat lighten'd to relieve him in his great Sweat However he is to be kept still in a moisture or gentle Breathing Sweat for a day or two till the Pox are well come forward taking great care nevertheless that his strength be not wasted with two much heat Thus Forestus orders the Patient to be kept in an Air moderately warm and to keep him so covered with Cloaths and Coverlets that he may still lye in a kind of Breathing Sweat taking care above all things that the heat of the Body be not too much augmented by heaps of Coverings or heat of Stones and so the Fever getting strength the Patient come to be stifled with a Syncope This Duncan Liddelius also rightly admonishes Now to the end that during this same Breathing-Sweat the Expulsion of the Pox may have the more swift and better success our Country Folks are wont to boyl sliced Figgs in small Ale and give the Decoction lukewarm to the Patient with good success And Forestus highly extolls this Simple Decoction of Figs and gives it all Children However Leonellus does not boil the Figs in small Ale but in Whey and very properly uâ—…es that Decoction Some will give the more sprightly sort of Children Figs to eat nor do they do amiss so that their Stomacs will bear them For Figs which way soever they are used are very wholsom in this Distemper And this is the reason why being boiled and mixed in Cataplasms and laid upon
Noble French Man about thirty Years of Age Plethoric no great Drinker yet a Lover of unmixed Wine upon the Tenth of November going to Bed began to complain of difficulty of breathing yet without any pain in his Breast soon after a redness seized his Face especially his Cheeks and his Eyes also appeared swelled and inflamed This difficulty of breathing within two hours was so encreased that he could hardly draw his Breath insomuch that he was afraid of a Suffocation Wherefore about Midnight he sent for me bidding the Messenger tell me withal that he should dye unless I could help him with some present Remedy By the redness of his Face and his little frothy and flowry spitting as also by his difficulty of Breathing which was without any pain yet with a kind of heaviness in his Breast I judged this Distemper to be an Inflammation in his Lungs so much the rather because I found by his Pulse that he was in a strong Fever Thereupon I ordered a pint of Blood to be taken from the Basilic Vein of his right Arm by which he felt very much ease To drink for he was very thirsty I gave him a Ptisan of Barly cleansed and Licorice boyl'd in Water In the mean time the following Glister was prepared and given by six a Clock the next Morning â„ž Emâ—…llient Decoction â„¥ x. Elect. Diacatholici Diaphoenici an â„¥ j. common Salt Ê’j Oyl of Violets â„¥ ij for a Glister This gave him two sufficient Stools But because the difficulty of breathing still continued very oppressive about ten o Clock we took away a pint of Blood out of his left Arm. The Blood appeared indifferent good only that it had a great deal of Yellowish froth at the top Then besides the Ptisan he drank of the following Apozem now and then every day â„ž Barley cleansed Ê’ij 〈◊〉 Licoriâ—…e Ê’j â—… Endive Sorrel an one handful Violet Leaves two handfuls Flowers of Poppy Rheas two little handfuls the four greater Cold-seeds and Lettice-seeds an Ê’ij Currants Ê’ij common-Common-water q. s. Boyl this according to Art to two Pints In the straining dissolve Syrup of Poppy Rheas Violets and Limons an â„¥ j. mix them for an Apozem For his nourishment I prescribed him Broths with Chervil Endive clensed Barley and the like boiled therein The next day because the Patient would admit no more Glisters I gave him a Laxative Medicin which gave him four stools with great ease In the mean time he breathed much more freely and his Fever very much abated The following days the foresaid Apozem was five times repeated the seventh day of the Disease he fell into a very great Sweat of his own 〈◊〉 and so the force of the Disease being broken by a Crisis the â—…ever with the difficulty of breathing went off and the Patient was restored to his former Health ANNOTATIONS SAys Gallen when an acute Fever happens with difficulty of breathing accompanied with streightness and heaviness that Distemper is an Inslammation of the Lungs Now this Inflammation sometimes happens of it self sometimes it succeeds a Squinancy or 〈◊〉 when a Humor is carry'd from the Chaps or side into the Lungs by way of Mutation Whence Hippocrates An Inflammation in the Lungs from a Distemter in the sides is bad For it is a dangerous thing for one acute Disease to accompany or follow another But an Inflammation of the Lungs that does not proceed from any other Distemper but grows of it self proceeds from a thin and Choleric Blood flowing in a greater quantity then can be circulated into the Substance of the Lungs and there inflamed This Inflammation of the Lungs Fernelius asserts to be the less frequent of the two And it is much less frequent then the Pleurisie from which it differs because the one seizes with a most acute pain the other with a little pain but an oppressing heaviness for that the one inflames and distends the Pleura Membrane which is endued with an Exquisite Sence the other inflames and dilates the Lungs which are nothing so Sensitive In other things as acuteness of the Fever difficulty of breathing and other signs as also in the Cause and Cure of the Disease they both agree But besides the foresaid Inflmamation of the Lungs there is another sort more frequent which differs very much from the other in the excess of the Symptoms and the Cause as arising either from Flegm collected and putrified in the Lungs or from a thin sharp and copious distillation falling down upon the Lungs from the Brain and there preternaturally glowing and causing a Fever and by degrees wasting the Patient with a Cough difficulty of Breathing and a slow Fever without any spitting of Blood An Inflammation of the Lungs therefore is an acute Distemper which as Celsus testifies is more dangerous than painful Now this Distemper does not always seize the whole Lungs but sometimes one particular Lobe which Iacotius testifies he has seen in the opening of a Peripneumonic Body So says Iouberâ—… also In a Peripneumony there is no necessity that the whole Lungs should be always enflamed but many times some one of the Lobes only suffers as we have found by the Dissection of an Infinite number of Bodies This Hippocrates plainly declares where he teaches us how to know the differences of this Distemper in these words In an Inflammation of the Lungs if the whole Tongue be white and rough both parts of the Lungs are vext with an Inflammation but where but half the Tongue is so effected on that side where it is discoloured and rough there the Inflammation lyes A pain under one Clavicle denotes an Inflammation of one of the upper VVings of the Lungs but the pain extending under both Clavicles denotes that both the upper Wings of the Lungs are inflamed if the pain lye in the middle of the Ribs the middle part of the Lungs suffers but if the pain comes to that part to which the Lungs extends it self the lower wing of the Lungs is effected Where one whole Part is affected there all that answer to that Part must of necessity suffer The most certain and proper sign besides others of a true Peripneumâ—…ny is a redness of the â—…aws according to the Testimony of Galen Paulus Aegineta and Aviceâ—… with an acute Fever and extream difficulty of Breathing if accompanied with none or very little oppressive pain All which when they appeared so manifestly in our Patient there was no question to be made of the Distemper which Disease went off the seventh day upon an extraordidinary spontaneous Sweat which Forestus observes to be customary in a true Peripneumony Though sometimes as Aetius tistifies in young People it uses to go off with a violent Bleeding at the Nose or Flux of the Monthly Evacuaations which nevertheless I find that Riolanus denies Gregory Horstius has observed that a Peripneumony has gone off the seventh day with a Critical Flux Which however seems to be contrary to Reason when a Flux of
Galbanum dissolved in Vinegar â„¥ j Soft and whitish Bedellium Ê’ij Powder of Feverfew Ê’j s. Myrrh ℈ j. Mix them for a Plaister Forestus affirms that a Plaister of Galbanum alone has done Miracles but that he had found by daily Experience the extraordinary benefit of the following Magisterial Emplaster which he spreads upon Leather edg'd about with Galbanum to make it stick the better â„ž Gallia Moscata Alipta Moscata Storax Calam. Pure Laudanum Mastic an â„¥ Lignum Aloes Xylobalsamum Galangal Cyperus Carpobalsamum an Ê’iij Red Roses Ê’j s. New Wax lb. s. Turpentine q. s. Make a Plaister according to Art OBSERVATION LXVII A Burstenness in the Groin with a Gangrene THomas Adeler an English Trooper about sixty years of age had had a burstenness in his left Groin for many years In the Year 1637. in September the Gut which fell down into the Burstenness being distended with a great quantity of Wind hapned to break so that the Ordure fell down into the void Space of the Burstenness This presently caused a Gangrene of the Part with an intollerable Stench by which means the Part being putrified and broken the Ordure of the Belly came forth at that Hole never at the Fundament Being sent for though I thought him incurable yet I ordered Spirit of Wine with Mel Rosatum and Oyntment Egyptiacum to be applied to the Part till the Gangrenous Parts were separated from the sound Parts Then we found that the Gut was not only broken but quite broken off the one Part from the other and that the upper Part hung out and gave passage to the Excrement The end of this Intestine afterwards grew fleshy and acquired a kind of a fleshy Ring and this Ring cleaved afterwards so fast to the neighbouring Flesh so that for the future the Intestine remained always fix'd and open in that Part and gave passage to the Excrement So that we ordered him to carry a little brass Pot so ordered and hung as to give him the least trouble that might be and thus in all other Parts sound and healthy he walk'd abroad where-ever he pleased and in nine years that he was forced to carry about him that troublesome Burthen he was never sick ANNOTATIONS THis is a tare and remarkable Example I never thought before that a broken Gut could grow to the adjoyning Flesh in the Groyn till I was a Witness of it in this Patient True it is that if a Gut happen to break among the fleshy Muscles of the Abdomen such a Coalition may sometimes happen as Plater observes A certain Captain says he being wounded in his Belly voided his Excrements through a Pipe which was left there after the Wound was cured and was for many years afterward alive and well The Cause of which when I examined I found that Wounds of the Guts if they seem to trace the fleshy Portions of the Muscles of the Abdomen after the Lips of the Wounds of the Guts and muscly Flesh are glutinated on both sides there may be a Passage made for the Excrement to come forth and be prevented from falling into the Cavity of the Abdomen and that those Wounds although they cannot be consolidated yet they are not Mortal which though very seldom happens sometimes in other Parts as in the Bladder Iohn Hornung also a Physician of Heydenheim tells a Story of a Country Man whose right Gut upon a Wound in the Abdomen came forth opened with a broad Wound nor was it put back by the Chyrurgeon but the Wound of the Abdomen being cured hung out as long as the Man lived retaining its natural Colour yet somewhat more thick and more fleshy and through this Passage it was that the Excrement came always forth with an extraordinary Stench forsaking the common Road of the Fundament OBSERVATION LXVIII A Pining Consumption caused by a vitiated Stomach MOnsieur de Nassau a Captain of Horse in the Flower of his Age in the Year 1637. during the Siege of Breda in September as he lay in his Bed all in a Sweat hearing some Troops of Horse march by his Window leap'd out of his Bed opened his Casement and stood looking out for some time and by that time became suddenly overcool'd by a North Wind at that time cold and tempestuous fell into a violent Distemper Presently he complained of an extraordinary Griping in his Belly about the Region of his Stomach he had also withal a slight Fever with a violent Cough which brought up much clammy flegmatick ill-coloured Matter yet without any Pain in his Breast Several of the most eminent Physicians were sent for who by his Spittle his Cough and other Symptoms concluded that his Disease was a real Consumption and that incurable and told the Prince of Orange that he would suddenly dye As for the Pain in his Belly those they unanimously agreed to be the Cholic Passion caused by the suddain Cold. To asswage this Pain which they call'd the Cholic they used several Remedies for a long time which gave ease sometimes but never cur'd which they affirmed was impossible to be done To abate his Cough they made him an Issue in his Left-arm and gave him the following Apozeme to take for many Weeks â„ž China Roots the best â„¥ j. Leaves of Scabious Colts-foot Betony Pimâ—…ernel Plantain an m. j. Cordial Flowers an one small Handful ston'd Raisins â„¥ j. Licorice shav'd Ê’ij Anise-seed ℈ iiij Boil them in Barley water of the second Decoction q. s. to lb ij For an Apozeme For an ordinary Looch they gave him equal Parts of Syrup of Poppy and Cumfrey Also they prescribed him a cold Diatragacanth in Tablets and to loosen his Belly they gave him this small Potion â„ž Rhubarb choice Ê’j Yellow Saunders ℈ s. Decoction of Barley â„¥ iij. Infuse them all Night and to the Straining add Manna of Calabria â„¥ s. For a Potion This gave him one or two Stools Now when they had had the Gentleman two Months and a half and all their Physick did no good insomuch that the Gentleman was reduced to Skin and Bone and his Strength every day more and more decay'd they would give him no more Physic but gave him over for incurable Then I was thought of and the Gentleman was brought from Breda to Nimeghen in a Man of War The Gentleman gave me a full Accompt of his Distemper and what had been done to him and shewed me the Receits that had been prescribed him and which he had taken So that when I had considered all things I could not be of those Physicians Opinion For by his Spittle and Cough he shewed no Signs of a Consumption for though he brought up tough and ill-coloured Stuff yet neither was it Matter nor Blood The Pain of his Stomach was no Cholic as being fixed in his Stomach and not accompanied with Wind but twitching the Ventricle with extream Pains by Intervals not wandring through the Guts Therefore I judged the Cause of this Pain to be a
no other Remedies â„ž Sowre Leven lb s. Cantharides â„¥ j. Pulp of Figs â„¥ s. Andrew Laurentius recomends this Visicatory â„ž Old Leven â„¥ ij Cantharides Ê’ ij Seed of Mustard and Stavesacre an Ê’iij Beat them together with Strong Vinegar for a Vesicatory Iohn Matthew de Gradibus prepares another of the Seeds of Mustard and Nasturtium Pigeons-dung Decoction of Figs and Venegar which rubifies and raises Blisters which being broken and cleansed with the Decoction of Figs then lay on a Colewort Leaf warm and this he says extirpates the inveterate Pains of the Hips and the Gout Galen Aetius and Paulus prefer a Cataplasm of wild Cresses which raises Blisters and is accounted a peculiar Remedy for these Distempers Schenkeus tells us of a Sciatic who when all other Remedies failed of his own Head took Skins of Hemp macerated with Ashes and having boiled them in strong Vinegar laid them to the place affected as hot as he could endure them This raised several Blisters upon the Skin out of which flowed a great quantity of greenish yellow Water by which means his Pain left him Tagaultius celebrates this Emplaister of Galen and Avicen then which he says there can be none more effectual or that gives such present ease â„ž Mustard and Nettle-seeds Sulphur Froth of the Sea round Birthwort Bdelium an â„¥ j. old Oyl Wax an â„¥ ij For an Emplaister I have found that Emplaister which I prescribed to our Patient with Spainish Soap to have wrought wonderful effects I remember a Young Maid at Montfort miserably troubled with the Gout so that she could neither move Shoulders Arms nor Hips who was cured only with Emplaisters of Spanish Soap mollified in Wine and spread upon Leather which raised Blisters and drew out a great quantity of yellow greenish Water which restored her unexpectedly to her Health in a few weeks OBSERVATION LXXXIX A Wound with a Bullet A Citizen of Nimeghen the twentieth of May 1637. imprudently discharged his Pistol downward so that the Bullet rebounding from the Flint-stone-pavement of the Street hurt a Woman that was passing accidentally by The Bullet had entered the Cavity of her Breast about three Fingers from the Spine of the Back between the fifth and sixth Rib and entring the exteriour substance of the Lungs had made a great Wound in the fourth Rib in the side from the inner part so that the Rib was broken but the Bullet did not pass through but stook in the Cavity of the Breast not round but flat and oblong by hitting against the stone as appeared by the Wound unequal and bigger then usual the Woman was carried wounded home very little Blood Issued from the Wound but the next day with Coughing she threw up a good quantity the danger was great which I foresaw in regard that the Bullet lying upon the Diaphragma could no way be drawn forth out of the Cavity of the Breast as also for that Wounds in the Lungs are difficultly cured because of their continual motion especially when the Wound is made by a Bullet which cannot be done without a great contusion However the Chyrurgeon bound up the Wound and after I had gently purged her Body I prescribed her this Apozem to drink Morning and Evening â„ž Roots of Madder â„¥ j. Eryngos Fennel stone Parsley an â„¥ s. scraped Licorice Ê’vj Herbs Scabious Violet-leaves Coltsfoot Chervil Leaves of black Ribes or Garden Currants an M. j. greater Celandine M. ij four greater Cold-seeds Anise-seed an Ê’j Raisins of the Sun â„¥ ij Boyl them in common-Common-water q. s. to lbij. add Syrup of Licorice Poppy Rheas an â„¥ j. s. Mix them for an Apozem She complained of no pain but one where the Wound was and the place where her Rib was broken which pain went off upon laying on a Plaister of Oxycroceum and her Rib closed again The first six days she was very weak she eat little or nothing little or no Matter came out of her Wound she had no Fever or Cough or difficulty of Breathing and after the second day she spit forth nothing either of Blood or Matter out at her Mouth May twenty seventh being somewhat bound we gave her a loosening Draught which gave her two or three Stools May the thirtieth she was grevously tormented so that every Body thought she would have died but in the Evening of a suddain she coughed up a good quantity of white Matter with some Blood which gave her great ease and then she began to be better the Wound also closed against our Wills neither did any thing of Matter come forth from the Wound out of the hollowness of her Breast all the time of the Cure after she had voided this corruption for seven days she continued without a Cough The seventh of Iune with a slight Cough she spit up a small quantity of Corruption again and then the Cough ceased and the Patient grew stronger and stronger every day nor did she after that spit forth any more Matter or Blood but after the second Month being restored to her perfect Health went abroad again feeling no Inconvenience from so great a Wound afterwards for nine Years together nor did she feel the Leaden Bullet in her Breast only when she fetched her breath with a deep sigh she felt something heavy upon her Midrife ANNOTATIONS WIthout doubt the Bullet did not pass the middle of the Lungs nor touched the Bronchia or bigger Vessels but only slightly touched the substance of the Lungs in the outer side otherwise more terrible Symptoms would have ensued nor would the Cure have been so soon accnmplished which however was sufficiently to be admired when such a wound could not happen without a very great Contusion Now the great Wounds in the Lungs are incurable and slight Wounds difficult to be cured yet we are not to despair since very great Wounds in the Lungs have been often Cured I remember I knew a Victualer that lived near Leyden who in a scuffle with a Country-man was stabbed under the Pap of his right Breast with a broad Knife that past through the middle of his Lungs and went out behind under the Scapula Yet this Man reduced to meer Skin and Bones through the Exulceration of his Lungs two years afterwards being brought to Utrecht was perfectly cured by a Chyrurgeon with only vulnerary Decoctions However a great Paâ—…t of his Lungs was consumed by Suppuration which was easily perceived when he moved backward or forward for then his right Lung would strike against his Breast like the Clapper of a Bell. 'T was to be admired that such a Wound should be brought to a perfect Cicatrization yet this Man I saw ten years after without a Cough without any Malady sound and whole as ever I saw a Man in my Life In the year 1635. I had another sturdy Country-man in Cure who had received a Wound under the Pap of his left Breast with a broad Knife that entered as far as the middle of the Lungs Other Country-men
Air no less troublesome to it IV. Which Vellication of the Nerve being communicated to the Nerve and perceived by the Mind presently more copious Spirits were determined to the Place affected for its Relief which distending in breadth the Nerve and Muscle belonging to it but contracting it in length caused the Convulsion By the Pain of this Convulsion the Head being troubled sends the Animal Spirits disorderly to these or other lower Parts and so contracting them in the same manner the Contraction happens not only in the wounded but in other Parts likewise and from this great Disturbance of the Brain and Animal Spirits happens a Delirium V. This is a dangerous Malady for besides the Nerves and Muscles the noble Bowel is distmpered Therefore says Hippocrates a Convulsion ensuing a Wound is very dangerous But the Youth and Strength of the Patient promises great hopes of Cure besides that the Convulsion proceeds from an external Cause that may be removed VI. The Method of Cure consists in keeping the Patient warm and in a warm Place in removing the sharp and biting Oyntment and washing the Wound with Barley-water boiled with Hyssop and a little Honey dissolved in it then put a Tent into it dipped in this Oyntment â„ž The Yolk of an Egg n â— j. Honey Turpentine an Ê’iij Spirit of Wine Ê’ij Then lay on Emplaster of Betony or Melilot VII The Parts afflicted and especially the wounded Arm are to be fomented with this Fomentation â„ž Marjoram Rosemary Betony Calamint Hyssop Basil an M. j. Flowers of Dill M. ij Of Chamomil Melilot an M. j. s. Seeds of Cumin â„¥ j. of Lovage Ê’iij Of Dill â„¥ s. White-wine q. s. Boil them to lbiij VIII After Fomentation strongly chaâ—…e the Parts affected with this Liniment warm â„ž Martiate Oyntment Oyl of Ireos Oyl of Foxes Earth-worms and Spike an â„¥ j. Oyl of Castor â„¥ s. IX In the mean time after a Glister given let the Parties take a Draught of this Apozem to strengthen the Brain and Nerves â„ž Root of sweet Cane Fennel Male Piony an Ê’vj Herbs Of Majoram Rue Betony Rosemary Baum Basil Calamint an M. j. Flowers of Stoechas M. s. Fennel Seed Ê’ij Raisins cleansed â„¥ ij Water q. s. Boil them to lbj s. Then mix Water of Tilet Flowers Syrup of Stoechas an â„¥ iij. X. Now and then let her take a small quantity of this Conditment â„ž Species Diambra ℈ iiij Candied Root of sweet Cane Conserve of Flowers of Sage Betony Anthos an â„¥ s. Syrup of Stoechas q. s. XI Lastly clap such a quilted Cap upon her Head â„ž Leaves of Marjoram M. s. Of Rosemary Betony Flowers of Dill Melilot an Two little Handfuls Nutmegs Ê’j Benjamin Ê’s Beat them into a Gross Powder for a quilted Cap. XII The Convulsion ceasing the Body must be purged with an Infusion of Leaves of Senna Rubarb Agaric c. or with Cochiae or Golden Pills Diaphenicon or Diaturbith with Rubarb And then return to the use of the foresaid Apozem and Conditement XIII Her Diet must be easie of Digestion condited with Marjoram Hyssop Rosemary Betony Sage Anise-seed Fennel-seed and the like Let her sleep Long and take her Rest as much as may be And be sure the Body evacuate regularly HISTORY XV. Of the Epilepsie A Boy of eight years of Age indifferent lusty no care being had of his Diet first became sad and the Winter being past often complain'd of a grievous Head-ach In March as he was at play he fell down of a sudden quite senseless writh'd his Eyes and clutch'd his two Thumbs hard in his Fists That Fit soon went off but the next day it returned much more vehement attended with manifest Convulsions of the Body From that time the Fits returned twice thrice and four times a Week with more terrible Convulsions But in the Summer they were much gentler and not so frequent But the Autumn following especially near Winter the Fits took him very often and very violent and that too of a sudden without any warning with horrid Convulsions and Foming at the Mouth And at last the I continuance and violence of the Distemper had so disordered the Animal Functions that the Child was become sottish I. THAT the Boys Brain was affected was plain by the distress of the Animal Functions II. This Distemper is called an Epilepsie Which is a Convulsion of the whole Body not perpetual with which the Party taken falls to the Ground with an intercepting of the Senses and Functions of the Mind rising from a Peculiar malignant and acrimonious Matter III. Bad Diet contributes much to the breeding of this Disease as the greedy devouring of bad and raw Fruit which heaps up Crude and Flegmatic Humors in a Flegmatic Body and these filling the Brain first caused the Head-ach then through their long stay in the Brain obtaining a certain peculiar pravity and acrimony constitute the containing Cause of the Epilepsis IV. From this depraved and acrimonious Humor exhale sharp and malignant Vapors which as often as they twitch and bite the beginning of the Nerves about the heat of the common Sensory so often they cause the Fit For while Nature endeavors to shake off that troublesom Acrimony from the sensible Parts it happens that as the Spirits flow in greater or less quantity into them they contract and relax alternately and move the rest of the Nerves and Muscles of the Body after the same manner whence those short and frequent Convulsions V. Now because this Malignant and sharp Humor chiefly and oftenest afflicts the small diminutive Nerves near the seat of the common Sensory hence it comes to pass that the fit so suddainly seizes For so soon as those little Nerves feel that Acrimony Nature endeavors to shake it off And because that endeavor is made and begins near the common Sensory therefore there is a stop put upon the Functions of the Senses and Mind For in regard the Pine Kernel is presently affected and for that the Influx of the Animal Spirits through the Nerves sometimes contracted sometimes relaxed can never be regular hence it happens that the Organs of the Senses become defective in their Functions and by reason of that disorderly Influx of the Spirits into the Nerves and Muscles the Patient presently falls VI. The Fits are milder and not so frequent in Summer For that the Pores of the whole Body are more open by reason of the External heat so that there is a greater dissipation of the Humors and considering the time of the year less Flegm is bred and heaped up in the Brain Therefore in Autumn and Winter they are most frequent and violent because of the greater abundance of Flegm then bred and less easie to be dissipated through the Pores then contracted with Cold besides the Vapors exhaling from it are more abundant and acrimonious VII The Foam at the Mouth proceeds from hence for that those Flegmatic Humors expelled from the Brain into the Jaws and Lungs by that
the Cough Suppuration and an Ulcer followed the Corrosion whence the Purulent matter spit up which became still more and more as the Ulcer increased However as yet it has no ill smell because the Ulcer is not come to that degree of Putrefaction VI. the sleight Fever proceeded from the Humors putrifying about the Ulcer For the Blood forced from the right Ventricle of the Heart cannot but receive some infection from the putrified Humors about the Ulcer and carry it to the left Ventricle where it kindles that Fever which is but sleight because the Putrefaction is not great But continual for that every time the Heart dilates something of that Putrefaction falls into the left Ventricle VII The Nostrils are dry because the Flegmatic humors have found out other Passages to the Breast and none come to the Nostrils VIII The Patient is emaciated because the Blood is corrupted by the putrid Humors continually heated in the Heart and mingled with the Blood which is thereby made unfit for Nourishment and uncapable of Assimulation with the Parts IX The Appetite decays because the Stomach not being nourished with good Blood grows weak and breeds bad Humors besides that the continual and violent Agitation of the Cough destroys the natural Constitution of it so that it is not sensible of that Corosion which begets Hunger neither can it conveniently retain nor concoct the Nourishment received X. By what has been said it is apparent that the Disease is a Consumption the certain Signs of which are Bloody and purulent Spittle a soft and lingring Fever and a wasting of the whole Body XI This Disease is very dangerous 1. Because the Ulcer is in such a Bowel the use of which cannot be spared 2 Because it is in a Spungy part that is not easily consolidated 3. Because attended with a Fever that drys up the whole Body 4. Because there is a great wast and decay of strength 5. Because the Cure of the Ulcer requires rest whereas the Lungs are always in continual Motion 6. Because the Medicaments do not come to the Lungs with their full Vertue but through various Concoctions 7. Because a Fever and an Ulcer require different Remedies XII The Method of Cure requires 1. That the cold ill Temper of the Head be amended the generation of cold Humors and the defluctions of cold Humors and the Cough be prevented and allay'd 2. That the Ulcer be cured and the Fever be remov'd XIII First Therefore the defluction of the Catarrhs is to be diverted from the Breast by Issues in the Neck or Arm. The Head is to be corroborated the redounding cold Humors are to be dry'd up and the obstructed Pores to be opened To which purpose the Temples and Bregma are to be anointed Morning and Evening with Oyl of Rosemary Sage Amber Nutmegs c. Let him also wear a Quilted Cap stuft with Cephalics for some time ℞ Leaves of Marjoram and Rosemary an ʒ j. s. Flowers of Rosemary Lavender Melilot an ʒ j. Nutmegs ℈ ij Cloves Storax an ℈ j. Beat them into a gross Powder for a Quilt XIV The Belly is to be gently moved with Manna or Syrup of Roses Solutive XV. Then to facilitate Excretion of the Spittle with such Remedies as at the same time may heal the Ulcer ℞ Syrup of Venus-hair of Comfrey of dried Roses an ℥ j. Mix them for a Looch Or such kind of Trochischs ℞ Flower of Sulphur Powder of sliced Liconice an ʒ j. Root of Florence Orrice ℈ ij Haly's Powder against a Consumption ʒ iij. Benjamin Saffron an ℈ j. White Sugar ℥ v. With rose-Rose-water q. s. Make them into a Past for Trochischs XVI If the Cough continue very violent add to the Looches a little white Syrup of Poppy Moreover to allay the Cough and recover strength let him frequently take of this Amygdalate ℞ Sweet Almonds blanched ℥ ij s. Four greater Cold Seeds an ʒ j. Seed of white Poppy ʒ iij. Barley water q. s. Make an Emulsion to lb j. To which add Syrup of Popies ʒ ij Sugar of Roses q. s. XVII Afterwards for the more speedy closing the Ulcer use this Conditement ℞ Haly's Powder against a Consumption ʒiij Old Conserve of Red Roses ℥ j. s. Syrup of Comfrey For a Conditement XVIII Let his Food be easie of Digestion and very nutritive as potched Eggs Veal Mutton and Chicken-Broath with cleansed Barley Raisins Rice Almonds Chervil Betony and such like Ingredients also Gellys of the same Flesh. Let him drink Goats Milk Morning and Evening warm from the Udder and not eat after it for some hours Let his Drink be Ptisans sweetned with Sugar of Roses Let him sleep long keep his Body quiet and his Belly solule HISTORY IX Of a Syncope A Man forty Years of Age of a Flegmatic Constitution after he had fed largly upon Lettice Cowcumbers Fruit Whey and such like Diet all the Summer long at length having lost his Stomach became very weak with a kind of sleepiness and numness and a Syncope which often returned if any thing troubled or affrighted him which Syncope held him sometimes half an hour sometimes longer with an extraordinary chillness of the extream parts and much cold Sweat so that the standers by thought him Dead Coming to himself he complained of a Faintness of his Heart and with an Inclination to Vomit voided at the Mouth a great quantity of Mucous Flegm no Fever nor any other Pain I. MAny Parts in this Patient were affected and many times the whole Body but the Fountains of the Disease were the Stomach and Heart whence all the rest proceeded II. The most urging Malady was a thick Syncope which is a very great and Headlong prostration of the Strength proceeding from want of heat and Vital Spirits III. Now that it was a Syncope and no Apoplexy is apparent from the Pulse and Respiration both which cease at the very beginning whereas at the beginning of an Apoplexy they continue for some time IV. The remote cause of this Syncope is disorderly Dyet crude and cold which weakens the Stomach that it cannot perfect Concoction and thence a vast quantity of viscous Flegm which adhering to the upper Orifice of the Stomack begets in that cold and moist Distemper which destroys the Stomach And because there is a great consent between the Stomach and the Heart by means of the Nerves of the sixth Conjugation inserted into the Orifices of the Heart and Pericardium hence the Heart becomes no less languid and fainting sometimes suffers a Syncope For that Flegmatic Blood affords very few Spirits for want of which the strength fails and sometimes is ruin'd altogether V. And not only the Animal but the Vital Actions fail for the Vital Spirits failing in the Heart the Animal fail also in the Brain And the Motion of the Heart failing the Motion of the Brain fails which renders the Body numb'd and sleepy though the Syncope be over VI. In this Syncope the Patient lies like a dead Man
conceiv'd a quite different Opinion concerning these preternatural Colours Believing that same variety of Colours happens to the Choler not in the Gall-Bladder nor in the Choler Vessels but in the Duodenum and that by the Mixture of the Pancreatic acid or sowre Juice no otherwise than if it should change its natural Yellow into any other Colour in the Gall-Bladder it self But in the Dissections of Bodys that have dy'd in our Hospital we have demonstratively and frequently shewn a Green Eruginous or Rust Coloured and sometimes a blackish Colour in the Bladder it self before the mixture of the Pancreatic Juice nay in the Daughter of the Lord Vâ—…ich who dy'd of an Eruginous Flux of the Belly and after her Death by me dissected in the sight of several Physicians we found the Gall-Bladder swell'd to the bigness of a Hens Egg and full of an Eruginous Choler Which we have also observ'd in some other Infants that have dy'd of the same Diarrhoea as also in others who have dy'd of the Disease Cholera So that the various Colours of the Choler do not always proceed from the Mixture of the Pancreatic Iuice in the Intestins but are often acquired in the Gall-Bladder and Bilary Vessels in the same manner as we have already rehearsed Of which see more in the preceding C. 7. XLI But now that the several Humors engendered in the Body being mix'd with the Blood according to the diversity of Qualitys occasion a great Variety of Colour is apparent from these Experiments which we have observ'd in the Gall of an Ox. Which being mix'd with acid things as Oyle of Vitriol or Tartar or Vinegar first boyl'd a little then growing very thick became of a green Colour but being strongly shaken in a Flaggon with these Acids turn'd to a whitish Colour Being mix'd with ordinary Cinamon Water it became more Thin more Yellow and more Fluid But being mix'd with Spirit of Wine presently separated from it and setled at the Bottom Lastly being mixed with fair Water a little Gall dyed a great deal of Water of a Saffron Colour XLII Of the motion of the Choler we have spoken that is to say that some part of it mixed with the Blood tends from the Liver to the Vena Cava but that the greatest Part is carried to the Bilary Vessels and so through the Porus and Gall-Bladder to the Intestines But the Opinions of others are far different concerning this Matter Vesalius following the Judgment of Golen writes that the Choler is drawn out of the Porus to the Gall-bladder and from thence is forced down to the Intestines But this Opinion fails because it does not demonstrate the Way thro' which the Choler comes from the Porus to the Gall-bladder To which it cannot ascend through the Chanel of the Gall-bladder and through that descend again from the Gall-bladder to the Intestines for that in the parts of our Body there is neither any drawing of Humors nor any natural going and returning the same way Fallopius l. 3. Observ. c. 7. believes that the Choler of the Liver does not ascend unless when the Mouth of the common meatus Cholidochus is stopped by some Cause or other but that upon such an Occasion it may be done But the Wrinkles and Narrowness of the Neck of the Gall-bladder contradict this Opinion altogether impeding the Ingress of the Choler ascending this way so that the Choler thrust forward from the Gall-bladder it self by compressing into the common Ductus Cholidochus can by no means be repell'd back into the Gall-bladder by a contrary Compression of the said Ductus From these Backius very much differs Dissert de corde c. 3. 6. who asserts that the Choler is carried directly out of the Cystis to the common Ductus Cholidochus but that the Extremity of it which ends in the Intestines is so fram'd that it does not permit the Exit of the Choler but readily gives way to the Chylus descending from the Stomach and suffers in like manner its ascent to the Liver And that it communicates as well the Chylus as more especially a part of the Choler through the same Hole to the Pancreatic Wirtzungian Ductus But the very Sight it self evinces and destroys the Opinion of Backius by which it appears to the Eye in the Dissections of living Animals that as well the Choler as the Pancreatic Iuice break forth from their own Places into the Duodenum but that nothing of the Chylus can enter through that way out of the Guts by a contrary Conveighance Francis de le Boe Sylvius introduces still another Motion of the Chylus and asserts that the Choler which is bred in the Bladder flows to the common Ductus Cholidochus and is carried from thence partly to the Guts partly ascends through the bilary Porus to the Liver and there being mix'd with the Blood renders it more thin but that no blood flows from the Liver through the Porus to the Intestines And this in his Additament he proves from hence because that by blowing through a Reed there is a Passage open from the Porus to the Liver A most egregious Consequence and this is such another The breath blown through a Pipe into the Ureter passes into the Kidney and farther into the Emulgent Vein and Vena Cava therefore the Urinous Serum is carried out of the Bladder through the Ureter to the Kidney Certainly it would be very strange if the Choler which is bred in the Liver and from thence once empty'd into the Vesicle should return through the Porus to the Liver But the Falshood of this Opinion appears from many things already said First from the rare Constitution of the Gall Vessels And the Force of it is quite enervated by the Experiment of the perspicacious Malpigius l. de hep c. 7. In a Cat saith he of a few Months old where the Gall-bladder is conspicuously prominent I have ty'd the Neck of the Cystis with a Thread and empty'd it out of a Wound in the Middle Then have I again bound the Extremity of the Ductus Cholidochus where it opens into the Intestin Then the Creature still living for some convenient space of time I have found the intercepted bilary Porus extreamly swell'd and a Portion of the common Ductus Cholidochus And that I might prevent all Possibility of Separating the Choler by the help of the Cystis after I had first ty'd a hard Knot in the Neck of it I cut off the Cystis it self and threw it away And yet I found the same Swelling follow in the hollow'd Pores by reason of the flowing Choler Moreover I try'd with my Finger to drive upward the Choler contained in the Vessels that so swell'd yet would it return with a Force nor could be kept back unless with an extraordinary Violence A little after he adds It is most certain from many times repeated Observation that the Extremity of the Cystic Passage being bound so that not the least part of the
rest by degrees become thin and shorter They have pretty broad upper Appendixes the Cavities of which receive the little Bones of the Wrist and the lower which tack them to the Cavities of the Fingers IV. The Phalanx of the Fingers the Thumb being numbred in consists of fifteen Bones for that three compleat every Finger different in bigness of which the first and largest is covered with the second the second with the third and the third with the Nail It is gibbous without plain within and somewhat hollowed for the more commodious comprehending the solid Bones They have Processes above and below The uppermost are round and have one round hollowness in each of the first four Bones receiving the Bone of the Meta-carpium The rest are provided as it were with a double Cavity distinguished with a small Protuberance The lower Processes put forth as it were a double head distinguished by a Cavity with which they enter the double Cavity of the imposed Bone except the third and last Bone which is only fenced with the Nail All these Cavities and Processes to facilitate motion are covered with a Gristle CHAP. XIX Of the Bone of the Thigh and Leg. THere are three Parts of the Foot the Thigh Leg and extream Part of the Foot I. The Thigh called Femur in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 consists of one strong Bone in length and bigness exceeding all the rest of the Bones of the Body round and somewhat gibbous before behind somewhat depressed and hollow marked with a rough Line obliquely descending toward the Knee II. The upper Part has a thick Process prominent toward the Hip bone with a round and large Epiphysis imposed upon it and so composes the gibbous head of the Thigh underpropt with a strong Neck which being overcast with a Gristle is hid up in the Acetabulum of the Hip and there fastened with two strong Ligaments one broad thick and Membranous which encompasses the whole Joynt the other round which being produc'd from the Cavity it self of the Acetabulum is inserted into the received head of the Thigh and fastens it most firmly to the Acetabulum and thus this Articulation is perfected by Enarthosis III. Concerning this Epiphysis Rolfinch observes that it adheres with a very loose connexion to the Bone of the Thigh so that being boyl'd in Water it suddainly becomes soft and is easily separated from the Bone especially in young Animals for which reason it is in Infants and Children easily separated from the Bone upon any slight occasion as when Children are set to go too soon by their Nurses and then it is taken for a Dislocation and that Error prevents the Cure This brings to my Memory that once or twice I saw this Recess of this Epiphysis from the Thigh Bone which the Chyrurgions took for a Luxation though the head could by no means be perceived to be slipt out of the Acetabulum Only the Thigh-bone was turn'd back toward the hinder Parts and the upper Part was perceived to ascend without a head and so one Thigh became shorter than the other But no body then thought of the Recess of the Epiphysis which now I find was the cause Below the Neck where the Bone begins to grow broader two Processes are produced provided with their Epiphysis's which are manifestly conspicuous in Children but afterwards become Bony and are united inseparably to the Leg without any seeming diversity of the Substance One of these Processes the upper and bigger bend upward towards the Exterior Parts The other lower and far less having the figure of an obtuse Tubercle looks backward toward the inward Parts which Riolanus believes to be rather an Apophysis then an Epiphysis That is called the bigger Trochanter this the lesser Trochanter To this lesser for the most part there joyns toward the outer Parts another lesser Tubercle in a place somewhat lower These Processes afford Insertion and rise to several strong Muscles Below where the Thigh-bone grows thicker by degrees with its Appendix it forms two large Heads of which the outermost is thicker then the innermost These being overcast with a Muscle it enters the double Cavities under the Leg which are fortify'd likewise with a Muscle Between those Heads it has another Cavity small before large behind through which remarkable Vessels are carry'd to the Legs together with the fourth Nerve of the vast Pair Between these Cavities the Protuberancy of the Leg is admitted and so that Articulation is compleated by Gynglymus while they also receive these two heads of the Leg. Moreover there are two other little Cavities at the side of each Head into which the Tendons of several Muscles are inserted IV. More behind in the Ham the two Sesamoides Bones are plac'd to the lower Appendixes of the Thigh which grow to the Heads of the two first Muscles moving the foot whereas otherwise the rest of the Sesamines stick to the Tendons of the Muscles V. But because the Articulation of the Knee was not yet strong enough but that through the motion of the Leg or by any external violence the Bones might slip out of their place therefore there is a round and broad Bone placed upon the Joynt like a Circular Platter by the Latines call'd Molae Patella and by others Rotulae of a Gristly substance in Children which afterwards becomes Bony and to facilitate its motions is overcast within-side with a Gristle This Bone adheres to the Tendons of the Muscles with a looser connexion it being requisite that it should not be two streight ty'd to prevent an easie Luxation and yet not hinder the Motion of the Muscles The necessity of this Office Galen observed in a certain Young Wrestler whose little Platter being dislocated ascended toward his Thigh whence happened a dangerous bending in the Knee so that he could not walk down a Hill without the help of a Staff The same thing I have also observed in my Practice upon the like Accident And though Paraeus asserts that he never saw any Man halt who had broken that Bone yet I knew a Young German Nobleman whose Platter was shot away with a Musket Bullet so that he could not so much as go Yet a Bone-setter here in Utrecht fitted a certain Iron Instrument to his Knee which bending the Thigh-bone in Conjunction with the Leg in some measure supply'd the loss of the Knee-pan so that with the help of that Instrument he could walk indifferently but when that was off he could not move his Foot nor stand a moment VI. To the Thigh is annexed the Crus being that Part which extends it self from the Knee to the Heel This is compos'd of two Bones very much differing in thickness and bigness cohering together above and below but parted in the middle by reason of the Muscles of the Feet yet connexed with a strong interceding Ligament VII The first of these is by the Greeks called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the
Tumors to ripen them as they concoct crude Humors and hasten Suppuration so being taken in Decoctions or eaten they drive out the Small Pox and cause a swift Maturation of them as daily Experience tells us Only when you use them this one thing is to be observed that neither they nor their Decoctions must be given to them whose Bellies are Laxative or over-loose or where a Loosness is feared for they may excite a pernicious Flux where the Patient is subject already to Loosness Frequently therefore Physitians will not prescribe the simple Decoction of Figs but a Composition for the same purpose somewhat of this nature â„ž French Barley cleansed â„¥ j. Licorice sliced Ê’ij Red Vetches â„¥ j. s. Turnep-seed Fennel-seed an Ê’ ij Figs no. xvij Water q. s. Make a Decoction according to Art to two Pints To this Decoction some add Carduus and Water Germander others Lentils and Raisins of the Sun Parsley-seed Culumbine-seed Turnep and others other Ingredients These two Decoctions are taken from Avicen and Rases much used and approved by succeeding Physitians â„ž Lacca washed Ê’ v. Lentils peel Ê’vj Gum Tragacanth Ê’ iij. Water q. s. make a Decoction to a Pint and half â„ž Figs Ê’ vij Lentils peel'd Ê’iij Lacca Ê’ij s. Tragacanth Fennel-seed an Ê’ ij Water lb s. Boil this to the remainder of the third Part. Such a Decoction also may be somewhat otherwise prescribed â„ž Raisins of the Sun stoned â„¥ ij dry Figs no. x. â—…entils peel'd â„¥ iiij Lacca Ê’ j. s. Fennel-seed Ê’iij Parsley-seed Ê’ j. s. Saffron ℈ j. VVater lb iij. Boil them to two Pints Garcias Lopez prescribes a Decoction of the same nature after this manner â„ž Dry Figs no. x. Iujubes without Kernels no. xv Lentils peel'd â„¥ ij Seeds of Fennel Dill Parsley Quinces an Ê’ij Lacca Tragacanth Roses Saunders an Ê’ ij VVater q. s. Boil them according to Art and to the strained Liquor add Saffron powdered Ê’ s. But Cardan Io. Baptist. Sylvaticus Amatus of Portugal Septalius and some others disallow Lentils and Tragacanth Sennertus approves those compounded Decoctions only upon the score of Experience because many Physitians have been successful in the use of them not that he gives any reason for it But I will give my reason which is this because they somewhat thicken the Boiling Blood and dispose it to a quicker Maturation of the Blood and therefore I think them fit to be made use of not only at the beginning of the Distemper to drive out the Pox but a little after the beginning to hasten their Expulsion and Maturation as we said but now concerning Figs. There are some who distill these Decoctions and give the distilled Water to the Patients But these are Fools in Chymistry not knowing that Lac Figs Lentils Tragacanth and such other primary viscous and sweet Ingredients do not pass through the Lembec in Distillation whence of a good and effectual Decoction they make a Water altogether ineffectual If the Heat be not very intense you may to very good purpose add to the Decoction of Figs the Roots of Elecampane which prosperously promote Expulsion Others add the Flowers of Marigolds Instead of these Decoctions when the strength of the Disease and great necessity does not urge them these pleasing Emulsions may be aptly prescrib'd for nice and curious Palates â„ž Sweet Almonds peel'd â„¥ j. of the four Cold seeds peel'd an Ê’j s. Seed of Navews Columbines Carduus Benedict an Ê’j Barley water q. s. make an Emusion to a pint to which add refin'd Sugar or for the richer sort Manus Christi very clear â„¥ s. or q. s. to render it gratefully sweet Mingle all together and make an Emulsion â„ž Seed of Carduus Benedictus peel'd of Columbines of Navews an Ê’ij Melons â„¥ iij. Fennel and Carduus VVaters an â„¥ iij. adding of Manus Christi q. s. for sweetness mingle all together for Infants and Children All the Germans make these Emulsions with the Distill'd Waters of Sorrel Borage Carduus and Scabious c. But we ascribe little strength to them and value more the Decoction of Barley which may in some manner promote Maturation If there be any who with more discretion think fit to use Sweet-meats they may be prescrib'd after this manner â„ž Root of Elecampane Condited Conserve of Borage and Violets an â„¥ j. Syrup of Elecampane q. s. mix them and make an Electuary â„ž The pulp of large Raisins of the Sun and Figs preserv'd Orange-peel Conserve of Roses an Ê’vj Syrup of Orangs q. s. mix them for an Electuary â„ž Pulvis Liberans Ê’j Harts-horn burnt Ê’ s. Citron rind condited Wallnuts preserv'd Conserve of Marigold slowers an Ê’vj Syrup of Wallnuts q. s. mix them for an Electuary The Chymists applaud their dissolutions Magistery's and Essences of Pearls Coral Harts-horn and the like rather to be magnified for their hard Names then the benefit of their Operation as by which great effects are promis'd to be done but very little perform'd and which seem rather to aim at the gain of the Seller's then the Recovery of the Patient To all the foresaid Medicines if there be any Intense heat of a Fever some cooling things may be added as if you should add to the Decoctions Borage Succory Lettice Violet leaves Endive Bugloss Roses the four Cold seeds c. or to the Electuaries Conserve of Violets Roses Water Lillies Powder of Diatragacanth or Cold Diamargarit Trochises of Spodium or Ivory calcin'd and the like Besides Internal Medicaments Bauderon prescribes for the quick driving out the Pox and provoking of Sweats Epithemes which are a sort of Decoctions Fomentations Emplasters Oyls to anoint the Pulses and the like to be outwardly applyed But these do all more harm then good and by means of the Ventilation of the Air rather hinder then promote the provocation of Sweat However in the use of all these things a common Error of many Physitians is here to be taken Notice of who intermix with their Medicaments Sorrel green Grapes Barberies Ribes Apples Juice and Syrup of Limons Tamarinds and such kind of sowr things and this as they say to mitigate the heat and stop the Ebullition Certainly these Gentlemen are altogether out of the way Let them if they please by means of Acids mitigate the heat in Inflamations burning and tertian Fevers and such like Vitious Fermentations of the Blood but not in this Distemper which is to be brought to a Crisis and Expulsion and ripening of the morbific matter by some excess of heat and Ebullition and so to throw off the Disease For Acids because they quell the heat and Sulphureous Ebullition which attends this Disease and hinder the necessary Concoction as also the Expulsion and Maturation of the morbific matter and are hurtful to the Breast are so prejudicial that hardly any thing can be prescrib'd more dangerous CHAP. XI Of the Cure of the Parts of the Body more Afflicted then others and first of the Internal AFter General Curation which regards
in the first place the Preservation and Life of the whole Body some few things are to be said concerning the special Cure of some parts which in this Disease are more Afflicted then others Because that the Morbific matter either is more especially troublesom to them or falls upon them with greater force and in greater abundance Now the Parts more then others Afflicted are either Internal or External The principal Internal Parts are the Lungs the Stomach the Guts the Liver and the Reins and that they are Affected and greivously Prejudic'd is discern'd by the bad Performance of their Functions But although when these Parts whether one or more be particularly afflicted the danger of the Patients is so great that very few so seiz'd recover from the Disease and escape nevertheless because all do not dye but some are sav'd it behoves the Physitian to Devise what Cure may be done in these desperate Cases and as much as may be to lessen the cause of the Disease and asswage the Symptoms that so he may either restore the Patient to Health or procure him a more easie Death In General the Decoctions of Lentils Lack and Tragacanth relieve all these Parts and Bowels so Afflicted For Lack preserves the Liver Spleen and Kidneys Lentils Corroborate the Intestines and Tragacanth defends the spiritual Parts Particularly sweet things are proper for the Lungs Labouring under Sickness as being those things which promote Maturation asswage Coughing and facilitate Spitting Such are Syrup of Colts-foot Licorice Jujubes Wild Poppies Violets Roses cold Diatragacanth Diapendium Powder and Juice of Licorice Conserves of Roses Borage Violets and the like of which as occasion requires sometimes Loches sometimes Trochischs sometimes Electuaries are made Or else Pectoral Decoctions of Barley cleans'd Colts-foot Althea Violet Leaves Figs Raisins Jujubes c. are sweeten'd by their mixture Treacle at the beginning powerfully asswages Vomiting of the Stomach and Pains of the Heart Afterwards some such kind of Emulsion is to be Administer'd â„ž Sweet Almonds cleans'd â„¥ j. four greater Cold seeds an Ê’j s. Lettice and Columbine seed an Ê’j s. White Poppy seed Ê’ij s. Barley water q. s. make an Emulsion for one pint To which add Syrup of Poppies Ê’ij Syrup of Borage â„¥ s. Mix them Outwardly a Fomentation may be applyed to the Region of the Stomach of a Decoction of Mallows Althea Mint Sage Thyme Marjoram Flowers of Roses Camomil and Melilot seeds of Anise and Cumin After Fomentation for the greater Corroboration of the Part anoint with this Liniments â„ž Oyl of Mint and Anise an â„¥ j. Expression of Nutmegs Ê’j s. Oyl of Spike and Bricks an Ê’j Mix them for a Liniment After Unction let this little Bag be lay'd on sprinkled with hot Wine or else boyl'd a little in Wine and gently squeez'd â„ž Ledves of Majoram Rosemary Sage Flowers of Melilot and Roses an half â—… handful Seeds of Dill Lovage Cumin Nutmegs an Ê’j Clove Gilliflowers ℈ ij make a gross Powder and sow it in a little Linnen bag according to Art Treacle Mithridate Diascordium Hart's-horn burnt Crabes Eyes Powdred Terra Sigellata or sealed Earth red Coral conserve of red Roses or else the first Decoction of Avicen in the foregoing Chapter asswage the Gripings of the Guts and stop the Flux of the Belly Or else some such kind of Almond Composition â„ž White Poppy seed Ê’iij Sweet Almonds cleansed â„¥ ij Decoction of Barley q. s. make an Emulsion to a Pint to which add Syrup of Poppies and dry Roses an Ê’iij mix them together for an Almond composition When the Liver is affected the same Amygdalate will be very proper adding the four cold Seeds Or else a Decoction of Barley with red Roses and red Saunders sweetned with Syrup of wild Poppies Roses and Violets Or else an Electuary of Citron Rinds condited Conserve of Roses Borage Violets and Powder of the three Saunders with an addition of Syrup of wild Poppies For the Kindneys if the Patient makes Bloody Water the following Emulsion is to be prescribed â„ž Sweet Almonds cleansed â„¥ j. s. the four cold Seeds an Ê’j White Poppy seed Ê’iij Decoction of Barley q. s. make an Emulsion to a Pint. In which dissolve Tragacanth powdered ℈ ij Syrups of Wild Poppy dryed Roses and Cumphry an â„¥ s. Mix them together for an Almond composition Liddelius in this case commends powder of Amber Trochischs of Yellow Amber or Alkakengy with an Emulsion of the four greater cold Seeds These are the primary and cheif things which can be prescribed and administred in these most dangerous cases when the inner Bowels are greivously affected according to which method Physiclans may and ought to devise many others of the same Nature For a Patient is not presently to be abandond as uttterly lost in the pangs of extremity and danger of Death which would be an uncharitable act in Christanity but it behoves a Physitian to try his utmost and leave the rest to God who has many times restored to Health such as have lain in a desperate condition CHAP. XII Of the Cure of the External Parts THE External Parts which are usually most afflicted by this Distemper are the Hands and Feet the Mouth and Chaps the Nose the Ears the Eyes and Face At the coming forth of the small-Pox or when they begin to ripen many times an extraordinary Pain and Itching afflicts the Persons diseased in the hollow of their Hands and the Soles of their Feet because the thickness of the Skin in those Parts prevents their coming forth You shall cure this symptom by somenting those Parts in warm water or in warm water mixt with Sweet Milk or in a mollifying Decoction If the small Pox are come out very thick about the Mouth and Chaps they cause a difficulty of Respiration and swallowing In this case the Mouth is frequently to be washed and the Throat also frequently gargl'd with the simple Decoction of Figgs or if there be any Inflammation or violent heat the same Decoction may be thus prescribed â„ž Barley cleansed â„¥ j. s. sliced Figs no. xvij Raisins of the Sun stoned â„¥ j. s. Leaves of Althea Violets Endive Lettice an one handful and a half flowers of pale Roses one handful of Elder one handful Water q. s. make a Decoction of two pints to wash the Mouth When the Pox are ripe to render the act of swallowing more easie and cause a swifter breaking of the Pox let the Patient frequently swallow a Pill about the biggness of a filbeard of new Butter without any Salt wrapt up in Sugar for this wonderfully dissolves the Swelling Pox of the Jaws But if this happen to fail and that the Pox remain wholâ—… and that the difficulty of Breathing and Swallowing still increases then take a small Spunge fastened to a little stick and having dipped it in Syrup of Violets squeeze it strongly against the Jaws to the end thereby the Pox may be forcibly broken and the narrowness of the Passage
open'd So soon as the Pox are broken gargle with a Decoction of Barley Plantain and Red Roses sweetened with Honey of Roses and Syrup of Cumfrey To defend the Nostrils from the Pox let the Patient very often smell to Venegar Thus also Forestus writes that Benedict Faventinus before breaking of the Pox ordered their Patients to smell to Vinegar wherein they had boil'd a quantity of Roses Liddelius also and Riverius approve the smelling to Vinegar But if the Pox happen to be very thick in the Nostrils annoint them often with a Feather dipped in Oyl of Sweet Almonds But if they are grown into hard Scabs and obstruct the Nostrils and so procure a difficulty of Breathing then stuff into the Nostrils new Butter without Salt by which means the Scabs being softned fall off and the Obstruction ceases The advice of others is that the Patients should snuff up into their Nostrils these and the other Decoctions but that Children cannot do nor can grown People do it by reason of the Obstruction Only Butter thrust up often into the Nostrils does the business so that there is no need of other troublesom Remedies But if there be any Exulceration in the Nostrils that is to be cured with a Liniment made of the Oyl of the Yolks of Eggs and juice of Plantain well mixt together in a Mortar To which if there be an occasion of drying up the Matter more than ordinary you may add a little Tutia Oyntment If the Ears ake and itch let not the Patient handle them with his Hands or if they run let the Matter go and take care that they continue open But if the Pain be very much dip a Spunge in the Decoction of the Leaves of Althea Flowers of â—…amomil Melilot and Roses Seeds of Fengreek Dill and Cumin and drop it lukewarm into the Ear. The Medicinal Part that concerns the Eyes consists partly in Preservation partly in the Cure To preserve the Eyes from being over-run with the Pox some wash the Eye-lids with Plantain and Rose water wherein a little prepared Tutia has been infused or mixed with a little white Self and Camphire Bauderon prescribes to this purpose the following Collyrium â„ž Leaves of Black-thron-Bush Plantain red Roses an half a handful Boyl them in Smiths water to â„¥ iij. In the straining dissolve Saffron ℈ j. Camphire gr v. The white of one Egg and mix them together Of this drop some few drops into the Eyes every hour and lay little Rags dipped in the same upon the Eye-lids and keep the Patient dark Liddle prescribes this â„ž Rose-water â„¥ ij Plantain-water â„¥ j. Powder of the Seed of Sumach Ê’ij warm them over a gentle Fire and strain them with a good force Add to the straining Camphir ℈ j. Saffron gr v. Mix them for a Collyrium and let the Eyes be often moistened with a Linnen cloth dipped therein Mercurialis administers this â„ž Rose-water Plantain-water an â„¥ j Sumac â„¥ s. let them steep a whole night and make a mixture with as much white of an Egg as suffices Or else he takes â—…halybeat Milk mixt with Rose-water with which sometimes he mingles a little Mirrh to assawge the pain and itching For my part I find nothing better then Saffron powdered and mixt with Cream of sweet Milk With which mixture let the Eyes be anointed with a Feather touching with the same now and then the Caruncles in the larger corner which I use with success when the Eyes are damnified only adding thereto a little white Sief If the Eye-lids cannot be preserved from the Small Pox then it frequently happens that they swell very much so that the Eyes are closed by reason of the swelling In this case observe that the Eye-lids notwithstanding that swelling are to be opened with the Fingers once or twice every day to the end the humour abiding therein may be let out which otherwise thickning within the Eye-brows begits a Whitshot But if by reason of the largeness of the swelling the Eye-lids cannot be conveniently opened they are first to be fomented with a soft Spung dipt in Mutton broth or a lukewarm Decâ—…ction of Leaves of Althea Flowers of pale Roses and Melilot and Seed of Fengreek and after the use of this Fomentation for some time then try again to sunder the Eye-lids with your Fingers If after the swelling is abated and consequently the Eye-lids freely open any white Clouds like the white of an Egg appear in the Eyes dimming the sight blow a little white Sugar Candy finely powdered through a quill into the Eye with which and nothing else I have successfully removed those little Clouds But if they chance to grow harder and absolutely blind the sight then add to the said Sugar Candy a fourth or sixth part of Lapis Calaminaris finely powdred together with the Sugar Candy That powder wonderfully takes away those Clouds and restores the sight But if the Eyes are Ulcerated by the Pox they must be cured with this Collyrium â„ž Ceruse washed Ê’iij Sarcocol Ê’j Gum Tragacanth ℈ j. Opium gr ij make Trochischs of this with Muscilage of Tragacanth extracted in Plantain-water which when use requires are to be dissolved in Womans milk or Rose-water The care of the Face like that of the Eyes consists partly in Preservation partly in Cure Preservation is not intended to prevent the breaking forth of the Pox in the Face for if that should be hindred the Distemper would seize the inner Parts as the Brain Meninx's Eyes and other Parts which would be a greater prejudice but that the Small Pox being dried and falling off may leave as few Scars and Pits as may be To which purpose several Topics have been invented Some while the Pox are coming forth frequently foment the Face with a Decoction wherein Pease have been boyl'd to an Extraordinary softness as we say to mash Others anoint the Face twice a day with a Feather dipp'd in Oyl of Navews with great success Forestus recommends Oyl of Sweet Almonds Riverius Oyl of Nuts Others Bacon tosted at a hot Fire and the dripping receiv'd into rose-Rose-water and so made into a soft Oyntment which does well and was generally used by that great Practitioner Timannus Gesselius Others roast the Caul of a Boar-Pig at the Fire upon a Spit letting the Fat drop into a Receptacle fill'd with Rose-water and smear the Face all over with that mixture and then cover all the Face with the Fat of the same Hog cut into thin slices This they do twice a day taking off the Old and laying on fresh till perfect Maturation of the Pox which happens sooner by that means till they fall off and this is a great secret among the Court Lady's Certainly none of these ways are to be contemn'd but excellent in their kind and I believe they are many times to be made use of Especially among the Richer sort and great People that think the Physitians care do them more good by some notable Exploit then Nature by
her own endeavours However I generally give this advice to my Patients that at the beginning they anoint the Face with a Spunge dipped in Mutton Broth after the Mutton is boiled from the Bones having first taken away the fat which discolours the Face and to use this several times in a day till the Maturation of the Wheals but after that to leave the rest to Nature Nay I perswade many not to tamper at all but to leave the whole to Nature especially if the Pox do not come out very thick Moreover I chiefly recommend this to their care that the Patient do not scratch and dig off the Wheals with his Nails For Experience teaches us that where the Pustles dry and fall off of themselves without opening they escape with sewest Pits or Scars Which Gracias Lopez and Forestus also observe But here the Custom of the Courtiers may not improperly be examined who more solicitous to preserve their Beauty then others use to open the Wheals with a Golden Bodkin to let out the Matter before it corrode as they pretend more deep into the Skin and so make deeper Scars and Pits which the Arabians and many Modern Physitians also prescribe But we must tell them that we have alwaies found this opening very prejudicial and that the Pits and Scars have been the deeper for that Operation and Riverius is of the same Opinion And this Experience is supported by two Reasons First That Perforation ought not to be attempted but when the Wheals are ripe and white But in regard that when the Matter is white and concocted it is a sign that all that sharp servour and power of corroding the Flesh or Skin is quite gone especially the Wheals drying up of themselves that Operation of the Golden Needle is altogether superfluous seeing there is no fear of any farther Corrosion Secondly The matter being drawn forth by that same opening Operation the Cavities are presently dried up by the ambient Air and grow hard whence it comes to pass that the Flesh that lyes underneath cannot grow up to fill the vacances On the other side if the Wheals are not opened but the matter be permitted to dry up of its self then the Flesh underneath is preserved soft and so much grows up again that before the Matter is fully dried up the place of the Wheals are filled up again so that when the Scabs fall off there are hardly any Pits to be seen This latter Reason therefore teaches us that great care is to be taken to prevent the Patients from scratching off the itching Scabs with their Fingers or pulling them off before they are dry'd For certain experience tells us that nothing causes deeper Pits or Scars than that unruliness And therefore as to Infants and Children I alwaies advise that their Hands be so ty'd and swath'd up that they may not be able to lift them to their Faces and scratch off the Wheals that are upon it And this is the Advice of the Author of the Book Entituled Of the property of things For saith he let the Nurse or Physitian take care whether they be Children or grown People that the little Bladders of the Pustles be not broken either because they itch or for any other Reason nor opened specially those about the Face For if the Wheals are once perforated and pricked the Scars will be deep and lasting And this is confirmed by the Experience of Forestus also The Arabians were wont to wash the opened Wheals with Salt-water which Paschal Rudius and others approve And many with a Decoction of Saunders red Roses Plantain Myrtils and Sanicle But such Lotions are to be rejected because they dry up too quickly the Pits of the Pox and so hinder the Flesh from growing up so that the Pits remain as deep as they were before Sometimes it happens that the Small Pox leave behind filthy Exulcerations which corrode the Skin but these Amatus washes first with this Decoction â„ž Flowers of Red Roses and Myrtils Leaves of Lentisc Oaken tops and Tamirish an equal Parts Water q. s. make a Decoction to wash the Ulcers and after you have wiped them with a Cloth strow on this powder â„ž Frankincense Mastick red Roses Sarcocoll an equal Parts make them into a very fine Powder Forestus in the same Case besides the Camphire Oyntment uses also the following Oyntment of Lead which Duncan Liddelius highly commends â„ž Burnt Lead â„¥ ij Litharge â„¥ j. Ceruse washed vinegar an â„¥ s. Oyl of Roses â„¥ iij. Honey of Roses â„¥ j. Yolks of Eggs no. iij. Mirrh â„¥ s. Wax q. s. make an Oyntment according to Art After the Small Pox is cured sometimes red Spots remain for the more speedy taking away of which some there are that wash them twice or thrice a day with a Decoction of Lupines and Beans wherein some also boyl the Roots of Bull-rushes and Southernwood leaves Others use the distilled Water of Flowers of Beans and Solomons Seal mixing therein a little juice of Limons Others wash the Spots with Water of Cows-dung Io. Paschal commends the Lotion of Water of Rosemary Mercurialis extolls the the Distilled Water of two Calves-Feet as many Limons and a small quantity of Dragons Others anoint them with the Oyl of Roses or Pomatum mixt with Tartar But I have observ'd by long Practise that they wear away sooner if nothing at all be done to them for the External Air after the Exulcerations of the Small Pox is over drys and hardens by degrees the new Skin by which means the Colour of those Spots wears off and at length wholly vanishes when the new Skin has acquir'd an equal hardness with the former And therefore I never prescribe any Lotions or Oyntments to that purpose in regard they do but retard the hardning of the Skin and removal of the Spots and for that I find the External Air to be the only Remedy against those Spots But If I meet with any Court Ladys that will not be satisfy'd without a Topic remedy I recommend to them a Lotion of Bean Water mixed with a little Water of Tartar and juice of Limons or else a Lotion of Virgins Milk To take away the Pits and other Foot Steeps of the disease many use Man's Grease or Mutton Suet and many prescribe several other Oyntments and Linements Bauderon in his prescriptions to this purpose says he very much conduces Water of Honey distill'd with Turpentine Also Asses Fat melted with Oyl of Lillies as also Oyl of Eggs and Bricks The Blood of a Hair or Bull apply'd hot fills up the Pits Also that which they call the Sword or Rind of Pork or Bacon if the Pits be rub'd therewith smooth the Skin and fill up the Pits Goose Ducks and Hens Grease work the same effect as also the Ashes of a Rams or Goats Hoof if it may be so call'd or of Egg-shells serve to the same purpose and to smooth the little risings in the Skin he prescribes â„ž Oyl of Lillys Goose Grease
Arles affected with a Dissolution of both Sides and destitute of all Humane Assistance as one whom neither the Industry of the Physitians nor seasonable and proper Applications nor Observance of Diet could relieve who at length upon a vehement dread of Death and being burnt in his Bed the House wherein he lived being on fire was of a sudden delivered from that deplorable Disease Sense and Motion being restored to the Languid Parts The same Author relates another Story of a Cousin German of his who had been Paralytic six years of both his Thighs who nevertheless being provoked by one of his Servants into a vehement and sudden Passion recovered his Limbs and lived a found Man to his dying Day And thus sudden and exorbitant Commotions of the Mind have cur'd not only the Palsie but other Diseases incurable by Art Thus Herodotus testifies that the Son of Croesus born Dumb when he saw a Persian running upon his Father to kill him became vocal and cry'd out Friend do not kill Croesus and ever after that spoke like other Men. The same Valleriola reports that he saw a Person cured of a Quartan Ague through the vehemency of a sudden Passion when no manner of Physical Remedies could cure the Distemper before OBSERVATION XI Bleeding at the Nose CHarles N. an Ale-Brewer in the Month of October drinking and dancing to Excess at his Sister's Wedding of a sudden in the midst of a Dance fell flat to the Ground upon his Face and by the Vehemency of the Fall broke a Vein in his Nostrils which caused such an abounding Flux of Blood as if the Median Vein in his Arm had been cut Presently Cloaths dipp'd in Water and Vinegar were clap'd about his Neck and applied to his Nostrils Ligatures fastned about his Extream Parts but nothing would prevail Insomuch that the Patient as well because he was heated with Drink as by reason of the Pain of the Fall swooned away Thereupon seeing nothing would do and because there was no Chyrurgeon at hand to open a Vein I ordered a Towel four times double to be soaked in cold Water and apply'd to his Testicles which being twice repeated contrary to the Opinion of the Standers by not only stopp'd the Blood but recovered him to his first Sobriety OBSERVATION XII The Itch. COrnelius Iohannis was troubled with a dry Scab or running Itch with dry Crusts and little Scales upon his Skin that itch'd intollerably especially in the Night when he grew warm in his Bed The Crusts being scratched off by reason of the Itching with his Nails under them the Skin being a little raised appear'd very dry red and rough and then came Crusts and Scales like the former so that the common People thought him to be infected with the Leprosie This Distemper seized the lower part of his Belly his Thighs and Legs in such a manner that by reason of the dry Crusts or Scales the bare Skin was not to be seen in any of those Parts His Arms also and Breast were infected in some places Two years before upon the Crisis of a Quartan Ague for the Cure of which for fifteen Months together by the Advice of that famous Physitian D. Gallius and others who judged his Distemper to proceed from a vitiated Spleen several Medicines both inward and outward had been in vain made use of the Disease not only abating but rather encreasing at length I was sent for to a Consultation and seeing the Person of a strong Constitution and in good Health excepting only the aforesaid Distemper and observing there was no Sign either of Spleen Liver or any other Bowel affected I judged by that same Crisis of the Quartan Ague that all the noxious sharp and vitious Humors were expell'd out of the Spleen to the Skin and so his Spleen recovered its former Soundness but that the Skin was deeply infected with that dry Scab and that the Cause of the Distemper lay no longer in the Spleen but only remain'd deeply fixed in the Skin and that the Skin so infected contaminated also the Juices and Humors flowing thither every day for its Nourishment as a Vessel that has contracted any Filth infects the best Wine that is poured into it And indeed the Event of the Cure prov'd the truth of my Judgment For then I resolved to tame this obstinate Distemper not so much by Internal as by Topical Medicaments and those not gentle ones but strong Remedies answerable to the Greatness of the Evil and the Pertinacy of the Matter since many other things which others had try'd would do no good To this purpose his Body being well purged before hand in March I prescribed a Fomentation with which being luke-warm to foment the Parts infected twice a day for five or six days together â„ž Roots of Briony â„¥ iij. Worm-wood White Hore-hound Pimpernel Plantain Centaury the less an Handfuls iij. Oak-leaves Handfuls iiij Elder flowers Handfuls ij boil them in common Water q. s. to ten Pints adding at the end Roman Vitriol â„¥ j. Alâ—…m â„¥ j. s. for a Fomentation After Fomentation the Parts being dry'd with a Linnen Cloth I ordered them to be anointed with our Oyntment against the Shingles After six days Fomentation was discontinu'd and only the Oyntment used which in a few Weeks carried off a great part of the Distemper This Oyntment the Patient used all the Summer till September by which time he was almost cured excepting only three or four places about the breadth of a Dollar which would not submit to this Oyntment but still produced new crusty Scales Wherefore the sixteenth of September I prepared him the following Oyntment â„ž Quick-silver Ê’j s. Turpentine Ê’iij To these well mix'd add the Yolk of one Egg Unguent Papuleum Ê’vj of our Oyntment against the Shingles â„¥ j. s. mix them for an Oyntment These Remainders were very hard to be extirpated and therefore I was forced to continue the Use of this Oyntment a little longer augmenting afterwards the Quantity of Quick-silver also I again apply'd the foresaid Fomentation and thus at length this nasty troublesome Deformity of the Skin which others despaired of ever curing was at length abated and vanquish'd so that about the second of November it vanish'd quite and the Patient continued free from the same all the rest of his Life ANNOTATIONS THE Itch by the Greeks called Lichen by others Serpigo from Serpo to creep is a hard Asperity of the Skin with dry Pustles and a violent Itching creeping and extending it self to the adjoyning Parts Galen asserts two kinds of this Distemper There are two sorts says he of the Itch that molest the Skin The one tolerable and more gentle the other wild and diffi cult to be removed In these the Scales fall off from the Skin under which the Skin appears red and almost exulcerated Celsus who by the Word Impetigo seems to have understood some other Distemper describes this Itch of Galen under the Name of Papula and makes also two
sorts of it The one says he is that the Skin is exasperated by the smallest Pustles and is red and slightly corrodes in the middle somewhat lighter and creeps slowly it begins round and dilates in a Circle The other which the Greeks call 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the wild Itch is that by which the Skin becâ—…mes more rough is exculcerated and vehemently corroded looks red and sometimes fetches the Hair off which is less round and more difficultly cured As for the Cause of the Disease Galen Aetius Aegmeta affirm it to be generated out of certain mix'd Humors that is to say serous thin and sharp mix'd with thick Humors But in my Judgment Galen writes better and more perspicuously that this Distemper is generated out of a salt Flegm and yellow Choler which is the reason that as in earthen Vessels corroded by Pickles the Scales fall off the Skin Now these Humors being transmitted to the Skin putrifie it as Avicen says To which I add that this Corruption afterwards is intermixed with the good Humors carried to the Skin for its Nourishment and so the Mischief becomes diuternal Thus also Mercurialis writes that the Skin only having acquir'd a deprav'd Habit corrupts all its Nourishment and converts it into increase of Impurities And in the same manner discoursing of such a kind of scabby Patient In the whole Circuit of the Body there is a vitious and itchy Humor implanted by vertue of which whatever good Nourishment is carried to it is presently converted into a nasty salt corroding Humor which occasions that continual Itching together with those little Ulcers and the roughness of the Skin Now these Humors corrupting the Skin must of necessity be hot and salt from which proceeds that Heat and Itching of those Scales This Distemper however is not so dangerous as it is troblesome which if it continue long gets that deep footing that it is a very difficult thing to extirpate it and sometimes it hardens into a dry Mange and Leprosie The gentler sort is cur'd at the beginning with gentler Medicaments as Fasting-Spitle tosted Butter Oyl of Eggs of Tartar or Juniper boyled Honey liquid Pitch or Juice of Citron But that which is of longer continuance and wild requires stronger Remedies as Sulphur Minium Lytharge Ceruse Vitriol Pit-salt Rust of Brass Limeallum Niter white Hellebore c. To which we may add Quick-silver Sublimate and precipitate Mercury having a peculiar occult yet apparent Quality to kill the Malignity that accompanies this Distemper Thus Peter Pachetus in his Observations communicated to Riverius when no other Remedies could tame a wild Itch cur'd it with this Oyntment â„ž Unguent Rosaceum Ê’ iij. White Precipitate Ê’ iij. Mix them for an Oyntment OBSERVATION XIII A Mortification of the Legs and Thighs by Cold. MAny times severe Mischiefs attend the Imprudence of Persons given to drink which a certain lusty young Man sufficiently made known by his own woful Example For he in a most terrible Winter when it freez'd vehemently hard coming home about Midnight well Cup-shot without any body to help him to Bed went into his Chamber where falling all along upon the Floor he fell asleep and neither remembring himself nor his Bed slept till Morning But when he awak'd he could feel neither Feet nor Legs Presently a Physitian was sent for But there was no feeling either in his Legs or Feet though scarified very deep Hot Fomentations were apply'd of hot Herbs boil'd in Wine adding thereto Spirit of Wine but to little purpose For half his Feet and half his Legs below the Calves were mortified the innate Heat being almost extinguished by the Vehemency of the intense Cold. The Fomentations were continued for three days Upon the fourth day the mortified Parts began to look black and stink like a dead Carcass Therefore for the Preservation of the Patient there was a necessity of having recourse to the last Extremity namely Amputation and so upon the sixth day both his Legs were cut off a little below the Calves in the quick part by which means the Patient escaped without his Feet from imminent Death and afterwards learn'd a new way to walk upon his Knees ANNOTATIONS AN Example of the same Nature we saw at Nimeghen in the Year 1636. of a Danish Souldier who having slept Drunk as he was upon a Form in a bitter frosty Night when he walk'd in the Morning could not feel his Feet But by heating Fomentations the native Heat at most extinguished by the Cold after two days so menting was restored to his Feet tho his Toes could never be brought to their natural Constitution but remaining mortified and beginning to putrifie were all cut off by the Chyrurgeon And therefore I would advise all hard Drinkers not to take their Naps too imprudently in the Winter unless they have first laid themselves in a warm Place and well fortified themselves against the Injuries of the Air least their being buried in Wine bring them to be buried in Earth OBSERVATION XIV Obstruction of the Spleen KAtharine N. a Woman of forty four years of Age had been troubled a whole year with an Obstruction of her Spleen much Wind rumbled in the Region of her Spleen she was tormented with terrible Pains of the same Side by reason of the Distention of the Bowels and the neighbouring parts so that she went altogether bow'd toward the Side affected till at length grown as lean as a Skeleton with continual Torments she could go no longer You might also perceive by laying your Hands upon the Place that the Spleen was very much swell'd and more than all this her Stomach was quite gone In March being call'd to the Cure of this Distemper I first purg'd her Body with a gentle Purge upon which when she found but very little Relief I prescribed the following Apozeme for two days to open the obstructed Passages and prepare the Morbific Matter and withal to keep her Body open â„ž Roots of Polypody of the Oak Dandelyon an â„¥ j. Roots of Fennel Elecampane Stone Parsly Peeling of Capery roots Tamarisc an â„¥ s. Baum Fumary Water Trefoil Tops of Hops an Handful j. Centaury the less half a Handful Fennel seed Ê’ij Damask Prunes â—… o xi Currants â„¥ ij Boil thâ—…m in common Water q. s. In the straining macerate all night of Spoonwort Winter Nasturtium an Handful j. Leaves of Senna cleansed â„¥ ij Anise-seed Ê’vi Make an Apozeme for two Pints After she had drank two Mornings a Draught of this Decoction she went to Stool twice or thrice a day but the Ease which was expected did not follow Wherefore after she had drank up her Apozeme I gave her a purging Medicine somewhat stronger which I thus prescribed â„ž Leaves of Senna cleansed â„¥ s. White Agaric Ê’j Roots of Black Helleâ—…ore Ê’s Rhenish Tartar Anise-seed an Ê’j Fumary VVater q. s. Make an Infusion all night and add to the straining Elect. of Hiera Picra Diaphoenicon an Ê’ij for a Draught
abated and much of the watry Corruption run out of the Wound Within two days after the Swelling of his Leg palpably fell and returned to its natural Colour and threw out the Corruption well concocted and so being dressed as it ought to be the Cure was easily compleated ANNOTATIONS THings put into a Wound that ought not to be are utter Enemies to Nature endeavouring Consolidation especially if they compress any nervous Body Membrane or Tendon or the Periosteum Hence terrible Pains Tumors Inflammations and other Mischiefs proceed and therefore all such things as are foreign to Nature are to be taken away as Paraeus Pigius and other Chyrurgeons tell us Thus hard and thick Tents which inwardly offend and distend the Wound or else stop it quite up or compress the Nerves Membranes or Periostea are not to be thrust into Wounds as being those things that hinder the Operation of Nature Suppuration Erection of the Matter and Consolidation and beget Pains Inflammations and other Mischiefs Thus we have seen by the Ignorance of Chyrurgeons some Men tormented with Pains others thrown into Fevers Syncope Convulsions Mortifications and Gangrenes As it had like to have befallen our Patient who beside other ill Simptoms was very near a Gangrene and had it not been in time prevented upon the Approach of the Mortification he had hazarded the loss of his Limbs or his Life Hence Felix Wirtius in Wounds of the Hands and Joynts rejects the Use of Tents which Opinion Hildan refutes who says that Tents are necessary in the nervous Parts to keep the upper Lips of the Wound open and give passage for the Corruption By which Doctrine it appears that he praises those Tents which do not offend the inner Part of the Wound but only keep the upper Parts open But the Chyrurgeon as to our Patient had committed a great Error in this very Particular for he had distended the inner Parts of the Wound with a thick and hard Tent and had compress'd the Periosteum and prevented the Concoction and Efflux of the Corruption OBSERVATION XVI Suppression of Urine THE Wife of Gerrard Anthony a Taylor had layn in in May and in three days after she was brought to Bed had not made Water which was an extraordinary Pain to her and had brought her so low that she could hardly speak The Mid-wife declared that she was very well laid but that presently after her Evacuations were stopp'd that something hard was to be felt on the other side in the lower part of her Belly Hence I guessed that there was some Superfoetation or Mole which remain'd behind For the Cure of which and to provoke her Urine and Purgations withal I prescribed this Apozeme â„ž The Roots of Stone Parsly Masterwort Valerian Sea-holly Cammock an â„¥ s. Round Birthwort sliced Licorice an Ê’ij Leaves of black Ribs Mâ—…gwort Peny-Royal Water-Nasturtium an one Handful Water-Parsly with the Whose two Handfuls Savine Flowers of Camomil an half a Handful White-wine q. s. Boil them for an Apozeme to a Pint and a half â„ž Of the said Apozeme Ê’iij Oyl of Amber distilled by descent Drops xx Make a Draught This she took hot the first time This she took after three hours again upon which several Motions of Child-bearing supervening she brought forth a round Mole about the bigness of a Childs Head which had the perfect Eyes of a Man This being thus luckily expell'd her Urine and Purgations followed and she was presently delivered from the imminent danger she was in ANNOTATIONS MOles are of different kinds some within others without the Birth some very dangerous and troublesome to the Woman others less hazardous some without any Form others resembling some Shape or other some having Life others without Life Sometimes they presage something of Good for though they do not hinder the Birth yet they are very prejudicial both to the Birth and the Mother Which our Patient confirmed by her own Example who had certainly dy'd had not the Mole expell'd by Medicaments made way for her Urine and Purgations OBSERVATION XVII A Dysentery GErard Vossius our Neighbour had been troubled with a Dysentery for some days he was miserably tormented with cruel Pains in the Guts and many times he voided Excrements that were all bloody and mix'd with a tenacious Slime he slept not at all his Stomac was gone he was very thirsty and he had a Fever which though not vehement yet was continual Though the young an were not above thirty years of Age and very strong yet he was brought so low by these Mischiefs that in a few days he was reduced to an extream Imbecility The sixth of February I gave him the following Purge which brought away much Choleric Matter â„ž The best Rhubarb somewhat burnt Ê’ij Mirobans Indian Citrine an Ê’j Leaves of Senna cleansed Ê’iij Aniâ—…eseed Ê’j White Poppy Ê’ij Plantain Water q. s. Let them boil for half an hour Add to the Straining Elect. Diaphanicon Ê’j s. Mix them for a Draught In the Evening after his Purging I gave him this Bolus â„ž Terra Sigillata Nicholas's rest an ℈ j. Mithridate Damoc. ℈ ij Mix them for a Bolus The next day the following Apozeme was prepared of which he took three times a day and once at mid-night â„ž Barley cleansed â„¥ j. Roots of Snake-weed Tormentil Pomegranate Rinds an â„¥ s. Leaves of Oak Plantane Sanicle Pimpernel Great Sanicle Snake-weed an one Handful Seed of small Roses Ê’vj Heads of white Poppies noiij Raisins with the Stones â„¥ v. Common Water 〈◊〉 iiij Boil them to the Consumption of the half for an Apozeme In the Hours intervening he took often in a day a small quantity of this Electuary â„ž Nutmegs Trochischs of Terra Sigillata an Ê’s Harts-horn burnt red Coral prepar'd Lapis Hematitis Mastich an ℈ j. To these being pulverized add Conserve of Red Roses â„¥ j. s. Miv. ciâ—…on Rob. Acaciae an Ê’iij Nicholas's Rest Ê’j s. Syrrup of sower Pomegranates q. s. Mix them for a Conditement I ordered him to bear with his Thirst as much as he could which he the more ready yielded to in regard that after drinking especially of Ale he found himself most cruelly griped and therefore instead of Ale I prescribed him this Amygdalate for his usual Drink â„ž Barly cleansed â„¥ j. s. Seed of the smallest Roses â„¥ j. Of white 〈◊〉 Plantain and Lettice an â„¥ s. Common Water 〈◊〉 iij. boil them to the Consumption of the Half â„ž The Straining aforesaid sweet Almonds blanâ—…h'd â„¥ v. white Poppy Seed Ê’iij The four greater Colt-seeds Ê’j s. Make an Amygdalate according to Art to which add Syrup of Poppies â„¥ j. Of Red Roses Ê’j s. The ninth of February I gave him ℈ iiij of Rhubarb a little burnt and powdered in a little Ale the tenth and thirteenth I repeated the Apozeme and the twelfth the Conditement And thus by the use of these Medicines the Flux ceasing the Patient regain'd his Health by degrees and by the help of convenient
of Wind. In the intervening Hours because of the Suffocations frequently returning she sometimes took her first Decoction By the use of these Medicines within four days the greatest part of her Pains ceased The twenty ninth of September I ordered the Saphena Vein in her Left-foot to be opened and a good quantity of Blood to be taken away which gave her ease and the same day she took her last Apozeme again of which the following days she drank no more than once a day And thus by the use of these Remedies she escaped a dangerous Disease and recovered her Health ANNOTATIONS CHild-bearing Women in their Lyings in frequently commit very great Errors afterwards the Causes of great Mischiefs Among which this is not the least that they are over confident of their own Strength and trust themselves in the Air sooner than the time of their Lying in will permit whence arise those dangerous Diseases Suppression of the Courses Fevers Suffocations and many others of which there are several Examples to be found in Authors besides what we see every day Thus in our Practice we have seen through this Error committed by Child-bearing Women most terrible Diseases brought upon them some of whom have died others ran most terrible Hazards others have goâ—… those afflictions of some particular Part which they could never claw off as long as they liv'd They do not all escape so luckily as our Patient before mentioned for sometimes extream Weakness or loathing of the Taste or a Fever or some other thing hinders the taking of the Medicaments or inverts or hinders the operation of the Medicines and then all the Art and Diligence of the Physitian signifies nothing Thus the same year that I had this Woman in Cure the Wife of a Kinsman of mine at Utrecht a strong Woman fell into the same Distemper but not to be cured by all the Prescriptions of the most learned and prudent Physitians In these Cases I have observed this that the Courses suppressed a little after Delivery unless they be stirred within three or four days by Medicaments can very hardly or not at all be moved by the help of the Physitians but are the Causes of very desperate Diseases which Diseases do not presently appear sometimes not till after some days sometimes not till after the third or fourth Week And in the Cure of these Diseases I have farther observed this that the greatest Relief is given at the beginning before the Strength of the Patient is abated partly by attenuating Apozems and loosning withal to provoke and evacuate the Matters peccant both in quantity and quality partly by Blood-letting in the Feet which way of Cure I have with success experienced more than once OBSERVATION XX. The Nephritic Passion THE Young Lady Calsâ—…ager was so cruelly tormented for three days with a Pain a little below her Loyns that she knew not where to turn her self these Pains were also accompanied with Vomiting and an extraordinary Restlessness It was the Nephritic Passion and the Gravel or Stone descending through the Ureters caused this Pain Wherefore to expel the Gravel with more speed and ease I prescribed this Decoction â„ž Slic'd Licorice â„¥ s. Herbs Stone-parsly Althea Chervil Mallows Water-parsly Leaves of black Ribs an one Handful Flowers of Camomil one Handful and a half fat Figs n o ix New Milk common Water an q. s. Boil them to the Consumption of the third part for an Apozem That Day she drank almost all the Decoction and about Evening voided some small Stones with a good quantity of Gravel and was freed from her Distemper ANNOTATIONS MEdicines that break the Stone sometimes crumble the little Stones that stick in the Kidneys as Experience tells us But when they are expell'd out of the Kidneys and stick in the Ureters they are not to be crumbled by the force of any Medicaments whatever which Reason besides Experience teaches us since no Medicaments can reach thither with their Vertue entire for that the great quantity of Serum running thither and there setling hinders and abates the Strength of the Medicaments so that they are disabled in their Operation And therefore to force the Stones out of the Ureter lenifying and molifying Medicaments must be mixed with the Diuretics to smooth and mollifie the Ureters and to prepare a more easie Descent for the Stone Such is that Decoction which I and such is that Prescription of Io. Baptist Thodosius which he boast never fail'd him in driving out the Stone though he had made use of it several and several times â„ž Leaves of fresh gathered Althea one Handful and a half New Butter â„¥ iij. Honey lb j. Boil them together in Water q. s. to the Consumption of the third part Take of the Straining a warm Draught Morning and Evening Such is also that celebrated Secret of Forestus which most Physitians highly approve and which I have successfully made use of only now and then with some Alterations and Additions of which Forestus himself thus writes This my Secret I will no longer conceal for tâ—…e common Benefit of the Sick that it may not be laid to mine which was laid to the Charge of the wicked Servant who hid the Talent which God had given him in the Earth And therefore I will no longer to the Prejudice of Posterity keep this Secret by me which is this â„ž Seed of Mallows Althea an Ê’iij Red Vetches â„¥ iij. The four greater Seeds an Ê’ij Barly cleaned â„¥ ij Fat Figs n o ix Sebeston n o vij Licorice slic'd Ê’j Rain-water 〈◊〉 iiij Boil these to the Consumption of half and reserve the Straining for use which the Patient continually using always voided Stones OBSERVATION XXI The Worms A Little Boy the Son of Antonius about three years of age had the lower part of his Belly extreamly swell'd and stretch'd like a Drumb so that he seem'd to be Hydropic his Stomach was gone with a slight Fever accompanied with Frights in his Sleep and he would be always rubbing his Nose with his Fingers I guess'd them to be either Worms or crude Humors sticking in the first Region of the Belly that caused all those evil Symptoms Wherefore because the Child would take nothing but would be always drinking I ordered new Ale to be given him for his Drink with which I only mixt a little Oyl of Vitriol so much as suffic'd to give it a gentle Sowrness This Drink being continued for a fortnight or three Weeks the Swelling of his Belly fell but he voided no Worms ANNOTATIONS OYl of Vitriol given after that manner does not only remove all Putrefactions and Corruptions but kills and consumes the Worms in the Stomach and Guts and those that are infested with such like evils and we have seen it recover those that have been despaired of contrary to Expectation Thus my Sister Cornelia when she came to be seven years of Age and was miserably tormented with the Worms in her Belly and had taken several Remedies to no
ours which came from a certain Infection of the Air and chiefly prey'd upon the Spirits and not upon the Humors and was chiefly cured with Antidotes whereas Blood-letting did harm On the other side our Fever more an Enemy to the Humors then the Spirits was cured by Blood-letting Wierus makes mention of a Malignant and Pestilent Fever which was very rife about the Countries lying upon the Rhine and very different from ours which the Cure informs us for he writes that he found Blood-letting very dangerous From our Fever also differ very much those Fevers which Forestus describes wherein there were neither the same Symptoms neither would the Cure admit repeated Blood-letting Lazarus Riverius produces one Example of a Malignant Fever which in many Patients agreed with ours and was cured by five times Blood-letting To which there was one very like that we saw in France in the year 1632 already mentioned Observ. 3. But that it may be the better understood How Patients afflicted with this same Malignant Fever are to be ordered I shall produce one or two Examples of a thousand in the following Observations OBSERVATION XXV A Malignant Fever HErman Thomas a Baker was seized with the foresaid malignant Fever the fifth of September with a very great Heat and Consumption of his Spirits at the beginning his Pulse beat thick yet not very unequal this Thirst was vehement with a very great driness of the Tongue All the Body seem'd to be equally affected and therefore he never felt any Pain only complained of a great Faintness and Dejection of his Heart the first day coming to him about the Evening I ordered him an Emollient Glister which gave him three Stools and to quench his Thirst I prescribed him this Julep â„ž carduus-Carduus-water Borage and sorrel-Sorrel-water an lb j. 〈◊〉 of Citron newly squeezed out of the Fruit Syrrup of the â—…owre part of the Citron of Violets Rob of red Ribâ—…s an â„¥ Oyl of Sulphur q. s. to make it gratefuly sharp mix them for a Iulep The sixth of September in the Morning we took away a pint of Blood out of the Median Vein of the right Arm which gave him great ease The Blood was very bad the upper half between livid and green and like a Muscilage the lower half black and coagulated the Serum also was Green The next day he felt a Pain in his Throat which was without any Tumour for the asswaging of which I ordered him a proper Gargarism In the Morning he took a gentle Purge which gave him five Stools To quench his Thirst he took small Ale and sometimes his Julep the eight of September his Fever continuing in the same state we took away ten Ounces out of his left Arm which was as bad as the first the ninth this Sudorific was given him â„ž Diascordium of Fracastorius Ê’j Confection of Hiacinth Extract of Carduus Salt of Rue an ℈ j. Treacle and Carduus water an â„¥ j. Oyl of Vitriol ix drops mix them for a Draught Upon this he sweat well nevertheless the Continual Fever his weakness his Pain in his Throat his Thirst and driness of his Mouth continued still besides that he could not sleep hardly at all Therefore in the Afternoon he drank two Draughts of the following Apozem and took it also the next day â„ž Roots of Succory Grass Asparagus an â„¥ j. of Elecampane Sea Holly and stone Parsley an â„¥ s. Herbs Sorrel Carduus Benedict Borage Centaury the less Scordium Scabious an one handful One whole Pome Citron cut in slices the four greater Cold-seeds an â„¥ j. s. Fruit of Tamarinds Rhenish Tartar an Ê’vj Curants â„¥ j. s. Boyl them in common water q. s. to 〈◊〉 ij add to the straining Syrup of Limons â„¥ iij. mix them for an Apozem The eleventh after an Emollient Glister first given we took away seven Ounces more of Blood out of his right Arm which very much abated the Fever the twelfth after he had taken his former Antidote in the Morning he Sweat very much and in the Afternoon he took his Apozem The next day because his Belly did not answer our Expectations I gave him this Powder to take mixed with a little of his Julep which gave him three Stools â„ž Rhubarb the best Ê’j Cremor Tartar Ê’ s. for a Powder This Powder he took again the sixteenth in the Intervening days and the three days following he took the foresaid Apozem and a small quantity of this Conditement â„ž Pulvis Liberans Ê’j s. the three Saunders ℈ ij Confection of Hyacynth ℈ j. s. Candy'd Orange Peels Rob of red Ribs Pulp of Tamarinds an â„¥ s. Syrrup of Limons q. s. mix them for a Conditement Upon the twelfth his Fever abated every day more and more neither was he molested any more with Anguish or Thirst but his Stomach began to come to him but then through a slight Errour in his diet he fell into a Relaps and his Fever returned with great violence Therefore after we had Glistered him first we took half a pint of Blood out of his left Arm which gave him so much ease that the Fever was almost totally quenched with that one Blood-letting The next Morning taking his Antidote again he Sweat soundly and then taking his Apozem and his Conditement both that day and the three or four next days he was presently delivered from his Fever During the Cure we kept him to a slender diet of Broths wherein were boil'd Sorrel Borage Pome Citrons Barley cleansed and unripe Grapes To drink we gave him small Ale and sometimes Juleps and sometimes he quenched his Intollerable Drought with Pulp of Tamarind or by chawing a slice of Pome Citron dipped in Sugar or else by laying upon his Tongue a Leaf of the bigger Sempervivum steeped in water and the outer Skin pulled off OBSERVATION XXVI A Malignant Fever GErtrude Coets a Young Maid of about twenty four Years of Age was seized with the same Pestilential Fever Upon the eight of September I being sent for which was the fourth day of the Disease I found her so weak that she could hardly speak she swoonded away every moment by reason of the Malignant Vapours that oppressed her Heart her Pulse was very weak thick and unequal the heat not very intense in regard the Morbific Matter infested her more by it's Malignity then it's Heat presently I gave her this Sudorific â„ž Oriental Bezoar stone ℈ s. Diascordium of Fracastorius Mithridate Damoc. Confection of Hyacinth an ℈ j. Carduus water â„¥ j. mix them for a Draught Though she did not sweat long by reason of her weakness yet she had very much ease to quench her Thirst I prescribed her this Julep â„ž Carduus Baum Sorrel and Scabious waters an lb. s. Cinnamon â„¥ j. Citron juice newly squeezed â„¥ j. s. Syrrup of Limons Violets an â„¥ j. s. Oyl of Sulphur q. s. mix them for a Iulep The ninth her Belly was moved by a Suppository and two hours after we took from the Median Vein
they could think of for the Cure of this Distemper but very few did any good at length there was a Remedy found out by certain Italian Physitians who came hither with the French Army by which afterwards great numbers were cured First they Purged the Patients with Rhubarb Then they took white Wax Ê’ j. s. or Ê’ ij and cut this very small into â„¥ iiij or v. of New Milk which they boil'd till the Wax was perfectly melted and then gave their Patients that Milk as hot as could be to drink for it must be taken very hot because of the Wax that else would thicken so that it could not be drank if the Lask did not stop the first time then they gave it a second and a third time But in regard there were a great number of Souldiers that lay sick of this Distemper there was such a vast quantity of white Wax consumed in a short time that the Apothecaries of Emeric were quite exhausted so that they were forced to send for it to other Places Now though Wax seldom is given to swallow yet it is no new thing For Diascorides writes that it is of great Efficacy to fill up wounds and is given in Broths to those that are troubled with Dysenteries Thus Valleriola speaks of a Dysenteric recovered by such a Remedy He cut an Apple hollow and filled it with Citrin coloured Wax and then covering it laid it in the Ashes to roast till the Wax was melted and mixed with the substance of the Apple and then gave it the Patient fasting to eat for some days together though he believes it better to roast and melt the said Wax in a Quince as being more astrictive and glutinous Quercetus prepares the same Remedy by cutting an Apple hollow and filling it with white Wax and Gum Arabic an Ê’ j. Solenander stuft a Turtle with an Ounce of white Wax and boyl'd it in Water and then gave both the Flesh and the Broth to be eaten with Bread Others prescribe a Young Pidgeon stuft and boiled after the same manner OBSERVATION XXIX A Dysentery MArcellus Bor a strong Man of about forty Years of Age was taken with a Dysentery of the same Nature The ninth of October I Purged him with Rhubarb then I gave him Juleps Conditements Powders cooling thickning and Astringent Apozems Sudorifics and other proper Medicaments in convenient manner and time so that the Patient being reduced to extremity of weakness I began to give him over not beleiving he could live two days in that condition but in regard he was very thirsty and called for cold Water I ordered in a desperate condition that he might have as much cold water as he would drink to the end that by drinking such a quantity of water the Morbific cause if it were possible might be washed off from the Guts and the Acrimony of it blunted by the force of the cold All that Night the Patient drank as much as he would of Well-water which at first past swiftly through his Guts and with wonderful griping flowed down to the lower parts afterwards not griping so much toward Morning the Pains of the Guts were almost ceased and the Stools less frequent about noon the Patient falling a sleep slept quietly for some hours before the Evening the Flux stopt and so the Patient refreshed with proper diet when every one thought he could not have lived was unexpectedly recovered from a most desperate Disease ANNOTATIONS COncerning the Drinking of cold Water in a Dysentery there are hardly any of the Modern Physitians that speak a word Yet it is a Remedy not improper in a Choleric Dysentery For it washes the Intestines with its moisture and frees them from all the filth of sharp Humors and cleanses the inner Ulcers By its coldness also it abates and dulls the Heat and Acrimony of the Choler and binds up the Exulcerations of the Intestines Nor was the Drinking of cold Water unknown to the Ancients in this Disease Therefore says Aetius at the beginning for drink use Rain-water but if there be no good Rain-water take Fountain-water Celsus also writes in these words If after several days tryal other Remedies will not prevail and the Disease is come to be of some continuance the drinking of cold Water binds the Ulcers In like manner Paulus and others of the Antients make mention of the drinking of cold Water in a terrible Dysentery Among the Moderns Amatus of Portugal was one that by his own report saw a Choleric Dysentery cured by the drinking of a great quantity of cold Water At other times it also happens that when the best Medicines avail nothing a plain ordinary Medicine has cured most desperate Dysenterys So by the Relation of Captains I have heard that when Breda was besieged by the Spaniards and that Dysenteries were very rife in the City nor any Remedy could be invented for this Distemper when all the known Remedies of the Physitians fail'd at length a new invention was found out by which many were cured A piece of Silk double dy'd of a deep Crimson colour comb'd into slender Threads and steep'd in Wine this taken in Wine with a dram or half a dram of Powder of the same Silk for some times infinite numbers have been cured by it I know a certain Dysenteric Person who was given over who upon eating a vast quantity of Medlars recovered beyond all expectation Another was freed by Man's Bones drank in red Wine of a Flux which was thought incurable Oyl of Olives taken alone or eaten with a White-bread Toast dipp'd in it many times works wonders Holler affirms that he was cured several times with the Juice of Ground-Ivy Forestus writes that he never found any thing more prevalent then the Dung of Dogs that only fed upon Bones given in Chalvbeate Milk And with this Medicine Fuchsius says that he cured above a hundred Dysenterics in one Year Riverius tells us of a Dysenteric that only used the Decoction of Pimpernel with Water and Butter and so was cured in three days Bruyernius writes thus of himself being troubled with a Dysentery We says he being terribly afflicted with a Dysentery lay given over by the Physitians for no Remedies were able to asswage or Cure the Disease At length by the Advice of an old Woman upon eating a great quantity of raw Services the next day I felt all my Pain almost abated And by this means my Belly being shut up and I as it were recalled from the dead and restored to my former Health experienced the saying of Gelsus to be true that Rashness does more in Diseases than Prudence can do OBSERVATION XXX A Consumption LEwis Gulielm a Sea-man about thirty four Years of Age and indifferently robust had sometimes before lain Sick of a Malignant Fever of which by the Assistance of God I had cured him In the Month of October about a Month after the cure of the said Fever he was taken with an Extraordinary Catarrh occasioned by
one or two Hours and this you must do twice or thrice a day When you take this off put on a woollen Cap well fum'd with Mastich and Cloves bind a warm Napkin about it to the end that by this means your Head being over cold and weak may be again heated corroborated and dry'd that so the Catarh be stopped from further descent which done the remaining Cure will be easily accomplished I am well assured that by reason of the Wars and your continual quartering of Souldiers you cannot live with those Conveniences about you as you ought to have nevertheless you are to take the best care of your Diet you can therefore you must keep your self in a warm Place and more especially to preserve your Head from all manner of Cold. As to your Diet abstain from all manner of salt and smoaked Meats and all others of hard Digestion and Nutriment more especially from all Acids as Vinegar Iuice of Limons sowre Apples sowre Wine and every thing else that has any Acidity in it for all Acids are hurtful to the Lungs Broths made of Mutton Lamb Veal Hens Cocks and the Flesh themselves boil d with Rosemary Marjoram Barley cleansed and stoned Raisins potch'd Eggs and Goats Milk and in a Word all sweet things are proper If the Malady do not yield to these things send me back word of the State of your Disease Yours to Command I. de Diemerbroeck The Medicaments which I prescribed him were these â„ž Of the Mass of Pill Cochiae ℈ j. s. Diagredion gr v. for seven Pills â„ž Red Coral prepared Blood-stone Trochischs of seal'd Earth an ℈ ij Flowers of Sulphur Ê’j Olibanum Tragacanth Spodium Harts-horn burnt â—…n ℈ j. Conserve of Red Roses â„¥ ij Codigniach â„¥ j. s. Nicholas's Rest Ê’j s. Syrup of Poppy q. s. Mix them for a Conditement â„ž Syrup of Iujubes of Colts foot of Licorice an â„¥ j. of Poppy Looch Sarum an â„¥ j. s. Mix them for a Looch â„ž Heads of white Poppy n â— v. Cut them small and boil them half an hour in common Water q. s. Strain them very hard with the Straining boil White-sugar â„¥ iiij to the Consistence of a Lozenge adding at the end Powder of the Root of Althea ℈ j. s. of Licorice slic'd Ê’j Flowers of Sulphur ℈ ij Red Coral prepared true Bolearmoniac an ℈ j. Make Tablets according to Art â„ž Herbs Marjoram m. j. Rosemary Bitony Flowers of red Roses Melilot an m. s. Cloves Ê’j Nutmegs Cummin-seed an Ê’jj Beat them into a gross Powder and then add Millet-seed m. iiij Salt m. iij. Mix them together and put them into a large linnen Bag. When he had used these Remedies for eight days he wrote me word that his Coughing and Spitting of Blood were very much abated but not quite cured Therefore to perfect the Cure I wrote him word to continue his Pills Looch and Conditement and withal sent him the following Prescription â„ž Roots of the greater Cumfrey Snake-weed Tormentil Fennel an â„¥ s Licorice slic'd Ê’vj Herbs Hyssop Colts-foot Scabious Herb Fluellin Plantain Betony Rosemary an m. j Sage Flowers of red Roses an m. j. Head of white Poppies cut small n o iiij Raisins unstoned Ê’iiij Dates n o ix Decoction of Barley q. s. Boil to an Apozeme of lb iij. First let him purge with his Pills and make use of Looch let him take his Conditement Morning and Evening and drink a Draught of his Apozeme after it about the end of March he wrote me word that he was quite cured of his Cough and Spitting of Blood that he slept very well and could eat and gave me many Thanks for my Advice ANNOTATIONS ALL spitting of Blood out of the Veins of the Lungs threatens great Danger and therefore ought to be cured with great speed and prudence As Benedict Faventius observes If a Vein says he be broken with Coughing and Blood spit out of the Lungs it will never be consolidated but with great difficulty and care of the Physitian This Cure is more easily or with more difficulty accomplished according to the variety of Causes the Vehemency and Diuturnity of the Distemper and the natural Strength of the Lungs affected But among other Causes this is one when Nature endeavours to expel by the violent force of the Cough the Humors stoping the spiritual Passages for by that extraordinary Violence there is a force put upon the Organs of Respiration so that they become very much extended with their Vessels and sometimes broken and then the Blood comes away with the Spittle Such was the Blood-spitting that troubled our Patient which was very dangerous but less then if it had been occasioned by some ill Disposition of the Lungs or Corrosion of the Vessels or any such like Cause However had the Distemper persisted any longer the Vessels without doubt would have been corroded by the Acrimony of the distilling Humors and the Strength of the Bowel would have fail'd and then Suppuration Consumption Rottenness a Fever and several other Maladies of difficult Cure and for the most part mortal would have ensued But because it was not come to that and because the Disease had been of no long standing and the Patient was of sufficient strength the Cure was fortunately performed and much sooner than was expected OBSERVATION XLII Suppression of the Secondines and Courses THE Wife of Peter Vleys-houwer the sixth of March miscarried presently after her Secondines Courses Urine and Evacuations of Excrement stopped which exposed her to imminent danger especially when the Medicaments given her by the Midwife availed nothing The ninth of March which was the fourth day after she had miscarried I was sent for and presently prescribed her these things â„ž Roots of round Birthwort Dittany Valerian Briony Masterwort Fennel an Ê’iij Herbs Mugwort Peniroyal Tansie Feverfew Savin an m. j. Seed of Parsley Lovage wild Carrots Ê’ij red Vetches â„¥ j. s. White-wine q. s. Boil them for an Apozeme of lb j. s. â„ž Of this Decoction â„¥ v. Leaves of Senna cleansed Ê’iij Best Rhubarb Ê’j s. Aniseseed Ê’j Choice Cinamon ℈ j. Make an Infusion for four hours then strain them very hard and add to the Straining Oyl of Amber ix Drops for a Draught After she had took this she purged gently and her Urine and Courses came down in great Plenty and her Secondines came forth by Piace meals and thus by this one Medicament she escaped a very great danger OBSERVATION XLIII A Wound in the Brain with a Pistol-shot MR. Vane an English man and Ensign of a Company a strong young man about twenty five years of Age at the Siege of Schenk Sconce in the Year 1636. was wounded in the â—…ead with a Pistol Shot a little Bullet entring through the inner Corner of his Right-Eye without hurting the Eye and passing through the Substance of the Brain in a streight Line to the upper Bottom of the fore-part of the Head on that Side in that Place stopp'd and stuck under the
insomuch that the Patient was cured as it were in a Moment after the drawing out the Awl and was living seven years after to our knowledg And therefore it is very probable that it was put into the Body of the Boy by diabolical Incartation like to that same Story which Longius tells of a Country Man who had an Iron Nail which appeared under his Skin without any Prejudice which was cut out by the Chyrurgeon and when he was dead four Knives two iron Files Hair and other things were found And several other remarkable Stories of the same nature are related by others as Forestus Codronchius Gemma Zacutus c. 'T is true it has been a Controversie for several Ages among Divines Lawyers Physicians and Philosopers whether there be any Inchanters or Witches and whether they have so much Power by their Charms to hurt the Creatures to cause Sickness and Death clear up Rain and cause Thunder c. For a brief Solution of this Question in short we must conclude that there are Inchanters who by the Permission of God can do very strange things seeing that the Scripture testifies that Pharaoh's Magicians in Moses's time were such a sort of Inchanters who turned Rods into Serpents Rivers into Blood c. Thus St. Luke makes mention of Simon Magus who made the People mad with his Magic Arts. Whence we must of necessity conclude that there are Witches and Sorcerers who by their Demoniac Arts cannot only work various Miracles but also blast Herbs and Fruits and do mischief to Beasts and Men which Mischiefs however they cannot do when they please nor to all that they please but only when and in what manner God pleases and to such whose Faith God has a Will to try as he permitted the Devil to exercise his Sorceries upon Iob. Or to such whose Incredulity or Impiety he has a mind to punish not only in the proper Person of the Transgressor but also by giving the Witches Power over their innocent Children their Flocks Herds Fruit c. And thus by the Incantation of Witches many times Infanrs Oxen Sheep Horses Fruit c. are mischiefed as we saw at a certain Country-mans at Montfort Yet though there are such Inchanters and Witches their Power of doing Harm is not at their own but at the disposal of God Nor can Satan inflict Diseases but by the Permission of God and then his Witches are but his Instruments not the primary Cause OBSERVATION XLVIII Of the Gout in the Knee A Little Son of Thomas Peters an English Merchant about six years of age being troubled with the Gout in his Knee for three or four Weeks at length his Pain was so great that he could not go There was no Tumor no Inflammation nor Dislocation and therefore after I had purged his Body I only laid on a Cere-cloth of Oxicroceum which lay on for three days without any benefit Afterwards his Knee swell'd very much and the Pain likewise encreased wherefore leaving off the Cere-cloth the following Cataplasme was laid on for four or five days together shifting it twice a day The Use of which cleared the Child both of his Swelling and Pain nor did they afterwards return â„ž New Goats-dung lb. j. Boil it in strong French Wine q. s. to the consistence of a Cataplasm and when you take it off from the Fire add Spirt of Wine â„¥ iij. Mix them for a soft Cataplasm ANNOTATIONS THis Cataplasm has a very great discussing and corroborating Faculty which is look'd upon by some as a great Secret in these sorts of Tumors of the Joynts the signal effects whereof we have try'd in many other cases of the same nature This Dung boiled in Oximel Aetius highly commends as a Medicament which he has often succesfully used in long continued Tumors of the Knee OBSERVATION XLIX A Swelling in the Fore-head by reason of a Fall A Young Son of Dimmer de Raet Consellor to the Court of Boxmer had fallen down a Pair of Stairs upon his Fore-head whence ensued a Swelling in his Fore-head to the bigness of a Hens Egg. To this I only applied green Grass fresh gathered and bruised in a Mortar cold as it was which done the Swelling vanished the next day to that degree that there was not the least sign of it remaining ANNOTATIONS THese Swellings though some make nothing of them yet if they be neglected at the beginning they are many times the causes of great Mischiefs which we saw happen'd to the Child of Monsieur Armstrong who having such a Tumor in his Fore-head when it could not be dissipated by no Topics the Place affected continued swell'd for some Weeks after till at length the Humor therein beginning to putrifie and from thence bad Simptoms appearing there was a Necessity not only of a Tormenting Incision to open the Tumor and let out the putrid Humor but also of scraping off the putrid Humor corrupted with the same Putrefaction from the Bone that lay underneath by which means that imminent danger was to be removed from the Patient to which also the Wound was consolidated without any conspicuous Scar. Wherefore it is far better to dissipate the Humors at the beginning at what time it may be easily done and which we luckily did with Grass only bruis'd Many times we have likewise applied brown Paper moistned in Spirit of Wine with as good success or Oyl of Wax or Anise anointed upon the Place OBSERVATION L. The Chollic Passion MOnsieur Starkenburgh Collonel of the Regiment of Groening about forty years of age of a cold and flegmatic Constitution in September was taken with a violent Cholic Passion His Belly was very much swell'd with Wind which he could neither void upward nor downward and terrible Gripings seemed to dilacerate the Guts He complained also of an extraordinary Anxiety of his Heart with which he was so much oppressed that he was all over of a cold Sweat but because he seemed to be almost ready to burst with Wind and had need of present Relief I prescribed the following Glister which was given him about eleven a Clock at night â„ž Emollient Decoction lbj. Elect. Diaphoenicon Hiera Picra â„¥ j. s. Oyl of Dill and Camomil an â„¥ j. Common Salt Ê’j Mix them for a Glister This Glister he voided within a quarter of an hour without any Ease neither Wind nor Excrement following for which reason soon after we gave him another of the same which did him as little good At the same time the Patient growing Stomach-sick threw up some Choler with tough Flegm Therefore about six a Clock in the Morning I prescribed him another Glister after this manner â„ž Emollient Herbs lesser Centaury Wormwood Rue Flowers of Cammomil Dill an m. s. Seeds of Anise and Lovage an Ê’ij Cummin Laurel-Berries an Ê’j s. Boil them in common Water q. s. to lbj. In the Straining gently boil Flowers of Senna â„¥ j. Then press them and add Elect. Hiera Picra Diacatholicon an
â„¥ j. s. Oyl of Cammomil and Dill an â„¥ j. Common Salt Ê’ij For a Glyster After he had taken this there came away with it much Excrement and much Wind. Afterwards being sick at his Stomach he threw up a great quantity of Choler and tough Flegm which gave him much Ease Twice the same day he took Chicken Broth boil'd with Barley cleansed Citron and Orange Peels and for his Drink sometimes he drank Ptisan sometimes small Ale In the Evening this Bolus was given him which caused him to sleep a little the Night following and gave him very great Ease and the next day he had three Stools â„ž Of our Anticholic Electuary Ê’j Transparent Aloes ℈ j. Mix them for a Bolus This Bolus afterwards he took thrice a day every other day The seventh of October not having gone to stool in three days upon forbearing his Bolus his Cholic Pains increased again But then because the Gentleman would not admit of any more Glisters I gave him a gentle purging Draught which caused him to void much Choler and Flegm upward and downward The twelfth of October his Belly being bound he took a Glister The thirteenth Dr. Harscamp an eminent Physitian was called to Counsel and then by common Consent to stop his Vomiting we gave him at two times one Spoonful of Cinnamon-water with two Drops of Oyl of Cinnamon and ordered the following Ligament to be applied to the Region of his Stomach â„ž Oyl of Nut-megs squeez'd of Laurel an Ê’j Of Dill of distilled Fennel an ℈ j. Of Anise Drops iij. Mix them for a Ligament In the Evening he took the forementioned Bolus The sixteenth of October he took another Glister which gave him three Stools with great ease The twentieth to loosen his Belly we prescribed him Pills made of transparent Aloes only of which he swallowed two or three every other day or every other three days which Pills wrought so well that afterwards we had no need of any other Purges The twenty eighth I gave him â„¥ j. s. of our Anticholic Electuary wherein I had mingled Ê’j s. of transparent Aloes of which he took Morning and Evening Ê’s or ℈ ij to his great Advantage For it strengthned his Stomach dispell'd the Wind and cleansed away the Flegm and Choler This Electuary he afterwards used as a preservative taking his Aloes-Pills in the intervening days And by this means he recovered his former Health ANNOTATIONS THE Cause of this Cholic Passion was a great quantity of salt Flegm sticking to the Guts and an over-abounding quantity of sharp excrementitious Choler for the Choler being voided out of its Bladder into the Guts and being there mixed with that Flegm and causing that salt and tough Flegm to boil like quick Lime thrown upon Water or Oyl of Vitriol powred upon powdered Crabs Eyes begat an extraordinary Flatulency violent Pains and extream Anxieties That this was the true Cause appeared by his vomiting which brought up yellow and greenish Choler with tough and frothy Flegm as I have often observed in my Practice Wherefore in this case there is need of a hotter Medicament in regard of the cold Flegm and the Wind at the same time to cleanse away the Choler and asswage the Gripes To which three Purposes the foresaid Electuary mixed with Aloes was of great use other general and necessary Medicaments being given as occasion served To asswage the Pains of the Cholic many notable Remedies are prescribed by various Authors which are to be varied according to the variety of the Causes In a cold Cause I make use of my own Anticholic Electuary with good success the Composition of which is this â„ž Specier Diagalangae Rosatum Aromaticum an Ê’iij s. Diambra Ê’iij Mass of Storax Pills Ê’iij s. Treacle of Andromachus â„¥ iij. s. Mithridate of Damoc. â„¥ iiij Ê’v Oyl of Anise Ê’ij ℈ ij of Cloves Ê’j of Nutmegs distill'd Ê’j s. Syrup of Stocchas q. s. For an Electuary This Electuary sometimes I use alone sometimes with every ounce I mix Ê’j or ij of Aloes and so given have found it much more prevalent against the Chollic Holler boils in odoriferous Wine one small Handful of common Wormwood with Ê’ij of Cummin-seed He also commends Orange-peels boil'd in Wine and the Decoction drank fasting in a Morning We have also given the same Peel powder'd and mix'd with Wine and found it no less beneficial Wormwood-wine is commended by Aetius because it corroborates the Belly purges away the Choler and prevents the Growth of it and discusses and expels the Wind. Others boil Ê’j of Cummin-seed in VVormwood-wine and give the Straining Rases approves Confection of Laurel Berries Avicen prescribes an effectual Medicament of equal Parts of Castor Pepper and Aniseseed Against the same Distemper are no less prevalent the Powder of Zedoary Root from ℈ j. to Ê’j Also the distilled Oyls of Anise Fennel Caroes Dill and Zedoary given in hot Wine The Decoction of Flowers of Cammomil with a little Cummin-seed added given in Ale or small White-wine â„¥ iiij or v. at a time is a most present Remedy to asswage the Pains and expel the Wind. Others applaud this Carminative Water of Schroderus â„ž Flowers of Roman Cammomil m. xxx â—…ut bruise and infuse them twenty four hours in Cammomil-water lb x. others say xv stout Wine lb vj. squeeze these very strongly and in the straining infuse for twenty four hours more Flowers of common Cammomil m. xxiiij Press them and strain them In the Straining steep Flowers of Cammomil m. xij The yellow of Orange Peels â„¥ j. s. Pontic Wormwood m. ij Lesser Centaury Penyroyal Basil an m. ij s. Seed of Dill â„¥ iij. Of Anise and Fennel an â„¥ j. s. of Caroways Cummin Carduus Benedictus Maries Carduus an â„¥ j. s. Iuniper berries â„¥ j. Laurel-berries â„¥ s. Let them stand twenty four hours then distil them with a Gentle Fire in Balnâ—…o Mariae Rodoric Fonseca recommends as a singular Remedy and a very great secret arising from the Propriety of the whole Substance the Testicles of Horses which he says he has several times try'd in the Cure of cholical Distempers These Testicles he washes in generous Wine and cuts into thin slices and then dries them in an Oven with a gentle Heat and keeps them for his Use upon occasion after general Remedies he gives of these powdered Ê’j in Wine three hours before any other Meat Zacutus prefers the Pizzle of a Bull as having a Wonderful specific Vertue one Scruple of the Powder being taken in Malmsey Wine affirming that he had cured several who were most cruelly tormented with that Grief with that only Medicament He also commends for almost as effectual the sole drinking of Urine In vehement Cholic Pains Riverius prescribes these Pills which he has often given with great Success â„ž The best Aloes Ê’j Laudanum Opiate gr iiij Diagridion gr vj. Make six Pills Let the Patient take these at a convenient time and within an hour
laid bare at that time we could perceive nothing for the Blood but the next day we discovered two apparent Fissures in the Cranium and upon one side a small Particle about half a Fingers length somewhat depressed which Particle was every way sever'd and broken from the Bone Therefore in the next firm Part we made a perforation with a Trepan and took out half an ounce of Blood which had flow'd out of the little broken Veins between the Cranium and the thick Meninx and there had shelter'd it self which being wiped off we laid a little rag dipped in Honey of Roses upon the Meninx and having filled the Wound without side with dry Wooll we covered it with Emplaster of Betony The sixth of February some little Blood came forth but after that none at all in the mean time we kept his Belly loose with a gentle Purge thus we ordered the Wound till the twelfth of February and covered his Head with a quilt of Cephalic Herbs and other things afterwards we began to lay the following Powder mixed with Honey of Roses upon the Meninx ℞ Sanguis Draconis Frankincense Aloes Myrrh an ℈ j. Fine Barley Flower ℈ j. s. Make it into a very fine Powder The eighteenth of February the flesh began to grow from the inside of the Meninx The first of March the Meninx was covered with flesh The sixteenth of March a little Scale was separated from the upper Bone of the Skull laid bare and at the beginning of April the Man being perfectly cured went abroad ANNOTATIONS THE suddain Consternation of this Person as it were Apoplectic was a certain sign of the Skull being depress'd which depression could never have been made without a Fracture or a Fissure And though for the following days the Patient felt nothing in his Head in regard such a depression and Fissure could not happen without breaking some of the little Veins it was better to open the Skull and take out the Extravasated Blood then to expect the Symptoms of it when Corrupted and Putrified For a very little Blood though no more then a dram yet Putrifying upon the Meninx may cause terrible Symptoms and Death it self OBSERVATION LIII The Head-ach PEtronel de Kuijck a Country-Woman about threescore Years old complained in February of terrible Pains in her Head as also of Catarrhs falling upon her Eyes Teeth Shoulders and other parts that she had been troubled all the Winter and felt a very great cold at the top of her Head as if the fore part of her Head had been dipped in cold Water Therefore having prescribed her a hotter and Cephalic Diet I Purged her with Pill Cochiae and Golden Pills then I ordered Linnen-cloths four doubled and dipped in Spirit of Wine warmed and gently squeezed to be laid over all the upper Part of her Head and to continue so doing for some days which done that Diuturnal Pain together with her Catarrhs all ceased within a few days then for prevention and preservation I prescribed her a Quilt to wear upon her Head ℞ Marjoram one little Handful Rosemary Sage Flowers of Melilot Lavender an one little Handful Nutmegs Cloves an ℈ ij Make a Powder for a Quilt ANNOTATIONS IN these cold Maladies of the Brain besides general and internal Medicines proper Topics are very beneficial so that many times they alone at the beginning of the Distemper contribute very much to the Cure In which case we made use of Spirit of Wine with good Success the Fomentations of which are highly commended by Arculanus Plater commends Dill Forestus Cammomile however they are made use of in Head-achs proceeding from cold Causes Aetius applaudes Goats dung bruised and laid on Morning and and Evening Others dry up cold superfluous humors after this manner ℞ Millet-seed lb j. common Salt lb s. Leaves of Majoram Rosemary Sage Flowers of Lavender Melolet an one small handful Seeds of Anise Fennel Dill Cummin an ʒ ij Lawrel Berries ʒiij These being fryed in a Frying-pan let them be put into little bags and while they continue warm let the head be first dried and then well rubb'd with them for half an hour Aetius prefers Vervein with the Roots and creeping Time boyl'd in Oyl for the Cure of all Head-aches proceeding from cold and thick Humors He also recommends Hog-lice boyl'd in Oyl for the same purposes P. Aegineta writes of a Woman who was very famous for cuing Head-aches either with or without a Fever by this means She boyl'd the green Roots of Asses Cucumers cut very small and Wormwood in Oyl till they grew soft and with this Oyl and Water she moistened and watered the Head and then clapt the Root bruised with the Wormwood upon it Which Medicine is highly recommended by Avicine who prescribes it after this form ℞ Common Oyl common-water an lb j. Leaves of Wormwood M. j. s. Root of Asses Cucumers ʒ ij Let them boyl together OBSERVATION LIV. A Hickup ANtonetta N. a poor Woman desired me to see her Daughter a Maid about twenty four Years of Age she had been troubled for ten days with a continual violent and troublesome Hickup and none of the old Womens Remedies would do her any good when I understood her Womb was well I judg'd that the Malady proceeded from some sharp Matter firmly Impacted in the Tunicles of the Stomach therefore I gave her first a light Vomit which gave her three or four Vomits but no release from her Hickup Thereupon I prescribed her this following little Bag. ℞ Flowers of Mint camomil Dill an M j. of red Roses Melilot an M. s. one white Poppy Head cut small Nutmeg Aniseed an ʒj of Dill and Cumin an ʒj s. cut and bruise them grossly and make a Linnen bag about the bigness of two hands breadth This Bag I ordered her to boil for half an hour in new Milk and common Water an lbj. s. and to take ever and anon a Draught of this Decoction and after she had gently squeezed the Bag to apply it hot to the Region of her Stomach which when she had continued to do but for one day her Hickup left her ANNOTATIONS SAys Hippocrates A Convulsion is caus'd by Repletion or Emptiness and so is a Hickup But for the most part a Hickup proceeds from Repletion seldom from Emptiness as Galen testifies Under the word Plenitude are comprehended also whatever matter sticks close to the Tunicles of the Stomach and twiching and gnawing them with its Acrimony whether sharp tough Humors Pepper or any other thing A Hickup if it last long is very troublesome but it seldom uses to continue long Yet M. Gatinaria tells a Story of a Doctor of Law who was troubled with a Hickup for twelve days together and Forestus makes mention of an old Woman that Hickupp'd many times for half a year together To suppress this Hickupping those Medicaments are most proper which loosen and remove the sharp and biting humors from the Tunicles of the Stomach such are Vomiting Medicines
after that was delivered of another Boy and both lived in good Health Therefore we must conclude the last Conception had Nourishment enough in the Womb and was strong and consequently able to retain it self in the Womb during the delivery of the other in regard the Woman's Labour was easie and without any violence OBSERVATION LXI Worms in the Head THE Son of a certain Treasurer of Iuliers a Young Lad about twelve Years of Age from his Child-hood had been always troubled with Worms in his Head at length his Mother by the advice of a Quack washed and daubed his Head with I know not what Lotions and Oyntments and so the Worm was kill'd by which the Mountebank thought to have got himself a great name in the Town but within a few days after the Boy began to complain of a Pain in his Head which every day increasing at the Months end was so intollerable that I was sent for but all to no purpose after tryal of all external and internal Medicaments at nine Weeks end Epileptic Convulsions seiz'd him which in a few days turned to a vehement Epilepsie which afflicted him at first every day then every hour then every quarter of an hour at length the Child died his Head being open'd the Hard Meninx was all over of a red Colour and very Black in that part next the upper-part of the Head somewhat toward the the left side this being dissected there came forth a Blackish and watry Goar which had lain between both the Meninxes the substance of the Brain was very little altered but in the Ventricles of it there was a kind of greenish Humour watry yet not very clammy but the quantity very small in other things there was no alteration ANNOTATIONS IN this manner it was that these Worms were cured by this Mountebank However he was wise in this that upon Notice of the Boys Death he sneaked out of Nimeghen perhaps afraid I should upbraid him with the Death of this Patient like an Ignoramus as he was who had stopp'd up the way by which Nature voided the noxious Excrements of the Brain before he had made any diversion OBSERVATION LXII A Tertian and Intermitting Fever THE Wife of Monsieur de Spieck a strong Child-bearing-Woman the second Week after she was brought to Bed found her self very well but trusting too much to her strength got out of her Bed walked about the Chamber and eat a bit of a dry'd Neats-Tongue but at the end of the third Week she was seiz'd with a violent double Tertian Intermitting Fever with an extraordinary Heat continual Waking her Stomach quite lost unquenchable Thirst with several other bad Symptoms The twenty second of August I was sent for when I found her very anxious and weak and in the midst of her second Fit which most People thought would have carry'd her off I gave her presently Bezoar Stone ℈ s. Confection Hyacinth ℈ j. with six Drams of our treacle-Treacle-water which as she said soon after gave her some ease to quench her Thirst I gave her this Julep which pleased her so well that she drank nothing else all the time of her Distemper ℞ Waters of Carduus Benedict Succoury Borage an lb. s. Syrup of Limons ℥ j. s. Violets ℥ j. Oyl of Sulphur q. s. to make it grateful to the Pallat. Toward the Evening I prescribed this Infusion which she took the next Morning ℞ Leaves of Senna well cleans'd ℥ s. Rubarb the best ʒj s. Rhenish Tartar Anniseed an ʒj Succoury water q. s. Steep them all Night the next day boyl them gently then press them strongly adding Syrup of Roses Solutive ℥ s. For a Draught This gave her four Stools which brought away much stinking Excrement and gave her great ease after the Purge I prescribed her Chicken Broth with Sorrel and Chervil boiled together in it with a little juice of Citron to relish it and to quench her Thirst still gave her the Julep before mentioned The next Night she slept indifferently and when she waked found her heat much abated the next expected Fit was so slight that she was hardly sensible of it nor did the Fever after that appear any more being vanquished by these Medicins only ANNOTATIONS CHild-bearing Women not careful of themselves when they lye in oft-times pay for their Rashness as this Gentlewoman did As also did a Neighbour of Ours who going abroad too soon fell into a continued Fever upon which first a Frenzy and then Death ensued Another of our Acquaintance the second week of her Month looking to soon after her House Affairs and presuming to Combe her Head fell into an Epilepsie upon which a Delirium ensued which Maladies though at length they were much abated yet could they never be cured all the while the Gentle-Woman lived OBSERVATION LXIII A Bleeding at the Nose THeodore Bijl about fifty five Years of Age in August about four a Clock in the Morning was taken with a Bleeding at his right Nostril Three hours after being sent for for revulsion I ordered the Chyrurgeon to open a Vein in his right Arm with a large Orifice and to take away ten Ounces of Blood which done by applying cold Water to his Neck and Forhead the Bleeding was stay'd three days after being invited to a Feast where he drank Wine a little too freely upon his return home he was again taken with the same Malady and bled all that Night before I was sent for the next day I ordered him to be let Blood as before but to no purpose nor durst we repeat Blood-letting in regard of his Age and his strength nor would he permit any Tents to be put up into his Nostrils and therefore we apply'd a little lock of Tow moisten'd with this mixture to his Forhead ℞ Bole Armoniack ʒij s. Bloodstone Mastick Frnkincense Red Coral an ℈ ij The white of one Egg. Vinegar of Roses q. s. mix them together Moreover Oxocrate which is actually cold was applied to his Neck Forehead and Testicles and Revulsions by Ligatures and Painful Frictions of the extream Parts and by Cupping Glasses applied to his Shoulders which avail'd nothing at length after the bleeding had continued above thirty six hours and the strength of the Patient through loss of Blood was very much exhausted then he was forced to admit of Astringents to be thrust up into his Nostrils therefore when we had cleansed his Nostrils from the clotted Blood we ordered a Powder of Trochischs of Myrrh of Bole-Armoniac Mastick and Frankincense to be blown through a Quill into his Nostrils and withal thrust up a thick Tent made of Linnen about a Fingers length dipt in Vinegar and the white of an Egg and sprinkled with the same Powder by which means the bleeding seemed to stop for two or three hours but afterwards the Blood began to descend through his Palate into his Mouth and the Tent falling out he bled again at the Nostril Then after we had once more cleansed his
salt Flegm caused by the first sudden Refrigeration and adhering to the Ventricles of the Stomach which fermenting at Intervals through the afflux of Choler or sharp Rhume caused those cruel Gripings Other things also shewed the Stomach to be offended as loss of Appetite inclination to vomit troublesome Belches Crudities c. The Cough I looked upon as caused by Defluctions falling upon the Lungs which were continually fed by the crude Vapors carried from the ill affected Stomach to the Head and thence falling down again upon the Breast the Gentleman thus satisfied with my Conjectures in order to the Cure upon the twenty sixth of November I laid him on upon his Head a Cap or Quilt of Cephalic Herbs and other hot Ingredients which he wore all that Winter I ordered him a warning and attenuating Diet Meats of good Juice and easie of Digestion to which Diet I left him wholly without giving him any other Physic for three or four days because of his extraordinary Weakness Within a few days his stinking and ill-coloured Spittle his Brain being corroborated by the help of the Quilt and his Defluxions ceasing became white and of its natural Consistence and neither so much nor so clammy as before The thirtieth of November the Pains of his Stomach began to gripe him not extending themselves beyond the Region of the Stomach yet so terrible that they seemed to surpass the Pains of Child-bed To asswage this Pain I gave him one Dram of our Anticholic Electuary by five a clock in the Morning and again at eleven at Noon but this would not stir the Pain Thereupon I applied to his Breast a Cere-cloth of Storax Benzoin Castor Galbanum all over the Region of his Stomach The first of December the Patient would swallow no Physic only he took a Glister that gave him one Stool The next day he having taken Pill Ruffiae had three Stools but his Pain nothing abated so that his Strength being extreamly wasted by the Violence thereof we were forced to Narcotics of which I made choice of the hotest by its heat to strengthen the Stomach and digest and cut the clammy cold Humors and by its Narcotic Faculty to asswage the Pain To which purpose I gave him about Night one Dram of Philonium Romanum prepared with Euphorbium which allay'd the Pains within three hours The third of December he took several times that day a small quantity of the following Conditement â„ž Specier Diamosch Diambra an ℈ j. s. Diagalanga ℈ j. Roots of Calamus Aromaticus condited Conserve of Anthos an â„¥ s. Preserved Nutmegs Ê’ij Confection of Alkermes ℈ â—…j Syrup of Limon q. s. Oyl of Cinnamon gutt ij For a Conditement About Night his Pains began to return again but not with that vehemency The next day taking Pill Ruffiae he had three Stools Toward Evening by his Pulse I found him somewhat feverish but upon taking this small Potion the Fever vanished â„ž Treacle of Andromac Ê’j Of our Treacle-water â„¥ j s. Oyl of Vitriol gutt vij For a Draught The fifth of December the Pain in his Stomach was very gentle his Cough and Spitting ceased but some beginnings of a Fever appeared which upon taking this Apozem vanished â„ž Succory Roots of Asparagus an â„¥ j. Of Elecampane â„¥ s. Herbs Endive Centaury the less Roman Wormwood an M. j. Carduus Ben. M. s. Anise-seed Ê’j s. Corrents â„¥ ij Orange and Citron Peels dried an Ê’iij Boil them in common Water q. s. for an Apozem to lbj. s. In the Evening I gave him an Amigdalate which caused him to sleep which was continued for three days during which time feeding now and then upon Chicken-broth his Strength was somewhat recovered All this while there was somewhat troubled the Patient's Stomach which he could not well express in Words only that something ascended up now and then to his Throat this spoiled his Appetite and hindred his Digestion and as the Patient believed was that from which the Fits derived their Original therefore to extirpate this Malady I gave him the following Antimoniate Wine â„ž Crocus Metallorum of our Preparation gr xv Strong French Wine â„¥ iiij Steep them all Night the next Morning strain them through a double brown Paper for a Draught He took this Potion the twelfth of December at eight of the clock in the Morning At nine a clock he had an Inclination to Vomit but brought up nothing but a little after he brought up some few Lumps like Glew and of a greenish Colour About eleven a clock his Anxiety ceasing he had seventeen watry Stools of a mixed Colour without any Gripes however because his Strength was much impaired we refreshed him with Cinnamon-water and Sugar In the Evening I gave him a Draught of generous Wine with a Dram of Treacle and so the next Night he slept indifferent well The next day he perceived the thing that troubled him in his Stomach to be gone which he never felt more From that time his Stomach began to come to him and he eat three Porringers of Broth that day and digested them well The following days he was so hungry that he not only eat three or four times a day but sometimes at Midnight the two first days he was fed with Broths variously prepared the third day be began to eat boil'd Chickens Lamb Veal c. and sometimes to drink a Glass of Wine the fourth he came to roasted Meats and so fell to his accustomed Diet and so in a short time he recovered his former Strength OBSERVATION LXIX Nephritic Pains MOnsieur Bronkherst Lord of Werdenburgh in the Flower of his Youth and a great Lover of Rhenish-wine was taken the twenty sixth of December with most cruel Nephritic Pains not without some obstruction of his Urine Six years before being troubled with the same Pain he had voided a little Stone but after that he had not had the least touch of the Malady nor so much as voided any Gravel To asswage the Pain I gave him an Emollient Glister then prescribed him this Mixture â„ž Oyl of sweet Almonds new drawn â„¥ iij. s. Iuice of Limons Ê’vj Malmsey-wine â„¥ iij. Mix them for three Doses to take once in three hours The following Liniment was also laid warm to his Loins â„ž Oyls of Scorpions Lawrel bitter Almonds an â„¥ s. Of Cammomil Dill Turpentine an Ê’ij Mix them Toward Evening his Pains ceased in the Night making Water freely he voided a rough unequal Stone about the bigness of a Pea. The fourteenth of Ianuary having exposed himself to the Cold in vehement Weather his Pains returned at what time taking the same Mixture again he voided another Stone and was again freed from his Pains But for the future Prevention I advised him to swallow every other day a Pill of transparent Aloes or a Bolus of Venice Turpentine and sometimes to use Fernelius's Syrup de Althea but above all things to forbear the use of Rhenish-wine ANNOTATIONS THE Reason why Rhenish-wine
other OBSERVATION LXXII The Scurvey AGnes Alberti a Maid of about twenty four years of Age complained of a dull heavy Pain in her left Side under the Bastard Ribs as also of a certain Chilliness of her whole Spine She had also certain cold Shakings frequent Debilities and fainting Fits which presently went off besides she had certain black and blew Spots upon her Thighs moreover her Teeth were loose and her Gums eaten away she had an ill Smelling By these Signs I judged her to have the Scurvy But in regard it was in the midst of a hard frosty Winter when no proper Herbs were to be got and because the Extremity of the Cold would not permit of Purgation I only prescribed her this following Electuary to take of it the quantity of a Nutmeg three times a day and all the while to observe a good Diet ℞ Specier Diambrae of Aromaticum Rosatum Seed of Bishops-weed and Parsley an ℈ ij Nasturtium Cremor Tartar an ʒiij Choice Cinnamon ʒj Sal Prunella ℈ j. Reduce them into a very sine Powder Then ℞ Long fat Raisins q. s. Boil them in Wine till they are soft and strain the Pulp through a hair Sieve ℞ Of this Pulp lbs. and mix the whole Powder with it together with Oyl of Anise and Iuniper an ℈ j. Syrup of Limons q. s. For an Electuary I would willingly have mixed some bitter things but she had an Aversion to them I advised her also if there were any Winter Scurvy-grass or Nasturtium to be got to steep those Herbs in small Ale or Wine and then to boil them gently and to take that Decoction deferring the rest of the Cure till April in the mean time to fix and fasten her Teeth I prescribed the following alum-Alum-water ℞ Powder Alum ʒj Common VVater ℥ vj. Cinnamon-water ℥ j. Mix them to wash the Mouth After she had made use of these things a while she felt a great ease and the Spots of her Thighs vanished The twenty sixth of April the following Apozem was prepared for her of which after she had taken three or four times and purged her Body twice she was quite freed from her Distemper ℞ Pylypody of the Oak Rind of Caper-roots an ℥ j. Roots of Fennel Eryngos Stone-parsley Elecampane an ℥ s. Fumary Dodder Lesser Centaury the whole Dandelyon an m. j. Roman VVormwood Flowers of Elder an m. s. Seeds of Parsley Anise Fennel Nasturtium an ʒj s. Currants ℥ ij Rhenish Tartar ℥ j. Common VVater q. s. Boil them according to Art adding at the end Root of wild Raddish ℥ j. Herbs Scurvy-grass VVater-Nasturtium Brook-lime an m. j. To make an Apozem of lb ji ANNOTATIONS MAny believe the Scurvy to be of the number of those new Diseases which Dodoneus writes were first known in Brabant in the Year 1556 though epidemic for some years before among the Belgians Danes and other Northern Regions However Hippocrates describes a certain Disease call'd the Bloody Volvulus very like the Scurvy if not in all things yet in most as a stinking Mouth starting of the Gums from the Teeth bleeding at the Nose Ulcers upon the Thighs some going off others newly come the Skin emaciated and black Sloathfulness and Inability to work or walk Pliny describes this Disease by the Name of Sceleturbe where he says that there was a new Disease in Germanicus's Camp beyond the Rhine which caus'd shedding of Teeth and loosned the Joynts of the Knees But that there was a Root which was found out for it which was called Britannica good for the Nerves and Maladies of the Mouth having a long Leaf and a black Root For as in the French Disease Guaiacum Sassaperil and some few other things are Specific so has this Disease certain proper Antidotes as Spoon-wort the Nasturtiums Brook-lime Fumitory wild Radish c. with some other bitter things that are not purgative OBSERVATION LXXIII A Weakness of the Stomach CAptain de Gone about fifty years of age for some Weeks had been troubled with a Weakness of his Stomach which had both lost its Appetite and Concoction accompanied with troublesome Belches and a nauceousness After I had prescribed him a proper Diet to cleanse his Stomach from Crudities and cold and viscous Humors I prescribed him this Apozeme to take at four times four Mornings together ℞ Roots of Elecampane Mecoacan Fennel an ℥ s. Calamus Aromat Galangale an ʒij Herbs Mint Rosemary Nipp Marjoram lesser Centaury an m. j. Wormwood Baum Hyssop an m. s. Seed of Carthamum ℥ j. Of Fennel Caroways an ʒij Raisins stoned ℥ ij Common Water q. s. Boil them and add toward the end White Agaric ʒij Leaves of Senna cleansed ℥ j. s. Anise-seed ʒv This gave him three or four Stools a day so that after he had thus purged I ordered him to take an hour before Dinner and Supper a Dose of this Powder in a Draught of generous Wine ℞ Root of Calamus Arom Specier Diagalangae Diambra an ʒj s. Mace Choice Cinnamon Ginger an ʒj Make a Powder to be divided into ten equal Doses I advised him also in a Morning to drink a Draught of Wormwood-Wine and these few means restored his Stomach to its former Strength ANNOTATIONS IN cold Distempers of the Stomach besides those already mentioned Observation 5. 8. there are several others which are highly commended by Physitians Some extol the use of Turpentine and call it the true Balsam of the Bowels in regard it gently heats purges and cleanses the Bowels Zechius highly commends this Bolus and says there is nothing better can be used ℞ Clear Turpentine ʒj Mastich powdered ʒs Powder of Aromaticum Rosatum ℈ s. Make a Bolus to be given two hours before Meat Some there are that boil up Turpentine into the Form of Pills but erroneously for that the more effectual vertue of the Turpentine exhales in boiling Balsam of Perue is an admirable thing to strengthen the Stomach if you take some few Drops of it in strong Wine before Meat Crollius commends his Elixir Proprietatis Hartman and others prefer Zedoary before all other things The Decoctions of Guaiacum and Sassafras are very good Distilled Oils also are very proper of Cloves Anise Carroways Cinnamon Nutmegs and the like given in some few Drops of strong Wine The following digestive Powder is also very much used to help Concoction ℞ Coriander prepared ℥ j. sweet Fennel-seed and Aniseseed an ʒij Cinnamon Cloves an ʒs Sugar ℥ iij. Reduce them into Powder the Dose one Spoonful after Meals Wormwood also taken any way is very much commended as Galen testifies who cured a Woman that had lost her Stomach and so weak that she could get no Food down with only Wormwood-wine Therefore says Montagna among Medicines which strengthen the Appetite and Digestion and open the Obstructions thereof and cleanse away and dries up the Matters therein contained Wormwood is the most famous and all Wormwood Medicines whether Julebs or Confections Langius's Electuary is also
The third day I was sent for presently I ordered this Quilt to be prepared and laid upon his Head â„ž Leaves of Marjoram Vervain Rosemary Flowers of Melilot an one small Handful Nutmegs ℈ j. s. Cloves ℈ j. Make a gross Powder to be quilted up in red Silk After this had lain four or five hours upon his Head the Convulsions ceased by degrees and within twelve hours vanished quite to the Admiration of all that the Child should be so soon freed from so desperate a Distemper ANNOTATIONS IN regard the Brains of Children are very moist and that thence arise many watry and flegmatic Vapors Nature for their more easie Evacuation leaves the Skull open for some time at the top of the Head But as this Opening gives an easie Exit to the Vapors so if the Head be not well covered to prevent the entrance of the external Cold then upon shutting the Pores and the Refrigeration and weakning of the Brain the Vapors being detained therein condense into a tough Slime in the Ventricles of the Brain which Burthen when Nature cannot throw off thence arises Epileptic Convulsions which procure the Death of many Infants Or if they scape with Life they either become Changlings or retain some other terrible Misfortune as long as they live as some Paralytic Member Blindness of one Eye c. However this Diistemper differs from a true Epilesie in regard the Convulsions in this Malady are less vehement though more frequent and of longer continuance Besides that these Convulsions proceed from abundance of Humors and weakness of Concoction anâ—… Expulsion in the Brain but the true Epileptic from the Malignity and the Envenomness of the Humors Nevertheless it has been known when the Humors so collected in the Brain if the Distemper have continued long by degrees have acquired a malignant Quality and indeed a malignant Quality into the Brain and Meninxes and then these Convulsions become the most grievous of all Epilepsies The Cure of this Distemper consists chiefly in corroborating and warming the Brain to the end the Pores may be opened and the Vapors have free exit which being done in time I have known many that have escaped the Distemper Some endeavour an Evacuation of the Flegm at the Nose and Mouth by thrusting up Oyl of Amber and Rosemary into the Nostrils But when the Brain is become so weak through the extraordinary quantity of Flegm that overlays it that it cannot contract it self that way of Cure does little good or rather more harm as causing stronger Convulsions while the enfebled Brain is forced to more vehement Expulsion Therefore it is much more expedient to warm and corroborate the Brain and by that means to promote the Concoction of the crude Humors and to evacuate the Vapors through the Brain not yet consolidated Which done the Brain is sufficiently able to concoct and dissipate the rest of the Slime which adheres to the Ventricles and to expel it through the Passages appointed for that Evacuation To which purpose I have often found a Quilt lay'd upon the top of the Head to be very prevalent for it answers all Expectations it warms and corroborates the Brain it opens the Pores and powerfully promotes the Concoction and Dissipation of the Crude Humors Sometimes before I lay on the Quilt I anoint the top of the Head with a drop or two of Oyl of Marjoram Sometimes I order the Patient to take a spoonfull or two of the Water of the Flowers of Lilly of the Valley and Syrup of Stoechas two parts of the first and one of the latter I have also observed that if Infants wear these Quilts till their Heads are firmly consolidated they are not only free from this but many other Maladies of a cold Brain Nicholaus Fontanus in this case highly extols Childrens Urine and tells a Story of a Patient to whom he gave three Glysters with success of the Decoction of proper Herbs boiled in Urine and then gave him to take a Syrup of Childs Urine made up with various Cephalics OBSERVATION LXXVIII An Intermitting Tertian Ague JOseph Wenties a young Man in the beginning of March was taken with an Intermitting Tertian Fever which seized him with an extraordinary shaking and went off with a violent Sweat Within a months space he had made use of a hundred several Remedies of old Women and Mountebanks Purges Vomits and Topics to his Wrists not forbearing Charms and Amulets to hang about his Neck all which were so far from abating the Fever that after the beginning of April it grew stronger every day than other Upon the seventeenth of April I was sent for I found the Patient very weak his Stomach quite gone and so lean that his Skin could hardly cover his Bones He had taken a Vomit the day before and therefore I thought it not proper to purge him any more Wherefore after I had prescribed him a proper Diet I gave him an opening and refrigerating Apozeme which he drank three days together but without any benefit Thereupon I ordered the following Mixture for a bag to be hung up in a Vessel of White-wine â„ž Leaves of Carduus Benedict Lesser Centaury VVormwood an two small handfuls Lucid Aloes ℈ ij Cut the Herbs small and bind them together in a bag to be hung in 〈◊〉 v. of White-wine and sometimes to be squeezed out Of this bitter Wine he drank a draught of â„¥ iiij or v. the first day twice but afterwards once a day this gently purged him and brought the Distemper to a simple Ague and then it abated every day and this drink being continued in a short time went quite off leaving the Patient restored to a very good Stomach OBSERVATION LXXIX A Bastard Intermitting Tertian THE Lady of Nassaw in the Flower of her Age but lean and squeamish was seized by an intermitting Tertian that came every other day but no certain hours sometimes latter sometimes sooner accompanied with pain in the Head Nauseating Anxiety of Heart and seizing with an extraordinary shaking but going off with a violent Sweat her Stomach was gone and she slept very little and in regard she was very thirsty she would drink six or eight Pints of Water during her Fit Upon the twenty fifth of April at the beginning of her cold Fit I was sent for at what time to make her sweat the sooner I prescribed her this draught â„ž Salt of Wormwood Extract of Carduus Ben. Confection of Hyacinth an Ê’j Treacle water â„¥ j. Mix them for a draught The next day not willing to a Purge she took a Glister only which gave her two Stools after which she took no more Physic for four days May the first I prescribed her a refrigerating and opening Apozem which she drank up in two days her Ague still continuing in the same state thereupon because she abhorred the taste of Physic I gave her the following Vomit which when she took she thought she had drank Wine â„ž Crocus Metallorum gr xvi White French
Boyl these in Common-water q. s. adding at the end Leaves of Senna cleansed â„¥ j. s. white Agaric Ê’ij Fennel-seed and Dill-seed an Ê’j s. Make an Apozem of 〈◊〉 ij The following Emplaster was likewise applied to the part affected â„ž Sulphur finely Powdered Ê’v Castoreum Ê’j Tar. Ê’vj Oxycroceum Plaister â„¥ s. Balsome of Sulphur Ê’ij For a Plaister to be spread upon red Leather After he had taken all his Apozem and that his pains remain'd in the same condition I prescribed him another purging Decoction of which he drank twice a day â„ž Sassafrass wood Ê’vj Roots of Eringos Cammoch Lovage an Ê’j Masterwort Fennel stone Parsley an Ê’ s. Vervaine Rosemary Betony Majoram Germander Ground Ivy an Mj. Savine Flowers of Stoechados an M. s. Anise-seed Iuniper-berries Ê’iij Boyl them in common-Common-water q. s. to 〈◊〉 ij Then add Syrup of Stoechas â„¥ iij. For an Apozem Two days after the former Plaister was laid on again and when he had drank up his Apozem I gave him the following Vomit which brought up a great quantity of Viscous Flegm with Choler â„ž Leaves of green Assarabacca Ê’iij Bruise them and press out the juice with â„¥ ij of the Decoction of Raddish to which add Oxymel Scyllit with Agaric â„¥ j. Mix them for a Potion When all these things did no good I applied this other Plaister â„ž White Mustard-seed and of Nasturtium an Ê’j Castorium ℈ ij Euphorbium ℈ j. s. Spanish-Soâ—…e Ê’x Pine-Rosin and Turpentine an Ê’iij Mix them well to spread upon Leather After this had stuck on two days it had raised innumerable little Blisters in the Skin out of which a green Humour flowed from the inner parts in great quantity so that in four days he felt great ease The Plaister being removed I laid on Colewort-leaves but observing the Plaister not to be very violent but that it only gently drew out the internal Humors and kept the Blisters open without Corrosion I laid it on again and so in twelve days the pain went quite off and the joynt was so corroborated that the Patient went about without any trouble but for fear of a relapse I gave him the purging Apozem again and the Plaister of Sulphur was laid on for a Fortnight longer which absolutely compleated the Cure ANNOTATIONS THough the Sciatica be a kind of a Gout yet because of the Place the Cure differs in some Remedies Sometimes it is very hard to be cured because that joynt is not so profound that Topics cannot reach it by reason of the thickness of the Muscles that lye over it and for that inward Medicines require a great deal of time to abate and remove the Cause This Disease proceeds from too much fullness of Blood sometimes from a defluxion of cold and and sharp Humors In repletion Blood-letting is requisite which in a very great repletion is to be done in the Arm then in the Thigh affected The Vein is to be opened in the Ham or else the Sciatica Vein I have cured said Galen the Sciatica by opening a Vein in the Thigh Some there are that apply Leeches to the Fundament instead oâ—… Blood-letting Which way Paulus and Aurelian commend if you lay on eight or ten Leeches at a time and Zacutus affirms he has cured the Sciatica with Leeches when other Remedies sailed within the space of ten hours Some prefer Cupping-glasses before Leeches But if the Malady proceed from sharp tartarous and cold Humors Blood-letting does no good unless there be a Plethory but first there must be strong Purging with Elect. Caryocostin and Hermodactyl Pills or Vomits of Ammonia or Asarabacca and then Topics such as asswage Pains sufficiently known to every skilful Physitian Some extract and dissipate the Morbific matter insensibly to which purpose Donatus ab Altomary takes a great quantity of the Stones of sweet Grapes and presses out the Liquor strongly This he heats with its Must then pours it out upon the Pavement and with his Hands strongly compresses into a heap then making a kind of a furrow in the Grape-stones burys the Patient in them up to the Mid-belly and there lets the Patient lye to sweat for half an hour or an hour twice a day Duretus commends Grape-stones in all sorts of Gouts If in Vintage time the Grapes are carried into a Barn and covered with Coverlets till they grow warm and then for the Patient to thrust his Feet Arms legs â—…r else to lay his whole Body in the heap Then which says he There is not a better Remedy under Heaven Solenandâ—…r also among the best and safest Remedies that corroborate the Parts affected and cherish the natural heat commends the laying the Hands and Feet or other Parts affected in a heap of Grape-stones hot from the Press or heated with new Wine and this continued for fifteen days To which he adds that he knew a Noble Person that could not go who was recovered by the use of this Medicine I knew my self a Country man cured by such a Fomentation for some days together in Horse-dung Matthiolus affirms experimentally that several Sciaticas have been cured with the slimy water of Snails when all other Remedies failed which Paraeus and Laurentius approve Old stinking Cheese kneaded into the form of a Cataplasm with the Decoction of a Westphalia-Ham asswages the Pain draws forth the cause of the Malady and dissolves the rigid hardness of the Part. Sylvius commends a Cataplasm of Dwarf-Elder Barley-meal and Honey Forestus also tells of two Sciaticas cured with laying upon the Part only Nettles boyled in Ale We look upon Balsom of Sulphur among the most effectual Remedies as having more then once observed the happy effects of it Galen commends an Emplaister of Pitch two Parts and one of Sulphur mixt and laid upon the Part affected till it fall off of it self Which Forestus so highly extols as the most effectual Remedy that can be invented only he believes it would be better to equal the proportions of the Pitch and Sulphur If these things or the like avail not then such things must be made use of that insensibly draw forth the matter and that either by diversion or from the Part affected By diversion â—…auteries applied to the Arms and Thighs are of great use So Paschal tells us of a Physitian cured of a pain in his Hipps by a Caustic applied under his Knee of Quick-Lime and Alum Hippocrateâ—… orders an Incision of the Veins behind the Ears Zacutus of Portugal in â—… defluxion from the Head saw a Person cured by a Caustic applied behind the Ears from whence after the falling off of the Crust for ten days together there flowed a thin and watery moisture and so the Distemper ceased From the Part affected Visicatories and Rubificants draw forth the peccant Matter Thus Douynetus tells us of several that have been cured by the application of Vesicatories Arculanus and others have successfully made use of a blistring Cataplasm in an obstinate pain that gave way to
j. Make them into a Mass with juice of Wormwood or Gentian the dose from Ê’s to Ê’j Sennertus prescribes these â„ž Aloes ℈ j. Rhubarb ℈ ij Myrrh ℈ s. Trochischs of Alhandal gr iij. Powder of Coral Ê’ s. Make them into twenty two Pills with juice of Wormwood The Dose for Children ℈ j. To destroy all Matter and Nutriment of VVorms in the Guts there is not any better Remedy to be found then for the Patient to swallow once a VVeek one ℈ of Aloes Succotrine for Aloes has a peculiar occult quality to Purge and cleanse the extream Parts of the Guts This is the opinion of Mercurialis in his own Words but I usually order a Ê’ or two of Rhubarb to be put into a little bag and hung up in the ordinary drink which the Patient drinks and by that means I both expel the Worms and the cause of the Worms Saxonia and Solenander with many others extol the Decoction of Sebesten in Ê’iiij of which Crato macerates Ê’j of Rhubarb and gives the straining to drink Rhubarb also given in substance is a great enemy to the Worms and Dodoneus voids them with this Powder â„ž Worm-seed Ê’j Shavings of Hearts-horn Citron-seed and Sorrel-seed an ℈ j. Rhubarb Ê’ij Make them into a Powder the Dose Ê’ j. Riverius takes â„ž Powder of Rhubarb and Coral an Ê’s Duretus prescribed this â„ž Chosen Rhubarb Wormwood Sea Wormwood Shavings of Harts-horn an Ê’iij Make them into a Powder Dose Ê’j with the Decoction of Scordium This as we have tried says he excells all the rest Lastly Antonius Cermisonius as a most destroying expelling Remedy against the Worms prescribes a Glister of Ê’ x. of Goats Milk and Ê’ij of Honey OBSERVATION XCII The Worms THE Son of Mr. Cooper about six or seven years old had been long troubled with Worms in his Belly which sometimes ascending his Gullet crept out at his Mouth in the Night-time The Parents had often given him Worm-seed but to no purpose so that at length when the Child was nothing but Skin and Bone they sent for me I found him thirsty and averse to all manner of Physick thereupon I took half a pound of Quick-silver and macerated it in two pound of grass-Grass-water shaking the Water very often Afterwards having separated the Mercury I added to the Water Syrup of Limons â„¥ iij. Oyl of Vitriol q. s. to give it a grateful Taste This he only took for two days together in which time he voided downward six and thirty Worms and being so rid of his troublesome Guests recovered his Health ANNOTATIONS SOme extol Quick-silver it self given in the Substance as an excellent Remedy against the Worms insomuch that Sanctorius says there is no killing of the Worms but with strong and violent Medicines as Aloes and Mercury or Quick-silver Of which Baricellus thus writes Quick-silver says he which many take to be Poyson is given with great Success against the Worms and is accounted so certain a Remedy in Spain that the Women give it to Infants that puke up their Milk to the quantity of three Granes I cured a VVoman that for nine days together had been troubled with continual Vomiting occasioned by the VVorms besides that she had not eaten in three days nor could keep what she swallowed but after I had given her two Drams of Quick silver mortified with a little Syrup of Quinces without any trouble she voided downward about a hundred VVorms and was freed from her Distemper the same day I have VVater at home wherein I continually keep Quick-silver infused and wil lingly give it away to children for the VVorms yet never heard of any Hurt that ever it did The dose of Mercury to be given to Children is ℈ j. to elder People ℈ ij or Ê’j It is corrected and mortified by bruising it in a Glass Mortar with brown Sugar till it be dissolved into invisible Parts and to prevent it from returning to its pristine Form you must add to it two little Drops of Oyl of Sweet Almonds and give it fasting with Sugar of Roses Syrup of Violets or Quinces to the Party affected Zappara confirms this use of Quick-silver by many examples and Hildan tells of a Woman cured of the Worms by Quick-silver of which she passed Ê’j s. through a piece of Leather and then swallowed it Where this is remarkable that the same Woman at that time wore a Plaister upon her Navel which was afterwards found all covered over with Quick silver Thus many Physicians celebrate Quick silver but more applaud it than condemn it as Plater Horatius Eâ—…genius and Fallopius says of it That it does not work those Effects being drank as used by way of Oyntment I have known says he Women that have drank Pounds of it to cause Abortion without any dammage and I have given it to Children for the Worms The same is testified by Marianus Sanctus and Fracastorius And Matthiolus affirms that Quick-silver is only prejudicial because it tears the Guts by its weight and therefore if it be not given in too great a quantity he says it can do no harm And I have seen it given by Midwives to Women in difficult Labours without any hurt at all For my part I never give it alone but always in some Infusion of Grass-water Wine or other Liquor And as for Stromaiier and Horstius though they reject raw Quick-silver yet rightly prepared they extol it as the best Remedy in the World against the Worms Sennertus however advises that though Quick-silver may be used in desperate Cases yet to forbear it where milder Medicaments may serve the turn Since there is a possibility that it may do mischief OBSERVATION XCIII The Gout MR. Hamilton in the Flower of his Age was miserably tormented with the Gout in the Joynt of his Right-shoulder so that he had not slept in three Days and Nights After I had prescribed him a proper Diet I purged him with Cochia Pills gave him a Diuretic Decoction for some days and then applied this Plaister to the place affected â„ž Gum. Galbanum dissolved in Spirit of Wine Tacamahacca dissolved in Spirit of Turpentine Emplaster of Oxycroceum an â„¥ s. Mix them and spread them upon Leather This Plaster stuck on eight days within which time that immense Pain went off so that he could freely move his Arm after that he returned to the Camp where he was unfortunately slain ANNOTATIONS MAny Disputes there are about the Causes of the Gout but for my part I believe there are necessarily two For either those Pains proceed from cold Defluxions mixed with some Salt and Acrimony falling from the Head upon the Joynts refrigerating and corroding the Nerves Tendons and Ligaments annexed to the Joynts For how great an Enemy Cold is to the Nerves and membranous Parts we find in Winter-time by the Wounds by which those Parts are laid bare There says Hippocrates all cold things are fatal to the Nerves Besides that such Defluxions cause Weakness and Stiffness of
the Nerves or too much Relaxation so that being oppressed with weight they are extended with Pains but this sort of Gout is not so terrible For the second Cause of the Gout proceeds from the salt sharp and tartarous Humors separated from the Blood and thrust forward upon the Joynts Therefore says Sennertus I must conclude that a sharp salt subtil Humor nearest to the Nature of salt Spirits is the Cause of the Gout Let any Man call it by what other Name he please Choler or Flegm mixed with Choler Salt or Tartar so the thing be rightly understood In vain therefore Physicians have hitherto sought for the Cause of the Gout in the Heat and Drougth of Choler or the Moisture and Cold of Flegm for they are not the first but the second Qualities which induce those Pains that is the Salt and the Acrimony which corrode and gnaw those Parts Therefore says Hippocrates 't is not hot cold moist and dry that have the acting Power but bitter and salt sweet and acid insipid and sharp which if rightly tempered together are no way troublesome but when alone and separated one from the other then they give the Vexation and shew themselves c. In the Cure of the first in regard the Cause proceeds from a depraved Disposition of the Brain therefore the Brain is to be evacuated and corroborated to prevent these Excrements from gathering any more in that place The Parts affected also are to be corroborated with Topics warming the Parts dissipating and drying up the crude Humors In the Cure of the hot Gout the salt Humors are to be evacuated and purged away by inward Medicaments before they be pushed forward into the Joynts and that their Generation may be prevented Topics also must be made use of to temper the Acrimony of the salt Humors to dissolve dissipate and evacuate by transpiration those Humors the Forms of which I shall give in another place OBSERVATION XCIV A Pain in the Stomach with Vomiting PEtronella Beekman a Maid about twenty seven or twenty eight years of age the nineteenth of Iune was taken with an intolerable Pain in the upper part of her Belly which extended it self sometimes to the Right sometimes to the Left but most to the Sides She had a Vomiting likewise sometimes more gentle sometimes vehement which brought up all her Meat Sometimes her vehement Vomiting brought a Pint or a Pint and a half of black Water with some tough Flegm At the top of this Water swam certain little Bodies about the bigness of a Filberd in Colour and Consistence resembling Butter When these came up she had some ease for two or three hours but then her pain returned again She had no Fever no Tumor in her Spleen no Obstruction in her Kidneys and she made Water without trouble but very thick neither did she void any Gravel either before or after nor was there any Distemper to be perceived in her Womb where all things proceeded according to Nature nor had bad Diet been the cause of her Distemper but what that buttery Substance should be I could not certainly tell for my Life only I conjectured that it might be some corrupt Choler preternaturally chang'd into that Substance However the first thing I did was to stop her Vomiting to which purpose I caused her Stomach to be anointed with Oyl of Nutmegs and applied a warm Cataplasm to it of Mint Red Roses Nutmegs Cloves Mastich Olibanum sowre Ferment and Vinegar of Roses but all to no purpose The next day her Pains and Vomiting having very much weakned her I gave her a corroborating Medicament of Matthiolus's Aqua Vitae Treacle and cinnamon-Cinnamon-water and Syrup of Limons equal parts to take frequently in a Spoon which stay'd with her The twenty first of Iune I applied to the Region of her Stomach a corroborating Plaister of Tacamahacca Galbanum Cloves Benjamin and the like The twenty second I gave her a gentle Purging Draught which she presently brought up again then I ordered her a Glister which gave her two or three Stool but her cruel Pain and Vomiting continued still The twenty fourth I gave her one Scruple of Pill Ruffiae which stay'd with her and gave her three Stools about Evening and then because the Plaister was troublesome I took it off and applied in the Room a Linnen Quilt filled with Mint Wormwood Sage Flowers of Cammomil Melilot Dill Nutmegs Cumin-seed Fennel and Dill-seed which Quilt was boiled in strong Wine and applied to her Stomach The twenty eighth she took another Glister The twenty ninth about night I gave her two Scruples of Philonium Romanum prepared with Euphorbium in a little Wine which caused her to sleep that Night four hours whereas she had not slept till then from the beginning of her Distemper the next day her Pain returned nevertheless the Philonium seemed to have endeavoured some Concoction for that she began to belch which gave her some ease wherefore about Evening I gave her two Scruples of Philonium The first of Iuly she belched more freely therefore that Evening I gave her Philonium again The next day her Pains abated and her Vomiting ceased and at Noon she supp'd a little Broth which was the first Nourishment she had taken since her Sickness Iuly the third she took Pill Ruffiae to loosen her Belly The fourth of Iuly her Pains encreasing I prescribed her an Amigdalate but she brought it up again Therefore the sixth of Iuly I gave her two Scruples and a half of Philonium which caused her to rest indifferently The next day her Pains abated so that at night the same Dose of Philonium was again given her as also the next Evening The ninth of Iuly in the Morning she took Pill Russiae and in the Evening Philonium again and so for three Evenings more one after another by which means her Pains and Vomiting ceased her Appetite returned and she recovered her Health The twenty third of November she was again taken with the same Pains and Vomiting thereupon after I had purged her Body with Pills I gave her Philonium again which gave her ease and so continuing the use of Philonium for twelve Evenings together and loosning her Body every day with Pills at length I mastered the Obstinate Disease so that for six years together I knew her safe and sound from that and all other Distempers OBSERVATION XCV A Bastard Intermitting Tertian Ague HErman N. in the Vigor of his Age in the beginning of March was taken with a Bastard intermitting Tertian Ague which began with a great Coldness and ended in a violent Heat it came every other day but at uncertain hours sometimes sooner sometimes later During the Fit his Head ach'd violently and he was very faint his Stomach was gone and his Strength much wasted After he had taken many things in vain from other Physicians coming to me I gave him half a Dram of lucid Aloes reduced into Pills which gave him five Stools afterwards I
the Pain anoint the Fore-head Temples and Top of the Head with Martiate or Alabastrin Oyntment mixed with a sixth part of Oyl of Dill or a Cataplasm of Flowers of Cammomil Melilot and Dill adding a little Nutmeg and Saffron with as much of the Crum of White-bread and White-wine as is sufficient and lay it between two Linnen Rags to the Temples and Forehead but beware of all Narcotics XII For the Corroboration of the Head and the rest of the Bowels and Diminution of the Flegm External and Internal Medicaments are proper and a convenient Diet. â„ž Roots of Calamus Aromatic Elecâ—…m pane Fennel an â„¥ s. Galangale Ê’iij Herbs Betony Marjoram Rosemary Hyssop Baum Thyme an M. j. Sage Fowers of Cammomil Staechas an M. s. Seed of Fennel Aniâ—…e Caroways an Ê’s Iuniper-berries Ê’vj Raisins cleansed â„¥ ij Common Water â—…nd Whiteâ—…ine equal Parts Boil them anâ—… make an Apozem to lb j. s. with which mix Syrup of Staechas â„¥ ij or iij. If after he has taken this there requires more Exsiccation still the same Simples may be boiled in a Decoction of 〈◊〉 Sassapeâ—…il or Sassafras which will make the Medicine more effectual Let him continue this Decoction for some time or if at length it prove distastful let him often take of this Conditement â„ž Specier Diambra ℈ iiij Aromatic Rosatum ℈ ij Ginger condited Conserve of Flowers of Sage and Rosemary an â„¥ s. Syrup of Staechas q. s. For a Conditment XIII And in regard that Topics are of great use to corroborate the Head and fetch down cold Humors therein remaining let him anoint his Temples and fore-part of the Head upon the Coronal Suture with this Liniment â„ž Oil of Nutmegs pressed Ê’j Oils of Thyme Rosemary Dill disâ—…illed an ℈ j. Mix them for a Liniment After this Anointing put upon the Head the following Quilt â„ž Leaves of Rosemary and Marjoram an Ê’s Flowers of Melilot Red Roses and Lavender an Ê’j Root of Florence Orrice Nutmegs Cloves Benjamin an ℈ j. Beat them into a gross Powder for a Quilt Let him wear this a Month or two upon is Head XIV Let the Patient keep a proper Diet live in an Air moderately hot Let his Food be Meats of good Juice hot and easie of Diâ—…estion seasoned with Rosemary Marjoram Stone-Parsly Sage Betony Hysop Pepper Ginger and other Spices His Drink small Wine or Mede or midling Ale Let him not sleep long and use moderate Exercise Let him keep his Body soluble Let him avoid Sadness Melancholy and sudden Frights and keep himself in an even Temper free from Passion HISTORY II. A Phrensie A Stout young Man of a Choleric Constitution abounding with Blood and living intemperately having drank over freely at a Merry meeting and thereby over-heated at length being affronted by one of the Company fell into a most violent Passion yet being hindred from his present Revenge and carried Home never slept all that Night but like a Mad-man ran about his Chamber talking of nothing but Brawls Fighting Wounds and Revenge and that with great Rage and many Follies intermixed The next Day he was absolutely mad and began to lay violent Hands upon the Servants so that he was forced to be held by lusty Men. The next Night he continued waking with an extraordinary Delirium and Fury picking Straws and the Bed-cloaths sometimes flying upon those that were in the Room His Eyes were red his Looks furious and wild he bawl'd and roar'd was very thirsty feverish and his Urine pale The third Day the Physicians were sent for I. THE continued and raging Delirium with his Waking shewed that the Brain of this Patient was distempered and the Fever was a Sign that his whole Body was out of order II. The Disease was an Inflamation of the Membranes of the Brain and thence a hot Distemper of the Brain and Spirits which caused the Fever and that the Commotion of his Mind which the Physicians call a Phrensie which is a raging and continued Delirium with a continued Fever arising from an Inflammation of the Membranes of the Brain III. The remote Cause was Intemperance in Diet which engendring a great quantity of choleric Blood in the Body occasioned the antecedent Cause Which choleric Blood being heated by excess of drinking Wine and carried in greater quantity to the Head and there powred into the Substance of the Membranes of the Brain constitutes the containing Cause of this Distemper which Disease this Simptom follows IV. For the hot Blood flowing over copiously into those Membranes and there putrifying inflamed them and part of that Putrefaction being communicated through the Veins to the Heart and thence expelled hotter through the Arteries to the whole Body kindles the Fever which causes the extraordinary Drought of the Gullet and Mouth V. This Inflammation of the Membranes infects with a hot Distemper the Brain it self and Spirits whose extream Heat Mobility and inordinate Motion deprave the principal Functions of the Brain and so breed a Delirium which proves raging and continued because of the extream and continued Heat and rapid Motion of the fervent Spirits VI. This Disease is dangerous for several Causes 1. Because the principal part is affected 2. Because continual Waking weakens the Patient 3. Because this Delirium is not accompanied with Laughter but with Raging 4. Because the Inflammation is thereby much augmented and fomented and the Choleric Matter which uses to dye the Urine is carried all to the Head and leaves the Urine pale Only there is some hopes of Cure because there is no decay of Strength or appearance of bad Simptoms as Convulsions loss of Speech Hickupings Gnashing of Teeth or the like and therefore Cure must not be delay'd till the Patient grow worse VII This Cure consists in taking away the antecedent and containing Cause and Correction of the ill temper of the Parts VIII The choleric Blood which flies to the Head is first to be evacuated drawn back derived and repelled And therefore after an emollient Glister given open a vein first in one Arm and take away ten or twelve ounces of Blood the next day in the other and the third day again if there be necessity in the Vein of the Fore-head IX To evacuate the choleric Humors give this Draught â„ž Rubarb the best Leaves of Senna an Ê’ij Rhenish Tartar Ê’iij Anise-seed ℈ j. Succory Water q. s. Make an Infusion then add to the Straining Elect. Diaprunum solutive Ê’iij Diagridion gr iij. Mix them for a Draught The next Days if he be bound let him be loosned with Glisters and the third or fourth day give him the foresaid Purge again X. Let his Temples and Fore-head be anointed twice or thrice a day with the following Liniment â„ž Populeon Oyntment Ê’vj Oyl of Poppy Ê’iij Mix them for a Limment After anointing apply the following Oxyrrhodine with rags luke warm to his Fore-head â„ž Oyl of Roses â„¥ ij Iuice of Lettice â„¥ iij. Iuice of Housleek Rose-water Vinegar of Roses
Tamarisch an ℥ s. Herbs Baum Borage March Violets Tops of Hops Betony Germander Majoram an M. j. Flowers of Stoechas M. s. Cordial Flowers an one little handful Citron and Orange Peel an ʒ iij. Seeds of Fennel and Caraways an ʒ j. s. Currants ℥ ij Water and Wine equal Parts Make an Apozem for a Pint and a half to which mix Syrup of Stoechas and Borage an ℥ j. s. XI After this preparation Purge with this Potion ℞ Leaves of Senna ℥ s. White Agaric ʒ j. Anise-seed ʒ j. Ginger ℈ j. Decoction of Barly q. s. Infuse them all Night Then add to straining Confect Hamech ʒ iij. XII This done let him take this Apozem again and continue it for some time loosing his Belly every three or four days either with the foresaid draught or Confect Hamech or Cochiae Pills or Mesues and compounded Syrup of Apples highly commended by Rondeletius in this Case XIII After every Dose of his Apozem as also after Dinner and Supper let him eat the quantity of a Nutmeg of this Conditement ℞ Specier Diambr sweet Diammosch Dianthos an ℈ ij Candid Citron and Orang Peels an ʒ iij. Conserve of Flowers of Borage Baum and Rosemary an ℥ s. Confect Alkermes ℈ j. s. Syrup of Citron Rind q. s. Mix them for a Conditement XIV In the midst of these Cures peculiar Evacuations of the Head will not be amiss either by Masticatories or Sternutories made of Mar joram Gith-seed Roots of white Hellebore and Pellitory or the like XV. Great care is to be taken to provoke the Patient to sleep Therefore for his Supper give him sometimes a Hordeate or Amygdalate made with a Decoction of Barly and Lettice with which if he be hard to sleep mix one Ounce of Syrup of Poppys or more Or if these avail not of the Mass of Pills of Storax fifteen grains or of Laudanum Opiat three grains but this not often When he is not so much troubled with Waking it will suffice to anoint his Temple with Oyntment of Populeon mixt with some few grains of Opium Though Narcotics are to be used as little as may be for fear of accustoming the Patient too much to the use of them XVI His Diet must be such as breeds good Blood and corrects all the qualities of Melancholly Humors easie of Digestion moderately hot and moist prepared with Barly cleansed Borage Baum Bugloss Marjoram Raisins Betony c. avoiding Leeks Onions Garlic Cabbige Fish long pickled or dry'd in the Smoak and whatever beeds ill Juice and Melancholly nourishment let the Patient be moderate in his Diet neither too full nor too empty Let his Drink be small with a little Baum Rosemary or other such Herb mixt with it Let his Exercises be moderate His sleeping time much longer Let his Body be kept soluble And which is of great moment in this Cure let his Mind be taken off from all manner of sadness and thougthfulness and all occasions of fear and grief be avoided while his friends on the other side labour with grateful Arguments to perswade him of the vanity and falsehood of his idle Dreams and Imaginations HISTORY IV. Of Hypochondriac Melancholy A Noble German of forty Years of Age of a Melancholy Constitution having suffered deeply in the calamities of the late German War as Captivity Exile Famine and other Miseries which had reduced him to an ill sort of Diet the long use of which had begot wind roarings and distensions about his Midriff and a troublesom Ponderosity especially about his left Hypochondrium with difficulty of respiration and a palpitation of the Heart though not continual with loss of Appetite which made him sad fearful and thoughtful till at length understanding the death of his Wife he became so consternated that no perswasive and kind Language could asswage his sadness so that through continual watching restlessness horrible thoughts and want of sleep he began to rave at first by intervals but afterwards without ceasing he thought every Body came to kill him and therefore sought retirement and avoided Society No body but Servants entered his Chamber and of them he was afraid too if any other Persons came to visit him he besought them not to Murder him unprovided but to give him time to prepare himself for Death he only seemed to trust his Physitian from whom he often desired Antidotes against Poyson which he assured himself were often mixed with his Meat and took any Medicaments that were brought him IN this Person thus Distempered various Parts were grievously afflicted especially the Brain as appeared by the Delirium and the Bowels of the middle and lower Belly which the Palpitation of his Heart difficulty of breathing distention and ponderosity of his Hypochondriums and loss of Appetite plainly demonstrated II. The Symptom that chiefly insested is called Melancholly which is a Delirium without Rage or Fever arising from a Melancholly Phantasm III. The remote Causes of this Malady are Fear Terrors and Grief occasioned by Misfortunes which had long troubled and disordered the Spirits in their Motion to which an ill Diet mainly contributed For thereby Crudities were bred in the Bowels of the lower Belly thence Obstructions in the Spleen and neighbouring Parts The faculty of the Spleen was weaken'd so that not able to do its Office in Chymification and breeding Matter unfit for convenient Fermentation of the Humors it left many feculent acid sour thick and crude Humors which not able to pass the small Vessels got together in a large quantity in the left Hypochondrium about the Spleen which occasioned that troublesom Ponderosity accompanied with wind and roarings for that while Nature endeavours the Concoction of that acid Matter which she cannot well accomplish those acid Humors receive some Fermentation which begets that great quantity of Wind which not finding an easie Exit occasions those rumblings and distensions of the Parts This thicker acid and sharp Matter being carried to the Heart causes Palpitation while the Heart endeavours to expel that sharp pricking Matter from it And in regard that Melancholly Juice is not equally troublesom to all the Parts of the Heart thence it happens that the Palpitation does not always continue but comes by intervals The same Juice being expelled from the right Ventricle of the Heart to the Lungs when it comes to fill the small branches of the Arterious Veins and Veiny Artery as not being able to pass them without great difficulty fills the Breast with many Vapors and causes difficulty of Respiration But being carried through the Arteries with the Vital blood to the Brain it disorders the Motion of the Animal Spirits renders them more impure and alters them by a Specific and bad mistemper Thence those Melancholly Imaginations by which the Operations of the Mind and Ratiocination are disturbed which occasions a Delirium accompanyed with fear and sadness IV. But because that Melancholly humor is not generated at first in the Head but ascends from the Hypochondriums especially the left to
the Head hence this Melancholy is not particular to any Part but Sympathetic and therefore from the Name of the Place where the Nourishment of the Distemper lyes is called Hypochondriac V. This Melancholly Delirium is hard to be cured and not void of danger 1. Because the Causes of it are mischievous and remote in regard they occasion the Generation and Accumulation of that feculent Melancholly Matter in the Hypochondriums 2. Because that feculent Matter is obstinate and not easily tam'd by Medicaments and infects the Animal Spirits with a peculiar evil Temper 3. Because the Cure requiring a longer time the question is whether the Patient will take so much Physic or no. 4. Because the continued ascent of the Melancholly humor to the Brain the Distemper instead of being Sympathetic may turn to be the peculiar Passion of that Part. 5. Because those Melancholly Humors are troublesom to the Membranes of the Brain and Nerves through their occult and manifest Qualities their acrimony and sourness c. whence the fear is least their copious afflux to the Brain should cause Convulsions Epilepses c. 6. Because this Delirium is not accompanied with Laughter but with a sad and serious Musing Yet while there is strength and a willingness to take Physic there is some hopes of Cure VI. In the Method of Cure the containing Cause is first to be discussed and the ill temper of the Animal Spirit to be removed as also that the Antecedent Cause or Melancholly Humor in the Hypocondriums be atteuated digested and evacuated and a new Generation and Accumulation of it prevented that Obstructions be removed and that the Brain Spleen and other Bowels be corroborated VII Milder Medicaments not very hot will be most convenient least the Matter being agitated by stronger and very hot Medicines be carried in too great a quantity to the Heart and Brain VIII First loosen the Belly with this Glyster â„ž Emollient Decoction â„¥ x. choice Hiera Pâ—…cra Diacatholicon an â„¥ j. s. Oyl of Camomile â„¥ j. s. Salt Ê’ j. mix them for a Glyster The next day but one or the third day give him this Purge â„ž Leaves of Senna â„¥ s. white Agaric Anise-seed an Ê’ j. Ginger ℈ j. Decoction of Barly q. s. make an Infusion then add to the straining Confect Hamech Ê’ ij Hiera Picra Ê’ j. For a Potion IX Now because People thus affected have their Veins swelled with a Palpitation of the Heart sometimes and that their strength is in good Condition after Purging Blood-letting will not be amiss in the Arm or if the Hemorhoid Veins appear Leeches may be properly applied X. This done let the Patient drink three or four times a day a draught of this Apozem â„ž Root of Polipody of the Oak â„¥ j. Eringos Cammoch Rind of the Roots of Capers Tamarisch an â„¥ s. Herbs Borage Roman-Wormwood Strawberry-leaves all the Dandelions Ceterach Germander water Trefoile an M. j. March Violet leaves and Baum an M. s. Citron and Orange-Peels an â„¥ s. Damask Prunes vij Currants â„¥ ij Steel ty'd in a little knot â„¥ j. Anise-seed Ê’ iij. common Water q. s. Make an Apozem of lb j. s. XI After he has used this Apozem four days let him take the Puâ—…ge aforesaid again and then return to his Apozem and so continue this method for some time and if he be bound while he takes his Glister let him be loosened with the foregoing Glister now and then the Apozem may be made Purging by adding â„ž Leaves of Senna â„¥ ij Root of black-Hellebore Ê’ ij Indian Mirobalans Ê’ vj. Anise-seed â„¥ s. and let him drink â„¥ iiij every Morning If he find himself nauseous and inclining to Vomit this Vomitory may be given him â„ž Conserve of Leaves of Asarabacca Ê’ x. Decoction of Radishes â„¥ iij. Oxymel Scyllitic with Agric â„¥ s. Vomitious Wine Ê’ iij. XII In the mean time that he takes these things let him also for the strengthening of his Head and Bowels take of these Tablets several times in the Day â„ž Specier Diambrae Ê’j Dianthos Aromatic Rosatum an ℈ j. Powder of the Yellow of Citron-rina ℈ j. s. Sugar dissolved in betony-Betony-water â„¥ ij For Tablets Or let him sometimes take a small quantity of this Conditement â„ž Specier Diambrae Ê’ j. Conserve of Borage Baum Rosemary-flowers pale Roses an Ê’ iij. Syrup of Citron rind q. s. XIII Let him keep in a good and pleasant Air and avoid Loanliness converse with merry Company and be merry himself Let him abstain from all Meats of hard Digestion and ill Nourishment especially salted and smoaked food Let him avoid bottled and windy Drink and let his Salads and Sauces be such as attenuate and open and promote Concoction but not very hot HISTORY V. Of Madness A Young Gentlewoman about twenty eight Years of Age lusty perspicacious melancholy musing and thoughtful but using an ill Diet and sometimes liable to obstructions in her Hypochondriums finding her self to be slighted by her Parents a long time concealed her greif and publickly shewed her self chearful but spent the Nights without sleep in Morosness Tears and Sighs At length she was taken with a pain in her Head accompany'd with a slight Fever disorderly but continual within a few days her pain leaving her she appeared to be light Headed for she that was before reserved of her Speech grew to be very talkative of a suddain so that at length she began to talk not only all day but all night long However for the first two or three days though she talked much yet what she said was all sence and rational enough but after that she fell to raving and non-sence then her Fever ceased but still she never slept this Delirium within a few days increased to that degree that she grew sullen angry run about the Chamber made a noise and grew so out-ragious that she laid violent hands upon all that came near her talked obscenely and tore her Cloaths so that she was forced to be held down in her Bed nevertheless she was strong had her Evacuations duly and an indifferent good Stomach nor was she very thirsty neither was she much sensible of the bitter Cold Frosty Winter-Season though she had hardly any Cloaths upon her but was always warm I. THAT the Brain of this Woman was terribly affected appears by her continued Madness accompanied with want of sleep boldness immodesty and anger and that her Heart and the rest of her Body suffered was plain from her extraordinary heat II. This Delirium is called Madness and is a continued Commotion of the Mind with an enraged Boldness arising from the heat of the Spirits III. The chiefest of all the evident Causes was her grief to be so slighted by her Parents which though she dissemblingly suppressed at first nevertheless in a young Person Melancholy of her self and by reason of her disorderly Diet abounding with Choleric and Melancholy humors and so liable to Diseases it might easily produce a raging Delirium For
Baum Calaminth an M. j. Sage Flowers of Stâ—…chas an M. s. Iuniper-Berries Ê’vj of Lawrel Ê’ij cleansed Raisins â„¥ ij VVater q. s. Boil them and make an Apozem of 〈◊〉 j. s. to which may be added Syrup of Stoechas â„¥ ij or iij. Let him drink of this Decoction three or four times a day In the mean time let him continue the use of his Sternutory IX If he cannot take his Apozem let him now and then take a Quantity of this Conditement â„ž Specier Diambrae Ê’ j. s. Conserve of Baum Flowers of Sage Betony Rosemary an Ê’ s. Syrup of Stoechas q. s. For a Conditement X. Also let the following Quilt be laid upon his Head â„ž Leaves of Marjoram Rosemary Flowers of Lavender Melilot an ℈ iiij Benjamin Nutmeg Cloves an ℈ j. To be grosly powdered for a Quilt Then anoint his Temples and the top of his Head with this Liniment R. Oyls of Rosemary Marjoram Nutmegs an ℈ j. Martiate Oyntment Ê’ij And let him wear this a good while after the Cure XI Let his Diet be sparing Meats of good Juice and easie of Digestion seasoned with Rosemary Marjoram and other Cephalics When he wakes continually Amygdalates are proper for they yield good Nourishments and provoke sleep and all natural Evacuations must duly proceed HISTORY VII Of the Lethargy A Person threescore Years of Age of a Flegmatic Constitution having all the Autumn being careless of his Diet feeding greedily upon Fruit Lettice Cowcumbers Melons and such like for some days perceived a weariness of his whole Body with a great Inclination to sleep Then he was taken with a slight continued Fever which toward Night growing worse seemed like a Quotidian This Fever was presently accompany'd with a very great drowsiness so that he could not be kept from sleeping and which was so profound that he heard not the standers by though they bawled out and made never so loud a noise being at length rowsed out of his sleep not without great difficulty and hawling and pulling he looked upon the standers-by but answered very little to their questions and that very little to the purpose not knowing that he had been asleep if they gave him a Chamber-Pot he forgot to make water and so with his Mouth and his Eyes shut he fell asleep again his Pulse was strong but slow and at distant intervals and toward Night unequal and somewhat swifter his Urine was muddy with a very thick Flegmatic Sediment I. THat the Head and whole Body of this Patient were affected appears from the profound Sleep which oppressed the one and the continued Fever and lassitude that seized the other II. That heavy drowsiness which seiz'd our Patient is called a Lethargy which is an insatiable Propensity to sleep with a gentle Fever and molestation of the Principal faculties III. The remote Cause of this Malady was cooling and bad Dyet which generating a great quantity of Flegmatic humors in a Flegmatic Body made the antecedent Cause IV. Which Flegmatic humors being carried in great quantity to the Brain and affecting it with a cold mistemper partly putrifying in the larger Vessels and inflam'd in the Heart and thence dispeirsed through the whole Body and through the Carotides Arteries to the Brain constitute the containing Cause of the Sleep and Fever V. For when those crude Humors already inflam'd in the Heart come through the Carotides Arteries to the Choroid-Fold whose small Arteries by reason of the cold temper of the Brain are narrower then usually and partly through their own thickness partly through the narrowness of those passages slowly pass through the Choroid Fold they are there thickened still more and more by the cold Constitution of the Brain and their Passage becomes more obstructed so that for that reason the Animal Spirits growing fewer and but ill supplyed and consequently not sufficing to officiate in their dutys hence follows a Cessation in the Organs of those Senses by which means when no objects can be carry'd to the Principal Senses they cease too when a profound Drowsiness out of which when the Patient is roused the Principal Senses appear damnified for want of Spirits and their disorderly motion through obstructed Passages VI. This Disease is dangerous 1. Because the Brain is dangerously affected 2. By reason of the Fever which affects the whole Body 3. Because the Patient was old and unable to conquer such a Malady for want of Natural heat and strength but because he had some strength remaining there was hopes of Cure VII In the Cure the Flegmatic Matter abounding in the whole Body is to be Evacuated drawn back from the Head and deriv'd to the lower Parts The Cold Distemper of the Head to be remov'd the Head to be corroborated and the Matter therein contain'd to be dissolv'd and drawn away VIII After a Glyster Dolorific Ligatures and hard Frictions of the Thighs are very proper if frequently used Blood-letting at such an Age is not so convenient therefore Cupping-glasses both with and without Scarification are to be apply'd to the Shoulders Neck and Back But no repelling Cold Medicines are to be used in this Case IX So soon as the Patient can be wak'd let him have this Apozem given him â„ž White Agaric Ê’j Leaves of Senna â„¥ s. Anise-seed Ê’j Ginger ℈ j. Decoctions of Barley q. s. Infuse them then add to the straining Ele. Diaphenicon Ê’iij If the Body be bound it must be loosen'd with Glysters X. The Body being well Purg'd let him take every foot a draught of this Apozem â„ž Roots of Aromatic Reed Elecampane Fennel Stone-Parsly an â„¥ s. Herbs Betony Venus Hair Century Lesser Dandelion an M. j. Rosemary Marjoram Hyssop Flowers of Stoechas Camomil an M. s. Iuniper-Berries Ê’vj Anise-seeds ℈ j. s. Citron and Orange-Peels an â„¥ s. Water q. s. Make an Apozem of lb j. s. To which add Syrup of Stoechas â„¥ ij or iij. XI After he has taken this Apozem let him Purge as before or if he like Pills better let him take ℈ ij or iij of Cochia Pills or Ê’j of Diaturbith or Diacarthamum powder'd and dissolv'd in Barley-water XII After this second Purgation let him return to his Apozem to which you may then add several Diuretics as Roots of Dodder Asparagus Eryngos and Herbs as Stone Parsley Strawberry Leaves and the like Castoreum also may be properly mix'd in this Apozem or else five or six grains given him in a little Oxymel of Squills XIII While these things are a doing let the Matter be specially Evacuated out of his Head the Head be Corroborated with Topics and the remaining Matter there discuss'd Evacuation is performed by Errhins of equal Parts of Roots of Beets and Leaves of Marjoram and by Snuf blowing into his Nostrils the following Sternutory â„ž Root of white Hellebore ℈ j. of Pellitory and Leaves â—…f Marjoram an ℈ s. Black Pepper gr v. Castoreum Benjamin an gr iiij To corroborate the Brain anoint the top of the Head and Temples with this
Sense or Motion only that he breathed and had a strong Pulse I. THat this man's Head was terribly afflicted the Cessation of the Animal Functions sufficiently declared II. This Affection is called an Apoplexy which is a sudden Privation of all the Animal Functions except the Act of Respiration III. It is plain that it was no Lethargy Syncope Sleepy Coma Catalepsis or Epilepsie because the Patient without any Fever lay almost immoveable insensible nor could be waked by any means having all his Members languid only with a strong Pulse and a heavy Respiration which are no Simptoms of the foresaid Diseases IV. The Brain is affected about the beginning of the Pith which is the Original of all the Nerves then besieged by a Flegmatic Humor V. The remote Cause was continual Gluttony and Drunkenness by which the Brain in a long time was extreamly weakned and the many crude and Flegmatic Humors generated therein and collected together in the Ventricles made the Antecedent Cause which afterward setling at the Original of the Nerves constituted the containing Cause VI. The Animal Spirits being hindred by those Humors contracting the Pores of the beginning of the Nerves presently all the Animal Functions cease and the Patient becomes void of Sense and Motion except Respiration because the Spirits still flow thither by reason of the largeness of the Pores of the Respiratory Nerves But the Distemper lasting together with the Flegmatic Obstruction or Compression the Influx of the Spirits into them is also stop'd which causes the Respiration also to fail and thence a heaving and ratling in the Throat VII The Pulse beats well because the Blood sent from the right Ventricle of the Heart to the Lungs is sufficiently as yet refrigerated but if the Disease continue the Pulse will also fail because the Blood of the right Ventricle of the Heart is not sufficiently ventilated and cool'd so that little Blood comes to the left Ventricle which weakens the Motion of the Heart VIII This Disease is very dangerous yet because it is but in the beginning and Respiration is not yet come to Ratling and for that there is a strong natural Heat remaining in the Patient there is some hope of Cure though not without some fear of a Palsie that will ensue the Cure IX The Method of Cure the removal of the flegmatic Humors obstructing the beginning of the Nerves to prevent a new Generation and Collection of them and to corroborate the Brain X. Let the Body be moderately moved let the Hairs be plucked and laborious Rubings and Ligatures of the Arms and Thighs This Glister may be also administred â„ž Wormwood Rue Pellitory of the Wall Mercury Hyssop Beets Lesser Centaury an M. j. Leaves of Senna â„¥ j. Celocynth ty'd in a Bag Ê’j Anise-seed Ê’v Water q. s. Boil them according to Art â„ž Of the Straining â„¥ x. Elect. Hiera Picra Diaphoenicon an â„¥ j. Salt ℈ iiij for a Glister Or instead thereof this Suppository â„ž Specierum Hierae Ê’j Trochises Alhanhal ℈ s. Salt Gemma ℈ j. Honey ℈ vj. Make a Suppository and at the end of it fasten gr iiij of Diagridium XI After he has taken this Glister Bleed him moderately in the Arm then apply Cupping-glasses with and without Scarification to his Neck Shoulders Scapulas and Legs XII Let this Sneezing Powder be also blown up into the Nostrils â„ž Roots of white Hellebore ℈ j. Pellitory of Spain ℈ s. Leaves of Marjoram ℈ j. Black Pepper Castoreum an gr v. For a Powder XIII Outwardly let this little Bag be applied warm to his Head â„ž Salt M. j. s. Sea-sand Mij Seeds of Cummin Fennel Lovage an Ê’ij Cloves Ê’j s. Heat them in a dry Stone Pot put them in a linnen Bag and apply them warm to the Head XIV Let the Nostrils Temples and Top of the Head be anointed with this Liniment â„ž Oâ—…ls of Castor Lavender Rosemary Amber an ℈ j. Martiate Oyntment Ê’j XV. When the Patient begins to come to himself give him now and then a Spoonful of this Water â„ž Water of Tylet Flowers Lilly of the Valleys Aqua Vitae of Matthiolus Syrup of Stoechas an â„¥ j. XVI Let him then be purged with Pill Cochiae extract of Catholicon Elect. Diaphenicon or Hiera Picra Powder of Diaturbith or the Infusion of such kind of Flegm-purging Ingredients XVII After Purgation let him take this Apozem â„ž Roots of Sweet Cane Fennel an Ê’vj Galangal â„¥ iij. Marjoram Betony Rosemary Rue Calamint Hyssop an M. j. Flowers of Stoechas M. s. Cordial Flowers an one little Handful Iuniper Berries Ê’vj Seeds of Anise Fennel an Ê’ij Water and Hydromel equal parâ—…s Make an Apozem of lbj. s. Of which let him take four or five ounces thrice a day with a small quantity of this Conditement â„ž Specier Diambre ℈ iiij Sweet Diamosch Ê’s Roots of sweet Cane candied Conserves of Betony Anthos and Flowers of Sage Syrup of Staechas q. s. XVIII Let this Quilt be laid also upon his Head â„ž Leaves of Marjoram M. j. Rosemary and Flowers of Lavender an two small Handfuls Cloves Nutmegs an ℈ jj Benjamin ℈ j. Beat them into a gross Powder and quilt them into red Silk XIX An Air moderately hot and dry either by Art or Nature is most proper for this Distemper Meats of good Nourishment and easie of Digestion condited with Rosemary Marjoram creeping Thyme Sage Betony Baum Hyssop the Carminative Seeds and Spices c. Small Drink and sometimes a little Hypocrass Short Sleeps moderate Exercise and orderly Evacuations HISTORY XIII Of the Palsey and Trembling A Virgin twenty five years of Age of a Flegmatic Constitution having for a long time â—…ed upon Sallads Cucumbers and raw Fruit afterwards complaining of heavy dozing Pains in her Head at length fell Apoplectic to the Ground without Motion or Sense except Respiration The Physician who was sent for had brought her to this pass that after six hours she opened her Eyes again and after twenty hours was fully restored to her Senses and spoke but all the Left-side of her Body below the Head remain'd immoveable with a very dull Sense of Feeling Yet her Monthly Customs observed their Periods though not so copious I. THat Affection which remained after the weak Apoplexy went off is called a Palsie Which is a Privation of Voluntary Motion or Sense or both in one or several Parts of the Body II. The Part affected is the Spinal Pith chiefly about the beginning of it where the one half Part of it being compressed or obstructed by the Flegmatic Humor expelled from the Brain disturbs the Use of all those Nerves proceeding from that side and by consequence of the Muscles III. The remote Cause is disorderly Diet and the too much use of cold things whence many flegmatic Humors being generated in a flegmatic Body cause an oppressive Pain in the Head which is the antecedent Cause which also afterwards obstructing the Original of the Marrow of the Brain and afterwards cast
off by one half but still obstructing the other constitute the containing Cause IV. Thus the Motion of the Left-side was taken away because that half of the Pith being obstructed the Animal Spirits could not enter into that half of the Pith nor the Nerves proceeding from it which causes a Cessation of the Actions of the Instruments of voluntary Motion or the Muscles on that side But the Sense is not quite lost but remains very dull because that several Spirits pass through the contracted Pores of the Pith sufficient for Motion yet not anew to impart Sense to the feeling Parts V. This Malady is hard to be cured by reason of the detension of a viscous and tenacious Humor in a cold Part but Youth and Strength of Body promise hopes of Recovery VI. The Method of Cure requires the Attenuation and Dissipation of the Obstructing Humor 2. To prevent the Afflux of any more 3. To take away the antecedent Cause 4. To cortoborate the Parts affected VII For Evacuation of the Flegmatic Humor give these Pills â„ž Mass of Pill Cochiae Ê’s Extract of Catholicon ℈ s. with a little Syrup of Stoechas make up vij Pills Instead of them may be given Powder of Diaturbith or DiacarthamumÊ’j or a Draught of an Insusion of Leaves of Senna Root of Jalap Agaric These Purges are to be repeated by Intervals VIII Blood-letting is not proper in this Case IX To corroborate the nervous Part of the Body and prevent the Generation of flegmatick Humors let him take this Apozem â„ž Root of Acorns Fennel an Ê’vj Florence Orice Ê’iij Betony Ground-pine Marjoram Rosemary Calamint Thime an M. j. Flowers of Stoechas M. s. Seeds of Fennel Caroways Bishops-weed an Ê’j s. Water and Wine equal parts boil them to a Pint and a half and to the Straining add Syrup of Stoechas â„¥ iij. For an Apozem Of which let the Patient take four ounces three or four times a day with a small Quantity of this Conditement â„ž Specier Diambr Diamosch Dulcis an ℈ iiij Conserve of Flowers of Sage Anthos Root of Acorns candied an Ê’v Syrup of Stoechas q. s. X. The Use of Paralitic and Apoplectic Waters will be very proper in this Case of which there are several to be found among the Prescriptions of Physicians XI If the Disease will not submit to these Remedies let him take every Morning five ounces of the following Decoction and sweat in his Bed according to his Strength â„ž Lig. Guaiacum â„¥ iiij Sassafras Sarsaperil an â„¥ ij Water lbvij Macerate these twenty four hours then boil them adding toward the end Roots of Acorns Valerian Butter-bur Fennel an Ê’vj Galangale Licorice sliâ—…'d an Ê’ij Herbs Betony Miij Ground-Ivy M. ij Thyme Marjoram Rosemary Flowers of Stoechas an M. j. Sage Ms. Iuniper-berries â„¥ j. Boil them to lb. iij. XII For Corroboration of the Head prepare this Quilt â„ž Flowers of Rosemary Marjoram Thyme Flowers of Lavender Melilot an one small Handful Cloves Nutmegs an ℈ ij For a Quilt XIII While these things are doing let the Spine of the Back be well chafed with hot Cloaths especially in the Neck about the Head and then fomented with a Fomentation of hot Cephalics boiled in Wine or else anoint the Neck with this Liniment warm â„ž Oyl of Foxes Spike Rue Goose and Cats-grease an Ê’vj Oyl of Turpentine â„¥ s. Oil of Peter Rosemary Amber an ℈ ij Powder of Castoreum ℈ iiij After Unction and Friction lay on this Plaister â„ž Pul Castoreum Ê’ij Benjamin Ê’j Galbanum Opoponax dissolved in Spirit of Wine Emplaster of Betony Lawrel-Berries and Melilot an Ê’vj Mix them according to Art XIV This Disease requires a hot dry and pure Air. Meats of good juice and easie Digestion calefying and attenuating For Drink Hydromel or Wine imbib'd with Rosemary Marjoram Betony Cardamum c. Now and then a Draught of Hypocrass or a Spoonful of Juniper-wine or Anthoswine or Aquae Vite of Matthiolus will not be improper avoid long Sleeps and Repletion and let Natures Evacuations be regular and due HISTORY XIII Of Trembling A Man fifty years of Age struck with a great and sudden Terror immediately fell down fixing his Eyes upon the Standers by but not able to speak Soon after recovering his Spirits he talked well enough but rose up with a Trembling over his whole Body From that time when he moved his Limbs the Trembling still remained which as his Body drew cold was more violent as he grew warm abated I. TRembling is a Deprivation of the Voluntary Motion of the Limbs by which they are agitated with a contrary Motion in a continued Vicissitude II. The antecedent Cause is a Flegmatic Humor contained in the Brain which being stirred by the great sudden and disorderly Commotion of the Spirits proceeding from the Terror and cast off to the Pith of the Spine constitutes the containing Cause III. For the Humor in that place contracting the Pores of the Pith prevents the free Influx of the Animal Spirits through the Marrow into the Nerves and Muscles So that not being sufficient to perfect the voluntary Motion it happens that the Limbs are moved forward by a voluntary Motion but are depressed by their own Weight so that both together cause a trembling Motion IV. This Trembling is more vehement in the Body when cold less violent when the Body is warm Because the Pores are more contracted by the Cold and more dilated by the Heat Which causes a freer or less open Passage to the Animal Spirits and consequently a more or less vehement Trembling V This Trembling is not a little dangerous for it may turn to a Palsey or may be accompanied with an Apoplexy a Carus or a Lethargy VI. The Cure is the same as of the Palsey HISTORY XIV Of a Convulsion A Maid about thirty years of Age received a Wound in her Right-arm which laid a Nerve bare but unhurt However she lay in a cold Place and by reason of her Poverty not well guarded against the Cold and besides an unskilful Chyrurgeon having stopped the Blood put a Tent into the Wound dipped in Egyptiaeum and the Apostles Oyntment which caused a most painful and vehement Convulsion in her Arm which soon after was accompanied with a Convulsion of the Thigh on the same side and of her Arm and Thigh on the other side which lasted sometimes half a quarter sometimes an Hour sometimes half an hour intermitting and returning She was in such Pain that many times it made her talk idly I. THE Nerves and Muscles of this Patient were affected as appeared by the Motion not spontaneous and that still more encrease and her Head was grieved as appeared by the Delirium II. This Simptom is called a Convulsion which is a continued and unvoluntary Contraction of the Nerves and Muscles toward their beginning III. The remote Cause was the Wound received which laid the Wound bare The next Cause was the sharp and biting Oyntment provoking the Nerve and the cold
vehement agitation by reason that respiration is hindered grows hot in those places and being mixed with the Air unequally and difficultly passing to and fro by vehement respiration are forced all frothy into the Mouth VIII The Fit lasts till that malignant and sharp Vapor be altogether discussed and returns again when the depraved matter stirred anew sends forth the same Vapors to the Original of the Nerves The Fit is more or less vehement and does less hurt to the principal Functions according to the quantity and quality of the evil Matter IX Now because this ill and acrimonious Humor is bred in the Brain and because the Fits were frequent and vehement and the Disease of nine Months standing therefore the Cure was difficult but the Strength and Age of the Patient gave great hopes of Cure For being but a Child the very change of Youth out of one Age into another many times effects the Cure as Hippocrates testifies X. The Cure is to be performed either in the Fit or when the Fit is gone off In the Fit Castor green Rue Oyl of Marjoram Amber Nutmegs and the like are to be held to the Nostrils XI When the Fit is past the Original Causes are to be taken away the antecedent Cause to be removed the depraved quality of the containing Cause to be removed and the whole Brain to be corroborated XII Let the Body be gently Purged with two drams of Heira Picra or Diaphaenicon or with one Scruple and a half of Powder of Diacarthamum or an ounce of Purging blew Currans XIII Then let him drink twice or thrice a day a draught of this Decoction ℞ Roots of Male Piony Misletoe Sassafras-wood an ʒvj of Calamus Aromatic Valerian an ℥ s. Herbs Marjoram Rue Calamit Rosmary Vervan Laurel-leaves Flowers of Stoechas an M j. Iuniper-berries ℥ s. Seeds of Anise Wild Carrots Fennel an ʒ j. Seed of Male Piony ʒ iij. Raisins cleased ℥ ij Water q. s. Boil them to an Apozem of lb j. s. Before he drinks this let him take a small quantity of the following Conditement ℞ Spicier Diambr ʒ j. s. Roots of sweet Cane candied Conserves of Anthos Flowers of Sage Betony an ℥ s. Syrup of Stoechas q. s. XIV Sometimes instead of the Apozem he may take a spoonful of this mixture ℞ Epileptic water of Langius ℥ iij. Water of Lime-tree Flowers of the Lilly of the Valleys an ℥ j. Syrup of Stoechas ℥ j. s. XV. Upon his head let him wear this Quilted Cap. ℞ Leaves of Marjarom Rosemary Thime Flowers of Lavender and Red Roses an Two small handfulls Cloves Benjamin an ℈ j. Beat them into a gross Powder XVI Let the Patient be kept in a warm Air his food must be Meats of easie digestion condited with Marjoram Baum Rosemary and other Cephalics His drink must be small his sleep and exercise moderate and his Evacuations regular Raw Fruit Garlick Onyons and Swines Flesh and all other Meats of hard digestion and ill juice are nought HISTORY XVI Of a Catarrh A Man of forty Years of Age of a cold Constitution and one that had long used a cooling and moistning Diet was troubled first with a heavy Pain in his Head with a proclivity to sleep Afterwards he was troubl'd with a vehement Cough sometimes with deafness noise in his Ears Pains in his Neck Teeth Shoulders and other Parts sometimes a most terrible Cough took him not without some difficulty of breathing and danger of Suffocation sometimes he had nauseousness and was molested with troublesome Belchings and Pains in his Stomach under his lower Jaw rose Flegmatic Tumors which fell and vanished soon after his Nostrils were more then usually dry and he spit little He complained also that he felt a continual chilness in the top of his Head and that his Hair was not so moist as it used to be I. HEre is one molested with a Catarrh which is a Preter natural Defluxion of Humors from the Head to the lower Parts II. The remote cause of this Distemper was a cold raw and Flegmatic nourishment which over-cool'd and weakened the Bowels serving to Concoction and bred a great quantity of Excrementitious Flegm which was the anteceding Cause of the Distemper and which being colected and accumulated in the Brain over-cool'd it and thence fell down upon the lower Parts III. This Flegm augmented in the Brain because it had not heat enough to concoct and dissipate so cold and thick a Humor besides that the Passages to the Nostrils and Palate were obstructed IV. This Obstruction happens in the inner Parts of the Head by reason of the viscosity of the Humors stuffing up the narrow Passages for the Evacuation of those Excrements Therefore not able to pass the regular way they flow to the inner Parts of the Ear where they cause Noises Deafness and Pain sometimes to the Larinx and Lungs which causes vehement coughing and danger of Suffocation sometimes to the Stomach and other Parts where they breed several Maladies In the Exterior Parts this Obstruction happens by reason the Pores in the top of the Head are filled with Humors contracted by the External cold and that cold continuing in those refrigerated Parts causes that chilness complained of by the Patient And this cold not only hinders the Passage of the Vapors but condenses them under the Pericranium into a serous and flegmatic Humor which being ill concocted becomes salt and sharp Which for want of dissipation falls down upon the Teeth Neck Shoulders c. and causes those Pains complained of V. That the ordinary Passages were obstructed is apparent from the driness of the Patients Nostrils and Hair and because he spit so little VI. This Affection is not a little dangerous in regard the Symptoms that attend it may bring a Man into a Consumption and breed occult and dangerous Apostems in the inner Parts VII In the Method of the Cure the Body must be Purged twice or thrice with Pill Chochiae Powder of Diaturbith or Diacarthamum or such a draught as this ℞ Leaves of Senna ʒiij White Agaric ʒ j. s. Anise-seed ʒ j. Choice Cinnamon white Ginger an ℈ s. Decoction of Barley q. s. Infuse them then add to the straining Elect. Hiera Picra ʒ j. Diaphoenicon ʒ ij VIII Then the Brain is to be dried and strengthened with the following Apozem ℞ Roots of Acorus Fennel an ʒ vj Galangal ʒ iij. Herbs Marjoram Betony Thime Rosemary Baum Calamint an M. j. Laurel-leaves Flowers of Stoechados an M. s. Seeds of Anise Fennel an ʒ ij Laurel-berrys ʒ s. Water and Wine equal Parts Boyl them to an Apozem of lbj s. Of which let him take three or four draughts a day IX Noon and Night after Meals let him take a small quantity of this Conditement ℞ Specier Diambr Diamosch Diagalanga an ʒ s. Conserve of Anthos red Roses an ʒvj Candv'd Roots of Acorus ʒiij Syrup of Stoechas q. s. X. While he follows this course Masticatories and Errhines may be used
and the taking of Tobacco is very Beneficial XI Decoctions of Guaiacum Sassafras and Sassaparil prepared with hot and drying Cephalics to provoke Sweat now and then are of great use XII This Quilt may be made for the Patient to lay upon his Head â„ž Leaves of Rosemary Marjarom Thime Flowers of Lavender an two small hand fuls Mastic Frankincense an Ê’ j. Cloves Nutmegs an ℈ j. For a Quilt To anoint the Temples and top of the Head which is every day to be done use this Liniment â„ž Oyls of Rosemary Amber Marjoram an ℈ j. Oyl of Nutmegs pressed ℈ ij Martiate Oyntment Ê’ ij XIII If notwithstanding all this the Catarrh continue make an Issue in one Arm or in the Neck XIV Let him keep in a moderately warm Air observe a good Diet roasted rather then boil'd condited with Spices and hot Cephalics avoid Radishes Mustard Garlic Onions which raise and fill the Head with Vapors His Drink must be sparing but strong moderate sleep and moderate Exercise HISTORY XVII Of an Opthalmy A Person about thirty Years of Age abounding with hot and Choleric Blood having heated himself the last Winter at an extraordinary compotation of strong Wine and then exposing himself in a bitter cold Night to the extremity of the weather presently felt a sharp pain in his Eyes with a burning heat the next day a very great redness appeared in the white of his Eye with a manifest swelling of the little Veins He could not endure the light so that he sat continually with his Eyes shut sharp Tears flowed from his Eyes which when he opened his sight appeared to be very dim I. HEre the Part affected was the Eye in which the annate Tunicle or the Conjunctive Tunicle was chiefly aggreived the other Parts of the Eye only by Accident II. This Disease the Physitians call an Opthalmy or Blear-eyedness which is an Inflammation of the annate or white Tunicle accompanied with redness heat pain and tears III. The Antecedent Cause of this Disease was an abundance of hot Blood through the whole Body which being violently stirred by the extraordinary heat caused by the Wine and suddainly detained by the Original Cause or the outward extream Cold and overflowing the conjunctive Tunicle constitutes the containing Cause IV. For the blood being moved more rapidly through the Arteries and Veins by reason of the extraordinary heat of the Wine was thickned of a suddain by the external Cold received into the Eye so that it could not pass so speedily through those little Veins as it was sent from the Heart which caus'd the Veins of the Tunicle to swell and distended the Tunicle it self and the stay of the Blood corrupting it and causing it to wax hot and sharp produced the Inflammation V. The Pain was occasioned partly by the distention of the Tunicle partly by the acrimony of the Humors corroding the Tunicle VI. He could not endure the Light partly because the Pain was exasperated by admission of the External Air partly because the Eyes being opened the Animal Spirits presently flow into it as they are determined for the benefit of seeing and distend the Eye which destension augments the Pain for the avoiding of which the Patient keeps his Eyes shut to avoid the distension of the Part. VII Now in regard the sight proceeds from the copious Influx of the Spirits into the Eye and because the Tunicle cannot endure that distension hence the Eyes being open the sight grows dim in regard that the fewer the Spirits are the duller the sight is VIII The Tears issue forth chiefly upon opening the Eye by reason that the Caruncle in the larger corner of the Eye that lies upon the hole in the Nose is twitched and contracted in each Eye by the neighbouring Inflammation especially if any injury of the Air accompany it and by reason of that painful contraction does not exactly cover the Lachrymal point so that the hole being loose and open the Tears flow forth in greater abundance And they are sharp by reason of the Salt mixt with the serous Humor and seem to be much sharper then they are by reason of the exquisite Sense of the Tunicle which is now already molested IX This Opthalmy threatens great danger to the Eye in regard that by reason of the Winter cold the discussion of the Humors flowing into the Annate Tunicle is the more difficult and the longer stay of it may hazard the Corrosion and Exulceration of the Annate and the Horny Tunicle and so produce a white Spot a Scar or some such blemish in the Sight X. In the Cure the antecedent Cause is to be removed as being that which nourishes the Containing and the Original Cause is to be removed that the Containing one may be the better discussed XI The Body is first to be Purged with one dram of Pill Cochiae or half an ounce of Diaprunum Electuary Solutive adding a few grains of Diagridium or else such a Draught â„ž Rhubarb Ê’ j. s. Leaves of Senna Ê’ iij. Tartar Ê’ j. Anise-seed Ê’ j. Decoction of Barley q. s. Infuse them and then add to the straining Solutive Diaprunum Electuary Ê’ iij. XII The Body being Purged open a Vein in the Arm and take away eight or ten ounces of Blood Then Purge again and if need be bleed again XIII To divert the Excrementitious Humors from the Brain to the Eyes Cupping-glasses may be applied to the Neck and Shoulders or a Vesicatory behind the Ears Which if they prove not sufficiently effectual make a Seaton in the Neck or apply an Actual or Potential Cautery to the Arm or Neck XIV To asswage the Pain drop into the Eye the Blood of the Wing-feathers plucked from Young Chickens or Womens Milk newly milked from the Breast or the Muscilage of the Seeds of Flea-wort and Quinces extracted with Rose-water or the Yolk of an Egg boiled to a hardness or else the following Cataplasm laid upon the Eye â„ž Pulp of an Apple roasted â„¥ j. s. Crum of new White-bread â„¥ iij. Saffron Powdred ℈ j. s. New Milk and rose-Rose-water equal Parts Make them into a Cataplasm XV. The Pain being somewhat asswaged this Collyrium may be dropped into the Eye â„ž Sarcocol fed with Milk Ê’ j. Tragacanth Ê’ s. Muscilage of the Seed of Quinces q. s. XVI For discussion of the Humor contained in the Tunicle foment the Eye with a Spung dipt in the following Fomentation warm â„ž Herbs Althea Fennel Flowers of Camomil Melilot an M. j. Water q. s. boil them to eight ounces then add rose-Rose-water â„¥ iij. XVII After Fomentation lay on the Cataplasm again or else drop the following Collyrium into the Eye â„ž Alloes washed in Fennel-water ℈ j. Sarcocol steeped in Milk Ê’ j. Saffron gr vij Eyebright and Fennel-water an â„¥ j. XVIII Let him keep in a temperate and clear Air free from Dust and Wind and Smoak let him avoid too much Light and wear a green pâ—…ece of Silk before his Eye His Diet must be sparing
and of easie Digestion condited with Fenel Eyebright Succory Borage c. His Drink must be small Let him avoid Radishes Onions Cabbiges Beans Lentils Olives c. The longer he sleeps and the less Exercise he uses the better and let him keep his Body open HISTORY XVIII Of the Pin and Web and Bloodshot A Boy about twelve Years of Age of a cold Constitution above five Months since perceived a dimness in both his Eyes so that at first he thought he saw Gnats and Straws fly before his Eyes Afterwards he seemed to look through a thick Mist and so his sight began to fail more and more so that he saw Men after a fashion but could not distinguish Faces nay he could hardly distinguish a Horse from a Cow In the Apple of his Eye appeared a white spot covering the Christaline Humor which yielded to the Finger if lay'd upon it I. THis Affection of the Eye is by the Physitians called Suffusio or the Pin and Web which is an Obstruction of the hole of the Uveâ—…us Tunicle caused by a Humor preternaturally gathered and staying between the Horny Tunicle and the sight of the Eye and hindring the Sight II. This Humor in this Patient was Flegmatic as appeared by the white colour in the Apple of the Eye where it was collected by reason of the cold Temper of the Eye not so able to concoct their Nourishment but that some few thick Vapors exhale from the Uveous Tuncle which are condensed into a thick Humor by the External cold in the space between the Chrystalline Humor lying upon the Uveous hole and the Horny Tunicle and mixed with the watry Humor and swim at the top in viscous and thick Particles III. This Humor being thinner and less in quantity at the beginning did not hinder the Ingress of the Beams into the Christalline humor altogether but only the thicker Particles of it prevented all the Beams from entring in which made the Patient think at first that Gnats and Straws hovered before his Eyes which however were only the thicker Particles of the said Humor but the Humor afterwards becoming more plentiful and thicker then the Sight lookt as it were through a Cloud and as that thickness of the Humor increased the Sight waxed dimmer and dimmer IV. The Cure of this Evil is very difficult because the Humor covering the Apple of the Eye is now very much condensed and therefore the danger is least hardning into a little Skin it should produce Blindness But there is hopes of Cure while the Sight remains and for that the Humor giving way to the Finger appears as yet not to be fixed V. In the Cure the Body must be Purged with Pill Lucis Golden Pills or Chochiae Diaphoenicon Hiera Picra Diacarthamum or any draught composed of Agaric Turbith Iallap Senna or the like VI. For the discussion of the cold humors let the Patient Sweat twice a week with Treacle Mithridate Decoction of Sassaparil China and Sassafras In the middle between whiles let him take Decoctions of Marjoram Rosemary Eyebright Fennel Betony Rue and the like as also Cephalic Conditements of Conserves of Anthos Flowers of Sage Eyebright Betony c. VII To strengthen the Head let him make use of Cephalic Quilts The Excrementitious humors are to be diverted from the Eye and carry'd otherways off by Visicatories applied behind the Ears or an Issue in the Arm or Neck VIII After these things Topics may be applied to the Eyes and first such a Decoction is to be prepared â„ž Roots of Radishes â„¥ ij Valerian â„¥ j. Rue Fennel Eyebright Lovage Marjoram Leaves of Laurel an M. j. Flowers of Camomil M. ij Seeds of Fennel Caroways an Ê’ ij Water q. s. Boil them to lb j. s. While it is boyling let the Patient sit with his Eye over the steam of the Decoction afterwards with a soft Spunge dipped in the same Decoction luke-warm let him frequently and long foment his Eye and observe this course for three weeks together IX Let him then drop this Collyrium into his Eyes â„ž Iuice of the bigger Celandine Rue Fennel Hony-water an â„¥ s. When he has used this for some time let him make it stronger by adding to it the Gaul of a Patridge and of a Pike one dram and afterward one dram and a half X. His Diet must be moderate hot attenuating and discussing His Sleep and Exercise moderate and an open Body XI If these avail not the Suffusion must be taken from the Eye by the help of a Needle Of Bloodshot A Plethoric Young Man playing in a Tennis-Court by misfortune a Ball strook him in the Left Eye His Eye upon this aked to that degree that he could not hold open his Eye The next day the Pain ceasing an extraordinary Bloody Redness was seen over his whole Eye without any Inflammation and his Eye-lids seemed to be infected with the same Redness But his Sight was no way damnified I. THis Malady of the Eye is called a Suggillation or Bloodshot Being a pouring forth of the Blood without the Vessels into the Tunicles over the Eyes and Eye-lids II. This Blood flowed out of the small Vessels of the Annate Tunicle and the Eye-lids broken and opened by the stroak of the Ball. For the Horny Tunicle was not hurt as appeared by the soundness of the Sight which was no way damnified III. There is no danger in this affection if it be taken in time before the extravasated Blood putrifie and inflame IV. First the Body is to be Purged and a Vein opened in the Arm. Then drop Womans Milk into the Eye or Blood squeezed out of the Quills of live Chickens and foment the Eyes frequently with this Fomentation â„ž Willow-leaves Plantain Flowers of Camomil Melilot an M. j Boil them in Water q. s. Add to the straining Rose-water â„¥ j. s. V. When there is no fear of a larger Efflux of Blood let the Fomentation be only discussive HISTORY XIX Of Blindness A Person of forty Years of Age strong but given to his Belly after he had complained for sometime of a slight giddiness with a troublesome heaviness at length his sight in two days time was so decay'd that he could hardly see no not so much as the light but became absolutely Blind and yet his Eyes did not seem to ail any thing The Patient for some time was very temperate but his blindness still continued though his heaviness and Vertigo went off and the rest of his Body was well I. THis Malady is called Caecitas or blindness which is a Deprivation of the Sight II. The Antecedent Cause of this Distemper is Flegm collected in the Ventricles of the Brain which flowing thence to the Optic Nerves and obstructing them hinders the Influx of the Animal Spirits to the Eye and the preception of visible Objects III. This Flegm was generated out of the Crude and Flegmatic Vapors and Humors arising from too much gutling and there thickned through the colder temper of
Tragacanth or the white of an Egg to be form'd into a slat Cake and sowed up in a silk Bag and hanged about the Patients Neck XV. While these things are doing give him sometimes a Draught of this Decoction â„ž Roots of Tormentil greater Consound Snake-weed an Ê’vj Knotgrass Pimpernel Plantain Shepherds Purse Sanicle Purslain an M. j. red Roses M. s. White Poppy Seed Ê’v Seeds of Quinces and Lettice an Ê’j s. Raisins of the Sun â„¥ ij Water q. s. Boil them into an Apozem of lbj s. to which add Syrup of Quinces and Sowre Pomegranates an â„¥ j. s. XVI Now and then let him take a small quantity of this Conditement â„ž Trochischs of seal'd Earth ℈ ij Pulp of Quinces Conserve of red Roses an Ê’vj Syrup of Poppy Rheas q. s. XVII If these things will not stay the Bleeding clap a Cupping-glass with much Flame to both Hypochondriums without Scarification Or else give him fourteen Grains of the Mass of Pill de Cynoglossa or Hounds-tongue reduced into three Pills Or else this Amygdalate â„ž Sweet Almonds peel'd â„¥ j. The four greater Cold Seeds Ê’j White Poppy Seed Ê’iij Decoction of Barley q. s. Make an Emulsion of lb s. To which add Syrup of Poppy Ê’j s. Sugar q. s. Mix them for two Doses XVIII Avoid a cold and dry Air and a very light Being Observe a cooling and thickning Diet and drink small Drink Abstain from Exercise nor cover the Body too hot sleep long and keep the Belly Soluble HISTORY X. Of the Pose or Murr and Loss of Smelling A Gentleman about thirty years of Age was wont to snuff up Powder of Tobacco into his Nostrils which caused him to sneeze At length being taken with the Pose or Murr yet he continued his Powder of Tobacco which he took three or four times a day which made him void a great quantity of flegmatic Humors through his Nostrils and Palate however his Murr encreased to that degree that he quite lost his Sense of Smelling And then his Sneezing brought away little or no Matter I. THis Gentleman lost his Smell by reason of that Pose which is a cold and flegmatic Distillation from the Ventricles of the Brain and falling into the Ethmoides Bone and the Membranes belonging to it II. This flegmatic Matter by reason of the Gentlemans frequent Sneezing and Contractions of the Membranes of the Brain and consequently the streightnings of the Pores and Detentions of the Vapors was copiously collected in the Ventricles of the Brain and expelled down to the Ethmoides Bone The diminutive Holes of which when it was not able to pass it so obstructed that no Odor could come to the inner Parts of the Nostrils which caused the Loss of the Smell III. Because this Pose which hinders the Smell continued long the Cure proves the more difficult IV. After due Evacuation of the Body care is to be taken of the Head which is to be corroborated with hot Cephalics given in Apozems Conditements Powders c. the better to attenuate and discuss the Vapors ascending thither V. To open the Pores Frictions of the Head and Fomentations with hot and opening cephalic Decoctions After which put on a dry Quilt of the same Cephalics upon the Head of the Party VI. Put up into the Nostrils such things as are proper to cut and attenuate thick Humors as â—…amphire Vinegar of Squills and Root of wild Radish bruised VII Let him continue the Use of these things for some time which if they prove ineffectual the only way will be to make an Issue in the Neck VIII Let his Food and Drink be condited and intermixed with hot Cephalics and let him feed sparingly Let his Sleep and Exercise be moderate and let him be sure to keep his Body open HISTORY XXII Of the Tooth-Ach A Young Lad about fifteen years of age of a flegmatic Temper having after hard Exercise exposed himself bare-headed to the cold Air and the Wind was taken with a most terrible Pain in his Teeth upon the Left-side which extended it self to the innermost and upper Parts of the Head There was no Swelling in the Gums of the the out-side of the Cheek no Redness or Inflammation only out of one of his Hollow Grinders he felt a certain serous salt sharp Humor distil as cold as Ice I. THis Malady is by the Physicians called Odontalgia or the Tooth-ach II. The anteceding Cause was flegmatic and cold Humors gathered in the Body which by the Heat of Exercise being attenuated into Vapors and carried to the Head and there not only detained by the External Cold shutting up the Pores but also being condensed into a scrous saâ—…t and sharp Liquor and not able to pass through the Passages appointed for the Evacuation of the Excrements of the Brain fell upon the Jaw-teeth on the Left-side and there caused a most cruel Pain III. That this is a salt serous cold Humor the Patient himself finds by the Taste of the Drops that distil out of his Teeth into his Mouth IV. The Pain proceeds from hence because the little Nerve inserted into the Cavity of each grinding Tooth together with the Periostium that surrounds every Cavity is corroded by the sharp Humor and vexed by the extraordinary Cold of it V. The Pain extends it self upward to the inner parts of the Head because the little Nerves of the Teeth inserted in the Cavities are Branches of the third and sixth Pair No wonder then that those Nerves being grieved carry the Pain to the inner Parts of the Head besides that 't is very probable that that same sharp and salt Humor falls down to the Teeth all the whole length of those Nerves through the Holes of the Cranium from whence those Nerves issue forth and so not only the Particles which are inserted into the Roots of the Teeth but the whole Nerves from the Cranium to the Teeth are infested with that Humor VI. There was no Tumor in the outer Part of the Jaw because the Humor which caused the Flux did not abound in quantity but was only sharp and very little Nor was there any Swelling in the Gums because the Humor did not stay therein but issued out from the hollow grinding Teeth VII Neither was there any Redness or Inflammation in the Gums or Jaw for though the Humor were sharp yet it was actually and potentially cold so that it could not breed any Inflammation or hot Distemper VIII This Pain is not to be contemned for that being so terrible as it is and causing continual want of Sleep and Commotion of the Humors and Spirits it may produce Deliriums Convulsions and continual Fevers IX In the Cure the Anteceding Cause is to be taken away then the Containing and the Original is to be removed the Pain to be asswaged and the Head to be corroborated X. Let the Body be purged with one Dram of Powder of Diaturbith or Diacarthamum or with these Pills â„ž Mass of Pill Cochiae Golden Pills an
℈ j. Diagridion gr iiij with Syrup of Stoechas Make up vij Pills XI To evacuate the Humor contained in the Ventricles of the Brain make use of this Errhine ℞ Iuice of Mercury Marjoram an ℥ s. of Beets ʒj s. Or else instead of this take the following Sternutory ℞ Roots of Pellitory White Hellebore Leaves of Marjoram an ℈ j. black Pepper gr v. For a Powder XII To strengthen the Head open the Pores and dissipate the cold Humor prepare this Quilt ℞ Leaves of Rosemary Marjoram Sage an M. s. Flowers of Lavender Melilot red Roses an one small Handful Nutmegs Cloves an ℈ j. Frankincense Mastich an ʒj Beat them into a gross Powder for a silken Cap. XIII Also lay this Plaister upon both Temples ℞ Frankincense Mastich an ℈ j. Sagapen Tacamahacca an ℈ j. s. Mix them and spread them upon black Silk Nor will it be amiss to make use of Conditements and Cephalic Apozems of Marjoram Rosemary Sage Betony Conserves of Anthos Sage c. Tobacco also taken in a Pipe is an excellent Remedy XIV Let the Patient also frequently wash his Mouth with this Decoction warm ℞ Root of sharp pointed Dock ℥ j. Male Piony ℥ s. Marjoram Sage Hyssop Thyme Betony Rosemary an M. j. Fennel and Aniseseed an ʒij Wine q. s. Boil them to lb j. XV. After he has washed his Mouth let him put into the Hollow of the Tooth with a little Cotton one Drop of Oyl of Basil or Cloves In extremity of Pain a little Spirit of Wine may be held in the Mouth to the Teeth affected But this is not to be done often for fear of hurting the Lungs XVI To divert the Humor apply a Vesicatory behind the Ear or in the Neck and keep it open for some time XVII These Remedies not availing in extremity of Pain give the Patient toward Evening three grains of Opiate Laudanum in a Pill or thirteen grains of the Mass of Cynogloss Pills or two or three Scruples of Philonium Romanum XVIII Let his Diet be condited with hot Cephalics avoiding all salt sharp and acid Diet that fill the Head with Vapors Let his Drink be small Let him sleep long exercise moderately and keep his Body open HISTORY XXIII Of those Tumors in the Mouth called Aphtae A Woman of about thirty years of Age was taken with a continued Fever accompanied with an extraordinary Faintness yet without any vehement Heat or great Thirst which in two days had brought her extreamly low Her Pulse beat slow and unequal Her Urine was like that of a Man in perfect Health So that she complained of no excessive Pain in any Part but of an extraordinary Weakness of her whole Body which was such that she could not sit upright in her Bed The fourth Day she perceived a Difficulty to Swallow so that her Drink would not go down her Throat and Gullet without Pain Trouble and Impediment At the same time her Palate Gums Tongue and Chaps were full of little white Pustles without number Her Taste was also so far gone that she relished nothing that she eat I. THis Woman was seized with a Malignant Fever accompanied with Aphtae which are certain Exulcerations in the upper part of the Mouth with an extraordinary Heat II. The Anteceding Cause were putrid Humors sharp and malignant contained in the Body which being attenuated by the feverish Heat and carried through the Arteries and occult Passages to the Mouth and causing an Exulceration therein constitute the next Cause III. That these Pustles proceed from a certain malignant putrid Humor is plain from the putrid malignant Fever preceding and joyned with them The Malignity of which appeared by the Faintness and Decay of Strength which the Patient endured whereas a Fever seems to shew no such manifest Causes of so much Weakness Then again that it was a flegmatic Humor appeared by the lesser Heat of the Fever and the whiteness of the Pustles IV. This Humor attenuated by the Fever and coming sharp to the Mouth exulcerated the inner rather than the other Parts as the Palate Tongue Gums c. because they are cloathed with only a thin and soft Pellicle which are easily exulcerated by sharp and putrid Humors whereas the former Parts more easily resist the Corruption V. Now because that Pellicle which covers the inner Parts of the Mouth extends it self through the Jaws and Gullet to the Stomach Hence also the Gullet was beset with the same Pustles which caused that Difficulty of Swallowing and painful going down of the Drink VI. Her Taste was lost because the inner Pellicle of the Mouth into which the Gustatory Nerves are inserted and by means of which the Taste happens was so full of those little Ulcers that the Gustable Objects could not come to it Besides that the Tongue being grieved by the Ulcers and infected with bad Humors could not well judge of Savors VII These Pustles are more a Sign than a Cause of danger For they indicate a malignant and dangerous Fever upon the Cure of which their Cure depends VIII The Body therefore being well purged and Blood being taken away and other convenient Remedies administred the Mouth of the Patient must be gargarized with this Decoction ℞ Barley cleansed Roots of Snakeweed Tormentil an ℥ s. Licorice sliced ʒiij Plantain Purslain Knot-grass Oak-leaves an M. j. Flowers of Mallows red Roses Pomegranates an M. s. Water q. s. Make a Decoction to lb j. Add Syrup of Mulberries and Dianucum an ℥ j. s. Mix them for a Gargle IX After she has well gargled her Mouth let her lick and wash the inside of her Mouth with this Syrup ℞ Syrup of Quinces sowre Pomegranates and dry Roses an ℥ j. X. If the Pain grow sharper let her hold new Milk in her Mouth or rather Whey and change it often Then let her lick Syrup of Quinces or dry Roses alone and rowl her Tongue about her Mouth especially when the Pustles are broken XI Let her Diet be refrigerating and such as resists Putrefaction her Drink small or else Ptisans and let her be sure to keep her Body soluble HISTORY II. Of the Aphtae Pustles AN Infant of two months old when the Mothers Milk failed was put to a Nurse of a choleric Temper but otherwise healthy and abounding with Blood and Milk After the Infant had suckt this Woman eight days it began to vomit up curdled Milk mixed with choleric and flegmatic Humors slept unquietly and voided much yellow and green Excrement At last the Mouth of it was full of white Pustles so that through Pain it could suck no longer though it seemed very desirous of the Breast In the mean time there was no manifest Fever nor alteration of the Pulse I. THE Cause of these Pustles was the Nurses serous hot and sharp Milk which the weak Stomach of the Infant could not well concoct but bred much Choler from which sharp Vapors ascending to the Mouth exulcerated the tender Pellicles of the Inner Part of
Damage to the Mouth though the Salival Channels be stopped up by this Cure for Experience tells us that the Spittle finds other Channels and Passages for the moistning the Mouth The Diet is the same as in other flegmatic Diseases Now because I do here assert a new Cause of the Ranulae and another part to be affected than other Physicians do and mention also the Salival Channels I think it necessary to tell what those Channels are These Channels were unknown till of late found out in England by Doctor Wharton and Glisson and last Winter publickly shown at the Anatomy Theatre at Leyden by Doctor Iohn ab Horn. The Substance of them is much like the Veins but stronger They are two in number and so wide in a Man as to admit an ordinary Bodkin They rise with a broad Beginning from the great and remarkable Kernel above the middle Tendon seated between the Flesh of the Digastric Muscle And hence carried upward about the middle of the Cheek they abscond themselves between two small Kernels there seated which when they have past they are carried with a streight Channel along the Nerve of the seventh Pair which they cut like a St. Andrews Cross and so somewhat toward the Fore-parts near the Bridle of the Tongue they terminate and open into two peculiar Kernels covered with a thin and porous little Membrane which are seated under the Tongue near the Frog-like Veins between the Flesh that joyns the Tongue to the neighbouring Parts and the Kernels that lye under the bottom of the Tongue Their Office is to powre the Salâ—… Moisture into the Frog-like Kernels which in them is contained as in a Sponge and emptied into the Mouth through the broad Pores of the Membrane that covers them for the moistning of the Tongue and Mouth HISTORY XXV Of the Hydrocephalus or Watry Tumor of the Head A Little Boy about a year and a halfold having been weaned six months and by his Parents that were very poor fed with raw Whâ—…y Fruit and other bad Nourishment nor keeping his Head sufficiently warm in the Winter within a short time had the hairy Part of his Head and Fore-head swelled out to his very Eyes Which Tumor in a months space increased to that degree that his Head was as big as a Mans Head and yet his Face was not swelled the Tumor was soft and white and the deep Prints of the Finger might for some time be seen in it The Child eat and drank indifferent well he had no Fever but was sleepy and moved the Members of his whole Body but dully and faintly His Nostrils were drier than usual and he spit but little He was loose and voided much Urine I. THis Childs Disease by the Physicians is called Hydrocephalus which is a Swelling of the Head caused by a Collection of serous Humors II. This serous and flegmatic Humor is collected within the Cranium and lies hid under the Skin which is discerned by the Touch there being only a soft Tumor III. That it is a serous and flegmatic Humor appears by the white Colour of the Skin and copious because it yields to compression without pain IV. The anteceding Cause are cold and most Humors in the whole Body which being raised beyond the Cranium and condensed under the Skin constitute the containing Cause V. These Humors are generated partly through bad Diet partly through the cold and moist Constitution of the Body which weakens the Concoctions of the Bowels and causes the breeding of many flegmatic and serous Humors which being carried to the Head are there attenuated into thick Vapors and gathered together till they come to a copious Body VI. These Humors cannot be evacuated through the Nostrils and Palate because their thickness has obstructed those Passages Nor can they pass through the streightned Pores of the Skin as being streightned by the External Cold so that new Humors increasing every day and none being evacuated thence hapned such a Swelling in a Months space VII However the Child fed because his Stomach was not yet loaded with this excrementitious Flegm as being copiously evacuated downwards by Urine and Stool VIII He had no Fever because the Humors were not putrified nor was there any Malignity or Excess of Heat IX He was sleepy because of the cold and moist Temper of the Brain which renders the Nerves of the Sensory languid and unfit for the Passage and Reception of the Animal Spirits besides that fewer Animal Spirits are generated in regard the vital Spirits cannot pass the streightned Arteries of the Choroid Fold Which Scarcity of Animal Spirits causes him also to move the Members dully and languidly as he did X. His Belly was soluble by reason of the great quantity of serous and flegmatic Humors that flow'd down to the Intestines the thinner Part of which being mixed with the Blood and separated from it in the Reins causes a greater abundance of Urine XI This Disease is dangerous in tender Age that will not bear strong Remedies in regard of the ill Temper of the Head the great Cachexy of the whole Body and the Quantity of the Humor In the Cure the serous and flegmatic Humor collected in the Head is chiefly to be gently evacuated the Bowels to be strengthened and the Generation of the Mistemper for the future to be prevented XIII First give the Child in a Spoon an ounce of laxative Syrrup of Succory with five or six grains of Jallop in Powder or give him to Eat five or six drams of Solutive Currans Then give him a little old Treacle and if you can let him Sweat also give him every day a little Conserve of Anthos Balm or Flowers of Sage XIV This done foment his Head with the following Fomentation warm â„ž Betony Rosemary Basil Thime Flowers of Camomil Melilot Stoechas an M j. Leaves of Lawrel M. s. Seeds of Anise Fennel Cummin an Ê’ ij White-Wine q. s. Boil them to 〈◊〉 ij For a Fomentation with a large Spunge taking Care not to let it cool XV. The Tumor being dissipated by the use of this Fomentation to remove the other Distemper anoint the Head Morning and Evening with this Oyntment hot â„ž Oyl of Camomil Alabastrin Ointment an â„¥ j. Oyl of Nutmegs pressed ℈ iiij Powder of Castor Storax Benjamin an ℈ j. Mix them for an Oyntment XVI After anointing put on the following Quilted Cap. â„ž Leaves of Rosemary Marjoram Flowers of Camomil Melilot an M. s. Benjamin Cloves Nutmeg an ℈ j. s. Beat them for a gross Powder to be sowed into a Silken quilted Cap. And let him wear this Quilted Cap for some time XVII In the mean time to Corroborate the Bowels twice or thrice a day let him take a Spoonful of this Mixture â„ž tylet-flowers-Tylet-Flowers-water Lilly of the Valleys an â„¥ ij â—…innamon water Ê’vj Syrup of Stoechas â„¥ j. Or instead of this let him now and them drink a little Hydromel And to the Region of the Stomach Liver and Spleen apply this
Liniment â„ž Oyl of Lawrel Camomil Matiate Oyntment an â„¥ s. Oyl of Nutmegs pressed Ê’ j. s. XVIII If these things avail not in three or four the most swelled places of the Head make a small Perforation in the Skin with a little Lance no wider then is usual in Blood-letting that the Serum may distill by degrees through those little holes which is to be dried up with warm Rags till it ceases to flow then lay the afore mentioned Quilt XIX These Children must have drier Diet then ordinary as Biscuit masticated Little bits of White-bread moistened in the Decoction of Raisins or Hen-broath and sweetened with a little Cinnamon or Sugar Let him have thin Broths made with Wheat-flowre and Decoction of Raisins to which add a little Wine Let him often drink Almond-Milk with a little Cinnamon-water Let him abstain from Sowre Milk Whey Ale Fruit unless now and then a Baked Apple or Pear Let him sleep moderately and keep his Body soluble and regular in his Evacuations THE CURES OF THE Chief Diseases Of the whole CHEST WITH TEN CASES OF THE PATIENTS HISTORY I. Of the Pleurisie A Young Gentleman of twenty four Years of Age having over-heated himself in the Tennis-Court and being very dry drank a large Draught of cold Ale Upon this he felt a Pain in the left side of his Chest which within half an hour grew so acute that through the trouble and the intolerable Pain he could hardly breath At the same time he had a strong Fever and a dry Cough which very much exasperated the Pain But neither his Faintness nor his Thirst was very great I. VArious Parts were affected in this Patient the Pleura Membrane the Muscles of the Misopleuron and the Heart and consequently the whole Body II. The Diseases called the Pleurisie which is an Inflammation of the Pleura Membrane and the Muscles of the Mesopleuron accompanied with a Pricking Pain in the Side difficulty of Breathing and a continued Fever III. That it is a Disease appears by the pricking Pain difficulty of Breathing and the continued Fever that it is no Inflammation of the Lungs the pricking Pain declares which never is felt in that Distemper That it is no Tumor Inflammation or other Pain in the Spleen appears from the sharpness of the Pain above the Diaphragma toward the Arm-pits and the difficulty of Breathing IV. The anteceding Cause was the great quantity of Blood in the Body The Original Causes vehement Exercises and pouring down cold Ale just after it The containing Cause is the over-large quantity of Blood contained in the Pleura Membrane and the Mesopleuron Muscles inflamed and corrupted V. The whole Body was over-heated by Exercise whence a strong and swift Pulâ—…e of the Heart which attenuating the Blood forced it in great quantity to all the Parts which so long as it had a free return through the Veins never occasioned any trouble But being thickened by the cold Ale in the Veins of the Left side of the Pleura and the Veins themselves thereby contracted it came to pass that more past through the Arteries then could circulate through the Veins which caused that accumulation of Blood that bred that Tumor in the Pleura and because the Blood that flows from the Heart has its own heat thence with the increase of the Blood the heat encreased and thence the Inflammation which caused the Putrefaction Part of which putrifying Blood being carried through the Intercostal Veins to the hollow Vein and so to the Heart caused the continued Fever which however is only Symtomatical as only arising from the Putrifaction of the Inflamed Part poured fourth into the larger Vessels VI. Now in regard the Ribs must be dilated in Respiration but by reason of the Tumid Inflammation of the distention of the Pleura Membrane and Mesopleuron Muscles they can hardly be dilated thence difficulty of Breathing which is the more troublesome because the Pleura being ended with a most acute Sense can endure no farther distention So that the Patient to avoid the Pain breaths slowly which not being enough to cool the Lungs causes a Drought of the Chaps and Mouth VII Sharp Vapors exhaling from the inflamed Part infest the neighbouring Lungs and by their vellicating the Aspera Arteria cause a dry Cough VIII This Disease is dangerous in regard the Heart is affected and Respiration is impeded besides the fear of an Imposthume in the Breast IX In the prosecution of the Cure Blood-letting is first to be done in both Arms and the Patient must bleed freely And if the first bleeding do not relieve the Patient it is to be again repeated within an hour or two after a third time if need require with regard to the strength of the Patient though a small debilitation is not to be feared X. In the mean time his Belly must be mov'd with a Glister â„ž Emollient Decoction â„¥ x. Elect. Diacatholicon Diaprunum Solutive an â„¥ j. Salt Ê’ j. Or else infuse two drams of Rubarb in Barley-water and give him to drink the streining with one ounce of Syrup of Succory with Rubarb or Solutive Rosatum Stronger Purges must be avoided XI He may also three or four times aday drink a draught of this Apozem â„ž Cleansed Barley Roots of Asparagus Grass an â„¥ j. Licorâ—…ce sliced â„¥ s. Venus-hair Borage Lettice Endive Violet-leaves an M. j. Flowers of Wild-Poppy Violets an P. ij Four great Colder Seeds an Ê’ j. s. Blew Currans â„¥ j. Water q. s. Make an Apozem of lb j. s. with which mix Syrup of Poppy Rheas and Violets an â„¥ j. To allay the Cough let him take this Looch â„ž Syrup of Wild-Poppy of Venus-hair of Violets an â„¥ j. Mix them for a Looch To allay the Pain and to attenuate discuss and Concoct the Blood collected in the affected Part Foment the Region of the affected Part with this Fomentation â„ž Mallows Althea Colewort Chervile Beats Violet-leaves Flowers of Camomil Elder and Dill an M. j. Water q. s. Make a Decoction to 〈◊〉 i j. For a Fomentation Of the same may be composed a Cataplasm by adding Meal of Lin-seed and Barley Oyl of Almonds and new Butter XIV Let him keep a Temperate Diet and of easie digestion Cream of Ptisan Chicken-broths prepared with Endive and Lettice or else let him take some such Amygdalate â„ž Sweet Almons blanched â„¥ ij Four great Colder Seeds White Poppy Seed an Ê’j s. Decoction of Barley q. s. Make an Emulsion of lb j. with Sugar q. s. to sweeten it gently His ordinary Drink must be Ptsan or small Ale but not Sowre or such a Julep â„ž Decoction of Barley lb j. Syrup of Wild Poppy and Violets an â„¥ j. Mixt them for a Iulep Let him sleep long if possible and use no Exercise HISTORY II. Of an Empyema A Person about forty Years of Age being seized with a terrible Pleurisie in his left side and not having any Remedies applied to him before the third day found little ease so that
the Distemper continued till after the fourteenth day being accompany'd with a Fever and other bad Symptoms from that time forward he felt his Pain and his Fever much abated only a ponderous heaviness troubled him about the Ribs in the side affected About the twentieth day the Fever still continuing though very slight he felt a troublesome Ponderosity with a little Pain upon his Diaphregma chiefly on the left side and if he turned from one side to the other of a suddain he felt a certain Humor to flow down the Fluctuation of which was manifestly to be heard in the motion of his Body forward He had also a dry Cough but spit little or nothing he could hardly fetch his breath especially if he lay upon his right side he was faint and weak easily and often sweat he loathed Victuals and desired rather Drink then Meat I THis Man was afflicted with an Empyema which is a Collection of Corruption in the Cavity of his Breast II. This Disease is known by the Signs preceding and present The preceding Signs are the Pleurisie it self Then the Pain and Fever ceasing with any manifest Evacuation by Spittle whence that heaviness about the Ribs in the side affected The present Signs are the heaviness upon the Diaphregma the fluctuation of the Humor upon Motion of the Body and a Cough to no purpose with faintness weakness difficulty of Breathing and loathing of Victuals III. The Matter was not Evacuated by Spittle 1. because the Lungs of this Patient did not stick close to the place affected 2. Because the Matter in the Cavity of the Breast could not enter the Lungs through the Pores of the Membrane investing the Lungs 3. Because perhaps the Pores of this Mans Lungs were so narrow as not to admit such sort of thicker Humors IV. The Pain and Fever abated because the sharp matter of the Inflammation was turned to Matter and so rendred more gentle The quantity of which Matter contained within the Membrane troubled the Ribs of the affected side with its Ponderosity But upon breaking the Aposthume about the twenty fifth day the Matter flowing into the Cavity of the Breast molested the Diaphragma with its weight and the Fluctuation of it was easily perceived in the Motion of the Body For the weight hindred the depressed Diaphragma from moving freely which caused the Pain in Breathing especially if he lay upon his right side for that besides the Diaphragma the right Lobe of the Lungs is compressed by the weight of the Matter lying upon the Mediastinum V. The slight Cough proceeds from the Vellication of the exterior Tunicle of the Lungs caused by the Acrimony of the Corruption But nothing is spit forth because the Matter touches only the outside of the Lungs but never enters the Aspera Arteria VI. The Patient is faint by reason of Respiration hindred and weak as having been weakned by the acute preceding Disease And the Stomach and Liver being weakened by the same Cause thence debility of Concoction and loss of Appetite and loathing of Meat but drink is still desired to quench the drought of the Fever VII This is a dangerous Distemper 1. Because Respiration is damnified 2. Because it follows an acute Disease that has much wasted the Body already 3. By reason of the Difficulty to Evacuate the Matter out of the Breast 4. Because if the Matter stay but a short time it will putrifie and corrupt the Lungs 5. Physic is uncertain 6. Chyrurgery dangerous VIII Therefore after a gentle Evacuation of the Belly Expectorating Medicaments are to be made use of to try if the Matter may be drawn away that way IX To which purpose let him take this Apozem â„ž Roots of Elecampane â„¥ j. Florence Orrice Ê’ ij Licorice shav'd â„¥ s. Hyssop white Hore-hound Venus-hair Violet-leaves an M. j. red Cabbage M. ij Anise-seed Ê’ ij Four greater cold Seeds an Ê’ j. s. Raisins cleansed â„¥ iij. Water q. s. Make an Apozem of lb j. s. To which add Syrup of Horehound Hyssop Oxymel an â„¥ j. Let him take three or four Doses in a day Now and then also let him take a lick of the following Looch â„ž Syrup of Horehound Hyssop Iujubes an â„¥ j. Saffron Pulverized ℈ j. Mix them for a Looch Turpentine also reduced to a Cream with White of an Egg in Barley Water and sweetned with Sugar may be very proper in this Case For though these Medicaments be hot yet the Fever being small there is more regard to be had to the Cause which being taken away the Fever will soon go off X. If these or such like Medicaments will not bring away the Matter in a Fortnight there is no more to be expected from Physic So that the last Remedy must be the Chyrurgeons hand XI To that purpose the Chest is to be cut through as far as the inner Cavity with a sharp Pen-knife under the Arm-pit between the fifth and sixth Rib so as not to hurt the Intercostal Vein Nerve or Artery nor must the hole be very large but such as will admit a Silver hollow Pipe which is presently to be put in after the Incision and so to be fastened that it may not fall out of it self The fore-part also is to be stopt So that the Matter may not flow out without the Chyrurgeons leave Through this Pipe twice a day half a Pint or a Pint of Matter more or less is to be let out according to the quantity of the Matter and the ability of the Patient to endure and then the Pipe is to be stopped again XII When no more Matter flows forth the Lung and inner Cavity is sometimes to be washed with this mixture syring'd into the wound â„ž Decoction of Barley â„¥ v. Spirit of Wine â„¥ iiij Hony of Roses Syrup of Horehound an â„¥ j. Mix them for an Injection to stay within for some hours and then to be drawn â—…ut again through the Pipe XIII If the continual Efflux of Matter shews that the Ulcer within is not healed abstergent and vulnerary Decoctions must be used and Injections moderately drying and abstergent And the Pipe is to be kept in the Wound till no more Matter flow forth and then to be taken out and the wound to be closed XIV The Patients Diet must be attenuating and abstergent as Meats condited with Chervil Hyssop red Cabbage Beets Fennel Almonds Raisins His Drink sweetned with Sugar or Hony or Hydromel Moderate Sleep and a soluble Body and let him be sure to avoid Passion and Anger HISTORY III. Of a Cough A Merchant in the prime of his Years taking no care of his Diet and many times traveling in cold and hot in fair and fowl Weather and many times ill fortified against the external Air the last Autum began to be troubled with a Pose and toward Winter with a terrible Cough that lasted all the Winter long Many times his Cough was extreamly violent especially toward the Evening for an hour together at what time he
brought up a great quantity of tough and viscous Slime which sometimes tasted saltish he Cought very much after Meals insomuch that through the violent Agitation of his Stomach he brought up all he had eaten with a great Pain in his Breast and Abdomen After Vomiting his Cough ceased he never spit Blood he had no Fever however his Body fell away and his strength wasted yet not so but that he still went abroad about his business Somtimes he was very Loose His Appetite held indifferent good and he slept moderately well I. THE Lungs of this Person were chiefly affected then the Stomach and several other Parts of the Body suffered under the violent Agitation of the Cough II. This Malady is called Tusis or a Cough which is a violent forcing of the Breath caused by a swift Contraction of the Breast and Lungs whereby what is troublesome to the Instruments of Breathing is expelled by 〈◊〉 force of thein-breath'd Air. III. This Malady needs no signs to discover it IV. The anteceding Cause of this Distempet is a Cold and Flegmatic disposition of the Air contracted by bad Diet. The Original Cause was Heats and Colds violent and unseasonable Exercise The containing Cause is Flegm in the Lungs either by Defluction or Collection partly twiching them with its Acrimony partly obstructing the Bronchia with its great quantity V. Cold Diet and of hard digestion bred Crudities and many saltish Humors which for want of Concoction became Acrimonious The Brain was refrigerated by the cold â—…empestous Weather and the Pores of the outward Head obstructed so that the Flegmatic serous Vapors ascending from the lower Parts soon condensed in the Ventricles of the refrigerated Brain which not being able to pass through the obstructed Pores caused first a Pose Afterwards the fiercer Cold of Winter encreasing the quantity of those Humors they being debarr'd their usual Passages by reason of their thickness fell upon the Aspera Arteria and Gristles of the Lungs and hinder Rispiration and the Acrimony of those Humors farther molesting the Pellicle of the Aspera Arteria and Bronâ—…hia enforces those Parts to a violent Exclusion of the provoking Humors VI. This Cough had lasted long for want of care of Diet and taking Remedies whence a frequent defluxion of Catarhs to the Breast the Cold of which in time much refrigerated and weakned the Lungs so that Vapors rising from the lower Parts and stopping in the Lungs were easily condensed into a Viscous liquor that stopped up the Channels of the Lungs and stuck like Bird-lime to the sides of the Bronchia which caused that violence of Coughing to shake off that tenaoious Matter VII The Cough was longer and more vehement and threw off much more tenacious Flegm in regard the Flegmatic Humors that had been gathering together all day and night about the beginning of the day abounded in so great a quantiâ—…y that they could no longer be contained in the Head but falling down upon the Lungs and tickling the Bronchia not only with their Acrimony provoked the Cough but more plentifully filling the Bronchia contracted by the Vapors condensed within them and thence hindring Respiration irritated the Cough as being that by which Nature endeavoured to throw off the trouble VIII The Cough increased after Meals because the Vapors being raised by the swallowed Nourishment and endued with some Acrimony fell upon the Lungs and there condensed stick to the refrigerated Bronchia and tickling the sensible inner Tunicle both of them and the Aspera Arteria already prepared to ease Provacation by the former Humors exasperate the Cough through the violent Agitation whereof and Compression of the Muscles of the Abdomen the Stomach throws up all again upon which the Cough ceases for a time because there is nothing in the Stomach from whence any more sharp Vapors can ascend to the Lungs IX And by reason of the same violent Motion and over frequent distension of the Muscles some Pain is felt in the Breast and Abdomen And that Compression forcing the Meat and Drink unconcocted out of the Stomach causes a violent Loosness and dejection of the Nourishment X. There is no Fever because there is no Putrefaction of the Humor but the Body is emaciated and becomes very weak because the violent concussion of the Cough weakens all the Parts of the Body nor are they able to receive or retain the Alimentary Blood flowing through the Arteries sometimes loose sometimes compressed as they ought to do 2. Because that violent Agitation expells the Nourishment received before due Concoction by which means all the Parts of the Body are deprived of their due Nourishment and consequently must be very much weakned XI The appetite continues because the Stomach is in good order undisturbed by the Catarrhs the disturbance of its Concoction being only accidental XII He sleeps moderately because the Flegmatic humor falls not in the Night from the Head to the Breast besides that the rapid Motion of the Animal Spirits to the Organs of the Senses is for a while restrained by the Cold and Plenty of the Humors so that the Organs are at rest for a while for want of copious Spirits XIII Such a Cough as this threatens great danger by reason of the Saltness of the Catarrhs the Acrimony whereof in some Veins in the Lungs may be easily corroded and broken thence Spitting of Blood and Exulcerations Beside that the Cure is difficult by reason the cold ill Temper of the Brain and Lungs is of a long standing not easie to be removed XIV In the Method of the Cure 1. The vehemency of the Cough and the Acrimony of the Catarrhs is to be allay'd 2. The Teâ—…acity of the Spittle is to be attenuated concocted and brought to Maturation 3. The cold ill temper of the Lungs and Head is to be amended and the Parts to be Coroborated 4. The falling down of the Catarrhs to the Lungs is to be prevented XV. After Purgation with Chochiâ—… Pills or Golden Pills Electuary of Hiera Picra or Diaphâ—…con c. this Apozem is to be prescribed â„ž Roots of Elecampane Acorus Florence Orrice an â„¥ s. sliced Licorice Barley cleansed an â„¥ vj. Scabious Venus Hair White Hore-hound Betony Coltsfoot an M j. Oak of Jerusalem M. s. Iuniper-berrys â„¥ s. Seeds of Anise and Fennel an Ê’ ij Fat Figs No. ix Raisins cleansed â„¥ ij Water q. s. Boil them to lb j s. Add to the straining Syrup of Stoechas Horehound Oxymel Pectoral Magistral an â„¥ j. Mix them for an Apozem To which you may afterwards add for the swifter Consumption of the Flegm Sassaperil Sassafras and China-root Also the Patient may make use of this Looch â„ž Syrup of Hyssop Horehound Oxymel Magistral an â„¥ j. Syrup of Stoechas â„¥ s. Instead of which he may now and then take one of these Tablets â„ž Powder of the Root of Elecampane ℈ j. Florence Orice ℈ ij Licorice Ê’ j. Saffron gr xiv Sugar dissolved in Fennel-water â„¥ ij XVI If
2. The next things required are to hinder the Defluxions of Catarrhs to the Lungs 3. To reform the cold ill Temper of the Head and Lungs 4. To change the Flegmatic Disposition of the Body and abate the cold Humors abounding in the whole XIV In the first place let him take a common Glister or a Suppository Let him use a thin Diet and Sawce his Meat with Hyssop Sage Betony Saffron Anise Fennel Raisins and the like XV. Let him often take a Spoonful of this Syrrup ℞ Syrup of Hyssop Horehound Preserved Ginger and Roots of candied Elecampane an ℥ s. Compounded Magistral Oxymel ℥ j. Mix them Also in the Morning and about five a clock in the Afternoon let him take one dram of this Powder in a little Malmsey Wine Hydromel or Broth. ℞ Roots of Elecampane ʒj Root of Florence Orrice Seed of Bishops-weed an ʒj Benjamin Saffron an ℈ j. Musch gr j. White Sugar Candy ʒiij To which add Oyl of Anise drops iiij or v. XVI The Fit ceasing let him be purged once a Week with Cochiae or Golden Pills Hiera Picra or some Phlegmagog Infusion Blood-letting is not convenient XVII Upon other days let him use this Apozem ℞ Root of Elecampane Fennel an ℥ j. Acorus and Licorice sliced an ʒv Marjoram Scabious Venus Hair Hyssop white Horehound Savine an M. j. Iuniper Berry ℥ s. Anise and Fennel-seed an ʒij s. Raisins cleansed ℥ ij Water q. s. Boil them to lbj. Add to the Straining Magistral Oxymel Syrup of Stoechas Horehound an ℥ j. Mix them for an Apozem XVIII Also let him often take a small quantity of this Conditement ℞ Specier Dianthos Diambr an ʒj Root of Elecampane candied conserve of Flowers of Sage Anthos an ʒv Syrup of Elecampane q. s. Mix them for a Conditement XIX To evacuate the Flegm out of the whole Body Decoctions of Saffafrass and Sassaperil are very proper adding at the end some proper Cephalic and Pectoral Ingredients to corroborate the Head and Lungs Also let him wear a Cephalic Quilt upon his Head and lastly let him make an Issue in one Arm or in the Neck XX. If the Patient mend upon the use of these Medicins for removal of the farther Cause of this Mischief let him take every other day in a Morning a Draught of this medicated Wine ℞ Root of Elecampane dry ℥ s. Of Florence Hyssop Ialop an ʒj s. Hyssop white Horehound an M. s. Iuniper Berries ℥ s. Anise and Fennel-seed an ʒj s. white Agaric ℈ v. Lucid Aloes ℈ iiij Tye them up in a Bag and hang them in four or five pound of White-wine XXI For preservation let him use this Bolus twice a Week for three Weeks together ℞ Venice Turpentine ʒiij white Sugar ʒij Mix them for a Bolus to be swallowed in a Wafer moistned in Malmsey Wine XXII His Diet has been already prescribed His Drink must be small his Sleep and Exercise moderate and let him be sure to keep his Body soluble and regular HISTORY V. Of the Quinancy A Young Man about thirty years of Age fleshy strong and Plethoric having overheated himself with hard Labour and being very thirsty drank a large Draught of small Ale brought him out of a cold Cellar So that not able to endure the Coldness of the Drink in his Chaps he was forced to take the Pot from his Mouth Soon after he felt a certain Narrowness with a Burning in his Chaps and from thence some kind of Trouble in Breathing and Swallowing which still more and more increased After seven or eight hours a strong Fever seized him with a strong thick and unequal Pulse and the Difficulty of Breathing and Swallowing encreased to that degree that he could hardly breath either sitting or standing and his Drink presently flew back out at his Nostrils His Mouth was dry with an extraordinary Thrist which because he could not swallow no Drink could allay His Tongue looked of a dark Colour and being depressed with an Instrument in the hinder Part an intense Redness appeared but no remarkable Tumor was conspicuous because it lies in a lower Place The Frog-like Veins were thick and tumid His Speech so obstructed that he could hardly be heard Restless he tumbled and tossed and was mighty covetous of the cool Air Without there was no Swelling but an unusual Redness about the Region of the Chaps I. THis terrible Distemper is called Angina or the Quinancy Which is a Difficulty of Breathing and Swallowing proceeding from an Inflammation and Narrowness of the upper Parts of the Throat Larynx and Chaps and always accompanied with a continued Fever II. This is no bastard Quinancy Swelling of the Tonsilae with Redness caused by a Catarrh but a real Angina bred by a meer Inflammation III. The anteceding Cause of this Malady is Redundancy of Blood which being stirred by the original Causes and copiously collected in the Chaps and Muscles of the Larynx and there putrifying becomes the containing Cause But the original Causes were hard Labour and cold Drink the one exciting the Heat the other chilling too soon IV. For the Body and Heart being heated by hard Labour the Blood was rapidly moved by the strong and thick Pulsations of the Heart and swiftly pass'd through the Vessels but the Blood in the little Veins about the Chaps being thickned by the coldness of the cold Drink and the Roots and Orifices of the little Veins being likewise so streightned that the Blood sent continually from the Heart was not able to circulate through those Passages which caused a Detention of much Blood therein thence proceeded the hot Tumor which streigthned the Passages of Respiration and Swallowing and the Blood now no longer under the Regulation of the Heart became inflamed and putrified and part of it communicated to the Heart kindled a continued Fever about seven hours after when the Matter was sufficiently enflamed and the effervescency was become grievous to Nature V. The Fever made the Respiration more difficult because the boiling Blood required more Room and by that means encreased the Tumor and Narrowness of the Passages besides that the feverish Heat requires more Respiration VI. His dryness of Mouth and extream Thirst proceeded from the hot Vapors exhaling partly from the Inflamed Part next the Mouth partly from the Heart and lower Parts by reason of the Fever Nor can he swallow his Drink because the upper Part of the Ossophagus is so compressed and strengthened by the inflamed Tumor that nothing can pass that way so that the Drink is forced to find another Passage back through the Nostrils VII The Intense Redness that appears in the Chaps proceeds from the abundance of Blood in those Parts which being denied free Passage through the Frog-like Veins is the Cause that they are swell'd too VIII The Speech is disturb'd by reason of the Inflamation of the Muscles of the Larynx and Difficulty of Breathing IX There was no Tumor conspicuous without because the whole Inflamation lay
hid about the Larynx Ossophagus and Chaps nevertheless a certain Redness extended it self toward the outward Parts adjoyning to them X. This is an acute and dangerous Disease which must be either speedily cured or sudden Death ensues for that the Inflamation and Tumor increasing will cause a Suffocation The Fever augments the Danger for that the Patient being not able to swallow any thing the internal Heat cannot be quenched by Drink nor the Debility of the Body be repaired by Nourishment However there is some hopes because the Inflamation does not lye altogether hid in the Miscles of the Larynx but extends it self to the outward Parts where Topicks may be applied besides that the Redness promises an Eruption of the Inflamation towards the outward Parts to the great Benefit of the Patient XI In the Method of Cure it is requisite 1. To hinder the violence of the Blood flowing to the Parts affected 2. To discuss the Blood already collected therein 3. To promote Maturation 4. To prevent Suffocation by Chyrurgery XII The first thing therefore to be done is to let Blood freely in the Arm. And if once letting Blood will not suffice to open a Vein in the other Arm and a third time if need require Also to draw a good quantity of Blood from the Frog-veins XIII In the mean time the Body is to be kept open with emollient Glisters XIV Let the Patient make frequent use of this emollient and discussing Gargarism â„ž Sliced Licorite Ê’iij Two Turneps of an indifferent bigness Scabious Violet Leaves Mallows Mercury Beets an M. j. Flowers of Camomil pale Roses an M. s. Citron Peels â„¥ s. Water q. s. Boil them to lbj. s. Add to the Straining Syrup of Dianucum â„¥ ij Diamorum â„¥ j. Honey of Roses â„¥ s. Mix them for a Gargarism If the Tumor seem to tend to Suppuration add thereto Cleansed Barley Ê’j s. Leaves of Althea M. j. s. Figgs n o ix XV. Outwardly apply this Cataplasm â„ž Root of white Lillies Ê’j s. Leaves of Beets Mallows Mercury Althea Flowers of Camomil an M. j. Pale Roses M. s. Fengreek Meal â„¥ j. s. The inner Part of one Swallows Nest powdered Water q. s. Boil them into the Form of a Poultis to which add Oyl of Camomil â„¥ ij Mix them for a Cataplasm If there be any likelihood of Maturation add thereto Fat Figs n o vij or viij Meal of the Root of Althea Hemp-seed Pulp of Cassia Oyl of Lillies an â„¥ j. XVI So soon as the Patient is able to swallow purge him gently with an Infusion of Rhubarb Pulp of Cassia Syrup of Roses solutive or of Succory with Rheon XVII Then give him this Julep for Drink â„ž Decoction of Barley lbj. s. Syrup of Diamoron Dianucum and Violets an â„¥ j. Oyl of Sulphur a little to give it a Sharpness Mix them for a Iulep XVIII If the Imposthume break let the Patient holding his Head down spew out the purulent Matter and cleanse the Ulcer with a Gargarism of the Decoction of Barley sweetned with Sugar Honey or Syrup of Horehound or Hyssop of which Syrups a Looch may be made Afterwards let him use a Gargarism of Sanicle Plantain Egrimony Cypress Nuts red Roses c. sweetned with Syrup of dry Roses and Pomegranates XIX If while these things are made use of the Difficulty of breathing increase so that a Suffocation may be feared before the Matter can be discussed or brought to maturity the last Remedy is Laryngotomic or Incision of the Larynx concerning which consult Casserius in his Anatomical History of the Voice Aquapendens in his Treatise De Perforatione Asperae Arteriae and Sennertus's Institutions L. 5. P. 1. Sect. 2. C. 7. XX. When the Patient can swallow let his Diet be Cream of Barley Amygdalates thin Chicken and Mutton Broth boiled with Lettice Endive Purslain Sorrel Damask Prunes c. Let his Drink be small Ale refrigerating Juleps and Ptisans Keep his Body soluble and quiet HISTORY VI. Of a Peripneumony or Inflammation of the Lungs A Strong Young Man having overheated himself with drinking Wine after Mid-night drank a Pint of cold Water and so exposing himself to the cold nocturnal Air went home Presently he felt a Difficulty of Breathing which every moment encreased without any acute Pain in the Breast However he felt a troublesome Ponderosity in the middle of his Breast toward the Left-side He had a little Cough which after molested him and caused him to spit bloody and frothy Matter but not much He had a great Redness upon his Cheeks About three or four Hours after a strong and continued Fever seized him with an extraordinary Drought and Dryness of his Mouth His Pulse beat strong thick and unequal and his Head pain'd him extreamly and his Difficulty of Breathing encreased to that degree that he was almost suffocated I. THE chief Part here affected was the Lungs especially the left Lobe as appeared by the difficulty of breathing and the heaviness in the middle of the Breast toward the Left-side By consequence also the Heart and the whole Body II. This Disease is called Peripneumonia which is an Inflamation of the Lungs with a continued Fever difficulty of Respiration and a ponderous trouble in the Breast III. A Plethora is the antecedent Cause of the Disease The next Cause is greater Redundancy of Blood forced into the Substance of the Lungs then is able to circulate The original Cause was too much overheating and too suddain refrigeration IV. The Wine overheated the Body thence a strong and thick Pulsation of the Heart by which the Blood attenuated by the Heat was rapidly forced through the Arteries into the Parts but being refrigerated by the actual Coldness of the Water drank and the in-breath'd Air and not able to pass through the obstructed Passages of the Pulmonary Veins and Arteries begets that remarkable Swelling accompanied with an Inflamation partly through the Encrease of the Blood partly by reason of its Corruption and violent Effervescency V. Now the Bronchia or Gristles of the Lungs being compressed by this Tumor of the Lungs the Respiration becomes difficult and that Difficulty more and more encreases because every Pulse adds some Blood to the Tumid Part. VI. Then because the Lungs being swelled and distended must needs be more heavy thence that troublesome Ponderosity is perceived in the Breast especially toward the Left-side because the Inflamation possesses the sinister Lobe However there is no great or acute Pain because there are no large Nerves in the Substance of the Lungs which therefore have no quick Sence of feeling and as for the inner Tunicle of the Bronchia which most acutely feels it is hardly affected with this Distemper only the sharp Heat of the putrifying Blood somewhat tickling it and the thinner Particles of the Blood being squeezed into it provoke a little Cough accompanied with a little spitting of Blood VII The Cheeks are red by reason of the spirituous Blood boiling in the Lungs
which insinuates it self and its Vapors into the spungy Substance of the Cheeks besides that there is a hot Exhalation from the inflam'd Lungs themselves with which fierce Vapors break forth out of the Chaps and lighting within the Mouth into the Cheeks make them much hotter and encrease the Redness VIII The continued Fever proceeds from the Blood putrifying in the Lungs and communicated continually to the Heart which did not appear at first till after three hours that the Blood being encreased in quantity and heat began to putrifie and be inflamed and then the Mouth became dry by reason of the fervid Exhalations drying the inside of the Mouth The Pulse was strong and thick by reason of the quantity and heat of the Blood Unequal because of the unequal Mixture of the putrid Particles sometimes more sometimes less communicated to the Heart IX At the beginning of the Fever the Difficulty of breathing encreased almost to Suffocation because of the greater quantity of Blood forced into the Heart by stronger Pustles partly because the Blood now putrifying and boiling in the Lungs wants more room and therefore causes a greater Compression and Contraction of the Bronchia X. The Pain in the Head is caused by the sharp Humors caused by the Wine excessively drank and vellicating the Membranes of the Brain partly by the hot Blood and its sharp Exhalation forced by the Motion of the Heart into the same Membranes somewhat chill'd by the Cold of the Nocturnal Air. XI This Disease is very dangerous by reason of the Difficulty of breathing and the Excess of the Fever Besides that the Bowel is affected which is next the Heart and without the use of which it cannot subsist XII Therefore in the Method of Cure a Vein is first to be opened in the Arm and a good quantity of Blood to be taken away and the same Bleeding to be repeated twice or thrice if need require which though it weaken the Party yet it is better he should be cured weak than die strong XIII In the mean time let his Belly be moved with some ordinary Glister as the Infusion of Rhubarb Syrup of Roses solutive Succhory with Rheon Decoction of Pruens or solutive Electuary Diaprunum or some such gentle Purgatives for stronger must be avoided XIV To quench his Thirst give him some such Julep ℞ Decoction of Barley lbj. s. Syrup of Poppy Rheas of Violets Pale Roses an ℥ j. XV. This Apozem may be prescribed to take of it three or four times a day ℞ Roots of Succory Colts-foot Asparagus Grass an ℥ j. Sliced Licorice ℥ s. Violet-leaves Endive Coltsfoot Lettice Venus Hair Borage an M. j. Flowers of Poppy Rheas p. ij Four greater Cold Seeds an ʒj Blew Currans ℥ j. Water q. s. Boyl them to lbj. s. Then add to the Straining Syrup of Poppy Rheas of Violets and pale Rases an ℥ j. For an Apozem Of the same Syrups equally mixt with a little Saffron added may be made a Looch to alleviate the Cough XVI If the Inflamation come to maturation which will appear by the purulent Spittle and the Diminution of the Fever then first let him take abstergent Apozems of Elecampane Horehound Hyssop Scabious c. also Looches of Syrup of Venus Hair Horehound Hyssop c. And when the Ulcer is sufficiently cleansed then come to Consolidation XVII Let the Patients Diet be Cream of Barley Chicken and Mutton Broth with cleansed Barley blew Currans Endive Lettice Damask Pruens and such like Ingredients boiled therein or Almond Milk For his Drink small Ale or the aforesaid Julep HISTORY VII Of Spitting Blood A Lusty Young Man accustomed to a salt hard and sharp Diet having many times exposed himself bare Headed to the Cold of the Winter Air and thence contracted first a terrible Pose with a heavy Pain in his Head was after molested with a violent Cough caused by sharp Catarrhs descending upon his Breast that brought him to spit up a great quantity of Blood and that not without some pain At first a Physitian being sent for let him Blood in the Arm and took away a good quantity which appeared cold very thin and ill coloured and something but very little coagulated the Blood-letting stopped his spitting of Blood for two days but afterwards it returned again His Appetite failed him and his strength decay'd but he had no Fever I. THE Primary Malady that afflicted this Man is called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the Latines Sanguinis Sputum or spitting of Blood II. In general it is a Symptom of Excrements flowing from the Lungs and the Vessels belonging to it but the Disease which follows that Symptom is a Solution of the Continuum III. The Part Primarily affected is the Lungs with it's Vessels which appears by the Cough and the Blood spit out with the Cough which comes away without Pain because of the little sence of Feeling in the Lungs The Pose and falling down of the Catarrhs shew the Head to be affected in like manner Secundarily and the other Parts suffer nothing but only as they are wearied by the violence of the Cough and weakened by that and the Evacuation of the Blood IV. The anteceding Causes are the sharp and crude Humors descending from the Head to the Lungs which vellicating the respiratory Parts by their Acrimony cause a terrible Cough and by their Corrosion a Solution of the Continuum The Original Causes are the External Cold the obstruction of the Pores of the Head and what ever others that cause a Collection of crude Humors or an endeavour to expel them being colected V. Disorderly Diet and ill Food bred a great quantity of bad and sharp Humors in the Body and made the Blood it self thin and sharp hence many sharp Vapors were carry'd to the Head which wont to be evacuated through the usual Passages and Pores which being stopped and contracted by the Cold the Humors likewise condensed with their viscous Slime beset the Spongy-bones of the Nostrils and so caused the Pose which was attended with a heavy Pain in the Head while the detained Humors distended the Membranes of the Brain afterwards descending to the Aspera Arteria and Lungs they induced a violent Cough and Corrosion of the Vessels upon which ensued a Solution of the Continuum while the Vessels were broken and opened by the Violence of the Cough VI. That the Blood abounded with bad and sharp Humors appeared from hence that being let out of the Veins it was thin and ill colored VII This spitting of Blood returned again because that when the opened Vessels are emptied there is some time required before they can be filled again but no sooner are they swelled with more Blood but it bursts out as before VII Now the reason why the Blood stopped for two days after the Blood-leting was because by that Evacuation the Heart was debilitated and the Pustles grew weaker so that less Blood was forced out of the right Ventricle
because in that space all the Chylus of one Meal or the greatest part of it is mixt with the Blood in the hollow Vein and passes through the Heart and the Remainders more or less cause those slighter Palpitations afterwards V. Now the reason why that sharp Humor continually flowing with the Veiny Blood to the Heart does not cause a continual Palpitation is because the Particles of the Blood and sharp Humor fermented in the Heart are many times more equal more mitigated and less sharp so that such vehement Effervescencies cannot be excited in the Heart especially if they fall into the Ventricles by degrees and in lesser quantity But when the Body being heated by exercise the Blood more copiously and rapidly passes through the Heart with its sharp Particles mixed with it then the Heat encreasing and the sharp Humors abounding the Effervescency increases and thence the vehement Palpitation which abates upon Rest and Diminution of the Heat and extraordinary Motion of the Blood VI. This salt and sharp Humor is bred through a particular Depravity of the Spleen and emptied out of it into the Liver through the Spleenic Branch where it is concocted with the sulphurous Juice and mixed in the hollow Vein with the Blood flowing to the Heart The Vice of the Spleen is a depraved and salt ill Tempet with some Obstruction causing that troublesome Ponderosity VII The Stomach still craves and digests well because it is not affected besides that the same sharp Humors carried with the Blood through the Arteries to the Tunicles of it raise a Fermentation within it VIII He sleeps well but troubled with troublesome Dreams because that Vapors ascending to the Brain do cause Sleep but being somewhat sharp they twitch the Membranes of the Brain and the beginnings of the Nerves and so disordering the Fancy procure frightful Dreams IX This Disease is dangerous because the Heart is affected and because the depraved Disposition of the Bowels is not so soon reformed X. The Cure aims at three things 1. To correct the Depravity of the Spleen 2. To attenuate and concoct the salt and sharp Hâ—…mors in the Brain 3. To corroborate the Heart XI First then let the Patient be three or four times purged with Pill Cochiae Hiera Pills or Golden Pills Electuary of Diaphoenicon Hiera Picra Confection Hamech or Infusion of Senna Leaves Agaric c. XII Afterwards let him take this Apozem â„ž Roots of Elecampane Fennel an â„¥ j. Of Capers Tamarisch an â„¥ s. Germander Dodder Fumitory Borage Motherwort Water Trefoil an M. j. Baum M. ij Citron Rind Iuniper Berries an Ê’v Fennel-seed Ê’iij Blew Currans â„¥ ij Water and Wine equal Parts Boil them to an Apozem of lbj. s. XIII After he has taken this let him drink every Morning a Draught of this medicated Wine â„ž Roots of Acorus Elecampane an â„¥ j. Of Capers and Tamarisch an Ê’ij Water Tresoil Germander an M. s Orange-peels â„¥ s. Iuniper Berries Ê’vj Choice Cinnamon Ê’j s. Cloves ℈ j. Fennel-seed Ê’ij Lucid Aloes white Agaric an ℈ iiij Make them into a Bag to be sleeped in Wine XIV In the Afternoon let him take the quantity of a Nutmeg two or three times â„ž Specier Diambrae Sweet Diamosch an Ê’j Orange-peel and Root of candy'd Elecampane Conserve of Anthos of Flowers of Sage and Baum an â„¥ s. Syrup of Elecampane q. s. for a Conditement XV. Let him keep a good Diet upon Veal Lamb young Mutton Pullets Rabbets and Partridges c. The Broths of which must be prepar'd with Rosemary Borage Baum Betony Hyssop Calamint creeping Thyme Leaves of Lawrel Root of wild Raddish Rinds of Citron and Oranges Seeds of Anise and Fennel Nutmeg Cinnamon Cloves Ginger c. Also gravelly River-fish Turneps and new-laid Eggs. His Drink midling Ale with a little Wine at Meals Moderate Sleep and Exercise and a soluble Belly THE CURES OF THE Chief Diseases OF THE LOWER BELLY WITH THE CASES OF THE PATIENTS IN THREE HISTORIES HISTORY I. Of a Preternatural Ravening Hunger A Young Man twenty eight years of age of a healthy Constitution but somewhat Melâ—…ncholy and a great Lover of hard salt and acid Diet was sometimes seized with a very great and extraordinary Hunger so that unless he presently drank two or three Draughts of strong Ale or Wine and eat a piece of Bread or other Meat he complained of a Dimness of Sight accompanied with a slight Vertigo and presently became so weak that not being able to stand he fell into a Swoon From which when he recovered and had refreshed himself with Bread and Wine he continued free from that excessive Hunger for some days This Distemper suddenly came upon him sometimes in the Morning when he was fasting sometimes an hour after Meals before his Stomach was well emptied without any Nauseousness or Vomiting I. THE Stomach of this Man was affected in the upper Part of the Stomach and the Disease is called Bulinus Which is a Preternatural and Insatiable hunger seizing a Man on a suddain with Weakness and Swooning II. The remote Cause was a Melancholly Disposition of the Body and such a Dyet as somewhat vitiated the Concoction of the Spleen which bred many sharp and Acid Humors in the Body ill concocted by the Spleen which being carried to the Ventricles and adhering to the upper Part of it near the Stomach twich'd it after a peculiar manner and by means of a certain acid Distemper and Constriction caused an extraordinary Hunger III. The swooning follows together with a notorious weakness because of the great consent between the Stomach the heart and the Brain by means of the vagous Nerves which are inserted into the Stomach and upper Part of the Ventricle with infinite little Branches which being ill affected about the Stomach by Sympathy the Heart and Brain are affected Now the Brain being affected presently the Animal Spirits were disturbed which caused the dimness of Sight and the Vertigo The same disorderly and sparing Influx was the occasion of the weakness and faintness of the Heart which is the reason it makes lesser Vital Spirits and sends a lesser quantity of Arterious Blood to the Heart IV. Now whether a few hours after Meals or Fasting t is all one for at whatever time that subacid Juice flows into the Ventricle and knaws the upper Part of it that vehement Hunger seizes V. The Patient is so corroborated with strong Ale or generous Wine and the Distemper is presently mitigated because such sort of Liquor refreshes both Animal and Vital Spirits and washes off nay sometimes concocts and digests the acid Humor sticking to the Tunicles of the Ventricle and breaks the sowre Force of it till there be a sufficient quantity of the same Humor collected again to make the same Vellication VI. The danger of this Distemper is least the Patient should be seized at any time with this raving Hunger where Meat and Drink are not to be had and so should be carry'd off in
a Swooning Fit VII Therefore a Person thus affected ought never to Travel without a sufficient Provision of strong Wine and Food along with him that he may have his Weapons ready to resist the suddain Invasion of his Enemy VIII Moreover let him be gently Purged with Electuary of Hier a Piora Cochia or Ruffi Pills avoiding strong Purgations or if he be easie to Vomit let him take a Vomit of Asarabacca IX To strengthen the Ventricle and Spleen and mend Concoction let him take this Apozem ℞ Roots of Elecampane Tamarisch Capers an ʒ vj. Galangal ℥ s. Germander Dodder Agrimony Ceterach Baum an M. j. Leaves of Lawrel M. s. Orange Peels ℥ s. Iuniper-berries ʒ vj. Fennel-seed ʒ ij s. Blew Currans ℥ j. s. Water and Wine equal Paris Make an Apozem of lb j. s. To the same purpose also let him take this Conditement ℞ Specier Diambrae Abbots Diarrhodon an ʒ j. Elecampane Roots and Orange Peels Candy'd Conserve of Anthos and Flowers of Sage an ℥ s. Syrup of Elecampane q. s. For a Conditement X. Let his Dyet be of good and easie Nourishment and Digestion Mutton Lamb Veal Pullets and River-fish the Broaths of which must be prepared with Rosemary Betony Anise and Fennel-seed Nutmegs Cloves Wild Carrots c. Let his Drink be clear Ale and middling Wine Moderate Exercise and Sleep HISTORY II. Of a Canine Appetite A Maid about Thirty Years of Age of a Melancholy and somewhat Pensive Disposition accustomed to Salt Acid Sowre smoaked Meats of hard digestion for a whole Year was troubled with an insatiable hunger without Swooning All manner of Victuals she devoured most greedily but drank moderately after it when her Belly was full her hunger never ceased but was somewhat abated After eating she flung up all again which in a short time became so Sowre in her Stomach that the Sowre smell offended the standers by and the Maid her self confess'd that they came up sharper then juice of Limons After that Evacuation she fell to again and then again brought up what she had eaten and day and night she would have done nothing but eat and Vomit had not her Poverty enjoyned her a most troublesome and tedious abstinence in the mean time however she grew very Lean. I. THIS Distemper is called Canina Appetentia or a Cane or Dog-like Appetite Which is an unsatiable Hunger without swooning proceeding from an acid ill Temper of the Inferior Stomach wherein the Nourishment so greedily devoured is presently cast up again and then other Nourishment devoured without any abatement of Hunger II. It differs from a Bulimia for that there is a Prostration of the strength without Vomiting but many times with Swooning in the other there is Vomiting without any signal weakning of the Body III. The Ventricle of this Maid was affected especially in the lower Part. IV. The containing Cause is an acid and viscous Humor bred through the defect of the Spleen and infused in the Ventricle which vellicating the Ventricle with it's acidity causes an insatiable Appetite after all sorts of Nourishment to appease that Vellication Which Nourishment being infected by the Humors with the same acidity causes the Vellication to be more troublesome upon which great plenty of Spirits being determined to the Inferior Fibres of the Ventricle causes a Contraction of the lower Tunicles of the Ventricle and so by the help of the Muscles of the Abdomen a strong Expulsion of the Nourishment received which not being able to dissolve or eject the acid Humor still firmly impacted in the Tunicles of the Ventricle which is rather fomented by the Spleen it happens that the same raging Hunger still continues after Vomiting V. There is no Swooning in this case because there is no great consent between the lower Part of the Ventricle and the Heart and Brain VI. Because this Raging hunger accompany'd with Vomiting hinders due Nutrition and Atrophy and wast of the Natural strength is to be feared VII In the Cure the Body is osten to be Purged with Aloes Hiera Picra Infusion of Agaric and other bitter things and two or three Vomits with Leaves of Asarabacca VIII Then such things are to be prescrib'd which corroborate and cleanse the Ventricle and Spleen and promote Concoction by consuming the acid Crudities such as are prescribed against the Bulimia and the same Dyet must be observed HISTORY III. Of Difficult Concoction of the Ventricle A Certain Person Forty Years of Age accustomed to Salt Smoaked Acid Meats and of hard Digestion after he had struggled with a Quartain Intermitting Ague for Eight Months at length being freed from that slowly recovered strength because his Ventricle difficultly digested the nourishment which it received for that after Meals he was troubled with a great distention in the Region of the Ventricles and Hypochondriums which was eased sometimes by sending forth violent and loud Belches and the fewer of those he sent forth the more he was troubled Sometimes he did not belch at all and then he felt his Meat to fluctuate in his Stomach and the next day he threw it up raw and unconcocted with some relief of his trouble and so he remained free as long as his Stomach was empty but after feeding the same molestation returned His Urine was thick and pale with a copious sediment thick and palish No Fever could be perceived but his Pulse was weak and unequal and his natural strength decay'd I. HERE the Ventricles which performs the first Concoction and Chylification was infected which occasioned a difficult Concection of the Nourishment by the Greeks called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 proceeding from a cold ill Temper of the Ventricle and chylifying Bowels II. Ehe Proximate Cause of this Evil is the unaptness of the Ferment to promote fermentaceous Concoction in the Ventricle by reason the subacid and saltish Particles of it are less fixed and not reduced to that fluxibility and tenuity as to penetrate the Particles of the Aliments stir up the Spirits latent therein and separate them from the thicker mass III. That defect of the Ferment is contracted through the depraved and over-cold disposition of the chylifying Bowels the Liver Spleen and Sweet-bread for which reason they do not sufficiently concoct the Ferment which is to be prepared nor reduce it to a due fluxibility and tenuity but make it over-fix'd and crude which being communicated to the whole Body begets Crudities 1. In the Blood which is therefore difficultly and unequally dilated in the Heart so that few and those thicker both Vital and Animal Spirits are generated whence a decay of Strength and dejection of the Mind 2. In the Salival Kernels of the Chaps and others of the Head where the fermentaceous falival Juice being bred raw and so falling into the Stomach becomes unfit to make a due Fermentation of the Nourishment And the same is to be said of all the other sermentaceous Juices flowing through the Choler-receiving and Pancreatic-Channel into the Duodenum and
they are well digested that vitious Ferment being Evacuated IX There is no Fever because no Putrefaction X. He is thoughtful and sad for that by reason of the acid Humors mixed with the Blood the many Animal Spirits are generated somewhat thicker in the Brain so that they do not pass so chearfully and orderly through the narrow Pores of the Brain which makes the Patient thoughtful and musingly Melancholly XI The Body is emaciated because the first Concoction is not well performed which infects the Blood with a Scorbutic quality that renders it more unapt for Nutrition XII This Disease is dangerous for fear of an absolute Atrophy and Consumption of the Natural strength XIII Therefore in the Cure let the Patient be Purged once in eight days with an Infusion of Senna Agaric c. adding thereto a little Electuar of Hiera Picra or Diaprunum or with Chochia Pills Extract of Catholicon Powder of Diaturbith and the like Blood-letting signifies little in this Case where there is no Fever XIV If his inclination to Vomit continue give him some such Vomitory â„ž Fresh Leaves of Asarabacca Ê’ iij s. Radish-water an â„¥ ij squeez out the Iuice then add Antinomiate Wine Ê’ iij. Oxymel of Squills â„¥ s. XV. Let him take three times a day some convenient Apozem like this that follows â„ž Roots of Tamarisch Capers Polypody of the Oak Elecampane an Ê’ vj. Germander M. j. s. Baum Betony Borage Dodder an M. j. Leaves of Lawrel Water Trefoyl an M. s. Orange-peels Ê’ vj. Anise and Fennel-seed an Ê’ j. s Raisins cleansed â„¥ ij Water q. s. Make an Apozem to lb j. s. XVI Between whiles let him take a small quantity of this Conditement â„ž Roots of Elecampane Orange-peels Condited Conserve of Borage Baum Flowers of Sage an â„¥ s. Oyl of Anise drops xij Syrup of Elecampane q. s. XVII In a great distention of the Maw and Intestines with Faintness and Pain such a Bolus will be very proper â„ž Treacle Ê’ j. Crabs Eys prepared ℈ j. Oyl of Annise drops iiij Mix them for a Bolus XVIII Instead of his Apozem sometimes in a Morning fasting give him a Dose of this Powder in Ale or Broth. â„ž Crabs-Eyes prepared Ê’ ij Red Coral prepared Ê’ s. Amber prepared Ê’ s. Make a Powder to be divided into four Doses XIX Let his Diet be of good and easily digested Nourishment avoiding all dry'd smoak'd acid sowre rank and crude Victuals Let his Drink be sound stale Ale and small Wine but not acid Let him Sleep and Exercise moderately and evacuate duly and regularly AN INDEX OF MATTER Contained in the TREATISES OF THE Small-Pox Measles AND THE CURES and DISPUTATIONS following AGue Tertian 134 140 Ague Bastard 135 151 156 St. Anthonie's-fire Apoplexy 185 Appetite lost 113 Apthae 204 205 Arabian's Opinion of the Causes of the Small Pox. 4 An Asthma 44 216 The Author rejects the Opinions of all the Physicians concerning the Small-Pox 6 Avicins Opinion concerning the Causes of the Small-Pox 4 B. Bâ—…thing in the Small-Pox dangerous 37 Belly-bound 150 Blear ey'dness whether contagious 109 Bleeding at the Nose 52 116 200 Blindness 197 Bloodletting when to be admitted in the Small-Pox 13 34 Bloodshot Eyes 195 To break the Pox more speedily 19 b. Breath stinking 83 A Burning 64 Burstness of the Guts 86. With a Gangrene 122 C. Camphire debilitates Venery 79. a. b. A Canine Apetite 233 Carus 178 Catalepsis 179 A Catarrh Chimical dissolutions of little use 15 a. Chyrurgical Helps for the Small-Pox 12 Cinnamon water the use of it in the Small-Pox 35 Cholic 98 137 Coma a Disease so called 174 Ill consequences of catching of Cold in the Small-Pox 26 a. b. Concoction difficult 234 A Consumption 75 123 224 Convulsions Epileptic 133 Convulsion 189 Coverlets red contribute to expel the Small-Pox 15 A Cough 158. 214 Cupping-Glasses improper 13 Cure of the Measles 24. a D. Deafness 160 The Diagnostic Signs of the Small-pox 7 Diagnostic Signs of the Measles 23. b Diaphoretics for the Small-pox 14 Diarrhea 120 Duncan Liddel defends the Opinion of the Arabians 5 What Diâ—… convenient in the Small-pox 10 A Disentery 59 61 73 74 A Dysury 47 E. Emplasters hurtful 15 Empyema 212 Epilepsie 190 Epileptic Convulsions vid. Swoonings Epithemes hurtful 15 Evacuations monthly dangerous in the Small-Pox 32. a. b Expulsâ—…oes the several Sorts 14 External Parts how to cure 19. a. Exulcerations how to cure them 22. a. Eyes how to preserve 20 Eye-lid seized by the Small-Pox how to cure 37 Eye-lids closed by a Wound 46 F. Face swell'd with a Fall 142 Fever Malignant 69 70 72 Tertian Intermitting 115 Female Purgations suppressed 61. 80. 91 Fernelius of the Small-Pox 5 Figs the use of them in the Small-Pox 15. b The Vertues of them 16. a Fissure of the Skull 102 Fomentations hurtful 15 French-Pox 118 G. Gallic Fever 66 Gargles 19. b Gentilis of the Small-pox 5 Giddiness 181 A Gonorrhea 37 Gout in the Knee 97 Gouâ—… 154 H. Head-ach 80 103 128 163 Hickup 104 Several Histories of the Small-pox 25 26 27 28 29 c and Measles 38 Hoarsness 49 House-Swallows 13 A Hurt upon the Shin 78 The Hydrocephalus 208 Hypochondriachal Passion 235 Hysterical Suffocation 111 I. Imagination the Strength of it 29 Inflammation of the Lungs 41 221 Internal Bowels may be seized by the Small-Pox 27. a Internal Parts how to â—…re 15. b The Itch. 52 160 Itching in the Measles how to prevent 24. a K. Kidneys pain'd 95 Kings-Evil 143 L. Lethargy 176 What Lotions to be rejected 22. a M. Madness 173 Of the Measles in General 1 Of the Measles in Specie 23. a Melancholy 167. Hypochondriac 169 Mercurialis of the Small-pox 5 Milkie which the best for a Consumption 76. b Milk in a Virgins Breast 132 Mortification of the Legs and Thighs by Cold. 54 The Murr 200 201 N. Nature to be observed in the Cure of the Small-pox 28. a. b Nephritic Passion 63. Pains 125 132 The Night-Mare 183 Noise in the Ears 198 O. An Ophthalmy 108 194 Oyls hurtful 15 P. Pain extream under the Breast-bone 127 Palpitation of the Heart 228 Palsie 50 187 Perforation with a Bâ—…dkin dangerous 21. b Pestilential â—…ever 36 Pharmacutic Remedies 13 A Phrensie 165 Pin and Web. 195 Pitting to prevent 21. a Pits to take them away 22. b The Pleurisie 210 The Pose 200 201 Of the Small-pox in general 1 Of the Small-pox in specie 3 The Causes of the Small-pox 4 The preservative Physic. 9 The prognostic Signs of the Small-pox 8 Prognostic Signs of the Measles 23. b Purgatives whether proper or no. 13 Purging violent 82 Purples 24. a. b. 32 Q. Quick-silver good for the Worms 153 Quinancy 218 R. The Ranula 206 a Red Spots how to take them away 22. a Remedies not to be changed when truly applied 28. b S. Saffron the Use of it in the Small-pox 35 A Scald 46 Scars to prevent 21. a Sâ—…iatica 146 Scurvy 128. When first known 129