Nerves to with those that particularly regard the Viscera and Precordia and their appendixes and chiefly troubles the Spirits lying in them Sometimes also though rarely the Spirits that presides in the Exteriour Nerves and likewise those in the Brain and Cerebellum are involv'd in the same affect As to the Morbifick Matter or Explosive Combination which accruing to the Spirits within the Brain and deriv'd with them into the Processes of the Nerves often is the cause of the affects which are vulgarly call'd Uterine or of the Mother We say this to be Heterogeneous Particles sent from the Blood as in other kinds of Convulsions and which are wont to be made to cleave to the Spirits that pass into the Origines of the Nerves on two chief occasions viz. either through the fault of the Spirits themselves or through the great force of the Matter instances of both kinds every where occur Through the fault of the Spirits themselves as when through a sudden Passion suppose of Fear Anger Sadness they are very much Troubled and forc't into Irregularities through the Exorbitant force of the Matter as in the evil Crises of Fevers also in any Malignant and Scorbutical and other Chronical affects of an ill Determination these causes are much upheld and promoted by an ill or weak Constitution of the Brain and Genus Nervosum whether it be hereditary or acquir'd by an ill dyet hence Women are more obnoxious to Convulsive affects than Men and those one more then another Tho' these they call Hysterical affects very often arise from the Brain yet sometimes they are rais'd by a cause beginning either in the Womb or in other of the Viscera and this either by reason of a solution of continuity through a Tumor or Ulcer or Stimulation of the part or by reason of the obstruction of the Nervous Juice in its Circulation thus when some accustomed evacuation whereby the superfluities of the Nervous Liquour were wont to be discharged is stop'd as upon the sudden stopping of Issues or drying up of old Ulcers without Purging many have fallen into Convulsive affects which sometimes also happen to Virgins and widows through a retention of the Semianl homour which ought to be Voided its proper way And sometimes the Nervous Juice regurgitates toward its Origine because its passage is somewhere stop't by a Cancrous or Scirrhous Tumour To illustrate our doctrine of the vulgarly call'd Passions of the Womb I shall now give an instance of a person troubled with them A Renowned Lady extreamly beautiful and endowed with an excellent temper of mind and manners lately lived in these parts who for many years was obnoxius to Convulsive affects she having contracted this valetudinary disposition fro her Birth or Hereditarily and having found in herself these fruits of the morbid root almost every fourth year of her Age but especially as often as she conceived with Child as she often had and undergone frequent Abortions she was wont to be extraordinarily troubled with Convulsive passions in a manner Hysterical For presently upon the stopping of the Menses the Heterogeneous Particles being convey'd to the Brain and Genus Nevosum brought violent Fits of the distemper After that she had last conceived in the first Months according to her ancient wont she was often troubled with Convulsive affects about the uinth week of her being with Child upon taking Cold she fell into a dangerous Fever in which very acute Pains sorely infesting her in the Loins and about the lower part of the Belly seem'd to threaten an Abortion But those Pains as it appear'd at last being rather to be judg'd of the Colick proceeded from a Sharp humor falling from the Brain into those parts by the Ductus's of the Nerves for about the declining of the Fever that matter being convey'd elsewhere a Diarrhaea Pains of the Feet and a Blistering as it were ensued As soon as this Lady grew well of her Fever and Pains the Convulsive affects returned for every morning as she awaked from her sleep she was wont to undergo violent Contractions and Convulsions about the parts of the Mouth and Face and also in the Arms and Legs which Syptoms doubtless arose from the Serous filth heap'd together in the Head about the Origines of the Nerves and deeply Imbib'd by them during the sleep together with the Juice that passes in them and when afterward the same matter was caryed again by the conveyance of the Interiour Nerves into the Plexus's of the Mesentery and the Loins most violent Pains of those parts and likewise Fits as it were Hysterical sorely infested her For those Convulsive Motions of the Face and Members ceast in a short time yet she continued still Weak and Infirm with a Pale Countenance Trembling as she went and having a mind to no Food but such as was improper and to hot Liquors about the end of the third Month at which time she used constantly to Abort her Menses broke forth which passing from her for two or three days together with pieces of broken Membranes she expected the Abortion But the Flu ceasing Pains like those of a person in Labour arose in the Abdomen and Loins as before and miserably tormented her day and night for a week At length having us'd a Bath of Emollient Herbs and then being put to bed to sweat she was delivered of the burthen of her Womb the Conception thus passing from her with a mighty torture was as a Pea-hens Egg in bigness and figure the outward coat of this was ragged and broken the inward coat remaining whole contained about half a pound of clear Water and nothing else And no rudiments of a Faetus that was form'd or about ot be form'd did appear Afterward for four or five days the Lochia flowed from her with some pieces of Membranes Mean while Pains troubled her with their wonted violence And in regard that after a week was past they did not cease of their own accord at length remedies were desir'd for appeasing them For this end in the first place Liniments Fomentations Baths and Glysters were freuently administred And Medicines cleansing the filth of the Womb on which the cause of the whole distemper was charg'd were inwardly taken Upon the use of the former short intermissions of the Pains followed But now and then the affect returned and was mighty tedious Nay and within three weeks the disease growing much worse brought many other horrible Symptoms along with it For besides the Pains in the Abdomen and Loins which grew daily more violent she was now troubled likewise with a great torture in her Back Neck Shoulder Blades also in the Arms and Leggs and that more severely as often as she grew warm in her Bed Moreover she was afflicted with a frequent Giddiness a Vomiting and Nauseousness and often in a day with vehement Convulsive Fits viz. First a great heavy thing seeming to Ascend in the lower parts of the Belly presently raised up the
Rusticks and poor people this Medicine of a very easie preparation is commended by many Take Leaves of Water-cresses three handfuls of the lesser Sorrel two handfuls being slic't let them be macerated in six Pounds of Milk and let them boil to a consumption of a third part let it be taken twice a day from four Ounces to eight The Decoction of Worm-wood is commended by Eugalenus and others I have often tryed the following Medicine with good success Take Broom tops three handfuls being slic't small let them boil in three Pounds of strong Beer to a half let it be given from two Ounces to three twice a day 2. Infusions AN Infusion added to a Decoction makes a very profitable Medicine Take Roots of Scorzonera and Chervil of each an Ounce Leaves of Agrimony and Ground-pine of each half a handful burnt Harts-horn two Drams Raisins half a handful set them boil in three Pounds of Fountain-water till a third part be consumed Add of Rhenish-wine half a Pound and presently let it be strain'd into a glass Vessel to which put Leaves of Scurvy-grass and Brook-limes bruis'd of each half a handful Orange Pills preserv'd and slic't small half an Ounce make a close and warm Infusion for six hours let the straining be kept in stopt Vessels The Dose is six Ounces twice a day after a solid Medicine Take Whey made with White-wine or Cider a Pound and a half in this boil Roots of Bur-dock and candied Eringo's of each six Drams Juniper-berries preserv'd half an Ounce Let the Liquour being boil'd away to the consumption of a third part be strain'd into a Flagon to which put Leaves of Scurvy-grass and Brook-limes of each a handful make a warm and close Infusion for six hours The Dose is half a Pound twice a day after a solid Medicine Infusions also made by themselves are sometimes of excellent use Take Leaves of Scurvy-grass a handful Raspings of the Root of Horse-raddish half a handful Winters-bark bruis'd two Drams let them be put in a Glass with White-wine or Cider and water of Scurvy-grass of each a Pound let them infuse in a Cellar for two or three days The Dose is from six Ounces to eight twice a day as above 3. Juices and Expressions THE most commendable use of Antiscorbutick Herbs and Fruits is that their Juices and Expressions be taken by themselves or with other appropriated Liquours twice or thrice a day For so the entire and pure Vertue of the Remedy is presum'd to be given Take Leaves of Scurvy-grass Water-cresses Brook-limes of each three handfuls being bruis'd let the Juice be prest forth and be kept in a Glass well stopt The Dose is from an Ounce and a half to three Ounces twice a day in a little draught of Beer Wine or distil'd Water Take Leaves of Scurvy-grass four handfuls of Wood-sorrel two handfuls being bruis'd let the Juice be exprest which being put in a Glass and well stopt will soon become clear for the Acidity of the Wood-sorrel precipitates the grosser parts of the Scurvy-grass The same thing comes to pass if the Juice of Oranges be mixt with the Juice of Scurvy-grass The Dose is two or three Ounces twice a day Takes Leaves of Scurvy-grass four handfuls of Brook-limes and Garden-cresses of each two handfuls long Pepper three Drams Raspings of Horse-raddish two Ounces being all bruis'd together let them be put in a Glaz'd Pot with two Pounds of Rhenish-wine or of Sack if it be thought better The Orifice being well stopt let them stand in a cold Cellar for two days then express it strongly the Dose is three Ounces twice a day after a solid Medicine Take Leaves of Scurvy-grass three handfuls of Brook-limes Garden-cress and Wood-sorrel of each a handful being bruis'd pour to them Water of Snails and of Earth-worms of each six Ounces make a strong Expression and keep it in a Glass well stopt The Dose is two Ounces twice a day 4. Syrups FOR the same reason as Decoctions Syrups also are disapprov'd of in the Scurvy viz. in as much as the vertue of the most efficacious Simples evaporates in boyling Yet because sometimes there seems need of such a Medicine for sweetning appropriated Medicines for some persons we shall here propose our preparation the Vertues of the Ingredients being preserv'd as much as may be Therefore take Leaves of Garden Scurvy-grass six handfuls the Coats of four Oranges and of two Limons thinly par'd off the Raspings of Raddish-roots half a handful long Pepper powdred three Drams all of them being bruis'd together let the Juice be exprest which presently being put in a Glass and well stopt let it be set in a cold Cellar till it becomes clear by subsiding Then let the clear Liquour be pour'd off into another Glass by inclination and being stopt let it be kept in the heat of a Balneum Mariae Mean while for each Ounce of it take of Sugar an Ounce and a half and let its whole quantity dissolv'd with a little Water of Earth-worms be boil'd to a consistency for Tablets to which presently let the foresaid Liquour whilst warm be pour'd by little and little and let it be stir'd with a Spatula assoon as it is incorporated let the composition be taken from the Fire and being cold let it be put into a Glass Let this Nodulus be hung in the Glass Take Cinnamon bruis'd a Dram and a half Seeds of Garden-cress and of Rocket powdred of each an Ounce mix them 5. Distil'd Waters DIstil'd Waters because they are a neat and pleasant Remedy are in a manner all in all amongst Antiscorbutick prescripts some very profitable and neat Dispensations of these are contained in our Dispensatory as are Radish-water compound the Magistral Waters of Snails and of Earth-worms Moreover there are famous Prescripts of these kinds of Waters delivered by Quercetan Dorncrelius Sennertus Doringius and other Authors It 's also easie for every Physitian to prescribe such appropriated to the condition of each Patient as occasion requires For Antiscorbutick Ingredients and likewise such as regard certain Accidents and particular Affects are taken to which being slic't and bruis'd a fit Liquour viz. White-wine Cider or Whey prepar'd of either is pour'd Then the whole mixture is distil'd in a Cucurbit or in a Rose-still I shall here give you a form or two of such as we commonly use Take Leaves of both Scurvy-grasses Brook-limes Water-cresses tops of Broom of each four handfuls Leaves of Germander and Ground-pine of each two handfuls Roots of Horse-raddish half a Pound of Aron Angelica Master-wort of each four Ounces the outward Coats of four Oranges and of as many Limons Roots of Calamus Aromaticus an Ounce Cinnamon Cloves of each half an Ounce being slic't and bruis'd pour to them of the best Cider eight Pounds let them digest for two days in a Glaz'd Pot close luted Afterward distil them in a common Distillatory let the Waters first and last drawn be mixt In the Winter season
or thrice a day in a spoonful of the following distill'd Water drinking seven or eight spoonfuls of the same after it Take Cypress Tops six handfuls Clary Leaves four handfuls the outward Coats of twelve Oranges Cinnamon Mace of each an Ounce the Roots of Cyperus and the lesser Galingal of each half an Ounce being slic'd and bruis'd let them be put into eight pounds of Brunswich Beer and distill'd in an ordinary Still Take Tincture of the Balsam of Tolu extracted with the Tincture of Salt of Tartar an Ounce the Dose is twenty Grains with the same Vehicle the Tincture of Wormwood prepar'd with the same Menstruum may also be try'd Take Powder of the Leaves of Wormwood and Myrtle dri'd in the Sun in the Summer time of each two Drams Cinnamon Flowers of red Roses of each a Dram Cubebs Roots of the lesser Galingal of each half a Dram red Coral prepar'd a Dram make of all a subtle Powder then with six Ounces of double refin'd Sugar dissolv'd in Cinnamon-water and boil'd up to a consistency make it up in little Cakes weighing half a Dram let one or two of these be eaten often in a day as the person pleases Take Conserve of red Roses vitriolated four Ounces Myrobalans condited six Drams Ginger condited in the Indies half an Ounce Species of Hyacinth two Drams the reddest Crocus Martis one Dram Syrup of Corals what will suffice make of all an Electuary the Dose is a Dram twice a day drinking after it a little draught of the distill'd water In the debility or resolution of the Ventricle by reason of the Nerves being somewhere else abstructed Paralytick Remedies joyn'd with Stomachicks must chiefly be insisted on Take Elixir Proprietatis Tartariz'd an Ounce the Dose is a Scruple twice a day with the water above prescrib'd The Tinctures of Salt of Tartar of Coral of Antimony may be us'd after the same manner In this case also the sweet spirit of Salt tht spirit of Sal Armoniack or its Flowers are of great effect Moreover Vomits Purges and even Diaphoreticks are often successively administred I have known this Distemter sometimes happily Cur'd by Bathing in our hot Baths at Bathe CHAP. III. Instructions concerning Purging with prescripts of Purges AS Nature often Purges it self according to three Degrees so there are three Degrees of Purging by Medicine The first is soft and easie gently expelling any loose matter contain'd in the Ventricle and the Intestines The second reaches not only that but Purges likewise other humours from the Bilous and Pancreatick Passages and from the Mouths of the Vessels The third performs all this and that in a more full manner and going yet farther strongly Purges from the Blood and consequently from the Nervous Juice and other parts an Excrementitious matter which is brought by the Arteries into the Intestines As for what concerns the choice to be us'd in Purging Medicines though we do not approve of those cry'd up Classes of Medicines appropriated to this or that Juice or Humour yet we do not think that all Purges are indifferently to be us'd in all cases but that there is need of a strong Judgment and a wary circumspection in a Physician that according to the strength of his Patients their temperament the state and ability of the Viscera their bearing custome and fancy and so according to the nature of the Disease its time and quality he prescribe a Purge more gentle or strong and that of hot things or temperate gentle or more smart and in a solid substance or a liquid or something of some other certain kind and form as he shall see good A Purge therefore being not convenient at all times nor in every state of Body to proceed as we ought we must take a fit season and use a certain preparation and both these have regard to the first passages and to the Mass of Blood As to the first if at any time the Stomach be loaded with a Mass of viscous Phlegm or troubled with the boiling of Turgid Choler a Purge most commonly either becomes of no effect or does hurt unless those contents are first of all cleans'd forth by a Vomit or unless their oppression and effervescency be corrected by digestives As to what regards the Blood a Purge is often unseasonable sometimes also inconvenient and in neither of these cases Preparatives commonly so call'd but only Alteratives are proper for the business is not to dispose those imaginary humours for evacution but the Blood it self ought to be reduc'd from its troubled and confused state to a calm condition or from its debility and fall'n Crasis to its vigour and ev'n temperament Whilst the Blood Feaverishly boiling is disturb'd in its mixture Purging is always found hurtful and so whilst its Mass being become languid and weak does not arise to its due fermentation that sort of Evacuation is no less forbidden Moreover when the Blood is too bilous or watry or too much inclin'd to Coagulations or Fusions Purges for the most part do not take away those its defaults or depravations but most commonly encrease them Wherefore in those cases altering Remedies are rather Indicated which may destroy the undue Separations and Combinations of the Salts Sulphur and Serum and take away other their enormities Of these Digestives and Alteratives which supply the place of common Preparatives we shall speak particularly hereafter The chiefest Compositions of Purging Medicines being Potions Powders Bolus's Electuaries Morsels or Tablets and Physick-Ales or Wines we shall here set down certain of the more Select Forms of each of them and those of a threefold kind according as the operation of the Medicine ought to be gentle mean or strong to which in the fourth place we shall add Prescripts of easily prepar'd Purges for poor People 1. Gentle Potions Take Rhubarb slic'd three Drams yellow Saunders half a Dram Salt of Tartar a Scruple make a cold Infusion all Night in Cichory water and White-wine of each two Ounces and a half to three Ounces of Cleer straining add Syrup of Cichory with Rhubarb half an Ounce Cinnamon water two Drams make a Potion 2. Mean Potions Take of the best Senna three Drams Rhubarb Troches of Agarick of each a Dram and a half yellow Saunders two Scruples Salt of Tartar half a Dram Coriander-seeds a Dram let them have a close Infusion all Night in Spring-water and White-wine made warm of each three Ounces to four Ounces of it strain'd add of the Purging Syrup of Apples an Ounce Aqua Mirabilis two Drams make a Potion Or Take the decoction of Senna Gerionis four Ounces Syrrup of Roses Solutive an Ounce Cream of Tartar half a Dram Cinnamon water two Drams make a Potion Take the best Senna Cassia Fistula Tamarinds of each half an Ounce Coriander-seeds two Drams boil all in ten Ounces of Spring-water till a third part be consum'd strain it and Clarifie it with the White of an Egg add to it the Syrup of Apples
an Ounce make a Potion 3. Strong Potions Take of the decoction of Sena Gerionis with the addition of the strings of black Hellebore and Agarick of each a Dram and a half six Ounces Syrup of Roses Solutive or of the flowers of Peaches an Ounce Aqua Mirabilis two Drams Or Take of the best Sena half an Ounce strings of black Hellebore Turbith of each two Drams yellow Saunders a Dram Coriander-seeds a Dram and a half Salt of Tartar half a Dram let it infuse close all Night in eight Ounces of White-wine made warm to five Ounces of the Cleer straining add of the Electuary of the Juice of Roses three Drams Syrup of Buck-thorn six Drams Cinnamon water two Drams make a Potion Potions of easie preparation for the Poor Take of Flaxweed a handful sweet Fennel-seeds two Drams boil them in a sufficient quantity of Spring-water till it comes to six Ounces add to it of White-wine two Ounces make a Potion After the same manner you may make a Purging Potion of the Flowers of Damask Roses also of Peach Leaves and so of the Roots of Eupatorium Avicennae PILLS First of a gentle Operation Take of Stomach Pills with Gums from a Scruple to half a Dram Tartar vitriolated two Grains Balsam of Peru what will suffice make thereof three or four Pills After the same manner may be made Pills of the mass of Pilul Ruffi of Pilul Mastichin of Pilul de Succino and of our extract Solutive the description of which you may find in our Tract of the Scurvy 2. Mean Pills Take of Stomach Pills with Gumms half a Dram Rosin of Julap from four Grains to ten Tartar vitriolated six Grains Ammoniacum dissolv'd as much as will suffice make four Pills After the same manner may be made Pills of the mass of Pilulae de Succino Tartari Quercitani Also instead of Rosin of Jluap you may put Scammony Sulphurated from six Grains to twelve or Rosin of Scammony from eight Grains to fourteen Or Take Stomach Pills with Gumms a Scruple Rosin of Julap from six Grains to twelve Balsam of Peru as much as will suffice make four Pills 3. Strong Pills Take Pilulae Rudii half a Dram Rosin of Julap from eight Grains to twelve Balsam of Peru what will suffice make four Pills to be taken cum Regimine After the like manner Pills may be made of the mass of Pilulae Cochiae de Sagapeno Take of Pilulae ex duobus from a Scruple to half a Dram Calamelanos a Scruple make four Pills to be taken Cum Regimine 4. Pills easily prepar'd and cheaper Take Powder of the best Jalap two Drams Diagridium a Dram Cloves Ginger of each a Scruple Ammoniacum dissolv'd as much as will suffice make a mass the Dose is half a Dram. Take of Pilulae Cochiae from half a Dram to two Scruples let four Pills be made POWDERS First such as are gentle Take of Rhubarb Powdred half a Dram Salt of Wormwood half a Scruple Cloves two Grains make a Powder give it in a spoonful of small Cinnamon-water or in a little Broath Take of the greater Compound Powder of Sena from half a Dram to a Dram in a little draught of Posset-drink Take Powder of the Leaves of Sena a Scruple Calamelanos seventeen Grains yellow Saunders half a Scruple make a Powder give it in a spoonful of Panada 2. Mean Powders Take Powder of Diasena a Dram Cream of Tartar a Scruple make a Powder give it in a little draught of Broath Take Rosin of Jalap ten Grains Calamelanos a Scruple Cloves six Grains make a Powder and take it after the same manner Take Species of Diaturbith with Rhubarb from half a Dram to a Dram Cream of Tartar from a Scruple to half a Dram. 3. Strong Powders Take Turbith Hermodacts of each three Drams Diagridium a Dram Ginger a Scruple make a Powder the Dose is from half a Dram to a Dram. Take Pulvis Cornachini a Dram after the same manner may be given the Compound Powder of Hermodacts also the Hydrotick Powder of Riverius 4. Cheap Powders and easie to be got Take Powder of the Roots of the best Jalap a Dram Ginger a Scruple give it in a little draught of White-wine so you may give Powder of the Roots of Mechoachan also of the Leaves of Sena in any Liquor BOLUS's and ELECTUARIES First such as work gently Take of the Lenitive Electuary half an Ounce Cream of Tartar half a Dram Syrup of Roses what suffices make a Bolus Take fresh Cassia half an Ounce Powder of Rhubarb half a Dram Cream of Tartar a Scruple Syrup of Roses as much as suffices make a Bolus 2. Mean Take of the Lenitive Electuary half an Ounce Cream of Tartar half a Dram Rosin of Julap six Grains Syrup of Roses what suffices make a Bolus Take of the Electuary Diaphaenicon half an Ounce of the Compound Powder of Hermodacts half a Dram Syrup of Elder what suffices make a Bolus 3. Strong Workers Take of the Electuary of the Juice of Roses half an Ounce Rosin of Julap ten Grains Cream of Tartar half a Dram Syrup of Elder what suffices make a Bolus Electuaries are Compounded of the same things made up in a greater quantity by adding Conserves of Damask Roses or of the Flowers of Peaches the Dose is the quantity of a Chesnut to be taken betimes every Morning or twice or thrice a Week 4. Bolus's and Electuaries easily prepar'd Take Powder of the Roots of Julap an Ounce of Mechoachan half an Ounce of Ginger two Drams of Cloves a Dram Cream of Tartar three Drams Salt of Wormwood a Dram Sugar two Ounces Syrup of Roses Solutive what suffices make an Electuary the Dose is the quantity of a Wallnut Confectio Solutiva Passulae Laxantes the Diapranum of Sylvius in the 30. Page of his Practice of Physick 5. Morsells or Tablets of a mean operation Take Powder of Mechoacan Gummous Turbith of each half an Ounce Scammony sulphurated two Drams Rosin of Jalap a Dram yellow Saunders a Dram Cream of Tartar two Drams Conserve of Violets an Ounce Sugar dissolv'd in Rose-water and boil'd up to a fit consistency a Pound Make Tablets according to Art each weighing a Dram the Dose is one or two The Purging Tablets of Sylvius Page the 28. of his Practice of Physick 6. Physical or Purging Wines and Ales of a mean operation Take Leaves of Sena an Ounce and a half Turbith Mechoacan of each six Drams strings of black Hellebore three Drams Cubebs Galingal Roots choice Cinnamon of each two Drams Put all in a large Glass with four Pounds of Rhenish-wine adding to it Salt of Tartar a Dram and a half let it stand cold and close cover'd for six days add to it Sugar-Candy three Ounces strain it through Hippocrates Sleeve the Dose is three or four Ounces Take Leaves of Sena three Ounces Roots of Polypody of the Oak and of sharp Pointed Dock prepar'd of each two
and the Roots of Scorzonera c. boil'd in it About the Autumnal Equinox in the Year 1671. a desperate Bloody Flux seiz'd on many persons in this City from the first seizing they voided Blood by seige in abundance and that frequently and for the most part it was attended with a Belly-ach and Gripes continual watchings also with a Feaver and a mighty thirst usually troubled them nevertheless their strength held commonly pretty well for some considerable time and if the Flux were stopt sooner than it ought it rendred the Patients conditions worse The method of Cure with the Remedies which I found to give Relief in many persons was according to the following manner Take Venice-Treacle a Dram Liquid Laudanum Cydoniated twenty Grains make a Bolus to be taken going to rest Take Conserve of red Roses vitriolated two Ounces Venice-Treacle an Ounce Powders of the Roots of Tormentil Contrayerva Pearl Coral prepar'd of each a Dram Syrup of dry'd Roses what suffices make an Electuary to be taken every fourth or fifth hour and let the person drink after it of the following Julap three Ounces Take the Waters of Mint Baum Cinnamon hordeated of each four Ounces Treacle-water Plague-water of each two Ounces Pearl a Dram Sugar an Ounce mingle them and make a Julap After a day or two give a Purging Potion which leaves an Astringency Take Rhubarb slic'd two Drams yellow Mirobalans slic'd a Dram and a half red Saunders Cinnamon of each a Scruple let them infuse all Night in the Waters of Plantain and Cinnamon hordeated of each two Ounces and a half wring it forth hard then add of strong Cinnamon-water a Dram and a half make a Draught Every Evening and also in certain cases in the Day-time I was wont to give a pretty large Dose of Laudanum nor have I ever known this Medicine to have done any prejudice to a person troubled with the Flux which happen's either because the Narcotick force of the Medicine is subdued or made more gentle by the Acid Juice of the Stomach or rather that its Particles which are transmitted to the Blood are thence presently cast forth again with the Bloody Stools so that they do not affect the Brain If the above-mention'd Electuary be found nauseous to any person or disagrees with him the following Powder may be given in its stead Take Pulvis Pannonici Rubri a Dram Roots of Contrayerva half a Dram make a Powder divide it into three parts and give one part in any Liquor Take Bole Armenick alexiteriated that is impregnated with the Juices of the Leaves of Tormentil Bistort red Roses c. and dry'd in the Sun Roots of Contrayerva of each a Dram Pearl red Coral white amber of each half a Dram make a Powder the Dose is from two Scruples to a Dram. Take the Roots of Avens and Scorzonera of each an Ounce of Tormentil Bistort and Contrayerva of each two Drams and a half burnt Harts-horn three Drams shavings of Ivory and Hartshorn of each two Drams Cochinele half a Dram red Rose-leaves two Drams boil all in a sufficient quantity of Spring Water till it comes to two Pounds towards the end of the boiling add conserve of red Roses three Ounces to the Cleer straining add plague-Plague-water four Ounces the Dose is three Ounces To appease the Gripes and fretting of the Bowels Glysters are commonly prescrib'd Take the decoction of the Tops of St. John's-wort in which Sheeps Trotters or their Mesentery has boil'd eight or twelve Ounces Venice-Treacle two Drams Oyl of St. John's-wort an Ounce and a half make a Glister The Therapeutick Indications into which the method before exprest of curing the Bloody Flux may be resolv'd are chiefly four c. two regard the Blood and as many the Viscera First as to the Blood it s recrementitious and depraved dreggs which tend inwards must be driven forth into the habit of the body that they may exhale by perspiration and its coagulations must be dissolv'd and its Crasis restor'd as soon as may be Secondly as to what regards the Viscera the irksome sensation of the Nervous Fibres and the irritation of the Carnous Fibres to excretory Convulsions must be appeas'd and the Mouths of the Vessels must be shut to keep them from discharging the blood and humours into the Intestines The first of these is usually perform'd with Opiats and the other with Stiptick or Astringent Remedies Besides these we must have regard to urging Symptoms and ill affects usually attending this Disease the chief of which are a Feaver with a Thirst and Wakings Gripings of the Guts and sometimes their fretting Inflammation and Ulcers We must not proceed upon those four chief Indications severally and successively but we must take them altogether and set upon them at once wherefore the Prescripts ought to comprehend Remedies of divers kinds to wit Alexipharmicks Stypticks Diaphoreticks and Opiats And because it is not an easie thing to put these into a set method and under set Rules which may be generally apply'd I have rather chosen to give you here some Examples of Cures performed by me in the Bloody Flux in the year 1671. To a Gentleman 25 years of Age to whom I was call'd the third day after he was seiz'd I prescrib'd the following Bolus Take Venice Treacle a Dram Liquid Laudanum Cydoniated a Scruple mix them let him drink after it a little draught of the following Julap Take waters of Tormentil Mints and Cinnamon hordeated of each four Ounces Treacle water and Plague water of each two Ounces Pearl a Dram Sugar an Ounce make a Julap He took besides of the following Electuary about a Dram and a half every third hour with the said Julap Take Conserve of Red Roses two Ounces Venice Treacle an Ounce Powder of the Roots of Tormentil Contrayerva Pearl Coral prepar'd of each half a Dram Syrup of Red Poppies what suffices By the use of these Remedies the rigour of the Disease soon abated so that he had not above six or seven stools in the space of twenty four hours and those also were not very Bloody as before but appear'd full of little flakes of Flesh and of fragments as it were of Membranes Every Evening he took an Opiate with Laudanum The Fifth day of his illness he took the following Potion Take Rhubarb slic'd two Drams yellow Mirobalanes a Dram and a half yellow Saunders half a Dram Powder of Cinnamon a Scruple Salt of Wormwood half a Scruple let them infuse all night in the waters of Plantain and Cinnamon hordeated of each two Ounces and a half to the straining add strong Cinnamon water two Drams It purg'd him three or four times and gave him ease and the next day the Feaver being abated he was better so that seeming to grow well he eat flesh But shortly upon it fell into a Relapse so that the Flux returning with the Feaver it presently became more violent than it was at first Then because the former Medicines
began to nauseate him I prescrib'd after the following manner Take Powders of Tormentil Roots of Contrayerva Bole Armenick Alexiteriated of each a Dram Pearl Red Coral prepar'd White Amber of each half a Dram make a Powder the Dose is half a Dram in the following distill'd water Take Tops of Cypress and Myrtle of each four handfuls Leaves of Meadow-sweet Burnet St. Johns-wort Avens of each four handfuls Roots of Tormentil Bistort of each six Drams Red Rose-flowers four handfuls Kermes Berries four Ounces Cinnamon Mace of each one Ounce Being all slic'd and bruis'd together pour to them Red Florence Wine and Red Rose water of each four pounds distil all in a common Still let the whole Liquor be mingled and sweetned with Syrup of Coral He took also three or four times a day of the following decoction three or four Ounces Take Roots of Avens and Scorzonera of each an Ounce of Tormentil two Drams Hartshorn burnt and powdred six Drams shavings of Ivory and Hartshorn of each two Drams Tops of St. Johns-wort a handful Flowers of Red Roses and Balaustiae of each a pugil Boil all in three pounds of fountain water till it comes to two adding towards the end of the boiling of Red Lisbon wine four Ounces let it boil close cover'd for an hour then let it be strain'd through Hippocrates Sleeve Every night he took a Scruple of Liquid Laudanum in three Ounces of the Bloody Flux water ev'n now describ'd with three Drams of Syrup of Clove Gilly-flowers in it His common drink was a decoction of burnt Hartshorn with Barley a Crust of Bread Mace and Cinnamon to a Pint and a half of which a Pint of new Milk was added He took the Purging Infusion a second time by the use of which and the things before mentioned within ten days the Feaver left him and the Flux became much more gentle which though without Gripes or much Blood yet still continued with the little pieces of Flesh the fragments of Membranes and a bloody Phlegm or Gelly which daily came from him Therefore to strengthen and heat the intestines the following things were given Take Tops of St. Johns wort Leaves of Perwincle and Mousear of each a handful Red Rose Flowers two pugils Boil them in the Broath of a Sheeps Guts To a pound of the Liquor strain'd add Oyl of St. Johns-wort two Ounces Honey of Roses an Ounce and a half mingle them for two Glysters whereof one was given him in the Morning the other at five a Clock in the Afternoon He wore Emplast de minio Paracelsi upon him Belly He took moreover twice a day three Ounces of Juice of Plantain wrung forth with water of Scordium and Plague water He eat also every day a Quince made hollow and fill'd with the Powders of Olibanum Mastick and Balsam of Tolu and so rosted in the Embers By the constant use of these Remedies he grew perfectly well within a Month. About the same time another robust young man fell into a dreadful Bloody Flux from the first day he was seiz'd frequent stools and very bloody presently brake forth with violence being accompanied with a Pain and Gripes Moreover a strong Feaver with a cruel Vomiting Thirst and Wakings molested him These Symptoms being a little mitigated with Opiats a Delirium and a Vertigo with an intermittent Pulse and horrible extensions and contractions of his Limbs presently seiz'd him this hapning because the malignant matter which was inwardly restrain'd presently flow'd into the Brain and Nerves Nevertheless as often as the Looseness and Vomiting return'd these affects were presently appeas'd On the fifth day Vomiting up a bloody matter he complain'd of a great torture in his Stomach and of a Pain as though it were Ulcerated and in truth I suspected that there might be a beginning of some Inflam'd Blisters or Ulcers in it as it usually happens in the Intestines but by giving him Emollient Broths with Milk in them his Vomiting and the tortures of his Stomach soon ceased his Flux in the mean time encreasing He took that night of Diacodium an Ounce Cowslip water and small Cinnamon water of each an Ounce and a half by which Medicine he was so much reliev'd that in twenty four hours space his Vomiting and Pains left him and he was only troubled with a few Stools and having a good indifferent Pulse and frequent Sleeps he was pretty well yet the following night though he took again the same Opiate his Flux return'd and that with very frequent Stools and bloody as before The next day after he took an Infusion of Rhubarb with Mirobalans Red Saunders and Cinnamon He often voided Bilous and very sharp Excrements but without the least of Blood then in the Evening he took Liquid Laudanum Cydoniated twenty five Grains in a good spoonful of Cinnamon water hordeated he had moderate and quiet Sleeps Afterwards loathing any more Medicines he took only an Opiate every Evening sometimes of one sort and sometimes of another and in a short time grew very well CHAP. V. Instructions concerning Diuretick Medicines or such as work by Vrine with Diuretick Prescripts THe chief Scopes or ends of Diuretick Medicines are as follows First If at any time the Blood becomes so compact and tenacious from a fixt Salt Sulphur and Earth fermented together and mutually combin'd in it that the Watery Particles do not easily separate from the rest Diureticks fit to loosen its Texture and to fuse the Serum must be such as excel in a volatile or acid Salt for such Particles chiefly dissolve any coalitions caus'd by a fixt Salt But in regard this disposition is common both to a Feaver and the Scurvy in the former affect the most proper Diureticks are the temperate Acids of Vegetables also Sal Nitre the Spirits of Sea-Salt of Vitriol c. And likewise such as have a Volatile Salt as the Spirits of Hartshorn of Sal Armoniack Salt of Amber of Vipers and others of this kind which we have also rang'd amongst Diaphoreticks In a Scorbutick disposition when the Urine is but in a small quantity and thick the Juices of Herbs and preparations both of a sharp or tart and acid nature are of excellent use also Salt and Spirit of Vrine of Sal Armoniack of Tartar c. Secondly Sometimes the Blood does not retain the Serum long enough within its Body but either being obnoxious to Fluxions or rather Coagulations it deposes it here and there in a great abundance even more than enough whence it breeds Catarrhs or Tumours in many places Or the Blood being become of a weak habit and withal of a depraved constitution to wit inclining to a sourness its apt to coagulate as to its more gross Particles so that the more subtle Particles being every where thrown off in circulating and falling on the weaker parts cause sometimes distempers of the Head or Breast sometimes an Ascites or Anasarca And we shall hereafter shew how a Diabetes happens from
boild in it Take the Deliquium of Salt of Tartar which whilst the Tincture is extracted floats under and is impregnated with the Sulphur of the Wine from two Scruples to a Dram and a half Whitewine from four Ounces to six Syrup of the five Roots half an Ounce Mingle them and make a draught to be repeated twice or thrice a day Take Ashes made of the Prunings of the white Vine half a pound Nutmegs two Drams pour to them of White or Rhenish wine two pounds and a half let it stand a day in a moderate heat and close cover'd then keep the straining for use The Dose is four Ounces twice or thrice a day Let Flints be made red hot in the Fire and be quencht in White wine or stale March Beer Give of the Liquor from six Ounces to eight twice a day Take Water of quick Lime from four Ounces to six Tincture of Salt of Tartar from a Dram to a Dram and a half Make a draught to be taken twice or thrice a day For the same reason as fixt Salts sometimes also volatile Salts are given with good success to move Urine in a sourish distemper of the Blood to wit forasmuch as its Particles when admitted into the Blood destroy the predominancy of the fluid Salt in it so that the Blood recovering its due mixture and being freed from coagulations and fluxions drinks up again what Serum is extravasated and conveys what is superfluous to the Reins to be sent forth by the Ureters But we may note withal that Medicines prepar'd of a volatile Salt having particles somewhat fierce in operation and instigating when they correct the Crasis of the Blood dispose what there is superfluous of Serum to be discharg'd sometimes by Sweat as much as by Urine In this order of Diureticks not only the bare volatile Salt drawn forth of Animals and Minerals ought to be numbred but likewise the integral parts of Animals and Vegetables such as are the Powders and Extracts of Insects and Vegetables of a smart nature Prescripts of Medicines that have a volatile Salt for their Basis TAke Salt of Amber Pure Sal Nitre of each two Drams make a Powder the Dose is from a Scruple to half a Dram in a fit Vehicle Take Flowers of Sal Armoniack Crystal Mineral of each two Drams Make a Powder the Dose is from a Scruple to half a Dram in a good spoonful of Radish water compound Salt of Vrine may be given after the same manner Take Powder of Bees a Scruple Lovage-seed a Scruple Make a Powder give it in a spoonful of distill'd water Take Spirit of Vrine from a Scruple to half a Dram Radish water compound from an Ounce to an Ounce and a half Juniper water three Ounces mingle them make a draught Spirit of Tartar may be given after the same manner in a double quantity Take Millepedes prepar'd two Drams Flowers of Sal Armoniack half a Dram Nutmegs powder'd half a Dram Venice Turpentine what suffices Make Pills let four be taken twice a day Take Powder of Burdock-seeds two Drams Wild Carrot-seed a Dram Salt of Amber a Dram Oyl of Nutmegs half a Scruple Balsamum Capivii what suffices Make a Mass form it into little Pills of which let four be taken in the Evening and as many the next Morning Take Roots of Chervil Stone Parsly Fennel Eringo Cammock or Rest-harrow of each an Ounce Leaves of Saxifrage Clivers or Goose-grass of each a handful Seeds of Gromwel Hartwort of each half a handful Juniper Berrys six Drams boil all in four pounds of fountain water till half be consum'd then add Rhenish Wine a pound fine Honey two Ounces Make an Apozem the Dose is six Ounces twice a day Take fresh Millepedes two pounds Leaves of Clivers Chervil Saxifrage and Golden Rod of each two handfulls Roots of Horse Radish six Ounces Nutmegs an Ounce Juniper Berrys Wild Carrot-seeds of each two Ounces being slic'd and bruis'd pour to them of White-wine Posset-drink eight pounds distil it in a common Still Let the whole Liquor be mixt the Dose is four Ounces twice or thrice a day Take fresh Millepedes wash'd from forty to sixty Nutmegs half a Scruple being bruis'd together put to them distill'd Water of Saxifrage three Ounces wring it forth hard and drink it Take Leaves of Chervil Macedonian Stone Parsly of each three handfulls being bruis'd together pour to them of Whitewine a pound and a half wring it forth hard and keep it in a Glass the Dose is three Ounces twice a day Prepare a Tincture of Millepides Bees Grashoppers or of Cantharides dry'd with the Tincture of Salt of Tartar give it from fifteen to twenty or thirty drops in a fit vehicle Nitre is a sort of Salt but differing from any other Salt or from the nature of Saline Particles being neither Acid fixt or volatile but holds the mean state as it were betwixt those three And in truth Nitre is the thing by which all Plants have their vegetation all Animals live and breath and every Sublunary Flame or Fire is kindled and maintained But as to our present purpose it 's well enough known that Sal Nitre cools the Blood and powerfully provokes Urine though it seems somewhat strange how this which is of so fiery a nature should so quallify the Blood and run it into Aquosities to move Urine I conceive that Nitre works those effects in a two-fold respect to wit as it is a Salt ally'd both to a fixt Salt and a volatile and as it carries a living Root of Fire in it As to the first we observe that Nitre ev'n as fixt and volatile Salts being put into Milk hinders or takes away its coagulation so likewise Blood whilst warm being pour'd to this is preserv'd from coagulation and from being discolour'd no less than if put to those Wherefore since Particles of Nitre inwardly taken preserve the mixture of the Blood entire or restore it it follows that they prevent or take away the fusions or coagulations of the same from which heats and a suppression of Urine very often arise So again Nitre in regard it carries in it a living Root of Fire when inwardly taken cools the inflamed Blood and moves Urine because according to what is hinted before it adds a vigour to the flame of the Blood which before was troubled and full of fumes and so renders it more clear and pure and consequently more mild since therefore the Blood burning clearer by the access of Nitre becomes of a more loose consistency the serous Particles easily get clear of the more gross and pass away in a more plentiful manner Prescripts of Diureticks that have Sal Nitre for their Basis TAke Nitre prepar'd two Drams Barley water with Grass Roots and Candied Eringo Roots boil'd in it two pounds Syrup of Violets two Ounces Mix them the Dose is four Ounces twice a day Take Sal Prunella two Drams Sugar-Candy a Dram make a Powder to be divided into six
he fell at length into a confirm'd Diabetes as it seem'd and almost past hope of recovery For besides that in the space of twenty four hours he voided near a Gallon and a half of clear water and wonderfully sweet as though Honey were mixt in it He was moreover affected with a cruel Thirst and a Fever seemingly a Hectick with a mighty Languor of the Spirits a fall of strength and a Consumption of the whole Body I then prescrib'd him the following Remedies by the use of which he seem'd in a short time to recover Take Cypress Tops eight handfuls Whites of Eggs beaten two pounds Cinnamon half an Ounce being cut small pour to them of new Milk eight pounds distill it in an ordinary Still taking care of an Empyreuma Let him take six Ounces thrice a day Take Gum Arabick and Gum Tragacanth of each six Drams Penids an Ounce Make a Powder let him take about a Dram or a Dram and a half twice a day with three or four Ounces of the distill'd water Take Rhuba-b powdred fifteen Grains Cinnamon six Grains Make a Powder let him take it in the Morning and renow the Dose within six or seven days Take Cowslip water three Ounces Cinnamon water hordeated two Drams Syrup of Meconium half an Ounce Make a draught to be taken every Evening His Diet was only Milk which he took pretty often in a day sometimes crude or diluted with the distill'd water or with Barly water sowetimes boil'd with White-bread or with Barly Growing daily better by the use of these things within a Month he seem'd to be almost Cur'd As he began to grow a little well his Urine which was Insipid did not much exceed the quantity of Liquids he took and afterwards turning a little Salt it became less in quantity than what he drank and so by degrees recovering the wonted tone of his Spirits and a good strength he took to his former Diet. Nevertheless the disposition to this Disease did not so throughly cease but afterwards being apt frequently to Relapses upon disorders in Living and haply upon changes according to the seasons of the year he first made Water in a greater measure than ordinary which by degrees grew clear and sweetish a Thirst and Fever with a Languor of the Spirits accompanying it But by the use of the same Medicines he us'd in a short time to recover again Not long since after a large interval of health a little before he fell into a Flux of Urine he found great irregularities and failings in the Genus Nervosum viz. He was seiz'd with a dull numbness of his Brain and a Vertigo and was taken with sudden Cramps in his Limbs and felt little Leapings of the Tendons and various runnings about him as though it were of a wind creeping here and there And when by the use of fit Remedies the aforesaid Symptoms seem'd to be Cur'd the Diabetes after its wounted manner burst forth afresh viz. the matter flowing forth in abundance from the Fibres and solid parts into the Blood and thence to the Reins and the Urinary Passages In this Juncture the same Remedies were prescrib'd again by the use of which when within a few days he began to grow bettr he was ordered to take thrice a day Water of quick Lime to five or six Ounces Having continued this Remedy four days he made water in a moderate quantity well ting'd and somewhat salt and as to other things he seem'd well as he was before By the same method and chiefly with the Water of quick Lime I Cur'd another of a Diabetes who was look'd upon as past recovery The Kinds and Prescripts of Medicines that stop Vrine flowing in excess A Stringent Medicines properly so call'd to wit such as are austere acerb and stiptick do little or nothing in stopping a Diuresis for the vertue of those things has no effect on the Mass of Blood nor does it reach to the Reins and Bladder But the Remedies that chiefly do good in the Diabetes are of two kinds as we have hinted before viz. First those that hinder the combinations of the Salts and consequently the fusion of the Blood such as the Incrassatives before mentioned Secondly Those that dissolve the Concretions of the Salts and consequently restore the mixture of the Blood of which kind are Saline Remedies of a contrary nature which are apt to cleave to the Acid Salt and so withdraw it from the combinations it has entred into within the Blood as chiefly Medicines endow'd with a fixt volatile or alchalisate Salt Besides these two Primary kinds of Medicines that restrain Urine there rests a Secondary kind to wit Hypnoticks which putting some stop to the Animal Aeconomy cause the vital function to be perform'd with more calmness and consequently with less fusion of the Blood or precipitation of the serous and nutricious humours It remains now to set down some Select Forms of each kind of these Medicines I. The first Scope of Curing to wit by which we endeavour by thickning the Blood to prevent its fusion or to take it away is effected by the Medicines following Take Gumm Arabick and Tragacanth powder'd of each an Ounce Sugar Penids half an Ounce Make a Powder divide it into sixteen parts Take one part thrice a day dissolving it in the distill'd water or in the docoction of the Roots of Comphry in fountain water or Milk Take of the Resumptive Electuary three Ounces Species Diatragacanthi frigidi an Ounce Red Coral prepar'd two Drams Confection of Hyacinth a Dram and a half Gelly of the cast Skins of Vipers what will suffice Make an Electuary of which let the Patient take twice a day the quantity of a Wallnut Take white Amber Mastick Olibanum powdred of each an Ounce Pulvis Haly two Ounces Balsam of Tolu half an Ounce Make a Subtle Powder the Dose is half a Dram twice or thrice a day Take Roots of great Comphry and Water Lillies of each three Ounces Dates slic'd two Ounces Seeds of Maliows Cotton-plant Plantain Fleawort of each half an Ounce Boil them in four pounds of fountain water till half be consum'd to the straining add Syrup of Water Lillies two Ounces The Dose is four Ounces thrice a day Take of the decoction of Barly with Water Lilly-roots a pound and a half Sweet Almonds prepar'd an Ounce and a half Seeds of white Poppies Purslain Lettice of each half an Ounce Make an Emulsion according to art the Dose is four Ounces thrice a day Take Cypress Tops six handfuls Clary Leaves four handfuls Flowers of blind Nettles Comphry Water Lillies of each four handfuls Roots of Water Lillies and Comphry of each half a pound Mace an Ounce all being small slic'd together pour to them of new Milk eight pounds distil them in an ordinary Still The Dose is four Ounces thrice a day with the Powder of Electuary above written II. In the second place though Saline Medicines of every kind and condition are accounted Diuretick
the Tincture of Salt of Tartar of Steel and other things that chiefly abound with Spirit and havd a plenty of Sulphur of which sometimes these sometimes those may be taken as every patient lists When by reason of the Bloods being not kindled and consequently of its too greatcorwding and stagnation as it were within the Praecordia a languishing and failing of the Spirits with a great oppression of the Heart happens then Aqua Mirabilis the waters of Cinnamon Cloves Wormwood Compound also of the Rines of Oranges distill'd with Wine are proper to which sometimes a Dose of some Spirit Elixir or Tincture may be added But here great caution is needful that a person do no indulge himself too much to these kind of Cordials for many by often sipping of them get an ill habit continuing their daily use and encreasing the Dose which at length proves fatal to them for the Liver chiefly and other entrails are so dry'd and scorch'd thereby that the stock of Blood being diminish'd and its Crasis perverted an unhealthy Cacochymia follows or an abbreviation of Life In the second Rank of Cordials we put those Medicines which somewhat appease the too great boiling of the Blood and put a little stop to and allay its immoderate deflagration of this kind are distill'd Waters Acids and Nitrous things Take the waters of Wood-sorrel of whole Citrons of Straw-berrys of each four Ounces Syrup of the Juice of Citrons an Ounce Pearl Powdred a Dram Make a Julape the Dose is two Ounces three or four times a day Take the waters of Pippins or Garden Apples of Rasberrys of each four Ounces Syrup of Violets an Ounce Spirit of Vitriol twelve Drops Make a Julape Take fountain water a Pound and a half Juice of Limmons two Ounces Sugar an Ounce and a half Make a drink of which let three Ounces be taken at pleasure Take Grass Roots three Ounces Candied Eringos six Ounces two Apples slic'd or Corinths two Ounces Shavings of Ivory and of Harts-horn of each two Drams Leaves of Wood-sorrel a handful boil them in three pounds of fountain water to two pounds to the clear straining add of Sal Prunella a Dram and a half Syrup of Violets an Ounce and a half Make an Apozem the Dose is three or four Ounces thrice a day Take Conserve of red Roses vitriolated four Ounces fountain water two pounds dissolve it close cover'd and warm then strain it the Dose is three Ounces at pleasure Take Conserve of Barberrys Rob of Rasberrys of each an Ounce and a half Pearl prepar'd half a Dram Confection of Hyacinth a Dram Syrup of the Juice of Citrons what suffices Make a Confection the Dose is half a Dram thrice a day The third rank of Cordials furnishes those sorts of Medicines which being destinated against the exorbitancies of the boiling Blood loosen and open its close texture for the separation and discharge of its drossy superfluities These being chiefly and in a manner only of a saline nature are also of divers kinds according to the manifold state of the saline Particles of which they consist but for the most part their Basis is either a Volatile Alchalisate Acid Fixt or Nitrous Salt we shall set down certain forms of each of these In the First place Cordials endow'd with a volatile Salt are wont to be given with good effect according to the following prescripts both in Feavers in respect of the Blood and also in swoonings and sudden faintings in respect of the Animal Spirits Take Spirit of Hartshorn from fifteen Grains to twenty Treacle water two Drams give it with a spoon drinking after it a draught of some appropriated Liquor After the same manner may be given the Spirits of Blood of Mans Scull of Soot of Sal Armoniack Compound Take Salt of Vipers a Dram Sal Prunella two Drams Powder of Crabs Claws Compound a Dram and a half Mix them make a Powder the Dose is from half a Dram to two Scruples in a spoonful of Cordial Julape drinking after it a little draught of the same Take Flowers of Sal Armoniack half a Scruple Bezoartick Mineral a Scruple Make a Powder give it in a spoonful of some proper Liquor Secondly Those are chiefly call'd by the name of Cordials by the Vulgar whose Basis is an Alchalisate or Petrifying Salt as particularly Oriental Bezoar Pearl Coral and other Powders of Shells and Stones Take Gascoins Powder or Powder of Crabs Claws Compound from a Scruple to half a Dram give it in a spoonful of Cordial Julape drinking after it two Ounces of the same Take Oriental Bezoar from six Grains to twenty give it after the same manner Take Powders of Crabs Claws and Crabs Eyes of each a Dram Pearl both sorts of Coral prepar'd of each four Scruples both sorts of Bezoar half a Dram the best Bole-Armoniack Aurum Diaphoreticum of each two Scruples Bezoartick Mineral a Dram Mix them make a Cordial Powder the Dose is from a Scruple to two Scruples or a Dram with a fit Vehicle In Persons seiz'd with a Plurisie the following things are accounted the most proper Cordials for as much as by destroying the predominancy of the acid Salt they take away or prevent the Coagulations and Extravasatings of the Blood Take the Powder of a Wild Bores Tusk from half a Dram to a Dram Cristal Mineral a Scruple Powder of red Poppy Flowers half a Scruple Make a Powder to be taken in any Liquor After the same manner may be given the Powders of Crabs Eyes and of the Jaw-bone of the Pike-fish To this place belong also preparations of Nitre which are often given with good effect in Fevers according to the following Forms Take Cristal Mineral a Scruple Volatile Salt of Hartshorn from three Grains to six mix them Make a Powder give it in a spoonful of Cordial Julape Take Cristal Mineral Antimony Diaphoretick of each a Scruple Bezoartick Powder half a Scruple Make a Powder give it after the same manner Medicines whose Basis is a fluid or acid Salt are prescrib'd in Fevers after the following Forms to loosen the Texture of the Blood Take Spirit of Vitriol from four Drops to six Carduus water three Ounces Treacle water two Drams Syrup of the Juice of Citrons three Drams Pearl half a Scruple Make a draught to be taken twice or thrice a day Spirit of Salt or of Nitre may be taken after the same manner For the same the drink Cherbet called also the Divine drink of Palmarius are proper Take Powder of Hartshorn Calcin'd or of Antimony Diaphoretick three Drams Spirit of Vitriol or of Salt a Dram bray them together in a Glass Mortar and let them dry The Dose is from a Scruple to half a Dram in a spoonful of Cordial Julape Fixt or lixivial Salts of Herbs often enter the Compositions of Alexipharmicks Moreover Medicines which have these for their Basis as they are accounted very famous Febrifuges so they ought to be numbred amongst Cordials for instance we
Heterogeneous Particles may be subdued and soon evaporate the Operation of a Narcotick intervening puts a stop to these endeavours of the Praecordia and consequently retards the Purification of the Blood and sometimes disappoints it As to other Excrementitious humours usually heap'd together in the Ventricle or the Intestines these also must be purg'd forth by Vomit or Seige before an Opiat be given For otherwise being there fixt they will stick more pertinaciously For the Fibres of those parts being stupified by the Medicine are not irritated as before nor do they readily set upon excretory Convulsions for expelling those drossy superfluities or perform it with any vigour Wherefore according to the ancient Precept If any thing be to be Evacuated let it be done before a Narcotick be given The Kinds and Prescripts of Opiats THe safest Narcotick and which is generally approv'd of by long experience is the Poppy and preparations of it Wherefore as often as we endeavour effectually and safely to provoke sleep the whole stress of the Medicine is Plac'd in Opium or Diacodium As to the Heads of white Poppies with the Seeds out of which Diacodium also Decoctions Emulsions and other Hypnotick Confections are made it plainly appears that these have much less of a Narcotick Sulphur in them than the concreted Juice of Opium and what they have of it is much more pure and innocent Wherefore we give oftner and with more safety Medicines made of these nor ought we to use Laudanum but when through the violence of Symptoms Diacodiats will not serve Again since these have in them less of virulency they do not want much preparation but either a simple Decoction or Infusion or Expression being made of them they may be apply'd to Physical use Now Opium is seldom prescrib'd simply and by it self but is wont to be corrected and compounded after a various and diversifyed manner of preparation that it may become a safe Anodine The wild Poppy has a certain Hypnotick vertue but much more mild and gentle than that other wherefore in certain cases it agrees excellently well and we may be more secure as to its use Of this a Syrup and a distill'd water is always ready prepar'd in Apothecaries Shops which in many continual Feavers are often given with good success and they are judg'd to have a certain specifical virtue in Curing the Pelurisy because they take away pains and by putting some stay to the Pulse abate the Feaverish boiling of the Blood Moreover a Tincture is made of its Flowers Infus'd in Brandy which is a famous Medicine amongst Empiricks and good Women and is averr'd to be good against Surfeits The reason of which effect seems to be that the Spirit of Wine frees the Contents of the Stomack from putrefaction and the Narcotick force of the Flowers prevents the Invasion of the Feaver I shall now set down certain Select Forms of Narcoticks which I shall also digest into certain Classes according as the Opiats have for their Basis either the Syrup or distill'd water of the wild Poppy or Diacodium or Laudanum Extractum or Liquidum or Pilul de Styrace or de Cynoglosso or lastly Philonium Take the water of wild Poppies and Cowslip water of each six Ounces Syrup of red Poppies two Ounces Sal Prunella half a Dram mix them Make a Julape the Dose is three or four Ounces thrice a day in the Pleurisie Pains watching without a Feaver or any manifest Cause Take of Poppy water from four Ounces to six Let it be taken now and then by it self twice or thrice a day for the same intent Take Diacodium from half an Ounce to an Ounce Cowslip water three Ounces Treacle water three Ounces Make a Potion Take Carduus water three Ounces Diacodium half an Ounce Spirit of Hartshorn from half a Scruple to a Scruple Make a draught for procuring sleep and sweat Take Diascordium half a Dram Gascoins Powder a Scruple Diacodium two Drams mix them Let it be taken in a spoon Take Diacodium three Ounces Snail water an Ounce mix them It s proper in the Cough and Phthisick The Dose is a spoonful going to Rest and if need be take it again after Midnight Take London Laudanum a Grain Powder of Claws Compound from half a Scruple to a Scruple with a sufficient quantity of Syrup of Clove-Gillyflowers Make three Pills to be taken going to Rest Take Laudanum a Grain Stomack Pills with Gumms half a Dram Make four Pills to be taken going to rest in the Colick Take Laudanum from a Grain to a Grain and a half Diascordium a Scruple Make a Bolus instead of Diascordium you may put the Confection of Alkermes or of Hyacinth Take Laudanum a Grain dissolve it in a spoonful of Treacle water add of Cowslip water two Ounces Make a draught Take of our Liquid Laudanum tartariz'd twenty Drops give it in a spoonful of Aqua Mirabilis or of Cinnamon water or of any other fit Vehicle It s proper in Colick Nephritick or Gouty pains Take Species of Hiera half a Dram of the foresaid Laudanum twenty drops Make four Pills let them be taken going to rest for Purging and easing pains of the Colick at the same time Take Liquid Laudanum Cydoniated from fifteen Drops to twenty Give it in a spoonful of small Cinnamon water for the Flux Take Conserve of red Roses an Ounce Venice Treacle Confection of Hyacinth of each two Drams Pulvis Pannonici Rubri a Dram Laudanum Cydoniated two Drams Syrup of Coral what suffices Make an Electuary the Dose is a Dram every fourth or fifth hour in a violent Bloody Flux with Gripes Take Pilul de Styrace from five Grains to six Lac Sulphuris half a Scruple Oyl of Anniseeds a Drop Balsam of Peru what suffices Make three Pills to be taken in the Cough Asthma c. Take Pilul de Cynoglosso from six Grains to eight Make two Pills to be taken going to rest for the same intents Take Philonium Romanum from one Scruple to two Conserve of Clove-Gillyflowers half a Dram mix them Make a Bolus to be taken going to rest It s proper for the Colick in a cold temperament I shall now say something concerning the Effects of the great Anti-Hypnotick Coffee Coffee though in some cases it be very profitable and Physical in others it is hurtful and unwholesome for we see that great Coffee-drinkers become lean and are very often subject to be Paralytick and grow impotent for generation Yet as to Affects of the Brain and the Genus Nervosum I very often prescribe this Drink for them For indeed in very many Cephalick Diseases and Infirmities viz. in Head-aches Giddiness the Lethargy Catarrhs and the like where with a full habit of Body and a cold temperament or one that is not hot and a watery Blood there is a moist Brain with a sluggishness and dullness of the Animal Spirits Coffee has often a very good effect for being daily drank it wonderfully clears and
of the following Electuary drinking after it seven spoonfuls of the Julape Take Conserve of red Roses three Ounces Conserve of Hipps and Comphrey of each an Ounce and a half Dragons Blood a Dram Species of Hyacinth two Scruples red Coral a Dram with a sufficient quantity of Syrup of red Poppies Mix them and make a soft Electuary take at Night and early in the Morning a Dram and a half drinking after it a draught of the following Julape at other times let him take it with a stick of Licorice Take of the Waters of Plantain and of the Spawn of Forgs of each six Drams Syrup of Coral and of dry'd Roses of each an Ounce Dragons Blood two Scruples Mix them made a Julape CHAP. III. Instructions and Prescripts for Curing a Peripneumonia THe Peripneumonia is an Inflammation of the Lungs with an Acute Feaver a Cough and a difficulty of Breathing it is caus'd by a rushing of the Blood into the Ductus's of the Lungs and its being there inflam'd and obstructed The Primary Indication in order to the Cure of a Peripneumonia is that the Blood forc'd into the Vessels of the Lungs and causing there an Obstruction with an Inflammation be thence discust and restor'd to its former Circulation which if it may not be done the Second Indication will be that that matter be duly Concocted or Suppurated and with all expedition voided by Spittle 1. Whilst the former Indication holds good the Intentions of Curing will be these following In the First place That the excessive current of the Blood to the part affected be cut off or some way hindred Secondly We must endeavour that the matter stagnating in the Lungs or extravasated be suck'd up again by the Veins into the rest of the Mass and restor'd to its Circulation Which the better to effect Thirdly The Blood must be freed of its clamminess or viscous nature whereby its fluidity is hindred And Fourthly We must obviate by fit Remedies those Symptoms that are very pressing viz. the Feaver Cough Watchings and difficulty of Breathing But if notwithstanding all this the other Indication must be pursued we must add to the Remedies before mentioned such as they commonly call Maturating and Expectorating Medicines 1. To satisfy the First and Second Intentions together Blooding is requisite almost in every Peripneumonia nay sometimes it ought to be often repeated For the Vessels being emptied of Blood they do not only withdraw the matter which maintains the Disease but likewise drink up again what was forc'd into the part affected Wherefore if the strength holds and the Pulse be of a sufficient vigour its good to bleed freely at the very beginning but otherwise you must do it in a moderate quantity and repeat it now and then as occasion requires In this Distemper the Vein should always be open'd with a large Orifice and the Blood should not only Issue forth in a full stream but its running should be continued for otherwise if in the midst of bleeding whilst the vitiated Blood flows forth the Orifice be stop'd with the Finger as some are wont to do to prevent fainting when it s open'd again a pretty good Blood will Issue forth next the vitiated Blood if any such be remaining being fallen back and not presently returning to the Orifice Besides Bleeding many other Remedies are here to be us'd viz. such as repress the turgid motion of the Blood and empty its Ductus's whereby the Morbifick matter may be drank up again Wherefore a very thin Diet is prescrib'd consisting almost meerly of Barley and Oat-meats And though Catharticks are wholly forbidden because they strongly exagitate the Blood and force it more violently into the part affected Nevertheless Glysters ought to be daily Administred which gently ease the Belly and draw the dreggy Excrements of the Blood downwards Moreover qualifying Julapes and Apozemes which allay the fervour of the Blood and pleasantly lead off its superfluous Serosities and likewise gently open the passages of the Brest are taken with good effect The Third Intention of Curing which has regard to the takeing away of the obstructing clamminess or viscous nature of the Blood it perform'd wholly by those Remedies which loosen its over-close Texture and dissolve the Combinations of its Salts And truly those Remedies which Reason and Analogy might dictate in this respect are us'd even at this time after a long expeperience For Powders of Shells the Tusk of a Boar the Jaw-bone or a Pike and other things endow'd with an Alkalisate Salt also Sal Prunella are prescrib'd by all Practitioners both Ancient and modern I have known Spirit of Sal Armoniack and of Hartshorn to have done great good in this Disease And for the same Reason it is viz. Because of the good effect of the Volatile Salt that an Infusion of Horse-dung though a vulgar Remedy has often given great relief Fourthly As to the Symptoms and their Cures a great many Remedies appropriated to these are Coincident with the former For the same Julapes and Apozemes which appease the fervour of the Blood and also restore the Animal Spirits are in most common use against the Feaver To which also in respect of the Cough and the diffculty of Breathing temperate Pectorals are joyn'd The greatest difficulty is what must be given against want of sleep it at any time the Person be very much molested by it For Opiats adding to the prejudice of Respiration which is under some stress from the beginning of this Disease may scarce be taken with safety nay sometimes they become pernicious Wherefore Laudanum's and the stronger preparatious of Opium must be utterly avoided in a Peripneumonia though in the mean time Anodines and the more gentle Hypnoticks as especially the Water and Syrup of red Poppies are not only allow'd but accounted Specificks in this Disease and in the Pleurisy Moreover we may sometimes use Diacodiats so the strength holds and the Pulse be strong and in a good temper For the pain of the Brest if at any time it proves troublesome its proper to use sometimes Oyntments Fomentations and Cataplasms The Secondary Therapeutick Indication whereof the Intentions are to Concoct and to discharge by Spittle the matter sticking in the Lungs since it cannot be discust or drank up again requires Medicines commonly call'd Maturatives and Expectoratives but they must both be temperate to wit such as rather appease than exasperate the Thirst and Feaverish heat We have given you before in the Chapter of the Cough the kinds of these Medicines which are properly call'd Pectorals We shall now set down the choicest Prescripts and most proper for this affect Prescripts of Medicines 1.2 Medicines Conducing to the First and Second Intention are prescrib'd according to the Forms following TAke Water of Ladies Thistle ten Ounces of red Poppies three Ounces Syrup of the same an Ounce Pearl prepar'd a Dram Make a Julape the Dose is six spoonfuls every fourth hour Take the Waters of Black-Cherries Carduus Benedictus
and Baum of each four Ounces Powder of a Boars Tusk a Dram Syrup of Violets ten Drams Make a Julape and take it after the same manner Take Grass Roots three Ounces shavings of Ivory and Hartshorn of each three Drams Raisins ston'd an Ounce and a half Licorice two Drams boil them in three pounds of fountain water to two pounds to the straining add Syrup of Violets an Ounce Sal Prunella a Dram Make an Apozeme take to three or four Ounces thrice a day For the same Intention viz. that the emptied Vessels may withdraw the matter maintaining the Disease or may drink up again the Morbifick matter it self a Purge also is prescrib'd by some In the Practise of the Ancients it was a thing in constant use after bleeding to Order Preparatives and Purgers against this Disease as well as against most others And Chymists of late with a greater confidence give Vomits and cry them up before all other Remedies in a Peripneumonia Nay further neglecting bleeding or forbidding it they lay the chief stress of their Cure in Antimonial Emeticks though I know not whether any thing can be imagin'd more pernicious than that their rash proceeding In rustick and robust Bodies sometimes this Medicine is given without harm but in tender Constitutions it may be reckon'd little Inferiour to poyson And as to purging though it be not proper in the very beginning but in a manner always does harm yet the Morbifick matter ceasing to flow to the part and the effervescence of the Blood being appeas'd you may empty the Body gently with a Purging Medicine Take Gereons Decoction of Sena four Ounces Syrup of Roses Solulutive and Ounce Mix them make a Potion Take the best Sena three Drams whole Cassia Tamarinds of each half an Ounce Coriander-seeds two Drams Boil them in a sufficient quantity of fountain water to six Ounces to the straining add Syrup of Violets an Ounce Clarifie it with the White of an Egg and give it Let not Purges be given always nor ever in this Disease without consideration but Glysters must be given frequently nay for the most part every day but let them be only Lenitive and Emollient so that they gently loosen the Belly without much stirring the Blood and Humours For this end Milk or Whey with brown Sugar or Syrup of Violets often do well Or Take the Leaves of both Mallows Melilot and Mercury of each a handful Linseed and sweet Fennel-seeds of each half an Ounce sweet Prunes in number six Boil them in a sufficient quantity of fountain water to a pound to which add Syrup of Violets an Ounce Sugar ten Drams Sal Prunella a Dram Make a Glyster 3. Medicines for the Third Intention viz. For dissolving the clamminess of the Blood are usually given in the Form of a Powder Spirit Draught or Bolus according to the Forms following 1. Powders TAke Crabs Eyes powdred two Drams Sal Prunella a Dram and a half Sugar of Pearl a Dram Make a Powder divide it into six parts take one every sixth hour with some proper Julape or Apozeme Take Powder of a Boars Tusk or of the Jaw-bone of a Pike Crabs Eyes of each a Dram and a half Flowers of Sal Armoniack Powder of red Poppy Flowers of each half a Dram Mix them for four Doses 2. Chymical Spirits and Liquors TAke Spirit of Sal Armoniack distill'd with Olibanum three Drams The Dose is from twelve to fifteen or twenty Drops thrice a Day Take Spirit of Vrine or of Soot three Drams give it after the same manner Take Spirit of sweet Nitre viz. often Cohobated with Spirit of Wine three Drams The Dose is from six drops to ten after the same manner Take Spirit of Tartar half an Ounce The Dose is from fifteen drops to twenty or twenty five with a fit Vehicle Take of the simple Mixture an Ounce The Dose is from a Scruple to half a Dram after the same manner 3. Draughts TAke Carduus water a pound fresh Horse-dung three Ounces dissolve it warm and filter it The Dose is three or four Ounces twice or thrice a day adding Syrup of Violets or of red Poppies half an Ounce Take Leaves of Dandelion two handfuls being bruis'd pour to them Water of Ladies Thistle half a pound Treacle water half an Ounce Wring it forth hard to which add Powder of Crabs Eyes a Dram take four or six spoonfuls thrice a day The Fourth Intention of Curing having regard to the most urgent Symptoms suggests to us various preparations of Medicines 1. In respect of the Feaver the Julapes and Apozems before set down are proper Moreover you must frequently use Sal Prunella 2. For the Cough and difficulty of Breathing Linctus's Lohochs and Decoctions or Pectoral Julapes are given with success Take Syrup of Jujubes of Maiden-hair of each an Ounce and a half Syrup of Violets an Ounce Flowers of Nitre a Scruple Make a Linctus to be taken now and then with a stick of Licorice Take Syrup of Dialthea an Ounce Diacodium Syrup of red Poppies of each half an Ounce Crabs Eyes finely powdred two Scruples Make a Linctus to be taken as the other Take Syrup of Hyssop of Licorice of each an Ounce and a half Powder of red Poppy Flowers a Scruple Crabs Eyes a Dram Lohoch de Pino six Drams Mix them make a Lohoch of which take the quantity of a Nutmeg four times or oftner in a day Take Roots of Grass Chervil Marsh-mallows of each an Ounce Figgs in number four Jujubes Sebestens of each in number six Raisins of the Sun an Ounce Licorice three Drams Barley half an Ounce boil them in three pounds of fountain water to two pounds Strain it the Dose is three or four Ounces Take Raisins ston'd an Ounce and a half Filberts slic'd in number four Licorice slic'd three Drams Hyssop-water a pound and a half Make a close and warm Infusion according to art for six hours to the straining add Syrup of Althea an Ounce and a half Make a Julape the Dose is three or four spoonfuls often in a day swallowing it down by little and little 3. Against want of Sleep Take of red Poppy water three Ounces Syrup of the same six Drams Plague water two Drams Make a draught to be taken going to Bed It the Pulse be strong and the strength holds Take Cowslip water three Ounces Syrup of Meconium half an Ounce Mix it and drink it going to Bed 4. If the pain be pressing about the part affected Take of the Oyntment of Marsh-mallows two Ounces Oyl of sweet Almonds an Ounce and a half Mix them for a Liniment to be apply'd with thin Lawn Paper Take Oyntment of Marsh-mallows and the Pectoral Oyntment of each an Ounce and a half Oyl of Linseed fresh drawn a Dram to which add of the Emplaister of Mucilages what suffices Make a Plaister for the Region of the Brest to be apply'd on the part affected Fifthly For the last Intention of Curing
or Alkalisate Salt destroy the Combinations entred into by the Acid sixt and otherwise Morbifick Salts with other more gross Particles In which respect the Eyes and Claws of Crabs the Tusk of a Boar the Stone of Carps the Jaw-bone of a Pike the Bone in the Heart of a Stag the Pisle of a Deer Sal Prunella Salt of Coral the Volatile Salt of Urine or of Hartshorn Powder of Goats Blood Infusion of Horsedung Spirit of Hartshorn of Sal Armoniack Spirit of Tartar Mixtura Simplex Bezoartick Mineral Antimony Diaphoretick Flowers of Sal Armoniack are very famous Remedies in the Pleurisie The Third and Vital Indication which takes care that the strength and Vital heat be preserv'd in their due Tone and State during the Course of the Disease prescribes principally a fit Diet and likewise Cordial Remedies and Anodines and things which seasonably afford Relief to other Symptoms if haply they present First in a true Pleurisie you must order a most thin Diet viz. consisting of meer Oat and Barley-meats and for ordinary drink Ptisan or Posset-drink is more proper than Beer alone though in a mignty thirst this also may be allow'd in a moderate quantity Moreover to quench thirst Julapes Apozemes and Emulsions may be taken at set times to all which let Sal Prunella be added Secondly let only temperate Cordials be given which may gently refresh the Animal Spirits and not add to the Accension of the Blood which burns before too fiercely For these intents the Waters of Ladies Thistle Carduus Benedictus Bawm Borage Cowslips and Black-Cherries are usually given with good success to which the Powders of Pearl and Coral may be added Thirdly Anodines must be used both inwardly to procure sleep if at any time it be very much wanted as also outwardly to ease the pain of the side The most usual things of the former kind are the distill'd water Syrup and Powder of the red Poppy which are accounted Specificks in the Pleurisie as well as in the Peripneumonia Moreover when a very acute pain and watchings press very much we may give also Diacodiats Against Pains Oyntments Fomentations Cataplasms and sometimes the warm Inwards of Animals newly kill'd are proper to be applyed I shall now give you Select Forms of Medicines adapted to each of these Indications First Therefore about the beginning of the Disease to take away the Inflammation Julapes Apozemes Powders Glysters and gentle Purges are wont to be prescrib'd Take Water of Ladies Thistle eight Ounces Water of red Poppies four Ounces Syrup of the same an Ounce Sal Prunella a Dram Make a Julape the Dose is two or three Ounces every third hour Take Grass Roots four Ounces Barley half an Ounce parings of Apples a handful Raisins of the Sun an Ounce Licorice two Ounces boil them in three pounds of fountain water to two pounds To the cleer straining add Syrup of Violets an Ounce and a half Sal Prunella a Dram and a half Make an Apozeme the Dose is two or three Ounces often in a day Take Sal Prunella two Drams Flowers of Nitre a Dram Powder of the Flowers of red Poppies two Scruples Sugar Candy four Scruples Make a Powder the Dose is half a Dram three or four times a day Take of the Decoction of Mallows Roots and all together with sweet Prunes a pound Syrup of Violets three Ounces Sal Prunella a Dram Make a Glyster Take of whole Cassia bruis'd two Ounces Tamarinds an Ounce white Rose Flowers a handful Coriander-seeds two Drams boil them in a sufficient quantity of fountain water to a pound To the straining add Syrup of Cichory with Rhubarb two Drams Clarify it with the White of an Egg the Dose is five or six Ounces in the Morning for two or three days one after the other Secondly To dissolve the clamminess or coagulating Viscousness of the Blood the following things are of use viz. in the Form of a Drink Powder and Spirit Take fresh Horsedung four Ounces Carduus water a pound and a half make a close and warm Infusion for two hours then filter the Liquor to which add Syrup of the Juice of Dandelion or of Cichory two Ounces Spirit of Sal Armoniack a Dram give five or six spoonfuls three or four times a day For this end Water of Horsedung does admirably well Take Horsedung four pounds Leaves of Carduus Benedictus Ladies Thistle Scabious Pimpernel of each three handfuls being slic'd and mixt together pour to them of fresh Milk six pounds distil them with common Organs The Dose is two or three Ounces either alone or with other distill'd Waters in the Form of a Julape For the same use the Tinctures or Solutions of other Dungs are given by some Physicians and are highly magnifyed by them Helmont deservedly commends in the Pleurisie the Dung of an Ox Panarolus Pidgeons Dung others the White of Hens Dung Epiphanius Ferdinandus usually gave with good success in the Pleurisy the Decoction of Tobacco macerated in new Wine Valeriola used the Decoction of the Flowers of red Poppies as a try'd and familiar Remedy Sylvius prescribes the following mixture to be taken one spoonful after another by little Intervals of time Take the waters of Stone-Parsly and Hyssop of each two Ounces Fennel-water an Ounce simple Treacle water half an Ounce Laudanum Opiatum four Grains Sal Armoniack half a Dram Syrup of red Poppies an Ounce Mix them To this composition Frederick Deckers adds Powder of Crabs Eyes and Bezoartick Mineral of each a Scruple Medicines very efficacious for this use are wont to be given in the Form of a Powder for Example Take Powder of Crabs Eyes two Drams Sal Prunella a Dram and a half red Poppy Flowers half a Dram Mix them make a Powder the Dose is half a Dram three or four times in a day with a fit Vehicle Instead of Crabs Eyes you may use the Powder of the Jaw-bone of a Pike or of a Boars Tusk or of a Stags or Bulls Pisle and if these do not succeed you may try what follows Take Antimony Diaphoretick or its Ceruse or Bezoartick Mineral two Drams Volatile Salt of Hartshorn half a Dram Powder of red Poppy Flowers two Scruples Make a Powder the Dose is a Scruple or half a Dram thrice or oftner in a day It is for the same Intention of Curing that Riverius gives Powder of Chimney Soot from half a Dram to a Dram and that others give the Powder of Pigeons or Hens Dung Nay farther according to this Analogy by which the Dungs of Animals stor'd with a Volatile Salt give relief in this Disease its probable that the Dung of a Dog may prove no less successful in Curing the Pleurisie than in the Squinancy and so much the more likely because these Diseases often interchange their Types and the one assumes the likeness of the other Chymical Liquors endow'd with a Volatile Salt sometimes also work great effects in the Pleurifie Take Spirit of Blood two Drams Red
himself in danger and having try'd some Medicines without any good effect was advised upon a consultation of Physicians to have his Side open'd Wherefore provision for the whole being made a Chyrurgion apply'd a Cautery betwixt the sixth and seventh Vertebrae and the day following he put a Pipe into the Orifice cut into the Cavity of his Brest upon which presently a thick Liquor whitish like Chyle and as it were Milky issued forth There were only about six Ounces taken from him the first time and the day following as much On the third day somewhat a larger quantity being let forth he was presently seiz'd with a great fainting and afterwards being Feaverish he was ill for a day or two Wherefore till he recovered his due temper and strength it was thought fit to stop the egress of that matter and afterwards a small evacuation only of the same being daily made the Cavity of his Brest was in a manner wholly emptied though he still carries the Pipe in the Orifice with a Tap which being drawn forth once in twenty four hours a little gleeting of humour still issues out In the mean time being well dispos'd as to his Stomack Countenance and Strength he Walks and Rides abroad and performs other exercises which he had been formerly us'd to with vigour enough He us'd not much Physick nor did he need it After the Incision we prescrib'd him temperate Cordials viz. Powder of Pearl Julapes and sometimes Hypnoticks and afterwards a vulnerary Decoction to be taken twice every day By this Method and Form of Medicines continued for some time the Person seem'd to recover his due temper strength and habit of Body nay and to be sound in his Breast yet he still carried the Silver Pipe in the Orifice of his Side out of which an Ichor continually issued And when after some Months this being taken forth that Issue was clos'd up there was a gathering again of the same humour within the hollow of the Breast as was perceivable by the sound and floating of it But afterwards as upon the return of the Disease the same Remedy presented it self and consequently the opening of the Side was ordered Nature as it fell out performing the Office of a Chyrurgion it happened of its own accord and gave way for the matter which was ready to break forth and now he is fain to keep that Orifice constantly open as a sink to prevent that gathering of nastiness in his Brest As to the Cure of the Dropsie of the Brest the Primary Indications as usually in Curing most other Diseases are three viz. Curatory Preservatory and Vital The First endeavours that the Waters gathered in the Cavity of the Breast be some way or other evacuated The Second prevents the gathering of new matter The Third takes care to restore strength and speedily to remove the Symptoms that injure it To satisfy the First Indication there are only two ways or manners of evacuation by which that filthy Mass of Waters may be clear'd forth viz. either that the Vessels of the Breast and Ductus's of the humours being emptied drink up again that Lympha when Rarifyed and then convy it forth either by the way of the Blood or of the Breath or Secondly that the water be all let forth in its proper Species by an Incision of the Side The former way though seldom yet sometimes to my knowledge succeeds For the Texture of the Lungs being spongy within and outwardly very Porous whilst upon every Diastole it is dip'd in the waters lying under it it sometimes imbibes them being converted into vapour and so either returns them to the Blood or exhales them with the Air continually breath'd forth at the Mough that this effect may more readily happen for Curing this Disease Physical Aids are here us'd Therefore for that intent the passates of the Blood Air and humours ought to be emptied as much as may be and to be kept open and free For this end let gentle Purges Diureticks and Diaphoreticks be methodically given by turns also Thoracical and Expectorating Remedies must be us'd Let the Diet be thin and heating and let such a method be ordered in all things which may promote the exhalation of the Blood and cause all the superfluous humours to evaporate I shall set down some Forms of Medicines proper for these purposes Take Roots of Chervil Butchers-broom Polypody of the Oak of each an Ounce Leaves of Agrimony Maiden-hair Oak of Hierusalem ground Ivy of each a handful Carthamus-seeds an Ounce Roots of Florentine Orris half an Ounce Boil them in four pounds of fountain water till a third part be consum'd then add to the straining Sena Leaves an Ounce and a half Agarick two Drams Mechoacan Turbith of each half an Ounce yellow Saunders a Dram and a half Roots of the lesser Galingal a Dram Boil them close cover'd for two hours then strain it add of the best Honey two Ounces and Clarify it with the white of an Egg Make a Purging Hydromel the Dose is from six Ounces to eight in the Morning twice or thrice a Week Or Take Calamelanos a Scruple Rosin of Jalap half a Scruple Balsam of Peru what suffices Make four Pills let them be taken in the Morning repeating the Dose within five or six days Take Tincture of Sulphur three Drams give from seven drops to ten going to Bed and early in the Morning in a spoonful of the following Mixture drinking after it three spoonfuls Take the waters of Snails Earth-worms and Compound Radish water of each four Ounces water of the Juice of Elder-berries fermented a pound Syrup of the Juice of ground Ivy two Ounces Mix them make a Julape Or Take Tincture of Gum Ammoniacum or of Galbanum Give to twenty drops at Night and early in the Morning with the same Mixture Or Take Millepedes prepar'd two Drams Flowers of Sulphur two Scruples Flowers of Benzoin a Scruple Powder of wild Carrot and Burdock-seeds of each half a Dram Venice Turpentine what suffices Make a Mass form it into little Pills take four at Night and early in the Morning drinking after it a little draught of the same Julape At nine a Clock in the Morning and five in the Afternon drink a draught of the water of Quick-lime Compound to four Ounces by it self or with some other appropriate Medicine For ordinary drink take the following Bochete Take Roots of Sarsaparilla six Ounces China two Ounces the Woods of white and yellow Saunders of each six Drams shavings of Ivory and Hartshorn of each three Drams Roots of Calamus Aromaticus half an Ounce Raisins ston'd half a pound Licorice three Drams Let it infuse according to Art and boil it in twelve pounds of fountain water to six pounds strain it I was call'd to a young Scholar at Oxford who had been ill for three Weeks of a pain of his Thorax and of a great difficulty of Breathing that constantly followed him in the Evening which also upon a
quick motion of his Body or his going up a steep Ascent tormented him above measure he could not rest long on either side but was forc'd to lye always on his Back and with his Head raised And if he try'd to lye on either side presently a pain followed the Position of his Body and if haply he rolled himself from one side to the other the pain also being presently remov'd he felt as it were waters floating from one place to another So if he let his Body hang downwards over the Bedside he presently felt waters falling towards his Clavicular Bones Moreover if at any time his Body was heated more than ordinary by motion the heat of a Bed or of a Fire presently he felt in his Brest a boiling as it were of waters on the Fire and at the same time complained of a Giddiness and of a little fainting of his Spirits Being well satisfied by a due consideration of these things that he had a Dropsie of the Brest I prescrib'd the Method and Medicines following with success Take Calamelanos fifteen Grains Rosin of Jalap half a Scruple Syrup of Roses solutive what suffices make three Pills He took them early in the Morning and had twelve Stools which gave him great ease Then again on the third day he had only four Stools by the same Medicine though with greater relief to him than before He took afterwards for many days of a Diuretick and Pectoral Apozeme six Ounces And Lastly the same Purge being repeated he grew perfectly ivell SECT 2. Of Medicines regarding the Region of the Belly CHAP. I. Instructions and Prescripts for the Cure of the Jaundise AS to the method of Curing this Disease there are three Primary Indications all which since we are in a manner always at a loss which of them is the chiefest and first to be put in Practise must be prosecuted together Therefore the Intentions of Curing must be First That the obstructions of the Ductus's must be open'd if haply there are any either in the Porus Biliarius or Meatus Cysticus or elsewhere about the Liver or Vessels that convey the Choler Secondly That the Blood be reduc'd to its due temper and Crasis lest it engender Choler in too great a plenty or render it unapt for separation Thirdly That the strength be upheld and that the Symptoms chiefly prejucicing it be provided against 1. To satisfy the First Incication Cathartick evacuations both by Vomit and Seige are greatly conducing with which the descent of the Choler towards the Intestines is Irritated and the obstructed Vessels being by this means mightily agitated are freed from their stoppages Secondly We must give Medicines that are smart bitter and salt and others endow'd with a certain instigating vertue which may sharply stir up the motion of the Gall gathered together in the Liver and there stagnating In this place also we must range such Medicines as are thought to be good against the Jaundise by a similitude of substance and as it were by a Signature viz. as being endow'd with a yellow Juice though many of these because they move Urine or Sweat may aptly enough be plac'd in the same rank with the former viz. amongst evacuative Medicines The Second Indication requires altering Medicines altogether viz. such as may depress the exaltations or wild efforts of the Sulphur and fixt Salt and help to the restitution of the Volatile Salt which was depress'd before For these purposes Medicines containing an Acid or Volatile Salt and likewise Chalybeats will do excellently well Hence Spirit of Salt of Vitriol Juice of Limons also Spirit of Hartshorn and Sheeps dung Goose dung Crocus Martis and other preparations of it of divers kinds are often prescrib'd in the Jaundise with good success The Third Incication being for the support of the strength and for removing Symptoms that prejudice it suggests to us many and diversifyed manners of Curing but to avoid tediousness I shall only set down certain general Rules concerning Diet and some Cordial and Anodine Remedies peculiarly proper in this case The Therapeutick Indications being thus laid before you it remains for us now to adjust Select Medicines viz. both simple and compound to each of those Intentions before propos'd and to explicate the manners and ways of operating of those Remedies which are accounted of most note in this Disesse First therefore we shall set before you the Forms of Evacuating Medicines appropriated to the Jaundise 1. Vomits EMetick Medicines most commonly are of good effect in a new Jaundise whilst the tone and strength of the Viscera hold good forasmuch as they both ease the Ventricle of its offensive load of viscous Phlegm with which its in a manner always opprest in this Disease and likewise by irritating the Vessels which convey the Choler and strongly shaking the Ductus's of the Liver they clear them of their stoppages and bring the Choler to pass by the ways it formerly was wont Take of the Infusion of Crocus Metallorum from half an Ounce to six Drams Vinegar of Squills an Ounce Oxymel simple half an Ounce Make a Vomit to be taken with governance Sometimes it is proper to give the Evening before the following Mixtrue as a preparation to facilitate the Vomiting Take Powder of the Roots of Asarabacca Faecula of Aron Roots of each a Scruple Tartar vitriolated half a Scruple Oxymel simple an Ounce Mix them Take Sulphur of Antimony seven Grains Scammony sulphurated eight Grains Cream of Tartar half a Scruple Make a Powder give it in a spoonful of Panada Take Nine Leaves of Asarabacca being slic'd and bruis'd pour to them of Whitewine three Ounces press forth the Juice give it in the Morning with governance Take Cambogia prepar'd eight Grains Tartar vitriolated seven Grains Make a Powder Catharticks PUrging Medicines have place in this Disease whether it be new or inveterate viz. both that the plentiful supply of Excrements be now and then clear'd from the first passages and that the Vessels that convey the Choler be stirr'd up to excretion Take Electuary of the Juice of Roses three Drams Rhubarb a Dram Salt of Wormwood Cream of Tartar of each half a Scruple Syrup of Rhubarb what suffices Make a Bolus Take Roots of sharp pointed Dock prepar'd an Ounce tops of Sea Wormwood and of the lesser Centory of each two pugils Roots of Gentian and Turmerick of each two Drams yellow Saunders a Dram boil them in a pound and a half of fountain water to a pound towards the end add of the best Sena six Drams of the best Rhubarb three Drams Agarick a Dram and a half Coriander-seeds two Drams Whitewine two Ounces let them boil close covered for two hours then strain it and let it settle till it be clear The Dose is from four Ounces to six with Syrup of Rhubarb an Ounce water of Earth-worms three Drams Make a Potion to be taken for three or four days together or every other day In a weaker Constitution TAke
from the Skin when the ferment is Purg'd do not regurgitate into the Blood and Nervous Liquour and cause not only Discrasies in them but likewise as it often falls out bring great damage to the Brain and Praecordia Secondly it must be endeavour'd that the infectious Taint of the Humours and Noble parts contracted from the Scabby Matter be eradicated at the same time that the Nasty Distemper of the Skin is Cur'd All these intentions of Curing ought to be complicated or at leastwise to be interchangeably prosecuted by Remedies both inward and outward us'd together to the end that the Morbifick matter being chased from its private Receptacles may not any where retire and lie hid in any lurking places but being persued by Medicines in all parts both within and without may be wholly remov'd therefore Purges ought always to begin and end this Method of Cure whatsoever Helmont says to the contrary and I dare affirm that this Disease is scarce ever Cur'd easily and never with safety without that Medicine Moreover open a Vein one of the First things you do unless somewhat indicates the contrary besides these let alteratives have their turns such as purify the Blood and strenthen the Viscera and fortify them against the Ineursions of the Scabby Matter And in the mean time let Liniments or Baths or Topical Remedies of other kinds and appropriated to the Skin be apply'd for without them not only Catharticks and Bleeding but even Diaphoreticks Diureticks nay any kind of Medicines whatsoever evacuating or altering the Blood and Humours prove of no effect We shall set down some select Forms of the Medicines of each kind before mention'd And First for due Purging give a Purging Medicine or a Vomit the first thing you do Also after Bleeding if it be necessary let the person use a Purging Apozeme or Ale for seven or eight Days Take the Electuary Diacarthamum three Drams Species of Diaturbith with Rhubarb a Dram Cream of Tartar Salt of Wormwood of each half a Scruple Purging Syrup of Apples what suffices make a Bolus to be taken with Governance Or Take Sulphur of Antimony seven Grains Scammony Sulphurated eight Grains Cream of Tartar half a Scruple make a Powder Take Roots of Polypody of the Oak and of sharpe pointed Dock prepar'd of each an Ounce Leaves of Sena ten Drams Turbith Agarick Epithimum of each an Ounce Carthamus Seeds half an Ounce yellow Saunders two Drams Seeds of Annise and Caraway of each two Drams being slic'd and bruis'd digest them close luted and warm in four Pounds of White-wine for twentyfour hours pour off the clear Liquor without expression the Dose is six Ounces by it self or with a spoonful of Syrup of Epithimum Or Take the foresaid Ingredients and boyl them in six Pounds of fountain water to half then add of White-wine a Pound and strain it presently make an Apozeme give it after the same manner Or Take Roots of Polypody of the Oak and of sharpe pointed Dock of each three Ounces the best Sena four Ounces Epithimum Turbith Mechoacan of each two Ounces yellow Saunders an Ounce Coriander Seeds six Drams let them be prepar'd according to Art make a Bagg for four Gallons of Ale after five or six Days drink it and take to twelve Ounces more or less every Morning for eight or ten Days For ordinary Drink let a little Vessel of four Gallons be full'd with small Ale into which put the following Bag. Take tops of Tamarisk Fumitory dryed of each four handfuls Roots of sharpe pointed Dock dry'd six Ounces Rinds of Bitter-sweet two Ounces being slic't and bruis'd mix them or let a Bouchet of the Decoction of Sarsaparilla Saunders with the Shavings of Ivory Harts-horn Licorice c. be taken As to altering Remedies besides the Physick Ale for ordinary Drink there seems not need of many others only that a good Dyet be observ'd by avoiding Salt and Peppered Meats Shell-fish and others which have been laid in Brine Also let them forbear Wine strong Waters strong Beer and all Liquors apt to trouble the Blood too much and to ferment it In an obstinate Scab seizing a Cacochymical Body it 's proper to give the following Electuary with the distill'd water twice a Day Take Conserve of Fumitory of the Roots of sharpe pointed Dock of each three Ounces Troches of Rhubarb Species Diatrion Santalon of each a Dram and a half Salt of Wormwood a Dram Vitriol of Mars four Scruples with a sufficient quantity of Syrup of Cichory with Rhubarb make an Electuary the Dose is from a Dram to two Drams twice a Day drinking after it of the following distill'd Water three Ounces Take Firr Tops seven handfuls Leaves of Fumitory Agrimony Female Fluellin Liver-wort Brook-limes of each four handfuls Roots of sharpe pointed Dock two Pounds Rinds of Elder two handfuls the outward Rinds of six Oranges being slic'd and bruis'd pour to them Whey made with midling Ale eight Pounds distil it in common Organs let the whole Liquor be mixt Ointments to be anointed on the Skin are prescrib'd most frequently and that very effectually for Curing the Itch Though those that are us'd to many other Tumours and Sores do no good here But Sulphur and preparations of it seem to have a certain Specifick Vertue in this Disease so that they are ingredients in almost all Ointments for the Itch and are the basis of the whole Composition This is a very common receipt with the vulgar Take of the Powder or Flowers of Sulphur half an Ounce Butter without Salt four Ounces Ginger powdred half a Dram make a Liniment Somewhat a neater prescript though not much more Efficacious is after this manner Take Vngentum Rosatum four Ounces Sulphur-vive powdred half an Ounce Oyl of Tartar per Deliquium what suffices make a Liniment to which add Oyl of Rhodium a Scruple to give it a scent When you will strengthen or raise the Energy of the Sulphur by the addition of other things Take of the Ointment of Elecampane without Mercury four Ounces Power of Sulphur half an Ounce Oyl of Tartar per Deliquium what suffices For the same purpose an Ointment is made of the Roots of sharp pointed Dock boyl'd in Butter or Oyl with White-wine till the Wine be consum'd and with Sulphur and Oyl of Tartar Moreover those Ointments are sometimes us'd by themselves by curious persons abhorring the ill odour of the Sulphur The Third kind of Liniment against the Itch is made of Mercury needing no assistance from Sulphur or Vegetables nay this being more than enough efficacious of it self is not wont to be apply'd to the whole Body but only to the Joints of the Arms and Leggs or being put in a Girdle is to be worn about the Loins for so it seldom fails of Curing the Itch Nevertheless there is danger lest this Practice as it often happens causes ill and pernicious Symptoms Frequently after the Mercury Ointment a Salivation sometimes also a Scotomia or
Disease For the corrupted Taints of the Blood after that upon long continuance they are become wholly Heterogeneous and unsubdueable gather to themselves at length the Saline Particles with which growing together in that Tartarous Concretion and driven to the Skin they produce Eruptions of the running Scab Concerning the Crue of the running Scab there are two primary Indications viz. the Preservatory which regards the cause of the Disease and the Curatory which has regard to the Symptom viz. the breaking forth of Pushes The Vital has seldom place in this case unless grown altogether desperate where there is a deficiency of Sleep and Strength The Method of Cure ought always to begin with the Preservatory Indication which removes the causes of the Disease by inward Remedies for otherwise outward things are scarce ever administred to any purpose as in the Itch but the roots of the Disease being cut off within the Blood the Cutaneous Pushes soon dye away Though for removing them we must proceed one way when the running Scab begins of it self and somewhat a differing way when it comes after an inveterate Scurvy or the French-pox ill or not Cur'd We shall consider each of these cases severally and distinctly by themselves When therefore this Disease is simple and primary and fresh coming let the evident and external cuases be remov'd let the ill Diet and the Unwholesomeness of the Air be corrected therefore let persons who have been long and too much us'd to feed on Salt Meats Pork or Fish betake themselves to a Diet of good Juice and easy of Concoction Moreover if they live by the Sea side or in Marshy places let them remove to a more dry and clear Air and withal let them be as careful of their Drink avoiding thick and dreggy Beer and thin and acid Wines which are too much fill'd with Tartar Finally let them take care that their Drink or Food be not prepar'd of Mineral waters apt to petrify 2. In respect of the Conjunct and Procatarctick cause viz. a Saturation of the Blod with Saline Particles of a differing Disposition and Nature there are two chief intents of Curing to wit that the Blood and Humours be forthwith cleans'd of their impurities and that the Acido-saline Discrasies of the Blood and Nervous Liquour be altered for the better to keep them from engendring a Tartarous matter For which ends both evacuating Remedies of divers kinds and altertives are wont to be prescrib'd Nevertheless because not all but in a manner only great Remedies are here proper therefore those that are chiefly in use and found to do most good are Catharticks Bleeding Whey Mineral waters coming from Iron Juicy expressions of Herbs Decoctions of Woods Chalybeat Medicines and Salivation We shall set down certain Forms of each of these and the manners of ussing them In the Frist place therefore a general Purge and Bleeding as in the Cure of the Itch being premitted let the following Cathartick Infusion or Tincture be prescrib'd whose Dose is from six Ounces to eight to be repeated whithin six or seven Days Take Roots of sharp pointed Dock dryed of Polypody of the Oak of each half an Ounce Sena ten Drams Epithymum six Drams Rhubaru Mechoacan of each half an Ounce yellow Saunders two Drams Celtick Spike half a Dram Salt of Tartar a Dram and a half put them in a Glass with three Pounds of White-wine and a Pound of Elder-flower water let them stand close covered in a cold place for three Days then use it pouring forth daily a sufficient quantity of the clear Liquour Secondly to sweeten the Blood and cleanse ti from its Salts drink every Morning to two or three Pounds of Whey by it self or with Fumitory preparations of Cichory and with sharp pointed Dock infus'd in it and let this Drink be continued for twenty or thirty Days if it agrees with the Stomack and withal in the Evening and early in the Morning let a Dose or the following Electuary be taken Take Conserve of the Roots of sharp pointed Dock six Ounces Crabbs Eyes Coral prepard of each two Drams Ivory a Dram Powder of Lignum Aloes yellow Saunders of each a Dram and a half Sal Prunella two Drams Vitriol of Mars a Dram and a half Syrup of the Juice of Wood-sorrel what suffices make an Electurary the Dose if two Drams Thirdly for the same reason as Whey also Mineral waters coming from Iron are prescrib'd against this Disease and often do great good For when all other Medicines have prov'd of no effect I have sometimes Cur'd a great and almost Leaprous running Scab with this alone Moreover to add to their efficacy we may fitly joyn the use of Sal Prunella or of Vitriol of Mars or of the Electuary before written Fourthly in some persons having much Serun and a Watery Constitution where drinking of Whey or Mineral waters is not proper it is good for them to take constantly a Decoction of Woods at Physical hours and likewise for their ordinary Drink Take Raspings of Willow-wood half a Pound Roots of Sarsaparilla eight Ounces white Saunders Wood of the Mastick-tree of each two Ounces Shavings of Ivory and Harts-horn of each six Drams Shavings of Tin crude Antimony of each four Ounces both tyed in a Rag Licorice an Ounce let them infuse according to Art and boil in sixteen Pounds of fountain water of half keep the straining for use Fisthly Chalybeat Medicines because generally accounted of among the more excellent Remedies are seldom omitted in this Disease though they as seldom prove successful For a gret many preparatious of Iron in which the Sulphurous Particles predo minate for as much as they ferment the Blood and put it upon Excretory Effervescencies encrease rather than diminish the Eruptions of the running Scab Nevertheless Vitriolick Salts Syrups Tinctures and Infusions in regard they fix the Blood and somewhat restrain the Exorbitant excesses of the Salts answer aptly enough to the intention of Curing now propos'd but being too weak cnnot master so Herculean a Disease Wherefore Sixthly these and a great many other Remedies doing no good many reommend Salivation as the stoutest Champion and only fit to contend with so potent an Enemy Yet the event does not always answer this mighty expectation for I must own to have try'd this Remedy my self in four persons afflicted with a greivous running Scab not yielding to other Medicines but without any benefit some of these were put in a very high Salivation by a Mercury Unction others by Pills of the Solar Praecipitate which Salivation they lay under for about twenty Days after which time all the Scaly breakings forth and clusters of Pushes vanisht Nevertheless for perfecting the Cure a Diet Drinkd ordered of the Decoction of Sarza with frequent Sweating under a Cradle and deu Puring betwixt while was continued for a Month Yet this course being ended when no footsteps of the running Scab seem'd to be left behind within the second Month a
new stock of the same Disease biginning to spring forth grew up in a short time to its wonted Maturity Moreover when one of these persons would repeat this Medicine and another after two returns of the Di2ease would try it a third time both of them at length despair'd of Cure after they had underwent so much Misery Whence it appears that the French-pox though Malignant in the highest Nature and causing most Filthy and Virulent Ulcers consuming the Flesh and Bones may much more easily and ceratinly be Cur'd than the running Scab The reason of ti is that the cause of the Pox consists in a Malignant and altogether Heterogeneous Miasin defiling and as ti were Poysoning the Blood and Nervous Liquor for some time though not wholly subverting their Crasis or utterly depraving them for the future Wherefore that Cure is perform'd by Salivation or a Sweating Diet extirpating all that Venom the Genuine Disposition of the Blood and Humours then remaining But in a deep sort of running Scab the Elementary and Originally composong Particles of the Blood are corrupted so that unless the Crasis and due Disposition of these be restor'd all sorts of Evacuations and Purgings of the Malignant and Venemous matter though never so fll and eradicative will effect little or nothing Wherefore it is not without ground that many famous Physitians formerly have judg'd this Disease when coufirm'd and drawing near to a Leaprosie to be hardly or never Cur'd 2. No better event attends this Disease when if succeeds an inveterate Scurvy Haply the intentions of Curing are somewhat more certainly pitcht upon when this effect is suppos'd to be the basis or root of that viz. the Terapeutick intention being thence taken we insist chiefly on Antiscorbutick Remedies but yet the more smart and hotter things of this kind as Scurvy-grass Cresses Horse-raddish Pepperwort and other things irritating the Blood too much in regard they more dissolve its Crasis and drive the Tartarous Concretions more plentifully to the Skin are always found rather prejudicial than advantageous And for this reason the use of hot Baths or Bathing in hot waters which in regard it evacuates the Humours of the whole Body by a most plentiful Sweat and cleanses the Pores of the Skin and mightily purges them amy seem to be very available in this Disease most commonly is so far from doing good that the Eruptions are wont thence to be mightily encreast and exasperated For I have known many persons not very much over-gone with the running Scab who going to our Bath to bathe themselves in the hot waters have return'd thence perfectly Leaprous Wherefore when this affect is a Symptom arising from the Scurvy all Smart and Elastick things being avoided let only the more temperate and such as are endow'd with a Nitrous Vitriolick or Volatile Salt be administred We shall give you some kinds and froms of each of these sorts In the First p ace things chiefly excelling in a Nitrous Sal are Chrystal Mineral the Juices or Decoctions of certain Herbs and some Purging Mineral waters Take Chrystal Mineral or Nitre purified to the highest degree an Ounce Flowers of Sal Armoniack a Dram bruise them together in a Glass Mortar give to a Dram thrice or four times in the space of twenty four hours Take Leaves of the great House-leek two handfuls being bruis'd boil them in two Pounds and a half of fresh Milk till it turn to Whey and Curd being strain'd let the clear Liquour be taken to a Pound twice a Day Take Leaves of Dandelyon six handfuls being bruis'd put them in a Glaz'd Earthen Pot with a cover which put in an Oven after the Bread is draum and let it stand for six or eight hours then the Mass being put in a strainer let the clear Liquour run out the Dose of which is from four Ounces to six thrice or oftner in a Day Cucumbers being endow'd with a Nitrous quality are found by experience to be good against this Disease wherefore let store of them be often eaten as a Sallet Moreover let three or four of them being cut into slices be infus'd and close stopt in three Pounds of fountain water all Night to the clear Liquour pour'd off add of Sal Prunella two or three Drams the Dose is half a Pound thrice or oftener in a Day for the same purpose also Decoctions of the Leaves together with the Fruit made in fountain water are proper Some Mineral Purging waters as especially those of North-hal being resolv'd by Evaporation mainifestly shew the Nitrous Salt wherewith they are imbued And I have sometimes found by expericence that dayly drinking about two quarts of them for many Days Cures a small running Scab 2. But as I have hinted before Mineral waters endow'd with a Vitriolick Salt as those of the Spaw and ours of Tunbridge and Astrope far exceed those Nitrous waters nay and all other Medicines and are of greater efficacy in the Cure of the running Scab To those who have not the conveniency of using these waters I ordinarily give with good success against this Disease common waters impregnated with our Steel and so most exactly resembling those Mineral waters It happens that Tin and Antimony by reason of their Mineral Salts or at leastwise by reason of the Mercurial Particles in them are extol'd by many for curing the running Scab and are wont to be prescrib'd with other Medicines Let Shavings of Tin and Powder of Antimony be infus'd in Beer for ordinary Drink they enter also the Decoctions of Sarza with Woods which are ordered against this affect The use of the Viper and preparations of it sufficiently recommend the excellent Vertue of Volatile Salt for the Cure of the deep sort of running Scab nay of the Leaprosie it self For it being manifest by frequent observations that Remedies prepar'd of Vipers do good in the running Scab and Leaporfie certainly the reason of the help it affords ought to be ascrib'd to the Volatile Salt with a great plenty of which this Animal is endowed For the Particles of this destroy the fixt and acid Salts predominating in the Blood of the Diseas'd and dissolve their Combinations Nevertheless the Salt Spirit and Oyl of Vipers Chymically extracted by reason of their Empyreumatick and mighty Elastick Particles which they draw from the Fire are not proper in this Disease so neither the Spirit or Volatile Salt of Harts-born Soot or Blood and other such like Armoniacks because by exagitating the Blood and Humours above measure they cause their Crasis to be more dissolv'd and their Corruptions to be driven forth more plentifully to the Skin Wherefore the more simple preparations of Vipers as Broaths of their Flesh boil'd in water Drinks impregnated with Infusions or Incoctions of the same and Powders made of the same dryed and beaten are rpescrib'd with more success against this Disease Moreover not only the Flesh of Vipers but of other kinds of Oviaprous Snakes being boil'd and eaten for ordinary Food
in the Groin or on the Thighs or Calves of the Legs viz. sometimes in this part sometimes in that to wit that the little Sores made here and there flowing continually may plentifully discharge the Serum filled with Heterogeneous and Morbid Particles Moreover Remedies gently conveying the Serum to the Reins and Urinary passages are often given with good effect for this purpost let Diuretick Apozems ans Julapes be ordered according to the following Forms Take Roots of Scorzonera Chervil Grass Eringo's preserv'd of each six Drams one Apple slic't Leaves of Burnet Meadow sweet of each a handful Raisins an Ounce and a half burnt Harts-horn two Drams being slic't and bruis'd let them boil on a clear Fire in four Pounds of fountain-Fountain-water till a third part be consum'd to two Pounds of the clear Straining add Syrup of the Juice of Citrons or of Violets two Ounces Sal Prunella a Dram and a half make an Apozeme the Dose is from four Ounces to six thrice a day Or let that Straining be pour'd on fifteen sineet Almonds blanch and on the four cold Seeds of each a Dram being lruis'd make an Emulsion according to Art Take water of Dragon-wort and of black Cherries of each four Ounces of Scordium compound two Ounces Treacle-water an Ounce and a half Syrup of Clove-gillylowers two Ounces Spirit of Vitriol twelve drops wake a Julape Let Sal Prunella be giben often in a day in small Beer or Whey from half a Dram or two Scruples Moreover in this Fever Medicines gently promoting Sweat especially such as restore the Animal Spirits and free them from any Heterogeneous Combination are of excellent use Wherefore either let Powder of Pearl or Spirit of Harts-horn or of Blood be given in a small Dose twice a day viz. Morning and Evening Let Glysters be injected alniost daily and if it seems convenient let a gently loosning Medicine be repeated twice in a week Let none but a thin Diet be ordered viz. such as is wont to be in other Fevers Flesh or its Broath being wholly forbidden let the Sick eat only Oat or Barley-broath let his Drink be small Beer or Whey But if notwithstanding any Physical provision the Morbifick Matter gets possession of the Brain or Lungs or both of them together so that a failing and disorder of the Animal faculty or also a violent Cough come upon the Diseas'd we must consider what is to be done in either state of the Disease rais'd after this manner to an ill condition for then the Curative Indications ought to respect a stupor or madness or the Cough and at length if the Disease being upon declining these Symptoms remit let appropriated Remedies be given against the Atrophia it being as the last fortress of this Disease 1. Therefore if the Morbifick Matter as it frequently is wont being brought to the Head causes there a Stupor or Sleepy affects Remedies ought to be carefully administred which draw it to another place and derive it some way or other from the Head and likewise such as raise up the Animal Spirits and make void the impure Combination Wherefore in this case let the use of Epispasticks be very much encreast outwardly let Spirit of Harts-horn be given every sixth hour in somewhat a large Dose let Blood be drawn again from the Jugular Veins the Salvatella or also from the Veins of the Fundament by Leeches If the affect does not remit the Hair being shav'd off let Emollient Fomentations be often applyed to the Head Moreover let Cupping-glasses Plaisters and Cataplasms be applyed to the Soles of the Feet and other ways of administration such as are vulgarly indicated for Curing a Stupor ought to be us'd In like manner if to the evil or defect of Crisis in this Fever a Frensy or Mania Supervene let Remedies appropriated to those affects be administred 2. But if together with or without this Detriment brought on the Head the Lungs also are injur'd by the Disease so that the Diseas'd not yet freed of their Fever seem to have fall'n into a Consumption or Ptizick with a troublesome Cough much and thick Spittle and that often discoloured Medicines commonly indicated in such affects are proper wherefore Pectoral Decoctions Lohoch's Syrups Waters of Milk and Snails distill'd and other Remedies of this kind ought diliently to be us'd The Forms of which are to be found in their above written cases Hitherto we have describ'd a continual Fever for the most part Convulsive and taking its rise both through the default of the Nervous Juice and of the Blood I shall now set before you an example of a Disease resembling an intermitting Fever and chiefly radicated in the Nervous Juice A fine Woman of a very tender Constitution and a weak temper of the Brain and Genus Nervosum and consequently very subject to Convulsive affects after she had conceiv'd about the fourth Month of her Child-bearing upon taking cold was most sorely afflicted with Asthmatick Fits and likewise with frequent Faintings of the Spirits But by the use of remedies endowed with a Volatile Salt she grew well of these Distempers within a fortnight nevertheless after six weeks were past an unusual and very wonderful affect seis'd this Lady On a certain morning awaking after her sleep which had been somewhat troubled that night she felt in her whole body a light shivering as tho' the fit of a Tertian Ague were coming upon her Frequent Gapings and Retchings follow it with a frequent straining to Vomit Then her Urine which just before was of an Orange colour with a laudable sediment became pale and watery and was very frequently voided viz. every munute of an hour Moreover about the Loins and Hypochondres and in other places pains with light Convulsions passing from one place to another were rais'd Which kind of Symptoms being manifestly Convulsive with the frequent making of Limpid Water continued from the morning almost to the evening In which space of time a vast quantity of Urine viz. thrice more than the Liquor drank was made In the mean while the Heat became not more intense nor did Thirst seem pressing nor was the pulse rais'd In the eveing the foresaid affects ceast and the Urine came again to be of an Orange colour and in a small quantity and she enjoyed a moderate sleep during the whole night and then the next morning the Fit returned near the same hour accompanied whol'y with the like Symptoms and daily acted over the very same Tragedy Going to see this Lady after the had lain ill after this manner for twelve days I judged that this disease being chiefly rooted in the Genus Nervosum depended on the effervescency and flowing of the Humour that lies in the Nervous parts to this Breeding person I Prescribed Bleeding and to take twice a day a Powder made of Coral Pearl Ivory and other Cordial things in an appropriated Liquor morning and evening she took twelve drops of the Tincture of Antimony the effect whereof I
Spirit of Blood Tincture of Antimony of Coral Decoctions of the Roots and Seeds of the great Burdock Ground-pine and Germander do excellently well and let those kinds of Remedies be taken twice or thrice a day with Antiscorbutick distill'd Waters A Water distill'd from Horse-dung with the addition of Scurvy-grass Brook-limes Ground-pine and the like is sometimes very profitable mean while let Fomentations Liniments Cataplasms or applications of other kinds which appease Pains be outwardly Administred Of the Scorbutick Gout moving from one place to another OF this Affect Eugalenus Wierus Medicus Campensis and Georgius Horstius have written peculiar Tracts If is said to be very Common in the Northern Parts of Belgia a certain token of which appears by putting a live Earth-worm to the place affected for its presently wont to spring bend and knit it self and to faint and dye which indeed I have found pretty often to happen in this Disease even amongst us which effect seems to proceed from the very sharp and as it were Corrosive Effluvia that plentifully flow from the place Pain'd and Swoll'n By Reason of the effect of that Experiment the Cure of the Disease is wont to be undertaken by Worms viz. by Remedies prepar'd of them though I know not whether being inwardly taken they will as certainly destroy the Disease as being outwardly applied they are dispatcht by it However Earth-worms as also Snailes Millepedes and other exanguious little Animals in as much as they abound with a volatile Salt often prove a pretty efficacious Remedy Henricus Petraeus tells us of two Remedies very much us'd in Westphalia against this Disease Take nine Earth-worms bruis'd with two Spoonfuls of Wine in a Mortar and strain'd through a Cloth to these let half a Measure of Wine be added let three Spoonfuls be taken at Morning Noon and Night for many days 2. Take two or three Branches of Savine Virgin Hony two spoonfuls boyl them with a Measure of Wine till it pitches two Fingers Let the straining be taken to four or five spoonfuls thrice a day To the former Medicine a certain vulger potion mentioned by Horstius called Monasteriensis is allied Take Sage Betony Rue of each five Leaves Earthworms with Circles about their Necks in number five a little Savine and Roots of Devils-bit in number two let them be bruis'd with Water of Elder Flowers and let the exprest Juice be given for raising a Sweat A like prescript also is propos'd in Forestus à Medico Campensi Certainly in this affect the Magistral Water of Earth-worms prescrib'd in the London Dispensatory is of excellent use And I have often given with good success the Spirit and Salt of Harts-horn Spirit of Blood and Flowers of Sal Armoniack Moreover teslaceous Powders viz. Crabs Eyes Coral Pearl and Vegetables which are accounted Antidotes against the Gout as Roots of round Broth-wort Leaves of Ground-pine Germander and the like being joyn'd with Antiscorbuticks conduce to the Cure of this Disease outwardly for appeasing Pains besides Anodynes which are us'd under the form of a Liniment Fomentation or Cataplesm Oyl of Earth-worms of Frogs and Toads are often very availing I have been told by a worthy Person who was very obnoxious to this Disease that Water drawn by Destillation from the Contents taken out of the Stomach of a Beefnewly kill'd and Cloaths being dipp'd into it when Warm and applied as a Fomentation would most certainly give ease Of Convulsive and Paralytick Affects that are wont to ensue upon the Scurvy IF at any time the Scrobutick taint passing into the Brain and Genus Nervosum greatly corrupts the Liquor residing in each Province thereupon divers kind of Affects and especially Paralytical or Convulsive are wont to arise viz. according as the Morbisick Matter brought in to be Animal Aeconomy is either Narcotick or Explosive Which kind of Affects though in this case they are Symptomatical yet when they are grown to a hight they challenge both the name and the better part of the Cure before the Scurvy their parent so that the diseased are said to be troubled with the Palsy or Convulsions rather than with the Scurvy also Medicines design'd against those Affects have the preference to any others at the same time required by reason of other intents For Curing these kinds of Affects hapning upon the Scurvy let this chiefly be observ'd that Remedies appropriated to those same be duly Complicated with Antiscorbuticks As to Convulsive Diseases the Remedies that are in the foregoing Tract may easily be Transfer'd hither And as to the Palsey Lethargy and many other Affects of the Brain and Genus Nervosum we shall discourse of them particulary in some other Tract Of the Atrophia also of the Scorbutick Fever which is often the Cause of the other or its Effect THere are three kinds of Causes having some orderly dependance on each other from one or more of which a Scorbutical Atrophia is wont to be produc'd without a Consumption of the Lungs viz. either the Chyle is perverted through the fault of the first passages so that a laudable or sufficient Store or it is not convey'd to the Blood Secondly or being brought into it yet through the fault of the Blood it is not duly chang'd into Blood and a nutritive Juice Thirdly and lastly the nutritive Juice prepar'd in the Mass of Blood is not duly assimilated to the solid parts through the fault of the nervous Liquor The Remedies appropriated to this Symptom regard either the amendment of the first Passages or the correction of the foresaid Humours As to the former it sometimes happens by reason of the Tone of the Stomach being broken or its Ferment being vitiated that the Food taken into it is not duly concocted but passes into an unprofitable Mass of Corruption For these sorts of evils let gentle Catharticks Digestives and Corroboratives be us'd But the work of Chylification is oftner hindred by reason of a Schirrous Tumour rais'd sometimes in the Ventricle sometimes in the Mesentery or in other adjacent parts In this Case Deobstruents and Dissolvents are proper the use of Spaw-waters has the preferance to any other Rinds of Medicines Moreover Fomentations Liniments or Plaisters ought to be outwardly applyed Again it sometimes happens that without any Tumour rais'd in the Viscera the Lacteal Vessels are so much obstructed by a gross and viscous matter sticking in them that a sufficient store of the Chyle though it be laudable enough and plentifully prepar'd is not convey'd into the Blood In this affect the Belly for the most part discharges Excrements plentifully but they are White like coagulated Milk and not as other Excrements ting'd with Choler or Stinking The reason of which is that the Blood being depauperated more sparingly engenders Choler from the eflusion of which into the Intestines the Colour and Stink of the Excrements proceed In this case Spaw-waters are chiefly proper also Deobstruents being inwarldly given let Liniments Fomentations and Baths be outwardly us'd
the excretory Vessels gape into the cavity of the mouth certainly by this way chiefly the envenom'd Latex of the Blood will find its passage forth which it cannot readily do elsewhere Wherefore upon a Salivation being rais'd the Blood long fermenting like Wine or Beer purging it self throws off by the Ductus Salivales and the innumerable Meatus every where gaping into the Mouth whatsoever extraneous and degenerate substance it may either contain within it self or can drink up or receive from elsewhere be it from the Viscera or solid Parts or from other humours Moreover it is likely that as the off-scowrings of the Blood so also those of the Liquor that irrigates the Brain and Nervous Appendix being stirr'd upon the entrance of the Mercury are voided forth also this way viz. by the Ductus Salvales Therefore a Salivation caus'd by Mercury if haply it succeeds well removes sometimes difficult and indeed Herculean distempers and such as will not be mastered by any other Remedies viz. forasmuch as this operation by a long expurgation throughly cleanses the Blood and nervous Juice and other humours destroys all exotick serments quells the enormities of Salts and Sulphurs and also exagitates the morbifick matter sticking any where or stagnating and often leads it forth Nevertheless this Medicine is not always free from danger viz. because the Mercury being become exorbitant and carrying with it a mighty store of most sharp and as it were envenom'd Serum and rushing violently into the noble Parts and especially the Brain with the appendixes both medullary and nervous or into the Lungs and Praecordia brings upon them an indelibel and sometimes a mortal prejudice Wherefore in an ancient and fore Head-ach there is danger lest the indispos'd Fibres be more irritated by the Mercury pervading them with much and Corrosive Serum and be put upon greater Convulsions and painful Corrugations And also lest upon the mighty recourse of Humours to the Head the Brain be invaded and consequently which happens too often lest the sleepy or Convulsive affects be caused I would have discoursed more concerning these things because it is of a great concern but that we daily expect an exact method of Salivation and a full account of it as to its ways and effects advantages or disadvantages to be set forth by the Leanred Physician Dr. Needham From Chirurgery there remains yet another famous remedy for curing inveterate Head-achs viz. the opening of an Artery Some of the moderns use this and very much extoll it it being greatly accounted of amongst the Ancients Nevertheless as far as it has appeared to our observation success has often been wanting to that so much cryed up operation Nor is it a wonder because that ground on which the Ancients relying blam'd the Arterious Blood as differing from that of the Veins and more exorbitant and therefore advised it to be let forth does not hold good Nor indeed is thereany other reason wherefore Blood drawn from an Artery rather than from a Vein near the place grieved should give ease but rather on the contrary we may expect a greater help from the opening of a Vein because an Artery being emptied receives and draws away nothing from the part affected but a Vein being opened in the place of the Blood issued forth draws from the whole Neighbourhood and often drinks in again and restores to circulation the Blood and other humours heaped together and Stagnating near the seat of the Disease However lest we recede too far from the practice of the Ancients attributing nothing to Arteriotomy we grant that sometimes haply it gives help tho not immediately and causally but only by way of consequent and per accidents viz. forasmuch as the ends of a cut Artery grow together so that the passage for the Blood that way is stopt for the time to come hence in regard somewhat a less store of Blood is brought towards the place by the Arteries and an equal quantity is still carried away by the Veins therefore it sometimes happens that the fuel of the morbifick matter is diminished and that its flock is consumed by degrees For this reason that administration has often succeeded well in distempers of the Eyes Moreover Farriers use a practice not unlike this for curing malignant tumours in Horses Legs to wit they take and bind the Artery by which the matter flows to the part affected mean while that which was there sticking partly evaporates and partly is drunk up again by the Vein I have heard that in a manner the same method was successfully tryed by our Harvey for curing strumous and schirrhous tumours also in the Body of man I might here set down many other kinds of Remedies and also Prescripts and forms of Medicines which are wont to be used both by Physicians and by Empiricks for curing Head-achet but the Books of Physicians abound too much with these I shall now give you some rare cases of Persons troubled with the Head-ach and first some examples of a most severe continual Head-ach which also the cause being invincible has often proved fatal A Woman fifty years of age after that she had been ill for about six months with a very great pain of her Head troubling her almost continually under the Sagittale Suture and yielding to no Method or Medicines fell at length into a Lethargy with a Partial resolution of her Limbs from which nevertheless being in a short time recovered by remedies seasonably administred she had again the violent pain in her Head as before and afterward within a fortnight or three weeks falling into a sleepy affect she departed this life The Scull being opened on the side of the third Sinus a schirrhous tumour three fingers broad grew to the Membranes by the mediation of which the Dura Menix also for some space grew to the Pla and the Blood Vessels which ought there to open into the cavity of the Sinus were stopt moreover both the outward Anfractus of the Brain and â—its inward cavity were filled with clear water From these observations the invincible and at length mortal cause of that Disease may plainly appear I remember formerly to have observed by Anatomy a case like to this in a certain other Person Moreover in regard I judge that in many Persons troubled with the Head-ach the Disease depends on such an invincible cause I shall here give you one instance that is quite fresh of that kind of affect Some few years since I was called to see a Lady of Quality troubled for above twenty years with a Head-ach which at first was intermittent but of lat eis almost continual She was endowed with admirable gifts both of body and mind so that she was excellently skilled in the Liberal Sciences and all Learning above the condition of her Sex but as tho Nature thought it too much for her to enjoy so great endowments without some affliction she has suffered very sorely from this disease Before she was eight years of
age upon her recovery from a dangerous Fever she became obnoxious to pains of her Head which were wont to arise sometimes of their own accord but oftner on some light occasion offered the disease being not limited to one place or part of the Head sometimes infested the right side sometimes the lest and often its whole circuit During the access which seldom ending within the space of twenty four hours often infested her for two three or four days she could not endure light speech sound or any motion but sitting upright in her Bed in a darkned room she was able to speak with none nor to take any rest or food at length as the Fit declined she used to fall into a deep and troubled sleep from which awaking she was wont to be better and then by degrees to recover and during the time of intermission to be indifferently well Formerly the Fit being raised only occasionally seldom returned within twenty days or a month and then afterwards much more frequently but of late she is seldom free from them Moreover through many occasions or rather evident causes such as are the changes of the Year and of the Air the great Aspects of the Sun and Moon violent passions and errours in diet she is sorely tormented with them Now tho this affect having sorely afflicted this noble Lady when I went to see her above twenty years and pitching its Camp near the Confines of the Brain had so long besieged its Royal Fort however it had not yet gotten possession of it But the diseased being free from a Vertigo Scotomia Convulsive affects and any sleepy symptom had still the chief Faculties of her Soul whole and sound In order to the obtaining or rather endeavouring a Cure throughout the whole progress of the Disease a great many Remedies prescribed by most skilful physicians as well of our Country as Foreigners were used without any success or ease She tryed all the Great Remedies of every kind and form but always in vain a great many years since she underwent a long-continued and most troublesome Salivation by a Mercury Ointment so that she incurred a great danger of Life Afterward a Cure was twice undertaken by a Flux tho to no effect by a Mercury Powder which the famous Empirick Charles Huis generally gave She tryed hot Baths and drank Spaw-waters almost of every Country and Nature with the like success as the rest She was frequently blooded and once in an Artery she went with many Issues made sometimes in the Sinciput sometimes in the hinder part of the Head She took the Air in divers Countreys viz. besides her Native that of Ireland and France She took Medicines of all kinds whatsoever to wit Cephalicks Antiscorbuticks Hystericks all famous Specificks nay and Empirical Remedies given both by the learned and unlearned by Mountebanks and old Women yet she declared that she had not received any where from any remedy or method of Cure the least help or relief But the refractory and obstinate Disease being deaf to all inchantments of Medicines would not be mastered Moreover having possessed so long the precincts of the Brain tho it could not enter its recesses yet when I went to see her extending its limits into certain other parts of the Genus Nervosum it began to raise violent pains in the Limbs also in the Loyns and Abdomen such as are usual in a Rheumatism and in a Scorbutick Cholick A worthy man about forty years of age robust and sound when upon riding a whole day in the rain he had gotten cold by reason of the hinder part of his Head being continually wet soon began to feel a pain in that Part which in a short time being very much encreased miserably afflicted the Diseased both day and night and kept him in a manner always without sleep Blooding Purging Clysters Vesicatories Hypnoticks nay and a great many Remedies of all kinds diligently administred by the joint advice of a great many Physicians did little or nothing towards the Cure of this affect When the Disease notwithstanding all these daily grew worse after six weeks Glands preternaturally swoln and painful arose all over the Neck the Hemicrania in the mean while abating nothing Moreover the Tendons of the Neck being very much distended and stiff proved very tedious to him to which in a short time Convulsive motions and leaping of the Tendons succeeded in various Parts with a Delirium and at length the Diseased being worn out with pains and watchings yielded to Death As in the foregoing cases the Head-aches proceeded from Nodes and tubercles of the Meninges so sometimes mortal and incurable Head-achs arise from a Phlegmon and Abscess A while since a University Scholar after he had complained for a fortnight of a very great Head-ach afflicting him almost constantly at length the Fever becoming stronger presently Watchings Convulsive motions and a talking light-headed ensued at which time a Physician being called Blooding Clysters Playsters Revulsives Vesicatories also inward Remedies for withdrawing the course of the Blood and Humours from the Head being carefully administred he could do no good but Death in a short time followed The Scull being opened the Vessels spread over the Meninges were filled with Blood and very much distended as tho the whole mass of Blood had flown thither so that the Sinus's being dissected and opened above half a pound of Blood flowed forth Moreover the Membranes themselves being affected throughout with a Phlegmonous tumour appeared discoloured These coverings being taken away all the Anfractus of the Brain and its Ventricles were full of clear water and its substance being too much irrigated was moist throughout and nothing firm For the Blood being there heaped together when it could not circulate threw off from it self a plentyof Serum by which the whole Head was soon floated so that the Disease curable haply at the beginning by Phlebotomy afterward became mortal I remember another University Scholar who after being constantly and very sorely afflicted with a Hemiâ—â—ania under the temporal Suture for three weeks fell at last into a fatal Apoplexy The Head being opened a Phlegmon had grown in the Meninges near the place paining from which at length suppurated and broken the Sanies falling on the Brain had affected its substance with a lividness and corruption But tho a continual Head-ach especially if it be drawn in length for many weeks without intermission be not without danger nevertheless we must not presently despair of its Cure because the cause of this how fixed and immovable soever it may seem is often cured by a long use of Remedies nay sometimes without them by Time and Nature tho in a case that is almost desperate there is need of some Physick lest the present affect pass into a worse viiz into a sleepy or Convulsive distemper So much of the continual Head-ach it now remains for us to propose some Examples and some rare Instances of an intermittent Head-ach Therefore not
to set forth here cases of the Head-ach whose Fits being erring and uncertain proceed from the Blood or Serum rushing into the places affected in regard that these are very frequent and vulgarly known I shall now set before you certain choice Observations of this Disease being either periodical or seeming to arise from some one of the Viscera per Consensum As to the Former the periodâ—â—â— invasions of the Head-ach are produced either from the nutritive Humour or from the nervous Juice I shall now give you example of both A venerable Matron in the forty fifth year of her age being of a thin habit of Body and a bilous temperament after having liv'd for a long time obnoxious to Head-achs wont to be occasionally rais'd about the beginning of Autumn she began to be troubled with a periodical Head-ach This affect seizing her about four a clock in the Afternoon was wont to hold her almost till midnight till the diseased being tired with watchings and tortures was forced to fall asleep then after a pretty prosound sleep upon her awaking in the morning she was well The Diseased having undergone daily Fits of this Disease for three weeks after this manner delay'd the use of Physick which she very much abhorr'd but at length her appetite being dejected and her strength worn away she was forc'd to desire a method of Cure and after a gentle Purge and blooding she took twice a day for a week or a fortnight the quantity of a Chestnut of the following Electuary and grew perfectly well Take Conserve of the Flowers of Cichory and Fumitory of each three ounces compound powder of Aron Roots two drams and a half Ivory a dram and a half yellow Saunders Lignum aloes of each half a dram Salt of Wormwood a dram and a half Vitriol of Mars a dram Syrup of the five Roots what suffices make an Electuary The cause of this periodical Head-ach doubtless was that the assimilation of the Chyme or nutritive Humour into Blood was hindred For when its store received into the mass of Blood could not be overcome it was wont after a little stay to fall at odds and ferment with its particles Therefore presently the Blood falling into a turgescency that it might shake off that incongruous mixture depos'd its recrements as on other Parts so chiefly and with a greater sence of offence on the Fibres of the Meninges being before weak or injur'd in their conformation so that the pain lasted till the heterogeneous particles boyling by their mutual congress either were subdued or did exhale A handsome tall and slender Woman long and sorely obnoxious to cephalick affects was wont to be infested sometimes for many days nay weeks with a violent Head-ach which seiz'd her daily at her awake early in the morning and afflicted her for three or four hours In the mean space she was also affected with a heaviness of the whole Head a deadness of the Senses and a stupidity of Mind which affects vanishing together with the pain before Noon like Clouds disperst left all things calm and serene Till the next morning they possest again the Brain like a sogg and dark mist For curing these distempers I prescribed parging Pills a spare Bleeding Vesicatories also and the use of Spirit of Harts-horn or of Soot with Cephalick Juleps or Waters In this Gentlewoman the pains of the Head rather followed sleep than was cur'd by it because in this morning Head-ach the morbifick matter resided in the nervous Juice whose greatest curdity and aggravation about the Head happen presently after sleep but the other evening fit of this disease in regard it depended on the plenitude and turgescency of the nutritive liquor within the mass of Blood therefore hapned so many hours after dinner and was not mittigated but after sleep which appeases the disorders of the Blood Tho the Experience and Complaints of sick Persons manifestly shew that Fits of the Head-ach sometimes arise by consent from the other Parts viz. the Womb Spleen Stomach c. Nevertheless it as clearly appears from the accounts of them and the Phoenomena being duely considered that this is done by another means than by Vapours rais'd from the Viscera affected to the Head And first as to the pains of the Head seeming to be rais'd from a Womb nothing occurs more frequently than for violent Head-achs to ensue upon the suppression of the menses or lochia moreover tho the menses observe their due course yet some Women are wont to be afflicted with a violent pain of the Head just as they are coming others as soon as they are past But yet tho at the same time that the Head is affected the Womb is also yet it does not follow that the Injury is convey'd immediately from this to that but it is the Blood it self which fixes the morbifick matter on the Head viz. it sometimes perversly conveys it being engendred within its own bosom and design'd for the Womb into the Meninges of the Brain and sometimes withdrawing it from the Parts of the Womb it delivers it to the Head with a greater mischief This Aetiology agrees also with the Head-ach vulgarly imputed to the Stomach Spleen and other Parts A beautiful young Woman of a thin habit of Body and a hot Blood having been obnoxious to an hereditary Head-ach was wont to undergo frequent Fits of it and those coming at random to wit some happening on a light occasion and others arising of their own accord that is without any evident cause On the day before the spontaneous access of the Disease being very hungry in the Evening she greedily eat a plentiful Supper with a hunger-starv'd not to say Canine appetite most certainly fore-knowing by this sign that a pain of the Head would seize her next morning which sign never fail'd of Event for as soon as she awak'd being afflicted with a most cruel torture throughout the Sinciput she was affected likewise with a vomiting of a humour sometimes acid and as it were vitriolick sometimes bilous and extremely bitter it hence seeming to appear that that Head-ach had its rise from the fault of the Stomach To undertake to give the reason of this in the first place it is known that a vomiting ensues upon the Head's being injur'd viz. after a stroak Wound or a fall from an high place nevertheless a pain of the Head seldom or never follows a vomiting Cardialgia or the Stomachs being otherwise troubled unless an effervescency of the Blood happens Wherefore in the foresaid case of the Person diseas'd since it plainly appear'd that the Meninges of the Brain were predispos'd for Head-aches and that its Fits had raised an agitation of the Blood hence it will be obvious to conceive when the heterogeneous Particles by reason of the fault of Chylification were heap'd together in the mass of Blood to a fulness presently upon its beginning to flow in order to the expulsion of that which was offensive they being severed
Thalami Optici had caused the blindness and by entring or compressing one Corpus Striatum or its Pores had brought the Palsey The Plexus Choroeides appear'd as parboyled somewhat white and almost without Blood it s probable that all the Lympha or the greatest part of it wherewith the Ventricles of the Brain were floated distilled from those Vessels tho in this case if as some think the watery latex sinking lower from the cortex of the Brain at length having wholly pass'd the Brain could fall into those Sinus's a reason may not uneasily be thence taken wherefore the Lethargy seeming first to be cured by and by being more violent return'd again with a Blindness and Palsey joyn'd with it to wit as at first the store of soporiferous matter fell from the Cortex of the Brain into its cavity the animal Function grew a little clear but afterward when a new matter sprung in the Cortex of the Brain and this falling into the Sinus's was gathered together to a fulness thereupon a Relapse of the former Disease happened with the addition of a blindness and Palsey Now tho the Dropsy of the inner part of the Brain or an inundation of its Ventricles by compressing the corpora striata or thalami optici causes a Palsey or blindness or by twitching the Origines of the Nerves Convulsive affects yet it most evidently appear'd by a late observation that the Lethargy does not arise from such a Cause but only from the outward part of the Brain being floated or compress'd A certain Gentleman long sickly after that he had been troubled almost for five Months with a Colick or rather with a most violent scorbutick and running Gout in which not only the Viscera and Fibers were affected with great Gripes but likewise the Membranes and all the Muscles of the whole Body almost with continual Tortures and at length suffer'd in his Members sometimes horrible Convulsions sometimes Apoplectick Invasions as it were or an offuscation of the Sight at last his Strength being spent and the Stores of his Spirits wholly exhausted he dyed For seven dayes before his decease excepting only the last save one being more lively as to his Sense and Understanding he lay almost continually awake a little before this long waking upon a Vesicatory's being applyed to his Neck a vast quantity of water flowed to it and thence-forward flowed forth daily even to his death that I may hence suspect he continued thus without sleep by reason of the watery humour withdrawn from the Brain in too great a plenty The Head of the defunct being open'd the inward Cavities of the Brain or all its Ventricles appear'd fill'd to the top and strouting as it were with a limpid water nay about the top of the Spine the Funis medullaris it self seem'd to be surrounded with and immerg'd as it were in Waters there heapt together Without doubt for this reason such violent pains and cramps infested him in his Loyns and Members and in the whole Habit of the Body and by reason of the deluge in the Ventricles he became obnoxious to frequent offuseations of the Sight and resolutions of the Limbs nevertheless there was no Lethargy here tho the long watching was caus'd by reason of the waters deriv'd in too great a plenty by the Vesicatories from the circumference of the Brain This Person had also gotten a Dropsie in his Breast by reason of the Lungs being much vitiated the Liver being of a vast bigness appear'd every where with white spots and almost without blood so that the depravations of the blood and nervous juyce ought to be ascrib'd in some sort to these faults of the Viscera CHAP. IX Instructions and Prescripts for the cure of the Delirium and Phrensy SO far of Cephalick Diseases by which the Animal Functions by themselves and as they are Corporeal are wont to be letted or perverted without respect to the rational Soul in some of them viz. in the Vertigo and Palsey the Understanding for the most part continues clear and lively and in the rest as an Eye plac'd in an obscure place it beholds either no Species at all or a few only set before it with a gross appearance but is not easily carried into a great Errour or a Fury which kind of Symptoms are generally caused by other affects of the Brain and of the Spirits residing in it of which we shall now treat for if at any time the Imagination be so troubled or perverted that it either conceives amiss or ill compounds or divides the Species and Notions presented by the Sense or Memory thereupon presently the Understanding descryes or frames only deform Conceptions and Thoughts distracted from each other and greatly confus'd which are represented to it by the Brain ill affected as erroneous appearances by a variegated and distorted Glass there being many ways with which the Imagination and consequently the Mind and Will and other Powers of the superiour Soul are wont to be perverted or deprav'd they all are denoted by the common word Desipientia Now this Affect is distinguish'd into a short one which is called a Delirium and a long or continual one which is either joyn'd with a Fever and is called a Frensy or happens without a Fever and to it either a Rage or Sadness or Stupidity is joyned and therefore it is divided into a Mania Melancholy and Fatuity We shall speak of each of these in order and at present of the Delirium and Frensy Tho the Delirium be not a Disease by it self but is only a Symptom proceeding from other affects yet because in the cure of these on which it happens it is usual to obviate it for the most part with appropriate Remedies Therefore it seems to concern us to inquire somewhat strictly into its Nature and Causes That word taken properly is the same as Dementia and denotes such an annoyance of the animal Function as arising in the fits of Fevers Drunkenness and sometimes in the Passions called Hysterical induces men to think speak or do absurd things viz. some of these or all of them together for a short time A Delirium is raised in as much as the Animal Spirits either being too much irritated or put in Confusion are carried hither and thither within the globous frame of the Brain where the Fansie and Memory have their Seats in a disorderly and tumultuous manner for so whilst the various species of the Imagination and Memory being rais'd together are confounded with each other only absur'd and incongruous Phantasms are presented to the Rational Soul and therefore the Acts of the Understanding and Will are wrought only irregularly But reason of the Animal Spirits being irregularly mov'd within the Meditullium of the Brain or the Corpus Callosum incongruous conceptions and confused thoughts are presented to the Rational Soul it hapning in like manner as when the Species of visible things are brought to the common sense after a long turning round of the Body
beginnings of the Disease the reason of the difference seems chiefly to lye in this viz. that in some gouty Persons who are yet firm in the Constitution and Tone of the Humours and the containing Vessels and whose Joynts are not yet weakned as often as the Blood and Nervous Liquour are troubled by a medicine their Superfluities and Recrements are not presently precipitated into the Minera of the Disease but yielding to the Medicine irritating and stirring them they are drawn from the Mouths of the Arteries into the Cavities of the Intestines and mean while the emptied Vessels withdraw or drink up again a part of the morbifick matter but on the contrary in tender and weakned constitutions upon the gentlest commotion of a Medicine the Recrements of both humours fall into the Place troubled with the Gout To those therefore with whom purging agrees it ought to be ordered with a strong and exagitating Medicine for this purpose are vulgarly famous the Electuary Caryocostinum Syrup of Buckthorn compound Powder of Hermodacts Pilul ex duobus Pil. Rhasis which if we may believe the Authour will make such as are not able to goe presently to walk about Take of the best Aloes half an ounce red Roses two Scruples Hermodacts pill'd a dram and a half Diagridium a dram Honey of Roses what suffises make Pills Rodericus a Fonseca wonderfully extolls the roots of black Hellebore and amongst other things an Apple with the Fibres of it stuck in it to half a dram rosted under the Embers and eaten Take Calomelanos a Scruple Rosm of Jalap three grains or of Scammony three grains Oyle of Cloves a drop Balsam of Peru what suffises make three or four Pills for one dose In purging what Solenander prescribes happily may be of some moment viz. by putting a Plaister or some other defensive Medicine on the place to hinder the falling of the humour to it Vomiting with those with whom it uses to be safe and easie does well also in this Disease for which end the Emetick Tartar of Mynsicht Sulphur of Antimony its Flowers Mercurius Vitae Vinum Emeticum Gutta Gamba may be given Moreover in a Fit of the Gout Powder of Stones Bones and Shells and also of smart Vegetables do good which being said to be the Antidotes of this Disease subdue all Particles and fermenting with them mortifie them as it were and at length being subjugated send them forth by Urine or sweat Take compound Powder of Crabs Claws two drams Ivory Roots of bastard Dittany Roots of male Peony of each a dram Lignum Aloes yellow Saunders of each half a dram make a Powder let it be taken from half a dram to a dram either by it self in a Spoonful of red Poppey water drinking after it six Spoonfuls of the same or let it be made into a Bolus or Pills with Venice Treacle or Venice Turpentine what suffises the dose is a dram twice a day drinking after it of the distilled water beneath prescribed two or three ounces Or Take of the same Powder six drams conserve of Clove-gilliflowers and Betony Flowers of each an ounce and a half Diascordium two drams Syrup of Maeconium what suffises make an Electuary the dose is a dram to two drams Evening and Morning Mean while that these things are done for withdrawing elsewhere the morbifick Matter which would flow into the places affected or for sending it forth let altering and qualifying Medicines likewise have their turns which may appease the Turgescencies of the Blood and Nervous Juice and stop the fluxions of the Recrements falling from them for this end a thin diet and a drinking of Water if it be proper being ordered let Emulsions Juleps Apozemes of mild things and Anodines be prescribed As to what concerns the other Scopes of curing viz. the discussion of the Minera sticking in the Parts and the mitigating the excandescencies of the Fibres and Spirits we must insist first on this latter without the performance of which we cannot answer the other intent for this end therefore it is expedient to use both outward things viz. Topicks of various kinds and inward things viz. Hypnoticks There being a vast number of Topicks they either being only Anodines have regard to the Pain it self or levelling at this together with the Tumour they are either Repercussives or Resolvents and Discussers there are various Forms and Wayes of Administrations of every kind of these but those of cheifest use are wont to be Fomentations Cataplasms and Plaisters we shall set down some of the most noted of these and first Anodyne Applications which moderate the Fibres and appease the Spirits by a certain soothing for this use a Cataplasm of Milk and Crum of Bread or of those things with the poúndings of the Leaves and Roots of Mallows and Althea and the like are every where in common Practice with the Vulgar Others commend a Cataplasm of fresh Cow-dung applyed warm Take Water of Night-shade or of the Spawn of Frogs of each six ounces Saccharum Saturni a dram mix them let linnen Cloaths dipt in this be applyed warm Take of red Lead three ounces distilled Vinegar two pounds digest them for many dayes let either this Liquour by it self or a Water drawn from it by distillation be used for a Fomentation Also a distilled water made of the Tincture of Verdigrease distilled in Vinegar often appeases Pains I was told by a Gentleman often troubled with a severe Gout that he in the cruel Tortures of that Disease had always present ease from a Fomentation with a Water distilled from the contents of a Bullocks paunch newly killed Against extream Tortures of the Gout outward Narcoticks sometimes ought to be used Take Leaves of Henbane and Hemlock of each three Handfuls let them be put into boyling Water and as soon as they grow tender let them be taken forth to which being bruised add Powder of the Flowers of Cammomil about two drams the yolk of one Egg make a Cataplasm Or Take Tincture of Saffron made in Spirit of Wine four ounces Camphire and Opium of each a dram let there be a close and warm digestion till they are dissolved let the part that pains be anointed with this Liquour there are innumerable Medicines of this kind every where to be found in Books of Physick and are every where wont to be prescribed by every vulgar Person which likewise may suffice for fulfilling the other intent to wit the repercussion of the Humours if at any time it seems to be indicated As to what regards resolvent and discussing Topicks such are not required which only open the Pores that the Serum may evaporate and the Blood may be restored to Circulation as in a Phlegmon or Aedema but whose saline Particles being destinated for strongly assaulting the saline Particles of the Arthritick Minera may either draw them forth by laying hold of them or by precipitating them keep them from their Pain causing Effervescencies wherefore in this Disease when Fomentations or
Remedies all these things are to be done methodically we shall deliver The cure of the Pain of the Colick is begun most commonly and proper enough by a Clyster let this in the first place be only lenifying and emollient by which as by an inward Fomentation the corrugations of the Fibres may be mitigated and the raging of the Spirits be appeased for this end warm Milk with Sugar or Molossus or Syrup of Violets also emollient Decoctions of Mallows Marsh-mallows Herb Mercury and the Flowers of Melilot Elder with Oyle of Almonds or of Olives also a Decoction of a Sheeps-head or Calves Feet are proper sometimes a Clyster of meer Oyle of Olives or of Linseeds are wont to give help before all others But in case mild Clysters do not easily come away or not loosen the Belly let such be used as irritate more and press and draw out by force as it were the Humours from the little Mouths of the Arteries for this end let carminative or better Decoctions be prepared in which let the Electuary Diaphaenicon Diacatholicon or e baccis Lauri or Species Hierae be dissolved Also to those Liquors it is usual to add three or four ounces of the infusion of Crocus Metallorum or to a pound of an emollient Decoction add of Venice Turpentine dissolved with the yolk of an Egg an ounce or an ounce and a half or take Vrine of a sound man a pound Venice Turpentine dissolved an ounce and a half Molossus an ounce mix them make a Clyster I have known this often to have given a great relief the reason of which seems to be that the balsamick Particles of the Turpentine comfort the intestines and like wise being received by the Venous Blood and circulated with it through the whole Body they move Urine so that a copious making of water often follows such a Clyster and it always carries a smell of Violets haply also the Particles of the Turpentine diftus'd every where move the morbifick or stagnating matter or incline that which is acetous or otherwise degenerate to a better Crasis Whilst the Intestines are so washt with Clysters and fomented as it were inwardly let outward Epithems also be applyed to the Abdomen Take leaves of both Mallows herb Mercury Wallwort of each four handfuls flowers of Elder Camomill Melilot of each two handfuls a Calves-head cloven Let them boyl in a sufficient quantity of fountain-Fountain-water Let the straining be used for a fomentation with linnen Cloaths dipt into it as warm as may be suffered and wrung forth and applied by turns repeating it as often as the pains press violently In the Intervals of the fomentation let a Cataplasm or Liniment be used To the magma of the Herbs bruised add Outmeal what suffices make a Cataplasm and let it be sewn in rows in two bags of a square figure for covering the Abdomen Let one of these be warmed at a time in a Platter on hot Coals with Oyl of Earth-worms or of Froggs let it be put on warm changing it assoon as it begins to grow cold Or Take Oyl of Earth-worms or of Froggs what suffices let the Part paining be anointed after the fomentation and let cap Paper moistened be applied and worn The Cawl of a Lamb or the Lungs or other warm Viscera of Brutes laid on the Belly and often changed sometimes wonderfully appease pains I have observed in some constitutions and temperaments that Epithems of hot thins or applied hot have rather encreast pains than mittigated them Wherefore in these cases it seems necessary to order fomentations of the Solutions of Nitre or Sal Armoniack or of other Chymical Liquors as in pains of the Gout sometimes as Septalius relates of meet cold Water But if the Gripes of the Belly do not remit by the use of these things we must use hypnoticks viz. which being given in a set dose often give great truce Mean while for refreshing the strength and failing Spirits and to order yet a greater Apparatus against the Disease Take liquid Laudanum tartarized from sixteen drops to twenty give it going to rest in a spoonful of the water of Camomil-flowers drinking after it of the same six spoonfuls let it be repeated every other or third night if the pains are very pressing In a hot constitution Take water of Camomil-flowers three ounces Syrup of Meconium half an ounce Aqua Mirabilis two drams make a draught to be taken going to rest Mean while that these things are done for appeasing pains and either for discussing or at leastwise loosning this matter sticking in the morbid fears let evacuating Remedies have their turns to wit both for wholly extirpating the Minera of the Colick and for cutting off the supplies or fuel of it that it grow no further For these ends a Vomit where it agrees and a gentle Purge and also in a hot temperament where a Fever presses or is feared Blooding ought to be used Take Sulphur of Antimony from five Grains to seven or eight conserve of Borage a dram give it in the Morning with Governance In this case according to the Judgment of a Physician present either an infusion of Crocus Metallorum or of Mercurius Vitae the Emetick Tartar of Mynsicht an expression of the Leaves of asarum and in tender Constitutions Salt of Vitriol and Wine and Oximel of Squills may be given Let Purges lest they nauseate the Stomack which is distempered be given only in a very small Dose and in a meet Form Take Rosin of Jalap and of Scammony of each five grains Cream of Tartar a Scruple Cinnamon powdred four Grains make a Powder or let it be made into Pills or a Bolus with conserve of the Flowers of Borrage or of Damask Roses Take Scammony sulphured half a Scruple Cream of Tartar fifteen Grains Diaphoretick Antimony a Scruple make a Powder let it be given after the same manner If a Fever does not press give a dose of Stomak Pills with Gums or of Amber either by themselves or with Rosin of Jalap Take Pilulae Rudii from twenty Grains to half a dram Laudanum one Grain make four Pills let them be taken going to rest these first bring sleep and purge in the morning Or. Take Calomelanos a Scruple Rosin of Jalap six Grains Scammony four Grains Ammoniacum what suffises make four Pills let them be taken going to rest In a long continued Colick when all other Remedies have done little or no good I have often known this Medicine given once or twice to have raised a Salivation to the great relief of the Diseased for if at any time the morbifick Matter plentifully gathered together in the Nervous Plexus's and other places about the Abdomen and there firmly sticking is not able to be moved by other Medicines the Mercurial Particles displaying themselves every way easily dissolve it and divide it into minute parts and drive them variously this way and that and at length wholly dissipate them Wherefore in a long continued and obstinate
Colick they may sometimes be given with success in order to agentle Salivation Baths and Sudorificks are generally wont to be prescribed in Pains of the Colick tho as far as it has appear'd to our Observation seldom with good success for these by exagitating the Blood and nervous Humour make them depose more yet of Matter into the Minera of the Colick nay and make the Matter there deposed serment more and be more unruly and very seldom perfectly discuss it Diureticks are wont to be given much more advantageously by which in regard the Blood it fus'd and its Serosities are copiously precipitated thereby the Fuel of the Disease is cut off and the mass of Blood being emptied receives into it a part of the morbifick Matter so that the remainder of it is easily discust For this end Take Spirit of Tartar excellently rectified half an ounce let half a dram be given twice or thrice a day in a Spoonful of two of the following Julep drinking after it of the fame four or five Spoonfuls Take Water of the Leaves of the great Bur-dock or of Aron or Arsinart a pound Water of the flowers of Elder and Cammomil of each four ounces compound water of Gentian and compound Raddish water of each two ounces Sugar six drams mix them After the same manner as Spirit of Tartar you may give in a meet dose sometimes Tincture of Salt of Tartar sometimes Mixtura Simplex or Spirit of Sal Armoniack succinated Take Millepedes prepar'd two drams flowers of Sal Armoniack tartariz'd a dram Oyl of Nutmeggs half a scruple Turpentine what suffises make a mass let it be form'd into Pills let three or four be taken once or twice a day drinking after it a dose of the Julep or five or six spoonfuls of the following distilled Water Take fresh Millepedes cleansed a pound and a half the yellow Coats of six Oranges and of four Limons Nutmeggs in number six being slic'd small add to them Crum of stale white Bread a pound all being bruised together and well mix'd pour to them of fresh Milk four pounds Sack two pounds distill them according to Art let the whole Liquour be mixt and sweetned with Sugar or Syrup of Violets at pleasure In a long continued and obstinate Colick where there are a hot Temperament and Viscera purging Spaw-waters or Whey with Syrup of Viclets is often wont to be drank with great relief for both Liquours where they agree being drank in a plentiful manner cool the Stomack and hot Intestines and presently ease and relax them being contracted with Cramps and painful Corrugations or being convulsively extended with Flatus's Moreover whence I conceive they chiefly give help insinuating saline Particles of another Nature into the morbifick Minera they conquer and subdue the Saline and Irritative Particles residing in it and often carry them forth by purging In this Disease since all things do not agree with all Persons nay nor the same alwayes or a long while with the same Person there is need of the careful observation and daily advice of a prudent Physician that by coindications taken from things that do good good or hurt the method of Cure may be rightly ordered and now and then chang'd The Vital Indication ought to be joyn'd to the Curatory and be now and then interchangeably us'd with it for since the Diseased being almost continually affected with tortures watchings vomiting and abstinence often fall into faintings and are sometimes in danger of Life let Remedies which support the strength refresh the Spirits and procure certain times of truce against the Fits of the Disease viz. Cordials and Hypnoticks have their turns Take water of the Flowers of Camomil and Elder of each four ounces of Cinnamon hordeated of the whole Citron of each two ounces Pearl powdred a dram Sugar four drams make a Julep let five of six spoonfuls be taken now and then Take powder of Pearl Crabs-eyes of each a dram divide it into four parts let one part be given twice or thrice a day with the Julep or with the Decoction of the roots of Contrayerva Take Conserve of Clove-gilliflowers an ounce Confection of Hiacinth Alkermes of each two drams Pearl powdred a dram and a half Syrup of the Juyce of Citrons what suffices make a Confection let the quantity of a Nutmeg be given twice or thrice a day with a Julep In Constitutions that are not hot Spirit of Harts-horn of Soot of Sal Armoniack succinated also Tincture of Antimony or of Coral often do excellently well Opiats in the Cholick are of necessary Use without which the Diseased can neither live nor the Physicians be at any rest or quiet Take water of Cowslip-flowers three ounces Syrup of Meconium half a dram Aqua mirabilis two drams mix them make a draught to be taken going to rest If the pain being very intense will not yield to such a Remedy you must give Preparations and Compositions of Opium Paracelsus's or the London Laudanum Pillul de Styrace or Cynoglosso are proper a Solution of Odium tartariz'd to sixteen or twenty drops is wont to be of chief use with me Which Medicine I have truely given to some Persons long and miserably troubled with this Disease sometimes for a long time one while every night another while every other night with good success 3. The Preservatory Indication having place only in the Intervals of the Fits endeavours the removal of the present Procatarxis of the Disease and the hindring of a future so that the Invasions of Pains may return seldom or never afterwards In order to these things the Blood and nervous Liquour ought to be purified and kept in a due Crasis that they do not engender a morbifick Matter and the Brain and nervous Plexus's of the Abdomen to be strengthned that they do not receive it too readily For these ends a way of dyer being ordered Spring and Fall let solemn Courses of Physick such as we have prescribed for the Prophylaxis of the Gout be entred upon Let Vomiting if it agrees never be omitted in this Case as by which the Emunctories of the Viscera being emptied they may more plentifully receive the Recrements of the Blood and nervous Liquour which would otherwise encrease the morbifick Matter And likewise that the nervous Plexus's and all the parts may be so shaken that nothing which would turn to a Minera of the Disease may be permitted to stagnate or be heap'd together there Let purging for three or four times by due Intervals also in a hot Constitution let blooding be used Moreover let altering Remedies and chiefly Chalybeats when the Person rests from purging be daily taken at physical Hours But above all other Medicines whatsoever Spaw-waters coming from Iron drank in the Summer time for a Month are wont to give most relief but when they are drank diligent care must be taken that they pass off well and quick by Urine or Seige least happily if they stay long in the Body by taking
is brought as it were to flame and therefore from its likeness to humid things putrifying which contract a fervour this kind of ebullition of the Blood because it causes an immoderate Heat is called a Putrid Fever Which name it ought properly enough to retain because in this Fever the Composition of the Blood as it usually happens in Liquors putrifying is very much dissolv'd and so that its Principles are in a manner wholly severed from each other by the ferment of the Heart and the active Particles being loosened from the mixture break forth as it were into a flame Wherefore the Liquor of the Blood being after this manner rarified and as it were kindled in the Heart is carried thence with a most rapid motion through the Vessels and with its deflagration sends a great many effluvia's of heat from it hence the whole mass of Blood like water set on the fire continually boyling stretches the Vessels vellicates the Brain and nervous Parts raises Cramps and Pains in them very much consumes the Vital Spirits by its effervescency destroys the ferments of the Viscera hinders the functions of concoction and distribution often depraves the nutritive Juice sent into the Genus Nervosum that thereby very great disorders of the animal Spirits ensue nay it perverts in a manner the whole oeconomy of Nature The Procatarctick Causes which dispose to this Disease are a hot and moist temperament an Athletick habit of Body Youth the Spring or Summer season a plenteous and rich Feeding moreover an assiduous drinking of rich Wines a sedentary and idle Life a Body cacochymical and filled with evil Juyces but above the rest it is observed that a frequent letting blood renders men apt to a Fever wherefore it is commonly said that those who have been let blood once unless the same be done yearly are prone to a Fever The reason is that by a frequent letting blood the Sulphur is more copiously heapt together within the mass of Blood the Salt in the mean while which ought to moderate and keep it from growing exorbitant being by this means withdrawn The Evident Causes which draw the latent disposition of this Fever into act are of the same kind as those which bring an Ephemera Fever and a Synochus Simplex in this rank we place chiefly perspiration letted and surfeiting By reason of the effluvia being restrain'd the mass of Blood being increas'd in its bulk grows turgid and being inspir'd anew with a certain ferment as it were falls a burning and boyls violently thereupon presently the Pores are more obstructed by the stuffing of the effluvia and the texture of the Liquour being dissolved the particles of the abounding Sulphur in the Blood get free from the mixture and are inflam'd by the fermentation of the Heart as tho Fire were applied to them and so they kindle a very intense Fever And by surfeiting both an immoderate fermentation is caused in the Blood and also a nitro-sulphureous matter fit for burning and being enkindled is conveyed as a fuel into the inflam'd Blood In this Fever four states of time are to be observed by which as by so many Stages its course is performed and they are these the beginning the Increase the height and the declining state these are wont to be pass'd over in some sooner in some slower and in a longer time The beginning ought to be computed from the time that the Blood begins to grow hot and its Sulphur to fall a burning till the burning Heats and inflammations are diffus'd throughout the whole mass of Blood The increase is from the time that the Blood being heated and kindled throughout has burnt for some space and its mass is loaded with Recrements or adust Particles which also increase the Fermentation The height of the Disease is when after the Blood has burnt enough and its inflammation is remitted the long troubled Blood as a noble Champion its adversary somewhat giving ground recollecting all its Forces endeavours a subduing and separation of that adust matter wherewith it is saturated to a fulness and a driving of it forth a Crisis being attempted once or oftener The declining state follows after the Crisis in which the Blood the inflammation growing weak becomes less hot and either the vital Spirit still prevailing it subdues and purges forth by degrees what there is remaining of that adust and extraneous matter till it be restored to its ancient vigour or the same Spirit being too much deprest the Liquour of the Blood is still tainted with adust Recrements and therefore becomes troubled and depauperated that it neither assimilates the nutritive Juyce nor continues fit for Circulation nor for accension in the Heart for sustaining the lamp of Life When therefore any one is seized with a Putrid Fever for the most part a cold stiffness or a shivering accompanies the first invasion which is followed by a Heat which is unequal and not as yet intense because the Blood being yet full of crude Juyces is kindled only by parts and therefore it burns a little and then ceases and then begins again like a flame burning wet straw in this state the Disease continues for some dayes the Urine becomes more ruddy than usual by reason of the Salt and Sulphur more dissolved and incocted with the Serum it retains still its Hypostasis because the coction and assimilation are not altogether depraved it has a sediment greater than it ought which nevertheless is easily separated and subsides of its own accord at this time you may let Blood and give a Vomit or a Purge so it be done without any great Perturbation of the Blood It often happens upon the seasonable administrations of these kinds of Evacuations that the greater increases of the Disease are prevented and that the Fever is killed as it were in ovo the limits of this stage are variously determined according to the temperament of the Diseased and other accidents of the Disease Sometimes within a day or two the first Rudiments of this Disease are laid sometimes the beginning of the Disease is extended to more if it happens in a Body well in Flesh full of Spirit and of a hot Blood and Juyce in the time of Youth and in a very hot Season in case the Disposition to a Fever be great and a strong evident cause supervenes the severish Effervescence once begun soon pervades the whole Blood and on the second or third day the root being laid the Disease arises to its increase but if the feverish Indisposition begins in a body that is not hot a Phlegmatick or melancholy temperament in old age or in a cold Season it has a longer Proaemium and scarce passes the limits of this first stage before the sixth or seventh day The increase of this Disease is computed from the time that the burning of the Fever has got possession of the whole mass of Blood that is the Sulphur or the oily part of the Blood being long heated and boyling
supprest To the tenth day after her Delivery being only gently feverish and the Purgings of the Womb still flowing she liv'd free from any severe Symptom but then tho very feverish she seemed more chearful than usual and more confident of her doing well in the night she slept little or scarce at all the morning following at which time I first visited her she was manifestly delirous the Lochia were stopt and the whole Body was in a Shivering the Tendons in the Wrists were convulsed so that her Pulse was scarce to be distinguished which in the mean while was weak uneven and very quick I declar'd That this Person unless the Hand of God unexpectedly delivered her must dye in a short time however six Grains of Oriental Bezoar being given in a Spoonful of a Cordial Julep and causing a copious Sweat with a better Pulse and afterward other Cordials given at due Intervals gave some hope of doing well tho doubtful and not to be relyed on After four Hours after I came being in a languishing Condition she had a very large Stool then presently her Strength wholly fell and within an hour and a half she died A Woman of Quality scarce exceeding twenty Years of Age of a florid Countenance and a thin Body the Lochia flowing immoderately after Child-birth used certain astringent Remedies by the Advice of the Attendants whereby they were wholly stopt but a Loosness followed which increasing for three days the Women gave her other Remedies to stop the Loosness nor were they frustrated of Success mean while they brought a dangerous Fever and Affects as it were hysterical in the place of the former for the unfortunate Woman in Child-bed was affected with a Thirst and a Heat with Watchings afterward with a frequent Swooning and cold Sweats Being called at this time I ordered Cordial Remedies and things to promote uterine Purgations to be drank and likewise a Clyster to be injected the Loosness of the Belly being again procur'd the Lochia also came down and the Diseas'd being freed from the foresaid Symptoms and the more severe Disease viz. the Nurses Remedies soon recovered from her Fever Here let it be observed by the By that it 's very dangerous either to stop or to alter or to thwart any Motion raised by Nature tho anomalous A Woman of Note about twenty years of Age of a full and well-flesh'd Habit of Body aborted twice within a Years space when afterward she had conceived with Child by her Physician 's Order once a Month drinking plentifully of Whey she raised a Vomiting whereby she was wont to cast up a great deal of thick and clammy Flegm also during the time of her being with Child she was let Bood five times The time of Child-bearing being over she brought forth a Boy with great Difficulty the Secundine came away entirely and she purged egregiously On the second day as she raised her self on her Feet in her Bed that the Cloaths might be put in order she took Cold and thenceforward the bloody Lochia were wholly stopt and only a little serous Water flowed forth On the third day she began to complain of an acute Pain in the right-side the Women present applyed to it Bags of Camomile made warm with Bricks nevertheless the Affect was very much increast with a bloody Spittle On the fourth day after Delivery a most acute Pain with a most difficult and very painful Breathing seised her By the Order of a Physician then coming from the Neighbourhood six ounces of Blood were drawn from the Basilica and she suddenly found Relief and was better for ten Hours At Midnight a pricking Pain returned with the wonted fierceness at other Physicians being called to consult they all concluded that it was necessary to bleed again in the Arm of the Side affected Blood being drawn to four ounces the Pain remitted and the Diseased breathed better afterward Diaphoreticks being giv'n she fell into a copious Sweat with a quiet Sleep but the Pulse became more quick and weaker also Contractions of the Tendons appear'd in the Wrists Presently afterward she talked light-headed and within twenty four Hours after Blood was drawn the last time she died That this Lady upon the Lochia being supprest together with a Fever fell into a pleurisie the Cause in some measure seems to be the Bleeding so often used during the time of her going with Child for by this means the Blood accustomed to be breathed by the Arm afterward fermenting leaving the Womb ran towards the wonted way of being let forth where not finding a Passage it fixed it self in the neighbouring side as in the next seat of Extravasation Moreover besides the usual state of a Pleurisie no small Malignity was added to this Disease for the Blood being freed from Extravasation presently began to be corrupted in its Crasis and on the third Day of the Fever was so far deprav'd that it was not able to ferment longer in the Heart and so to continue Life Not long since the Wife of a certain Smith was brought to Bed at the time that her Children were sick of the Small Pox in the same House and her self as it seems took the Contagion of the Disease for on the second day after Delivery Pushes began to break forth with a feverish Incalescence and a Pain in the Loins which for three days the Lochia flowing moderately rise up as they ought to good Wheals and tho a uterine Purgation happened copiously at this time she had the Small Pox very thick in her whole Body nor were they only on the Surface of the Skin but they likewise so filled the Cavity of the Mouth and Throat that she was scarce able to speak or to swallow On the sixth day after being delivered the Lochia flow'd immoderately whereby presently the Small Pox falling a Swooning frequent Convulsions and other Symptoms of an ill nature assail'd the Diseased which threatned Death in a short time Being called I prescribed half a dram of this Powder to be taken constantly every three Hours in a Spoonful of the following Julep viz. Take Roots of Tormentil powdred two drams the best Bole-armoniack one dram Species of Hyacynth half a dram make a Powder Take Water of Scordium compound of Dragonwort of Meadow sweet of each three ounces Acetum Theriacale an ounce Syrup of Corals two ounces burnt Harts-horn half a dram make a Julep Moreover I ordered that in her Broth and in all things she drank the Roots of Tormentil should be boyled by these Remedies the uterine Purgation was wholly stopt and the Small Pox without any severe Symptom being ripened by degrees fell away This Case was really difficult and was managed with a great deal of Danger viz It was dangerous either for the Lochia or Small Pox to be kept in and nevertheless the full Eruption of either hindred the Motion of the other as long as both proceeded moderately the Busmess being left to the Guidance of Nature went on indifferently well
viz. such as are prepared of Tartar Sulphur the fixt Salts of Herbs of burnt Harts-horn also of the Claws or Eyes of Crabs For Example Take Cream of Tartar three drams Salt of Wormwood a dram and half the Dose is half a dram in an aperient Decoction twice a day out of the Fit Or Take Cream of Tartar two drams Powder of Crabs-eyes a dram Nitre purified half a dram mix them let it be giv'n after the same manner Or Take burnt Harts-horn two drams Spirit of Vitriol as much as the Powder will receive by imbibing the dose is a Scruple It is of excellent use when those that are in the Fever are troubled with Worms These kinds of Remedies promote the Secretion of the febrile Matter and restore the almost lost Ferments of the Blood and Viscera The second Intent to wit the due Management of the Diseas'd in the Fits comprehends many things first a neat Form of Dyet ought to be ordered that a large heaping together of the degenerate Juyce for a Matter for the Fit may be hindred wherefore let the Diseased feed only on a thin Food let them wholly abstain from Flesh or Broth made of it from Eggs generous Wine and all rich Fare being content only with Barley or Oat Broths Panada Whey and small Ale in regard a more plentiful Dyet is not concocted or assimilated but it oppresses the Stomach and being mixt with the Blood it troubles its Liquour and forces it to boyl vehemently as the Fit comes on and during the while it lasts unless it be for quenching Thirst let no Food be taken but for qualifying the Heat and Drought cooling Juleps and Decoctions and especially small Ale and Whey ought to be allowed Secondly a little before the feverish Access is expected let a gentle Medicine be given which either may keep off the Fit by preventing it or may render it easie by procuring an easie Sweat For this Use the febrifuge Potion of the Learned Riverius does well made of Carduus Water with Oyl of Sulphur and Salt of Wormwood Or take Cream of Tartar Salt of Wormwood Nettle Seeds of each a Scruple let it be given in a Decoction of the Roots of Sorrel When the Fever begins to decline and the Fits are a little more remiss Febrifuge Epithemes outwardly apply'd often stop the febrile Accesses tho in the mean while as long as the Fits return let the Diseased be so managed that every Access the feverish Matter heap'd together in the Blood may be wholly blown off wherefore when a Sweat happens with difficulty let it be a little raised with temperate Medicines also let the Diseas'd be kept in Bed with a gentle Sweat for many hours nor let them be permitted to rise too soon for I have often observ'd that the Diseased have still grown worse because being impatient of lying in Bed they put on their Cloaths before the watery Effluvia were exhal'd enough Thirdly as to the Symptoms and particular Accidents with which the Diseased are wont to be troubled in this Fever a great many of them are sufficiently provided against with the Remedies and Method of Cure hitherto deliver'd against the Thirst Burning the Roughness of the Mouth and Tongue Vomitings the Loosness a Swooning or danger of Fainting the Prescripts commonly used in other Fevers may aptly enough be transferr'd hither But the Things which in this Disease seem to require a peculiar Method of Healing are chiefly the Affects of the Head and Brain with the Genus Nervosum by which unless seasonably obviated the Diseased are soon brought into a great danger of Life Concerning these kinds of Evils of the Head the Indications are of two kinds If it appears by a Drowsiness a Sleepiness a Vertigo or a Head-ach that the nervous Juyce is too dull and as it were vapid and therefore that it does not vigorously enough actuate the Brain and nervous Bodies besides the Remedies above deliver'd and especially the Vesicatories Medicines full of a volatile Salt excellently conduce in this Case wherefore Spirit of Harts-horn of Blood also the Salts of the same are of excellent Use but if the nervous Liquor be too sharp or the Effluvia sent from the boyling Blood drive the Animal Spirits into Distractions those kinds of Remedies of volatile Salt are given with benefit in somewhat a less quantity Moreover a frequent Letting Blood and Medicines allaying its fervour do good as Emulsions Whey pure Water plentifully drank let Opiates be used in this Fever with great Caution for the Frenzy appeas'd by them is oftentimes chang'd into a Lethargy or a deep Stupor FINIS THE TABLE A. AChes in the Head see Headach Ach in the Belly see Belly Aches or Pains in the Limbs hapning by Night their cure p. 361. Ague see Fever Alexipharmicks see Cordials Anasarca its Description p. 167. Whence it proceeds ibid. The least dangerous of Dropsies ibid. The two chief Scopes of curing it ibid. Hydragogue Medicines of good use in curing it p. 168. How Catharticks work in this Disease ibid. Lixivial Medicines the best Diureticks in this Disease p. 169. Some Praescripts of them ib. Diaphoreticks of use when the swelling begins to abate p. 170. A Praescript of them ib. p. 171. Outward Administrations to be used in this Disease ib. p. 172 173. Medicines for Preservation against this Disease p. 174 175. An Instance of a Person falling into this Disease and recover'd of it p. 176. Antidotes see Cordials Apoplexy where seated p. 420. What the Word Apoplexy imports p. 421. Two kinds of it ib. The various Invasions of the Apoplexy and the causes of them ib. p. 422. The Subject of this Disease ib. Its Prognosticks ib. p. 423. The Therapeutick Method for removing the Fit ib. p. 424. The prophylactick or preservatory method with Praescripts of Medicines p. 425 426. Instances of Persons seis'd with the Apoplexy ib. p. 427. Ascites its Description and whence it proceeds p. 150. what to be considered in order to its Cure ib. Catharticks often do well in it p. 151. An Enumeration of hydragogue Emeticks and Purgers and Prescripts of them ib. p. 152 153 154 155. Diureticks when proper in an Ascites ib. p. 156. What Diureticks proper ib. Diaphoreticks of little or no use in an Ascites p. 157. The best Remedies when we will not proceed to an Incision are Clysters and Plaisters ib. An Incision in whom to be admitted p. 158. An Instance of a Woman cur'd of an Ascites ib. p. 159. Asthma or difficulty of Breathing its description p. 126. Two primary Indications in the method of Cure ib. What to be done in the Fit ib. p. 127 128. What to be done out of the Fit for Preservation ib. p. 129 130 131. Two Instances of Persons troubled with the Asthma and the Methods used with them ib. p. 232. Asthma Convulsive see Cough Asthmatick Fits hapning in the Scurvey their Cure p. 353 354. Atrophia Scorbutick its Cure p. 363 364. B. BElly-ach in the