scalds a sharp corroding Matter issues from the Yard inflames the Prepuce and besets it with Pushes which in tract of time degenerat into Ulcers Bubo's or hard swellings appear in the Groin Red yellowish Spots are observ'd in the Belly Breast Back and Privities which when press'd assume a whitish Colour but quickly retrieve the former In process of time the Wheals or Ulcers spread over the Body especially the Forehead Face and Palat their Colour is livid inclining to a Yellow sometimes they are dry scaly and of an unequal surface at other times they void sharp corrupt Matter which frequently corrodes the spungy Bones of the Nose and Palat. The Bones are cover'd with hard stony Concretions and the Limbs tortur'd with violent Night-pains but so as that the Joints are free and in inveterat cases become corrupt and rotten Little Swellings call'd Condylomata cover the Breech and crusty Warts invade many parts of the Body The Palms of the Hands and Soles of the Feet are chopp'd and molested with a burning Heat the Hairs fall off from the Head Eye-lids c. the Palat of the Throat being relaxated or corroded alters the Voice the Ears tingle and in fine the whole Body becomes mangy and sordid and by degrees moulders away The Symptoms of Women differ not from those of Men excepting what regards the form of their Genitals The material cause of the Pox is a corrosive acid Ferment joyn'd to a viscid Vehicle which affects chiefly the glandulous and nervous parts it depraves the Lymph and Serum the nutritious Juice of the Bones and the dewy Liquors of the whole Body it corrodes the solid parts twitches the Membrans and is every way qualify'd for being the Bane of Life and Ruin of Mankind 'T is very infectious and oft-times propagats it self among Bed-fellows by Sweat or Matter issuing from the Ulcers by kissing when the Lips are ulcerated by hereditary Succession and many other ways besides that of perfect Enjoyment If it be inveterat or hereditary or return after Salivation if attended by the Scurvy or obstructions of the Bowels or troublesome Catarrhs and if the Bones of the Head are corroded it is not easily cur'd Dry hot Constitutions are more in danger than those whose Bodies are moist and open The forwardness and Suppuration of the Bubo's facilitats the Cure If the Blood drawn forth become florid and free of those livid blewish Spots that use to appear in its surface and withal be not over serous 't is a testimony of a perfect Cure The Cure of the French Pox which consists in attenuating the viscid Humors correcting and extinguishing the Acid and evacuating both is obtain'd either by sudorific Decoctions or mercurial Salivations The former are calculated for a recent Pox and bilious scorbutic or melancholic Constitutions to whom Mercury is so pernicious and ought to be preceded by Purgatives The most noted Ingredients are Guajacum and Sassaperilla The Dose of the former ought to be inlarg'd for cold Constitutions and that of the latter for such as are hot To these two I choose to add Juniper-wood The other Specifics are Burdock Roots Soap-wort Sassafras Box wood Mastic wood Oak wood Arsmart c. The common Vehicle for sudorific Decoctions is Water but when the Stomac is weak we may add Wine towards the end of the Decoction For emaciated Persons some boyl 'em in Whey When these Sudorifics are first us'd we ought not to be too hasty in forcing the Patient to sweat but to wait some days 'till the Humors are gradually prepar'd and the Body incline to it Besides if they happen to operat more by Urine than by Stool 't is not proper to recall the Humors that move that way nay on the contrary we ought to add Diuretics and endeavour to discharge the virulent matter by the Passage to which Nature directs When the Humors are sufficiently prepar'd and dispos'd for sweating the Patient may be moderatly cover'd up and the Vertue of the Sudorific promoted by drinking warm Broth the Decoction it self being also drunk warm or kindling Spirit of Wine and while he continues thus to sweat daily let a Purge be exhibited every seventh day Take of the shavings of Guajacum six ounces the rinds of Guajacum two ounces Sassaperilla roots two ounces shavings of Sassafras an ounce quick Silver purify'd by the addition of an Alcali and Antimony in coarse Powder both ty'd in a Bag of each a Pound Macerat them in common Water for forty eight Hours then boyl them till two thirds be evaporated Some add Soap-wort Hyssop Speedwell Liquorice Roots Raisins Burdock Roots Fennel Seeds c. The Dose of such a Decoction is from four to eight ounces according to the circumstances of the Patient To be taken only in the Morning for two or three days without sweating But after these preparatory Days are over let the Patient be put into a dry or wet Bagnio according as his Constitution is moist or dry about an hour after taking a Dose And after an Hour 's sweating let him retire to a Bed where the Sweat may finish its progress of its own accord But in the mean while the Sweat must be carefully rub'd off and the Sheets or Cloaths shifted after sweating and well wash'd and air'd before they be us'd again This method must be persisted in for four or six Weeks till all the Symptoms disappear and the Disease be totally rooted out In the Interim let the Diet be thin and dry A second Decoction of the same Ingredients may be given for ordinary drinking and Raisins or some such light thing for Supper If the Disease be inveterat it will be needful to raise a Salivation by the use of Mercury since sudorific Decoctions cannot of themselves reach the Cure tho' they may still be useful during the progress of the Salivation for attenuating and preparing the Humors But they must be so order'd that they do not procure Sweat The best preparation of Mercury for internal use in order to salivat is the red Precipitat from Quick-silver dissolv'd in the Spirit of Nitre and Allum given to four grains and repeated twice or thrice Sweet Mercury is rather a Laxative unless it be fix'd by frequent Sublimation and mix'd with Yelks of Eggs. But the most effectual way of procuring a Salivation is that of inunction with mercurial Ointments As Take of Quick-silver purify'd six ounces Hogs Fat not salted a pound Mix them exactly and add of the Gelly of Ox Feet half on ounce Turpentine three ounces distill'd Oyl of Turpentine an ounce make an Ointment With which anoint the Soles of the Feet Palms of the Hands Wrists Ancles Elbows Knees and Backbone from the Shoulders down to the Os sacrum twice a Day for three successive Days Two ounces of the Ointment will suffice for each inunction and about the fourth Day if the Salivation advance one inunction more will serve If it do not we must continue to anoint and if all prove ineffectual
virtue of which we form Idea's exactly parallel to the motion of the external Object Thus when the Arm is cut off there ofttimes remains an imaginary pain as if deriv'd from the first Finger These outward Senses are five in number among which that of seeing is justly intitled to the noblest Character CHAP. I. Of the Diseases belonging to the Eyes THE Rays of Light are either convey'd to us in a direct line from a luminous Body or reflected from the surface of a dark solid Substance If this reflecting Body be smooth and polish'd the Rays are return'd in the same condition and manner as they 're receiv'd if it be rough and unequal they suffer various determinations according to the respective Figures and Texture of the Parts from whence ensues the admirable variety of Colours These Rays terminat in the Retina where they form the inverted image of the Object after having suffer'd a Decussation in the Crystallin Humor And the size of this imaginary Picture is augmented or diminish'd according to the proportional largeness of the Angles of Intersection The sense of seeing may be extinguish'd or diminish'd when the Rays of Light have not a free access to the Eye as when the Eyelids are seiz'd with a Palsy which is cur'd by applying a Plaister of Tacamahac and Caran or distill'd Oil of Tartar with Wax or an Ointment of Balsam of Peru and Aqua Vitae Sometimes the Rays are not admitted by reason of a Web or preternatural Tunicle covering the Eye which proceeds from a corrosion of the Glandule in the internal corner of the Eye by the sharpness of the Serum and some disorder of the general Coat call'd Adnata The nutritious juice of this Coat and the Serum separated by the Glandule being thus vitiated congeal into a thicker Substance which encreases by degrees and at length covers the whole Eye If the small blood Vessels adjacent to the Glandule be likewise vitiated some strokes of Blood appear in it which is a sign of Malignity and if it be thick rough and painful withal it approaches to a Cancer and ought not to be meddled with If it be thin clear and white 't is a good Sign If it be inveterat or attended by a suffusion 't is safest not to touch it In curing the Diseases of the Eyes the following Cautions are fit to be taken notice of 1st That all sharp irritating Medicines are improper 2. That they ought to be neither very cold nor very hot but temperat 3. That when the Humors are sharp and apt to inflame the part Wine is not convenient Tho 4. when a cold moisture prevails Wine Fennel Eyebright and especially the Decoction of Sassafras are incomparable internal Remedies 5. That drinking of spaw-Spaw-Waters is very conducive in the end tho it seem to offend the Eyes at first 6. That Alcali's are always proper Quercetanus prepar'd an excellent Water thus Take of Childs Urine half a Pound white Vitriol and Tutty of each four Ounces juice of Celandin two Pounds let them stand to digest for some days then distil and reserve the Spirit for use Others thus Take of the Roots of Celandin the greater and of Valerain of each one Pound of the Herbs Rue and Eyebright of each four handfuls Aniseeds Fennel-seeds Lovage-seeds of each two Ounces Marygold-flowers Roses Borrage-flowers and flowers of Comfrey the greater of each four handfuls and fifteen Crabfishes chop 'em all small and pour upon them equal quantities of the weak Spirit of Vitriol and juice of Celandin let them stand to digest for a Month then distil putting a dram of Camphyre into the Alembic reserve one half for use add to the other half two Drams of Crocus Metallorum let it stand for the space of two Hours and then strain it 'T is an admirable Water for the Eyes Hartman's Eye Water was thus prepar'd Take of Fennel Water Anniseed Water of each a Pound Dissolve in them half an Ounce of the purest white Vitriol Then infuse in it the Roots of Elecampane in Pouder Strain the Liquor and reserve it in a Glass Or Take of the Water of the Flowers of Comfrey Royal of Blew-bottle Flowers of Night-shade Flowers of each an Ounce White Vitriol from half a Scruple to twelve Grains To the strain'd Liquor add half a Dram of prepar'd Tutty Let it be dropt into the Corner of the Eye or applied with a warm Cloth The best Method of using these liquid Remedies is that the Patient be laid flat on his Back and the Liquor drop'd into the Eye and then the Eye must be carefully cover'd Blistering Plaisters and Issues are very proper as also a moderate use of sneezing Medicines To return to the Web upon the Eye It ought to be remov'd either by resolving Medicines or by the help of a Needle And afterwards Astringents ought to be applied In order to the former Sugar Candy Honey burnt Harts-horn Egg-shells c. are very proper either by way of Pouder or form'd into an Ointment Quercetanus's Ophthalmic Water is generally us'd 'T is this Take of Eye-bright Water Fennel Water and Water of Celandin the greater of each one Ounce Crocus Metallorum or Glass of Antimony or Buttyr of Antimony a Scruple let it stand warm for the space of two or three Weeks then strain the Liquor and drop it while warm into the Eye for all cold things are hurtful to the Eyes Or Take of the Glass of Antimony pouder'd from half a Scruple to fifteen Grains infuse it in Water of Blew-bottle Flowers Eyebright and Fennel Waters of each one Ounce Let them stand in a warm place over Night In the Morning strain the Liquor and add six Grains of Camphyr Or Take of Sal-gem a Dram dissolve it in Rose-water and Fennel-water of each one Ounce mix for a Collyrium The Gall of a Pike and several other Fishes also a Water drawn from human Gall or from young Goose Dung are by some reserv'd for Nostrum's The following Water is incomparable and much us'd Take a Vessel of Brass pour into it half a Pound of quick Lime Water prepar'd with Water of Comfrey Royal and add half a Dram of Salt Armoniac Let them stand till the Color alter The Juice of Celandin mix'd with the Dew gather'd from Fennel or Eye-bright Water is a great Specific in this case As for Pouders white Vitriol leads the Van. Sometimes they 're diluted with Waters as Take of White Vitriol a Dram prepar'd Tutty Sugar Candy Collyrium Albi Rhasis of each four Scruples Camphyr six Grains Rose Water Vervain Water and Water of the Flowers of Eye-bright of each four Ounces Mix. 'T is good for removing Inflammations as the following is for taking off the Web. Take of the Bone of a Cuttle one Scruple Sugar Candy one Dram white Vitriol half a Scruple prepar'd Tutty half a Dram Mix for a Pouder Riverius pilfer'd this Prescription out of Poterius and was not so just as to take any notice of its Author If
these Designs is compass'd by the use of Wormwood Mint Rosemary The second by the Decoctions of Woods with Tormentil Essence of Sassafras volatil Salt of Amber Turpentin Mastic Gum Animi Pouder of Frankincense taken in a potch'd Egg drinking spaw-Spaw-waters c. After which bathing in natural Baths or artificial ones partaking of Allum answers the third Indication But this last is not to be attempted till the former are accounted for As for the Virulent Clap 't is refer'd as a Symptom to the Pox of which elsewhere ART II. Of the overhasty Ejaculation of the Seminal Matter THIS was the second Disorder relating to the ejection of Seed The Cause is either the Patency and Looseness of the Seminal Vesicles or the spirituous Turgescence and over-bearing youthful heat of the seminal Liquor The former is remov'd by the internal and external use of Astringents such as we prescrib'd in the foregoing Article The second by the use of Opium which stays the Spirits and prevents their early flight Upon which account it is much in use among the Indians and Turks whose Women are most delighted with deliberat and prolong'd Embraces But it ought to be mix'd with Amber-grise as if Opium were added in the Preparation of the Essence of Amber-grise in order to prevent any succeeding Stupidity Henricus ab Heer mentions a quick Ejaculation of Seed caus'd by the irritation of an Ulcer in the Intestinum Rectum ART III. Of the overslow Ejaculation of the Seminal Matter OFttimes when the Blood inflames the Yard to an Erectien the Spirits are deficient in quickening the Seed or the Muscles of the Yard are languid or the Seminal Vesicles flaccid and unable to counterpoize the force of the Prostratae and neighbouring Parts which in the venereal Fit swell up hear in upon 'em and contract their Passages insomuch that they cannot eject the Seed in due time but it often slips out when the Yard is down and the Turgescence of the Parts gone Castor and sharp aromatic Cephalic Medicines are proper to be given inwardly Externally let the Root of the Yard be anointed with express'd Oil of Nutmegs or distill'd Oil of Mace or of Cloves mix'd with Civet or Mosch or the Oil or Spirit of Ants. ART IV. Of Caruncles in the Yard hindring the Ejection of Seed THE fourth and last Head relating to this Chapter is when the Seed is not ejected at all by reason of a fleshy Excrescence in the Yard stopping its passage The Cause for the most part is a virulent Clap in which the Urethra is corroded and the Nourishment naturally repairing to the corroded part settles into a fleshy wartlike Substance Sometimes instead of Seed Blood is voided sometimes Wind. In the former case Astringents in the latter Evacuating and Carminative Medicines are proper SECT II. Of the Disorders relating to the Erection of the Yard THERE are two main Qualifications requisit for performing the Office of a Husband one is the due Erection and stiffness of the Yard the other the regular Ejaculation of the Seed thro the Yard thus prepar'd This was the Subject of the preceding Section The former lies now before us In order to set it in a clear light we must distinguish the Turgescence and Distention of the Yard from a due Erection The former proceeds from the influx of arterial Blood into the two nervous Bodies but this Distention is continu'd and wrought into a State of Rigidity and Erection by the Contraction of the two pairs of Muscles seated at the Root of the Yard which compress the Vein that runs along its Back and so hinder the reflux of the Blood When their Contraction ceases the Blood that distended the Yard is discharg'd by this Vein and leaves it in a drooping condition So this Contraction of the Muscles is the Cause of Erection and is in good measure promoted by the spirituous and provoking quality of the Seed in the Seminal Vesicles What is needful to be said of the faults of Erection will fall under the Heads of its Deficiency Excess or Depravation CHAP. I. Of Impotency or the Defect of Erection of the Yard IT proceeds either from the Relaxation of the two Pairs of Muscles and inactivity of the Spirits or the flatness of the Seminal Liquor The Muscles may be relaxated by a Palsy Excessive Riding a Fall or Blow upon the Os Sacrum or Wound of the Head affecting the respective Nerves mercurial Inunctions external Cold c. The Spirits are faulty when they are universally weak and languid as in old Age and Sickness when they are disorder'd by Passions of the Mind such as Bashfulness and Fear of which we have several Instances in new married Youngsters that fancy themselves bewitch'd or diverted by dwelling upon other Objects or baulk'd by hypochondriac Despondency The Genital Juice is faulty when 't is not duly prepar'd or falls short of its spirituous stimulating quality This may be occasion'd by old Age defects in the Stones or any Disorder of the Genital Parts or by the continu'd use of Nitre or Camphyr This Disease is manifest of it self All the use of Signs is to distinguish the Causes If the Muscles are paralytic they are equally unmovable by all other Objects If the Animal Spirits are deficient an universal Feebleness seizes the whole Body If hypocondriac Fancies melancoly Thoughts or Passions of the Mind occasion it the Circumstances of the Patient will discover ' em The Cure consists in recovering the force and spirituality of the Seed and the regular Influx of the Spirits into the Muscles The internal Medicines answering these Indications are largely accounted for in the preceding Section In England Ambergrise and Laudanum Opiatum are mightily extoll'd Cantharides mix'd with aromatic Pouders are of noted efficacy Take of preserv'd Roots of Satyrium and of Eryngo Pine-nuts of each two Ounces candy'd Ginger Nutmegs candy'd of each an Ounce Confection Alchermes half an Ounce Rocket-seeds Seeds of Cresses of each two Drams white Pepper and Cloves of each a Dram With Syrup of Cinnamom make an Electuary Externally Cephalic Baths Fomentations and rubbing the Parts before the Fire are proper Let the Decoction of Cubebs in Wine be applied to the Testicles and adjacent parts or anoint the Perinaeum Cod c. with Mynsicht's Venereal Balsam mix'd with Oil of Ants. Take of the Juice of Parsneps Oil of Mustard of each two Drams large Eggs of Emmets a Dram. Pound the Eggs and set 'em in the Sun for a day or two then mix all in the form of a Liniment with which anoint the Nut of the Yard immediately before the Engagement If the Erection continue after Enjoyment wash the Yard with warm Water The Spirit or Juice of Ants with Civet and Oil of Pepper or Castor the Root of black Hellebor or of Pellitory of Spain pouder'd and mix'd with the Fat of a Quail And Wine in which Euphorbium and Pellitory of Spain have been boil'd are all recommended for the same use Take
one Dram. Syrup of Rasberries half an Ounce With the Spirit of Vitriol as much as sufficeth for a grateful sharpness Make a Julep Thus I have hinted at the general Cures of Alcaline and Acid Corruptions Besides these already mention'd there are some Universal Remedies not confin'd to either side but useful in both Cases These are Emulsions extracted from the Milky Seeds the distill'd Oyls of Vegetables Gums Mucilages and the Sulphurous Productions of Minerals which are all of a temperate Nature and equally remov'd from either extreme A Pituitous Cacechymy must be cur'd by Altering Attenuating and Resolving remedies Namely Alcali Salts as well fix'd as Volatil the more penetrating Gums and Generous Aromatics The Morbific matter being viscid and tough must be prepar'd and digested before we attempt any Evacuation The common forms for Digestives are as follows Take of Tartar Vitriolated and the Salt call'd Digestivum Hypochondriacum of each fifteen Grains Salt of Wormwood and of Carduus Benedictus of each half a Scruple Mix for a Powder to be divided into two parts Or Take of Tartar Vitriolated one Dram Salt of Carduus Benedictus half a Dram flowers of Sal armoniac fifteen Grains Mix them together and divide the Powder into three Doses Or Take of Tartar Vitriolated half a Dram Crabs Eyes prepar'd one Scruple Salt of Tartar half a Scruple Mix them for two Doses Take Tartar Vitriolated half a Dram Salt of Wormwood Crabs Eyes prepar'd of each fourteen Grains Make a Powder to be divided into three or four Doses Take of the Cream of Tartar one Dram Tartar Vitriolated half a Dram Salt of Wormwood and Cichory of each half a Scruple Make a Powder and divide it into three equal parts These Powders must be exhibited a Day or two before Evacuation The following Powder is to be taken twice a Day in the Morning before Dinner and in the Afternoon two or three hours before Supper Take of Sal armoniac depurated a Dram and a half Mastic half a Dram Cinnamom a Scruple Salt of Wormwood six Grains Mix them and use as before directed If Liquid forms are more acceptable they may be prescrib'd thus Take of Mint Water one Ounce the Salt call'd Arcanum Duplicatum one Scruple Crabs Eyes prepar'd half a Scruple Salt of Tartar five Grains Syrup of Hyssop half an Ounce Mix them for a draught Or thus Take of Mint Water two Ounces Cinnamom Water six Drams Gum Ammoniac dissolv'd in Vinegar one Dram Tartar Vitriolated one Scruple Syrup of Roses one Ounce Mix them for two or three Doses A Serous Cacochymy is remov'd by the use of such remedies as alter the vicious serum and evacuate it These last mention'd are the subject of the ensuing Paragraph SECT IV. Of the Medicines that evacuate the Corrupt Juices of the Body AFter the use of altering Medicines 't is a proper season to exhibit those that evacuate the prepar'd humors They are distributed into five Classes The first contains those which operate by Vomiting The Second those which move the Belly and perform their office by stool Those of the Third pass by Urine The Fourth by the Pores of the Skin And Lastly the Fifth is allotted to the Medicines which evacuate by Salivation This last Class I have taken notice of elsewhere but the other four I shall briefly run over CHAP. I. Of Vomiting Medicines THE Animal Family affords no Vomits that I know of except the Pairings of the Nails of Human Bodies Which we infuse in generous Wine over Night and in the Morning give the strain'd Liquor to Drink 'T is an excellent Vomit Among the Vegetables Asarabacca is the safest and most successful Vomit Dioscorides and the Ancients were not Ignorant of its efficacy It Enjoys a sharp pungent salt resembling that of Ginger and Zedoary which provokes Urine Corrects the causes of Chronical distempers and irritates the Fibres of the Stomach I have known Inveterat Tertian and Quartan feavers cur'd by the use of Asarabecca with white Pepper that would not yield to any other Medicines It may be given by way of Powder Infusion or Decoction If it be exhibited in form of a Powder it ought to be Pounded very fine for the grosser Particles cannot enter into the Pleats of the Stomach and being eluded there procure to themselves a Passage by Stool Its Dose is from half a Dram to a whole Dram. For a gentle Infusion we take Nine or Ten Green Leaves of Asarabecca and chop 'em small and infuse them for the space of a Night in four Ounces of Carduns Benedictus Water and half an Ounce of Mead. In the morning let the strain'd Liquor be exhibited 'T is a gentle Vomit For a stronger Infusion take Nine Green Leaves of Asarabecca Beat them in a Marble or Stone-Mortar pouring simple Mead upon 'em till ye have reduc'd them to a Juice Then take this juice and dilute it with two Ounces of Carduus Benedictus Water 'T is an Admirable Vomit As for Decoction Helmont Zwelfer and the Honourable Mr. Boyle have observ'd that if ye boyl Asarabecca Roots in Water they lose their Vomiting quality and become Diuretic whereas if ye boyl them in Wine 't is an excellent Emetic The Reason of which I take to be this Viz. That their diuretic vertue proceeds from an essential salt not very Volatil the saline Volatil Emetic parts being evaporated in boyling with Water but Wine penetrates into the Texture of its body before these Volatil salts are gone and so partakes of their Vertue If ye boyl Asarabecca Roots in Mead ye have a Noble Pectoral Medicine It Attenuates the slimy humors in the Breast and has no Emetic force There are no other Vegetable Vomits fit to be us'd White Hellebor 't is true was frequently exhibited by the Ancients But they infus'd it in a sweet Wine which qualify'd its sharpness and besides the difference of Climats alters the Vertues of Medicines I have seen very Tragical effects produc'd by white Hellebor and therefore would not advise any to use it except in one case Namely Madness 'T is a specific for that disease and is frequently attended with success where Antimonial Vomits have prov'd ineffectual Let it be us'd thus Take of the Roots of White Hellebor one Dram infuse it in Rhenish Wine or rather macerate it in some hot place for the space of one Night Then boyl it strain off this Wine and throw it away for 't is too sharp And pour fresh Wine upon it only to stand in infusion all Night In the Morning exhibit a Dram and a half or two Drams of the strain'd Liquor to the Mad Person 'T is a Medicine admirably fit for this case and this only In the Mineral Family Antimony and Vitriol are the two noted Emetics But Vitriol is not so Friendly to Nature as the former it weakens the Body and disorders the Stomach whereas Antimony produces no such effects The Vitrum Antimonii alone is of more use and efficacy than a Thousand
Hellebor For Decoction Take of the leaves of Pick'd Senna Fearn of the Oak of each three Drams Cream of Tartar one Dram. Boyl them in a close Vessel with a sufficient quantity of Cinnamom Water Strain out three Ounces of the Liquor and add to it three Drams of Cinnamom Water and half an Ounce of the Syrup of Borrage Mix for a draught For Infusion Take of the leaves of Senna two three or four Drams Ginger or Anisseeds a Scruple Salt of Tartar from fifteen Grains to a Scruple Infuse them in a sufficient quantity of Cinnamom Water or Fumitory or Cichory Water Let them stand warm for a Night In the morning give two or four Ounces of the strain'd Liquor according to the Circumstances of the Patient adding two three or four Drams of solutive Syrup of Roses or Syrup of the Juice of Chermes Berries The Salt of Tartar will render the Potion red but 't is very grateful and operates gently But I prefer the following infusion Take of the leaves of Senna a Dram and a half or two or four Drams at most Black Hellebor Roots from half a Dram to a Dram or Rhubarb from a Dram to two Drams Annisseeds from a Scruple to a Dram or Ginger from a Scruple to half a Dram Salt of Tartar fifteen twenty or thirty Grains Infuse them in a sufficient quantity of Betony Fumitory Hyssop or Cichory Water for a Night Add to two three or four Ounces of the strain'd Liquor three or four Drams of Cinnamom Water with half an Ounce of solutive Syrup of Roses or Syrup of Apples or any other sweetening thing If ye design one Infusion for several Doses Take of Corents an Ounce and a half beat them in a Marble Mortar pouring upon them a pint and a half of warm Water Then infuse leaves of Pick'd Senna three Drams Cream of Tartar one Dram Violet Flowers three little handfuls Let them infuse warm in a Glass well stopp'd And when 't is grown cold give three or four Ounces every Morning and Evening or every other Day It is good for dry Hypochondriac Constitutions and such as are subject to a Constipated Belly But it ought not to be kept above eight Days In Chronical Diseases and Inveterat quartan Feavers the following Infusion may be given before the invasion of the Paroxism Take of the leaves of Senna three Drams black Hellebor Roots a Dram and a half Ginger half a Dram Salt of Tartar two Scruples if ye please ye may add some sweet Calamus Roots chop and beat them small and tye them up in a Bag. Whch infuse in a Pint and a half of Water or warm Ale Set it in a warm place and let it grow cold by degrees Let the sick Person take two or three Drams every two or three hours I proceed to black Hellebor 'T is call'd so from its little black Roots tho' it have white Flowers It is endow'd with a Volatil sharpness not unlike that of Antiscorbutic Medicines Upon this Account it is a specific for all Diseases relating to the Nerves It is never given in substance by reason of its extreme sharpness but only in infusion or by way of Extract The Ancients were wont to infuse it in Vinegar but in vain For all Acids are so far from Correcting Vegetable Purging Medicines that they rather Imprison them and elude their Operation The Warry Vehicles are best for Hellebor which we generally infuse together with Senna Salt of Tartar is a proper Correcter for it In a dry Scorbutic Constitution we infuse it in whey thus Take oâ— black Hellebor Roots two Drams Senna leaves one Dram if ye please ye may add Polypody or Water Cresses Infuse in a sufficient quantity of Clarified whey for a Night In the Morning strain out three Ounces and add to it a Dram of Spirit of Scurvy-Grass and two Drams of Cinnamom Water Mix and make a draught for one Dose Oft-times the Hellebor is ty'd up in a Bag. As for the Extract the most compendious way of making it is this Take of black Hellebor Roots slic'd a convenient quantity Infuse them in Rhenish Wine Let them digest till the Wine have assum'd the taste and colour of the Hellebor Then thicken it to the consistence of a Rob. Some add Salt of Tartar Some make this Extract with Spirit of Wine but I should not dare to use it In a Habitual Epilepsy the following Pills are very proper Take of Extract of black Hellebor half a Scruple or fifteen Grains sweet Mercury half a Scruple fifteen Grains or a whole Scruple according to the Circumstances of the Patient Extract of the Troches call'd Alhandal from one to three Grains With a sufficient quantity of the Essence of Mint or Sage or Sassafras make Pills For Cachectic Scorbutic Dispositions use the following Pill Take of Quercetanus's Tartar Pills and Extract of black Hellebor of each twelve or fifteen Grains Prepar'd Scammony from one to three Grains With a sufficient quantity of the solution of Steel prepar'd with Salt Make Pills for one Dose For all Chronical Distempers use this Pill viz. Take of Ruffus's Pills dâ— tribus Extract of black Hellebor of each half a Scruple The Vitriol of Steel Calcinated till it become white five Grains prepar'd Scammony one Grain With a sufficient quantity of the Essence of Gum Ammoniac make Pills Which are of excellent use to Hypochondriac Persons Next to Hellebor comes Aloe It is the Juice of an Indian Plant and was frequently us'd by the Ancients It has some Gummy Parts and some Resinous The former evacuate very gently The latter are endow'd with a baumy astringent bitterness and Entitle Aloe to the Character of an admirable Stomachic These two parts are evidently distinguish'd by washing Aloe in Water where the Gummy part is wash'd away and the Resinous remains Yet some People are so foolish as to prescribe wash'd Aloe for a Purging Medicine 'T is no quick Purgative and therefore scarce so proper for Acute as for Chronical distempers where gradual and slow Purgations are requir'd and where the altering Medicines must keep pace with those which evacuate For a Person subject to the Hypochondriac distemper I 've order'd the following Pills to be swallow'd down once in two or four weeks Take of lucid Aloe two Drams Gum Ammoniac dissolv'd in Vinegar one Dram Tartar prepar'd with Vitriol half a Dram. With a sufficient quantity of the Essence of Gum Ammoniac Make a Mass for Pills of which take ten or fifteen two hours before supper and they will purge gently next Day N. B. Gum Ammoniac ought to be dissolv'd not depurated or evaporated lest it sustain a loss of its better part The Extract of Aloe may be made thus Take a convenient quantity of the Juice of Succory or Roses or Violets Infuse lucid Aloe into it Let it stand for Digestion and 't will Extract a mucilage strain this mucilage and thicken it to the consistence of an Extract Which may be
Juniper berries in Ale taken in order to sweat For Preservatives against the Influence of the Air we may anoint the Nostrils with the Distill'd Oyls of Anis Amber and Mace and snuff up the Powder of black Hellebor mix'd with Sugar and Oyl of Cloves 2. If an accidental dry Cough by continuance become moist and void slimy matter let a Vomit be first exhibited and then Opiats follow'd by Pectoral Vulnerary Prescriptions if the matter be lodg'd in the Breast and Stomachical Arematics if it lye in the Stomac The Pectoral Ingredients are Ground-Ivy Chervil Speedwell Scabions Elecampane Roots Coltsfoot and Sassafras The Stomachical are Mint Zedoary Elixyr Proprietatis c. 3. A wet Pectoral Cough is formally cur'd by Attenuating and Expectorating Ingredients interlac'd with Vomits or moderat Purges and follow'd by Vulnerary Medicines for healing the corroded parts The Attenuating Ingredients are Cuckowpint Roots the fresh Juice of Radishes given with Sugar the Decoction of Horehound or of Elecampane Gum Ammoniac Ground Ivy Hyssop Ginger Syrup of Tobacco Oxymel of Squills Hedg Mustard Spirit of Sal-armoniac Aniseeds and the Carminative Spirit de tribus given to forty drops thrice a day Take of Hyssop Water two ounces Speedwell Water an ounce Asthmatical Water half an ounce Spirit of Sal-armoniac a dram Syrup of Tobacco an ounce Mix c. The Vulnerary Ingredients are the flowers of Sulphur the Balsam of Sulphur Anisated given to fifteen drops in the yelk of an Egg twice a day Benzoin Poterius's Antihectic Diaphoretic Antimony and the Vulnerary Plants Take of Crabs Eyes and Flowers of Sulphur of each a Scruple Laudanum Opiatum a Grain Distill'd Oyl of Anis a drop make a Powder Take of the Herbs Speedwell Ground Ivy and Scabious of each a handful Chervil a handful and a half Shavings of Sassafras an ounce Boyl them in Water adding at last Bruis'd Corants two ounces Liquorice Roots an ounce And after 't is taken off the fire three drams of Cinnamon hung in a Bag. 4. A wet Stomachical Cough proceeding from a viscid matter in the Stomac is cur'd by exhibiting first Vomits then Purges mix'd with attenuating Ingredients As Take of the Pills of Hiera with Agaric fifteen Grains Gum Ammoniac dissolv'd in Vinegar half a scruple Extract of Troches Alhandal two Grains Distill'd Oyl of Anis two drops With Essence of Gum Ammoniac make Pills Sweet Mercury may also be added After Purgation it will be requisite to prepare the matter for Expectoration by attenuating Compositions and towards the end when the viscid matter is in good measure evacuated we may add the Syrup of Poppies As Take of Ouckowpint Roots a dram and a half Gum Ammoniac dissolv'd in Vinegar Mastic of each a Scruple Tartar Vitriolated half a dram With Sugar dissolv'd in Mint Water make Tablets Take of Hyssop and Mint Water of each an ounce Asthmatical Water six drams Cinnamon and Oxymel of Squills of each an ounce Gum Ammoniac dissolv'd in Vinegar of Squills two drams Dulcify'd Spirit of Salt as much as sufficieth Mix. Dose a spoonful now and then After the use of attenuating Medicines 't will be proper to strengthen the Stomac by Elixyr Proprietatis Essence of Elecampane Decoction of Zedoary Spirit of Sal-armoniac Essence of Saffron and Chocolat which is useful against all Coughs As Sage and Water Germander Leaves Flowers of Sulphur and Laudanum Opiatum mix'd with the Syrup Diacodium in the form of an Electuary are very convenient against all wet Coughs 5. Dry Nocturnal Coughs proceeding from the acidity and saltness of the Lymph are cur'd by Volatil Sudorifics mix'd with Opiats a Vomit being premis'd if it be needful The Volatil sudorifies are the Spirit of Sal-armoniac or the Spirit of Hartshorn succinated mix'd with the Essence of Opium Amber Myrrh Sylvius's Pills of Storax to which we may subjoyn the Incrassating Pectorals such as the Flowers of Sulphur given to a scruple in a Potch'd Egg Benzoin Sperma Ceti the Distill'd Oyl of Anis and Fennel the Syrup of Jujubes the Decoction of Rapes a very successful Medicine the Juice of Liquorice Purg'd from its Adulterating Ingredients by a Dissolution in Hyssop Water Gum Arabic Marshmallow Roots c. For Example Take of the Spirit of Sal-armoniac Succinated Tincture of Sulphur of each a dram Essence of Opium half a dram Mix. Dose forty drops to be taken two hours before Supper Take of prepar'd Amber half a scruple choice Myrrh and Volatil salt of Amber of each five Grains Extract of Saffron two or four Grains Laudanum Opiatum one or two Grains With the Essence of Sassafras make Pills to be taken two hours before Supper Take of the flowers of Sulphur Benzoin Prepar'd Amber of each half a dram Frankincense and Gum Arabic of each a scruple Extract of Saffron half a scruple Laudanum Opiatum three Grains With Sugar dissolv'd in Fennel Water make Tablets to be sprinkled with the Distill'd Oyl of Anis Take of Sperma Ceti a dram Flowers of Benzoin a scruple Myrrh and Volatil salt of Amber of each half a scruple Laudanum Opiatum four Grains Make a Powder for four Doses Take of the conserve of red Roses two ounces Poterius's Antihectic a dram and a half the flowers of sulphur and Powder Diaireos of each two scruples With Diacodium Make an Electuary Take of white Henbane seeds white Poppy seeds of each half a dram Frankincense and Myrrh of each a scruple Saffron half a scruple thicken'd Juice of Liquorice a dram Sugar of Marshmallows Prepar'd with the mucilage of Marshmallows half an ounce Gum Tragacanth dissolv'd in Rose Water a dram Laudanum Opiatum a few Grains Make small Tablets to be melted gradually in the mouth Take of the Conserve of Rosemary flowers Conserve of Betony flowers Conserve of Marygold flowers of each three drams Prepar'd Amber two drams Myrrh two scruples Benzoin and Frankincense of each a scruple With sugar dissolv'd in the Water of Wild Thyme Make Tablets and Spinkle 'em with the Distill'd Oyl of Amber Take of the Roots of Florentin Orris two drams Flowers of sulphur a dram Distill'd Oyl of Anis half a dram Distill'd Oyl of Fennel fifteen drops White Sugar three drams Make a Powder of which exhibit a dram twice a day Take of the Extract of sulphur Pulveris'd twelve Grains Extract of Saffron two Grains Choice Myrrh four Grains Laudanum Opiatum a Grain With the Essence of Amber Make Pills Take of Storax Extract of Liquorice Olibanum Myrrh and Laudanum Opiatum of each half a dram Oriental Saffron a scruple With the Syrup of white Poppies Make Pills This is the Composition of Sylvius's Pills of Storax which are of Excellent use in Nocturnal Coughs The Juice of Liquorice is frequently adulterated and do's more harm then good To prevent this Inconvenience 't will be requisit to prescribe always the Juice of Spanish Liquorice or at least to dissolve the ordinary Juice of Liquorice in Hyssop Water and Strain it before it be thicken'd that so the impure
crouded into the Stomach while its Mouth is stubborn and not easily mov'd to vomiting as in Hypocondriac and the like cases In scorbutic Feavers attended by convulsive Pains of the Belly or Loins those made of Milk Sugar Hony and the Yelk of an Egg are very useful In Hypochondriac and Histeric Fevers the same Clysters are given or mix'd with Turpentin The carminative and gentle Abstersive Clysters are as follows Take of the carminative and emollient Ingredients of each a handful Salt of Pot-ashes two or three Drams Dross of Regulus Antimonii a Dram Boil in a sufficient quantity of Water To eight Ounces of the strain'd Liquor add Electuary of Bay-Berries one Ounce distill'd Oyl of Turpentin a Scruple Or Take of the carminative or emollient Ingredients two handfuls Salt of Tartar a Dram or two Boyl them in Water To nine Ounces of the strain'd Liquor add of Electuary of Bayberries one Ounce distill'd Oyl of Amber half a Scruple and the Yelk of one Egg. Make a Clyster Take of Chamomil Flowers two handfuls Juniper-Berries one Ounce Aniseeds half an Ounce boil them in equal quantities of Water and Human Urine To eight Ounces of the Decoction strain'd add of lenitive Electuary one Ounce distill'd Oyl of Juniper Berries a Scruple Make a Clyster Take of Roman Chamomil one handful Bay-leaves and Elder-Flowers of each half a handful Angelica and Lovage Roots and Aniseeds of each six Drams boil them in Water To nine Ounces of the Decoction strain'd add Electuary of Bay-Berries and lenitive Electuary of each six Drams Antimonial Nitre a Scruple distill'd Oyl of Angelica Oyl of Bayberries and Oyl of Rue of each four grains with the Yelk of one Egg make a Clyster Take of Bay-Leaves and Elder-Flowers of each half a handful Chamomil-Flowers one handful Lovage Roots six drams Fenugrec Seeds half an Ounce Boil them in Water and Humane Urine Strain the Decoction and add to nine Ounces of it Electuary of Hiera with Agaric six Drams Electuary of Bay-berries three Drams distill'd Oyl of Angelica Caraways and Rue of each four drops Make a Clyster Take of the Leaves of Wormwood and Carduus Benedictus of each a handful Roots of Elecampane one Ounce Lovage Roots six Drams Juniper Berries one Ounce Salt of Tartar a Dram boil them in Whey And to eight Ounces of the strain'd Decoction add Electuary of Hiera with Agaric one Ounce Hony of Roses six Drams Sal Gem a Dram and a half Mix for a Clyster Take of Chamomil Flowers two handfuls Mint one handful Juniper Berries an Ounce boil them in Water and Human Urine and inject the warm Decoction In scorbutic Feavers the Clysters must be compos'd of Milk as take of Goats or Cows Milk from nine Ounces to a Pound Hony of Roses Hony of Rue of each an Ounce or an Ounce and a half and two Yelks of Eggs. Make a Clyster for two Injections This and all other Clysters ought always to be injected about an Hour or two before the Paroxysm VI. These general evacuations can never compass the cure unless follow'd by Diaphoretics 'T is true sweating Medicines ought not to be exhibited till after Vomiting c. But the Feaver is not right cur'd if they be totally omitted or Sweats do not insue 'T is true Hot sharp Aromatics are justly avoided but the saline Febrifuga's must not be neglected VII The sick Person must take care to have an empty Stomac when the fit comes VIII Diaphoretic Medicines are not to be given in the Paroxysm but an Hour or two before it in order to promote sweating in the end of the Fit for if that be wanting the Person is seiz'd with the Head-ach But withal 't is an improper way to procure Sweat by a heavy load of Coverings IX The Physician must observe nicely if a Tertian partakes of malignity If the Tongue be rough and black and the Person seiz'd with a sudden Weakness 't is a shroud evidence of a malignant Tertian In this case Emulsions of Citron Seeds with Alexipharmacal Medicines joyn'd to Febrifuga's are proper X. Spirit of Sal-Armoniac is an infallible comforter either in the Cold or Hot Fit In Scorbutic Feavers 't is of soevereign use if mix'd with Spirit of Scurvy-grass It may be given before the Paroxysm or on the intermitting Day Take of Spirit of Sal-armoniac a dram Essence of Opium fifteen drops Mix for one Dose to be taken immediatly before the Paroxyism Take of Spirit of Sal-armoniac three drams Spirit of Harts-horn succinated a dram dose thirty or forty drops Take Water of Carduus Benedictus an ounce Spirit of Sal-armoniac half a dram or a dram Laudanum Opiatum two grains Syrup of Carduus Benedictus half an ounce mix for a Potion before the Paroxysm Take of Mint Water one ounce Spirit of Salarmoniac half a dram Diaphoretic Antimony a scruple Distill'd Oyl of Cloves or of Amber two drops Syrup of Orange peel two drams mix as above If the cold Fit be very troublesome add a grain of Laudanum Opiatum In Scorbutic Feavers add Spirit of Scurvy-grass Take of Mint Water two ounces Cinnamom Water two drams Spirit of Sal-armoniac a dram Diaphoretic Antimony sixteen grains Syrup of Betony two drams mix as above Take of purify'd Sal-armoniac a scruple Antihectcum Poterii twelve or fifteen grains distill'd Oyl of Cloves two drops make a Powder to be taken before the accession of the Fit Take of Sal-armoniac fifteen grains prepar'd Crabs Eyes half a Scruple Laudamim Opiatum one grain make a Powder and use as above Take of Antiscorbutic Water and Water of Carduus Benedictus of each an ounce and a half Spirit of Scurvy-grass or Spirit of Sal-armoniac a dram prepar'd Crabs Eyes and Strobelbergerus his specific against Feavers of each a scruple Laudanum Opiatum two grains Forestus's Syrup of Scelotyrbium an ounce Mix c. XI When the cold Fit is extreamly violent the use of Spirit of Sal-armoniac may be confin'd to the intermitting Days and the fix'd Alcali Salts exhibited on the Fit Days As Take of Red Coral prepar'd Salt of Wormwood of each fifteen grains Laudanum Opiatum a grain distill'd Oyl of Cloves or of Juniper Berries two drops Make a Powder to be given in a warm Vehicle about an Hour or two before the Paroxysm in order to procure Sweat Or Take of Salt of Wormwood a scruple Volatil Salt of Harts-horn five grains Laudanum Opiatum two grains Make a Powder as above Or Take of Salt of Wormwood fifteen grains Volatil Salt of Harts-horn three grains prepar'd red Coral half a scruple Distill'd Oyl of Cloves two drops Make a Powder c. Take of Salt of Wormwood two scruples prepar'd Crabs Eyes half a dram Diaphoretic Antimony half a scruple Mix for three Doses to be exhibited before a Quartan Paroxysm Take of red Coral prepar'd Salt of Wormwood of each a Scruple Fulminating Gold six Grains Make a Powder Take of Harts horn prepar'd without Fire two Scruples Salt of Carduus Benedictus Salt of
to be given before the Fit If a raging heat succeeding to the cold Fit be attended by a notable prostration of Strength short Breathing a quick frequent and small Pulse Spirit of Sal Armoniac mix'd with Vinegar and Crabs-eyes will readily give relief If attended by Heart-burnings gnawings of the Stomac Unquietness anxiety of the Breast imminent Suffocation as it frequently occurs in Hypocondriac Hysteric and Scorbutic Constitutions the same Spirit of Sal Armoniac is proper to be given after premising Vomits or Clysters according to the Circumstances of the Patient and in the mean while 't is not amiss to apply a Plaister of Tacamahac mix'd with Oil of Amber or Balsam of Peru to the region of the Stomac XXV In Chronical Quartans let the Physician inquire if there be any schirrous Swelling in the Bowels or hardness in the Hypocondria if Wind molest the Guts or scorbutic Symptoms beset the Body for these Symptoms must be particularly accounted for before the Feaver can be cur'd which generally in this case ends in the eruption of the Itch or Scab XXVI In stubborn Quartans the Spaw-waters are convenient provided the Stomac and Bowels be regular and in good order Otherwise Chalybeat Medicines are more proper As Take of the Essence of Wormwood half a Dram solution of Steel in the Juice of Apples a Dram. Mix them to be given before the Fit Steel and its Productions are of excellent use in all Hysteric Hypocondriac splenetic and scorbutic Constitutions It not only removes the obstructing Acid in the Bowels which the Jesuits Powder would six and settle but mitigats the impetuosity of the Fit which Anodyns do only palliat and soment XXVII Tho Chronical Agues may seem to be discuss'd by reason of the disappearance of the Fit yet 't is advisable not to desist for some time from a spare and cautious Diet and the use of the more noted Febrifuga's such as Sal Armoniac Salt of Hartshorn volatil Salt of Amber volatil Salt of Vipers c. for that ofttimes they relapse after the discontinuation of several Weeks If these Remarks be heedfully minded the Cure of Agues will prove easy and safe and many fatal Symptoms which insue an untimely suppression of the Fits or any other disorderly part of Cure will be effectually prevented As for the Scorbutic Feavers that I 've so frequently mention'd 't is to be remark'd that if the Scurvy be not directly taken care of 't will be impossible to compass the Cure of the Feaver For which purpose the Spirit of Scurvy-grass and Mynsicthius's Arcanum Duplicatum are noted specifics they may be mix'd with other Ingredients as follows Take of Quercetanus's Antiscorbutic Water an Ounce Spirit of Sal Armoniac half a Dram Spirit of Scurvy-grass a Scruple Laudanum Opiatum one or two Grains Forestus's Antiscorbutical Syrup two Drams Mix them to be exhibited before the Fit after the universal Evacuations are premis'd Take of the Water of Carduus Benedictus and Elderflowe-water of each two Ounces Spirit of Scurvy-grass two Drams Spirit of Sal Armoniac a Dram Mynsicthius his Arcanum Duplicatum a Scruple prepar'd red Coral fifteen Grains Forestus his Antiscorbutical Syrup an Ounce Mix as above Take of Mint Water Fennel Water Fumitory Water and Carminative Water of each an Ounce Spirit of Scurvy-grass Spirit of Venice Treacle of each a Dram dulcify'd Spirit of Nitre twelve Drops prepar'd Crabs-eyes half a Dram Laudanum Opiatum a Grain and a half Syrup of Orange Peel six Drams Mix and give a spoonful now and then in the very time of the Fit It is of wonderful use in scorbutic Feavers attended by extream heat straitness of the Breast Wind violent pains in the Joints c. Poterius's Antihectic Powder with magistery of Coral prepar'd with Juice of Citrons is a sovereign Medicine in Sâ—â—â—butic Quartans that threaten a Phthisie It may be givâ—â— in a convenient Vehicle both before and in the Fit Whey of Goats-milk impregnated with the virtue of Antiscorbutic Herbs is a proper Liquor both for restaining the heat and conquering the Scurvy or it may be mix'd with gentle Laxatives by reason that Scorbutic Feavers are attended by a constipation of the Belly As Take of Tamarinds half an ounce Boyl them in Whey Then strain the Whey and add of the Tiâ—cture of the flowers of Dazies two drams with Solutive Syrup of Roses Make a Julep to be given during the Violence of the not Fit Take of the Decoction of Corants in clarify'd Whey a pound and half Juice of Scurvy-grass clarify'd by standing three ounces fresh juice of Citrons an ounce Make a Julep as above Milk mix'd with Sugar or Spirit of Sal-armoniac is very proper before and after the Paroxysm From what has been said upon the whole matter we may gather the general method of curing intermitting Feavers into this form First the Stomac must be prepar'd with a Digestive Powder or two then a Vomit must be exhibited before the Fit or a Laxative administred on the intermitting Day Afterwards volatil Alteratives or chalybeat Medicines given during the time of intermission according as the Symptoms require and in the time of the Fit the precipitating Alcali's both volatil and fix'd of which Class are the bitter Herbs partaking something of an aromatic Virtue such as Wormwood lesser Centory Fumitory Carduus Benedictus Chamomil Celandin Gentian Zedoary c. They are us'd by way of Powder Decoction express'd Juice Extract or in the form of a fix'd Salt In Powder some give a Dram of the Flowers of lesser Centory or of Carduus Benedictus c. As for Decoctions those of a few Ingredients are infinitely the best As Take of the Leaves of Carduus Benedictus a handful or two of Asarabecca roots an Ounce infuse them for the space of a Night in four Pints of Water then boil away the third part Let the Patient take three or four Ounces of this Decoction wâ—rm in Bed six Hours before the Fit and 't will procure a plentiful sweat The Juice of Wormwood exhibited in Wormwood-wine some Hours before the Paroxysm is much approv'd The Extracts of these bitter Herbs are likewise frequently given both during the time of intermission and a few Hours before the Fit Or an Essence may be prepar'd thus Take of the tops of lesser Centory and Wormwood of each three handfuls of the Leaves of Mouse-Ear and Asarabecca of each two handfuls of the Herbs Cinquefoil Hore-hound Rue Carduus Benedictus of Water Germander of each a handful tops of St. John's Wort half an Ounce Roots of Celandin Dandelion Angelica Zedoary Gentian Master-wort white Dittany Devil's-bit Fearn and round-rooted Birth-wort of each an Ounce Cloves and Ounce long Pepper six Drams Ginger half an Ounce Extract the Essence with Spirits of Wormwood Carduus Benedictus and lesser Centory Dose forty or fifty drops to be given on the intermitting day But the Vegetable Salts prepar'd from these Herbs together with Spirit of Sal-Armoniac are much beyond any other
Vitriol contains in it some metallin Parts that are very offensive In the vegetable Province the clarify'd Juices of Acid Fruits are very proper and much preferable to the Syrpus such are the Juices of Citrons of Quinces of Barberries of red Corants c. The Juices of House-leek Purslain Plantain c. are likewise very useful Tamarinds are much approv'd by reason of their Laxative and Cooling quality As for the forms of Receipts prescribe as follows If there be any suspicion of a latent malignity let forty or sixty drops of the Bezoardic Tincture be exhibited in the beginning of the Disease Then Take of the Decoction of Harts-horn with the roots of Vipers-grass a pound fresh juice of Citrons two ounces Syrup of Water Lilly-flowers Syrup of white Poppies of each six drams dulcify'd Spirit of Nitre as much as sufficeth for a grateful Acidity Make a Julep Or Take of the Decoction of Harts-horn with the roots of Vipers-grass one Pound Juice of Barberries Juice of red Corans of each an ounce and a half Tincture of Roses Tincture of Violets of each a dram Syrup of the Juice of Citrons an ounce and a half Spirit of Sulphur as much as sufficeth for a grateful Acidity Mix for a Julep Or Take of Common Water a Convenient Quantity with a little Wine and as much of the Juice of Quinces as sufficeth for a grateful Acidity Mix c. Take of Borrage Water Bugloss Water and Water of Rasberries of each an ounce Cinnamom Water three drams fresh Juice of Citrons six or eight drams Confection Alkermes a dram and a half Syrup of Rasberries half an ounce Mix c. Take of the Conserves of Wood-sorrel of the Pulp of Citrons and of Clove Gilly-flowers of each an ounce Rob of red Corants six drams Confection Alkermes two drams with a sufficient quantity of the Syrup of Rasberries Make an Electuary The Decoction of the Roots and Leaves of Wood-sorrel mix'd with the Juice of red Corants and Syrup of Rasberries is a very palatable Liquor for quenching Thirst Extemporary Tinctures may be drawn from the Flowers of Dazies Poppies Roses Clove Gillyflowers Violets Golumbines c. with common Water or the Decoction of Harts-horn and Vipers-grass or red Poppy Water c. The Flowers being first sprinkl'd with Spirit of Sulphur or of Vitriol These Tinctures are of a pleasant red Colour for all blue Flowers when mix'd with an Acid Spirit yield a rutilant Tincture These Tinctures may be sweeten'd with Syrup of Rasberries or of Violets or of Iujubes and are sometimes joyn'd to the dulcify'd Acid Spirits and drop'd into the Patient's ordinary Drink Instead of Juleps or Tinctures some use the Decoction of Tamarinds as take of the Pulp of Tanmarinds from two to three ounces Boyl them in a sufficient quantity of Whey To two pound of the strain'd Liquor add Juice of Citrons six or eight drams Tincture of Dazy Flowers three drams Syrup of the Juice of Citrons an ounce and a half Mix and Exhibit for ordinary Drinking Whey is an admirable Drink for Feaverish Persons if purify'd by Juice of Citrons or Pulp of Tamarinds As Take of Whey two pound fresh Juice of Citrons three drams Flowers of Dazies and of red Poppies of each a handful and a half Let 'em boyl in a close Vessel till the Whey be impregnated with the Tincture Strain the Liquor and sweeten it with Syrup of Poppies or of Rasberries Next to the foregoing Medicines is Nitre which is universally approv'd by all Practitioners the preparation of it with Sulphur call'd Sal-Prunellae is of no efficacy but if the Crude Nitre be purified by some sharp Lye it proves an admirable Remedy Nitrum Antimoniatum which is a complication of Nitre with the Sulphur of Antimony may be given to a dram in their ordinary Drink three or four times a Day or in Powder together with Antihecticum Poterii Diaphoretic Antimony Mineral Bezoar or that call'd Joviale or Saturninum together with Harts-horn prepar'd without fire and the above mention'd absorbent Earths are all proper for mitigating the fermentation and promoting a gentle breathing Heat As Take of Rasberry Water two ounces Water of Vipers-grass and fresh Juice of Quinces of each an ounce Bezoardicum Joviale a scruple Syrup of white Poppies an ounce dulcify'd Spirit of Nitre as much as sufficeth Take a spoonful now and then Take of the Water of the Flowers of the Sloe-tree Water of Elder-Flowers and Dandelion Water of each an ounce Gelly of Harts-horn an ounce and a half Harts-horn prepar'd without fire a scruple Poterius's Antihectic and Diaphoretic Antimony of each twelve grains Syrup of Poppies six drams Mix and use as above In a Solid form they are prescrib'd thus Take of purify'd Nitre sixteen grains Poterius Antihectic Powder half a scruple Sugar of Lead five grains If a Delirium be fear'd or Malignity suspected add a grain or two of Camphyr Take of Nitrum Antimoniatum two scruples Chalybeat Diaphoretic Antimony half a dram Laudanum Opiatum a grain or two Mix for two Doses to betaken at Night in a convenient Vehicle Depurated Nitre or Nitrum Antimoniatum may be dissolv'd in their ordinary Drink after the rate of half an ounce in twenty four Hours Emulsions are next in order They are very proper for tempering the Bilious Salt and qualifying the acrimony of the Blood But they ought not to be too frequently or copiously us'd for that they weaken the Stomac and clog the Appetit Let 'em be mix'd with fix'd Powders Thus Take of sweet Almonds two drams Seeds of white Poppies a dram of the four cold Seeds of each a dram with Water of Wood-sorrel make an Emulsion To which add Diaphoretic Antimony and Mineral Bezoar of each half a dram Sweeten it with pearl'd Sugar and exhibit a spoonful now and then So much for Internal Remedies Externally some are wont to apply Cataplasms to the Palms of the Hands and soles of the Feet as in the case of Watchings Deliriums Pains c. Take of fresh Rue Leaves two or three handfuls Radish Roots slic'd in number two or three Salt a handful of the strongest Yest two ounces with Rue Vinegar make a Cataplasm to be applied as above The Juice of River Crabs may be applied in like manner or by way of Epithema to the fore-head When the Mouth and Head are much affected 't is not improper to open the Vein under the Tongue or the Vein in the Fore-head or to apply Leeches behind the Ears The application of convenient Liquids to the Fore-head and Temples is also not improper As Take of the Water of Dill or of Roses or of Elder Flowers or of Vervain two ounces Apoplectic Water half an ounce Philonium Romanum or Requiâ—s Nicolai or Triacle a dram Mix and apply it warm to the Fore-head and Temples with a Linnen Cloath Take of white Poppy Seeds two or three drams Henbane Seeds half a dram Water of Frogs spawn three ounces House-leek Water Night-shade Water and
to evacuat it by convenient Passages The first is accounted for by Opiats the second by Volatil Alcalin Salts absorbent temperat and thickening Medicins as the fix'd preparations of Antimony Poterius's Antihectic Flowers of Sulphur prepar'd Amber Oyl of Amber Spirit of Mother of Thyme Decoction of Sassafras Myrrh Camphyr volatil Salt of Harts-horn Spirit and volatil Salt of Human Blood c. The third Design is compass'd by diaphoretic diuretic and expectorating and when the Lymph is well concocted by sneezing and chewing Medicins Take of fennel-Fennel-Water and Water of red Poppy-flowers of each an Ounce and a half Spirit of Harts-horn impregnated with Amber a Dram and a half Essence of Opium Jaw-bone of a Pike of each half a Dram Syrup of the Flowers of red Poppies half an Ounce or six Drams Mix them for a Julep of which exhibit a spoonful every Hour towards Evening Take of the Spirit of Sal-Armoniac annisated or of the Essence of Amber two Drams Essence of Opium half a Dram. Mix 'em and exhibit forty or fifty drops some Hours before the periodical exasperation and reiterate the same Dose at Night Take of prepar'd Amber half a Scruple choice Myrrh five grains volatil Salt of Amber four grains Extract of Saffron two grains Laudanum Opiatum one grain distill'd Oyl of Amber one drop Mix for a Powder to be exhibited in like manner If the Lymph be saltish Liquorice Figgs Jujubes Barly emulsions of Poppy-Seeds Opiats Pills of Storax and such like are proper If hoarsness and a difficulty of speech prevail give what follows Take of Mint-Water two Ounces Cinnamon-water half an Ounce Spirit of Sal-Armoniac anisated a Dram Laudanum Opiatum three grains Syrup of Raisins six Drams Mix and give a spoonful now and then If the Wind-pipe Gullet and Throat be excoriated Syrup of Diacodium Loh of Raisins and licking Medecins are proper If a dry Cough molest the Patient let thickning and pacific Remedies be us'd As Take of the Water of wild Thyme Water of Carduus Benedictus of each an Ounce Spirit of Treacle camphoris'd Essence of Sassafras of each two Drams Spirit of Harts-horn succinated a Dram Syrup of white Poppies half an Ounce Mix them and administer a spoonful frequently in the Evening This method if insisted on together with the continued use of the Decoction of Sassafras will in time conquer the Feaver After the Feaver is abated and the Spirits reduc'd to order let the Body be loosen'd by Queretanus's Pills of Ammoniac or Crato's Pills of Amber Or Take of Crato's Pills of Amber a scruple volatil Salt of Amber six grains Rosin of Jalap three grains extract of Troches Alhandal one grain distill'd Oyl of Amber two drops with Essence of Sassafras make Pills In order to evacuate the prepar'd Lymph give forty or fifty drops of the Liquor of Terra Foliata Tartari twice a day which is a proper Diuretic or express'd Juice of Radishes with Sugar which attenuats the Phlegm or the following expectorating mixture Take of Hyssop-water two Ounces Asthmatic-water half an Ounce Spirit of purifi'd Gum Ammoniac two Drams Syrup of Tobacco four or six Drams Sala's emetic Syrup a dram Mix c. In the beginning while the Cough is yet dry temperat thickening Medicins are requir'd but afterwards when the Cough brings up large quantities of viscous Matter let cutting expectorating Remedies be us'd If the Phlegm be notably tough and thick let Oyl of Amber be appli'd to the Nostrils or let the Person smell frequently of Spirit of Sal-Armoniac or that of Urine or of Harts-horn In the last extremity let the Powder of black Helebor and white Sugar with distill'd Oyl of Cloves be thrown into the Nostrils If the pain of the Head be violent anoint the Crown with Oyl of Amber or Balsam of Peru or apply the Plaister of Bettony soften'd with Oyl of Amber After the Disease is in good measure subdu'd the following Decoction is of excellent use for purifying the Blood correcting the sharpness of the Lymph fortifying the Lungs and preventing a Phthisic Take of the shavings of red Saunders one Ounce shavings of Sassafras half an Ounce steep them in seven pound of Water for the space of twelve Hours then boil them till a pound and a half be consum'd and add of the Leaves of Ground Ivy Leaves of Speed-well Flowers of St. John's Wort of each two handfuls Liquorice Roots half an Ounce Fennel-Seeds six drams bruis'd Currans three Ounces Boil the Liquor into four Pounds strain it and exhibit a large draught warm Morning and Evening ART 2. Of Feavers proceeding from the Lymph of Conglomerat Glandules or such as are roll'd into a heap THE conglomerat Glandules deposit their juice into cavities from whence 't is convey'd to the Blood The chief of 'em are the Sweet-bread and those behind the Ears The former waters the Guts the latter the Mouth If their Serum be viscous or over saline it occasions a slow sort of a Feaver All slow Feavers are periodical as being exasperated either in the Evening after the method of Quotidians or after eating in the form of Hectic Feavers Those which are independent of any other Disease are call'd Primary And those which follow the Corruption of any inward part or the mismanagement of a preceding Disease are stil'd Symptomatical Tho' the last approach very near to the primary form Of independent slow Feavers They are usher'd in by a gentle shivering which continues for some time and is follow'd by a mild Heat somewhat sharper in the extream parts The Appetit is dejected and after eating the Stomach and Guts are distended and opprest with a heavy pain Towards the Evening or after Meals they increase their force at which time the Pulse is frequent and not very large If the Spittle be notably viscous the Mouth and Throat are cover'd with slime and the Person molested with Thirst If the Juice of the Sweet-bread be likewise over viscid or saline anxiety invades the Breast and griping shooting pains beset the Belly the Pulse is frequent and swift and in some measure weak and small The Urine at first is high colour'd afterwards it becomes muddy and drops a sediment The Joints are seiz'd with a weariness and shooting pains and sometimes the Head with a dull heavy ache If the Lymph be simply saline the symptoms are fiercer if it be likewise viscid and tough they are weaker but continue longer The slow Feavers differ from acute ones in this that the cause of the latter is a volatil sharp Acid which in the former is invelop'd with a viscous tenacious Vehicle The Original cause is a vicious Digestion rendring the Chyle viscid or tending to a sort of acid saline taste If the Evening Paroxysms are long the Strength and Appetit much impair'd 't is a dangerous circumstance The most favourable sort if not cautiously taken care of terminates in Cachexies or Hectic Feavers These Feavers are cur'd by retrieving the lost Digestion in the Stomac
preparations from Antimony fix'd with Tin and Steel To these we join other Balmy Ingredients viz. Amber Aloes Myrrh especially when the Phthisic is not far advanc'd nor the Hectic very troublesome Together with the pectoral specifics viz. Tragacanth Elecampane Roots Sperma Ceti given to half a dram in a Potch'd Egg Orris Roots the Conserve of Roses Bole-armenic seal'd Earth Blood-stone and the Mushroom of a Willow given to half a dram in the Conserve of Ground Ivy all which are very useful for tempering the acrimony of the Blood and Chyle But before we commence the use of Specifics a Vomit ought to be exhibited for cleansing the first Passages The Decoctions of Woods especially China and Sassafras together with Elecampane Liquorice Raisins and Vulnerary Ingredients are of singular efficacy in this Case Their Rosinous Sulphureous substance is at once qualify'd for tempering the sharpness of the Humors evacuating the corrupt Matter and cleansing the Ulcer But whoever would reap benefit by these Decoctions must resolve to Drink nothing else Narcotics especially the Pills of Storax are of good use for promoting the Maturation and Concoction of the matter in the Lungs curbing the dry Night Coughs and preventing Night-sweats Phthisical Persons admit of large Doses and persist long in the use of 'em without detriment Towards the height of the Disease when Respiration is difficult and a great deal of Viscous matter lyes ready for expectoration 't is convevient to discontinue their use In regard of the ulcerated Bowel the vulnerary Specifics and the baling Ingredients above-mention'd are calculated for its relief Ground Ivy Chervil Scabious and male Speedwel especially the first or its Juice ought never to be omitted Some commend Indian Cresses and Rosasolis In Scorbutic Cases 't is proper to add Antiscorbutic Ingredients If the Hectic do not Prohibit the use of Balsams we may add the Balsam of Sulphur Balsam of Peru Turpentin dissolv'd with the yelk of an Egg Myrrh c. Some recommend the Decoction of Penny-Royal Others the volatil Salt of Harts-horn and its Spirit tinctur'd with Balsam of Sulphur the Spirit of Ants the Spirit and volatil Salt of Man's Urine and the like but if the Disease be inveterat and the Lungs ulcerated they are very improper Perhaps after chronical Diseases or when the Chyle is not distributed thro' the Body they may be of some use The dry tickling Cough and Night-sweats that usually molest Phthisical Persons are abated by incrassating Medicines mix'd with Opiats But Treacle and hot Compositions ought to be avoided For cleansing the Ulcer in the Lungs and bringing up the viscous Matter the Syrup of Tobacco ought to be mix'd with the other expectorating Ingredients And if the Matter stink or if the Person spit very much let Myrrh and Hony be always added But if a Feaver or melting Looseness accompany a Phthisic let Hony be avoided and absorbent earthy Powders exhibited The Food of Phthisical Persons ought to be such as yields a substantial glutinous Juice such as Eggs Raisins Oysters River Crabs and Milk They ought to avoid drinking much and what they Drink may be impregnated with Fumes of Sulphur Of Wines the sweetest are the best As for Air those that are emaciated and wither'd require a thick Sulphureous Air whereas those that are otherwise find their account in breathing in a clear dry Air. It remains now to subjoin a few Receipts in order to exemplify the complication of the above-mention'd Ingredients Take of Sal-Armoniac and Nitre purify'd of each half an ounce the Powders of the Roots of Liquorice and Florentine Orris of each an ounce Mix and Exhibit as much as will lye upon the point of a Knife Morning and Evening remembring still the Cautions above-mention'd with respect to Acids Take of the Roots of Cuckow-pint four ounces Roots of Florentin Orris three Ounces Flowers of Benzoin an ounce and a half Flowers of Sulphur an ounce Poterius's Antihectic two ounces with a sufficient quantity of Sugar make a Powder to be given to a dram before Supper and at Bed time in the Decoction of China Roots for tempering the Acrimony of the Humors Take of the Kernel of the Pine Apple half an ounce white Poppy Seeds two drams with Scabious and Colts-foot Water make an Emulsion to which add of Ivory prepar'd without fire half a dram prepar'd Crabs Eyes and Mother of Pearls of each a scruple and sweeten it with Pearled Sugar Take of Diaphoretic Antimony a dram and half Flowers of Sulphur half a dram the Powder Diaireos and Diatragacanthon Frigidae and prepar'd white Amber of each a dram extract of Elecampane half a dram Balsam of Sulphur Anisated half a dram Sugar dissolv'd in Fennel Water four Ounces Make Tablets of which take eight thrice a Day follow'd by a Draught of the Decoction of Ground Ivy and Chervil Take of the Conserve of Ground Ivy an ounce Crabs Eyes and Poterius's Antihectic of each half a dram prepar'd Amber two scruples Benzoin a scruple with Willis's Syrup Diasulphuris make an Electuary and add some grains of Laudanum Opiatum if it be Convenient Take of Guajacum Wood three ounces Guajacum Roots and China Roots of each an ounce Elecampane and Burdock Roots of each two ounces Juniper Berries three drams Leaves of Speedwel two handfuls Ground Ivy a handful Infuse 'em for twenty four Hours in twelve pound of fair Water Then Boyl the half away and add towards the end Anis and Fennel Seeds of each an ounce and a half Liquorice Roots an ounce Strain the Liquor and exhibit a Draught every Morning adding twelve drops of the Turpentine Balsam of Sulphur or forty of that prepar'd with Oyl of sweet Almonds Take of Ground Ivy Chervil and Male Speedwel of each a handful Elecampane Roots an ounce and a half Roots of Florentine Orris an ounce Anis-seeds three drams Fennel-seed two drams Figs four in Number Corrants an ounce and a half Liquorice Roots six drams boyl them in Water for a vulnerary Decoction to be sweeten'd with the Syrup of Ground Ivy. And add to every Draught forty drops of Elixyr Proprietatis or half a dram of Sperma Coeti or some drops of the Essence of Gum Ammoniac mix'd with the Tincture of Sulphur Take of Poterius's Antihectic a Scruple Sugar of Lead half a scruple Extract of Saffron four or five grains Laudanum Opiatum two or four grains With Balsam of Peru make Pills for two Doses to be taken at Night to prevent Coughing and Sweating in the Night time Take of prepar'd Amber half a scruple choice Myrrh and valatil Salt of Amber of each five grains Laudanum Opiatum a grain or two With the Essence of Myrrh make Pills Take of the Conserve of Ground Ivy Conserve of Scabious of each an ounce and a half fresh Pine Apples half an ounce Ivory prepar'd without fire a dram Poterius's Antihectic and Flowers of Sulphur of each two scruples With Syrup of Tobacco make an Electuary for attenuating and expectorating Viscid
Lance and kept long open by applying the Balsam of St. John's wort with Oyl of Tartar and the Plaister Opodeldoch If either the Suppuration or Cleansing advance but slowly Cupping-glasses are of use for attenuating the stubborn Matter But after all if there be any ground for suspecting a Cancer we must lay aside the thoughts of Suppuration and indeavour the Cure internally by administring first the Decoction of Guajacum then Purgatives and in the last place the Spirit and Salt of Vipers And if these prove ineffectual by the universal Method for the Pox. As for the Pushes and Pimples that attend the Pox 't is convenient to wash 'em with the Decoction of Woods and Oyl of Tartar and touch 'em gently with some Spirit impregnated with the Tincture of Copper or with the following Mixture Take of Plantane Water six ounces Sublimat Mercury four scruples Allum half an ounce Mix and apply with a Feather This mixture is also proper for the Swellings of the fundament unless they be very large in which case we Root 'em out with Ligatures or with a Knife and apply the mixture to the remains Warts are remov'd by applying Oyl of Vitriol or Aqua Fortis The Ulcers usually disappear after Salivation Otherwise they are cleans'd by applying the Solution of Sublimat Mercury in Plantane Water or an Ointment of common Oyl Ceruss Red Lead Sublimat Mercury and white Wax After they are sufficiently cleans'd as the laudable Colour of the Pus and sides of the Wound will discover we apply the Decoction of Woods and vulnerary Plants with Sugar of Lead and Lime Water and the Plaister Diasulphuris with that of Norinberg The external Ulcers of the Yard are treated after the same manner If they are internal we inject the above-mention'd Liquors or put in a Wax Candle cover'd with the foregoing Ointment For those of the Womb the same method will suffice As for Ulcers of the Mouth and Palate we must take care that the Caustic when applied be not swallow'd down if they are seated in the upper side of the Palate we inject the healing Decoctions thro' the Nose Such are the Decoctions of Plantane Self-heal Scabious of each a handful red Roses two little handfuls Sarsaperilla an ounce Guajacum and red Sanders of each six drams Sumac half an ounce To two pound and a half of the strain'd Liquor we add two ounces of the Syrup of dry Roses and as much of that of Mulberries The Ulcers of the Nose ought to be first wash'd with emollient Decoctions and Oyls by reason of their Crust and then with the Astringent Vulnerary Decoctions mix'd with Allum and Lime Water The Chops of the Hands and Feet are wash'd with the Decoction of Woods sweet Mercury and Quick-lime to which if the Chops be hard we add emollient Ingredients after washing we anoint 'em with Sublimat or sweet Mercury and the Oyl of Tartar incorporated with Vnguentum Enulatum If the Bones be Rotten we scrape 'em with a Knife or if that method prove successless we apply a hot Iron and then wash 'em with Spirit of Wine The Bones of the Palat must be cover'd with a Plate of Silver or Gold For pains in the Bones remaining after the general Cure we apply the following Plaister Take of Vigo's Plaister with a quadruple quantity of Mercury an ounce and a half Express'd Oyl of Nutmegs and Opium dissolv'd in Vinegar of each half an ounce thicken'd juice of Tobacco and common Cinnabar of each an ounce Saffron six drams With Turpentine make a Plaister If a swelling remain after the Pains are over apply Clouts dip'd in fresh Butter boyl'd in Wine till it Evaporat The hard stony Concretions that frequently beset the Bones yield to a Salivation interlac'd with preparations from Vipers and Antimony Externally we apply Vigo's Plaister with a quadruple quantity of Mercury soften'd with the distill'd Oyl of Guajacum or the following Composition Take of Diachylon with Gums and Oyl of Olives of each four ounces new Wax an ounce black Pepper half an ounce common Salt two drams Spanish Flies a dram Mustard-seed a scruple thicken'd Hony two scruples Make a Plaister to be applied above a piece of very fine Linnen and ty'd fast to the part the Linnen underneath being chang'd twice a day If these hard swellings are very painful apply a Liniment of the Oyl of Turpentin distill'd Oyl of Guajacum Quick-silver and Opium Some apply a Plate of Lead cover'd with Mercury or a Plate of malleable Mercury prepar'd thus Take of Lead a Pound and melt it while 't is yet liquid put a Bar of Iron into it 'till it begin to thicken Then shift the Iron and put an ounce of Quick-silver into its place where 't will congeal After 't is thus congeal'd separate it with a Knife and boyl it thrice in a Pound of Oyl till the Oyl be set on fire every time If this Method prove ineffectual apply blistering-Plaisters and cut Issues above the Part or open the Tumor with an actual Caustic and keep it open for a long time The Scab and Tetter that sometimes attend the Pox are remov'd by touching 'em with the solution of sublimat Mercury in Arsmart-Water and applying the Oyl of Tartar per deliquium with Hogs-fat The Head-Aches are cur'd by applying Vigo's Plaister with Mercury Castor and Laudanum Opiatum or by trepanation if the Venereal virulency be extinguish'd The tingling in the Ears is cur'd by injecting the Infusion of Guajacum Castor and Mint in Asses Urine or the following Essence Take of Sassafras Wood and Lavender-Flowers of each a Dram Guajacum-Bark and Castor of each half a dram Cloves a scruple Spirit of Wine three Ounces Digest for some Days and strain the Essence for use ART 6. Of the Hypocondriac and Scorbutic Diseases THere 's a sort of Cachexy that frequently reigns in our Northern Climats whose Symptoms appearing mostly in the Hypocondria have Christen'd it the Hypocondriac Evil. And when its Symptoms are very fierce and exalted 't is intituled the Scurvy a Name given it by the Saxons in North-Germany who are most liable to it The better part of Authors upon this Subject being amus'd with its Symptoms and Effects have vainly fancy'd to establish its original Seat in several Bowels that are only accidentally concern'd For if they trac'd it to its state of Infancy and first Beginning they had pitch'd upon the Stomac for the place of its Nativity and the Acid Viscous Crudities that a faulty Digestion occasions for its Causes For our further satisfaction in this matter we shall briefly run over its Symptoms And if we find that they owe their Being to an Acid Crudity in the Stomac shall reckon that we 've made our point good In the first place the Appetit is oft-times over-keen in Hypochondriac Persons their Digestion being weak and follow'd by Convulsive or Weighty pains in the Stomac Belchings Wind and noise especially in the left side of the Belly where the Colon is
the Hypochondriacal Fit The Specifics that are peculiarly devoted to the Scurvy are of two sorts 1. Such are the volatil sharp Ingredients that amend the indisposition of the Blood 2. Balmy Oily Medicines that repair the losses of the solid and nervous Pasts Of the first sort are Scurvy-grass Marsh Trefoyl Water Cresses Celandin Pilewort the Herb call'd Trinity Arsmart especially its distill'd Water Horse Radishes Mustard-seeds and those of Garden Cresses Rockets Scurvy-grass and Columbines To these we add the Juice of Sorrel Citrons Oranges and such like Acids to temper the volatil sharpness that frequently offends young hot Constitutions Of the latter sort are the Buds and Bark of the Pine or Fir Tree the Pine Apple or Pine Wood Sassafras Guajacum China Roots Juniper Wood Winter Cinnamon the Rinds of the Ash-tree Tamarisk Citrons and Oranges Water Germander Fumitory Wormwood Elecampane Zedoary Galangal Angelica Lovage the Fruit of the Knotberry-bush and its Electuary Cacao Nuts the flowers of Broom St. John's wort Elder and Saffron Earth-worms and Goose Dung given to a dram in Wine The Antiscorbutics of the former sort being volatil wo'nt admit of Decoction Upon which account we choose to infuse 'em in Wine for Cold in Whey for Bilious and in Milk for dry wither'd Constitutions As Take of fresh Scurvy-grass Fumitory and Water-cresses of each a handful Horse Radish Roots three ounces fresh Elecampane Roots an ounce Corants six drams Cut bruise and tye them in a Bag to be infus'd in Wine Whey or Milk of which exhibit a draught thrice a Day If they be infus'd in Wine 't will be proper to add half a dram of Crabs-eyes to every draught for preventing the bad effects of the acidity that prevails in Wine Take of fresh Scurvy-grass and Water-cresses of each a handful Elecampane Roots an ounce and a half Acorus Roots an ounce Shavings of Sassafras and Filings of Steel of each two ounces Orange-peel Citron-peel and Galangal of each two drams Tye 'em in a Bag as above If we desire to render 'em Purgative we add Senna Leaves black Hellebor Rhubarb and Salt of Tartar Take of the Juices of Scurvy-grass Water-cresses and Fumitory of each three ounces Ciâ—â—ons and Wood-sorrel of each two ounces clarify'd Goats-whey three pound Let 'em stand till they become clear then strain the Liquor and give five ounces for a Dose twice a Day adding to every Draught a convenient quantity of the Essence of Steel prepar'd with the Juice of Apples Take of the Chalybeat Cachectic Powder two drams Cuckow-pint Roots and Arcanum Duplicatum of each a dram distill'd Oyl of Scurvy-grass eight drops Make a Powder From the above-mentioned Simples we draw Spirits First by Fermentation then by frequent Cohobation upon fresh Ingredients These Spirits digested with the extract of Steel or with the extract and thicken'd juice of the other Ingredients yield noble antiscorbutic Essences that are given from half a dram to a dram To these we frequently joyn the distill'd Oyls of the same Plants and the volatil Spirits of Animals especially the Spirit of Sal-Armoniac and that of Earth-Worms Of the balmy Antiscorbutics that are calculated for the disorder of the Nerves and solid parts Sassafras China Roots the wild Pine-tree and the Pine-apple are the most noted As Take of the Buds of the wild Pine-tree two ounces China Roots sliced an ounce infuse 'em in two pounds of Ale and boyl 'em till the half evaporat Exhibit a draught of the strain'd Liquor warm Morning and Evening in order to sweat Juniper-berries Fir-tops and Raisins are also proper Antiscorbutics The extract of Juniper-berries or the thicken'd decoction of the Pine-apple reduc'd to Essences with the Spirit of Scurvy-grass are admirable for this purpose being given from forty to fifty drops But withal we ought to take notice that all Remedies prepar'd from the Pine-tree are enrich'd with a plentiful volatil Oyl that dejects the Appetit and if too long us'd causes Feavers Pushes or cuticular Eruptions in young People But both the Indications of subduing the scorbutical Acid and relieving the solid parts are admirably accounted for by a Milk diet The time of exhibiting Milk is after the general Evacuations and the use of Steel Goats Milk is accounted the best and for those who are feaverish we choose Whey If the Patient be of a lean dry Constitution and if the scorbutical Acid be fiery and sharp Milk alone is best But otherwise we boyl antiscorbutical Ingredients in the Milk or add their Juices and Spirits As Take of Goat's Whey a quart and boyl it in a close Vessel with a handful of fresh Fumitory leaves Then strain it and add to every draught twenty drops of the Spirit of Scurvy-grass and a little Sugar to prevent its curdling Thus let the Patient continue the use of it for some time interlacing a laxative every fourth day remembring always to walk after taking it in order to promote Urin and abstain from Wine and acid Liquors This method of infusing or boyling antiscorbuticks in Milk ought to be follow'd during the Spring and Summer but in the Autumn Wine is the more proper Vehicle The general Cure of the Scurvy being thus dispatch'd it remains to account for its particular Symptoms These are I. The Laxity Swelling Bleeding Ulceration or Putrifaction of the Gums For removing such Inconveniencies we use Gargarisms Tinctures Powders and Ointments The Gargarisms are made of the juice of Sage and Scurvy-grass or the Decoction of Sage and Scurvy-grass in Milk Whey or Wine Or of Privat-wood Pine-tree tops Cresses and Allum in Milk Whey or Wine To which we add by turns Snake-weed Roots Tormentil Birthwort Myrrh Lac Spirit of Salt c. As Take of Sage-leaves three handfuls Scurvy-grass and Water-cresses of each half a handful Flowers of Mallows two handfuls Polipody Roots six drams Boyl them in two pound of fair Water till the half be consum'd Then strain the Liquor and add of the Hony of Roses an ounce and a half burnt Allum a dram purify'd Nitre three drams seal'd Earth and Florentin Lac of each a dram Mix for a Gargarism If the Gums are putrify'd boyl Lesser Centory Plantan Savin Water Germander Roses Birthwort Roots and Mastic in austere Wine and add to a pound and a half of the strain'd Decoction an ounce and a half of the Ointment Aegyptiacum and a dram and a half of crude Allum Take of Plantan Self-heal and rose-Rose-water of each four Ounces Tincture of Roses Spirit of Scurvy-grass of each two drams Spirit of Salt Spirit of Vitriol of each a scruple Mix and rub the Gums After Gargarising the Mouth 't is proper to rub the Gums with Tinctures especially Mynsichtius his Tincture of Lac which may be improv'd by adding Myrrh and shifting the Phlegm of Allum for that of Vitriol The following Tincture is also very effectual viz. Pour warm Water upon Quick-lime and boyl it then let it stand till it be clear and strain it Draw off this strain'd Lye till a
mix'd with Camphyr and the Waters of the Flowers of Beans Solomon's Seal and Frog's-spawn or an Ointment made of Pepper Ginger Brimstone and Vngentum Pomatum In desperat Cases we must have recourse to Mercurial Compositions If the Skin be discolour'd by the Heat of the Sun Pushes Pimples or otherwise its natural Colour may be retriev'd by applying the Juice of Citrons or Vinegar impregnated with the Flowers of Beans Solomon's Seal Jasmin and white Lilly Flowers The Spirit of Wine Camphoris'd the Essence of Benzoin mix'd with fair Water are also recommended As also Powders made of dry'd Venice Soap white Poppy-seeds Starch Lupins Florentin Orris Magistery of Marcasite Mosch and Zivet or of Briony and Cuckow-pint Roots with Sugar of Lead and sweet Mercury which are mix'd with the Waters of figwort-Figwort-roots white Lillies Solomon's Seal Flowers of Beans and Roses and so applyed in the form of a Calaptasm Some mightily covet the Oyl of Talk as an admirable Cosmetic but since 't is not to be had genuin the Oyl of Tartar per Deliquium will supply its room The Decoction of Sublimat Mercury in common Water the water being boyl'd till the Acrimony be quite extinguish'd and than mix'd with Cerues and after a fresh gentle boyling clarify'd with the white of an Egg is a Wash of infinite use in Counterfeiting Colours The Mange or Scurf that frequently besets the heads of those who are lyable to the Scurvy French-Pox or Leprosie seems to arise from an Acid ingag'd in a viscid Vehicle that stagnats upon the out-Parts and shuts the Pores It is cur'd internally as the Scab Externally let the Head be frequently wash'd with the Decoction of the Herbs Southernwood Betony Celandin Soapwort Mallows the Roots of Marsh-mallows sharp pointed Dock and Burdock Pease Bay-berries and Coloquintida Let these Ingredients be boyl'd in Lye and reserve the strain'd Liquor as a wash for the Head Before we conclude this Chapter 't will not be improper to take notice of the sheding or off-falling of the Hairs which is remedy'd by washing with the Decoction of Rosemary Southernwood Hony Myrtle Berries Linseed and Oyl of sweet Almonds in Wine The Ingredients being first infus'd for twenty four hours and then boyl'd till the Moisture be consum'd and the remaining Juice express'd for use If the Hairs are gray we may indeavour to change their Colour by combing with a Leaden Comb wet with Aqua Fortis in which Silver is dissolv'd it being qualify'd with common Water Some commend the Ointment of Tobacco sharpen'd with Oyl of Bricks for an Universal Alopecia and exhibit inwardly the Essence and Decoction of Woods with Chalybeats SECT XVIII Of Diseases hindring the regular Reflux of the Blood to the Heart THERE are three Cases in which the regular return of Blood to the Heart is hinder'd 1. In Inflammations when the Blood stagnats in its Vessels 2. In Empyema's when the Blood is extravasated and lodg'd in some Cavity within the Body 3. In Haemorrhogia's or external Bleedings CHAP. I. Of Inflammations INflammations are occasion'd by the stagnation of the Blood in any part viz. When the Quantity imported is larger than what returns by the Veins The Symptoms attending 'em are 1. A Redness 2. A Heat 3. A Swelling and 4. Pain which is either accompany'd with a sense of the distention of the Fibres and Nervous Parts or a beating as arising from the rebounding of the Blood when disappointed of its Passage or a pricking as caus'd by the sharp Salts when strugling and tending to suppuration Now that stagnating Blood is apt to produce those effects is too plain to need a Proof The remote Causes which promote this Stagnation are either External or Internal The former are the occasional Compression Contusion or Distortion of the Vessels Pains or the shrinking and contraction of the Nervous Fibres and consequently of the Capillary Vessels as in Arthritic Pains and the Tooth-ach or when a Thorn or Wasp stings the Part. The internal Causes relate either to the general Disposition of the Blood Or the Infirmity of a particular Part. Those of the first sort are the thickness and viscidity of the Blood or its being Clotted by a prevailing Acid. Hence the infusion of an Acid Liquor into a Dog's Vein redundancy of Blood and the inconsiderat assumption of cold Liquors or exposing ones self to the cold after hot Exercises are apt to produce Inflammations Nay the Blood of Pleuritic Persons is visibly clotted when let forth and all the Medicines both internal and external that are recomended for Inflammations are such as dissolve or attenuat the thicken'd Blood and drink in the Acid. The Causes relating to a Particular part that is frequently more lyable to Inflammations than its other Companions are the weakness of the Innate Spirit of the Part the Relaxation Distention or disorder of its Fibres and the hidden remains of an Acid all owing to preceding Inflammations especially if they degenerat into Ulcers If the Acid be very prevalent the humor hardens and becomes a Schirrus not far distant from a Cancer If the Volatil Alkali and the Acid be more equally match'd they ferment together and combine into a salin purulent matter that discharges it self by an Ulcer If the stagnation be so great that small quantities of Blood cannot Pass and the innate Spirit of the Part cannot Correspond with the Animal Spirits the Blood corrupts and Causes a Gangreen If the Alcali of the Blood be more vigorous and powerful than the Acid it unlocks the Blood and discusses the Inflammation If an Inflammation happen in a temperat Season to young healthy People and settle only in a fleshy Part it is less dangerous than if it siez'd a Nervous Part or attack'd Cachectic old Persons For the most part all Inflammations are acute and accompanied by a Feaver As for the Cure of Inflammations Purging is pernicious Perhaps upon the account of the Feaver a gentle Laxative may be allow'd Or if the Belly be Costive a Clyster of Whey and Hony may be injected Bleeding is very proper espicially in the Beginning as well by way of Revulsion in the opposit side to the part affected as by way of Aversion in the same side at some distance and by way of Derivation just by it But we ought to be cautious of not over-doing and weakening the Patient or of being mis-led by the Practices of some in hotter Climats that cannot be look'd upon as precedents in ours What remains of the internal Cure is admirably accounted for by administring Volatil Sudorifics that unlock and attenuat the Blood and Absorbent Powders that inbibe the Acid. Of the former sort are the Spirits of Sal-Armoniac volatil Salt of Harts-horn Venice Treacle the Spirit of Venice Treacle Camphoris'd and especially the Spirit Essence Syrup or Water of Elder Flowers To all which we frequently add Laudanum Opiatum especially if unquietness thuart the design of Sweating The Absorbents are Harts-horn Ivory Unicorns-horn Diaphoretic Antimony Mineral Bezoar and
Seeds of Dill Rapes Mustard and Cummin Saffron Camphyr Swallow-wort the Dung of Animals the Juice of River-Crabs the Persons own Urine the Spirit of Wine Sal-Armoniac and Juice of House-leek The common Practitioners generally add astringent Ingredients whereas they are very pernicious and augment the Inflammation by hindring the Bloods access to the Veins upon which account we only use attenuating volatil Ingredients as for a Gargarism the Decoction of Rapes mix'd with Sal-Armoniac Or Take of Lovage-Roots six drams Smallage-Roots three drams Elder-flowers a handful and a half Mallows leaves a handful Boil them in Barley-water and add to the strain'd Decoction Hony of Mercury an ounce Spirit of Venice Treacle six drams spirit of Sal-Armoniac a dram Make a Gargarism After the beginning of the Disease Gargarisms are improper as requiring a motion prejudicial and painful to the inflam'd Parts Upon which Account we order the Patient only to let the Liquor lie in the Mouth for some time As for Discussing Cataplasms those of bruis'd Wormwood-leaves mix'd with Hoggs-Fat or of a Swallow's Nest boil'd in Wine apply'd to the Swelling are of excellent use For a Plaister we apply that of Melilot soften'd with distill'd Oyl of Amber For an Ointment the Oyl of sweet Almonds mix'd with Sal-Armoniac as also the following Oyl Take of Brimstone pulveris'd and Salt of Tartar of each a Dram. Melt 'em and let 'em stand 'till they grow cold Then pulverise the Mass and add of the Oyl of sweet Almonds three ounces Oyl of Camphyr half a Dram. Mix and set 'em to digest for three Days 2. If the Tumor be not quickly discuss'd we must set aside all sharp provoking Ingredients and endeavour to bring it to maturity by soft temperat ripening Medicines Such are the Decoctions of the Herbs Mallows and Melilot Marsh-mallows-Roots and Figs in Whey or Milk and sweeten'd with Hony for a Gargarism or the Oyl of sweet Almonds and Ointment of Marshmallows with which we anoint the outward Parts and then apply the following Cataplasm Take a Swallows-nest with the Dung three roasted Onyons and two or three handfuls of Elder-flowers Boil 'em in Milk Beat the Pulp thro' a Sive and add half an Ounce of Album Graecum half a dram of the distill'd Oyl of Chamomil and a sufficient quantity of the Oyl of White Lillies in order to make a Cataplasm 3. The Tumor being thus ripen'd we must endeavour to open it by anointing the Jaws with Hony mix'd with Dog's Dung Or if that be successless by a Gargarism of Mustard-Seed boil'd in Mead or of the Oyl of Vitriol mix'd with White-Wine and ordering the Patient to Cough and Hauk and in the last extremity administring a Vomit or opening the Larynx 4. When the Ulcer is open'd it ought to be cleans'd by the Decoction of Barly or Speedwell mix'd with Hony of Roses or Black-smith's Water for a Gargarism If it prove very sordid we may add the rectifi'd Spirit of Salt or Spirit of Vitriol and in desperate cases touch the Ulcer with Vnguentum Aegyptiacum or Platerus's green Water mix'd with Hony After 't is sufficiently cleans'd touch it with an Ointment of Myrrh Florentin orris-Orris-Roots Burnt-Allum and Hony of Roses and gargle the Mouth with vulnerary astringent mixtures As for the Thrush or excoriation of the Mouth it frequently attends Feavers when the Stomac is stuff'd with green rusty Humours and the Physician neglects to cleanse it and then it reaches from the Stomac to the Tongue In other cases it proceeds from the sharpness of Spittle If the Crust is black livid green flat and continues long dry it portends a tedious Disease The Cure consists in moistening and softening the affected Part. For which end let the Juice of Rapes or mucilage of Quinces with Nitre or fresh Butter and Sugar be applied to the Tongue If it degenerat into Ulcers gargle the Mouth with the Decoction of Speedwell mix'd with Hony or wash the Ulcers with the Phlegm of Vitriol and plantan-Plantan-Water In Scorbutical Cases add the spirit of Salt and that of Vitriol and for Venereal cases Platerus's green Water The falling of the Vvula is cur'd by applying to it Sal-Armoniac and Pepper gargling the Mouth with the Decoction of Self-heal mix'd with Sal-Armoniac and crude Allum or the Decoction of Hemp-seed in Vinegar and Water and applying to the Crown of the Head a mixture of Yest Spirit of Wine Mastic and Amber ART 2. Of Inflammations of the Stomac Guts and Fundament THE Causes of an Inflmamation of the Stomac are the same as those of other Inflammations The Symptoms are an Acute Feaver a Tumor a Pain and sense of Heat under the short Ribs an unquenchable Thirst unquietness and Watchings The profundity of the Pain the comparative invisibility of the Tumour and the acuteness of its Symptoms distinguish it from the Inflammation of the Liver or of the Muscles of the Belly Sometimes the Inflammation suppurates and then if the purrulent Matter fall inward upon the Guts there is not so much danger as if it were discharg'd into the external Cavity As for the Cure Purgatives during the increase are improper Bleeding ought to be cautiously manag'd by reason of the Swoonings and Convulsive Symptoms that attend this Disteâ—per Clysters are very convenient But the Sudorifics recommended above for Inflammations in general are the Basis of the Cure Especially Antimonial Nitre or the dulcifi'd spirit of Nitre mix'd with the Decoction of Liquorice for ordinary Drinking The Sugar of Lead mix'd with Poterius's Antihectic Pulp of Tamarinds Mineral Bezoar and Tartar vitriolated Externally foment with the Decoction of Chamomil and red Roses in Wine and apply discussing Cataplasms of Aromatick Plants boil'd in Wine If the Tumor incline to suppurat apply the following Cataplasm Take of Fenugree Seeds three Ounces Pigeon's Dung two Ounces Yest and Hony of each an Ounce Oyl of Chamomil an ounce and a half Mix c. As for internal Administrations In case of Suppuration exhibit Turpentin dissolv'd with the Yelk of an Egg in Scabious Water or the rectifi'd Spirit of Tartar and the Juice of Syrup of Scabious If the Tumour is open administer the Decoction of Hyssop mix'd with Hony or Chalybeat Milk or the Decoction of China-Roots and Scabious Leaves with absorbent Powders Balsam of Peru Balsam of Sulphur and the Oyl or Extract of the Flowers of St. John's Wort If the Stomac be ulcerated by the corrosion of sharp Liquors administer first a Vomit and then the Mucilages of Fleawort and Quince-seeds mix'd with Tragacanth and Syrup of Roses The Inflammation of the Guts is caus'd by Dysenteries Ruptures Iliac Pains c. The Symptoms are a Tumor Heat and beating Pain a Lipyria Feaver in which the external Parts are cold while the internal are unsufferably hot Costiveness Retraction of the Anus and suppression of Urine If the small Guts are the seat of the Inflammation it appears about the Navel and is attended by a difficulty of Breathing and Vomiting If the
into an Ulcer Clysters indeed are very Convenient when the Belly is Costive 3. Of all Medicines Sudorifics are the best especially for pleurisies In the beginning we exhibit volatil Salts and Opiats notwithstanding the violent Heat of the Disease and towards the height fix'd Diaphoretics especially Diaphoretic Antimony 4. Expectorating Remedies ought not to be administred till towards the height of the Disease when the matter begins to Concoct If they are given sooner they promote Coughing and consequently the frustraneous and painful concussion of the inflam'd Parts not to speak of their attempting to evacuat crude Matter However when their season comes we ought to beware of mixing 'em with Sugar Hony or sweet Acids 5. Opiats are only useful during the increase of the Disease they allay the pain and promote the Concoction of the Matter but in the height when the Matter is already prepar'd they hinder its due evacuation 6. There 's nothing more pernicious than cold Drink It hurts the Lungs increases the Inflammation provokes the Cough hinders Concoction and thwarts evacuation Therefore let their ordinary Drink be always warm and such as the Decoction of Barly and Liquorice mix'd with the Tincture of Poppy Flowers Now as for the Specifics that dissolve stagnating Blood those for a Pleurisie are of the same use in all Inflammations of the Breast Such are red Poppies Carduus Benedictus and Carduus Mariae especially their seeds chervil-Chervil-water the Decoction or Powder of burdoc-Burdoc-roots the Juice of Dandelyon the Soot of Wood-fire given to a dram in Elder Vinegar the Pizzle of a Whale or Hart given in Powder to a dram or by way of Decoction the Powders of Boars-teeth Pike Bones Pearch and Carp-stones given to two scruples the volatil Salt of the Jawbone of a Pike the Blood of a Goat or of a Hare strangled after Hunting dry'd and given in Powder to a dram the Infusion or Juice of Horse or Sheeps Dung the Powder of Pigeons Dung Sperma Ceti given to a dram with Castor the Spirit of Nitre dulcify'd with the Spirit of Wine impregnated by Cohobation with Antipleuritical Ingredients given to two drams the Bezoardic Tincture given to a dram the Flowers of Sulphur or Gunpowder given to a dram and Antimony calcin'd by the heat of the Sun The forms of prescription are as follows Take of the Seeds of Carduus Benedictus and Carduus Mariae of each two drams white Poppy Seeds a dram with Chervil-water make an Emulsion To which add of the Jawbone of a Pike half a dram Diaphoretic Antimony a scruple sweeten it for a draught in order to Sweat Take of the Waters of Carduus Benedictus and Chervil of each an ounce and a half of Treacle Water six drams clarify'd Juice of Dandelyon an ounce and a half prepar'd Crabs Eyes a dram and a half Syrup of red Poppies an ounce and a half Mix and exhibit two Spoonfuls every quarter of an Hour Take of the Extracts of red Poppy Flowers Holy-hocks and Misletoe of the Oak of each a dram and a half shavings of Boars-teeth and an Unicorn's Horn of each two drams Jawbone of a Pike a dram and a half the inner Rinds of Filberts a dram Antimonial Nitre half a dram Magistery of Coral a dram and a half with the thicken'd Juice of Scabious make a Mass of which a scruple is a Dose to be given in Poppy Flower Water Take of the Waters of Carduus Mariae Chervil and red Poppies of each an ounce the spirit of Venice Treacle Camphoris'd three drams Diaphoretic Antimony and Jaw-bone of a Pike of each half a dram volatil Salt of the Jawbones of a Pike twelve grains Laudanum Opiatum three grains Syrup of red Poppies an ounce Mix and give a Spoonful now and then Take of the Blood of a Goat a scruple Mineral Bezoar half a scruple Laudanum Opiatum a grain Make a Powder for two Doses Take of the spirit of Venice Treacle Camphoris'd three drams Essence of Saffron a dram Mix. Dose fifty or sixty Drops If these dissolving Medicines cannot discuss the Inflammation by Sweating we must indeavour to promote the Concoction and Evacuation of the Matter by Spitting For this end we first use thickening Ingredients and after Concoction those of an attenuating force Of the former sort are the Decoctions of Barly Liquorice Elecampane Scabious Jujubes Raisins Speedwell red Poppies c. An Apple excavated stuff'd with a dram of Frankincense or Mastic and half a dram of the Flowers of Sulphur and so roasted and â—â—hibited with Carduus Benedictus Water the spirit of Sal-Armoniac the Conserve of Violets the Syrup of Poppies with the Flowers of Benzoin and above all the fresh Oyl of Linseed given to three ounces in a convenient Vehicle or in want of that the express'd Oyl of sweet Almonds As for the latter Indication viz. Attenuating and Expectorating concocted Matter 't is compass'd by adding to the Decoction of these Ingredients in Mead the Syrups of Hissop Hedgmustard or Tobacco and especially the fresh Juice of Radishes and dulcify'd spirit of Nitre As for external Application 't is proper to allay the pain by fomenting the Part with the Decoction of Emollient and Anodyn Ingredients or applying Frogs-spawn with Burdock Roots or an Ointment of the Juice of Coleworts and Powder of Cummin seed or of the Fat of a Country Mouse or Hen's Dung with Oyl of Chamomil Or Thus Take of the Ointment of Marsh-mallows an ounce Oyl of sweet Almonds half an ounce distill'd Oyl of Cummin a scruple Camphyr nine grains Mix and anoint the part every three hours applying afterwards the Plaister of Melilot mix'd with the Plaister call'd Filii Zachariae and soften'd with the Oyl of Mullein Every thing must be applyed hot and the part kept very Warm If the Inflammation can neither be discuss'd nor dissolv'd by Expectoration 't will be needful to promote its suppuration by giving inwardly Preparations from Tobacco Ground Ivy Chervil and Scabious and applying outwardly Cataplasms of Holy-hocks boyl'd in Milk or the Plaister Filii Zachariae After 't is sufficiently Ripe we must provide for opening it by Vomiting Sneezing or administring the Decoction and smoak of Tobacco which is of Excellent use especially when the Imposthume is seated in the Lungs Otherwise we may discover the part where it lyes by the Heat Pain Swelling c. and open a direct Passage into it betwixt two of the Ribs When the Imposthume opens of it self its Matter do's not always run into the Cavity of the Breast as many imagine but is oft-times gather'd within the dilated Membran that surrounds the Pleura in which Case a Paracentesis or opening in the usual place for an Empyema is of no use After opening the Imposthume the next thing is to cleanse it by exhibiting the Decoctions of Chervil or rather the Syrup or Juice of ground Ivy and Syrup of Tobacco with the Balsam of Sulphur Balsam of Peru and the Spirit and Oyl of Turpentin Having dispatch'd the
attended by the signs of Concoction are good Omens Their Cure is the same as that of other Inflammations internally all preparations of Lead mix'd with Diaphoretics and externally the Plaister of Hemlock with the Oyl of Camphyr and the Syrup of Elder with Sugar of Lead are of excellent use ART 6. Of Inflammations and Vlcers of the Kidneys THE Inflammations of the Kidneys may proceed from Riding Falls Jumping Stones in the Kidneys excessive Venery c. Their Symptoms are a heat of Urine and Strangury a sense of heat and pain in the Loyns which by the Correspondence of the Membrans frequently reaches upwards to the short Ribs and along the back so that the Person cannot bow his Body and besides is frequently molested with Vomiting and likewise downwards towards the Ureter Bladder Huckle-bone and Thigh causing a numness in the Legs Sometimes when one Kidney is inflam'd the other is either by Sympathy seiz'd with Spasmodical Contractions or so oppress'd with the Quantity of Blood that 't is unfit for secretion and causes a Dysuria To these Symptoms we add Costiveness and Chilness of external Parts Sometimes a simple Stone in the Kidneys apes the Symptoms of an Inflammation but the continual Duration and Pulsation of the Pain the acute continual Feaver the heat and difficulty in making Water that attend the latter and are strangers to the former will point out the Distinction If an Inflammation of the Reins happen to weak puny Persons or be attended by doating or if it become an Ulcer 't is very dangerous The Flux of the Emrods is a good sign but white purulent Urine with the abatement of the Feaver and extenuation of the Legs and Thighs is a certain forerunner of Death As for the Cure the external Remedies are the same as those prescrib'd for a Quinsey and the internal are the Specifics for a Pleurisie especially Nitre Sugar of Lead and the Juice of River Crabs given with the Decoction of Prunes or the Emulsions of cold Seeds Purgations are noxious unless crudities disturb the Stomac in which Case the gentlest Laxatives are only allowable Emollient Clysters or those of Milk Turpentin and the yelk of Eggs are proper Diuretics in the Beginning increase the Inflammation but when the matter is concocted the more temperat sort of 'em is useful especially Winter Cherries Liquorice Turpentin c. Or Take of the Waters of Winter Cherries Broom and St. John's wort of each an ounce distill'd Vinegar six drams dulcify'd spirit of Nitre half a dram Tartar Vitriolated fifteen grains Syrup of Ground Ivy half an ounce Mix. Dose a spoonful or two Externally we first Blood 'em in the Arm then in the Ancle and apply the juice of House-leek with the juice of River Crabs and Camphyr to which we sometimes add the Oyl of Henbane or express'd Oyl of Poppies Langius recommends an Ointment of Crude Allum mix'd with the whites of Eggs. If by these means the Inflammation cannot be discuss'd we must promote its suppuration inwardly by the Decoction of Liquorice Barly Pellitory of the Wall c. And outwardly by Cataplasms of Emollient Ingredients boyl'd in Milk Ulcers of the Reins are sometimes the effect of Inflammations and sometimes of the Corrosion of a Stone The former are less dangerous and are attended by a whitish Urine which by standing precipitats a white Purulent Sediment whereas in the latter Case the Sediment is Ashy colour'd and the pain in the Loyns more biting and gnawing In either case fetid Stools are a good sign For Cure we first exhibit a Vomit in order to cleanse the Ulcer then Pills of sweet Mercury with Turpentin or Balsam Capivi the Decoction of Woods Parsley Chervil Chicles and Agrimony and above all the Troches of Winter Cherries and the Powder of dry'd river Crabs Or the following Decoction Take of Agrimony and Flowers of St. John's wort of each a handful Mastic-wood an ounce and a half Comfrey Roots half an ounce Seeds of St. John's wort three drams Boyl them in Water c. The Spaw Waters and absorbent Powders are also not improper If the Ulcer be seated in the out-side of the Reins and seize the Muscles of the Back it ought to be laid open ART 7. Of Inflammations and Vlcers of the Bladder THE Bladder having only a few small Blood Vessels is seldom or never inflam'd by internal Causes but mostly by external injuries or the assumption of Spanish Flies or the cutting of the Stone The Symptoms are a Distention Heat Hardness Tumor and unsufferable Pain in the Pubes a suppression of Urine Tenesmus Costiveness acute Feaver and sometimes Doating It is a dangerous Disease as being very apt to degenerat into a Gangreen unless it be seated in the muscular Neck of the Bladder in which Case it oft-times suppurats and becomes a troublesome Ulcer The suppuration is discover'd by the Remission of the Symptoms and when the Ulcer breaks by the evacuation of Purulent Matter with the Urine without it break into the Cavity of the Abdomen and then it frequently gains a Passage by Imposthumes in the Groyn For Cure we treat these Inflammations after the same manner as those of the Kidneys in order to discuss ' em As for Injections of Cooling Liquors they 're altogether useless partly because they do not reach the Part and partly because supposing their entrance into the Bladder they cannot conveniently be voided again The Ulcers of the Bladders ought to be carefully distinguish'd from those of the Urethra which frequently void purulent matter without the Urine and cause a violent pain in making Water which is not found in Ulcers of the Bladder unless they be seated just in its Neck Ulcers are cur'd by dulcifying the humors of the Body and consequently the Urine cleansing and consolidating the Ulcer and mitigating the Pain The Ingredients that are proper for these Purposes are frequently mention'd above The forms of Recipe's are as follows Take of the Herbs Agrimony Plantan and Horse-tail of each half an handful Liquorice Roots two drams Boyl them in Plantan and Betony Water till the third Part be Consum'd To half a pound of the strain'd Liquor add Hony of Roses an ounce and a half Mix and exhibit a Draught twice a day for mitigating the sharp humors for which end the Decoction of Ground-pine in Milk is also very useful Take of Turpentin six drams Hony an ounce with the yelk of one Egg dissolve 'em in four ounces of Spanish Wine Mix. Dose six drams for the abovemention'd use and for cleansing the Ulcer Take of the Shavings of Lignum Sanctum three ounces Roots of Sarsaparilla Liquorice and Eryngo of each an ounce of the Herbs Agrimony Speedwell and Ground Ivy of each half a handful Flowers of Roses and Violets of each three little handfuls Raisins an ounce and a half Boyl them in Water and exhibit a Draught of the strain'd Decoction frequently for consolidating the Ulcer Take of Liquorice Roots two ounces red Vetches a little
Prognostic of Empyema's those of the Brain attended by Vomiting are Mortal nay oft-times the Patient dies before the clotted Blood come to a Head Those of the Abdomen are frequently discharg'd by Imposthumes in the Groyn Those of the Breast if they be not cur'd betimes are apt to cause Phthisics and Consumptions If white smooth Purulent Matter be voided by Stool or Urine or copiously expectorated in an Empyema of the Breast and if the Thirst Inappetency Feaver and difficulty of Breathing relent 't is a good Omen But the reverse of these Circumstances is fatal The Cure consists in dissolving and evacuating the clotted Blood or promoting its suppuration evacuating the Pus and restoring the injur'd part to its due strength As for the evacuating Indication the efforts of Nature must be our Directory as if it incline to void the Matter by Urine Sweat or Stool it must be accordingly assisted If the clotted Blood be lodg'd in the Abdomen we give it Vent by a Paracentesis if in the Breast by opening the interval between the fifth and sixth Ribs reckoning downwards if in the Brain by a Trepanation All these Operations are both proper and safe if they be perform'd betimes and not put off till the Patient's strength be exhausted or the Matter be alter'd and render'd unfit for evacuation If it come by a prick we inlarge the Orifice of the Wound If the Person be Plethoric and the Blood be apt to boyl high or if the Evil was occasion'd by a Fall or Bruise Bleeding will be requisit especially that for Revulsion according to the Circumstances of the part As for internal Medicines The first in order are those which dissolve and disengage clotty Blood Such are the Decoction of Madder in Wine the Tincture of the lesser Dasies the Decoction of the Roots Leaves and Flowers of Arnic in Ale the Juice of the Herb Robert Sperma Ceti given to a dram Castor the Blood of Goats given to a dram Sparrow's Dung dissolv'd in Vinegar Man's fat melted given to half an ounce the Herbs Savin Ground Ivy Hyssop Chervil Wormwood St. John's-wort c. The Roots of Angelica Swallow-wort Birth-wort c. The Seeds of Carduus Benedictus Chervil and St. John's-wort the vulnerary Tinctures Bezoar Stone Diaphoretic Antimony and in a word all absorbent Powders especially Crabs dissolv'd in Vinegar These Ingredients ought always to be mix'd with evacuating Medicines that so the Blood when dissolv'd may be readily voided Thus if it be lodg'd in the Abdomen or if nature incline to void it by Stool we add Rhubarb and Laxatives if in the Breast we add Diuretics and Diaphoretics according to Nature's Motions In general Diuretics are the most proper The forms of Receipts are as follow Take of the Decoction of Ground Ivy a pound while 't is yet warm infuse in it over Night Rhubarb one ounce pick'd Senna Leaves half an ounce Salt of Tartar half a dram In the Morning strain the Liquor and add of the Powder of Crabs Eyes a dram and a half the Powder against Falls prescrib'd in the Ausberg Dispensatory a dram Sweeten it with the Syrup of Ground Ivy and exhibit a Draught now and then Take of the Powder of Crabs Eyes Sperma Ceti and Blood of Goats of each half a dram Mix for two Doses to be taken in Vinegar Note Vinegar renders the Crabs Eyes very Diuretic Take of Chervil Water three ounces Vinegar of Wine an ounce prepar'd Crabs Eyes a dram Diaphoretic Antimony a scruple Syrup of Ground Ivy six drams Mix for two Doses If the Head be bruis'd or Convulsions be fear'd add half a dram of the Cinnabar of Antimony Myrrh Laudanum Opiatum Spirit of Sal-Armoniac spirit of Treacle Camphoris'd Poppy-flower-water volatil Salt of Amber Essence of St. John's-wort and the vulnerary Essences may be added by turns Having dispatch'd the Cure of clotty Blood which for the most part degenerats into Empyema's we proceed to that of an Empyema it self which consists in evacuating the Purulent Matter qualifying its sharpness and strengthening the Part. The means for evacuation are either Natural or Artificial the latter are mention'd above The former are either Urine Sweat Stool or Spitting Empyema's of the Breast which may serve for a Pattern for all others as to the Cure for the most part empty themselves by Spitting and Urine tho' the Passages thro' which the Matter reaches either the Mouth or the Reins are yet undiscover'd However 't is a Physician 's part when he descry's Purulent Urine to exhibit Diuretics and when the Matter moves upwards and provokes Coughing to administer expectorating Medicines or rather a Vomit which is of wonderful Efficacy supposing still that there be no danger of a Spitting of Blood for in that case it ought to be omitted and shifted for expectorating Medicines temper'd according as the Matter is sharp or thick As for the sharpness of the Matter 't is admirably accounted for by exhibiting the Flowers and Balsam of Sulphur Balsam of Peru Myrrh and fix'd Antimonial Sulphurs such as Diaphoretic Antimony Poterius's Antihectic c. The injuries done to the solid parts by the purulent Matter are repair'd by Goats Milk and by the Decoctions of Woods Scabious Chervil and especially Ground Ivy. But Vulnerary or Balmy Medicines are not to be exhibited without such as evacuate one way or another nor without a particular regard to the Feaver that accompanies this Distemper As for Example Take of Hyssop and Scabious Water of each an ounce and a half the Flowers of Sulphur half a dram Diaphoretic Antimony a scruple Jovial Bezoar half a scruple Syrup of Tobacco an ounce Make a Potion for two Doses To which if the Feaver be high add a few Drops of the dulcify'd spirit of Nitre Take of the Water of red Poppies three ounces Vinegar of Wine six drams prepar'd Crabs Eyes a dram Diaphoretic Antimony half a dram Syrup of red Poppy Flowers six drams Make a Potion to be given by Spoonfuls Take of the Juice of Ground Ivy four ounces the Juice of Hore-hound two ounces With Sugar make a Syrup to which add of Frankincense and choice Myrrh of each a dram Mix. c. The Decoction of China Roots mix'd with Diaphoretic Antimony or that of Guajacum with the Juice of Ground-Ivy or that of Ox-bones with the Gelly of Hartshorn are also very proper The hot Balsams may be mix'd with Sugar of Lead when heat prevails Take of the Shavings of Gujacum an ounce Sassafras half an Ounce boil them in seven Pound of Common Water 'till a Pound and a half be consum'd Then add Ground-Ivy Flowers of St. John's-wort and the Herb Speedwell of each two handfuls liquorice-Liquorice-Roots half an ounce Fennel-seed six drams Corants bruis'd three Ounces Boil all 'till a Pound and a half more be consum'd Strain the Decoction and exhibit a Draught thrice a Day CHAP. III. Of Bleeding or the Bursting of the Blood Vessels THE stagnation of the Blood in its own Vessels
Make a square Plaister to be applied to the Loyns Take the expres'd Juice of ten River Crabs boyl'd in Milk and add to it three ounces of the Crum of white Bread three yelks of Eggs an ounce of Butter an ounce of the Oyl of Chamomil and half a scruple of Saffron Mix all for a Cataplasm to be applied to the Loyns for allaying the excessive heat of the Kidneys While these Prescriptions are in use 't will be requisite to look out for internal Med'cines In the beginning gentle Laxatives are useful They ought to be mix'd with the meekest Diuretics As Take of Tartar Vitriolat fifteen grains Salt of Broom three or four grains Scammony prepar'd with the Juice of Roses three grains distill'd Oyl of Turpentin a drop Make a Powder to be exhibited in the beginning of the Paroxysm Or Take of Turpentin a dram Rhubarb in Powder two scruples prepar'd Amber half a dram Cinnamon half a scruple with the Oyl of Turpentin make Pills for a few Doses Note Turpentin is both a Laxative and a Diuretic and upon that account highly useful in this case The Emulsions of Violet-seeds with Speedwell-water mix'd with Crabs Eyes are also very proper for the same purposes The first Passages being clear'd we exhibit such Medicins as mitigat the Pain and allay the sharpness of the Humours with gentle Diuretics Thus the Elixir of Juniper mix'd with the Essence of Opium and exhibited by Spoonfuls The Oyl of sweet Almonds mix'd with Pearch Stones and the Syrup of Mash-mallows And the Emulsions temperat Seeds are very proper In general Narcotics are very serviceable not only by allaying the Pain but by procuring Sleep and so strengthening the Spirits in order to the expulsion of the Stone To these we add the gentle and easie Diuretics As Take of prepar'd Crabs Eyes Sperma Ceti of each a scruple volatil Salt of Amber five grains Laudanum Opiatum two grains Make a Powder Sometimes we add Cinnabar of Antimony for preventing or removing the Convulsion of the internal parts Take twelve living Wood-Lice bruise 'em with two drams of the sharpest Tincture of Tartar then strain it and add a scruple of the Essence of Opium Dose thirty or forty drops The Tincture of the Balsam of Peru or that of Capivi are likewise very proper Take of the extract of Acorus sixteen grains Castor four grains Hysteric Laudanum six grains with the Oyl of Turpentin make Pills to be exhibited when a Vomiting and Hiccough attend the Stone in the Kidneys Take of the Water of Strawberries and Winter Cherries of each an ounce and a half Cinnamon-water three drams Crabs Eyes two scruples Egg-shells calcin'd a scruple purify'd Nitre half a dram Laudanum Opiatum two or three grains Syrup of Marsh-mallows half an ounce Make a Potion Take of prepar'd red Coral and Pearch Stones of each fourteen grains Diaphoretic Gold twelve grains Camphyr three grains Make a Powder for two Doses Take of Marshmallows-roots an ounce Liquorice-roots two drams Mallows one handful Violet-seeds half an ounce Boyl them in Barley-water To two pound of the strain'd Decoction add of the Syrup of Poppies two ounces prepar'd Crab's Eyes a dram Mix c. Sometimes we add Juniper-berries Carrot-seeds St. Johns-wort-seed c. Forestus's diuretic Decoction is much approv'd As also the decoction of Chamomil-flowers or that of Water-lillies In every draught of such Decoctions 't is customary to add a few drops of the Spirit of Nitre or of a mixture of the Spirit of Salt with the volatil Salt of Amber When the Symptoms attending the Fit begin to relent we must have recourse to strong sharp Diuretics such are the Juice of Radishes given to two ounces with Spanish Wine the Roots and Leaves of Horse-radishes infus'd in Wine or a Spirit distill'd from Wine in which Roots or Leaves of Horse-Radishes have been infus'd in a Cellar for fourteen Days together the Essence of Restharrow Burdock-seeds the Infusion of Ground-Ivy dry'd and Garlic Heads in the Spirit of Wine or that of Juniper-berries an Electuary of the Rob of Juniper and St. Johns-wort-seeds which when bruis'd smell like Turpentin and consequently must needs be serviceable both for cleansing the Veins and preserving their ferment by its balmy virtue Carrot-seeds infus'd in fermenting Ale The distill'd Oyl and volatil Salt of Ash-tree-seeds or the following Oyl Take of the inner rindes of Ash-tree-roots two pound fresh Juniper-berries three pound Turpentin a pound and a half Mix 'em with the Turpentin and digest all for the space of three Months in twelve pound of Water Then distill an admirable Diuretic Oyl Dose eight or ten drops in white Wine The Juice of the tendrels of the Birch-tree gather'd in March is of excellent use if drank like Spaw-waters As also the Water distill'd from Arsmart and frequently cohobated the Decoctions of the Indian Nephritic Wood the Gum of the Cherry-tree form'd into Pills or dissolv'd in Wine and the Nephritic Essences or Spirits of Winter Cherries Juniper-berries c. Timaeus recommends the Juice of the wild Tansey gather'd in May before the Sun-rising and that of green Rye mixt with red Wine To these we add the volatil Salt of Amber the Salt of Urine Nitre Spirit of Nitre and all nitrous Salts especially that of Pigeons Dung or the infusion of Pigeons Dung in Vinegar mix'd with Hony or the following Salt Take Nitre well fix'd and expose it to the Air. 'T will melt to the consistence of Pap. Then mix it with an equal quantity of the red Oyl of Vitriol When their Ebullition ceases draw off the Liquor with a strong Fire and 't will leave a white Salt of admirable efficacy against the Stone The Mineral and Animal Stones are likewise recommended in this case especially Nephritic Stones Crabs Eyes Pearch or Carp Stones the shells of Eggs especially Estrich Eggs. They are not directly Diuretic but they drink up the Acid that gathers the Stone and if dissolv'd in the compound Spirit of Salt are converted into a third Concrete that proves an admirable Diuretic The Lye of the calcin'd Eggshells the lixivious Salt of Quick-lime calcin'd with Sal-Armoniac are also much approv'd The decoction of Quick-lime in Water being strain'd and congeal'd yields a fix'd Salt which is either us'd in Powder or infus'd in rectify'd Spirits to which it gives a notable red Tincture that 's much commended Helvetius boyl'd Quick-lime in Vinegar and evaporated the decanted Decoction The remaining Salt he made red hot in a Crucible and extracted a notable nephritic Tincture with Spirit of Wine The Spirit of putrify'd Earth-worms is also a proper Diuretic or the Powder of Scorpions first wash'd then infus'd alive in Spanish Wine for 24 Hours and then bak'd in an Oven in a Pot cover'd with Sage leaves their Dose is four or five grains in a potch'd Egg. If the Wings Head and Feet of Crickets be lop'd off and its Body be macerated in Parsley-water 't will become a milky Liquor that 's very Diuretic
Extractum Phlegmagogum from half a Scruple to a Scruple Castor half a Scruple Troches Alhandal two Grains Rosin of Jalap one two or five Grains With the Essence of Castor make Pills To which you may add some sweet Mercury Next to evacuating Medicines we exhibit the sharp Volatil Cephalics which dispel the serous Humour and disengage the Spirits such are Spirit of Salt Armoniac Spirit of Mustard Seeds Spirit of the Lilly Convally Salt of Amber and especially Castor The Decoction of Tee is much commended in all sleepy Distempers The sharpest Cephalic Medicines are best As Take of Marjoram and Rue Water of each an Ounce and a half Apoplectic Water six Drams Essence of Castor a Dram and a half Spirit of Soot two Scruples Syrup of Betony one Ounce Mix c. Or Take of the Spirit of Mother of Thyme Spirit of Citron Peel of each a Dram and a half Spirit of Human Blood one Dram Mix. Or Take of the Conserve of Sage Conserve of Rosemary and Lavender Flowers of each one Ounce the Pouder Dianthos a Dram and a half Pouder of Cubebs a Dram Mustard-seeds and Castor of each two Scruples with the Syrup of Piony Flowers make an Electuary If the Lethargy proceed from a narcotic Virulency that has seiz'd the Spirits then the Volatil Acids are most proper especially the Volatil spirit of Vitriol and the Volatil Spirit of Verdigreese They are given from twenty to thirty Drops in any convenient Vehicle to which Castor always ought to be added it being an admirable specific in these Cases When a Lethargy proceeds from this cause prescribe thus Take of black Cherry Water Mother of Thyme Water of each an Ounce and a half Myasichtus his Hysteric Vinegar or Vinegar of Squills half an Ounce Essence of Castor two Drams Oxymel of Squills six Drams mix c. Or Take of prepar'd Amber a Dram Cinnabar of Antimony half a Dram Castor two Scruples make a Pouder for four Doses After the use of these Medicines the Cure may be compleated by the Sudorific decoctions of Woods c. Next succeed the sneezing and chewing Medicines which evacuate by the Mouth and Nose To this purpose are the sharp pointed irritating Medicines which ought always to be mix'd with Volatil Salts that so while the one irritates and provokes to an evacuation the other may penetrate and prepare the Humor As Take of Pouder of Tobacco Pouder of Lilly Convally of each a Dram white Hellebor Roots a Scruple Castor from twelve Grains to a Scruple distill'd Oil of Marjoram six drops make a Pouder to be blown into the Nostrils thro a Quill Or Take of white Hellebor Castor white Pepper of each a Scruple the distill'd Oils of Rue of Marjoram and Sage of each two drops mix and make a Pouder for the same Use This prescription was peculiar to Timaeus Or Take of Treacle of Andromachus two Drams Extract of Castor half a Scruple Pouder of Pellitory Roots one Scruple distill'd Oil of Amber six Drops mix and make a Medicine for cleansing the Palat. To these we add the external Remedies As Take of the distill'd Oil of Sage half a Dram the distill'd Oils of Castor and of Amber of each a Scruple mix and make an Oil with which anoint the Face and Temples Or Take of the distill'd Oils of Rue of Savory and of Mother of Thyme of each a Scruple Castor half a Scruple With a sufficient quantity of some convenient Balsam mix and reserve for Use Or Take of Swallow Water prepar'd with Castor two Ounces the Spirit of the Crystals of Verdigrease two Drams mix and foment the Face and Temples with iâ— Or Take of Vinegar of Rue two Drams Spirit of Verdigreese prepar'd with Sulphur two Drams Essence of Castor a Dram and a half mix and use as before Or thus Take of the Herbs Savory and Rue of each half a handful Zedoary half an Ounce Juniper-berries six Drams Laurel-berries half an Ounce Mustard Seeds and the Seeds of Water Cresses of each two Drams boil them in a sufficient quantity of Vinegar and foment the Face and Temples The Spirit of Vitriol and Vinegar applied to the Nostrils are of admirable use against feaverish Coma's As for the waking Coma's a Cataplasm of a fresh Horse Radish Root beat up with Rue Vinegar common Salt and a sufficient quantity of Lees may be applied to the Feet If the Lethargy proceed from Mercurial or Sulphurous Fumes c. let a Vomit be exhibited upon the first view then apply Vinegar and Castor to the Nose and likewise give it inwardly Or thus Take of Mint Water of Rue Water of Rue Vinegar of each an Ounce Essence of Castor six-Drams Syrup of Mint or of the Juice of Citrons one Ounce mix and let the Patient take a Spoonful often Where the immoderate Use of Opium causes a Lethargy Vinegar of Rue or of Squills or of Vitriol mix'd with Castor is a sovereign Remedy or if that prove ineffectual add Mustard Seed or Rocket Seeds or inject a Clyster of Spanish Wine If any sleepy Distemper ensue upon hard Drinking let a Vomit be first exhibited then foment the Forehead and Temples with Vinegar mix'd with the Juice of Smallage or apply the juice of Sengreen the greater with Vinegar and Nitre to the Scrotum Spirit of Salt Armoniac or of Soot are very serviceable in this Case Upon the whole the Remedies made use of in a Lethargy must be particularly appropriated to the Cause that produc'd it If it proceed from an external Cause Vomiting and the use of Vinegar with Castor will finish the Cure If it owe its Original to an internal Cause or be preceded by other Distempers the Cure must be vary'd according to the respective Indications There is a near resemblance betwixt these Distempers and what we call a Catalepsis in which the Patient is depriv'd of all Sense and Motion and seiz'd with a stiffness in his Members tho moveable by any external impulse and apt to remain in the posture they 're left in It is an uncommon Distemper and very surprising being accompany'd with a staring of the Eyes and distortion of the Countenance The Cause is the coagulation and fixedness of the Spirits it may remotely proceed from Cold suppression of the Terms Hypocondriac Fits Worms sulphurous Fumes and discontent of the Mind It is a dangerous Disease As for the Cure exhibit Antimonial Vomits and apply sharp Cataplasms or Suppositories Spirit of Wine is us'd in this Case both Internally and Externally SECT II. Of the Disorders of the external Senses EXternal Sense proceeds from the influence of outward objects upon the Organs where the Nerves are inserted The Animal Spirits ought naturally to bend and extend these Nerves so that when the outward Extremities are mov'd the same motion may readily be communicated to the Spirits in the Brain This secondary motion of the Spirits within occasion'd by the impulse from without is the foundation of internal Sense by
Light This is call'd a Suffusion If the Matter harden into a Membran 't is call'd a Cataract It generally sticks close either to the Horn or Grape Tunicle and seems to proceed from a preternatural Extension of its membranous Fibres 'T is always seated in the watry Humor tho it sometimes appears before the Coat call'd Vvea and sometimes behind it If this Membran cover the whole Eye the Sight is quite lost if it cover but the half the Object appears half'd if it exceed not the bigness of a small Point in the middle of the Eye and the Circumference is left open the Objects appear as if holes were made in them This last case is a true Suffusion The Signs are these In the beginning the Patient complains of Flies Smoak Cobwebs Filaments and such like before his Eyes the Color of Objects is alter'd and they appear either multiply'd half'd or cut asunder Thus by degrees the sight is darken'd and the Apple on the Eye grows dusky Some are seiz'd with Cataracts all of a sudden without any preceding Signs If the Colour of the Eye turn perfectly white 't is a compleat Suffusion As for Prognostics a young Suffusion is curable by the use of Medicines but an inveterat one is only to be cur'd by a chirurgical Operation If Light when brought near be quite imperceptible Surgery it self can afford no Relief If the Eye affected be watry and its Apple dilated while the other Eye is compress'd 't is some Incouragement for a manual Operation If not 't is a desperate case If the Cataract be not ripe and come to a sufficient Consistency it ought not to be touch'd with a Needle for fear the division of it should disturb the watry Humor or it reunite and become come more callous than before If it be of a long standing it sticks so close to the Coats of the Eye that it cannot be separated without rending them An ashy colour'd Cataract is generally ripe in five or six Months But if white it requires as many years If blew or green 't is incurable If yellow it must be taken in time else it becomes hard like a Horn. If the Cataract appear perfectly white it is a sign of Ripeness and withal of its remarkable Thickness In old Age a confirm'd Cataract from an internal Cause in one Eye portends the Invasion of another in t'other Eye and if couch'd it generally returns If the Headach either precede or accompany a Cataract 't is an ill Omen In the Method of Cure regard must be had to the degrees of the Suffusion if the Patient be only molested with the appearance of Flies Hairs c. before his Eyes 't is in its first degree When these filaments that cause such appearances are gather'd into a Membran 't is arriv'd at the second degree If the Membran be so thick and confirm'd that there remains no manner of Sight 't is finish'd to the last degree In the first degree Medicines are only proper In the second they may likewise take place but yield to manual Operation Internally we use Hoglice Eyebright Vipers boil'd in Ophthalmic Waters the Decoction of Woods Celandin Vervain Fennel Betony and such like The external Remedies must be very penetrating Antimonials are preferable to all others by reason of an Acid subtil Sulphur couch'd within ' em As Take of Glass of Antimony in Pouder from half a Scruple to fifteen Grains infuse in Water of Elewhottle Flowers Evebright-Water and Fennel-Water of each one Ounce Let them stand warm for the space of a Night in the Morning strain the Liquor and add six Grains of Camphyr-Drop it into the Eye while the Patient is laid on his back Or Take of the Eggs of Ants four Ounces and thirty Galls of Lampreys mix and distil with a slow Fire It yields a muddy Water which ought to be strain'd and applied to the Cataract in the Evening The distill'd Water of human Dung with the Gall of a Lamprey and Sugar-Candy dissolv'd in it is much commended Celandin the Greater and River Crabs half putrified and distill'd yield an Alcalin Water of excellent Use If these Medicines prove ineffectual we must have recourse to Quercetanus his Ophthalmic Water prepar'd from a Child's Urine and Vitriol to which the juice of Celandin may be added The White of an Egg harden'd and fill'd with white Vitriol and Sugar Candy and hung up in a Cellar melts into a Liquor which if diluted with Eyebright Water is of admirable Use in this Case The Spirit of Salarmoniac sharpen'd with Quicklime is the most penetrating Spirit and preferable to Spirit of Wine in which we are wont to dip Rags and apply them to the Eye Blistring Plaisters Issues and Setaces are serviceable in the beginning but are of no use in an inveterat Suffusion In room of them we may use what follows Take the Roots of Mezereon and macerat them in Water in which Nitre has been dissolv'd or in the Lees of Wine-ashes and afterwards dry them Make a little hole in the teap of the Ear with a Needle and put some of this Root thus prepar'd into it after the manner of an Issue It drains a great deal of Matter from the Head and Eyes In an inveterat case 't is probable a Salivation procur'd by Mercury may be serviceable Fonseca Mr. Boyle and Schenkius were of the same Opinion Besides the genuin Suffusion above-mentioned we meet sometimes with a spurious sort which ensues upon Hypochondriac Fits long Fastings and the Paroxisms of intermitting Fevers It generally depends upon the Disorders of the Stomac and oft-times disappears upon eating or at least is cur'd by stomachic Medicines viz. Aloe Mastic and Ginger A Cataract ought likewise to be carefully distinguish'd from what we call a Glaucoma that is when the Chrystallin Humor loses its Perspicuity and assumes a grey dusky Colour Old People are naturally obnoxious to it by reason of their scarcity of Moisture For if we take out the Crystallin Humor and put it betwixt us and Objects it magnifies them but if we dry it or boil it in hot Water it becomes thick and untransparent 'T is in vain to attempt the Cure in old Persons If the Patient be young we foment the Eye with Spirit of Wine or a Cloth dipt in it and apply'd to the Eye over Night Or infuse Borrage or Bugloss Flowers in Spirit of Wine and then use it Some commend a Tincture of Bugloss extracted with weak Alum Water and the distill'd Water of the Whites of Eggs. Thus much for the Obstacles which may embarrass the Passage of the Rays of Light If the Patient be insensible of their Influence when they have a free Admission the fault must lie in the optic Nerve and 't is call'd a Gutta Serena Obstructions or Compressions of the optic Nerve interrupt the Passage of the Spirits to the Eye and so cause the Blindness And a Tumor or Collection of watry Humors in the Brain or a violent Commotion
to the sudorific Decoctions The volatil Salt of Amber Camphyr the diaphoretic Preparations of Antimony and urinous volatil Salts are proper Alteratives in all Pains of the Head The Decoction of Tea in Wine or Water the Essence of Silver the volatil Spirit of Vitriol c. are of the like nature Take of prepar'd Amber from half a Scruple to fifteen Grains Cinnabar of Antimony half a Scruple Laudanum Opiatum one Grain distill'd Oil of Sassafras one Drop Mix for a Pouder Or Take of native Cinnabar or Cinnabar of Antimony a Scruple Extract of the Wood Aloe fourteen Grains Extract of Castor eight or ten Grains Laudanum Opiatum four or five Grains Make Pills for four Doses Or Take of the Conserves of Sage Flowers Rosemary Flowers and Clove Gillyflowers of each six Drams Amber a Dram native Cinnabar or Cinnabar of Antimony half a Dram of the Pouder Diambra and of the Pouder Diamoschus dulcis of each two Scruples with Syrup of Clove Gillyflowers make an Electuary Or Take of black Cherry Water Vervain Water of each one Ounce Water of Lilly Convally prepar'd with Wine six Drams the Spirit of Harts-horn with Amber two Scruples Syrup of Betony three or four Drams Or Take of the Spirit and volatil Salt of Harts-horn three Drams Essence of Opium tartariz'd one Dram Mix. Dose forty or fifty Drops Or Take of the compound Essence of Castor two Drams Essence of Amber and Spirit of Hartshorn with Amber of each a Dram Mix. 'T is profitable in a Catarrhous Headach 9. Among the external Medicines Vervain leads the Van. Next are the Flowers of red Poppies and the Herb Betony As Take of Betony two handfuls Wormwood one handful Cubebs two Drams Boil them in two Pints of Wine and foment the Head with the Decoction The Root of Rhodium may be beat up with Vervain Water and applied to the Head in the form of a Cataplasm Or Take of the Root of Rhodium an Ounce and a half Flowers of red Poppies and of Roses of each half a handful with three Poppy-heads boil them in Water and apply the strain'd Liquor warm to the Forehead and Temples Or Take of Vervain Water Water of Elder Flowers Betony Water of each one Ounce Pouder of Zedoary half an Ounce Use as above Timaeus fomented the Head with the following Mixture Take of Vervain Water an Ounce Betony Water Elder Water of each half an Ounce Pouder of Rhodium Roots two Drams Rose Vinegar six Drams Mix c. Emulsions made from narcotic Seeds and cephalic Waters or Decoctions of cephalic Herbs are sometimes us'd both inwardly and outwardly The following Infusion is mightily esteem'd Take of the Seeds of Henbane one Ounce Rose Vinegar five Ounces put 'em into a Viol well stopp'd and let them digest in Balneum Mariae for five or six hours Apply it to the Head with a Spunge The Ointment of Alabaster is us'd in all Pains of the Head Or Take of express'd Oil of Poppy Seeds a Dram express'd Oil of Peach Seeds two Drams express'd Oil of Henbane and distill'd Oil of Dill of each a Scruple with a sufficient quantity of Wax make a Liniment to be applied to the Temples Take of the Extract or thicken'd Juice of Vervain a Dram express'd Oil of Henbane half a Scruple make a Liniment 'T is excellent in scorbutic cases Take of Extract of Vervain and of Dill of each two Scruples express'd Oil of white Poppies and of Henbane of each half a Scruple distill'd Oil of Dill and of Chamomile of each five Drops In Chronical Aches external Narcotics are of no great use They may be fitly exchang'd for a Plaister of Tacamahac with distill'd Oil of Amber 10. If the Headach be caus'd by the Effervescency of the Blood a Clyster ought to be injected before Blood-letting Absorbent diaphoretic Pouders and gentle acid Juleps are proper outwardly we apply the Juice of Houseleek and Purslain warm to the Forehead Temples and Stones likewise Emulsions and Ointments As Take of Ointment of Alabaster three Drams Triacle of Andromachus or Philonium Romanum half a Dram express'd Oil of Nutmegs half a Scruple Make a Liniment Or Take of the fresh Juice of River Crabs three Ounces Betony Water Water of Chamomile Flowers and Water of Elder Flowers of each one Ounce Pouder of Zedoary two or three Drams Make an Epithema Or Take of the Herb Vervain of Violets of each a handful Of the Flowers of Roses of Elder and of Violets of each half a handful Tie them into a Bag and boil it in sharp Wine If a Plaister be more acceptable Take of the Plaister de Ranis with Mercury a convenient quantity of the Plaister of Betony and of Alabaster of each half as much Make a Plaister If there be any apprehensions of Phrensies or Convulsions Take of the Leaves of Rue a handful and a half Pigeons Dung an Ounce common Salt half an Ounce Capital Lees two Ounces With Elder Flower Vinegar make a Cataplasm to be applied to the Feet 11. If a Headach be caus'd by a redundancy or sharpness of the Serum and the Person be of a Plethoric Constitution first of all let Blood If Bleeding be inconvenient inject a Clyster or exhibit a Laxative then apply blistering Plaisters to the Neck or behind the Ears and in inveterat Pains to the Head In the interim Opiats may be cautiously exhibited and when the Pain relents Purging Sweating and diuretic Medicines may take their turns In order to provoke Sweating and Urine take what follows Take of the Roots of Elecampane of Avens and Sarsaperilla of each six Drams Roots of Florentin Orris and Shavings of Sassafras of each half an Ounce Of the Herbs Rosemary Sage and Chervil of each half a handful Galangal two Drams Fennel-seeds three Drams Boil them in a sufficient quantity of Water and add two Ounces of Syrup of Betony or of red Poppies to a Pint and a half of the strain'd Liquor Dose two or three Ounces twice or thrice a day 12. If the Pain be fix'd and obstinat it arises from a viscid tenacious matter which ought to be remov'd by the sweating Decoctions above mention'd and applying of Balsam or distill'd Oil of Amber and the Plaister de Ranis with Mercury to the Head When the Sutures of the Head open this Plaister is of excellent use in which case sharp Clysters are also proper As Take of the Electuary of Hiera with Agaric four Ounces Electuary of Bay-berries two Ounces Pouder of black Hellebor Roots an Ounce and a half the Gall of a Bull thicken'd three Drams Mix and add two Ounces to the common Decoction for Clysters For a change instead of the Plaister the Head may be fomented with this Decoction Take of the Herbs Rosemary Vervain Betony and Chamomile Flowers of each half a handful Boil them in Wine 13. If the Pain proceed from Cold discussing Medicines are requir'd As Take of Millet Seeds tosted a convenient quantity Common
form of a Syrup Let the Patient snuff up five or six drops in the Morning fasting leaning his head backwards and holding warm Water in his mouth The Obstruction of the Nostrils may be caus'd by a Polypus or fleshy Excrescency that fills up the space Sometimes it rises from the glandulous Membran at the top of the Nostrils but more frequently from the nervous Filaments in the sieve-like Bone Sometimes it descends to the inside of the Mouth Sometimes it has but one stalk at other times more It s Colour is white or red if it be livid and painful 't is near akin to a Cancer It proceeds from the Corruption and Redundancy of the nutritious Juice and the occasional breach of the Unity of the Part. If it be white soft and painless it is a good sign If 't is deep rooted and reaches to the nervous Filaments 't is dangerous The Cure is chiefly perform'd by external Applications If the Body be disorder'd 't is not improper to prepare it by internal evacuating and altering Medicines The external Remedies must be us'd in the last quarter of the Moon because the Swelling then decreases The milder sort are the juice of Pomegranats Mustard-seeds mix'd with Vinegar the juice of Onopostus a sort of Thistle the Pouder of Turnsole the Juice of Watercresses or the Juice of the roots of Aron all which may be applied with Cotton to the part affected The fiercer Remedies are sublimate Mercury Verdigreese and Lees the Acid mineral Spirits Aqua fortis c. As Take of the Juice of Pomegranats three parts Oil of Vitriol one part mix Or take of the Oil of Vitriol a scruple burnt Alum a dram Plantain Water an ounce mix and sprinkle the Polypus with it Or Take of the Cerecloth of Myrtles an ounce of the Ointment call'd Aegyptiacum two drams mix for a Liniment you may sharpen it with precipitat Mercury frequently wash'd Or Take of the Ointment Aegyptiacum half an Ounce the Rinds of Pomegranats and Galls of each half a dram Oil of Vitriol a scruple Mix and touch the Polypus with it every day In applying these Caustics care must be taken that they touch not the neighbouring parts by using a silver Fistula or Cotton or a Tent. If a Polypus have any tendency to a Cancer it ought not to be meddled with If it be ulcerated apply the Water or Ashes of Frogs Pouder of Crabs Lead melted and dulcify'd the Crocus of Steel and such like If it only hang by one stalk it may be cut off or a thread of Silk well wax'd ty'd about the root After 't is taken off the bleeding must be stopp'd by Astringents and the Pouder of Gentian with the Juice of Figwort applied on a Tent to the Nostrils in order to prevent its return The Smell may be adulterated by an Ulcer in the Nostrils call'd Ozaena which sometimes seizes only the membranous soft parts at other times the Cartilages and Bones It may occasion bleeding at the Nose or a plentiful Evacuation of sordid matter or a Corruption of the adjacent parts or a Polypus The external Causes of an Ozaena are various the internal for the most part is the Pox. It ought to be cautiously handled for fear of a Cancer If it be inveterat and affect the sieve-like Bone 't is not easily cur'd The Ulcer may be cleans'd by snuffing up the Decoction of lesser Centory and Aromatic Calamiâ—s in Wine till the patient be sensible of its falling into the Palat or Marjoram Water with Hony Myrrh Sugar Candy and a little Cinamon Take of the Ointment of Tobacco three drams Balsam of Sulphur for external use a dram mix and apply to the Ulcer The fresh Leaves of Tobacco may be put into the Nose and kept there some months then taken out and anointed with this Balsam If there appear a Crust upon the Ulcer it ought not to be remov'd by force but by applying Oil of Sweet Almonds or Oil of Roses with fresh Butter and then proceed to the cleansing Remedies among which Clary boil'd with Hony of Roses is the most noted The Decoction of Agrimony and Vervain in Hony or Child's Urine or the smoak of a red Wax-candle receiv'd at the Nostrils are proper for the same purpose Or Take of Marjoram and Plantain Water of each an ounce and a half rectify'd Spirit of Wine three drams Hony of Roses six drams mix and inject with a Syringe If it do not yield to these Medicines we must have recourse to Mercurial Preparations As Take of Plantain Water four ounces in which dissolve of Sublimat Mercury twelve grains strain the Liquor and apply it to the Ulcer Sweet Mercury well dulcify'd or precipitat Mercury with Ointment of Roses or the Ointment Aegyptiacum may be applied with a Tent to the Ulcer or Oil of Vitriol drop'd on a little Cotton may be applied twice or thrice and then follow'd by proper Ointments SECT III. Of the Disorders of the Internal Senses and Animal Functions THE Internal Senses depend upon the various Motion and Agitation of the Spirits in the Brain The Organs of External Sense communicate the Impressions they receive from Objects to the Original of the Nerves where a Motion not unlike to their own insues and is called Common Sense This Motion in the Common Sensory is imparted to the Spirits in the Corpus Callosum where the Fancy resides The Spirits thus mov'd roll to and again among the Nerves of the Cerebrum and Cerebellum and their frequent returns thro the same Passages are christen'd The Memory These Faculties are equally compatible to Men and Brutes and are distinguish'd from those of the rational Soul by their unacquaintedness with reflex Knowledg If they are disorder'd all the Functions and Motions of the Body suffer by it The natural and involuntary Motion sof the nervous Fibres that surround the Stomach and Guts depend upon the regular Recruits of Spirits convey'd thro the Nerves from the Cerebellum and those of the Muscles which obey the command of our Wills are owing to the due distribution of the Spirits from the Cerebrum This Motion of the Muscles is perform'd by contraction The Spirits croud into the Cavities of the Fibres and by extending their width abridg their length and in the interim the arterial Blood flows copiously into the middle of the musculary Fibres where it meets with least resistance Thus the bloated Muscle contracts it self and exchanges its Rhomboides Figure for a Rectangular Form CHAP. I. Of a Swimming in the Head or a preternatural Commotion of the Spirits in the Brain THERE are several degrees observable in this Distemper Sometimes there is only an apprehension that all things are carry'd round and toss'd up and down sometimes 't is attended by a dimness of the Eye-sight and a false representation of various Colours and ofttimes the Sight is quite lost and the Person falls down which is mostly follow'd by Convulsions and a tingling in the Ears The part affected is
Tacamahac and Galbanum softn'd in distill'd Oil of Amber and Oil of Bricks may be applied to the Joints If the Ligaments are much unbended and flat apply Crollius's styptic Plaister soften'd with Oil of Bricks and Oil of Earth and in the mean while endeavour to procure Sweat by giving Venice Triacle inwardly Barbette recommends the following Plaister Take of Gum Caran half an Ounce Galbanum an Ounce Oil of Euphorbium a Dram and a half Make a Plaister If the Disease proceed from mercurial Fumes exhibit the Decoction of Elecampane and Fennel and after the Mercury is thrown out by sweating let the Patient drink Whey or Milk In a scorbutic light Palsy the urinous volatil Medicines and Milk are proper The Decoction of Pine-Apple is likewise much commended Or Take of the Tendrels of Fir an Ounce and a half China Roots an Ounce cut them small and boil them in Ale and Water till the half be consum'd Give a draught of the strain'd liquor twice a day These Ingredients may be also boil'd in Milk The Decoction of Betony with Juniper berries or an Essence prepar'd from the Rob of Pine-apples with some Antiscorbutic Spirit and mix'd with Castor are very proper After a regular use of fix'd Absorbents and volatil Medicines Milk or Whey mix'd with Antiscorbutics is a sovereign Remedy but it ought always to follow these Premises Issues and Setums are not improper in this Case If a Palsy proceed from the Colic the Belly must be chiefly taken care of Lenitive Clysters of Turpentin and Milk frequently injected and strong Purgatives carefully avoided The Decoction of Elecampane of Millet-seeds and the four hot Seeds and Sassafras are proper Sudorifics Whey mix'd with Antiscorbutics is much esteem'd Let the Navel and part affected be fomented with Spirit of Tartar or of Sal Armoniac and anointed thrice a day with Paracelsus his Galbanetum So much for the internal Cure of Palsies It remains now to consider the external Forms If the Disease be inveterat and the Part begin to wither temperat fat Oils are proper If the sense of Feeling be not much impair'd and the power of Moving only lost the strong Apoplectic Waters or rectify'd Spirit of Wine in which the Pouders of Mustard-seeds Pepper Rue-seeds Nettle-seeds aron-Aron-roots and Pellitory of Spain have been infus'd and digested are fit for external Fomentation Or Take of fresh Tobacco-leaves a handful or two Leaves of Origanum Flowers of Elder of each a handful Roots of Angelica from an Ounce to two Ounces Roots of Pellitory of Spain Aron-roots of each an Ounce Euphorbium Castor and Myrrh of each from half an Ounce to six Drams white and black Pepper of each three Drams Flowers of Arabian Stechas of Lavender and Lilly Convally of each half an Ounce Rocket-seeds or Mustard-seeds Seeds of Mountain-Siler from six Drams to an Ounce and a half cut and beat them small and pour upon 'em of rectify'd Spirit of Wine two parts of Spirit of Earth-worms one part digest 'em in a Balneum Mariae and draw off the Spirit by distillation With which foment the parts immediatly after sweating Or Take of the Herbs Rosemary Sage Marjoram or Lavender of each a handful Lavender-flowers Lilly Convally-flowers and Rosemary-flowers of each two little handfuls Juniper-berries an Ounce Mustard-seeds from half an Ounce to an Ounce Castor three Drams black Pepper a Dram and a half Infuse them in Spirit of Wine and after digestion reserve the strain'd Liquor for use as above And if the Disease be accompany'd by scorbutic Pains add to it some Spirit of Sal Armoniac prepar'd with Quick-lime Or Take of Aqua Articularis for external use two three or four Ounces Spirit of Sal Armoniac with Quick-lime from an Ounce to two Ounces Spirit of Earth-worms prepar'd by putrefaction half an Ounce Mix and bathe the part thrice a day Or Take of Spirit of Wine camphoris'd three Ounces Spirit of putrify'd Earth-worms an Ounce Essence of Castor six Drams Mix and use as above Or Take of Apoplectic Water three Ounces Spirit of putrify'd Earth-worms and Spirit of Sal Armoniac succinated of each half an Ounce Mix c. In a Colic Palsy rectify'd Spirit of Tartar mix'd or cohobated with Spirit of Wine tartaris'd are externally us'd with great success Balsam of Peru dissolv'd with the Yelk of an Egg and mix'd with Essence of Amber extracted by rectify'd Spirit of Wine is much approv'd for external use in all sorts of Palsies Take of common stinging Nettles three handfuls Chamomil one handful Cumin-seeds a Dram Salt three Ounces beat 'em well in a Mortar and boil them in a sufficient quantity of human Urine till the fourth part be consum'd Bathe the part Morning and Evening with this Decoction and wrap it up in a Cloth dip'd in the Liquor and after three or four days anoint it with Oil of Foxes In Apoplectic Palsies pricking with Nettles is a very successful Remedy Bathing in fermenting Wine or such as is reduc'd to a Fermentation by throwing Quick-lime into it is of extraordinary use both against Palsies and Sciatica's for by this means the volatil Tartar of the Wine insinuats it self into the Part. A bag full of Ants thrown into boiling Water yields a Vapor which is conveniently receiv'd upon the part is very serviceable after the Bag has lost its smell it may be boil'd in Water for the Patient to bathe in Take of Brimstone and Bay-berries of each half a pound Roots of Gentian three handfuls Roots of Elecampane and long Birth-wort of each two handfuls boil them in Quick-lime Water for an artificial Bath The last Refuge is the Hot-baths But if a Colic or use of Wine gave rise to the Disease or arthritic and gouty Pains accompany it they are not proper In a word they are more convenient for a Sanguin or Phlegmatic than a Choleric Constitution Take of the Herbs Marjoram and Sage of each a handful Rosemary two handfuls Juniper-berries four Ounces Bay-berries two Ounces Roots of Pellitory of Spain an Ounce Boil them in Water and place the hot Decoction under the Person 's Feet that the Fumes may ascend Take of Galbanum half a pound Oil of Turpentin a pound and a half distil the Oil from them to which add an Ounce of Oil of Lavender and then repeat the distillation which produces an excellent Balsam to be digested and circulated with rectify'd or tartaris'd Spirit of Wine This may be applied to the Navel Back or Part affected as occasion requires Take of white Rock Oil two Drams distill'd Oil of Amber half a Dram distill'd Oils of Lavender Marjoram and Spike of each a Scruple mix and anoint the affected parts As for Plaisters those of Tacamahac are most approv'd especially when the Nerves are overcharg'd with Moisture But if the Person be scorbutic or the Part depriv'd of all manner of Sense temperat oily things are best As Take of human or Goose fat of each three four or six Ounces distill'd Oil of Turpentin
mad or not in order to prevention the manner of the Discovery is this apply and rub upon the Wound Crum of Bread till it is impregnated with the moisture and if a Dog will neither eat nor smell to it or dies if he does 't is a sign the Creature was mad Sometimes this Disease is accompany'd with a Feaver and sometimes not The Signs that attend its beginning are an anxious heaviness of Heart Anger without a manifest Cause complaining of the offensiveness of the Ambient Air heaviness of the Body c. The Signs of a perfect Rabies are Convulsive Distentions of the Members a bloated Face anguish of Heart frothing at Mouth frightful Eyes barking like a Dog or otherwise aping the infecting Animal restlesness perpetual Watching c. but especially an Hydrophobia or shrinking at the sight of any Liquor If taken at the beginning it may be cur'd with proper Remedies but if it is come to perfection and accompany'd with an Hydrophobia it is an acute Distemper which seldom admits of Cure but brings Death the second or third or at most the fourth day from the Invasion of this Symptom In the Cure of this fatal Distemper two Periods of times are to be noted 1. That of receiving the first Hurt or Wound 2. That of the supervening Madness and subsequent Hydrophobia To begin with the latter we must endeavour by all means to explode that venomous Ferment already possessing the Mass of Blood This must be done by internal Antidots as well common as specific such are Roots of Gentian and Swallow-wort Galen's Mad-wort Rue St. John's-wort Pimpernel Carduus Benedictus Fuller's Thistle Sage Betony Myrrh and the like As Take of the Leaves of Rue Sage Plantan Polypody Vervain common Wormwood Mint Mugwort Baum Betony St. John's-wort Lesser Centory of each a convenient quantity beat them into a Pouder to be taken from one to two Drams in hot Broth or a draught of Wine or in half a Dram of Venice Triacle and Syrup of Lemmons for forty days together at least The Waters of Germander Carduus Benedictus Tormentil Triacle white Maiden-hair and the like are convenient Vehicles for such Pouders Moreover seal'd Lemnian and Melitean Earths are good also Venice Triacle Mithridat Electuarium de Ovo c. but above all Theriaca Diatessaron with Opium As Take of the Water of the Flowers of St. John's-wort an Ounce and a half Venice Triacle half an Ounce Bezoardic Tincture a Dram and a half Essence of Crabs-eyes a Dram mix them for one Dose Or Take of Venice Triacle one Dram Salt of Wormwood half a Dram let them be taken in a Draught of sharp Wine The use of these and such like Antidots must be persisted in for two or three Months for oftentimes after it has lain hid for some Months nay sometimes years the Hydrophobia will again show it self so that tho the use of Sudorifics may yet that of Specifics ought not to be discontinu'd As for example Take of prepar'd Crabs-eyes burnt Hartshorn prepar'd and prepar'd Jaw-bone of a Pike of each a Dram. Mix and make a Pouder The River-Crab alone is a Specific against the biting of a mad Dog It must be gathered in the Dog-days and calcin'd alive A Dram or two of the Ashes with a Dram of Pouder of Gentian may be given in a Cup of good Wine the Patient being prepar'd for Sweating But the better way of exhibiting River-Crabs is to distil them being well bruis'd with an Alembic in a Water-bath so you shall have the fam'd Water of Crabs and what remains at bottom may be given inwardly from half a Dram to a whole one in their own distill'd Water adding Pouder of gentian-Gentian-root or Pimpernel Or Take of Venice Triacle a Dram River-Crabs thus prepar'd Roots of Pimpernel of each half a Dram. The Root of the wild Rose-tree is commended by the Antients Staeckerus us'd to give a Dram of Pouder of Gentian mix'd with as much Venice Triacle every Morning for three days injoining the Person to fast five or six hours after and make account to sweat having first ty'd on the Wound Garlic Rue and Salt bruis'd and mix'd in the form of a Cataplasm which Method he says never fail'd him Some Remedies are taken from the mad Creature it self such as its Blood pulveriz'd given to a Dram for three days Its Hair Heart or Liver boil'd or pouder'd Some plunge the Patient into cold Water over head and ears suddenly keeping him under Water a small time Purging is sparingly to be us'd and that only when the Hydrophobia is but just a beginning in this Case white and black Hellebor as also Species of Hiera picra are proper Strong Diuretics are not amiss among which Valerian and Cantharides are Specifics As to the Wound by which the Infection is receiv'd so soon as possible the malignant Poison is to be drawn forth lest it diffuse it self through the blood Let the Hair of the mad Creature if it can be had be laid on the Wound or the place being scarify'd and cleans'd with the exactest care apply this Cataplasm Take one of the sharpest Onions five Cloves of Garlic and half of its Root Venice Triacle six Drams with half an Ounce of Yest make a Cataplasm Several other things may be added such as Hony Mustard-seed Germander Gentian c. Some apply the Liver or Flesh of the Creature as also live Pigeons others use Scarification and Cupping-glasses others wash the scarify'd Wound with Wine or its Spirit camphoris'd Brine Salt Water Decoction of Germander or gentian-Gentian-root in Water or Wine applying afterwards the following Plaister Take six Ounces of Wax Oil of Olives and Goats Fat of each three Ounces melt them and add of best Frankincense half an Ounce The Wound is to be kept open for some time or even enlarg'd and if it is clos'd up before the compleat Cure of the Disease it must again be open'd But the most safe and withal the most speedy Remedy is burning with a hot Iron or an actual Cautery which utterly destroys all the Poison abolishing its seminal Crasis and so leaves the Patient secure as to the fear of dismal Events This were the proper place to treat of the Delirium Musicum occasion'd by the biting of the Tarantula and cur'd by Music but seeing it is not to be found with us we shall pass it over As for Deliriums proceeding from poisonous things whether taken down by the Mouth or drawn in with the Breath the first is cur'd by a Vomit given at first and the last after universal things are premis'd by Vinegar Castor and Camphyr given together or separately with proper Medicines As for Love-fits they are remov'd partly by rational Perswasions and partly by such Medicines as have been prescrib'd in Melancoly and Melancolic Distempers with this only difference that the milder sort will here prevail AN ABRIDGMENT OF ETMULLERUS HIS Practice of PHYSIC c. BOOK III. Of the Diseases peculiar to the
if withal the Texture of this glandulous Membran is by frequent runnings rendred loose and flaccid in this Case I say there follows a continual and much more copious Flux of a serous Liquor of various Colours as yellow black or green and sometimes of a noisom smell This Flux is accompany'd with Cachexies loss of Appetite swelling of the Feet Belchings Weakness dulness of the venereal Appetite c. and ofttimes occasions Barrenness If it is of long continuance the Cure is hard especially in old Women if the matter is sharp it causes Itchings Burning Exulcerations of the Genitals Gangreens and at length Death In curing this Distemper we must first retrieve the Chylification of the Stomach by vomiting and stomachical Medicines 2. Correct the cachectic Crudity of the Blood partly by Steel and partly by volatil Salts and Aromatics 3. In particular we must resist the Disease with Specifics And 4. Repair the injury done to the solid parts with astringent and nervous Remedies Two Scruples of the Pouder of Asarum-root given after the use of Digestives is the choicest Vomit Purgatives are of no use but Sudorifics as Guaiacum Sassafras Juniper-wood c. and Diuretics as Turpentin c. may fitly supply their room Take Turpentin wash'd in rose-Rose-water half an Ounce Pouders of red Coral and Bole Armenic of each half a Dram. Mix and take it twice a week fasting 't is an excellent Diuretic Rosemary is of noted efficacy to which some add leaves of Mint and Baum also the Roots of Galangal Cyperus Avens Marjoram Clove Gilly-flowers and their distill'd Oils also vulnerary Herbs as Ladies Mantle Agrimony c. Of Steel Medicines the chief are Liquor Martis Solaris Tincture of Steel with Tartar its Solution in Juice of Quinces c. Internal Specifics for this Flux are such as allay the saltish Acid dry up watry Humours and leave some astriction behind such are Misletoe of the Oak in Substance and Decoction the Decoction of the Pine-nut with the Wood of this Misletoe is an admirable Remedy drop Fern Tormentil Solomon's Seal Angelica and the like Garden and wild Clary us'd any way for internal or external Use dead Nettle with the white Flower its Water Conserve or Decoction Walnut-shells white flower'd Millfoil fern-Fern-root Melilot with the white Flower Plantane Horse-tail white Daisy Woods of Mastic Guaiacum and Sassafras Chalybeat Milk mix'd with Bole Armenic shells of hatch'd Eggs either crude or calcin'd given to half a Dram the Bone of the Cuttle-fish Jaw-bone of a Pike River-Crabs Capons head powder'd burnt Cork given to a Dram Amber and its Preparations prepar'd Crystal Pumice-stone crude or calcin'd Diaphoretic Antimony feathered Allum Osteocolla the Pizzle of a Hart or Whale Of these Ingredients various Receipts may be prescrib'd As Take Ostoocolla prepar'd half an Ounce prepar'd Crystal and Jaw of a Pike of each a Dram with the Conserve of Rosemary-flowers make an Electuary to be taken twice or thrice a day Take Walnut-shells two Drams Aniseed a Dram. Mix and make a Pouder for four or five Doses Among external Remedies the Ointment of Clary is famous viz. Take Clary and beat it up with Butter let it stand sometime to putrify then boil and strain it with this anoint from the Navel to the Groin using it also by way of a Pessary Natural Baths are useful as also artificial ones made with Quick-lime Allum Sage Clary Mugwort Feverfew c. or Injections of the Ashes of Walnut-kernels with Wine Some use Fumigations with Mastic Frankincense Nutmeg Amber c. Or convey the Smoak of Sage by a Pipe Issues in the Thighs Legs and Shoulders are of use to divert the Humours SECT II. Of the Disorders of Women relating to the venereal Appetite CHAP. I. Of the loss of Virginity IN the outer Neck of the Womb behind the Urinary Passage there is a transverse Membrane plac'd which if the Lips of the Privity be drawn aside resembles a Crescent with a hole in the upper side but when the Lips fall together it has the appearance of three small fleshy Prominences like Myrtle-berries In the Integrity of this Membrane together with the straitness of the Vagina does Virgin-Innocence consist and Virginity is said to be lost when by the admission of the human Yard the former is violently broken or loosened and distended and the latter widened tho yet in the mean while it may be violated by other means Tho Virginity once lost can never be properly restor'd yet an artificial one aping the true may be obtain'd by straitning the Genitals and retrieving their natural Tone which is effected by Baths and Fomentations prepar'd of Astringents such as the Root of the greater Comfrey Plantane Ladies Mantle Rob of Acacia c. to which Allum must still be added As Take of Oak and Plantane-leaves of each a handful Root of the greater Comfrey three Ounces Galls an Ounce Allum half an Ounce boil them in water This Decoction may be injected by a Syringe or apply'd externally with a Spunge Moreover if we frequently foment the great soft and flagging Breasts of Women that have conceiv'd with the distill'd water of green Pine and wash them with the same at night letting them dry of themselves they will become little round and hard Ladies Mantle Feaverfew and Clary are also of use for this purpose That which provokes Virgins to forfeit their Title to the Angelical Character is Lust which they begin to entertain about the age of fourteen when the menstrual Flux commences CHAP. II. Of the Depravation of the venereal Appetite THE venereal Appetite or Lust is nothing else but a tender sense and tickling of the extended Clitoris caus'd by the influence of seminal matter abounding in the two glandâ—ous Prominences and other Glandules of the Vagina This according to nature ought to be moderat however it is sometimes deficient and sometimes it exceeds The languishing of the venereal Appetite is frequently occasion'd by the paucity of Genital Liquor and its want of Spirits proceeding sometimes from another Disease as the Scurvy Whites c. But if this Appetite is altogether wanting I am of opinion it is a default in the Structure or Conformation of the parts and admits of no cure As to the former it is an Evil of little danger save that it is ordinarily accompanied with barrenness The want of Genital Liquor may be supplied by the use of juicy Food and volatil Aromatics such as Musk Civet and Amber But if it is only the effect of other Causes 't is cur'd by their removal Externally foment with the Infusion of Ants together with their Nest and anoint the Groin and Privities with the Oil of Ants or with Aromatic Oils or Apoplectic Balsam mix'd with Civet and Musk. If the seminal humor contain'd in the glandulous Substance of the Vagina either by too long retention or otherwise become sharp saltish or somewhat acid it excites sometimes in the places through which it passes such an itching as disturbs Sleep
are to be us'd internally such as those of Rupture-wort Mousear Knot-grass comfrey-Comfrey-root Cyprus-Nuts Betony Tormentil c. to which Anise and Fennel-seeds and the four greater hot-seeds may be added Externally also Astringents must be us'd the place may be fumigated with their Smoak or their Decoction injected or the Privity fomented therewith or a Pessary of carded Wool may be dip'd in it and apply'd Such Astringents are Galls Oak-leaves and those of the Myrtle Sloe-tree Horse-tail Ladies-Mantle Milfoil Pomegranat-rind Sumac and the like which may be boil'd in forge-Forge-water adding Allum if the Parts be not excoriated or exulcerat The Moss of the Oak-tree also and Nettles and Sun-flower are commended For a Palliative Cure you may use Wax or Cork white Wax or the Mass of a Plaister made of Wax Colophon Gum Elemi and the like shap'd into a round oblong or pear-like Form according as there is occasion with a hole in the middle and a thread fasten'd to 'em their bigness must exactly answer that of the Vagina But if it is only an Excrescence or one or two wrinkles of the Vagina or if the Vagina it self being fallen down is altered by the Air or corrupted or ulcerated it must be cut off by the Root a Ligature being first made with a Thread and then it must be cur'd as an Ulcer CHAP. II. Of the Inflammation of the Womb. THIS is caus'd by Blood stagnating in the Pores of the Womb which is occasion'd either by too frequent Coition or cold catch'd after Labour or the Terms or by hard labour The Signs are a Swelling Heat stretching Pain of the Genitals Groin and Navel which if the Finger is put up into the Genitals is exasperated extending to the Lips Back-bone and Shoulders the Vagina is red with swollen Veins the Terms suppress'd with a burning continual Fever Thirst driness of the Tongue Head-ach Delirium and Convulsions It is dangerous enough and is easily converted into a Gangrene Discussion is safer than Suppuration sometimes it degenerates into a Schirrus and is accompanied by a Dropsy The Patient must in the beginning be let Blood at the Arm and a Clyster being given next day at the Ancle afterward you may use temperat emollient and resolving Clysters of the Decoction of Lettuce Mallows Violet-leaves Flowers of Chamomil c. boil'd in Lime-water mix'd with Lenitive Electuary solutive Syrup of Roses and Nitre To loosen the Belly give Decoction of Tamarinds wherein Senna with Cream of Tartar has been infus'd Externally we foment the Groin or apply Cataplasms of Mallows Marsh-mallows Pennyroyal Mugwort Melilot c. boil'd in common or Lime-water or Wine CHAP. III. Of Vlcers of the Womb and Vagina THE Causes are either internal as retention of the Loches suppurated Inflammations Corruption of the Foetus or Mola a virulent Clap the Whites c. or external as frequent and excessive Venery fretting of the Vagina hard Labour c. The naked Eye or a Womb-glass discovers 'em or if they lie deep in the Womb it self the troublesom biting Pain of these Parts when tickl'd in Coition or by sharp Injections reveals the Mystery They degenerate frequently into Fistulas or end in a Dropsy and tho they be cicatriz'd infer Barrenness If they proceed from an external Cause they must be cur'd by consolidating Remedies if from the sharpness of Humours they must be corrected and evacuated but first of all the Pain must be mitigated Internally cleansing vulnerary Decoctions are useful such as those of the tops of St. John's-wort ground Ivy Plantane Sawicle Shavings of Hartshorn c. Externally the same Decoctions may be injected Or Take of Chalybeat Milk one pound Turpentin dissolv'd in the Yelk of an Egg half an Ounce Hony of Roses an Ounce to be often injected for cleasing and consolidating the Ulcer SECT V. Of the Disorders of Conception COnception is nothing else but the Impregnation of one of the little Eggs contain'd in the female Testes by a certain Air or Spirit exhal'd from the seminal Liquor of the Male received into the Womb. The Egg thus influenc'd falls off into one of the Womb-Trumpets which at that time embrace the Testes and thence passes unto the Womb. Being received there it straight begins to increase and then one little point begins to distinguish it self by its tremulous and leaping Motion being surrounded with subtil red Threads the Rudiments of the Blood-vessels round which some small time after is to be seen something more gross and white like a little Cloud distinguish'd into two parts whose greater part consisting of four little Bags represents a rude Draught of the Brain Cerebellum and two Eyes and the lesser part being strech'd out below like a Ship 's Keel is the Rudiment of the Back-bone from which the Limbs gradually extend themselves while the Bowels successively shoot out from the Blood Vessels till the perfect Foetus is form'd The matter of which it is form'd is partly a clear Liquor resembling the white of an Egg convey'd thither by the Arteries and squeez'd through the glandulous Substance of the Womb into its Cavity and partly Blood elaborat from the foresaid Chyle or nutritious Juice so that the Parts are rightly distinguish'd into sanguine and spermatic There are scarce any infallible Signs of Conception however ordinarily if a Woman hath conceived the internal Orifice of the Womb is close shut up the Terms are stopp'd In the first days after Coition a certain shivering or wandring Sense of Cold spreads it self over the Body or its extreme parts the Appetite is impair'd she vomits every Morning and is troubled with longings and loathing such Meats as formerly were grateful If the Woman is cacochymical and scorbutic she is troubled with hysteric Affections tho unacquainted with 'em before a gradual Swelling invades the Belly and points upwards In the third fourth or fifth Month the Child is felt to move in the Belly first more obscurely and afterwards more distinctly finally the first Months oftentimes discover a heavyness and giddiness of the Head and sometimes the Tooth-ach from which Signs concurring we may conclude the Woman is with Child With reference to Conceptions we shall treat of false Conceptions Barrenness and vitious Conceptions Conception is counterfeited by an Inflation or Swelling of the Belly caused by external Air received unto the Womb after Child-bearing or Abortion or Bathing or in the time of or after the Menstrual Flux attended sometimes with cruel pains girding the whole Belly This is distinguished from a true Conception by these Symptoms 1. The Belly is not always equally distended 2. There is no motion or at least none but what may easily be distinguish'd from that of a Child 3. The Swelling is greater and less weighty not pressing so much upon the Pubes This Distemper is seldom dangerous tho sometimes when the Flux of the Terms or Lochia is stopt 't is attended by grievous Pains in the Womb. In which case let the Vein Saphaena be opened let
Mix c. Take of the Crocus of Steel prepar'd by Precipitation two or three Drams Calaminar Stone or seal'd Earth a Dram Lac Lunae a Dram and a half Mace Myrrh Olibanum and Aloes of each a Dram Camphyr half a Dram. Make a Pouder to be sprinkled with the Spirit of Triacle camphoris'd and applied to obstinat Ulcers A cleansing Ointment may be prepar'd of the Juices of Tobacco Wormwood Betony Hony of Roses Aloes Myrrh Flowers of Sulphur and Turpentin If the Ulcers are rotten or the part much corrupted the Ointment Aegyptiacum or Verdigrise with distill'd Vinegar will be proper When the Wound is cleans'd we apply healing Remedies which retrieve the natural balmy Juice of the part cement the Wound and by a gentle astringent Force strengthen the Fibres and prevent the unseasonable Growth of luxuriant Flesh Such are the Balsam of Sulphur express'd Oil of Filberts Balsam of Pern c. mix'd with the dulcify'd Earth of Vitriol for benign and arsenic or precipitat Mercury for Malignant Ulcers But ofttimes oily Ingredients are improper and therefore we shift 'em for Hony and the Juices of vulnerary Plants and in rebellious Cases add Quick-silver from which the Spirit of Nitre is drawn off If the Ulcer be cover'd with luxuriant Flesh touch it with Crocus Metallorum or the Crystal of Silver dissolv'd in Aqua fortis If the Ulcer become suddenly dry apply an Ointment of Turpentin Hony Juice of Smallage and Flower of Beans or Fenugrec In general the following Plaister is of singular use for consolidating Ulcers Take of Mastic an Ounce Turpentin three Ounces yellow Wax four Ounces Mix and make a Plaister according to Art Or Take a convenient quantity of Quick-lime wash'd twice or thrice and dry'd Mix it with the Oil of Linseed and Bole Armenic for a Plaister In the mean while 't will be requisite to administer vulnerary Decoctions and Essences inwardly especially those of River-Crabs Dog's Dung Ground Ivy and Tops of St. John's-wort To which we add the Decoctions of Sudorific-woods the Tinctures of Antimony the Spirit and volatil Salt of Vipers Myrrh Saffron Chalybeat Diaphoretic Antimony and Coral or Crabs-eyes exhibited with Vinegar and interlac'd with Purgatives of Turbith Mineral or Sweet Mercury with the Extract of Black Hellebor In desperat Cases we must have recourse to a Salivation Having dispatch'd the general Cure of Ulcers we shall now descend to a few Particulars as 1. The Ulcers that are attended by a Caries or Rottenness of the Bones which must be particularly accounted for before the Ulcer can be cur'd When a Caries begins the Bone appears fat oily and yellowish and when it is perfectly rotten becomes black uneven and full of little Holes If the Bone be not expos'd to one's view either by the naked Eye or thro a Microscope its roughness and little Pits are discover'd by a Probe If a Caries approach to the Joints or be surrounded by many nervous parts 't is not easily cur'd However the Method of Cure is first to dilate the Ulcer with Tents of the Roots of Gentian or the Heart of Elder then to apply the rectify'd Spirit of Wine and the Pouder of Euphorbium mix'd with the Root of Florentin Orris Birthwort Aloes or Myrrh The distill'd Oil of Guajacum and that of Cloves are also very proper but all Oils by Expression or Infusion are pernicious Injections of warm Plantain-water in which Sweet Mercury is dissolv'd are of excellent use for cleansing the Bone and fetching off its Scales But if they prove ineffectual we must either scrape the Bone with a Knife till it appear white and solid with the Marks of little Blood-Vessels or apply an Actual Caustic the adjacent parts being carefully defended from its Injury After scraping or burning we apply the Spirit of Wine or distill'd Oil of Cloves 2. Fistulas or winding Ulcers with Callous Sides The Figure and number of their Turnings must be carefully trac'd by a small Candle of Wax and Turpentin If the bottom of the Fistula be a Bone it discovers it self to the Probe and if it be painless signifies that the Periostium is broke If it end in a nervous part the exquisit Pain will lead us to the knowledg of it if in a Blood-Vessel the obscure Colour of the matter will give us to know so much Glandulous places are most liable to 'em and unless the hardness can be remov'd they prove incurable Now in order to remove it and to cleanse the Ulcer we first dilate the Orifice which in Callous Ulcers is always narrow with a Tent of Gentian-roots sprinkl'd with burnt Allum then we inject Lime-water with Spirit of Wine or the Juice of River-Crabs with the Juice of Tobacco and Sweet Mercury or a Mixture of the Hony of Roses Spirit of Wine and Precipitat Mercury In inveterat Cases we apply the green Waters or the following Mixture Take of the Ointment Aegyptiacum half an Ounce Sublimat Mercury a Dram Lye four Ounces Rose-water an Ounce Plantain-water four Ounces Arsenic a Scruple Boil them till the third part be consum'd and apply the Remainder with Tents If the Pain be so violent that these Remedies cannot be applied we must lay open the Fistulas and consume the Callus as above For a Fistula in the Corner of the Eye call'd Fistula Lachrymalis the following Mixture is of noted efficacy Take of prepar'd Tutty a Dram fine Pouder of Lead and Crude Antimony of each half a Dram Ceruss and Litharge of each a Scruple With the Cerecloth Diachalcitidos mix c. 3. Sordid or rotten Ulcers In the former the matter is slimy thick livid or black in the latter it stinks horridly Sometimes Ulcers become fordid thro the indiscreet Application of far Oils and viscous Ointments in which Case Cataplasms of the Dung of Animals with Wine are very successful In general for all fordid Ulcers we prescribe strong Cleansers such as the Juice of Tobacco or Savin Spirit of Wine the Ointment Aegyptiacum Quick lime-water with Sweet Mercury or a Precipitat upon which Spirit of Wine has been frequently distill'd 4. The inveterate Ulcers in the Legs call'd Phagedema which generally are somewhat corrosive and apt to inlarge their Dimensions Let 'em be wash'd with distill'd Water of rotten Apples mix'd with the Extract of birthwort-Birthwort-roots or with rectify'd Spirit of Wine Sweet Mercury and Sugar of Lead or the Decoction of Tobacco in which Allum is dissolv'd or the Solution of Precipitat Mercury or of the Dross of the Regulus of Antimony in plantain-Plantain-water or the Solution of Gunpouder in Wine After washing apply the Ointment Diapompholigos and Sugar of Lead or Precipitat Mercury with Tents And anoint the Circumference or Edges of the Ulcer with the rectify'd stinking Oil of Man's Dung. 5. Cancrous Ulcers Their Causes and Symptoms are accounted for in the Chapter of Tumors As for their Cure let the Dung of a Cat fed with River-Crabs or the Pouder of a Toad and a Lizard calcin'd together in a
Centory of each half a handful Elecampane and Evans Roots of each half an Ounce Mustard-seeds or Rocket-Seeds one Ounce Cinnamom two Drams Cloves one Dram. Infuse as above If ye desire to make it a little loosening Take of Mint two handfuls tops of Wormwood one handful Roots of Aron Roots of Crude black Hellebor of each half an Ounce Roots of Elecampain and the Leaves of pick'd Senna of each one Ounce Aniseeds Fennel-seeds of each six Drams Galangal Zedoary and Ginger of each two Drams Salt of Tartar three Drams Infuse as above When the Spittle is glutinous and the Mouth tasts bitter the Roots of Horse-Radishes and Elecampane in equal quantities infus'd in Rhenish or Wormwood-wine or Pepper infus'd in like manner or Wheaten-Bread dipp'd in Wine or even a Draught of good generous Wine are approved Remedies or Thonerius's Decoction thus Take of Cichory-Roots of the Herbs Roman Wormwood Carduus Benedictus and Rosemary of each a handful lesser Centory a handful and a half boil them in equal quantities of Wine and Water till a third part be consum'd Dose half a Pint Morning and Evening Or Pachequus his Decoction of Agrimony Wormwood and lesser Centory in Water If ye please ye may add some temperat Acids As Take of Mint-water two Ounces Cinnamom-water from two Drams to six Drams Juice of Quinces from one Ounce to an Ounce and a half Syrup of Quinces either simple or aromatis'd from half an Ounce to six Drams Mix and make a Potion of which the Patient may take at pleasure Take of Mint-water one Ounce Cinnamom-water half a Dram Spirit of Treacle a Dram and a half Laudanum Opiatum prepar'd by fermentation two Grains Syrup of Cinnamom half an Ounce Mix c. The Spirit of Mastic and Spirit of Bread and the Mineral Acid Spirits dulcify'd with Spirit of Wine the dulcify'd Spirit of Vitriol given from twenty to thirty drops in a warm Vehicle about two hours before eating the volatil Salt of Amber c. are proper to this purpose But they ought to be well qualify'd or joyn'd with vegetable Stomachic's as in Elixir proprietatis which is a noble Medicine For Example Take of Elixir proprietatis two Drams Essence of Wormwood and Mint or Aromatic Calamus of each a Dram. Mix c. Or Take of the Conserve of the Pulp of Citrons an Ounce and a half Conserve of Mint Vitriolated one Dram the red Hepatic Powder two Drams Spirit of Salt coagulated two Scruples with a sufficient quantity of the Syrup of Quinces spic'd make an Electuary Michael's Stomachical Elixir is not improper in this case As Take of Mint four handfuls Roman Wormwood Rosemary of each two handfuls Sage Penny-Royal Baum of each one or two handfuls Acorus-roots fresh three Ounces or dried one Ounce Burnet or Elecampane-roots two Drams round Cypress-roots one Dram Mastic six Drams or an Ounce and a half or two Ounces of the four hot Seeds of each half a Dram Mustard seed six Drams of the Shavings of Sassafras three Drams Zedoary Galangal of each a Dram and a half or two Drams or three Drams of Cubebs Nutmegs Mace Cinnamom Ginger Cloves of each three Drams or half an Ounce Coriander-seed one Dram pour upon 'em Spirit of Salt or Philosophical Spirit of Vitriol which is almost the same as much as sufficeth for a grateful sharpness Extract the Tincture with Spirit of Mint Strain it and add as much of the compound Stomachical Extract as it will bear Dose fifty or sixty Drops For a Scorbutic and Hypochondriac Constitution it may be mix'd with the Spirit of Scurvy-grass taking a Dram and a half of the Spirit to three Drams of the Elixir Mynsichtius his Elixir Vitrioli and the Essence of Amber are much commended And likewise Alcali's sharpen'd with other Salts As Take of the sharpest Tincture of Tartar and Elixir proprietatis prepar'd without the Acid of each three Drams Mix c. Sal-armoniac is a good Stomachic but it ought not to be joyn'd with fix'd Alcali's which drive away the volatil part of the Armoniac and fix the remaining Acid. It succeeds better when joyn'd with Spices As Take of the Flowers of Sal-armoniac or depurated Sal-armoniack one Dram. The Powder call'd Diatrion Pipereon or Powder of Cubebs or any other Aromatic Powder a Scruple or half a Dram. Mix and make a Powder for three or four Doses of which the Patient may take one every Morning Or Take of depurated Sal-armoniac one Dram Ginger and the Powder of Diatrion Pipereon of each a Scruple or fifteen Grains Mix for three Doses Or Take of dried Aron roots one Dram prepar'd Crabs-Eyes Salt of Wormwood of each from a Scruple to half a Dram distill'd Oyl of Cloves three Drops Mix for three Doses Or Take of Aron-roots half a Dram black Pepper a Dram and a half Ginger half a Dram Flowers of Sal-armoniac two Drams distill'd Oyl of Aromatic Calamus a Scruple Make a Powder Or Take of the Conserve of Wormwood-tops Conserve of Elecampane-roots of each two Drams candy'd Ginger six Drams Powder of Diatrion Pipereon three Drams Sal-armoniac one Dram with the Syrup of Quinces make an Electuary Some use Sal-armoniac in Wormwood-wine Tartar also and its various Productions are very proper And the saline Stomachical Powders such as Michael's which is made thus Take of the Powder of dry'd Aron-roots two Pound the Salt call'd Arcanum duplicatum one Pound Salt of Wormwood Arabian Costus and Aromatic Calamus-roots of each two Ounces Cinnamom and Cloves of each an Ounce and a half Mace Long Pepper Ginger Cubebs Cardamoms Grains of Paradise Zedoary and Coriander-seeds of each one Ounce Mix and make a Powder Dose from a Scruple to half a Dram. If a shorter Process be more agreeable Take of the Powder of Aron-roots one Dram Arcanum duplicatum two Scruples distill'd Oyl of Mint six Drops Mix and make a Powder If Inappetency be caus'd by the Animal Spirits or the Nerves take the Essence of Ambergrise and joyn it to other Stomachic's Wine and all Spiritous or Aromatic Liquors especially the Essence of Baum and Penny-Royal with a few Drops of the Distill'd Oyl of Juniper-Berries are very proper on this occasion As also the Balsam of Peru either taken in the Yelk of an Egg or exhibited in Sugar or Wine or in the form of a Tincture extracted with the Tincture of Tartar And Paracelsus his Stomachical Electuary as follows Take of Rob of Juniper six Drams Powder of Ginger half a Dram Aromatic Calamus Mace of each two Drams Cubebs one Dram with a sufficient quantity of Sugar make an Electuary Or Take of Cichory-roots candy'd Vipergrass-roots candy'd of each one Ounce Conserve of curl'd Mint Conserve of Roman Wormwood of each an Ounce and a half Conserve of Cichory-Flowers Conserve of Roses Conserve of Rosemary-Flowers and Powder of Zedoary of each one Ounce of Aromatic Calaâ—â—us Ginger and the sharpest Cinnamom of each a Dram of Mithridat or Venice-Treacle two
Quinces of Lemons Citrons Pomgranats and Oranges the Water of the Sprigs of Vines mix'd with Spirit of Treacle Capers pickl'd in Vinegar and mix'd with Carminative Seeds Essence of Orange-peel mix'd with Essence of Saffron in a suppression of the Terms the Decoction of parsley-Parsley-roots with Chiches and especially Wine in which Mint and Wormwood are infus'd Take of the Vitriolated Conserve of Mint four Ounces powder of Zedoary a Dram or two with Syrup of Quinces make an Electuary of which let the Patient take a convenient quantity thrice a Day Take of Mint-water Baum-water of each an Ounce Cinnamon-water prepar'd with Quinces six Drams Juice of Quinces an Ounce with a sufficient quantity of dulcify'd Spirit of Salt make a Potion Dose a Spoonful now and then Let Syrups or sweet things be sparingly us'd Treacle and Mithridate are sometimes very useful When other things fail we must have recourse to Steel and absorbent Powders Bleeding is of no direct use in this Disease tho in a suppression of the Terms or Plethora it may be serviceable by removing the occasional Cause CHAP. III. Of an Immoderat Appetit and Dog Hunger AN extraordinary Appetit returning by intervals and attended by Swooning is call'd Bulimus If Victuals be speedily swallow'd down without Chewing and frequently Vomited up or at least so speedily digested that the hungry Appetit is not discontinu'd 't is call'd a Dog-Hunger The Cause of 'em both for the most part is a Volatil disengag'd Acid call'd by the Ancients Melancholy that gnaws and provokes the Mouth of the Stomac Accordingly we find that Acids augment and viscous Anti-acids impair the Appetit 'T is true a volatil Urinous Alcali such as the Bile abounding in the Stomac may sometimes increase the Appetit and in that case Acids perform the Cure If the Nervous Membrane of the Stomach be over sensible and too easily provok'd an extraordinary Appetit may likewise insue thereupon Worms in the Stomac or Guts may vellicate the Membrans and so create an Appetit and if the Digestion withal be easie and quick it argues that there 's an acid Matter in the Stomac besides Worms 'T is but very seldom that a fames Canina is periodical neither is it follow'd by Fatness by reason of the rough unpliable Crasis of the Blood Long Fasting and any immoderat Evacuation of Blood or Chyle may be listed into the number of its External Causes In a Bulimus the Causes are somewhat meeker attended by a dullness or want of Spirits When it succeeds to Chronical Diseases or when the Swooning Fits happen while the Belly is full 't is dangerous If a Dog Hunger be attended by Vomiting and Loosenesses it degenerates into Gachexies Dropsies Consumptions c. The Cure consists in tempering and evacuating the Acid. The former Indication must be first satisfied for if we attempt to evacuate the Acid in its vicious State it will grow fiercer and more offensive The tempering Remedies are fix'd and volatil Alcali's absorbent Earthy Powders and fat Oyly Medicines The first kill the Acidity as appears by mixing Salt of Tartar with Spirit of Vitriol The second suck up the acid Particles as is evident by the Experiment of Vinegar and Crabs Eyes The last cramp and fetter the Acid. Of the first sort are the Vegetable fix'd Salts Salt and Spirit of Urine Spirit of Hartshorn Onyons Garlick c. Of the second are Crabs Eyes Coral Pearls Chalk Blood-Stone Bole-armenic Seal'd Earth Steel prepar'd without Acids and mix'd with Opiats Of the third sort are the express'd Oyl of Sweet Almonds Linseed c. distill'd Oyls of Aniseed Caraway-seed and especially of Cloves the Yelks of Eggs boil'd hard or the Oyl of Eggs hot Bread dipp'd into Oyl c. But if the Disease be attended by Vomiting the Oyly Ingredients ought to be avoided or their use discontinu'd when the Hunger relents Take of the Filings of Steel and prepar'd Coral of each half a Dram prepar'd Crabs Eyes a Scruple prepar'd Mother of Pearl and Bone of Carp of each a Scruple Saffron half a Scruple Laudanum Opianum two Grains Mix for two or three Doses to be exhibited in fat Broth. Besides the abovementioned Ingredients some recommend the drinking of Wine others Cockles River Crabs Pork Brains fry'd with Butter Rice boyl'd with Milk and Butter Fistic-Nuts Sweet-Almonds c. Sweet Generous Wines in which Mint and Sage are infus'd or the Spirits of those Herbs or the Essence of Wormwood Penny-royal Baum c. mix'd with distill'd Oyls are much approv'd Narcotics stupify the Mouth of the Stomach and upon that score are useful But this Cure is only palliative Treacle and Mithridate are the best of ' em The Acid being thus prepar'd let Vomits be exhibited or Purges such as this Take of the Pills of Hiera a Scruple choice Rhubarb in Powder half a Scruple with Syrup of Roses Make â—ills Or Take of the Extract of Aloe prepar'd with tartaris'd Water prepar'd red Coral of each half a Dram Gum-ammoniac dissolv'd in Vinegar a Scruple Extract of Steel two Scruples Extract of Troches Alhandal half a Scruple with Essence of Myrrh make thirty Pills Dose ten or fifteen A Bulimus is cur'd by generous Spanish Wine or Frontignac or a Medicinal Wine with Cinnamon Nutmegs c. infus'd in it Bread dipp'd into it and applied to the Nostrils or eaten is much approv'd Treacle dissolv'd in Wine is likewise very proper SECT III. Of the Disorders of Thirst THIRST proceeds from the Vellication of the Gullet Throat Palat Tongue and adjacent parts occasion'd by sharp saline Particles The Liquor it demands is naturally design'd for a Vehicle to the solid Food and Excrements 'T is disorder'd by way of Increase Diminution or Depravation The two last are very uncommon 'T is true there are some few Instances of a want of Thirst among Children and Splenetic Persons and wherever 't is found it must proceed from a redundacy of moisture about the Stomac and Throat or the stupidity of those parts Either of which Causes is remov'd by the use of Elixir proprietatis Tincture of Tartar Tartar vitriolated Arcanum Duplicatum Sal-armoniac mix'd with Spices Salt of Carduus Benedictus c. If it be caus'd by the inadvertency of the mind and delirous Disposition of the Spirits as in Feavers 't is a bad sign but yields to the general Cure of the Disease As for the Depravation of Thirst or a particular aversion to some Liquors and violent inclination to others 't is either a Symptom of a Feaver or accompanies a Pica or Malacia and requires the same Cure as its Companions CHAP. I. Of Immoderat Thirst IT remains now to take a View of Immoderat Thirst the only disorder of that Nature that requires consideration in this place The part affected is the Throat Gullet and Mouth of the Stomach The cause is either positive or privative The positive cause is a sharp Salt vellicating these parts which if it be lock'd up in a viscous Vehicle is
relaxating Causes assault it it shoots up a loose flaccid sordid sort of Flesh that ' twines about and covers the Tooth The Cure consists in corroborating the flaccid Gums by Astringents cleansing the Ulcers if any there be and preserving them from further Corruption Tincture of Lac with Myrrh is a noted Medicine for this Effect Spirit of Salt with Honey of Roses is also a powerful cleanser Take of the Flowers of Holyhocks half an Ounce prepar'd burnt Hartshorn two Drams burnt Allum Nutmegs of each a Dram. Make a Powder to rub the Gums with after cleansing the Teeth and washing the Mouth with the following Gargle Take of Sage-leaves two handfuls Flowers of Holyhocks one handful Polypody-roots half an Ounce Boyl them in fair Water To a Pound of the strain'd Decoction add Honey of Roses two Ounces and a half Antimonial Nitre three Drams burnt Allum and seal'd Earth of each a Dram. Mix c. Take of the Leaves of Sage and Scurvy-grass of each three handfuls boyl them in Milk To a Pound of the strain'd Liquor add fresh Juice of Scurvygrass two Ounces Syrup of Columbines four Ounces Mix for an Antiscorbutic Gargle Take of crude Allum a Dram and a half Flowers of Columbines and Sage-leaves of each two Drams Roots of Florentin-Orris three Drams choice Myrrh two Scruples Sprinkle 'em liberally with Spirit of Scurvygrass adding a few Drops of the distill'd Oyl of Cloves Make a Liniment for the Teeth For a Scorbutic Excrescence of the Gums Spirit of Scurvygrass mix'd with burnt Allum is very proper or the Decoction of small Houseleek with Allum and Hony or a mixture of the Scum of Quicklime Water with Lac Vitriol and Rose-water are much approv'd If the Excrescence be over luxuriant we must have recourse to the Decoction of Verdigrise and Allum mix'd with Vinegar or the Ointment Aegyptiacum mix'd with Hony of Roses or the following Powder Take of burnt Allum and Sal-armoniac of each a Scruple Mastic and Frankincense of each half a Dram. Make a Powder to be rub'd upon the Teeth after washing the Mouth with the Decoction of Sage Tormentil and red Roses The Numness of the Teeth proceeds from the Acidity of the Lymph and is cur'd by chewing fresh Purslain or Cheese or applying the White of an Egg boyl'd hard but especially by warm Urine The chilness of the Teeth or their aptitude to shrink and ache at the approach of any cold thing is curâ—d by applying Treacle or Spirit of Wine or chewing hot Bread or the Yelk of an Egg rosted SECT IV. Of the Diseases that hinder Swallowing THE Food receiv'd and prepar'd in the Mouth must be forwarded by the Tongue to the upper part of the Pharynx and thence convey'd downwards to the Stomach by the successive contraction of the Muscles of the Gullet This we call Swallowing The Disorders 't is obnoxious to are such as tend either to impair or deprave it Those of the former sort are occasion'd by the Palsy of the Sphincter and Mâ—sâ—les of the Throat The Convulsion or Contraction of the Gullet caused by Hypocondriac Hysteric and Epileptic Fits Worms want of Spittle or Moisture violent Exercise astringent Liquors c. Or the narrowness of its Passage caus'd by Tumors Obstructions and Inflammations either of it self or the adjacent parts Or the Inflammation Excoriation Exâ—lceration and Tumor of the upper Orifice of the Stomach or its queasyness and aversion to Food or Wind irritating its Muscles to contract themselves and deny admission to the Food The Depravation of the Swallowing Faculty discovers it self three ways 1. When Liquors can be taken down but no solid thing 2. When solid things are easily receiv'd but such as are liquid are thrown up by the Mouth and Nostrils by reason that the Epiglottis does not duly cover the opening of the Wind-pipe 3. When some things both solid and liquid are easily taken down and some are not Of which more under the Head of a Queasy Stomac In acute Diseases or Wounds the Convulsion of the Gullet is fatal as also its relaxation for want of Spirits If any external thing taken down stick in the Gullet it occasions Imposthumes Ulcers c. and together with the corrupted Matter works it self out either upwards or downwards or cuts out a new Passage through the neighbouring parts Or if it reach the Stomach may either be voided by Stool without any harm or cause Obstructions in the Pylorus Looseness in the Guts c. according to its Nature and Bulk The Cure vary's according to the quality of the Causes If the Head of the Gullet is Paralytic let the Decoction of Sage and Rocket-seeds in Wine or the Infusion of Thyme and Lavender-flowers in Aqua-Vitae with Castor or the Essence of Castor mix'd with Spirit of Venice-Treacle and Aqua Anhaltina be held in the Mouth Let the Juice of Sage with Nutmegs and Castor or Turpentine dissolv'd with the Yelk of an Egg in the Water of Primroses or some drops of the distillâ—d Oyls of Amber Sage Anniseeds c. be gradually taken down Let the Neck and neighbouring parts be anointed with Spirit of Earth-worms and distill'd Oyl of Cloves Amber c. If the Muscles of the Gullet be seiz'd with Convulsions let Cephalic and Opiat Medicines be us'd both internally and externally If want of moisture and extreme dryness cause their contraction Let the mucilage of Quinces extracted with the Water of Frogs-Spawn be held in the Mouth and insensibly swallow'd Hysteric and Hypocondriac Contractions of the Pharynx are cur'd by Chalybeat and absorbent Remedies Pins Bones pieces of Glass and such like pointed things swallow'd down and sticking in the Gullet ought to be brought back if possible by Sneezing Coughing or taking down liquid Vomits and drinking in the mean while Oyly soft Liquors or by the help of Instruments made for the purpose SECT V. Of the Hindrances of Chylification THE Food convey'd by the Mouth and Gullet into the Stomac is there dissolv'd partly by the heat of the Stomac and adjacent Bowels and partly by the salin and spirituous Juice in the Stomac which likewise encounters the alcalin Salts of the Food when dissolv'd and by means of a fermentation works it into a volatil temperat milky substance which we call Chyle That this ferment in the Stomac is an acid salin substance is sufficiently made out by the acid Belchings that attend even those who are well by the evident vertue which Acids have of promoting and fat oyly Anti-acids of impairing the Appetit The original of this ferment is the Lymph deposited by the Glandules of the Stomach into its Cavity where it meets the remains of Food impregnated with Spittle and render'd acid by delay and combines with 'em in the form of an acid ferment CHAP. I. Of Diseases Incumbring or Extinguishing Chylification IF the Food be not sufficiently elaborat in the Stomac and in due time converted into Chyle it remains unfit for nourishing the Body as being nothing
to a Viscous Pituitous Matter 't is not so violent If follow'd by Convulsions 't is much suspected as also if it accompany Acute Feavers The cure is perform'd by removing the offending cause and abating the Pain If it depend upon another Disease it yeilds to its cure If it be Essential or accompany Feavers there 's nothing equals Antimonial Vomits which prevent an Infinity of dismal circumstances After Vomiting Purges are proper But by reason of their offensiveness to the Stomae let 'em be mix'd with Opiats a useful contrivance fot such as are liable to Gripings or over-purgations or stuff'd with sharp Scorbutic Hypocondriac Humors Take of Tartar vitriolated fifteen Grains Scammony sulphurated two or three Grains Laudanum Opiatum one or two Grains Extract of Troches Alhandal one Grain Distilled Oyl of Caraways two Drops Make a Pouder Take of Quercetanus's Pills of Ammoniac twelve Grains Magistery of Jalap five Grains Scammony sulphurated and Laudanum Opiatum of each a Grain with Essence of Castor make Pills Four or five Grains of Fulminatory Gold may be added Take of Aloes half an Ounce Myrrh two Drams Mastic a Dram Oriental Saffron half a Dram Rectify'd Flowers of Antimony a Dram with solutive Syrup of Roses make a Mass Dose from fifteen to twenty four Grains This is the composition of Poterius his Catholic Pills If it be caus'd by Wind or the Steams of the Choler and Pancreatic Juice fermenting in the Duodenum let Carminative Clysters be injected As Take of Leaves of Mint Wild Marjoram and Penny Royal of each a handful Chamomil Flowers half a handful Angelica Roots half an Ounce Bayberries three Drams Seeds of Anis Carrets and Fennel of each a Dram. Boyl them in Water and Man's Urine To Eight or Nine Ounces of the strain'd Liquor add of Lenitive Electuary and Electuary of Bayberries four or six Drams Distill'd Oyls of Anniseeds and Fennelseeds of each half a Scruple Yelks of Eggs in number one Make a Clyster to be injected warm 'T is proper to add Salt of Tartar by reason that at once it whets the Clyster and attenuats the viscid humors Blood-letting is inconvenient excepting the case of a Plaethora or some notable suppression of Blood The second Indication is satisfied by Opiats as thus Take of Chamomil water three Ounces Cinnamom-water one Ounce Elixir of Mint or of Citrons or of Oranges six Drams Distill'd Oyl of Chamomil six Drops Laudanum Opiatum from three to six Grains Syrup of Hysop six Drams Syrup of Canel an Ounce Mix them Dose two or three spoonfuls 'T is a Catholic Mixture for all Pains of the Stomac The Spirits of Salarmoniac Anniseeds Hartshorn Tincture of Tartar Carminative Spirit de tribus or if the Pain be attended by a burning heat dulcify'd Spirit of Nitre may be conveniently added The Remaining Specifics are vary'd according to the Causes If Wind be deem'd for the Cause Chamomil is a noted Specific by reason of its Anodyn and Aromatic Vertues It s Water its Essence extracted with a Carminative Spirit of Wine its Decoction its Oyl drunk with Wine or applied outwardly with Oyl of Nutmegs are all of excellent vse Next are the Decoctions of Sassafras Hyssop Dill Rosemary and Mullein Flowers The Tincture and Distill'd Oyl of Orange or Citron Peel Spirit and Distill'd Oyl of Anniseeds Spirit of Salarmoniac Elixir of Mint c. If it be attended by a Notable Heat to these Aromatic Ingredients we may add Acids as the Juices and Syrups of Quinces Citrons and Pomegranats Spirit of Nitre dulcify'd with a triple quantity of the Spirit of Anniseeds If the Anxiety or Pain proceed from Acid sharp Humors or green rusty Choler Absorbent Pouders are proper as Take of Prepar'd Red Coral Cinnabar of Antimony Chalybeat Diaphoretic Antimony of each Eight Grains Laudanum Opiatum a Grain Distill'd Oyl of Cloves one Drop Make a Pouder to be exhibited in Chamomil-water mix'd with Essence of Castor If it arise from a Viscous Mucilage Cream of Tartar and Gum Ammoniac are proper Ingredients If it be caus'd by Sublimat Mercury let Milk mix'd with Oyl of Sweet Almonds or Oyl of Tartar per deliquium be exhibited Let Prepar'd Chrystal Venice Treacle and Fresh Butter be dissolv'd in Barley-water and given to drink and the Stomac fomented with the Decoction of Henbane Leaves in Red Wine Some recommend seal'd Earth with Syrup of Comfrey for internal use Pins Pieces of Glass and such like sharp things swallow'd and pricking the Stomac are remov'd by drinking Oyl of Sweet Almonds and Broth or eating a thick Pultise of Rice and Milletseeds If the Pain be occasion'd by Worms give Elixir Proprietatis without the Acid and Spirit of Sal Armoniac or Tartaris'd Essence of Wormwood As for Old Persons who are frequently troubled with a Pain of the Stomac attended by a notable Weakness and Propensity to swoon the following Pills are of wonderful Efficacy Viz. Take of Ambergrise two or three Grains Mosch and Oriental Saffron of each a Grain or two Opium four Grains Make Pills As touching External Applications Ointments are compos'd after this manner Viz. Take of the Distill'd Oyl of Chamomil a Dram Oyls of Mace and of Cloves of each fifteen Drops Balsam of Peru half a Dram. With Expressed Oyl of Nutmegs make a Liniment and anoint the Breast and Stomac applying afterwards a hot Brick Plaisters are very useful especially such as are made of Tacamahac or Gum Caran with Venice Treacle or Balsam of Peru and Distill'd Oyl of Amber The Stomac may be likewise fomented with the Decoction of Wormwood Mint Hyssop Marjoram Chamomil Flowers Fennel seeds and Juniper Berries in Wine or Vinegar and Water or a Bag quilted with the same Ingredients and Spices and sprinkled with the Oyls of Amber and Mint may be applied hot to the Stomac Anodyn Cataplasms are also very useful especially in Scorbutic Cases as Take of the Leaves of Henbane and Mallows roasted under Ashes of each three Ounces Meal of Barly and Vetches reduc'd to a due consistence with the Decoction of Vetches of each two ounces the Mucilages of Tragacanth of Fleawortseeds and of Quinces of each two ounces Make a Cataplasm Womens Pains of the Stomac arising from the Faults of the Matrix are frequently cur'd by the application of Pomatum and Goats Tallow As those which proceed from Wind by applying a Bag of Bran tosted Milletseeds and common Salt The Disease which we call the Heat of the Stomac is near akin to those last describ'd 'T is seated in the Left Orifice of the Stomac and is only a sense of Heat and Sulphureous Fumes passing thro the Gullet caus'd by the Fermentation of an Acid with a Fat Oyly Alkali in the Stomac The Remote Causes are over-acid or over-fat Victuals Choler abounding in the Stomac or forc'd thither by Anger or such like occasions or an Hypocondriac Acidity prevailing in the Stomac The Burning or Heat is frequently accompany'd by bitter and musty Belchings and if it come without
may be useful for strengthning the Fibres of the Guts But to what Purpose should the Irritating and Floating Humors be bound up 'T is better they should take their Course than be thrown upon a Nobler Part. 'T is true Tormentil seal'd Earth Sugar of Lead and such like things are very useful but 't is not upon the account of their Adstringent but Absorbing and Correcting Vertue 7. 'T is the Ridiculous Humor of some to avoid Wine Whereas nothing is more Friendly to the Stomac or more proper against a Looseness Of All the Medicines us'd against Loosenesses Opium is the Head 'T is a Powerful Controuler of all Tumultuous Motions 'T is exhibited in Vinegar Or rather Recent Diascordium may supply its Room being given from a Dram to two Drams Some extoll the use of two Eggs boyl'd very hard sprinkled with Rose-Vinegar and Pouder of Mace and Nutmegs Others recommend a Quince fill'd with Wax and Roasted Goats Tallow melted and mix'd with Flower Extract of Tormentil dissolv'd in Cinnamon or Mint Water together with a Grain or two of Laudanum the Juice of Austere Fruits such as Medlars and Quinces mix'd with the Juice of Arsmart The Rob made from the Juice of unripe sorbe Apples the Conserve of Quinces mix'd with Distill'd Oyl of Cinnamon and Laudanum Opiatum The Decoction of Masticwood or in the Room of it that of Mastic it self with Mace and Cinnamon mix'd with Gelley of Hartshorn for Ordinary Drink or Water impregnated with the fumes of Mastic The Decoction of Juniper-berries or that of Hartshorn and Stag's Pizzle or the Decoction of Gum Arabic and Sugar in Ale The Golden Earth found in Gold Mines dissolv'd with the Spirit of the Vitriol of Steel Whey or Vinegar impregnated with Steel Crocus of Steeâ— Dulcify'd Gaput Mortuum of Vitriol exhibited in an Acid Vehicle Coral Crystal mix'd with Hysteric Laudanum and Chalybeat Bezoar against a Bilious Looseness Blood Stone Sugar of Lead Plantan Purslain Tormentil and Columbin-Waters and the Juices of Quinces and Pomgranats These are all specifics in this Disease Take of Plantan-Water three Ounces Cinnamom-Water an Ounce Fracastorius's Diascordium two Drams Prepar'd Red Coral two Scruples seal'd Earth a Scruple Syrup of Myrtles an Ounce Make a Potion Give a spoonful now and then Vinegar of Wine or of Roses and Diaphoretic Antimony may be added Take of Mint-water two Ounces Cinnamom-water two Drams Extract of Tormentil eight Grains Astringent Crocus of Steel and Hysteric Laudanum of each six Grains Syrup of Quinces half an Ounce Mix for one Dose Dulcify'd Spirit of Nitre may be added Or to temper the sharpness of the humors an Emulsion may be made from sweet Almonds and White Poppy Seeds with the Decoction of Hartshorn and mix'd with absorbent Powders Take of Vitriolated Conserve of Mint an Ounce and a half Diascordium half an Ounce Seal'd Earth a Dram Chalybeat Diaphoretic Antimony and Extract of Tormentil Roots of each half a Dram. With Syrup of Masterwort make an Electuary Dose two Drams twice or thrice aday When a Looseness is attended by Gripings black excrements thirst and inappetency give what follows Take Conserve of Mint and Diascordium of each two Ounces Rhubarb a Dram Red Coral two Scruples With Syrup of Coral make an Electuary Of which let the Patient take a Convenient quantity frequently In malignant Epidemical Loosenesses Alexipharmacal sudorifics ought to be mix'd with proper specifics as Spirit of Venice Treacle with Spirit of Mastic Seal'd Earth and Volatil Salt of Vipers c. Or thus Take of Seal'd Earth and Diaphoretic Antimony of each fifteen Grains Powder of Mace four Grains Volatil Salt of Vipers six Grains Mix for one Dose Take of Mint and Scordium Waters of each an Ounce and a half Cinnamon Water three Drams Vinegar of Wine six Drams Venice Treacle a Dram and a half Mineral Bezoar half a Dram Syrup of Quinces three Drams Mix for a Potion In the mean while let the Stomac be fortify'd by the Juice of Quinces Dulcify'd Spirit of Salt or a Draught of Generous Wine In case of a Tenesmus inject Milk-Clysters frequently If a Looseness be caus'd by Poyson give twelve Grains of Emerald with Conserve of Quinces The External Remedies against Loosenesses are Venice Treacle mix'd with Balsam of Peru and the Distill'd Oyl of Mastic sprinkl'd with the Distill'd Oyl of Mace and Applied to the Belly or the Crust of Tosted Bread soak'd in Vinegar and Cover'd with Cloves and Nutmegs in Powder or a Cataplasm of yest Powder of Mint Leaves Zedoary Cloves Galangal Ginger and Rose Vinegar applied to the Navel Fomentations of the same place with Decoctions of Aromatic Ingredients or Inunctions with Distill'd Aromatic Oyls incorporated with Express'd Oyl of Nutmegs applying after Inunction a hot Brick are also proper If there be a necessity of cleansing the Intestines either in the Beginning or Declension of the Disease give half a Dram of Rhubarb with eight Grains of Nutmegs and three Grains of Hysteric Laudanum Or give the Decoction of Tamarinds But these things are most proper in the Declination of the Disease or if in the beginning it must be when the humours are hurry'd into the Guts from other Parts or the first Passages are very foul as when a Looseness proceeds from Summer Fruits If the Great Intestines are the Seat of the Evil Clysters of Milk are proper as also when the Person goes frequently to stool and voids but little which is a sign of the Acrimony of the humor In that case Emollient Clysters of Chalybeat Milk Yelks of Eggs Turpentin and Hony of Roses are very useful If the Anus be excoriated foment with Milk in which Emollient-Herbs are Boyl'd If a Looseness be occasion'd by over violent Purgation let Laudanum Opiatum Wormwood Rue Essence of Venice Treacle mix'd with Anodyns and Diaphoretic Powders such as Seal'd Earth Sugar of Lead Blood stone Diaphoretic Antimony c. Be exhibited Let Venice Treacle be applied to the Navel or the Belly be fomented with Wine in which Wormwood Mint and Spices are Boyl'd If the Person be Grip'd or Molested with a perpetual Itch of going to stool inject a Clyster of warm Milk in which Venice Treacle is dissolv'd If a Looseness proceed from an Error in the use of External things as Summer Fruits c. It ought not to be stopped unless it overbear or cause an inappetency and weak Concoction in which case we exhibit the absorbent Powders with Opiats in the same method as above If a Looseness proceed from the transferring of the morbific matter to which Catarrhous Persons are obnoxious in the Night-time and which the Ancients fancy'd to flow from the Brain it is cur'd by aversion and derivation by Issues and Blistering Plaisters If a Looseness be caus'd by the spontaneous course of humors 't is cur'd as a common Looseness or by Chalybeat Medicines and Bathing But these last sorts of Loosenesses require no Cure unless they prove exorbitant ART II. Of the
those from an internal Cause from others externally occasion'd 2. Notwithstanding the Clamors of some Authors Narcotics are very proper especially in the beginning but they ought to be mixt with convenient Specifics and given in very large Doses for Persons under this Disease can bear Opium wonderfully 3. In malignant Dysenteries laxative Medicines are very nocive but in benign ones they 're approv'd in the beginning if the Constitution of the Patient be Cacochymical or if the Dysentery proceed from Summer Fruits Rhubarb and Whey are fittest for this purpose but Narcotics ought to be mix'd with 'em and likewise exhibited by themselves both the preceding and following Nights 4. Vomits are very dangerous yet if the Chyle be corrupted and the Stomac much oppress'd if the Person vomit easily and have sufficient Strength to undergo the Tryal they may be ventur'd on But withal in a malignant Dysentery they are absolutely noxious unless an over-violent Purge or Poyson have occasion'd it 5. Sudorifics are always proper in Epidemical Dysenteries and ought never to be omitted They are much preferable to Purgatives or any other Medicines whatsoever 6. Astringents are very offensive at first After the use of gentle abstergent Laxatives in benign and that of Alexipharmacal Sudorifics in malignant Dysenteries they may be given in the declension of the Disease but not before 7. Blood-letting is to no purpose in most cases Nay even in the case of a suppression of the Terms it ought to be cautiously attempted if the Dysentery be malignant 8. All Clysters whatsoever tho never so softening irritat the Guts in some measure and promote a Tenesmus upon which account they ought to be very cautiously and sparingly us'd They are most proper in the declination of the Disease when the great Intestines are affected or stuff'd with sharp Humors and when the Dysentery is benign 9. A peculiar regard must be always had to the Stomac whose good or bad Condition alone stamps a hopeful or desperat Character on a Dysentery Warm Wine moderatly us'd is proper for this purpose 10. The Feet and external parts ought to be kept warm for the least Cold or the drinking of any cold Liquor revives and exasperats the Disease 11. There 's nothing so conducive as Rest and Quiet They ought not to stir from their Beds nor move when they are in ' em 12. Venery is oft-times a Sovereign Cure for a Dysentery From what is premis'd we may infer the Indications for Cure viz. To put a stop to the Irritation of the Intestins and repair the loss they 've sustain'd to purify the Blood and separat the preternatural ferment As for the particular Medicines answering these ends we shall first run over the Specifics peculiar to this Disease In which Class the Pizzle of a Whale leads the Van next is a Staggs Pizzle They are never pounded but only shav'd As Take of the shavings of a Stags Pizzle two drams Hysteric Laudanum nine Grains make a Powder for two Doses Take of the Decoction of a Whale's Pizzle a Pound and a half cinnamom-Cinnamom-water an ounce Syrup of Coral two or three ounces Make a Julep of which let the Patient take a Draught over Night They may be mix'd either in Powder or Decoction with other specific and common Ingredients of which more anon The next Specific is Hartshorn Its Decoction with Burnet is commended by Riverius for ordinary drinking It s Gelly may be mix'd with the Gelly of Stags Pizzle and dissolv'd in any Liquor Or thus Take of the Decoction of the shavings of a Stag's Pizzle a Pound Gelly of Hartshorn six drams cinnamom-Cinnamom-water six drams Syrup of Comfrey an ounce Make a Julep Next in order are the shavings of the Scull of a Man that dies a violent death given to a dram the Moss of the Scull given to a scruple the Powder of a Sea-horse Tooth or Unicorn's Horn given to a dram Oak Berries Misselto of the Oak The Powder prepar'd from Elder-berries call'd Tragaea Granorum Actes baken up anew with Hairs-blood and Stag's Pizzle and fresh Juice of the Berries the blood of a Hare kill'd by Dogs given in Powder to a dram or by way of Infusion a Clour soak'd in it being infus'd in Ale or ordinary Drink the Blood of a Lamb Kill'd after frighting us'd after the same method the dry'd Livers of Serpents and Vipers given to a Scruple Crystal the Livers of Green Frogs an Apple excavated and fill'd with Wax and Gum Arabic and so Roasted or rather a Quince with the same Ingredients Roasted the Dung of a Dog fed with Bones given to a Dram in Steeled Goats Milk the Pouder of Horse-hoof given to a Dram Satyrium Roots by way of Infusion the Decoction or Pouder of Cork Wallnut-Catkins given to a Dram in Pouder Tormentil Rob of Sorbe Apples Mineral Unicorn Dulcify'd Earth of Vitriol taken from the Vitriol of Steel Sulphur and its Flowers Ashwood given to a Dram in warm Wine and Allum of which Four or Five Grains are given with Cinnamom very successfully Thus far the most Noted Specifics The Common Ingredients which we usually joyn to them are the Astringent Styptic absorbent and fat Oily Medicines recommended against Vomiting Loosenesses and the Cholera Goats Milk in the beginning of the Disease is a good Abstergent and towards the end Cows Milk Consolidats and Heals Chalybeat Milk with Comfrey and Tormentil Roots or the shavings of Stag's Pizzle or Rice or Yelks of Eggs and Juice of Ivy boyl'd in it is of excellent use The Essence and Syrup of Comfrey the Extract of Venice Treacle or that of Tormentil given with Laudanum Opiatum at Night in Pills The Spirit of Venice Treacle Camphoris'd The Tincture of Coral Prepar'd with Spirit of Sassafras The Tincture of the Sulphur of Vitriol The Styptic Liquor Prepar'd from Seal'd Earth and Spirit of Nitre call'd Liquor Aureus The Tincture of Blood-stone Myrrh and its Essence Amber and its Troches Sugar of Lead a Noted Specific The Tincture Extracted from the Earth of Gold Mines by Spirit of Salt These I say are all Common Ingredients A few Receipts shall serve for Examples In a Benign Dysentery if it be Convenient either in the Beginning or Declension to Purge of which we must be very cautious Let Laudanum Opiatum be exhibited over Night then in the Morning take of Diascordium a Dram Rhubarb two Scruples Laudanum Opiatum two Grains With Syrup of Quinces make a Bolus to be Reiterated Or Take of Plantan Water an Ounce Powder of Rhubarb a Dram Laudanum Opiatum a Grain With Syrup of Quinces make a Potion In a Malignant Dysentery let Laxatives be omitted and prescribe thus Take of Hartshorn Prepar'd without fire a Scruple Diaphoretic Antimony half a Scruple Volatil Salt of Vipers five Grains Laudanum Opiatum one Grain Mix. Take of Mint Water an Ounce Spirit of Venice Treacle Camphoris'd two Drams Diaphoretic Antimony a Scruple Human Bones calcin'd half a Scruple Extract of Venice Treacle five Grains
Syrup of Carduus Benedictus half an Ounce Make a Potion for one Dose In fine the Common Prescriptions against all sorts of Dysenteries are such as these following Take of the shavings of a Stag's Pizzle half an Ounce Comfrey Roots Tragacanth and Nutmegs of each three Drams seal'd Earth Bole Armenic Burnt Hartshorn and Zedoary of each a Dram and an half Make a Powder You may add Laudanum Opiatum and Oyl of Cinnamom Take of the Extract of Tormentil twenty four Grains Vipers Livers Prepar'd Crabs Eyes of each a Scruple Hysteric Laudanum nine Grains Distill'd Oyl of Cinnamom two Drops Mix for two Doses Ye may add Troches of Amber and Prepar'd Crystal Take of Venice Treacle a Dram Prepar'd Blood-stone a Scruple Dead Men's Bones Calcin'd fifteen Grains Sugar of Lead six Grains Make a Bolus Take of the Rob of the Fruit of the Service Tree a Dram and a half Chalybeat-Bezoar fifteen Grains Dulcify'd Earth of Vitriol six Grains Laudanum Opiatum two Grains make a Bolus Take of Diascordium an Ounce and a half the Shavings of a Whales Pizzle three Drams Troches of Amber a Dram and a half Flowers of Sulphur a Dram. With Juice of Quinces make an Electuary Of which take a Convenient quantity at Morning Noon and Evening Take of Crude Allum half a Dram Cinnamon an Ounce and a half Make a Powder Dose a Scruple to be taken in Red Wine Take of Tormentil Water two or three Ounces Cinnamon-Water Prepar'd with Quinces an Ounce Spirit of Venice Treacle Camphoris'd three Drams Syrup of Comfrey an Ounce Mix for a Vehicle to the above-mention'd Powders Take of Plantan Water three Ounces Cinnamon Water six Drams Vinegar of Roses half an Ounce Diascordium two Drams Troches of Amber or those of Seal'd Earth half a Dram Prepar'd Crabs Eyes two Scruples Diaphoretic Antimony a Scruple Syrup of Myrtle-berries or of Quinces an Ounce Mix. Sugar of Lead Dulcify'd Earth of Vitriol Extract of Tormentil and Shavings of a Dead Man's Scull may be added or mutually shifted by turns After the Symptoms are mitigated by the use of the foregoing Prescriptions it will not be improper to exhibit some healing things calculated for the Corrosion or Ulceration of the Intestines Such are the Balsam of Sulphur prepar'd with Oyl of Amber or Annis or of Juniper-berries or of Turpentin Balsam of Peru given to half a Scruple with Sugar or with the Yelk of an Egg To which we may add the Vulnerary Decoctions As Take of the Leaves of Ground-Ivy Plantan and Tormentil of each a handful Pomgranat Flowers three little handfuls Shavings of a Whale's Pizzle three Ounces Boyl 'em in black-smiths-Black-Smiths-water To two Pounds of the strain'd Liquor add Syrup of Coral and that of Comfrey of each three Ounces Mix and exhibit a large Draught twice or thrice a day with fifteen Drops of the Balsam of Sulphur As for Clysters we ought to be very cautious of using ' em Anodyn Clysters for allaying the Pain and tempering the sharp Humors are made of Chalybeat Milk with Emollent Ingredients boyl'd in it and mix'd with Laudanum Opiatum Turpentin Venice Treacle Goats Tallow and Yelks of Eggs. Pouders are not convenient for they stick to the Guts and provoke ' em Vulnerary Healing Clysters are prepar'd from Vulnerary Decoctions or the Decoction or Juice of River Crabs mix'd with Balsam of Peru Goats Tallow and Oyl of Linseed Externally apply a Plaister of Venice Treacle to the Belly and take of Express'd Oyl of Nutmegs half an Ounce Balsam of Sulphur prepar'd with Oyl of Anis two Drams Balsam of Peru a Dram. Make a Liniment and anoint the Belly Take of Oak leaves and Bran of each three handfuls Flowers of Chamomil and of Mullein of each two handfuls Make two Quilted Bags to be dipp'd in warm Vinegar one large and round to be applied to the Navel the other long and small for the Breech Some reap benefit by sitting upon the Caput Mortuum of Vitriol when they go to stool others by applying a Cataplasm of Arsemart Leaves bruis'd and beaten up with Chalybeat Wine others by receiving the smoak of Burnt Harts-horn or Vinegar or Ginger thrown upon burning Coals just under their Breech when they go to stool A Tenesmus is a Retainer to Dysenteries being a perpetual but vain desire of going to stool The Immediat Cause is the irritation of the Intestinum Rectum especially that part of it that is surrounded with the Sphincter This Irritation may proceed by Consent or Sympathy from Nephritic Pains a Stone in the Bladder or Distention of the Womb or Essentially from a tenacious Corrosive Acid Humor thrown upon that Gut either by a preceeding Dysentery or sharp Purgatives from Inflammations occasion'd by the suppression of the Piles and the Corrosion of the worms call'd Ascarides An Essential Tenesmus is more dangerous than a Sympathetical one If it continue long it degenerats into Ulcers and Fistula's of the Anus In Women with Child it frequently causes miscarriage As for the Cure Let the Irritation be abated by Opiats If a Tenesmus proceed from a sharp renacious humor Abstergent Clysters and Fomentations are proper If the Intestin be excoriated temperat soft Ingredients are requir'd Take of Mullein flowers two handfuls Seeds of Red Vetches two Ounces Salt of Tartar a Dram Boyl 'em in Water To a Pound of the strain'd Liquor add two Ounces of Goats Tallow and an Ounce of Hony of Roses Mix for two Clysters The Decoction of Worms in Milk is likewise very proper But all Clysters ought to be injected in small quantities at a time Foment the Anus with the Decoction of Mullein flowers in Milk Or apply a bag quilted with Toad flax and Mullein Leaves and the flowers of Mullein and Chamomil and boyl'd in Chalybeat Milk Or let the Anus be fumigated with hot Bricks or Iron thrown into warm Vinegar Or with the Decoction of Savin in Water and Vinegar Or with Myrrh Frankincense Roses c. thrown upon burning Coals If the Intestin be Ulcerated inject Vulnerary Decoctions with the Oyl of Wax Or anoint with a Liniment of the Oyl of Roses and Earthworms mix'd with the Solution of Litharge in Vinegar Or thrust up a suppository of Unguentum Album Camphoratum Diapompholygos and dulcify'd Earth of Vitriol Internally the Oyl of Mastic with Mint Water or the red Oyl of Vitriol with Broth is much approv'd The Hepatic flux is a Painless voiding of Watry Blood from the Internal Hemorrhoid Veins which the Ancients fancy'd to proceed from the Liver It either follows the Excoriation caus'd by a preceeding Dysentery or is occasion'd by the ordinary Causes of Eruption of Blood of which elsewhere Opiats Astringents and gentle Laxatives especially Raisins are the Basis of its Cure Some Persons are troubled with an Itching of the Anus If it be caus'd by the approach of any External sharp thing let it be fomented with warm Milk and Rose Water If it tend to an Ulcer apply a Liniment of Sulphur
Litharge and Tragacanth mix'd with Vinegar and Oyl of Roses Oft-times Plantan Water and Allum are also very effectual ARTIC II. Of the Piles THE Hemorrhoid Veins are either Internal or External The Internal proceed from the mesenteric Branch of the Vena Portae the External from the same Branch of the Vena Cava as those of the womb and so frequently discharge the Blood that was wont to be evacuated by the terms as in the case of Suppression or Cessation of the terms or being with Child The Blood stagnating in these Hemorrhoid Vessels causes oft-times a dry Inflammation straitening the Cavity of the Guts and occasioning a prodigious Pain in voiding the Excrements sitting walking c. It rises up to a great swelling and hangs out of the Gut in various forms sometimes mistaken for warts or other occasional tumors and if it be not discus'd or open'd degenerats into a Scirrhus or an Ulcer If the Vessels give way to the Blood it runs out either by drops from the Veins or with a full current from the Arteries Sometimes this Evacuation is Natural and Periodical returning every Month or Week in Men as the terms in Women Sometimes 't is Critical infering the solution of an Acute Distemper Sometimes not only Blood but a watry humor resembling the Whites in Women is voided by the same Vessels This evacuation by the Hemorrhoids for the most part is involuntary tho' some few by Custom may have obtain'd a Privilege of commanding them when they will The Cause of this Flux or Stagnation of Blood is either Internal or External The former is some sharp salin ferment in the Blood following Melancholic Scorbutic and Splenetic Distempers or occasion'd by suppression of Blood and such like Accidents This vicious ferment irritats the tender Fibres and creats an Inflammation Pain and other Symptoms The External Causes are Riding Running Leaping or whatever stretches those Vessels any sudden Commotion of the Blood by Anger Exercise c. Hard Labor of Women with Child Suppression of the Terms and the use of Rosinous Purgatives which stick to the Guts and vellicat the Orifices of the Vessels The Essential Symptom of the Piles is a green colour of the Face A pain in the Loyns without a manifest Cause prognosticats their approach They are distinguish'd from scorbutic Evacuations of Blood in that they are generally exasperated by going to Stool and the Blood for the most part is voided together with the Excrements The dry Piles are distinguish'd from other Excrescences by their being of a different Substance from the Breech round black plac'd at the extremities of the Veins and being altogether free of Flesh or Ulceration If the Piles be Chronical or accompany Chronical Diseases such as the Scurvy Melancholly Obstructions of the Bowels and especially Arthritic Pains we ought to be cautious of stopping 'em unless they exceed Bounds in which case they weaken the Body disposing it to a Dropsie or Consumption and creating an awkward aversion to Women Periodical or usual Piles or such as proceed from Suppressions ought to be promoted and open'd if they be dry If the Piles flow too copiously they ought to be stop'd If the dry Piles seize those who are unacquainted with 'em or cannot bear the loss of Blood they ought to be discuss'd Chalybeat Medicines are in a manner proper for all these purposes by reason that the Piles in what condition soever are for the most part either the fore-runners or effects of Hypocondriac Diseases But to answer each Indication apart we shall begin with the first For opening the Piles or promoting their Flux let the part be first fomented with emollient Decoctions then apply the Juice of Fig-leaves bruis'd or the Juice of Soubread mix'd with that of Beets or a Liniment of Aloes and the Juice of Onyons or a Suppository of Hiera Picra with the Powder of Coloquintida Hony and Ox Gall or the Decoction of River Crabs in Oyl especially in case of a notable Inflammation or Heat or a Cataplasin of Pigeons Dung with Staves-acre-seeds or the Juice of Nettles mix'd with boyl'd stale Urine scum'd and rose-Rose-water or if the Anus itch Juice of Lemons or Vinegar of Roses All these Ingredients ought to be put into a leaden Mortar till they 're discolour'd But the most effectual way of opening dry Piles is the Application of Leeches If they creep into the Gut a Clyster of Salt-water will fetch 'em out Internally the same design is promoted by resinous Purgatives especially Aloe with Myrrh or Elixir Proprietatis If the Piles flow too copiously they ought to be curb'd which was our second Indication For this purpose tosted Rhubarb Tamarinds the Conserve and Syrup of Oak-buds the Decoction of Mastic Wood Syrup of dry Roses a common but very effectual Remedy the Syrups and Juices of Purslain and Quinces Juice of stinging Nettles given to two or three ounces the Decoction of Burnet dead Mens Bones in Powder Sea-horse Tooth and especially the Juice and Syrup of the Ordure of an Ass are very proper Chalybeat Medicines which encounter the Hypocondriac acid and become as it were Vitriolic are consequently admirably fitted for this purpose Such are the Tincture of the Sulphur of Vitriol or that call'd Tinctura Antiphthisica or that of the Vitriol of Steel A dram of the Pills of Bdellium is likewise a very proper and effectual Remedy Venice Treacle and Narcotics are universally known and us'd Take of Plantan and Purslain water of each an ounce and a half Tincture of the Sulphur of Vitriol a dram and a half Laudanum Opiatum four grains Syrup of Coral six grains Make a Potion External Repellents are Frankincense and Myrrh or Pitch for Fumigation the Spunge call'd Crepitus Lupi the compound Powder of Cork and Mummy the Powder of burnt Toads or of Land Frogs the fat that drops from a rosted Ele a Liniment of Soot yelks of Eggs and Spiders Webs Bags quilted with bruis'd Wallnuts and Oaken Leaves and soak'd in Vinegar all applied to the Fundament A Girdle of the Leaves of white Hellebor sew'd in a Clout with the Powder of Oak bark is of excellent use Dulcify'd Earth of Vitriol beaten up with the Juice of Plantan the Ointment of Litharge and Tutty mix'd with the Ashes of Oysters are useful Liniments Blooding is of no use excepting the case of a Suppression The third Indication is to discuss the dry Piles and allay the Pain The Specifics for this purpose are the Infusion of the Apple of Jerusalem in Oyl of sweet Almonds for external application the Decoction of Mullen and Elder-flowers in Milk or Mullen-flowers and Henbane-seeds in Water for Fomentation or Cataplasms of their Leaves and Flowers and the Leaves of Purslain boyl'd in Milk Decoctions of the Leaves and Flowers of Toad-flax and the Flowers of Chamomil in Milk for Fomentation Or Take of Toad-flax two handfuls Henbane-leaves half a handful Oyl of Roses Oyl of Mullein of each three ounces fresh Butter five ounces
Boyl them and express the Liquor to which add a handful of the Leaves of Toad-flax then express again and add the yelks of two Eggs. Make a Liniment and anoint the part or add to it express'd Oyl of Henbane-seeds and Sugar or Lead in case of an Inflammation The Oyl of the Berries of the Herb Paris for Women with Child or Oyl of Stag-flies Oyl of Wood-lice and that of Box-wood are very much recommended for Inunctions Take of the Mucilages of Fleawort-seeds of Quince-seeds and Linseeds prepar'd with Rose-water of each an ounce fresh Butter an ounce with the yelks of two Eggs and Oyl of Roses beat them in a leaden Mortar till they become livid and make a Liniment of excellent use against Inflammations of the Piles The Oyl of Eggs Spirit of Wine camphoris'd and Sugar of Lead may be added The Balsam of Sulphur prepar'd with express'd Oyl of Poppy-seeds or mix'd with Camphyr and Sugar of Lead or with the Oyl of Eggs and that of Bricks is of very good use in External Applications Some put Venice Treacle mix'd with Sugar of Lead and the Oyl of the Balsam-Apple upon a Clout and thrust it into the Fundament Figwort Orpine and Pilewort are three famous Specifics they are given inwardly by way of Infusion in Ale or Wine Their Roots are given also in Powder Figwort-roots mix'd with fresh Butter and kept in a Cellar for fifteen days yield a noble Liniment The Juice of Pilewort externally applied is also of excellent use Take of the Roots of Figwort and Pilewort of each half an ounce with Oyl of Mullen make a Liniment If they become Chronical let an Issue be cut in the Thigh If they are ulcerated let fulminatory Gold mix'd with Oyl of sweet Almonds be applied Upon the whole 't will not be improper to take notice of Wedelius's Caution viz. That Ointments are not always the most convenient forms by reason that they inlarge the Capacity of the Veins stop the Transpiration and augment the Heat SECT X. Of Worms in the Guts HAving discours'd of the Expulsion of the Excrements we come next to consider what preternatural things the Guts may contain viz. Worms They are either long or broad or very small call'd Ascarides and confin'd to the Intestinum Rectum The immediat Cause is the seed of Worms convey'd into our Bodies The remote cause is putrify'd Crudities in the Stomac and Guts and the deficiency or weakness of the Bile which is the true scare-crow of Worms The Symptoms are an acid smell in the Mouth stinking Spittle copiously voided and with some squeamishness the Excrements in Colour resembling Cows-dung the yellowness of the white of the Eye or a Jaundice Sometimes a biting pain seizes and distends the Belly especially in a Morning and the Person is troubl'd with night fears gnashing of Teeth trembling Convulsions corrosion of the Gums Consumption of the Body the Face is red and pale by turns the Appetit voracious and fierce the Symptoms are exasperated by acid bitter Victuals and mitigated by Milk and sweet things The Person is molested with a dry Cough and thirst when his Belly is empty Broad Worms have this peculiar Symptom that little things like Gourd-seeds are interspers'd with the Excrements The Ascarides observe the Motions of the Moon By day they are generally quiet but from ten a Clock at night till Morning they rage Sometimes they 'll corrode the Buttocks and Thighs and creat Ulcers in the Anus and Intestinum Rectum The broad sort are expell'd with the greatest difficulty Worms frequently introduce troublesom Diseases If in the beginning of a Disease they throw themselves out 't is a sign of great malignity within In the Declension or after Concoction 't is look'd upon as a good sign In the Diseases of Children Worms are always suspected All sorts of Worms ought to be attack'd during the wane of the Moon Jalap Rhubarb and sweet Mercury are proper Purges The Specifics are Horse-Radishes Water-Cresses Centory Wormwood Peach-flowers Turnsil Flowers of St. John's-wort Savin Water-Germander Gentian Zedoary Onyons Garlic Leeks Myrrh Aloes Spirit of Hartshorn the Decoction of Quicksilver in Onyon or garlick-Garlick-water or Quicksilver beat up with Sugar to a Powder of which half a dram is a Dose the Oyls of Hazel and Juniper-woods the acid Spirits mix'd with fair Water such as that of Vitriol of Sulphur c. While the Worms are lodg'd in the small Guts inject Clysters of Milk and the Decoctions of Figs Raisins Liquorice Hony c. to invite 'em to come down If they 're arriv'd at the great Intestins kill 'em with Clysters of the Decoction of Gentian Wormwood Grass-roots c. In the mean while apply to the Belly the Gall of a Bull mix'd with Powder of Coloquintida or a Cataplasm of Myrrh Aloe Vinegar of Roses and Bull 's Gall or Rock Oyl and Oyl of Hazel-wood with Hiera Picra or the Ointment of Soubread with Quicksilver The broad Worms are cur'd by the Juice of Horse-radishes and the Powder of Jalap with Worm-seed The Ascarides require Suppositories of Dutch Cheese or Lard and Hony and Clysters of Coloquintida SECT XI Of Pains in the Guts and particularly of the Colic WHEN the Guts are irritated and suffer wringing Convulsions they are molested with a pain call'd Gripings Sometimes these Pains reach only the small Intestins and then their Station is about the Navel and Center of the Belly and are much more violent than those in the great Guts If they range not beyond the Duodenum or beginning of the Jejunum they are felt in the Loyns bending towards the right Hypochondrium and are oftimes mistaken for Nephritic Pains or those caus'd by the Convulsions of the mesenteric Nerves or the Tumors and Ulcers of the Pancreas The Pains in the great Guts are for the most part felt in the Colon especially that part of it towards the Circumference of the Belly upon the left side where 't is straitned and incurvated and consequently more liable to the shocks of Wind and more apt to stop the Circulation of the Excrements and cause their swelling up into a Tumor sometimes hard sometimes soft This Pain and Tumor is frequently imputed to the Spleen whereas the Spleen is incapable of any shooting pricking pain such as this is it s Membran being almost insensible and besides it lies too low to display its tumor externally Moreover this pain is exasperated by riding immediately after eating and tho it may be compatible to the Jejunum in the left corner from whence it runs to the Center of the Belly yet the Colon is its usual Seat And sometimes it veers about to the right side of the Belly upon the outermost Circumference where the same Colon pursues its Course This last mention'd Pain is a Colic properly so call'd but for somuch as the generality of Writers do comprehend the former under the same Title I shall not depart from the usual Measures of prescribing their Cure without Distinction
Spanish VVine and Oyl of Chamomil For a Flatulent Colic Take of Bay Leaves a handful Chamomil flowers a handful and a half Angelica or Lovage Roots six Drams The four lesser hot Seeds of each two Drams Boyl them in fair Water To ten Ounces of the strain'd Liquor add Electuary of Bayberries six Drams Venice Treacle one or two Drams Distill'd Oyls of Angelica Caraways Cumminseed and Bayberries of each three or four drops With the Yelk of one Egg Make two Clysters to be injected at two several times by reason of the wind disturbing the Injection Or Take of the Carminative Decoction six Ounces Man's Urine four Ounces Yest a Dram Common Salt a Scruple Hony of Roses an Ounce Make a Clyster in flatulent Colics In the beginning of the Disease Gentle Emollient Anodyn Clysters are not improper in any Colic As take of Henbane Leaves a handful Boyl them in Milk To ten Ounces of the Decoction add an Ounce of the Honey of Roses Mix for a Clyster Afterwards when we have discover'd that vicious matter or hard Excrements are Lodg'd in the great Guts we may presâ—â— be Emollient Clysters sharpen'd with Sal Gem and if these prove ineffectual add sharp Purgatives as above If the Anus be much retracted and threaten an Iliac let Clysters be sparingly us'd as likewise in all true Convulsive Colics 2. If the Intestines are much Contracted either by foreign Convulsions or vicious matter within proper Purgatires ought to be avoided for they promote the Contraction and Lock up the Excrements closer In this case Whey or an Ounce of the Oyl of sweet Almonds with Spanish Wine and Sperma Caeti are more effectual than the strongest Purgatives If the Guts be inflamed all Laxatives whatsoever are Pernicious If the Colic proceed from a tenacious viscid humor and be attended by a heavy Boring pain Purgatives mix'd with attenuating Ingredients are allowable tho rather after the Fit has made some progress and the Symptoms are a little abated than just in the beginning especially if the Pain be very Violent The safer way is to begin with Emollient Abstergent Prescriptions such as that of the Oyl of Almonds and Wine and Sperma Caeti and then after some time prescribe thus Take of Mint Water an ounce and a half Cinnamon Water half an ounce Gum Ammoniac dissolv'd in Vinegar half a dram Tartar Vitriolated fifteen Grains Scammony Sulphurated and Troches Alhandal of each two Grains Solutive Syrup of Roses or of Apples half an ounce Make a Potion for a Colic proceeding from a tenacious acid humor in the Guts In the Declension of the Fit 't is expedient to exhibit sweet Mercury with the Pills of Hera with Agaric for dissolving and washing off the remains of the viscous Acid. Or if in the beginning of the Fit it be safe or convenient to Purge let Laudanum Opiatum be added As Take of Gum Ammoniac dissolv'd in Vinegar a dram Diagrydium six Grains Laudanum Opiatum four or five Grains Mix c. Fulminatory Gold is likewise a proper Ingredient After the Paroxysm is over Sudorifics and Purgatives mix'd together are not improper 3. If the Stomac and upper Guts are stuff'd with peccant matter Vomits are very useful If the pain bear downwards they are very Pernicious 4. Narcotics especially Hysteric Laudanum are very useful in Convulsive Colics and such as proceed from a thin fiery humor They are given in the beginning and during the increase of the fit while the Patient has yet strength sufficient In case of a viscous acid humor they are not so proper till the Guts be cleans'd by Purgatives unless the Violence of Symptoms require ' em The better way is to mix 'em with the Purgatives and exhibit 'em also after Purgation Or to give 'em before Purging so as that they have not finish'd their office till the succeeding Purge joyn ' em 5. The Stomac and Feet ought to be well Arm'd against Cold and all Cold Liquors avoided for sometimes they cause a Colic and in that case a large draught of Juniper Water is a Sovereign Remedy 'T is true there are some Instances of Colics cur'd by drinking Cold Water which perhaps relaxats the contracted Guts But 't is an accidental case and ought not to be look'd upon as a precedent 6. When the Belly is open'd if the Symptoms do not disappear let Aromatic Ingredients be us'd as being admirably fitted for tempering the acid attenuating the viscid matter discussing Wind and fortifying the Nerves against Convulsions Such are Male Speedwell Chamomil its Decoction in Water or its Oyl taken inwardly Clary Orange Peel Zedoary Garlic Gentian Elecampane Wormwood the four large hot-seeds Castor Sulphur Horse Dung and Stones Spirit of Sal-armoniac Spirit of Treacle Camphoris'd Spirit of Tartar Spirit of Hartshorn the Carminative Spirit de tribus c. Some commend the Decoction of Wormwood Elecampane Roots and Orange Peel with mithridat Take of Chamomil and Elder flowers Leaves of Mint and dry'd Rue of each three handfuls fresh Juniper berries two ounces and a half Bay berries Peel'd six drams Cummin Seeds an ounce Anis and Fennel Seed of each half an ounce Aromatic Calamus an ounce and a half The yellow part of Orange Peel three ounces Cinnamon six drams Zedoary three drams Pound them well and sprinkle 'em with six drams of rectify'd Spirit of Wine Infuse them in a sufficient Quantiy of Spirit of Wine not over-rectify'd for the space of twelve hours over a gentle heat of Sand then Distil slowly Dose a spoonful or two Take of the Waters of Anised and Chamomil flowers of each two ounces Cinnamon Water an ounce Spirit of Zedoary half an ounce Dulcify'd Spirit of Nitre two drams Distill'd Oyl of Anis six drops Laudanum Opiatum two Grains Syrup of Orange Peel an ounce Make a Potion to be taken by spoonfuls in Bilious Colics Take of the Waters of Chamomil flowers Mint and Penny Royal of each an ounce Essence of Castor two or three drams Spirit of Hartshorn Succinated or Spirit of Sal-armoniac a dram and a half Laudanum Opiatum three Grains Syrup of Mugwort an ounce Mix for two or three Doses in Convulsive Colics Take of Chamomil Water two drams Mint Water an ounce Essence of Opium half a dram Jaw bone of a Pike a dram Volatil Salt of Hartshorn fifteen Grains Syrup of Fennel three drams Mix and give a spoonful now and then in Convulsive Colics Take of the flowers of Sulphur two drams Jaw bone of a Pike a dram Distill'd Oyls of Caraways Cummin seed and Fennel seed of each four drops Laudanum Opiatum four Grains Make a Powder for three four or five Doses in the Colics that proceed from humors In Nephritic Colics Pills of Turpentin are very proper If the Gripings are attended by a burning heat the dulcify'd Spirit of Nitre If by a Coldness the fix'd salts and absorbent Powders are useful Take of the shavings of Ivory two scruples Prepar'd red Coral and Crabs Eyes of each
with Nerves and upon this Account we frequently observe that these Convulsive Asthma's are attended by disorderly Smptoms in the lower Belly Besides if we consider the Variety and Multitude of the Muscles imploy'd in Respiration and the various Motions and Contrary Offices they are obliged to perform we shall not be at a loss to Imagin what a sensible Influence any sort of Convulsions may have upon Breathing This Convulsive sort of Asthma's may likewise be caus'd by the Dryness and Flaccidity of the Lungs following the Depravation of their Nutritious Juice smoaking of Tobacco Mineral steams frequently irritating the Fibres of the Lungs c. The like may insue upon the striking in of a Scab or the unseasonable healing of an Ulcer the Blood being thereby render'd sharp and irritating and its Texture prone to irregular fermentations An Asthma is of its self manifest But the Symptoms ought to be heedfully regarded in order to distinguish the various Causes Those which proceed from a Vicious form of the Breast or from serum or slime covering the Lungs or from the Depravation of their own Nutritive Juice are continual Whereas the other sorts are Periodical All Asthma's agree in this Symptom that they are Exasperated at Night and when the Patient moves the Body or Changes the Air. Moist Asthma's are attended by a Cough snoring and comfortable Expectoration of matter in and after the Paroxysm If the snoring make a deep hollow sound the matter lodges in the Bronchia If it lodge within the substance of the Lungs the sound is flatter and the matter is not so Copiously brought up Dry Asthma's come suddenly and disappear in like manner without any visible cause or discovery of Noxious matter They are not attended by Snoring Coughing or Spitting unless it be towards the end of the Fit and even then very sparingly For the matter thus expectorated is not the cause of the Disease as in the moist kind but only squeez'd out by the Perplexity of the Muscles and Agitation of the Lungs Neither are they so greedy of Inspiration as of Exspiration which is contrary to the method of moist Asthma's If the cause of the Convulsive kind come Originally from the Head the fit is usher'd in by Head-aches and Swimming of the Head If from the Belly by a murmuring Noise in the Guts If the Midriff be chiefly affected Pain Girds that Part where 't is joyn'd to the short Ribs If the Muscles of the Breast the whole Breast seems to be squeez'd If those of the Throat and Wind Pipe they are as it were strangled If the Lungs themselves They can give no other account but that they cannot Breathe An Asthma in malignant Cases or Acute Feavers is a fatal Symptom The Convulsive sort is more common than the moist and of the moist ones that from the Stomac is more frequently met with If an Asthma be Inveterat it seldom admits of a Radical Cure and is oft-times follow'd by Cachexies Swellings of the Feet Dropsies and then Death it self If an Asthma be only a Symptom of other Diseases it yields to their Cure If it be of the moist kind the viscous matter ought to be attenuated and carried off and the Stomac or Lungs fortify'd The Convulsive kind is cur'd by appeasing the Spirits strengthening the Nerves and Diverting their Cause by Blistering Plaisters and Issues In order to obtain these ends the following Cautions will assist us 1. In the moist Asthma's there 's no Medicine equals a Vomit It equally clears both the Stomac and Lungs and may be given in the very height of the Fit without the least fear of stiffling In a dry Asthma proceeding from the lower Belly it may be exhited after the Paroxysm Antimonial Preparations or the Water or Syrup of Tobacco or the Juice of the flower de luce are proper on this occasion Some exhibit the Infusion of white Hellebor in Rhenish Wine Some mix Emetic Ingredients with attenuating Medicines but in so small Doses that they only Expectorat others premise attenuating Medicines by themselves and then exhibit a Vomit 2. Cause a Vein to be speedily open'd in any Asthma whatsoever and exhibit convenient Medicines for dissolving Congeal'd Blood Correcting its Cachexy and curbing its Turgescence 3. During the Fit let all manner of Purgatives be avoided After the Fit is over they are useful but ought always to be mix'd with Gum Ammoniac As Take of the Pills of Ammoniac fifteen Grains Sweet Mercury a scruple Extract of Troches Alhandal two Grains Distill'd Oyl of Anis two drops Make Pills Some use Quercetanus's Oxymel of Tobacco Others the Decoctions of Aromatic Herbs and Senna which evacuat Gradually 4. If the Disease proceed from serum it ought to be carried off by Sweat Urine Blistering Plaisters and Issues Sudorifics especially of the Decoction of Guajacum and Sassafras are always useful in dry Convulsive Asthma's They expectorat also and attenuat and therefore are not improper for the moist sort If the Stomac be faulty the Acid Crudity must be Corrected and Expell'd 5. Narcotics are of Sovereign use both in and before the Paroxysm of a dry Asthma In the moist kind If the Symptoms are very fierce they are not improper 6. If it proceed from a Particular cause it requires a Particular Cure As if it be caus'd by the retreat of a Scab or Itch let volatil sudorifics such as the Decoctions of Furmitory Elecampane Fennel Extract of Venice Treacle and the fixed Salts be used for recalling the Itch and if nothing prove effectual put the Patient to Bed with those that are Scabby If it proceed from Metallin Fumes as Mercury let Solar-Bezoar and Diaphoretic Antimony be exhibited If from sudden Cold or Drinking of Cold Water exhibit the Juice of Dasies in Wine The specifics commonly us'd for moist Asthma's or such as flow from a viscid matter whether in the Lungs or Stomac are the Roots of Cuckowpint Hyssop Horehound Rosemary and its Flowers Saffron Speedwell Zedoary especially its Spirit the Juice of Briony Elecampane Roots The Syrup or Volatil Salt of Tobacco for old Persons Essence of Saffron Essence of Sassafras the Juice of Radishes Oxymel of Squills mix'd with Cinnamon Water Gum Ammoniac above all dissolv'd in Vinegar Compound Spirit of Verdigrise mix'd with the thicken'd Juice of Coltsfoot Dulcify'd Spirit of Nitre Elixyr Proprietatis Sulphur or its Spirit per Campanam The Water of Turneps Sperma Caeti Turpentin dissolv'd with the yelk of an Egg in a Convenient Vehicle Balsam of Sulphur Prepar'd with Oyl of Anis Juice of Woodlice with Wine an incomparable Medicine and the Carminative Spirit if the Stomac be disorder'd A Mercurial Salivation or washes for the feet in some Cases are very effectual Take of the Roots of Cuckow-Pint four Scruples Roots of Florentin Orris and Cinnabar of Antimony of each two Scruples Flowers of Sulphur and Benzoin in Powder of each a Scruple Make a Powder Note the Faecula's of Cuckowpint Briony c. are good for nothing
Take of the Leaves of Hyssop and white Horehound of each two handfuls Elecampane Roots two Ounces Fennel seeds half an Ounce Anis seed two drams Terra foliata Tartari three drams Common Water three Pound Scum'd Hony half a Pound Boyl them in a close Vessel Scum the Liquor and add three drams of Cinnamon and a dram of Oriental Saffron Strain it for use Let the Patient take a draught twice or thrice a day Take of Hyssop and Speedwell Water of each an ounce and a half Cinnamon Water an ounce Essence of Zedoary half an ounce Gum Ammoniac dissolv'd in Vinegar and a dram and a half Oxymel of Sqills an ounce Mix for two or three Doses Take of Hyssop Poppy flower and Asthmatical Waters an ounce and a half Asthmatical Spirit Prepar'd fâ—om Gum Ammoniac Verdigris and Brimstone an ounce and a half Oxymel of Squills or Syrup of Tobacco an ounce Take of the Tincture of Tartar half an ounce Spirit of Sal-armoniac two drams Mix and take thirty or forty drops in a warm Vehicle Take of the Roots of Fennel of Asarabacca and of Florentin Orris of each three drams Liquorice two drams Boyl them in Water till the third part be consum'd To eight ounces of the strain'd Liquor add Gum Ammoniac a dram Oxymel of Squills an ounce Syrup of Horehound an ounce or two Mix. This is Brunnerus his Potion Note Sugar and Sweet things ought to be Cautiously us'd in this Disease They are offensive to the Stomac and Lungs and favour a Phthisic Take of Rape flower Water four ounces strong Cinnamon Water half an ounce Syrup of Tobacco an ounce Spirit of Sulphur as much as sufficeth for a Grateful Acidity Mix c. A dram of Gum Ammoniac may be added Take of Cinnamon Water two ounces Sperma Caeti two drams Oxymel of Squills an ounce Mix c. Take of the Wine and Infusion of Woodlice eight ounces Extract of Elecampane Roots two drams Extract of Saffron half a dram Syrup of Hyssop and Syrup of white Horehound of each two drams Mix and take a draught twice a day As for the Convulsive dry Asthma's they are cur'd by premising a Vomit excepting the case of Hysterical Symptoms exhibiting Antiepileptic Medicines such as the Volatil Salt of Amber the Spirits of Tartar Amber Harts-horn Sulphur and Sal-armoniac especially the Essence of Castor whose Oyly salt conquers the Acid most effectually the Spirit of Putrify'd Earthworms and the Distill'd Oyls of Amber Anis and Turpentin mix'd with Narcotics Externally we apply the Oyl of sweet Almonds with Saffron to the Breast and Blistering Plaisters to the Shoulder-Blades and Arms. ART II. Of a Hiccough THE Hickets are a Convulsive motion of the Diaphragm bending it downward distending the Belly and provoking it to accelerat and interrupt Inspiration The Ancients refer'd it to the Stomac but its influence over the Belly its necessary dependence upon Inspiration its ready Obedience to the Command of our Will its being cur'd by continu'd Inspiration Sneesing Mirth and Violent Passions argue that 't is Seated in the Middriff 'T is true the Irritating Cause is frequently lodg'd in the upper Orifice of the Stomac from whence it has a short influence upon the Middriff thro' which the Orifice Passes Thus sharp acid Cold Liquors and Victuals or an acid Viscous Phlegm in the Stomac such as Children are Obnoxious to are frequently the Authors of this Disease As also the Convulsive motions of any other Membran that Corresponds with the Middriff Violent Purgatives Disjoynting of the Ribs Inflammations of the Liver Ruptures and whatever injures the Guts or Adjacent Membrans If a Hiccough proceed from the assumption of sharp Liquors or External things 't is not so dangerous as when it follows the Inflammations of the Liver Costiveness Colics or Feavers especially towards their height The Cure consists in abating the Convulsive sense of the Middriff and removing the material cause The former end is compass'd by Narcotics mix'd with Specifics Now the Specifics are Cinnamon Mastic Galangal Ginger Aniseed Burnt Hartshorn or Ivory Spirit of Sal-armoniac and especially Castor Take of Venice Treacle half a dram Laudanum Opiatum two Grains Aniseed half a Scruple Distill'd Oyl of Mace two drops With the Juice of Quinces Make a Bolus If the Evil be Inveterat 't will be necessary to Vomit Or at least to Purge with Pills of Aloe and Sweet Mercury mix'd with Laudanum After their Operation is over exhibit the following Mixture Take of Wine Impregnated with Quinces and the Tincture of Roses of each an ounce Extract of Zedoary fifteen Grains Laudanum Opiatum two Grains Distill'd Oyl of Orange Peel four drops Syrup of Quinces half an ounce Mix c. If the Stomac be distended with Wind add the Dulcify'd Spirit of Nitre If the Person be molested with Hysterical Symptoms add the Extract of Castor Externally we apply to the Stomac Cataplasms of yest Aromatic Powders and Oyl of Castor Or hot Bread soak'd in Spanish Wine or in Vinegar in which Pepper Castor and Mustard seeds are Boyl'd If a Hiccough proceed from Crudities in the Stomac besides the General method of Vomiting and Purging with Aloe 't will be requisit to exhibit Stomachical Mixtures of the Essence of Zedoary Spirit of Mastic Elixyr Proprietatis prepar'd with Spirit of Sal-armoniac Essence of Wormwood c. If it be occasion'd by sharp Corrosive rusty humors 't will be needful to joyn the above mention'd Specifics with Absorbent Powders such as Seal'd Earth Crabs Eyes Coral Solar Earth and especially the Inner skin of a Hen's Breast If it take its Root from Poyson or be Accompany'd by Malignity let Alexipharmacal Ingredients be added In Feavers Antimonial Nitre given to a dram is of Noted Efficacy If sudden Cold or Drinking of Cold Liquors immediatly after heat gave being to the Disease 't will be proper to Bathe in the Decoction of Nervous Plants ART III. Of the Night Mare THE Night-Mare is either Accidental or Habitual The former is occasion'd by the Distention of the Stomac with Wind or Crudities and prevails when Persons are asleep and lye upon their Backs For then the Stomac dilated presses the Middriff and Muscles of the Bread most and so incumbers the descent of the one and dilatation of the other which are necessary for Inspiration Thus the Blood stagnats in the Lungs and the Person is not able to speak or breathe freely but fancies himself press'd by some particular Object The Habitual is occasion'd by some Acid Lymph that disorders the Spirits and Creates a Paralytic or Convulsive Disposition of the Nerves of the Middriff and Muscles of the Breast which by consent Cramp those of the Wind Pipe whose Contraction raises a sense of strangling and abolishes the Power of an Articulat Voice Hypochondiac and Scorbutic Persons are most subject to this habitual sort which is frequently attended by red spots in the skin and seems to be near a-kin to an Epilepsy Sometimes 't is the effect of Worms
Electuary made of Hony Elecampane Roots Sage and Water Germander-leaves Or Take of Scabious Water three ounces the Asthmatical Water six drams Spirit of Sal-armoniac Anisated a dram and a half Syrup of Hyssop and Syrup of Hedg Mustard of each six drams Mix for a Potion Take of the Clarify'd Juice of Coleworts two ounces Powder of Cuckowpint Roots a dram With Oxymel of Squills make an Electuary ART III. Of a Cough A Cough is a frequent and interrupted Exspiration or Convulsion of the Middriff and Muscles of the Breast attended by a Constriction of the Wind Pipe without which 't would make no Noise The Immediat cause is the Irritation and Provocation of the Wind Pipe or Lungs or of the Muscles Dedicated for Respiration This may proceed either from an irritating matter Seated directly in these places Or from a foreign Cause conveying its Influence by the Commerce of the Nerves and creating a Convulsive dry Cough such as Hypochondriac and Hysteric Persons or those in whose Bodies an Acid prevails are very liable to But we shall confine our thoughts to that which proceeds from the immediat Influence of some material cause And in order to form a distinct Idaea of it shall consider both its External and Internal Causes supposing still that the distinction of a dry and wet Cough is minded and understood The External Causes are acid mineral fumes sharp liquors hard Food and an Intemperat Air. The acid fumes and sharp particles of Air tickle the Wind Pipe and Pituitous Membran that lines the Palat and by influencing the Nerves of the Muscles of the Breast which spring from the same branch of the Intercostal Nerve as those of the Wind Pipe occasion the Contraction of the Breast and Expulsion pulsion of what it contains In like manner sharp liquors or grating Food by tickling that part of the Gullet which immediatly joyns the Wind Pipe produce the same effect Now this Irritation at the first occasions a dry Cough and squeezes only a thin serum from the Contracted Glandules But if it continue long the parts are inflam'd or corroded and their Nourishment degenerats into a slimy thick matter which Christeus it a wet Cough The Ancients imagin'd that this matter either Distill'd from the Head or was deposited in the Lungs by the Blood but they were mistaken since this vicious matter is rather the effect than the cause of a Cough The Internal causes relating to a wet Cough are seated either in the Wind Pipe and Lungs or in the Gullet and Stomac Those in the Wind Pipe and Lungs are the sharpness of the serum deposited by the Blood Ulcers Imposthumes Inflammations Morbifical matter transfer'd thither in the Declension of Acute Diseases Stagnation of Blood in the Lungs and the suppuration of a Pleurisy Empyema or Peripueumonia Now all these causes occasion the Collection of Irritating humors and convert the Nutritious Juice of the parts into a thick sordid purulent matter Nay sometimes carry the Curruption so high that pieces of the very Lungs and Veins Worms Stones c. are cast up The Internal causes of a wet Cough relating to the Stomac are a defluxion of a viscid Lymph from the hinder Membrana Pituitaria into the Stomac or Indigested Crudities collected about its upper Orifice but especially the first This Lymph falling from the Membran into the Stomac gave occasion to the Error of the Ancients in refering such Catarrhs to the Head When it irritates the Stomac especially those parts which joyn the Wind Pipe and Middriff it occasions their Constriction which seldom ceases till some part of the offending matter be cast up These Coughs proceeding from the Stomac are more frequent than those from the Breast from whence we may discover the mistake of those who fancy'd that the matter cast up by Coughing came always from the Lungs The Internal cause of a dry Cough is the sharpness of the Lymph watring the Throat and separated by its Glandules for that purpose occasion'd by a weak Digestion or Crudity of the Chyle in the Mass of Blood Sometimes a thin salin humor provoking the upper Orifice of the Stomac doth likewise cause a vehement dry Cough as the Chin Cough of Children But if the humor or Lymph become thick it degenerats into a wet one In the Paroxysms of Intermitting Feavers we frequently meet with dry Coughs that proceed from a vicious fermentation of the humors in the Duodenum irritating the Stomac and consequently the Middriff and Wind Pipe Preternatural Excrescences in the Lungs and Organs of Respiration may be also listed among the causes of dry Coughs As for the Diagnostics of Coughs A wet Cough is known by the viscous matter it brings up as a dry one by its small quantity of thin serum As for wet Coughs a superficial sound easy Respiration and the high seat of the Pain discover their Original from the Wind Pipe as a difficult Respiration or an aptness to Cough upon a large Inspiration a hollow hoarse sound follow'd immediatly by evacuation night Feavers and Phthisical Symptoms refer 'em to the Lungs But a pain and weight under the pit of the Breast attended sometimes by a difficult Respiration and Vomiting of Phlegm a deep hollow sound with a tearing fierce Cough and Prostration of the Appetit ascribe 'em to the Stomac A dry Cough proceeding from sharp saltish Lymph relents in the Day time and towards evening reassumes its former force with a gentle shivering follow'd by a Violent Heat and Night Feavers Such are those that usher in the small Pox or Phthisics or follow the retreat of Curicular Eruptions in Children Their Nocturnal Exacerbations are common to all Lymphatic Diseases and are in some measure caus'd by the want of equal transpiration with that of the Day But these dry Coughs always become wet by continuance The Coughs that Old and Arthritic Persons are subject to seem to proceed from a weak Digestion in the Stomac where the crude viscid matter assembles and provokes the adjacent Wind Pipe and Middriff Sometimes Pectoral and Stomachical Moist and Convulsive Coughs are mutually Complicated Violent Inveterat Coughs threaten Ruptures or Miscarrying and promote infirmities of the Head and Eyes A stomachical Cough continuing long viriats the Lymph and Produces a Phthific as also the Nocturnal dry Coughs To Scorbutical or Hydropical Persons any Cough is an ill Omen The cure consists in allaying the Irritation and removing the offensive cause for which ends Opiats Vomits Thickening Attenuating and Vulnerary Med'cines are in use However for obtaining a distinct method of cure let the following directions be minded 1. Opium is not convenient in wet Coughs viz. Those attended by a viscid matter till the Universal Evacuations are premis'd A dry cough caus'd by External Air or Mineral steams is admirably cur'd by Laudanum Opiatum in the Beginning To which we add Sylvius's Pills of Storax The Decoction of Zedoary in Wine The Decoction of Raisins and Elecampane Roots in Wine Or of
dregs may be separated Take of the Powder Diaireos a dram flowers of sulphur half a dram Laudanum Opiatum three Grains Make Pills for three Doses If the Nocturnal Feaver be troublesom Take of Scabious Water four ounces Asthmatical Water half a dram Spirit of Hartshorn succinated a dram and a half Diacodium six drams Mix and Exhibit before the Paroxysm in order to sweat Towards the finishing of the cure 't will not be improper to Purge thus Take of Crato's Pills of Amber sixteen Grains Extract of Agarie eight Grains Troches Alhandal and Scammony sulphurated of each two Grains With the Essence of Sassafras Make Pills 6. If a dry Noctural Cough continue so long that it begins to void Corrupt matter and that the Lungs are Ulcerated let a draught of the Decoction of Guajacum and Sassafras or of China and Raisins be exhibited every morning and Opiats at Night And apply an Ointment of Hogs Tallow and Onyon Heads to the Feet in the Evening for three days together 7. The dry Chin Cough arising from the Stomac is cur'd thus First give a Vomit then exhibit twice a day a spoonful of the Decoction of Electampane and Corants in Spanish Wine mix'd with Diacodium The Decoction of Rapes is equally effectual both in this and all other dry Coughs Or Take of the Compound Tincture of Tartar two drams Spirit of Sal-armoniac Anisated a dram Essence of Opium half a dram Dose forty drops thrice a day In General All dry Coughs are treated as Catarrhs and the moist sort as wet Asthma's 8. As for the Convulsive Coughs arising by sympathy from the influence of foreign Membrans they are cur'd as Convulsions by Volatil Salts 9. If the Throat and Palat be excoriated 't is customary to give some thickening licking Medicines for defending the Passage This gave occasion to the Vulgar mistake as if such licking Medicines should drop into the Wind Pipe whereas they only keep the throat easy Such are the Syrups of Jujubes Coltsfoot Liquorice and the Oyl of sugar thus Prepar'd Take of the Spirit and Oyl of Juniper berries of each four ounces White sugar two ounces Kindle the Spirit and the Sugar or Oyl will remain Which mix with the Extract of Saffron to be often lick'd of ART IV. Of a Choaking Catarrh THAT which the Ancients call'd a Choaking Catarrh is a Disease causing difficult Respiration and Threatening Suffocation which seems to be Complicated of an Asthma Cough and Hoarseness The Ancients fancy'd that a Catarrh falls from the Head and overflows the Lungs But Anatomy affords no Passage for such a descent and therefore we shall wave their Opinions For the most part Convulsive Asthma's are miscall'd Catarrhs or whatever symptom of this Nature is different from them may be cast into these four Heads 1. A fear of suffocation may insue when the Lungs are stuff'd and provok'd to Contract their fibres by a viscid Heterogeneous Acid as if sulphureous fumes should stick to 'em like foot to a Chimney they 'd provoke the Lungs to contract and squeese out Lymph with which they joyn in the form of a new Concrete till being concocted together they find a vent by Expectoration Upon which the Contraction and Difficulty of Breathing ceases But the Nutritious Juice of the Lungs is so deprav'd that they retain a Propensity to relapse upon the least occasion The acid that prevails in Children renders them also liable to this symptom 'T is cur'd by Opiats and Thickening Medicines 2. When the Head of the Wind Pipe and Epiglottis are provok'd to Contraction as when a bit of Bread falling into it causes a Coughing Hoarseness difficult breathing and voiding of matter The cause in respect of the Larynx is either External or Internal The former is a viscous thick Lymph falling from the hinder Membrana Pituitaria into the Wind Pipe especially in the Night time and when the Patient lies on his back which Irritats and Tickles the Head of the Wind Pipe provokes the Epiglottis to shut and hinder Respiration occasions a hoarseness snoring and spitting of thin matter which in process of time becomes thick and concocted The latter is a sharp Lymph lodg'd within the Wind Pipe and producing the like effects As for cure if it proceed from the cause that is External or Foreign to the Wind Pipe it requires a Vomit and Attenuating Medicines viz. The Juice of Radishes Syrup of Tobacco Gum Ammoniac c. And in a word the same cure with the Inveterat moist Gough As for Example Take of Hyssop Water Mint Water and the Water of Tobacco of each an ounce The Asthmatical Water six drams Oxymel of Squills half an ounce Syrup of Tobacco six drams or an ounce Mix and make a Potion of which give a spoonful now and then Or Take of Hyssop Water and Scabious Water of each an ounce and a half The Asthmatical Water six drams Gum Ammoniac dissolv'd in Vinegar a dram Syrup of Scabious an ounce Mix and Exhibit as above To these and such like mixtures we may add opiats now and then The Water of Hedge Mustard with Gum Ammoniac dissolv'd in Vinegar the Roots of Cuckowpint and Michael's Asthmatical Spirit Prepared from Verdigris and Gum Ammoniac are also very proper If this Symptom proceeds from an Internal cause 't is cur'd by sudorifics mix'd with Opiats Vomits being premis'd if there be occasion after the same manner as a dry Nocturnal Cough proceeding from a sharp Lymph Take of Mint Water Scabious Water Water of Mother of Thyme of each an ounce Asthmatical Water six drams Spirit of Sal-armoniac Anisated two drams Flowers of sulphur half a dram Syrup of Diacodium an ounce Mix and give a spoonful now and then Or. Take of the Essence against Catarrhs three drams the Spirit of Sal-armoniac Anisated a dram Mix and Exhibit a Convenient quantity frequently Take of Aqua Articularis ad Extra two drams Spirit of black Cherries and of Lilly of the Vally of each a dram Essence of Opium two scruples Mix and apply it with a warm Cloth to the Region of the Larynx especially when the Person is sensible of a tickling or constriction in that part If this Disease return frequently let an Issue be cut in the Arm. Clysters Blood-letting Blistering Plaisters and all the Stratagems of the Ancients Calculated for Defluxions from the Head are of no use 3. The third sort of Suffocation or Catarrhus Suffocativus happens when the Blood stagnats in the Lungs In this Case it is coincident with a Syncope Cardiaca approaches to a Peripneumonia and is attended by the Symptoms of an Apoplexy Nay Apoplectic Persons when Dead have their Lungs stuff'd after the same manner as those who dye of this distemper And therefore Hypocrates Styl'd it a strangling Aph. 13. Sect. 2. The froth that sometimes attends this Paroxysm proceeds from the Imprison'd Blood in the Lungs when Rarify'd by Air Thus if we inject Oyl of Turpentin into a Dogs Veins it congeals the Blood
Fit which sometimes break forth together with the Sweat and disappear when it is finish'd But the most infallible evidence of a scorbutic Feaver is when red crumbling clots of Sand stick to the bottom or sides of the Chamber-pot or in room of that a fat Crust or a gross reddish scurfy Sediment appears in the Urine Periodical Feavers degenerat oft-times from their regular Measures and either anticipat or postpone the hour of returning This may be occasion'd by the strength or weakness of the Spirits the greater or less activity of the febrile ferment or viscidity of its Vehicle As for their frequent multiplication or the degeneracy of simple Feavers into double triple quadruple c. 't is occasion'd either by a preposterous use of fixing Medicines Opiats or Purgatives or by eating Fish Summer-fruits Milks and over-feeding just before the Paroxysm The Diagnostics are couch'd in the preceding Paragraphs As for Prognosticks a Tertian if regular and well manag'd do's not exceed seven Fits but a Quartan tho' more tedious is less dangerous Malignant intermitting Feavers are justly suspected The spurious Tertians or such as begin meekly and slowly are worse to cure than the regular acute ones and for the most part drive out to the fourteenth Paroxysm All benign intermitting Feavers are easily cur'd if taken care of betimes but if neglected they become chronical and degenerat into grievous Distempers If the Urine voided out of the Paroxysm thicken apace it signifies the shortness of the Disease If at first it appear crude and soon after assume a white Cloud the Feaver will end with the fourth Paroxysm But if it continue scanty reddish and unconcocted the Feaver will last to the seventh Fit or if discontinu'd is apt to relapse If all the Symptoms are heighten'd in the second Paroxysm of a Tertian and relent in the third the fourth concludes the Feaver but if their heighth be put off till the fourth and their remission to the fifth the seventh is the finishing stroak While a Tertian anticipates its hours it increases and declines when it begins to postpone Schirrus's in the Bowels succeeding to intermitting Feavers are sad presages of chronical Distempers Such Feavers as observe regular constant Periods are more obstinate than those which vary Vomiting is a good sign and Convulsions in the Fit are not to be fear'd When a copious Sweat succeeds to the Paroxysm oft-times there 's no sediment in the Urine and in that case there 's no bad indication but if otherwise 't is justly suspicious As for Quotidians they are apt to continue forty Days or longer If attended by a heaviness of the Head and drowsiness they terminat in a Lethargy or Carus If they are sipun out to a considerable length they degenerat into Dropsies and other grievous Distempers If the Paroxysms invade by Day 't is a worse case than if they came by Night and if they continue long without Sweating while the Appetit and Strength of the Person are very languid there 's small hope of recovery If the Paroxysms be short attended by Vomiting in the beginning and early signs of Concoction in the progress of the Disease 't is a good Omen Sometimes Quotidians are solv'd by frequent Vomiting pituitous evacuations by Stool or a translation of the febril matter to the Joints A Quartan after the sixtieth Year of one's Age is mortal It may continue for two and twenty Years together but the utmost measure of its regular duration is one Year If its Periods be constant and regular they portend ill if inconstant they betoken a sudden recovery An Autumnal Quartan continues till the Spring Equinox and then for the most part ceases of its own accord A Vernal Quartan if it do not disappear at the Summer Solstice reaches to the Autumnal Equinox The duration of Autumnal and Winter Quartans is longer than that of the Summer ones Women are oft-times freed from this Feaver by being got with Child If it be attended by the disorder of any Bowel it introduces a Dropsy oâ— obstinate Scurvy If it dwell long in a dry Constitution it ends in a Hectic or Consumption An irregular Diet especially in respect of drinking adds to its duration Loss of Appetit is a very bad sign Black Urine tho' a dangerous Symptom in other Diseases signifies the solution of a Quartan unless it be attended by a notable weakness for then it is a sign of approaching Death A Jaundice in the beginning of a Tertian or Quartan is an unlucky Sympom but if it happen later may infer a solution of the Disease Tertians are sometimes cur'd by Critical Eruptions in the Lips Nostrils c. and sometimes by long fasting but the most effectual way is that of sweating Now in order to answer all the indications of Cure let the following Cautions be carefully weigh'd I. That by all means the Cure be commenc'd betimes for intermitting Feavers by delay become obstinat II. In these Countries Blood-letting does but prolong ' em Perhaps some occasional Circumstances may justifie the use of it in a few particular cases but in general this is an uncontested Maxim that whatever impairs the Heat or does not promote Sweating is hurtful III. Vomiting is absolutely necessary in all intermitting Feavers especially Quartans and ought to be repeated as occasion requires Let a Vomit therefore be exhibited two or three Hours before the invasion of the Paroxysm unless the weakness of the Person dissuade in which case give it the Day immediatly preceding The symptomatical Vomitings that oftentimes happen in the Paroxysm are so far from arguing against Artificial Vomits that they are a plain indication for ' em If the Person be troubled with a bitter nauseating taste in the Mouth in a Morning or complain of straitness of the Breast Heart-burrings Unquietness Giddiness Belchings c. a Vomit is loudly demanded In fine in Quotidians and all other Intermitting Feavers it is a sovereign Remedy but withal care must be taken that the Stomac be not over-weaken'd upon which account let the following mixture be given after the operation of the Vomit Take of rasberry-Rasberry-Water one Ounce strong cinnamom-Cinnamom-Water two Drams Confection Alkermes half a Dram Laudanum Opiatum one grain Simple Syrup of Poppies two or three Drams Mix for the above mention'd use Asarabecca is a noted Vomit especially in Quartans A Dram or Four Scruples of the Powder of Asarabecca Roots may be given with eight or ten Grains of Sal-armoniac in a draught of White-wine an Hour or two before the Paroxysm it procures both vomiting and sweating Or Eight or Nine Leaves cut not very small may be infus'd over-night in Carduus Benedictus Water and exhibited in the Morning with Oxymel If the Leaves be beat in a Mortar 'till their Juice be express'd and that mix'd with Oxymel and Water of Carduus Benedictus they yield a more powerful Vomit If the leaves be boil'd in Water they 're strip'd of the vomiting vertue and become Diuretic but withal are highly
useful in Quartan Feavers The Water of Tobacco and the Roots of Swallow-wort boyl'd in Wine and Water are likewise approv'd Vomits in these cases But of all the vomiting Tribe Antimonials are the best as the Infusion of Crocus Metallorum or take of Mercurius vitae five or six Grains infuse in Rhenish or Wormwood-Wine for the space of a Night strain out the Wine and give an Ounce or ten Drams for a dose Or Take of Mynsicthius his Emetic Tartar two or three Grains Sal-armoniac twelve or fifteen Grains mix and exhibit in a warm Vehicle Or if Pills be more acceptable take of Ruffus's Pills de tribus fifteen Grains Mynsicthius's Emetic Tartar two or three Grains Scammony sulphurated one Grain with Essence of Lesser Centory make Pills Sala's Emetic Syrup may be given in any convenient Vehicle from three to six Drams Salt of Vitriol is very offensive to the Stomac The Pairings of Man's Nails is a Horse-Vomit IV. All Purgations in the beginning of Intermitting Feavers or while the Urine is yet crude are hurtful nay in the height of the Distemper when the Urin begins to appear muddy fierce Purgatives may do a great deal of mischief If Vomits do not succeed or the first passages be stuff'd with Humors gentle Purgatives may be exhibited after the third or fourth Paroxysm either on the Intermitting Day or the Fit day so as that the operation may be finish'd before the invasion of the Fit As Take of Tartar vitriolated twelve or fifteen Grains Scammony sulphurated three Grains Troches Alhardal two Grains distill'd Oil of Aniseeds or of Cloves two drops Mix for a gentle purging Powder Take of Tartar vitriolated Powder of Jalap of each half a Scruple Magistery of Scammony six Grains make a Powder Take of the Hepatic Red Powder and Tartar vitriolated of each eight Grains Scammony sulphurated five Grains make a Powder Take of Cream of Tartar half a Dram Powder of Jalap half a Scruple Extract of Troches Alhandal one Grain distill'd Oil of Aniseeds two drops Mix them Take of Cream of Tartar half a Dram Arcanum duplicatum fifteen Grains Powder of Jalap six Grains Make a Powder Take of Powder of Jalap fifteen Grains Scammony sulphurated three Grains depurated Nitre four Grains Salt of Tartar two Grains Make a Powder If Infusions be more acceptable Take of pick'd Senna three or four Drams Aniseeds bruis'd a Dram Salt of Tartar half a Dram. Infuse for the space of one Night in a sufficient quantity of Carduus Benedictus Water To three Ounces of the strain'd Liquor add cinnamom-Cinnamom-Water and Syrup of Apples of each half an Ounce Mix for a Potion It tastes prettily and purges very gently In Tertians the Dose of the Senna is lessen'd and Rhubarb added Take of pick'd Senna an Ounce crude Roots of Black Hellebor two Drams of Polypody of the Oak three Drams Salt of Tartar half a Dram boil them gently in clarifi'd Whey To Four Ounces of the strain'd Liquor add Tincture of Tartar a Scruple compound Syrup of Fumitory half an Ounce Mix as above Take of pick'd Senna an Ounce crude Black Hellebor and Ginger of each two Drams of the sharpest Salt of Tartar half a Dram tie them into a Bag which infuse in warm Water in a close Vessel Let it stand 'till it cool and reserve the Infusion in a Cellar for use of which let the Patient take a large draught every fit day about two Hours before the Paroxysm and likewise in the Intermitting Days especially in Quartans Take of Wormwood-tops half a handful Flowers of lesser Centory two little handfuls choice Rhubarb two Drams Black Hellebor Roots a Dram Cinnamom Salt of Tartar of each a Scruple Infuse them in Fumitory Water for the space of a Night in a warm place To three Ounces of the strain'd Liquor add solutive Syrup of Roses three Drams Mix for one Dose Take of Water of Carduus Benedictus one or two Ounces extract of Black Hellebor a Scruple Aperitive Extract of Steel half a Scruple Troches Alhandal two or three Grains Syrup of Apples six Drams Make a Potion Take of Mint-Water an Ounce Cinnamom Water half a Dram Gum Ammoniac dissolved in Vinegar sixteen or twenty Grains Tartar vitriolated seven or ten Grains Scammony sulphurated three Grains Extract of Troches Alhandal half a Grain or a whole Grain solutive Syrup of Roses or of Apples two Drams Mix c. If Pills be more agreeable take fifteen Grains or a Scruple of the Extract call'd Catholicum or of Crollius's Extractum Panchymagogum Or Take of Quercetanus his Pills of Ammoniac or of his Tartar Pills fifteen or twenty Grains Extract of Wormwood six Grains Scammony sulphurated two Grains make Pills Or Take of Quercetanus's Pills of Ammoniac fifteen Grains Extract of Carduus Benedictus Extract of Wormwood of each four Grains Nitre prepar'd with Antimony six Grains Scammony prepar'd with juice of Roses one grain With Essence of Wormwood make Pills Take of Crollius's Extractum Panchymagogum fifteen grains Extract of Steel prepar'd with juice of Apples twelve grains Tartar vitriolated six grains Scammony sulphurated three grains With Essence of Steel make Pills Take of Ruffus's Pills de tribus sweet Mercury of each fifteen grains Scammony sulphurated three grains Extract of Troches Alhandal one grain make Pills If the form of a Bolus be desir'd take of Conserve of Roses half a Dram sweet Mercury a Scruple Scammony sulphurated five grains Make a Bolus Or Take of sweet Mercury fifteen grains Tartar vitriolated half a Scruple Scammony sulphurated three grains With Conserve of Roses make a Bolus Sweet Mercury attenuats the viscid Humors Scammony purges the sharp and bilious Humors In obstinat Quartans sweet Mercury mix'd with Mercurius vitae or Butyrum Antimony given in Substance are very effectual As likewise the following Powders taken before the Paroxysm Take of white Mechoacan two Drams white Pepper-Corns in number one-and-twenty prepar'd Crabs-Eyes one Ounce Make a Powder for three Doses Take of Cream of Tartar fifteen grains Scammony sulphurated three grains diaphoretic Antimony six grains Make a Powder Take of Powder of Cornachini a Scruple Troches Alhandal one grain distill'd Oyl of Mace two drops Make a Powder Take of Powder of Jalap twelve grains diaphoretic Antimony not dulcifi'd six seven or eight grains Mix and make a Powder Take of prepar'd Red Coral Salt of Wormwood or Mynsicthius his Arcanum Duplicatum of each from ten to fifteen grains Brendelius's Preparation of Scammony two three or four grains Mix c. Take of Arcanum Duplicatum half a Scruple diaphoretic Antimony five grains prepar'd Red Coral three grains Powder of Jalap six grains Scammony sulphurated two grains Make a Powder V. Carminative and Abstergent Clisters are very useful especially when Wind or a murmuring noise molests the Guts when grievous pains invade the region of the Loins proceeding from the Mesentery when a vomiting anxiety and straitness of the Breast afflict the Patient or when gnawing sharp Humours are
lesser Centory of each eight Grains Make a Powder for two Doses Take of Salt of Wormwood fifteen grains Diaphoretic Antimony half a Scruple prepar'd red Coral twelve grains distill'd Oyl of Sassafras or of Mace two Drops-Mix c. If the form of Potions be more acceptable take of Water of Carduus Benedictus one Ounce Salt of Wormwood a Scruple Salt of lesser Centory half a Scruple Julep of Roses three Drams Mix for one Dose Take of Water of lesser Centory an Ounce or two Salt of Wormwood fifteen or twenty Grains prepar'd Crabs Eyes ten or fifteen grains Syrup of Carduus Benedictus half an Ounce Make a Potion to be given before the Paroxysm adding two Drops of distill'd Oyl of Cloves Take of Parsley Water two Ounces Fennel Water one Ounce Spirit of Venice Triacle a Dram and a half Volatil salt of Amber a scruple Syrup of Carduus Benedictus an Ounce Mix and exhibit a Spoonful now and then Take of the Water of Carduus Benedictus two Ounces Triacle Water two Drams Salt of Wormwoood half a Dram Spirit of Sal-armoniac a scruple Syrup of red Poppies three Drams Mix for a Potion XII The fix'd Salts consisting of an Alcali and an Acid such as Arcanum Duplicatum Sal Hypochondriacum digestivum c. are proper to be us'd in the beginning of the Disease before Evacuations and likewise on the intermitting and Fit-Days As Take of Hypochondriac Salt half a scruple Salt of Wormwood five grains Mix for a Powder Take of purify'd Sal-â—rmoniac a Dram Antimoniall Nitie a scruple Make a Powder for two Doses one to be taken in a hot Vehicle in the Morning and the other in a cold Vehicle at Night Take of Arcanum duplicatum fifteen or twenty grains Diaphoretic Antimony half a scruple Mix. Let it be taken before the Invasion of the Fit and twice on the intermitting Day Take of Arcanum duplicatum fifteen grains prepar'd Crabs Eyes twelve grains distill'd Oyl of Juniper Berries two drops Mix and make a Powder to be us'd as above Take of Arcanum duplicatum fifteen grains Salt of Wormwood prepar'd red Coral of each half a scruple Laudanum Opiatum one grain Make a Powder Take of prepar'd Crabs Eyes Areanum duplicatum Salt of Wormwood of each half a Dram Volatil Salt of Amber twelve grains Laudanum Opiatum three Grains Make a Powder for three Doses One to be taken immediatly before the Fit and two on the intermitting Day Take Ivory prepar'd without Fire Arcanum duplicatum of each twelve grains fulminatory Gold six Grains Or Take of Cream of Tartar a Dram Tartar vitriolated half a Dram Spirit of Sulphur three or four Drops Make a Powder for two Doses Riverius recommends Crollius's specific Potion to be taken before the Paroxysm viz. Take of Cichory Water one two or three Ounces Spirit of Sulphur or Spirit of Vitriol fifteen or twenty Drops Salt of Wormwood half a Dram. Mix for a Potion XIII When the hot Fit is very violent and the cold one short and inconsiderable nitrous Salts are very proper Dulcify'd Spirit of Nitre effectually allays the Feaver after the height of the Paroxysm Antimonial Nitre or Nitre vitriolated is a sovereign Remedy in scorbutic Feavers Take of Antimonial Nitre fifteen grains Sal-armoniac six grains Make a Powder to be administred before the Paroxysm Take of Antimonial Nitre half a scruple Arcanum duplicatum twenty or thirty grains Poterius's Antihectic Powder nine or twelve grains Mix for three Doses Take of Antimonial Nitre two scruples Harts-horn prepar'd without Fire a scruple Diaphoretic Antimony eight grains Mix for two Doses Take of Arcanum duplicatum fifteen or twenty grains volatil Salt of Amber six or ten grains Make a Powder XIV Acids are not very proper in intermitting Feavers If the Feaver approach to a continual or be attended by an immoderat burning Heat insufferable Thirst and a difficulty of sweating they may be exhibited but never before the height of the Fit As Take of the Water of Carduus Benedictus two Ounces Mint Water one Ounce Diaphoretic Antimony half a Dram Laudanum Opiatum a grain or two Syrup of Carduus Benedictus six drams Dulcify'd Spirit of Nitre as much as sufficeth to render it grateful Mix and give it by spoonfuls in the declination of the Paroxysm Take of Rasberry Water three ounces Juice of Rasberries three or six drams Diaphoretic Antimony half a dram or a dram Syrup of the Juice of Citrons half an ounce or a whole ounce Dulcify'd Spirit of Nitre as much as sufficeth for a grateful acidity mix Take a spoonful now and then It quenches thirst allays the heat and promotes sweating Take of the Water of red Poppy Flowers four ounces Diaphoretic Antimony two or three scruples Syrup of red Poppies half an ounce Dulcify'd Spirit of Nitre as much as sufficeth c. Sometimes Crabs Eyes mix'd with Vinegar are useful in the Fit as take of the Water of Carduus Benedictus Cichory Water of each an ounce and a half Wine Vinegar six drams simple Spirit of Triacle three or four drams Powder of Crabs Eyes half a dram Syrup of the five opening Roots an ounce mix and exhibit a spoonful now and then Or Take of Sorrel Water Fumitory Water Mint Water of each an ounce Rasberry or Elder Vinegar six drams simple Spirit of Triacle a dram and a half or two drams prepar'd Crabs Eyes two or three scruples Syrup of Orange Peel three drams Mix and use as above 'T is useful against straitness of the Breast Gripings Wind and Hypochondriac symptoms of the Belly Take of the Water of Carduus Benedictus Endive Water and House-leek Water of each an ounce Vinegar six drams Dulcify'd Spirit of Nitre a scruple prepar'd Crabs Eyes half a dram Diaphoretic Antimony fifteen grains Syrup of the Juice of Citrons six drams Mix as above Take of Chervil Water four ounces Wine Vinegar six drams prepar'd red Coral prepar'd Crabs Eyes of each a dram Laudanum Opiatum two grains Syrup of Ground Ivy half an ounce Mix c. XV. Opiats are of Extraordinary use But if unseasonbly administred are very pernicious Digestive and Evacuating Medicines must always precede the use of Opium After them it mitigates the cold and shivering and effectually removes such Paroxysms as return more by Custom than the force of the morbific matter It must always be joyn'd to proper specifics As Take of Mynsicthius's Arcanum Duplicatum a scruple Salt of Wormwood half a scruple Laudanum Opiatum two Grains Make a Powder to be taken in Wormwood Wine before the invasion of the Fir. Take of the Febril Elixyr two drams Essence of Opium half a dram Dose forty or fifty drops XVI If the Paroxysm do's not end in sweating Head-aches follow it For which Sympt in let the Head be fomented with some hot camphoris'd Liquor XVII In Chronical Feavers Blistering Plasters applied to the Wrists or Pit of the Neck are very serviceable Mercurial Salivations somtimes remove inveterat Quartans but the Cure is worse
than the Disease Aguish Persons are very apt to salivate by taking but a few grains of sweet Mercury which inconvenience ought to be prevented by Purgation or forcible sweating XVIII Chronical Feavers thicken the Blood and Lymph and are apt to degenerat into slow Hectic Feavers which are best prevented by the use of Sal-armoniac a Vomit being premis'd or the following Powder viz. Take of Arcanum Duplicatum twelve or fifteen grains Ivory prepar'd without fire half a scruple mix and exhibit two hours before the Fit Inappetency succeeding to such Feavers is cur'd by the continued use of Wormwood or lesser Centory XIX Chronical Feavers and such as are cur'd by repeated Doses of absorbent Powders are frequently follow'd by Colics Dropsies swellings of the Feet c. Such Symptoms are obviated or remov'd by the internal use of the Decoction Essence Juice or extract of Wormwood and the external application of Celandin the greater XX. In the Declination of an Intermitting Feaver or after their removal or on the intermitting Days 't is not improper to obviat the Cachectic indispositions that generally follow 'em by the use of the following Vegetable Febrifuga's which sharpen the Bile enervat the Acid and fortify the Stomac Take of Essence of Wormwood or of lesser Centory or of Gentian or of Myrrh half an ounce Spirit of Sal-armoniac two drams Mix. Dose thirty or forty drops twice a Day Take of Michael's Febril Elixyr and Elixyr Proprietatis of each a dram and a half Mix. Dose forty or fifty drops Take of the sharpest Tincture of Tartar three drams Elixyr Proprietatis prepar'd without an Acid two drams Mix c. Take of the sharpest Tincture of Tartar three drams Quintessence of Wormwood one dram Mix c. Take of the sharpest Tincture of Tartar three drams of the Carminative Spirit a dram Mix. Dose forty or fifty drops twice a Day XXI During the cold Fit the sick Person must abstain from Eating or Drinking After the height of the Fit when the Sweat begins to breath forth and the Heat is violent he may drink plentifully Warm Wormwood Wine or Wormwood Ale is not improper if there be any apprehension of a scorbutic Feaver the Wine may be Tinctur'd with Antiscorbutics But in Quartan Paroxysms 't is adviseable to drink little or none at all or at least to drop forty drops of Spirit of Sal-armoniac into the Liquor which must always be warm Let the ordinary Drink be Water or small Beer mix'd with Wormwood Wine or clarify'd Whey with a few drops of the juice of Citrons Refrigerating Juleps are improper barring the case of immoderat Heat for which warm Drink with Nitre or Spirit of Vitriol is very proper As Take of the Flowers of red Poppies Flowers of Roses of each half a Handful Infuse them in a Pound and a half of Poppy Flower Water or Clarify'd Whey and sharpen it with Spirit of Sulphur per Campanam Let them stand in a warm place till the Tincture be Extracted Then add of Syrup of Jujubes two ounces Syrup of Violets an ounce Make a Julep Take of the Conserve of Wood Sorrel Conserve of Roses Conserve of Clove Gilly-flowers of each an ounce dissolve 'em in a sufficient Quantity of the decoction of Vipers-grass or Boyl them gently in a close Vessel Strain the Liquor and reserve it for use Take of the Roots of Woodsorrel and Tamarinds of each an ounce Boyl them in Water To four pound of the strain'd Liquor add three Handfuls of red Roses sprinkl'd with dulcify'd Spirit of Vitrol Set them in a warm place till the Tincture be extracted Then strain it and add the Syrup of red Corants and Syrup of Rasberries of each three ounces Mix and reserve for use Take of Spring Water half a pound Cinnamom Water half an ounce fresh Juice of Citrons an ounce and a half Spirit of Vitriol as much as sufficeth for a grateful Acidity Mix c. XXII In Tertians let not Sweat be artificially promoted before the fourth Fit and if it comes naturally in the declensions of the Fits let the Person be lightly Cover'd In Quartans Sudorifics are improper till the signs of Concoction appear but if sweat break forth of its own accord before that time it must not be suppress'd XXIII The chilness shivering shaking c. attending the cold Fits are admirably accounted for by applying Aromatic Oyls to the Stomac Breast Back-bone Loins and Soles of the Feet As Take of Balsam of Peru a dram the distill'd Oyls of Cloves of Mace and of Amber of each half a scruple Mix and Anoint the above mentioned Parts Take of express'd Oyl of Nutmegs a dram distill'd Oyl of Cloves distill'd Oyl of Cinnamom of each fifteen grains Mix c. Take of the distill'd Oyl of Juniper-Berries and Rosemary a scruple distill'd Oyl of Cloves half a scruple Inwardly the same symptoms are mitigated by exhibiting the fixed Salts Aromatic extracts and distill'd Aromatic Oyls But they are peculiarly calculated for such Feavers where the cold Symptoms are more violent than the hot The forms of prescribing are such as these Take of the Salt of Wormwood a scruple prepar'd Oyster-shells and white Pepper in Powder of each six or seven grains Take of Sal-Armoniac fifteen grains Cloves and white Pepper of each five grains Make a Powder for two Doses To be taken before the invasion of the Fit Take of prepar'd Pearl half a scruple Salt of Wormwood fifteen grains distill'd Oyl of Cloves two drops Make a Powder Take of the Salt of Wormwood fifteen grains Diaphoretic Antimony half a scruple Laudanum Opiatum one grain distill'd Oyl of Cloves two drops Make a Powder to be taken two or three Hours before the Fit Take of Crollius's specific against Feavers a dram Salts of Wormwood and of lesser Centory of each half a scruple distill'd Oyl of Cloves three drops Make a Powder for two Doses Take of Carduus Benedictus Water an ounce Cinnamom Water a dram extract of Gentian half a dram Spirit of Sal-Armoniac half a dram Syrup of Carduus Benedictus two drams Make a draught to be exhibited two Hours before the Fit In Quartans when the cold Symptoms prevail most the Dose of the Extract may be augmented but in Tertians when the Heat obtains the ascendant the Quantity of the Spirit of Sal-Armoniac ought to be inlarg'd Take of the Extracts of Wormwood Carduus Benedictus lesser Centory and Triacle of each from five to six Grains distill'd Oil of Cloves three Drops Make Pills to be given before the Fit when cold and its Appendants prevail and little or no heat insues For Oil of Cloves is an incomparable Antidote against shivering Laudanum Opiatum and Extract of Troches Alhandal are proper Ingredients for the same purpose XXIV If the heat and its Consequences be more troublesome than the coldness Sal Armoniac or its urinous Spirit is the only proper Medicine As Take of Sal Armoniac a Scruple Poterius's Antihectic Ponder half a Scruple Mix and make a Pouder
Ounce melt it in a Copper Kettle then throw in twenty or thirty living Spiders stir them about with a wooden Spatula 'till the Spiders be cover'd Then add of the Powder of Toad's-flesh dry'd Powder of red Land-Toads dry'd of each an Ounce crude Tartar an Ounce Savin two or six drams With Oyl of Scorpions make a Plaister If we suspect any swelling of the Spleen or Bowels 't is proper to apply to the region thereof the Plaister of Hemlock or of Tobacco or Vigo's Plaister with Mercury mix'd with Gum Ammoniac The thicken'd juice or extract of Tobacco is conducive to this purpose as also Sylvius's Carminative Plaister If the region of the Spleen or Belly be molested with pains apply what follows Take of the Extract of Tobacco prepar'd by decoction three Ounces Opium dissolv'd in Wine and reduc'd to the consistence of an Extract one Ounce Wax half a pound With Turpentine and Oil of Tobacco make a Plaister Having thus dispatch'd the regular cure of Feavers 't will not be improper to propose some method of relief for those who by an unseasonable and unskilful suppression of the Feaver are liable to frequent relapses convulsive pains in the Belly Head-aches Asthma's weariness of the Body c. In this case let the Body be render'd soluble by the Decoction of Raisins and such like laxative and emollient Ingredients Then exhibit some pacific mixture as Take of mint-Mint-water an Ounce and a half Spirit of Sal-Armoniac half a Dram Hysteric Laudanum two or three grains Syrup of Orange-peel three or six drams Mix for a Draught and continue the use for some time If any swelling or violent pain continue in the Hypogastria apply the Plaister of Gum-Ammoniac and of Galbanum with Oyl of Bricks After the symptoms are gone 't is advisable to continue for some time the use of Wormwood or such Remedies as partake of it SECT IV. Of continual Feavers ART 1. Of Day-Feavers OFt-times the abuse of the six noâ— natural things disturbs the natural fermentation of the Blood accelerats the Pulse and in some measure disorders the functions which symptoms disappear in a days time either of their own accord or by using some gentle sudorific This Feaver is call'd Continual by reason that it does not intermit from beginning to ending If the Blood be vitiated it is apt to degenerat into a Synoehus or a Fever that lasts above one day In order to prevent which give the following Julep Take of the decoction of Harts-horn with Vipers-grass one pound juice of Citrons juice of Quinces of each half an ounce tincture of Columbine-flowers and of Dazies of each a dram and a half Syrup of Rasberries two Ounces Spirit of Vitriol as much as sufficeth for a grateful acidity Make a Julep or instead of the Julep make a decoction of the like Ingredients together with gentle laxatives If the Belly be swell'd and the Body very hot take of Fennel Water an ounce and a half carminative Water six Drams dulcifi'd Spirit of Nitre three drams Syrup of Orange-peel half an Ounce Mix and make a Julep ART 2. Of the Principal acute Feavers THE continual Feavers that last above one day are either primary or symptomatical The former are a Disease subsisting by it self which if its period be short and its Symptoms grievous is call'd Acute if it be slow-pac'd and advance without any notable disturbance 't is call'd a Slow Feaver Both of which are call'd Compounds or periodical continual Feavers if they admit of any remission or exacerbation in their continued progress But if their vehemence be still the same they are call'd simple Synochus's If Acute Feavers come without the inflammation of any particular part they are call'd Solitary And if dismal Symptoms happen beyond the apparent reach of the Feaver 't is stil'd Malignant But if otherwise Benignity is its Character The primary simple continual solitary hot benign Feavers are caus'd by the prevalency of a volatil oyly bilious Salt in the Mass of Blood that hotly encounters the acid Particles creates a violent motion and Heat accelerates the Pulse tinctures the Urine and while the Victory is undetermin'd renders it thin and crude but when these volatil parts are subdu'd and precipitated by the Acid the Urine deposits a sediment and affords the true signs of Concoction The remote cause for the most part is the depravation of the Chyle occasion'd by the defect of the Choler or a faulty digestion in the Stomac for the stomachic digestion is the Mother and source of all the fermentations of the other Juices in the Body Now the vicious heterogeneous Particles convey'd in the Chyle to the Blood disturb its natural fermentation and provoke its constituent parts to rise up in order to expel the Hostile Intruders Thus we see that those whose Blood is well stock'd with bilious Particles whose Constitution is foul corpulent and plethoric who feed high and drink strong Liquors are most liable to this preternatural fermentation In like manner whatever stops the insensible transpiration accumulats oily Particles in the Blood and exalts the Spirits does prâ—â—â—ispose the Blood for receiving a feaverish impression The Cause of acute compound periodical Feavers is some vicious acid juice proceeding from the Stomac returning by intervals while the volatil oily Ferment continues its course without intermission They are as it were compounded of a Continual Acute Feaver and an Intermitting one which is always a Tertian for Quotidian and Quartan continued periodical Feavers if any such there be are rather slow than acute This Compound sort of Acute Feavers is oft-times attended by a notable heat without any shivering If an insufferable thirst driness of the Tongue Head-aches Deliriums a high tincture and muddiness of Urine attend a continual Feaver 't is call'd a Causus or Burning Feaver The cause of these Symptoms is the hot ingagement of a sharp volatil Acid with the volatil oily Particles Besides the stomachic ferment being vitiated and unqualifi'd for its wonted Office the contents of the Stomac degenerat into an alcalin oily texture which sticks to its Pleats irritats the Membranes of the Gullet and by consent the Tongue it self And moreover when it joins the Blood impregnats the Lymph which waters the Throat and is voided by way of Spittle with a volatil only Salt And if this vicious Saliva stick to the Tongue and Throat it becomes troublesome and inflaming causing in these parts a redness hear and pain known by the name of Prunella Continual Acute Feavers are styl'd Lipyria's when the superficial parts of the Body are molested with a sense of Cold while those within are beset with a violent Heat They proceed for the most part from the inâ—ammation of some very sensible Membranous internal part and upon that account are referable to the symptomatical Class If there be any such thing as a primary Lipyria the sense of external Cold must proceed from the irritation of the nervous membranous parts and that of inward heat
the common Hypnotic Water of each an ounce Make an Emulsion To which add six or seven grains of Camphyr and the Juice of River Crabs Mix for an Epitheme to be us'd as above In Deliriums Camphyr is a sovereign Remedy but in the case of watchful Slumbers it ought to be cautiously us'd Take of Betony Water Elder Flower Water and the Water of red Poppy Flowers of each an ounce express'd Juice of River Crabs three ounces Spirit of Wine camphoris'd three drams Mix for the above mentioned use Take of the Oyntment of Alabaster or of Poplar three drams express'd Oyl of Nutmegs half a dram or a dram Camphyr six grains or Philonium Romanum or Venice Triacle half a dram Mix and anoint the Fore-head and Temples If the Head be much oppress'd or if the fore-mention'd Symptoms be occasion'd by the stopping of an external Eruption blistering Plaisters may be applied to the Arms and Thighs and sharp Clysters injected As for the particular Symptoms of a Prunella viz. the redness heat and roughness of the Tongue c. Let the Patienâ— take a convenient Quantity of the following mixture and hold it in the Mouth Take of the Seeds of Quinces of Mallows of Fleawort of each two drams with Water of Frogs spawn Make a Mucilage to which add Sal-armoniac a dram compound House-leek Water two ounces Juice of River Crabs an ounce mix c. Nitre may also be added or mix'd with the Decoctions of cooling Herbs As Take of the Leaves of Self-heal Willows and Strawberries Barley not bruis'd of each a handful Boyl them in Water and add to a pound of the strain'd Liquor one ounce of the Syrup of Mulberries and half a dram of Nitrum Antimoniatum Mix for a Gargle Or Take six River Crabs bruise 'em with Rasberry Vinegar and express the Juice to which add Juice of House-leek three ounces Rob of Nuts one ounce Nitrum Antimoniatum a dram Mix and anoint the Tongue Or Take of House-leek Water a pound and a half Juice of River Crabs four ounces Sal-Armoniac purify'd a dram and a half Mix and make a warm Gargle Sal-Armoniac and Nitre are noted Ingredients in all Gargles of this Nature Water Spirit of Wine and Hony are very useful for the same purpose in malignant Feavers attended by a roughness and Dryness of the Palat without any slimy Crust Fresh Lard or Butter or Juice of Rapes boyl'd to a Syrup are likewise very proper to be laid on the Tongue in such an extremity In continual periodical Feavers regard must be had to the Paroxysms by exhibiting before the hour of their Invasion fix'd Antimonial Powders Coral Crabs Eyes Vitriolated Nitre Salt of Carduus Benedictus Poterius's Antihectic and forming Compositions of the Acid and Earthy Ingredients and varying them according as the Symtoms require Semitertian Feavers ought to be treated in the same Method only we must remember to vary it according as the Symptoms are slow or acute favourable or malign If they are attended by Inflammations of particular parts especially such as are very sensible and of the nobler Character let these be carefully accounted for Absorbent Alcali's are proper for vanquishing the Shivering and Shaking Vomits are convenient in all Cases prevailing heat is abated by such Medicines as render the Body soluble and promote a breathing Sweat Inflammatious are appeas'd by Diaphoretics And when the Feaver moves slowly cleansing and attenuating Salts such as Sal-armoniac Arcanum Duplicatum c. are of peculiar use In a Causus or burning Feaver Nitre dissolv'd in the ordinary Drink and Laudanum Opiatum cautiously administred effectually abate the violence of Heat Lipyria's must be treated after the method of Inflammations of which elsewhere In melting Feavers the sharp humor must be corrected by temperat Medicines or absorbent Powders mix'd with Acids as Diaphoretic Antimony seal'd Earth c. Mix'd with the Juices of Currans Barberries Quinces Citrons Cherries c. Sylvius recommends the dulcify'd Spirit of Salt others the Tincture of Blood-stone some Camphyr others Diascordium mix'd with Juice of Citrons Symptomatical acute Feavers are such as follow other Diseases and disappear upon their removal If they follow Wounds the following mixture is of Catholic use Take of Hyssop Water two ounces Fennel Water an ounce Spirit of Triacle three drams distill'd Vinegar of Wine three or four drams Powder of Crabs Eyes a dram Syrup of Carduus Benedictus three drams Mix them c. Or Take of prepar'd Crabs Eyes a scruple Extract of Triacle two grains Mix and exhibit Those occasion'd by Inflammations as Pleurisies Quinsies c. are cur'd by removing the Inflammations of which more elsewhere If they are caus'd by the Extravasation of congeal'd Blood they require such Medicines as resolve clotted Blood viz. Diaphoretic Antimony red Poppies Chervil Flowers of St. John's wort and vulnerary Ingredients CHAP. IV. Of Slow Feavers SLow Feavers are such as do not quickly finish their Course are accompany'd by mild Symptoms and terminat by way of a gradual solution without any notable Crisis They are for most part Benign for malignity is akin to accuteness They are caus'd by the successive mixture of Vicious Lymph with the Blood which is either convey'd immediatly to it by the axillary Vein fromt he Glandules call'd Conglobatae that is gather'd round into a Globe or empty'd into the Conduit of the Breast by the Glandules call'd Conglomeratae that is roll'd into a Heap ART 1. Of Catarrh-Feavers or such as proceed from the Lymph separated in the round Globe-like Glandules IF the Lymph of the Glandules seated about the Head and Breast become sharp and saline it creates a notable alteration of the Blood and Spirits a biting sharp Heat tho' not over vehement or intense and a sense of shooting Pains Weariness and as it were Contusions of the Joynts and being plentifully cast forth about the Brain and Neck occasions a weighty drousie Head-ach Defluxions into the Mouth and Lungs a Hoarseness and Cough the usual Symptoms of a Feaverish Catarrh This Feaver seems to be near ally'd to the continual Quotidian Periodical Feavers of the Antients In the Evening when the Quantity of vicious Lymph is augmented within the Body by the diminution of the insensible transpiration the Symptoms especially the Heat are heighten'd About Midnight they begin to relent and in the Day-time are sometimes follow'd by a gentle Shivering The Pulse is frequent and swift pretty large and vehement The Urine is at first high Colour'd but after two or three Days it thickens becomes muddy and yellowish and deposius a copious Sediment If this Feaver be Epidemical or Malignant and proceed from the Contagion of the Air which seldom happens 't is dangerous and terminats in mortal Convulsions The Indications of Cure divide themselves into three Branches 1. To extinguish the irritation of the solid Parts which provokes the Spirits and occasions the effusion of the Lymph 2. To qualifie the peccant Acrimony of the Lymph 3. When 't is thus qualify'd
correcting the viscidity or sharpness of the Lymph especially the saliva and pancreatic juice evacuating the crude Phlegm and Lymph thus prepar'd and mitigating the Symptoms If the Breast be oppress'd let a gentle Vomit be exhibited or a mild purgative As Take Mynsicht's emetic Tartar two or three grains purifi'd Sal-Armoniac eight grains Or Take of Ruffius's Pills de tribus fifteen grains fulminatory Gold three grains prepar'd Scammony Treches Alhandal of each a grain With compound Tincture of Tartar make Pills In the next place attenuating Diuretic Remedies are proper as dulcifi'd Spirit of Salt of excellent use against a Hectic dulcifi'd Spirit of Nitre essential Salt of Tartar Sal-Armoniac Nitrum Antimoniatum Tartar vitriolated Terra foliata Tartari or its Liquor Tincture of Tartar Essence of Myrrh tartaris'd carminative Spirit Spirit of Sal-Armoniac anisated Poterius's Antihectic c. Take of purifi'd Sal-Armoniac half a dram Poterius's Antihectic a scruple make a Powder for two Doses one in the Morning and the other at Night before the Fit Nitrum Antimoniatum mix'd with an equal quantity of Sal-Armoniac or Arcanum duplicatum mix'd with diaphoretic Antimony or Sal-Armoniac mix'd with Galangal and Ginger are successfully us'd after the same method Take of Mint-Water and Fennel-Water of each an ounce and a half Spirit of Treacle two or three Drams dulcifi'd Spirit of Salt half a dram or a whole dram Poterius's Antihectic a scruple Syrup of Hyssop six or eight drams Mix for two Doses Let the Mouth be gargaris'd with small Beer and Hony of Roses or with Water Vinegar and purifi'd Nitre or the infusion of Holyhoc-flowers in Water with a little Spirit of Salt and a convenient Syrup The Feaver call'd Epiala in which the inward parts are oppress'd with heat while the external are cold is by some referr'd to this Head But 't is only a combination or rencounter of either a Continual and Intermitting or two Intermitting Feavers The Swoonings that sometimes attend both this and other sorts of Feavers are caus'd either by some viscious slime irritating the Mouth of the Stomac or some sharp rusty Humour lodg'd in it In the last case Unicorn's Horn or the Decoction of Tamarinds in Water are much approv'd But if a viscid windy Matter arise to them volatil spiritous Remedies are proper Tho' after all 't is worthy our consideration what Ballonius remarks upon this matter viz. That many Physicians are faulty in giving strong Cordials against swooning where purging were more proper Of Symptomatical slow Feavers These Feavers are frequently occasion'd by a preposterous use of Absorbents in Intermitting and Continual Feavers which fix the heterogeneous Particles and render the Chyle and Lymph viscid or by over-feeding in the declination of other Feavers while the digestive faculty is weak by which means the Chyle is loaded with Crudities They may likewise follow other Diseases proceeding from a viscous Acid. Their Symptoms are the same as above to which we may add that sometimes they are accompanied by a looseness or voiding of liquid pituitous Matter The Cure consists in tempering the saltish Acid attenuating the viscid Matter and procuring to it an egress by vomiting stool urine or sweat They sometimes proceed from Ulcers especially of the internal parts retention of the After-birth a dead Child in the Womb chronical Pains and are cur'd by removing the respective Cause by Medecins alotted to that purpose In general gentle Vomits and Purges are proper and in a word the whole series of Medicins prescrib'd for the independent Slow Feavers Sometimes such Feavers follow an unseasonable use of sudorific Decoctions against the Pox before the Body be evacuated and are cur'd by vomiting and the repeated use of Sal-Armoniac Of Hectic Feavers A Hectic is a Slow Feaver advancing insensibly If it be a principal independent Disease it proceeds from the Corruption of undigested Food in the Stomac immoderate fatigue sorrow watchings want over-liberal evacuations excessive Bathings c. Oft-times 'tis only a symptom of other Diseases and follows the irregular Cure of Continual and Intermitting Feavers Inflamations of the Bowels Lungs Mesentery Womb and Kidneys the French-Pox c. The Part affected is not the habit of the Body as the Ancients fancy'd but the mass of Blood and Lymph Hence the greatest heat is perceiv'd about the Arteries As for the independent Principal sort of Hectics the Stomac and digestive Faculty are the original seat of their cause The immediat cause is the indisposition and unequal texture of the Blood caus'd by the saltish sharpness of the Lymph in the conglobat Glandules and the viscosity of that in the Conglomerat From whence insue a deprav'd and diminish'd fermentation weakness weariness deficiency of Spirits and the whole train of Hectic Symptoms The salin and viscid Blood is render'd unfit for nourishing the parts and after eating when the thin readier part of the fresh Chyle dilutes the Blood and disengages its Salts the Pulse is a little enlarg'd and the Heat augmented and after some time sink again to their ordinary pitch And the coarse remains of the Chyle are frequently voided by Night-Sweats as having receiv'd a vicious Tincture in the Stomac from the Saliva and being upon that Account equally disagreeable to the Blood and solid parts As for the Remote Causes Fatigue and Labour Watchings and Care exhaust the Spirits and watery Vehicle of the Blood Anger exalts the Bilious Salt which joyning with the Acid acquires a saline Acrimony Grief and Sorrow increase the Acid which joyning to the urinous Salt becomes dull and unactive indigested Crudities in the Stomac or the want of Food occasion a stricter union between the Acid and urinous Salts and their mutual degeneracy into a third sharp saline Body Ulcers both internal and external corrupt the Blood by vertue of their salin sharp Matter continual and intermitting Feavers attended by plentiful Sweats exhaust the dewy watry part of the Blood or the unseasonable use of absorbent earthy Powders administred for their Cure destroys the Ferment of the Stomac and increases the Acrimony of the Blood Thus they all conspire to render the Blood and Lymph saltish or viscous There are three Essential Signs of a Hectic Feaver 1. An obscure insensible Heat increasing after eating 2. The successive Consumption of the Body 3. A swift frequent small weak and oft-times a hard Pulse To which we may add in some cases Night-Sweats the falling off of the Hairs an universal Weariness inward Heat and averseness to sleep in the morning If Ashy belchings precede the appearance of these Symptoms they serve for a confirmation In the beginning of the Disease the Urine resembles that of healthy Persons unless the Stomac be much deprav'd in which case 't is white pale and thick afterwards when the Appetit and Digestion are in a manner quite abolish'd it becomes thin transparent and high Colour'd and when 't is form'd into a perfect Consumption a fat oily Crust resembling Cobwebs swims on the Top. But we ought
grains or Laudanum Opiatum a grain or two Syrup of Carduus Benedictus an ounce Mix for two Doses in order to Sweat This is to be given in the beginning or increase of the Disease after the general Premises As likewise these following Take of Rue Water and that of Vipers-grass Roots of each an ounce of the Mixtura Simplex a dram rectify'd Spirit of Soot half a dram Syrup of Water Germander half an ounce Mix for two Doses Take of the Cordial Saxony Water an ounce Cinnamom Water half an ounce Spirit of Venice Triacle camphoris'd two drams volatil Salt of Harts-horn a scruple volatil Salt of Amber half a scruple Syrup of Clove Gilly Flowers half an ounce Mix and give a spoonful frequently when Delirium's are threaten'd Take of the Water of Carduus Benedictus Water of Goat Rue and that of Elder Flowers of each six drams Spirit of Venice Triacle camphoris'd a dram and a half volatil Salt of Vipers a scruple Diascordium two drams Syrup of Carduus Benedictus six drams Mix for two Doses Take of the Water of Vipers-grass Roots and that of Water Germander and Vinegar of Wine of each an ounce Venice Triacle two drams Diaphoretic Antimony two scruples Camphyr six grains Syrup of Rasberries an ounce Mix for two or three Doses If the Heat be violent exchange the Triacle for Diascordium Take of the Water of Carduus Benedictus and that of Water Germander of each an ounce and a half fresh Juice of Citrons six drams Venice Triacle a dram and a half mineral Bezoar half a dram Laudanum Opiatum a grain and a half Syrup of Mint dulcify'd Spirit of Nitre a sufficient quantity Mix for two Doses Take of the Conserve of Citrons and Conserve of Roses vitriolated of each an ounce and a half Rob of Juniper half an ounce Diascordium two drams Camphyr a scruple With Syrup of Citrons make an Electuary Take of Venice Triacle a dram Diaphoretic Antimony fifteen grains Salt of Wormwood half a scruple Mix for a Dose or two to be taken in Vinegar of Wine This is to be given in case of great Malignity When the Disease is further advanc'd towards the height volatil Sulphureous Medicines must be cautiously us'd As take of Fumitory Water three ounces Harts-horn prepar'd without Fire two scruples mineral Bezoar a scruple extract of Treacle six grains Syrup of Orange Peel three drams Mix for three Doses Myrrh may also be added Take of the simple Mixture six drams the Spirit de tribus distill'd from Antimony Sulphur and Nitre two drams Flowers of Sulphur a scruple Fumitory Water two drams Syrup of the Juice of Citrons an ounce Make a Potion for one Dose Take of Diaphoretic Antimony Cinnabar of Antimony of each half a scruple volatil Salt of Harts-horn four or five grains volatil Salt of Amber two or three grains Camphyr two grains Make a Powder I have seen the good effects of this Powder in the case of Delirium's and imminent Convulsions Take of Harts-horn prepar'd without Fire a dram mineral Bezoar two scruples seal'd Earth and mineral Unicorn of each fifteen grains laudanum Opiatum prepar'd by fermentation four grains Make a Powder for four Doses Nitrum Antimoniatum Poterius's Diaphoretic Gold solar and Jovial Bezoar volatil Salt of Vipers and Myrrh are proper Ingredients for the same purpose Take of Sennertus's Bezoardic Powder prepar'd Unicorn's Horn of each a scruple solar and Jovial Bezoar of each six grains Mix for two Doses Take of the red Powder of Pannonia fifteen grains Nitrum Antimoniatum twelve grains Poterius's Diaphoretic Gold five grains Make a Powder During the use of these or suchlike Alexipharmacal Prescriptions let Acid Mixtures be exhibited for quenching the Thirst and comforting the Spirits after sweating As Take two fresh Citrons slice ' em Add of white Sugar three ounces Vipers-grass Roots two or three drams Spring Water six pound Boyl them till two parts of three be evaporated and strain it for use Take of Mynsicthius his Decoction of Citrons a pound and a half Gelly of Harts-horn an ounce and a half Syrup of Cherries and Syrup of Rasberries of each an ounce with a sufficient quantity of the Juice of Citrons make a Julep Take of the Decoction of Harts-horn with the Roots of Vipers-grass one pound Tincture of Columbine Flowers and that of Piony Flowers of each a dram Syrup of the Juice of Citrons an ounce and a half Syrup of Rasberries six drams with a sufficient quantity of the Spirit of Nitre make a Julep The Syrup of Poppies in case of violent Heat is added with good success Take of the shavings of Sassafras six drams boyl them in Water to a pound and a half of the strain'd Liquor add two ounces of the Juice of Citrons an ounce and a half of the Syrup of Citrons and a sufficient quantity of the Spirit of Nitre to render it grateful Take of the Decoction of Tamarinds with Raisins a Pound Syrup of the Juice of Citrons Syrup of Rasberries of each an ounce with a little of the Spirit of Nitre make a Potion Sometimes the Confection Alkermes or Diascordium or Diaphoretic Antimony is dissolv'd in these acid mixtures During the time of Swearing some apply a little Loaf hot from the Oven the under Crust being par'd off and the Heart excavated and fill'd with Triacle and Wine thus they apply it to the Navel to attract the Malignity If the Patient bleed at Nose which is a fatal Symptom apply a dry Toad to the Arm-pits or take of Vervain Water three ounces Spirit of Wine Comphoris'd an ounce Opium five grains Make an Epithema for the Forehead which is also of use to prevent Head-achs and Delirium's If the Stomac be much disorder'd apply to it a Plaister of Tacamphac Balsam of Peru and Venice Triacle If the Throat and Palat be dry without a slimy Crust make a Gargle of fair Water Spirit of Wine rectify'd and Hony If a Looseness attend a malignant Feaver exhibit two scruples of the red Powder of Pannonia or Venice Triacle mix'd with Opium and fix'd Sudorifics Prepar'd Harts-horn Bole Armenic seal'd Earth mineral Unicorn are also proper to be added to Alexipharmacal Ingredients If a malignant Feaver be attended by Heartburnings and gnawings of the Stomac violent Head-achs Watchings Deliriums and a grievous Prunella 't is call'd the Hungarian or Camp Feaver and is highly Contagious Vomits commence its Cure which ought be follow'd by Acid Juleps and fix'd or meagre Sudorifics The Hungarians are wont to Cure it by rubbing the Body with a Root of Garlic soak'd in Spirit of Wine and bruis'd and then covering up the Person in order to Sweat The Prunella is accounted for by washing the Mouth with a mixture of House-leek Water Juice of House-leek and Sal-Armoniac Some malignant Feavers are accompany'd by Spots in the Skin resembling Flea-bitings These Spots are also compatible to some Tertian and Scorbutic Feavers that are not tinctur'd with Malignity When they attend malign Feavers they
exhibit forty or fifty drops a day towards the height of the Disease or when the Pusnes are well advanc'd and the Symptoms mitigateâ— After a sufficient eruption we ought to promote their suppuration and prevent Pits in the Skin by exhibiting a Compound Powder of Crabs-Eyes Harts-horn Myrrh and Salt of Carduus Benedictus Besides the direct indications of the small Pox and Measles we ought likewise to obviat their incident Symptoms as unquietness and inolination to vomit if it be proper to stop it by the Spirit of Harts-horn succinated and Extract of Treacle mix'd with Laudanum Opiatum a looseness towards the height accompany'd with a murmuring noise in the Belly and frothy Excrements by seal'd Earth or Laudanum Opiatum and Diascordium mix'd with other specifics Watchings Deliriums and Convulsions attended with a hardness of the Belly by exhibiting the Cinnabar of Antimony or Spirit of Harts-horn succinated or injecting Clysters anointing the Navel and pit of the Stomac with distill'd Oyl of Amber and in the beginning of the Disease injecting Clysters A bleeding at Nose ought to be promoted if needs be by squeezing or pricking the Nostrils or if it exceed measure restrain'd by applying dry'd Toads to the Arm-pits or mixing Narcotics with Absorbents and avoiding all volatil Ingredients A Cough or any disorder of the Breast ought to be repress'd by Scabious Water mix'd with Spirit of Sal-Armoniac anisated and Laudanum Opiatum adding before the eruption incrassating Syrrups such as those of Colts-foot Jujubes c. and after the eruption attenuating ones such as those of Tobacco Mint Hyssop c. A weakness and prostration of strength ought to be repair'd by exhibiting the Tincture of Coral mix'd with the Spirit of Stag's Heart or a Toast soak'd in Rhenish Wine These Symptoms last mention'd precede the Eruption Those which follow the Eruption are likewise to be accounted for As if the Pox or Measles retire unseasonably and fall upon the nervous System causing Deliriums and Convulsions apply blistering Plaisters to the Soles of the Feet and exhibit the Ashes of Scarlet Cloth in Wine If the sharpness of the Humour threaten Pits in the Face exhibit Crabs Eyes and Myrrh inwardly and apply outwardly with a Feather the Spirit of Wine tinctur'd with Myrrh or Rose-water in which Sugar of Lead is dissolv'd or the Plaister of Frogs Spawn with Sugar of Lead But all external applications before maturation are much suspected for fear of repressing the Matter Lime-water in which Sulphur is boil'd being mix'd with Rose-water or a Cataplasm of the Meal of Beans and that of Lupines and Ox Urine are of use for taking off the Scarrs If a Salivation succeed to the Eruption let the Patient drink plentifully of Barly Water or small Beer and likewise gargle his Mouth with it If the small Pox or Measles threaten Injury to the Eyes either by settling in the Apple of the Eye or distending the Eye-Lid let the Eye be wash'd with the infusion of the Glass of Antimony in Plantan and Rose-Water with Tutty and Sugar of Lead If the Eyes be red and itch apply a piece of raw Beef to the Eye renewing it every quarter of an Hour for some time Or let a healthy Woman chew Garlic and breath upon the Eye or wash the Eye with the juice of Chervil or Rue mix'd with Fennel Water or make a Collyrium of Plantan Night-shade and Rose Water in which Sumac and Plantan Seeds are boil'd or the Rinds of Pomgranats infus'd The mucilage of Marsh-mallows extracted with Fennel Water or the infusion of white Vitriol and Tutty in Eye-bright Water or Plantan-Water mix'd with Frogs Spawn and Sugar of Lead are also very proper Or Take of Plantan-Water an Ounce Eye-bright and Rose Water of each half an ounce prepar'd Emerald twelve grains prepar'd Pearls six grains Camphyr three grains Saffron four grains Mix and drop it into the Eye Some choose to drop into the Eye a drop or two of the Fat of Vipers If the Eye-lids are beset with the Pox and inflam'd notwithstanding all these Precautions apply the Decoction of Line-seed Fenugrec-seed and Mallows or that of Melilot-Flowers and Quince-seeds Some apply Milk but I cannot approve their Practice since 't is apt to become Acid. If after all the Eyes be injur'd and remain so after recovery of the Pox 't is proper to use Rulandus's Opthalmic Water and apply Blistering-Plaisters to the Nape of the Neck and when that Blister ceases to run apply two behind the Ears mixing one part of the Blistering Plaister with five or six parts of the Plaister of Frogs-spawn to keep the Blister open If the Pox injure the Nose or Ears the former is reliev'd by applying Vinegar of Roses impregnated with Camphyr and anointing the Crusts within the Nostrils if there be any such with fresh Butter wash'd in Rose-water The latter viz. The Ears are restor'd by putting into the Ears the Essence of Castor with Cotton or fumigating it with the Decoction of Castor Myrrh Coloquintida Fennel-seed and a little Saffron in Wine and applying Blistering Plaisters behind them The Throat is frequently infested by the small Pox and consequently respiration disturb'd To prevent this inconvenience let the Mouth and Throat be wash'd with Goats Milk and Plantan Water or the Tincture of Poppy-Flowers or with the common Gargles mix'd with Horse's Dung or the Juice of River Crabs and Nitre After the Wheals are open 't will not be improper to add Allum and Honey of Roses Plantan is also a noted Specific both against this Symptom and that of pissing Blood If the Tongue be ulcerated apply Honey of Roses sharpen'd with Spirit of Salt or the following Liniment viz. Take of the Flowers of Holyhocks half an Ounce Pomgranat Flowers two drams choice Myrrh a Dram Allum half a dram with Hony make a Liniment or Electuary If the Lips be much in trouble anoint 'em with the mucilage of the Seeds of Quinces Sometimes the small Pox leave most obstinate Ulcers in the Head Breasts and other parts which elude all common methods and yield only to Mercurial Salivations The Scarlet Feaver is generally referr'd to the Measles It invades for the most part Children and is occasion'd by an Ebullition of the Lymph and attended by the Symptoms of a Catarrh It is in some measure acute and after three or four Days from its beginning breaks out in the Neck Shoulders and Breast either in the form of an equal redness resembling a Rose or that of dispers'd red Spots which fall off about the seventh Day like Scales It is cur'd as the Measles or small Pox but has this peculiar property that 't is follow'd by soft swellings in the Face and Legs that last for eight Days after its disappearance CHAP. VII Of the Plague and Pestilential Feavers THE Plague is an exalted pitch of Malignity compatible with any Disease whatsoever In this place we take it for an epidemical catching and highly malignant Disease proceeding from poisonous Miasma's
're remov'd the Blisters kept open with the Plaister of Melilot cover'd with the Powder of Cantharides But if the Bladder be inflam'd or the Urine hot if the Patient be very weak or with Child or look for her Terms they are improper 8. Blood-letting is always pernicious 9. In the beginning of the Disease Vomits are very useful They ought to be mix'd with Sudorifics Purgatives and Clysters are not safe 10. If the Patient be molested with a vomiting so that Sudorifics cannot be retain'd in the Stomac let Sweat be forc'd by applying a hot Loaf as above and covering up the Body and Face The Specifics that are us'd in this Disease are Camphyr given in substance or its Oyl mix'd with Oyl of Amber and that of Citron Peel called Heinsius's Oyl Ivy-Berries given to a Dram in Vinegar and Wine Juniper and Elder Berries and the Rob of either given in Vinegar Garlic Heads bruis'd and exhibited in Vinegar the Blood of a Stork or its volatil Salt the Spirit of Harts-horn sharpned with its own volatil Salt and given to a Dram the volatil Salt of Vipers above all sprinkl'd with Oyl of Amber and mix'd with Camphyr Man 's Ordure applied externally to Bubo's and given internally with the Patient 's own Urine Sulphur or its Flowers given to a Dram in an acid Vehicle or rather the fix'd Sulphurs of Antimony which in this case surpasses all other Medicines the Oyl and volatil Salt of Amber and Diascordium given to two drams in Aromatic Vinegar Take of the Flowers of Sulphur half a dram Cinnabar of Antimony fifteen Grains Camphry six Grains Make a Powder The volatil Salt of Vipers or that of Harts-horn or prepar'd Amber may be added by turns Take of the Rob of Juniper three ounces Diascordium and Mithridat of each an ounce and a half Venice Treacle half an ounce Flowers of Sulphur two or three ounces Myrrh three drams Frankincense six drams Camphyr two drams Saffron half a dram Juice of Citrons half an ounce Make an Electuary Dose a dram and a half in a convenient Vehicle Take of the Water Carduus Benedictus an Ounce and a half Vinegar of Wine six drams Diascordium a dram and a half Camphyr six grains Syrup of the Juice of Citrons half an Ounce Make a Potion for one or two Doses Take of hot Verdigrease a Pound sprinkle it with three Ounces of distill'd Vinegar distill through a Retort in Sand with an intense heat then add to the Spirit thus distill'd a double quantity of rectifi'd Spirit of Tartar and half a dram of Camphyr and a little Opium for every Ounce of the compound Spirit and let all stand for digestion This is call'd Elixyr Antiloimicum and is of excellent use Besides the universal Cure of the Plague it is requisite also to have a peculiar regard to its incident Symptoms As for Bubo's or swellings of Glandules they require the application of attracting ripening and cleansing Ingredients If they be black and livid and threaten a Gangrene they ought to be cut up with a Launce without waiting for maturation otherwise 't were proper to endeavour their maturation and attract the Poison by applying roasted Onyons mix'd with Mustard-seeds Or in case of great Pain the Juice of Onyons mix'd with Venice Treacle and Soot Man's Ordure or a Melisot Plaister mix'd with the Powder of dry'd Toads and that of Amber from which Spirit of Wine has been thrice evaporated are much approv'd for the same use But of all Plaisters Sala's Magneticum Arsenicale is the best 'T is prepar'd thus Take of crude Antimony yellow Sulphur and white Arsenic of each two Ounces Set them in hot Sand in a Phiol 'till they melt and become a dusky Mass Then take of this Mass Gum sagapanum Gum Ammoniac and Galbanum of each three Drams Turpentin and Wax of each half an Ounce distill'd Oyl of Amber two Drams dulcifi'd Spirit of Vitriol a Dram. Dissolve the Gums in Vinegar then strain 'em through a Linnen Cloth and thicken 'em again Melt the Turpentin and Wax apart then add the Gums and make a Plaister according to Art This Plaister will raise a malignant Crust which ought to be taken off by applying the Ointment of Basilicon mix'd with Venice Treacle If the Skin be thick and the swelling lie so low that the Plaister cannot reach it let a sharp blistering Plaister be first applied or if that be ineffectual a Cautery of quick Lime and Spanish Soap that so the Plaister may operat more freely If it cause an Inflammation let foft'ning Cataplasms be applied above the Plaister 'till the Crust come off After the swelling is open'd it ought to be cleans'd by the Infusion of Birth-wort Myrrh Aloe and Saffron in Spirit of Wine Tartaris'd Or Balsam of Peru and Balsam of Sulphur mix'd with Treacle and applying emplastrum Album mix'd with Oyl of Tobacco After 't is sufficiently cleans'd apply Rulandus's Plaister Diasulphuris for consolidation In all Compositions relating to pestilent glandulous Swellings Mercury Vinegar Opium and Lead ought to be avoided Carbuncles are the beginning of a Mortification which displays it self with a purple Colour surrounded with a red or livid Circumference incroaching gradually upon the adjacent parts 'till the mortifi'd part fall off In order to prevent their spreading let a Circle be drawn round 'em with an Emerald stone 'till the part become livid then touch the point or top with Butter of Antimony and when the Crust appears apply Sala's Plaister call'd Magneticum Arsenicale Some chuse to open it first with an actual Cautery and then apply either this Plaister or attracting and emollient Cataplasms of Garlic Water Germander Marsh-mallows Meal of Lentils Berries of the Herb Paris Pigeon's Dung Black Soap and Hony or in case of great pain the Plaister of Hounds Tongue But after all be sure to avoid fat things After the Matter is evacuated apply a Cataplasm of Comfrey Roots boil'd or the Ointment of Basilicon with Balsam of Sulphur and Treacle or a Cataplasm of Comfrey Roots boil'd The symptom of Heat is but seldom violent in Malignant Feavers or at least ought not to be much restrain'd for fear of repressing the cuticular eruptions If necessity require that it should be moderated Antimonial Nitre and all nitrous Medicines taken inwardly and applied outwardly with Juice of House-leek and Rose-water to the Wrists Fore-head and Temples will answer the Design Head-aches Watchings and Deliriums are frequently the Companions of pestilential Feavers If they happen in the beginning they require a Cure but if their first appearance be put off 'till towards the time of the Crisis 't is not safe to oppose ' em If the hinder part of the Head be particularly affected it signifies a peculiar disorder of the Head and Animal Spirits independent of the Feaver If the Head-ache seize chiefly the fore part or be attended by anxiety of the Breast and unquietness it proceeds from the Stomac and ought to be prevented by Vomits and sometimes
Matter Having dispatch'd the general Consumption of the Body 't will not be improper in this place to take notice of the Dryness or Decay of particular parts of the Body occasion'd by whatever intercepts the Blood or Spirits in their Passage thither or weakens and exhausts the innate Spirit of the Part whose office it is to ferment and assimilat the nutritious Juice Hence Palsies Convulsions Dislocations Falls Bruises Wounds c. are its usual Causes As for Cure Wurzius his Arcanum of Allum is a Catholicon against all dry'd or wither'd Parts 'T is thiâ— Take of Plumous Allum and melted Salt of each equal Quantities melt 'em over a strong Fire Then set 'em to Cool and they will condensat into a Stone upon which pour Water to dissolve the Salts and precipitat the Arcanum Of which take three ounces and mix 'em with an ounce and a half of the Oyl of Bricks and four ounces of the Oyl of Human fat distill'd with the Ashes of Vine-tiwgs Make a Liniment and anoint the Part after rubbing If the dryness of the Part be occasion'd by a Wound or Efflux of its spirituous Juice temperat hot things and such as are moist or inrich'd with a Dewy Juice are best Hence some order the Part to be drench'd in the Blood of an Ox just kill'd and fomented with the Decoction of the Feet Head Liver and Lungs and other joints of a Sheep or Calf boyl'd to Rags or anointed with the Juice of River Crabs mix'd with the Oyl of sweet Almonds or with an Ointment of equal quantities of the fat of Herns the fat of Frogs and that of Hogs If the dryness be caus'd by a Palsy or Compression of the Tendons without any visible Wound or Hurt hot irritating things are most proper as if the part be strongly rub'd down three or four times a Day with green Nettles till it become Red and Hot and then cover'd with the Liniment of the Arcanum of Allum or fomented with the following Water Take of the seeds of Roman Nettles one pound the Roots of Horse Radishes bruis'd from four ounces to half a pound Roots of Cuckow-pint four ounces long Pepper three ounces Digest 'em in white Wine fourteen Days in a Balneum Mariae shaking the Vessel often And then distill the Spirit which is of excellent use when the part is num'd and stupid If a Defluxion at Catarrh falling upon the part give rise to its decay let Sudorifics be taken inwardly and the Spirit of Ants and that of Earth Worms rectify'd with some Alcalin Salt or the Aqua Articularis mix'd with the spirit of Sal-Armoniac and Oyl of Soap or the Ointment of Agrippa be applied outwardly the part being first rub'd down till it become red or sensible CHAP. II. Of Immoderat Nutrition or Corpulency IF the nutritious Juice be too copiously distributed thro' the Body the Muscles and Joints are extended and for want of room are disabled to recoyl and contract themselves with due nimbleness and the Belly being over-charg'd with Fat and Juice inlarges its Dimensions So that the true Cause of Corpulency or fatness is the temperat softness of the Blood the less Consumption of the Nutritious Juice by reason of a slow Fermentation and the late assimilation of the Chyle in company of the Blood giving it opportunity to be coagulated and appropriated by the peculiar acid Spirits that guard the respective Parts The remote Causes of fatness are abstinence from Drink especially Hop'd Beer or Ale made of Malt or whatever dilutes the Nutritious Juice and consequently promotes its exhalation drinking moderatly Ale made of Corn which has a peculiar fattening Vertue eating much Bread which promotes the Fermentation and Digestion of Food much sleep freedom from Care Exercise and Venery Corpulency squeezes the Spermatic Vessels and causes Barrenness nay it oppresses all the Vessels in the Body retards the Motion of the Blood anticipats the matter that should be converted into Spirits cramps all muscular Motions and accelerats Death The Cure is compass'd by preventing the immoderat increase of Chyle or evacuating it before its Assimilation to the Part or melting and diluting it with Serum after its appropriation The first design is answer'd by a spare thin Diet and eating of salt Meat The second and third by Purgation with Extractum Catholicum and sweet Mercury repeated till it salivat or the Pills of Aloes and Elixyr Proprietatis which was known among the Ancients for a drying Medicine Now that which they call'd Drying is nothing but the melting down of the Nutritious Juice Hence Myrrh Gentian Wormwood Cresses and all Diuretic or Diaphoretic Ingredients are of use by reason of their attenuating resolving Quality But Vinegar of Squills Tartar Tartar Vitriolated Nitre and all Acids are intitled to a preference Bleeding Issues chewing Medicines the Decoctions of Woods Venery and in a Word whatever attenuats the Nutritious Juice and dilutes it with a serous Vehicle in order to evacuation either by Urine Sweat or otherwise is recommended against Fatness Only this Caution ought to be taken notice of that sudden and liberal Evacuations are apt to weaken fat People To Conclude I subjoyn a Recipe for Pills that are much approv'd Take of the Gum of the Juniper Tree two drams Choice Myrrh Shavings of Lignum Sanctum extract of Wormwood and Aloe of each a Scruple Coagulated Spirit of Vitriol half a dram Make Pills CHAP. III. Of a Deprav'd Nutrition ART 1. Of a Cachexy Leucophlegmacy and Anasarca IF the Chyle or Nutritious Juice is not duly digested and assimilated to the Blood it Tinctures it with a pituitous Crudity Stifles its saline particles and cramps its due turgescence whereupon the Skin is discolour'd and the Muscles instead of receiving elaborat nourishment are stuff'd and bloated up with crude matter and so render'd flaccid This we call a Leucophlegmacy And if this crude vicious Juice obstruct the Glandules of the Muscles or if the Lymph be upon any account oblig'd to Stagnat the Blood becomes serous and a Collection of Serum or Water lodg'd under the Skin causes an Anasarca Now a Cachexy is a general Term importing the Crudity of the mass of Blood and its weaker Fermentation which give rise to these two Diseases The remote Causes are want of motion care grief suppression of the Terms chronical Diseases suppression of Urine the French Pox and in a word whatever weakens Digestion and stifles the Fermentation of the Blood The Symptoms observe the following Method The Cachectic Person grows Pale and in some measure Livid his Face and in process of time the whole surface of the Body is swollen upon any quick motion or walking up an ascent he is troubled with a shortness of breath and palpitation of the Heart and temporal Arteries an universal Weariness seizes the Joints and after eating Anxiety and a sense of Compression oft-times invades the Breast the Appetit which at first is good decays by degrees the Pulse is unequal small frequent and
will not be improper to Bath it with the Spirit of Wine and strong Waters as for astringent Fomentations I doubt they do more harm than good If the Vessels or Organs be broke we may add vulnerary Ingredients to the above mention'd Specifics If the difficulty of breathing be very troublesome 't is usual to give a dram of Sperma Caeti in Spanish Wine after vomiting If Hydropical Persons be extream thirsty we must be very cautious of pleasing them or answering their demands since abstinence from Drink is the better part of the Cure Nitre melted in the Mouth Wine temper'd with Juice of Citrons the dulcifi'd Spirit of Salt Vinegar diluted with Chalybeat Water and the Decoction of Juniper Berries in Whey given for ordinary drinking are of use for mitigating this Symptom In the mean while it will not be improper to inject Clysters of hydropical Purgatives and aromatic Ingredients or of Herrin-Pickle or of a Child's Urine impregnated with carminative Seeds in case of Wind or mix'd with Turpentin and Nitre Nor will it be amiss to apply discussive Aromatics to the soles of the Feet Belly and Cod. Such are the Leaves of Celandin the greater Bags quilted with aromatic Seeds and Bran Man's Ordure Goats Dung boil'd in Mint-Water or mix'd with Man's Urin in the form of a Cataplasm Horse's Dung mix'd after the same method with Meal of Barley and Vinegar Quick-lime-Water mix'd with Spirit of Wine is of excellent use for bathing the Legs Belly and Scrotum especially when a Gangrene is threaten'd by the appearance of Spots Cataplasms made of Cockles bruis'd together with their Shells and mix'd with Goats-Dung are particularly recommended by Thonerus If these Cataplasms prove uneasie they may be shifted for aromatic Oyls such as the Oyl of Scorpions distill'd Oyl of Juniper Oyl of Bays Oyl of Toads mix'd with the Ointments Agrippae Martiatum c. Or an Ointment made of Sulphur Quick-lime and the Extracts of sharp Plants Some commend Bathing but 't is only of use against Anasarca's It remains only to annex a few Recipe's for illustrating the Method of prescribing Take of the Extract of Elaterium fifteen or twenty grains Rosin of Jalap from two to five grains Troches Alhandal one or two grains distill'd Oyl of Juniper two drops With Essence of Wormwood make Pills for a Hydropical Purge To which we may premise the Tincture Spirit or Salt of Tartar as a Digestive Take of the Conserve of Peach-Flowers a dram twelve grains of Mercurius vitae mix'd with fifteen grains of sweet Mercury Extract of Elaterium a grain or two With the Syrup of Buckthorn make a Bolus for one Dose Take of the Rob of Juniper an Ounce and a half Extract of Steel prepar'd with Juice of Apples half an ounce Powder of Rhubarb two or three drams with cinnamon-Cinnamon-Water make an Electuary for corroborating the Stomac Take of Swallow-wort Roots two ounces Leaves of Celandin the greater Hore-hound and Wormwood of each a handful Citron and Orange-peel of each six drams Seeds of the Ash-tree of Cumin Fennel and Annis of each two or three drams Juniper Berries bruis'd an ounce and a half Galangal Cloves Ginger of each a dram Salt of Tartar six drams infuse them in Wine Of which let the Patient take a Draught frequently Take of the Salt of Vine-twigs or that of Pigeons Dung of each a dram Powder of Toads two scruples Make a Powder for two Doses Take of the carminative Spirit de tribus half an ounce Spirit of Sal-Armoniac two drams Mix. Dose half a dram twice a day Take of the Decoction of Camomil Flowers half a Pound Man's Urine three Ounces lenitive Electuary six drams distill'd Oyl of Turpentin a scruple Make a Clyster Take of the carminative Decoction six Ounces Man's Urine three ounces Yest a Dram common Salt a scruple Hony of Roses an ounce Make a Clyster Take of Cockles and their Shells bruis'd a Pound Powder of Caraway-Seeds two ounces Goats Dung an ounce Make a Cataplasm to be applied to the Belly and Cod. Take of the Ointment of Sowbread an Ounce Ointment of Agrippa half an ounce Oyl of Scorpions an Ounce and a half distill'd Oyl of Toads three drams Mix for a Liniment and anoint the Belly frequently ART 3. Of the Yellow Black and White Jaundice A Jaundice is a cachectic disposition of Body attended by a preternatural Colour of the Skin it is caus'd either by the corruption of the Chyle in the Stomac or its vicious fermentation with the Bile and Juice of the Pancreas in the Duodenum or by the immediat putrification of the Mass of Blood The first cause defiles the Mass of Blood and taints it with various Recrements according to the manner of its corruption Hence Milk curdled in the Stomacs of Children Summer-Fruits Cucumbers Fish c. being converted into a musty Crudity will cause a Jaundice by mixing the corrupt Chyle with the Blood which being unfit for nourishment or assimilation is thrown out in a serous Vehicle upon the Glandules of the Skin and sometimes upon internal Glandules The Jaundices which follow Feavers or extreme bleeding which are attended by vomiting of yellow corrupt Matter musty Belchings Heart-burnings and Excrements colour'd as in a healthy state seem to arise from this cause and are accordingly cur'd by Vomits and bitter stomachical Medicines The second Cause takes place when an Acid prevails and the Bile is lazy or unactive and either cannot make good its secretion through the Liver and consequently recoils into the Blood or when separated stagnates in the Gall-Bladder and settles into Stones so as to cause an Obstruction of the Passage Hence sulphureous strong Liquors that exalt the Oyl of the Bile and cramp its active Volatil Salt are frequently charg'd with causing a Jaundice Sometimes the Convulsions of the neighbouring Membranes may contract the Gall-Bladder and so shut up the Passage upon which account Vomiting Colic-pains Hysteric Passions and hard Labour in Child-bearing are observ'd to introduce this Disease The prevalency of an Acid in the Duodenum arising either from the austere Recrements of the Stomac or the degeneracy of the Juice of the Pancreas will also pervert the Chyle and consequently the Mass of Blood So that the greatest part of Jaundices are wholly owing to a preternatural corrupt Acid in the Stomac or Duodenum and the inactivity or imperfect distribution of the Chyle As for the third Cause viz. The immediat putrefication of the Mass of Blood 't is occasion'd by Poyson birings of Vipers or Mad Dogs malignant Ulcers suppression of the Terms the Scurvy c. And when a Jaundice springs from this cause the Stomac Bile and Colour of the Excrements continue in their natural state Now any of these three Causes will occasion a preternatural colour of the Skin which always attends the Jaundice For the Blood being vitiated and tinctur'd with corrupt Recrements precipitats and throws 'em out in a serous Vehicle upon the Skin where the miliar Glandules are
most plentiful and these vicious particles tincture the Skin according to their various texture If an urinous Oyl prevail the Colour is yellow if an Acid from the first Passages it becomes green or black and frequently a yellow Jaundice is converted to that of a Green or Black Colour by the growing prevalency of the Acid. 'T is true the Ancients fancy'd that the Yellow Colour proceeded from a redundancy of Bile and the Black from a melancholic Humour imputed to the Spleen But Experience teaches us that the genuin Bile is apt to cause a red Colour that such Medicines as whet and volatilize the Bile are proper against this Disease that a Yellow Jaundice becomes Black without any influence from the Spleen and that there are several Yellow Jaundice's in which the Bile is not redundant nor stop'd in its passage as those which proceed from corrupt Chyle bred in the Stomac c. The Jaundice is call'd Secondary when it follows other Diseases and if it be accompany'd by signs of Concoction 't is Critical if not 't is Symptomatical But if it be independent and come of it self 't is a Primary Disease and is usher'd in by these Symptoms First a pressing straitning Pain girds the Breast weariness possesses the Limbs a loathing invades the Stomac the respiration becomes difficult and Giddiness Head-Aches and Swoonings sometimes close up the rear The Urin at first is pale afterwards when the Blood begins to precipitat its Recrements it becomes thick obscure as of a dark red Colour and dies a Cloth yellow like Saffron The Whites of the Eyes being enrich'd with many little Arteries appear Yellow the Mouth is dry and frequently molested with a bitter taste and aversion to Ale Sometimes a Feaver accompanies a Jaundice and sometimes it does not When the Bile is stopp'd the Belly is costive the Excrements White and a violent pain molests the right Hypocondrium as being suppos'd to proceed from Stones in the Gall-Bladder In other cases the Belly is open and the Excrements represent a bilious Colour A Jaundice is dangerous when 't is Black or proceeds from a prevailing Acid or succeeds to Chronical Diseases Quartan Feavers obstructions of the Liver or Spleen or stones in the Gall-Bladder in which last case tho' cur'd it frequently relapses When the Urin becomes thich and Black it prognosticates a happy delivery The Cure consists in correcting the Acid and austere Ferment proceeding from the Stomac and Intestines or retrieving the due texture and distribution of the Bile and promoting the separation of the heterogeneous Particles To obtain these ends let an Antimonial Vomit be first exhibited Purgation is improper especially when the Vessels of the Gall are straiten'd rather than obstructed in which the Vomits themselves are not so useful as in other cases If it be needful to clear the Passages Gum Ammoniac and Tartar vitriolated or some such laxative will suffice Of Specific Alteratives the filings of Steel or its Extract prepar'd with Juice of Apples or chalybeat Wine and prepar'd Blood-stone which partakes much of Steel are much the best to which we join the Juice Infusion or Decoction of Celandin Roots in Wine the Essence Extract or Decoction of Hore-hound the Powder of Colombine-Seeds the Conserve of the Flowers of Broom and St. John's Wort the Powder of Madder Roots the Tincture or Effence of Swallow-wort the Decoctions of Silver-weed Agrimony Wormwood lesser Centory Southernwood the five opening Roots c. Some recommend the Decoction of Raisins and Straw-berry-leaves for ordinary drinking Besides the Vegetable Specifics Earth-Worms or Wood-lice given in Powder to a Dram or the Spirit prepar'd from 'em the Spirit and Tincture of Tartar the carminative Spirit de tribus the Spirit of Sal-Armoniac Spirit of Man's Urine and the Urine it self drunk with the Juice of Hore-hound are of noted efficacy The Dung of Geese or that of other Animals given in Powder to a dram is much approv'd Some recommend the Stone taken out of the Gall of an Ox given to a dram And the Bezoar Stone or the Lapis Fulminaris given to half a dram Some order three or four living Lice to be swallow'd In the declination of the Disease gentle Laxatives mix'd with the above mention'd Specifics are allowable especially Rhubarb given in Powder or Infusion or the Infusion of Senna with Salt of Tartar or the Flowers of Acacia or those of the wild Plum-Tree infus'd in Wine or in the ordinary Drink In a Black Jaundice the Extract of black Hellebor mix'd with that of Steel and Gum Ammoniac is very useful These are the internal Medicins proper to be given against a Jaundice as being all calculated for sharpening the Bile subduing Acids and promoting a regular chylification In the use of which we ought still to continue 'till the Urin become thick and black Externally some apply the Leaves of lesser Centory or Celandin Roots to the soles of the Feet and bathe the Body in hot Water impregnated with Specific Plants in order to open its Pores or rub it all over with Bags of the Meal of Barly and Beans dipp'd in hot Water Cataplasms of the Leaves of Hore-hound Celandin Roots and Misleto of the Oak beaten up with Wine and Vinegar and applied to the Feet are of excellent use for big-belly'd Women who dare not venture upon the use of internal Specifics It remains only to annex a few Examples of Recipe's Take of Aloes and Extract of lesser Centory of each a scruple Extract of Troches Alhandal six grains Mercurius vitae two grains Make Pills for four Doses Take of Columbine Seeds six drams With celandin-Celandin-Water make an Emulsion to which add Powder of Ivory a dram and a half Take of Columbine Seeds in Powder six drams Saffron one dram Tartar vitriolat half a dram Make a Powder for seven Doses to be taken in Rhenish Wine Take of chalybeat diaphoretic Antimony and turmeric-Turmeric-Roots of each half a dram volatil Salt of Harts-horn half a scruple Make a Powder for two Doses Take of Madder-roots and those of Celandin of each an ounce Leaves of Hore-hound and tops of Wormwood of each a handful Salt of Tartar two drams Make a Bag to be infus'd in Wine Take of the Pulp of Raisins half a Pound choice Rhubarb three drams Tartar vitriolated two drams With Syrup of Cichory with Rhubarb make an Electuary ART 4. Of the French Pox. THE Symptoms of the French-Pox display themselves most in the part thro' which the virulency is first convey'd If a Nurse be infected by a sucking Child her Breasts are first attack'd if the Disease be contracted by lying in Bed with a fowl Person the Skin and surface of the Body are the chief place where its Retainers assemble If the Embraces of a foul Woman give Being to it the Yard Groin and adjacent Parts are the first Scene of its tragical appearance About two or three days after the Venereal Adventure a Heat and Inflammation seizes the Genitals the Urine
we ought to observe nicely where the Impediment lies If the Stagnation and Viscidity of the Humors about the Breast retard the work let a Vomit be exhibited If want of strength and Spirits let the sudorific Decoctions be Administred The Salivation being obtain'd must be continu'd till the Saliva become foetid and viscous and apt to fall to the bottom in a Vessel full of Water or stick to its sides If the Salivation exceed its due bounds let Opiats Clysters and Purgatives be us'd as also Gold both held in the Mouth and given inwardly After the Salivation is over it will be requisit to shift the Bed-Cloaths and wearing Cloaths and to continue the use of the Decoctions of Woods Which if the Salivation was imperfect may recal the Nocturnal Pains by driving the remaining Acid dissolv'd by the Mercury into the external Parts but their continu'd use with that of Mercury will overcome ' em Purgation is also proper after the Salivation Before the Commencement of the Cure as well by a Salivation as by Sweating it is not amiss to cleanse the first Passages by Vomits and Purges that so the humors may be more pliable and the troublesom Symptoms of the Breast prevented If the Pox be inveterat or if the virulent Matter be fix'd in the external Parts one or two Purges will suffice since we ought to be cautious of recalling the humors to the Center When the Matter is joyn'd to the fluid Juices repeated Purgation is of use For which end Coloquyntida and sweet Mercury are the topping Ingredients As Take of the extract of Black Hellebor and sweet Mercury of each fifteen Grains Scammony Sulphurat and extract of Troches Alhandal of each two grains With Essence of Fumitory or that of Woods Make Pills Take of the Conserve of Fumitory a dram Rosin of Jalap Sulphurat Scammony of each six grains Turbith Mineral four grains Make a Bolus Some add Purgatives to the Sudorific Woods as likewise volatil Salts urinous Spirits and Cinnabar of Antimony together with the extracts and distill'd Oyls of Woods As Take of the shavings of Guajacum four scruples Diaphoretic Sulphur of Antimony a sctuple volatil Salt of Vipers twelve grains Make a Powder for two Doses Or Take of Matthiolus his Quintessence half an ounce Spirit of Venice Treacle a dram Clyssus of Antimony half a dram Spirit of Guajacum two drams Mix for a Dose to be pour'd into each draught of the Sudorific Decoction Before we take leave of this Subject it will be requisit to consider the Symptoms and account for their particular Cures The first that offers it self is the Clap or virulent running of the Reins This Symptom appears frequently by it self without the Pox but if it be not speedily cur'd degenerats into it The cause of it is some sharp Miasma's proceeding from Ulcers in the Womb which in the time of Coition insinuat themselves thro' the Urethra and inlarged Pores of the Yard into the Prostatae and by fermenting corrupt their watery Juice which in time becomes Corrosive Ulcerats the Glandules and Excoriats the Urethra and Prepuce Hence the Symptoms of a Clap are a violent pain about the Root of the Yard where these Glandules are seated a continual Efflux of discolour'd matter as being first yellow then green and blue the Inflammation and oft-times Ulceration of the Nut of the Yard the Corrosion of the Urethra follow'd by Caruncles an insufferable Heat of Urine and a squeezing Pain girding the Yard especially in the Night-time or when it attempts Erection If a Clap continue long it Excoriats and Wasts the Glandules and sometimes the malign ferment reaches the Stones and causes their Swellings and Bubo's The first step towards the Cure is to cleanse the Body by purging with Coloquintida the extract of black Hellebor and sweet Mercury or rather the green precipitat prepar'd with Quick-lime which tho' it may seem at first to exasperat the Symptoms yet it lays the Foundation of the Cure After Evacuation we proceed to Balmy cleansing and healing Ingredients in regard of the Ulcer of the Prostratae Such are the distill'd Oyl of Turpentine the Turpentine Balsam of Sulphur joyn'd to Quercetanus's Clap Water the Juice of Lemons mix'd with Spirit of Turpentine and Camphyr the Balsam prepar'd of Sugar of Lead and Oyl of Turpentine Oyl of Juniper extract of Tormentil Rosin of Guajacum prepar'd with Tincture of Tartar the Decoction of Quick-silver in Water the Balsam of Peru and above all that call'd Capaivi or its Essence prepar'd with Tartaris'd Spirit of Wine Some commend the infusion of Cantharides in Wine To these we may add the Bone of a Cuttle Diaphoretic Antimony Chalybeat Bezoar and whatever subdues a prevailing Acid. If the Infection have already reach'd the Blood it will be needful to administer Decoctions of Woods and the above mention'd sudorifics mix'd with the Essences of Woods and Tincture of Coral Take of Turbith mineral six or eight grains With Conserve of Roses make a Bolus Take of Extractum Catholicum fifteen grains the green precipitat Mercury six grains extract of Troches Alhandal two grains with the Essence of Woods or distill'd Oyl of Amber make Pills Take of the extract of Tormentil an ounce Sugar of Lead half an ounce Camphyr two drams With distill'd Oyl of Turpentine Make Pills Take of the Balsam of Sulphur prepar'd with Oyl of Turpentine two drams Balsam of Capaivi a dram Mix Dose fifteen drops twice a Day Externally for cleansing the Ulcers we inject Quick-lime Water in which Aloe Myrrh Honey of Roses Sugar of Lead and sweet Mercury are dissolv'd If the Ulcers tend to a Cancer we add Vnguentum Aegyptiacum or if an Ulcer appear in the Nut of the Yard we wash it with a solution of sublimat Mercury in the same Water If the Testicles are inflam'd we apply Cataplasms of the Meal of Beans and Cuminseeds boyl'd in Vinegar and Water and mix'd with Litharge or anoint 'em with a Liniment of the Balsam of Sulphur Oyl of Cummin and Ointment of Marsh-mallows and if any hardness remain discuss it with a Plaister of Gum Ammoniac and the Plaister of Hemlock The Plaister de Ranis with Mercury is of excellent use for other places but for the Testicles 't is not so proper for fear the Mercury should extinguish their ferment If the Prepuce be inflam'd foment it with the Phlegm of Vitriol or Dissolution of Sugar of Lead in Lime Water A Clap in Women is cur'd after the same manner and attended by Symptoms of the same Nature The next Symptom we take notice of is that of Bubo's or Glandulous swellings occasion'd by the Sâ—agnation of viscid Lymph Their suppuration ought to be promoted by applying Sala's Magnetic Plaister or Toads soak'd in Vinegar or the Plaister de Ranis with Mercury soften'd with Oyl of Guajacum or foetid Oyl of Tartar or the Plaister of Hemlock mix'd with Soap When the Bubo's are sufficiently soften'd let 'em be open'd with a Caustic or a
Salt remain at bottom Now take of this Salt three drams of the Gum Lac two drams Cyprus Vitriol six Grains Rosemary and sage-Sage-waters of each an ounce and a half Mix and dissolve with a gentle heat As for Powders Take of Snake-weed and Tormentil Roots and the Rinds of Pomegranats of each a dram Blood-stone Frankincense Burnt-allum and Sal-Armoniac of each half a dram make a Powder for rotten Gums Or sprinkle it with the distill'd Oyl of Cloves and Spirit of Scurvy-grass Note all stony or tartarin things are pernicious to the Gums If the Mouth or Gums are beset with Ulcers apply the following Liniment Take of crude Allum a dram and a half Sage-leaves three drams Roots of Florentin Orris a dram and a half Myrrh half a dram With Hony make a Liniment Borellus recommends Allum with the Oyl of Sulphur and Conserve of Roses If the Ulcers are malignant and stinking apply the Ointment of Columbines with the Juice of Sage and Spirit of Salt or the Ointment Aegyptiacum diluted with Hony or Platerus's green Waters Note the Spirit of Vitriol always makes the Teeth black II. Scorbutical Tooth-aches are cur'd by applying the Decoction of Pine-tree Leaves with Spirit of Scurvy-grass or the Juices of lesser House-leek and Scurvy-grass with the Decoction of Henbane Rosemary Rue Plantane Sage Snakeweed and Fearn If the Pain reach the Temples and Face foment 'em with the weaker Spirit of Scurvy-grass mix'd with the Spirit of Earth-worms III. The spots on the Skin ought to be promoted by exhibiting inwardly the volatil Specifics mix'd with absorbent Powders and the Tincture of Columbine Flowers or Emulsions of its Seed or the Antiscorbutical Tincture of Coral If the Spots be red we add acid Juices if blew or livid Scurvy-grass and volatil Ingredients Externally if they disorder the Skin and are apt to excoriat apply after sweating a Liniment of Mustard-seeds mix'd with Vinegar or if that be too sharp with the Oyl of sweet Almonds and fresh Juice of Citrons The Ointment of the Roots of Florentin Orris and white Hellebor mix'd with the Oyl of sweet Almonds is look'd upon by some as infallible for this purpose If the Skin itch and be molested with little miliar Eruptions exhibit the Decoction of Pine-tree Buds and let the Hands and Feet be lick'd by a Dog IV. The fix'd pains in the Legs are remov'd by bleeding in the Arm applying Blistering Plaisters near the affected part exhibiting Sudorifics especially the Decoctions of Woods and Pine-tree Buds the Essence of Sassafras Spirit of Scurvy-grass Spirit of Venice Treacle camphoris'd and Spirit of Elder-berries mix'd with the Essence of Opium and Laudanum Opiatum and by fomenting the part with the Spirit of Juniper-beries camphoris'd Spirit of Earth-worms and Aqua Articularis or by soaking it in Tanner's Lye mix'd with Man's Urine or in hot fermenting Wine or in the Decoction of Ants the Person being put to a warm Bed immediately after Some recommend the Decoction of Sage Chamomil and Elder-flowers Water-cresses and Henbane-leaves in Milk or Whey for a fomentation or the Rob of Juniper mix'd with the thicken'd Juices of Water-cresses Camomil and Elder Flowers in the form of a Cataplasm or hot dry Bags of Millet-Seeds Salt Bran Wormwood-tops and Chamomil Flowers to be applied to the Parts however if all prove ineffectual we must have recourse to the natural Hot Baths or Artificial ones of Sulphur and Quick-lime V. The Colick Pains or those resembling the Nephritic as proceeding from the Cramp and Convulsion of the Guts and the Mesentery which is seated in the Loins are Cur'd by cleansing the Guts and appeasing the tumultuous motions The first design is compass'd by Raisins Goats-Whey Oyl of sweet Almonds and the Decoction of Marsh-mallows Pugatives are very pernicious But if the Pain be recent and not very violent we may venture to exhibit a gentle Purge mix'd with Opium the Body being first prepar'd by Digestives If the irritating matter be hot and sharp Whey in which China-Roots Borrage-Flowers and Clove-Gilli-flowers are boil'd the Emulsions of cold Seeds Sugar of Lead or the Antiphthisical Tincture and earthy absorbent Powders are proper but if the Urine be laden with a sandy Tartar all Lenitives are in vain 'till that be remov'd by meek Diuretics such as Turpentin the Syrup of Marsh-mallows c. In other cases we exhibit the Volatil oily Salts mix'd with Opiats especially the Spirit of Nitre dulcifi'd with the Spirit of Scurvy-grass the carminative Spirit de tribus and the Spirit of Earth-Worms Or thus Take of Dorncrellius his Carminative Water and the Antiscorbutic Water of each two Ounces the Spirit of Scurvy-grass and the carminative Spirit de tribus of each a dram the Essence of Opium half a dram Syrup of Orange-peel an Ounce Emollient Anodyn Clysters are also very proper I mean such as are usually prescrib'd against Colic and Nephritic Pains especially those of the Decoction of River-Crabs But if they do not quickly give relief 't is advisable to set 'em aside for fear of inflaming the Guts and to foment the Belly with the Decoctions design'd for ' em 'T is also usual to anoint the Navel with the Oyl distill'd from Galbanum and Turpentin and then apply either a hot Brick or the Plaister of Galbanum mix'd with the Balsam of Peru. Pâ—terius's Plaister Diasulphuris applied to the Loins is of good use as also Fomentations or Cataplasms for the Belly of Chamomil and Elder-flowers Juniper Berries Henbane-leaves Cresses c. boil'd in Milk If the Clysters prove successful let 'em be still continu'd and sharpen'd with purgative Ingredients after the Paroxism exhibit the Decoction of Pine-Apples and Juniper Berries and other Antiscorbutics VI. The wandring gouty Pains that follow the Scurvy are owing to the Convulsive influence of the scorbutical Salt upon the nervous Parts especially the Membranes that cover the Bones They are distinguish'd from a proper Gout by these Symptoms They are very inconstant and apt to shift the place of their Abode and return again on a sudden Thus rubbing with a warm Cloth will occasion their removal and appearance in another Part. They never rise up in hard stubborn Swellings Their solution is frequently accomplish'd by Sweat and Urine and by cuticular Eruptions with an unsufferable itching The Cure consists in allaying the impeutosity of the Spirits and Humors evacuating the Scorbutic Salt by Sweat and Urine and removing the radical cause after the Paroxysm is over First of all it ought to commence by bleeding in the opposite side to the part affected then Clysters and Vomits follow'd by absorbent Powders and fix'd Salts especially Arcanum Duplicatum diaphoretic Antimony and Cinnabar of Antimony to which if the Spirits be very irregular we add Narcotics Oft-times a gentle Laxative is very necessary If the Spirits be low and flaggy we may exhibit the Essence of Woods or Venice Treacle with Osteocal mix'd with Opium After these Preparations we proceed to the use of volatil Specifics of
Whey sharpen'd with the Juice of Citrons is much approv'd as also Milk mix'd with the Spirit of Sal-Armoniac when the Stomac is able to digest it and the Feaverish Paroxysm is over The Symptom of Thirst is admirably accounted for by exhibiting the Decoction of China-roots and Liquorice XIV In scorbutical Dropsies strong Purgatives are noxious gentle Diuretics mix'd with Antiscorbutics being the Basis of the Cure Such are the Infusion of Wood-lice in Wine the Spirit of Sal-Armoniac and Tincture of Tartar mix'd with the Spirit of Scurvy-Grass XV. St. Antony's Fire happening to scorbutical Persons is cur'd by taking inwardly absorbent diaphoretic Powders mix'd with the Spirit or Syrup of Elder-Flowers and Spirit of Scurvy-grass and applying outwardly the Decoction of Litharge Elder-Flowers Olibanum Myrrh and Mastic in Lime-water and Vinegar with a little Camphyr XVI Ulcers accompanying the Scurvy and threatning a Gangrene ought to be wash'd with Lime-Water or the Decoction of lesser House-leek mix'd with the Spirit of Vitriol and anointed with the Ointment of Tobacco and Sugar of Lead or cover'd with the Powders of Myrrh and Frankincense Crocus of Steel and Sugar of Lead Inwardly let the Essence of Woods Essence of Fumitory and the Antiscorbutical Tincture of Coral be frequently administred As for the hard Swellings that frequently molest the Legs let Cataplasms of Bryony and Comfrey-Roots and Chamomil Flowers be applied to ' em Or let the thicken'd Juices of Comfrey and Brook-lime mix'd with Mynsichtius his Diaphoretic Plaister and the Distill'd Oil of Chamomil be us'd in like manner ART 6. Of breakings-out in the Skin UNder the Head of Deprav'd Nutrition we allot an Article for Cuticular Eruptions and first for the Scab which proceeds from the depravation of the nutritive Juice of the Parts under the Skin occasion'd by a preternatural Acid. This Acid takes its rise from sudden Cold succeeding to Heat and shutting up the steams of the Body within the straiten'd Pores from the contagion of an external Ferment and sometimes but very rarely from internal Causes such as the Scurvy French-Pox c. But for the most part the Blood and Internal Parts are not at all tainted it being only the nutritive Serum about the surface of the Body that is depraved tho' 't is true that by continuance it may at last infect the Blood If the nutritious Juice be very serous and apt to corrupt the Breakings-out run much if the Juice be Balmy and impregnated with a volatil oily Salt they are crusty and dry As for the Cure of a Scab we administer inwardly Purgatives and Sudorifics The Purgatives are the Extract of Black Hellebor or Scammony sulphurated mix'd with sweet Mercury and the purging Mercurius vitae or Turbith Mineral in an inveterat case If the Blood be tainted we administer the Decoctions of bitter and scorbutical Plants and Spices mix'd with purging Ingredients in Wine Whey or Water and continue their use for some time The Sudorifics are the Decoctions of Woods the volatil Salt of Vipers Harts-horn Ivory the fix'd Salts the Sulphur and Cinnabar of Antimony diaphoretick Antimony and the Syrup of Elder Flowers As Take of Elder-Flower Water an ounce the Spirit of Venice Treacle camphoris'd half a Dram Diaphoretic Antimony fifteen Grains the volatil Salt of Vipers half a Scruple Syrup of Orange-peel half an ounce Mix for a Draught Or Take of the Rob of Elder a dram the Powder of Snakes calcin'd a scruple Sal-Armoniac half a scruple With the Syrup of Orange-peel make a Bolus The distill'd Oyl of Turpentin given to six Drops every Morning the Essence of Vipers to forty the Tincture of Antimony or Tincture of Coral given to fifty Drops are also very proper And when all proves ineffectual a Mercurial Salivation may not be amiss Outwardly we apply Ointments of Sulphur Mercury especially that precipitated with the Spirit of Nitre and Sugar of Lead but we ought to take care that the Pores be kept open for fear the Scab should strike in Upon which account let Salt of Tartar be always added As Take of Vnguentum Enulatum and Album Camphoratum of each half an ounce Flowers of Brimstone three drams sweet Mercury a dram Salt of Tartar or Oyl of Tartar per deliquium a dram and a half with the Oyl of Tobacco or of St. John's wort Make an Ointment to which add of the Balsam of Peru half a scâ—â—ple Oyl of Rose-wood six drops Mix and anoint the Limbs especially the Joints at Night going to Bed and in the Morning wash off the Ointment with the Persons own Urine Take of the Decoction of Quick-lime a pound and a half sweet Mercury three drams Spirit of Venice Treacle camphoris'd an ounce Mix and wash the external Parts for taking off the Scab and the red Scars that remain after it The Distill'd Water of Man's Ordure is an admirable Wash and reserv'd by some as a Secret Some use Girdles of Quick-silver others fumigate with Cinnabar but the Body ought to be well cleans'd beforehand and arm'd against Cold. In a critical Scab we ought not to use repellents But Baths of the Decoctions of the sharp pointed Dock Tobacco-Leaves Scabious Elecampane and Briony Roots Brimstone and Quick-lime are allowable After sweating by internal Sudorifics the scabby Person may bath in them and rub down his Body and after bathing anoint with the above-mention'd Ointment The Itch is near ally'd to the Scab and proceeds from the sharp Particles of the Serum repairing to the surface in small quantities 't is cur'd internally by purging and sweating as above and externally by applying the following Ointment Take of the Roots of the sharp pointed Dock and Elecampane of each an ounce Boil them in Vinegar 'till they become soft then beat 'em thro' a Sive and add of the Oyl of Orris three Ounces common Salt an Ounce Myrrh three Drams Litharge an ounce and a half With Wax make a Liniment A Leprosie proceeds from a saline corrosive Acid reigning in the Serum as being a sort of exalted Scurvy It is oft-times the hereditary Infirmity of a Family or follows a bad Dyet Chronical Diseases and the suppression of wonted Evacuations The Signs which accompany it are either internal or external The internal are Acid or musty Belchings Costiveness Thirst a stinking Sweat thick Urine insomuch that the Powder of Lead will swim upon it an extreme propensity to Venery the thickness viscosity and unctuosity of the Blood when drawn forth and little Clotts of Sand sticking to the Cloth thro' which 't is strain'd the frequency and weakness of the Pulse difficult respiration stinking Breath a weariness of the Limbs Chillness stupidity and a hoarse Voice as if it came thro' the Nose The External Symptoms are these The Skin appears Livid Black or Yellow it Wrinkles when expos'd to the Cold it is notably rough and oily insomuch that Water will not stick to it it is cover'd with a Purple or White Dandriff little moveable painless Knots and
especially Crabs Eyes mix'd with Vinegar Tho' Vinegar be an acid yet when joyn'd to Crabs Eyes and absorbent Powders it ferments and assumes a lixivious Urinous form which is of admirable efficacy for dissolving clotted Blood To these we ought always to add Sperma Ceti and the Decoctions or Waters of Vulnerary Plants as being inrich'd with a plentiful Alcali The dulcify'd Spirit of Nitre and all the Preparations of Nitre are also of excellent use especially if the Feaver be high As for external applications I refer the Reader to the sixth Book and shall only now take notice of two Particulars 1. The mistake of those who apply repelling Astringents in order to straiten the Vessels and hinder the Corruption of Blood Whereas the Doctrine of Circulation teaches us that the Blood convey'd thither by the Arteries cannot be beat back or return any other way than by the Veins Now to straiten the Vessels that are already straitned by the swelling is the ready way to hinder the Bloods access to the Veins and augment the Inflammation 2. If the tumor cannot be discuss'd we must bring it to a Head by ripening Applications and when the Ulcer is open see it throughly cleans'd before we attempt to consolidat The general Cure of Inflammations being thus accounted for we proceed to Particular Inflammations ART 1. Of a Quinsey Thrush and falling of the Vvula or Palat of the Mouth THE Inflammation of the Muscles of the Neck especially those of the Windpipe and Gullet is stil'd a Quinsy under which we comprehend all Inflammations relating to the Chops If the Internal Muscles of the Throat or Head of the Gullet are inflam'd 't is call'd Synanche if the External Parasynanche if the Internal Muscles of the Head of the Windpipe Cynanche if the External Paracynanche If a Quinsey proceed from the simple Stagnation of pure Blood 't is accounted Genuin if the Viscidity of the Lymph be the first Author of the Swelling and so accompany or rather cause the Stagnation 't is a spurious or white Quinsey The causes of a Quinsey are the unseasonable suppression of a Flux of Blood malignant Miasma's in the Air irritating the Throat and Windpipe the assumption of Corrosive Liquors which provoke the Muscles to contractions cold Air Bones Pieces of Glass or whatever happens to disturb the repose of those Parts or thicken the Blood or Lymph The viscidity or sharpness of the Lymph has a peculiar tendency to the Inflammation of the Tonsillae or Glandules in the Throat which causes 'em to throw out large Quantities of glutinous Lymph upon the Tongue and Jaws An Imminent Quinsey is usher'd in by a difficulty of Breathing swallowing and moving the Neck and a notable Heat in the Throat The Symptoms that accompany it are a difficulty of Breathing especially in a Cynanche the tumor pain and redness of the Neck and Tongue a viscous Film or Crust proceeding from the Tonsillae and covering the Tongue a difficulty of swallowing especially in a Synanche A genuine Quinsey is also attended by an acute Feaver and a distending Convulsive Pulse like that in a Peripneumonia But a spurious one by a slow Feaver and meeker Symptoms If this Inflammation be not quickly discuss'd it either choaks the Patient or becomes an Ulcer which sometimes distils a purulent matter into the Lungs and occasions tragical Symptoms If the swelling and redness display themselves visibly upon the external Muscles 't is a good Circumstance If the internal swelling and difficulty of breathing increase without an apparent Tumor and be attended by Froth in the Mouth If the Feaver observe the period of a continual Tertian if the Vein under the Tongue when open'd do not bleed these I say are bad Omens If the Swelling disappear of a sudden without the Signs of Concoction in the Spittle or diminution of the anxiety of the Breast or if the Head Pleura or other parts are seiz'd with Pain and inflammation by vertue of the Translation of the morbifical Matter we look for Death The Cure is either internal or external The former is the same with that of Inflammations in general providing a due regard be had to the peculiar constitution of the Parts as appears by the following Rules 1. The volatil Salts and absorbent Powders above mention'd join'd to the dulcifi'd Spirit of Nitre and Laudannm are given with good success in order to sweat Especially Horse-Dung and the Dung of Birds as being plentifully impregnated with a Volatil nitrous Salt Nitre dissolv'd in the ordinary Drink is also much approv'd 2. Amber Myrrh Spirit of Harts-horn and all Medicines recommended for Catarrhs are very proper in Quinseys by reason that the Lymph is always faulty as well as the Blood 3. In the beginning of the Disease we first open a Vein in the Leg then in the Arm and towards the height under the Tongue Before the Invasion of a Quinsey if the Patient be not Plethorick nor the Blood very high we may order Blood-letting under the Tongue but in no other case before the height If the Piles or Terms are suppressed we must always let Blood in the Leg. In desperate cases we apply Scarify'd Cupping-Glasses to the Neck Shoulders and Chin. In fine the Constitution of the Patient and other incident Circumstances must be our Directory for regulating the Measures of Bleeding 4. Epidemical Quinseys or such as proceed from the malignity of the Air must be treated as malignant Diseases without Bleeding or Purging And the Physician ought to avoid their Breath as being very catching 5. Antimonial Vomits are of singular use in the beginning of the Disease especially if it be epidemical or if the Patient be molested with a bitter rusty taste in the Mouth a tickling heat in the Gullet and a loathing of Meat They are improper at any other time besides the very height of the Disease when the suppuration is in some measure advanced and the Swelling cannot be laid open Then indeed a Vomit is the last Refuge If the Person cannot swallow any Liquor let the Throat be tick'ld with Mercurius Vitae with Hony upon a Feather 6. Purgatives are improper as being apt to augment Inflammations Perhaps in the beginning 't will not be improper to cleanse the first Passages with a Laxative But Clysters ought to be injected every Day during the whole progress of the Disease 7. Blistering Plaisters applied to the Neck after the first Blood-letting are not improper 8. If the Inflammation of the Tonsillae arising from viscid Lymph be apt to relapse frequently let an Issue be cut in the Arm. 9. We must be very nice in distinguishing a Quinsey from a Prunella which generally follows Feavers and requires the application of Medicines improper for a Quinsey See the Chap. of Acute Feavers The external part of the Cure of a Quinsey is perform'd 1. By Gargarisms Ointments Cataplasms and Plaisters of discussing Ingredients such as Chamomil and Elder-Flowers Mint Penny-Royal Wild Marjoram Sage Hyssop the
great Guts are only affected the Swelling appears in the sides of the Belly the Loins are infested with a weighty Pain the Symptoms are more remiss and bear downward If the Pain attending the Iflammation be suddenly extinguish'd it notifies a Gangrene For Cure let Clysters of Milk Hony and purifi'd Nitre be speedily injected let a Vein be open'd in the Arm oftner than once if there be occasion let a Caul of a Sheep kill'd in the very Room with the Patient be laid upon the Belly and if the Pain do not cease let it be shifted for fresh ones twice or thrice let the disâ—ill'd Oyl of Lead with Oyl of Roses be applied at other times and let the dulcifi'd Spirit of Nitre with Laudanum Opiatum Sugar and Oyl of Lead and proper Sudorifics be internally administted The Inflammations of the Anus are caus'd by the suppression of the Piles excessive riding and such like external Causes The Symptoms are the same as those of Inflammations in general For Cure open a Vein in the Arm inject Clysters of emollient Ingredients boil'd in Milk or if these be insufficient of Lin-seed and Rape-seed Oyl and if the Excrements be harden'd add a dram of Sal Gem. If the Inflammation be so great that Clysters cannot be injected administer Raisins or such like gentle Laxatives for opening the Belly and gentle Sudorifics for promoting Sweat Externally apply the Decoction of Mint and Agrimony in Wine or Lime-Water or that of Mullein Flowers and Henbane Leaves in Whey or the mucilage of Quinces extracted with houseleek-Houseleek-Water and mix'd with Sugar of Lead If the Inflammation was caus'd by the Contact of any sharp thing such as Paper cover'd with Pepper or Vitriol foment with the Decoctions of emollient Ingredients in Milk mix'd with the Whites of Eggs. If it cannot be discuss'd apply Rulandus's Balsam of Sulphur made of Sugar and the Oyl of Poppies and inject Clysters of Chalybeat Milk mix'd with Turpentine and Hony of Roses After ulceration apply Fulminatory Gold mix'd with the Oyl of Sweet-Almonds and exhibit internally vulnerary Decoctions ART 3. Of Inflammations of the Mesentery Sweet-bread and Caul THE Inflammations of the Mesentery proceed from the same Causes as all other Inflammations particularly from the critical translation of morbifical Matter into their Glandules from the unseasonable suppression of a Dysentery or from a rupture haling it out of its natural Seat The Signs are very obscure and uncertain by reason of the Mesentery's distance from the external surface and its open correspondence with the Nerves of other Parts which frequently obtrude the effect upon us under the notion of the principal Cause However the following Symptoms will give us some light into the matter viz. A sense of weight in the Belly especially when the Person turns himself in his Bed a gentle Heat towards the Navel a small Pain and a sort of distention and Heat under the Stomac and the serosity of the Excrements or their mixture with Chyle when the Stomac is not disorder'd 'T is distinguish'd from the Inflammations that the Navel is liable to by the remissness and dulfless of its Pain and invisibility of the Tumor or absence of apparent hardness If the remote Parts of the Mesentery are only inflam'd the Feaver that accompanies is but slow but if the Parts adjacent to the Guts be seiz'd the Feaver is acute the Symptoms much higher and the Guts share in the Inflammation When the Tumor suppurats the Feaver and other Symptoms are exalted and when it is ready to break a shivering and sometimes a shaking seizes the Person which are sometimes follow'd by the evacuation of purulent Matter by Stool or Urine These Inflammations are but slow-pac'd and require a long time before they come to maturity Their Symptoms are so obscure that they do not much trouble the Patient at first tho' by degenerating into Schirrus's or Ulcers throwing purulent Matter upon the Entrails they frequently cause Hectics Cachexies Gangrenes c. If the purulent Matter be cast into the Guts and voided by Stool It is distinguish'd from that of Imposthumes in the Guts by this difference viz. That from the Mesentery comes in a body mix'd with some Blood and without Pain whereas the other is squeez'd out by drops with violent Gripings and an Acute Feaver As for the Cure Since the Feaver and Symptoms are not Acute Bleeding is improper or if any be allow'd that of the Hemorhoid Veins is only convenient Purgatives are hurtful but emollient Clysters are of excellent use The better part of the Cure depends upon Discussing Sudorifics especially the Tincture and Spirit of Tartar the carminative Spirit the Essence of Steel the Essences of bitter Herbs such as Wormwood Centory Fumitory c. The Essence of Gum Ammoniac and Chalybeat Diaphoretics Externally we apply the Plaister of Gum Ammoniac with that of Hemlock providing it do not exasperate the Pain If it do we conclude that the Inflammation is become an Imposthume and the Plaister ought to be remov'd When the Imposthume breaks and the purulent Matter is voided by Urine it runs first plentifully and afterwards intermits nay oft-times the Urine it self is very plentiful and seems to precipitat a laudable Sediment to the bottom which is nothing else but the melting of the Humors of the Body and is justly look'd upon as a very bad Sign Now when we are appehensive of an Imposthume 't will be requisite to give Diuretics and Abstergents especially Turpentin dissolv'd with the Yelk of an Egg and mix'd with Chalybeats the Balsam of Peru Rhubarb the Decoctions of Sassafras China Liquorice and Jujubes and the Decoction of Agrimony St. John's Wort Cichory c. in Whey The Inflammations and subsequent Schirrus's and Imposthumes of the Sweet-bread are of the same nature as those of the Mesentery and equally apt to disguise themselves under the cover of Chronical Diseases that in effect owe their Birth to them The like may be said of those of the Caul Both the one and the other are Cur'd as those of the Mesentery or other Inflammations ART 4. Of Inflammations of the Internal Parts of the Breast and particularly of a Pleurisie and Peripneumonia THE Blood being expos'd to the influence of Air in the Lungs is apt to cause Inflammations in the adjacent Parts When the Lungs or both their sides are inflam'd we call it a Peripneumonia if the Pleura and only one side of the Lungs are affected 't is a Pleurisie Sometimes the Mediastinum Midriff and the backpart of the Breast or the Membranes of the Shoulders and Neck share of the Inflammation by turns The cause of such Inflammations is a vicious Acid which both provokes the Parts to Contractions and disposes the Blood for Curdling The remote Causes are cold Air or cold Drink after great Heats violent Motion excessive drinking of spirituous Liquors the suppression of the Terms or of a Dysentery which do's not radically differ from a Pleurisie a Malignant Constitution of
a wet one Sometimes critical Loosenesses give the solution of the Distemper As for Epiphora's if they prove inveterat in adult Persons they degenerat to a Fistula Lacrymalis which is oft-times incurable As for the Cure When the Inflammation proceeds from external Causes a few external Medicines may give relief But when the Cause is internal we proceed thus First of all we open a Vein in the Leg then in the Arm and aftewards but not sooner in the Forehead if it can be done without straitening the Neck In desperat cases we open the Jugular Veins and sometimes the Temporal Artery Blistering Plaisters appli'd to the nape of the Neck are of excellent use as occasioning a plentiful Flux of Blood into the outer branch of the Artery of the Neck which must needs drain the inner-branch that visits the Eyes They are best prepar'd of Emplastrum Citrinum mix'd with the Powder of Spanish Flies whout Acids and the Blisters ought to be kept long open with the Plaister of Ceruss mix'd with a small quantity of the Powder of Spanish Flies In Hydropical Persons or such whose Skin does not easily heal Blistering Plaisters may be omitted In difficult Cases we order Issues in the Arm or Leg of the same side with the inflam'd Eye and a Setum in the Neck Instead of a Setum some chuse to make a sort of Issue in the Ear thus Take the Root of Hellebor or Mezereon dry it and slice it into little round pieces which macerat in the solution of Nitre in Water or the Lye of the Ashes of Vine-twigs Then bore a Hole in the Ear and promote its suppuration for three Days with a thread cover'd with Butter and then put in one of these pieces thus prepar'd renewing 'em every day Internally we exhibit Jalap for a Purge and the Decoctions of China-Roots Sassafras Sarsaparilla and Juniper-Wood to which we add the Cephalic Dryers such as Fennel Eye-bright Valerian Betony Rosemary and their Essences If the Inflammation proceed from Mineral Fumes we give Mineral Preparations inwardly In external Applications we ought to avoid Opium and Milk tho' commonly usâ—d The former shuts the Pores and promotes a Gangrene the latter is also charg'd with the same Crime and besides is apt to Curdle and become Acid and by consequence must needs be prejudicial to the Eyes In the beginning of the Distemper while the heat pain redness and sharpness of the Rheum prevail absorbent Powders are proper such as Tutty Ceruss Chalk Flowers of Tin Crabs-Eyes Calaminar-stone c. In general the Water of Frogs-spawn the Water distill'd from bruis'd River-Crabs when they begin to putrifie and distill'd again with the Juice of Celandin the Oyl or Liquor per deliquium of Blew-bottle or Succory flowers they being gather'd in the Morning when wet with the Dew and put into a thick Glass encompass'd with a thick Crust of Dough and so baked in an Oven 'till they melt into Liquor the Phlegm of the Spirit of Vitriol the Oyl of Sugar per Deliquium or Sugar it self ground in a new Tin Platter 'till it become livid the Sugar of Lead Camphyr the mucilages of Flea-wort and Quince-seeds extracted with Celandin Water the Phlegm of Allum Whites of Eggs the strain'd Decoction of the Litharge of Gold in Vinegar the Infusion of Crocus Metallorum or the Glass of Antimony and in the height of the Distemper Collyriums prepar'd with white Vitriol are all approv'd Medicines If the Inflammation proceed from external Causes the above mention'd Mucilages or a piece of raw Beef or Veal applied to the Eye will finish the Cure If the Rheum be very sharp and corrosive we insist much upon fix'd absorbent Powders if it be thick and slimy diluting Medicines and gentle Astringents are convenient These Ingredients are prescrib'd in various Forms As Take of the mucilages of the Seeds of Quinces Clary and Fenugrec extracted with Celandin Water of each half an ounce Sugar of Lead twelve grains With Fennel or Eye-bright-water make a Collyrium Take of Plantan and Eye-bright-water of each an ounce prepar'd Tutty half a Scruple Camphyr five grains Saffron two grains Make a Collyrium to be us'd after the Small-Pox Take of Tormentil or Plantan-Water of each an ounce mix 'em with the White of an Egg and ten grains of Allum And apply it warm to the Eyes Take of the Glass of Antimony in Powder from ten to fifteen grains infuse 'em in three ounces of the Water of Frogs Spawn Let 'em stand all Night in a hot place Strain the Liquor in the Morning and add to it ten grains of the Sugar of Lead in fine Powder and six grains of Camphyr Take an Egg boil it hard and take out the Yelk putting into its place six grains of the Sugar of Lead eight grains of white Vitriol two grains of Camphyr and half an ounce of the Hony of Roses When they 're melted squeeze out the Liquor and drop it into the Eye especially when the Rheum is slimy and apt to make the Eye-lids stick togethet Take of Rose-water and Plantan-water of each two ounces Night-shade-water an ounce white Vitriol a scruple dissolve and strain then add a scruple of prepar'd Tutty Make a Collyrium in which dip a Clout and apply it warm to the Eyes about the height of the Distemper Take of the Ointment Diapompholigos and that of Tutty of each two drams prepar'd Pearl Coral Crabbs-Eyes Tutty and Sugar of Lead of each a Scruple Camphyr twelve grains Leaves of Gold and Silver of each four Make an Ointment With which anoint the lower part of the Eye-lids and put about the bigness of a Lentil into the corner of the Eye Take of sweet Apples roasted three in number boil them in Eye-bright-water 'till they be soft beat their Pulp thro' a sieve and add of prepar'd Tutty two Drams Camphyr ten grains Saffron four grains Make a Cataplasm for allaying the Pain and Heat Take of fresh Butter half an ounce Sugar of Lead prepar'd Tutty and Calaminar stone of each a scruple Camphyr a grain Make a Liniment for anointing the Eye-lids in a dry Inflammation A serous Inflammation is cur'd by extracting the external Objects that disturb the Eye or correcting the Acrimony of the Lymph or strengthening the Glandules For the first purpose we apply to the Eye a Crabs Eye making its hollow part to touch the apple of the Eye or a Seed of Clary or we make use of Instruments such as Hildanus recommends The Second Indication is accounted for in the Chapter of Catarrhs The Third is compass'd by moderat Astringents outwardly applied such as the Decoction of the Rinds of Pomgranats with Chamomil-Flowers especially after the Small Pox the infusion of Tormentil Roots and Allum in Plantan and rose-Rose-water or of Tutty in Fennel-water the Powder of Citron Myrobalans infus'd three or four times in Rose-water and dry'd a-fresh every time the Liquor that flows from a Willow cut in the Spring the Decoction of dry'd Rue in
Vinegar and Hony or that of Cows-bones and the Chaff of Wheat recommended by some as a valuable Arcanum a mixture of the White of an Egg rose-Rose-water and Sugar beaten in a Tin Plate the Decoction of Quince-Leaves the Infusion of the Powder of Calaminar-stone upon which the Spirit of Wine has been Kindled in White Wine or rose-Rose-water or that of the Powders of Tutty Sarrocol Roman Vitriol and Sumac in Eye-bright and Fennel-waters The use of sneezing Powders is much dreaded by some but the Vessels leading from either Eye to the Nostrils discover'd by Steno and the Experiment of Collyrium's reaching the Mouth seems to justifie it However since so many tragical Evils have been observ'd to follow 'em we ought to be very cautious and never prescribe any but what are very gentle and that in the declension of the Distemper or when the Inflammation ceases ART 10. Of Inflammations and Vlcers in the Ears THE internal Membran of the Ears is sometimes inflam'd either by Internal or External Causes Its Symptoms are a beating heat and Pain sometimes a redness of the external Ear Temples and Cheeks especially when the Inflammation bends outwards and sometimes a Feaver Doating and Convulsions when it bends inwards In Children 't is more dangerous than in Old Persons When it suppurats 't is least dangerous and sometimes infers a critical solution of Head-aches But if the purulent Matter be Corrosive it may gnaw the Membrane and cause Deafness 'T is Cur'd by Sudorifics and Bleeding or applying Leeches or scarrifying behind the Ears External Remedies ought to be very cautiously us'd At first we must endeavour to discuss it by dropping into the Ear the Balsam of Sulphur or Oyl of Chamomil in whic◠Earth-Worms or River-Crabs have been boild or the Oyl of the Yelks of Eggs with the Juice of House-leek and fomenting the Ear with the Decoctions of emollient and discussing Ingredients or applying to it the Spirit of Wine or Spirit of Sal-Armoniac with hot Bread If it be not quickly discuss'd we must promote its suppuration by applying a Cataplasm of the Crumbs of Bread boiled in Goats Milk mix'd with the Yelks of Eggs Oyl of Roses and Saffron or of roasted Onyons Butter Oyl of Chamomil Oyl of Sweet-Almonds and Saffron The Ulcers of the Ears are either the effect of a preceding Inflammation or of a corrosive sharp Humour sometimes we meet with a Flux of corrupt bloody Matter that resembles that of Ulcers in the Ears tho' in the mean while there be none in which case we only wash the Ear clean with Man's Urine but are cautious of stopping it especially in moist Constitutions or those who are liable to disorders of the Brain or Eruptions in the Head The real Ulcers of the Ears are Cur'd internally by Purgatives and Sudorifics especially the Decoctions of Woods Externally they are cleans'd by dropping into 'em Child's Urine with White-Wine and Hony or applying a Tent dipt into it If the Ulcer be inveterat we add the Ointment Aegyptiacum the Juice of Wormwood Hore-hound or Onyons mix'd with Hony are also recommended for the same use When the Ulcer is cleans'd and the flux of Matter abates we add Tutty and Pompholyx for consolidating CHAP. II. Of the Effusion of Blood into the Cavities of the Body and particularly of an Empyema WHEN the Blood stagnates in its own Vessels and is converted into Purulent Matter it causes a Vomica or Imposthume in several Parts of the Body which we dispatch'd in the last Chapter But when this purulent Matter is collected in a distinct Cavity 't is call'd an Empyema which is the subject of this Chapter 'T is true the Ancient Grecians meant by Empyema any Collection of purulent Matter in any part But since the Modern Latin Writers have Christen'd it otherwise we choose to follow their Examples The immediat Cause of an Empyema is either the direct effusion of Blood into the Cavity it self which stagnats curdles and by fermenting becomes Pus as when the Breast is wounded or the eruption of purulent Matter from its own Imposthume into a forreign Cavity as when a Pleuritical Imposthume breaks it oft-times throws its Matter into the Cavity of the Breast and gives rise to what we call 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 an Empyema Tho' sometimes the Pleuritical Matter is contain'd within a Purse of the dilated Pleura while 't is erroneously referr'd to the Cavity of the Breast The remote Causes are Bruises Falls Wounds or whatever breaks the Vessels and occasions the extravasation of Blood The Symptoms discovering the extravasation of clotted Blood relate either to the Belly Breast or Head Those for the Belly are a Tumor Paleness Lead colour and hardness of the Abdomen occasion'd by the Convulsions of the Peritonaeum as being provok'd by the clotted Blood and sometimes swoonings Prostration of strength difficulty of Breathing and Critical Imposthumes about the Groin 2. Those for the Breast are a notable difficulty of Breathing a troublesome Cough a Pain and sense of weight about the short Ribs an acute Feaver and the coldness of the external Parts 3. Those which discover a Collection of clotted Blood in the Head are a violent beating and pain in the Head an involuntary Watryness of the Eyes redness of the Face disorders of the Stomac and critical Bleedings at Mouth Nose or Ears In all these Cases shivering and the increase of the Feaver are signs of Suppuration After the matter is concocted it begins to float and the feaverish Symptoms relent Of the Empyema's that proceed from the efflux of Purulent Matter from some Imposthume into the Cavity those which follow the suppuration of a Pleurifie or Peripneumonia are most remarkable and upon that account we shall content our selves with an account of their Symptoms which may serve as a Pattern for all others The Imposthume generally breaks about the twentieth thirtieth or fortieth Day being attended by a shivering high Feaver a perpetual Cough with a hollow sound and a sense of rebounding Matter as being toss'd by the convulsions of the provok'd Midriff and a difficulty of Breathing with an oppressing heaviness in the Breast when they Stand or Sit of which they are freed when they lye on their Backs When they stoop they 're in danger of Suffocation by reason of the weight incumbent upon the Midriff The Feaver which at first was acute becomes slow hectic and liable to nocturnal Exasperations They are subject to frequent Palpitations of the Heart Anxieties of the Breast nocturnal melting Sweats and Flushings in the Face especially the Cheek of the same side with the part affected When the distemper is far advanc'd a rotten ashy taste invades the Mouth The Pulse in the Wrist of the same side intermits while that in the other observes its regular Periods A soft Tumor frequently besets the Ribs which perhaps proceeds from the transpiration of the thinner part of the Matter and the Patient finds most ease by lying on the same side As for the
Spirit of Vitriol Sugar of Lead the Powder of Blood-stone mix'd with Vinegar or the Juice of Pomgranats the Vitriol of Steel mix'd with Sugar of Lead Hartman's Astringent Extract of Steel given to nine Grains the Spaw-waters or in want of them the solar Liquor of steel and above all the Tincture of the Sulphur of Vitriol prepar'd thus Take of the Native Genuin Vitriol of Steel that 's void of all Copper and dissolve it in Water if the Vitriol be not genuin put the filings of Steel into the Water and 't will precipitat the Copper and then the strain'd Liquor being thicken'd will yield the genuin Vitriol of Steel when the Vitriol is dissolv'd in Water pour into it the Oyl of Tartar per Deliquium or the Lie of the Salt of Tartar and 't will precipitat an Astringent Crocus of Steel which ought to be frequently dulcifi'd with Water and dry'd then dissolv'd in the Spirit of Nitre and after the Spirit of Nitre is drawn off the Caput Mortuum digested with rectin'd Spirit of Wine gives the Tincture which is of admirable use against all Bleedings Its Dose is thirty or forty Drops in a convenient Vehicle The Animal Province affords us burnt Hartshorn Unicorn's-Horn the Powder of green Frogs the Water of Frogs spawn Crollius's Sperniola given to fifteen Grains the Juice of Asses and Hog's Dung mix'd with the Juice of Nettles or with Sugar in the form of a Syrrup or their Powders with the Powder of the Dung of a Dog that 's wont to gnaw Bones and the Powder of the Blood that comes forth in Bleeding it being dry'd and given to a Dram in some proper Vehicle The Forms of Recipe's are as follows Take of the Extract of Flowers viz. of Red Roses Red Poppies and Dasies infus'd in Water in order to be strain'd or thicken'd for an Extract three drams Ivory and Sea-Horse-Teeth of each half a dram prepar'd red Coral a dram prepar'd Blood-stone two scruples with the Syrup of Red Poppies make an Electuary for allaying the Heaâ— and Turgescence of the Blood Take of the Pulp of Raisins three ounces choice Rhubarb and prepar'd Red Coral of each a dram and a half Ivory prepar'd without Fire a dram Sea-Horse-Teeth half a Dram Extract of Steel prepar'd with the Juice of Apples three Drams With the Syrup of Red Roses make an Electuary Of which take the quantity of a Nutmeg Morning and Evening for correcting the serosity of the Blood Take of Plantan Water three Ounces Cinnamon-water three Drams Vinegar of Wine half an Ounce Astringent Crocus of Steel half a dram seal'd Earth a scruple Laudanum Opiatum three grains Syrup of Myrtles three drams Mix and exhibit a spoonful or two frequently for correcting the sharpness of the Blood and Humours For the Bleedings in Malignant Feavers we add Alexipharmacal Ingredients If a Bleeding be causâ—d by Cantharides we exhibit Milk and the Decoctions of Raisins Isinglass and Misletoe of the Oak with Gum Arabic Tragacanth c. Take of the Juice of Fresh-Asses Dung Syrup of Purslain and that of Myrtle-Berries of each half an Ounce Plantan Water an Ounce Mix for a Draught After the Bleeding is thus stopp'd we exhibit such Medicines as dissolve and evacuat clotted Blood especially if it proceeded from an internal part In the mean while we use likewise external Medicins viz. Such as either cement the Vessels by their gluy Vertue as the Whites of Eggs Mastic Aloe Beans and a living Pigeon or Hen cut up and applied to the Part whose Blood curdles upon the orifice of the Vessels and shuts 'em or such as wring the Vessels by their austerity or imbibe the Blood and stick close to the Orifices of the former sort are Vitriol Vinegar c. Of the latter are Bole Armenic seal'd Earth Allum Potters-Clay mix'd with Vinegar c. In general the French Styptic Liquor which is nothing else but the solution of Allum and half its quantity of the Vitriol of Steel in a proper Vehicle and Tulpius's compound Powder of Bole Armenic Quicklime burnt Vitriol burnt Allum Blood-stone Aloes Dragons Blood Lemnian Earth Crocus of Steel Mummy Mastic and â—rankincense these I say are generally approv'd for external use in all Bleedings ART 1. Of Bleeding at the Nose and Gums THE small Arteries inserted into the Membrane of the Nostrils are liable to frequent Bleedings as being relaxated by prevailing moisture The Symptoms and Causes of this Bleeding are related above If it be very copious and unwonted or unseasonable it prognosticates the Disorders of the Spirits in Acute Diseases especially about the height 't is an ill Omen but in the beginning of the small Pox or when it follows a Deafness after the height of a Feaver 't is not ill In the Disorders of the Liver or Spleen if the Nostril of the same side with the Part affâ—cted void Blood 't is well if that of the opposite side 't is a bad Symptom according to Hippocrates In regulating the Method of Cure we must have a particular regard to the various Causes viz. the redundancy turgescence serosity or sharpness of the Blood and single out proper Medicines according to the Directions given for Bleedings in general To which we shall only add this one Observation that in habitual Bleedings at Nose fresh Mint or its Juice taken frequently is of singular use Externally we endeavour to divert and appease the Spirits to curb the turgescence of the Blood and to shut the Orifices of the Vessels For compassing the first Design we use painful Ligatures Frights Caustics appli'd to the remote parts cold things suddenly apply'd to the Scrotum or Breast a dry'd Toad hung under the Armpits or tied to the Forehead or its Powder applied to the Nostrils a Blood-stone or genuin Jasper held in the Hand 'till it become warm Ash-wood applied to the Nostrils c. For the second end we sometimes Bleed by way of Revulsion and Derivation or apply scarifying Cupping-Glasses to the Neck or to the Calf of the Leg those which the Antients order'd for the Liver and Spleen being very dangerous and of no use Cataplasms of Fullers Earth and Vinegar and Epithema's of the Juice of House-leek Vinegar Nitre and Camphyr or of Soot Vinegar and the Whites of Eggs or of Allum Frogs Spawn and Vinegar being applied to the Fore-head Temples Crown of the Head Nape of the Neck Scrotum in Men and the Breasts in Women are of admirable efficacy for appeasing the tumultuous Motions of the Blood As for the third Indication of shutting the Orifices of the Vessels we blow into the Nostrils the Powder of Allum or Vitriol mix'd with Painters Lac or apply it with a Tent dipp'd into the White of an Egg or into the Juice of Hoggs-Dung mix'd with Juice of Plantan The Powder of Hoggs-Dung and that of Toads are very proper for the same use as likewise the Phlegm of Vitriol writing Ink the Tincture of the Sulphur of Vitriol Soot taken from the
bottom of a Kettle and mix'd with the Powder of the Blood that runs from the Nostrils the French Styptic Liquor or a solution of Allum and Vitriol of Steel in Plantan-Water and above all the rectifi'd Spirit of Wine The Gums are also very liable to Bleedings occasion'd by the laxity of their Substance or the Corrosion of sharp scorbutical spittle or the drawing of a Tooth or by the general Causes of other bleedings If their bleeding be periodical customary or critical it ought not to be stop'd If it be caus'd by the drawing of a Tooth apply the Tincture of the Sulphur of Vitriol with Cotton and gargle the Mouth with the Decoction of Tormentil and Snakeweed-roots with Galls and White Poppy-seeds in Water mixing it with Bole-Armenic Allum and a little Vinegar Sometimes the Spirit of Salt mix'd with Water is useful for washing the Mouth But when every other thing proves ineffectual an actual Cautery is the surest Remedy Scorbutical Bleedings are accounted for elsewhere ART 2. Of a spitting of Blood THE Blood that is evacuated by spitting may either proceed from the Stomac of which elsewhere or from the Palat Nostrils and Gums as was related in the last Article or from the Organs of Respiration viz. the Wind-pipe Bronchia or Lungs in which case the Disease is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Hemoptysis or a spitting of Blood and is the subject of this Paragraph The general Causes are already accounted for The particular Causes are 1. The Rupture of some Vessel in the Breast occasion'd by a redundancy of Blood suppression of the Terms or Piles violent Crying bearing heavy Burdens Falls Blows vehement Coughing or immoderat Laughter 2. The Corrosion of the Vessels in the Breast especially in the Lungs occasion'd by the Inspiration of Mineral Sulphureous steams or by a sharp Lymph reigning in the Body as in the small Pox or when a sordid Ulcer is unseasonably dry'd To these we may add the accidental swallowing of Leeches and immoderat Bathing A Spitting of Blood is of it self manifest But to trace out the part from whence it proceeds is a piece of Difficulty For this end the Physician ought to weigh the antecedent Causes such as excessive Crying Falls Bruises of the Breast and violent Coughs which generally arraign the Lungs while other Causes are apt to affect other parts Besides the Circumstances attending the Evacuation will give some further light into the Matter as if the Blood be clotty if it be voided without Coughing or much Hauking and that in small quantities then it proceeds from the Palat Gums Throat c. and not from the Breast If it be copiously voided with a Cough that not only accompanies but precedes the evacuation and makes a hollow Noise then it comes from the Wind-pipe or Lungs and if the respiration be difficult if the Blood be florid thin and frothy as being rarify'd by the Air and if a pain beset the lower part of the Breast it certainly takes its rise from the Lungs If the Blood be black clotty and thick and voided with a Cough and hollow Noise it springs from the Veins in the Cavity of the Breast As for the Prognostic A Spitting of Blood from the Lungs is most dangerous and apt to degenerat into a Phthisic or Ulcer of the Lungs especially if it took its rise from the Corrosion of a sharp Humor If it be only a Symptom of another Disease as of a Pleurisie Peripneumonia c. it is not so dangerous as when it stands upon its own Legs If a Spitting of Blood occasion'd by a suppression of wonted evacuations or by the Turgescence of Blood be unseasonably stop'd it degenerats into a Peripneumonia or Consumption The Cure is perform'd in the Paroxysm by removing the cause appeasing and thickening the Blood and repairing the losses of the Vessels out of the Paroxysm the clotty Blood remaining in the Breast ought to be discuss'd and the Lungs strengthen'd Now in order to answer these Indications let 's mind the following Rules 1. When a Spitting of Blood is caus'd by the Corrosion of sharp humors Blood-letting is improper in some other cases it may be serviceable but regard must still be had to the Rules of Revulsion and Aversion as if it proceed from the suppression of the Piles or Terms a Vein must be open'd in the Leg When it arises from the suppression of a customary Bleeding at Nose the vein of the Fore-head or that under the Tongue is the proper place 2. Purgatives are highly pernicious But Diuretics and Diaphoretics are very useful 3. Internal Astringents ought not to be us'd before the Blood be turn'd off for fear of imprisoning the Blood in the Breast and so causing a Suffocation or Peripneumonia 4. All external Astringents and cold things applied to the Breast are more apt to enflame than mitigat the Disease 5. Opiats are always safe and useful but such of 'em as are very hot as Venice Treacle Mithridat c. are not so proper as Laudanum Opiatum and especially Henbane Seeds which are unanimously approv'd both by the ancient and modern Writers Hence an Electuary of Henbane and white Poppy Seeds with Coral Blood-stone and the stale Conserve of Roses is of excellent use However the safest way is to give but a small quantity of Henbane Seeds at a time and repeat the Doses oftner because they are very Narcotic and apt to cause Madness 6. In all Compositions we ought still to have an Eye upon the corrosive sharpness of the Humors for tempering which we use the same Medicines as were recommended against Bleedings in general especially Plantan Purslain and Comfrey their Decoctions Juices and Syrups for their Waters have no astringent force The Decoction Syrup and Conserve of Ground Ivy a noble Pectoral the Juice of Nettles the stale Conserve of red Roses Diascordium the Troches of Amber which at once temper sharp humors dissolve clotty Blood and stop its Flux The Oyl of Linseed given by Spoonfuls the Oyl of Vitriol when there 's no apprehension of a Phthisic the Juice express'd from Quinces boyl'd in Water till they be soft given to two or three Spoonfuls three or four times a Day the Decoction it self being mix'd with that of Barly or Corants for ordinary Drinking Mice Dung given to a dram twice a Day with the Juice of Plantan and Sugar the Tincture of the Sulphur of Vitriol Bloodstone the Antiphthisical Tincture Mynsichtius's Species Diaplantaginis c. 7. When the Paroxysm is over we ought to add dissolving and expectorating Medicines such as Sperma Ceti Diaphoretic Antimony Crabs Eyes with Vinegar Oyl of Amber Oxymel of Squills c. 8. In the last place the Lungs ought to be fortify'd by Vulnerary Balmy Medicines As for external Applications some apply a dry'd Toad under the Arm-pits some trust to the Sympathetic Powder of Vitriol and others choose to wet or wash the Testicles with Rose Vinegar and that with good success Take of the Conserve
The Essence of Wrens is much applauded as likewise the following Pills Take black Beetles gather'd in May without touching 'em with one's Hand Suffocat 'em in Spirit of Wine then dry 'em cut 'em into pieces and in the middle of their Body ye will find a viscous Liquor which mix with their Powder to the consistence of a Balsam Then take of this Balsam adram distill'd Oyl of Anis and that of Cloves of each three drops Make Pills Of which exhibit two grains once or twice in Elder-flower water in the Morning with a fasting Stomac They will cause a Strangury that shall last for thirty Days If Diuretic Med'cines prove ineffectual we ought to discontinue their use for some time lest the Kidneys be overcharg'd with Crudities The strongest of these Diureticks are by some call'd Lithontriptica or dissolvers of the Stone in the Body but I doubt much if any such Med'cines be yet discover'd 'T is certain that Spirit of Nitre will dissolve a Stone out of the Body but the alteration it undergoes in mixing with the various Humours in the Body cramp its virtue within us And therefore whoever pretends to the knowledge of Lithontriptica's must have found out such a Med'cine as is not liable to be chang'd by the Humours of the Body and besides that is neither an Acid nor an Alcali but consists of both as the Stone it self and is peculiarly calculated for its Pores as Aqua fortis is for Silver Some have exploded all Lithontriptica's as being too corrosive and apt to injure the Stomac Guts c. But they ought to consider that all sharp dissolving Menstruum's are not corrosive to the taste as Arsenic Quick-silver Mercurius Vitae c. whic are altogether insipid And besides some Liquors are qualify'd for dissolving hard Concretes that wo'not pick upon softer Objects as Vinegar dissolves the shells of Eggs while their inner Membran is left intire After the Paroxysm is over and the Stone voided we ought to prevent the generation of new ones by proper preservatives as 1. By keeping the first Passages clean with Laxatives and once in three or four Months a Vomit or a stronger Purge 2. By correcting the Acid in the first Passages with absorbent Powders and the fix'd Salts of Diuretic Plants 3. By cleansing the Reins and evacuating the first Rudiments of the Stone with volatil Diuretics the Spirit and volitil Salt of Tartar the Spirit of Urine that of Sal-Armoniac the Spirit of Worms Elixir Proprietatis Turpentin fat Broth Whey c. Some commend Milk but its Curd disswades us from using it However we ought still to remember that the Diuretics must be of the meeker sort and exhibited only once or twice in a Fortnight or three Weeks and that at some distance from the times of eating but not till the first Passages are clear'd 4. By strengthening the Reins retrieving their ferment and preserving the Urine from corruption with balmy Med'cines such as Turpentin the Balsam of Sulphur Juniper St. John's-wort-seeds c. ART 3. Of a Diabetes or excessive Flux of Vrine A Diabetes is either genuin or spurious The former is a voiding of Liquors by Urine without any stay or alteration in the Body The latter is a voiding of a much larger quantity of Urine than that of Liquids receiv'd into the Body The cause of the former is the laxity and openness of the Passages which lead directly from the first Passages to the Reins 'T is true these Passages are not yet discover'd but the quick Passage of some Liquors and their being voided without any alteration in colour taste or consistence according to the Observations of Galen Bartholin Hildanus c. do sufficiently evince their necessity The cause of the latter is a sharp volatil Salt or Ferment bred in the first Passages that dissolves the fat acid in the Blood Chyle and muscular Flesh unlocking their Texture and melting the ferment of the Reins Thus the balmy and nutritious parts of the Blood being melted down and tinctur'd with a sharp acrimony they stimulat the Kidneys and force their passage This volatil Alcali Salt is not unlike that which sometimes causes melting loosenesses or that of Spanish Flies and Beetles and is frequently the follower of violent Diureticks Perhaps it also sucks in the humidity of the Air in the Body by virtue of which it melts and so increases the quantity of Urine which sometimes exceeds that of all the Juices in the Body The Symptoms of the spurious Diabetes are the crudity thinness and sweet taste of the Urine with a fat Scum swimming upon it a notable weakness leanness dryness of the Mouth thirst a heat and pain in the Loyns a slow Feaver and in short all the Symptoms of a Hectic If it follow immoderat Labour Venery or Chronical Feavers 't is uncurable For Cure of a genuin Diabetes we exhibit Astringents and Aromatics such as we generally prescribe for defending and fortifying the Stomac and Bowels in the use of Spaw Waters Thus the astringent crocus of Steel the Tincture of the Sulphur of Vitriol Bole Armenic seal'd Earth Conserve of Roses vitriolated the decoction of Orange-peel and Plantan bol'd in chalybeat-Chalybeat-water are very proper Some recommend as an Arcanum a Cocks-comb calcin'd and exhibited with ones own Urine As for the Cure of a spurious Diabetes we must endeavour to correct the Acrimony of the Volatil Alcali to prevent the colliquation of the Juices by Narcotics and proper Astringents First of all their Diet must be the same as that of Hectic Persons In the next place vomiting is very proper to which we subjoin the Powder of the natural Blood-stone or of the Artificial one made of the Vitriol of Steel and Sugar of Lead The Antiphthisical Tincture prepar'd from the same Ingredients The Tincture of the Sulphur of Vitriol the astringent Crocus of Steel the Powder or Spirit of Allum Amber and its Troches or those of seal'd Earth taken in an Acid Vehicle the Tincture or Magistery of Coral prepar'd with the Juice of Citrons or their mixture with Vinegar Take of Plantan Water three ounces Distill'd Vinegar six drams red Coral pulveriz'd not prepar'd a dram Laudanum Opiatum two grains Syrup of Purslain an ounce Mix and exhibit a spoonful frequently Quicklime-Water given to four or five ounces thrice a day is of singular use in this Distemper as also Milk especially Chalybeat Milk or that in which hot Irons are frequently extinguish'd Asses or Goats Milk are the Best and next to them Cows Milk The Emulsions of sweet Almonds and white Poppy-seeds are also very proper Externally some apply to the Kidneys the Juice of River-Crabbs or Baggs of Plantan and Oak-Leaves boil'd in Chalybeat Milk ART 4. Of a Pissing of Blood THE Urine is sometimes tinctur'd with Blood and that more or less according to its quantity The Blood springs either from the Kidney Ureters or Yard or from the Contusions of other parts The Causes are the same as those of
all Bleedings viz. Either an Anastomosis or Diaeresis The former is caus'd by the laxity of the Pores of the Reins violent Motion Jumping Falls excessive Venery violent Diuretics and a redundancy of Blood in the Body The latter by sharp corrosive Humors as in maligant Feavers the Small Pox and the Scurvy or by the application of Spanish Flies without mixing and tempering them with Acids by the Stone Ulcers c. The bloody Urine is distinguish'd from that which is only tinctur'd by Salts by its thick intransparent Consistence and a red blackish Sediment like clotted Blood at the bottom of the Urinal When the Blood proceeds from the Kidneys or Bladder a heavy or gnawing pain besets those parts When the Blood is plentiful and well mix'd with the Urine and is not curdled but liquid when it falls to the bottom it comes from the Kidneys When the Blood is scarce unequally mix'd voided with Pain and gives a clotty Sediment it takes its rise from the Bladder If the Blood be voided without the Urine or fall to the Bottom immediately upon making of Water it proceeds only from the Vrethra If a sharp Urine be voided with a sharp gnawing biting Pain and if a strangury or difficulty of making Water went before the flux of blood is caus'd by the Corrosion of the Vessels If it proceed from Cantharides the Person is molested with an eternal erection of the Yard If it proceed from the corrosion or ulceration of the Bladder 't is very dangerous but that from the corrosion or weakness of the Reins is yet more such For Cure the Causes must be enquir'd after and remov'd after the same method as in spitting of Blood A redundancy of blood admits of bleeding The sharpness of the Serum prohibits both that and Purgation Rhubarb indeed may be allow'd as being an Alterative and Fortifyer of the Reins as well as a Laxative Sylvius's Mixture of Coral Dragons-blood Laudanum and Syrup of Myrtles with Vinegar and Plantan and Cinnamon-water is a general prescription for all Haemorrhagia's However the Acrimony of the Urine ought always to be accounted for by the Juice of Plantan or Purslain or the Syrup of the Juice of Comfrey and that of Plantan Leaves the Decoction of Ground-Ivy or the following Decoction Take of the Herbs Agrimony and Yarrow the tops of St. John's Wort and the Moss of Bullace-Trees of each a handful Comfrey-Roots two ounces St John's-wort-Seeds two three or four drams boil 'em in Chalybeat Milk or Whey or Black-Smith's Water sweeten the strain'd Decoction with the Syrup of Comfrey and add to every Draught Crabs Eyes dissolv'd in Vinegar The Decoction of Ground-Ivy or Ground-Pine Sheep's Milk exhibited to four ounces with a dram of Bole-Armenic Amber and especially its Troches given to a dram with half a dram of Bole-Armenic and a little Vinegar in plantan-Plantan-water or with Crabbs Eyes and Sugar of Lead the Tincture of the Sulphur of Vitriol the Antiphthisical Tincture prepar'd Blood-stone exhibited with Milk especially when the Disease is caus'd by Cantharides and the Emulsions of milky Seeds are all very proper and ought to be frequently interlac'd with Laudanum Opiatum To these we add vulnerary Ingredients especially the Juice or Powder of River-Crabbs and Turpentin either given in Pills with Rhubarb or dissolv'd with the Yelk of an Egg in some convenient Vehicle The Spirit and Oyl of Turpentin are too sharp If the Bladder be ulcerated we may inject the Troches of Amber mix'd with Plantan Water or the Juice of Plantan with the Powder of Blood-stone When the Pissing of blood is over we ought to dissolve the clotty Blood that may remain in the Bladder with Amber and its Productions CHAP. II. Of Diseases relating to the Expulsion of Vrine from the Bladder ART 1. Of a total suppression of Vrine arising from its stay in the Bladder THE Urine being separated in the Kidneys is convey'd through the Ureters to the Bladder and when its distending quantity or its sharpness provokes the Bladder to Contractions is voided thro' the Vrethra This natural Evacuation is suppress'd either thro' the default of the Bladder or of its Sphincter or of the Vrethra The Bladder is faulty when its Fibres are heedless and stupid as in Malignant Feavers or relaxated and unable to contract it This may be occasion'd by staying long in cold Water by Wounds Blows Bruises in the lower part of the Back or any Injury done to the Nerves of the Part by an excessive quantity of Urine forcibly retain'd in the Bladder by Worms Ulcers Inflammations Tumors c. in the Bladder and adjacent parts and by the remissness of the Muscles of the Abdomen which ought naturally to press its Fibres The Sphincter is faulty when it shuts the Orifice as being constantly contracted 'T is provok'd to such Contractions by Cholic and Nephritic Pains Scorbutical Pains in the Abdomen and the Application of Spanish Flies The Vrethra or Passage which leads from the Bladder is faulty when Inflammations Tumors or Venereal Excrescences beset the Neck of the Bladder Prostratae or Perinaeum or when 't is block'd up by a Stone clotty Blood or viscous glutinous Humours occasion'd by using Diuretics immediately after eating before the Chyle be transform'd or by giving bad Milk to New-born Children who are naturally liable to that Symptom The Symptoms of this Distemper are these When the Bladder is over-distended by a large quantity of Urine the Person is molested with a grievous pain and vain desire of making Water and the suppression is difficult to cure when the Bladder is Paralytic 't is insensible of Pain or of any Provocation to evacuat when the urinary Passage is obstructed a painful Tumor appears in the Pubes and is exasperated by touching If clotty Blood cause the Obstruction 't is discover'd by preceding Falls Bruises pissing of Blood c. If glutinous Humors block up the Way antecedent Causes and Slime voided with the Urine will give us to know it If a suppression of Urine in the Bladder be free of all Pain and attended by a Tenesmus and Hiccough it prognosticates Death That from a Schirrus in the Neck of the Bladder or adjacent parts is not easily cur'd The Cure is vary'd according to the Causes If the Bladder be Paralytic and insensible we give inwardly Cephalic Medicines especially the Elixyr and distill'd Oyls of Juniper the distill'd Oyl of Amber or that of Turpentin the Brains of Magpies c. and inject Clysters first of emollient Ingredients and afterward of Centory Coloquintida c. Or we administer gentle Purgatives and order the Person to keep in his Breath and squeeze the Abdomen If these methods be ineffectual we open the Passage with a Catheter or rather a Wax Candle anointed with Hony and Oyl of sweet Almonds When the Bladder is empty'd we inject the Decoction of Sage Penny-royal wild Marjoram Calamint Rue Castor c. in Wine and foment the External Parts with a Spunge or apply
in the Belly of a Pike the Powder of a Sow's Womb or for Men of a Boar's Pudendum the Powder of Hogg's Hoofs the Powder of dry'd Mice and the Dung of a She-Goat Externally we order Fomentations and Baths of the Decoctions of Astringent nervous Plants such as Mint Wormwood Pomgranat Flowers Tormentil Roots and especially Comfrey-Roots in Blacksmith's Water For Old Persons there 's nothing so proper as the Natural Hot-Baths After Fomentation or Bathing 't is convenient to anoint the Loins and Pubes with the Oils of Mint Amber Wormwood Mastic Balsam of Peru distill'd Oyl of Juniper Turpentin c. and to apply the Plaister Oxycroceum soften'd with Oyl of Amber After hard Labour in Child-birth some recommend an Ointment of Calaminar stone wash'd in Vinegar and Rose-water and pulveriz'd with Litharge of Silver Ceruss Oyl of Roses Oyl of Chamomil and Goat's Fat Finally the Powder of a Toad taken alive and burnt in a New Pot being hung in a Bag about the Neck is universally approv'd of for curing any incontinency of Urine ART 4. Of a Strangury A Strangury is a making of Water by drops with an unsufferable Pain in the Neck of the Bladder and Vrethra and a violent Itch for pissing and going to stool The Cause is the acidity and sharpness of the Urine which provokes the Bladder to Contraction and when the Sphincter opens to give it vent provokes it likewise to shut the Passage Thus the reciprocal Contractions of the Bladder and Sphincter occasion the voiding of Urine by drops and the sharpness of the Humour causes the excessive Pain which is more violent in the Vrethra than the Bladder by reason that the one is defended by a slimy Matter and the other is not The Remote Cause of the acidity of the Humors is an imperfect digestion in the first Passages and the inactivity of the Bile Thus New Wine or Ale will cause a Strangury as being apt to turn Acid in the Stomach The Strangury which attends the Venereal Disease proceeds from a sharp corrosive Lymph voided by the Prostatae If a Strangury continue long 't is apt to create Ulcers in the Bladder nay sometimes it may proceed from Excoriations or Ulcers of the Bladder In Old Persons whose digesting Faculty is weak 't is almost incurable The Cure consists in tempering the sharpness of the Humors and rectifying the state of the Bladder The latter Indication is accounted for above The First is answer'd by Vomits as being wonderfully useful in all Diseases relating to the Urine Purges of Rhubarb or Jalap and Turpentin are also very proper When the first Passages are clear'd the Essence or rather the distill'd Oyl of Orange-Peel iâ—s of admirable efficacy for destroying the Acid and whetting the Bile In general we recommend for a Strangury the Decoction of Black Currants and Carret-seed in red Wine the Decoction of Winter Cherres with Raisins the Decoction of Rapes the Emulsions of Hemp-seed and the four cold Seeds the Oyl of sweet Almonds mix'd with the Syrup of Marshmallows and Crabbs Eyes the Juice of River-Crabbs the Infusion of Onyons in some proper Vehicle the dulcify'd Spirit of Nitre the carminative Spirit de tribus the Spirit of Tartar the Spirit of Wine taken every Night going to Bed the Balsam of Sulphur Oyl of Amber Troches of Amber and above all the Balsam Capivi given in Parsley-Water and Borace given to a scruple A Strangury caus'd by new Ale is cur'd by the Powder of Nutmegs If these Medicines prove ineffectual we must have recourse to Aromatic Ingredients such as Galangal Zedoary Orange Peel Elixyr of Juniper Berries and especially Wine in which burning Flint-stones are extinguish'd Externally anoint the Navel which communicats with the Bladder by the Urachus with a mixture of Goats Tallow and the distill'd Oyls of Wax and Orange Peel or sumigat the Parts with the Decoction of Radishes in Wine Inject Chalybeat Milk or Oyl of sweets Almonds into the Bladder and in time of Pissing let the Yard be put into warm Milk Anodyn Emellient Clysters are also proper as likewise Emollient Fomentations and Baths For old Persons there 's nothing so serviceable as the natural Hot Baths ART 5. Of a Dysuria or Heat of Vrine A Dysuria is a voiding of Urine with a great deal of Pain and Heat It differs from a Strangury in this that the Urine is not voided by Drops but in a due quantity that the Pain vanishes after making Water that it causes no vain desire of Pissing or going to Stool and that its Pain is accompany'd with a burning Heat The cause for the most part is the Inflammation Corrosion or Ulceration of the Neck of the Bladder Urethra or adjacent Parts Thus the Stone sometimes galls the parts as it passes and causes a Heat of Urine The Inflammation of the Prostatae or the sharp Corrosive Humor voided by 'em the Inflammation of the Womb Intestinum Rectum or the Emrods will produce the same effect Sometimes but very rarely it proceeds from the sharpness of Urine as being laden with Scorbutical Salts or mix'd with some purulent Matter or impregnated with Cantharides or corrosive Preparations of Mercury When the Bladder and adjacent Parts are thus disorder'd their nutritive Juice is deprav'd and voided with the Urine in the form of a thick milky Mucilage in which case the Disease is dangerous If this Distemper continue long it degenerats into an Ulcer of the Badder or Incontinence of Urine The Cure consists in tempering the sharpness of Urine and rectifying the state of the Bladder and adjacent Parts For which Purposes the same Medicines as were recommended for a Strangury are proper to which we may add the Conserve of Mallows Flowers the Decoction of Sebesten with House-leek Water Whey or Milk in which Blew-bottle or Larks-heel Flowers are boyl'd especially when the Disease is occasion'd by Cantharides Turpentin mix'd with Amber Frankincense Myrrh and the Juice of Liquorice the Bladder a Goat in Powder with the distillâ—d Oyl of Caraways the Powder of Dates with Sugar and Laudanum Opiatum Note the Spirit and Oyl of Turpentin are too sharp Take of the Conserve of Violets an ounce and a half Rob of Juniper six drams Powder of the Seeds of St. John's-wort three drams prepar'd Crabs Eyes a dram prepar'd Pearch-stones half a scruple Laudanum Opiatum a grain and a half With the Syrup of Scabious make an Electuary Externally we apply Cataplasms of Rue Pellitory and Chervil boyl'd in Milk and mix'd with the Oyl of Scorpions or anoint the Pubes with the Ointments Martiatum and Agrippae mix'd with the Oyl of Bays The Injection of Milk and living Lice the Bathing and Clysters are also very proper If the Bladder be ulcerated we inject first cleansing and then consolidating Decoctions Of which more else where SECT XX. Of Diseases relating to the separation of Lymph in the Glandules and its regular Motion THE Lymph is a Liquor separated by Glandules some of which are gather'd
you please you may dilute it with Celandin and Royal Comfrey Water of each one Ounce Take of Blood-stone half a Scruple white Vitriol fifteen Grains Myrrh and Saffron of each five Grains white Sugar Candy one Scruple make a Pouder or mix it with some convenient Water and apply it to the Web with a Feather If such Medicines prove ineffectual we must have Recourse to sublimat Mercury Plempius's wonderful Arcanum was this Take of sublimat Mercury from five Grains to half a Scruple dissolve in Rose Water Eye-bright Water and Fennel Water of each one or two Ounces Touch the Web with a Drop or two of this Liquor every Morning and Evening The Juice of red Ants express'd and drop'd into the Eye is of wonderful Success Having thus consider'd the first Obstacle to the passing of the Rays of Light the next is when the Horn Coat or White of the Eye is disorder'd This may happen 1. When it is unequally nourish'd or some Parts of it elated while the others are depress'd by reason of the Viscidity of the nutritious Juice 2. When white Scars remain in this Coat after the small Pox or any other Ulcer 3. When by an external Accident the Blood is forc'd out of its Vessels and creates an Inflammation The Signs are these In the first case this Coat appears white and thick In the second we discover as it were a white Spot upon the Eye The third is known by the blue livid Colour that attends it Children are more easily cur'd of these Maladies than adult People If they are of a long standing 't is a difficult matter to remove 'em only the last is generally more tractable As for the Cure The Viscidity of the Chylous Juice and the Scars upon the Coat ought equally to be remov'd by attenuating sharp Medicines which ought to be somewhat sharper in the latter than in the former case The Seeds of Clary applied to the Eye are converted into a Mucilage by the Lymph which waters those Parts and thus prove an incomparable Medicine in this case The Gall of a Pike or of a Partridg and Ox Gall or a Water distill'd from it are much commended they are us'd with the Water of Frogs Spawn If the Scars or Clouds in the Eye succeed the Small Pox exhibit what follows Take of Fennel Water two Ounces of the Gall of an Eel from a Dram to a Dram and a half Sugar Candy in fine Pouder a Dram Mix and let them stand warm for the space of a Night The Spirit of Urine distill'd with Vitriol the Juice of Eye-bright or Fennel new drawn mix'd with a little Balsam of Peru or rather the Juice of Fennel mix'd with Sugar of Lead are very proper to this purpose The Liver of a Lamprey melted into an oily Liquor is accounted a Specific 'T is a sharp Medicine and ought only to be applied to the Eyelids unless the Malady be inveterat The Scar may be gently anointed with Oil of Paper or burnt Rags with a Feather or with the white Water of Honey If the Cloud or Scar be inveterat take the yellow Water of Honey or the following compound Water Take of Honey from the Combs two Pound tops of Elder Flowers Eye-bright and Fennel tops of each half a handful Sugar Candy four Ounces Distil in the Balneunt Mariae with a strong Fire The Juice of Celandin the greater or of Rue or of Brooklime or its Water either drop'd into the Eye alone or mix'd with Honey of Roses are of excellent use As also the Water of quick Lime with Sal Armoniac as above prescrib'd or Platerus's famous Experiment especially if the Serum be sharp or apt to inflame the part viz. Take of the Pulp of four Apples half a Pound chop 'em small and boil them in Rose-water and Fennel-water to the Consistency of a Mucilage Then add two or three Ounces of the Mucilage of Fenugree Seeds and two or three Yelks of Eggs half a Dram or a Dram of prepar'd Blood-stone and two Drams of the Rinds of Pomgranats pouder'd Mix and make a Cataplasm to be applied and continually kept upon the closed Eye and renewed twice a day The Waters distill'd from Cichory Flowers or Blew-bottle Flowers according to Schroder and Hoffman's Method Fennel Water with the Gall of an Eel the Pouder of the Bone of a Cuttle with white Sugar the compound Pouder of Crabs Eyes and the Scales of a Serpent either blown into the Eye or diluted with a convenient Vehicle are all noted Specifics But above all sublimat Mercury is the most effectual Medicine exhibited as above When Children are seiz'd with these Distempers the Nurse or Mother may chew a little Fennel Seed and then breathe upon the Child's Eye or touch it with her Tongue When the Eye is beat black and blew by an external Accident apply Cloths dipt in Chervil-water Hyssop-water or the Water of Blew-bottle Flowers The chewing of Cumin Seed or Fennel-Seed or Cloves and then breathing upon the Eye is a celebrated Remedy Fomentation with Wine in which the tops of Hyssop have been boil'd is very successful but for a forlorn Hope take what follows Take of Comfrey Roots six Ounces the Roots of Solomon's Seal two Ounces Elder Flowers an Ounce and a half Meal of Beans one Ounce mix and use them by way of Decoction or Cataplasm or reduce them with fresh Butter into the form of a Liniment Or Take of the Roots of Comfrey the greater and of the lesser of each half a Pound Chamomile and Melilot Flowers of each two Ounces Meal of Beans four Ounces fresh Butter three Ounces Fenugrec Seeds one Ounce Saffron half an Ounce Boil them and foment with the Decoction which is better than a Cataplasm by reason that all fat oily things offend the Eyes Or Take of Blew-bottle Flowers and Flowers of Comfrey Royal of each a little handful tops of Hyssop half a handful Comfrey Roots three Drams Roots of Solomon's Seal a Dram and a half chop and beat them small and then boil them in a sufficient quantity of Wine Add to two or three Ounces of the strain'd Liquor two or three Drams of Spirit of Wine camphoriz'd If there happen a Collection of Matter under this Coat it must be drawn forth by the hand of a Surgeon Sometimes little Blisters appear upon this and the native Tunicle which are caus'd by the suppression of sharp Humours They are cur'd by applying Hartman's vitriolated Water or a simple Solution of white Vitriol or by blowing the following Pouder into the Eye Take of prepar'd Calaminar Stone half a Dram prepar'd Tutty half a Scruple Sugar of Lead half a Scruple mix c. If the Blisters are open'd the Water of the Whites of Eggs is very proper Having thus dispatch'd the Disorders that may affect the Coats of the Eye let us next consider those of the watry Humor The watry Humor is indispos'd when a viscid Matter is mix'd with it and interrupts the Rays of
Herb Arsmart Mother of Thyme of each one handful Dock Roots Nettle Roots of each one Ounce Pellitory of Spain Roots the Shavings of Boxwood the Shavings of Lignum Sanctum of each half an Ounce Seeds of white Henbane one Dram. Boil them in a sufficient Quantity of Water Strain the Liquor for a Gargal Heurnius commends the Decoction of Tobacco with Chamomile Flowers Or Take of black Pepper Roots of Pellitory of Spain Seeds of Stavesacre of each an equal quantity boil them in Wine and use it for a Gargal Or Take of Juniper Gum one Ounce boil it in a Pint of Wine for the same use Or Take of the Flowers of Spikenard a convenient Quantity boil them in Wine for the same use Or Take of the Extract of Guajacum Wood three Grains Laudanum Opiatum two Grains distill'd Oil of Origanum or of Cloves two Drops Make Pills to be put into the hollow Tooth Or Take of the Flowers of Benzoin six Grains Opium dissolv'd in Spirit of Wine and thicken'd three Grains with a sufficient quantity of the Extract of Triacle make Pills as above Or Take of Laudanum Opiatum one Scruple Oil of Camphyr Oil of Cloves of each five Drops With some convenient Balsam make a Balsam to be applied to the Tooth If the Face be inflam'd apply a Plaister of Triacle to the Cheek Spirit of Sal Armoniac prepar'd with Spirit of Wine and Quicklime with Camphyr dissolv'd in it applied with Cotton to the Tooth gives present Relief The Essence of Sassafras prepar'd with Spirit of Wine is very proper But above all the Essence of Benzoin Elixir Proprietatis prepar'd without an Acid is oft-times useful The Aromatic distill'd Oils especially of Savin mix'd with Oil of Henbane are preferable to Essences Sulphur Auratum Antimonii Oils of Amber Hazel Boxwood c. are sometimes successful The Surgeons are wont to apply Plaisters to the Temples or the following Plaister to the whole Part inflam'd Take of Triacle of Andromachus Tacamahac of each half an Ounce Balsam of Peru a Dram. Spread it upon a Linnen Cloth for use If the Toothach cause an Inflammation like to St. Antony's Fire Take of Triacle of Andromachus from half an Ounce to six Drams Salt of Wormwood Balsam of Peru of each a Dram Mix and apply If it be attended by a Swelling of the Jaws 't is not fit to provoke 'em to Suppuration But Take of Chamomile Flowers Elder Flowers of each a handful Roots of Florentin Orris in Pouder half an Ounce mix 'em with express'd Oil of Poppies make a quilted Bag and apply it hot to the Part affected Sometimes indeed there happens a little Tumor in the Gums at the very Root of the Tooth which ought to be suppurated by warm Milk or roasted Figs and afterwards kept clean with Honey or the like If the Toothach be inveterat and do not yield to the ordinary Medicines 't is necessary to purge with Jalap and let Blood and apply Cupping-glasses to the Neck and Shoulders If the Tooth be corrupted it must be drawn with a proper Instrument Before drawing 't is not amiss to apply the following Ointment in order to loosen the Tooth Take of Gum Ammoniac Seeds of Henbane Juice of Henbane of each a Dram and a half with the Fat of a green Frog and a little Wax make an Ointment In the case of Worms in the Teeth the Decoction of Savin in Wine is proper If the Tooth be rotten an actual or potential Cautery will prevent its further Corruption ART IV. Of the Aches of the Eyes AN Inflammation or the sharpness of the Serum or external Accidents may cause Pains in the Eyes If any external thing lurk in the Eye it must be taken out by putting a Seed of Clary or a little Pearl or Crabs-eye into it If the Pain proceed from a spontaneous Inflammation the Mucilage of Seeds of Quinces extracted with Water of Frogs Spawn adding five or six Grains of Camphyr and as much Saffron to three Ounces of Mucilage ought to be laid upon the Eyes Fennel-water with Sugar of Lead and Camphyr is likewise proper Or Take of the Water of Celandin the greater Water of Blew-bottle Flowers and of Larks Spur of each one Ounce white Vitriol twelve Grains strain the Liquor and add half a Scruple of prepar'd Tutty to be applied to the Eye with a Linnen Cloth Of all external Applications the following Cataplasm is the best Take three sweet Apples boil'd and squeez'd and rosted under the Ashes and the White of one Egg well mix'd with two Drams of Loaf-sugar and twelve Grains of Camphyr with five Grains of Saffron Mix for a Cataplasm to be laid upon the Eye Some recommend the opening of an Artery in this case Sometimes we meet with a pressing tearing Pain which comes in an Evening without any evident Cause and seems to proceed from the Convulsions of the Coats of the Eye In which case Antimonial Infusions are proper Or Take of the Mucilage of Plantain Seeds Quince Seeds and Clary extracted with Water of Frogs Spawn of each one Ounce Saffron six Grains Camphyr four Grains Or Take of Plantain Water Fennel Water of each six Drams Lindanus's Sugar of Lead a Dram and a half prepar'd Tutty seven Grains Saffron three Grains Mix for a Collyrium Sometimes Arthritic Pains are usher'd in by a Pain in the Eye-lids which may be cur'd by applying a blistering Plaister behind the Ears ART V. Of Pains in the Ears THE Pains of the Ears are for the most part occasion'd by the Disorders of the internal Membran by Inflammations and the Corrosion of sharp Humors or of Worms either ingendred in the Ear or receiv'd from without An Inflammation is very dangerous and attended by a remarkable Heat that is not observ'd in the case of sharp Humors Worms are distinguish'd by an Itching and Sense of Motion within the Ear. As for Cure the following Cataplasm is universally applauded Take an Onion rosted under the Ashes with an Ounce and a half of Oil of Chamomile and half an Ounce of Oil of Dill with as much fresh Butter and a Scruple of Saffron It is a sovereign Remedy for the Inflammations that follow the Toothach The softening Oils Infusions of Tobacco or the Smoak of it convey'd into the Ear and especially the Oils of Insects are all very proper As Take of the Oil of Scorpions one Dram Oil of sweet or bitter Almonds distill'd Oils of Anniseeds and Caroways of each half a Scruple Pour it hot into the Ear or apply it with Cotton In the case of an Inflammation Take of the Juice of Houseleek Oils of Scorpions of Earthworms and of Chamomile of each a Dram Mix and use as above If there be no suspicion of an Inflammation the distill'd Vegetable Oils of Origanum c. are proper Or Take a hundred of the largest Eggs of Ants Castor Pulp of Coloquintida Marjoram Savin Wormwood and Rue of each one handful The Seeds of Cumin Aniseeds Fennel-seeds
Salt dry'd upon the Fire a quarter of that quantity Quilt them into a Bag to be fumigated with Gum Animi and applied to the Head Or Take of Millet Seeds tosted a handful common Salt dry'd over a Fire half a handful of Vervain or Betony or Elder Flowers and Chamomile Flowers of each half a handful Pouder of Rhodium Roots half an Ounce Sow them into a quilted Bag 'T is very proper for old Men as likewise blistering Plaisters 14. If the Headach be caus'd by external Accidents apply the following Plaister Take of the Gum Hedera or Elemi three Ounces Rosin half an Ounce Wax and Turpentin of each three Ounces Oil of Roses two Ounces and a half the Gum Animi dissolv'd in Vinegar two Ounces Juice of the Flowers of Ivy four Ounces Meal of Beans as much as sufficeth to make a Plaister The Ointment of Alabaster or Hartman's Bag of Amber with the Essence of Pepper or a Plaister of Tacamahac with Oil of Amber are very useful on this occasion 15. If the Pains of the Head are caus'd by Worms Take of the Pouder of Aloe and of Earthworms of each two Drams the Gall of a Bull a Dram Oil of Wormwood and Wax of each a sufficient quantity for a Plaister to be applied to the Head Then make a Fumigation of the following Pouder to be receiv'd by Mouth and Nose Take of the Pouders of lesser Centory Horehound and Betony of each two Drams Zedoary half a Dram Roots of Angelica two Drams Amber a Dram Crude Antimony an Ounce Millet Seeds or Ginger a Dram and a half Bole Armenic a Dram Roots of round Birthwort two Drams Wormwood two or three Drams Make a Pouder for a Fumigation A sneezing Medicine compos'd of Pepper and Castor and the Fumes of Spirit of Wine Myrrh and Seeds of Fennel Flower convey'd into the Ear are convenient in this case 16. If the Pains proceed from immoderat Drinking Vomits and Purges are first requir'd Then Pepper Cephalic Spirit of Vitriol and Elixir Proprietatis Cold Water with Vinegar may be thrown upon the Head and Stones 17. When one half of the Head only is affected 't is call'd a Hemicrania and is the highest degree of Headachs A Cataplasm of the Root of a wild Cucumber or Bryony with Vervain and Wormwood or a Decoction of them may be applied to the Part affected Or Take of Euphorbium one Ounce sweet Oil a Pound let them boil together then add three Ounces of Wax and make an Ointment to be applied to the Temples Forehead c. 18. If it arise from the Womb apply a Bag of Amber and Essence of Pepper or a Plaister of Tacamahac and Oil of Amber In all these particular cases the general Evacuations must be first taken care of and no external Medicines are sufficient for the Cure without the Assistance of Internals ART VII Of Arthritic Pains THE Parts immediatly affected are the membranous Ligaments surrounding the Joints The Cause is a volatil Acid join'd to the Spirits which gnaws the Membrans and thickens their nutritious Juice This Acid takes its first rise from the Disorders of the Stomac It displays it self in the Foot and is call'd the Gout in the Huckle Bones and is call'd the Sciatica in the Hands and several other Parts of the Body Sometimes 't is hereditary In other cases 't is acquir'd by the use of acid Wine Venery and Passion or any Commotion of the Spirits that increases the Acid in the Body This Acid affects chiefly the solid Parts and serves to depurat the Blood and fluid Humors When it invades a solid Part it leaves some small Particles in it that afterwards revive and make a new Paroxism The Paroxysm is ushered in by a Constipation of the Belly difficulty of Breathing an unsufferable Heat at the Stomac Thirst and loss of Appetite In the Gout the great Toe is first affected in the Sciatica the Huckle Bone where it receives the Bone of the Thigh and all the Membrans from thence downward to the Foot are contracted If the Acid be sharp and fiery these Symptoms are aggravated if it be viscid and what we call cold the Symptoms are weaker and the Fits of a longer Duration In forming Prognostics we may expect the Paroxysm when the wonted Excrements betwixt the Toes disappear and the Belly is constipated The Sciatica is more obstinat than the Gout which if inveterat hereditary or attended by Nodes is incurable in old Men. If the Joints adjacent to the Original of the Nerves be seiz'd it portends Death If any part be put out of Joint by arthritic Pains 't is a hard matter to set it right The frequency of bad Symptoms and the moving of the Pains towards the Throat and upper Parts betokens Death If the Paroxysm do not finish its Course but break off abruptly 't is an ill Omen As for the Cure When we foresee a Paroxysm 't is convenient first to exhibit the Pouder of Crabs Eyes with Salt of Tartar and Osteocolla then a Vomit and afterwards the following Purge Take of Cream of Tartar Salt of Wormwood Arcanum duplicatum of each eight Grains Digrydium three Grains make a Pouder Or Take of the Conserve of Rosemary Conserve of Sage of each six Drams Paracelsus his purging Pouder for the Gout a Dram and a half Rosin of Jalap half a Scruple with Syrup of Buckthorn make an Electuary All purging Medicines ought to be avoided during the increase of the Fit but after it has pass'd the height and the Feaver and other Symptoms have disappear'd give what follows Take of Ruffius his Pills de tribus Extract of black Hellebor of each half a Scruple Turbith Mineral prepar'd with Spirit of Sulphur two or three Grains make Pills Opiats ought never to be us'd but after the universal Evacuations and along with purging and sweating Specifics As Take of the Pills Aloephanginae two Drams Laudanum Opiatum half a Dram make Pills for four Doses to be taken in Wine fasting three or four hours after Take of prepar'd Crabs Eyes Mynsichtus his Arcanum Duplicatum of each twelve Grains Salt of Amber six Grains Hysteric Laudanum three Grains make a Pouder Or Take of Triacle from half a Dram to a Dram Salt of Wormwood a Scruple with Wine make a Draught Or Take of Fennel Water Water of Carduus Benedictus of each an Ounce and a half Spirit of putrified Earthworms a Dram and a half Salt Armoniac Magistery of Corals prepar'd with Juice of Citrons of each half a Dram laudanum Opiatum two Grains Syrup of Orange Peel half an Ounce mix In Arthritic Pains Blood-letting is pernicious But in the Sciatica 't is needful in the beginning of the Paroxysm to open a Vein in the Foot of the same Side with the affected Part. Clysters ought to be injected during the whole Course of the Paroxysm The Specifics that are proper in the Paroxysm are sweating Medicines both fix'd and volatil as red Corals Cinnabar of
Antimony volatil Salt of Hartshorn or of Vipers Spirit of Sal Armoniac Volatil Spirit of Tartar and the Decoction of Sudorific Woods Antiscorbutics ought to be mix'd with ' em External Medicines ought not to be applied till the Paroxysm have arrived at its height In a hot Gout attended by Inflammations take Quick Lime and Sal Armoniac pour Spirit of Wine upon 'em and distil adding to the distill'd Spirit a little Camphyr Apply it to the Part. Or Take of Aqua Articularis ad extra two Ounces Spirit of Worms an Ounce Spirit of Sal Armoniac three Drams mix and use as above Or Take a sufficient quantity of Elder Flowers beaten put 'em into a new earthen Vessel so that the Vessel may be full stop it close and set it under ground till the Flowers be converted into a Liquor to be applied hot with a Cloth Mullen Flowers Henbane Flowers may be boil'd in Milk or the Leaves of Valerian or Burdock may be applied to the Part with good Success Or Take of the Crums of white Bread three Ounces Pouder of Marshmallow Roots one Ounce Flowers of Chamomile Meal of Beans half an Ounce Meal of Linseeds and Fenugrec of each three Drams Boil them in a sufficient quantity of Milk to the Consistency of a Pultise then add of Vnguentum Anodynum an Ounce Balsam of Soap two Drams with the Yelk of one Egg make a Cataplasm The Lean of Beef applied to the Part and chang'd Morning and Evening is much commended Human Dung and Urine are likewise proper Or Take of Ox Dung one Pound Rose-water and Water of Speedwel of each two Ounces the Yelk of an Egg beaten up with a little Allum Saffron a Dram Camphyr a Scruple Mix. The Plaister of Frogs Spawn with a large quantity of Sugar of Lead or Tachenius's Plaister de Alcalibus with Camphyr are proper All oily things ought to be avoided and the Cataplasins or Plaisters frequently renew'd If the Gout be cold Spirit of Sal Armoniac prepar'd with Quicklime and Spirit of Urine may be applied Or Take of Venice Soap an Ounce and a half Camphyr six Drams Castor half a Dram. Dissolve in a sufficient quantity of Spirit of Earth Worms Apply with a Feather to the Parts affected The Oil of Soap or the Roots of black Hellebor boil'd in Rock Oil or Balsam of Peru mix'd with the Yelk of an Egg and Spirit of Worms or Tacamahac mix'd with Oil of Amber or Mysinchtus his Diaphoretic Plaister mix'd with Triacle and stinking Oil of Tartar or Triacle mix'd with Spirit of Salt Armoniac are all much esteem'd in this case Blistering Plaisters ought to be cautiously us'd In a cold Gout perhaps they are not amiss If the Pains are follow'd by Nodes or hard Swellings apply Spirit of Quick Lime or old Cheese with the Decoction of Pork or a thin plate of Lead to the part The Cure of the Sciatica differs in some things from that of other arthritic pains In this Leeches applied to the Hemorrhoid Veins are very useful after which inject sharp Clysters as Take one Coloquintida Apple and divide it into four equal parts Tie one part in a Bag and boil it in Wine and Child's Urine of each a Pint adding a handful of Honey-suckles till two thirds be consumed Inject it for a Clyster Vomits and strong Purges are more allowable in the beginning of a Sciatica than of the other sorts And in the progress of the Disease Troches Alhandal and sweet Mercury are safely given As for external Remedies the following Cerecloth is equall'd by none Take of Pitch four Ounces Turpentine half an Ounce Mastic Amber of each two Drams Brimstone in Pouder half an Ounce make a Cerecloth I cured the Sciatica in a young Gentleman by this Method He being plethoric I first ordered a Vein to be opened then I prescribed thus Take of Diaphoretic Antimony Chalybeat Bezoar of each half a Scruple Diaphoretic Gold five Grains make a Pouder to be frequently repeated Take of the Waters of Mother of Thyme of Mint and Elder Flowers of each one Ounce Spirit of Sal Armoniac a Dram and a half prepar'd human Bones two Scruples Diaphoretic Antimony a Scruple Laudanum Opiatum three Grains Syrup of Carduus Benedictus six Drams Mix and give it by Spoonfuls Take of the Spirit of Sal Armoniac Liquor of Hartshorn with Amber of each a Dram and a half Mix and reserve for use Externally I applied the above-mention'd Cerecloth for some days then I order'd the part to be rubb'd and fomented with the following Mixtures Take of Aqua Articularis ad extra an Ounce and a half Spirit of Salt Armoniac prepar'd with Quick-lime six Drams Mix c. Take of Aqua Articularis ad extra two Ounces Spirit of Juniper-berries one Ounce Balsam of Peru dissolv'd with the Yelk of an Egg three Drams Mix. Cataplasms of Antiscorbutic Herbs boil'd in Wine and bathing in Wine or in the Decoction of Ants in Wine are much commended If after the Paroxysm there remain a Swelling 't is proper to fumigate the part with Wormwood Rocket and Mugwort boil'd in Wine and Water or to apply the Nurimberg Plaister The Decoctions of Aromatic Vegetables in Wine are good for strengthning the Joints If there remain a Weakness in the Joints without any Swelling let Issues be cut in several parts of the Body And indeed an Issue in the Groin is not improper Thus much for what is proper to be done in the Paroxysms It remains now briefly to point out the Method of preventing them The vicious Acid must be carefully rooted out of the Stomac by the use of Mercurial and Antimonial Preparations and a regular Diet. Those who are meagre and can easily digest Milk may confine themselves to a Milk Diet. Vomits are absolutely necessary Turbith Mineral sweet Mercury black Hellebor and Coloquyntida are much used Gentle Purges and such as regard the Stomac are best Sweat ought to be frequently procur'd by the use of Diaphoretic Antimony Antichecticum Poterii Antimonial Sulphurs and urinous Sudorifics Next are Diuretics which are of excellent use in preventing the Gout As Spirit of Sal Armoniac of Worms of Hartshorn c. or the greazy Stagflies or Take of prepar'd Crabs Eyes two Scruples prepar'd red Coral a Scruple Volatil Salt of Amber fifteen Grains Mix for three Doses As for Alteratives Aromatic Volatil Medicines are proper As Take of the Roots of Elecampane Pyony and Avens of each six Drams China Roots one Ounce Of the Herbs Sage Baum Germander Ground-pine of each a handful Rosemary tops two handfuls Juniper-berries an Ounce and a half Galangal Ginger Cinnamon of each two Drams Salt of Tartar from three to four Drams Tie them in a Bag to be infus'd in Wine Or Take of the Herbs Germander and Strawberry of each a handful and a half Rest Harrow Flowers of St. John's Wort of each a handful Bryony Roots an Ounce and a half Sarsaperilla one Ounce Nephritic Wood three Ounces
from the sense of Thirst a proneness to rub and toss the Head and pull up the Hairs When the Inflammation relents it tends to a Gangrene which occasions Convulsions Lethargies and a total inactivity A true Phrensy proceeding from the Inflammation of the Brain is very dangerous If it increase after sleeping if it be serious and fierce if a clammy cold Sweat drop from the Head while the Body is unconcern'd if it be attended by a difficult Respiration immoderat Watching Headaches notable Weakness a ghastly Countenance an invincible Forgetfulness a Hiccough gnashing of the Teeth trembling of the Tongue and Hands and involuntary voiding of Excrements if the Person he speechless apt to gather up or pick the Bed-cloaths or become lethargic if the Nostrils drop and the Urine be not tinctur'd All these Symptoms portend Death A Paraphrenitis proceeding only from the Heat and Effervescency of the Blood and Spirits is more tolerable A Symptornatical Phrensy is a proper Subject of Cure but a Critical one ought not to be meddled with It is follow'd for the most part by bleeding at the Nose and is distinguish'd by the following Symptoms The Urine affords signs of Concoction the Pulse is unequal but strong and large the Eyes sparkle a murmuring Noise disturbs the Ears the Nostrils itch the Face is red and the lower Belly softly distended Sometimes 't is usher'd in by a sudden Headache or the sick Person is young and apt to bleed at the Nose If these Symptoms are wanting the Phrensy is symptomatical and ought to be cur'd by allaying the Heat and Turgency of the Blood and Spirits or removing the Stagnation In the first place let the Physician take care that he be not impos'd upon by drunken Persons whose Phrensies resemble those of Feavers In the next place if the phrentic Person be molested with Head-aches and immoderat Watchings Narcotic Medicines are very proper but ought to be cautiously administred for fear of exalting the Phrensy or converting it into a Lethargy In order to avoid such Consequences let us take notice of the following Cautions 1. That in acute hot Diseases Opiats ought to be prepar'd with Vinegar 2. That they ought not to be administred in the beginning or height of the Distemper but only during its increase 3. That when the Person is very weak they should be omitted 4. They ought still to be mix'd with Bezoardic Diaphoretic Pouders Blood-letting is always convenient unless the Feaver be very malign and ought to be liberally perform'd and in the following manner 1. Let a Vein in the Hams be first open'd then in the Arm and afterwards in the Forehead Incase of a particular Suppression of Blood in the lower Region let the Vein in the Ancle be first open'd Instead of breathing the Vein in the Forehead some recommend the Application of scarify'd Cupping-glasses to the forepart of the Head 2. Let the Surgeon while the Vein is open lay his hand upon the Patient's Head and mind the beating of the Artery in order to adjust the quantity of Blood to be drawn forth and the strength of the Patient 3. Let the Orifice of the Vein be stop'd and open'd by turns by the Surgeon's Finger Thus the stagnating Blood is evacuated without impairing the strength of the Patient in so great a measure as otherwise As for external Applications all strong smelling things except Camphyr ought to be avoided Vinegar must be added but in small quantities because its sharpness hinders sleep A symptomatical Phrensy disappears upon the removal of the principal Disease Cooling and narcotic Medicines are its proper Cure to which Diaphoretic Febrifuga's are join'd according to the Degree and Circumstances of the Feaver Take of the Waters of Male Pimpernel Purslain and white Water-Lillies of each an Ounce and a half Syrup of Water-Lillies and Syrup of Poppies of each six Drams The Acid Mineral Spirits of Vitriol Salt Sulphur dulcify'd Spirit of Nitre and dulcify'd Spirit of Salt are very useful against Phrensies Camphyr has a peculiar pacific Virtue If it be added to Opiats their Dose ought to be proportionably lessen'd As Take of the Conserve of red Poppy-flowers vitriolated half a Dram Langelot's Laudanum Opiatum one Grain Camphyr two Grains Mix c. Sugar of Lead prepar'd with Spirit of Nitre is a powerful Pacific The Decoction of the Flowers of Male Pimpernel in Water whetted with a little Rhenish Wine is of excellent use Take of the four great Cold-seeds of each a Dram and a half white Poppy-seeds three Drams With Purslain-water make an Emulsion To which add human Scull prepar'd without Fire half a Dram Bezoar Mineral a Scruple Syrup of Purslain half an Ounce Mix for use In a malignant Phrensy let the following Pouder be exhibited viz. Take of Cinnabar of Antimony twelve or fifteen Grains Lunar Bezoar six or eight Grains Laudanum Opiatum a Grain Camphyr two Grains Make a Pouder for two Doses to be exhibited in the Emulsion of white Poppy-seeds made with Pimpernel and Purslain Water Or Take of the Cephalic Specific Pouder a Scruple Sugar of Lead six Grains Camphyr two Grains Laudanum Opiatum a Grain and a half Acid Juleps are likewise very proper and if the Belly be constipated Tamarinds may be boil'd in ' em Externally let Cataplasms of Rue Chamomile Vervain Briony-roots and Soap or of Radishes Salt sharp Vinegar and Yest be applied to the soles of the Feet Or Take of the Juice of Houseleek new drawn six Drams sharp Wine Vinegar an Ounce and a half Nitre two Drams Camphyr half a Dram. Mix and apply to the Stones soles of the Feet and forepart of the Head When the Person sleeps it ought to be taken off the Head A Cataplasm of Houseleek Purslain and Roses may be applied to the Temples and Forehead The Pulp of a Gourd applied to the Head shav'd is commended by Bartholet Some set their Feet into an excavated Gourd and find benefit by it The Juice of live River-Crabs newly express'd is applied to the Forehead with wonderful success Or Take of Rose-water ten Ounces Opium a Dram Saffron half a Scruple Mix them and apply with a doubled Linen Cloth to the Forehead Take of the Water of Frogs Spaun six or eight Ounces fresh Juice of River-Crabs two three or four Ounces Opium dissolv'd in Vinegar half a Dram or two Scruples Camphyr and Saffron of each six eight or ten Grains Mix c. Or Take of the Juice of River-Crabs extracted with the Water of Frogs Spawn six Ounces Vinegar of Roses two Ounces Triacle of Andromachus two Drams Camphyr half a Scruple Saffron six Grains Mix and foment the Head and Temples Let the Liquor be lukewarm or somewhat cold Lindanus attributes much to the antient way of applying live Creatures cut up along the middle as a Dove a Cock c. to the Head shav'd But in the first beginning of a Phrensy they rather enforce it Oftimes the phrentic Persons thro inadvertency neglect to void their
begin with the ordinary one and from thence advance gradually The Flowers of Antimony Aurum Vitae the Infusion of Mercurius Vitae Sylvius's vomitory Soap and Sala's Emetic Syrup are all useful As Take of Fumitory Water one Ounce Gum Ammoniac dissolv'd in Wine from a Scruple to half a Dram Emetic Syrup a Dram and a half Scammony sulphurated Extract of Troches Alhandal of each one Grain Simple Syrup of Roses two Drams Mix for a Potion The Dose of Purgatives must be likewise augmented or sharpned with Salts As Take of Extract of black Hellebor a Scruple Extract of Troches Alhandal two Grains Purgative Antimony or Mercurius Vitae five Grains With Essence of Steel or Tincture of Tartar make Pills Or if a Potion be more acceptable with the Waters of Pimpernel or of Flowers of St. John's-wort make a Potion and sweeten it with laxative Syrup of Apples The Troches Alhandal are of incomparable use for subduing the viscid matter that reigns in this and all other Chronical Distempers Take of Extract of black Hellebor sweet Mercury of each a Scruple Magistery of Jalap six Grains with Gum Ammoniac dissolv'd in Vinegar make Pills Take of Mint-water one Ounce Liquid Extract of Steel half a Dram Extract of black Hellebor a Scruple Extract of Troches Alhandal one Grain Syrup of Apples half an Ounce Mix c. Take of mint-Mint-water one Ounce Gum Ammoniac dissolv'd in Vinegar a Scruple or half a Dram Tartar vitriolated half a Scruple Extract of Troches Alhandal one Grain Syrup of Apples half an Ounce Mix c. Take of pick'd Senna two or three Drams Roots of Polypody three or four Drams Roots of black Hellebor one or two Drams Salt of Tartar half a Dram. Infuse them warm in clarify'd Whey over night In the Morning let 'em boil gently and add to three Ounces of the strain'd Liquor a Dram and a half of Cinnamom Water and three four or six Drams of Syrup of Apples Or Take of Corants bruis'd three Ounces pick'd Senna six Drams choice Cinnamom three Drams Cloves a Dram and a half Cream of Tartar three Drams Bruise 'em and tie 'em in a Bag to be infus'd for the space of a night in three Pound of simple Water Take of Gum Ammoniac dissolv'd in Vinegar five Grains Tartar vitriolated three Grains Extract of Gummy Aloe two Grains With Essence of Gum Ammoniac make Pills Next to Hellebor and its Productions are the Infusions of Senna Quercetanus's Pills of Ammoniac or of Tartar of Fumitory c. Absorbent Digestives ought to precede the use of Purgatives such are Cream of Tartar Vitriol of Steel or its Tincture Essence of Steel c. Or Take of prepar'd Crabs half a Dram prepar'd red Coral Alterative Crocus of Steel of each half a Scruple Make a Pouder for two Doses Or Take of Sal Armoniac Salt of Wormwood and prepar'd Crabs eyes of each fifteen Grains Laudanum Opiatum two or three Grains Make a Pouder for two Doses Alteratives in this Disease either correct the Acidity of the Blood or amend its Indisposition and purify it by Urine Of the former kind are Preparations of Steel such as its Infusion and Extract with the Juice of Apples all the Aperitive Crocus's of Mars Mynsicht's Tincture of Steel c. Lead also but especially its Sugar Coral and its Preparations and chiefly its true Tincture in room of which if it be wanting you may take of the Tincture of Coral prepar'd with Spirit of Stag's Heart or that of Roses one Dram Essence of Baum and Saffron of each half a Dram. And mix ' em Of this sort also is the true Tincture of Silver and its Magistery either alone or mix'd with other Anti-acids as Coral and such like Mynsicht's Arcanum Duplicatum is frequently us'd with good success likewise Lapis Lazuli either in Pouder or its Tincture mix'd as follows Take compound Essence of Pimpernel three Drams Tincture of Lapis Lazuli a Dram. Dose from forty to fifty Drops For altering and purifying the Blood by Urine the Vegetable Kingdom affords many excellent Remedies amongst which Tartar and its Preparations excel as Cream of Tartar plain or vitriolated or mix'd with lixivial Salts Spirit and volatil Salt of Tartar Rhefeldius's Diaphoretic Liquor of Tartar with Juices made thus Take of the express'd Juices of Dittander four Ounces Scurvy-grass Sea Radish Water and Garden Cresses of each an Ounce rectify'd Spirit of Tartar one pound Mix and digest and then distil in a Bath over a slow Fire Dose half an Ounce Remedies also are prepar'd of Borrage Bugloss Fumitory Saffron Camphyr which last ought always to be joined with Alteratives in melancolic and maniac Distempers As Take liquid Essence of Steel two Drams compound Essence of Fumitory and that of Saffron of each a Dram Camphyr five Grains Dose thirty or forty Drops Or Take of the Leaves of Harts-tongue two handfuls of Fumitory an handful and a half Flowers of Borrage and Bugloss of each a handful of Clove Gilly-flowers and Violets half a handful Barks of Tamarisk and the Ash-tree of each six Drams Roots of Polypody or Elecampane Filings of Steel of each an Ounce Cinnamom two Drams Cut bruise and tie them up in a Bag. Or Take of the flowers of Rosemary Borrage and Bugloss of each four Ounces of Saffron a Dram Quinces four Ounces best White-Wine two Pound Mix and digest fifteen days and then distil Dose an Ounce to be reiterated Take of Hartman's Cachectick Pouder a Dram red Coral prepar'd half a Dram Camphyr fifteen Grains Mix and divide into three equal parts to be taken in so many Mornings The following Pills may be taken before sleep Take of the Sugar of Lead from five to nine Grains Laudanum Opiatum two Grains distill'd Oil of Camphyr three Grains and make Pills The Spirit of Sal Armoniac is an incomparable Sudorific especially mix'd with an equal quantity of the Carminative Spirit If Pains seize the Head apply to the Forehead this Epithem Take Waters of Elder-flowers and St. John's-wort of each an Ounce and a half Camphyr six Grains Mix ' em This will yet prove more effectual if a Plaister of Tacamahac be applied to the shaved head If the Spleen is faulty beside Preparations of Lead taken inwardly apply the Plaister of Tobacco to the Region thereof Of Madness THE Blood which in Melancoly abounds with a vitious Acidity is oftentimes by an intestin and fermentative Commotion volatilized and so acquiring an Acrimony and furnishing the Brain with Spirits sutable occasions Madness which is Melancoly arrived at the highest degree In Madness we may observe three Circumstances 1. A remarkable Fury and temerarious Boldness hurrying one to attempt any thing tho never so cruel and tragical 2. A prodigious Strength able to break in pieces the strongest things and surpassing that of two or three Men. 3. A wonderful Sufferance of even the extreamest Cold. It is also accompanied with most stubborn Watchings The Disorder of the Stomach
provoking Venery External Inunctions are not Improper Let the Perinaeum Cod Stones Groyn and Nut of the Yard be anointed with the Apoplectic Balsam or distill'd Oil of Mace with Oil of Cloves Mosch and Civet or with the Spirit or Juice of Ants. But care must be taken that their smell do not reach the Nostrils As for the Causes of the Deficiency of the Seed relating to the Stones if they be hid within the Abdomen we must endevour to bring 'em down by jumping leaping c. by emollient Baths and anointing the place where they are lodg'd with Balsam of Sulphur The swelling of the Stones is occasion'd either 1. By Blood and is call'd an Inflammation Or 2. By Wind call'd Pneumatocele 3. By a Collection of Serum within their Membrans call'd Hydrocele 4. By a schirrous Tumor 5. By a superfluous Flesh call'd Sarcocele 6. By the dilatation of the Spermatic Vessels call'd Hernia Varicosa Of these in order ART I. Of the Inflammation of the Stones THE Stagnation of the Blood causes Inflammations of the Stones or Cod. That may be occasion'd by the suppression of a Gonorrhaea violent Ligatures Contusion Blows Compression by riding c. The Signs are a pricking shooting Pain notable heat and redness besetting the affected Testicle and neighbouring parts accompany'd by a slow Feaver The Pain is exasperated by touching and reaches almost to the Loins If it be not quickly discuss'd it tends to a Gangrene or Impostume especially the Inflammation of the Cod. The Cure consists in discussing the swelling and mitigating the Pain If that cannot be obtain'd it must be ripen'd and open'd For the former purpose Bleeding and the common Evacuations and such gentle Diaphoretics as promote the Circulation of the Blood are the proper internal Remedies Outwardly apply the following Cataplasm Take of the Meal of Beans three or four Ounces Pouder of Cuminseeds two Ounces With Vinegar make a Cataplasm If the Vinegar be too sharp add of Lytharge of Ceruse from one to three Ounces For Lead and its Productions dulcify the sharpness of Vinegar Apply this Cataplasm warm to the part for all sorts of Inflammations Take of Quick-lime-Water a Pound or a Pound and a half Spirit of Wine camphoris'd half an Ounce or an Ounce Ceruse or Sugar of Lead a Dram and a half Make an Epithema to be applied hot And if the pain be violent add of Opium dissolv'd in Vinegar one Scruple For venereal Inflammations let the Part be fomented with the Decoction of China-roots and Elder-flowers in Ale or Wine Rue Agrimony Vervain Chamomile the Herb Paris Elder-flowers c. are also proper Ingredients for Cataplasms or Decoctions If the Pain be violent add to them Leaves of Henbane thus Take of the Leaves of Wormwood Lady's Mantle and lesser Centory the Flowers of the Sloe-tree Chamomile and Mullein and Leaves of Henbane of each a handful Boil them in Wine with a little Water and apply the strain'd Liquor with a warm Cloth to the Part. The Mucilage of Fleawort-seeds extracted with Water of Frog's Spawn may be added to the foregoing Ingredients If the Tumour cannot be discuss'd emollient suppurating things are proper as the Plaister call'd Filii Zachariae soften'd with Balsam of Sulphur prepar'd with Oil of Turpentin If the Pain be overbearing let the Leaves of Henbane be rosted under the Ashes bruis'd and applied with Lard in the form of a Cataplasm When the swelling is ripe let it be open'd with a Lance by a skilful Surgeon ART II. Of a Pneumatocele or distention of the Stones by Wind. IT is ofttimes accompany'd by a Hydrocele or Collection of Water The Wind is either deriv'd from the Abdomen or owing to the acid vitious quality of the nutritious Liquor of the Membrans surrounding the Stones The Signs are a swelling and distending pain without any sense of weight If it likewise seize the Cod it moves too and again when press'd by the hand All internal carminative Medicines are proper Externally let Carminative and discussing Cataplasms be applied As Take of the Pouder of Chamomile and Melilot-flowers and Meal of Beans of each six Drams Goats Dung and Bay-berries of each half an Ounce With Wine and Oil of Dill make a Cataplasm Take of Cows Dung two pound Brimstone and Cumin-seed of each an Ounce With Hony or Oil of Dill make a Cataplasm This is more effectual than the former If it be accompany'd by a Hydrocele anoint the part with Balsam of Sulphur prepar'd with Oil of Turpentin or Juniper and afterwards apply Rulandus's Plaister Diasulphuris temper'd with Oil of Nutmegs by expression Or Take of Coriander-seeds half an Ounce Cumin-seeds Aniseeds of each two Drams Allum half a Dram Wine common Water of each a pound and foment with the Infusion ART III. Of a Hydrocele or Collection of Water within the Membrans of the Stones THE Cause is the Rupture of the Lymphatic Vessels in the Stones or whatever stops the reflux of the Lymph from thence The Signs are a sense of something floating in the Cod the alteration of the form and bigness of the Stone the lucid and unwrinkled appearance of the Cod before a Candle At first the Swelling is soft and yields to the touch but do's not retire into the Belly by lying down or compression afterwards by continuance it becomes harder but is capable of receiving Pits and the Membrans grow thick and stiff The Cure is perform'd inwardly by Antihydropic Medicines Externally let the Balsam of Sulphur prepar'd with Oil of Turpentin or Schroder's Plaister ad Horniam or the Ausburg Hydropic Plaister be applied Or Take of the Plaister of Bay-berries Goat's Dung of each an Ounce and a half Cumin-seeds Flowers of Sulphur of each two Drams Mix with the Oil of Rue and Chamomile and make a Plaister Take of the Flowers of Chamomile of the Herb Paris of each two handfuls Meal of Beans from half an Ounce to an Ounce Goat's Dung three Ounces Pouder of Cockle-shells two Ounces Boil them in four parts of Chamomile-water and one part Vinegar to the Consistence of a Cataplasm Take of Goat's Dung one Pound Chamomile-flowers Elder-flowers of each two handfuls Cumin-seeds an Ounce Boil them in Child's Urine Foment with the strain'd Liquor and make a Cataplasm of the remainder Take of Cockles bruis'd together with the Shells four Ounces Bay-berries Brimstone of each two Ounces Goat's Dung three Ounces With Lees make a Cataplasm If a Hydrocele be inveterat all external Discussives are in vain and only Surgery can afford relief There are two ways by which it performs the Cure 1. By pricking or boring a hole in the Cod and outermost Coat of the Stone under which the Lymph is wont to be lodg'd 'T is a safe Operation in a simple Hydrocele but in hydropic Tumours for the most part it causes a Gangrene 2. By cutting away the affected Stone for ofttimes it relapses after a pricking or the neighbouring parts are in danger of a Gangreen in which
Spirit of Turpentin and Camphyr is extoll'd by Faber Some commend the solution of Coral with Juice of Citrons Emulsions of Hempseeds are of soveraign use in desperat Runnings but they enjoy a narcotic Virtue prejudicial to the Animal Spirits Take of Hempseeds half an Ounce Seeds of the Chast-tree two Drams With the Water of Yarrow make an Emulsion Add of prepar'd Amber and Bone of the Cuttle-fish of each a Dram. Sweeten and reserve it for use Take of the Seeds of the Chast-tree Melon-seeds of each two Drams Hemp-seeds white Poppy-seeds of each a Dram and a half With the Waters of Purslain and Water-Lillies make an Emulsion To which add the Bone of the Cuttle-fish prepar'd a Dram Crollius's Compound Pouder of Sperniola two or three Scruples prepar'd white Amber and Diaphoretic Antimony of each half a Dram mix and sweeten with pearled Sugar This is of noted efficacy especially if the Perinaeum and Loins are girded with heat Some commend the following Decoction Take of the Leaves of white Archangel four handfuls Leaves of white Yarrow two handfuls Seeds of the Chast-tree four or six Drams Boil them in Mint or rue-Rue-water or in Wine and sweeten with Syrup of Water-Lillies Some recommend a Spoonful of the Juice of Ceterach to be taken now and then as a singular Remedy for stopping a Gonorrhaea as also two Drams of the following Pouder to be taken in Chalybeat Wine Take of the Leaves of Mint and Rue Seeds of the Chast-tree and Pouder of Galls of each equal quantities Beat 'em into Pouder for the use above-mention'd Spirit of Turpentin and Sugar of Lead is a delicat Remedy The Juice of Yarrow or of Mallows with sweet Milk is also approv'd Some apply outwardly the Juice of Lettuce with Camphyr to the Testicles As touching the second Indication viz. qualifying the sharpness of the seminal matter the Tincture of Coral with Spirit of Woods or of Sassafras is very useful The Astringent Crocus or Tincture of Steel Sulphur of Vitriol Sugar of Lead and white Amber prepar'd are all very proper Or Take of the Conserve of Red Roses Conserve of Mint of each an Ounce or an Ounce and a half prepar'd Bone of the Cuttle-fish which in this Case is a noted Specific two Drams Calcin'd Borace a Dram Nutmegs half a Dram Syrup of dry'd Roses as much as sufficeth to make an Electuary Of which the Patient may take a convenient quantity twice or thrice a day Crude Borace provokes Lust but when calcin'd it leaves a Styptic Caput Mortuum of contrary use Take of the Bone of a Cuttle-fish prepar'd a Dram prepar'd red Coral two or three Scruples Sugar of Lead half a Scruple Mix for six Doses Take of prepar'd Chrystal Bone of the Cuttle-fish prepar'd Amber of each two Scruples Chalybeat Diaphoretic Antimony a Scruple Crollius's Sperniola a Scruple Sugar of Lead fifteen Grains Make a Pouder for five or six Doses The Turpentine of Cyprus reduc'd to Pills with prepar'd Amber or Crocus of Steel or Rhubarb is very effectual Of late the Balsam Capivi is mightily esteem'd Sugar of Lead and the Antiphthisical Tincture prepar'd with it is of noted efficacy Take of the Waters of Rue and Water-Lillies of each half an Ounce Juice of Lemons six Drams Bole-Armenic a Dram Cuttle-bone and Diaphoretic Antimony with Steel of each two Scruples Syrup of Citrons half an Ounce Mix and give a Spoonful now and then If the Yard be exulcerated by the sharpness of the matter take of Woman's or Cow'd Milk four Ounces prepar'd Tutty two Drams Aloe a Dram Sugar Candy half a Dram. Mix and inject half an Ounce or six Drams at a time As for the third Indication viz. corroborating the relaxated parts and correcting the watriness of the seminal Liquor Mint Wormwood Amber Mastic Astringent Tincture of Steel Tincture of Coral Pouder of Frankincense which if too frequently repeated causes a suppression of the Urine Sugar of Lead Extract of Tormentil-roots seal'd Earth and Bole Armenic us'd with Vinegar Tincture of the Sulphur of Vitriol c. are all proper Ingredients Take of the Extract of Tormentil-roots two Drams Crollius's Compound Pouder of Sperniola two Scruples Plantain-seeds Seeds of Chast Lamb Roots of Comfrey of each a Scruple Venice Turpentine boil'd Camphyr of each twelve Grains Make Pills I have cur'd a desperat Running with giving thirty or forty Drops of the Tincture of Sulphur of Vitriol in a warm Vehicle every Morning and half a Dram of the Troches de Carabe every Evening without any other Injunctions except that of lying on the sides and a spare Diet. If in the Declination of this Flux a thin watry Humor continue to run as it frequently happens take of Gum Arabic Tragacanth prepar'd white Amber prepar'd Mummy Bole Armenic of each a Scruple Laudanum Opiatum half a Scruple With a sufficient Quantity of the Tincture of Catechu make Pills for five Doses The natural Baths that partake of Allum are proper in an inveterat Case Outwardly the parts may be fomented with the Decoction of the Rindes and Flowers of Pomegranats Roses Comfrey-roots Plantain c. or let the Perinaeum be anointed with the following Mixture Take Oil of Myrtles three Drams distill'd Oil of Mastic a Dram distill'd Oil of Cloves express'd Oil of Nutmegs of each half a Dram. With Wax make a Liniment If the ferment of the Testicles be desicient Milk Rice Eggs and aromatic Ingredients are proper Ofttimes 't is needful to purge both in the beginning and progress of the Disease as thus Take of boil'd Cyprus Turpentin a Scruple Scammony prepar'd with Juice of Roses Rosin of Jalap of each five Grains Make Pills for one Dose I am now arriv'd at the spurious Flux of Seed which is call'd such when the matter voided is of a different nature from the Genital Juice being discolour'd sharp stinking attended sometimes by Pain and other Symptoms but not occasion'd by venereal Actions or partaking of any venereal Virulency It corresponds to the Whites in Women and is call'd by some Gonorrhoea Catarrhalis but there are few Authors that have taken any notice of it The part affected is the Prostratae whose Office 't is to separat a Lymph for a Vehicle to the Seed Now if they are relaxated or exulcerated they separat and void larger quantities as in the like case the Glandules of the Eyes or those in the Throat are wont to do The material Cause is the serous cachectic Disposition of the Blood The remote Causes are the Disorders of the Stomac and digestive Faculty or whatever equips the Blood with crude and watry Particles The formal efficient Cause is the Relaxation of the Prostratae occasion'd by excessive Venery manual Violence Riding a Fall c. Tho this Flux may serve to cleanse the Blood yet if it continue long it degenerates into a Consumption The Cure turns upon corroborating the Stomac correcting the Crudity of the Blood and cleansing and fortifying these Glandules The first of
Salt of Tartar of each a Dram boil them in a sufficient quantity of common Water to nine Ounces of the strain'd Decoction add Electuary of Bay-berries an Ounce distill'd Oil of Amber volatil Salt of Hartshorn or Urine of each a Scruple the Yelk of one Egg Mix them and make a Clyster To such Decoctions you may also add Electuary of Hiera Picra Castor distill'd Oils of Cumin Caraways Amber Juniper-berries Turpentine c. Or instead of distill'd Oils volatil Salts from a Scruple to half a Dram as that of Urine Hartshorn Amber c. Clysters of the Smoak of Tobacco are also approv'd If the Patient is plethorick a Vein may be opened but with due caution Internally in the time of the Fit volatil and oily Salts are to be us'd and in particular such as readily cause sweat to which Opiats may be added Bitter things therefore are in common use such as Set-wall Southernwood Wormwood Lovage Angelica Gentian-root Mint Galangal Penny-royal Fever-few Clary its Decoction and Spirit Roman and common Chamomil Orange Peel wild Carrot-seed Juniper-berries Garlic taken in Wine its Electuary Saffron Rosemary Myrrh Elder and dwarf Elder-berries c. all which by virtue of an oily volatil Salt destroy the vitious Acid. To these we may add Castor Assa foetida the volatil Salts themselves as Spirit of Sal Armoniac Hartshorn volatil Salt of Amber given from five Grains to twelve in Swallow-water with Castor distill'd Oil of Amber volatil Salt of Soot the Tincture of Tartar Tincture of the Dross of the Regulus of Antimony Tincture of Castor prepar'd with Spirit of Wine or otherwise all the several Preparations of the fore-mention'd Simples Crollius's Elixir for the Womb Camphyr the Spirit of human Secundine chiefly that of the first Child the Juice of Courser's Dung express'd with Wine or Ale or its Decoction to all which we join Opium Hysteric Laudanum Mithridate and Triacle of which innumerable Prescriptions might be made up As Take of the Waters of Mint Elder-flowers and Fever-few of each an Ounce Essence of Castor three Drams volatil Salt of Hartshorn twelve Grains that of Amber eight Grains Hysteric Laudanum nine Grains Syrup of Orange Peel six Drams Mix and make a Potion Or Take prepar'd Amber prepar'd Pearls or Crabs-eyes Castor of each a Scruple distill'd Oils of Rue and Amber of each five Drops Mix and make a Pouder 'T is to be noted that Preparations with Castor and such like fat volatil Salts yielding a strong smell agree not with some Patients for whom meagre Salts are more proper as dulcify'd Salt of Nitre c. If sweet Smells or Tasts be offensive we choose Medicines of contrary qualities After the Fit is over if a Relapse is feared it may be prevented by the use of Medicines partaking of Steel As Take Antiscorbutic and Hyssop-water of each an Ounce and a half Solution of Steel in Juice of Apples three Drams Spirit of Scurvy Grass a Dram and a half fermented Laudanum two Grains Syrup for the Scurvy three Drams Mix and make a Potion But if what is above prescrib'd prove ineffectual we may try a strong Snuff and if that has no effect give a Vomit yea Blood-letting has been found sometimes to avail in desperat Cases Hitherto we have prescrib'd what is to be done during the Paroxysm when 't is over we first give Digestives then Vomits and afterwards Anti-hypocondriac and Antiscorbutic Remedies for Digestives I refer you to the hypocondriac and scorbutic Diseases Or Take red Coral prepar'd or Mother of Pearl or Crabs-eyes prepar'd half a Dram Arcanum Duplicatum a Scruple Salt of Wormwood half a Scruple Mix for three Doses For a Vomit take Arcanum Duplicatum or Tachenius's vitriolated Tartar nine Grains Mynsicht's Emetic Tartar two or three Grains Mix and make a Pouder Next to these Aromatics mix'd with mild Laxatives are to be us'd and these almost the same as the internal Specifics prescrib'd in the Fit In short the Method of Cure is the same with that of hypocondriac and scorbutic Disorders So that alterative Bags of carminative Ingredients such as are friendly to the Nerves and Womb infus'd in Wine are of very good use Or whatever partakes of a volatil Alcali or a volatil oily aromatic Salt more or less bitter which destroys Acids or has an anodine Quality as the Roots of Angelica Butter-burr Set-wall Lovage Gentian and the like also Orange-peel and all Aromatics especially Clary and its Decoction also Baum Rosemary Mugwort Sage c. the Carminative Seeds or those call'd hot to which wild Laxatives such as black Hellebor and Briony may be added As for example Take of the Leaves of Baum Fever-few Pennyroyal of each a handful Leaves of Senna Roots of Gentian and black Hellebor of each a Dram prepar'd Spurge and true aromatic Costus of each three Drams Set-wall Salt of Tartar of each half an Ounce Cut bruise and tie them in a Bag to be infus'd in Wine Medicines of Steel are wonderfully helpful as also succinated Spirit of Salt Ammoniac given to thirty Drops at night and mild Laxatives mix'd with Opiats Take Gum Ammoniac dissolv'd in Vinegar half a Scruple Vitriol of Mars five Grains Extract of Castor three or four Grains Extract of Troches Alhandal a Grain or of the Troches themselves three Grains Make Pills with the distill'd Oil of Amber SECT IV. Of the Disorders of Women denying admission to Men. CHAP. I. Of the down-falling of the Womb. SOmetimes the outer Neck of the Womb especially its internal wrinkled Membrane either by hard Labour or the unskilful hand of a Midwife or by an immoderate red or white Flux is so relaxated and extended that it hangs out in form of a Ball having a hole in the middle two Fingers breadth without the Privity and sometimes some part of the internal Membrane is relaxated and hangs out like a blind round Ball by a small Neck In this Case both the Antients and some of the Moderns fancy that the Womb falls down Whereas that Symptom never happens but when an unskilful Midwife pulls it down by force and so kills the Patient outright This Distemper is usher'd in by a stretching Pain of the Parts to which the Womb is fastened sometimes a Feaver and Convulsions supervene and sometimes the prominent Substance becomes the Seat of an Ulcer or Gangrene and must be cut out by the hand of the Surgeon All that Art can do is 1. To restore the Part fallen down to its natural Place 2. To confirm it there either truly by Astringents or palliatively by other means 3. If that can't be compass'd Amputation is the only relief The Patient being conveniently plac'd on her Back let the part be gently put up with ones Fingers cover'd with a soft Cloth wet with the Decoction of mild discussive Aromatics such as Rosemary Sage Wormwood c. boil'd in equal parts of Wine and common Water or Water from the Forge This done Decoctions prepar'd of vulnerary Astringents
the Digestion of the Stomach be promoted and consequently Wind prevented by stomachic and Carminative Medicines Let the Decoction of Sassafras with Anise and Fennel-seeds be us'd for a Diet-drink and the Essence of Zedoary be taken every night going to Bed Castor Chamomil-flowers Rosemary Fever-few Pennyroal Sage Flowers of Marigold and Groundsel Roots of Elecampane Zedoary and Gentian the four greater Hot-seeds Galangal Ginger c. their Decoctions Essences or distill'd Oils are of good use both inwardly and outwardly to which we may add the Species of Hiera or the Mass of Pills of Hiera with Agaric or the Extract of Elaterium Sometimes 't is necessary to open the internal Orifice of the Womb to give vent to the Wind by fomenting with the above-mention'd Decoctions or applying to the Belly and Pubes Bags of Millet-seed dry'd Salt Chamomil Flowers and Carminative-seeds boil'd in Wine and Water or anointing with Oil of Chamomil Oil of Bays and Castor or applying a Cataplasm of Goats-Dung and Carminative-seeds boiled in Wine or a Plaister of Tacamahac with Balsam of Peru. Sometimes a false Conception is feign'd by a Dropsy or Collection of clear or yellowish Water in the Womb. And sometimes this Dropsy of the Womb joins it self to a true Conception as taking its rise from the Redundancy of the nutritive Liquor mix'd with much Water from the Suppression of the Terms or Lochia or whatever obstructs the Reflux of the Lymph from the Womb. This Swelling covers the whole Belly equally and do's not rise to a top in the middle as that of a true Conception and is distinguish'd from a Dropsy of the Belly by the fresh Colour of the Face and absence of Thirst If the Swelling is caus'd by Water 't is not so dangerous as when it flows from a corrupt Liquor If the Patient is with Child little or nothing can be attempted but if otherwise we may boldly use convenient Methods to conquer the Disease and in the first place for a Purgative use this Pill Take Extract of Elaterium twelve Grains Mercurius dulcis fifteen Grains Troches Alhandal three Grains Make Pills with Essence of Rosemary The Infusion or Extract of Spurge-root or the Infusion or Syrup of Briony-root given to half an Ounce are also proper Vomits are approv'd by all by reason of their squeezing Effects Such things also are to be used as provoke the Womb to Excretion or discuss insensibly such as Decoction of Calamint Pennyroyal Sage and white Onyon with Sugar also Castor Myrrh Saffron all Aromatics Elixir Proprietatis and the Decoction of the Woods Externally we use purgative Pessaries of Elaterium and dry Figs or of Coloquintida and Extract of Black Hellebor Sometimes we inject into the Womb the Decoction of the Leaves of Pennyroyal Savine Calamint c. in Water or human Urine mix'd with Electuary of Hiera but all will be rendred more effectual by premising Baths and Fomentations of emollient and expelling Ingredients And if one or both the Lips of the Privity are hydropic there 's nothing better than to foment with Lime-water The second Disorder relating to Conception is that of Barrenness occasion'd by the Indisposition of the Ovarium the narrowness of the Trumpets the defect of the nutritious Juice of the Egg the Laxity of the Womb Disorders of the external Parts and other occult Causes And if the Womb be ulcerated 't is incurable As for the Cure after the universal Evacuations aromatic Ingredients are proper for strengthening the Womb and the Ovarium such are Rosemary Sage Lavender Marjoram Baum Pennyroyal Roots of Burnet Setwal and Galangal Cassia Lignea Cardamoms Nutmegs and Myrrh To which in Cachectic and Scorbutical Cases we add Guajacum and Sassafras with other Sudorifics With these we join the specific Ingredients and such as gently provoke Venery viz. Satyrion Eryngo Rocket and Mustard-seeds Mosch Amber flesh of Vipers the Stones of a Hart or Boar the Matrix of a Sow Hare or Hind pulveriz'd the Spirit of Ants the Pouder of a human Secundine c. Externally natural Baths are profitable or artificial ones of the Decoction of aromatic Ingredients and that of Ants with their Nests Some commend Baths made of Hemlock or Fumigations with sweet-smelling aromatic Rosins such as Gum of Juniper Juniper-berries Amber Frankincense Storax Mastic c. and Pessaries prepar'd of the bruis'd Leaves of Fever-few and sprinkled with a little Oil of Spike After Barrenness we come in order to vitious or deprav'd Conceptions They are said to be such when the Subject of Conception departs from a human form and assumes that of other Animals intitling it to the Character of a Monster or continues a shapeless Lump void of Form and christen'd a Mola The immediate Cause of a Mola is the Confusion or Mixture of the nutritious Humour contain'd in the Chorion with that of the Egg upon which the Tracts of the Foetus delineated in the latter are effac'd by the former If this Confusion be very early it generats a watry vesicular Mola If its date be as late as the forming of the Vessels and their repletion with Blood it leaves a fleshy Lump which if the fibrous Threds are already spun out and enrich'd with Spirits is endow'd with a principal Motion This vitious Mixture is oftentimes occasion'd by violent Motion Passion or Heat 'T is a difficult thing to distinguish a Mola from a true Conception especially if a Child accompanies it in the Womb in which case it either kills the Child or causes Abortion However if we carefully observe we may discern a Mola by its much greater weight and by the measure of its motion which is either none at all or such as by its sluggishness is easily distinguish'd from the brisk Motion of a living Child If it possess the Womb alone it generally putrifies and entails the like mischief to the Womb. First of all we ought to observe carefully whether the Mola is join'd with a Child and if so we must endeavour to prevent Abortion and expect the exclusion of the Child with which the Mola is ordinarily expell'd But if the Mola is alone we must endeavour with all convenient speed to procure its ejection for which purpose we must use first preparative and then expelling Medicines Preparatives are Baths Fomentations Inunctions Clysters both for the Belly and Womb c. of emollient and laxative Ingredients Womb-Clysters must be of Oil those for the Belly of Milk In the next place a Vein must be opened first in the Arm and then in the Foot after which we may use strong Vomits either from Steel or Vitriol and powerful Purgatives such as the Faetid Pills those of Hiera with Colocynth or the Decoction of Senna Pennyroyal and Savin in Whey taken for three days successively To these we subjoin such Medicines as bring down the Terms and are intitled to an expulsive Faculty viz. Rue Mug-wort Penny-roal Savin Briony Gentian Asarabacca Dill Juniper-berries the Essence and Oil of Cloves the Decoction and distill'd
very troublesom anoint the Legs and Feet with the Oils of Dill and St. John's-wort and apply a Cataplasm of Chamomil-flowers or foment 'em with Quick-lime water If hydropic Tumours invade the external Privity foment it with Quick-lime Water and apply a Carminative Cataplasm Or if these prove successless apply Leeches or scarify the Part. If the Veins of the Legs are much swell'd so as to threaten a Rupture anoint 'em with the Ointment of Bay-berries and tie 'em round with a broad Swathe dip'd into some aftringent Decoction If the Hemorrhoids swell anoint with the Oil of the Balsam-Apple or apply a Cataplasm of the Pulp of boil'd Apples and Oil of Hoglice SECT VII Of Disorders relating to Child-birth THE regular Season of Delivery happens about nine solar Months after Conception or after ten periodical Revolutions of the usual Interval of the Fluxes of the Terms If this time be anticipated 't is call'd miscarrying supposing still that the Child is form'd for if the Egg be evacuated before it be form'd 't is call'd Expulsion The Cause of miscarrying is either the Irritation and Contraction of the Womb occasion'd by irregular Passions violent Motion drinking Wine especially in the first Months ungrateful strong Smells external cold acid Food the weakness or preternatural Situation of the Child the Disorders of the Kidneys Intestines and adjacent Membrans the Redundancy and Exaltation of the Mass of Blood or the Relaxation and Flaggyness of the Womb arising from excessive Bleeding want of Spirits immoderat use of Opium sudden Grief or Fear a Chronical white Flux c. The Signs of imminent Abortion are a heavyness about the Loins and Hips and wandring shooting Pains moving downwards from the Navel To which we may add a Lazyness Inappetency the Womb 's gathering it self into the form of a Globe incumbent upon the Share-bone Shiverings Tremblings Palpitations of the Heart the Efflux of Matter from the Womb and an involuntary bearing downwards Hippocrates look'd upon the flagginess and Extenuation of the Breasts or their voiding of Milk or Blood as a sign of miscarrying It prognosticats Barrenness Bleedings of the Womb c. As for the Cure of Abortion if the Foetus be already separated we ought to assist Nature in the Expulsion and on the contrary if Abortion be only threaten'd we ought to prevent it by Blood-letting if the Women be plethoric or otherwise by exhibiting the Decoction or Water of Vervain the Pouder or Tincture of Chermes-berries the Pouder or Juice of River-Crabs or the Tincture of Coral If the Spirits be much iritated Opium is allowable If the Womb be flaggy let a Cataplasm of Bdellium and Mastic dissolv'd in Vinegar or a Plaister of Galbanum and Tacamahac be applied to the Pubes or bathe the Parts with an Infusion of Allum in the first Months or let the Woman make use of the natural Hot-baths before Impregnation A Cataplasm of Yest or Bread bak'd with Pepper Cloves Cinnamom Mace and Wine applied to the Pubes is of good use against all sorts of Abortions If Abortion be caus'd by the Passions of the Mind or acid sharp Food use absorbent Pouders mix'd with Aromatics Opium cautiously used and Fomentations with astringent Decoctions are very proper If it proceed from external Cold Aqua Vitae and spirituous Liquors are requir'd If Swoonings usher it in the Tincture of Coral prepar'd with Spirit of Stag's Heart and the Confection of Hyacinth are useful A serous Cachexy is accounted for by the Decoction of Guajacum and the white Flux remov'd by cutting Issues in the Legs If Abortion cannot be prevented let the Woman after Miscarrying beware of the least degree of Cold and let the After-birth be cautiously drawn forth by the Midwife without giving any internal Medicines for that purpose for fear of occasioning a Flux of Blood which in this Condition Women are very liable to So much for Abortion If the Woman is come to her full time the first thing to be consider'd is if the Child presents in a right Posture viz. the Head first if not the Midwife must endeavour to set it right or else to pull it out by the Feet If the Posture be regular the next Task is to distinguish between the true and spurious Pains of Child-birth the spurious Pains are either Colic hysteric or nephritic which assume the form of the true ones and impose upon the Midwives under that cover They are cur'd by exhibiting the Spirit of Zedoary or Decoction of Cumin-seeds in Ale and rubbing the Belly and Back with hot Napkins or fomenting 'em with the Decoction of Carminative and Anodyn Ingredients whereas the true ones are rather irritated by that Method and besides are attended by these Signs viz. the down-falling of the Belly towards the Pubes the Progress of the Pains from the Loins downwards the opening of the internal Orifice of the Womb and the distention of the Membrans enwrapping the Child Now 't is highly pernicious for a Woman to bear down or endeavour the Expulsion of the Child before the appearance of these Signs Supposing then that the true Pains are come upon her we must endeavour to facilitat her Labour Now the Causes of hard Labour are the weakness and sickliness of the Mother her Spirits being exhausted by sweating or spurious Pains either antecedent or concomitant her being liable to the Passions of Fear Shame or whatever cramps her due Efforts or interrupts or inverts the Motion of her Pains the weakness of the Child its being intangl'd in the Navel-string or disturb'd by a fellow Twin the hardness and thickness of the Membrans enwrapping it the straitness or dryness of the Passages the former incident to stale Maids converted into Wives the latter following the untimely Efflux of the Waters the stiffness and resistence of the Share-bone and that of the Back call'd Coccyx the repletion of the Bladder and Intestins Excrescences in the Womb or neighbouring parts extreme Laxity of the Neck of the Womb disabling it for Contraction and Expulsion and a hydropic Tumour in the Child's Head or its leaning on the Share-bone In which last Case the Head ought to be put back by the Midwives hand otherwise all expelling Medicines do but augment the Evil. Now in order to prevent such Inconveniencies a few days before the hour of Delivery let the Woman bathe in the Decoction of Marsh-mallows Melilot Chamomil Pennyroyal Mug-wort Wild Thyme Baum Fever-few Seeds of Lint Fenugrec and Dill or apply Bags of the same Ingredients to her Belly anointing afterwards her Back Belly and privy Passages with an Ointment of Mucilages and emollient Oils When her Pains are just at hand 't will not be improper to inject a softning Carminative Clyster or exhibit Oil of Olives inwardly and anoint the Parts frequently If the Pains are discontinu'd the Woman must not be forc'd to bear down She ought rather to walk a little about and when the Orifice of the Womb is open and the Waters broke then let
her be plac'd on the Stool and incourag'd to a speedy Delivery If the Mother or Child be weak let her take a Glass of Cinnamom Baum Pennyroyal or the Compound hysteric Water mix'd with the Syrup of Orange-peel or of Mugwort c. When the Pains relent if the Child presents naturally and the Waters are broke and the Orifice of the Womb open'd we may exhibit aromatic and expelling Medicines but not otherwise The Aromatics are Dittany of Candy Sage Mugwort Saffron and especially Cinnamom which ought never to be omitted The expelling Specifics are a Draught of the Husband's Urine or of the Juice of Horse Dung mix'd with Wine Castor Oil of Amber given from ten to thirty drops in Pennyroyal Water with a few drops of the Oil of Cinnamom the volatil Salt of Amber given to fifteen Grains The Oil of Hazelwood given from fifteen to twenty five drops Troches of Myrrh or Pilulae Foetidae given to a Dram Borace given to a Dram the Pouder of the Liver of an Eel dry'd together with the Gall-bladder given to a Dram the Pouder of the Livers of Vipers or of Horses Stones given to a Dram Crude Mercury Fulminatory Gold and above all the Pouder of a dry'd human After-birth given to a Dram or its Spirit drawn from it when it has stood for a Month in a close Vessel in a Balneum Mariae given to forty Drops in the room of which we sometimes make use of the Spirit of Soot If the Pains recur frequently and the Woman be much fatigu'd we may add Laudanum Opiatum Take of the Pouders of an Eel's Liver and a human After-birth of each a Dram Myrrh or Borace two Scruples Make a Pouder for three Doses Take of the Water of white Lillies two Ounces Cinnamom Water half an Ounce Baum and Pennyroal Waters of each an Ounce Pouder of Horse Stones four Scruples Borace two Scruples Essence of Castor and that of Amber of each twenty Drops distill'd Oil of Nutmegs six Drops white Sugar two Drams Mix and give a Spoonful now and then Externally apply a Girdle of Snakes Cast-Coats or anoint the Belly with an Ointment made of them with Earthworms and the Juice of River-Crabs and the fat of a Fox or Hare Or Take of the Oil of Wall-flowers six Drams distill'd Oil of Amber a Dram. Make an Ointment for the same purpose Or Take of the fat of Vipers six Drams Oil of the Balsam-Apple three Drams distill'd Oil of Spike a Dram. Mix and anoint the Belly but be sure to wipe it off after Delivery Or Take of Galbanum dissolv'd in Vinegar an Ounce Myrrh two Drams Saffron half a Dram with Oil of Orris make a Pessary Some choose to apply a Cataplasm of the Decoction of Coloquintida Rue Myrrh and Meal of Barley If all these means prove succesless we must have recourse to sneezing Medicines made of Hellebor Marjoram Tobacco Pepper Castor c. and if these be ineffectual to Mercurius Vitae for a Vomit Sometimes Lusty Women accustom'd to drink Wine or that live in hot Climats are reliev'd by Blood-letting If the Mother be seiz'd by Convulsions or bleeding from within the Womb she ought to be immediately laid by a skilful hand If the Mother be dead and the Child alive in the Womb it ought to be cut out Ofttimes Child-birth is render'd difficult by the Death of the Child in the Womb in which case the same expelling Medicines are to be us'd but in larger Doses Besides the external Applications already injoin'd some recommend a Fumigation of the Womb with the Smoak of rotten Berries thrown into boiling Water or with the Smoak of Troches made of Myrrh Castor Snakes Cast-Coats Pigeon's Dung madder-Madder-roots and Ox Gall thrown upon burning Coals If all the means above-mention'd fall short of expelling the dead Child it must be pull'd out either all in one piece by hooks or cut into several Pieces This Symptom of a dead Child ought to be carefully minded not only about the time of Delivery but during the whole Course of the Woman's being with Child for fear of Mistakes in giving Astringents to prevent miscarrying when 't is actually dead or of indeavouring its Expulsion as being dead while 't is yet alive Now to prevent such Mistakes the following Signs will be of use When the Child is quite dead neither the Mother nor Midwife are sensible of the least Motion The Mother's Share-bone Lips Face and extreme Parts are cold her Breasts that were turgid are now become flaccid and their Milk serous she is seiz'd with a violent Shivering and Yauning Swooning and sometimes a Feaver pain of the Head and Stomac and dismal Convulsions her pains intermit of a sudden the Membran of the Child's Head is flaccid and oft-times the Excrements come forth before the Child In process of time her Breath becomes fetid and Water or corrupt Matter drops from the Womb. If the Child be alive it will move when the Womb is fomented with volatil Liquors when the Mother holds her hand in hot Water for some time when a green Leaf of Marjoram bruis'd or ones hand wet with cold Water or Bread soak'd in Spanish Wine is applied to the Belly and a Vein open'd in the Leg. If it do not you may conclude that 't is dead SECT VIII Of the Management of Women in Childbed AFTER the Woman is laid let her be wrap'd up with a Swathe of Linen about the Ribs and carefully arm'd against Cold Anger Fear and strong Smells Let her abstain from sleep for some hours and take a Glass of warm Wine with a Toste for strengthening quenching Thirst and preventing the Symptoms that ofttimes insue After some hours she may take a potch'd Egg with Cinnamom or Zedoary or some Drops of the Tincture of Coral prepar'd with the Spirit of a Stag's Heart After three or four days if she be very Costive her Belly may be open'd with Balls of Civet or Clysters or Elixir Proprietatis taken inwardly The most material Circumstance relating to a Woman in Childbed is the separation of the Secundine for if any part of it remain it putrifies and produces tragical Effects The Causes of its retention are the Influence of cold Air the Tumour and straitness of the internal Neck of the Womb the Corruption or breaking of the Navel-string by which 't is generally pull'd out and the firm adhesion of the Secundine to the Womb. Sometimes indeed if it be united with the Womb and receive nourishment directly from it without the Foetus it may remain unputrify'd in the Body But for the most part its Nutrition is receiv'd from the Foetus and its Adhesion is occasion'd by the early Egress of the Child or want of due Motion in the Mother or by external Violence The Symptoms that attend it are an acute Feaver Pain and swelling of the Belly Gripings about the Region of the Womb a stinking Breath difficult Respiration and voiding of corrupt matter or Blood from the Womb. If
it continue long it may occasion Ulcers and Gangrens In order to prevent this Inconvenience the Midwife ought to tie the Navel-string to the Woman's Thigh till she be ready to draw forth the Afterbirth And then the Mother ought to be incourag'd to promote its Egress by Sneezing Coughing and in Case of Extremity Vomiting If all prove ineffectual let the expelling Medicines abovemention'd be administred especially the Spirit and Pouder of a human Secundine Myrrh Saffron Amber Castor and Borace If the After-birth be already corrupted in the Womb exhibit Elixir Proprietatis extracted with the Spirit of Venice Triacle camphoris'd In the interim let sharp irritating Clysters be injected and Pessaries of expelling Ingredients put up into the Womb. Glauberus orders a Mixture of Sal Armoniac and Salt of Tartar to be put into a Glass with a long Neck thrust into the Womb. Some anoint the parts with the Oils of Coloquintida Wall-flowers Savine Amber c. and order Fumigations of Myrrh Cinnamom Galbanum Castor Opoponax and Black Hellebor form'd into Troches with Cow's Gall. If these Prescriptions are still successless the Midwife must put her hand into the Womb and draw it out or if that cannot be done its Putrification must be promoted by injecting emollient Decoctions of Marshmallows Pellitory of the Wall Chamomil c. mix'd with Aloes Myrrh Oil of Roses and Vinegar of Wine to which we may add Lime-water Vnguentum Basilicon and a small quantity of that call'd Aegyptiacum After the Expulsion of the After-birth the next step is to regulate the Flux of the Lochia or the Child-bed Purgation If they are deficient we ought to consider if they are not voided some other way as by the Nostrils Stool c. In which Case we ought not to disturb Nature unless grievous Symptoms oblige us Besides if the Woman was wont to void but a small quantity of her monthly Courses or if she suckle the Child we are not to expect so large an Evacuation as otherwise The natural Method of this Flux is such that Blood is voided four days after Delivery from thence a watry Liquor like the washing of Flesh till the seventh day after that a viscous and serous Humour untainted with Blood continues to flow till the fourteenth or twentieth day Now the Causes of the Suppression of this Flux are external Cold drinking cold Liquors Anger Fear Grief Shame and the Collection of clotted Blood or viscid Humours in the Womb. The Symptoms of a Suppression are the Distention Hardness and Pain of the Belly a beating Heat about the Loins and Groin a shivering Feaver Headach difficult Respiration Swooning cold Sweats Doating and frequently Death If the Womb be inflam'd if a Pleurisy Dropsy or spitting of Blood insue 't is a dangerous Case As for the Cure of a Suppression of the Lochia if the Blood and Feaver boil high if Headachs difficult Respiration and such like Symptoms of the upper Region molest the Person let a Vein be open'd in the Arm and after the use of some internal Expellent open the Saphaena or apply Leeches to the Vagina or scarifying Cupping-glasses to the inside of the Thighs The internal Medicines are those of an expelling Virtue recommended above especially Myrrh Saffron Borace Amber Zedoary and Elixir Proprietatis If the Blood be clotted Castor and Sperma Caeti with Crabs-eyes and Wine are proper to which we may add some Grains of Laudanum Opiatum in case of violent Headachs and other Pains Externally let the Abdomen be fomented with the Decoctions of Chamomil Savine and wild Thyme and anointed with a Mixture of the Oil of Wall-flowers and the distill'd Oils of Cumin Juniper-berries and Amber applying afterwards a hot Brick or a Bag either dry or boil'd in Wine of Wormwood Chamomil Fever-few Angelica-roots the four great hot Seeds and Juniper-berries If the Urine be also stop'd apply to the lower Belly a Cataplasm of Chervil Pellitory of the Wall and Oil of Scorpions In the mean while it will not be improper to inject Clysters of the Decoctions of Specifics for the Womb and stimulating Ingredients and to order Fumigations from Coloquintida the Dross of the Regulus of Antimony Troches of Myrrh Bdellium c. Some put into the Vagina a little Bag of black Hellebor In a word this Symptom and that of a Suppression of the Terms require the same Cure Instead of a Suppression of the Lochia sometimes we meet with an immoderat Flux of Blood attended by a Prostration of Strength dimness of Sight tingling of the Ears and Swooning If the Blood be of an obscure and blackish Colour it proceeds from the Veins if its Colour be florid and a yellowish scarlet it comes from the Arteries and portends Danger The Causes are 1. The Redundancy and watry thinness of the Blood 2. It s Turgescence and accelerated Motion occasion'd by the abuse of spirituous Liquors in time of Labour or the administration of expelling Medicines 3. The Wounds of the Womb caus'd by the violent pulling of the After-birth in case of miscarrying or of its firm Adhesion to the Womb. 4. The Irritation of the Womb occasion'd by a Mola or Clots of Blood or pieces of the After-birth remaining The Cure is vary'd according to the respective Cause If the Blood be thin Sudorifics and Incrassating Ingredients are proper If it be overturgid Purslain Plantane Tormentil Loostrife and Acids take place If the Womb be wounded the Decoctions of Chervil and vulnerary Ingredients are recommended If a Mola or Pieces of the After-birth remaining cause an immoderat Flux we must be cautious of using strong Expellents because they promote the Flux But Aromatic Ingredients mix'd with Astringents may be safely administred Such are Tormentil Bistort Marjoram Pennyroyal Mugwort Troches of Amber c. In general all Preparations from Quinces the Pouder of Sea-horse Teeth given to a Dram the Preparations of Steel Blood-stone seal'd Earth burnt Hartshorn the solar Tincture of Steel given to fifteen Drops and the Tincture of the Sulphur of Vitriol given to thirty Conserve of Roses and that of Comfry-roots with Laudanum Opiatum and in case of extremity Allum given to half a Dram These I say are generally approv'd in all Cases Externally apply Cupping-glasses under the Breasts or foment the Breasts and Genitals with a cold Mixture of Vinegar Juice of Housleek Nitre and Water of Frogs Spawn or apply a Cataplasm of Soot Vinegar of Roses and the Whites of Eggs to the Loins Some order Decoctions of astringent Ingredients and Hogs Dung in Smith's Water to be injected into the Womb. Others recommend a Girdle of black Hellebor-leaves ty'd round the Body The Redundancy and Turgescence of the Blood admits of bleeding in the Arm but no other Cause With reference to the Extraction of the After-birth and Regulation of the Child-bed Flux we ought to take notice of the After-pains that ofttimes succeed to Delivery These After-pains are call'd genuin when they 'r seated in the Womb as being only
a Continuation of its Contraction and expulsive Endeavours occasion'd by the irritation of the Womb from cold Wind clotted Blood the Remainders of the After-birth c. or its being wounded by sharp humours or a violent tearing of the Secundine They are styl'd spurious when they 'r lodg'd in the Guts and assume the form of Colic Pains The genuin ones are confin'd to the lower Belly and move downward whereas the others are more floating and direct their Course upward especially towards the left Hypochondrium If these Pains proceed from Cold we order a Fumigation of the Womb with Nutmegs if from clotted Blood we administer the Decoction of Chervil and Sperma Caeti inwardly If they occasion a Suppression of the Lochia â—â—ro the Irritation and Constriction of the Neck of the Womb let the Tincture of Tartar and Essence of Myrrh be exhibited If the Excoriation of the Womb gave root to 'em the Oil of Sweet Almonds and vulnerary Decoctions mix'd with Chalybeats give relief In general the Decoction Spirit and distill'd Oil of Chamomil is universally approv'd as an admirable Specific against all after-Pains To which we add ofttimes Elixir Proprietatis Zedoary Mug-wort Castor the Pouder of a human After-birth and the Carminative-seeds are likewise proper Ingredients In the last Extremity we are oblig'd to have recourse to Laudanum Opiatum Externally we foment the Womb with the Decoction of Mugwort and anoint it with the Oils of Chamomil Wall-flowers Cumin Dill Earth-worms c. and apply the Plaister of Galbanum call'd Matricale or carminative Cataplasms As for spurious Pains we treat 'em as Colics Sometimes Women in Child-bed are seiz'd with a Drousyness Swooning and Anxiety about the Stomac and Hypocondria which in effect are the Symptoms of a hysteric Passion and are remov'd by volatil Salts as Castor Spirit of Sal Armoniac c. and Antihysteric Clysters But if these Symptoms are attended by a Difficulty of Breathing they threaten an acute Feaver which forbids Clysters and requires a much different Cure of which more anon The Convulsions of Women in Childbed are generally retainers to this hysteric Passion or the Suppression of the Lochia and are cur'd by Myrrh and Castor join'd to succinat Spirit of Hartshorn and absorbent Pouders Sometimes hard Labour causes Excoriations Tumors or Rents on the Privity The first and last are cur'd by applying a Liniment of the Oil of St. John's-wort Balsam of Peru and Yelks of Eggs the second by fomenting with the Decoction of Chamomil and Elder-flowers in Wine and Water and applying a warm Cataplasm of fresh Brook-lime and Chamomil-flowers beaten together If the Capacity of the Vulva be so inlarg'd that the Rent passes through the Perinaeum let the Woman avoid all motion of coughing and apply the following Glue to the Lips of the Wound Take of Comfry-roots two Drams Bole Armenic Mastic Dragon's Blood Sarcocol fine Flower and Pompholix of each a Dram. With Rosin of the Pine-tree and the Whites of Eggs make a gluy Substance If the Lips of the Wound are already cover'd with Scars we treat it the same way as a Hair Lip If it be inflam'd and tend to a Gangrene we cut off the corrupt part wash the sound Flesh with Lime-water and cover it with the Balsam of Sulphur If the Woman in Child-bed be Costive or troubled with the dry Piles exhibit a very gentle Laxative and foment the Anus with emollient Decoctions If a Looseness seize her while the Lochia are suppress'd it ought not to be stopp'd any other way than by administring Specifics for retrieving the Flux of the Lochia But if their Flux continues or if an acute Feaver attend the Loosness it ought to be curb'd betimes by exhibiting Sudorifics and proper Specifics against Loosnesses and applying to the Navel or Stomac the Oil of Amber mix'd with the distill'd Oil of Mace If the Sphincter of the Bladder be so relaxated by the distention of Childbirth or the roughness of the Midwife's Hands that the Woman cannot retain her Urine she must foment the Parts with aromatic and astringent Decoctions and hang the Pouder of Toads in a Bag over her Breast or have recourse to the natural Hot-baths If Clots of Blood collected in the Passage for Urine occasion its Suppression let the Pubes be anointed with Oil of Scorpions and the Decoction of Chervil Chamomil and Sperma Ceti be us'd both inwardly and outwardly If hard Labour occasion wrinkles in the Belly let it be anointed with a Liniment of the Oil of Nutmegs Sperma Ceti Saffron and Wax The remaining Disorders incident to Women in Child-bed are the Milk-feaver and acute Diseases The occasion of the former is this The nutritious Juice that was wont to be measur'd out for the Child in the Womb stagnats in the Blood after Delivery and about the fourth day raises a feaverish Thirst and Fermentation by virtue of which 't is precipitated into the Breasts and converted into Milk while the remaining Recrements are voided by a natural Sweat about the seventh day If this Feaver be troublesome 't is alleviated by promoting the Flux of the Lochia especially if the Woman do not design to suckle her Child as the fix'd Salts with Diaphoretic Antimony and Myrrh or gentle Sudorifics will answer those who make account to suckle In general there 's nothing more friendly to Women in Childbed than continued breathing Sweats If anxiety and difficulty of breathing attend this Feaver we must have recourse to the expelling Emulsions of the Seeds of Turneps Columbines c. If the Breasts be hard and molested with pain foment 'em with the Spirit of Sal Armoniac and the Essence of Saffron and apply a Plaister of Saffron and Galbanum The acute Diseases of Women in Childbed are for the most part malignant and usher'd in by malign Symptoms If a Feaver is occasion'd by a Suppression of the Lochia we must endeavour to recover their Flux If the Lochia continue to run we must be cautious of exhibiting strong Sudorifics against the Feaver for fear of occasioning an untimely Suppression But withal remember to keep it within bounds and restrain it if there be occasion lest the Malignity should gain force by the excessive loss of Blood In general the Cure is perform'd by avoiding the least degree of cold and taking Sudorifics such as Mineral Bezoar Diâ—phoretic Antimony Cinnabar of Antimony the â—olatil Salt of Hartshorn and the fixed Salts mix'd with Myrrh and Amber in case of a Supprestion of the Lochia or with Astringents when they exceed measure exhibited in the Water of Swallows with Castor for a Vehicle Purging Clysters Blooding and sweet Syrups are generally noxious especially if the Feaver be very malignant attended by a tingling of the Ears heavyness of the Head difficulty of Breathing c. Tho the Person be molested with Thirst Acids ought to be cautiously us'd by reason that they may provoke the Womb or stop the Childbed Flux The Gelly of Hartshorn and Juice
of Citrons or the Tincture of Columbine and Blewbottle-flowers and such like temperat Acids are the best If the Person be frequently seiz'd with slight Shiverings and little pricking Pains in the Back 't is a sign of miliar Eruptions which if they be white are dangerous Before their Eruption absorbent Diaphoretics are proper after their appearance Emulsions of the expulsive Seeds the antiscorbutic Tincture of Coral and the Essence of Myrrh ought to be added SECT IX Of the Disorders relating to Suckling THE nutritious Juice that was wont to be measur'd out for the Child in the Womb stagnats in the Blood when the Womb is empty'd and contracted This Stagnation is follow'd by a Fermentation or Milk-feaver and that by a Precipitation of Serum which being strain'd thro the Glandules of the Breasts and thicken'd by their acid Ferment is converted into Milk and fitted for the Nourishment of new-born Infants The Accidents which thwart Nature in this its Design are such as either impair or over-mulâ—iply the quantity of Milk or else deprave it Those which impair the quantity of Milk are the artificial Compression or preternatural Obstruction of the Glandules and Passages in the Breasts the meagre dry Constitution of the Woman's Body much sweating or voiding large quantities of white Serum in the Childbed Flux drinking of acid Liquors or austere Wine Grief Fear Anger and Childbed acute Diseases to which we may add the want of a sucking Force in a weak Child Now in order to supply Milk we order juicy Food and the Decoction of Elder-flowers in Milk or that of Earth-worms and Fennel-seeds for drink The Seeds of Anis Caraways and Dill or their distill'd Oils are also very proper Prepar'd Crystal and Marle from Rocks indirectly promote the increase of Milk by subduing the Acid that thwarts it Externally we order the Breasts to be rubb'd with a rough Cloth after eating and fomented with the Decoction of Fennel-seeds Marshmallows Mint and Elder-flowers in Milk or anointed with the Oil of Worms mix'd with a few Drops of the distill'd Oil of Anis and cover'd with a Cataplasm of the Meal of Barly Marshmallows and Yest Contrary to this Symptom is the Redundancy of Milk caus'd by the Laxity of the Glandules in the Breasts or the over-acting of a volatil Acid which promotes the Precipitation It is follow'd by a distention of the Breasts pain in the Back swelling of the Glandules under the Arm-pits and sometimes a Corruption of the Breasts if it stagnate there or by an universal Weakness if it be evacuated If it coagulat and distend the Breasts we endeavour to promote its Egress by sucking and applying the Plaister of Sperma Ceti and above that hot Bags quilted with Millet-seeds Rice and Barly If the Milk be free from Coagulation in the Breasts we foment 'em with the Decoction of Mint Hemlock Cumin-seeds and Allum in Water and Vinegar or apply Cataplasms of the Pouder of Mint Bread Vinegar and Salt Some commend the Juice of Plantane and the Plaister of Hemlock Internally we exhibit the cold Antivenereal Specifics Besides the Deficiency and Redundancy of Milk there remains yet another Disorder relating to the same Class viz. its Corruption or Curdling occasion'd either suddenly by the quick Retreat and Perturbation of the Animal Spirits through Grief and Fear or gradually by its mixing with acid Lymph in the Glandules of the Breasts and lingring beyond its due time The Symptoms of curdled Milk are the unequal Swellings of the Glandules of the Breasts at first free of pain but afterwards follow'd by a violent Heat Redness pinching Pain and Inflammation that perhaps degenerats into Imposthums Fistula's Schirrus's or Cancers The Cure which ought to commence betimes consists in discussing the Swellings and dissolving the curdled Milk or else promoting its Suppuration The Discussion is obtain'd by giving inwardly Sperma Ceti to a Dram or Crabs-eyes and Myrrh with Diaphoretic Antimony and fixed Salts or the Pouder of Woodlice to a Dram or the Spirit of Sal Armoniac to a Dram in order to sweat After sweating we apply a large quantity of the Plaister of Sperma Ceti and cover it above with hot Bags of Rice Millet-seeds and Barly or if that Plaister be ineffectual that of Galbanum with Saffron cover'd in like manner the Breast being bath'd twice a day with a Mixture of the Spirit of Sal Armoniac Essence of Saffron and ordinary Spirit of Wine If the Breasts be much inflam'd or seiz'd with St. Antony's Fire the Woman is molested with feaverish Shiverings and a beating Pain in the middle of the Swelling In this case let the Milk be forcibly suck'd let the Decoctions of Mint and Chervil with the above-mention'd Sudorifics be administred and Hony spread upon gray or blew Paper be apply'd to the Breasts The Phlegm of Vitriol strip'd of Acidity the Water of Frogs Spawn and especially that of Quick-lime are very useful for external Fomentation Some order River-Crabs bruis'd to be applied to the Breasts But above all a Cataplasm of the Meal of Beans Lentils and Lupins boil'd in Vinegar and Water and mix'd with the Whites of Eggs is most effectual For St. Antony's Fire let the Syrup of Elder spread upon a Linen Cloth be applied to the Breasts and renewed every hour If Discussives prove successless we must endeavour to ripen the Swelling by bathing it twice a day with Essence of Saffron and Spirit of Sal Armoniac mix'd and applying Mynsichtius's Plaister of Galbanum with Saffron mix'd with Diachylon 'T is usual to apply Cataplasms of the Juice of Smallage Juice of Sheeps-dung c. But they generally create pain Perhaps the following Cataplasm may not be amiss Take of the Roots of Orris rosted Onyons of each three Ounces Yest two Ounces Yelks of Eggs in number three fresh Hogs Tallow half an Ounce Oil of Roses Meal of Beans and Linseed of each two Ounces Make a Cataplasm When the Swelling becomes soft it ought to be open'd with a Lance because tho the Glandule and Fat be easily dissolv'd by the purulent matter yet 't is not able to break through the Skin without insufferable pains After 't is open apply Tents cover'd with Balsam of Peru or Oil of the Balsamin Apple Oil of St. John's-wort or the common Digestive of Turpentine Hony and Yelks of Eggs or above all the Oil of Man's Ordure In case of a Fistula wash it with the Decoction of Agrimony Allum and Myrrh and apply the following Ointment Take of the Juice of Agrimony an Ounce Aloes Myrrh Sarcocol and plumous Allum of each a Dram. With Hony make an Ointment Ofttimes these Swellings elude the Operation both of discussing and suppurating Medicines and become hard painless Scrofles or Schirrus's the former arising from curdled Milk the latter from clotted Blood fix'd by a powerful Acid after the Inflammation In this Case Gum Ammoniac Galbanum the Plaister of Hemloc and a Liniment of the Juice of Nightshade with Lytharge are proper for external
hungry Habitations to a fat Pasture In particular she ought to avoid Acids Sweetmeats Cheese Wine Summer-fruits or whatever is apt to curdle and clot the Milk And as her Diet ought to be clean and regular so she ought to preserve a calm dispassionat temper of Mind since Fear Anger and Grief clot the Milk by diverting and withdrawing the Spirits that should keep up its equal temperature Nay the influence of Fear and other Passions is visible in the natural Marks that are intail'd to Children in the Mother's Womb by the violent Motion of the Mother's Spirits determin'd upon one part and by the way these Marks are cur'd by applying frequently a hot bloody Secundine or Clouts dip'd in Menstrual Blood and the touch of a dead Child's hand Some apply Clouts dip'd in the Blood of Toads or Fernelius's Aqua Divina or in case of extremity cut 'em off If Fear or Passion actually prevail and cause the Coagulation of Milk let the deprav'd Milk be first suck'd out by a Puppy and the Medicines recommended against the same Symptoms in the foregoing Book be exhibited before the Child be admitted to suck In general the curdling of the Milk is best prevented by eating Anise and Fennel-seeds after Meals and abstaining from cold drink or avoiding any external Cold especially by diverting the menstrual Purgation and shunning the Emotions of Venery which by curdling the Milk in the Child 's Stomac frequently entail to it an Antipathy against Cheese as being a natural resemblance of the curdled Milk that was wont to annoy it After the Child has suck'd about a year it ought to be weaned especially a little after the Equinoxes during the increase of the Moon The chief Inconvenience Children are liable to is drinking in the Nighttime which swells up their Belly and occasions Loosenesses and many other bad Symptoms To prevent this let the Essence of Wormwood be mix'd with their drink or if these Evils prevail already exhibit a little Spanish Wine and apply Aromatic Bags to the Belly Besides as for the other Food of young Children it ought to consist of white Bread dry'd and beaten small Yelks of Eggs and Aniseed boil'd in Milk or Water to the Consistence of a thin Pulp That which is commonly made of Flower and Milk or Water is fitter for Paste than any thing else for it lies heavy in the Child 's Stomac and degenerats into a viscous tough Crudity whereas the Bread being already fermented is sooner and more easily digested 'T is customary among Nurses to attenuate the Child's Food in their own Mouths before they give it and indeed 't is true that a healthy Nurses Spittle is of use for promoting the quick Digestion But if scorbutic Salts be lodg'd in her Gums or if a Cacochymy prevail in her Body it is too apt a Vehicle for conveying a morbifical Tincture into the Child's Body These premises if duly weigh'd will furnish us with a distinct Idea of the Causes of Childrens Diseases The Excrements retained and vicious Milk or Pap receiv'd into the Stomac degenerat into an acid Crudity which if imprison'd in a viscid Vehicle displays its force within and if diluted with a thinner Serum breaks out upon the Skin in various Eruptions From this Source it were easy to derive all the particular Diseases of Children their violent Gripings and voiding of discolor'd Excrements the generation of Wind and distention of the Belly Vomiting and Inappetency Hiccough Watchings Convulsions and the numberless Train of cuticular Eruptions or aches on the Skin occasion'd partly by the Efflux of a ferous acid and partly by a want of due transpiration which obliges it to stagnat in the out parts Now forasmuch as all these Diseases of Children are deriv'd from one Cause and consequently demand the same Method of Cure 't will be needless to trace every distinct Symptom apart and therefore we shall content our selves with a general Account of the Method of Cure And indeed if the foregoing Hypothesis be duly considered and understood 't will be an obvious Consequence that the Basis of the Cure falls upon Alcalies or such Medicines as discuss a viscid Crudity and imbibe an acid These are first the volatil Alkalies especially the Spirit of Sal Armoniac succinat which tho dreaded by some is recommended by experience as an incomparable Medicine for Children 'T is given in the Mother's Milk or in Mint or Fennel-water To this Class we may join oily Aromatics as Aniseed given in Pouder to half a Dram Castor Myrrh and Elixir Proprietatis prepar'd without Acids In the second Rank we place the fix'd absorbent Alcalies viz. Coral Crabs-eyes Pearl Sea Horse-teeth Ivory Bezoar-stone To which we may add the Tincture of Tartar or that of the Dross of the Regulus of Antimony and Venice Triacle or Mithridate given to two Grains stronger Narcotics and more generous Medicines being improper As for example Take of prepar'd Crabs-eyes half a Dram Hartshorn prepar'd without fire half a Dram prepar'd red Coral half a Scruple choice Myrrh six or nine Grains Venice Triacle three or four Grains distill'd Oil of Anise three or six Drops Make a Pouder Or Take of Hartshorn prepar'd without Fire a Scruple Crabs-eyes and red Coral of each half a Scruple volatil Salt of Hartshorn six Grains Venice Triacle four Grains choice Myrrh three Grains Make a Pouder of which give a convenient quantity in Milk or Pap. Take of Elder-flower-water two Ounces Spirit of Sal Armoniac fifteen Drops Hartshorn prepar'd without Fire the Jaw-bone of a Pike and prepar'd Unicorn of each half a Scruple Syrup of Poppies two Drams Make a Potion to be given by little Spoonfuls Now the acid Crudity being thus subdu'd and prepar'd it remains only to make Provision for its Evacuation first by Clysters of the Decoction of Chamomil-flowers mix'd with Salt of Tartar Hony of Rue and Oil of Anise or those of Milk with Turpentin dissolv'd by the Yelk of an Egg or in a difficult Case thus Take of the Decoction of Carminative Ingredients with Salt of Tartar two Ounces Sala's Emetic Syrup two Drams Hony of Roses two Drams Make a Clyster If a viscid Slime stuff the Breast we may exhibit for a Potion three Drams of Hyssop Water half a Dram of the Syrup of Tobacco and a Scruple of Sala's Emetic Syrup mix'd or half an Ounce of Mint-water with half a Dram of the Emetic Syrup As for Purgatives take what follows Take of the Solutive Syrup of Roses two Drams prepar'd Crabs-eyes half a Dram prepar'd red Coral twelve Grains With a few Drops of the Spirit of Anis make a Mixture Or Take of the Pouder of Jalap six Grains Tartar vitriolat half a Scruple Make a Pouder Manna given to two or four Drams in Breast-milk or Pap is also a good Laxative But above all sweet Mercury is the most effectual Correcter and Evacuater of acid viscous Humours especially upon the approach of the Small Pox or Measles 'T is given
at the rate of a Grain for every year of the Child's Age. As Take of the Pulp of Raisins half a Dram sweet Mercury a Grain and a half Pouder of Jalap three Grains Make a Bolus If Mercury be insufficient Fulminatory Gold given to a Grain with Ivory and Pouder of Sea-horse-teeth is a notable Medicine especially if the first Passages be stuff'd It operats more fiercely in wean'd Children than those that suck by reason that the Milk tempers it These Medicines if discreetly manag'd will answer all Diseases in Children particularly the gripings they are so liable to which are attended by prodigious unquietness and voiding of clotted or green Excrements or at least such as are first yellow and afterwards become green by reason of the freer Effervescence of the curdl'd Acid with the Bile These we cure by the above-mention'd Clysters or those of Milk when the yellow Excrements are thin and sharp and Mixtures of aromatic Waters volatil Salts and fix'd Alkalies and when all prove ineffectual by exhibiting a Grain or two of Aurum Fulminans in black Cherry-water Externally we anoint the Belly with distill'd Oils of Mace and Anise mix'd with the express'd Oil of Nutmegs or if the matter be very viscous with an Ointment made of Gum Ammoniac Turpentin Aloes Hogs Tallow fresh Butter and distill'd Oil of Anise If the Belly be distended by Wind we exhibit the Pouder or distill'd Oil of Angelica-roots Aniseed red Coral and the Water of the Oak of Jerusalem and anoint the Belly with Oil of Chamomil and distill'd Oil of Anise If the Child vomit often 't is a Sign of a strong Stomac and ought not to be stopt especially if it proceed only from a Redundancy of Milk but if the Milk be corrupted and the matter discolour'd we exhibit a Pouder made of Nutmegs Coral and Cloves or Cinnamom-water and distill'd Oil of Cloves Externally we inject Clysters and anoint the Belly and Stomac as above Against the Hiccough vomiting is proper as also Aniseeds Venice Triacle and distill'd Oil of Cloves or Joel's Pouder of burnt Hartshorn and red Coral For Costiveness which frequently causes the Distention of the Belly difficult Respiration and many other bad Symptoms we order 'em Mouse-dung dissolv'd in Milk or in case of extremity Sweet Mercury and Aurum fulminans Externally we inject Clysters of Rape and Linseed Oils sharpen'd with Extract of black Hellebor or Suppositories of Venice Soap or apply to the Belly rotten Apples with Goose Fat and Oil of Coloquintida or in case of Extremity the Ointment of Sow-Bread mix'd with Bull 's Gall and Oil of Coloquintida Ofttimes the stagnation of sharp Sweat or the neglect of shifting of the Child galls the tender Skin under the Arm-pits or about the Genitals then we order the part to be first wash'd with warm Water and then sprinkl'd with the Precipitat of the Vitriol of Steel mix'd with Chalk Ceruse and Sugar of Lead Sometimes much crying or coughing will force the Caul or one of the Intestines into the Navel-string and so distend the Navel and relax at the Peritonaeum against which Inconvenience we exhibit Aniseed inwardly and anoint the Navel with Oil of Eggs or Bear 's Fat mix'd with the Seed of Thorowteasel and with a Roller fasten upon it a round Ball of Mastic and red Wax or Turpentin If the Navel be inflam'd we anoint with Oil of Roses mix'd with Ceruse and Sugar of Lead and apply the Plaister of Sperma Ceti Sometimes crying coughing or much Wind in the Belly occasions a Rupture which we cure by applying a Plaister of the Skins of pickled Eels boil'd to a Consistence in Lye and bathing with astringent vulnerary Decoctions Sometimes a watry Tumour distends the Scrotum and feigns a Rupture this is cur'd by fomenting with the Juice of Goat's Dung and applying the Dung it self as a Cataplasm A Tenesmus or Down-falling of the Anus is cur'd by Fumigations of Pine-tree-Rosin Sarcocolla Bay-berries and Fennel-seeds and applying Bags quilted with Mullein-flowers Bran Cummin-seeds and Bay-berries A Suppression of Urine caus'd by a pituitous Humour in the Passage is cur'd first by cleansing the Body with Mechoacan and solutive Syrup of Roses and then exhibiting the Decoction of Vetches and Fennel-tops with some Drops of the Spirit of Turpentine and Emulsions of Violet-seeds with the Water of Elder-flowers or of Restharrow and anointing the Pubes and Perinaeum with Oil of Scorpions and that of Wax or applying Cataplasms of Chamomil rosted Onyons and Oil of Scorpions An Incontinence of Urine is removed by fomenting the Sphincter of the Bladder with astringent Decoctions and giving inwardly Castor Myrrh and Oxymel The Thrush or Wheals that frequently beset Childrens Tongues Throat and Stomac and sometimes the Guts as appears by scaly Excrements are cur'd by washing 'em with speedwel-Speedwel-water and Juice of Turneps or applying a Liniment of the Mucilage of Quinces extracted with the Water of Frogs Spawn mix'd with Juice of Houseleek and Allum or Hony of Roses mix'd with Spirit of Salt If the Gums be putrify'd gargle the Mouth with the Decoction of Chervil and Sage in Water mix'd with Hony and a little Vinegar Stubborn Watchings are frequently the Harbingers of an Epilepsy and therefore ought to be obviated betimes by exhibiting gentle Laxatives and Emulsions of Sweet Almonds with absorbent Pouders Perhaps Venice Triacle or Mithridate and the Rinds of Poppy-heads boil'd in Milk are not amiss but the Preparations from Poppies are to be cautiously us'd if the Children be very young Externally we bathe the Temples with the Nurse's Milk mix'd with Saffron and anoint the Breast and Pit of the Neck with an Ointment of express'd Oil of Nutmegs and the distill'd Oils of Rue and Amber An Epilepsy is also usher'd in by a starting and frights in sleep occasion'd by the violent Excursion of the Spirits which requires the same Cure as an Epilepsy Now an Epilepsy for the most part seems to proceed from a provoking Acid in the Guts and is cur'd by Alkalin Absorbent Pouders such as Cinnabar of Antimony Unicorn's Horn Crystal Sea-horse-tooth and especially Amber and Misletoe of Hazel-wood and the Pouder of the Moss call'd Wood Claw If these be insufficent we add to them the volatil Salt of Amber or which is yet better the Spirit of Hartshorn impregnated with Amber But above all the Sulphur of Antimony or Fulminatory Gold each of 'em given to a Grain are the most effectual Medicines Convulsions are frequently caus'd by the breeding of Teeth especially the sharp Eye-teeth whose original soft Pulp being harden'd about the sixth or seventh Month begins to force its Passage through the Gums and consequently irritates the nervous System contracts the salivating Glandules and occasions that observable Heat and Efflux of Serum to the Mouth and the Inflammation of the adjacent Parts This Symptom is cur'd by keeping the Belly open and applying to the Gums the Mucilages of Fleawort and Quince-seeds extracted with the Water of Frogs
thro a Sieve and add to it of Horse-dung three Ounces Oil of Chamomil an Ounce and a half rosted Onyons two Ounces Make a Cataplasm Common Soap dissolv'd in hot Milk is also very proper Take of the Mucilages of Marshmallow and Fenugrec-seeds extracted with the Decoction of Figs of each an Ounce Goose Fat six Drams Oil of Chamomil and Oil of white Lillies of each half an Ounce Mix and add of the distill'd Oil of Turpentin a Dram stinking Oil of Tartar a Scruple Make a Liniment Take of the Plaister of Henbane two Ounces Gum Ammoniac dissolv'd with a gentle Heat an Ounce Mix and make a Plaister The discussive Ingredients are endow'd with volatil subtil hot parts for subduing the Acid melting down the thicken'd Humour and opening the Pores Such are the Roots of Fennel Elecampane Flower-de-luce Birth-wort Pellitory of Spain and Ginger the Leaves of Dill Chervil Rosemary Marjoram Calamint wild Marjoram Lavender and Hyssop the Flowers of Roman Chamomil Lavender Rosemary and Saffron Juniper and Bay-berries the Seeds of Cumin Anise and Caraways all the Spices Castor Storax the Spirit of Wine camphoris'd the Essences of Aromatic Plants their distill'd Oils c. The Decoctions of such Ingredients are us'd both for Fomentation and Fumigation Cataplasms Liniments and Plaisters are likewise in use but Care is to be taken that no oily Ingredient stop the Pores of the Skin The ripening Ingredients ought to be 1. Moist and juicy for dissolving the two combatant Salts that promote Suppuration 2. Oily and temperate and 3. Indow'd in some measure with a penetrating Virtue in opposition to the fix'd Acid. Such are Marshmallow-roots white Lillies rosted Onyons and Garlic the Emollient Seeds Flowers Oils Ointments Plaisters c. The general Doctrine of Tumours being thus premis'd we proceed to the Description of particular Swellings which we cast into four Heads 1. Those that proceed from the Stagnation of Blood 2. Such as are Critical 3. Such as arise from the Depravation of the Lymph and 4. Those which relate to the Blood-Vessels 1. Under the first Head we comprehend Inflammations Blood-shot and St. Antony's Fire Inflammations are cur'd thus Inwardly we exhibit the same Medicines as we prescrib'd for a Pleurisy to which we add Nitre by reason of the Feaver that accompanies ' em Externally we first bleed and then endeavour to discuss 'em by applying the Decoction of Sulphur in Urine and the Plaister of Sperma Ceti or the Juice of River-Crabs and Horse-dung or the Spirit of Wine camphoriz'd mix'd with gentle Diaphoretics and the Water of Spirma Cetiâ— or Quick-lâ—me-water with Sugar of Lead or the Lee of the Ashes of Vine-twigs mix'd with Vinegar Nitre and Salt If these do not succeed we must endeavour to bring the Swelling to a head by applying Milk in which Castle-soap is boil'd But if the Inflammation and Heat be great we must avoid oily fat Ingredients If the Inflammation be spurious that is if a pituitous Humour accompany the stagnating Blood we may add Ripeners of the sharper kind Generally the Plaisters of Melilot and Diachylon softer'd with the Oil of Liâ—â—ies or Ointment of sweet Almonds are very proper After the Swelling is open apply the Balsam of Sulphur and Plaister Diasulphuris or an Ointment of Turpentin Hony of Roses and Balsam of Peru dissolv'd in the Yelk of an Egg. If the Ulcers are deep and hollow inject the Decoction of Tobacco and Plantain mix'd with Myrrh and Aloes or temper'd with Lime-water and the Spirit of Venice Triacle Some are wont to apply Astringent Cataplasms and Plaisters in the beginning of an Inflammation in order as they fancy to hinder the irruption of the Blood but the Rules of Circulation have discover'd their Mistake Blood-shot is the effect of Contusions or the Distortion of the Capillary Vessels It s internal Cure is the same as that of a Pleurisy Externally we apply a slice of raw Beef or Venice Triacle mix'd with the Syrup of Elder Sugar of Lead and Salt of Wormwood If these prove successless we must have recourse to Cataplasms of the Roots of Solomon's Seal and Comfry bruis'd and boil'd in Wine or to the Spirit of Wine camphoris'd and the Spirit of Sal Armoniac If a nervous part be affected by the Contusion we exhibit the Oil of Lavender inwardly and anoint the part with the Balsam of Peru mix'd with Spirit of Wine and Oil of Castor If the Symptom do not disappear after these Applications we must endeavour to suppurat and after Suppuration consolidate as above But when the Part quickly becomes black and threatens a Gangrene or when the Contusion is deep and reaches beyond the Cuticle 't is not safe to stay for Maturation therefore we scarify it and then apply Aromatic Decoctions or Lime-water sharpen'd with the Spirit of Wine and sweet Mercury St. Antony's Fire is an Inflammation incident to Scorbutical Persons and seems to proceed from a subtil volatil Acid that ferments with the volatil Salt of the Blood and causes it to stagnat It is usher'd in by shivering and attended by a notable Heat and Feaver It s Colour is very red when touch'd it becomes white but quickly reassumes its redness It spreads over the neighbouring Parts and is apt to degenerat into sordid Ulcers or Gangrenes When it besets the Arms 't is more troublesome than in the Legs If it strike in or seize the Head Face Mouth or Fundament 't is very dangerous It s internal Cure is accomplish'd by the Water Essence and Syrup of Elder-flowers mix'd with the volatil Salt of Hartshorn or that of Amber Camphyr Sugar of Lead Diaphoretic Antimony Cinnabar of Antimony and absorbent Pouders Purgation before the Declension is absolutely pernicious as also bleeding unless the Disease be occasion'd by a Contusion Fracture or Wound Externally cold astringent oily and fat Ingredients are hurtful the more proper Medicines are the Decoctions of Elder-flowers in which Venice Triacle and Castle-soap are dissolv'd the Spirit of Wine impregnated with Camphyr or Saffron the Decoction of Myrrh and Frankincense in Wine mix'd with Camphyr and Saffron the Water of Sperma Ceti and that of Cow's Dung distill'd in May the bruis'd Leaves of Radishes applyed as Cataplasms Clouts dip'd in Hare's Blood or the first Flood of a Virgin 's Terms the Leaves of Arsemart bruis'd and applied the Pouders of Myrrh Frankincense Chalk Sugar of Lead and Camphyr sprinkl'd upon brown Paper dip'd into the Spirit of Wine impregnated with Saffron To all which we may add Laudanum Opiatum as occasion requires The following Ointment is also much approv'd Take of the Pouder of Elder-flowers three Drams Ceruss a Dram and a half With Salt of Wormwood and Venice Triacle make an Ointment The Ointment of Sugar of Lead and Syrup of Elder is likewise of noted Efficacy If notwithstanding these Precautions the Swelling be ulcerated apply the Water of Quick-lime prepar'd with Elder flowers and mix'd with the Juice of Cresses Sugar of Lead and
Pellitory of Spain Euphorbium and Oil of Amber When the Tumors are thus ripen'd we open 'em with a Launce and apply a Caustic of the Ointment Aegyptiacum the dulcify'd Earth of Vitriol and Salt for extirpating the Membrans But if the Excrescence be hard and stubborn 't will be needful to set aside all discussing or suppurating Ingredients and cut up the skin cross-ways so as not to touch the Membran then separat the one from the other and cut out the Membran with the inclosed Tumor by the Root and after all stop the bleeding and cleanse the Ulcer as in other cases Sometimes when the nervous Fibres in the Skin are tore or corroded they throw out their nutritious Juice which settles into Warts and in the Toes of the Feet where the nutritious Juice of the Bones is squeez'd out into hard Corns Some of these Warts and Corns are fix'd so deep into the Tendons that they cannot be extirpated without incurring the danger of Inflammations Convulsions or Gangrenes But others are only superficial and easily remov'd Warts are extirpated by applying the Juice of Celandine or the Ashes of Briony mix'd with its Juice or the Juice of Spurge scarifying the part gently before Application Some commend an Ointment of Hony with the Spirit of Sulphur and the Solution of Sal Armoniac in Water or the Juice that Snails cast forth when rub'd with Salt but the best method of rooting them out is to touch 'em with Butter of Antimony or Aqua fortis or rather to burn them out with a hot Iron If they are pendulous and hang by a small Root a thread of Silk ty'd about the Root will cut off their nourishment and make 'em fall off As for the venereal Warts that generally invade the Genitals we apply the Solution of sublimat Mercury and Allum in Plantain-water As for Corns we order the Feet to be wash'd and the thick Skin to be scrap'd off then we apply Galbanum or Gum Ammoniac or the Plaister of Hemlock with Mercury soften'd in the Oil of Bricks Some recommend pieces of raw Beef or Onions mix'd with Soap in the form of a Cataplasm If these prove successless we apply Aqua fortis or Butter of Antimony mix'd with Hony taking care to defend the neighbouring parts and take off the Eschara with the Plaister Diachylon with Gums But if the Corns lie deep and be fix'd in the Tendons 't is dangerous to apply Caustics or to cut them with a Knife tho in other Cases such Operations may succeed Sometimes we meet with spungy Swellings about the Joints that proceed from the nutritious Juice of the Membrans mix'd with the glutinous Matter that bedews the Joints The best way of curing 'em if so be they admit of a Cure is to throw astringent Pouders upon 'em such as the Sugar of Lead Vitriol Calaminar Stone and sometimes precipitat Mercury Stronger Caustics or Emollient Ointments or manual Section are for the most part very dangerous by reason of their tendency to Cancers 4. The fourth Class was allotted for the Tumours of the Blood-Vessels which are of two sorts 1. Those of the Arteries call'd Aneurisma's 2. Those of the Veins call'd Varix's The former are occasion'd by cutting the Artery in Blood-letting or relaxating its Coats by violent Motion Crying c. or by the Corrosion of some internal Cause all which are apt to occasion a Collection of Blood about the injur'd part of the Artery and consequently a Tumor The Signs are a Swelling rising gradually according to the Pulsation of the Artery if the Artery lie near the Skin its Color is reddish when the Swelling is press'd by ones Finger it sinks and disappears without it be inveterate 'T is cur'd by opening a Vein in the opposite part of the Body avoiding all oily fat things and applying Bole Armenic Frankincense Earth of Vitriol Dragon's Blood and Laudanum Opiatum with a Plate of Lead and a strong Ligature In France they follow a new Method as for example in the Arm they squeeze the superiour part of the Artery so close that no Pulse is perceiv'd then they open the Tumor with a Launce and remove the congeal'd Blood Having discover'd the Wound of the Artery they apply to it a little ball of Vitriol wrap'd up in Cotton and the Pouders of Sarcocol Frankincense and Pine-tree-Rosin with Tow and above all Bolsters cover'd with the common Digestive and ty'd down with a strong Ligature The upper Bolsters are renew'd every day but the Ball of Vitriol which is no bigger than a Pea and which is insensibly dissolv'd by the Blood that soaks thro the Cotton is suffer'd to continue till it fall off The immediate Cause of a Varix is the Relaxation and Distention of the softer Fibres of the Veins The remote Causes are the thickness of the Blood or the Compression of corresponding Veins as when the Iliac Vessels being straiten'd by big Bellies occasion a Varix in the Veins of the Legs The Diagnostics are the Turgidity and blewish Blackness of the Veins It seldom requires a Cure unless it be painful or threaten a Rupture Ulcer or Gangrene If it be very painful we apply the Ointment Populeum with Mucilages of Flea-wort and Fenugrec-seeds the Oil of Chamomil and Flower of Beans If they are ulcerated apply the Plaister of Frog's Spawn with Hartshorn Frankincense and sweet Mercury If the Tumor be very high and apt to break open it with a golden or silver Needle and apply a Plate of Lead or foment with a Spunge soak'd in the Decoction of Allum Salt and the Fruit of Acacia in Vinegar or apply a Cataplasm of the Flower of Lupins dry'd Goat's Dung and Vinegar in which a hot Iron has been five times extinguish'd remembring still to tie a strong Ligature about the part If the Varix is open and bleeds excessively apply the Pouder of Hog's Dung or Clouts dip'd in the Solution of Steel and Allum In the mean while we ought to take care that the Ligatures do not hinder the Circulation of the Blood and exhibit inwardly attenuating Sudorific Decoctions CHAP. II. Of Wounds THE Nourishment of wounded parts and the Blood which flows from 'em being corrupted by the external Air become acid corrode the nervous Fibres extinguish the innate Spirit and produce all the tragical Consequents of Wounds The Wounds of internal parts are discover'd by the lame performance of their respective Offices or by the alteration of Excrements voided by ' em Wounds of sanguine parts ought to be carefully distinguish'd from those of the Nerves or Membrans as also the Curable from the Incurable some of which are mortal some not The mortal are said to be such either when an internal Bowel essential to Life is disabled or when the Blood Spirits or Vital Juices are too copiously evacuated or thrown upon some Cavity from which they cannot be retriev'd Thus the Wounds of the Heart are not always mortal without they reach into the Cavities especially the left
state of the nutritious balmy Juice which alone is able to consolidate and repair the loss They are prescrib'd in these or the like Forms First Internally Take of River-Crabs in number twelve Comfry-roots an Ounce Leaves of Bugloss and Ground-Ivy and Tops of St. John's-wort of each a handful Boil them in Water and Wine and sweeten the strain'd Decoction with the Syrup of Ground-Ivy and if a nervous part be wounded add Oil of Amber Dose six Ounces twice a day Note 1. The simple vulnerary Medicines are best Therefore Crabs-eyes and Diaphoretic Antimony in Feavers Antimonial Nitre and in nervous Wounds the Oil or Spirit of Amber are sufficient for internal use Note 2. When any heterogeneous Matter is lodg'd within the Wound or when 't is very foul we add to such Decoctions Savin Mugwort Speedwel Agrimony c. and when the Wound is sufficiently cleans'd leave 'em out Secondly Vulnerary Medicines are prescrib'd for Injections As Take of the Herbs Speedwel Winter-green Sanicle and Tobacco leaves of each two handfuls Dog's Dung four Ounces Boil them in Water Add to the strain'd Liquor Spirit of Wine with Hony and wash the Wound with the Mixture Thirdly They 're prescrib'd in the Forms of Oils or Balsams to be drop'd into the Wound of which the Oil of St. John's wore Balsam of Sulphur or that of Peru and especially Capaivi are infinitely the best Fourthly Ointments As Take of Benzoin an Ounce Spirit of Wine an Ounce and a half Mastic a Dram of the black Balsam half an Ounce Make a Liniment Or Take of Ear-wax two Drams Sugar of Lead two Drams With the express'd Oil of Walnuts make an Ointment Note 1. Ear-wax is of peculiar use for Wounds of nervous parts 2. Spirit of Wine not over-rectify'd is of admirable Efficacy for preventing Corruption and Consolidating Hence Venice Triacle mix'd with it and applied to the Wound is much approv'd Fifthly Plaisters of which Paracelsus's Oppodeldoch and Crollius's Styptic Plaister are the best Some pretend to cure Wounds by Sympathy as by mixing the Blood of the Wound with the Vitriol of Copper calcin'd by the Sun or by applying Arsmart to the Wound it being first dip'd in cold Water and then removing it from the Wound while 't is hot and burying it in a Dunghil But the Colcothar of Vitriol wash'd and dissolv'd infus'd or boil'd in Wine for washing the Wound is certainly a useful Medicine The general Cure of Wounds being thus premis'd we come next to consider some particular sorts as 1. Bruises or those which partake of Contusion If the Contusion be very considerable 't will be needful to scarify the Wound if not the common Digestives and suppurating Medicines will sufficiently cleanse it to which we may add the Oil of Wax express'd Oil of St. John's-wort and the Plaister of Cummin Towards the end of the Cure we may apply the Spirit of Sal Armoniac distill'd with Quick-lime Of this Nature are the Wounds receiv'd from Guns for so much as Bullets tear and bruise wherever they come in curing them we ought first to promote Suppuration by applying Tents dip'd in Spirit of Wine and cover'd with the following Liniment Take of the Oil of White Lillies four Pound boil two Puppies in it till their Bones be dissolv'd then add of Earth-worms boil'd in Wine a Pound Boil them together and when the Liquor is strain'd add Venice Turpentin three Gunces Spirit of Wine an Ounce and a half Make a Liniment After Suppuration is obtain'd let the Wound be cleans'd with the following Ointment Take of Venice Turpentin five Ounces Oil of Roses an Ounce Hony of Roses strain'd three Ounces Myrrh Aloes Mastic and round-rooted Birth-wort of each half a Dram Flower of Barly three or four Drams Make an Ointment to be sprinkled with Spirit of Wine If the Part be much corrupted we may add precipitat Mercury If the Bones be seiz'd with Aches after they 're cur'd as it sometimes happens in these Wounds anoint 'em with the Oil of Turpentin If when the Wound was receiv'd the Gun was very near the Person the wounded part will be likewise burnt in which case Quick-lime-water with the Juice of River-Crabs and Phlegm of Allum is very useful 2. Malignant and venomous Wounds The Causes are a poisoned Instrument or the biting of an angry or mad Animal The Symptoms are an unaccountable Pain sudden blewness or blackness of the Part and its tendency to a Gangrene difficulty of Breathing cold Sweats Swoonings Headaches c. If the Wound be deep it must be scarify'd and Venice Triacle with Spirit of Wine applied to it If it was caus'd by the biting of a Viper apply a living Toad bruis'd or the Pouder of a dry'd Toad in Vinegar and touch the part with a hot Iron but so as not to burn it and exhibit Urine to drink For the Bites of mad Dogs c. apply the Stone of an Indian Serpent or in want of that Sala's Magnetic Plaister mix'd with the Pouder of River-Crabs or a Cataplasm of Onyons Garlic Venice Triacle and Yest After the Poison is extracted we apply Digestives as above Wounds receiv'd by poysoned Darts c. are cur'd after the same manner In the mean while we administer internally Venice Triacle Diaphoretic Antimony c. with distill'd Vinegar 3. Wounds of Veins and Arteries In which the most pressing Indication is to stop the Bleeding For this end we apply styptic Liquors of the Solution of the Vitriol of Steel mix'd with a half quantity of the Solution of Allum in some Astringent Vehicle or a mixture of strong Vinegar Crocus of Steel and the dulcify'd Caput Mortuum of Vitriol or above all the Moss of a dead Man's Scull or the Mushroom call'd Crepitus Lupi tied very hard to the part If the bleeding be obstinat and if there be no Nerves or Tendons in the way we apply a Caustic of Vitriol calcin'd till it become white mix'd with Crepitus Lupi For Amputations Ligatures are of very good use Internally we exhibit nitrous Acids with Astringent Tinctures But in the mean while the Patient must carefully avoid all Emotions either of Body or Mind 4. Wounds of the Nerves or nervous Parts are very dangerous by reason of their liableness to Convulsions Inflammations Gangrenes c. If a Nerve or Tendon be prick'd drop into it the distill'd Oil of Turpentin mix'd with Spirit of Wine and Camphyr or Euphorbium If a Nerve or Tendon be cut across avoid all Tents and express'd Oils or fat Ingredients and apply volatil vulnerary Balsams sharpen'd with the distill'd Oil of Amber or the Pouder of Earthworms mix'd with Turpentin or the Pouder of Snake's Cast-Coats mix'd with that of Crabs-eyes or a Mixture of the Oil of Earthworms Oil of Foxes Man's Fat and Juice of Earthworms rubbing the whole Interval betwixt the wounded part and the Original of the Nerve Sometimes when Tendons are cut across they may be few'd together with a fine Needle according to the
new close Vessel or mix'd with black Pepper Salt dry Soot and Orpine be sprinkl'd upon the Ulcer after 't is wash'd with Plantane-water If these prove successless apply the Oil of Man's Dung and for the last Refuge Arsenic fix'd with Nitre and mix'd with Scot and Rulandus's Balsam of Sulphur in the form of an Ointment or the Oil per deliquium of the Arsenic thus fix'd it being dulcify'd with Spirit of Wine If the Cancer still continue after these Applications 't will be needful to cut it off and then burn out its Roots with a hot Iron for if the least Particle of the Ferment be left 't will revive again Alliot Physician to the Duke of Lorrain publish'd a Schedule at Paris some years ago in which he pretended to cure an ulcerated Cancer without cutting or burning and that by a certain Alcalin Salt that is so fix'd that it won't dissolve or melt as the other Alcalin Caustics which by so doing exasperate the Cancer This Salt he says makes an Eschara and converts the sharp matter into a laudable Pus 6. Ulcers caus'd by Burning In order to adjust their Method of Cure we ought to distinguish three degrees in Burning 1. When the outer Cuticle alone is hurt and lifted up in little watry Bladders This is the ordinary effect of hot Water burning Straw c. 2. When the inner Skin is also contracted and wrinkl'd This is the effect of hot Oil Wax Pitch c. 3. When the Flesh it self is burnt and the Skin cast into a Crust as by melted Metals c. The Cure consists in subduing the volatil Sulphureous Acid of the Fire which melts down the nutritious Juice of the Part and causes the fiery Bladders For this end we apply for the first degree Quick-lime-water prepar'd with the Decoction of Rapes and mix'd with the Oil of Linseed to the Consistence of a thin Ointment or a Liniment of Quick-lime frequently wash'd and purg'd of its sharp Salt Tutty Whites of Eggs with Vinegar and Oil of Roses or the Juice of Onyons or Garlic mix'd with Salt Castle-Soap and Oil of Roses The Mucilage of bruis'd River-Crabs extracted with the Water of Frog's Spawn or an Ointment of River-Crabs bruis'd and mix'd in a Leaden Mortar with fresh Butter the Solution of Litharge in Vinegar mix'd with the Oil of Rapes Camphyr Mucilage of Quince-seeds and the Whites of Eggs a Liniment of common Oil mix'd with the Whites of Eggs or the Syrup of Elder mix'd with Spirit of Wine are all approv'd in the same case In the second degree we lay open the Bladder without any delay and then apply the above-mention'd Medicines or a Liniment express'd from fresh Hen's Dung fry'd with fresh Butter and Sage and Plantain-leaves or a Mixture of the Pulp of Apples boil'd in the Water of Frog's Spawn with Sugar Camphyr and Saffron In the third degree we lay open the Pushes with all possible speed and apply emollient Liniments for separating the Crust such as Butter mix'd with the Decoction of Mallows or the Mucilage of Quinces extracted with the Water of Frog's Spawn and mix'd with Butter the Oil of Eggs and that of white Lillies If the Crust do not come easily off it must be cut with a Launce for fear the imprison'd matter should create a deep Ulcer After the Crust is remov'd we apply Digestives and Cleansers as in other Cases CHAP. IV. Of Dislocations THE Bones design'd for Motion are receiv'd into Cavities call'd Sinus's and fasten'd to 'em by Ligaments Tendons or Muscles And when the Head of any Bone is justled out of its proper Sinus 't is call'd a Dislocation The Causes are generally external tho sometimes a vicious Acid thickening the nutritious Juice that waters these Cavities may straiten their Capacities and so deny Admission to the Bone as in the Sciatica and Gout and sometimes a sharp saltish Catarrh such as Scorbutical Persons are obnoxious to by relaxating the nervous Ligaments may indirectly promote a Dislocation When a Bone is put out of joint its Figure Situation Length and inability to move will discover it Some Dislocations are call'd perfect when the Bone is quite out of its place others imperfect when it sticks upon the side of its Cavity The former is more difficult to cure than the latter The Dislocation of the Thigh Bone as it dos not easily happen by reason of the extraordinary Strength of its Ligament so 't is hard to cure the Muscles being very thick and the part in a manner inaccessible But that of the small Bones about the Ankle is much more dangerous they being surrounded with many Tendons which when they 're misplac'd are apt to create grievous Pain Inflammations Convulsions c. When a Bone is set let the contracted Muscles be extended to their due Length and the whole Member be conveniently ty'd fast with broad or narrow Swathes as its nature requires remembring still not to tie it too hard nor to apply Astringents as most Surgeons are wont to do lest the Stagnation of the Blood or Serum should occasion Inflammations or Tumors If the part be much inflam'd we must not pretend to extend it or to set the Bone till the Inflammation be abated by the following Decoction Take of the Tops of St. John's-wort a handful and a half of the Herbs Betony Chamomil and Rosemary of each a handful Comfrey-roots three Ounces Roots of round-rooted Birth-wort six Drams the four large hot Seeds of each an Ounce and a half Boil them in Water and add to a Pound and a half of the strain'd Liquor six Ounces of Wine in which Sage has been infus'd Mix and foment the part and after 't is ty'd up wet the Swathes with a Spunge dip'd into it If the Pain be excessive we may add Poppy-Heads to the Decoction In the mean while give internally volatil Alcalies and fix'd Diaphoretics for preventing the Stagnation of the Blood If a white Swelling invade the part either before or after the Bone is set anoint it with the distill'd Oil of Tartar or of Man's Bones rectify'd with burnt Hartshorn However in all Cases let express'd Oils and Astringent Cataplasms be avoided the former shut the Pores and relaxat the Fibres and the latter cause Inflammations and Tumours The common Plea for Astringents is that they strengthen the Fibres Whereas the Fibres are much more benefited by fomenting 'em with Aromatic and nervous Decoctions and applying Cephalic Plaisters of Amber Elemi Balsam of Peru c. If the Dislocation be caus'd by the internal Coagulation of the nutritious Juice of the Joint 't is incurable unless Mercury give relief If it be only threaten'd we endeavour to prevent it by giving inwardly the volatil Preparations of Tartar especially its Spirit prepar'd from Tartar fermented with its own Alcaly to which we may add Sal Armoniac and the Spirit and volatil Salt of Man's Bones Externally we apply the Spirit of Earth-worms mix'd with Spirit of Sal Armoniac and in
a word whatever was recommended for the Sciatica Particularly the following Oil Take of the distill'd Oil of Man's Bones one part stinking Oil of Tartar two parts Mix 'em with Quick-limâ— and distil through a Retort a most penetrating Oil. If the Relaxation of the Ligaments occasion'd by a saltish Serum threaten a Dislocation administer inwardly Poterius's Diaphoretic Gold the Spirit of Earthworms Essence of Sassafras and Sal Volatile Oleosum and rub externally with the Spirit of Earthworms and the Oil of Earth applying a Plaister of Tacamahac and Caran soften'd with the Oil of Amber or Crollius's Styptic Plaister mix'd with Stone Oil. CHAP. V. Of Fractures BONES are broken mostly by external Causes tho there are some uncommon Instances of Fractures occasion'd by violent internal Convulsions Some Fractures come across the Bone and frequently cause Splinters which gall the nervous Parts most sensibly and sometimes wound the Skin They are easily discover'd by their extreme pain loss of Motion the contraction and distortion of the muscular Fibres the inflammations and soft swellings of the Part and by feeling with one's fingers especially if the Bone be out of its place But the Inflammations that attend 'em at first ought to be distinguish'd from the Erysipelas that sometimes appears about the fourth day being usher'd in by shiverings and accompany'd by a Feaver as arising from the growing Acidity of the nutritions Juices of the injur'd Membrans which provoke 'em to Contractions and so waken all the Juices in the Body Other Fractures are more properly Fissures viz. When the Bone is split lengthways The Symptoms of a Fissure are these A profound Pain gradually seizes the Bone but 't is still capable of performing its wonted Offices Afterwards a small reddish Tumor appears especially if the Fissure be great the nutritious Juice of the Bone runs out of the Cleft and glides along the Member till the Tendons about the Joints thwart its Passage and oblige it to stagnat and so become an Ulcer In the mean while the Bone it self where 't is split becomes rotten and feeds the Ulcer with continual supplies of corrupt matter tho at some distance Therefore a Surgeon ought to be very cautious in all Ulcers lying near the Joints to examin the Bone narrowly and inquire after the above-mention'd Symptoms since Ulcers proceeding from Fissures can never be cur'd 'till the distant Cause be trac'd out and accounted for As touching Prognosticks Fractures in the middle of the Bone without Wounds or Splinters are more favourable than those about the Joints or where the two joining Bones are both broke or where the Bone is beaten to pieces and the Wounds whether occult or manifest threaten Ulcers Fractures about tendonous places are very dangerous The Bones of the Thigh seldom consolidat being closely block'd up by bulky Muscles The time of the Re-union of broken Bones is uncertain as depending upon the difference of Ages and Constitutions Women with Child are not easily cur'd but after Delivery their Cure succeeds When a Bone is broken across 't is the Surgeon's Office to extend the Member and join the two ends together fastening 'em with proper Ligatures and ordering an easy Posture of the Part according to the custom of the Patient Thus the two ends of the broken Bone being laid together the nutritious Juice will stagnat betwixt 'em and gradually harden into a Substance of equal Consistence joining 'em together If the Part be inflam'd nothing can be attempted towards setting till the Inflammation be remov'd After 't is set bathe it with the Spirit of Wine mix'd with a third part of the Spirit of Earthworms or anoint it with the Oil of Earthworms distill'd Oil of Rosemary and the Oil of Man's Fat rectify'd upon Man's Bones applying afterwards a Plaister of Tacamahac soften'd with the distill'd Oil of Rosemary or the common Plaister of white Rosin Turpentin Pouders of Snakeweed and Birthwort-roots the Extract of round-rooted Birth-wort prepar'd with Spirit of Wine and distill'd Oil of Amber The Plaister must be so applied that its two ends do not come quite together lest they should suppress the Tumors that always happen If the Part be bruis'd apply Hony with the Spirit of Wine After the Plaister is applied tye it down with Swathes and Splents but the Swathes must not be too hard tied nor the Splents too many Astringent Cataplasms are generally us'd but to the detriment of the Patient If Cataplasms are demanded let 'em be made of the Leaves of the Herb Robert bruis'd or of the Pouder of Snakeweed-roots with Wine In the mean while 't will be proper to exhibit inwardly vulnerary Decoctions especially of Rosemary Agrimony Savin and the Herb Robert The Stone of Osteocolla given to a Dram in Wine or Vinegar is of singular use As for Fissures the divided parts of the Bone must be join'd the above-mention'd Plaister applied and the Member tied up with Swathes If a Tumor beset the Part let it be open'd and treated as a Fracture with a Wound If an Ulcer happen lay it open to the very Fissure and cleanse the rotten Bone and Ulcer as above If a Fracture be attended by a Wound it must be kept open for some time to give vent to the pieces of Bones that do not consolidate with the rest If the Bone hang out at the Wound and be not tainted by the Air it ought to be put into its proper place if otherwise it must be saw'd off or otherwise separated The Separation may be promoted by the following Liniment Take of Aloes and Myrrh of each half a Dram Comfry and Birthwort-roots of each three Drams Euphorbium two Drams With Turpentin and Wax make a Liniment Sometimes the Callus which joins the Bones is too bulky and causes a Deformity which may be help'd while 't is soft and green but it if be confirm'd there 's no relief For if a new Fracture be endeavour'd it will not fall upon the Callus but near to it CHAP. VI. Of a Gangrene and Sphacelus A Gangrene and Sphacelus differ only gradually the former being an imperfect the latter a perfect Mortification They are equally the Consequents of all the preceding Disorders viz. Tumors Wounds Ulcers Dislocations and Fractures and therefore seem'd to claim a peculiar Chapter to themselves Their immediat Cause is a prevailing Alcali that destroys the innate volatil Acid and dissolves its Sulphur The remote Causes are whatever prevents the Influx and Circulation of the Blood and Animal Spirits which are wont to recruit the volatil Acid as Ligatures Bruises Wounds Cold or the sudden Contraction of the Pores Poyson malignant Diseases c. The Symptoms are these At first the Arteries beat very high in the Part but the Pulsation Heat and Sense dwindle gradually away the Muscles become soft and flaccid and separat as it were from the Skin whose Color becomes pale blew and at length black If an Ulcer degenerat into a Gangrene it voids no corrupt Matter or if there be any 't is discolour'd and fetid If a Gangrene proceed from an internal Cause 't is incurable for tho the Part be cut off 't will revive elsewhere Nervous parts are more liable and more difficult to cure than the sanguine Sometimes a Tendon when seiz'd by a Gangrene may be mov'd by the Muscle which being long and at some distance is not touch'd and therefore Motion is no certain sign of a sound part For Cure In a Sphacelus the mortified part must be cut off In a recent Gangrene we must prevent its progress internally by exhibiting the Spirit of Triacle camphoris'd Spirit of Wine camphoris'd Spirit of Juniper-berries Spirit of Hartshorn c. and externally by applying the Spirit of Wine camphoris'd with Myrrh Aloes and Frankincense or the Decoction of Quick-lime mix'd with Spirit of Wine and Sweet Mercury or the Decoction of the Dross of Antimony in Vinegar or the Decoction of Lupines with White Wine Lye and Saffron Cataplasms of Germander Wormwood Hyssop Sage Agrimony c. boil'd in Lime-water and Clouts dip'd in the Decoction of the Caput Mortuum of Aqua fortis in Rose water are also much commended If the Gangrene be far advanc'd let the part be scarify'd and wash'd with the following Mixture Take of Pickle four Ounces Spirit of Wine camphoris'd two Ounces Ointment Aegyptiacum an Ounce Mix c. After 't is wash'd apply the Butter of Antimony or sublimat Mercury with Myrrh Aloes Allum and the Caput Mortuum of Vitriol or precipitat Mercury boil'd with the Oil of Nuts Some extol the following Cataplasm Take of Wormwood-tops Chamomil and Elder-flowers of each a handful and a half of the Herb Germander a handful and a half Rue half a handful Horse-dung three Ounces Boil them in Pickle adding in the end two Ounces of Ink and three Ounces of the Spirit of Wine In a Sphacelus the mortified part must be cut off with all convenient Speed without waiting as some do till it come to the Joint Some perform Amputations with red hot Instruments thinking thereby to prevent the excessive bleeding others are content with cold Instruments and stop the bleeding with the Pouder of Hog's Dung and dulcify'd Earth of Vitriol or with Clouts dip'd into a Mixture of the Vitriol of Steel and Allum with the Juice of Plantain FINIS
handful the Rinds of Beans an ounce Plantan Leaves a handful Boyl them in Water with a little lye adding two ounces of Turpentin dissolv'd in Hony to a pound of the strain'd Decoction and in desperat Cases the Ointment Aegyptiacum Mix and inject it with a Syringe for cleansing the Ulcer Take of Ladies Mantle and Tops of St. John's wort of each a handful Marshmallow-roots half an ounce boil them in Lime-water adding to ten ounces of the strain'd Liquor one ounce of the Syrup of Comfry and three or four drams of the vulnerary Essence Mix for injection in order to consolidat Bathing in hot Baths and drinking Spaw Waters are much approv'd both for Inflammations and Ulcers of the Bladder ART 8. Of a Phrenzy or Inflammation of the Membranes of the Brain THE Inflammation of the Membranes and some part of the substance of the Brain was call'd by the Ancients Sphacelus as that of the Midriff was call'd Phrenitis from 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Diaphragma and indeed all derivative Words ending in tis signifi'd the Inflammation of the Part whose Name they 're deriv'd from as Pleuritis Hepatitis Nephritis c. However that we may not depart from the customary manner of speaking we shall treat of the Inflammations of the Brain under the name of Phrenitides or Phrensies Their Symptoms are a visible beating in the Carotid Arteries and an unsufferable tearing Pain in the Head obliging the sick Person to throw toss and as it were beat his Head and furiously pull at the Hair They are attended by doating and are apt to degenerat into fatal Gangrenes at which time Convulsions prostration of Strength and a sort of a Lethargy insue Their Urine is pale crude and white and if their Stools be also white if the Teeth gnash the Nose drop and the Person tremble shake and pick at the Bed-Cloaths 't is a desperate case Sometimes Phrenetic Persons are only molested with frightening Dreams and a timorous inward doating without any noise which is a worse Symptom than open fury loud out-cries and violent tossings of the Limbs A Phrensie is distinguish'd from a simple Delirium by the unrelenting vehemence of the Feaver and Head-ache and a difficulty of breathing Sometimes but very rarely a Phrensie terminates in critical Sweats Bleeding at Nose Loosenesses c. Sometimes it becomes an incurable Imposthume in the Brain A true Phrensie for the most part is incurable however its Cure is attempted by Bleeding Vomits Clysters and Diaphoretics Of which more in the Second Book ART 9. Of the Genuin and Spurious Inflammations of the Eyes A Genuin Inflammation of the Eyes is either Sanguine or Serous The former is call'd Ophthalmia the latter Epiphora or Lippitudo An Ophthalmia is an Inflammation of the Tunicles of the Eye especially the Conjunctive which by reason of their Derivation from and being of a piece with the Membranes of the Brains are apt to communicate their disorder to the Brain as on the contrary the disorders of the Brain are frequently display'd in the Eyes The External Cause is whatever provokes the Fibres to Contraction and consequently obliges the Blood to stagnate in the small Arteries which are very plentiful in the Coats of the Eyes as the sharp effluviums of the Air Dust steams of Metals c. The internal cause is the suppression of any evacuation of Blood or the retention of a sharp Acid in the Body as after the Small Pox or when the running of the Ears customary to Children ceases Sometimes an Inflammation proceeding from the Effluvium's of the Air is epidemical and sometimes catching The Symptoms of an Ophthalmia are the Heat Tumor Redness Pain and watriness of the Eyes In its highest pitch the Eye-lids are likewise inflam'd and unable to shut and the White of the Eye is swell'd up above the adjacent Surface with a sort of Chink betwixt ' em If the stagnating Blood proceed from the outer Vessels we observe a Pain Tumor and beating in the Temples if from the internal Membranes and Vessels the Pain is more vehement and lies deep the Palat and Nostrils itch and the Person is apt to sneese often As for the Epiphora and blear'dness of the Eyes the former is a destillation of a Cold or Hot Rheum from the Glandules in the corners of the Eyes the latter from the Glandules of the Eye-lids in conjunction with those of the Eyes Their Causes are 1. The Laxity of the Glandules as in Old Persons and in malignant Distempers when the Animal Spirits are almost extinguish'd or when the Caruncle that shuts them is Corroded or Cut. In this case the Eyes are apt to be red for that the Blood Vessels swell when the Glandules are so often emptied 2. The irritation of the Eye and its Glandules by sharp effluviums from the Air Pepper Onions Garlic c. This Cause is at the same time apt to cause an Ophthalmia 3. The sharpness and acidity of the Lymph which tickles provokes and corrodes the Glandules The Corrosion is frequently follow'd by a roughness and that by a thickness and intransparency and consequently a total blindness The Remote Causes are whatever is apt to occasion Catarrhs All these Inflammations whether Sanguin or Serous are attended by a warriness or running of a Humour that is either sharp saltish corrosive and apt to gaul the Cheeks or insipid slimy thick and apt to make the Eye-lids stick together The former is call'd a hot Catarrh the latter a cold one The various Condition of this Catarrh presents us with four observable Periods in an Inflammation The First is call'd the Beginning viz. When the Humor is thin and plentiful The Second the Increase when the Pain grows and the Humor thickens The Third the Height when the Humor is concocted and makes the Eye-lids stick together The Fourth The Declension when all the Symptoms relent But withal we ought to remember that this Humor is sometimes the Effect and not the Cause of the Disease as in the case of external irritation for which Astringents are proper tho' noxious in other Cases A spurious Inflammation is distinguish'd from the Genuin by its comparative dryness and admits of three Degrees 1. When the Eyes itch and void a small quantity of a saltish Rheum 2. When the Eyes are red swollen heavy and molested with a gentle Pain and Itching without any flux of Matter 3. When the Eye-lids are hard and rough without itching or running The Inflammations of the Eyes proceeding from the Disorders of the Membranes of the Brain are very dangerous If the Pain continue long 't is an ill sign If the Inflammation be very tedious or apt to relapse it threatens a thickness of the Membranes or Webs Scars and loss of Eye-sight If it tend to suppuration it threatens a Gangrene which if the Eye be not quickly extirpated is apt to invade the Brain the consequence of which is certain Death A dry or spurious Inflammation is tedious but not so dangerous as
Oil of Savin or a Pouder made of equal Parts of Borace Myrrh Castor and volatil Salt of Amber given to half a Dram in cinnamom-Cinnamom-water twice or thrice a Day for some time the Pouder also and Spirit of an After-birth is much commended Externally also we must use Clysters for irritating the Vagina and internal Orifice of the Womb and moving them to convulsive Motions such are the Decoctions of Pennyroal Fever-few Savine and Pulp of Coloquintida ty'd in a Bag. Pessaries and Fumigations from the same Ingredients are also proper but withal let the Patient use some violent Exercise such as leaping jumping c. to promote the Operation of the Remedies If all these Prescriptions prove successless we must have recourse to a skilful Surgeon who with a Speculum Vterinum must dilate the Vagina and internal Orifice of the Womb and by his Hand or Instruments draw out the whole Mola And if after the Extraction excessive Bleedings and Pains of the Womb insue exhibit the following Electuary Take Conserve of Roses an Ounce Conserve of Quinces without the Species half an Ounce Troches of Amber seal'd Earth and Spodium of each half a Dram Sorrel-seed and burnt Hartshorn prepar'd of each a Scruple With Syrup of Quinces and that of Mint make an Electuary SECT VI. Of the Conduct of Big-belly'd Women WHILE Women are with Child they ought to be very cautious of the use of the six Non-natural things for fear of incurring the dangers that the suppression of their Terms exposes 'em to and provoking the Child to an untimely Egress In their Diet let Custom be their Rule since things unwonted tho of themselves proper are offensive and eâ—contra Summer-fruits violent Aromatics and strong Smells whether sweet or foetid are pernicious Much Wine and acid Liquors are apt to cause Abortion Violent Motion is also dangerous especially during the first Months tho in the latter Months if it be moderate 't is not inconvenient Venery long Watchings Fear Anger and such-like Passions ought to be avoided Costiveness ought to be remov'd by the Pulp of Tamarinds or Oil of sweet Almonds Cream and Salt of Tartar or Rhubarb mix'd with Carminative-seeds Sometimes potch'd Eggs and Sugar are sufficient Proper Purgatives or strong Clysters are very dangerous Sometimes it will not be amiss to strengthen the Child by a moderat Draught of sweet Wine after eating by exhibiting Cinnamom-water impregnated with Borrage and Quinces or the Juice Syrup and Marmalade of Quinces mix'd with Cloves Mace and Nutmegs or at Bedtime to apply to the Belly a Bag quilted with Mint Baum Ginger Cloves Galangal c. sprinkl'd with the Oil of Citrons or that of Orange Peel If a Big-belly'd young and plethoric Woman be seiz'd with an acute Disease Blooding is not improper but 't is better to blood frequently than draw forth much at one time If her Stomach be disorder'd mild Vomits are allowable during the first four Months but Purgatives at least such as in violence surpass the Laxatives above-mention'd are always suspected Narcotics in general threaten the Relaxation of the Fibres of the Womb But in some Cases when the Animal Spirits are much irritated and such other Circumstances seem to demand it we may venture to allow a moderat Dose of Opium All the peculiar Symptoms of Big-belly'd Women are occasion'd by the Influence of the seminal Liquor the Suppression of the Terms and the Sympathy of the Stomac with the distended Womb. The first is Vomiting which in the first Months ought not to be stop'd for it facilitats Delivery In the last months it is dangerous and ought to be curb'd betimes Toward the middle of their Reckoning Blood-letting removes it unless they be Cacochymical in which Cases the absorbent Pouders and stomachical Ingredients are requir'd But Steel is hurtful Externally stomachical Plaisters are likewise useful To this Symptom we may add a Pica loathing of Meat griping of the Guts which we accounted for in the first Book A Looseness in the first Months is dangerous Towards the latter end it is of less consequence unless it exceed bounds upon which account we ought to be very cautious in stopping it If it be accompany'd by a prostration of Strength or signs of Malignity and threaten Miscarriage let astringent Acids and Venice Triacle or Diascordium dissolv'd in acid Vehicles be exhibited and proper Plaisters applied externally but all Purgation is pernicious The Pains of the Loins Hip-bones and Pubes caus'd by the various distention of the Ligaments of the Womb and the annex'd Membrans according as the Child is seated forwards or backwards are remov'd by anointing with the Oil of Earthworms mix'd with distill'd Oil of Juniper or applying the Spirit of Earthworms mix'd with Aqua Articularis The Toothach in Women with Child yields to the common Cure A Palpitation of the Heart happening to a lusty Woman about the middle of her Reckoning is cur'd by Blood-letting or else by the ordinary Method If a Cough molest a Woman with Child we must vary the Cure according to its nature as in the first Book Child-bearing Women are frequently subject to bleedings If the Blood flow from the Vagina of the Womb it runs gradually at set times without Pain and ought not to be stop'd If it proceed from within the Womb it runs continually causing Pains in the Loins and if the Woman or Child be not weak may be gently moderated by Blooding and the common Specifics But if the Child move weakly and the Woman's Appetite and Strength be dejected 't is necessary to promote Miscarriage by external Assistance If the Blood break forth only at other parts of the Body it argues a scorbutic Disposition of the Blood which is cured by Chalybeats A suppression of Urine is caus'd by the low Situation of the Child and its bearing down upon the Bladder and is cur'd by emollient Ingredients us'd both inwardly and outwardly and by heaving up the Belly upon occasion of making water Proper Diuretics are scarce safe A Strangury is cur'd by Laxatives such as the Syrup of Peach-flowers and Emulsions and Decoctions of Marshmallows with Raisins or of Jujubes and Peach-stones The Cramps that Child-bearing Women are subject to are cur'd after the ordinary Method especially by external Inunction and Fomentation The Pain and Chops that molest the skin of the Belly as being caus'd by its distention are remov'd by applying emollient Oils and Mucilages If the Waters break forth from the Womb especially from within the Amnios before the time of Delivery 't is a dangerous Case and their loss ought to be repair'd by anointing the Passage with emollient Oils and Ointments But if the Flux of Water proceed only from the outer Neck of the Womb and is not follow'd by the true Pains of Child-birth 't is of no great consequence Sometimes Cacochymical Big-belly'd Women are troubled with swellings of the Feet which disappear upon Child-birth as being remov'd by the Flux of the Loches If these Swellings be