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B22610 Etmullerus abridg'd: or, A compleat system of the theory and practice of physic. Being a description of all diseases incident to men, women and children. With an account of their causes, symptoms, and most approved methods of cure, physical and chirurgical. To which is prefix'd a short view of the animal and vital functions; and the several vertues and classes of med'cines. Translated from the last edition of the works of Michael Etmullerus, late professor of physic in the University of Leiptsich; Opera omnia: nempe, instutionis medicinæ. Abridgments. Ettmüller, Michael, 1644-1683. 1699 (1699) Wing E3385A 488,676 677

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you please you may dilute it with Celandin and Royal Comfrey Water of each one Ounce Take of Blood-stone half a Scruple white Vitriol fifteen Grains Myrrh and Saffron of each five Grains white Sugar Candy one Scruple make a Pouder or mix it with some convenient Water and apply it to the Web with a Feather If such Medicines prove ineffectual we must have Recourse to sublimat Mercury Plempius's wonderful Arcanum was this Take of sublimat Mercury from five Grains to half a Scruple dissolve in Rose Water eye-Eye-bright Water and Fennel Water of each one or two Ounces Touch the Web with a Drop or two of this Liquor every Morning and Evening The Juice of red Ants express'd and drop'd into the Eye is of wonderful Success Having thus consider'd the first Obstacle to the passing of the Rays of Light the next is when the Horn Coat or White of the Eye is disorder'd This may happen 1. When it is unequally nourish'd or some Parts of it elated while the others are depress'd by reason of the Viscidity of the nutritious Juice 2. When white Scars remain in this Coat after the small Pox or any other Ulcer 3. When by an external Accident the Blood is forc'd out of its Vessels and creates an Inflammation The Signs are these In the first case this Coat appears white and thick In the second we discover as it were a white Spot upon the Eye The third is known by the blue livid Colour that attends it Children are more easily cur'd of these Maladies than adult People If they are of a long standing 't is a difficult matter to remove 'em only the last is generally more tractable As for the Cure The Viscidity of the Chylous Juice and the Scars upon the Coat ought equally to be remov'd by attenuating sharp Medicines which ought to be somewhat sharper in the latter than in the former case The Seeds of Clary applied to the Eye are converted into a Mucilage by the Lymph which waters those Parts and thus prove an incomparable Medicine in this case The Gall of a Pike or of a Partridg and Ox Gall or a Water distill'd from it are much commended they are us'd with the Water of Frogs Spawn If the Scars or Clouds in the Eye succeed the Small Pox exhibit what follows Take of Fennel Water two Ounces of the Gall of an Eel from a Dram to a Dram and a half Sugar Candy in fine Pouder a Dram Mix and let them stand warm for the space of a Night The Spirit of Urine distill'd with Vitriol the Juice of Eye-bright or Fennel new drawn mix'd with a little Balsam of Peru or rather the Juice of Fennel mix'd with Sugar of Lead are very proper to this purpose The Liver of a Lamprey melted into an oily Liquor is accounted a Specific 'T is a sharp Medicine and ought only to be applied to the Eyelids unless the Malady be inveterat The Scar may be gently anointed with Oil of Paper or burnt Rags with a Feather or with the white Water of Honey If the Cloud or Scar be inveterat take the yellow Water of Honey or the following compound Water Take of Honey from the Combs two Pound tops of Elder Flowers eye-Eye-bright and Fennel tops of each half a handful Sugar Candy four Ounces Distil in the Balneunt Mariae with a strong Fire The Juice of Celandin the greater or of Rue or of Brooklime or its Water either drop'd into the Eye alone or mix'd with Honey of Roses are of excellent use As also the Water of quick Lime with Sal Armoniac as above prescrib'd or Platerus's famous Experiment especially if the Serum be sharp or apt to inflame the part viz. Take of the Pulp of four Apples half a Pound chop 'em small and boil them in Rose-water and Fennel-water to the Consistency of a Mucilage Then add two or three Ounces of the Mucilage of Fenugree Seeds and two or three Yelks of Eggs half a Dram or a Dram of prepar'd Blood-stone and two Drams of the Rinds of Pomgranats pouder'd Mix and make a Cataplasm to be applied and continually kept upon the closed Eye and renewed twice a day The Waters distill'd from Cichory Flowers or Blew-bottle Flowers according to Schroder and Hoffman's Method Fennel Water with the Gall of an Eel the Pouder of the Bone of a Cuttle with white Sugar the compound Pouder of Crabs Eyes and the Scales of a Serpent either blown into the Eye or diluted with a convenient Vehicle are all noted Specifics But above all sublimat Mercury is the most effectual Medicine exhibited as above When Children are seiz'd with these Distempers the Nurse or Mother may chew a little Fennel Seed and then breathe upon the Child's Eye or touch it with her Tongue When the Eye is beat black and blew by an external Accident apply Cloths dipt in Chervil-water Hyssop-water or the Water of Blew-bottle Flowers The chewing of Cumin Seed or Fennel-Seed or Cloves and then breathing upon the Eye is a celebrated Remedy Fomentation with Wine in which the tops of Hyssop have been boil'd is very successful but for a forlorn Hope take what follows Take of Comfrey Roots six Ounces the Roots of Solomon's Seal two Ounces Elder Flowers an Ounce and a half Meal of Beans one Ounce mix and use them by way of Decoction or Cataplasm or reduce them with fresh Butter into the form of a Liniment Or Take of the Roots of Comfrey the greater and of the lesser of each half a Pound Chamomile and Melilot Flowers of each two Ounces Meal of Beans four Ounces fresh Butter three Ounces Fenugrec Seeds one Ounce Saffron half an Ounce Boil them and foment with the Decoction which is better than a Cataplasm by reason that all fat oily things offend the Eyes Or Take of Blew-bottle Flowers and Flowers of Comfrey Royal of each a little handful tops of Hyssop half a handful Comfrey Roots three Drams Roots of Solomon's Seal a Dram and a half chop and beat them small and then boil them in a sufficient quantity of Wine Add to two or three Ounces of the strain'd Liquor two or three Drams of Spirit of Wine camphoriz'd If there happen a Collection of Matter under this Coat it must be drawn forth by the hand of a Surgeon Sometimes little Blisters appear upon this and the native Tunicle which are caus'd by the suppression of sharp Humours They are cur'd by applying Hartman's vitriolated Water or a simple Solution of white Vitriol or by blowing the following Pouder into the Eye Take of prepar'd Calaminar Stone half a Dram prepar'd Tutty half a Scruple Sugar of Lead half a Scruple mix c. If the Blisters are open'd the Water of the Whites of Eggs is very proper Having thus dispatch'd the Disorders that may affect the Coats of the Eye let us next consider those of the watry Humor The watry Humor is indispos'd when a viscid Matter is mix'd with it and interrupts the Rays of
Disease the Manner of its Invasion and the Signs which generally accompany it Secondly To describe the Part affected whether mediatly by being influenc'd from another or immediatly by the Residence of the Morbific Cause within its self Thirdly The Causes of every Distemper both Radical and Occasional Fourthly What Prognostics we can have of the Event of every Distemper And Fifthly To subjoyn the Method of Cure both General and Special the Nature of the Remedies whether Simple or Compound Universal or Specific Together with Historical Cases and Practical Observations applied to every Disease But some things are necessary to be premis'd before we launch into the Practice Whoever would understand it thoroughly must be well acquainted with the Principles of Chymy and Mechanicks The former are serviceable in explaining the Vital Functions of the Body and the latter in the Animal Musculary Motion For Nature has acted Geometrically in framing our Bodies as well as in every thing else The remaining Preliminary Principles that a Student ought to know before he Commence the Practice of Physic are briefly couch'd under the following Heads SECT I. Of the General Vertues of Med'cines AS the Oeconomy of Man's Body is only explicable by the different Forms Sizes and Various Combinations of the Minute Particles of which every Body is compounded according to the Principles of Mechanism So the Vertues of Medicines may best be deduc'd from the same Cause Especially since Occult Qualities are now hiss'd out of Doors and the four first Elementary Principles of Cold Hot Dry and Moist are more Imaginary than Real This Particular Disposition and Texture of Parts that entitles all Medicines to their Respective Specific Qualities is Originally owing to the Seed and may properly be call'd the Seminal Disposition As for Example Scurvygrass is a Specific against the Scurvy not because it is Hot or enjoys such an Occult Quality but because it enjoys such a Texture of Parts that makes it a subtil penetrating Body fit for altering and subduing the Acid Scorbutical Matter Now its precise Seminal Vertue is not Common to all its Parts but peculiar to a sharp Volatil Salt couch'd within its Body that actuates the other Earthy Particles And indeed the Various Exaltation or Depression of Acid or Alcali Salts is the distinguishing Character of all their respective Textures because the Saline Particles are more active and produce more Notable Effects than any of the rest tho 't is probable all of 'em Originally may have sprung from Water Thus such Med'cines were by the Ancients accounted Hot as by their sharp pointed Particles affect the Tongue and Palate the same way as Fire is wont to do or by Vertue of a Volatil Oily Salt dissolve the Mass of Blood and augment its Fermentation Those of a contrary Vertue they styi'd Cold Such are all Acid or Nitrous Medicines Those they call'd Dry which either drink in the moisture of the Body as Burnt Harts-horn c. or open a Door for its Passage as all Sudorifics Those Moist that either supply moisture as all Nourishing and Liquid Things or give a stop to its Consumption as Quieting Pacific Medicines All Med'cines fit for Conquering a prevailing Acid or Alcali in the first Passages were by the Ancients call'd Aperitive I choose rather to Christen 'em Alterative If they are Anti-Acids they perform their Task by imbibing the peccant Acid as Steel and all Earths or qualifying its sharpness as Oily fat Medicines or fermenting with it so as to work it into a Third Compound as all Ascali's both Fix'd and Volatil If their business be to conquer Alcali's they reduce the Bile or any other Vicious Alcali to its true Temperature by opposing themselves to their Extremes For 't is the Disproportion'd Mixture of the Juices in the first ways that destroys the Natural Fermentation of the Blood and is the Source of all Chronical Distempers commonly but falsely imputed to Obstructions And all remedies capable of reducing them from either Extreme are what I call Alteratives in General But are distinguish'd by several particular Names corresponding to their special Qualities As those of an Oily Mucilaginous Body and free from any Predominant salt are call'd Softening Suppurating Expectorating Incrassating Anodyne c. Opposite to them are the Astringents of a Styptic Austere Body Compounded of Earth and an Acid Salt which thicken fluid humors and eontract the fibres of the Parts as Allum c. Those that are most Famous for making head against Acids are sometimes term'd Febrifuga's by reason of their Noted Vertue in Intermitting Feavers and sometimes Vulnerary by reason of their healing Vertue Such as have a sharp penetrating Salt whether Acid or Alcali are Attenuating Discussing c. Those endow'd with a Volatil Oily Salt a piercing Smell and a grateful Taste are Aromatic Carminative Cephalic c. and are commonly us'd for Cordials Those of a Volatil Salt apt to dissolve the Mass of Blood are Diuretic Sudorific and Alexipharmacal These are the General Classes of all remedies us'd in Physic Such of 'em as are more Universal and Answer more Indications are to be most esteem'd As Opium Sal volatile Oleosum and the fix'd Sulphurs of Minerals and Mettals which are all useful in an infinity of Cases and are upon that account Entitled to a preference before others of a narrower extent SECT II. Of the Vital Functions of the Body HAving touch'd upon the Vertues of Medicines and their manner of Operation the next thing is to consider the Subject or Body upon which the Operation is perform'd It s structure presents us with some gross material Parts and some more subtile and active which serve to inform and actuate the other The former represent the External Fabric of an Ingenious Machine the latter the Internal Wheels and Springs of Motion The Ancients imagin'd our grosser part to be compounded of the four first Elements but without either Reason or Experience I deny not but that there are such things as Water Earth and Air which make up the greatest part of our Terraqueous Globe but I doubt much if they and fire are the first and simplest Ingredients of all Compounds Indeed as to Water I do not dispute the point Thales and Helmont have clearly made it out that all things consist of Water But as for fire the Modern Experiments do sufficiently prove that 't is nothing else but a division of the smaller Particles of fat Acids such as we call sulphurous by means of the Air from whence heat and light must necessarily ensue We see that flame is only a further rarefaction of the same Particles that when more condensated appear in smoak and a little more Condensation converts smoak into soot and the Oyl of Soot which is a fat Acid differs from all the three as they from one another by a further or lesser degree of Rarefaction or Condensation Thus the Various Conjunction Separation or Transposition of the same Minute Particles is the Original of the
virtue of which we form Idea's exactly parallel to the motion of the external Object Thus when the Arm is cut off there ofttimes remains an imaginary pain as if deriv'd from the first Finger These outward Senses are five in number among which that of seeing is justly intitled to the noblest Character CHAP. I. Of the Diseases belonging to the Eyes THE Rays of Light are either convey'd to us in a direct line from a luminous Body or reflected from the surface of a dark solid Substance If this reflecting Body be smooth and polish'd the Rays are return'd in the same condition and manner as they 're receiv'd if it be rough and unequal they suffer various determinations according to the respective Figures and Texture of the Parts from whence ensues the admirable variety of Colours These Rays terminat in the Retina where they form the inverted image of the Object after having suffer'd a Decussation in the Crystallin Humor And the size of this imaginary Picture is augmented or diminish'd according to the proportional largeness of the Angles of Intersection The sense of seeing may be extinguish'd or diminish'd when the Rays of Light have not a free access to the Eye as when the Eyelids are seiz'd with a Palsy which is cur'd by applying a Plaister of Tacamahac and Caran or distill'd Oil of Tartar with Wax or an Ointment of Balsam of Peru and Aqua Vitae Sometimes the Rays are not admitted by reason of a Web or preternatural Tunicle covering the Eye which proceeds from a corrosion of the Glandule in the internal corner of the Eye by the sharpness of the Serum and some disorder of the general Coat call'd Adnata The nutritious juice of this Coat and the Serum separated by the Glandule being thus vitiated congeal into a thicker Substance which encreases by degrees and at length covers the whole Eye If the small blood Vessels adjacent to the Glandule be likewise vitiated some strokes of Blood appear in it which is a sign of Malignity and if it be thick rough and painful withal it approaches to a Cancer and ought not to be meddled with If it be thin clear and white 't is a good Sign If it be inveterat or attended by a suffusion 't is safest not to touch it In curing the Diseases of the Eyes the following Cautions are fit to be taken notice of 1st That all sharp irritating Medicines are improper 2. That they ought to be neither very cold nor very hot but temperat 3. That when the Humors are sharp and apt to inflame the part Wine is not convenient Tho 4. when a cold moisture prevails Wine Fennel Eyebright and especially the Decoction of Sassafras are incomparable internal Remedies 5. That drinking of Spaw-Waters is very conducive in the end tho it seem to offend the Eyes at first 6. That Alcali's are always proper Quercetanus prepar'd an excellent Water thus Take of Childs Urine half a Pound white Vitriol and Tutty of each four Ounces juice of Celandin two Pounds let them stand to digest for some days then distil and reserve the Spirit for use Others thus Take of the Roots of Celandin the greater and of Valerain of each one Pound of the Herbs Rue and Eyebright of each four handfuls Aniseeds Fennel-seeds Lovage-seeds of each two Ounces Marygold-flowers Roses Borrage-flowers and flowers of Comfrey the greater of each four handfuls and fifteen Crabfishes chop 'em all small and pour upon them equal quantities of the weak Spirit of Vitriol and juice of Celandin let them stand to digest for a Month then distil putting a dram of Camphyre into the Alembic reserve one half for use add to the other half two Drams of Crocus Metallorum let it stand for the space of two Hours and then strain it 'T is an admirable Water for the Eyes Hartman's Eye Water was thus prepar'd Take of Fennel Water Anniseed Water of each a Pound Dissolve in them half an Ounce of the purest white Vitriol Then infuse in it the Roots of Elecampane in Pouder Strain the Liquor and reserve it in a Glass Or Take of the Water of the Flowers of Comfrey Royal of Blew-bottle Flowers of Night-shade Flowers of each an Ounce White Vitriol from half a Scruple to twelve Grains To the strain'd Liquor add half a Dram of prepar'd Tutty Let it be dropt into the Corner of the Eye or applied with a warm Cloth The best Method of using these liquid Remedies is that the Patient be laid flat on his Back and the Liquor drop'd into the Eye and then the Eye must be carefully cover'd Blistering Plaisters and Issues are very proper as also a moderate use of sneezing Medicines To return to the Web upon the Eye It ought to be remov'd either by resolving Medicines or by the help of a Needle And afterwards Astringents ought to be applied In order to the former Sugar Candy Honey burnt Harts-horn Egg-shells c. are very proper either by way of Pouder or form'd into an Ointment Quercetanus's Ophthalmic Water is generally us'd 'T is this Take of eye-Eye-bright Water Fennel Water and Water of Celandin the greater of each one Ounce Crocus Metallorum or Glass of Antimony or Buttyr of Antimony a Scruple let it stand warm for the space of two or three Weeks then strain the Liquor and drop it while warm into the Eye for all cold things are hurtful to the Eyes Or Take of the Glass of Antimony pouder'd from half a Scruple to fifteen Grains infuse it in Water of Blew-bottle Flowers Eyebright and Fennel Waters of each one Ounce Let them stand in a warm place over Night In the Morning strain the Liquor and add six Grains of Camphyr Or Take of Sal-gem a Dram dissolve it in Rose-water and Fennel-water of each one Ounce mix for a Collyrium The Gall of a Pike and several other Fishes also a Water drawn from human Gall or from young Goose Dung are by some reserv'd for Nostrum's The following Water is incomparable and much us'd Take a Vessel of Brass pour into it half a Pound of quick Lime Water prepar'd with Water of Comfrey Royal and add half a Dram of Salt Armoniac Let them stand till the Color alter The Juice of Celandin mix'd with the Dew gather'd from Fennel or eye-Eye-bright Water is a great Specific in this case As for Pouders white Vitriol leads the Van. Sometimes they 're diluted with Waters as Take of White Vitriol a Dram prepar'd Tutty Sugar Candy Collyrium Albi Rhasis of each four Scruples Camphyr six Grains Rose Water Vervain Water and Water of the Flowers of Eye-bright of each four Ounces Mix. 'T is good for removing Inflammations as the following is for taking off the Web. Take of the Bone of a Cuttle one Scruple Sugar Candy one Dram white Vitriol half a Scruple prepar'd Tutty half a Dram Mix for a Pouder Riverius pilfer'd this Prescription out of Poterius and was not so just as to take any notice of its Author If
from the sense of Thirst a proneness to rub and toss the Head and pull up the Hairs When the Inflammation relents it tends to a Gangrene which occasions Convulsions Lethargies and a total inactivity A true Phrensy proceeding from the Inflammation of the Brain is very dangerous If it increase after sleeping if it be serious and fierce if a clammy cold Sweat drop from the Head while the Body is unconcern'd if it be attended by a difficult Respiration immoderat Watching Headaches notable Weakness a ghastly Countenance an invincible Forgetfulness a Hiccough gnashing of the Teeth trembling of the Tongue and Hands and involuntary voiding of Excrements if the Person he speechless apt to gather up or pick the Bed-cloaths or become lethargic if the Nostrils drop and the Urine be not tinctur'd All these Symptoms portend Death A Paraphrenitis proceeding only from the Heat and Effervescency of the Blood and Spirits is more tolerable A Symptornatical Phrensy is a proper Subject of Cure but a Critical one ought not to be meddled with It is follow'd for the most part by bleeding at the Nose and is distinguish'd by the following Symptoms The Urine affords signs of Concoction the Pulse is unequal but strong and large the Eyes sparkle a murmuring Noise disturbs the Ears the Nostrils itch the Face is red and the lower Belly softly distended Sometimes 't is usher'd in by a sudden Headache or the sick Person is young and apt to bleed at the Nose If these Symptoms are wanting the Phrensy is symptomatical and ought to be cur'd by allaying the Heat and Turgency of the Blood and Spirits or removing the Stagnation In the first place let the Physician take care that he be not impos'd upon by drunken Persons whose Phrensies resemble those of Feavers In the next place if the phrentic Person be molested with Head-aches and immoderat Watchings Narcotic Medicines are very proper but ought to be cautiously administred for fear of exalting the Phrensy or converting it into a Lethargy In order to avoid such Consequences let us take notice of the following Cautions 1. That in acute hot Diseases Opiats ought to be prepar'd with Vinegar 2. That they ought not to be administred in the beginning or height of the Distemper but only during its increase 3. That when the Person is very weak they should be omitted 4. They ought still to be mix'd with Bezoardic Diaphoretic Pouders Blood-letting is always convenient unless the Feaver be very malign and ought to be liberally perform'd and in the following manner 1. Let a Vein in the Hams be first open'd then in the Arm and afterwards in the Forehead Incase of a particular Suppression of Blood in the lower Region let the Vein in the Ancle be first open'd Instead of breathing the Vein in the Forehead some recommend the Application of scarify'd Cupping-glasses to the forepart of the Head 2. Let the Surgeon while the Vein is open lay his hand upon the Patient's Head and mind the beating of the Artery in order to adjust the quantity of Blood to be drawn forth and the strength of the Patient 3. Let the Orifice of the Vein be stop'd and open'd by turns by the Surgeon's Finger Thus the stagnating Blood is evacuated without impairing the strength of the Patient in so great a measure as otherwise As for external Applications all strong smelling things except Camphyr ought to be avoided Vinegar must be added but in small quantities because its sharpness hinders sleep A symptomatical Phrensy disappears upon the removal of the principal Disease Cooling and narcotic Medicines are its proper Cure to which Diaphoretic Febrifuga's are join'd according to the Degree and Circumstances of the Feaver Take of the Waters of Male Pimpernel Purslain and white Water-Lillies of each an Ounce and a half Syrup of Water-Lillies and Syrup of Poppies of each six Drams The Acid Mineral Spirits of Vitriol Salt Sulphur dulcify'd Spirit of Nitre and dulcify'd Spirit of Salt are very useful against Phrensies Camphyr has a peculiar pacific Virtue If it be added to Opiats their Dose ought to be proportionably lessen'd As Take of the Conserve of red Poppy-flowers vitriolated half a Dram Langelot's Laudanum Opiatum one Grain Camphyr two Grains Mix c. Sugar of Lead prepar'd with Spirit of Nitre is a powerful Pacific The Decoction of the Flowers of Male Pimpernel in Water whetted with a little Rhenish Wine is of excellent use Take of the four great Cold-seeds of each a Dram and a half white Poppy-seeds three Drams With purslain-Purslain-water make an Emulsion To which add human Scull prepar'd without Fire half a Dram Bezoar Mineral a Scruple Syrup of Purslain half an Ounce Mix for use In a malignant Phrensy let the following Pouder be exhibited viz. Take of Cinnabar of Antimony twelve or fifteen Grains Lunar Bezoar six or eight Grains Laudanum Opiatum a Grain Camphyr two Grains Make a Pouder for two Doses to be exhibited in the Emulsion of white Poppy-seeds made with Pimpernel and Purslain Water Or Take of the Cephalic Specific Pouder a Scruple Sugar of Lead six Grains Camphyr two Grains Laudanum Opiatum a Grain and a half Acid Juleps are likewise very proper and if the Belly be constipated Tamarinds may be boil'd in ' em Externally let Cataplasms of Rue Chamomile Vervain Briony-roots and Soap or of Radishes Salt sharp Vinegar and Yest be applied to the soles of the Feet Or Take of the Juice of Houseleek new drawn six Drams sharp Wine Vinegar an Ounce and a half Nitre two Drams Camphyr half a Dram. Mix and apply to the Stones soles of the Feet and forepart of the Head When the Person sleeps it ought to be taken off the Head A Cataplasm of Houseleek Purslain and Roses may be applied to the Temples and Forehead The Pulp of a Gourd applied to the Head shav'd is commended by Bartholet Some set their Feet into an excavated Gourd and find benefit by it The Juice of live River-Crabs newly express'd is applied to the Forehead with wonderful success Or Take of Rose-water ten Ounces Opium a Dram Saffron half a Scruple Mix them and apply with a doubled Linen Cloth to the Forehead Take of the Water of Frogs Spaun six or eight Ounces fresh Juice of River-Crabs two three or four Ounces Opium dissolv'd in Vinegar half a Dram or two Scruples Camphyr and Saffron of each six eight or ten Grains Mix c. Or Take of the Juice of River-Crabs extracted with the Water of Frogs Spawn six Ounces Vinegar of Roses two Ounces Triacle of Andromachus two Drams Camphyr half a Scruple Saffron six Grains Mix and foment the Head and Temples Let the Liquor be lukewarm or somewhat cold Lindanus attributes much to the antient way of applying live Creatures cut up along the middle as a Dove a Cock c. to the Head shav'd But in the first beginning of a Phrensy they rather enforce it Oftimes the phrentic Persons thro inadvertency neglect to void their
Boyl them and express the Liquor to which add a handful of the Leaves of Toad-flax then express again and add the yelks of two Eggs. Make a Liniment and anoint the part or add to it express'd Oyl of Henbane-seeds and Sugar or Lead in case of an Inflammation The Oyl of the Berries of the Herb Paris for Women with Child or Oyl of Stag-flies Oyl of Wood-lice and that of Box-wood are very much recommended for Inunctions Take of the Mucilages of Fleawort-seeds of Quince-seeds and Linseeds prepar'd with Rose-water of each an ounce fresh Butter an ounce with the yelks of two Eggs and Oyl of Roses beat them in a leaden Mortar till they become livid and make a Liniment of excellent use against Inflammations of the Piles The Oyl of Eggs Spirit of Wine camphoris'd and Sugar of Lead may be added The Balsam of Sulphur prepar'd with express'd Oyl of Poppy-seeds or mix'd with Camphyr and Sugar of Lead or with the Oyl of Eggs and that of Bricks is of very good use in External Applications Some put Venice Treacle mix'd with Sugar of Lead and the Oyl of the Balsam-Apple upon a Clout and thrust it into the Fundament Figwort Orpine and Pilewort are three famous Specifics they are given inwardly by way of Infusion in Ale or Wine Their Roots are given also in Powder Figwort-roots mix'd with fresh Butter and kept in a Cellar for fifteen days yield a noble Liniment The Juice of Pilewort externally applied is also of excellent use Take of the Roots of Figwort and Pilewort of each half an ounce with Oyl of Mullen make a Liniment If they become Chronical let an Issue be cut in the Thigh If they are ulcerated let fulminatory Gold mix'd with Oyl of sweet Almonds be applied Upon the whole 't will not be improper to take notice of Wedelius's Caution viz. That Ointments are not always the most convenient forms by reason that they inlarge the Capacity of the Veins stop the Transpiration and augment the Heat SECT X. Of Worms in the Guts HAving discours'd of the Expulsion of the Excrements we come next to consider what preternatural things the Guts may contain viz. Worms They are either long or broad or very small call'd Ascarides and confin'd to the Intestinum Rectum The immediat Cause is the seed of Worms convey'd into our Bodies The remote cause is putrify'd Crudities in the Stomac and Guts and the deficiency or weakness of the Bile which is the true scare-crow of Worms The Symptoms are an acid smell in the Mouth stinking Spittle copiously voided and with some squeamishness the Excrements in Colour resembling Cows-dung the yellowness of the white of the Eye or a Jaundice Sometimes a biting pain seizes and distends the Belly especially in a Morning and the Person is troubl'd with night fears gnashing of Teeth trembling Convulsions corrosion of the Gums Consumption of the Body the Face is red and pale by turns the Appetit voracious and fierce the Symptoms are exasperated by acid bitter Victuals and mitigated by Milk and sweet things The Person is molested with a dry Cough and thirst when his Belly is empty Broad Worms have this peculiar Symptom that little things like Gourd-seeds are interspers'd with the Excrements The Ascarides observe the Motions of the Moon By day they are generally quiet but from ten a Clock at night till Morning they rage Sometimes they 'll corrode the Buttocks and Thighs and creat Ulcers in the Anus and Intestinum Rectum The broad sort are expell'd with the greatest difficulty Worms frequently introduce troublesom Diseases If in the beginning of a Disease they throw themselves out 't is a sign of great malignity within In the Declension or after Concoction 't is look'd upon as a good sign In the Diseases of Children Worms are always suspected All sorts of Worms ought to be attack'd during the wane of the Moon Jalap Rhubarb and sweet Mercury are proper Purges The Specifics are Horse-Radishes Water-Cresses Centory Wormwood Peach-flowers Turnsil Flowers of St. John's-wort Savin Water-Germander Gentian Zedoary Onyons Garlic Leeks Myrrh Aloes Spirit of Hartshorn the Decoction of Quicksilver in Onyon or Garlick-water or Quicksilver beat up with Sugar to a Powder of which half a dram is a Dose the Oyls of Hazel and Juniper-woods the acid Spirits mix'd with fair Water such as that of Vitriol of Sulphur c. While the Worms are lodg'd in the small Guts inject Clysters of Milk and the Decoctions of Figs Raisins Liquorice Hony c. to invite 'em to come down If they 're arriv'd at the great Intestins kill 'em with Clysters of the Decoction of Gentian Wormwood Grass-roots c. In the mean while apply to the Belly the Gall of a Bull mix'd with Powder of Coloquintida or a Cataplasm of Myrrh Aloe Vinegar of Roses and Bull 's Gall or Rock Oyl and Oyl of Hazel-wood with Hiera Picra or the Ointment of Soubread with Quicksilver The broad Worms are cur'd by the Juice of Horse-radishes and the Powder of Jalap with Worm-seed The Ascarides require Suppositories of Dutch Cheese or Lard and Hony and Clysters of Coloquintida SECT XI Of Pains in the Guts and particularly of the Colic WHEN the Guts are irritated and suffer wringing Convulsions they are molested with a pain call'd Gripings Sometimes these Pains reach only the small Intestins and then their Station is about the Navel and Center of the Belly and are much more violent than those in the great Guts If they range not beyond the Duodenum or beginning of the Jejunum they are felt in the Loyns bending towards the right Hypochondrium and are oftimes mistaken for Nephritic Pains or those caus'd by the Convulsions of the mesenteric Nerves or the Tumors and Ulcers of the Pancreas The Pains in the great Guts are for the most part felt in the Colon especially that part of it towards the Circumference of the Belly upon the left side where 't is straitned and incurvated and consequently more liable to the shocks of Wind and more apt to stop the Circulation of the Excrements and cause their swelling up into a Tumor sometimes hard sometimes soft This Pain and Tumor is frequently imputed to the Spleen whereas the Spleen is incapable of any shooting pricking pain such as this is it s Membran being almost insensible and besides it lies too low to display its tumor externally Moreover this pain is exasperated by riding immediately after eating and tho it may be compatible to the Jejunum in the left corner from whence it runs to the Center of the Belly yet the Colon is its usual Seat And sometimes it veers about to the right side of the Belly upon the outermost Circumference where the same Colon pursues its Course This last mention'd Pain is a Colic properly so call'd but for somuch as the generality of Writers do comprehend the former under the same Title I shall not depart from the usual Measures of prescribing their Cure without Distinction
in the Lungs and causes a plentiful evacuation of froth The slime that is also voided proceeds from the Glandules of the Wind Pipe which are provok'd to frequent Contractions by the Anxiety of the Breast and so separate large quantities of serum which accompanies the Air in Exspiration Besides the Pituitous Membran being straiten'd by this Anxiety Distills a viscous Lymph upon the Wind Pipe which helps to make up the quantity The remote causes of this stagnation which the Ancients erroneously miscall'd a Catarrh are 1. The redundancy or over-bearing Turgescence of Blood 2. The Viscidity of the Blood occasion'd by Crude Chyle 3. It s Coagulation caus'd by cold Air by an inconsiderat assumption of cold Water immediatly after great heats by fear or by the Influence of a Vicious Acid. 4. The accidental obstruction of the Lungs by Stones Excrescences c. The symptoms are a sense of weight upon the Breast difficulty of breathing danger of Choaking a very slow pulse and sometimes a Cough and a fatal evacuation of froth and slime 'T is distinguish'd from an Apoplexy by the difficulty of Respiration and lowness of the Pulse For Cure Blood-letting is absolutely necessary and ought to be perform'd betimes after which a sharp Clyster may be injected and scarifying Cupping-Glasses applied to several parts of the Body Then give Sperma Ceti to a dram in Hyssop Water Gum Ammoniac dissolv'd in Vinegar or its Spirit Prepar'd with Verdigris Saffron Volatil salt of Amber Spirit of Hartshorn Crabs Eyes Diaphoretic Antimony the Juice of the flowers of red Dasies and the Vulnerary herbs especially the Juice of Radishes are also very proper As for the Ligatures Frictions Cataplasms Plaisters Gargarisms c. recommended by the Ancients they are of no use as being only contriv'd in pursuit of their mistake assigning a Chimerical defluxion from the Head for the cause of this disease These three different sorts of choaking Diseases miscall'd Catarrhs ought to be carefully distinguish'd by reason that their Cures are so very different SECT XV. Of the accidents that disturb the transformation of the Chyle and fermentation of the Blood THE Chyle being separated in the Guts and convey'd thro' the milky vessels into the Conduit of the Breast joyns the Blood in the left Subclavian Vein and by vertue of fermentation is wrought into the same colour and consistence This Fermentation which for the most part assimilates the Chyle springs from the Vital Spirit and saline principle lodg'd in the Blood which is enliven'd and reinforc'd by the continu'd supplies of the air receiv'd in the Lungs For the Chyle is carried up to the Subclavian Vein in order to have a shorter passage into the Lungs where the mixt Composure of Blood and Chyle is dissolv'd and rarify'd the acid and urinous Salts are disengaged and render'd volatil which by justling and encountring each the other produce a notable Fermentation by virtue of which the Sulphureous and Volatil parts joyn together and are invested with a red Colour Besides the Chyle is tinctur'd with the Sulphur of the Choler in the Guts and so predispos'd to a likeness and easy union with the Blood This Transformation of the Chyle is not accomplish'd by one single passage thro' the Lungs but must be compleated by repeated Circulations along with the Blood Which truth is plainly made out by the Chyle or Milky liquor that swims upon Blood drawn forth four or five hours after eating So that the mass of Blood consists naturally of Chyle and Blood which being perfectly mix'd make up an univocal Homogeneous Liquor 'T is true the Ancients speak of four humours c. as being different ingredients of the Blood which they infer'd from the apparent unequal condition or the several parts of Blood drawn forth from the Body but that is owing only to its Corruption or alteration occasion'd by the Nitrous Salts of the Air. Upon which account all special predictions grounded on the external appearance of Blood are frivolous and uncertain This regular Fermentation and Assimilation is disordered by the defects of the Chyle or the Blood The former may be cast into three heads 1. When the Chyle is not sufficiently digested attenuated and volatilis'd in the Stomach 2. When it is not duely tinctur'd with the Oyly Sulphur of the Choler 3. When the Choleric or pancreatic Juices are tardy in separating its dregs The Latter into these 1. When the Motion of the Blood is rais'd beyond its natural pitch 2. When 't is depress'd and diminish'd 3. When its substance is adulterated The signs by which we descry a disorderly fermentation are the pulse and urine But they are oft-times fallacious For the pulse may be immediately influenc'd by the Animal Spirits without any dependance upon the fermentation of the Blood and the Urine may be disguis'd by drinking or the disorders of the solid parts imploy'd in that service The immediat cause of a disorderly fermentation of the Blood is the degeneracy of the Urinous and Acid Salts from their due proportion and harmony The remote causes are the various Contagious particles convey'd into the Body with the Air or any other vehicle antecedent losses of Blood disorders of the Bowels c. The Cure is perform'd by Saline Remedies calculated for the particular indisposition of the Blood and vary'd according to the difference of Temperaments Of which more above CHAP. I. Of Feavers in general A Feaver is a vicious fermentation of the Blood in which its temperament is deprav'd and the whole Body disorder'd The infinite variety of Feaverish ferments occasions a great many various depravations of the Blood But in general the formal Essence of all Feavers consists in a preternatural fermentation of the Blood occasion'd by a foreign ferment which sometimes immediately affects the Blood sometimes the Spirits and sometimes both at which time Nature indeavours to throw out the heterogeneous particles In order to make this appear let us Consider the following Remarks 1. That the eating of Summer Fruits frequently causes Feavers Now these are indow'd with a notable propensity to ferment 2. That Cold or what ever impairs the insensible transpiration produces the like effect Now the Vicious Salts thus imprison'd and overflowing in the Blood cannot affect it any other way than by creating a fermentation 3. That Feavers insue the inspiration of Contagious particles which naturally propagate by fermenting 4. That the Rotten Feavers mention'd by the ancients are only explicable by the Doctrine of fermentations for no living thing can be properly intitled to putrefaction unless by it be meant a turbulent confus'd motion proceeding from the dissolution of contrary Salts as that of Spirit of Vitriol and Oyl of Turpentin The Common Symptoms of Feavers are likewise vouchers for the fermentation that causes ' em These are commonly reckon'd four viz. 1. An alteration of the pulse 2. A Chilness shivering and shaking 3. Excessive heat 4. The Change of Urine both as to the Liquor and what it contains
exhibit forty or fifty drops a day towards the height of the Disease or when the Pusnes are well advanc'd and the Symptoms mitigate● After a sufficient eruption we ought to promote their suppuration and prevent Pits in the Skin by exhibiting a Compound Powder of Crabs-Eyes Harts-horn Myrrh and Salt of Carduus Benedictus Besides the direct indications of the small Pox and Measles we ought likewise to obviat their incident Symptoms as unquietness and inolination to vomit if it be proper to stop it by the Spirit of Harts-horn succinated and Extract of Treacle mix'd with Laudanum Opiatum a looseness towards the height accompany'd with a murmuring noise in the Belly and frothy Excrements by seal'd Earth or Laudanum Opiatum and Diascordium mix'd with other specifics Watchings Deliriums and Convulsions attended with a hardness of the Belly by exhibiting the Cinnabar of Antimony or Spirit of Harts-horn succinated or injecting Clysters anointing the Navel and pit of the Stomac with distill'd Oyl of Amber and in the beginning of the Disease injecting Clysters A bleeding at Nose ought to be promoted if needs be by squeezing or pricking the Nostrils or if it exceed measure restrain'd by applying dry'd Toads to the Arm-pits or mixing Narcotics with Absorbents and avoiding all volatil Ingredients A Cough or any disorder of the Breast ought to be repress'd by Scabious Water mix'd with Spirit of Sal-Armoniac anisated and Laudanum Opiatum adding before the eruption incrassating Syrrups such as those of Colts-foot Jujubes c. and after the eruption attenuating ones such as those of Tobacco Mint Hyssop c. A weakness and prostration of strength ought to be repair'd by exhibiting the Tincture of Coral mix'd with the Spirit of Stag's Heart or a Toast soak'd in Rhenish Wine These Symptoms last mention'd precede the Eruption Those which follow the Eruption are likewise to be accounted for As if the Pox or Measles retire unseasonably and fall upon the nervous System causing Deliriums and Convulsions apply blistering Plaisters to the Soles of the Feet and exhibit the Ashes of Scarlet Cloth in Wine If the sharpness of the Humour threaten Pits in the Face exhibit Crabs Eyes and Myrrh inwardly and apply outwardly with a Feather the Spirit of Wine tinctur'd with Myrrh or Rose-water in which Sugar of Lead is dissolv'd or the Plaister of Frogs Spawn with Sugar of Lead But all external applications before maturation are much suspected for fear of repressing the Matter Lime-water in which Sulphur is boil'd being mix'd with Rose-water or a Cataplasm of the Meal of Beans and that of Lupines and Ox Urine are of use for taking off the Scarrs If a Salivation succeed to the Eruption let the Patient drink plentifully of Barly Water or small Beer and likewise gargle his Mouth with it If the small Pox or Measles threaten Injury to the Eyes either by settling in the Apple of the Eye or distending the Eye-Lid let the Eye be wash'd with the infusion of the Glass of Antimony in Plantan and Rose-Water with Tutty and Sugar of Lead If the Eyes be red and itch apply a piece of raw Beef to the Eye renewing it every quarter of an Hour for some time Or let a healthy Woman chew Garlic and breath upon the Eye or wash the Eye with the juice of Chervil or Rue mix'd with Fennel Water or make a Collyrium of Plantan Night-shade and Rose Water in which Sumac and Plantan Seeds are boil'd or the Rinds of Pomgranats infus'd The mucilage of Marsh-mallows extracted with Fennel Water or the infusion of white Vitriol and Tutty in eye-Eye-bright Water or Plantan-Water mix'd with Frogs Spawn and Sugar of Lead are also very proper Or Take of Plantan-Water an Ounce eye-Eye-bright and Rose Water of each half an ounce prepar'd Emerald twelve grains prepar'd Pearls six grains Camphyr three grains Saffron four grains Mix and drop it into the Eye Some choose to drop into the Eye a drop or two of the Fat of Vipers If the Eye-lids are beset with the Pox and inflam'd notwithstanding all these Precautions apply the Decoction of Line-seed Fenugrec-seed and Mallows or that of Melilot-Flowers and Quince-seeds Some apply Milk but I cannot approve their Practice since 't is apt to become Acid. If after all the Eyes be injur'd and remain so after recovery of the Pox 't is proper to use Rulandus's Opthalmic Water and apply Blistering-Plaisters to the Nape of the Neck and when that Blister ceases to run apply two behind the Ears mixing one part of the Blistering Plaister with five or six parts of the Plaister of Frogs-spawn to keep the Blister open If the Pox injure the Nose or Ears the former is reliev'd by applying Vinegar of Roses impregnated with Camphyr and anointing the Crusts within the Nostrils if there be any such with fresh Butter wash'd in Rose-water The latter viz. The Ears are restor'd by putting into the Ears the Essence of Castor with Cotton or fumigating it with the Decoction of Castor Myrrh Coloquintida Fennel-seed and a little Saffron in Wine and applying Blistering Plaisters behind them The Throat is frequently infested by the small Pox and consequently respiration disturb'd To prevent this inconvenience let the Mouth and Throat be wash'd with Goats Milk and Plantan Water or the Tincture of Poppy-Flowers or with the common Gargles mix'd with Horse's Dung or the Juice of River Crabs and Nitre After the Wheals are open 't will not be improper to add Allum and Honey of Roses Plantan is also a noted Specific both against this Symptom and that of pissing Blood If the Tongue be ulcerated apply Honey of Roses sharpen'd with Spirit of Salt or the following Liniment viz. Take of the Flowers of Holyhocks half an Ounce Pomgranat Flowers two drams choice Myrrh a Dram Allum half a dram with Hony make a Liniment or Electuary If the Lips be much in trouble anoint 'em with the mucilage of the Seeds of Quinces Sometimes the small Pox leave most obstinate Ulcers in the Head Breasts and other parts which elude all common methods and yield only to Mercurial Salivations The Scarlet Feaver is generally referr'd to the Measles It invades for the most part Children and is occasion'd by an Ebullition of the Lymph and attended by the Symptoms of a Catarrh It is in some measure acute and after three or four Days from its beginning breaks out in the Neck Shoulders and Breast either in the form of an equal redness resembling a Rose or that of dispers'd red Spots which fall off about the seventh Day like Scales It is cur'd as the Measles or small Pox but has this peculiar property that 't is follow'd by soft swellings in the Face and Legs that last for eight Days after its disappearance CHAP. VII Of the Plague and Pestilential Feavers THE Plague is an exalted pitch of Malignity compatible with any Disease whatsoever In this place we take it for an epidemical catching and highly malignant Disease proceeding from poisonous Miasma's
're remov'd the Blisters kept open with the Plaister of Melilot cover'd with the Powder of Cantharides But if the Bladder be inflam'd or the Urine hot if the Patient be very weak or with Child or look for her Terms they are improper 8. Blood-letting is always pernicious 9. In the beginning of the Disease Vomits are very useful They ought to be mix'd with Sudorifics Purgatives and Clysters are not safe 10. If the Patient be molested with a vomiting so that Sudorifics cannot be retain'd in the Stomac let Sweat be forc'd by applying a hot Loaf as above and covering up the Body and Face The Specifics that are us'd in this Disease are Camphyr given in substance or its Oyl mix'd with Oyl of Amber and that of Citron Peel called Heinsius's Oyl Ivy-Berries given to a Dram in Vinegar and Wine Juniper and Elder Berries and the Rob of either given in Vinegar Garlic Heads bruis'd and exhibited in Vinegar the Blood of a Stork or its volatil Salt the Spirit of Harts-horn sharpned with its own volatil Salt and given to a Dram the volatil Salt of Vipers above all sprinkl'd with Oyl of Amber and mix'd with Camphyr Man 's Ordure applied externally to Bubo's and given internally with the Patient 's own Urine Sulphur or its Flowers given to a Dram in an acid Vehicle or rather the fix'd Sulphurs of Antimony which in this case surpasses all other Medicines the Oyl and volatil Salt of Amber and Diascordium given to two drams in Aromatic Vinegar Take of the Flowers of Sulphur half a dram Cinnabar of Antimony fifteen Grains Camphry six Grains Make a Powder The volatil Salt of Vipers or that of Harts-horn or prepar'd Amber may be added by turns Take of the Rob of Juniper three ounces Diascordium and Mithridat of each an ounce and a half Venice Treacle half an ounce Flowers of Sulphur two or three ounces Myrrh three drams Frankincense six drams Camphyr two drams Saffron half a dram Juice of Citrons half an ounce Make an Electuary Dose a dram and a half in a convenient Vehicle Take of the Water Carduus Benedictus an Ounce and a half Vinegar of Wine six drams Diascordium a dram and a half Camphyr six grains Syrup of the Juice of Citrons half an Ounce Make a Potion for one or two Doses Take of hot Verdigrease a Pound sprinkle it with three Ounces of distill'd Vinegar distill through a Retort in Sand with an intense heat then add to the Spirit thus distill'd a double quantity of rectifi'd Spirit of Tartar and half a dram of Camphyr and a little Opium for every Ounce of the compound Spirit and let all stand for digestion This is call'd Elixyr Antiloimicum and is of excellent use Besides the universal Cure of the Plague it is requisite also to have a peculiar regard to its incident Symptoms As for Bubo's or swellings of Glandules they require the application of attracting ripening and cleansing Ingredients If they be black and livid and threaten a Gangrene they ought to be cut up with a Launce without waiting for maturation otherwise 't were proper to endeavour their maturation and attract the Poison by applying roasted Onyons mix'd with Mustard-seeds Or in case of great Pain the Juice of Onyons mix'd with Venice Treacle and Soot Man's Ordure or a Melisot Plaister mix'd with the Powder of dry'd Toads and that of Amber from which Spirit of Wine has been thrice evaporated are much approv'd for the same use But of all Plaisters Sala's Magneticum Arsenicale is the best 'T is prepar'd thus Take of crude Antimony yellow Sulphur and white Arsenic of each two Ounces Set them in hot Sand in a Phiol 'till they melt and become a dusky Mass Then take of this Mass Gum sagapanum Gum Ammoniac and Galbanum of each three Drams Turpentin and Wax of each half an Ounce distill'd Oyl of Amber two Drams dulcifi'd Spirit of Vitriol a Dram. Dissolve the Gums in Vinegar then strain 'em through a Linnen Cloth and thicken 'em again Melt the Turpentin and Wax apart then add the Gums and make a Plaister according to Art This Plaister will raise a malignant Crust which ought to be taken off by applying the Ointment of Basilicon mix'd with Venice Treacle If the Skin be thick and the swelling lie so low that the Plaister cannot reach it let a sharp blistering Plaister be first applied or if that be ineffectual a Cautery of quick Lime and Spanish Soap that so the Plaister may operat more freely If it cause an Inflammation let foft'ning Cataplasms be applied above the Plaister 'till the Crust come off After the swelling is open'd it ought to be cleans'd by the Infusion of Birth-wort Myrrh Aloe and Saffron in Spirit of Wine Tartaris'd Or Balsam of Peru and Balsam of Sulphur mix'd with Treacle and applying emplastrum Album mix'd with Oyl of Tobacco After 't is sufficiently cleans'd apply Rulandus's Plaister Diasulphuris for consolidation In all Compositions relating to pestilent glandulous Swellings Mercury Vinegar Opium and Lead ought to be avoided Carbuncles are the beginning of a Mortification which displays it self with a purple Colour surrounded with a red or livid Circumference incroaching gradually upon the adjacent parts 'till the mortifi'd part fall off In order to prevent their spreading let a Circle be drawn round 'em with an Emerald stone 'till the part become livid then touch the point or top with Butter of Antimony and when the Crust appears apply Sala's Plaister call'd Magneticum Arsenicale Some chuse to open it first with an actual Cautery and then apply either this Plaister or attracting and emollient Cataplasms of Garlic Water Germander Marsh-mallows Meal of Lentils Berries of the Herb Paris Pigeon's Dung Black Soap and Hony or in case of great pain the Plaister of Hounds Tongue But after all be sure to avoid fat things After the Matter is evacuated apply a Cataplasm of Comfrey Roots boil'd or the Ointment of Basilicon with Balsam of Sulphur and Treacle or a Cataplasm of Comfrey Roots boil'd The symptom of Heat is but seldom violent in Malignant Feavers or at least ought not to be much restrain'd for fear of repressing the cuticular eruptions If necessity require that it should be moderated Antimonial Nitre and all nitrous Medicines taken inwardly and applied outwardly with Juice of House-leek and Rose-water to the Wrists Fore-head and Temples will answer the Design Head-aches Watchings and Deliriums are frequently the Companions of pestilential Feavers If they happen in the beginning they require a Cure but if their first appearance be put off 'till towards the time of the Crisis 't is not safe to oppose ' em If the hinder part of the Head be particularly affected it signifies a peculiar disorder of the Head and Animal Spirits independent of the Feaver If the Head-ache seize chiefly the fore part or be attended by anxiety of the Breast and unquietness it proceeds from the Stomac and ought to be prevented by Vomits and sometimes
will not be improper to Bath it with the Spirit of Wine and strong Waters as for astringent Fomentations I doubt they do more harm than good If the Vessels or Organs be broke we may add vulnerary Ingredients to the above mention'd Specifics If the difficulty of breathing be very troublesome 't is usual to give a dram of Sperma Caeti in Spanish Wine after vomiting If Hydropical Persons be extream thirsty we must be very cautious of pleasing them or answering their demands since abstinence from Drink is the better part of the Cure Nitre melted in the Mouth Wine temper'd with Juice of Citrons the dulcifi'd Spirit of Salt Vinegar diluted with Chalybeat Water and the Decoction of Juniper Berries in Whey given for ordinary drinking are of use for mitigating this Symptom In the mean while it will not be improper to inject Clysters of hydropical Purgatives and aromatic Ingredients or of Herrin-Pickle or of a Child's Urine impregnated with carminative Seeds in case of Wind or mix'd with Turpentin and Nitre Nor will it be amiss to apply discussive Aromatics to the soles of the Feet Belly and Cod. Such are the Leaves of Celandin the greater Bags quilted with aromatic Seeds and Bran Man's Ordure Goats Dung boil'd in Mint-Water or mix'd with Man's Urin in the form of a Cataplasm Horse's Dung mix'd after the same method with Meal of Barley and Vinegar Quick-lime-Water mix'd with Spirit of Wine is of excellent use for bathing the Legs Belly and Scrotum especially when a Gangrene is threaten'd by the appearance of Spots Cataplasms made of Cockles bruis'd together with their Shells and mix'd with Goats-Dung are particularly recommended by Thonerus If these Cataplasms prove uneasie they may be shifted for aromatic Oyls such as the Oyl of Scorpions distill'd Oyl of Juniper Oyl of Bays Oyl of Toads mix'd with the Ointments Agrippae Martiatum c. Or an Ointment made of Sulphur Quick-lime and the Extracts of sharp Plants Some commend Bathing but 't is only of use against Anasarca's It remains only to annex a few Recipe's for illustrating the Method of prescribing Take of the Extract of Elaterium fifteen or twenty grains Rosin of Jalap from two to five grains Troches Alhandal one or two grains distill'd Oyl of Juniper two drops With Essence of Wormwood make Pills for a Hydropical Purge To which we may premise the Tincture Spirit or Salt of Tartar as a Digestive Take of the Conserve of Peach-Flowers a dram twelve grains of Mercurius vitae mix'd with fifteen grains of sweet Mercury Extract of Elaterium a grain or two With the Syrup of Buckthorn make a Bolus for one Dose Take of the Rob of Juniper an Ounce and a half Extract of Steel prepar'd with Juice of Apples half an ounce Powder of Rhubarb two or three drams with cinnamon-Cinnamon-Water make an Electuary for corroborating the Stomac Take of Swallow-wort Roots two ounces Leaves of Celandin the greater Hore-hound and Wormwood of each a handful Citron and Orange-peel of each six drams Seeds of the Ash-tree of Cumin Fennel and Annis of each two or three drams Juniper Berries bruis'd an ounce and a half Galangal Cloves Ginger of each a dram Salt of Tartar six drams infuse them in Wine Of which let the Patient take a Draught frequently Take of the Salt of Vine-twigs or that of Pigeons Dung of each a dram Powder of Toads two scruples Make a Powder for two Doses Take of the carminative Spirit de tribus half an ounce Spirit of Sal-Armoniac two drams Mix. Dose half a dram twice a day Take of the Decoction of Camomil Flowers half a Pound Man's Urine three Ounces lenitive Electuary six drams distill'd Oyl of Turpentin a scruple Make a Clyster Take of the carminative Decoction six Ounces Man's Urine three ounces Yest a Dram common Salt a scruple Hony of Roses an ounce Make a Clyster Take of Cockles and their Shells bruis'd a Pound Powder of Caraway-Seeds two ounces Goats Dung an ounce Make a Cataplasm to be applied to the Belly and Cod. Take of the Ointment of Sowbread an Ounce Ointment of Agrippa half an ounce Oyl of Scorpions an Ounce and a half distill'd Oyl of Toads three drams Mix for a Liniment and anoint the Belly frequently ART 3. Of the Yellow Black and White Jaundice A Jaundice is a cachectic disposition of Body attended by a preternatural Colour of the Skin it is caus'd either by the corruption of the Chyle in the Stomac or its vicious fermentation with the Bile and Juice of the Pancreas in the Duodenum or by the immediat putrification of the Mass of Blood The first cause defiles the Mass of Blood and taints it with various Recrements according to the manner of its corruption Hence Milk curdled in the Stomacs of Children Summer-Fruits Cucumbers Fish c. being converted into a musty Crudity will cause a Jaundice by mixing the corrupt Chyle with the Blood which being unfit for nourishment or assimilation is thrown out in a serous Vehicle upon the Glandules of the Skin and sometimes upon internal Glandules The Jaundices which follow Feavers or extreme bleeding which are attended by vomiting of yellow corrupt Matter musty Belchings Heart-burnings and Excrements colour'd as in a healthy state seem to arise from this cause and are accordingly cur'd by Vomits and bitter stomachical Medicines The second Cause takes place when an Acid prevails and the Bile is lazy or unactive and either cannot make good its secretion through the Liver and consequently recoils into the Blood or when separated stagnates in the Gall-Bladder and settles into Stones so as to cause an Obstruction of the Passage Hence sulphureous strong Liquors that exalt the Oyl of the Bile and cramp its active Volatil Salt are frequently charg'd with causing a Jaundice Sometimes the Convulsions of the neighbouring Membranes may contract the Gall-Bladder and so shut up the Passage upon which account Vomiting Colic-pains Hysteric Passions and hard Labour in Child-bearing are observ'd to introduce this Disease The prevalency of an Acid in the Duodenum arising either from the austere Recrements of the Stomac or the degeneracy of the Juice of the Pancreas will also pervert the Chyle and consequently the Mass of Blood So that the greatest part of Jaundices are wholly owing to a preternatural corrupt Acid in the Stomac or Duodenum and the inactivity or imperfect distribution of the Chyle As for the third Cause viz. The immediat putrefication of the Mass of Blood 't is occasion'd by Poyson birings of Vipers or Mad Dogs malignant Ulcers suppression of the Terms the Scurvy c. And when a Jaundice springs from this cause the Stomac Bile and Colour of the Excrements continue in their natural state Now any of these three Causes will occasion a preternatural colour of the Skin which always attends the Jaundice For the Blood being vitiated and tinctur'd with corrupt Recrements precipitats and throws 'em out in a serous Vehicle upon the Skin where the miliar Glandules are
Vinegar and Hony or that of Cows-bones and the Chaff of Wheat recommended by some as a valuable Arcanum a mixture of the White of an Egg Rose-water and Sugar beaten in a Tin Plate the Decoction of Quince-Leaves the Infusion of the Powder of Calaminar-stone upon which the Spirit of Wine has been Kindled in White Wine or Rose-water or that of the Powders of Tutty Sarrocol Roman Vitriol and Sumac in eye-Eye-bright and fennel-Fennel-waters The use of sneezing Powders is much dreaded by some but the Vessels leading from either Eye to the Nostrils discover'd by Steno and the Experiment of Collyrium's reaching the Mouth seems to justifie it However since so many tragical Evils have been observ'd to follow 'em we ought to be very cautious and never prescribe any but what are very gentle and that in the declension of the Distemper or when the Inflammation ceases ART 10. Of Inflammations and Vlcers in the Ears THE internal Membran of the Ears is sometimes inflam'd either by Internal or External Causes Its Symptoms are a beating heat and Pain sometimes a redness of the external Ear Temples and Cheeks especially when the Inflammation bends outwards and sometimes a Feaver Doating and Convulsions when it bends inwards In Children 't is more dangerous than in Old Persons When it suppurats 't is least dangerous and sometimes infers a critical solution of Head-aches But if the purulent Matter be Corrosive it may gnaw the Membrane and cause Deafness 'T is Cur'd by Sudorifics and Bleeding or applying Leeches or scarrifying behind the Ears External Remedies ought to be very cautiously us'd At first we must endeavour to discuss it by dropping into the Ear the Balsam of Sulphur or Oyl of Chamomil in whic● Earth-Worms or River-Crabs have been boild or the Oyl of the Yelks of Eggs with the Juice of House-leek and fomenting the Ear with the Decoctions of emollient and discussing Ingredients or applying to it the Spirit of Wine or Spirit of Sal-Armoniac with hot Bread If it be not quickly discuss'd we must promote its suppuration by applying a Cataplasm of the Crumbs of Bread boiled in Goats Milk mix'd with the Yelks of Eggs Oyl of Roses and Saffron or of roasted Onyons Butter Oyl of Chamomil Oyl of Sweet-Almonds and Saffron The Ulcers of the Ears are either the effect of a preceding Inflammation or of a corrosive sharp Humour sometimes we meet with a Flux of corrupt bloody Matter that resembles that of Ulcers in the Ears tho' in the mean while there be none in which case we only wash the Ear clean with Man's Urine but are cautious of stopping it especially in moist Constitutions or those who are liable to disorders of the Brain or Eruptions in the Head The real Ulcers of the Ears are Cur'd internally by Purgatives and Sudorifics especially the Decoctions of Woods Externally they are cleans'd by dropping into 'em Child's Urine with White-Wine and Hony or applying a Tent dipt into it If the Ulcer be inveterat we add the Ointment Aegyptiacum the Juice of Wormwood Hore-hound or Onyons mix'd with Hony are also recommended for the same use When the Ulcer is cleans'd and the flux of Matter abates we add Tutty and Pompholyx for consolidating CHAP. II. Of the Effusion of Blood into the Cavities of the Body and particularly of an Empyema WHEN the Blood stagnates in its own Vessels and is converted into Purulent Matter it causes a Vomica or Imposthume in several Parts of the Body which we dispatch'd in the last Chapter But when this purulent Matter is collected in a distinct Cavity 't is call'd an Empyema which is the subject of this Chapter 'T is true the Ancient Grecians meant by Empyema any Collection of purulent Matter in any part But since the Modern Latin Writers have Christen'd it otherwise we choose to follow their Examples The immediat Cause of an Empyema is either the direct effusion of Blood into the Cavity it self which stagnats curdles and by fermenting becomes Pus as when the Breast is wounded or the eruption of purulent Matter from its own Imposthume into a forreign Cavity as when a Pleuritical Imposthume breaks it oft-times throws its Matter into the Cavity of the Breast and gives rise to what we call 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 an Empyema Tho' sometimes the Pleuritical Matter is contain'd within a Purse of the dilated Pleura while 't is erroneously referr'd to the Cavity of the Breast The remote Causes are Bruises Falls Wounds or whatever breaks the Vessels and occasions the extravasation of Blood The Symptoms discovering the extravasation of clotted Blood relate either to the Belly Breast or Head Those for the Belly are a Tumor Paleness Lead colour and hardness of the Abdomen occasion'd by the Convulsions of the Peritonaeum as being provok'd by the clotted Blood and sometimes swoonings Prostration of strength difficulty of Breathing and Critical Imposthumes about the Groin 2. Those for the Breast are a notable difficulty of Breathing a troublesome Cough a Pain and sense of weight about the short Ribs an acute Feaver and the coldness of the external Parts 3. Those which discover a Collection of clotted Blood in the Head are a violent beating and pain in the Head an involuntary Watryness of the Eyes redness of the Face disorders of the Stomac and critical Bleedings at Mouth Nose or Ears In all these Cases shivering and the increase of the Feaver are signs of Suppuration After the matter is concocted it begins to float and the feaverish Symptoms relent Of the Empyema's that proceed from the efflux of Purulent Matter from some Imposthume into the Cavity those which follow the suppuration of a Pleurifie or Peripneumonia are most remarkable and upon that account we shall content our selves with an account of their Symptoms which may serve as a Pattern for all others The Imposthume generally breaks about the twentieth thirtieth or fortieth Day being attended by a shivering high Feaver a perpetual Cough with a hollow sound and a sense of rebounding Matter as being toss'd by the convulsions of the provok'd Midriff and a difficulty of Breathing with an oppressing heaviness in the Breast when they Stand or Sit of which they are freed when they lye on their Backs When they stoop they 're in danger of Suffocation by reason of the weight incumbent upon the Midriff The Feaver which at first was acute becomes slow hectic and liable to nocturnal Exasperations They are subject to frequent Palpitations of the Heart Anxieties of the Breast nocturnal melting Sweats and Flushings in the Face especially the Cheek of the same side with the part affected When the distemper is far advanc'd a rotten ashy taste invades the Mouth The Pulse in the Wrist of the same side intermits while that in the other observes its regular Periods A soft Tumor frequently besets the Ribs which perhaps proceeds from the transpiration of the thinner part of the Matter and the Patient finds most ease by lying on the same side As for the
of Spirits From whence ensues the variety of the animal or sensitive Phaenomena's 2. That the Brain and Spirits have a peculiar dependance upon the Moon and upon that account the Diseases of the Head encrease or diminish in proportion to its Age. The Spirits when disorder'd are more sensible of this Influence than in their natural State 'T is true the Sun has some Ascendant over our Bodies but that properly relates to the vegetable and vital Functions the Animal Province being more peculiarly allotted to the Moon 3. That there is an admirable Sympathy betwixt the Brain and the Bowels especially the Stomac An ungrateful Imagination disturbs the Stomac and Vomiting and Giddiness do equally give rise to one another The Disorders of the Stomac and lower Belly have a visible Influence upon the Fancy as in the case of Hysteric or Hypocondriac Fits and the ridiculous Appetites of Women Helmont was very happy in this Observation and the practical Inferences he deduc'd from it but his Theoretic Conjectures are frivolous The reason why the Spirits and the Stomac do so sensibly affect one another seems to be this That the Mouth of the Stomac is the first part of all the Body that receives any sensible Impression in the Womb for so much as all Alterations in the Embryo must be produc'd by the Nourishment convey'd to the Stomac This establishes an early Correspondence betwixt it and the Spirits and lays the lasting Foundation of their future Intimacy 4. That the Spirits are liable to the same material Alterations with the Blood CHAP. I. Of immoderate Watchings WE are said to wake when the Spirits are distributed through the Organs of Sense and extend their Fibres On the contrary Sleep unbends the Fibres and imprisons the Spirits The Privation of which causes Disorders in the Body The immediate Cause of Watchfulness is a continued or violent Incursion of Spirits into the Organs of Sense The remote Cause barring some external Object must either be the Disorder of the animal Spirits or some defect in the Brain The Spirits are oft-times too nimble and moveable as in young People and such as feed high and drink generous Liquors The Heat of Summer or travelling in a hot Climat eating of Venison immoderat Care Study and the Passions of the Mind the accession of foreign heterogeneous Particles from malignant Distempers or drinking Tee and Cossee are the natural Causes of the Mobility and Disorder of the Spirits and consequently of Watchfulness As for the Brain Watchings will insue upon the Openness of its Pores occasion'd by a Dryness or want of Moisture to fill up the Intervals This may happen through Fasting or eating of sharp volatil Meats immoderat Venery Sweating smoaking Tobacco which tho it be an Opiat exhausts the Moisture of the Brain an unseasonable Use of purging Medicines or a Deficiency in the first Digestion which not only affects the Spirits by Consent but robs the Brain of its wonted Recruits in neglecting the regular distribution of the Chyle This Disease is manifest of it self As for Prognostics It infers a Weakness and Feebleness 'T is more sufferable in Youth than in a State of Manhood and among Men than among the Female Sex It portends ill in acute Distempers But in Chronical Diseases may be longer endur'd tho 't is oft-times follow'd by Phrensies Folly or Stupidity The Cure is perform'd by taking off the remote Causes If it be caus'd by the Inflammation and Impetuosity of the Blood a Vein must be open'd If the Blood be sharp and oppress'd with heterogeneous Particles Purgation and Sweating take place If it spring from the Disorder of the animal Spirits they must be reduc'd to Order by the use of pacific Medicines such as Opium or Laudanum opiatum or their Compounds Bartholetus commends the Essence of Opium prepar'd with Spirit of Vitriol or Spirit of Cockle Ens Veneris which consists of Vitriol and Salt Armoniac and likewise the Anodvn Sulphur of Vitriol are proper in this case But in using Opium we ought to observe these Causions Not to exhibit it when the Watchings are owing to the Efforts of Nature endeavouring a Solution of a Disease or when attended with a straitness in the Breast or difficulty of Breathing or when they proceed from the deficiency and want of Spirits as in old Men c. The mildest Opiats are the safest Let them be given in small Quantities and repeated often As Take of the Conserve of wild Poppy Flowers one Dram Venice Treacle or Diascordium half a Dram Laudanum Opiatum one Grain Make a Bolus Or Take of native Cinnabar fifteen Grains Saccharum Saturni eight Grains Laudanum Opiatum one or two Grains with the Extract of Saffron make Pills to be taken in the Evening about an hour before Supper The Seed of Thorn Apple is of excellent use in this case As for the Watchings which arise from the Dryness and Openness of the Brain moist and cooling Medicines are most proper such as Emulsions and other oily temperat Compositions Take of the four greater cold Seeds of each half an Ounce Garden Poppy Seeds two Drams sweet Almonds from two Drams to half an Ounce with a sufficient quantity of the Water of Water Lillies make an Emulsion Add of Cinnamom Water half an Ounce and sweeten it with Syrup of Poppies Or the Emulsion may be accommodated to whatever acute Distemper accompanies the Watchings as in a malignant Fever Take of sweet Almonds and Garden Poppy Seeds of each two Drams of the four greater cold Seeds of each a Dram With Viper Grass Water make an Emulsion sweeten it with pearl'd Sugar and add half an Ounce of Ci●namom Water and a Scruple of Bezoar Mineral It pacifies the Spirits and obviats the Malignity of the Distemper The Decoction of Barley with Poppies and Liquorice is much applauded And in general all moist nourishing milky chilous Medicines are very conducive in this case● especially the Seed of Thorn Apple of the Fruit we make Pills thus Take of Thorn Apples six Pound bruise and boil them in twelve Pints of Lettice Water to eight Pints express the Decoction and digest it in the Sun sprinkle it with Spirit of Wine and set it to dry To an Ounce of the Juice thus thicken'd and dry'd add half an Ounce of Saffron and two Scruples of the Oil of Citron Peel Make a Mass for Pills Dose a Grain or two It procures Sleep and stops all Fluxes In the Watchings of old Men or such as proceed from a scarcity of Spirits or a frigid Crudity in the Stomac Opiats are inconvenient Comforting and aromatic Medicines are only proper Some give Opiat Clysters or Suppositories to procure Sleep but 't is a dangerous Method unless the Watchings be accompany'd with a Loosness or Pains in the Guts Besides the internal Use of moistening and quieting Medicines some apply them outwardly to the Forehead Temples Feet and Hands They foment and bathe the extreme Parts with the Decoctions of Anodyn and
Light This is call'd a Suffusion If the Matter harden into a Membran 't is call'd a Cataract It generally sticks close either to the Horn or Grape Tunicle and seems to proceed from a preternatural Extension of its membranous Fibres 'T is always seated in the watry Humor tho it sometimes appears before the Coat call'd Vvea and sometimes behind it If this Membran cover the whole Eye the Sight is quite lost if it cover but the half the Object appears half'd if it exceed not the bigness of a small Point in the middle of the Eye and the Circumference is left open the Objects appear as if holes were made in them This last case is a true Suffusion The Signs are these In the beginning the Patient complains of Flies Smoak Cobwebs Filaments and such like before his Eyes the Color of Objects is alter'd and they appear either multiply'd half'd or cut asunder Thus by degrees the sight is darken'd and the Apple on the Eye grows dusky Some are seiz'd with Cataracts all of a sudden without any preceding Signs If the Colour of the Eye turn perfectly white 't is a compleat Suffusion As for Prognostics a young Suffusion is curable by the use of Medicines but an inveterat one is only to be cur'd by a chirurgical Operation If Light when brought near be quite imperceptible Surgery it self can afford no Relief If the Eye affected be watry and its Apple dilated while the other Eye is compress'd 't is some Incouragement for a manual Operation If not 't is a desperate case If the Cataract be not ripe and come to a sufficient Consistency it ought not to be touch'd with a Needle for fear the division of it should disturb the watry Humor or it reunite and become come more callous than before If it be of a long standing it sticks so close to the Coats of the Eye that it cannot be separated without rending them An ashy colour'd Cataract is generally ripe in five or six Months But if white it requires as many years If blew or green 't is incurable If yellow it must be taken in time else it becomes hard like a Horn. If the Cataract appear perfectly white it is a sign of Ripeness and withal of its remarkable Thickness In old Age a confirm'd Cataract from an internal Cause in one Eye portends the Invasion of another in t'other Eye and if couch'd it generally returns If the Headach either precede or accompany a Cataract 't is an ill Omen In the Method of Cure regard must be had to the degrees of the Suffusion if the Patient be only molested with the appearance of Flies Hairs c. before his Eyes 't is in its first degree When these filaments that cause such appearances are gather'd into a Membran 't is arriv'd at the second degree If the Membran be so thick and confirm'd that there remains no manner of Sight 't is finish'd to the last degree In the first degree Medicines are only proper In the second they may likewise take place but yield to manual Operation Internally we use Hoglice Eyebright Vipers boil'd in Ophthalmic Waters the Decoction of Woods Celandin Vervain Fennel Betony and such like The external Remedies must be very penetrating Antimonials are preferable to all others by reason of an Acid subtil Sulphur couch'd within ' em As Take of Glass of Antimony in Pouder from half a Scruple to fifteen Grains infuse in Water of Elewhottle Flowers Evebright-Water and Fennel-Water of each one Ounce Let them stand warm for the space of a Night in the Morning strain the Liquor and add six Grains of Camphyr-Drop it into the Eye while the Patient is laid on his back Or Take of the Eggs of Ants four Ounces and thirty Galls of Lampreys mix and distil with a slow Fire It yields a muddy Water which ought to be strain'd and applied to the Cataract in the Evening The distill'd Water of human Dung with the Gall of a Lamprey and Sugar-Candy dissolv'd in it is much commended Celandin the Greater and River Crabs half putrified and distill'd yield an Alcalin Water of excellent Use If these Medicines prove ineffectual we must have recourse to Quercetanus his Ophthalmic Water prepar'd from a Child's Urine and Vitriol to which the juice of Celandin may be added The White of an Egg harden'd and fill'd with white Vitriol and Sugar Candy and hung up in a Cellar melts into a Liquor which if diluted with Eyebright Water is of admirable Use in this Case The Spirit of Salarmoniac sharpen'd with Quicklime is the most penetrating Spirit and preferable to Spirit of Wine in which we are wont to dip Rags and apply them to the Eye Blistring Plaisters Issues and Setaces are serviceable in the beginning but are of no use in an inveterat Suffusion In room of them we may use what follows Take the Roots of Mezereon and macerat them in Water in which Nitre has been dissolv'd or in the Lees of Wine-ashes and afterwards dry them Make a little hole in the teap of the Ear with a Needle and put some of this Root thus prepar'd into it after the manner of an Issue It drains a great deal of Matter from the Head and Eyes In an inveterat case 't is probable a Salivation procur'd by Mercury may be serviceable Fonseca Mr. Boyle and Schenkius were of the same Opinion Besides the genuin Suffusion above-mentioned we meet sometimes with a spurious sort which ensues upon Hypochondriac Fits long Fastings and the Paroxisms of intermitting Fevers It generally depends upon the Disorders of the Stomac and oft-times disappears upon eating or at least is cur'd by stomachic Medicines viz. Aloe Mastic and Ginger A Cataract ought likewise to be carefully distinguish'd from what we call a Glaucoma that is when the Chrystallin Humor loses its Perspicuity and assumes a grey dusky Colour Old People are naturally obnoxious to it by reason of their scarcity of Moisture For if we take out the Crystallin Humor and put it betwixt us and Objects it magnifies them but if we dry it or boil it in hot Water it becomes thick and untransparent 'T is in vain to attempt the Cure in old Persons If the Patient be young we foment the Eye with Spirit of Wine or a Cloth dipt in it and apply'd to the Eye over Night Or infuse Borrage or Bugloss Flowers in Spirit of Wine and then use it Some commend a Tincture of Bugloss extracted with weak Alum Water and the distill'd Water of the Whites of Eggs. Thus much for the Obstacles which may embarrass the Passage of the Rays of Light If the Patient be insensible of their Influence when they have a free Admission the fault must lie in the optic Nerve and 't is call'd a Gutta Serena Obstructions or Compressions of the optic Nerve interrupt the Passage of the Spirits to the Eye and so cause the Blindness And a Tumor or Collection of watry Humors in the Brain or a violent Commotion
Herb Arsmart Mother of Thyme of each one handful Dock Roots Nettle Roots of each one Ounce Pellitory of Spain Roots the Shavings of Boxwood the Shavings of Lignum Sanctum of each half an Ounce Seeds of white Henbane one Dram. Boil them in a sufficient Quantity of Water Strain the Liquor for a Gargal Heurnius commends the Decoction of Tobacco with Chamomile Flowers Or Take of black Pepper Roots of Pellitory of Spain Seeds of Stavesacre of each an equal quantity boil them in Wine and use it for a Gargal Or Take of Juniper Gum one Ounce boil it in a Pint of Wine for the same use Or Take of the Flowers of Spikenard a convenient Quantity boil them in Wine for the same use Or Take of the Extract of Guajacum Wood three Grains Laudanum Opiatum two Grains distill'd Oil of Origanum or of Cloves two Drops Make Pills to be put into the hollow Tooth Or Take of the Flowers of Benzoin six Grains Opium dissolv'd in Spirit of Wine and thicken'd three Grains with a sufficient quantity of the Extract of Triacle make Pills as above Or Take of Laudanum Opiatum one Scruple Oil of Camphyr Oil of Cloves of each five Drops With some convenient Balsam make a Balsam to be applied to the Tooth If the Face be inflam'd apply a Plaister of Triacle to the Cheek Spirit of Sal Armoniac prepar'd with Spirit of Wine and Quicklime with Camphyr dissolv'd in it applied with Cotton to the Tooth gives present Relief The Essence of Sassafras prepar'd with Spirit of Wine is very proper But above all the Essence of Benzoin Elixir Proprietatis prepar'd without an Acid is oft-times useful The Aromatic distill'd Oils especially of Savin mix'd with Oil of Henbane are preferable to Essences Sulphur Auratum Antimonii Oils of Amber Hazel Boxwood c. are sometimes successful The Surgeons are wont to apply Plaisters to the Temples or the following Plaister to the whole Part inflam'd Take of Triacle of Andromachus Tacamahac of each half an Ounce Balsam of Peru a Dram. Spread it upon a Linnen Cloth for use If the Toothach cause an Inflammation like to St. Antony's Fire Take of Triacle of Andromachus from half an Ounce to six Drams Salt of Wormwood Balsam of Peru of each a Dram Mix and apply If it be attended by a Swelling of the Jaws 't is not fit to provoke 'em to Suppuration But Take of Chamomile Flowers Elder Flowers of each a handful Roots of Florentin Orris in Pouder half an Ounce mix 'em with express'd Oil of Poppies make a quilted Bag and apply it hot to the Part affected Sometimes indeed there happens a little Tumor in the Gums at the very Root of the Tooth which ought to be suppurated by warm Milk or roasted Figs and afterwards kept clean with Honey or the like If the Toothach be inveterat and do not yield to the ordinary Medicines 't is necessary to purge with Jalap and let Blood and apply Cupping-glasses to the Neck and Shoulders If the Tooth be corrupted it must be drawn with a proper Instrument Before drawing 't is not amiss to apply the following Ointment in order to loosen the Tooth Take of Gum Ammoniac Seeds of Henbane Juice of Henbane of each a Dram and a half with the Fat of a green Frog and a little Wax make an Ointment In the case of Worms in the Teeth the Decoction of Savin in Wine is proper If the Tooth be rotten an actual or potential Cautery will prevent its further Corruption ART IV. Of the Aches of the Eyes AN Inflammation or the sharpness of the Serum or external Accidents may cause Pains in the Eyes If any external thing lurk in the Eye it must be taken out by putting a Seed of Clary or a little Pearl or Crabs-eye into it If the Pain proceed from a spontaneous Inflammation the Mucilage of Seeds of Quinces extracted with Water of Frogs Spawn adding five or six Grains of Camphyr and as much Saffron to three Ounces of Mucilage ought to be laid upon the Eyes fennel-Fennel-water with Sugar of Lead and Camphyr is likewise proper Or Take of the Water of Celandin the greater Water of Blew-bottle Flowers and of Larks Spur of each one Ounce white Vitriol twelve Grains strain the Liquor and add half a Scruple of prepar'd Tutty to be applied to the Eye with a Linnen Cloth Of all external Applications the following Cataplasm is the best Take three sweet Apples boil'd and squeez'd and rosted under the Ashes and the White of one Egg well mix'd with two Drams of Loaf-sugar and twelve Grains of Camphyr with five Grains of Saffron Mix for a Cataplasm to be laid upon the Eye Some recommend the opening of an Artery in this case Sometimes we meet with a pressing tearing Pain which comes in an Evening without any evident Cause and seems to proceed from the Convulsions of the Coats of the Eye In which case Antimonial Infusions are proper Or Take of the Mucilage of Plantain Seeds Quince Seeds and Clary extracted with Water of Frogs Spawn of each one Ounce Saffron six Grains Camphyr four Grains Or Take of Plantain Water Fennel Water of each six Drams Lindanus's Sugar of Lead a Dram and a half prepar'd Tutty seven Grains Saffron three Grains Mix for a Collyrium Sometimes Arthritic Pains are usher'd in by a Pain in the Eye-lids which may be cur'd by applying a blistering Plaister behind the Ears ART V. Of Pains in the Ears THE Pains of the Ears are for the most part occasion'd by the Disorders of the internal Membran by Inflammations and the Corrosion of sharp Humors or of Worms either ingendred in the Ear or receiv'd from without An Inflammation is very dangerous and attended by a remarkable Heat that is not observ'd in the case of sharp Humors Worms are distinguish'd by an Itching and Sense of Motion within the Ear. As for Cure the following Cataplasm is universally applauded Take an Onion rosted under the Ashes with an Ounce and a half of Oil of Chamomile and half an Ounce of Oil of Dill with as much fresh Butter and a Scruple of Saffron It is a sovereign Remedy for the Inflammations that follow the Toothach The softening Oils Infusions of Tobacco or the Smoak of it convey'd into the Ear and especially the Oils of Insects are all very proper As Take of the Oil of Scorpions one Dram Oil of sweet or bitter Almonds distill'd Oils of Anniseeds and Caroways of each half a Scruple Pour it hot into the Ear or apply it with Cotton In the case of an Inflammation Take of the Juice of Houseleek Oils of Scorpions of Earthworms and of Chamomile of each a Dram Mix and use as above If there be no suspicion of an Inflammation the distill'd Vegetable Oils of Origanum c. are proper Or Take a hundred of the largest Eggs of Ants Castor Pulp of Coloquintida Marjoram Savin Wormwood and Rue of each one handful The Seeds of Cumin Aniseeds Fennel-seeds
Tacamahac and Galbanum softn'd in distill'd Oil of Amber and Oil of Bricks may be applied to the Joints If the Ligaments are much unbended and flat apply Crollius's styptic Plaister soften'd with Oil of Bricks and Oil of Earth and in the mean while endeavour to procure Sweat by giving Venice Triacle inwardly Barbette recommends the following Plaister Take of Gum Caran half an Ounce Galbanum an Ounce Oil of Euphorbium a Dram and a half Make a Plaister If the Disease proceed from mercurial Fumes exhibit the Decoction of Elecampane and Fennel and after the Mercury is thrown out by sweating let the Patient drink Whey or Milk In a scorbutic light Palsy the urinous volatil Medicines and Milk are proper The Decoction of Pine-Apple is likewise much commended Or Take of the Tendrels of Fir an Ounce and a half China Roots an Ounce cut them small and boil them in Ale and Water till the half be consum'd Give a draught of the strain'd liquor twice a day These Ingredients may be also boil'd in Milk The Decoction of Betony with Juniper berries or an Essence prepar'd from the Rob of Pine-apples with some Antiscorbutic Spirit and mix'd with Castor are very proper After a regular use of fix'd Absorbents and volatil Medicines Milk or Whey mix'd with Antiscorbutics is a sovereign Remedy but it ought always to follow these Premises Issues and Setums are not improper in this Case If a Palsy proceed from the Colic the Belly must be chiefly taken care of Lenitive Clysters of Turpentin and Milk frequently injected and strong Purgatives carefully avoided The Decoction of Elecampane of Millet-seeds and the four hot Seeds and Sassafras are proper Sudorifics Whey mix'd with Antiscorbutics is much esteem'd Let the Navel and part affected be fomented with Spirit of Tartar or of Sal Armoniac and anointed thrice a day with Paracelsus his Galbanetum So much for the internal Cure of Palsies It remains now to consider the external Forms If the Disease be inveterat and the Part begin to wither temperat fat Oils are proper If the sense of Feeling be not much impair'd and the power of Moving only lost the strong Apoplectic Waters or rectify'd Spirit of Wine in which the Pouders of Mustard-seeds Pepper Rue-seeds Nettle-seeds Aron-roots and Pellitory of Spain have been infus'd and digested are fit for external Fomentation Or Take of fresh Tobacco-leaves a handful or two Leaves of Origanum Flowers of Elder of each a handful Roots of Angelica from an Ounce to two Ounces Roots of Pellitory of Spain Aron-roots of each an Ounce Euphorbium Castor and Myrrh of each from half an Ounce to six Drams white and black Pepper of each three Drams Flowers of Arabian Stechas of Lavender and Lilly Convally of each half an Ounce Rocket-seeds or Mustard-seeds Seeds of Mountain-Siler from six Drams to an Ounce and a half cut and beat them small and pour upon 'em of rectify'd Spirit of Wine two parts of Spirit of Earth-worms one part digest 'em in a Balneum Mariae and draw off the Spirit by distillation With which foment the parts immediatly after sweating Or Take of the Herbs Rosemary Sage Marjoram or Lavender of each a handful Lavender-flowers Lilly Convally-flowers and Rosemary-flowers of each two little handfuls Juniper-berries an Ounce Mustard-seeds from half an Ounce to an Ounce Castor three Drams black Pepper a Dram and a half Infuse them in Spirit of Wine and after digestion reserve the strain'd Liquor for use as above And if the Disease be accompany'd by scorbutic Pains add to it some Spirit of Sal Armoniac prepar'd with Quick-lime Or Take of Aqua Articularis for external use two three or four Ounces Spirit of Sal Armoniac with Quick-lime from an Ounce to two Ounces Spirit of Earth-worms prepar'd by putrefaction half an Ounce Mix and bathe the part thrice a day Or Take of Spirit of Wine camphoris'd three Ounces Spirit of putrify'd Earth-worms an Ounce Essence of Castor six Drams Mix and use as above Or Take of Apoplectic Water three Ounces Spirit of putrify'd Earth-worms and Spirit of Sal Armoniac succinated of each half an Ounce Mix c. In a Colic Palsy rectify'd Spirit of Tartar mix'd or cohobated with Spirit of Wine tartaris'd are externally us'd with great success Balsam of Peru dissolv'd with the Yelk of an Egg and mix'd with Essence of Amber extracted by rectify'd Spirit of Wine is much approv'd for external use in all sorts of Palsies Take of common stinging Nettles three handfuls Chamomil one handful Cumin-seeds a Dram Salt three Ounces beat 'em well in a Mortar and boil them in a sufficient quantity of human Urine till the fourth part be consum'd Bathe the part Morning and Evening with this Decoction and wrap it up in a Cloth dip'd in the Liquor and after three or four days anoint it with Oil of Foxes In Apoplectic Palsies pricking with Nettles is a very successful Remedy Bathing in fermenting Wine or such as is reduc'd to a Fermentation by throwing Quick-lime into it is of extraordinary use both against Palsies and Sciatica's for by this means the volatil Tartar of the Wine insinuats it self into the Part. A bag full of Ants thrown into boiling Water yields a Vapor which is conveniently receiv'd upon the part is very serviceable after the Bag has lost its smell it may be boil'd in Water for the Patient to bathe in Take of Brimstone and Bay-berries of each half a pound Roots of Gentian three handfuls Roots of Elecampane and long Birth-wort of each two handfuls boil them in Quick-lime Water for an artificial Bath The last Refuge is the Hot-baths But if a Colic or use of Wine gave rise to the Disease or arthritic and gouty Pains accompany it they are not proper In a word they are more convenient for a Sanguin or Phlegmatic than a Choleric Constitution Take of the Herbs Marjoram and Sage of each a handful Rosemary two handfuls Juniper-berries four Ounces Bay-berries two Ounces Roots of Pellitory of Spain an Ounce Boil them in Water and place the hot Decoction under the Person 's Feet that the Fumes may ascend Take of Galbanum half a pound Oil of Turpentin a pound and a half distil the Oil from them to which add an Ounce of Oil of Lavender and then repeat the distillation which produces an excellent Balsam to be digested and circulated with rectify'd or tartaris'd Spirit of Wine This may be applied to the Navel Back or Part affected as occasion requires Take of white Rock Oil two Drams distill'd Oil of Amber half a Dram distill'd Oils of Lavender Marjoram and Spike of each a Scruple mix and anoint the affected parts As for Plaisters those of Tacamahac are most approv'd especially when the Nerves are overcharg'd with Moisture But if the Person be scorbutic or the Part depriv'd of all manner of Sense temperat oily things are best As Take of human or Goose fat of each three four or six Ounces distill'd Oil of Turpentin
if withal the Texture of this glandulous Membran is by frequent runnings rendred loose and flaccid in this Case I say there follows a continual and much more copious Flux of a serous Liquor of various Colours as yellow black or green and sometimes of a noisom smell This Flux is accompany'd with Cachexies loss of Appetite swelling of the Feet Belchings Weakness dulness of the venereal Appetite c. and ofttimes occasions Barrenness If it is of long continuance the Cure is hard especially in old Women if the matter is sharp it causes Itchings Burning Exulcerations of the Genitals Gangreens and at length Death In curing this Distemper we must first retrieve the Chylification of the Stomach by vomiting and stomachical Medicines 2. Correct the cachectic Crudity of the Blood partly by Steel and partly by volatil Salts and Aromatics 3. In particular we must resist the Disease with Specifics And 4. Repair the injury done to the solid parts with astringent and nervous Remedies Two Scruples of the Pouder of Asarum-root given after the use of Digestives is the choicest Vomit Purgatives are of no use but Sudorifics as Guaiacum Sassafras Juniper-wood c. and Diuretics as Turpentin c. may fitly supply their room Take Turpentin wash'd in Rose-water half an Ounce Pouders of red Coral and Bole Armenic of each half a Dram. Mix and take it twice a week fasting 't is an excellent Diuretic Rosemary is of noted efficacy to which some add leaves of Mint and Baum also the Roots of Galangal Cyperus Avens Marjoram Clove Gilly-flowers and their distill'd Oils also vulnerary Herbs as Ladies Mantle Agrimony c. Of Steel Medicines the chief are Liquor Martis Solaris Tincture of Steel with Tartar its Solution in Juice of Quinces c. Internal Specifics for this Flux are such as allay the saltish Acid dry up watry Humours and leave some astriction behind such are Misletoe of the Oak in Substance and Decoction the Decoction of the Pine-nut with the Wood of this Misletoe is an admirable Remedy drop Fern Tormentil Solomon's Seal Angelica and the like Garden and wild Clary us'd any way for internal or external Use dead Nettle with the white Flower its Water Conserve or Decoction Walnut-shells white flower'd Millfoil Fern-root Melilot with the white Flower Plantane Horse-tail white Daisy Woods of Mastic Guaiacum and Sassafras Chalybeat Milk mix'd with Bole Armenic shells of hatch'd Eggs either crude or calcin'd given to half a Dram the Bone of the Cuttle-fish Jaw-bone of a Pike River-Crabs Capons head powder'd burnt Cork given to a Dram Amber and its Preparations prepar'd Crystal Pumice-stone crude or calcin'd Diaphoretic Antimony feathered Allum Osteocolla the Pizzle of a Hart or Whale Of these Ingredients various Receipts may be prescrib'd As Take Ostoocolla prepar'd half an Ounce prepar'd Crystal and Jaw of a Pike of each a Dram with the Conserve of Rosemary-flowers make an Electuary to be taken twice or thrice a day Take Walnut-shells two Drams Aniseed a Dram. Mix and make a Pouder for four or five Doses Among external Remedies the Ointment of Clary is famous viz. Take Clary and beat it up with Butter let it stand sometime to putrify then boil and strain it with this anoint from the Navel to the Groin using it also by way of a Pessary Natural Baths are useful as also artificial ones made with Quick-lime Allum Sage Clary Mugwort Feverfew c. or Injections of the Ashes of Walnut-kernels with Wine Some use Fumigations with Mastic Frankincense Nutmeg Amber c. Or convey the Smoak of Sage by a Pipe Issues in the Thighs Legs and Shoulders are of use to divert the Humours SECT II. Of the Disorders of Women relating to the venereal Appetite CHAP. I. Of the loss of Virginity IN the outer Neck of the Womb behind the Urinary Passage there is a transverse Membrane plac'd which if the Lips of the Privity be drawn aside resembles a Crescent with a hole in the upper side but when the Lips fall together it has the appearance of three small fleshy Prominences like Myrtle-berries In the Integrity of this Membrane together with the straitness of the Vagina does Virgin-Innocence consist and Virginity is said to be lost when by the admission of the human Yard the former is violently broken or loosened and distended and the latter widened tho yet in the mean while it may be violated by other means Tho Virginity once lost can never be properly restor'd yet an artificial one aping the true may be obtain'd by straitning the Genitals and retrieving their natural Tone which is effected by Baths and Fomentations prepar'd of Astringents such as the Root of the greater Comfrey Plantane Ladies Mantle Rob of Acacia c. to which Allum must still be added As Take of Oak and Plantane-leaves of each a handful Root of the greater Comfrey three Ounces Galls an Ounce Allum half an Ounce boil them in water This Decoction may be injected by a Syringe or apply'd externally with a Spunge Moreover if we frequently foment the great soft and flagging Breasts of Women that have conceiv'd with the distill'd water of green Pine and wash them with the same at night letting them dry of themselves they will become little round and hard Ladies Mantle Feaverfew and Clary are also of use for this purpose That which provokes Virgins to forfeit their Title to the Angelical Character is Lust which they begin to entertain about the age of fourteen when the menstrual Flux commences CHAP. II. Of the Depravation of the venereal Appetite THE venereal Appetite or Lust is nothing else but a tender sense and tickling of the extended Clitoris caus'd by the influence of seminal matter abounding in the two gland●ous Prominences and other Glandules of the Vagina This according to nature ought to be moderat however it is sometimes deficient and sometimes it exceeds The languishing of the venereal Appetite is frequently occasion'd by the paucity of Genital Liquor and its want of Spirits proceeding sometimes from another Disease as the Scurvy Whites c. But if this Appetite is altogether wanting I am of opinion it is a default in the Structure or Conformation of the parts and admits of no cure As to the former it is an Evil of little danger save that it is ordinarily accompanied with barrenness The want of Genital Liquor may be supplied by the use of juicy Food and volatil Aromatics such as Musk Civet and Amber But if it is only the effect of other Causes 't is cur'd by their removal Externally foment with the Infusion of Ants together with their Nest and anoint the Groin and Privities with the Oil of Ants or with Aromatic Oils or Apoplectic Balsam mix'd with Civet and Musk. If the seminal humor contain'd in the glandulous Substance of the Vagina either by too long retention or otherwise become sharp saltish or somewhat acid it excites sometimes in the places through which it passes such an itching as disturbs Sleep
Oil of Savin or a Pouder made of equal Parts of Borace Myrrh Castor and volatil Salt of Amber given to half a Dram in Cinnamom-water twice or thrice a Day for some time the Pouder also and Spirit of an After-birth is much commended Externally also we must use Clysters for irritating the Vagina and internal Orifice of the Womb and moving them to convulsive Motions such are the Decoctions of Pennyroal Fever-few Savine and Pulp of Coloquintida ty'd in a Bag. Pessaries and Fumigations from the same Ingredients are also proper but withal let the Patient use some violent Exercise such as leaping jumping c. to promote the Operation of the Remedies If all these Prescriptions prove successless we must have recourse to a skilful Surgeon who with a Speculum Vterinum must dilate the Vagina and internal Orifice of the Womb and by his Hand or Instruments draw out the whole Mola And if after the Extraction excessive Bleedings and Pains of the Womb insue exhibit the following Electuary Take Conserve of Roses an Ounce Conserve of Quinces without the Species half an Ounce Troches of Amber seal'd Earth and Spodium of each half a Dram Sorrel-seed and burnt Hartshorn prepar'd of each a Scruple With Syrup of Quinces and that of Mint make an Electuary SECT VI. Of the Conduct of Big-belly'd Women WHILE Women are with Child they ought to be very cautious of the use of the six Non-natural things for fear of incurring the dangers that the suppression of their Terms exposes 'em to and provoking the Child to an untimely Egress In their Diet let Custom be their Rule since things unwonted tho of themselves proper are offensive and e●contra Summer-fruits violent Aromatics and strong Smells whether sweet or foetid are pernicious Much Wine and acid Liquors are apt to cause Abortion Violent Motion is also dangerous especially during the first Months tho in the latter Months if it be moderate 't is not inconvenient Venery long Watchings Fear Anger and such-like Passions ought to be avoided Costiveness ought to be remov'd by the Pulp of Tamarinds or Oil of sweet Almonds Cream and Salt of Tartar or Rhubarb mix'd with Carminative-seeds Sometimes potch'd Eggs and Sugar are sufficient Proper Purgatives or strong Clysters are very dangerous Sometimes it will not be amiss to strengthen the Child by a moderat Draught of sweet Wine after eating by exhibiting Cinnamom-water impregnated with Borrage and Quinces or the Juice Syrup and Marmalade of Quinces mix'd with Cloves Mace and Nutmegs or at Bedtime to apply to the Belly a Bag quilted with Mint Baum Ginger Cloves Galangal c. sprinkl'd with the Oil of Citrons or that of Orange Peel If a Big-belly'd young and plethoric Woman be seiz'd with an acute Disease Blooding is not improper but 't is better to blood frequently than draw forth much at one time If her Stomach be disorder'd mild Vomits are allowable during the first four Months but Purgatives at least such as in violence surpass the Laxatives above-mention'd are always suspected Narcotics in general threaten the Relaxation of the Fibres of the Womb But in some Cases when the Animal Spirits are much irritated and such other Circumstances seem to demand it we may venture to allow a moderat Dose of Opium All the peculiar Symptoms of Big-belly'd Women are occasion'd by the Influence of the seminal Liquor the Suppression of the Terms and the Sympathy of the Stomac with the distended Womb. The first is Vomiting which in the first Months ought not to be stop'd for it facilitats Delivery In the last months it is dangerous and ought to be curb'd betimes Toward the middle of their Reckoning Blood-letting removes it unless they be Cacochymical in which Cases the absorbent Pouders and stomachical Ingredients are requir'd But Steel is hurtful Externally stomachical Plaisters are likewise useful To this Symptom we may add a Pica loathing of Meat griping of the Guts which we accounted for in the first Book A Looseness in the first Months is dangerous Towards the latter end it is of less consequence unless it exceed bounds upon which account we ought to be very cautious in stopping it If it be accompany'd by a prostration of Strength or signs of Malignity and threaten Miscarriage let astringent Acids and Venice Triacle or Diascordium dissolv'd in acid Vehicles be exhibited and proper Plaisters applied externally but all Purgation is pernicious The Pains of the Loins Hip-bones and Pubes caus'd by the various distention of the Ligaments of the Womb and the annex'd Membrans according as the Child is seated forwards or backwards are remov'd by anointing with the Oil of Earthworms mix'd with distill'd Oil of Juniper or applying the Spirit of Earthworms mix'd with Aqua Articularis The Toothach in Women with Child yields to the common Cure A Palpitation of the Heart happening to a lusty Woman about the middle of her Reckoning is cur'd by Blood-letting or else by the ordinary Method If a Cough molest a Woman with Child we must vary the Cure according to its nature as in the first Book Child-bearing Women are frequently subject to bleedings If the Blood flow from the Vagina of the Womb it runs gradually at set times without Pain and ought not to be stop'd If it proceed from within the Womb it runs continually causing Pains in the Loins and if the Woman or Child be not weak may be gently moderated by Blooding and the common Specifics But if the Child move weakly and the Woman's Appetite and Strength be dejected 't is necessary to promote Miscarriage by external Assistance If the Blood break forth only at other parts of the Body it argues a scorbutic Disposition of the Blood which is cured by Chalybeats A suppression of Urine is caus'd by the low Situation of the Child and its bearing down upon the Bladder and is cur'd by emollient Ingredients us'd both inwardly and outwardly and by heaving up the Belly upon occasion of making water Proper Diuretics are scarce safe A Strangury is cur'd by Laxatives such as the Syrup of Peach-flowers and Emulsions and Decoctions of Marshmallows with Raisins or of Jujubes and Peach-stones The Cramps that Child-bearing Women are subject to are cur'd after the ordinary Method especially by external Inunction and Fomentation The Pain and Chops that molest the skin of the Belly as being caus'd by its distention are remov'd by applying emollient Oils and Mucilages If the Waters break forth from the Womb especially from within the Amnios before the time of Delivery 't is a dangerous Case and their loss ought to be repair'd by anointing the Passage with emollient Oils and Ointments But if the Flux of Water proceed only from the outer Neck of the Womb and is not follow'd by the true Pains of Child-birth 't is of no great consequence Sometimes Cacochymical Big-belly'd Women are troubled with swellings of the Feet which disappear upon Child-birth as being remov'd by the Flux of the Loches If these Swellings be
thro a Sieve and add to it of Horse-dung three Ounces Oil of Chamomil an Ounce and a half rosted Onyons two Ounces Make a Cataplasm Common Soap dissolv'd in hot Milk is also very proper Take of the Mucilages of Marshmallow and Fenugrec-seeds extracted with the Decoction of Figs of each an Ounce Goose Fat six Drams Oil of Chamomil and Oil of white Lillies of each half an Ounce Mix and add of the distill'd Oil of Turpentin a Dram stinking Oil of Tartar a Scruple Make a Liniment Take of the Plaister of Henbane two Ounces Gum Ammoniac dissolv'd with a gentle Heat an Ounce Mix and make a Plaister The discussive Ingredients are endow'd with volatil subtil hot parts for subduing the Acid melting down the thicken'd Humour and opening the Pores Such are the Roots of Fennel Elecampane Flower-de-luce Birth-wort Pellitory of Spain and Ginger the Leaves of Dill Chervil Rosemary Marjoram Calamint wild Marjoram Lavender and Hyssop the Flowers of Roman Chamomil Lavender Rosemary and Saffron Juniper and Bay-berries the Seeds of Cumin Anise and Caraways all the Spices Castor Storax the Spirit of Wine camphoris'd the Essences of Aromatic Plants their distill'd Oils c. The Decoctions of such Ingredients are us'd both for Fomentation and Fumigation Cataplasms Liniments and Plaisters are likewise in use but Care is to be taken that no oily Ingredient stop the Pores of the Skin The ripening Ingredients ought to be 1. Moist and juicy for dissolving the two combatant Salts that promote Suppuration 2. Oily and temperate and 3. Indow'd in some measure with a penetrating Virtue in opposition to the fix'd Acid. Such are Marshmallow-roots white Lillies rosted Onyons and Garlic the Emollient Seeds Flowers Oils Ointments Plaisters c. The general Doctrine of Tumours being thus premis'd we proceed to the Description of particular Swellings which we cast into four Heads 1. Those that proceed from the Stagnation of Blood 2. Such as are Critical 3. Such as arise from the Depravation of the Lymph and 4. Those which relate to the Blood-Vessels 1. Under the first Head we comprehend Inflammations Blood-shot and St. Antony's Fire Inflammations are cur'd thus Inwardly we exhibit the same Medicines as we prescrib'd for a Pleurisy to which we add Nitre by reason of the Feaver that accompanies ' em Externally we first bleed and then endeavour to discuss 'em by applying the Decoction of Sulphur in Urine and the Plaister of Sperma Ceti or the Juice of River-Crabs and Horse-dung or the Spirit of Wine camphoriz'd mix'd with gentle Diaphoretics and the Water of Spirma Ceti● or quick-l●me-Quick-l●me-water with Sugar of Lead or the Lee of the Ashes of Vine-twigs mix'd with Vinegar Nitre and Salt If these do not succeed we must endeavour to bring the Swelling to a head by applying Milk in which Castle-soap is boil'd But if the Inflammation and Heat be great we must avoid oily fat Ingredients If the Inflammation be spurious that is if a pituitous Humour accompany the stagnating Blood we may add Ripeners of the sharper kind Generally the Plaisters of Melilot and Diachylon softer'd with the Oil of Li●●ies or Ointment of sweet Almonds are very proper After the Swelling is open apply the Balsam of Sulphur and Plaister Diasulphuris or an Ointment of Turpentin Hony of Roses and Balsam of Peru dissolv'd in the Yelk of an Egg. If the Ulcers are deep and hollow inject the Decoction of Tobacco and Plantain mix'd with Myrrh and Aloes or temper'd with Lime-water and the Spirit of Venice Triacle Some are wont to apply Astringent Cataplasms and Plaisters in the beginning of an Inflammation in order as they fancy to hinder the irruption of the Blood but the Rules of Circulation have discover'd their Mistake Blood-shot is the effect of Contusions or the Distortion of the Capillary Vessels It s internal Cure is the same as that of a Pleurisy Externally we apply a slice of raw Beef or Venice Triacle mix'd with the Syrup of Elder Sugar of Lead and Salt of Wormwood If these prove successless we must have recourse to Cataplasms of the Roots of Solomon's Seal and Comfry bruis'd and boil'd in Wine or to the Spirit of Wine camphoris'd and the Spirit of Sal Armoniac If a nervous part be affected by the Contusion we exhibit the Oil of Lavender inwardly and anoint the part with the Balsam of Peru mix'd with Spirit of Wine and Oil of Castor If the Symptom do not disappear after these Applications we must endeavour to suppurat and after Suppuration consolidate as above But when the Part quickly becomes black and threatens a Gangrene or when the Contusion is deep and reaches beyond the Cuticle 't is not safe to stay for Maturation therefore we scarify it and then apply Aromatic Decoctions or Lime-water sharpen'd with the Spirit of Wine and sweet Mercury St. Antony's Fire is an Inflammation incident to Scorbutical Persons and seems to proceed from a subtil volatil Acid that ferments with the volatil Salt of the Blood and causes it to stagnat It is usher'd in by shivering and attended by a notable Heat and Feaver It s Colour is very red when touch'd it becomes white but quickly reassumes its redness It spreads over the neighbouring Parts and is apt to degenerat into sordid Ulcers or Gangrenes When it besets the Arms 't is more troublesome than in the Legs If it strike in or seize the Head Face Mouth or Fundament 't is very dangerous It s internal Cure is accomplish'd by the Water Essence and Syrup of Elder-flowers mix'd with the volatil Salt of Hartshorn or that of Amber Camphyr Sugar of Lead Diaphoretic Antimony Cinnabar of Antimony and absorbent Pouders Purgation before the Declension is absolutely pernicious as also bleeding unless the Disease be occasion'd by a Contusion Fracture or Wound Externally cold astringent oily and fat Ingredients are hurtful the more proper Medicines are the Decoctions of Elder-flowers in which Venice Triacle and Castle-soap are dissolv'd the Spirit of Wine impregnated with Camphyr or Saffron the Decoction of Myrrh and Frankincense in Wine mix'd with Camphyr and Saffron the Water of Sperma Ceti and that of Cow's Dung distill'd in May the bruis'd Leaves of Radishes applyed as Cataplasms Clouts dip'd in Hare's Blood or the first Flood of a Virgin 's Terms the Leaves of Arsemart bruis'd and applied the Pouders of Myrrh Frankincense Chalk Sugar of Lead and Camphyr sprinkl'd upon brown Paper dip'd into the Spirit of Wine impregnated with Saffron To all which we may add Laudanum Opiatum as occasion requires The following Ointment is also much approv'd Take of the Pouder of Elder-flowers three Drams Ceruss a Dram and a half With Salt of Wormwood and Venice Triacle make an Ointment The Ointment of Sugar of Lead and Syrup of Elder is likewise of noted Efficacy If notwithstanding these Precautions the Swelling be ulcerated apply the Water of Quick-lime prepar'd with Elder flowers and mix'd with the Juice of Cresses Sugar of Lead and
Salt of Tartar of each a Dram boil them in a sufficient quantity of common Water to nine Ounces of the strain'd Decoction add Electuary of Bay-berries an Ounce distill'd Oil of Amber volatil Salt of Hartshorn or Urine of each a Scruple the Yelk of one Egg Mix them and make a Clyster To such Decoctions you may also add Electuary of Hiera Picra Castor distill'd Oils of Cumin Caraways Amber Juniper-berries Turpentine c. Or instead of distill'd Oils volatil Salts from a Scruple to half a Dram as that of Urine Hartshorn Amber c. Clysters of the Smoak of Tobacco are also approv'd If the Patient is plethorick a Vein may be opened but with due caution Internally in the time of the Fit volatil and oily Salts are to be us'd and in particular such as readily cause sweat to which Opiats may be added Bitter things therefore are in common use such as Set-wall Southernwood Wormwood Lovage Angelica Gentian-root Mint Galangal Penny-royal Fever-few Clary its Decoction and Spirit Roman and common Chamomil Orange Peel wild Carrot-seed Juniper-berries Garlic taken in Wine its Electuary Saffron Rosemary Myrrh Elder and dwarf Elder-berries c. all which by virtue of an oily volatil Salt destroy the vitious Acid. To these we may add Castor Assa foetida the volatil Salts themselves as Spirit of Sal Armoniac Hartshorn volatil Salt of Amber given from five Grains to twelve in Swallow-water with Castor distill'd Oil of Amber volatil Salt of Soot the Tincture of Tartar Tincture of the Dross of the Regulus of Antimony Tincture of Castor prepar'd with Spirit of Wine or otherwise all the several Preparations of the fore-mention'd Simples Crollius's Elixir for the Womb Camphyr the Spirit of human Secundine chiefly that of the first Child the Juice of Courser's Dung express'd with Wine or Ale or its Decoction to all which we join Opium Hysteric Laudanum Mithridate and Triacle of which innumerable Prescriptions might be made up As Take of the Waters of Mint Elder-flowers and Fever-few of each an Ounce Essence of Castor three Drams volatil Salt of Hartshorn twelve Grains that of Amber eight Grains Hysteric Laudanum nine Grains Syrup of Orange Peel six Drams Mix and make a Potion Or Take prepar'd Amber prepar'd Pearls or Crabs-eyes Castor of each a Scruple distill'd Oils of Rue and Amber of each five Drops Mix and make a Pouder 'T is to be noted that Preparations with Castor and such like fat volatil Salts yielding a strong smell agree not with some Patients for whom meagre Salts are more proper as dulcify'd Salt of Nitre c. If sweet Smells or Tasts be offensive we choose Medicines of contrary qualities After the Fit is over if a Relapse is feared it may be prevented by the use of Medicines partaking of Steel As Take Antiscorbutic and Hyssop-water of each an Ounce and a half Solution of Steel in Juice of Apples three Drams Spirit of Scurvy Grass a Dram and a half fermented Laudanum two Grains Syrup for the Scurvy three Drams Mix and make a Potion But if what is above prescrib'd prove ineffectual we may try a strong Snuff and if that has no effect give a Vomit yea Blood-letting has been found sometimes to avail in desperat Cases Hitherto we have prescrib'd what is to be done during the Paroxysm when 't is over we first give Digestives then Vomits and afterwards Anti-hypocondriac and Antiscorbutic Remedies for Digestives I refer you to the hypocondriac and scorbutic Diseases Or Take red Coral prepar'd or Mother of Pearl or Crabs-eyes prepar'd half a Dram Arcanum Duplicatum a Scruple Salt of Wormwood half a Scruple Mix for three Doses For a Vomit take Arcanum Duplicatum or Tachenius's vitriolated Tartar nine Grains Mynsicht's Emetic Tartar two or three Grains Mix and make a Pouder Next to these Aromatics mix'd with mild Laxatives are to be us'd and these almost the same as the internal Specifics prescrib'd in the Fit In short the Method of Cure is the same with that of hypocondriac and scorbutic Disorders So that alterative Bags of carminative Ingredients such as are friendly to the Nerves and Womb infus'd in Wine are of very good use Or whatever partakes of a volatil Alcali or a volatil oily aromatic Salt more or less bitter which destroys Acids or has an anodine Quality as the Roots of Angelica Butter-burr Set-wall Lovage Gentian and the like also Orange-peel and all Aromatics especially Clary and its Decoction also Baum Rosemary Mugwort Sage c. the Carminative Seeds or those call'd hot to which wild Laxatives such as black Hellebor and Briony may be added As for example Take of the Leaves of Baum Fever-few Pennyroyal of each a handful Leaves of Senna Roots of Gentian and black Hellebor of each a Dram prepar'd Spurge and true aromatic Costus of each three Drams Set-wall Salt of Tartar of each half an Ounce Cut bruise and tie them in a Bag to be infus'd in Wine Medicines of Steel are wonderfully helpful as also succinated Spirit of Salt Ammoniac given to thirty Drops at night and mild Laxatives mix'd with Opiats Take Gum Ammoniac dissolv'd in Vinegar half a Scruple Vitriol of Mars five Grains Extract of Castor three or four Grains Extract of Troches Alhandal a Grain or of the Troches themselves three Grains Make Pills with the distill'd Oil of Amber SECT IV. Of the Disorders of Women denying admission to Men. CHAP. I. Of the down-falling of the Womb. SOmetimes the outer Neck of the Womb especially its internal wrinkled Membrane either by hard Labour or the unskilful hand of a Midwife or by an immoderate red or white Flux is so relaxated and extended that it hangs out in form of a Ball having a hole in the middle two Fingers breadth without the Privity and sometimes some part of the internal Membrane is relaxated and hangs out like a blind round Ball by a small Neck In this Case both the Antients and some of the Moderns fancy that the Womb falls down Whereas that Symptom never happens but when an unskilful Midwife pulls it down by force and so kills the Patient outright This Distemper is usher'd in by a stretching Pain of the Parts to which the Womb is fastened sometimes a Feaver and Convulsions supervene and sometimes the prominent Substance becomes the Seat of an Ulcer or Gangrene and must be cut out by the hand of the Surgeon All that Art can do is 1. To restore the Part fallen down to its natural Place 2. To confirm it there either truly by Astringents or palliatively by other means 3. If that can't be compass'd Amputation is the only relief The Patient being conveniently plac'd on her Back let the part be gently put up with ones Fingers cover'd with a soft Cloth wet with the Decoction of mild discussive Aromatics such as Rosemary Sage Wormwood c. boil'd in equal parts of Wine and common Water or Water from the Forge This done Decoctions prepar'd of vulnerary Astringents
are to be us'd internally such as those of Rupture-wort Mousear Knot-grass Comfrey-root Cyprus-Nuts Betony Tormentil c. to which Anise and Fennel-seeds and the four greater hot-seeds may be added Externally also Astringents must be us'd the place may be fumigated with their Smoak or their Decoction injected or the Privity fomented therewith or a Pessary of carded Wool may be dip'd in it and apply'd Such Astringents are Galls Oak-leaves and those of the Myrtle Sloe-tree Horse-tail Ladies-Mantle Milfoil Pomegranat-rind Sumac and the like which may be boil'd in Forge-water adding Allum if the Parts be not excoriated or exulcerat The Moss of the Oak-tree also and Nettles and Sun-flower are commended For a Palliative Cure you may use Wax or Cork white Wax or the Mass of a Plaister made of Wax Colophon Gum Elemi and the like shap'd into a round oblong or pear-like Form according as there is occasion with a hole in the middle and a thread fasten'd to 'em their bigness must exactly answer that of the Vagina But if it is only an Excrescence or one or two wrinkles of the Vagina or if the Vagina it self being fallen down is altered by the Air or corrupted or ulcerated it must be cut off by the Root a Ligature being first made with a Thread and then it must be cur'd as an Ulcer CHAP. II. Of the Inflammation of the Womb. THIS is caus'd by Blood stagnating in the Pores of the Womb which is occasion'd either by too frequent Coition or cold catch'd after Labour or the Terms or by hard labour The Signs are a Swelling Heat stretching Pain of the Genitals Groin and Navel which if the Finger is put up into the Genitals is exasperated extending to the Lips Back-bone and Shoulders the Vagina is red with swollen Veins the Terms suppress'd with a burning continual Fever Thirst driness of the Tongue Head-ach Delirium and Convulsions It is dangerous enough and is easily converted into a Gangrene Discussion is safer than Suppuration sometimes it degenerates into a Schirrus and is accompanied by a Dropsy The Patient must in the beginning be let Blood at the Arm and a Clyster being given next day at the Ancle afterward you may use temperat emollient and resolving Clysters of the Decoction of Lettuce Mallows Violet-leaves Flowers of Chamomil c. boil'd in Lime-water mix'd with Lenitive Electuary solutive Syrup of Roses and Nitre To loosen the Belly give Decoction of Tamarinds wherein Senna with Cream of Tartar has been infus'd Externally we foment the Groin or apply Cataplasms of Mallows Marsh-mallows Pennyroyal Mugwort Melilot c. boil'd in common or Lime-water or Wine CHAP. III. Of Vlcers of the Womb and Vagina THE Causes are either internal as retention of the Loches suppurated Inflammations Corruption of the Foetus or Mola a virulent Clap the Whites c. or external as frequent and excessive Venery fretting of the Vagina hard Labour c. The naked Eye or a Womb-glass discovers 'em or if they lie deep in the Womb it self the troublesom biting Pain of these Parts when tickl'd in Coition or by sharp Injections reveals the Mystery They degenerate frequently into Fistulas or end in a Dropsy and tho they be cicatriz'd infer Barrenness If they proceed from an external Cause they must be cur'd by consolidating Remedies if from the sharpness of Humours they must be corrected and evacuated but first of all the Pain must be mitigated Internally cleansing vulnerary Decoctions are useful such as those of the tops of St. John's-wort ground Ivy Plantane Sawicle Shavings of Hartshorn c. Externally the same Decoctions may be injected Or Take of Chalybeat Milk one pound Turpentin dissolv'd in the Yelk of an Egg half an Ounce Hony of Roses an Ounce to be often injected for cleasing and consolidating the Ulcer SECT V. Of the Disorders of Conception COnception is nothing else but the Impregnation of one of the little Eggs contain'd in the female Testes by a certain Air or Spirit exhal'd from the seminal Liquor of the Male received into the Womb. The Egg thus influenc'd falls off into one of the Womb-Trumpets which at that time embrace the Testes and thence passes unto the Womb. Being received there it straight begins to increase and then one little point begins to distinguish it self by its tremulous and leaping Motion being surrounded with subtil red Threads the Rudiments of the Blood-vessels round which some small time after is to be seen something more gross and white like a little Cloud distinguish'd into two parts whose greater part consisting of four little Bags represents a rude Draught of the Brain Cerebellum and two Eyes and the lesser part being strech'd out below like a Ship 's Keel is the Rudiment of the Back-bone from which the Limbs gradually extend themselves while the Bowels successively shoot out from the Blood Vessels till the perfect Foetus is form'd The matter of which it is form'd is partly a clear Liquor resembling the white of an Egg convey'd thither by the Arteries and squeez'd through the glandulous Substance of the Womb into its Cavity and partly Blood elaborat from the foresaid Chyle or nutritious Juice so that the Parts are rightly distinguish'd into sanguine and spermatic There are scarce any infallible Signs of Conception however ordinarily if a Woman hath conceived the internal Orifice of the Womb is close shut up the Terms are stopp'd In the first days after Coition a certain shivering or wandring Sense of Cold spreads it self over the Body or its extreme parts the Appetite is impair'd she vomits every Morning and is troubled with longings and loathing such Meats as formerly were grateful If the Woman is cacochymical and scorbutic she is troubled with hysteric Affections tho unacquainted with 'em before a gradual Swelling invades the Belly and points upwards In the third fourth or fifth Month the Child is felt to move in the Belly first more obscurely and afterwards more distinctly finally the first Months oftentimes discover a heavyness and giddiness of the Head and sometimes the Tooth-ach from which Signs concurring we may conclude the Woman is with Child With reference to Conceptions we shall treat of false Conceptions Barrenness and vitious Conceptions Conception is counterfeited by an Inflation or Swelling of the Belly caused by external Air received unto the Womb after Child-bearing or Abortion or Bathing or in the time of or after the Menstrual Flux attended sometimes with cruel pains girding the whole Belly This is distinguished from a true Conception by these Symptoms 1. The Belly is not always equally distended 2. There is no motion or at least none but what may easily be distinguish'd from that of a Child 3. The Swelling is greater and less weighty not pressing so much upon the Pubes This Distemper is seldom dangerous tho sometimes when the Flux of the Terms or Lochia is stopt 't is attended by grievous Pains in the Womb. In which case let the Vein Saphaena be opened let