a day Certainly the Magisterial-water of Worms of the London Dispensatory is very beneficial in this Disease so are the Spirit and Salt of Harts-horn Spirit of Blood Flowers of Sal-armoniack which I have often used with good Success Moreover Testaceous Powders as Crabs-eyes Coral Pearls and Vegetables which are counted good for the Gout as the Roots of Birth-wort the Leaves of Ground-pine and Germander and the like mixed with Antiscorbuticks conduce to the Cure of this Disease Oyl of Worms of Frogs and Toads are often useful to ease the Pain I have been told by a worthy Man that the Water drawn from what is contained in the Stomach of an Ox newly killed by Distillation and applied hot with Cloaths gives certainly ease For Convulsive and Paralitick Diseases occasioned by the Scurvy Remedies proper for them must be mixed with Antiscorbuticks For a Consumption and a Feaver ocasioned by the Scurvy gentle Catharticks Digestives and things that corroborate must be used And because they often arise from a scirrhous Tumour in the Stomach or Parts thereabouts things that open Obstructions are to be used as Tunbridge-waters and the like Moreover Fomentations Liniments and Plaisters must be outwardly applyed Asses or Cows-milk diluted with Barly-water or with some proper distilled-distilled-water is often good so is Broth made of Snails and Snails boiled in Milk Moreover Distilled waters of Milk or Whey with Snails and Antiscorbutick Herbs do a great deal of Good in this Case And for the Feaver the following Medicines may be used with a thin Diet Take of the Raspings of Harts-horn and Ivory each two drams and an half of Eryngo Roots candied six drams of the Roots of Chervil Dandelyon each half an ounce of the Leaves of Harts-tongue Liverwort each one handful one Apple sliced of Raisins one handful boil them in four Pints of Fountain-water to the Consumption of a third part pour the strained Liquor upon two handfuls of Brook-lime and a dram and an half of Sal-prunella or of Nitre fixed one dram let them infuse for the Space of three Hours four or six ounces of it may be taken three times a day Take of the Leaves of Brook-lime four handfuls of Wood-sorrel of the Herb and Root of Dandelyon each two handfuls of Snails cleansed one pound and an half the Peels of two Oranges After they are bruised and cut pour upon them six Pints of new Milk or Whey made with Syder or of the fresh Juice of Apples distill them after the common Way Three ounces may be taken twice or thrice a day A Scorbutical Rhumatism must be cured by Purging but especially by Bleeding and repeated sometimes according to the Strength of the Patient Diureticks and Diaphoreticks must be also used and four or six ounces of the Infusion of Horse-dung in Wine or Ale may be taken twice or thrice a day on the Days the Sick does not purge Spirit of Harts-horn or of Blood is also very good in this case A Scorbutical Dropsie arising from an evident Cause or occasionally is often cured wherefore if the Sick cannot sleep Opiats must be given and Purging must be repeated at due distances according to the Strength of the Patient and Glisters must be often injected to keep the Body loose Take of Mercurius Dulcis one Scruple of Rosin of Jalap five or ten grains of Cloves half a Scruple mix them and give it in a spoonful of Panado At other Times Diureticks and sometimes Diaphoreticks must be given Take of Tincture of Salt of Tartar impregnated with the Tincture of Millepedes as much as you please Give a Scruple or two Scruples twice a day in some proper Liquor Take of the Spirit of Sal-armoniack what quantity you please The Dose is fifteen drops Take of Mille pedes prepared three drams of Salt of Tartar two drams of Nutmegs one dram mix them make a Powder The Dose is half a dram twice a day with some proper Liquor Or Take of dried Bees powdered two drams of the Seeds of Bishops-weed powdered one dram of Oyl of Juniper one scruple of Turpentine a sufficient quantity for a Mass of Pills The Dose is one scruple or half a dram to be taken twice a day drinking upon it three or four ounces of the following Water Take of the Leaves of both the Scurvy-grasses of Water-cresses of Pepper-wort and Arsmart each three handfuls of the Roots of Wake-robin Briony and Florentine-orris each four ounces of the middle Bark of Elder two handfuls of the Winteran-bark two ounces of the yellow Peel of four Oranges and three Lemmons and of fresh Juniper-berries four ounces cut them and bruise them and pour upon them two quarts of Rhenish-wine and of the Wine made of the Juice of Elder-berries one quart Distill them in a common Still and mix the Waters The Dose is three or four ounces twice a day after a Dose of any of the Medicines above prescribed There remains one Symptom that comes though rarely upon the Scurvy viz. A crackling of the Bones but the Cure of it is not yet known An orderly Diet is of great moment in the Cure of the Scurvy The Sick must only eat Meat of easy Digestion he must avoid thick and clammy Meat and such as are smoaked and Pulse Milk-meats unripe Fruit and things that are sugared for the Scurvy has increased wonderfully of late by the immoderate use of Sugar Their Drink must be middling mild Beer that is clear and medicated with Antiscorbuticks Exercise and Labour are so beneficial in the Scurvy that many have been cured by them alone An Air moderately hot and dry thin and pure should be chosen CHAP. LXXXV Of the Stone in the Kidneys and of the Nephritick Pain THE Nephritick Pain is called that whick afflicts the Reins and Ureters The cause of this Pain is various but the most frequent is a Stone or gross Flegm The less frequent causes are Clods of Blood thrust into the Ureters or thick Matter conveyed from the Reins or other Parts into the Ureters The diagnostick Signs of the Stone The first Sign is a fixed Pain about the Region of the Loins the second is bloody Urine the third thin and little Water at the Beginning of the Fit which is sometimes succeeded by a total Suppression of Urine if both the Ureters be obstructed the fourth is the frequent voiding of Sand and little Stones the fifth is a Numbness of the Legs the Sixth is the drawing up of the Stones the seventh is Nauseousness and Vomiting The Cure of the Nephritick Pain and Stone sticking in the Reins and Ureters is peformed by dilating the Passages by the Explosion of the Stone or any other Matter which causes Pain and also by removing the antecedent Cause and mitigating the Pain to the which Indications the following Remedies answer Take of the carminative Decoction for a Glister ten ounces of the Electuary of Laurel-berries of the Electuary of Juice of Roses each three drams of Venice-turpentine dissolved in the Yolk of
of an Ophthalmia If there be also an Inflammation and Pain Medicines respecting both must be added to the former Moderate cleansing and drying Medicines are Sugar Honey Saffron Myrrh Frankincense Aloes Sarcocol Tutty and Ceruss whereof the following Forms may be composed Take of the Decoction of Barly and Foenugreek four ounces of the best Hony half an ounce or of Syrup of dried Roses one ounce make a Collyrium wherewith wash the Eye often or Take of Vervain and Plantane Waters each two ounces of Sugar-Candy half an ounce mingle them for a Collyrium or Take of Hony Water distilled in a Bath and of Rose-water each equal Parts or Take an Egg boiled hard and clear'd from the Shell divide it into two parts take out the Yolk and fill the hole with Sugar-Candy powder'd bind it up and set it in a Cellar and a Liquor will drop from it which is very fit to cleanse Vlcers if you would have it operate more powerfully you must mix powder'd Myrrh with the Sugar-Candy In the Progress of the Disease if it is necessary to cleanse and dry more powerfully add to the forementioned Collyria white Troches of Rhasis Frankincense Aloes Myrrh Sarcocol and such like in a small Dose You may also add Milk the White of an Egg Mucilages and other Anodyns but Tutty is better than the rest because it dries without causing Pain The following Collyrium is very drying and cleansing Take of Sarcocol moistned in Rose-water of Ceruss Aloes wash'd Myrrh Tutty prepared each half a dram of Sugar-Candy one dram with the Mucilage of Gum Tragacanth extracted in Rose-water make a Collyrium wherewith anoint the Eye-lids CHAP. XXV Of the Cancer of the Cornea AS Cancers are wont to happen in all Parts of the Body so also they sometimes grow in the Eyes A Cancer of the Eye is either occult or ulcerated An occult is called a Cancerous Tumor when it is ulcerated it is called a cancerous Ulcer in both there is an unequal hardness and a leaden and livid Colour great and pricking Pain especially about the Temples the Veins appear swoln like a Varix in the Tumour and in the Neighbouring Parts sharp Blood frequently flows our when the Cancer is ulcerated and the Pain is very much exasperated by Medicines that are never so little heating This Disease is incurable both in the Eye and in other Parts of the Body when it is rooted unless it be irradicated by a Chirurgical Operation Two sorts of Cures are proposed by Authors viz. a true one and a palliative The true one can be performed only by Chirurgery the palliative Cure which mitigates the Symptoms is perform'd by Evacuations and convenient Topicks But first of all a cooling and moistning Course of Diet must be ordered afterwards Blood must be drawn from the Part opposite to the Eye affected and Leeches must be applied behind the Ears of the same side and to the Hemorrhoidal Veins if they are any whit swelled Cupping-glasses must be also applied to the Shoulders and other sorts of Revulsions must be used Purging and the preparaâ—ion of the Humours by Potions Apozems medicated Brothes and the like must be frequently prescribed But above all Black Hellebore rightly prepared or the extract of it for an incipient Cancer has been cured by using of it twice or thrice These Remedies hinder the influx of the Humours into the Eyes and much lessen the Pain and other Symptoms But Topical Remedies such as are described in the Chapter of an Ophthalmia to ease pain do also much good especially Collyria made of Mucilages of the white Troches of Rhasis of Tutty prepared and with the Water of Roses Night-shade and Plantane The following Water is excellent for washing the Eye Take of the Roots of the greater Figwort and of Herb-Robert each two handfuls of Ribwort Night-shade Borrage Bugloss Purslain Eye-bright Betony each one handful of green Frogs and of the white of Eggs each number seven of the Seeds of Foenugreek and Quinces each one ounce the Roots and Seeds must be beat and the Leaves cut then pour upon them of rose-Rose-water and Eye-bright water each one pint mingle them and distil them in a leaden Still The Flesh of Pullets eases the Pain much and some say this Disease has been cured by this Remedy only A Lady that had an ulcerous Cancer upon all the right side of her Face a long while and had used various Medicines that were prescribed by Italian French German and Spanish Physicians was cured by a Barber by this common Remedy He cut Chickens into thin and broad Pieces and applied them often in a day to the Part affected Lastly The true Cure of a confirm'd Cancer can only be perform'd by the Extraction of the Eye which Fabricious Hildanus says may be safely and successfully done and he describes at large the manner of Extirpation and all the Circumstances of it in his Observations CHAP. XXVI Of the Rupture of the Cornea THERE is such a Solution of the Continuum in the horny Tunick sometimes that the watery Humour comes out of the Tunica Vvea this is call'd a Rupture of the Cornea The cause of this is either a Rupture or a Wound and it is most commonly incurable but if the Wound be small and if but part of the watery Humour flows out the Cure may be undertaken For Galen says that the watery Humour is sometimes regenerated The Cure of this Disease must be entred upon by conglutinating Remedies Universal Evacuations namely Bleeding and Purging if they are necessary being first used drop into the Eye the White of an Egg mingled with the white Troches of Rhasis and foment the Part with the Decoction of Red Roses of the Leaves of Knot-grass Brambles Shepherds Purse and Plantane made in astringent Wine if there be not an Inflammation if there be it must be made in Simple Water Or Take of Quinces paired the Seeds and Cores being taken out half a pound of red Roses three pugils of Acacia two drams of Saffron one scruple boil them in astringent Wine and make a Pulâ—ise to be applied to the Part and to strengthen the whole the following Collyrium must be used Take of Aloes wash'd of prepared Tutty and of Sarcocol moistned with Womans Milk each half a scruple Saffron grains eight with Mucilage of Gum Tragacanth make a Collyrium CHAP. XXVII Of the Falling out of the Uvea THE Falling out of the Vvea often succeeds the Rupture of the Cornea the Cure of it is very difficult But if it be very small it may be oured by moderate Astringents such as are proposed in the foregoing Chapter CHAP. XXVIII Of a Fistula Lachrimalis HItherto the Diseases of the Eyes which happen in the Tunicks or Humours of them have been treated of It remains now that we speak of the Diseases of the Eye-lids and of the Corners of the Eyes And first the Tumour appearing betwixt the greater Angle of the Eye and the Root of the Nose offers
an half strain it let the Sick take three or four Spoonfuls either by themselves or in some hot Broth. These kind of Jellies may be made more pleasant to the Pallate by adding at the time of use a little of the Syrup of Baulm Gilliflowers Raspberries Oranges or Lemmons though it must be confessed Acid Syrups do not so well agree with Jellies The manner of making a Restorative Broth is as follows Take a Capon drawn and cut in pieces of Sheeps and Calves feet each two pair the shavings of Ivory and Harts-horn each half an ounce two leaves of Mace one Nutmeg cut yellow Sanders three drams or half an ounce boil them all gently in one gallon of fountain-Fountain-water till half is consumed add towards the end of boiling a pint of Malago-Sack and of the Flowers of the greater Daisie Coltsfoot Maiden-hair Spotted Lungwort each one handful of fat Dates eight pair of Jujubs twelve pair of Sebestens ten pair of Raisins of the Sun stoned three ounces strain it let the Sick take a large Draught of it twice or thrice a day Prepared Coral Millepedes Pearls Crabs-eyes prepared the Simple Powder of Crabs-claws and other testaceous Medicines taken plentifully and often in a day are good to blunt the Acrimony of the Blood Take of the Aqua lactis Alexiteria of Carduus or of black Cherry-water one pint of Cinnamon-water hordeated half a pint of prepared Pearl half an ounce of white Cristaline Sugar two ounces mingle them make a Julep whereof let the Sick take four ounces shaking the Viol always when it is used three or four times in a day adding if the Stomach require it one or two ounces of Epidemick water Or Take of the Powder of Millepedes of Crabs-eyes prepared of the Simple Powder of Crabs-claws each one dram of the Powder of white Ambar half a dram mingle them divide it into nine Papers whereof let him take one thrice a day in a Spoonful of the Pearl Julep Fifthly If the Sick seem free from an Obstruction of the Liver and has neither the Dropsie nor the Jaundice but the Milk-Diet before described does not agree by reason of a Loosness or the Acid Ferment of the Stomach besides the altering Medicines above described the free use of the compound distilled Waters of Milk Snails a Pig and the like may be ordered with success to attemperate farther the Acrimony of the Humours The Milk-water Take of the leaves of Maiden-hair Coltsfoot spotted Lungwort Speedwell each three handfuls of Hyssop Goats-rue Mint and Wormwood each two handfuls of the Flowers of St. John's Wort and Scabious each two handfuls of English Saffron one dram three Nutmegs sliced Dates and fat Figs each half a pound of Raisins of the Sun stoned one pound cut them and infuse them in three gallons of fresh Cows Milk and three quarts of Malago-Sack distill them in a cold Still and draw off half the Liquor and mix the Distillations and keep them for use If the Consumption be Scorbutical you may add in Distillation the tops of Pine Water-cresses and Brook-lime and Ground-Ivy with other gentle Antiscorbuticks And instead of Malago Sack you may use Brunswick Mum. If you would have this Water also Restorative you must add a Capon or a Pig in the second Distillation For instance Take a Capon or a Pig the Intrails being taken out cut in pieces of the milk-Milk-water above described one gallon distill off three parts of the Liquor Snail-water Take of Garden-Snails cleansed with Salt three hundred of common Milk or rather of the Milk-water above prescribed three gallons distill them in a cold Still with a gentle Fire till the Liquor becomes Acid And the following Magisterial water of Worms is not to be despised for it will keep good a long while Take of fresh Milk two gallons of Mint and Roman Worm-wood each two handfuls distill off one gallon Then take of Garden-Snails first wash'd in common water then in Small-beer half a peck of Earth-worms prepared one Pint of Angelica one handful and an half of Agrimony Bettony and Rue each one handful put the Herbs into a Still and the Snails and Worms upon them and at top shavings of Harts-horn half a pound Cloves one ounce Saffron three drams infuse them in two quarts of Syder and one of Malago-Sack then distill all in a cold Still These Liquors are to be drank freely for the ordinary drink mixed with an equal part of Milk if the Stomach will bear it and if the Sick can quench his Thirst with it If a Julep be more pleasing give it in the following manner Take of the Waters of Pig or Capon before described one pint of white Cristaline Sugar a sufficient quantity boil them to a Syrup Take of Milk or Snail-water one pint and an half of the Syrup just described four ounces mingle them make a Julep whereof let the Sick drink freely Or Take of the Water of Milk or of Magisterial Snail-water a quart of pearled Sugar ten drams or an ounce and an half mingle them make a Julep whereof let him take freely and frequently But if there is not so much a Hectick Feaver as a difficulty of Breathing as it often happens to such as are afflicted with a Scorbutick Consumption a Pectoral Hydromel is better for the ordinary Drink than distilled Waters abounding with Flegm Take of the roots of China sliced six ounces of the roots of Coltsfoot gathered at a Fit-time three ounces of the roots of Burdock and Avens each three ounces of the roots of Elecampane two ounces of the leaves of Lungwort all the Scabious both the Speedwells Meadow-sweet and Monywort each two handfuls of all the Capillaries each one handful of the flowering tops of Bugles and Bettony of the flowers of red Speedwell and of Cowslips each four Pugils of all the Ground Ivy three handfuls of Jujubs Dates Sebestens and Raisins of the Sun cleansed each one ounce and an half of Spanish Liquorish one ounce and an half cut them all and boil them in sixteen quarts of fountain-Fountain-water with a gentle Fire till half is consumed strain it and clarifie it and add to it four pound of the best Honey boil it again and take off the Scum strain it again add half an ounce of Cinnamon six drams of Coriander-seed of the Seeds of Annise and Sweet Fennel each three drams put the Liquor into a large Tub and let it ferment which it will the sooner do if the Tub be placed in the Sun for then it will be sufficiently fermented in forty days otherwise it will require a much longer time The Vessel must be always kept open and full Of this let the Sick drink a good Draught twice or thrice a day for many Months When the Consumption comes to its third State the Sick very rarely is cured or lives long unless the Ulcers are very small and benign wherefore though a prudent and honest Physician being called to Consumptive People at this time may endeavour to
Ulcer That which is generated by Wind must be cured by Remedies that discuss and evacuate that flatulent Matter and also Flegm which breeds Wind. And first An emollient and loosning Glister must be injected and presently after a carminative and discussing Glister made of the Decoction of the Leaves of Wild-marjoram Calaminth Penny-royal Rue and the lesser-centaury the Seeds of Annise Fennel Daucus Cummin and the like wherein may be dissolved Benedictum Laxativum Oyl of Dill Rue and Honey of Rosemary If the Pain continue a Glister must be made of Oyl of Rue or of Nuts and of generous Wine each equal Parts you must add to it two ounces of Aqua-vitae or you may prepare a Glister of Whitewine mixed with eight drops of Oyl of Juniper Cinnamon or of Chymical Oyl of Cloves Afterwards the following Fomentation must be applyed to the Region of the Stomach Take of the Roots of Cyperus Galingal sweet smelling Flag each one ounce of the Leaves of Mint wild-marjoramâ— Marjoram Penny-royal Hyssop and Sage each one handful of the Seeds of Fennel Daucus Caraways Bay-berries each half an ounce of the Flowers of Camomil Melilot Rosemary and Lavinder each one Pugil cut them and beat them and put them into two Bags boil them in generous Wine press them out and â—pply them hot to the Stomach and Belly by turns But when the Matter is not very cold the following Fomentation may be prepared which is much commended by Forestus and he says it will give Ease when other Medicines will do no good Take of the Roots of Marshmallows half an ounce of red Roses the Flowers of Camomil and of the Tops of Centaury each one handful boil them in Fountain and Camomil-water to a Pint and an half at last add a little good Rhenish-wine Rose-water and Vinegar make a Fomentation After the Fomentation anoint the parts with Oyl of Rue and Dill mixed with Aqua-vitae and a little of the Oyl of Sage or of Cloves Chimically extracted after the Anointing apply the Plaister of Laurel-berries or instead of it a Cataplasm made of Honey and the Seeds of Cummin In the mean time whilst these things are about if the Stomach be nauseous Vomiting may be provoked by some gentle Vomit or a Purge may be given that evacuates Flegm After the Body is purged Oyl of bitter Almonds mixed with White-wine may be taken or Aqua-clareta or Cinnamon-water The following Julep is very effectual to ease Pain discuss Wind to cleanse Flegm and to strengthen the Stomach Take of the Leaves of common Worm-wood of the lesser Centaury and Agrimony each half an handful boil them to five ounces in the Liquor dissolve one ounce of white Sugar Let it be taken for two days in the Morning Amatus Lusitanus greatly commends the distilled Water of Camomil-flowers as a special Remedy to ease Pains of the Bowels and Stomach three ounces of it may be taken warm or in the place of this Water a Decoction of Camomil-flowers may be used which is greatly commended by Forestus who says that he cured a certain Merchant of a violent Pain in the Stomach with only giving this Decoction once he had no sooner drank it than he fell into a Sweat belching up Wind and in a Minute all the Pains went off so that there was no occasion for any other Remedies A Vomit may be prepared of this Decoction made with Seeds of Dill or with Agarick or the Roots of Wake-robin wherein may be dissolved Oxymel Syrup of Sorrel or of Roses solutive which may be given at the beginning of the Disease to mitigate the Pain by evacuation Galen says that a Cupping-glass applied to the Stomach removes the Pain wonderfully but this Caution must be taken notice of viz. That but little or no crude Humour be in the Stomach for if there be it will increase the Pain Bread fresh drawn out of the Oven cut in the middle and applied to the Part does good either by it self or sprinkled with Aromatick Powders But if the Disease be obstinate you must use a Bath made of a Decoction of emollient and healing Herbs which is safest and most effectual for it eases the Pain by discussing the Wind and driving it through rhe Pores of of the Skin But the Buisness will be sooner done if in the Bath the Sick take some discutient Remedy for both concurring the Cure will be effectually performed The Bath ought to be very hot that the Wind may be the easier discussed and that the gross Humours may be melted If Glisters cannot be injected or retained by reason of the violence of the Pain a Purge must be given in the Bath where the Sick must continue half an hour or an hour till the Purge begins to operate But sometimes when there is danger by reason of the violence of the Pain Narcoticks must be given which being prudently administred do often a great deal of good Some mix Narcoticks with Purgers that the Pain may be eased and the peccant Matter evacuated at the same Time Take of Diaphaenicon half an ounce of Philonium Romanum two Scruples with the Water or Decoction of Camomil make a Potion After the Pain is taken off Purging should be repeated once or twice a Month in such as are subject to this Disease that the Cause of Wind may be removed corroborating Medicines must be also used but if the Pain arise from Choler it must be cured by the Evacuation of the peccant Humour as by a gentle Vomit or a Purging Medicine or by injecting Glisters frequently which ought to be emollient not sharp or hot Afterwards the Acrimony of the Humours is to be mitigated by cooling and thickning Juleps by Emulsions of the four greater cold seeds by new Milk Oyl of sweet Almonds newly drawn by Yolks of Eggs and the like Strenghning Medicines must be used and Narcoticks upon occasion and outwardly must be applied a Cataplasm of White-bread Crums boiled in Milk Yolks of Eggs and Saffron being added Or you may apply Bread fresh drawn and cut in the middle and moistened with Vinegar or let the part be fomented with a Decoction of the Flowers of Camomil Violets and of Water-lillies or which is much better let the Sick be bathed with warm Water for this is very effectual for the Cure of this Disease If when the Pain is eased it should chance to return again the Sick must be purged twice a Month and the hot Intemperies must be corrected by a cooling Diet and convenient Remedies But when the Pain proceeds from an Inflammation Abscess or Ulcer it must be cured by Remedies to be proposed in the following Chapter CHAP. LXIX Of an Inflammation Abscess and Vlcer of the Stomach THough in the Stomach as in all other Parts all sorts of Tumours may happen yet here we only treat of an Inflammation or Phlegmon which is most frequent for other Tumours rarely happen and may be cured by the same Method wherewith the Tumours of other inward parts are
soure Belching Pain or Wind in the Stomach signifie that it proceeds from the Stomach that a Giddiness proceeds from the Liver Spleen or Womb is known by the following Signs When it proceeds from the Spleen there are frequent and large evacuations of Wind inflation of the Belly soure Belchings and the like when from the Womb there is stopage of the Courses or Hysterick Fits A Giddiness that is recent and seldom invades and that which is occasioned by external Causes is light and easily Cured that which is inveterate and frequent most commonly ends in the Falling Sickness or Apoplexy CVRE The Cure is much the same with the Falling Sickness which see in the Chapter of the Falling Sickness But when it is small it does not need so large a course of Physick as is requisite for the Cure of the Falling Sickness But those things will be sufficient which I shall here set down First therefore if Blood abounds inject a pretty sharp Glyster and afterwards Bleed then Purge with the following Pills Take of the fetid Pills two Scruples of Resin of Jalap five grains with a sufficient quantity of Galbanum dissolved in Briony Water make seven Pills to be taken in the Morning repeat them Thrice But if the Patient cannot take Pills the following Purging Potion may be given instead of them Take of Gerions decoction six Ounces boil in it of the Fibres of black Hellebore and of Agarick each one Dram and an half strain it and add an Ounce of the Syrup of Roses Solutive and two Drams of Compound Briony Water Make a Potion Afterwards let the Patient use the following Sneesing Powder Take of the Leaves of Marjoram Sage Rosemary dried each half a Dram of the Roots of Pellitory of Spain and white Hellebore each one Scruple of Musk three Grains make a Powder Cupping-glasses with and without Scarification frictions of the extream parts Bleeding from the Hemorrhoidal Veins may be used to cause revulsion Blisters are also of use for derivation Afterwards use such things as are proper to strengthen the Head which you will find in the Chapter of an Epilepsie The Conserves of the Flowers of Marrygolds is counted by some a Specifick for Giddiness CHAP. IV. Of the Falling Sickness THE Falling Sickness in Latin Epilepsia is an universal and violent Convulsion the Fit most commonly comes of a sudden and precipitates in the twinkling of an Eye to the Earth and deprives a Man of Sense and Understanding for they seem rather forcibly thrown down than to fall and that part which first comes to the Ground is most commonly bruised or wounded They gnash with their Teeth foam at the Mouth and often beat their Heads against the Ground their Arms and Legs either become rigid or tossed here or there Some beat their Breasts violently and some cast their Bodies impetuously hither and thither But in most the Belly swells much After some time sometimes sooner sometimes longer the symptoms suddenly cease as if the Tragedy were just ended and then the Sick come to themselves again and are sensible but there remains after the Fit is gone off a pain in the Head and a dulness in their Senses and often a Giddiness The Fits are sometimes wont to come at set times of the day month or year but most commonly according to the greater turns of the year or according to the Conjunctions or opposite Aspects of the Moon or Sun they return more certainly and afflict more violently and sometimes the Fits are uncertain and come as occasion is offered and according to the variety of evident Causes Sometimes they are gentle sometimes violent sometimes though rarely some Signs forewarn the Epileptick person of a Fit before he falls as a dulness of the Head sparkling of Fire before the Eyes Noise in the Ears and the like Sometimes a Convulsion in some outward part as in the Arm or in the Leg or in the Back or in the Hypochondres precedes which rising from thence like a cold Air towards the Head occasions the Fit CVRE You must begin with Purging but if the Sick bear Vomiting well a Vomit must be first given and must be repeated for several months four days before the Full Moon Wine of Squills mixed with fresh Oyl of Sweet Almonds or half a Scruple or a Scruple of Salt of Vitriol may be given to Infants But for grown People and such as are of a strong Constitution the following forms of Medicines may be prescribed Take of Crocus Metallorum or of Mercurius Vitae four or six grains Mercurius dulcis fifteen Grains or a Scruple grind them together upon a Stone mix them with the Pap of a roasted Apple or Conserve of Borrage make a Bolus Or give half an Ounce one Ounce or one Ounce and an half of the infusion of Crocus Metallorum or of Mercurius Vitae made in Spanish Wine according to the Strength of the Sick Or Take of Emetick Tartar four or six grains They that are of a weak Constitution may take a Scruple or half a Dram of Salt of Vitriol and half an hour after let them drink several Pints of Posset-drink and then with a Feather or with the Finger let them provoke themselves to Vomit often The next day after the Vomit unless any thing forbid draw Blood from the Arm or by the Sucking of Leeches from the Hemorrhoidal Veins and the next day after Bleeding give a Purging Medicine which afterwards must be constantly repeated four days before the New Moon Take of Rosin of Jalap half a Scruple of Mercurius dulcis one Scruple of Castor three Grains of Conserve of the Flowers of Peony one Dram make a Bolus to be taken in the Morning Or Take of the Fibres of black Hellebore infused in Vinegar dried and pouder'd half a Dram of Ginger half a Scruple of Salt of Wormwood twelve Grains of Oyl of Ambar two drops make a Pouder give it in the Pulp of a roasted Apple in the Morning Of the days the Sick does not Purge especially at the Seasons of the Moon give Morning and Evening specifick Remedies Take of the Roots of male Peony dried and poudered one two or three Drams give it twice a day in the following tincture at eight in the Morning and at four in the Afternoon Take of the Leaves of Misleto of the Oak two Drams of the Roots of Peony cut half an Ounce of Castor one Dram put them into a Glass and pour upon them of Bettony Water or of simple Peony Water and of White Wine each a Pint of Salt of Misleto of the Oak or of Common Salt two Drams Digest them in a close Vessel in the heat of Sand for two days Give three Ounces with a Dose of the Powder above prescribed At the same time make a Necklace with Peony Roots sliced and hang it about the Neck and the Roots fried or boiled till they are soft may be eat daily with the Meat Take of Man's Skull prepared one Ounce of misleto
Optick Nerve the Eyes are only affected But if there be a compression by Flegmatick Humours gathered together about the Roots of the Eyes and the mamillary processes that Matter will either seise other parts of the Brain and then the rest of the Senses or all of them will be injured But if it be seated only about the Optick Nerves a Flegmatick Matter will be evacuated by the Nostrils more plentifully than is usual and there will seem a weight to lie upon the forepart of the Head especially about the Eye-lids As to the Prognosticks if the Sight be quite taken away by an Obstruction of the Optick Nerves the Disease is most commonly incurable for we see that Obstructions of other Nerves whereby a Palsie is generated is seldom or never Cured especially in those that are Old But if the Obstruction be partial and the Sight be only diminished there is more hope of Recovery though a long course of Remedies and a great deal of time is requisite for the Cure But if this Disease proceed from Humours collected in the forepart of the Head it is easier Cured Fabritius Hildanus mentions an Observation of one that lost his Sight by taking a violent Vomit and recovered it again by taking another For the first by its Violence stirred the Humours too much and forced them upon the Optick Nerves but the other evacuated the Humours and so Cured There are other Observations of this kind but it is reasonable to suppose that in these cases where the Cure is so easily performed the Humour is not stopt in the substance of the Nerves but collected in the Brain about the Nerves For the Cure of this Disease the Matter impacted into the Nerves or adhering to them which causes the Obstruction or Compression is to be evacuated which cannot be unless the whole Body be first evacuated As Galen says the Eye cannot be Cured before the whole Head nor that before the whole Body That the Remedies may be described orderly a Diet convenient for thâ—â— Disease is first to be appoinâ—ed which ought to be attenuating and moderately drying And first an Air inclining to hot and dry ought to be chosen but thick cloudy cold and rainy Air must be carefully avoided Meats of easie Digestion and of good Juice must be eaten and such as breed a thick Juice must not be used as Pork Geese Pease Cheese and the like also those things that fill the Head with Vapours as things made of Milk and hot Spices as Pepper Ginger and the like The Bread must be made with fennel-Fennel-water or the Seed of it must be mingled with it But great Care must be taken that Darnel is not mixed with the Wheat wherewith the Bread is made which has been always accounted very injurious to the Eye In Sauces and Broths let the Sick use those things which have an attenuating Faculty as Hyssop Fennel Marjoram Bettony Sage Eye-bright and especially Nutmegs which strengthen the Brain and clear the Sight Turneps should be often eaten and also Sparrows and Pidgeons Cold Herbs must be avoided especially Lettice which is injurious to the Eyes The Sick must be moderate in his Diet and the Supper sparing and once or twice a Week let him go to Bed without Supper At Meals instead of Salt let him use the following Powder Take of common Salt two Ounces of Eye-bright dried two Drams of Nutmeg one Dram of Cinnamon two Scruples make a Powder After every Meal let him take one Spoonful of the following Powder Take of the Seeds of Coriander prepared half an Ounce of the Seeds of Anise and Fennel each two Drams of Cinnamon and Nutmegs each one Dram of Eye-bright dried three Drams of Sugar of Roses twice the weight of all Wine is not good in this Disease because it fills the Head with Vapours and promotes fluxion but a Decoction of Sarsaparilla sweetned with Liquorish and aromatized with Coriander Seeds is a proper Drink But all cannot abstain from Wine or strong Beer and therefore dried Eye-bright infused in small Wine or Beer may be used sometimes Sleep must be shorter than usual and lying on the Back must be avoided as much as may be and the Sick must not Sleep after Dinner He must be moderate in his Exercise and his Body must be always kept Loose These things being thus ordered the Cure must be begun with universal Evacuation and he must be first purged with the following Medicine Take of Senna cleansed half a Dram of the Seeds of Fennel one Dram of the Leaves of Bettony Eye-bright and Vervain each half an handful of Liquorish three Drams boil them in Fountain-water to three Ounces strain it and dissolve in it three Drams of Diaphaenicon and an Ounce of the Syrup of Roses make a Potion to be taken in the Morning After the first Purge the Physician ought to consider with himself whether Bleeding is to be used In Old People or such as are of a Flegmatick Constitution certainly it is not But in those that are young and of a hot Constitution especially if there be Signs of Blood abounding without controversie if it be used in time it may do much good and where there are such indications for Bleeding After Blood has been drawn from the Arm the particular Veins of the Head may be opened and those which are near the Eyes viz. the Forehead Vein the Vein of the Temples and in the Corner of the Eyes near the Nose But it is more proper to apply Leeches to the Temples and if they are set behind the Ears too they may do much good Some Practitioners relate that some blind People have been Cured by Wounds in the Forehead whereby the turgid Veins and Arteries have been emptied But if a suppression of the Courses has preceded this Disease Blood is to be drawn from the lower Veins or Leeches must be applied to the Hemorrhoids afterwards the Body must be purged more exactly with the following Apozem Take of the Roots of Fennel Sarsaparilla Florentine Orris Elecampane each one Ounce of the Leaves of Bettony Marjoram Balm Eye-bright Fennel Vervain the greater Celandine each one handful of Liquorish rasped and Raisins of the Sun cleansed each one Ounce of the Seeds of Anise and Fennel each three Drams of Senna cleansed two Ounces of Gummy Turbith and Agarick newly trochiscated each two Drams of Ginger and Cloves each one Scruple of the Flowers of Stâ—chas Rosemary and Lavender each one pugil boil them in Fountain-water to a Pint strain it and dissolve in it four Ounces of White Sugar make an Apozem for four Doses to be taken in the Morning Clarifie it and Aromatize it with two Drams of Cinnamon When all the Apozem is taken give the following Pills Take of the Pill Coch. minor two Scruples make six Pills to be taken early in the Morning Universal Evacuation being thus performed Revulsion of the antecedent cause is to be made and the conjunct cause is to be discussed and
clearness when it grows thick by driness which often happens in old People and is never to be cured Or it is thickned by gross Humours stuff'd into it which frequently happens in an Ophthalmia when by reason of too great an use of Resolvent Remedies the thinner Parts of the Humours are discussed the thick remaining behind Or when by cooling Medicines used too often the Humours are thickned and then the Horny Tunick is not only thicker in that Part where the Humour is impacted but it also turns white and is called Leucoma or Albugo but such a Disease is also occasioned by the Cicatrix of a Wound whereby the Cornea is rendred thicker and loses its clearness There are several sorts of it as it is more or less thick one only possesses the Superficies of the Cornea another is seated deep and penetrates the whole Cornea one is greater and possesses the whole Pupil or the greatest Part of it another is small and covers only a small Part of the Pupil and then it is called a Spot The Cornea is also infected with a different Colour when Blood is poured off upon it and then it is called Suggillatio and then all the Objects appear red or when Choler insinuates it self into it which often happens in the Jaundice and then the Objects appear yellow Those Diseases do not want peculiar Diagnosticks because they are apparent As to the Prognosticks An Albugo which proceeds from Flegm or from a gross Humour remaining after an Ophthalmia is easily cured if it be not inveterate But that which is occasioned by a Cicatrix is very difficultly cured because Parts of exquisite Sense can scarce bear such sharp Remedies as are necessary to take off the Cicatrix The Cure of an Albugo occasioned by Flegmatick Humours concreted in the Cornea must be performed by emollient discutient and attenuating Medicines But universal Remedies mush be premised which carry off the antecedent Cause and prevent a new influx of Humours such are set down in the Cure of a Suffusion and Gutta Serena afterwards a Fomentation is to be applied with soft Spunges to mollifie the concreted Matter made of the Decoction of Foenugreek Melilot Celandine and Fennel or the Vapour of this Decoction may be received into the Eyes Presently after discussing Remedies are to be used such as are prescibed for the Cure of a Suffusion and attenuating Eye Medicines and such as resolve the Humour impacted in the Eye especially such as are made of Honey distilled are to be used for the Water of distilled Honey is very good to take out Spots from the Eyes if the use of it be long continued Sugar-Candy dissolved in Eyebright Celandine or Fennel-water is also good and let the Eye be often licked with a Boy 's or Girl 's Tongue they having first chewed Fennel in their Mouths Amatus Lusitanus says that he cured a Girl of twelve Years of Age that had thick Clouds in her Eyes with the following Collyrium having first used the Decoction Sarsa for three Weeks Take two Pound of Honey in the Comb of the Tops of Fennel of the Flowers of Elder and Eyebright each two Pugils of Sugar-Candy two ounces distil them in a Bath and drop the Water into the Eyes The Juice of Fennel fresh drawn with one drop of Peruvian Balsam in it discusses powerfully an Albugo the Oil of burnt Rags mixt with the Spittle of a Boy being applied with a Feather is also good This Oil is drawn by firing a Rag and extinguishing it between two Platters when it is cold the drops of Oil will stick to the Platter But an Albugo or a Spot occasioned by a Cicatrix is cured by those Remedies which mollifie attenuate and dissolve but because those things that take off the Cicatrix are Acrimonious the greater care ought to be taken that universal Evacuations and Revulsions are first used lest Humours should flow to the Part afterwards it will be convenient to use such Fomentations which are mentioned above and then discutient and abstersive Remedies are to be applied First those that are gentle especially the Compound Water of Honey above described But afterwards stronger as the Galls of Fish of the Pike and the like Also of other Animals as of the Partridge Cock Goose Bull and the like also the Juices of the greater Celandine the lesser Centaury Brooklime and the like which are to be mixed with Honey both because the Honey is discutient and abstersive also because Liquors drop'd into the Eye run presently to the Corners and will not stay upon the Pupil upon which they ought to work but when they are mixed with Honey they easily stick to it but by reason of their sharpness the foresaid Juices or Galls may be thickned with the Mucilage of Gum Tragacanth Psyllium or Quinces extracted in Penny-royal or Eye-bright Water the form of a Collyrium with Juices may be such as follows Take of the Juice of Fennel Celandine and Brook-lime each three Drams of the Juice of the lesser Centaury half an ounce of white Honey one ounce mingle them like a Liniment if with the Albugo there is a redness of the Eyes the Collyrium made of White Wine Salt and Wheat described in the Chapter of an Ophthalmia is good or the following may be used Take of Aloes and Agarick each one scruple powder them and tie them up in a Rag and infuse them in Eye-bright or Fennel-water and rub the Eyes with it Morning and Evening The Aloes cleanses strengthens and stops Fluxions and the Agarick is very abstersive Suggilatio or the red Colour of the Eyes occasioned by Blood pour'd upon them if it be fresh may be easily cured by dropping Pidgeons Blood into the Eyes or for want of it Womans Milk with a little Frankincense and Saffron or the Yolk of an Egg with Wine may be used But if the Disease be obstinate the Eye must be fomented with a Decoction of Foenugreek Marsh mallows Fennel Rue and Celandine or the Steam of the Decoction may be received into the Eyes Lastly all those things that we prescribed for a Suffusion are proper for the Cure of this Disease But when the Disease is inveterate and when that which was red begins to turn black the Tops of Hyssop wrap'd in a Rag and dipp'd in boiling Water and applied to the Eye are particularly recommended by Galen and Experience shews that this Remedy is so very effectual that the Blood is apparently drawn out and sticks to the Rag. Lastly the yellow Colour which appears in the Eyes of those that have the Jaundice goes off of its own accord when the Disease is cured But if you desire to hasten the Dissipation of it the Steam of Vinegar received in the Eyes will do it CHAP. XXI Of an Ophthalmia THE Tunica adnata is so nearly joined to the Cornea that many Diseases possess both Tunicks so an Inflammation of the Eyes though it properly belong to the Tunica adnata yet is very often extended
that it be not altogether taken away lest the contrary Distemper viz. a Rhyas be produced CHAP. XXX Of an Epiphora BY the Name of an Epiphora in general a flux of Humours into any part whatsoever is understood Nevertheless it is most commonly taken for the flux of a thin Humour from the Eyes which is also called involuntary Tears which use to flow from the Corners of the Eyes continually To the Production of these Tears which preternaturally flow from the Eyes the ill disposition both of the part sending and the part receiving do concurr The part which sends is the Brain which being affected with a cold or hot Intemperies generates watery Humours and sends them to the inferior Parts which are fit to receive them The recipient Part is the gland by the greater Corner of the Eye and the Caruncle placed above the same Corner The thinness or thickness of which Parts or any other weakness is the Cause why they so easily receive the Humouts that flow into them This Humour is carried from the Brain into the Corners of the Eyes sometimes by the internal Veins and sometimes by the external The Humour causing an Epiphora is sometimes cold and then it produces no other Inconvenience to the Sick but the troublesomness of the Fluxion But sometimes it is accompanied with Saltness and Sharpness and then it produces Pain Redness and also the Exulceration of the Eye-lids As to the Prognostick A new Epiphora occasioned by external Causes is easily cured especially in those that are Young When it is of long continuance and in an old Person it is very hard to be cured That which proceeds from other Distempers as from an Oegylops Fistula Lachrimalis and the like altogether depends upon the Cure of those Diseases The Cure of this Disease consists in taking away of the Fluxion and in strengthening the recipient Part. The Fluxion is to be removed by Evacuation Revulsion and Derivation of the Peccant Humour and the strengthening of the Part from which it is transmitted The Peccant or Serous Humour abounding in the Brain is evacuated by Bleeding and Purging Bleeding in a cold Intemperies of the Brain is not proper unless there appears manifest Signs of a Plethora But in a hot Intemperies when the Humours are sharp Bleeding is very proper and may be repeated twice or thrice if it be needful Such Purging Medicines must be used as agree with the Nature of the Patient Revulsion of the Humour must be made by Cupping-Glasses applied to the Shoulders often by Blisters frequently applied to the Neck or by Issues in the hinder Part of the Head or in the Arms. Forestus says when the Disease is obstinate a Blister applied to the forepart of the Head does much good For Derivation Leeches applied behind the Ears are proper and Masticatories used in a Morning And least the Humours once evacuated should be generated again the Brain must be strengthened and dried and if it be of a cold Intemperies such things must be used as are proper to correct it if of a hot such coolling Medicines must be used as peculiarly respect the Head And whilst the foresaid Remedies are in use Topical Remedies must be applied to the Part receiving and first if the Humour flows by the external Veins astringents must be applied to the Forehead and Temples and if the Fluxion proceed from an hot an acrid Humour the following Cataplasm must be applied Take of Bole Armenic Dragons Blood Balaustines and of Myrtles each one dram and an half of Acacia and Hypocistis each one dram of Frankincense and Mastich each two scruples of red Roses one pugil pouder them and mix them with the white of an Egg and a little Vinegar make a Cataplasm wrap it in a Rag and apply it to the foresaid Parts and when 't is dry renew it If it be occasioned by a cold Humour the following Cerate must be applied Take of Frankincense and Mastick each one dram and an half of Gum Anime Tacamahacca and Blood-stone each one dram of Gum Juniper two scruples of Turpentine and Wax a sufficient quantity make a Cerate But to the part affected astringent and drying Collyria must be applied made in the following manner Take of Tutty prepared one dram of Sarcocol moistned half a dram of Frankincense and Mastich each half a scruple of Spikenard grains six make Troches mix them with the White of an Egg and Juice of Quinces and apply them to the Corner of the Eye Or Take of Aloes Cypress Nuts Frankincense Mastich Myrrh each two drams of prepared Tutty Sarcocol moistned each one dram and an half of Dragons Blood Barberries Summach Red Roses each one scruple powder them finely and mix them with Fennel-water and make a Collyrium When the Fluxion is hot the following is best Take of white Troches of Rhasis without Opium of Sarcocol moistned of Acacia and Olibanum each one dram of the Stones of Myrobalans burn'd of white and red Coral each half a dram of Pearls half a scruple of the Juice of Pomgranates boil'd half away a sufficient quantity Make a Collyrium If redness of the Eyes accompanies an Epiphora the following is proper Take of grains of Sumach bruised one scruple of Plantane-water one ounce infuse them for some time then press then out hard and add of Rose-water and eye-bright-Eye-bright-water and of the White of an Egg well beaten each half an ounce of Sugar-Candy finely powder'd one scruple Make a Collyrium CHAP. XXXI Of the Disease of the Eye called Unguis Oculorum IT is a hard and nervous Membrane that arises from the greater Angle of the Eye it first covers the White of the Eye and then the Black and the whole Pupil and so it hinders Sight Sometimes it is thin and white and sometimes fleshy and consists of many bloody Veins This Disease arises from an Ulcer of the Flesh in the Angle of the Eye upon which account an inequality arises in the part which in time grows to this covering It is difficultly cured for the sharp Medicines that are necessary for taking it off must be used leasurely and by degrees by reason of the exquisite Sense of the Eye When it is of a moderate bigness it may be cured by Medicines but when it hath extended it self to the Black of the Eye and is become inverate it can be cured only by manual Operation When it is thick and hard and of a blackish Colour it is of a Cancerous Nature and can never be cured The Cure must be directed to the antecedent and conjunct Cause With respect to the antecedent Cause such course of Diet must be ordered as hath been propos'd for other Diseases of the Eyes arising from Fluxion Evacuations and Revulsions are also to be used and after sufficient Evacuation such Topicks are to be applied as may consume it beginning with those that are gentle such as are prescribed for taking off Spots but if they are not sufficient stronger must be used Forestus
from a hot Intemperies with a Fluxion oâ— Cholerick Humours first the Humout flowing to thâ— Part must be drawn away by Bleeding whereby also thâ— hot Intemperies of the whole Body may be moderated afterwards the peccant Humour must be evacuated by proper Purgers and afterwards cooling Juleps and Brothâ— Goats Milk Mineral Waters Baths of warm Water and the like must be used and lastly all those things are to be used which are proposed for the Cure of a Head-ach proceeding from a hot Intemperies But the Pain must be asswaged by cooling and anodyn Topicks For the Cure of an Inflammation of the Ear an emollient cooling and loosning Clister must be injected and so much Blood must be taken away as may answer to the fulness of it and to make a sufficient Revulsion of the Humour flowing to the affected Ear the Cephalick Vein opposite to it must be opened and a great quantity of Blood must be taken away at several times and if the Disease seem to arise from a Suppression of the Courses or of the Hemorrhoids the inferior Veins must be opened a good quantity of Blood being first taken from the Arm. And if those Causes are absent the opening of the inferior Veins will make an excellent Revulsion to the most distant Parts to which end Leeches applied to the Anus are also proper Revulsions may be also commodiously made by Frictions and Ligatures of the Arms and Legs and by Cupping-glasses applied to the Shoulders and Back And sometimes Cupping-glasses applied behind the Ears for to make Derivation do much good Zacutus Lusitanus also commends Leeches applied behind the Ears four of a side which he says gave much relief to a certain young Man who was afflicted with a violent Inflammation of the Ear The opening of the Artery of the Temples has also sometimes admirable Success Purging is also very proper in this Disease with Cholagoges afterwards the whole Mass of the Humours is to be attemperated with cooling Juleps made of a Decoction of Lettice Purslain Plantane Sorrel and the like also of the Syrups of Lemons Pomegranates and of red Poppies In the mean time whilst the foresaid Remedies are used Topicks are to be continually applied which must be always anodyn by reason of the Violence of the Pain the Mitigation whereof is principally to be taken care of but at the beginning and increase gentle Repellents are to be mixed with the anodyns at the State and Declination Resolvents are to be mixed with them Take of Womans Milk fresh drawn two ounces of the white of an Egg beat to a Liquor half an ounce mix them and drop it warm into the Ear. Or the Milk alone milk'd into the Ear. Take of the leaves of Plantane and Night-shade each one handful of the flowers of Camomil and Melilot each one Pugil make a Decoction let the Vapour be received into the Ear by a Tunnel Take of Oyls of Violets Water-Lillies and Roses each one Ounce mingle them drop it warm into the Ear. Millepedes infused in the foresaid Oyles and press'd out make an excellent Anodyn for they have an excellent Faculty to ease Pain and for that reason they are used for Pains of the Teeth the Piles and other Pains If the Heat is very violent cooling Juices are to be mixed with the foresaid Oyls in the following manner Take of Oyl of Water-Lillies and Oyl of Roses each one ounce of the Juice of Night-shade and Plantane each half an ounce mingle them and drop it into the Ear. Oxyrrhodinum is used by many Practitioners made of Oyl of Roses two parts and one part of Vinegar but it may be suspected as may be also all other things which repel powerfully for there is danger least the Humour should flow back upon the Brain and it is a general Precept always to be observed not to apply strong Repellents in Inflammations that are near noble parts but gentle Repellents may be mixed with Loosening and Anodyn things for so the Fluxion may be moderately suppressed and not driven far back But in violent Pains we are forced to use Narcoticks but they must be used rarely and with great caution for they are offensive to the Head I know a Person says Galen who lost his Speech and Sense by the use of Opium nor could he be restored by any Medicines But if there be absolute Necessity they may be prescribed in the following manner Take of the Oyl of the Seeds of Poppies one ounce and an half of Camphor and Opium each two grains mingle them and drop them into the Ear. Or Take of Oyl of Sweet-Almonds two ounces of the Juice of Mallows half an ounce of Myrrh half a dram of Saffron half a scruple of Opium three or four grains mingle them use it as above In the Application of Topicks the Precept of Galen must be carefully observed viz. That the inflamed Ear be not touched but Medicines must be dropt into the Ear by a Probe wrapt round with the softest Wool dipt in the Medicines and the Sick must be ask'd whether it be warm and whether he can bear it any hotter and you must drop it in as hot as he can bear it the Probe must be dipt in the Medicine and applied gently to the passage of the Ear that it may flow into it you must continue doing of it till the passage is full and then apply over it to the mouth of the passage and over all the Ear Wool dipt in the Medicine At the state of the Disease Oyls gently resolving are to be mixed with Anodyns in the following manner Take of the Oyls of Camomil Sweet-Almonds and Violets each one ounce Oyl of Lillies half an ounce mix them But Fomentations and Fumes resolve more powerfully which may be prepared of the following Decoction Take of roots of Marsh-mallows one ounce of the leaves of Mallows Nightshade and St. Johns Wort each an handful of the Seeds of Flax half an ounce of the Seeds of Mallows Marsh-mallows white Poppies each two drams of the flowers of Camomil Dill and Roses each one Pugil make a Decoction in Water or Milk for a Fomentation or Fume The Water drawn from Ash-sticks being dropt into the Ear eases the pain wonderfully it is drawn by burning green sticks in the Fire it drops from the ends of them If the Tumor cannot be resolved but tends to Suppuration which may be known by the increase of the pain a great Pulsation and a violent Feaver Nature must be furthered in her Motion and the following Cataplasm must be applied Take of Crums of white Bread one pound boil them in Milk to the consistence of a Poultis then add the yolks of Eggs number two of Oyl of Roses two ounces of Saffron one scruple make a Cataplasm Or Take one Onyon fresh Butter two Ounces Oyl of Camomil and Roses each one ounce of Saffron one scruple make a Cataplasm which must be applied moderately hot to the part When the Abscess is broken and the
Matter comes out through the Membrane of the Ear either rarified or corroded then the Sick should lye on the Ear affected that the Matter may flow out easily and such things should be dropt into the Ear as may wash and cleanse it Take of the Decoction of Barly four ounces of Honey of Roses one ounce mingle them drop it warm into the Ear. If the Ulcer be generated by Acrimony of Matter it requires a peculiar Cure which may also be used for an Ulcer arising from Fluxion of Humours And first according to the Opinion of Galen Topical Medicines must not be applied to any Member before the whole Body is purged wherefore Evacuation by Bleeding and Purging being administred agreeable to the Nature and Constitution of the Patient and repeated through the whole course of the Cure as often as there is occasion drying and astringent Topicks may be used beginning with the Mild and proceeding to Stronger by degrees For instance Take of the best Honey and of old White-wine each three ounces boil them till all the Scum rises drop it into the Ear afterwards stop the Ear with Cotton dipt in the same Liquor when you would have the Medicine stronger mix the Juice of Horehound Smallage Wormwood the lesser Centaury or of Sow-bread with Honey boil them gently and drop them into the Ear. Or Take of the Juice of Beets one ounce of Horehonnd half 〈◊〉 ounce of the best Honey six drams boil them a little afterwards add two drams of Syrup of Wormwood mingle them You may make a stronger Medicine in the following manner Take of the Juice of Sow-bread one ounce of Myrrh on◠ounce of Saffron half a scruple of Frankincense one scruple of Verdigrease half a scruple of old Wine one ounce an◠an half boil them till the Wine is consumed drop th◠Liquor into the Ear twice or thrice a day Note Before any Liquor is dropt in the Ear must be well cleansed with warm Hydromel a Probe wrap◠round with a Cotton being dipt in the Liquor and used for that purpose The Ulcer being well cleansed it must be cicatrized by Epulotick Medicines used in the following manner Take of round Birthwort of the bark of Pomegranates and of Galls each half an ounce boil them in equal parts of Wine and Smith's-water to half a pint strain it and add to it of the Juice of Plantane and Knot-grass each one ounce of Honey of Roses two drams mingle them and drop it into the Ear or drop into the Ear burnt Allum mixed with the Wine for it is very drying If the Ulcer be very obstinate and has continued a long while it is certainly promoted by Fluxion which therefore you must endeavour to remove by Purging and a Diet-drink of Gujacum or Sarsaparilla by Errhins Masticatories Issues and by other Remedies that divert the Fluxion If Pain arise by reason of the Sharpness of the Remedies Oyl of Sweet or Bitter Almonds with Myrrh Aloes and Saffron must be dropt into the Ear If the Pain be violent a little Opium must be mixed with them or the Oyl of the Yolks of Eggs beat in a leaden Mortar may be used If the Ulcer be very Sordid Aegyptiacum must be mixed with the foresaid Juices If the Pain of the Ear be occasioned by something thrust into the Ear you must endeavour to draw it out by wrapping Wool upon a Probe dipt in Turpentine or made glutinous by Rosin or some other Gum But if this will not do warm Oyl must be often dropt into the Ear to relax it and to Lubricate the Matter contained in it and so it may the easier be drawn out and Sneesing-powder must be given and these things must be used continually till the Sick is freed for if any thing remain long in the Ear an Inflammation will arise and afterwards it will be much more difficult to extract any thing from the Ear and there will be besides great danger Lastly If the foresaid Remedies are not sufficient Chirurgical Instruments must be used See the manner of Extraction in Fabritius Hildanus Cen. I. Observ 4 5 6. Gnats sometimes insinuate themselves into the Ears and moving in the Cavity of it they cause much Trouble but they may be extracted by a Probe wrapped round with Cotten and dipt in Turpentine Sometimes water runs into the Ear in swimming or when the Head is wash'd and is often very troublesom and causes Pain but is most commonly easily shook our by hopping upon the Leg of the same side and by holding the Ear downwards But if this will not do you must endeavour to suck it out with a Pipe wrapt round with Wool to stop the hole of the Ear that the external Air should not enter in It is also dried by a small soft piece of Spunge often put in CHAP. XXXV Of things that come out Preternaturally from the Cavities of the Ears MAny Things come out preternaturally from the Ears which must be particularly mentioned and peculiar Remedies must be prescribed for them First therefore an Abscess being broken arising from an Inflammation or from an Ulcer proceeding from the Acrimony of Humours Matter or Sanies is wont to flow the Cure of which depends on the Cure of the forementioned Diseases which are proposed in the foregoing Chapter Blood also sometimes flows from the Ears as in Wounds and Concussions of the Head whereby the Veins of the Ears may be broken or torn But if this Flux be moderate it must be left to it self for if it should be retained within it might cause an Inflammation but if it be immoderate or continue a long while it must be restrained by bleeding in the Arm and by applying Cupping-glasses with Scarification to the Shoulders afterwards cooling and astringent things must be dropt into the Ears as the Juice of Plantane Knot-grass or the Decoction of Bramble-tops red Roses Mastich Acacia Hyposistis Balaustins Sumach and the like in Wine and Vinegar or Smiths Water A watry Humour sometimes flows from the Brain to the Ears this most commonly happens to Children and ought not to be stop'd for being suddenly stop'd it occasions the Falling-sickness or some other great Disease of the Head For Nature puts off Excrements and the too great Moisture that abounds in Childrens Heads not only by the ordinary ways appointed for this use viz. The Nostrils and Pallate but also through the Eyes the Ears and the Superficies of the Head where Ulcers and Scabs often happen But when such an Evacuation is Symptomatick and when the Humour flowing to the Ears causes Ulcers in them and hinders the Hearing you must endeavour to cure it by a convenient Method And First the Superfluous Humours in the Brain must be evacuated by gentle Purges often repeated and also by Derivation by Blisters in the Neck and an Issue there afterwards the Ears must be cleansed and dried by the following Medicine Take of the Juice of Agrimony and Worm-wood each four Ounces of Whitewine and Honey of
and by this means many Consumptive People have been recovered Issues are also of use and the Shaving of the Head And if the Hectick heat be but small the Sick ought to drink Calybeat Waters in the Summer-time for by this means many have been relieved Year after Year their Stomack Flesh and Strength recovered and the Hectick Heat and Cough left them and their Breath has been freer But these Waters are not to be used when the Lungs are evidently putrified or when the Flesh is very much wasted by Colloquative Sweats a Loosness or a Dropsie for then they are deadly And when they are proper the Sick must use them the greatest part of the Summer but not so great a quantity at a time as is usual in other Cases two Quarts five Pints or three Quarts may be sufficient at a time and the Sick must take Care that he does not catch Cold and of Errors in Diet Purging is not to be used during the drinking of the Waters in this Case but if the Body be subject to be bound the Purging Mnieral-waters must be taken three or four times at the distance of three or four Days before and after the use of the Calybeat-waters If the Waters do not pass well by Urine or if they cause a Diarrhea you must not continue the use of them long unless these Inconveniences may be remedied by Art to take off or to prevent the Diarrhea I use to prescribe the quantity of a Walnut of the following Electuary to be taken at Bed-time every Night Take of the Pulp of the conserve of old red Roses of the Electuary of Quinces each half an ounce of the Troebes of Ambar three drams of true Bole of Dragons-blood each half a dram of London Laudanum three grains of Syrup of Mirtles a sufficient Quantity mingle them make an Electuary To force the Urine I order that a scruple of the whitest Salt of Ambar well cleansed from the Oyl should be dissolved in the first Draught of Water It is also good during the Course of the Water to medicate the ordinary Drink with a Bag of Pectoral Ingredients But secondly If the Hectick Feaver be considerable it is safer to attemperate the Blood by a Milk-Diet but as to a Milk Diet what followeth must be observed First In the use of this Diet nothing but Milk or things made of Milk Bread only excepted must be allowed of but good Quantities of it must be taken frequently least by reason of the Thinness of it the Parts should be deprived of their due Nourishment Secondly This sort of Diet must be continued for the Space of a Month or two Thirdly Spring time is most seasonable for a Milk Course for then the Herbs and Flowers wherewith the Beasts are fed flourish most Fourthly But if by reason of the Ferment of the Stomach being too acid common Milk as it sometimes happens curdles and so cannot be concocted upon which account Vomiting Grips and a Loosness follow it is better to abstain from the use of it and to endeavour to attemperate the Blood with Asses-milk Concerning the use of which observe the following Directions First Give this Milk in the Morning and let the Sick sleep a little in Bed afterwards let it be given again at five in the Afternoon Secondly Nothing of a contrary Nature whether Diet or Medicine must be taken till the Milk is concocted Thirdly You must give a Pint or half a Pint at a time or thereabout for a great Quantity of this or of common Milk can neither be received nor concocted by the Stomach but is usually cast out presently either by Vomit or Stool to the great Prejudice of the Sick wherefore it is prudently ordered by Physicians that as the Stomach is by degrees accustomed to this sort of Diet so the quantity of it should be daily increased from half a Pint to a Pint. Fourthly If the Sick by reason of the acid Ferment of the Stomach is subject upon taking Asses-milk to a Loosnessâ— which frequently happens the Milk must be sweetned with Sugar of Roses and must be milked upon a Branch or two of Mint and if there be occasion and nothing forbids the Sick may take every Night at Bed-time a grain of London Landanum or a Dose of the beforementioned Astringent Electuary Fifthly The Milk must be drank whilst it is warm for if it should grow cold and be afterwards warmed upon the Fire it would be rendered less pleasing to the Tast and Stomach and the Remedy would not be so effectual by reason of the Spirits being wasted Sixthly During the use of Asses-milk which also ought to be ordered in every Milk-diet the Sick must abstain from all other Medicines except Opiats and Astringents if they are necessary to prevent a Loosness or to quiet the Cough at Nights Seventhly But if the Loosness occasioned by the Milk cannot be taken off by the Laudanum and the Astringents or if after it is taken off Vomiting or at least a continual Sickness or Weight upon the Stomach succeed which are the certain Signs of the Milk curdling in the Stomach Or lastly If there be Signs of a Schirâ—hus and Obstruction of the Liver which are frequent in Scorbutical and Hypocondriack People that have had a Consumption a long while rhey must carefully avoid all sorts of Milk for the use of Milk by increasing the Obstruction of the Liver is wont to bring upon the Consumption a Dropsie and Jaundice whereby the original Disease is rendred deplorable Wherefore Fourthly in these cases it is better to alter the Blood and to blunt its Acrimony by the free use of Fish and of testaceous Medicines and also by Restorative Broths made of the extream parts of Animals and drinking freely of the Compound Waters of Milk Capons and Snails and the like though what we said before of the use of Milk is also true with respect to these Flegmatick Waters viz. That when the Liver is obstructed the Jaundice or Dropsie is wont to follow the free use of these Wherefore in such a case it is better to endeavour to Sweeten the Blood in the following manner Let him eat freely of River and Sea-crabs of Lobsters and generally speaking of all testaceous Fish which sort of Diet eaten plentifully much attemperates the Acidity of the Blood and the sharp Ferment of the Stomach Of these testaceous Fish are also made very pleasant Broths which must be taken plentifully Take of River Crabs number an hundred beat them whilst they are alive and boil them in two quarts of Fountain-water add towards the end of boiling two or three blades of Mace one Nutmeg rasped and of Malago-wine half a pint strain it for use Jellies and restorative Broths may be also used to the same purpose For instance Take of the Shavings of Harts-horn and Ivory each four ounces two blades of Mace one bark of an Orange candied boil them in two quarts of Fountain-water to a quart or a pint and
ounces of the Aqua-benedicta or two or three drams of Coloquintida may be boiled in an emolient and Carminative Glister If Glisters do not give ease you must not obstinately persist in the use of them for it has been observed that when a Sick Person has taken without any Success twenty Glisters another Physician having given only an ounce and an half of Manna with two ounces of Oyl of Almonds in fat Broth has cured the Patient But in that Pain which proceeds from thick Flegm stronger Medicines must be given Afterwards Fomentations Oyntments Baths Plaisters and other Remedies are useful to which must be added some Specificks Boil simple Water and when it is boiling hot add a fourth part of common Oyl and some grains of pepper grosly beaten Let the Sick take three or four Spoonfuls as hot as he can bear it the pain will be gone as it were in a Moment Take of the best Aloes one dram of Laudanum Opiatum grains four mingle them make six Pills gild them let the Sick take them at a convenient time they give ease in an hours Time and afterwards purge off the noxious Humours Instead of the Pills a Potion may be taken made of half an ounce of Diaphaenicon and two Scruples of Philonium Romanum in the Water or Decoction of Camomil Take of the Oyl of Almonds or of some other Oyl for poor People four ounces of generous Wine one ounce of Syrup of Poppies one ounce mingle ehem make a Potion Oyl of sweet Almonds also taken with Manna in fat Broth asswages the Pain and evacuates the Peccant Matter If the Disease is lasting it may be successfully treated with a Decoction of Guajacum continued for many Days purging now and then with Elixir Salutis and injecting Glisters frequently But if the Chollick proceed from Flegm boil the Guajacum with Wine A Bilious Cholick is cured by emolient Glisters and with such things as attemperate the Acrimony of the Humours Give Juleps of the Waters of Erratick Poppy of Lettice and Sorrel with the Syrups of Violets Apples and Lemons If the Pain is very violent we must use Narcoticks the Pain being somewhat mitigated An Infusion of Rubarb in Succory-water is to be given with Syrup of Roses and to be repeated often till the Stock of Matter is evacuated If gentle Purging be not sufficient to eradicate the Disease we must use Mercurius Dulcis which being given sometimes with purging Medicines that have Diagridium in them perfects the Cure They that dislike Diagridium may give Mercurius Dulcis alone made into Pills with Conserve of Roses drinking upon them an Infusion of Rubarb and Senna with Manna and Syrup of Roses added to it Afterwards it will be convenient to use Tunbridge or such like Waters When the Pain is violent you must fly to Laudanum with which Catharticks may be sometimes given but in a large Dose because they are much blunted by Laudanum Bleeding is sometimes proper in this sort of Chollick when there is danger least the Violence of the Heat should occasion a Feaver if there be a Feaver already it is presently to be used When there is a great Drouth cold Water must be given according to Galens Instruction And Amatus Lusitanus says he wonderfully cured of a sudden such a Pain by the use of it and Septalius declares in two Observations that he used it inwardly and outwardly with great Success For the Cure of a Chollick that degenerates into a Pâ—lsie put the Patient into a warm Bath made of a Decoction of emollient things the Belly being loosned with various Glisters and the first Passages opened by Catharticks the Patient must be bathed twice or thrice or four or five times in a day that the Acrimony of the Humours may be attemperated and that the Pores of the Membranes may be opened The next day let the Humour be purged with some proper Cathartick and then the Bath must be repeated and so you must do every other day if the Patient be able to bear it till the Humours being purged off and the pain quieted he is recovered In the mean time you must continue the use of Glisters but those made with Milk are best to asswage the Pain to which may be added Cassia Oyl of Violets and Oyl of Lillies Let the Belly be frequently anointed with Oyl of Camomil of Dill sweet Almonds Lillies and with Butter Lastly Use Whey and Tunbridge-waters or the like and if the Disease continues a long while those things may be used which are proper to cure Hypochondriack Melancholly and Bleeding is to be used at the beginning of the Disease and before Purging and to be often repeated if the Blood seem to be bad or if something of a Rheumatism seems to be joyned wtih it Lastly All those Remedies which are proposed for the Cure of a Bilious Chollick may be used in this Case and if these things do no good some Physicians prescribe the following Potion which though it be loathsome and will not go down with the delicate yet they say it presently mitigates the Pain Take of Horse-dung one ounce crumble it in small Pieces and infuse it in a Pint of Erratick Poppy-water to which add eight or ten drops of Spirit of Wine Strain it gently and divide it into three Doses to be taken when the Pain is most violent But if the Disease degenerates into a Palsie you must use to the Spine of the Back and the paralitick Parts some resolving Balsam and such an one as strengthens the Nerves if there be a Feaver but if there be no Feaver you may apply Wooll dipt in Oyl or Ointment to the Paralitick Parts taking great Care that the Patient does not catch Cold for by that means the Humour will be more fixt upon the parts and the Perspiration of it will be hindred CHAP. LXXI Of the Bilious Chollick of the Years 1670 71 72. IN all these Years the Blood was much inclined to put off upon the Bowels hot and Cholerick Humours upon which Account this Chollick was more frequent than is usual The same Febrile Symptoms preceded this Disease as used to go before the Dysentery that reigned in those times and sometimes this Disease followed the Dysentery when it had a long while afflicted the Patient and was just about to leave him but when it did not follow a long Dysentery it generally took its Rise from a Feaver which after some Hours was wont to end in this Disease it chiefly seised Young People of a hot and Cholerick Constitution especially in the Summer the Pain of the Bowels was extreamly violent and more intollerable than any other that afflicts poor Mortals it sometimes binds as it were the Guts and sometimes being contracted to a Point it bores like an Auger the Pain now and then remits and presently the Fit approaches again which as soon as the Patient perceives he looks sadly and bemoans himself as if it were actually upon him At the beginning of this Disease
is Lice nine being taken alive in a Morning five or six days following and I have known several that have been cured this way when other Medicines would not do the Business But if notwithstanding all above mentioned the Disease continues obstinate the Sick must use Iron-waters such as are Tunbridge which he must drink at the Fountain till he is well Moreover Those that are afflicted with this Disease are often subject to Pains that are very troublesome and they rage chiefly a Nights And moreover the Sick cannot rest well wherefore Anodynes are to be used Take of Aqua-mirabilis and of the Water of Worms each one ounce of Diacodium six drams of Tincture of Saffron half an ounce mingle them The Dose is one Spoonful or two late at Night when the Sick cannot rest CHAP. LXXXII Of a Dropsie EVery Age and Sex are sometimes troubled with a Dropsie yet Women are more inclined to it than Men it comes upon Men chiefly when they are old and upon Women when they have done breeding but it sometimes seises barren Women when they are young The pitting of the lower part of the Leg by impression of the Finger is not so certain Sign of a Dropsie in Women as in Men for Women that are with Child and such as have a stoppage of the Courses are often subject to the same nor does such a Swelling certainly indicate a Dropsie for when an old Man of a gross Habit of Body having been a long while afflicted with an Asthma is suddenly freed from it in the Winter presently a great Swelling seises the Legs yet notwithstanding generally speaking the Swelling of the Legs is to be accounted a Sign of an approaching Dropsie Three Symptoms accompany this Disease Difficulty of Breathing little Urine and great Thirst There are two sorts of Tumours of the Belly that resemble a Dropsie that are common to Women the first is a preternatural Excrescence of the Flesh in the parts within the Belly which makes the Belly as Bulky as when Water is included in it the other kind arises from Wind which does not only occasion a Tumour but also other Signs of Breeding Widdows are most inclined to this sort or such Women as were not married till they were in Years The true and genuine curative Indications are wholly to be directed either to the Evacuation of the Water contained in the Belly and other Parts or to strengthen the Blood That Purging may be instituted to the Advantage of the Patient we ought to know whether the Sick is easily purged or hardly which can be known no other Way than by Inquiry how purging Remedies used at other times worked A Dropsie above all other Diseases requires the strongest and quickest Purges and the Sick ought to be purged every day unless by reason of the Weakness of the Body or the too violent Operation of the preceding Purge he ought to rest a day or two for you must not leave off purging unless Necessity urge till all the Water is quite carried off For those that are easily purged Syrup of Buck-thorn may be sufficient to carry off the Water But when the Sick is of such a Constitution that gentle Catharticks will not work quickly nor easily stronger must be given for which I have frequently prescribed the following Potion with Success Take of Tamarinds half an ounce of the Leaves of Senna two drams of Rubarb one dram and an half boil them in a sufficient quantity of Fountain-water to three ounces in the strained Liquor dissolve of Manna and Syrup of Roses solutive each one ounce of Syrup of Buck-thorn half an ounce of the Electuary of the Juice of Roses two drams mingle them make a Potion But this Potion must be given only to strong People it purges when other things will not as I have found by frequent experience Or Take of White-wine four ounces of Jalap finely powdered one dram of Ginger powdered one Scruple of Syrup of Buck-thorn one ounce mingle them make a Potion to to be taken early in the Morning and to be repeated every Day or every other Day according to the Strength But two Medicines remain which in my Opinion are better than all the rest for those that are difficultly purged I mean Elaterium and the Infusion of Crocus Metallorum Elaterium or the Fecula of wild Cucumbers being given in a small quantity purge watery Humours powerfully for two grains of it are a sufficient Dose for most People I used to mix it with a scruple of the Pill ex duobus and to make three small Pills to be taken in the Morning As to the Infusion of Crocus Metallorum an ounce and an half of it or two ounces for those that are difficultly vomited given in a Morning and repeated daily according to the Strength of the Sick though it may seem at first only to evacuate the Water contained in the Stomach yet at length it will free the Belly from the Waters that are in it But if the foresaid Vomit does not sufficiently purge the Belly for it uses to purge at last after the third or fourth Dose of the Infusion of Crocus Metallorum by it self I sometimes though rarely use the following Take of the Water of Carduus Benedictus three ounces of the Infusion of Crocus Metallorum one ounce and an half of Syrup of Buck-thorn half an ounce of the Electuary of the Juice of Roses two drams mingle them make a Potion But here it is to be noted that if the Swelling of the Belly be but small the Water is not so easily evacuated by the Infusion of Crocus Metallorum as when the Dropsie is great and a great quantity of Water is heaped up wherefore unless the Belly be much swelled it is best to do all by things that purge downwards But you must take notice that it often happens that Water is cast not only upon the Thighs and Legs but also into the Cavity of the Belly and yet it is not to be evacuated by Purging Medicines For Instance When such a Tumour follows a long Consumption or when it is occasioned by the Putrefaction of some of the Bowels or from the Tone of the Blood spoiled and the Spirits exhausted or by long continuance of Fistula's in Carnous Parts or occasioned by great Weakness and Evacuations by Sweating Fluxing or by violent purging and by a thin Diet in the Cure of the French Pox in these Cases the Patient will be rendered worse by purging wherefore we must endeavour all we can to strengthen the Blood and Bowels And among Remedies to this purpose which are to be mentioned by and by I have found by Experience that the change of the Air and Exercise in a free Air such as the Sick can bear answers this Indication excellently well And when the Sick is of a weakly Constitution or a Woman subject to Vapours neither Purge nor Vomits must be used but you must endeavour to evacuate the Water by Diureticks I order one
pound of the Ashes of Broom to be infused in the cold in three Pints of Rhenish-wine and that a Pugil or two of the Leaves of common Wormwood be added to it let the Sick take four ounces of the Liquor filtrated daily in the Morning at five in the Evening and late at Night till the Swelling goes off with which Remedy alone I have known some Dropsies that were accounted deplorable cured in such whose weak Constitution could not bear Purging But to come to the second Intention half the Business is no more than done when the Water is evacuated wherefore we must endeavour to strengthen the Blood by a long and daily Course of heating and strengthening Medicines to prevent a new Collection of Water and to this end the Sick must drink Wine whilst he is under Cure after the Passages are open for the Water to go out or instead of Wine strong Beer For poor People who could not provide better Medicines I use to order Srong-beer wherein Horse-radish Root the Leaves of common Wormwood Garden Scurvy-grass Sage the lesser Centaury and the Tops of Broom have been infused for their ordinary Drink Rich People may use Canary-wine wherein the same bitter Herbs have been infused whereof a small draught may be taken twice or thrice a day or they may take nine spoonfuls of Wormwood-wine instead of it after two drams of the following Digestive Electuary in the Morning at four in the Afternoon and at Bed-time Take of Conserve of Garden Scurvy-grass one ounce and an half of the Conserve of Roman Wormwood and of the yellow Rind of Oranges each one ounce of candied Angelica and Nutmegs candied each half an ounce of Venice Treacle three drams of the compound Powder of Wake-robin two drams with a sufficient quantity of Syrup of Oranges make an Electuary The Sick must be sure to drink sparingly of small Liquors but to take off his Thirst he may often wash his Mouth with cold Water sharpened with Spirit of Vitriol and he may hold Tamarinds in his Mouth now and then or may chew a Lemon but he must swallow neither of them But amongst corroborating things Steel is not the least Garlick is also very good and without any Evacuatious I have known a Dropsie cured by it Take of Syrup of Steel a quart let a spoonful be taken with fifteen grains of Cream of Tartar every Morning in five spoonfuls of the following Julep Take of Aqua-lactis Alexiter one Pint of compound Water of Wormwood and of compound Water of Gentian each three ounces mingle them make a Julep Take of Steel prepared with Sulphur of astringent Saffron of Mars each half an ounce of Crabs-eyes and red Coral prepared and of Salt of Wormwood each one dram of Volatile Salt of Amber one scruple of Extract of Gentian a sufficient quantity mingle them make ten Pills of every dram let him take four every Night at Bed-time 'T is to be noted that that Dropsie which only swells the the Legs or the Belly a little does not presently require to be cured by Vomiting and Purging for it 's often removed by the heating and strengthning Medicines above mentioned but above all 't is to be minded that when we undertake to cure this Disease by Corroboratives or Lixivial Medicines the Patient must by no means be purged Topical or external Remedies as far as I have observed do nothing considerable and Blisters often occasion a Gangrene To conclude though this Disease when it comes to a Dropsie of the Belly has been always accounted desperate yet it will appear that if it be treated according to the Method above described it may be as certainly cured if the Bowels are not corrupted as many other Diseases which are not reckoned so deadly CHAP LXXXIII Of a Timpany A Timpany is a fixt hard and equal Swelling of the Belly that sounds when 't is knock't upon with the Finger it proceeds from a Convulsive Inflation of the Bowels the Animal Spirits being obstructed in the Fibres it generally ends in a Dropsie Medicines do little good in this Disease yet they are not wholly to be rejected the following are prescribed by Dr. Willis Take of Peach-flowers and of Damask-roses each two pugils of the Flowers of Broom Elder and the lesser Centaury each one pugil of the Leaves of Agrimony and of Sea-wormwood each one handful of the best Senna one ounce of Rubarb six drams of the seeds of Bastard-saffron half an ounce of Dwarf-elder two drams of yellow-sanders three drams of the Roots of Galingal two drams cut them and bruise them and put them into a silken Bag and hang them in a Glass-bottle and pour upon them a quart of White-wine and a pint of saxifrage-Saxifrage-water and put into the Bottle a dram and an half of Salt of Tartar let them infuse forty eight Hours and then take four or six ounces every third or fourth Day The following has been used with Success in this Disease in a hot Constitution Take of purging-waters four quarts of Salt of Wormwood two drams evaporate a quart over a gentle Heat and to these I used to add of the Water distilled from Wine with Catharticks four ounces the dose is four or six ounces Or to the Purging-water evaporated to a quart add the Roots of Mecoacan and Tuâ—bith each half an ounce of Rubarb six drams of yellow-sanders two drams of Cloves one dram digest them hot in a close Vessel two hours filter them hot through Paper the dose is three or four ounces Glisters are often used in this Disease because they loosen the Belly without much provoking the Fibres Take of the Infusion of Stone-horse-dung with Camomil-flowers one pint of Mercurial-honey two ounces make a Glister Or Take of Vrine one pint of Sal-prunella one dram of Venice Turpentine dissolved with the Yolk of an Egg one ounce and an half mingle them make a Glister Diureticks also seem proper Take of live Millepedes cleansed three ounces one Nutmeg sliced beat them together and pour upon them a Pint of the following Diuretick-water strain out the Liquor hard the dose is three or four ounces twice a day Take of the green-berries of Juniper and Elder each six pounds of the Tops of Fir four pounds of green Wallnuts two pound of Winteran Bark four ounces of the yellow-Peel of six Oranges and four Lemons of the Seeds of Bishops-weed Rocket and Cresses each one ounce and an half of Dill two ounces cut them and bruise them and pour upon them four quarts of White-wine Posset-drink distill them in a common Still and mingle all the Waters Whilst these things are taken inwardly Topicks must be also applied not such things as are hot and discussing but those things which are indued with Particles of Volatile Salt and Nitre Take of the Flowers of Sal-armoniack one ounce of Sal-prunella two ounces of small Spirit of Wine a quart mingle them and dissolve them in a Bottle Flannels dipt in this are to be applied warm over
the Belly twice a day for the space of half an hour afterwards apply a Cataplasm made of Cows-dung and the powder of Dogs-dung or the following Plaister Take of the Plaister of Sope that is of the red-lead Plaister with a sufficient quantity of Venice Sope spread it thin upon thin Leather and apply it to the Belly and renew it within ten or twelve Days Altering Medicines are also requisite Take of the Filings of Steel finely powdered two drams of the distilled Water above described a quart of the Syrup of the five opening Roots two ounces mingle them in a Glass and let them clarifie by standing The dose is three or four ounces in the Morning and at five in the Afternoon Take of the Powder of the Roots of Wake-robin and of Crabs-eyes each three drams of Sal-Prunella two drams of Vitriol of Mars one dram and an half of Anthosat Sugar two drams mingle them the dose is half a dram in a convenient Vehicle And Medicines are to be prescribed against Fainting Difficulty of Breathing Watching and Drouth Cordials Take of the Waters of Orange-flowers of the Flowers of Marigolds and of Camomil each three ounces of Dr. Stephens's water two ounces of Tincture of Saffron two drams of Sugar one ounce of Pearls one dram make a Julep the Dose is four or five spoonfuls thrice or oftner in a Day Take of the Conserve of Marigold-flowers two ounces of Confection of Atkermes and of Hyacinth each two drams of Pearls powdered one ounce of the Syrup of the Juice of Citron a sufficient quantity make a Confection let him take the quantity of a Nutmeg Morning and Evening drinking upon it a draught of the Julep Hypnoticks Take of the Hysterick-water six drams of Diacodium half an ounce mingle them let it be taken at Bed-time Or Take of Syrup of Cowslips three Spoonfuls of compound Peony-water one spoonful of Laudanum tartarized one dram let a spoonful be taken in the Night if the Sick cannot sleep To quench the Thirst without much drinking which is always very prejudicial let the Sick lick often a small quantity of the following Linctus Take of Conserve of Wood-sorrel pulped three ounces of the Pulp of Tamarinds two ounces of Sal-prunella one dram of the Syrup of the Juice of Wood-sorrel a sufficient quantity make a Linctus CHAP. LXXXIV Of an Anasarca AN Anasarca is a white soft Swelling of the outward parts of the Body or of some of them it yields to the Touch and will pit and is occasioned by watry Humours extravasated As to the Cure there are two things chiefly to be minded First That the Water within the Skin should be evacuated Secondly That Care be taken to prevent the heaping up of new Water to which End we must endeavour the Viscera of Concoction being freed from Obstructions and Filth that good Chyle be made and carried in a due quantity to the Mass of Blood and that it be sufficiently fermented The Vital Indication is of little use in this Disease because there is seldom Fainting or Watching for which Cordials and Hypnoticks are required and also a strengthning diet for Fasting and Abstinence do good in this Case and often perform the greatest part of the Cure for the Vessels being emptied by Fasting absorb the Waters within the Skin or stagnating elsewhere and evacuate them by the Reins or the Pores of the Skin or otherwise The Sick must use purging Medicines prescrib'd for a Dropsie and the same Diureticks A Decoction of the Woods is also very proper Take of the Shavings of Guajacum six ounces of Sassafras two ounces of all the Sanders each six drams of Ivory and Hartshorn rasped each three drams infuse them and boil them in four quarts of Fountain-water till half is consumed adding to it the Roots of Sweet-smelling Flag of the lesser Galingal of Burdock and Butter-bur each one ounce of the Leaves of Sharp-sage and of dried Germander each two handfuls keep the strained Liquor for use the Dose is eight or ten ounces hot twice a Day to every Dose add twenty or five and twenty drops of Spirit of Saâ—armoniack with Amber or of Soot or of the Tincture of Salt of Tartar half a dram or a dram Frictions do often good in an Anasarca wherefore the whole Body may be rubb'd once or twice a day with a course Napkin or with Brushes made for that Purpose Blisters evacuate the Water plentifully but there is Danger of a Gangrene by the use of them But Escharoticks may be more safely used than Blisters an Emperick often evacuated successfully Water from the Members of Dropsical People if they were never so much swelled in the following manner by an Escharotick viz First he fomented their Legs Morning and Evening with a Decoction of Dwarf-elder Wormwood Camomil and other hot Herbs the grounds of Beer or Wine being added to it and betwixt the times of Bathing he applied a Cataplasm made of the Dregs of the Decoction and Bran after these things had been used three days he covered the Legs and Feet with a Plaister made of Burgundine-pitch leaving only upon each Calf a little hole about the bigness of a small Nut in which places he applied an Escarotick Medicine to the naked Skin made of the Ashes of the Bark of the Ash which being taken off after twelve hours a small Eschar remained from the pores whereof the Water first drained gently and daily afterwards it dropt more freely but when the Eschar cast it flowed as from a Fountain till it had emptied the Legs Another Way remains as good as the former but less us'd to drain the Water viz. By pricking with a Needle which also must be used cautiously and leisurely lest the Flux of Waters should be too great provide such a Needle as Tailors use and prick the Place that is most swelled with it so as that the Blood may not come you must prick only six or seven Holes at at a time at the Distance of the Breadth of a Thumb one from the other the Water will break out drop by drop from each Hole continually till all the Swelling about the Parts prick'd disappears and then the next time sometimes after twelve hours sometimes after eighteen and sometimes after twenty four prick again in another part of the same Leg or in the other and so once or twice a day in this or that Member in one or two or more at a time for the Water may be drawn more plentifully and safer this Way than any other and if the Breeding of new Water be prevented by Medicines the Disease will be easily cured Moreover in a deplorable Dropsie the Life may be prolonged this way An old Man of Seventy Years of Age that was dropsical all over kept his Head above Water and lived many Months by this means contrary to Expectation But to strengthen and restore the Blood the following Medicines must be used Take of Conserve of Sea-wormwood of Scurvy-grass and the yellow Peel
of Oranges each two ounces of the Winteran-Bark two drams of the Species Diacurcuma one dram and an half of Steel prepared with Sulphur three drams of Salt of Wormwood two drams of Syrup of the Bark of Curon a sufficient quantity make an Electuary the Dose is two drams in the Morning and at five in the Afternoon Chalybeats do often a great deal of good in this Disease Take of the compound Powder of the Roots of Wake-robin of the Winteran-bark each three drams of the Roots of the lesser Galingal and of Cubebs each one dram and an half of Steel prepared with Sulphur half an ounce of Sugar anthosated six drams make a Powder to be divided into twenty Parts give one Part every Morning and at five in the Afternoon Let him drink of the following Decoction instead of Beer Take of the Shavings of Guajacum and Sassafras each four ounces of the Roots of Florentine-orris of Sweet-smelling-flag the lesser Galingal and of Elecampane each one ounce and an half of the Berries of Juniper and Bayes each two ounces of the Seeds of Annise Carrawayes Sweet-fennel Coriander and Dill each one ounce of Long-pepper and Cubebs each one ounce and an half of Cloves Nutmegs and Ginger each half an ounce of Jamaica Pepper two ounces of the dried Leaves of Sharp-sage Wild-sage Calaminth Agrimony each one handful of Liquorish four ounces cut them and bruise them and boil them in four Gallons of fountain-Fountain-water till half is consumed keep the strained Liquor in Bottles for use Many have been cured by this Liquor CHAP. LXXXV Of the Scurvy IN the old Treatises of Physick there is so seldom mention made of the Scurvy and the Description of it is so small that some have doubted whether such a Disease that is now Endimial in many Places and Sporadick almost every where and wherewith almost every one is affected or thinks he is so did at all exist in ancient Times and some think its Rise is of a newer date as are the French-pox and Rickets but this Disease though it had other Names was observed by the Ancients and the Cure of it was described by them though not very exactly Many and various are the Symptoms of the Scurvy and sometimes such as are of a contrary Nature are imputed to it and if any unusual Accident happens to the Body that cannot be referred to any other certain kind of Disease we presently pronounce it Scorbutick And so this notorious Disease bears the Blame of all but many truly belong to it which arise in almost every part of the Body and therefore we will trace it from Head to Foot it occasions violent habitual wandering or periodick Head-achs sometimes a Dulness of the Spirits and Drowsiness sometimes Watchings Giddiness Convulsions Palsie much Spitting Ulcers of the Gums Loosness of the Teeth and a Stinking of the Breath About the Region of the Breast Pains in various parts of the Membranes and especially on the Breast-bone which are often very violent for many Nights and Days an Asthma difficult and unequal Breathing Constriction and Narrowness of the Breast a dry Cough an inordinate Pulse trembling of the Heart frequent Fainting and almost a continual Fear of it This Disease makes the lower Belly its principal Seat and occasions many Disorders there as Nauseousness Vomiting Wind a Cardialgia frequent Collicks and troublesome Pains running hither and thither a Loosness that is almost continual sometimes a Bloody-flux a Consumption and a Dropsie The Urine is often red with a Crust upon it or sticking to the Sides of the Pot and sometimes 't is pale and rendred in a great quantity in the outward Members and over the whole Body there are Wandring pains and oftentimes such as are violent especially in the Night also Spontaneous Lassitude a Wasting of the Flesh a weakness of the Limbs Spots of various colours upon the Skin Tumours Tubercles and ill Ulcers Numbness and Contraction of the Muscels Twitching of the Tendons Erratick Feavers and great Hemorrhagies These are the common and usual Symptoms of the Scurvy whereof sometimes more sometimes fewer sometimes this kind sometimes that kind afflict the Sick and sometimes unusual and prodgious Accidents happen As to the Cure Because it is not one simple preternatural Disorder but a Legion is to be combated with therefore the Method of Cure consists of many Indications that are variously complicated but yet they may be referred to these three Heads viz. They must be preservative to respect the Cause of the Diseases and curative that respect the Disease it self and its Symptoms And Lastly Vital which restore and defend the Strength of the Patient First The Sick must be purged and if there be a weight upon the Stomach a Vomit must be given and if the Patient be strong and lusty and used to bear Vomiting well the Vinum-benedictum may be given and the like But if the Sick be of a weakly Constitution you must give Wine of Squills or Gilla Theophrasti and the Sick must fill his Stomach with Posset-drink and force it up with his Finger or with a Feather As to Purging If the Sick be of a hot Constitution Medicines of Aloes and Diagridium must be avoided and such as are made of Senna and Rubarb must be given As Take of the Leavss of Senna one ounce of Rubarb six drams of Dodder of Thym three drams of the Roots of Polypody of the Oak and of English Rubarb dried each half an ounce of yellow Sanders two drams of Celtick Spike half a dram of Salt of Wormwood two drams cut them and bruise them and infuse them in a Matrass in the Heat of Sand with Whitewine and fumitory-Fumitory-water each a Pint for two days evaporate the clear Liquor strained in the gentle heat of a Bath to the Consistence of Hony then add of the Powder of the Leaves of Senna and of Rubarb each one dram and an half of the Species of the three Sanders one dram of Cream of Tartar one dram and an half make a Mass for Pills The Dose is from half a dram to a dram to be taken once a Week or oftner Or let the Infusion be evaporated to the Consistence of a Syrup adding towards the end of Manna strained and of White Sugar each two ounces make a Syrup The Dose is one or two Spoonfuls in a proper Vehicle They who are of a cold Constitution may take the following Pills Take of the Stomach-pill with Gums two drams of Rosin of Jalap grains twenty of Tartar vitriolated grains sixteen of Oyl of Juniper ten drops with a sufficient quantity of Ammoniacum dissolved in the Water of Worms make sixteen Pills let four be taken once a Week Take of the Roots of Sharp-pointed-dock of Polypody of the Oak of stinging-nettles and of Chervil each six drams of the Leaves of Hemp Agrimony and Speedwell each one handful of yellow and white Sanders each one dram of the Seeds of Bastard saffron one ounce of White-wine Tartar half an
Pine or of Fir when it has done Working in the Vessels put in four handfuls of Scurvy-grass four ounces of the Roots of Sharp-pointed Dack and the Peels of four Oranges when it has stood a Week and is clear it may be drank for ordinary Drink Diet-drinks do a great deal of good in the Scurvy because they being continually taken with Meat they alter the Blood But in some Scorbutical cases and in a hot Scurvy Scurvy-grass Horse-radish and the Winteran-bark and other acrid things such as abound with Volatile-salt are sometimes injurious wherefore when the Morbisick Discrasie of the Blood is hot temperate Medicines are indicated Take of Conserves of Brook-lime and Ladies-Smock made with an equal quantity of Sugar each three ounces of the Species of the three Sanders of Diarrhodon Abbatis each one dram and an half of Ivory powdered one dram of Pearls half a dram of Salt of Wormwood and Tamarisck each one dram with a sufficient quantity of Syrup of Coral make an Electuary Take of the Conserves of Wood-sorrel and of Hips each three ounces or of the Conserve of the Roots of Sharp-pointed Dock and of the Roots of Succory each three ounces of the Troches of Rubarb two drams of the Species Diamargarite frigid one dram and an half of the Bark of Tamarisck one dram of Sal-prunella one dram and an half of Mirobalans candied number two with a sufficient quantity of the Syrup of candied Mirobalans meke an Electuary For the Poor I used to prescribe the following Electuary Take of the Leaves of Brook-lime six ounces of Wood-sorrel two ounces of White-sugar eight ounces bruise them and add to them half an ounce of the Flower of the Seeds of sweet Fennel of Ivory powdered two drams of Sal-prunuella one dram and an half with a sufficient quantity of the Syrup of the Juice of Brook-lime make an Electuary Take of the Powder of the Leaves of Ground-pine of the compound Powder of Wake-robin each one ounce and an half of Ivory powdered and of red Coral prepared with the Juice of Oranges each two drams of the Tablet of of Oranges two ounces The Dose is one Spoonful twice a Day Take of the Species of the three Sanders of Diamargarite frigid each one dram and an half of Pearls powdered Red-coral prepared and of Ivory powdered each one dram of Sugar dissolved in Scordium-water and boiled to Tablets six ounces make Tablets But if Chalybeats are to be mixed with these temperate Antiscorbuticks two or three drams of Crocus Martis or the like may be added to the Electuaries But it is often best to take Calybeats in Liquors Wines and mediated Beers Although the use of Wines in the Scurvy caused by reason of the Heat and sulpherous Saline Discrasie of the Blood are not very convenient nevertheless when the Weakness of the Stomach or Custom at least requires Wine mixed it with Water Such a Liquor that is temperated and medicated may be prepared In the first place Small Wines mixed with Water and those that are impregnated with the Infusion of Baulm Borrage and Burnet may be allowed Moreover Wines may be prepared of the Juice of Currants of Cherries and of Garden-fruits which may be ripened by Fermentation and are very grateful to the Stomach and purifie the Blood Syder is also very good if it be clear and not sharp Moreover many ingredients may be put into clear Syder as the Tops of Pine or of Fir the Flowers of Tamarisck the Raspings of Ivory or Harts-horn which sweeten and preserve the Liquor Temperate medicated Diet-drinks may be prescribed in the following Manner Provide six Gallons of Small Ale and instead of Hops boil the Tops of Pine or Tamarisck in it or the Raspings of the Wood of either of them and when it has done working put into a Bag sharp-pointed Dock dried which is an excellent Medicine for the Scurvy also the Leaves of Water-cresses or Brook-lime and Bank-cresses also Citrons or Oranges cut in Slices and hanged in Vessels Hitherto we have treated about the Removal of the Morbisick cause but when the Symptoms are very violent they require a peculiar Method of Cure And First Difficulty of Breathing with Narrowness of the Breast and Asthmatical Fits must be taken off by Medicines proper for the Symptom Elixir Proprietatis is of excellent use in this Case Pain of the Stomach Nauseousness Belching and Vomiting must be cured by a gentle Vomit of Wine of Squils or of Salt of Vitriol or the Patient must be purged with an Infusion of Rubarb with Salt or Cream of Tartar added to it Elixir Proprietatis is also good in this Case The Collick and Gripes must be cured by Glisters Opiats and testaceous Powders Take of the Powder of Crabs-eyes and of Egg-shells each one dram and an half of Pearls one dram make a Powder to be divided into twelve Doses whereof one must be taken every sixth hour in some antiscorbutical-Antiscorbutical-water And in this case Epsom and barnet-Barnet-waters do a great deal of Good An inveterate Diarrhea which frequently happens to Scorbutical People must not be stopt by astringent Medicines nor is it easily cured by Alteratives and Antiscorbuticks Tunbridge-waters and the like are of excellent use in this case Chalybeat Medicines are also very good but Crocus Martis is the best I have used the following Method often with very good Success First The Sick must be purged with the Powder or Infusion of Rubarb with some astringent Aromaticks added to it and it must be repeated three or four days after On the days the Sick does not purge he must take Morning and Evening the quantity of a Nutmeg of the following Electuary Take of the Conserve of Roman-wormwood made with an equal quantity of Sugar six ounces in a hot Constitution Conserve of Roses may be used instead of it of Diarrhodon Abbatis two drams of white and red Sanders powdered each one dram of the best Saffron of Mars half an ounce with a sufficient quantity of Syrup of Steel make an Electuary In a Bloody-flux and Tenesmus the like Method is to be used especially Tunbridge-waters or the like Moreover Glisters made of Vulnerary Decoctions must be often injected I lately cured a Man of a long Disentery who daily voided many Ounces of Blood by the following Remedy Take of the best Rubarb powdered two drams of Cinnamon one dram of Crocus Martis three drams make Pills with a sufficient quantity of Lucatellus's Balsam He took four sometimes every day sometimes every other day for the space of a Fortnight and was perfectly cured But he constantly drank a medicated Beer made of the Roots of Sharp-pointed Docks and of the Leaves of Brook-lime A Vertigo often comes upon an inveterate Scurvy as also frequent Swoonings and Numbness in the Limbs they are very difficultly cured by reason they are produced by a Scorbutick Salt obstructing the Brain and Nerves Cephalick Medicines such as are proper in the Vertigo and Paralitick Distempers which come of themselves
Genus Nervosum and of the genital parts by Childhood Age and a Flegmatick Cachexy and the like As to the Prognostick This Disease is incurable in old Age in a Feaver it is dangerous but it may be cured in Children by increase of Years for in time the superfluous Moisture may be consumed and the lax parts rendered firm and strong The Cure of Involuntary Urine must be directed to the correcting of the cold and moist Intemperies and to the Laxity of the Sphincter Muscle for that which is occasioned by Sympathy from other Parts primarily affected must be referred to the Cure of those Diseases and that which proceeds from a Wound Ulcer and other manifest Diseases depends on the Cure of them wherefore the following Method of Cure must be observed both for Children and grown People but in Children the most gentle Medicines must be used and they must be dosed accoding to their Age. First Bleeding is not of use in this case unless there be a Plethora of the whole Body in Youth but Purges are always necessary in this case they must be made of Phlegmagogue Medicines and astringent things may be mixed with them especially such as purge too as Rubarb Mirobalanes and the like Afterwards Electuaries medicated Wines and the like must be used to dry up the phlegmatick Matter and to constringe the relaxed part Take of the Nuts of Cypress and of Mirtles torrified of the Raspings of Ivory Coriander seeds prepared red Coral Ambar each two drams of Spodium one dram of the Roots of Cyperus and Galingal each half a dram with candied Citrons make an Electuary whereof let him take the quantity of a Chesnut Morning and Evening drinking upon it a little red Wine Take of the Roots of Comfry half an ounce of the Roots of Cyperus and Galingal each one dram of the Leaves of Plantane Horse-tail five leaved Grass with the Roots each one handful of Cypress Nuts and of the Cups of Acorns each four Scruples of the seeds of Rue and of the chast Tree of Frankincense and of the Raspings of Ivory each half a scruple of red Roses one Pugil of red Wine two quarts infuse them twenty four Hours then strain them and add to it half an ounce of Cinnamon and with a sufficient quantity of Sugar make a Claret whereof let him take three or four ounces twice a day Many Specificks are proposed by Authors for the Cure of this Disease as the Brains and Testicles of a Hare burnt also a Cockle in its Shell burnt and drank the Dung of a Hare the Ashes of a Mouse burnt the Hoof of a Boar torrified the Ashes of Date-stones the Powder of Egg-shells but above all the Powder of Agrimony and the inward Coats of the Stomach of a Hen dried which may be given a part or together in red Wine Solinander says he saw excellent Success by the use of a Cocks Throat torrified the Powder was taken before Supper in a little red Wine it was repeated for some Days In grown People Sudorifick Decoctions made of Guajacum and Sassafrass and used for twenty Days are proper to dry the Body So are also Bath-waters applied with Flannels The Sick must drink red rough Wine by it self or diluted with Chalybeat waters and he must drink but little at Supper he must make Water just as he is going into Bed in the middle of the Night and early in the Morning And outwardly Topicks must be applied to the Pubis and Perinaeum such as heat strengthen and dry Take of the Roots of Elecampane sweet-smelling Flag of Acorus and Cyperus each half an ounce of the Leaves of Mint Sage Wild-marjoram Calaminth and Wormwood each half an handful of the Nuts of Cypress Mirtles Galls and Balaustines each one dram of red Roses one Pugil boil them in equal parts of Smiths Water and red Wine to one quart in the strained Liquor dissolve of Salt and Allum each one ounce foment the Region of the Pubis and Perineum Morning and Evening hot Of the same Decoction the quantity of it being increased a bath may be made to be used for many days After the Fomentation or Bath the Parts may be anointed with a Liniment made of Oyl of Foxes rue Orrise Unguentum Martiatum Aregon and with the Powder of Mastich Cyperus and Mirtles or the following Plaister may be applied Take of Labdanum and Mastich each two drams of the Wood of Alces and of Storax calamite of Cinnamon and of Turpentine each one dram of Mirtles and of the Roots of Cyperus each half a dram of the Juice of Mint and Horsâ—-tail extracted with red Wine a sufficient quantity make a Plaister CHAP. XCIII Of a total Suppression of Urine and of the Strangury A Total Suppression of Urine is called by Authors Ischuria but when the voiding of Urine is lessened they term it a Strangury An Ischuria or total Suppression of Urine is twofold viz. true when the Bladder is full and false when the Bladder is empty and nothing comes from the Reins to it The true Ischury depends on three Causes the first whereof is Sense abolished in the Bladder by reason of a Palsie or Obstruction of its Nerve or because the Spirits are diverted another Way as in a Delirium or the like The second cause is a cold Intemperies of the Bladder The third Cause is a narrowness of the Neck of the Bladder and of this three Causes are assigned for the Muscle incompassing the Neck of the Bladder is so swelled that the Passage is stopt or a Caruncle grows in the Neck of the Bladder or a Callus is generated there the Passage is also obstructed by a Stone by a thick Humour a Clot of Blood or by Matter The Passage is also stopt by a Swelling of the neighbouring parts as by a large Child in the Womb by the Excrements hardened in the right Gut and by the Piles much swelled This Suppression also happens sometimes by too great a quantity of Water retained too long that so much distend the whole Body of the Bladder that it cannot be contracted to expel it first when any Person that is well retains his Urine for want of a Convenient Place to void it in or when the Nerves of the Bladder are affected so that the Bladder cannot be sensible of the Weight and Fulness A false ischury is occasioned by reason either the Serum is not put off upon the Reins or not conveighed through the Ureters they being stopt by a Stone or the like A true Ischury is known by a Weight and Tension of the Hypogaster and by a Swelling resembling the Bladder The causes of it are known by things that go before and accompany it for if it proceed from a large quantity of Urine which hinders a Contraction of the Bladder it is perceived by the Relation of the Sick he having omitted to make Water by reason of long travelling or by being in the presence of great Persons and if he never had
it before in those parts but if he be delirious or paralitick the Suppression of Urine may be imputed to either of these Diseases The Compression that is made by Tumours of those or of the neighbouring parts or by other Causes above mentioned may be known by the proper Signs of those Diseases The Obstructions of the Channel of the Bladder may be known by probing it with a Wax Candle or a Catheter and if they do not penetrate but stop in the Passage it is a Sign that a Stone or a Caruncle or some other Matter obstructs and these things that obstruct may be distinguished viz. If a Stone stop the Channel Nephritick Pains went before if it fell from the Reins and if it was bred in the Bladder or lay a long while there the Signs of the Stone in the Bladder preceded at least some of the gentlest of them if a Caruncle stop the Passage a virulent Gonorrhea preceded or an Ulcer in the Passage of the Yard that emitted purulent Matter for a long time Lastly If clotted Blood or concreted Matter or thick Pus occasioned the Obstruction small parts of them have been evacuated through the Yard or have stuck to the Catheter when it has been used A false Ischury may be known for that there is no Tension nor no Tumour nor Weight in the Region of the Pubis but rather a Vacuity is perceived there there is no desire of making Water nor no Irritation of the Bladder and when the Catheter is used it passes in easily but Signs of the Stone in the Kidneys went before or of an Inflammation of the Ureters or of great Fullness or large Drinking went before but little Urine followed upon which account the Veins were too much filled Or Lastly there is a burning Feaver or a Dropsie whereby the Serous Matter is diverted As to the Prognostick A Suppression of Urine is very dangerous if it exceed the Seventh Day it certainly kills for the Serum regurgitates upon the whole Body and the Patient is in danger of a Suffocation or a Coma. Suppression of Urine occasioned by a Wound in the Spine or by reason of a Luxation of a Vertebra is incurable If the Smell of Urine can be perceived from the Mouth or Nostrils of the Sick it is deadly If a Tenesmus come upon a Suppression of Urine the Sick dies in seven Days The Hickops also indicate sudden Death The Cure of a Suppression of Urine whether it be total or partial is to be directed to the taking off the Causes And First The false Ischury that depends on the Diseases of the Reins or Ureters must be cured in the same manner as an Inflammation a nephritick Pain or the Stone in the Kidneys But that which proceeds from a Fulness of the Emulgent Veins must be cured by large Bleeding and by Hydragogue Medicines A true Ischury must be also cured by Remedies that take off the cause producing it And First If it proceed from an Inflammation of the Bladder or neighbouring Parts it must be cured as an Inflammation of the Bladder is but if the Suppression is caused by a Stone thrust into the Neck of the Bladder it must be removed by the following Remedies First The Sick must be laid upon his Back and his Legs must be elevated and he must be shook much and a long while that the Stone may fall back into the Bladder and if by this means it cannot be moved it must be forced back with a Catheter but if the Stone has passed into the Passage of the Yard we must endeavour by all Ways to exclude it by moving gently with the Fingers towards the end of the Yard and also by dipping the Yard into warm Milk or by placing the Sick in a Bath to enlarge the Passage But if it will neither go backwards nor forwards Practitioners teach that it must be cut out the upper and lower part being tied But an Obstruction of the Neck of the Bladder which proceeds from an Inflammation must be cured by proper Remedies for an Inflammation But in the mean time if the Urine be retained too long it may be gently let out by a Wax-candle dipt in Oyl of sweet Almonds But you must forbear the Use of a Catheter least Pain being occasioned you should increase the Inflammation thereby But the Suppression of Urine which proceeds from a Caruncle must be cured by the Extirpation of the Caruncle This must be done by proper Remedies thrust in by a skillful Chirurgion upon a Wax-candle But Necessity urging for sometimes the Caruncle swells and obstructs the whole Channel we must use the Catheter to evacuate the Water though there is danger that the Part will swell more But you must first endeavour to lessen the Inflation of the Caruncle by Bleeding and Vomiting and by repelling Medicines applied to the Pubes and Perinaeum If the Suppression of Urine be occasioned by thick Flegm Purging is first convenient with Diaphaenicon and Rubarb made up in a Bolus and afterwards Turpentine must be given frequently with Powder of Liquorish afterwards a Decoction of the opening Roots may be given with Oxymel and Byzantine Syrup In the mean while Glisters Fomentations and emollien and opening Baths must be used and all those things are proper that are proposed to dissolve or expell the Stone And amongst the rest the following are found by Experience peculiarly proper Take of Benedictum Laxativum half an ounce of the Troches of Mirrh two scruples of a Decoction of Savin three ounces mingle them make a Potion whereby a Suppression of Urine was cured in a short time in a certain Woman If there seem to be abundance of Flegm in the whole Body a universal Purge by an Apozem prepared for three or four Days must be ordered which is proper at the beginning Bleeding being first used A Julep also of the Juice of Pellitory of Sea-fennel and of Lemmons with Oyl of sweet Almonds is also very beneficial Dodoneus mentions an Observation of one of eighty Years of Age that was perfectly cured of a Suppression of Urine by only using once a Lee made of the Ashes of Egg-shells mixed with Rhenish-wine Arnoldus Villa Novanus commends Winter-cherry-wine and he mentions a Cardinal who had not made Urine for four Days and was much swelled was cured by drinking Winter-cherry-wine the Wine was made by beating five or seven or more winter-cherries with good White-wine afterwards it must be strained Millepedes also beat and given in White-wine are very Effectual to provoke Urine Oyl of Scorpions of Mathiolus also forces Urine powerfully five or six drops of it being given with Broth or some other Liquor The frequent use of Sal-prunella does also the same especially when there is danger of an Inflammation which is often occasioned in the inner Coat by the Urine too long retained Spirit of Salt also does the same but is more effectual the Juice of Pellitory clarified and four ounces of it given with half an
does not only cause Pain there but it also stops the Urine just as if there were a Stone whereas there is none But this last kind seizing the Bladder happens very seldom That which resembles the Stone in the Kidnies is not so rare both use to invade those Women who are much weak'ned by Hysterick Fits coming frequently and whose health of Body is much impaired Sometimes falling upon the Stomach it causes câ—ntinual Vomiting and sometimes a Looseness when it is setled upon the Guts But no Pain accompanies either of these Symptoms though oftentimes in both the green Humours appear Both these kinds are familiar with those that are weak'ned by the Hysterick Fits coming frequently And as this Disease afflicts almost all the inward Parts so sometimes it seizes all the outward Parts and the musculous Flesh occasioning Pain and sometimes a Tumour in the Jaws Shoulders Hands Thighs Legs in which kind that Tumour which swells the Legs is more conspicuous than the rest But whereas in Hydropical Swellings these two things may be always taken notice of viz. That the swelling is most in the Evening and that the Finger prest upon it leaves a pit In this Tumour the swelling is most in the Morning nor does it yield to the Finger or leave any mark behind it and for the most part it only swells one of the Legs As to other things if you mind the largeness of it or its superficies it is so very like Hydropical Swellings that the Patient can scarce be brought to believe that it is any other Disease nor can the Teeth free themselves from the assaults of this Disease tho' they are not hollow and tho' there is no apparent defluxion that may occasion the Pain yet it is no whit gentler nor shorter nor easier cured But these Pains and Tumours which afflict the outward Parts chiefly seize those Women that are in a manner quite destroyed by a long series of Hysterick Fits and by the force of them But among all the Torments of this Disease there is none so common as a pain in the Back which most certainly all feel how little soever they are afflicted with this Disease Moreover this is common to the foresaid Pains that the place on which they were will not bear touching after they are gone but is tender and akes just as if it were soundly beaten But this tenderness goes off by degrees And this is worth observing That often a notable Cold of the external Parts makes way for these Symptoms which for the most part does not go off till the Fit ends which Cold I have observed is almost like that by which a Carcass grows stiff yet the Pulse is good And moreover all Hysterick Women which I have hitherto taken care of complain of a dejection and sinking of the Spirits and when they would shew the place where the sinking of the Spirits is they point to the region of the Lungs Lastly every one knows that Hysterick Women sometimes laugh excessively and sometimes cry as much without any real cause for either But among all the Symptoms that accompany this Disease this is the most proper and almost inseparable viz. a Urine as clear as Rock-water and this Hysterick Women evacuate plentifully which I find by diligent Enquiry is in almost all the pathognomonic sign of this Disease which we call Hysterick in Women and Hypochondriack in Men and I have sometimes observed in Men that presently after making Water of a Citron colour yea almost the next moment being suddenly seized with some violent commotion of the Mind they make Water as clear as Cristal and in a great quantity with a continued violent Stream and continue ill till the Urine comes to its wonted colour and then the Fit goes off And it happens to all Hysterical and Hypochondriacal People that sometimes they belch up ill Fumes as often as they eat tho' they eat only moderately and according as they have an Appetite and sometimes the Wind that comes from the Stomach is sower just like Vinegar Nor are they unhappy upon this account only viz. That their Bodies are so ill affected and as it were tottering like ruined Houses just about to fall for their Minds are more diseased than their Bodies and an incureable desperation is mixed with the very nature of the Disease and what the Roman Orator said of the Superstitions exactly agrees with these melancholy People Sleep says he seems to be a Refuge to the Laborious and Careful but from thence Cares and Fears arise whilst only Funerals and Apparitions of their deceased Friends are represented in Dreams and they are so tormented in Body and Mind that one would think their Lives were a Purgatory wherein they were to purifie themselves and to expiate Crimes committed in some other State Nor does this happen only to mad People but also to those who if you except those Impetuosities of Mind are very prudent and judicious and who much excel for deep thought and wisdom in Speech others who 's Minds were never excited by these Provokments to thinking But this dreadful condition of Mind which we have above described seizes on those only that have much and a long while conflicted with this Disease and have been at length wholly vanquished by it especially if Adversity care or trouble of Mind or hard Study or the like join'd with an ill habit of Body have added Oil to the Flame A day would scarce be sufficient to reckon up all the Symptoms belonging to Hysterick Diseases and I think Democritus reckoned pretty right though he mistook the cause of the Disease when he said in an Epistle to Hippocrates That the Womb was the cause of six hundred Miseries and of innumerable Calamities The procatarctick or external causes of this Disease are either violent motions of the Body or which is much oftener vehement commotions of the Mind But to these disorders of the Mind which are usually the occasions of this Disease is to be added emptiness of the Stomach by reason of long Fasting immoderate Bleeding and a Vomit or Purge that works too much As to the internal efficient Causes in my Opinion those Diseases which we call Hysterick in Women and Hypochondriack in Men proceed from a confusion of the Spirits The origin and antecedent cause of this confusion is a weak constitution of the Spirits In order to the Cure I order That 8 ounces of Blood be taken from the right Arm and that the following Plaster be applied to the Navel Take of Galbanum dissolv'd in tincture of Castor and strain'd three drachms of Tacamacha two drachms mix them make a Plaster The next Morning let her make use of the following Pills Take of the Pill Coch. major two scruples of Castor powder'd two grains of peruvian Balsam four drops make four Pills let her take them at five in the Morning and sleep after them Repeat them twice or thrice every Morning or every other Morning according to their operation and
the strength of the Patient Take of the Waters of black Cherries Rue and compound Briony each three ounces of Castor tyed up in a Rag and hanged in the Glass half a dram of fine Sugar a sufficient quanity make a Julep whereof let her take four or five Spoonfuls when she is faint dropping into the first Dose if the Fit is violent twenty drops of the Spirit of Harts-horn After the Purging Pills just described are taken let her use the following Take of the filings of Steel eight grains with a sufficient quantity of extract of Wormwood make two Pills let her take them early in the Morning and at five in the Afternoon for thirty days drinking upon them a draught of Wormwood-wine Or if she like a Bolus better Take of conserve of Roman-wormwood and of the conserve of the yellow rind of Oranges each one ounce of candied Angelica and Nutmogs candied and of Venice Treacle each half an ounce of candied Ginger two drachms make an Electuary with a sufficient quantity of Syruy of Oranges Take of this Electuary one drachm and an half of the filings of Steel well rubbed eight grains make a Bolus with a sufficient quantity of Syrup of Oranges to be taken in the Morning and at five in the Evening drinking upon it a Glass of Wormood-wine Take of choice Myrrh and Galbanum each one drachm and an half of Castor fifteen grains with a sufficient quantity of Balsam of Peru make twelve Pills of every drachm Let her take three every Night and drink upon them three or four Spoonfuls of compound Briony-water through the whole course of this Process But if the Pills last prescribed move the Belly which sometimes happens in Bodies that are very easily purged by reason of the Gum that is in them the following may be used instead of them Take of Castor one drachm of volatil Salt of Amber half a drachm with a sufficient quantity of extract of Rue make twenty four small Pills Let her take three every Night But here you must take notice That Chalybeats in whatsoever Form or Dose they are taken occasion sometimes in Women great disorders both of Body and Mind and that not only on the first days which is usual almost in every Body but also all the time they are taken in this case the use of Steel must be interrupted at those times but Laudanum must be given every Night for some time in some Hysterick Water that they may better bear it But when the Symptoms are mild and it seems that the business may be done without taking Steel I think it sufficient to bleed and to purge three or four times and then to give the altering Hysterick Pills before-mentioned Morning and Evening for ten days which method seldoms fails when the Disease is not violent yea the Pills alone bleeding and purging being omitted oftentimes do a great deal of good Yet we must take great notice That some Women by a certain Ideosyncrasy so abhor Hysterical Medicines which give ease in most of the Symptoms of this Disease that they don't only not receive benefit but are much injur'd thereby therefore they must not be given to such for Hippocrates says 'T is in vain to do any thing contrary to Natures inclination Which Ideosyncracy is so great and so frequent that if we have not regard to it the Lives of the Sick may be hazarded And so Hysterical Diseases are most commonly cur'd and most Obstructions of Women especially the Green Sickness and also all Suppressions of the Courses But if the Blood is so very feeble and the confusion of the Spirits so great that Steâ—l order'd to be us'd according to the Method prescrib'd is not sufficient to cure the Disease the Patient must drink some mineral Waters impregnated with an Iron Mine such as are Tunbridge and some others lately found out for the Chalybeat Vertue of these is better mingl'd with the Blood by reason of the great quantity that is taken of them and also because they are more agreeable to Nature and they cure Diseases more effectually than Iron how much soever exalted by Art But this is more especially to be observ'd in drinking of them that if any Sickness happens that is to be referr'd to Hysterical Symptoms in this case the Patient must forbear drinking them a day or two till that Symptom that hinder'd their Passage is quite gone and it is to be noted that Purging must be avoided all the time the Patient drinks these Waters But if this Disease by reason of its Obstinacy does not yield to Steel-waters the Sick must go to the Bath and when she has used them inwardly three mornings following the next day let her go into the Bath and the day following let her drink them again and so let her do by turns for two months for in these and in others of what kind soever they are this must be carefully noted That the Patient must persist in the use of them not only till she perceives some benefit but till she is quite well that the Symptoms may not return again in a short time Venice-Treacle alone if it is us'd often and a long while is a great Remedy in this Disease and not only in this but in very many other Diseases that proceed from want of heat or concoction or digestion 't is perhaps the most powerful that has been hitherto known Spanish Wine medicated with Gentian Angelica Wormwood Centory and other Corroboratives infus'd in it does a great deal of good some Spoonfuls of it being taken thrice a day if the Woman be not of a thin and cholerick habit of Body and truly a large Draught of Spanish Wine by it self taken at Bed-time for some Nights by my Advice has been very beneficial to some Women for by it the habit of the whole Body was render'd stronger and they who before were Cachectical became fresh-colour'd and brisk Moreover sometimes we find that the Peruvian Bark wonderfully comforts and invigorates the Blood and Spirits a Scruple of it being taken Morning and Evening for some Weeks but it succeeds best in that kind of Hysterick Diseases wherein VVomen are afflicted with Convulsions But if any of the Remedies above-mentioned don't agree well which often happens in cholerick and thin Constitutions then a Milk-diet may be us'd for some VVomen which one wou'd wonder at at first that have been conflicted a long while with Hysterick Diseases and even such as have frustrated all the endeavours of Physicians yet have recover'd by dieting themselves for some time only with Milk and especially those that labour with that Disease I call an Hysterick Cholick which can't be appeas'd by any thing but Narcoticks to which repeated by Intervals the VVomen are much accustom'd the Pain returning assoon as the Vertue of the Anodyne fades But nothing of all I have hitherto mention'd does so much comfort and strengthen the Blood and Spirits as riding on Horse-back every Day for a long while but though
the Womb is complicated with being with Child as Fabricius Hildanus relates of his own Wife As to the Diagnostick of this Disease many things are to be inquir'd into first how this particular Dropsie of the Womb may be distinguish'd from an universal Dropsie secondly how the Species of it may be known viz. Whether it proceeds from Wind Water or Phlegm thirdly Whether it arise primarily from the Womb or be occasion'd by the fault of some other part fourthly Whether the peccant Matter be contain'd in the cavity of the VVomb or within the Membranes of it or in Bladders fifthly How it may be distinguish'd from other Tumours of the VVomb sixthly How it may be distinguish'd from being with Child seventhly How it may be distinguish'd from a Mola As to the first Question 't is distinguish'd from an universal Dropsie for that in a Dropsie of the VVomb the Tumour possesses more the bottom of the VVomb but an universal Dropsie extends equally the whole Belly besides in a Dropsie of the VVomb there is not so soon a paleness and wasting of the whole Body as in an universal Dropsie in which also most commonly there is considerable Drought and dryness of the Tongue but not in a Dropsie of the VVomb and also in this all the Symptoms are much milder and the hardness when 't is from VVind or the fluctuation when 't is occasion'd by VVater do not possess so great a space as in an universal Dropsie And lastly in a Dropsie of the VVomb wind breaks out by Intervals or a little water flows out which manifestly shew that wind or water is contain'd in it To the second Question we answer in the following manner The Species of a Dropsie in the VVomb are thus distinguish'd if it be occasion'd by wind the bottom of the Belly sounds being struck there are pricking pains in the belly which sometimes run through the Diaphragm Stomach Loins Navel and other parts and sometimes the wind does evidently break through the Neck of the VVomb and the VVomen perceive the VVomb to rise up often to the Stomach like a Ball breathing is sometimes difficult the Disease grows worse upon eating or drinking and they often belch and are better after it and they are often troubl'd with Mother-fits They sometimes perceive a pain in the region of the Hypogaster so that they can't bear an Hand laid upon it these Signs are also in an inflation of the Womb but there is this difference for as we said before an inflation is but for a small space but a Dropsie from wind continues much longer But if a Dropsie of the Womb is occasion'd by Water that Region appears soft and flaccid for Wind causes a Tension there is a greater weight in the part and a sound as it were of Water floating and Water sometimes drops from the part And lastly if it proceed from Phlegm there is a greater softness and flaccidity of the part which daily increases and afflicts the neighbouring Parts viz. the Hypogaster the Pubes Perineum and Loins with an Oedematous swelling As to the third Question if there be Signs of the whole Bodies being ill affected as by acute or long Fevers by immoderate Hemorrhagies by weakness of the Stomach swellings of the Liver or Spleen or by other obstinate Diseases of those parts with which the Dropsie of the Womb began and increased with them there is good reason to conjecture That the matter of the Dropsie is receiv'd in those parts but if when the whole Body is well such a Tumour happens and succeeds particular Diseases of the Womb as hard Labour suppression of the Courses or too large an evacuation of them or Ulcers and Tumors we may guess that the Dropsie of the Womb proceeds from them To the fourth Question we answer That the Matter which is contained in the cavity of the Womb causes a much greater Tumor than when 't is contain'd within the Membranes To the fifth Question we answer That a Dropsie of the Womb may be distinguish'd from Tumors that proceed from a Phlegmon or an Erysipelas because in these there is a Fever and Pain upon the least touching it may be distinguish'd from a Scirrhus or cancerous Tumour by the hardness that resists the Finger upon touching To the sixth Question we answer That when a Woman is with Child the Tumor is not equal and depress'd but thrusts it self out above the Navel Secondly when a Woman is with Child after some Months she is better most commonly but the longer a Dropsie lasts the worser it grows Thirdly in a Woman with Child the motion of the Fetus is manifestly felt after the third or forth Month which does not happen in a Dropsie yet sometimes when a Dropsie arises from Wind a Palpitation is perceiv'd in the Womb but it may be easily distinguished from the motion of a Child because 't is more equal and is wont to possess more parts of the Belly Fourthly when a Woman is with Child the Breasts swell but in a Dropsie they grow small To the seventh Question we answer That in a Mola there is a weight felt in the Belly which is not perceiv'd in a Dropsie of the Womb and when the sick lye on either side a weight is perceiv'd as if a Stone roll'd thither Moreover in a Mola there are violent Fluxes of the Courses by Intervals viz. every third of fourth Month which does not happen in a Dropsy of the Womb. And lastly in a Mola the Breasts swell and have Milk in them sometimes but there is no such thing in a Dropsie As to the Prognostick a simple Inflation of the Womb is not dangerous but if it continue long it may turn to a Dropsie If Wind or Water be contain'd in the cavity of the Womb 't is easier cur'd than when 't is included in the Membranes or in Bladders The Cure of this Disease is perform'd in a manner by the same Remedies which are propos'd for the Cure of a Dropsie or the Green-sickness but some things that are peculiar to this Disease must be added And first as to bleeding in a recent Disease occasion'd by an obstruction of the Courses and there being a fulness of Blood it may be proper otherwise 't is injurious But Purging is always necessary and it must be often repeated and after sufficient Purging Aperitives Diureticks and such things as move the Courses must be us'd to which may be added the following Take of the Roots of Smallage and Madder each half an ounce of the Leaves of Savine Feverfew and Penny-royal each one pugil of the Seeds of Daucus one drachm boil them in the Broath of young Pidgeons and let her take it strain'd in a Morning for many days but before she takes the Broath let her swallow one of the following Pills Take of the best Castor Myrrh and Madder each half a drachm of Saffron one scruple with the juice of Lemons make nine Pills After the use of which Medicines violent Exercise
Sala says That he has used with very good success Mercurius Vitae in this Case four or five grains at a time and that it does powerfully exclude a dead Child and is better than other Remedies But it must be used with great Caution because it is a violent Medicine If after having tried Medicines a long while the Child cannot be ejected Chirurgical Operation must be used that is perform'd either by Instruments or by the Hand alone CHAP. CIX Of the Secundine retained IN a Natural Birth the Secundine is wont most commonly to be excluded presently after the Child yet sometimes it is retained whereby the Life is much endangered The internal causes of this Retention are too great a thickness of the Coats so that they stick firmly to the sides of the Womb the swelling of them by an afflux of Humors occasioned by hard Labour and the shutting of the Mouth of the Womb after the exclusion of the Fetus The external causes are coldness of the Air whereby the Secundine is expelled and the orifice of the Womb shut certain Perfumes whereby the Womb is allur'd upwards violent Passions of the Mind as fear and sudden Frights the perversness of the Woman who will not abide in such a position or use such Endeavours as are requisite the weight of the Child whereby the Navel is broken the Secundine remaining within the unskilfulness of the Midwife who cuts the Umbilical Vessels too soon or does not hold them in her left hand as she ought for if they are let go they are drawn back into the Womb and are hid there with the Secundine whereas it ought they serve for the extraction of the Secundine It is easie to be known when the Secundine is retained in the Womb but sometimes a piece of it is separated and remains in the Womb which is not so easily found yet it may be known for that the Womb after delivery endeavours to eject something But tho' its endeavours are but small a sense of Heat and Pain is perceived in the Womb and after a few Days a cadaverous Smell exhales from the Womb. The retention of the Secundine is very dangerous and if it continues some Days an acute Fever Nauseousness Fainting difficulty of Breathing Coldness of the extream Parts Epileptick and Hysterick Fits and at length Death follow The Secundine retained is expelled by the same Remedies which were proposed for a dead Child to which may be added some Specificks delivered by Authors Gesner and Augenius commend much the Testicles of a Horse cut in pieces and dried in an Oven as much of the Powder of them as may be contained with three Fingers being taken in Chicken-Broath and it may be repeated twice or thrice upon occasion Rulandus says He has given with success thirty Drops of the Oil of Juniper Some order the Woman to bite an Onyon three or four times and to swallow the Juice and presently after to drink a small draught of Wine by which she may be soon relieved Forestus mentions a Widwife who received the following Secret from a Jewish Physician He took the Leaves of Green Lovage and pressed out the Juice with good Rhenish-Wine and gave a Draught of it Angelus Sala commends Mercurius Vitae as before in a dead Child To these things may be added Sneezing-Powders Fomentations Liniments and other things both external and internal described above for difficult Labour The following Decoction has been very succesful Take of Vinegar of Roses four or five quarts of the Leaves and Berries of Bayes each three handfuls one Rose-Cake cut in pieces Boil them and with the Decoction hot wash the Hips and Legs from the Groin to the Feet for a long while To this Decoction may conveniently be added of Myrrh and both the Birth-Worts each one ounce But among other things the Hand of a skilful Surgeon may do much before the Inflammation and Inflation are increased for so the Secundine may be gently drawn out and the Woman freed from all the Symptoms and Fatigue of Medicines If the Secundine cannot be ejected by any means but sticks firmly to the Womb and putrifies there Suppuratives must be injected mixed with things that cleanse that that which is putrified may be drawn out by degrees to this purpose Rondoletius commends Basilicon especially being dissolv'd in the following Decoction Take of the Leaves of Mallows with the Roots three handfuls of the Roots of both the Birth-worts each six drachms of Flax-seeds and Fenugreek-seeds each half an ounce of Violets one handful of the Flowers of Camomel and the lesser Centaury each half an handful Make a Decoction in Water mingle Oil with it if you would have it suppurate much but if you more design to cleanse add a little Vnguentum Aegyptiacum CHAP. CX Of a Suppression of the Child-bed Purgations THere is so great a Flux of Humors from all parts of the Womb when a Woman is with Child and during the Commotion in her Labour that in case there be not afterwards sufficient Evacuation of them the Woman is in great danger of very ill Accidents and sometimes of Death it self because these Humors corrupting by their stay there will certainly cause a great Inflammation And this is the reason why the Suppression of the Lochia is one of the worst and most dangerous Symptoms which can befal a Woman after Delivery especially if they happen to be totally and suddenly stopt the first three or four days which is the time they should come down plentifully for then follow an acute Fever great Pains in the Head Pains in the Breast Reins and Loins Suffocation of the Mother and an Inflammation which is suddenly communicated to the Belly which becomes very much swell'd and blown up there happens also a great difficulty in Breathing Choakings Palpitation of the Heart Fainting Convulsions and often Death it self if the Suppression continues and if the Woman over-lives it she is in danger of an Abscess in the Womb and afterwards of a Cancer or there may happen great Imposthumes in the Belly also the Gout Sciatica and Lameness or an Inflammation and Abscess in the Breast The Causes of the Stoppage of the Lochia proceed either from a great Loosness because a great Evacuation that way turns the Lochia and makes them stop or any strong Passion of the Mind so do great Colds and cold Drink To bring the Lochia well down let the Woman avoid all Perturbations of Spirit which may stop them let her lie in Bed with her Head and Breast a little raised keeping her self very quiet that so the Humors may be carried downwards by their natural tendency Let her observe a good Diet somewhat hot and moist and apply an Hysterick Plaster to her Navel Take of the Conserves of Roman Wormwood and of Rue each one ounce of the Troches of Myrrh two drachms of Castor English Saffron Volatil Salt of Sal Armoniack and of Assa Fetida each half a drachm with a sufficient quantity of the
Wherefore in this case till she has been well Purged by a long flux of the Lochia the fierceness of the Symptoms must at present be only appeased The Indications of the Small-pox are not only contrary to those above-described but also to one another for the flux of the Lochia must be moderately restrained but in the mean while the Efflorescence of the Blood and gentle Sweating must be continued For seeing a twofold venomous Ferment is in this Disease and the corrupt Particles of the Blood are to be carried out two ways we must take care that the least and narrowest Passage do not draw all the Matter or more than it can let out Wherefore lest the Lochia flowing plentifully should turn inward the Venom that is inclined to go off by Sweat the course of Diet must be somewhat changed and first such things as are of an Alexipharmick and astringent nature must be boyled with their Broaths as the Roots of Tormentil and Bistort also Powders Juleps and Electuaries endued with such Vertues must be given at due Intervals and in this case the Woman must be no ways allowed Flesh or the Broath of it not must she Rise but she must be kept as quiet as is possible and the whole Business must be left in a manner to God and Nature All Women in Child-bed have an inbred Venom and they ought to be careful of it and to avoid it as much as the greatest Malignity Wherefore they ought to use an exact course of Diet whereby the Impurities of the Blood and Humours may be purged in Child-bed without the danger of a Fever and that the disorders of the Womb may be heal'd and their strength weakned by Delivery may be restored To which end three things are to be minded First An exact course of Diet must be ordered viz. That they be fed for a Week at least with Water-Gruel sometimes made with Beer sometimes made with Water mix'd with Whitewine or with Panada and other things of easie Digestion Secondly They must take great care that they do not catch Cold whereby the Pores and the Lochia may be stopt wherefore let them continue in Bed at least till the Tenth day Thirdly The Lochia must be gently provoked to this end Midwives when after hard Labour there is danger of a stoppage of the Lochia give Sperma Caeti Irish Slates Powdered or White Wine tinctured with Saffron and they make the Gruel with Water and White Wine wherein as also in Posset Drink they Boyl Marygold Flowers the Leaves of Penny-royal or Mugwort CHAP. CXIII Of Childrens Diseases Of ordering them and of the Choice of a Nurse A Child which during the stay in its Mother's Belly had no other Nourishment but the Blood it received by the umbilical Vessels hath for want of that after its Birth need to take some by the Mouth and Suck Breast-Milk however it is not good to give it Suck as soon as it is Born to prevent that so sudden a Change as well in respect of the difference of Nourishment as the manner of receiving it lest it cause some alteration in its Health First therefore empty the Phlegm out of its Stomach by giving it the first three or four days some Wine and Sugar to cut and loosen it to prevent the Milk he shall take from Corrupting it being mixed with this viscous Phlegm wherefore it is best to stay until the next day before you give it Suck It were to be wished that the Mother shou'd not give it Suck until the Eighth day of her Child-bed at soonest and it is best if she stay three Weeks or a Month for in that time she will be well Purged by the Lochia and the Blood will be much more pure besides the small holes of the Nipples are not at first sufficiently opened and therefore it is necessary for a Woman to Suck first But often poor People cannot observe so many Precautions and such Mothers are obliged to give their Children Suck from the first day and likewise others will not suffer any but themselves to do it In this case let her Breasts be a little drawn by some old Woman or some lusty sucking Child or they may Draw them themselves If the Nurse has much Milk she must not give the Child any thing else at least the first two Months As to the quantity of Milk the Child ought to suck it must be proportionable to his Age and Strength in the beginning he must not suck too much nor too often afterwards by little and little let it be daily augmented until he may take his fill but he may suck at any time night or day After the Child has suck'd two or three Months more or less according as one finds he needs stronger Nourishment give him then Pap made of Flower and Milk though but little at first and not too thick lest his Stomach may be overcharged When the Child has taken Pap thus made which must be but once a day especially in the Morning or twice at most the Nurse may give it a little suck to the end that being washed down into the Stomach the Digestion may be the better and easier made There are many Women who give their Children Pap as soon as they are Born and Nurses who have little Milk ordinarily do so to hinder their Crying as they will do when they are Hungry But sometimes this of it self is enough to kill them because of the Indigestion and Obstruction it occasions which by reason of its gross and viscous consistence can scarce find Passage through the Stomach and Guts which at the beginning are weak and not sufficiently opened and dilated whereby there happens to Children great Oppressions difficulty of Breathing Gripes Swellings Pains of the Belly and often Death Wherefore do not give it the Child till after the first or second Month at soonest and if you forbore it three or four Months he would thrive the better provided the Nurse does not want Milk When he is in the Cradle let it be so turned as it may be towards the Fire the Candle or the Chamber Window that having the Light directly in its Face he may not be allured to look continually on one side for doing so often his Sight will be so perverted that he will grow Squint-ey'd Wherefore for the better secucurity throw some Covering over the head of the Cradle Many Children are so Grip'd that they can't forbear Crying night nor day and some die so and this is very often the first and most common Disease that happens to little Infants after their Birth To remedy all these Pains which Women generally call Gripes respect must be had to their different Causes As to that which is the general cause viz. The too sudden change of the Nourishment you must forbear giving the Child Suck till the next day lest the Milk being mix'd with the Phlegm which is in the Stomach corrupt and at first it must Suck but little until it
be accustom'd to digest it if it be the Maeconion of the Intestines which by its long stay causes these Pains for to help to discharge them of it give them inwardly a little Oyl of sweet Almonds and Syrup of Roses and to provoke it further give it beets-Stalk cover'd with Hony for a Suppository or a Sugar'd Almond also dip'd in common Honey or you may give a small Glister And when the Child is Grip'd give no Pap because this Food by its Viscosity easily causes Obstructions which afterwards ingender Wind. If the Pain be occasioned by Worms lay a Cloath dipp'd in Oyl of Worm-wood mix'd with Ox Gall upon the Belly or a small Cataplasm mix'd with Powders of Rue Wormwood Coloquintida Aloes and the Seeds of Citrons incorporated with Ox-gall and Flower of Lupines and to drive them downwards if the little Infant can take any thing by the Mouth give it a small infusion of Rubarb or half an Ounce of Compound Syrup of Succory having before given a small Glister of Sugar'd Milk When the Gripes are caused by Wind as it often happens or by sharp Humours in the Guts anoint the Child's Belly all over with Oyl of Violets or else with Oil of sweet Almonds or else with the Oyls of Wallnuts Camomel and Melilot mixed together having first warm'd them in which also a Cloath may be dipp'd to lay upon it and a little Anodyne or Carminative Glister may be given Very frequently the Milk of a Nurse that is red Hair'd given to Wine or very Amorous may by its heat and acrimony cause small Ulcers in an Infant 's Mouth which are called Apthae or the Thrush and Vulgarly Cancers Sometimes also though the Milk have no ill Quality in it self it may however corrupt in the Stomach because of its Weakness or for some other Indisposition Of these Ulcers some are benign as they are caused by a simple heat of the Nurses Milk or by the Child's Blood and Humours being a little Over-heated or also from having had a small Fit of a Fever and they are then very superficial of a small continuance and easily yielding to Remedies Others are Malignant such as are caused by a Venereal Venom or that happen after a Malignant Fever and are Scorbutick these are putrid corrosive and spreading and do not only possess the Superficies of the Membranes which cover the Roof of the Mouth and Tongue but make deep Scabs and are communicated to the internal Parts of the Throat the Venereal ones especially which can never be Cured by ordinary Remedies but must be handled with Specificks without which they ever augment and soon kill little Infants who are too weak to undergo the Remedies fit for their Cure To Cure these Ulcers when they are small and without malignity you must take care to temper the Nurse's Milk prescribing her a Cooling Diet Bleeding and Purging also if there be occasion and wash the Child's Mouth with Barly or Plantain Water and Hony of Roses or Syrup of dryed Roses mixing with them a little Verjuice or Juice of Limons as well to loosen and cleanse the viscous Humours which cleave to the inside of the Child's Mouth as to cool those Parts which are already over-heated This may be done by means of a small fine Rag fastned to the end of a little Stick and dipp'd in the Remedy wherewith the Ulcers may be gently rubb'd being careful not to put them to too much Pain lest by irritating them an Inflammation should be caused The Child's Body must be kept open that the Humours being carried to the lower Parts so many Vapours may not ascend as usually do when the Excrements of the Belly are too long retained If the Ulcers participate of any malignity let topical Remedies then be used which do the Business speedily and as it were in an instant For this purpose touch the Ulcers with plantain-Plantain-water sharpned with Spirit of Vitriol taking great care that the Infant swallows none of it and the Remedy must be so much the stronger and sharper as the Ulcers are profound and malignant As soon as they have been cauterized with this Water by only touching them once or twice with it according to their bigness depth or corruption that no sharp Serosities may destil upon the parts not yet ulcerated and upon the Infants Throat wash its Mouth with Plantain-water or with a decoction of Barly Agrimony and Hony of Roses continuing to touch and wash the Ulcers as it may be judged convenient and until you find they spread no further To prevent that in the use of these sharp Medicines not the least portion of them should fall upon the Child's Throat and that by swallowing of them you may receive no great prejudice Some chuse rather to cauterize these Ulcers with small Linnen Tents dipt in boiling Oil and if it should be swallowed it would be no great hurt It will not be amiss to punge the ill Humors out of the whole habit of the Child by giving him half an ounce of syrup of Succory with Rhubarb The Teeth which were hidden in the Jaws usually begin to come forth not all at a time but one after another towards the fifth or sixth Month sometimes sooner and sometimes also later for to effect which they cut the Gums wherewith they were covered Then because of the exquisite sense of those parts there happens so great pains to the Children that many who were hitherto very well are now in great danger of their Lives and often die by reason of many mischievous Accidents which happen to them at that time And Hippocrates says When Children begin to breed their Teeth they are troubled with itching of their Gums Fevers Convulsions and Loosnesses and principally when they breed their Tusks or Dog-teeth especially those Children who are fat and full of Humors and bound The Dog-teeth commonly called the Eye-teeth cause more pain to the Child than any of the rest because they have a deep Root and a small Nerve that has communication with that which moves the Eye The Teeth which are first bred are the Cutting or Foreteeth The Signs when Children will breed their Teeth are when the Gums and Cheeks are swelled they feel a great heat there with an itching which often makes them put their Fingers in their Mouths to rub them from whence much Moisture destils into the Mouth because of the Pain they feel there The Nurse in giving them suck finds their Mouths hotter they are much changed and cry every moment and cannot sleep or but very little at a time And one may feel and see small points of the Teeth through the Gums which appear thin and pale on the top and swelled and red on the sides and if it happen that the Teeth are a long time ' ere they are cut or that too many of them cut at a time there is great danger that the Child will fall into those Accidents mentioned above In this case two things are to be regarded
must go before Sometimes immoderate sweating afflicts the Child which if it follow a feverish Fit is critical and ought not to be rashly stop'd but if it flow inordinately it is a Sign that the Body is oppressed with ill Humors and therefore this sort of Sweat must be corrected by a gentle Purge especially with Rhubarb A Vomit does also good sometimes in this case Aperitives also and such things as help Concoction must not be omitted Moreover breeding of the Teeth difficultly is familiar to this Disease which often occasions a Fever in which case gentle Evacuations especially by Glisters must be made tho' sometimes Purging and Vomiting gently are of use If the Tooth be about to pierce the Gum Nurses are wont to rub the Gum with a piece of polished Coral but the roots of Marshmallows or sharp pointed Dock will do as well But sometimes it is necessary to cut the Gum to make way for the Tooth and to apply Blisters behind the Ears and if there be great pain and watching Hypnoticks must be used as one or two drachms of Diacodium in a spoonful of cowslip-Cowslip-water Besides internal Medicines and chirurgical Helps external things also must be used as Exercises of all sorts and if the Child be able walking frequently if not he must play sitting or be carried about in the Nurses Arms and the like Frictions are also good in this case with warm Flannels the parts to be rubb'd are the Spine which is primarly affected and the muscular Parts but with this caution that you must not rub the Bones where they stick out but you may rub freely the concave parts of the Bones Ligatures are also of use which are to be made above the Knee and above the Elbow but they ought to be soft and loose Boots are also of use but you must take care that they press a little upon the protuberant part of the bone and scarce touch the cavity Bodice are also to be used to keep the Body upright Swinging is also necessary Lastly we will mention some things that are to be applied outwardly A fomentation of all sorts of Wine also common Aqua Vitae is very good to corroborate the nervous parts which must be used for the weak parts and especially for the Spine which being done the parts must be anointed with Oil or some proper Ointment which we shall mention by and by and instead of Wine the following Decoction may be used Take of the roots of Osmund-royal or of male-fern three ounces of the leaves of Bettony Sage Rosemary Marjoram Water-cresses each one handful of the flower of Camomel Melilot and Elder each one pugil of the berries of Lawrel and Juniper each half an ounce boil them in a sufficient quantity of fountain Water to a quart add of White-wine or of common Aqua Vitae one pint keep the strained Liquor for use Take of the leaves of Elder Lawrel Marjoram Sage Rosemary Bettony and the tops of Lavender each two handfuls of the berries of Juniper and Lawrel each one ounce cut them and bruise them and put them into a Vessel with three pound of May butter or of fresh butter not salted and add to them half a pint of Aqua Vitae boil them to the consumption of the Aqua Vitae and while the strained Liquor is hot add half an ounce of the Oil of Nutmegs by expression and one drachm of Peruvian balsam mingle them make an Ointment Instead of May-butter Beef Marrow or Deers Suet and Oil of Worms or Oil of Foxes each one pound and an half may be used The Ointments must be applied warm before a hot Fire and naked with a warm hand till the parts are dry If the Belly be hard and swelled the following Ointment must be applied Take of the Oils of Cappers Wormwood and Elder each one ounce of the Ointment above described one ounce and an half of Gum Ammoniacum dissolved in Vinegar half an ounce make a Liniment Whilst Ointments are applied to the Hypochondres the bowels must be handled by the Nurse If the Lungs are affected the Breast must be anointed with the pectoral Ointment or with the Ointment of Marsh-mallows or both mixed together and at the time of Unction a little Oil of Nutmegs by expression may be mixed with it The Nerve-Plaster or a Plaster of Bettony may be apply'd to the Spine CHAP. CXV Of the Gout THe Gout chiefly seizes those Old Men who after they have lived the best part of their Lives tenderly and delicately indulging themselves freely with splendid Banquets Wine and other spiritous Liquors at length by reason of the sloth that always accompanies old Age wholly omit those excercises of Body which young Men are accustomed to Moreover they who are obnoxious to this Disease have large Skulls and are most commonly of a gross habit of Body moist and lax and of a lusty and luxuriant Constitution the best and richest foundation for Life Not that the Gout only seizes those that are corpulent for sometimes though seldomer it invades thin People nor does it wait always till they are Old for sometimes it seizes those that are in the flower of their Age when they have receiv'd the unhappy Seeds of the Disease from their Parents as it were ex traduce Or if this be not the cause they have too early us'd Venery or have quite forsook violent Exercises that they us'd formerly Moreover they have great Stomachs and have drank spirituous Liquors immoderately and afterwards they have suddenly betook themselves to thin and cooling Liquors I will discourse of this Disease as it proceeds regularly and afterwards of its anomalous and uncertain Phaenomena When the Gout is regular it seizes the Patient most commonly after this manner about the latter end of January or at the beginning of February it comes suddenly and for the most part without giving any notice except that the Patient has been troubled with indigestion and crudities of the Stomach for some Weeks before Moreover the Body is oppress'd and puff'd up with Wind which daily encreases till the Fit thunders upon him but a few days before it comes the Thighs are benummed and there is as it were a descent of Wind through them with convulsive motions and the day before the Fit the Appetite is sharp but not natural He goes to Bed and to sleep well but at two a clock in the morning is wak'd by the pain seizing either his great Toe the Heel the calf of the Leg or the Ankle This pain is like that of a dislocated Bone with the sense as it were of Water almost cold pour'd upon the Membranes of the part affected presently shivering or shaking follows with a feverish disposition the pain is very gentle but increases by degrees and in like manner the shaking and shivering go off and that hourly till towards night it comes to its height accommodating it self neatly according to the variety of the Bones of the Tarsus and Metatarsus the Ligaments whereof
it seizes sometimes in a manner resembling a violent stretching or tearing those Ligaments sometimes the gnawing of a Dog and sometimes a Pressure Moreover the part affected has such a quick and exquisit pain that 't is not able to bear the weight of the Cloaths upon it nor hard walking in the Chamber and the night is not only pass'd over in pain upon this account but also by reason of the restless turning hither and thither till two or three a clock in the morning viz. a night and a day being spent from the first approach of the Fit at which time the Sick has suddenly ease and now being in a breathing sweat he falls asleep when he wakes he finds the pain much abated and the part affected swell'd the next day and perhaps two or three days after if the Matter apt to degenerate the Gout is copious the part affected will be in pain but 't will be eased about the Cock's crowing within a few days the other Foot will be in pain as the former was and if the former has left off aking the weakness which render'd it infirm will presently vanish After it has vext the Feet the Fits that follow are irregular both as to the time of invasion and duration yet the pain always returns in the Evening and is less in the Morning and of a series of these small Fits consists that which is call'd a Fit of the Gout But when the Gout is disturb'd by improper Methods or by the obstinate continuance of the Disease the very substance of the Body being as it were perverted to the nourishment of the Disease and Nature unable to eliminate the same by its wonted method then the Phaenomina are much different for whereas the pain was hitherto only troublesom to the Feet which are the genuine seat of the peccant Matter and if it possesses any other parts 't is most certain that either the method of the Disease has been alter'd or that the vigour of the Body is by little and little diminish'd now it possesses the Hands Wrists the Arms the Knees and other Regions tormenting these as much as it us'd to do the Feet for sometimes distorting one or more of the Fingers it makes them like a bunch of Parships taking away the motion by degrees and at length it generates stony Concretions about the Ligaments of the Joints sometimes the Matter occasioning the Disease thrust upon the Arms causes a whitish swelling almost as big as an Egg which is by degrees inflam'd sometimes falling upon the Thigh it feels as if there were a great weight hanging upon it yet without any considerable pain but passing to the Knee it handles that more severely And whereas the Gout before did not use to invade before the latter end of Winter and was wont to go off after two or three Months now it continues upon the Sick a whole year excepting only two or three of the hot Months The Sick is also afflicted with many other Symptoms as with a pain of the Hemorrhoidal Veins and with unsavory Belchings and upon Yawning especially in the morning the Ligaments of the Bones of the Metatarsus are violently pull'd and sometimes when Yawning does not go before the Sick just dropping asleep suddenly feels a blow as it were of a Club breaking in pieces the Metatarsus Women are very seldom troubled with the Gout and if they are not till they are old or unless they are of a masculine habit of Body As to the Cure Bleeding Purging and Sweating are not indicated but the Intention of curing is to be directed to the helping Concoction Whatsoever therefore assists Nature in duly performing her Offices whether in comforting the Stomach that it may rightly concoct the nourishment or the Blood that it may well assimulate the Chile brought into it or the solid Parts that they may the better convert it to their proper substance the Juices designed for their nourishment and increase Lastly whatever preserves the various Organs of Excretion and the Emunctories of the Body in such a state as that they may be able to discharge duly and orderly the Excrements of each part This and such like conduce to the answering this intention and are properly called Digestives whether they are Medicines or a course of Diet or Exercise or any other of those things which are called the six Non-naturals Medicines of this kind are those in general which moderately heat and are bitter or gently bite the Tongue for they are very agreeable to the Stomach they purify the Blood and comfort all the Parts The Remedy which I use is made in the following manner Take of the roots of Angelica sweet-smelling Flag Master-wort Elecampane leaves of common Wormwood the lesser Centaury white Horehound Germander Groundpine Scordium Calaminth meadow Saxifrage S. John's-wort golden Rod Feverfew Thyme Mint Sage Rue Carduus Benedictus Penny-royal Southern-wood of the flowers of Camomil Tansie Lilly of the Vallies English Saffron of the seeds of Treacle Mustard Garden scurvy-grass Carraways Juniper-berries each a sufficient quantity let the herbs and flowers and roots be gathered when they have most vertue in them let them be dried and kept in Paper-bags till they may be finely powdered To six ounces of each well mixed add a sufficient quantity of purified Hony and Canary-wine to make an Electuary Take two drachms morning and evening Or for want of this use the following Take of conserve of Garden-scurvygrass an ounce and an half of Roman Wormwood and of the yellow rind of Oranges each one ounce of candied Angelica and of Nutmegs candied each half an ounce of Venice Treacle three drachms of compound Powder of Wake robin two drachms make an Electuary with a sufficient quantity of syrup of Oranges let him take two drachms twice a day drinking upon it five or six spoonfuls of the following water Take of the roots of Horse-radish sliced three ounces of Garden-scurvygrass twelve handfuls of Water-cresses Brooklime Sage and Mint each four handfuls the peels of six Oranges two Nutmegs bruised of Brunswick Mum six quarts distil them in a common Still and draw only six pints of Water for use Among the Medicines commonly known Venice-Treacle is the best but because it contains a great many Species that heat too much and besides a great deal of Opium the Electuary above-mentioned may be more commodiously prepared of the chief heating Vegetables but we must take care to chuse such Simples as are pleasant to the taste for the Sick must take it a long while viz. almost as long as he lives Among the Simples the Peruvian-bark is the best for it strengthens the Blood and renders it vigorous if some Grains of it are taken morning and evening A Mediocrity is to be observed in Meat and Drink so that neither more nourishment be taken in than the Stomach can concoct Nor on the contrary must the Parts by too much Abstinence be defrauded of that proportion whereby their Strength and Vigour
the disease was violent the sick had as it were a Fit in the evening and then the Symptoms raged more cruelty In the next place I will treat of the irregular Symptoms that happen in this disease when it is unskilfully handled It is to be noted therefore that the irregular Symptoms that occur on the eight Day in the distinct small Pox and those that happen on the eleventh in the Flux always reckoning from the first approach of the Disease are of very great moment with respect either to the Life or Death of the patient and therefore they ought to be exactly weighed for it is manifest that the greatest part of those that die of either sort die on the days above-mentioned When Sweat is promoted much by Cordials and hot Regimen the Particles are eliminated which should have served to elevate the Pustles and to swell the Face on the Eight Day and it appears flaccid and white and the Sweat which flowed freely to this day now ceases of its own accord nor it can it be raised again with the hottest Cordials The patient is taken light-headed of a sudden with Anxiety violent Sickness and restlessness he makes Water often but little at a time and in the space of a very few hours takes leave of his Friends and repairs to his long home But in the Flux the Sick is in the greatest danger and most commonly dies on the 11th Day for the Salivation which hitherto preserved the Patient is wont to cease of its own accord at this time Therefore unless the swelling of the Face persists a little longer and that of the Hands now manifestly beginning supplies it's place the sick must necessarily perish But it happens too often in this hot Disease that the Crasâ—s of the blood being weakened and broke by an over-hot Regimen and being so highly inflamed that it is no longer able to exterminate leasurely the inflammatory Particles to say nothing at present of those Mischiefs that are occasioned by sweat unseasonably forced so that either the Face or Hands do not swell at all or the Tumour vanishes with the Salivation There are yet other symptoms that happen at any time of the Disease and belong as well to the distinct small Pox as the Flux As a Frensie a Coma and Purple Spots which are most commonly the forerunners of Death and sometimes there is a bloody Urin or Blood is cast up from the Lungs both these Hemorrhages happen most commonly at the beginning of the Disease before the Pustles come out sometimes also there is a total suppression of Urine There are also other symptoms that sometimes arise from a cause contrary to those above mention'd when the Patient has been injured by violent Cold or excessive Bleeding or by being over purg'd viz. the Pustles fall of a sudden and a Loosness supervenes so that the Patient if he be Adult is in great danger moreover the Tumour of the Face and Hands is repell'd on this account But the Symptoms that proceed from taking Cold very rarely occur for what those do that are occasioned by too hot a Regimen As soon as the Signs of this Disease shew themselves I keep the sick from the open Air and forbid them the use of Wine and Flesh and allow them small Beer gently warmed with a Tost for their ordinary Drink and now and then permit them to drink as much of it as they will I order them for their Victuals Oatmeal and Barly Broaths and rosted Apples and other things which are neither too hot nor cold nor too hard to be digested I forthwith prohibit a hot Regimen and the use of all manner of Cordials On the fourth day I commit the sick to his Bed and then if they come not out well some gentle Cordial may be properly prescribed at least for once to drive out the Pustles Among the Medicines for this purpose those they call Paregoricks such as liquid Laudanum Diascordium and the like if they be mixed in a small quantity with some proper cordial Waters excell the rest But it is to be noted That if I am call'd to a strong young Man who has besides given occasion to the Disease by excessive drinking of Wine or any Spirituous Liquor whatsoever I reckon it not sufficient for the restraining of the ebullition of the Blood that he abstrain from his Bed and Cordials unless moreover he be blooded in the Arm. When the Pustles first come out I then diligently consider whether they be of the distinct or confluent kind because they differ exceedingly one from the other though they agree as to some symptoms If therefore from the bigness and paucity of the Pustles and the slowness of their coming out and from the vanishing of sickness and other symptoms which tire the Patient after the eruption of the flux Pox it appear that they are the distinct sort I take care that the sick be refreshed with small Beer Oatmeal and Barly-gruel and the like And if the small Pox be but few and in Summer-time and that very hot I see no reason why the Patient should be kept stifled up in Bed and why he may not rather rise a few hours every day provided the inconveniencies of too much Cold or Heat may be prevented by the place and cloathing but if either the cold season of the Year or a large eruption of the Pustles put the Patient under a necessity of keeping his Bed continually I take care that he lie not hotter nor has more Cloaths on him than when he was in health and that he have a Fire kindled only morning and evening unless it be Winter nor do 〈◊〉 require that he should be always fixed to one place lest he sweat which I confidently affirm cannot be promoted without great danger When the Disease is going off it is proper to give three or four spoonfulls of Canary-Wine hot or some other temperate Cordial Medicine At the same time also a little hotter and more Cordial-diet may be allowed For instance Sugar-soâ—s and Oatmeal-candie and the like nor is there need of any other thing at all in the distinct and gentle sort if the Patient will suffer himself to be treated moderately in this method and diet unless by change Restlessness or Watchings should now and then persuade the use of a Paregorick But if the small Pox Flux the case is very hazardous for I reckon this sort is no less different from the other than the Plague is from this though among the Vulgar who take names and words for things the cure of both is said to be the same for towards the end of the disease the sick is in great danger viz. on the 11th Day in the common Flux-pox on the 14th Day in a worser sort and the 17th Day in the worst sort But sometimes though rarely one the 21st Day the Fever the Restlessness and other symptoms invading together whereby the sick is generally destroyed unless Art relieve him Wherefore seeing there is
so much danger when they Flux the Physician should endeavour all he can to hinder their Fluxing by bleeding presently in the Arm if there be the least suspicion of the Flux-pox and by giving a Vomit afterwards and by keeping the sick up till the 6th Day from the first sickness Afterwards he must be put to Bed and keep there to the end of the disease but he must have no more Cloaths on nor a greater fire in his Chamber than he used to have when he was well and he must drink freely of small Beer or other cooling Liquors But because notwithstanding the sick frequently grows hot lightheaded and restless I give an Anodyne every Night but a little earlier than is usual because in this Disease a fit of heat and restlessness comes almost every day towards the evening But which is to be lamented notwithstanding these things and all other Physical Helps the sick is very often seized on the 11th Day or on some other of those Days which we said were most fatal in the various kinds of Flux-pox with a violent Fever difficulty of breathing and restlessness and dies suddenly In this case nothing is more effectual than the taking away of ten or twelve ounces of Blood and in the evening a large Anodine must be given as before and so afterwards morning and evening and sometimes oftener for it is diligently to be noted that in some the fury of the Disease is so high that a very large dosed Anodyne cannot stop its force in 12 hours in which case it is necessary to repeat the Anodyne every 6th or every 8th hour But because it happens often at the latter end of the Disease that the Body is bound up so much that the sick is like to be suffocated and consequenrly is in great danger in this I have given successfully an ounce and an half of Lenitive Electuary dissolved in four ounces of succory-Succory-water or the like which Draught gives some stools before night but if it does not an Anodyne must be given in the evening and sooner notwithstanding the Purge if great Restlessness or some considerable sickness threaten danger If therefore the Purge does not answer the first day it must be repeated the next and then it seldom fails and in this manner Bleeding and Purging may be repeated by Intervals as occasion requires But it is to be noted that the sick must not be purged till the 13th day or after nor then unless Bleeding has gone before For spitting of Blood and a bloody Urine coming upon the small Pox for both these Hemorraghes come sometimes at the beginning of the Disease After bleeding largely once give an Anodyne Take of red Poppy water two ounces of liquid Laudanum 14 drops of distill'd Vinegar three drachms of Diacodium half an ounce make a Draught to be repeated every night at bed time Take of Troches of Lemnian Earth and of Bole-armenick each one drachm of sealed Earth Bloodstone Dragon's-blood and red Coral prepared each half a drachm of Mastich and Gum-arabick each one scruple mingle them make a fine Powder whereof let him take half a drachm every third hour in a spoonful of syrup of Comfry drinking upon it four or five spoonfuls of the following Julep Take of the Waters of Plantain and Oak-buds each three ounces of cinnamon-Cinnamon-water Hordeate two ounces of syrup of dried Roses one ounce make it a little acid with spirit of Vitriol Emulsions also of the four greater cold Seeds with white Popies do a great deal of good But after the Hemorrhage is stopt you must proceed according to the method described in the small Pox. Great care must be taken that the Salivation continue according to the manner of it from the beginning to the 12th or 13th day for if it quite stop before the 11th day the Sick is in great danger It may be much promoted by ordering the Sick to drink freely small Beer or any other Liquor which is neither heating nor provokes sweat In the next place the Loosness in Children must be permitted because it evacuates the morbifick matter At last when the Pustles are crusty and hard I use to anoint the Face often with Oyl of sweet Almonds If in the distinct small Pox the Face does not swell I give an Anodyne presently but if the Patient be light-headed and very sick and makes Water often but little at a time he can be relieved no other way Death being near at hand than by giving Narcoticks freely or by taking away a large quantity of Blood and by exposing the Body to the Air but I would not be so understood here as if in every Phrensy coming upon the small Pox there being no Symptom more frequent that I should advise Bleeding presently but only in that which therefore happens because the Face does not swell in the distinct kind tho' there be a great number of Pustles If in the Flux-Pox the Spitle be so thick and clammy that the Sick is in danger of being suffocated which happens often on the 11th day a Gargarism must necessarly be prescibed and must be ordered to be used often Day and Night It may be made of small Beer or Barly-water with Hony of Roses Or the following may be used Take of the bark of Elm six drachms of Liquorice half a drachm of Raisins of the Sun ston'd number twenty of red Roses two pugils boil them in a sufficient quantity of Water to a pint and an half In the strained Liquor dissolve of simple Oxymel and of Hony of Roses each two ounces mingle them make a Gargarism But when the sick is in danger to be suffocated every moment and is stupid an ounce and an half of the Infusion of Crocus Metallorum must be given for a less Dose will not work by reason of the stupidity of the sick But this Remedy does not always do the business The Coma may be easily relieved by the help of a moderate Regimen For a Suppression of Urine which sometimes afflicts young and brisk People nothing does so well as taking the Sick out of Bed and after he has walked twice or thrice cross the Room by the assistance of the By-standers he will presently make Water freely and be much relieved thereby But the Symptoms arising from catching cold or by Evacuations unduly used whereby the small Pox are struck in must be removed by Cordials and an agreeable Regimen but they must not be continued after the Symptoms are gone off The chief of these are a flatting of the Pustles and a Loosness in the distinct small Pox for in the Flux a depression of the Pustles is natural nor is a Loosness dangerous in Children In both these cases a Cordial-potion made of distilled Waters Diascordium liquid Laudanum and the like is proper not only to remove these Symptoms but also at any time of the Disease if the Sick complain of a pain at the Heart or of sickness But to speak the truth Symptoms of this kind are
very rare compared with those which owe their original to the other extream which is more fatal though less blamed When the Patient is mending and the Pustles are falling off after he has 〈◊〉 Meat a few days namely about the 21st or 22d day I think he ought to be blooded if the Disease has been violent and after Bleeding he must be purged three or four times But sometimes after the Sick has recovered of the Flux-Pox and rises daily he has great swellings in his Legs but they either go off of themselves or are easily cured after Bleeding and Purging by the use of emollient and discutient Herbs boiled in Milk as Mallows the leaves of Mullein Elder Bays with the flowers of Camomil and Melilot The distinct irregular small Pox of the years 1670 1671 and 1672 differed from the general distinct small Pox in the following things First the Eruption was generally on the third day and then in the process of the Disease the Pustles did not arrive to a due bigness and towards the end when they began to ripen they seemed black Moreover there was a salivation sometimes though rarely when there were very few Pustles But the flux-Pox differed in many things from the other Flux-Pox for they came out sometimes on the second sometimes on the third day in the form of a redish Tumour covering the whole Face and thicker than an Erysipelas and scarce any visible distance betwixt the Pustles with a heap of almost infinite red angry Pimples running into one and disguising the whole Body between the Pustles especially in the Thighs appeared some little Bladders very conspicuous like a burn and distended with clear Water which flowed out plentifully when the skin was broken the Flesh underneath being black like a Mortification But this dreadful symptom seldom happened The Fever and all other symptoms which either preceded or accompanied this kind of small Pox were more violent than in other sorts of Pox and had a greater Inflammation The free use of the white Decoction and milk-Milk-water did a great deal of good in this sort The Flux of the Courses which happens often to Women when they have this Disease requires a free use of these Liquors if they flow at an unusual time A Gentlewoman that had this black sort of Pox was seized with so large a Flux of the Courses at an unusual time that the Women about her thought she had miscarried and tho' this Symptom continued many days yet I continually used the Milk-water through the whole course of the Disease CHAP. CXIX Of the Measles THIS Disease chiefly invades Infants and all those that are together in the same House It begins with shaking and shivering and with an inequality of heat and cold which mutually expel one another the first day the second day it ends in a perfect Fever with violent sickness drowth and want of Appetite the Tongue is white but not dry there is a tickling Cough with a heaviness of the Head and Eyes accompanied with a perpetual drowsiness and for the most part a Humour distils from the Eyes and Nose and this effusion of Tears is a certain sign of the approaching Measles To which this is to be added no less certain that tho' this Disease shews it self most commonly in the Face after the manner of little swellings in the skin yet in the Breast rather red spots than swellings are perceived arising no higher than the superficies of the skin the Patient sneezes as if he had taken cold and the Eye-lids swell a little before the Eruption he vomits but is oftner troubled with a Loosness with greenish Stools But this chiefly happens to Children that are breeding their Teeth and they are frowarder in this Disease than they are wont to be for the most part the symptoms increase till the fourth day at which time generally though sometimes they are deferred little red spots like Fleabites begin to come out about the Forehead and other parts of the Face and being increased in number and magnitude branch into one another and so paint the Face with large red spots of various Figures which are occasioned by little red Wheals not far distant one from another that are elevated a little above the superficies of the skin and their Protuberances may be perceived by a gentle touch though they can scarce be seen These spots spread themselves by degrees from the Face which at first they only possess'd to the Breast Belly Thighs and Legs But they affect the Trunk and Members with redness only without any sensible inequality of the Skin The symptoms of the Measles do not abate by the Eruption as in the small Pox yet I never observed the Vomiting afterwards but the Cough and Fever increase with the difficulty of Breathing weakness of the Eyes and the defluxion on them with perpetual drowziness and want of Appetite continuing the same as before On the 6th day or thereabouts the Skin breaking and the Pustles drying off the Forehead and Face grow rough and at that time the spots in other parts of the Body are very large and very read About the 8th day the spots in the Face vanish and are scarce perceived in the rest of the Body But on the 9th day they totally disappear and as we said the Measles most commonly vanish on the 8th day at which time the Vulgar being deceived by reckoning upon the time the small Pox use to last affirm They are struck in tho' really they have finished their course and they think that these symptoms which come upon their going off are occasioned by their being struck in so soon For it is to be noted That the Fever and difficulty of Breathing are increased at that time and the Cough is more vexatious so that the Patient can neither sleep night nor day Children are chiefly subject to these ill symptoms which appear now at the going off of the Measles by reason of too hot a Regimen or hot Medicines that were used to force them out and by this means they are cast into a Peripneumonia which destroys more than the small Pox or any symptom belonging to it and yet the Measles are not at all dangerous if they are skilfully managed And among the rest of the ill symptoms a Loosness often happens which either presently succeeds the Disease or continues many Weeks after it and all its symptoms are gone off not without great danger to the Patient by reason of a continual loss of Spirits and sometimes after a very hot Regimen the Measles are first livid and afterwards black but this only happens to grown People and they are utterly lost when the blackness first appears unless they are presently relieved by bleeding and a more temperate Regimen As the Measles are much of the same nature with the small Pox so is the method of Cure much the same Hot Medicines and a hot Regimen are very dangerous how frequently soever they are used by ignorant Nurses to drive the
each one ounce make a Decoction in two quarts of Barly-water boil it to the consumption of a third part in the strain'd Liquor dissolve of syrup of dried Roses and Diamoron each three ounces of Hony two ounces make a Lotion With this the Ulcer may be washed daily either by Syringing or Gargling but if the Ulcers be behind or over the Palate the best way to cleanse them will be to pass the Injection up into the Nostrils but the Patient must keep his Mouth full of Water all the while to prevent Coughing If the Ulcers are sordid dress them with the Lac sublimate upon an armed Probe if there be a Caries in the bone of the Palate touch it with Aqua divina Fernelii if the bone be corrupted through 't will be necessary to wear a plate In Ulcers of the Nose the matter usually mixing with the excrementitious humours dryes in the passage and thereby prohibits the discharge and increases the ulceration and also the Caries and therefore you are in the first place to supple and remove that by casting up mucilaginous decoctions Take of cleans'd Barly one ounce of the roots of Marsh-mallows two ounces of the Seeds of Quinces three Drachms of Liquorish two drachms boyl them in a quart of Fountain-water to the strain'd Liquor add three ounces of Oyl of Almonds let it be injected often in a day the mucus being thus removed inject the following Water Take of Sarsaparilla sliced three ounces infuse them twenty four hours in three pints of plantain-water then boyl half away towards the end add of the Leaves of Agrimony Sage and the tops of Brambles each one handful of red Roses and Balaustines each half an handful quench Steel often in the strain'd Liquor and add to it two drachms of Roch Alum and make an Injection This will cleanse the Ulcers and in the mean while you may by Anti-venereals hasten the exfoliation of the Bones and consolidation of the Ulcers For the extirpation of Warts and the like Excrescencies magisterial water of Alum lac Sublimati Spirit of vitriol and the caustick Stone are proper when these will not do the business the Ligature and Knife and actual cautery will but the growing of them again must be prevented by Anti-venereals To cure the fluttering noise in the Ears arising in this Disease Take of the bark of Guiacum one drachm of the bark of Sassafras two drachms of Castor four scruples of the flowers of Lavender one drachm and an half of Cloves half a drachm of Spirit of Wine rectified eight ounces make an Infusion in a glass Vessel twenty four hours upon hot Ashes keep the strain'd Liquor for use Put some of this daily into the Ears warm with Cotton To ease Pains Take of Lard four ounces of Oil of Scorpions two ounces of the Oils of Camomil Rosemary and Sage each half a drachm of Petroleum and Spike Oil each one drachm of London Laudanum one Scruple more or less mingle them and anoint the Part. If Nodes cause the Pain apply the Plaister of Frogs with four times the quantity of Quick-silver CHAP. CXXVII Of the Itch and Spots and Pimples in the Face OFten and constant eating of salt Fish or Flesh and dryed in the Sun also Drinks that are disagreeable and poysonous do commonly cause cutaneous eruptions also the Humour gathered in the cutaneous Glands sometimes by meer Stagnation becomes not only itchy but oftentimes corruptive wherefore not only they that have been long kept in Prison but also they that have liv'd a Sedentary Life and are used to Filth and Stinks are subject to these Diseases As to the cure of the Itch there are two primary Indications First that the glandulous Humour be reduced to a due disposition Secondly that the pores of the Skin be freed from ichorus concretions The preservative Indication respects these two things First that the itchy Humour does not regurgitate upon the Blood and nervous Liquor Secondly that itchy Humour if it be fallen upon the noble Parts be eradicated All these intentions of Healing ought to be complicated or at least provided for by turns by external and internal Remedies You must begin and end with Purging and Bleeding if nothing contra-indicates must be used at the beginning Alteratives must be also used and Liniments and Baths or Topicks of other kinds I will set down some choice forms of Medicines of every kind and first as to Purges a Purge or a Vomit must be given at the beginning and after bleeding if it be used a purging Apozem or Diet-Drink must be taken for seven or eight days Take of the Electuary called Diacarthamum three drachms of the Species called Diaturbith with Rhubarb one drachm of Cream of Tartar and Salt of Wormwood each half a Scruple of the purging Syrup of Apples a sufficient quantity make a Bolus Take of Sulphur of Antimony grains seven of Scammony sulphurated grains eight of Cream of Tartar half a scruple make a Powder Take of the Roots of Polipody of the Oak of sharp-pointed Dock prepared each one ounce of the leaves of Sena ten drachms of Turbith Agarick and Dodder of Thyme each one ounce of the seeds of Carthamus half an ounce of yellow Sanders two drachms of the Seeds of Anise and Caraways each two drachms cut them and beat them and digest them hot in two quarts of White-wine in a Vessel close stopped for twenty four hours pour off the clear Liquor without pressing The Dose is six ounces either by themselves or with a spoonful of the Syrup of Dodder of Thyme Or Take the fore-said Ingredients and boyl them in three quarts of Fountain-water till half is consumed then add a pint of White-wine strain it presently to be taken as before Or Take of the roots of Polypody of the Oak of sharp-pointed Dock each three ounces of the best Sena four ounces of Dodder of Thyme Turbith and Mechoacan each two ounces of yellow Sanders one ounce of Coriander-seeds six drachms prepare them according to Art make a Bag for four Gallons of Ale after five or six days Tap it and take three quarters of a pint more or less every morning for eight or ten days For the ordinary drink provide four gallons of small Ale and hang in a Bag in it the following Ingredients Take of the tops of Tamarisk and Fumitory dryed each four handfuls of the roots of sharp-pointed Dock dryed six ounces of the bark of Woody Night-shade two ounces cut and beat them As to altering Remedies there is little need of others besides the altering drink above prescribed only the Patient must observe a good course of Diet he must forbear salt and peppered Meats Shell-fish and such as are Pickled also Wine strong-Strong-waters and strong Beer As to Ointments the following is commonly used Take of the powder or flower of Brimstone half an ounce of Butter that is not Salted four ounces of Ginger powdered half a drachm make a Liniment The following is neater though not
much more effectual Take of Ointment of Roses four ounces of Brimstone half an ounce of the Oil of Tartar per deliquium a sufficient quantity make a Liniment you may perfume it with a scruple of Oil of Rhodium But after all I have found by much Experience that Quick-silver Girdles though they are generally much disliked are most effectual for curing the Itch and as Safe as any other Medicine if they are prepared in the following manner Take of Quick-silver three quarters of an ounce the White of one new laid Egg beat them together in a woodden Dish with a Stick two hours then spread it on a Girdle of new Flannel the breadth of three Fingers you must spread it all by degrees and dry it in the Sun or by a moderate Fire and it must be worn a Month or six Weeks being sewed strait round the Waste the side whereon the Mercury is being turned to the Body The Patient must be Purged once before the use of the Girdle and once after the Itch is cured And by this short and easie Method I have cured whole Families infected with the Itch and never perceived the least Injury though I have used it frequently and several Years The following Water is excellent for taking off Spots and Pimples from the Face and the redness of it and that blackness which looks like Gunpowder in the Face especially about the Nose and Fore-head which is sometimes the black heads of Worms Take of Sublimate one ounce put it into a tin Pot with three pints of Fountain-water let them stand together twenty four hours stir them now and then with a Stick till all the Liquor looks black filter it through Paper and with a Feather or the like dipt in it touch the Face gently once in a day or two FORMS OF MEDICINES Frequently used by the London Physicians Medicines for a Consumption TAKE of the Pill of Hound's Tongue half a scruple of Balsam of Tolu one scruple mix them make six Pills Let two be taken at Bed-time every other night Take of liquid Pitch of Balsam of Tolu each 26 grains of Chios-turpentine 1 scruple make a Mass whereof make middling Pills Let three he taken in the morning and at bed-time drinking upon them four spoonfuls of the following Julep Take of the Waters of Hyssop one pint of Ground-Ivy six ounces of the tincture of the Balsam of Tolu one drachm and an half of White-sugar-candy a sufficient quantity mingle them Take of the pectoral Decoction clarified one quart boil it in an handful of Ground-ivy leaves and of the syrup of Raspberries and of the balsamick Syrup each six drachms mingle them Let a small draught be taken in the morning and at four in the afternoon Take of Conserve of red Roses two ounces of Flowers of Sulphur two drachms of the species of Diatragaâ—â—nth frigid one drachm and an half of Lucatellus's Balsam two drachms of Opobalsam half a drachm with a sufficient quantity of balsamick Syrup make an Electuary whereof let him take the quantity of a Nutmeg in the morning and at four a clock in the afternoon drinking upon it a draught of the following Apozem Take of the roots of China one ounce of Sarsaparilla two ounces of Lentisk wood one ounce of Ivory and Hartshorn rasped each one drachm and an half of the leaves of Hyssop and Coltsfoot each one handful of Figs two pair of Dates number three of Raisins of the Sun an ounce and an half of Liquorice three drachms boil them in a sufficient quantity of Fountain-water to three pints of the strained Liquor add one ounce of the tincture of Saffron with syrup of Violets and Maiden-hair each one ounce and an half make an Apozem Take of Lemnian-earth half a scruple of Bole-armenick twelve grains of the Pill of Storax one drachm and an half of Jesuit's Powder half an ounce with a sufficient quantity of syrup of Clove Gillyflowers make fourscore Pills Let him take five every sixth hour during the Loosness drinking upon them seven spoonfuls of the following Julep Take of the Aqua lactis alexiteria twelve ounces of Cinnamon-water hordeated three ounces of Dr. Stephans and Epidemick-water each two ounces of Diacodium three ounces mingle them make a Julep Apozems TAke of burnt Hart's horn of the Roots of Scorzonera and Bread each one ounce boil them in two pints and an half of Barly-water till half is consumed to the strained Liquor add of Christaline sugar and of Cinnamon-water hordeated each one ounce mingle them make an Apozem Give four ounces every third or fourth hour Take of Citron-bark candid one ounce and an half of candid Angelica half an ounce of Hart's horn rasped one ounce and an half of Currans six ounces a Crust of white Bread boil them in a sufficient quantity of thin Barly-water to a pint and an half to the strained Liquor add of the syrup of the juice of Oranges one ounce mingle them make an Apozem Drink of it at pleasure when thirsty Take of the Roots of Scorzonera and Angelica each six drachms of the Leaves and Roots of Wood-sorrel two handfuls of Hart's horn and Ivory rasped each half an ounce of the opening Roots each half an ounce of Liquorice two drachms boil them in a sufficient quantity of Barly-water to a pint and an half to the strained Liquor add of compound Scordium-water and of the cold Cordial-water of Saxony each three ounces of the syrup of Raspberries three ounces mingle them make an Apozem Let him take three or four ounces at pleasure Take of the Peruvian Bark one ounce of Balsam of Tolu three drachms of Cochinel one scruple boil them in a pint of Carduus-water to the strained Liquor add of the syrup of Raspberries and epidemick Water each two ounces Take of the Roots of spanish Scorzonera one ounce and an half of the raspings of Hart's horn 6 drachms of Ivory rasped three drachms of Marigold flowers two pugils of fat Figs cut two pair boil them in Barly-water To a quart of the strained Liquor clarified add of epidemick-Epidemick-water one ounce and an half sweeten it with white Sugar and make an Apozem whereof let him take a draught at any time when he is thirsty Take of calcined Hart's horn powder'd two ounces of Fountain-water two quarts boil it till half is consumed strain it gently through a linnen Rag and add two it three ounces of syrup of Oranges This is the white Decoction and is an excellent drink for Worms in Children for a Loosness and for Fevers Cordials TAke of the Waters of Wood-sorrel all the Citron and Strawberries each four ounces of syrup of the juice of Citron one ounce of Pearls powdered one drachm mingle them Take of the Waters of black Cherries and Aqua Lactis alexiteria each five ounces of Elder-flowers Cinnamon hordeated and epidemick Water each two ounces syrup of Raspberries two ounces and an half mingle them Take of Confection of Hyacinth one scruple Conserve of Wood
to which add an ounce of syrup of Violets and half a drachm of sal Prunella Take of blanched Almonds infused in rose-Rose-water two ounces of the four greater cold seeds and of Plantain and Purslain each one drachm of seeds of Marsh-mallows and white Poppies each one scruple beat them according to Art and pour on them a sufficient quantity of the decoction of Barly and Liquorice make an Emulsion for two doses To each add of syrup of Water-lillies one ounce of sal Prunella half a drachm Gargarisms TAke of the Waters of Plantain and spawn of Frogs each four ounces of syrup of Mulberries and dried Roses each one ounce of spirit of Vitriol a sufficient quantity to make it pleasantly acid make a Gargarism Take of the middle bark of the Elm two ounces of Barly-water one pint and an half boil it to a pint Add to the strain'd Liquor when 't is clear of Epidemic-water and syrup of Rasberries each two ounces of spirit of Sulphur half a scruple mingle them make a Gargarism Take of the mucilage of the seeds of Quinces made in Rose-water two ounces of syrup of Rasberries one ounce mingle them Let him take one spoonful often and hold it a little upon his Tongue and swallow it by degrees Take of Plantain-water one pint the whites of two Eggs of Sugar a sufficient quantity mingle them make a Gargarism Take of the roots of Marshmallows one ounce of Liquorish rasped three drachms of the middle bark of the Elm and of common Bramble-bush each three drachms of the leaves of Sage and Columbine each half a handful of fat Figs number five of red Roses half a handful of Balaustines half a drachm of Jew's Ears two drachms of Cochinel one scruple boil them in a sufficient quantity of Fountain-water to one pint strain the Liquor and sweeten it with Hony of Roses strain'd make a Gargarism Take of the Waters of red Roses and Plantain each two ounces of Hony of Roses strain'd and of syrup of Mulberries each three drachms of crude Alom pouder'd ten grains mingle them make a Gargarism Glisters TAke of the carminative Decoction ten ounces of mercurial Hony one ounce of brown Sugar two ounces and a half of the Electuary of Laurel-berries half an ounce mingle them make a Glister Take of the common Decoction for a Glister one pint of Lenitive Electuary one ounce and a half of Diacatholicon one ounce of Oil of Camomil half an ounce mingle them make a Glister Take of Cow's milk one pint of yolks of Eggs number two of Venice-treacle half an ounce mingle them make a Glister Take of the carminative Decoction with Lawrel and Juniper-berries ten ounces of the Electuary of Lawrel-berries one ounce of Vinum Benedictum two ounces of brown Sugar three ounces of chimical Oil of Juniper ten drops mingle them make a Glister Take of the common Decoction for a Glister six ounces of the species of Hiera piâ—ra one drachm of Cassia six drachms of mercurial Hony one ounce and a half mingle them make a Glister Take of Cow's Milk with a pugil of red Roses boil'd in it six ounces of Diascordium one drachm mingle them make a Glister Take of the roots of Tormentil of yellow Myrobalans of the seeds of Coriander each three drachms of the Flowers of Camomil half a handful of Balaustines one scruple boil them in a quart of Fountain-water to half a pint of the strain'd Liquor ade one drachm of Mithridate make a Glister Liniments TAke of the red Ophthalmic Ointment of the last Edition save one of the London Dispensatory two drachms of Oil of bitter Almonds twenty drops mingle them make a Liniment wherewith anoint the Eye-lids with a hot Finger Take of pure Sperma ceti two drachms dissolve it in half an ounce of Oil of Almonds fresh drawn add six drachms of Pomatum mingle them make a Liniment for the Face Take of Oils of Scorpions and of sweet Almonds each one drachm of Saffron pouder'd half a scruple mingle them make a Liniment wherewith anoint the region of the Heart with a hot Hand and apply over a Pidgeon cut in the middle and renew it every third hour Take of the Alabastrine Ointment one drachm and a half of Oil of Nutmegs by expression two scruples mingle them anoint the Forehead and Temples and apply over a Rose-cake sprinkled with Vinegar Take of Populneum Ointment half an ounce of Opium one scruple mingle them Take of Ointment of Tobacco one ounce and a half of Flowers of Sulphur half an ounce of Oil of Nutmegs by expression two drachms of sal Armoniac one drachm mingle them Take of the pectoral Ointment and of the Flowers of Oranges each one ounce and a half of the chimical Oil of Camomil-flowers one scruple mingle them make a Liniment wherewith anoint the Breast with a hot Hand Pectorals TAke of Olibanum Spema ceti and of the Powder of Liquorice each one scruple of syrup of Marshmallows a sufficient quantity mingle them make a Bolus Repeat it twice or thrice in a day Take of Storax strain'd Myrrh Balsam of Tolu Juice of Liquorice and Hony each a sufficient quantity make Pills Take a scruple thrice a day upon an empty Stomach drinking upon it two spoonfuls of the following Julep Take of compound Gentian-water and of strong Cinnamon-water and of Oxymel of Squills each three ounces mingle them Take of syrup of Maiden-hair and of Jujubes each three ounces of Oil of Flax fresh drawn two ounces mingle them make a Lohoch Let him take half a spoonful every other hour and when the Cough is violent Take of Aniseeds finely pouder'd and of Liquorice pouder'd each three drachms of flowers of Sulphur one drachm and a half of the best Hony two ounces and a half dissolved in three spoonfuls of Cinnamon-water hordeated make an Electuary to which add fifteen drops of Balsam of Sulphur of Oil of Aniseeds ten drops Let him take two drachms in the morning and at bed time Take of the Lohoch Sanans half an ounce of syrup of Maiden-hair two ounces of Oil of sweet Almonds half an ounce of syrup of Jujubes half an ounce mingle them make a Linctus to be taken when the Cough is violent Take of the Lohoch Sanans three ounces of syrup of Rasberries one ounce mingle them Make a Linctus Plasters THE Head being shaved and washed with equal parts of Canary and compound spirit of Lavender apply a Plaster made of the Cephalic Plaster and a fourth part of Gum Tacama-haca To the Breast and Region of the Stomach apply the Stomach-Plaster with eight drops of Oil of Wormwood Take of the Plaster ad Herniam and of red Lead each a sufficient quantity mingle them make a Plaster to be apply'd to the Vertebrae of the Loins and the Os Sacrum Take of the Plasters of Hemlock with Ammoniacum of compound Melilote and Cummin each equal parts of sal Armoniac half a drachm mingle them make a Plaster for the region of
sorrel one drachm of species Liberans half a scruple with a sufficient quantity of the syrup of the juice of Citron make a Cordial Bolus Take of the compound Powder of Crab's claws half a scruple of Volatile salt of Hart's horn three grains of confection of Hyacinth a sufficient quantity Take of the Cordial magisterial Powder of compound Powder of Crab's claws each twelve grains of the temperate Cordial Species eight grains mingle them make a Cordial-powder for two Doses Take of the compound Powder of Crab's claws and of the Goa-stone each half a drachm mingle them Make a Powder to be divided into three doses Catharticks TAke of Quercetan's pill of Tartar one drachm and an half of the Pil. Coch. major two scruples of chimical Oil of Marjoram three drops mingle them make twelve Pills and let three be taken at Bed-time once in two or three days Take of the fetid Pill and of Troches of Myrrh each one drachm of volatile Salt of sal Armoniack one scruple of peruvian Balsam a sufficient quantity make midling Pills Take of the fetid Pill and of Rudius's extract each half a drachm of salt of VVormwood ten grains of Oil of Cloves two drops with a sufficient quantity of Elixir Proprietatis make twelve Pills Let him take four every third day with Regimen Take of the Pills of Storax ten grains of Aloes Rosat two scruples make eight Pills Let him take them every other night and the next morning an ounce of Manna and a drachm of Cream of Tartar Take of Pil. ex duobus and of Pil. Coch. minor each one scruple of salt of Tartar half a drachm with a sufficient quantity of syrup of Backthorn and four drops of Juniper berries make twelve Pills Let him take six with Regimen Take of the Pill of Hound's-tongue one scruple of Aloes Rosat and of the Pil. Coch. minor each one drachm of salt of Tartar half a drachm with a sufficient quantity of syrup of Violets make eighteen Pills Give six when the cholick pain is violent and let the sick keep his bed six hours and repeat them upon occasion Take of Manna one ounce and an half dissolve it in two ounces and an half of black Cherry-water add one ounce of the purging syrup of Apples of spirit of Sulphur three drops Let the Child take half of this every other day Take of Gerion's decoction of Sena four ounces of syrup of Buckthorn six drachms of spirit of Sulphur six drops of Aqua mirabilis one drachm mingle them make a Potion to be taken in the morning Take of the Powder of Rhubarb twenty five grains of salt of Wormwood eight grains of syrup of Succory with Rhubarb a sufficient quantity mingle them make a Bolus to which add two drops of chimical Oil of Aniseeds Take of Mercurius dulcis and Diagridium each fifteen grains mingle them make a Powder to be taken in the morning Diaphoreticks TAke of Venice-treacle half a drachm of bezoartick Powder one scruple of syrup of the juice of Citron a sufficient quantity Make a Bolus Take of the Powders of the roots of Contrayerva Virginian snakeweed and Butterbur each one drachm of Cochinele and Saffron each half a drachm mingle them make a Powder The dose is half a drachm Take of the compound Powder of Crab's claws half a drachm of conserve of VVoodsorrel one drachm of Mithridate two scruples and an half mingle them Presently after taking it drink a draught of Posset-drink wherein Camomil or Marigold-flowers have been boil'd Take of Venice-treacle one drachm of Laudanum Opiatum one grain and an half of the pulp of Conserve of Roses half a drachm mingle them make a Bolus to be taken at bed-time drinking upon it the following draught Take of Treacle-water one ounce of Carduus-water two ounces of syrup of Cowslips three drachme mingle them make a draught Take of Venice-treacle two scruples of volatile Salt of Amber and Bezoartic mineral each half a drachm of Laudanum opiatum three grains mingle them make a Bolus Take of Salt of Hartshorn two grains of the magisterial Cordial-powder six grains of Camphor and Cochinele each four grains of Venice-treacle one scruple of the Aqua Coelestis a sufficient quantity mingle them make a Bolus Let it be taken at a convenient time and let nine ounces of the following Apozem be taken every third hour Take of the roots of Scorzonera two ounces of Butturbur Angelica and Fennel each one ounce of rasped Hartshorn six drachms of Ivory rasped three drachms of Marigold-flowers one pugil of Vetches half a handful boil them in a sufficient quantity of Barly-water to a quart of the Liquor strain'd add half an ounce of tincture of Saffron of Christalline Sugar one ounce mingle them make an Apozem Diureticks TAke of Sal Prunellae two drachms of Sugar candy one drachm make a Powder to be divided into six parts Let one be taken thrice a day Take of Sal Prunella three drachms of Salt of Amber half a drachm make a Powder The dose is half a drachm thrice a day Take of Compound-water of Horse-radish two ounces of Pellitory-water four ounces of spirit of Salt one scruple fifteen grains of salt of Tartar fifteen grains of syrup of Violets half an ounce mingle them make a Potion Take of the Powder of Bees one scruple of the seeds of Lovage half a scruple mingle them make a Powder Take of the Powder of Egg-shells half a drachm or one drachm give it in a draught of Whitewine Take of the Waters of Arsmart and Wake-robin each six ounces of compound Briony-water and compound Radish-water each two ounces of the syrup of the five opening Roots one ounce and an half of spirit of Salt forty drops mingle them make a Julep Let four or five ounces of it be taken twice a day Eye-Waters TAke of the water of Spawn of Frogs of Plantain and of Roses each one ounce of Tutty-stone prepared two scruples of the white Troches of Rhasis half a scruple mingle them make an Eye-water to be used twice or thrice a day cold Take of red Rose water two ounces of Salt of Vitriol finely powder'd five grains mingle them make a Collyrium Take of Crocus metallorum one drachm of Plantain-water three ounces digest them hot for six hours and then filter them Make a Collyrium to be dropt into the Eyes often in a day Emulsions TAke of blanched Almonds number three of the seeds of Melons Lettice and white Poppies each one drachm of the pulp of Barly three drachms beat them and pour on them a sufficient quantity of Barly-water to eight ounces of the strained Liquor add five drachms of Diacodium mingle them make an Emulsion Take of blanched Almonds twelve of the four greater cold Seeds each one drachm and an half of the seeds of Lettice and white Poppies each half a drachm beat them in a marble Mortar and pour on them gently a sufficient quantity of poppy-Poppy-water make an Emulsion for 2 doses