either a too plentiful or more continued purgation of them than is convenient arising either from the fault of the blood or of the womb or of the veins There is not much need of signs especially if there follow a want of appitite crudety an evil color of the face a swelling of the feet and the rest of the body an atrophy cachexy c. The cause we have layd on the blood the womb or the veins but whence these are in fault shal be explained in the differences The cure is difficult if it be of long continuance None at al if it happen to a woman growing old It reqiures 1. A restraint of them by revulsion interception thickning of the blood stopping up the vessels by astringent means and other things Yet it must be stopt by degrees if there be a great plenty of blood and it happen by way of crisis the which falls out seldom Here take place Heurnius his pouder of the seed of white henbane white poppy each one dram of the bloodstone red coral each half a dram camphure half a scruple given half a dram weight The pouder of amber sanguis draconis the bloodstone red corral purslane seeds each one dram pomegranate flowers two scruples easterne bole armenick two drams given from one dram in three ounces of plantane water Asses milk with steel Ferdinandus his aqua mirabilis histor 33. The trochisks de carabe the benes of a man strongly calcined Zacutus his pills l. 9. prax histor p. 185. His plaister there The plaister of saxonia made of the sut of a chimney volatil floure c. a pessary made of heggs and asses dung with the juice of plantane and the mucilage of quinse seeds Specificks are inwardly Forestus his pouder of a turtil l. 28. obs 10. The salt of the ashes of the same the thin skin of geese feet dryed and given from one dram to two scrupels Outwardly a girdle of the leaves of bastard black hellebore bruised Of which Renealmus obser 21. The differences are divers which do cheifly respect the causes 1. One is from blood which 1. either is derived from the bottom of the womb in which the blood is blacker and for the most part clotted Or from the neck which is more ruddy and fluid 2. 'T is either plentiful or sharp or serous Of which in the following difference Another from the moistness of the womb of which see formerly Another from the fault of the Veins concerning which consult with the third difference One is from plenty of blood which is known by this that either the vessels are opened or broke in women especially whose courses have stopt a long while and afterwards do breake forth more plentifully There are signs of a plentitude the blood which comes forth doth easily concrete into clots In the Cure we must respect 1. Bleeding which if it be ordered for evacuation it concernes a vein in the arme the liver veine cheifly If the strength be feeble 't is ordered in the salvatella of each hand if it be for revulsion it must be done at several times because being repeated it revells more powerfully 2. Cupping-glasses which for evacuation may be applied to any part if you except the lower as to the back shoulders and that with scarification for revulsion they ought to be set to the breasts without scarification and upon a difficulty of breathing ensuing they must be removed 3. Ligatures frictions of the armes c. Another from sharp blood which is known by this that there is a corrosion of the vessels joyned with it there are signs of choler The blood is detained and corrupted in the womb it slides forth in greater quantity In the Cure let purging be administred by syrup of roses solutive and leaves of senny See things that thicken it above mentioned Another from serous and watery blood which is known by this that either the liver is faulty by its weakness or the kidnies by reason of their weakness do not attract the serum The blood flowes forth in lesse quantity and is not easily clotted that which is flowed forth if it be received on a linnin cloath and dryed in the shade discovers it self by the colour The Cure attends the diseases themselves III. One is from an Anastomosis in the cure of which observe that hot things ought to be mixt with cold least the veins be obstructed the ventilation of heat be prohibited and a feaver induced that pessaries may be applied if the opening be in the vessels of the neck where oake leaves and unguentum Commitissae are good that baths must not be used unless they be somwhat cold or whose astringent power overcomes their heat Another is from a Diapedisâ—s which happens very rare it presently requires astringent topicks Another from a Breaking which happens either from a plenitude or from causes that stir the blood especially from hard labor and premising the opening of a vein if ther be need 't is cured by conglutinating medicines Another from a corrosion which is known from hence that little blood flowes somtimes purulent somtimes serous It ariseth from a sharp and corrupt blood somtimes also from sharp medicines amongst Astringents is commended the root of dropwort or ' its decoction Article VIII Of the Womans flux and gonorrhaea The womans flux which otherwise is exprest by the name of the whites is an inordinate voiding from the womb of an excrementitious humor by its whole nature differing from blood collected by the fault either of the whole or of some part 'T is called the womans because it affects women and truly virgins also when as the causes take place in them and there are examples of it Yet more commonly those of riper age especially if they be indewed with a moist and cold constitution do lead a delicate and idle life and feed upon cold and moist nourishments old women also and that unto death by reason of the plenty of flegm and the weakness of the concocting faculty There is no need to enquire the Signs the affect is made known by the relation of the patient her self It differs from a gonorrhaea because in that the matter of the seed flows forth whiter thicker and at longer intervals and 't is voided in less quantity From a nocturnal polution because this is joyned with a phansie of a venereal business and happens only in the sleep From the discolored courses because they observe their periods though not alwaies exactly they do not happen to women with child and those troubled with the suppression of the courses they shew a red colour From matter out of the ulcers of the womb because then the signs of an ulcer stand forth the matter it self is thicker and whiter It it be sanious 't is besmeared with blood and voided with pain We have laid the Cause upon an Excrementitious Humor which Somtimes is raised by purging Medicines Nature being stirred up by their use to attempt excretions somtimes by Baths Nature casting off
Quick-silver precipitate Sublimate Oyl of vitriol sulphur c. VI. Putrifiers do melt hard flesh Such are Arsenick Orpment Chrysocolla dryopteris Pityocampe aconitum Sandarach VII Hair-grubbers are such medicines as pluck up by the Roots the Haires of the Body so as to make the part where they are applied bald and smooth such as are strong lie quick-lime ants-egs sandarach arsenick orpment c. VIII Milke-wasters do either incrassate and thicken the blood by overcooleing it or they dry up and digest the same or finally they do by their whole substance destroy the Milke Such are Mints Sage Calamint Coriander Henbane Oyl of unripe Olives Vinigar Camphire IX Seed confounders do either coole thicken or discuss the same or consume it by an hidden property Such are Mint Rue Agnus Castus Dil Seeds of Hempe Fleawort Lettuce Purslaine Champhire c. Article V. Of Medicaments which take somewhat away Point 1. Of Purgeing Medicaments Medicaments which take something from the Body are 1. Purgers 2. Vomiters 3. Diureticks 4. Sweaters 5. Transpirers 6. Braine-purgers 7. Expectorators Purgers are such Medicaments as drive out by stool such humors as preternaturally nestle themselves in mans body And they are 1. Choler-purgers 2. Phlegm-purgers 3. Melancholly-purgers 4. Water-purgers 5. Purgers of all humors together 1. Choller-purgers are medicaments which drive out preternatural choler And they are 1. Mild as among simples Cassia fistularis which because it is hurtful to a moist slippery belly and to the stomach and is windy it is corrected with a graine or two of peper aniseed or Cinamon and is given in a bole commonly from sixe drams to two ounces to children two drams may be given Tamarins or Indian dates convenient for hot Constitutions which because of their coldness are corrected with Cinnamon and Mace and by reason of their lazyness they are quickned with whey of Goates-milk They are given in Pulpe from an ounce to two ounces or three and in the Infusion to five ounces Manna Calabrina which is safe in al cases excepting burning fevers t is quickned with syrup of Roses solutive It is taken in Prune-broath or the Broath of a Cock or Hen to the Quantity of three or four ounces Aloe Soccotrina which taken in too greate a Quantity inflames the Liver because it opens the orifices of the Veines t is not safe for women with child Nor is it good for hot and dry natures 'T is nourished or impredgnated with juice of damaske Roses 'T is corrected with mastich because of its Acrimonie It is given from halfe a dram to a dram more see thereof Solenander sect 3. Counsel 29. Rhubarb the soule of the Liver which must not be given alone because it is apt to fume and easily exhales but with endive water or syrup of Roses solutive it must not be given to such as are troubled with the strangury nor those that are subject to the Hemorrhoides 'T is corrected with Cinnamon Spicknard Schenanth 'T is given from one dram to two drams Damaskroses musked fragrant bitter and detergent Their Virtue is encreased if two ounces of whey be mixed with an ounce of their juyce a little spike and Cinnamon being added Violets which are of like vertue with roses exceeding good in diseases of the Brest and Head-ache Terpentine especially pistick which with pouder of Lycoris and Sugar is made into Boles and given to clense the kidnies Lemnius commends it in a potion Among compounds are Syrup of roses solutive hurtful for women with child because it opens the veines of the wombe from two ounces to four Rose-leaves must be gathered while the morning dew is upon them Their strength lasts hardly beyond six monthes Syrup of the flowers of Acacia de Manna Laxativus Horstius his syrupe of tamarinds with senna Pilulae Angelicae Benedicta Bejeri Hiera mellita from a dram to four drams II. The stronger are amonge simples Asarum which being long boiled loses its strength very wel beaten it moves vomit It is given with whey wine and honey sod together Scammonie which must never be given to such as are inclined to vomit feverish weak persons in the summer in broaths alone because its acrimonie disturbes the body inflames the spirits hurts the principal parts 'T is corrected with juice of Quinces mucilage of Gum Tragant spirit of sulphur or vitriol Being corrected t is called Diagrydium 'T is given from five graines to fifteen Of compounds are Pilulae Rhudji to a scruple Aureae which are most in use Extract of Scamonie The Magisterie thereof which see in Mynsichtus and Grulingius II. Phlegme-purging Medicaments are such as draw excrementitious flegm out of the Body And they are 1. More gentle among simples Myrobalans Chebulan and Emblican which are to be avoided in obstructions of the Gutts or Bowels they are steeped in Chick-broath to an ounce or boiled therein with muscadine Cnicus or Carthamus seeds which purge water and crude flegme and raise wind because they provoke vomit they are corrected with Anise Ginger and Mastich Mechoacan which is of subtile parts mingled with Earthy Of exquisite tertian Agues it makes double ones It works most happily in the forme of a pouder or if it be steeped a night in wine or broath and drunke in the Morning Amonge compounds are spices of Hiera picra simple Lozenges of Mechoacan described by Horstius II. Vehement Flegme-purgers are among simples Agarick which by a peculiar Faculty frees the Lungs from clammy thick and putrid humors 'T is â—afer in the Infusion than in the substance Jalop which is most proper where choler is mixt with flegme The Dose is from a scruple to two scruples with cream of Tartar ... It has in it somwhat of Acrimony Turpetum gummie and white which because it hurts the Stomach provokes Vomit is corrected with Ginger Pepper and Cinnamon By its dryness it brings the bodies of those that over use it into a Consumption It works best in a decoction Coliquintida which purges thick and clammy Humors from the remote parts and because it sticks to the fibres of the stomach it provokes vomiting It must not be corrected by astringents for they detain it being a violent medicine too long in the Body Hermodactyls which purge thick humors from the Joynts and are corrected by atenuaters Euphorbium which is hot and dry in the fourth degree because it inflames the Jaws and Throat vexes the Stomach and Liver raises cold sweat 't is corrected with cordials and Stomach strengtheners but best of al with Oyl of Roses It must not be used inwardy before it be a year old Sagapenum which brings out clammy and thick Humors Of compounds are Pils of Sagapena of Horstius and Camillus Syrup of Coloquintida and Lozenges of Jalap c. III. Melancholy purgers are such as drive excrementitious melancholy out of the Body And they are 1. Gentle Among simples Indian Myrobalans which are principally given in quartan Agues and purge adust choler Epithymum which by a
peculiar property above all other medicines purges this Humor howbeit but weakly 'T is more safely used in the Winter than the Summer That of Crete is the best Polypodie of the Oak which because it binds when it is old must be used fresh and new gathered That which grows on over old Oaks by its overmuch Humidity subverts the stomach Sena which is used to draw humors out of the Mesentery in the broth of Prunes Reisons and in Whey c. its cods if gathered when ful of juyce before they are fully ripe wil work as the leaves doe but withering upon the stalk they lose al their virtue Among Comporunds are Syrup of polypody and Epthymum Pils of Fumitory Pouder of Sena of Montagnana c. II. The stronger sort are among simples Lapis Armenius which must be so long washed in cordial waters til no more foulness appear Lapis lazuli which must be used after the same manner Black Hellebore which is least dangerous in the decoction 'T is best corrected with the flegm of Vitriol An excellent way and Elegant to give it is to stick an apple with cloves and black Hellebore Roots and roast it in the Embers Among Compounds are Extract of black Hellebore and Syrup of the same in Heurnius IV. Water-purgers are Medicaments which drive waters out of Mans body 1. The more gentle are among simples Soldanella or Sea-Colewort which extreamly delights in the company of Rhubarb and loses not its Vertue by boyling 2. Germane Orice which provokes the Courses and loses its force by boiling The juyce of the Root is put in an Egshel with the yolk of the Egg and so they are boil'd together or roasted til the Egg be soft boyled so as it may be supt Among Compounds are Conserve of Peach Flowers Pouder of Soldanella of Fowentinus c. II. The more vehement sort are Elaterium which slips even without the Veins and draws water away It may be given to strong persons to the quantity of ten grains if wel corrected understand in German Bodies and tough english plough-men or Sadlors 't is corrected with Cinamon Spike c. Cambogia which because it makes the Stomach a little sick it is corrected with Spirit of Salt and Mace The use thereof is hurtful to cholerick natures See thereof Reudenius and Lotichius Hedge-Hyssop which works upwards downwards It is dried and steeped in milk then dried again so as that it may be reduced to pouder Esula whose Milk Seed Leaves are very strong but the Root more mild It must not be used til a month after it has been gathered That is best which is five or 〈◊〉 months old The Bark of the Root is chiefly in use 'T is corrected by Infusing three dais in Vineger Among Compounds are the Magistery of Cambogia Pilulae Freytagii Oyl of Elder-berry Stones V. Purgers of al Humors together which are called Catholica and Panchymagoga are these which follow of simples Sena Hellebore Antimony c. Of the compounds Panchymagogum Crollii Vegitabtle Paracelsi Extractum Catholicum majus minus Electuarium Diacatholicon c. Point 2. Of Vomitories and Diureticks Vomitories are such Medicaments as cast forth bad humors by the Mouth Which they do either because they naturally tend upwards or because they swim upon the Stomach and burthen the same or because they loosen the upper Orifice of the Stomach Of this sort are I. The more gentle simple water Luke-warm water Barley water fat broaths simple Oyl with water Butter Hydromel Root of Orach Garden Cowcomber Melons Daffodillies Asarum Flowers of Peaches of which conserve is made Seeds of Rocket Orach The middle Rind of a Walnut Tree when it is fullest of juyce especially the Cats-tailes thereof Electuary of Asarum of Fernelius II. The stronger sort are white Hellebore The Vomitory of Cunradinus which is given from three drops to ten drops Gilla of Paracelsus White vitriol vomitory Sala his salt of vitriol Flores Mercurii argentei Mercurius Vitae Mercurius dulcis Manna Mercurii Aquila-Flowers of Antimony Oyl and Electuary of Antimony and Crocus Metallorum Aqua benedicta of Quercetanus Pismire water Platerus his Wine Heurneus his Helleborate wine Aqua Benedicta Rulandi II. Diureticks are medicaments which provoke Vrine and by that means evacuate withal the morbifick matter They are twofold 1. Properly so called which easily penetrate into the Veins and therein melt the Humors with their heat and they are Roots of Parsly Smallage Eringos Ruscus Asparagus Pimpernel Herbs Asarum Liver-wort Chervil Scordium Seeds of Gromwel Chervil Saxifrage Fruits bitter Almonds Peach Kernels c. among chymical preparations is spirit of Salt and whatever things are compounded of Tartar II. Improperly so called and they either hot as Maiden-hair Terpentine Ambona Root of which see Zacutus Or moist and which lenifie the passages as Mallow-seeds Marshmallow Lycorice Or cold as Strawberries Barly the four cool seeds Bath-waters Whey of Milk Juice of Lemons Also Peach-Kernel water with Muscadine is commended The whitest slints heated red hot and quenched in rich Wine Oyl of Wax from five drops to six Salt of Amber an half dram in weight Water of Hips Oyl of Juniper Berries c. Point 3. Of Hydroticks and Diaphoreticks Hydroticks are such medicaments as drive out the morbifick matter by the habit of the body in a sensible manner viz. by sweat They are otherwise termed Sudorificks The act by reason of their heat and thinness or subtilty of parts turning the peccant matter into a vapor and they which are cold do act by a propriety of their Substance Now they are I. Either Simples as Angelica Pimpinella Fumitory Tormentil Zedoary China Sarsaparilla Sassafras Lignum Guajacum Cornu Cervi Bezoar stone oriental and occidental 2. Or Compounds as Orenge-Flower Water and Treacle water Spirit of terra sigilata Tartar Carduus de tribus Treacle Mithridate Salt of Scabious Carduus Wormwood Ash Among chymical preparations there is Aurum Diaphoreticum Flowers of Antimony fixed Turpetum minerale diaphoreticum Sulfur Auratum Bezoardicum joviale c. II. Transpirers properly termed Diaphoreticks are such medicaments as drive the morbifickmater through the pores of the Skin invisibly They are al hot turn the Matter in a vaporous steam and open the bodies pores The chief are Melilote Fenugreek Rue Marjerom Of Kin to these are Wind-discussers such as are the Roots of the smaller Galangal Leavs of Bayes Dictamus Penyroial Origanum Rue Marjerom Seeds of Annis Fenel Carway Cumin Carrot Fruits Bay-berries Juniper berries Barks of Citrons Orenges c. Point 4. Of Medicaments which purge the Brain Brain-purgers are such as void the morbifick matter nestling in the Brain by the Nostrils or Pallate The former are called Errhina and Ptarmica the latter Apophlegmatizantia I. Errhina do by their nitrous quality melt and dissolve the flegm which hangs about the Coats of the Brain and draw it out into the Nostrils without any disturbance to the Brain it self The chief are the Roots
arise Which is performed either by steeping the Member in hot water or by Application of a Linne Cloath wet in Lie or Application of Onions beaten in a Mortar with salt which nevertheless is not good for burns in the Eyes Exceeding Commendation is given to an Oyntment made of one part of Oyl-Olive and two parts of whites of Egs beaten together and frequently anointed on with the Feather of an Hen. 2. By opening the bladders the third day after their arising when the Scarf-skin begins to breed on fresh I. Another sort is indifferent great which is known hereby in that the part is forthwith swelled and inflamed Pustles arise wherein is contained a thin subtile water of a yellowish color the Patient complaines his skin is stretched T is Cured 1. By Cutting the Pustles that the hot and sharp Humor may flow out 2. By application of Defensatives least Humors and blood may flow to the part affected 3. By Application of tht Oyntment of Fabricius made of three ounces of fresh butter washed in rose-Rose-water Oyl of Violets Yolks of Egs and of sweet Almonds of each half an ounce Barley meal one ounce and half Saffron one scruple Mucilage of Quince seeds one ounce Wax as much as shal suffice III. Another is extream which is known hereby that in the very moment that the thing burning sticks to the body pustles arise but fal soon after the skin beneath is black or livid and Lead-colored If pricked it feels dully When the Crust fals off a putrid and profound Ulcer arises T is Cured 1. By cutting the pustles or bladders that the water which is contained in them may be dryed up 2. By Separation of the Escar the second or third day which if it cannot be effected it must in many places be cut with a Pen-knife See Fabricius his â—yntment 3. If a Gangraena begin the Cure must be applied thereunto 4. The Eschar being separated the Ulcer must be clensed filled with flesh and covered with a Skar IIII. Another is from Gunpouder in which the grains of the pouder must be taken out with a Needle or some ther Instrument If they cannot be taken out the pustles must be fuffered to arise If they arise not they must be riased by vesicatories and cut the pouder must be taken forth and the place must be washed with a Decoction of Fenugreek c. Another sort comes from thunder in which case sweat must be provoked by some Antidote The Arteries Lips Tongue Nostrils must be anointed with Treacle wine The Escar being removed Mundificatives and flesh-breeders corrected with Bezoarticks are to be applied If a bone be broken the Vulgar astringent Cataplasmes are to be avoided V. One sort is of the Face in which the Medicine of two Egâ—whites Oyl of Roses two ounces Rose water one ounce has place Another is of the Eyes in which case warm brest Milk must be dropped on If a Crust be raised we must use Emollient fomentations lest the Eye lids be drawn back The skin must many times with both hands be drawn back Another is of the Joynts in which the afflux of Humors must be stopped Pain ass waging Topicks are to be applied least the Nerves be contracted or the joynt become crooked we must be very Vigilant c. But touching al these see Wilhebmus Fabricius Hildanus his Treatise of Burnings Title V. Of Luxations in Particular Chap. 1. Of Luxations of the Jaw-bone the Clavicula and the Vertebrae THe first kind of external Diseases are Luxations and they either of upper Limbes or of the Lower To the former belong the Luxation or Disjoynting of the Jaw-bone the Clavicula the Spine and Ribs the shoulder the Arms the Hands and finger joynts 1. The Luxation of the Jaw-bone is caused towards the fore part of the Face the foremost and sharp process like a beak being slipt beneath the Jugular T is known hereby both because the nether Jaw sticks out foremost and the process sticks out by the said jaw as also because the mouth continues alwaies open It arises from too much opening the mouth and gaping and stretching the Jaws whether it be by yawning or by taking some burthen by the teeth and lifting it high up yet is it hardly done because of the strength of the Muscles wherewith it is fastened to the upper parts The Cure is undertaken 1. By Reposition least the Belly void choler or vomiting be raised and it must be suddenly procured least the Brain be drawn to consent by reason of the Nerves inserted into the temporal Muscles touching which see Authors 2. By Praecaution of Inflamation and other Symptomes If the Patients neck be pained a vain must be opened in the Arme. 3. By Retention of the replaced Bone c. T is divided two manner of waies 1. Into that of one side of the Jaw and then the jaw with the Chin is bent towards one side the mouth is distorted the teeth answer not one to another And into that of both sides of the Jawes and then the whole with the chin hangs over towards the brest The temporol Muscles are stif A certain eminency is perceived in both parts 2. Into that which happens only to persons of ripe years and that has been here described and into that which betides Infants in whom because the Mandibula is divided into two parts and is joyned together in the middle of the Chin by a large gristle the said gristle being loosened by afflux of Humors or the bone being separated from the gristle which in grown persons turns to a bone it may be disjoyned towards the right or left side II. The Clavicula is disjoyned either towards the Breast-bone or contrary wise towards the top of the Shoulder-blade but seldom by reason of its firme connexion with both the bones T is known because the shoulder swels and in the place from whence the Clavicula is slipt there is a manifest Cavity T is Cured with difficulty and for the most part the Arme is deficient in some of its motions A strong binding must be used III. Luxation of the Vertebraes is either outwards or inwards T is easily Cured in Children hardly in persons grown up Chap. 2. Of Luxation of the Humerus Cubitus Radius and the Fingers TO the Laxation of the upper Limbs there likewise belongs Luxation of the Humerus Cubitus Radius and Fingers I The Luxation of the Humerus or Shoulder is when the Head thereof which is round inserted into a shallow Cavity and fenced with a very loose Ligament slips out of its proper place It arises for the most part from a violent cause stretching of the Arme c. T is divided into that which is caused under the Arm-pit and then somwhat round and hard is sensibly felt under the Arme the Cubitus suddenly becomes more distant from the Ribs It may be restored either by turning round the Head of the Humerus about the neck of the Scapula or by the Heel or
impostums of the Brain abundance of Yellow Choler c. Or else they exalt the same such as are hot and dry temperaments that cause an inordinate motion of the Animal spiritts Or else lastly They impede and hinder the motion of the Animal spirits and such are a less than is requisite conformity of the head and brain the over great thickness of the same c. The CURE respects the several Causes and may be taken and understood by what hath been already above spoken Those medicaments that are appropriated either for the conservation or restoration of the memory are reputed and accounted to be that they term Tinctura lunae taken in the water of lilies of the vally The pouder of Trithemius of which there is sufficiently spoken in the miracles of Mullerus the Anacardine Confection in weight half a dram thereof exhibited and taken with al possible cautions unless haply an hot and dry temperament hinder it Those things that resist and therfore are good against a cold and moist distemper are that water that Practitioners cal Aqua Magnanimitatis Cunradi The lily of the vallys balm frankinsence in weight half a scruple taken with wine Nutmeg c. Toughing which consult the practitioners in Physick Article II. Delirium or dotage A deliry or dotage is a depravation of the Phantasie and the ratiocination Faculty arising from the bringing and presenting of an absurd and inconvenient Phantasme The SIGNES of a delirium beginning are garrulity or talkativeness in a person of few words and so on the contrary fierceness in a quiet and mild person ribaldry and scurilous speech the quick motion of the eyes in regard that they are associated with the brain Arteries veins and nerves a pulse with perturbation in the Hypocondria But the signs of that that is present are speeches and actions that the patient hath been altogether unaccustomed unto and which in themselves are indeed very absurd and incongruous The CAUSE hereof is an absurd Phantasme having its rise and original from a default in the Animal spirits as wel those that are fixed as those that are movable which ought to be pure clear and transparent temperate and regularly and ordinatly movable For if they swerve from those aforesaid requisites there is then an error and mistake communicable unto the Phantasmes about and upon which the Reason is employed and busied and then those Phantasms are represented unto the intellect or understanding otherwise than they ought to be The CURE is different according to the variety of the differences It is divided into a dotage that we cal primary and that which we cal sympathetical I. The Primary is that when the brain is in its one proper substance and essence that is in it selfe affected and this is either with a feaver of which more in the Chapter following or else without a feaver containing under it as wel that wherein Paraphora and Leron that is to say an error of the mind or a dotage and busying of it about toies and trifles proceeding from the imbycillity of the principal faculty by reason of an immoderate flux of blood or else by reason of long continued watchings as that we term downright folly in the which the principal faculties are not only impared and diminished but likewise extreamly depraved and corrupted II. That which is sympathetical when the Cause is communicated from other parts It is disposed and divided into that which is without a feaver which comprehendeth under it temulency or a kind of drunkeness and distemper brought upon the spirits either by wine or beer or else from hemp darnel henbain the dry sticks of that they cal Levanthe the rinds of mandragoras opium and the like Those things that preserve are the smal strings of wormwood and Rew eaten upon an empty stomach the cabbage or colewort and a morsel of bread eaten after a draught as aforesaid those things that accomplish the cure are vomits and the use of things Acid and sharp c. and into that that is with a feaver which often hapeneth in acute feavers and not otherwise And then the feaver is at hand and presently appeareth if it shew it selfe in the very begining without any apparent signs of concoction it introduceth a Phrensie which is quallified in great part removed by sleep but if it happen to be with concoction and other hopeful signs and tokens then it is Critical and decretory It is cured 1. By revulsion by the opening of a vein in the feet and other such like remedies 2. by tempering and allaying the extraordinary heat of the blood in the head by topical or local medicaments 3. By the application of hypnoticks or medicaments caussing sleep 4. both by the evacuation of the matter which hath already seized the head and this is to be done by openining either the forehead or the tongue vein and likwise by the discussion of the said matter by applying unto the head pidgons dissected and cut in midst and withal the decoction of Camomile c. Or else it happeneth in an inflamation of the parts and especially the diaphragme And then the breathing is unequal the Hypocondria are violently drawn back more inwardly there is likewise Joyned therewith a deliry or dotage together with a Cough and a pain of the side The Cure ought to proceed according to the Nature and condition of the part affected Article III. Of a Phrensie A Phrensie is a perpetual and Continual deliry or dotage arising from the Inflamation of the Membranes of the brain and afflicting the Patient with a continued Feaver The SIGNS are a perpetual doting a continual Feaver incessant watchings and short and frequent drawing of the breathe The CAUSE is an inflamation of the Membranes of the Brain of the which we have already above treated in this very Book The CURE ought to be ordained according to the Disease the Nature of the watchings and the suppression of the Urine In this distemper Venesection or blood-letting is one especial if not the only Remedy But then a plentiful measure or as we say good store of blood is somtimes to be drawn forth at the Nostrils by putting up a Feather made into the fashion of a Star even unto the very Root of them and forcibly turned about therein But touching what we are now upon more may be seen in what hath been already delivered concerning the Inflamation of the brain Neither must we forget by reason of those aforesaid watchings together with repellers to mingle Hypnoticks that cause rest or else they ought to be administred severally and by themselves alone as we see good Three grains of Opiat Laudanum cautelously administred in a convenient liquor least the Phrensie should by any means degenerate into that Disease we cal Veternus that is the Lethargy or drousie distemper are very much commended This said mutation or change is wont to happen either of its own accord or else because the sick persons neglect cannot endure to reply unto
of the incision knife For the Differences see further in Aeginâ—la II. The Dilatation of the Pupilla called Mydriasis and Platucoria is when the Pupilla is inlarged above and besides the ordinary course of nature toward the it is or particoloured circie of the eye It is known by this that the sick persons either by reason of too much of the External light breaking in upon the eyes or else in regard that because of the falling of the Sun beames in an oblique manner upon them these oblique wayes being weaker than those that are perpendicular they are not able to see and discerne so clearly and acutly when they would look upon any object they then a little close their eyes and the one of them being shut the pupilla of the other cannot be dilated It ariseth from the Extension and stretching out of the Vvea of which this said Pupilla is the hole or inlet either by reason of external or else internal causes For the Cure hereof it must be sought for in the differences It is divided in a threefould manner I. One is native and such as is contracted from the very birth Another Adventitious and happening accidentally II. Another is from external Causes as a blow or a fal from on high c. whichâ—â—â— it be altogether without any inflamation is easily and soon cured but not so if it be accompanied with a rupture of the Vvea Another from Causes internal which are particularly expressed in the following difference III. Another is from siccity or drynes extending the Vvea like as we see in skins or hides that are perforated and this is not to be cured without some difficulty The best remedy in this case is Goats milk if the eye be wel washed therewith and as it were drenched therein Another from humidity the cure whereof is so much the more easie if it chance not after an extream and Vehement pain of the Head It is performed universal and general Remedies being first premized by the drawing forth of blood out of the Temple Veins and the Veins in the corners of the Eyes and by the applying of Cupping-Glasses in the hinder part of the Head and Leeches behind the Eares and likewise by the Use of Resolving Medicaments among which salted Water is much commended that have in them but little of astriction Another from blasts blowings which happeneth unto Trumpeters these flaculencies or windinesses are to be discussed scattered as aforesaid in affects of the like Nature III. The straightness or narrowness of the Pupilla which they term Myosis is when it is rendered and made narrower than naturally it ought to be It is known by this that al objects whatsoever that the sick persons look upon seem bigger than indeed they are that the visible species being conveied in through a straight and narrow inlet may be and are dilated in that broader space neer unto the Crystaline humor It ariseth from the contraction of the Vvea It is Cured according to the Nature and quality of the differences It is Divided according to the diversity of the Causes One is from overmuch humidity contracting the Vvea from the Circumference towards the Center For the which those Medicaments that are exsiccating and drying such are Rew and Selandine are a very fit and propper Remedy Another is from a defect of the watery humor and then the Patient wil see and discerne better in the room that is obscure and dark because that the visible species are more aptly and speedily Conveyed unto the Crystaline humor In this case an aliment and supply is to be attracted and drawn unto the part by applying of milk and sweet water unto the head Another is from a more scant and spare afflux of the visive spirits unto the said Pupilla Article II. Of a Suffusion A Suffusion otherwise termed Hypochyma is an obstruction of the Pupilla bindering the sight and caused by a humor consisting in the eye and residing in that part thereof The SIGNS are divers according to the quality and Condition of the rise and original of the augmentation and of the perfection or Period thereof and they shal severally and apart be explained in the differences The CAUSE is a humor either sincere and single or else mingled whether it be there collected or transmitted thiâ—her by the veines of the tunicles the Vvea tunicle or the Nerves It is collected most especially in those eyes that are great and sticking out we term them Goggle eyes in regard that the visive virtue when it is diffused in a wide space is the more infirm and weak and the laxity of the waies or passages affordeth a very facile and easie entrance The CURE is difficult if it chiefly happen from a feave or some extraordinary vehement pain of the head if it chance unto yong childeren or old aged people and none at al if the suffusion be black if the sick person discern not the light It is wrought if at al I. By the drawing forth of the obstructing matter by purging Phlegmagogues and especially hiera and the electuary that they cal diacarthamus but before these we may premise and administer preparatives II. By revulsion of the same matter by Cupping-Glasses Vesicatories c. III By a discussion of the said matter by Topicks mingled with Emollints or mollifiers and the clearing and cleansing of the eyes And here for this purpose there is commended the water called aqua Joelis the remmedy of Bovius formed of the gal of a Cock half an ounce the blood of a mouce three drams and a half and so made up like unto a Colliry with the breast-milke of a woman or else water of mans dung known by the name of aqua stercoris humani Elambicata with the gal of a Weasel and likewise of a hare saccharo caudi rosato and margarites prepared IV. By Chirurgical operation of which we are for further satisfaction in this point to consult those Authors that have treated at large uppon this subject The Differences of a Suffusion are Various I. In regard of its Situation 1. One is in the Center of the Pupilla which Representeth the Objects as though they came and passed through the Windows and this ought not by any means to be attempted by the needles point lest that the whol Pupilla be filled with the peccant Humor flowing thereunto 2. Another resideth between the Vvea and the Cornea Tunicle and then the Pupilla is evidently seen to be extreamly obscured and darkned and the Pupilla is of necessity dilated by Reason of the Humor that distendeth it 3. Another resideth betwixt the Vvea and the Crystalline humor and then the opposite unto the former do manifestly appear 4 Another is seated in a deeper place and then the Pupilla is very narrow and much streightned Another is situate in a place less profound and deep and then the said Pupilla is larger and wider II. They differ in regard of the degrees for One
interception of the said humor and for this purpose serveth wel the Emplaster of mastick Gum elemy and Taccamabaka throughly warmed and so applyed to the temples IV. By discussion with the playster of Melilote and other the like V. By the Application of such remedies as act and operate by their own specifical property among which the cheif are the tooth of a dead dog burnt in the furnace mingled with posset drink and so imposed the root of the sharp and sowr sorrel taken up in the spring before it blossom and bud forth wel dryed and so applied unto the pained tooth That we term senect a serpentis boyled in wine or vinegar Gum Hedera put into the teeth VI. By extraction and drawing it forth which wil be much facillitated if the tooth be first touched with the distilled water of Sal Armoniack take notice of this let the Cause be what it wil Take the Fern root and Cinquefoyl of each three drams Bistort two drams the leaves of Rew of Sage of Betony the Flowers of Roses of each half a handful boyl al these in a sufficient quantity of red wine that is most astringent and as much common water as you think fit until a third part be wasted for a Collution to wash the mouth withal The differences are taken from the original place and quality of the Humors I. For their rise and original they somtims flow together from the highest part or crown of the head and then the Revulsion ought to be by the Cephalick vein and likewise those things that we hinted before touching repellers are heedfully to be observed Somtimes they arise from the inferior parts and then the revulsion ought to be made by the Basilick vein II. For the place sometimes they stick and abide in the tooth and then the pain is not altogether so deep but is extended according to the latitude of the tooth For the most part it conteyneth within it a worm by the motion whereof the pain is exasperated Somtimes in the little nerve tending toward and into the roots of the tooth and the nervous membrain thereof and then the pain is the more vehement It extendeth it self in breadth al along the Gums and reacheth even unto the Ear the tooth being taken forth it is much eased in regard that by reason the way is opened the pain may the better be dispersed and blown abroad Somtimes it seateth it self in the very Jaw-bones themselves and then it floweth into the upper Jaw-bone along by the greater Angle of the Eye and into the lower by the Temple Veins We cannot attempt the Cure by Repellers without apparent danger in regard that the matter being brought unto the Jaws inevitably suffocateth and choaketh III. For the Qualities some are hot Serous or Wheysish Salt and Sharp which excite a most violent and intolerable pain but hot withal such as soon hath an end by Reason of the sudden changes It is very rare that they have adjoyned to them as a Concomitant the swelling of the Cheek They are removed and taken away by Repellers among which are Roots of the sour Sorrel boyled in hard and austere Wine and together with Wine held in the Mouth as long as need requireth the Roots of the Wild sloes the outward Rind being taken away and this indeed is one of the cheif Remedies al things else corresponding and answerable thereto Others are Cold and Flegmatick from the which that pain that proceedeth is indeed more remiss and gentle than the former but then it is of longer continuance these most commonly produce a swelling of the Cheeks This pain is to be taken away after that Universal and general Remedies have been made use of with Camphire half a scruple Spirit of Wine two ounces or of the Juniper Gum half an ounce boyled together with eight ounces of Rhenish Wine and for a while kept in the Mouth Or lastly of the Distilled Oyl of Cloves two drops thereof with a smal proportion of Camphire put upon the Tooth being first wrapt up in Cotton Article II. Of Stupor Stridor and Nigredo in the Teeth THe Stupor or if we may so term it the astonishment of the Teeth is Caused I. Somtimes from the Sowrness either of meats or of the Humors or else of the fumes and vapors which frequently befalleth those that are Hypochondriacal II. Somtimes from the imagination at the Noise that is made in filing of hard mettals or the Mastication and Chewing of sharp sowr fruits by one standing neer If the sound be very acute piercing and making a loud crashing then the imagination suffereth a kind of violence the Application of the said noise being made within an extream narrow compass and then next of al the Membrane of the sense of hearing being likewise as it were smitten is offended and thereupon is immediately contracted and together with it certain little Nerves also even unto the Root of the Teeth into which place a new Air suddently falling in and getting entrance causeth a certain kind of horrour about the Teeth It is Cured and taken away by Chewing of Wax hot bread Cloth c. The Stridor Grinding or Crashing noise of the Teeth proceedeth I. From the imbecillity of the Jaw-bone Muscles produced and caused by cold II. From Worms the brain being affected by Consent III. From the multitude of Vapors is in the beginnings of Paroxysmes It is wont to threaten the Apoplexy and likewise in Feavers the Deliry or Dotage in such especially as are not accustomed thereunto in case this doting went not before the Feaver III. Nigredo or blackness proceedeth from divers Causes as wel External as Internal And these external are a Carelessness and neglect in Rubbing and Cleansing them the use of sweet and hot things and the anoynting of the upper parts with Quick-Silver or as they commonly cal it Hydrarge These latter to wit the internal are 1. The Exspiration or breathing forth of Crudities by reason of surcharging the Stomach with meats or Drink 2. A fault of the Humors by reason of the impurity of the Bowels and cheifly of the Spleen left remayning behind after a Quartane Feaver It is taken away by the Dentifrice Compounded of Marsh-Mallow Roots and of the Illirian Flower-de-luce Boyled in Water with Salgem and Alum of each alike and as much as wil suffice and after that throughly dryed in a Furnace beaten together into a very smal powder and mingled wel together with some few grains of Musk. There are other dentifrices that are formed and made of the Jaw-bones of the Lucefish or Pike burned White Coral and Date Stones burned the Bones of the Sepia or Cuttle fish and Egg-shels burnt Harts horn burnt c. Title XII Of the Affects of the Gums THe principal Affects of the Gums are an Excrescence and a Purulis I. The Excrescence is somtimes so great by reason of the Spungy rarity and loosness of the Gums and the abundant afflux of Blood that the Teeth and
Clammy and Flegmatick whether generated out of the meats or flowing thither from some other part The Cure ought to be fetcht from the Chapter of distemper 3. by a defect and weakness of attraction Either by reason of a cold and moist distemper or by reason of the interception of the passages by the obstruction of the mesaraick and hollow part of the Liver in the Cure of which those parts must be respected 4 By hindrance of Evaporation either when the substance of the body is not emptyed either by reason of the constipation of the pores and thickness of the Skin which a Bath of sweet water wil take away or the weakness of Native heat whether acquired by a cold distemper or idlenss or by reason of the tenacity sixt and firme concretion of the substantifical moisture which doth not easily yeild to the gentle and pleasing heat that feeds upon it There is another from the not perceiving of the sucking which 1. by Diseases of the brain in which either the Nerves of the sixth pair are affected or the Animal spirits are not generated or their influx is hindred or which happens in acute Feavers they do languish or the faculty as in the Phrenitical c. is converted another way The Cure ought to respect those Diseases 2. by Diseases of the Stomach it self whether they be of distemper or of Composition or of solution of unity of which we treated before The appetite is raised by taking away the causes partly by cooling things if a hot Cause did precede partly by heating things if a cold Wormwood Wine is very much commended Article III. Of too great Appetite Too great Appetite is distinguished into two Species viz. A Dog-like Appetite and Bulimus I. A Dog-like Appetite is a continual insatiable desire of Eating arising from a Vehement sense of sucking in the mouth of the stomach afflicting somtimes with vomiting somtimes with a loosness There is no need of SIGNS whereas they are exprest in the definition The CAUSE is a Vehement sense of sucking and pricking in the Orifice of the stomach but whence it comes is explained in the Differences The CURE which is timely to be administred least the sick fal either into a custome of vomiting or into the Caeliacal passion or into a dropsie doth respect 1. The hunger it self which is allayed either with the Use of Fat things or with the Yolks of Egs hardened in Water or what is best with Wine 2. The Causes of which we wil treat in the Differences The Differences are taken from the Causes urging the Suckings I. One is from the too great want of nourishment in the Body or by Reason of worms feeding on the Child which shew themselves by biting and they are cast forth by the use of Hiera Picra or by reason of too great Evacuations both sensible and insensible by the habit of the Body by Reason of too great a heat of the moisture to which conduceth much the tenuity of the Humors and thinness of bodies Laxness of pores c. And then sweats do molest The Cure is to be turned to the Particular Diseases Or by reason of the long use of Detersive Nourishment as Pigs Lobsters c. II. There is another from cold acid and more austere Humors wrinkling the Orifice of the Stomach compressing and pulling it as are acid Flegm and Melancholly poured into the Stomach and then the signs of a cold distemper are present amongst purger Hiera Picra is good as also Zacutus his Wine Lib. Ult. Hist Prax. ca. 2. n. 9. II. Bulimus is a great Appetite Periodical which aftentimes ends in a Nauseousness with Faintings away and loss of strength The Signs are explained in the Definition The Cause is doubted of by Physitians yet most do hold that t is a cold distemper of the Stomach whereupon t is wont often to happen to those that make long Journeys through deep snow There is no Cure if it happen in Chronical Diseases somtimes after Feavers and other Diseases it threatens a relapse It respects 1. The time of the fit when the swouning happens in which we must use frictions and revivers as the smel of Wine Vinegar c. 2. The time out of the fit in which after the sick hath recollected himself meats of good juyces must be ministred bread dipt in Wine c. And by external means the heat must be restored to the Stomach Article IV. Of a Depraved Appetite or Pica Pica which is also Citta and Malacia is so called from the bird Pie which is sick of this disease it is an absurd appetite to a strange substance liquid or solid beside the ature or essence of nourishment from a sad sense of sucking and corrupt judgment not discerning things fit or unfit for eating from a Vitious Excrement imbibed in the coats by a peculiar propriety of substance molesting the mouth of the Stomach The SIGNS are manifest because they desire meats of Vitious qualities there preceded excess indigestion use of meats and drinks of evil qualities a suppression of the Courses c. The CAUSE is a sad sense of sucking Molesting which is Caused by the matter impacted in the Coats of the Stomach either acting by its whol substance or by a manifest quality arising from an evil Course of Diet or sent from some other part as from the womb whereupon t is familiar to Childing Women about the second and third Month but there is wont at the beginning while the Causes do alter to be raised a desire of contrary things but when by long custome there is a familiarity contracted things like are desired The CURE must be haistened left a Cacochymy or Dropsie be caused The peccant matter is most commodiously cast forth by vomit which in Childing Women must be Caused by those which are more gentle The Stomach may be strengthened with water of Cinnamon of Orange Pils magistral of Corals c. Article V. Of too great Thirst Too great thirst or Poludipsia is a greater and oftner desire of accustomary drink by reason of a sad sence of sucking in the Mouth of the stomach arising from the defect of moist nourishment and the alteration of its proper Humidity The SIGNS of the Symptom are manifest of themselves The CAUSE is a sad sense of sucking which the want of moisture and the plenty of heat have raised but whence that proceeds shal be explained in the Differences The CURE doth respect 1. The too urgent Symptom which is mitigated by Crystal or Coral held in the Mouth cold water corrected with a little Vinegar the iuyce of live Crabs with water of violets and Housleek sprinkled with a little Niter a Lohoc compounded of the Mucilage of the Seeds of fleawort and quinces of each half an ounce Sugar Candy of violets pouderd Starch Tragacanth of each one dram Syrup of violets as much as is sufficient With spring Water boyled with Sugar Candy adding a Pome Citron cut in two c. II.
one scruple and an half the Juice of Flowerdeluce clarified which may be given to three drams with syrup of endive six drams Parsly water half an ounce and the pouder of diarrhodon Abbatis one scruple With peach flowers dryed and boyled in wine The stronger as gambugia which is given from six grains to fifteen see Reudenius concerning it Rulandus his extract of esula trochiskes of Alhandal or the same authors Spiritus vite aureus The extract of elaterium most commended by Massaria from one grain to three grains The magistral or Crystal Lunae of Tentzelius given chiefly at the Wain of the Moon from four grains to five Mercurius vitae fixt by longe digestion Crocus Metallorum Absinthiacus of Mynsichtus the same authors Tartarus Emeticus c. All which must be given on even dayes not too often nor the bowels too much corrupted after the use of them we must see whether they bear it wel and the bowels must alwaies be strengthened Concerning a Paracenthesis or tapping see Authors 2. By diureticks which ought to follow purgers of water amongst which beare the palme the pouder of earth worms given one dram weightwth the decoction of asparagus or fennel The salt of ash salinated as Billichius delivers Wine twice or thrice strained through the ashes of bean straw burnt six handfuls the tops of broome Juniper each two handfulls and a halfe woodbine one handful and a half and given six ounces weight 3. By swaeters and dryers as are the Root of swallow wort steept and boyled in Wine Antimony Diaphoretick the decoction of Sassafras wood Treacle in wine the quantity of a smal Walnut with a few drops of Oyl of Sulphur Lapis Serpentis concerning which see Joel Outwardly Mynsichtus his Plaister de Cineribus 2. By strengthning of the parts that the Water be not collected again here are good the Trochiskes of Wormwood Paracelsus his Diacubebae c. 3. by diet which see in Anthors The Differences are taken from the parts by whose default the serum is collected One is by default of the Kidneys that do not attract the serum either because they are Exulcerated and then some matter appears in the urin the piss is much less than in other Causes or because the Vreters are broken and then it ariseth suddainly That comes to pass for the most part in expelling the stone Another is by default of the Spleen which when as it is as it were spungy it ought to draw the water from the stomach by the vas breve that office being delegated to it by Nature which may be carried from hence by the splenick Artery into the Coeliacal by and by from the trunk of the Aorta by the emulgent Arteries to the veins It doth that either too greedily by reason of an inflamation risen in the Veins which is known by a pertinatious flux of the belly which doth neither take away the swelling of the belly nor the pain by reason of a Hectical distemper and either from the weakness of the veins not attracting the nourishment or from the corruption of the same and continual voiding of Cholerick Excrements it afflicts with a heat in the jejunum gut and mesentery Or it neglects it altogether either by reason of the obstruction of the passages tending to it caused by thick humors Or by reason of the dissipation of heat from a schirrous too much emptying the use of hot things the distemper of the neighbouring parts acute Diseases Or by reason of the suffocation of heat by the too much use of cold things from the suppression of the Courses from superfluous Evacuations c. Another is by default of the Liver either for the same causes not attracting the serum or retaining it or by reason of the same inflamation too much attracting and then there is a desire of coughing the Excrements are few and dry by reason the serous Humor is sent into the belly and the rest is burnt up by the heat of the Liver Article V. Of a Tympany and Anasarca A Tympany is a distension of the belly from much wind raised up either by a weak or burning heat contained within its Capacity It is called also a dry dropsie although for the most part 't is joyned with Water The SIGNS are these the Skin appears retcht like the skin of a drum and struck upon gives the sound of a Drum the Navel hangs forth much The puffing up of the belly is greater but the heaviness less Compressing of it doth not leave behinde it so conspicuous a mark but the hollow print is presently filled up belching and Farts often break out noise and rumblings Obmurmurate It must be distinguished from the distension of the breast after wounds which doth possess the breast back Loins Cod Arms Neck nay somtimes the whol habit It proceeds from hence that the Air which ought to pass streit through the mouth to the Lungs and from the Lungs again to be breathed forth through the mouth a way being open between two Muscles or the Muscles and the skin 't is blown from the wound as from a pair of bellows into the space between the skin muscles and hence furthermore it penetrates into the neighbouring parts The CAUSE is wind which if you consider its rise springeth either from a weak heat or from too much and torrefying which resolves into Vapors that which is subtile being violently stirred as is seen in black choler lying under the stomach If the place 't is neither in the stomach because it would be cast forth by belching nor in the Guts because it would be voided by stool but for the most part 't is generated between the coates of the mesentery and Guts For in the dry Dropsie the torments afflict about the Navel greifes and pains of the Loyns but the mesentery forward is united to the smal Guts backward to the vertebres of the Loins from which it springs from whence is this distention yet it is found also in the Cavity of the Guts and it insinuates it self thither through the Orifices of the Mesaraick Veins The CURE requires I. The bringing forth of the matter producing the Wind where takes place Fardinandus his Antipneumatical wine concerning which in the History 38. The Coagulated Spirit of Salt with Wormwood water and spirit of Elder 2. The Discussion of the wind outwardly by a great Cupping-Glass applied to the Belly by frictions with Garlick bruised and boyled in generous wine by a fomentation of a Boyes Vrin and Lapis Prunellae concerning which see Hartman Inwardly by the Decoction of Ebony wood the spirit of Guajcum the Arcanum of Cummin and Carrawais the liquor of the flowers of Mullein c. 3. The correcting of the hot distemper of the Bowels if there be any the strengthning if it be weak II. An Anasarca or Hyposarkidion and Leucophlegmaty is an equal increase of the bulk of the Body preternaturally throughout â—â—e whol body arising from default of the nourishment The SIGNS
succeed the washing of the Head with Fallopious his lie IV. Pains of the Head in whose cure inwardly takes place Hartmans Diaphoretick Oyl of Mercury outwardly Vigoes Magistral Plaister de ranis and that of Platerus Observat l. 3. V. Pains of the Joynts and especially of the lower parts between the Joynts which at night grow more feirce because then the pores are stopt and they are taken away by fomentations VI. Pustles Efflorescencies Scabs clefts in the palms of the Hands and soles of the Feet the Cure of which see in Hartman VII A running of the Reins in which the same Hartman commends green Mercury precipitate or the Gum of Pockwood which being given Turpentine washt in violet water and dissolved with the yelk of an Egg ought to be administered with the Decoction of Sarsaparilla 'T is distinguished from another by this that it causeth little or no itching nor doth not so soon cast the Patient into a Consumption VIII A tingling of the Ears which is very difficultly cured yet somtimes it vanisheth by the use of the decoction of Pockwood Septalius commends an Asses water distilled in which Pockwood some castor and a bundle of Horse mint have steeped al night and dropt into the Ears or the fume of it received IX Hardnesses or Knobs and Gummosities for the Cure of which Platerus hath afforded excellent Plaisters in the third book of his Observation Hither belong Hartmans Oyntment made of Vnguentum Aureum of the shops and Mercury sublimate X. A Consumption in the Cure of which Septalius tels me l. 7. Of his Animadversions p. 322. That the Decoction of Sarsaparilla made with leane Veal is admirable Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title II. Of Poysons Chap. I. Of Poysons digged out of the Earth POysons considered in special are either digged out of the Earth or Vegetables or Living Creatures The cheife and most common of those digged out of the Earth are the following I. Aqua Fortis whose strength is broke by the Mucilage of Quince Seeds Flea-wort Gum Tragacanth c. II. Antimony whose Antidote is bole-Armenick given with Oyl of Cloves and a little Wine That it hurt not with its Vapors whiles it is wrought in the fire we must Eat butter with Rue or drink Zedoary water III. Lapis Lazuli which if it be taken either ill prepared or in a greater quantity it ought to be cast up by vomit and be tempered with a drauft of warm Milk especially asses Milk IV. Arsnick Auripigmentum Sandarach which somtimes infect by their smel their specificks are Crystal digged out of the Earth poudered and drank one dram weight with new Oyl of sweet Almonds and Oyl of Pine Nuts given three drams weight V. Burnt brass Scales of Brass the flour of Brass the rust of Brass which are weakned by sheeps Fat taken in broth are killed by Bole-Armenick given with Honey and water VI. Refuse of Iron and the rust of Iron whose antidote is thought to be one dram of a Load-stone made into Pils with the juyce of Mercury VII Lead to which are opposed the Kernels of quinces husked bruised and given two drams weight with sweet wine VIII Quick-silver against whose fume received we proceed with a drauft of wine in which some Cephalick things have been boyled Sublimate is resisted by Oyl of Tartar or Salt of Wormwood Chap. 2. Of Vegetable Poysons VEgetable Poysons or those of plants are as follow I. Aconitum or Monkes hood whose antidote is Andromachus Treacle or Terra Lemnia in wine outwardly the swelled body must be anointed with Oyl of St. Johns wort and Scorpions II. Spurge against which a vomit being premised Andromachus Treacle is good with Carduus water III. Mezereon which is resisted with water Germander red Coral Treacle and Terra Lemnia IV. Black Hellebore whose antidote is the pouder of the flowers or Roots of white water Lillie or of Parsnip seed with wine V. Coloquintida whose force Treacle doth infringe VI. Euphorbium whose force is broke with Citron Seed in wine in which Elecampane Roots have boyled VII Green Coriander which causeth a furious raving and hath the Root of swallow wort in wine for its antidote VIII Mandrakes which causeth a heavy sleep its Symptomes are resisted by garden radish taken somtimes with Salt IX Henbane which they that have taken of it do somtimes rangle and dote like drunken men somtimes think that they are beaten with rods by reason of an Itching caused in the whol body its antidotes are Pistachoes castor Rue Nettle Seed X. The Walnut Tree whose shade if any one lie under it it doth hurt and causeth pains of the Head they are taken away with a lie of betony Marjoram Lavender c. XI Nux Vomica whose antidote is Zedoary two drams weight Citron Pill or the Juyce of it Juyce of the Myrtle or quinces XII Opium upon the too much use of which a Heavy sleep seazeth with a Vertigo and itching of the whol body whose antidote is assa Faetida and castor to which add Rue and Origanum XIII Mushrums which if they be taken either in too great quantity or be not wel concocted do cause Suffocation raise the hickops stop the Urin and exulcerate the Guts In the Crue are commended the ashes of prunings of vines with honeyed water Treacle and other things Chap. 3. Of Poysons from live Creatures THe cheife Poysons which are inferred by living creatures are those which are Caused I. By an aspe whose wound is so smal that it can scarce be seen upon its biting there come a heaviness of the Head sleepiness paleness of the Face often gapings c. In the Cure we must provide by ligatures and Scarifications that the Poyson peirce not into the body Treacle with bruised Rue must be laid on the wound Things alexipharmacal must be given inwardly amongst which are commended the leaves of Mullein Avens boyled in Vineger II. By a Viper at whose stroke first the blood comes forth pure which is followed by a bloody and fro thy filth like to the rust of brass with a notable tumor of the part and whol body pustles adust and blackish in the part affected It s antidote is costus given from half a dram to one dram with wormwood wine or the Decoction of wormwood an Hares Runnet Leeks c. III. By a Scorpion at whose stroke do follow pain inflamation a Tumor pustles about the wound like warts 'T is resisted by sage water germander wormwood gentian birth wort up-right vervain wild time c. One hath been freed by frankincense bruised in whom the scorpion had left its print IV. By a Lizard which leaves in the wound for the most part its subtile smal black teeth the teeth must be drawn out with Cupping-Glasses a Cataplasme of the crum of wheaten bread made with the Decoction of
Serpentary root Centory Fig-Ashes Unguentum Apostolorum Agyptiacum By opening the Fistula which being done the Callus must be taken off with a pen-knife or with a red hot iron the part being guarded with a defensative III. By Consolidation the filth being cleansed away by Centory pimpinel c. As for what concerns the differences 1. Some have divers holes or Cavities and then more quittor flows out than can be contained in one Cavity 2. Others have divers orificies and then if the liquor squirted in by the syring flow back through al and if the humidity be of the same coler t is but one Fistula 3. Another terminates upon flesh then that which we touch with the probe is soft and the quittor that comes forth is white 4. Another reaches to the nerve then pain is felt when we search it 5. Another bottoms at the bone and then that which we touch with the probe is hard 6. Another ends upon a Vein and Arterie and then if they be gnawen asunder blood breaks forth if not a certain matter like lees or dregs comes out Chap. 2. Of Wounds A Wound is the solution of Vnity in a soft part made by somewhat sharp and cuting either by way of a prick or stab or by way of a slash or gash The Subject is a soft part and that either external or internal c. There need no Signs The Cause is expressed in the definition The Cure is none if the Heart be wounded so that the vital spirits be dissipated if there be a vessel in the Lunges out of which blood being shed overwhelms the Heart If some great internal vessel be so hurt that it cannot be shut up whereupon blood being plentifully shed the spirits are dissipated Doubtful if the weapon were poisoned if the wounded person be weak and ful of bad humors if an inflamation happen in the inner more nervous parts and such as have more exquisite sence which is followed by an afflux of humors and sometimes by a Gangreen 'T is difficult if it be joined with a Cachexy and dropsy because overmuch moisture hurts the cure If it be purged out with difficulty If it be complicated with other diseases If it be in a part apt to receive a Conflux of humors If it have in it some extraneous thing which cannot at first be drawen forth If on the Critical daies to which wounds are so far subject inasmuch as they have in them some matter requiring Concoction there is no change to the worse If the wound be oblique or circular If convulsion happen or contusion be also present 'T is performed I. By exemption of superfluous things Where note 1. Clotters of blood must be taken away only at the third binding because by stopping the Orifice of the veins they hinder a flux of blood 2. Those broken bones are only to be taken forth which are perfectly free 3. The weapon must be pulled forth if the patient may live when that is done 4. That the weapon may be taken out either by thrusting them along if the passage be short and neither bone nerve nor veine prohibit or by extraction and both waies are performed either with section or without the same those things which cannot otherwise be removed must be brought out with drawing medicaments nor must they be by any meanes left to Nature II. By conjunction of the Lips of the Wound where respect must be had to the manner of binding up and to which belongs swathing placing of bolsters slipping and the right placing of the part tied up III. By Digestion that the blood which flows out of the smallest veins in the part wounded and sticks in the pores of the part may as soon as possibly be changed into quittor Where observe 1. That in moist bodies vulgar moisteners must warily be used least putrifaction being induced the wound should turne to a sordid ulcer 2. In dryer bodies they are more profitable to correct the dryness 3. That Digestives must be corrected with sarcoticks and that we must not trust to one medicament See the Medicaments which move quittor in the Institutions This is the best Red clear terpentine and Gum Elemi of each one ounce and an half Weathers grease two ounces old Hogs-grease one ounce Melt al over the fire and make a Liniment 4. By Conglutination of the Parts which is performed either by a medium of the same kind in the soft and fleshy parts in which plenty of blood by strong heat is more easily changed into flesh or by a Callus in the bones or by a scar in the skin Which is furnished by sarcotick medicaments of which in another place also by vulnerary potions concerning which observe That they are not to be used at the beginning nor when external medicaments may serve the turn and when there is a fever and Inflammation those things must alwaies be used which are appropriated to the parts Hereunto appertain The Vulnerary Balsom of Hartmannus in his chymiatria the glutinatory pouder of Crabs Balsam of Eare wax and Rulandus his balsam of sulphur 5. By averting the fluction where we are to use 1. Blood-letting if the body be plethorick If the blood did not issue out two much before If the wound be great and there be no inflammation caused by pain 2. Purgation if the body be ful of bad humors if the humors be thin hot and cholerick least they make the blood apt to stir If it be used at the beginning If there be no fever withal The Differences of wounds are sundry 1. One is of the Vessels and that either of a Veine and then the blood Issues more violently and it is thicker blacker and less hot or of an Artery and then the blood is yellow hot and thin the patients strength is much spent by reason of loss of spirits t is hardly cured by reason of the hardness of the Arteries their perpetual motion and the force of the blood in them contained The Cure calls for the stoppage of blood which is performed 1. By joining together the Lips of the wounded vessel either with a mans fingers or a swat he by which means nevertheless the blood wil hardly be stopped By stopping the Orifice of the Vessel either by application of ones finger or by medicaments which stop blood The external medicaments are Crepitus Lupi a kind of puckfist or toadstool so called vitriol poudered and put in a cloath the pouder of Agricola consisting of two drams of Sugar of Lead White franckincense red myrrh one dram of Saffron and Camphire poudered wet with Frogs-spawn water dried at a gentle fire put into the wound Internal medicaments see in the Chapter of bleeding at the nose 3. By Revulsion with blood-letting divers times administred or by Cupping glasses if the patient be weak 4. By Interception with intercepting medicaments which ought to be applied to the vessels by which the blood flows 5. By dissolution of the blood after it is congealed and clottered
where note 1. It must be extended without any pain or as little as may be by one man if the lesser hones by two if the greater be hurt 2. They must be rightly placed in their proper places so as the ends may fitly joyn one to another so that the Eminencies of the Bones may not be forcibly thrust into their Cavities lest they should be broken That if they break out of the Skin they be handled after a peculier manner 3. We must see whether they be rightly placed and framed together which is known by Cessation of pain and that there is no cavity that the broken part feels just as the whol save that it is thicker possibly by reason of afflux of humors 4. They must be duly bound up which is then done when a medicine made of the white of an Egg beaten with astringent pouders is first laid on to prevent Inflamation When the binding is neither too loose nor too strait It is then too loose when the Patient finds that he is lightly pressed and the same night feels himself more strongly bound and the day after a swelling arises in the extremity of the Member if it be too strait the contrary signs follow If it be not loosed before the third day 5. The member must be rightly placed that is to say softly lest it be pained equally that it may not be distorted it must be somwhat raised lest the Humors flow to it III. The Body of the Patient where if need be blood-letting and purging must be used IV. The Callus and then meats of good juyce must be given Medicaments which breed the Callus must be drunk down and applied especially in grown persons one dram of Osteocolla with Comfrey Water See Aquapendent and Hildanus in their observations V. The Symptomes 1. Inflamation whereto respect is to be had presently at the Beginning nor is the part to be bound or at least not so hard 2. A Gangrene which see in its proper Chapter 3. Itch and Excoriation which proceeds from sanies where the Sanies is to be washed off and afterwards unguentum album Camphoratum Rosaceum c. must be used 4. Pain which either springs from the overstraitness of the Swath-bands and then a swelling appears in the extremity of the part and the sick Patient complains that he is extreamly pressed The swath-bands are to be loosed and the binding to be made more easie Or from a pricking bone and then a pain arises from a light handling of the part The Bone is either to be restored to its place or taken out or cut off Or from a Confluence of Humors and then 't is cured like a beginning Inflamation Or from an evil scituation of the Member and then the Patient easily discovers the same the scituation of the Member must be changed 5. The Gracility or leanness of the member and then either an over-thin diet or long binding of the swathes is the cause Nourishment must be drawn to the part The Differences of Fractures are sundry I. One is athwart so as the Extremities do not at al stick together 'T is known by this in that you may feel the ends of the broken bone asunder one from another and in the place of the Fracture a nonnatural Cavity is observed c. 'T is more easily healed especially if it be simple and equal and the broken bones be not removed out of their places II. Another is when a bone is broken into divers parts This is hardly Cured especially if sharp eminences or points do prick the parts adjoyning If they cannot be reduced to their former state and the member is become shorter and unfit for service III. Another is according to the length of the Bone which is called a Clift This is known by the preternatural thickness of the member 'T is easily cured because there is no need of any laborious replacing of Bones but it suffices that the gaping Chinkt or Rift of the bone be closed up IV. Another is Flesh which is easily consolidated V. Another is old which is hardly because Inflamation being added extension is dangerous The extremity of the Bones grow hard Galen saies if the Cure be protracted beyond the seventh day there is danger that the bone wil be blasted VI. Another is alone of which al that has bin hitherto said must be understood VII Another is with conclusion of the flesh and has a wound joyned therewith This is dangerous if the wound be great and in the greater Muscles inflamations easily arise therupon the splints and other things for the better repose thereof cannot so wel be fitted but an hole must be kept open for the Wounds VIII Another which happens in the middle of the Bone and then the division is lighter IX Another which is near the Head above or beneath and then because in the former there are more nerves in the latter more tendons greater pain happens X. Another is near the Joynt and then by ligaments nerves tendons the part broken cannot be conveniently bound up in a bloodless part the Heat is weak the motion of the member is hindered by reason of a Callus or hard substance which binds up the tendons or muscles XI Another is when Two Bones joyn'd together are broken as in the Arm the Radius or Ulna and then the Cure is hard XII Another when One and then the Muscles can be less contracted because they are kept stretched by the whol Bone Title II. Touching Symptoms and their Removal A Symptome is a preternatural Disorder in such things as beside the Constitution of the parts are necessary to action following some other preternatural thing 'T is many waies divided but two waies especially For I. One is of Action hurt whether it be abolished diminished depraved or augmented It comes to pass either through fault of the Faculty when the immediate instrument is ill affected to which the Absence of the Spirits and Influent Heat is referred or by reason of some external Error when those things deceive with which the actions are performed or at least without which they cannot be Another is of Things voided and things retained Another of Qualities changed which depend upon the Hurts of Actions and the Humors depending thereupon II. Others are Symptomes of the natural Faculty viz. the Nutritive Augmentative Generative Retentive Attractive Concoctive Expulsive Others are of the vital Faculty others of the animal Faculty to which belong Symptomes of the external Senses of the internal Sences of the motive Faculty c. The CURE of Symptomes is their Mitigation or asswagement and that must be sudden when they are urgent that is to say do threaten so great danger that we cannot stay to take away the Disease or its Causes upon which they depend but if we should wait danger of death or some great Inconvenience would threaten us Of these we shal Treat in the particulars But because amongst al symptomes the most frequent is pain we shal
Transpiration has place or from the straitness of the pores of the skin for hot things in an hot place if they have not freedom of aâ—â—e doe suddenly putrifie or from the obstruction of the Vessels and Passages in the Body A Feaver Ephemera especially in hot Natures Heat arising from the Nonnatural things Nearness of putrified humors 2. In the Continuance is the fault of the parts ordained for Concoction Inquination or Defilement remaining after the Paroxysme which inserts the humors herein The Cure for the most part does not oppose the Feaver so as to neglect the Cause especially if the Remedies for the Feaver doe encrease the Cause unless the Feaver be very great Yet sometimes we may resist the Feaver and neglect the Cause namely when it is remiss The safest way is so to direct the Cure to the one as not to neglect the other It is performed 1. By Blood-letting which must be practised 1. For evacuation to put the blood in motion and to cool the same 2. In continual Feavers on the third day in intermitting Feavers after the third day in all having first given a gentle Lenitive if any thing reside in the first waies and when the disease is most remiss 3. When the evil humors are not in the first passages but are mingled with the blood in Vena Cava 4. When there is plenitude It must be repeated the same day if it be done for Evacuation sometime after if for Revulsion II. By Vomiting rightly instituted with Aqua Benedict a Rulandi Asarum Roots c. III. By Purgation then Lenitives ought to precede by reason of the stomachs weakness and plenty of humors in the Mesaraick Veins and stoppage of the Belly at the beginning either by Clisters or Potions Stronger Medicaments ought to follow 1. There having preceded both Coction which must be observed in Feavers especially such as are continual and acute according to the precept of Hippocrates by which Nature assisted with art makes separation of putrid humors mingled with the blood Praeparation which opens the passages and waies by opening Medicaments here Cichories Endives and Sorrels have place and impediments in the humors are removed where syrupe of Vinegar of the Juice of Citrons have place and a dram of Spirit of Tartar compound which must be given with caution in cholerick natures by reason of the Treacle water 2. Which must be omitted if the Humors are not in the first passages but mixed with the blood in the Veins If the Humors are turgent that is either move to some determinate part or are so disposed that they may run violently into some part For the feverish matrer is wont at the beginning though little because like Leven it corrupts the rest of the humors to be moved by nature and either to be thrown out of the body or to be thrust into the more ignoble parts of the body IV. By sweating provoked by Sudorifick medicaments and that not very hot least the Fever be increased yet sufficient least the matter should be only stirred administered after other evacuations least Transpiration should be more hindered Yet is it allowable in the beginning sometimes to give strong sudorificks that the said ferment may be dissipated to dispose the patients body to sweat through the whol disease that the body may freely transpire To repeat it as often as need shal be that the matter may be accustomed to expulsion Salt of Wormwod of Centory of Carduus benedictus Spirit and Rob or quiddinie of dwarf-elder of Elder Magistery of Mother of Perle of Crabs-Eyes Antimonium diaphoreticum c. are commended V. Diet in which are principally considerable 1. Meat which ought to be of good juice easie of digestion of small excrement so that great respect be had to the patients strength the disease and morbifick Cause The times of the disease it self must be observed least the patients strength be overwhelmed The Quantity Quality and manner of the use ought to be weighed Howbeit a more liberal diet may be used the strength of the Patient being diminished by Evacuation A thin when it is weak by suffoeation that plenitude may be diminished and nature the better betake her self to the Concoction of Humors A very nourishing one to preserve the strength Medicamental to drive away the Disease and its cause At any time when the strength is decayed by Evacuation and fasting In the declination or intermission the Patients strength being suffocated by the vehemence of the Disease 2. Drink which ought to be nourishing in the Patients weakness And Medicinal in reference to the Disease and its Cause Such is a Decoction of Barley Oxymel Whey corrected with Annis-seed Fennel-seed and Cumin-seed Cooling Juleps In the first daies of continual Feavers little afterwards more plentifully In Agues when the fit is near none at al least the separation and exclusion of the putrifying Humor should be hindred when sweat is ready to break forth hot to further the same The Wine in Agues must be austere and hard because such Wine moistens further excretions and is more easily distributed into the body in continual Feavers about the beginning of Coction little in quartans before in the Progress of the Disease more In the Declination if there be weakness The feaverish heat be not intense Crudity of the matter prohibit not Head-ach and like disorders be absent Chap. 1. Of Continent putrid Feavers Article I. Of the Synochus Putrida Putrid Feavers specially considered are either Continent as Synochus putrida Causus or Continuae Periodicae or Intermittents Synochus putrida is a feaver arising from blood putrified in the vena cava without any periodical Remission and Intention afflicting alike from the begining to the End It is also termed Pur Fire because of its very great Heat Assodes because it makes the Patient very unrestible Taraxodes because it vexes the Sick with imaginary Apparitions And Pericaes Puretos the burning fever because of the Excess of burning Heat The Pathognomonick or peculiar Signs are extream thirst and burning Heat howbeit the thirst is allaied by coughing which causes an Afflux of humors To these signes are added great tumblings and tossings of the Body by reason of great heat and the acrimony of thin vapours which in every part vex the body The Vrin is little in quantity through plenty of sweat and heat which consume the same somtimes t is crude and troubled which by the settling of the adventitious parts and evaporation of the turbulent spirits doth afterwartd waxe cleare somtimes t is thin very cholorick and flame-colored The stooles unless the dung be scorched and hardened by the feavers Heat are liquid and saffron-colored choler being shed into the belly and making the dung thin The pulse is quick frequent and unequal swifter in the Contraction because the Arteries by suddain compression indeavour to expel those sooty vapours which greiviously afflict the heart Breathing is laboursome and expiration is quicker than drawing-in of the air
the sound and noise that it maketh wil soon discover Chap. 4. Of the Diseases of the Adnata Tunicle Article I. Of the Ophthalmie THe Parts Constituting the Eye either they are the Tunicles Viz. Adnata Cornea Vvea and Aranea or else they are the Humors thereof The Diseases of the Adnata are the Ophthalmy Pterygium Panniculus and Hyposphasma of the which two latter this is common to the Cornea Tunicle that unto the Eye-Lids The Ophthalmy is an inflamation of the Adnata Tunicle arising from a sharp blood distending the smal Veins thereof The SIGNS are redness of the Eyes a flowing forth of tears a pain c. The CAUSE is Blood which either alone or else castigated by other Humors sliding forth unto the part affected either by an afflux or else by congestion is dispersed thorow the Veins and so distendeth them The CURE is Difficult if it arise in cold Regions and in a cold time because then the Members are more than at other times streightened and confined if it infest and annoy little Children because that it continually followeth from a tender and weak Head if the pain presevere and long abide because it argueth a matter either corroding or vehemently distending or suppurating if it be by consent from the Membranes of the Brain and the parts contained within the Skin if there appear in the Eye smal grains of filth because these signifie a slowness of Maturation It is more easie if it be by Consent from the external parts if the tears be more abundant and more smarting because it cometh the sooner to an end if the belly be quick in regard that the loosness of the belly freeth the party from it It is to be accomplished according to the Method of other Inflamations It is to be noted in this that somtimes by Venesection the greatest Opthalmies are wholly taken away within the space of an hour 2. That Vesicatories applied behind the Ears do very wel draw back For this purpose there is much commended by Hartman the meat of the Herb Rocket in a quilted bag 3. Errhines and those not overstrong and violent are to be administred if the sick person hath bin wont to evacuate the excrements of the head by the Nostrils 4. Topicks are to be applied but yet not until the end of three whole days and these are to be actually some that warme without any the least mordacity or Carroding quality wel cleansed and purified and corrected by such repellers as are in their own propriety helpeful neither must they be too cool nor too astringent neither over dry and those may presently be put unto the forehead and the neck and they are to be followed with Anodynes which if there be any fear of a greater afflux are very fitly applied to the eye from the very beginning 2. the womens milk is every hour to be changed lest that after long continuance it contract a certain kind of acrimony from the heat of the eye 3. Opium and opiate medicaments are by no means to be adminiâ—tred without great and urgent necessity 4. Great caution must be had lest that there should be any suppuration in the inward parts 5. In the diet wine and the use of baths in the declination of the disease may very wel and without danger be allowed and permitted unto the sick person A Cataplasme of the Crumbs of wheat bread and a rosted apple with the brest-milk of a woman together with a little saffron and sugar of saturn is exceedingly commended And so likewise is the water that is made of the juicy substance of Craw-fish distilled two pints thereof of Rose water one pint and Crocus metalorum half an ounce infused altogether as also of the waters of the eyebright and Fennel of each alike five ounces with metalorum one dram unto which there may be added a fit proportion of rose-rosewater Among the discussives Sarcocol wel washed and the true Tutty of the Arabians which drieth without any kind of biting obtain their place and use The Differences of the ophthalmy is threfold I. One is that we cal Taraxis or a perturbation which is known by this that the eyes only appear to be hotter with a certain redness in them and without any great abundance of tears It ariseth from external Causes to wit 1. the heat of the Sun or the fire and then the Cataplasme before mentioned may very siâ—ly be applied 2. from a pain of the head contracted from the suns scorching heat and then likewise the aforesaid Cataplasme hath its place unless happly general and Universal remedies ought altogether to preceed and take the the first place 3. from wind smoake and dust and the eyes are to be washed with milk luke warme and fleep to be taken thereupon 4. from a blow or a fal and then blood ought immediatly to be drawn forth by opening a vein 5. from the stinging of a Bee Wasp or Hornet and then Repellers of the white of an Egge the breast milk of a woman c. are to be imposed Another is the true and genuine ophthalmy which proceedeth either from hot or from cold causes and to this al that hath been before spoken doth properly and cheifly belong Another is that we cal Chemosis whenas the eye lids are as it were inverted and â—urned the inside outward neither can they be closed and then there appeareth a swelling of something that is white above the black of the eye and this needeth and requireth the stronger sort of remedies II. Another is Periodical which kepeth its intervals it is familiar unto hot moist heads at length it casteth the eyes into a consumption Another is that that keepeth not its periods Another is Contagious III. Another is Moist 〈◊〉 â—hich we have now most cheifly treated Another dry in the which there is but a very smal flux of tears and in the night-time the Eye-Lids contract an hardness It hath its original from a humor that is not much in quantity but very salt and nitrous And it is either with an itching attending it which if tears gently flow forth it is then called Psorophthalmia but if there be no tears at al and that the eyes are only red without any swelling it is then called Xerophthalmia or else without an itching and with a certain hardness of the Eye-lid and then it is-termed Sclerophthalmia The Cure hereof followeth the method of that before mentioned Article II. Of the Nail or little wing the web and the Hyposphagm of the Eye I. The Nail or little wing as they terme it of the eye or as some cal it the arrow is a little membrane that is nervous sibrous and somwhat white which proceedeth forth from the corners of the eyes the greater of them especially and cleaveth fast unto the Adnata tunicle and is somtimes drawn forth in length even unto the Cornea tunicle and very often if it so much increase covereth and over spreadeth the Pupilla or Bal of the Eye
especially the Grinders or Molares are quite covered over The Excrescent flesh is somtimes Lax and loose fordid and flagging and if it be now and then touched upon it sendeth forth likewise a crude blood It is somtimes accompanyed with a putridness and rottenness but then again it is often free from it In the Cure we are to use Astringents to wit Alum burnt Sal Ammoniack Mastick Frankincense al of them reduced and made into a very fine flour in case there be no putrefaction present but if there be then the Green Water of Platerus and Hartman and likewise the Vnguent of the herb Celandine are commended And this that followeth is by frequent use found to be singularly useful and therefore much approved of Take Pouder of the Leaves of Celandine Sage Crisped Mints and Nut-meg of each half an ounce Alum burnt one ounce the purest honey four ounces Let the Honey be throughly freed from its scum by the fire and then when it is scummed while it is yet hot let the powders be sprinkled thereinto and make a Liniment for the anoynting of the Teeth therewithal III. Panulis is an Inflamation of the Gums extending it self inwardly unto the Root of the Teeth and outwardly so sticking out that even the neer neighboring parts are likewise distended grow hot and become Red. It getteth into and setteth it self in the upper Jaw-bone from the greater corner of the Eyes and into the lower by the Temples out of the Veins there ending upon this there followeth an Impostumation the filthy corrupt matter whereof break forth and rusheth violently not unto the Skin of the Face but unto the Roots of the Teeth that are covered over with a thin Skin or covering If the Vlcer be ill Cured then there wil be a little piece of Flesh that wil stand out and hang forth very much and this is called Epulis The way and Method of Curing this Inflamation Parulis is one and the same with that in al the other Inflamations There may be the Vein opened that is under the Tongue Useful likewise are Cupping-Glasses applyed unto the Nook of the Neck In Topical Medicaments it is to be observed that al those that are rough and of a corroding and biting quality are to be abstained from Vinegar must be forborn in regard that it corrodeth the Gums that are in their own Nature soft and loose In the Epulis Vitriol sprinkled thereupon much benefiteth Title XIII Of the Affects of the Jaw-bones THe principal affects of the Jaw-bones are Immobility and Reluxation or loosness I. Immobility or unmovableness happeneth unto the nether Jaw-bone either by Reason of some Luxation when it is put out of Joynt from a Coalition or growing together of the said Jaw-bone with the Head or else by reason of a distillation derived from the Crown of the Head which floweth into the Joynt thereof at the Root of the Ear there following upon the same a pain and likewise a Hard and Conspicuous swelling and hitherto appertaineth the Scorbutical Rigidness and stifness of the Jaw-bones II. The Luxation or disjoynting of the Jaw-bone is the rare but dangerous Depulsion and forcing of the same in the one only or both parts thereof unto the foremost parts It is known from hence that in this case the Mouth cannot be shut the speech is depraved and the Mastication or Chewing of food taken away and if the Process be disjoynted like unto a Bil or Beak that which is inserted under the Jugal bone is made to become lower in situation than the Jugal bone it self and is carryed forth without the same Jugal bone Touching the Cure hereof it is to be noted 1. That it is with al possible speed to be taken in hand lest that the affected Muscles by Reason of those branches of the Nerves which taking their original from the Second and fifth pair of the Brain are inserted into the Muscles moving the Jaw-bone should likewise draw the brain into a Consent and agreement with them 2. That if it be not restored it then threateneth danger of Death about the tenth day with a continual feaver accompanying it as also an irresistable necessity of sleeping It is divided into that in which the Jaw-bone is driven down in one part alone and then it standeth forth from that part more toward the forepart it and the Chin are inclined unto the adverse parts the Mouth is writhed and standeth awry and the inferior and higher row of the Teeth doth not so answer the one to the other as in truth they ought to do that the dog-teeth as we cal them stand directly under the incisorij or Cutters see for the Cure in the Professors and Practitioners in Physick and into that in which the Jaw-bone is forced and down in both parts thereof and the Ranks or rows of the Teeth answer and fal in one with the other the Mouth gapethmore and a stuttering and stammering in the speech followeth thereupon the lower Jaw-bone can by no means be Joyned close with the upper but this standeth out further than that It is the more dangerous in regard of the Affect of those four Muscles that draw upward the Jaw-bone and likewise of the Nerves inserted into the said Muscles from whence proceedeth pain an Inflamation an acute Feaver and Griping pains of the Stomach As for the Cure See as above Title XIV Of the Affects of the Wind-pipe or Wesand THe Principal Affects of the Wesand are Laxation and Inflamation I. Laxation is when it to wit the Wesand preternaturally swelling up yet without any Inflamation for the most part from a Flegmatick Humor transmitted from the brain is extended into an extraordinary length And it is then called Cionis Chalasmene but it is termed Staphule or the Grape when in its lower part Waxing thick and growing round it becometh more slender than that above which it hangeth so that it beareth the resemblance of a grape hanging by its little foot But then to tel you the truth it lyeth upon the Root of the Tongue and the Jaws with a kind of troublesom Titillation or tickling with which whosever is affected he is perpetually striving and endeavoring but al in Vain to devour it fearing lest that by the impetuous violence thereof he should be strangled The Columella it self becometh soft somwhat whitish and of the same color with the Palate without pain and heat The Humor is sent down from the brain and this especially cometh to pass in Catarrhes This Affect is Cured like as the Inflamation If the Columella be Eaten through the sharp Humor is to be tempered and qualifyed and after this Abstersion or Cleansing must follow That which is here of singular benefit is a new laid Egg Eoyled unto a hardness cut through the midst and for some hours applyed to the Crown of the Head in Infants a clean Paper four double wel wet in the Mothers Milk and Rose water as much of one as of the other applied and laid upon
the body be Plethorical if it be not directly on the side affected 2. That if the courses or the Hemorrhoids be suddenly suppressed then the evacuation is in the first place to be out of the ancle vein or that of the Ham but if the suppression hath been of long continuance out of the arm vein 3. That in derivation the blood is to be drawn forth so long as until the color of it be changed 4. That fomentations may be administred to moderate the pain in a body that is not Plethorical yea even before Phlebotomy but not so when the Body of the patient is Plethorical And for this end and purpose excellent good is the Unguent made of dialthea or of Marshmallows one ounce thereof and half an ounce of the oyl of sweet Almonds with the pained parts ought to be al over anointed and upon it the fine small pouder of Camomile flowers is to be lightly strewed and then the leaf of a Colwort or Cabbage anoynted with Butter or hogs fat is to be laid upon it very hot and this is to be continually done dureing the whol time of the cure adding likewise a little of the distilled oyl of dil Champhyre 5. That forthwith in the very first beginning a sweat may very fitly and properly be raysed and excited by exhibiting either of the water of the Poppy Roses three ounces there of with one dram of the pouder of Corral red Filberds the Jaws of the Luce-fish or Pike or else of the simple Mixture one dram with the water of Carduus Mariae or of the Spirit of Nitre with the spirit of Wine of each one scruple the spirit of Tarttar half a scruple in the water of Poppy Roses or else the simple water thereof c. 6. That pectoral decoctions together with their appropriates are continually to be administred after the premizing of universals that so the spitting may be facillitated 7. That these following have in them a Specifical propriety of operation to wit the flower of the wild poppy of the dry dock and of the white Eglentine or sweet Brier the seed of Carduus Muriae the Bulls pizzle or the pizzle of the Hart or Stagg the shavings of the Boars tooth c. see Petraeus Al which are to be made into a very fine pouder and then to be put upon bread that hath been wel dipt in Scabious water 8. That the impostume may best be broken with a Cataplasm of the herb kaly the roots of the White lily while they are new and fresh c. applied unto the side that is payned 9. That after al those aforesaid Chalybeated milk unless a Feaver hinder it is the best I. One is as we may term it Legitimate and exquisite unto the which only whatever was sayd before as to this poynt is to be referred and understood thereof which I. ariseth either from blood that is pure in which there is a bloody spittle an extension of the veins about the Temples and the forehead with a sence of heaviness neer about the hollow of the Eyes the fore parts of the head or else from a blood that is Cholerick in which the spittle is yellow and which if it suddenly vanish without any apparent cause the sick person is immediately surprised with dotage It is best and soonest of al cured by opening the salvatella vein or thirdly from a Phlegmatick blood in which the spittle is frothy more slow and as it were sweet the syrup of Zacutus in the Eight Book Chap. 3. of his History is very efficacious in this kind or else lastly from a Melancholy blood which very rarely happeneth by way of afflux II. It affecteth either the interior tunicle and then the sick person doth with the more ease lie and rest upon the grieved side in regard that now the tumor is not immediately under it neither doth it in this case distend the grieved part or else the Exterior about the bones and then the case is quite contrary unto the former or otherwise both of them and then the patient lying upon the back is the freer from pain III. It affecteth either the right or the left side or the superior part extending it self to the throat or else the inferior reaching even unto the Hypochondria II. Another is bastard and spurious which is distinguished according to the quality of the matter and the manner of its situation One is from Windiness in which the pain is not fixed but runneth from place to place it is mitigated and oftentimes wholly dispelled by fomentations there went before causes generating windiness the pouder of Cummin sprinkled and strewed upon a Cabbage leafe anointed or spread over with butter and outwardly applied unto the pained part is very successful in giving ease Another from a distilation which hath with it a sence and feeling of a defluxion or something at certain times falling down it is exasperated by being touched neither doth it any whit yield unto fomentations the cure is to proceed according to that of a thin catarth Another is externally when the blood thorow the branches from the Axillar is ramus is emptied forth into the External Muscles of the Thorax and then the pain waxeth very intolerable upon the pressure thereof lying down upon the grieved side is extreamly troublesome there is in this case nothing cast forth by spitting and the transition or passing over of it into that which above we termed Vera or the true and exquisite Pluresy is very facile and easy Chap. 3. Of Empyema EMpyema is the Constipation of the Cavity of the Thorax or Breast from an abundant purulent matter causing and producing a difficulty of breathing with a Cough and a purulent or rotten spitting The Subject is the Cavity and capacity of the Thorax being that void space betwixt the Thorax and the Lungs albeit the Lungs themselves and the vessells thereof may not here be altogether excluded But now indeed because that the Lungs by the Mediastine is divided into two parts the Pus is collected either in the one or the other part or else in both of them together The Signs are a difficulty of breathing with a spitting and a perpetual purulent Coughing a sense and feeling of a heavy and dul pain in the bottom of the Thorax and especially neer about the diaphragm a redness of the Cheeks and that chiefly about three or four hours after meals c. The Cause is that very purulent filth it self filling up the Thorax the abundance whereof together with its stinking smell and acrimony inflicteth very sad and grievous pain and mischief There is some hope of a cure if upon the opening or burning there flow forth a white Pus or corruption if it be rather on the right side than the left and that the Patient be strong and able No hopes if the whole Thorax be lifted up in the breathing if the whol cavity be possessed if the left side if upon the lancing or burning of it that
Breath proceeding from the pertinacious either obstruction or Compression of the Lappets of the Lungs The SIGNS of the beginning hereof are the heaviness of the Breast difficult breathing in running or going up a steep place hoarsness a Cough and a windiness in the Praecordia c. The Signs of one present are already expressed in the Definition There is present now and then a Feaver as also a certain ratling noise or Wheezing in regard that somtimes the matter sticketh fast in the foldings of the Rough Artery which when it is expelled by the breath there is the aforesaid sound and noyse excited and somtimes without them in the smooth Arteries The drawing in of the Breath is here more difficult than the exspiration or Putting it forth For whenas in taking in the breath neither the Lungs by Reason of the store of matter nor the Thorax by Reason of the imbecillity of its motion can easily be moved Nature interposing endeavoreth as it were by rest and quietness to cherish and repair the weakned and dejected powers but in Exspiration or breathing forth the Organs and instruments of that work fal down and so give way of their own accord The CAUSE is the Obstruction and compression as wel of the Rough Arteries as of the Smooth of which we have spoken above and from what causes it proceedeth we shal declare in that which followeth The CURE hath respect unto the Causes and it is somthing Difficult if the sick persons be aged There is but smal Hopes if the sick person be thereby rendered Gibbous and caused to go stooping with the back bunching out because that in these the Lungs growing and the Spina not growing nor increasing in the streightness of the Breast the heat is stifled and smothered if it be with an acute Feaver in regard that the Cause of the Asthma being dryed up by the Feaverish heat is thereby rendered and made the more unfit and unable to eject and cast forth that which offendeth upon the ceasing of the Cough the difficulty of breathing stil remaineth if the strength be much weakened because then they soon fal into the Syncope or swooning fits The Diffecences are taken partly from Causes obstructing and compressing and partly from the accessions and other the like Causes I. One is from a Viscid or Clammy Humor stuffing up the Lappets which may be known by this that the breathing forth is Difficult and with a sound as it were and a noise together with a Wheezing Cough It is Cured 1. By opening the Basilick Vein if nothing hinder 2. By cutting and dividing the matter by those Medicaments that moderately cut and divide and that have in them humidity to moysten but these ought to be often changed lest that other wise Nature should be too much accustomed thereunto For the purpose aforesaid there is commended the Oyl of Angelica the Syrup of Nicotiana or Tobacco and that Syrup of Theodatus in his Pantheon Hygiasticon the Decoction of Joel of Zedoary Gum Ammoniack the Flower of Brimstone and Saffron the Oyl of Sugar of Grulinguis and Petraeus in his Nosology the Secret of Frytagius in his Aurora Medicorum Oxymel Scillitick with the Syrup of Violets c. 3. By Evacuation with the Asthmatick powder of Rulandus 4. By Exsiccation with Guajacum Sassafras c. The Humor is divided into that that is Collected in the Lungs and the sick person by degrees beginneth to breath with difficulty and much ado and this difficulty is continual and into that which floweth unto it from elsewhere and then it is not wholly continual the Exacerbations thereof are manifest And here all those things that have in them a purging quality are to be shunned and avoided because they are not without danger II. One is from a serous and Wheyish Humor waxing hot in the greater branches of the Vena Cava and rushing altogether and violently through the right ventricle of the Heart into the Lungs and pressing down the Arterie and this is most frequent It proceedeth cheifly from the Liver and hence it is that the Feet of the Asthmatical person do swel by reason of the weakness of the said Liver the humors in the first place rushing unto the Lungs by their falling to the Kidneys excite and Cause a difficulty stoppage of the Urine Ructures or sour belchings and windiness in the Praecordia are accounted to be in the number and among the signs thereof III. Another is from a little Crude or raw Swelling that we term Grando and smal stones and Gravel touching which we have treated above in the streightness of the Lungs IV. One is more light gentle and moderate with a snorting Noise and a violent Cough the Diaphragm and the Intercostal Muscles yea likewise the Muscles of the Abdomen affording the assistance herein Another there is more grievous we cal it Orthopnaea in the which the breathing is very little thick and exceeding swift which is not performed but with the breast and Neck straitly erected the Superior Muscles of the Breast and the shoulders likewise contributing their help and assistance V. One is Not Periodical and that observeth not its Paroxysms Another is Periodical when the Humor either of its own proper Nature extendeth it self and seeketh for more space and room or otherwise is driven and chased up and down by External Causes if it be there collected or else at the certain and wonted time it floweth hither from some other place Those excerbations are wont to be cheifly in the Winter or in Autumn because the matter is Flegmatick and in the Night-time because it is then moved according to the Motion of the Moon and this usually every fourth day This may be greatly Remedied other things not omitted or neglected either with a Scruple of Saffron in Malmsie and given hot or with Brumerus his smal Potion made of a dram of Ammoniacum Hyssop water four ounces and two ounces of Rhenish Wine Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Chap. 3. Of the Cough THe Cough is a vehement thick and loud Efflation or Blowing forth of great store of breath together and at once that was first attracted and drawn in by the Lungs Caused by the swift Contraction of the Lungs and the Thorax that so what ever is burthensom and Grievous unto the Organs of breathing may be expelled and shaken forth In a Symptom so evident there need no SIGNS at al. The CAUSE is whatever may affect the Lungs the Rough Artery and that Membrane wherewith is is encompassed and as it were swathed about within whether this be somthing External or else a Humor or a Vapor c. The CURE either respecteth the Cause from whence it ariseth or the Cough it self if it be vehement which is either mitigated by Lenifiers or Anodynes or else is wholly taken away by those
to be grateful to the Stomach rather solid than liquid rather meats that are Medicinal than exact Medecines mixt with astringent things that the Stomach be not Relaxed not sharp Salt corroding lest they offend the mouth of the Stomach if the Medicines be external they must be applied to the sword-like Cartilage towards the Navel and upon the back to the twelfth and thirteenth Vertebrae II. By taking away the Causes both External and Internal III. By Strengthening the Stomach where appropriate Medicines take place as the Magistral of red Coral the inward Coat of a Hens maw c. 'T is divided into a distemper without or with matter of which in the following Articles Article II. Of the Distemper of the Stomach without matter A Distemper of the Stomach without matter is a preternatural disposition of the similar Parts of the Stomach in its qualities produced by external and Internal Causes without the presence of any Humor Its SIGNS and Causes shal be explained in the differences the Cure relies only on alteration and removing the Causes 'T is divided according to the qualities I. One is Hot which is known from the want of appetite to meat indorous Belchings clamminess of Spittle dryness of the jaws and Tongue it ariseth externally from the six non Natural things encreasing its heat internally from internal Diseases burning Feavers Inflamation of the Liver Spleen c. 'T is Cured 1. With cooling things but lightly and not too long applied 2. With cooling Diet where Barley Water takes place and Emulsions of the four greater cold seeds II. Another is cold which it known from the greatness of appetite unless it be too cold by sour belchings if neither much nor cold meats have been eaten nor flegm do abound by wind and two much spitting It ariseth externally from the six non Natural things internally from the parts incumbent as the Liver Spleen and Muscls of the Belly which induce a coldness 'T is Cured 1. By appropriate heaters but not too much inwardly and outwardly moist lest driness be caused 2. By Diet where Wormwood Wine takes place it is distinguished into a positive of which we have now treated and a privative which is conjoined with driness It ariseth from the defect of innate heat which is Caused by things that heat too much as the frequent use of Wine the want of nourishment the heat and driness of the incumbent Parts as of the Liver of the muscles of the Belly and the Cal. III. Another moist which is known by want of thirst by abundance of spittle c. it ariseth from external Causes inducing moisture it is Cured 1. With dryers without eminent heat or cold as are the ashes of Hens Guts of Swallows burnt harts horn red Coral troschiskes of Vipers Galangal burnt Salt 2. By a contrary Diet. IV. Another dry which is known by the extenuation and Contraction of the Region of the Stomach which is accompanied with a slenderness of the whol body It ariseth externally from a drying Diet too much emptying and fumes of mettals internally from the dryness of the incumbent parts The cure is the more difficult because with the Feaverish heat it induceth a consumption if vomiting happen it argues a great want of innate heat the Cure is performed 1. By moistening which is best of al accomplisht by nourishments that are medicinal 2. by Diet where Milk takes place beginning with a smal dose new layed Eggs Almonds Raisons Pine Nuts c. There is another compound the Nature of which may be collected from the simple those that labor of a hot and dry distemper have little blood unfit for nourishment are lean bound in body with Veins eminent subject to the dry Scab Article III. Of the distemper of the stomach with matter A distemper of the stomach with matter is when the stomach fals from its temper by reason of some humor either generated there or falling thither from some other place The Signs and causes are put in the difinition in the differences they shal be more largely Explained The CURE is finisht 1. By the alteration and evacuation of the peccant humor 2. By strengthning of the part by appropriate external meats Looke into the differences The Differences of this Distemper are Divers One is from the matter generated in the stomach then the symptoms appeare continually the whole body and al the members are sound It is cured by emptying of the matter which is comodiously done by medicines of aloes hiera picra mechoacan and by corroborating the part Another is from matter falling from another part then that part which was periodically affected is no longer troubled some accustomary evacuation is supprest or the usual diet hath bin changed or somewhat stops in the whole body or in some particular part The symptomes are more remisse For the cure we must have respect to the parts that send the matter II. Another is from the matter sticking in the cavety of the stomach then there is a waving or nauseousness which is attended with vomitinge or a loosness Another from the matter impacted in the coates of the stomach then there is a nauseousness without vomiting oftentimes with the hickops III. There is another chollerick viz. hot and dry which besides the former signes is discovered by nauseousness bitterness of the mouth with a certain sence of knawing and sometimes by chollerick vomitings It ariseth from choller either sent thither from the bladder of gal or generated there from corrupt meats 'T is cured 1. By dyet wherein chicken broath seasoned with lettice and endive doth excel 2. By emptying of the matter both by vomits made of the pouder of the down or flower of walnuts dryed in the smoak and given a dram weight in honey and water and purgers compounded of hiera picra 3. By alteration and coolers and moisteners amongst which do excel succory and violet water syrup of pomegranates of coral of Quercetan of strawberries currans tincture of roses letâ—â—ce and succory condite c. IV. There is another flegmatick to wit cold moist which is known both by the signs formerly reckoned up and by a sence of heaviness in the stomach especially some hours after meat by a waving sowr belching it proceeds from thin or thick flegm t is cured 1. By emptyers both by vomit to which in thick flegm we ought to premise things incisive given in a solid form amongst which excels diatrion pipereon diacalaminth the essence of balme penny-royal c. and by purging so that the purges be administred either alone or mixt with preparatives The vomiters are viz. of salt of vitriol given in broth oxymel with the decoction of radish Heurnius his vomiter of hellebor 2. By strengtheners amongst which excels inwardly taken the roots of callamus aromaticus and citron pills and of oranges with the phylosophical spirit of vitriol and the Elixir proprietatis outwardly ointments compounded of the distilled oyls of wormwood mint cudmin peneroyal mastick a
cerote of one part of pure Ladanum with too parts of wax applied an hour before dinner is good 3. By a contrary diet Article IV. Of the tumors of the stomach A tumor of the stomach is when the same is elevated into a bulke or magnitude greater than is due It contains under it three things I. Inflamation which is known both from the general signs and also from the vehement pain heat thirst a most burning feaver vomiting or often going to stool unless when the orifice or pylorus is possest to these are added the symptoms of the principal faculties if the brain be drawn into consent It ariseth from blood preternaturally poured forth by the veins derived from the porta whether it be pure or mixt whether sent thither or attracted T is cured after the manner of other inflamations where observe 1. that emptying by vomiting or stool is not convenient unless where there is an eruption of matter collected 2. Bleeding is rather to be repeated than to take much blood at once 3. Amongst external repellers sugar of saturne with plantaâ—â— or nightshade water adding a little of wormwood or mint is commended internal things ought to be administred with a moderate actual coldness 4. resolvers which ought to be gentle and Emollient must be corrected with astringents by reason of the excellency of the part 5. If suppuration cannot be prevented the heat must be cherisht with things moderately hot moist and clammy both inwardly and outwardly 6. The imposthumation may excellently wel be broken either with the juice of Scabious alone or mixt with honey 'T is divided according to the parts of the stomach One is of the whol stomach in which what posture soever the sick lyeth down in he is ful of pain Another is of part of the stomach 1. Either external in which the pain after the concoction of the meat is encreased by reason of the intension of the transverse fibres the appetite is not very bad nothing of the impostumation is cast up by vomit Or of the internal part in which al things are contrary but 't is better if the matter pass into this than under the peritoneum because there it may easily be purged forth but here not so 2. Either of the upper part in which because 't is endued with exquisite sence there happen most greivous symptomes and the strictness is most of al perceived towards the latter end of swallowing where the attraction is strongest Or of the lower part in which the pain is encreased more in the disgestion of the meat 3. Or of the former part in which the tumor may be perceived by the touch Or of the hinder part in which if the outside be affected the sick can hardly lie down on his back if the inside not easily on his face II. An Oedema and Schirrus of which we meet with nothing remarkable III. An Inflation when the magnitude of the stomach is increased by wind conteined in its capacity 't is knowen by its distension molesting the region of the stomach above the navel by the tumor and by its resisting the touch by belchings with which the malady is eased It ariseth from matter ministring wind of which in its differences T is hardly cut'd if it befal one recovering because it signifies a relapse if it be in acute Feavers because it shews that the natural heat is wasted by the preternatural if it last long because it endeth in a dry dropsy How it may be be cured see in the differences 'T is divided according to the nature of the causes 1. One is from windy nourishment which is knowen by the patients relation 't is cured with good dyet and discussives to wit with balsome of fenel oyl of carawaies inwardly and outwardly applied by baths of warm water in which are boyled danewort roots by baggs by bread hot out of the oven sprinkled with oyl of Rue 2. Another is from a flegmatick matter which causeth wind and is known from the signs of a flegmatick distemper 't is taken away by emptying the matter prepared and discussing the wind a great cupping glass also doth discuss being applyed with much fire without scarification and often repeated and one dram of sows pasterne bones burnt and prepared with Rue water given in a draft of wine Article 5. Of the wounds and ulcers of the Stomach I. The wounds of the Stomach are known from hence that the belly is loose deeper over against the Stomach hickops and vomiting of choler do ensue sometimes the meat and drink is cast up again They are no waies cured if the whol body of the Stomach be perforated or if its upper part about the orifice be wounded very difficultly if only the outer coat and if the bottome of the Stomach which is fleshy and able to endure medicines The cure is accomplisht as in other wounds mastick any waies taken is good The wound that penetrates and is large ought to be sowed up leaving an orifice in the lower part they must abstaine from al sharp things in their dyet II. An ulcer of the Stomach is knowen by the pricking and ulcerous paine by a heat molesting above the navel caused by the receiving in of hot meat by stinking belchings by causes generating ulcers by a slow feaver c. It arises 1. From external things as sharp medicines and poysons and then the relation of the patient which shew it 2. From sharp humors there derived from some other part or generated there and then we must have recourse to the distemper with matter 3. From an impostumation broke after inflamation and then this was precedent 4. From the rupture of a veine and then vomiting of blood proceeds 'T is hardly cured both because detersives cause paine and because being alwaies moistened by the chyle it cannot be dryed Inveterate ulcers cause a lientery In the cure note 1. The humors if there be any ought to be brought forth only with lenitives 2. Vomits are wholly to be shunned lest that which is ulcerated be delacerated more 3. To internal consolidating medicines somwhat moderately abstersive is alwaies to be mixed Chap 2. Of the Symptomes of the Stomach Article 1. Of the pain and heat of the Stomach THe Symptomes of the Stomach are Paine Heat want of appetite too great appetite a vitious appetite too great thirst hurt of concoction hickops belching rumblings nauseousness Vomiting and the Cholerick passion I. The paine in the stomach is a sad sensation of the same arising either from things that distend it or knaw it and so dissolve its continuity There is no need of Signs in this symptom unless the patient be diseased in mind The Cause is explained in the definition and we shal be more large of it in its differences The Cure hath respect unto 1. The symptome it selfe if it be too urgent in rebating of which a bagg made of the roots of marsh mallows camomel flowers red roses wormwood is good Quercetans anodyne water
distinguished from the paine of the stone in the kidnies because it pricks more possesses a greater space is increased after meat by reason of the compression of the stomach it doth less afflict the back and the thighes 't is wandering and there appeares no Gravil in the urine From that of the womb because this seizeth for the most part upon the stoppage of the courses is communicated only to the hipps and Groins The cure must be hastened because the pain dissolves the strength and spirits and draws the principal parts into consent There is little hope if they vomit often and cannot keep their drink and little or nothing is voided if it be changed into an impostumation of the Collick gut If the matter which was contained in the hypochondries be poured forth and carried to the spina and pass into pains of the back and by a malignity contracted doe produce a falling sickness 'T is performed 1. By taking away of the Causes of which we shal treat in the defference 2. By mittigating of the paine if it be too vehement where note that we act most commodiously with anodine glisters the frequent use of outward applications may be if some evacuation have preceded that narcoticks or stupefying means must not be used neither where the strength is dejected nor in a cold cause That Compounds are more safely used than simples and that the same are more securely cast up into the belly than taken by the mouth That we never be unmindful of things appropriate as are the guts of a wolfe dryed and poudered the stones of a horse Quercetans powder compounded of the inward coate of a hens mawe and the white dunge of the same each half an ounce the pouder of the inward skin which is found in eg-shels two drams and an half of rupture wort cinnamon each four scruples of medlar kernels two drams of an is and fennel seeds each one dram the dose is from half a dram to a dram at the most with white wine c. Crato prescribes for preservation 1. A glister made of one pound of the decoction of speedwel in hen broth adding half a pound of mallego wine and half a dram of mirrh 2. Outwardly oyl of mirrh 3. Three hours after supper one scruple of Zedoary sliced 4. Every month in the morning before meat one scruple of treacle See more in Practitioners The diffences are taken either from the part it self or from the causes I. One is of the whol gut in which the pain is about both the loyns and below the region of the stomach neer to the navel which is very dangerous Another is of part of the Gut in which if the beginning of it be opprest the pain afflicts in the right loyn If the middle of it the paine shows it self in the left If the end of it the region of the navel next to the left is pained There is less danger ariseth because glysters may have access but note that sometimes the loyn is affected with a pain above the navel in the hypochondries II. Another is from diseases as 1. Worms whose signs and cure see in its place 2. An inflamation of the Guts which was formerly described and is increased by meats and drinks that are hot 3. From Stones of the cure of which elsewhere Another is from humors I. Thick and viscous sticking between the coats of the gutts which is known by this that the pain is as if a stake were driven through them by reason of the violent distension of the coats in that place neither is it asswaged by belching or breaking of wind and the gut it selfe is corroded which proceeds from glassy flame They arise cheifly in them who are given to drunkenness and idleness and in whom choler which is the spurre of the expulsive faculty flows not to those places In the Cure observe 1. That strong glisters cast in at first and often repeated do more hurt than good because they stirre the matter but bring it not forth 2. That we use not for attenuation things eminently hot lest the matter being suddainly resolved wind be multiplyed 3. To attenuate and discuss the oyle of Zedoary often given from three grains to one scruple is good White whorebound the decoction of Speedwel the Oyl of Orange pills given four grains with wine 4. If the paine continue we must proceed to dry fomentations by which that which was melted and attenuated may be dryed up and discussed 5. We must abstaine from Agrick for feare of vomiting which at that time is in no wise safe 6. Where gentle purgers do not good the essence of the trochisks of alhandal extracted with distilled mallegoe sack and Rulandus his golden spirit of life must be given from half an ounce to an ounce half at the most 7. we must wholy abstaine from opiates II. From sharp and cholerick humors sticking in the coats and vessels which are knowen by the accute pain thirst bitterness of the mouth watchings though by the first glister some excrements be brought forth yet afterwards nothing almost is emptied There are oftentimes joined with it tertain Feavers double tertians bastard tertians In the Cure note 1. That the collick from those causes is of long continuance and is wont to afflict the patient with many relapses 2. That those humors transmitted to the joints do cause an arthritis to the back pains of the back to the nerves a palsey 3. That they are best of al cast forth with the extract of Rhubarb or Hiera picra mixt with cooling things lest they offend by their heat 4. If the pains continue after evacuation Mallego wine may wel be administred with oyle of sweet almonds 5. That warme milk may also be given in glysters with honey of mercury 6. In dyet the fruit of the guord by a certain natural propiety doth oppose the disease III. Another is from the retention of hard excrements of which formerly and in which we must at the beginning abstaine from giveing any purging medicines by the upward parts lest they move the excrements Another is from wind conteined in the cavity which cannot get passage which is known by the distension of the belly a rumbling murmuring which shew themselves in the bowing of the left side It ariseth cheifly from meats apt to produce a fermentation of the humors as are corruptible-fruits Grapes new wine new and thick drink c. In the Cure observe 1. That the cure must be begun with anodyne and emollient glysters 2. If these profit not Some laxative must be given in fat broth of manna Oyl of sweet almonds and other things 3. Afterwards we must use discussives Inwardly are commended a glister made of Mallego wine and oyl of Nuts each three ounces aqua vitae one ounce the distilled oyles of Juniper and Rue each two drams apply it very hot A mixiture of Spirits of wine and Spirits of niter each half a dram or two scrupels given in common water warme
either by reason of its attraction or reception The Cure is difficult both by reason of the narrowness of the veins in the liver and because more diseases do follow upon this It is performed by things that open obstructions amongst which are commended Riverius his extract of pils of amoniacum made of gum amoniacum dissolved in Vineger of squills three drams the species of biera picra one dram and half crude aloes four scruples Myrrh one scruple Saffron six grains With Syrup of Wormwood Quercetans Pilulae tartareae reformed by Sennertus Tinctura Martis whose description is in Petreus from one ounce to two three and more Deodates pouder compounded of the species of diarrhodon Diatragacanth each two drams Agrimony Madder Roots Ferne poudred Sorrel Purslane seeds each one dram Magistral of pearles Corralls Crocus Martis made without corrosives Crocus Martis prepared by oyl of sulfer each foure scruples with sugar-candy as much as is sufficint given one dram the former tincture being drank after it Pils of steele The decoction of the whitest tartar mundefied and poudered one pound made with foure ounces of crude steel and two gallons of spring water and given two ounces in opening broth Penotus his opening spirit c. In the cure these things come worth observation 1. That universals must be premised before particulars and topicks 2. That medicines ought not to be given to drink but a long while after meat least they carry with them crude humors to the liver 3. Astringents must be added to mollifiers as spicknard burnt Ivory that the tone of the liver may be preserved 4. That things attenuating discussing and resolving ought to be moderate least the thinner parts discussed the thicker doth remaine 5. That we use sweet things not as meats but as sauces 6. The medicines must be given liquid or finely poudered 7. Topicks must never be applied actually cold 8. After the use of steel-medecines the body must be stirred unless black excrements do follow we must abstaine from them The Differences of this obstruction are various I. One is lately which is the easier cleared Another inveterate which causeth putrefaction and a Feaver and produceth a jaundice schirus and dropsie II. One is in the hollow part of the liver which is known from hence that nothing is perceived outwardly by reason that the part lurketh deep the stomach is drawn into consent from whence is loathing of meat nauseousness vomiting thirst liquid excrements It must be cured by things that empty by the stool Another in the gibbous part which is known from hence that the belly prest on that place doth resist the midrif especially because the liver is joyned to it the excrements of the belly appeare bloody by reason of the light change of the chyle into blood The Cure is the easier by reason of the penetration of medicines and the emptying of the obstructing matter by a larger passage we must act chiefly by things that move urine III. One is from Blood either pure which is remedyed only by the opening of the basilica in the right arme or cholerick hot and which is joyned with paine being a long time preternaturally imprisoned in the liver and not timely purged it grows wonderfully thick Or flegmatick viscous and thick which ariseth from gross meats viscous too much by baths or motion forced or carried into the smal veins sometimes it fals from the brain into the stomach by and by passing through by degrees it penetrates with the nourishment into the smal veins of the Liver Another from Winde that is grosse imprisoned under its coate or sticking in the veins which is known from hence that the paine is greater but not continual there is such a great tumor of the right hypochondry that it fils up the whole hypochondry so that the ends of the ribs cannot be perceived yet t is without heaviness and being prest it yeelds it makes no murmuring and gives no suspition of an impostumation lurking there It ariseth either from windy meats from which they must beware or from the weakness of the liver not able to overcome the matter then the matter prepared must be emptied or 't is sent from the neighboring parts and the whole body especially in flegmatick Feavers The Cure in general requires carminatives of which in the dropsie Article III. Of an inflamation of the Liver An inflamation of the liver is a hot tumor of the same arising from blood impacted and putrefying in the substance of the Liver afflicting with a continual feaver a heavy paine and sence of a weight in theright hypochondry The CIGNS are a sence of heaviness in the right hypochondry from the membranes with which the liver is joyned in some to the bastard ribbs A tumor in the same which appeares greater the sick lying on his left side less the body being bowed to the right and the liver sliding under the bastard ribbs A paine reaching from the throat to the bastard ribbs by reason of the heape of matter restrained which puls the membrane that lines the Breast A Feaver whose vehemency follows the greatness of the inflamation and at night is exasperated the inflamation growing hot A dry cough by intervals by reason of the vapors raised up to the lungs and afflicting the midriffe by compression A Difficulty of breathing because the feaver brings a greater necessity of cooling uneasie lying both on the right side because the liver is prest by the stomach and guts and on the left because the liver hanging the membranes are retcht A swift and unequal pulse by reason of the necessity of cooling increased by the hot distemper c. It is distinguished from an inflamation of the muscles of the belly and pleura by the signs mentioned there The CAUSE is blood impacted and putrefied which either is attracted or transmitted or flows thither either by default of its quallity viz. its thinness heat and accrimony or by reason of its quantity and abundance or by the impulse of external causes as while hot medicines are applied to the stomach The CURE is difficult because a principal part is affected and by occasion of it there is iminent the feare of a dropsie or consumption Of little or no hope if the hickops follow because it is a signe that the liver is come to the highest inflamation and so by communion of the nerves the mouth of the stomach is drawn into consent If a loosness follow because this voiding of crude matter proceeds from the weakness of the faculty If a burning and continual feaver accompany it because it signifies that bowel is exceedingly inflamed If it come to Superation which is known by this because that happens after the twentieth day if nature be not weake paines and feavers with other symptomes grow strong yet most by night shakings assail in no order and with no reason which are attended mith an exacerbation of heat because from the impostumation there ariseth a sordid ulcer because t is perpetually
contrary meats made use of amongst these are commended asparagus moderately boy led with Oyl of Vineger and Butter taken at first Course the fruit of Eglantine the stones of the same boy led in broths Chevil Radish Oyl of Olives and sweet Almonds 2. The matter collected must timely be emptyed that it do not concrete By vomits given every month twice or thrice by lenitive Medicines especially Cassia Turpentine and chose that purge water By things that break it if any thing be concreted amongst which are commended the Decoction of the Nephritical wood of Alehoof the Juyce of Speedwel with the Water and other things of which hereafter 3. The Peins must be reduced to their state and hert bleeding prevails if the Liver hath raised hot distemper in them the administration of Strawhetry Purslain Barley Water and anoynting with cold Unguents II. The taking away of the stone generated which is performed 1. By clensing of the first Passages by gentle Evacuaters corrected with things that discuss wind 2. By opening a Vein in the Arm if there be a plenitude in the whol body and the pain be great of the Anckle or Ham if it be fallen upon the affected Part. 3. By Relaxing and making slippery the Passages in wardly with the Syrup of Marsh-mallows Liquorish Violets Outwardly with an Oyntment Compounded of Oyntment of Dialthea two drams Hens Grease new Marrow of a Hart each one dram Oyl of White Lillies one dram of Scorpions two scruples Oyl of Wax distilled and spirits of Turpentine of each one scruple Wax and Saffron a liltle By a Bath of sweet Water in which may be taken Oyl of fresh Almonds two ounces Oyl of Turpentine six drops With a drauft or Warm wine 4. By Removing Breaking and expelling the Stone by Medicines that wil do that the more Excellent of simples are the magistral of Tartar Vitriolate of Crabs Eyes of the mandible of a Pike and the Jewish Stone Lapis Prunella the essence of Crystals the Nephritical Stone the Aqua Vitae of Juniper Horstius T. 1. P. 481. Of compounds Zacutus his Confection or conserve of the Nephritical Stone l. 8. c. 16. Mynsichutus his Nephritical liquor Armament P. 338. The mixture of magistral of Tartar Vitriolate dissolved Crabs Eyes Lapis prunella the volatil Salt of Amber and Vntzerus his Saxafrage Water The generous Wine of the same Author in which a sharp radish with the Rind taken off and cut into thin slices was steeped a whol day given with the magistral of Crabs Eyes and spirit of Salt The mixture of Muffet the English man Cistae Medicae p. 34. Of Libavius of white Saxifrage water with Sugar of Violets and Roses streined with a little Spirits of Vitriol Zuingerus his expeller of the Stone Cist Med. p. 35. 3. The removing of the pain which is performed by the Oyntments formerly prescribed for relaxing of the Passages with a half bath prepared of things anodine Cratoes Cataplasme of pellitory of the Wal Parsly Onions c. 4. The Discussion of wind if there be any See concerning the Stone the excellent most satisfying Treatises of Vntzerus Franciscus Collutius and Beverovicius Article IV. Of an Vlcer and Wound of the Kidneys Concerning an Vlcer of the Kidneys Let it suffice to have observed these things I. That it doth very seldom happen from an Impostumation of a phlegmon by the Acrimony of the matter flowing thither corroding the Kidney by a blow or fal breaking the Veins yet if it do happen the Cure doth require that the falling down of Humors be stopt by Diet by bleeding and purging they already fallen must be temperd with coolers nephritical means must be emptyed with turpentine reduced with the yolk of an Egg into a liquor or with the pouder of liquorish into a Bolus II. That it is alwaies truely Cause by a Stone restraineth within it which either by its weight doth bruise the Kidney or by fretting diminish and corrode it Then the Urin before it begins to be purulent becomes bloody especially after exercise and labor none or an obscure feaver troubles them If at any time the matter be stopt by the obstruction of the Head of the Ureter that by degrees either redounding by the emulgent into the greater veins will defile the blood and habit of the body or heaped up in that place wil distend the Loyns from which the Skin being opened it wilflow much and a long while III. In the Cure the Decoction of Parsly discribed by Doringius in his Mithridatotechina p. 150. Bears the Palm from al others Concerning a Wound of the Kidneys it shal suffice to have noted these things I. That it is known by the Situation suppression of Urin or difficulty of it by its bloodiness by a pain extending to the groins II. That it is divided into that which is in the Superficies and fleshy Part and then much blood flows forth the Urine goes not forth the stronger agglutinatives may presently be administred and into that which Penetrates even to its Cavity and then the blood goes forth with the Water In the Cure the blood must be stopt This stopping things agglutinating must be given inwardly and laid upon it and here is of force unguentum Sanctum of Andreas a Cruce which see in Sennertus c. Chap. 2. Of the Symptomes of the Kidneys COncerning the Symptomes of the Kidneys Viz. The Separation of the serum hurt and Pain few things present themselves I. The separation of the Serum is hurt by the fault of the emulgent Vessels and Kidneys which either labour of a cold distemper and then the Urine is not suddainly supprest Or of a streitness of which formerly In the Cure Diureticks must be given an hour or two before meat II. The Nature of the Pain may be fetcht from the Chapter of inflamation and stone of the Kidneys At the seat of the Kidney 't is fixt and firm on either side unless that somtimes 't is extended either to the Hip or to the Stone of the same side by the Course of the ureter They that are accustomed to it by reason of the dilatation of the ureters are not so easily affected unless perchance the stone be thick and rough but they who are not accustomed to it or have been seldome and gently troubled with nephritick pains are tormented with the least stone c. Title IX Of the Affects of the bladder Chap. 1. Of the Diseases of the Bladder Article 1. Of the Stone of the Bladder THe Diseases of the Bladder are The Stone Inflamation Vlcers to which ought to be added the streitness of the passage for Vrin What the Stone of the Bladder is may be perceived by the definition of the Stone of the Kidneys The SIGNES of it are an Itching and sharp pain in the Neck of the Bladder the Pubes and Perinaeum which by progression and distention of the Bladder torments with great tortures the Patients are wont to scratch their Privities and often to distend
Gut and Womb and purulency of the Kidneys there follows a dropping Upon the falling down of the Womb the Urin comes by drops and is a little biting Another is simple and without pain which is known by a white Watry Urin by the Age Complexion cold course of Diet pregression of a burning Feaver It ariseth either from the refrigeration of the bladder it self and the Muscle shutting its neck and then Diagalanga Mithridate c. are wel taken inwardly Oyl of Rue is wel outwardly applied Or from a Compression of the bladder which is wont to happen in great Bellied Women Article V. Of a Dysury A Dysury is a making of burning Vrin somtimes little somtimes much with pain without interruption arising from Causes both external and internal affecting the Vrinary passage The SIGNS are evident for the pain is easily perceived by the Patient The CAUSES are whatsoever can dissolve the continuity of the Neck of the Bladder or of the urinary Passage or Cause pain in pissing The CURE is Difficult if it fal upon Decreped Old men if a suppression of the Urin happen with it It respects 1. The Cause which must be moved by the aforementioned emptyers which ought to be followed with essence of Turpentine one dram with Parsley water and Syrup of Citrons 2. The Pain which is mitigated with warm Milk cast in by a Catheter by dipping the privities in a Vessel ful of Milk by a Cataplasme of Pellitory of the Wal with Oyl of Scorpions c. The Causes raising the pain do afford us the Differences One is from things external as Cantharides and then milk is good from Poyson and then we must act with things alexipharmacal Another from internal which are 1. The Acrimony of the urin of which formerly The water of bean flowers or its fresh Cods given with Syrup of Liquorish or Poppies six ounces weight before meat is good Also Fallopius his Electuary in Schenkius in Exoter Experim Gent. 4.19 2. An Inflamation whose pain is encreased the bladder being contracted to send forth the Urin and compressed after the emission which oftentimes an exulceration follows 3. A Stone striking against the Neck of the Bladder in pissing 4. The Seed moved in men buâ—sticking in the Passage and by an Acrimony contracted corroding the Passage which is wont to happen in the French Pox. 5. A white and milkie matter which somtimes is sent forth in such abundance that when 't is setteld it fils one half of the Chamber Pot. The which ariseth from a Vitious Conâ—â—ction in which the Salt and Tartarous parts are not separated but are attracted by the Kidneys It is Cured universals premised by the use of Hyppocrist or Mallago Wine Article VI. Of Pissing of blood matter and Hairs Bloody Pissing is a voiding of Blood together with the Vrin arising from the heaping up of the same in the Bldder The SIGNS are that the Urin doth not shine and hath the Color of Water in which the flesh of beasts new killed is washt The CAUSE is explained in the definition and in the Difference more shal be said The CURE must be hastned if the evil be inveterate least it lead to a Consumption or cachexy If it be cast forth in abundance least it stop in the Bladder and putrefie It must be turned against the Cause The Symptoms requires other things being alike things astringent condensing and consolidating amongst which do excel Yarrow with the white flower the Tincture of emralds the Arcanum of agrimony and Cinquefoil Mynsichtus his Decoction c. The Difference is taken from the Parts that pour forth the blood One is from The Kidneys which is known by this that it is plentiful is exquisitely mixt with the whol Urin that being as it were diluted with it 't is thin ruddy liquid and sertles without clotting together It ariseth either from the Anastomosis of some Vessel in them and then 't is made plentiful and high colored or some violence or wound hath went before or there are signs of Fulness or the blood is too thin Or from the corrosion of a Vessel and then the blood is voided in a lesser quantity especially at the beginning Or By a Diapedesis and then the Urin is lightly dyed with a red color The Cure also requires opening a Vein in the Arm which must be followed with the use of astringent means inwardly and outwardly The Trochisks of Gordonius are good Another is from the Liver either weakned or opprest with blood or affected with the same diseases as I said even now and then there are no signs of the Kidneys affected we must consult with the Chapter of the diseases of the Liver Hither belong the suppression of the Hemorrhoids of which in its place a wound of the ureters from stones passing through them from which very little blood flows forth c. Another from the Sphincter muscle of the neck of the bladder and then the Urin is not equally spred over with it the blood setling goes into clots the pain for the most part oppresseth in pissing and burns as it were the Root of the Yard other signs either of an Ulcer or of a Vein broke are present the Cure is the same Another from the inward Passage of the Yard and then it oftentimes comes forth without the Urin that which comes with the Urin clotting together presently sinks II. Purulent Pissing is a voiding of matter with the Vrin heaped up in the Bladder 'T is heaped up 1. By default of the bladder it self either because that is troubled with an Ulcer or because the blood conteined in the bladder is turned into matter and then the matter is voided less mixt with the Urin with branny Scales 2. By Default of the ureters and then a little swims a top like Hairs By default of the Vrinary Passage of the Spermatick Vessels and the parastatae and then in the first place it comes forth sincere 4. By default of the Kidneys Liver breast in as much as those parts do transmit matter through the Veins to the Bladder and then the matter is accurately mixt with the Urin if any thing thicker be a Part it flows forth towards the end III. A Pissing of Hairs or Trichiasis is when with the Vrin a mucous matter is voided somtimes like to Hairs somtimes to thin Leaves Those Hairs somtimes equal the length of one or two hands breadths The Cause of them is a thick and viscous flegm dryed and knit together in the Veins by heat which in its long passage through the narrow Veins of the Kidneys and ureters is extended to so great a length See concerning this Horstius his fifth Section Epistol medica In the Cure Spirits of Turpentine with Syrup of Marsh-mallows is good Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title X. Of the Affects of the Genital
are exprest in the definition The CURE which also must be hastened doth respect 1. The bringing forth and discussing that flatulent spirit where Clysters and carminative decoctions take place 2. A Removal of the Cause from which it ariseth of which in the differences As concerning the Differences One is From the fiery heat of the stomach corrupting the meats and converting them into a nidorous matter and sharp vapors in which the cure must be turned against a hot distemper and outwardly the boyling hot hypochondries must be cooled Another is from sharp and windy nourishments as Raddish Rocket Seed fryed Egs and the like and then the matter must be emptyed and give diartion Piperion Another is from Black-choler and other adust and Salt Humors lurking about the Hypochondries and growing hot by the mixture of another Humor as we see Salts and saline spirits being mixt with acrid spirits do yeild a great quantity of spirits Title III. Of the Affects of the Guts Chap. 1. Of the Diseases of the Guts THe Diseases of the Guts are Cheifly Inflamation Straitness Wormes Rupture Wounds Vlcers and the affects of the right Gut Article I. Of the Inflamation of the Guts An inflamation of the Guts is a swelling of them arising from blood out of its vessels falling into them and putrefying The SIGNS are a fixt and distending pain the perceiving of a Tumor that the Guts may be perceived to be rowled up like the strings of an instrument costiveness of body a stoppage of the Urin a Feaver present The CAUSE is explained in the definition In the Autum the blood chiefly flows thither by reason of its thinness because the thin and moveable Humors generated in the Summer by the inequal cold of the Autum are driven to the center of the body The CURE must be ordered according to the rule of other inflamations and that quickly because the evil is acute and oftentimes turnes to a gangrene and mortification The cooling Medicines which are administred for it ought to be without astriction we must wholy abstain from Purgers lest the place affected be exasperated 'T is divided according to the place and Causes I. One is of it self of which we have now treated another from the Navel Rupture of which in its place Another from the Rupture of the guts in which the Guts ought presently to be put back into their place Another from a contusion in which to those things which are applyed for the inflamation must be added somwhat lenifying and concocting II. One is in the smal guts which is most common in which a distention of the stomach straitness of breathing daily vomitings do molest that they are not able to contain their drink the pain and Torture tends most to the upward parts Another in the great Guts in which the pain reaches more to the Hypochondries there is a heaviness in the Loins and vomiting is not so continual Article II. Of the Straitness of the Guts The Straitness of the Guts is known cheifly by this that the Excrements of the Belly are not rightly cast forth by stoole It hath its Differences according to the Nature of the Causes I. One is from External things that are astringent and drying as quinces and other things which is known by the relation of the Patient and standers by In the Cure are required things moistening and mollifying fat things c. II. Another is from the Excrements hardned obstructing them which is known by this that there is no Tumor pain yet the Excrements are not cast forth It ariseth at that place especially where the smal and great Guts end either from too dry matter and drink to much diluted or from the heat of the neighbouring parts sucking up the moisture 'T is Cured by Mollifiers by a bath of sweet Water with emollient Herbs by the Grease of a rosted Goose cast in by a Clyster by blowing up the Guts with a Pair of bellows which must be followed with a strong Clyster with half a dram of Sal gema III. Another is from Inflamation of which we spake in the former Chapter IV. Another from the growing together of the Guts which is incurable V. Another from a Rupture or worms of which shal be spoken hereafter VI. Another from thick Flegm which is known by this that Causes generating that went before crudities flowness of the belly to stoode and much wind abound It ariseth from the fault of the Dier and the feeble heat of the Guts and if it stick there long it grows so thick that it wholly stops up the Guts It is Cured by things that cut flegm and sharp Clysters concerning which consult with the Chapter of the Cholick Article III. Of Worms Worms and smal creatures wholly preternatural generated in the guts out of a thick clammy and viscous Humor having in it the principal of life in its kind by a vivid heat raised up by putrefaction which do hinder the actions of the Guts The common signs are many to wit a stink in the mouth disturbed sleep with skipping trembling noise and gnashing of the Teeth Itching and often rubbing of the nose a pale face somtimes by fits ruddy hollow and dark Eyes the white of which is changed into a Saffron or Pale running of drivel from the Mouth more than usual a distension and puffing up of the belly with murmurs a knawing in the belly that exasperated in the time of hunger somtimes a loosness vomiting falling-sickness If in the morning while Children are fasting cold water be sprinkled on the Mouth of the stomach they wil al gather together and this sign hath most weight with it if the Age of the Child wil bear with it The CAUSE is a viscous and Flegmatick Humor which ariseth from much eating meats that easily corrupt generate a thick juyce as cheese Milk pulse decaying fruits sweet things sugard things honyed things c. It hath somthing analogous to seed endued with a formative faculty and a vivifying discretion which doth dispose the matter to receive this and no other form of worm and being disposed doth Cloath it with that from as we see peculiar worms do proceed out of wormwood Sea Salt a Horse a calfe Mulberry leaves Cheese Honey The CURE which is Difficult if there be many great ones red and of divers colors living if in the beginning of Feavers and acute Diseases as also in the augment by the malignity of the Disease they be Symptomatically voided Is Performed I. By things that kil them those which are bitter acrid Salt or enemies by their whol propriety ought to be given upwards but alwaies mixt with sweet things downwards premising sweet things then when they are in the lowest places or in the right Gut with them Oyl ought to be mixed that they may be stifled in it with cheese butter which they exceedingly fear The chiefe things that kil them are hot as Coralline given in pouder one dram Wormseed centory the less peach flowers Myrrh
Aloes Zedoary the Juyce of Rhadish and cresses Cold hearts horne burnt Purslane Water juyce of Endive Grass Water with a little Vinegar and Sugar Of Internal Compositions the Pouder of Dr. Mencelius my wives Granfather excels 't is compounded of the Flowers of Centory the less tansie St. Johns wort each two drams of the flowers of Wormwood Savine Peaches of each one dram and an half of the Roots of white dittander gentian asarabacca of each one dram of red Corals prepared burnt harts born prepared of each two scruples Seeds of Artichoke Purslane citron cummin Seseli Coleworts Coriander prepared Sorrel of each half a dram Choice Rhubarbe one dram Myrrh Saffron of each half a dram Scammony prepared Trochiskes of Alhandal of each two scruples Salt of Wormwood half a scruple Coralline half an ounce Of which you may give from one scruple to one dram in Cows Milk upon an empty Stomach two hours before meat Outwardly is commended the cerote compounded of Myrrb Saffron Liver colord Aloes of each as much as is sufficient with Rose Vineger and an Oxe Gal and applied both to the Mouth of the Stomach and to the back see more amongst Authors II. By things that drive them forth which are melted butter great quantity of Oyl a Bath of sweet Milk fuming hot if the Worms be yet alive Diaturbith with Rhubarb Ruffus Pils and de Tribus Solutivis if they be dead The Difference is taken from their figure I. Some are smooth or round in which the knawing of the Belly is more vehement a dry cough more frequent the hickops nauseousness loathing of meat faintings of the heart troubled dreams with trembling rising up crying out motion of the Jaws c. Clysters are not convenient for these unless they be dead II. Others are broad in which the Excrements are not unlike to gourd Seeds there is an insatiable desire of meat and a quick casting forth of the Body of that which is taken a greater leanness and wasting of the Body a pain somtimes in the right side somtimes in the left Fearn or its water is good against them Walnuts Treacle with Vinegar or the Juyce of Lemons Concerning the broad worm see Tulpius in his observations III. Others are called Ascarides in which there is a continual pain a most troublesome itching about the Fundament as if it were ful of Aunts with a heaviness in the back continual Motions to stool moth-like worms are every where mixt with the Excrements of the Belly which smel very strong c. Article IV. Of the Rupture of the Guts A Rupture of the Guts is a falling down of the Guts out of their place 'T is called by the Greeks Kele by the Latines otherwise Ramix and Ruptura The SIGNS are a Tumor which somtimes encreaseth somtimes decreaseth according as a greater part of it it fals down or is filled with wind or Excrement there is no pain unless by chance the Excrements be fallen thither The Patient being prest down or laid on his back the guts slide back into the belly and that with a murmur c. The CAUSES are those things which can Relax or break the process derived from the Peritonaeurn as shal be said in the Differences The CURE is not to be neglected both because that thin and Nervous Membrane cannot easily be united and because somtimes the Patient his Guts being inflamed is brought into danger of his life and the Guts inflamed do mortefie It respects 1. The Replacing of the Guts which if they be swelled with wind as the rumbling in the Guts and breaking of wind do declare it must be done by discussives if they swel with Excrements hardned then both with Emollient Clysters and Cataplasmes and Fomentations If with Flegmatick matter it must by little and little be emptyed by Clysters and suppositories and be attenuated by internal incisive means if there availe nothing we must flie to Chirurgery concerning which consult with Authors 2. The retaining of them in their place here are proper Horse Tongue which is most excellent the pouder of Mouse-Eare given with meats Through wax Rupture wort The Ashes of a sucking hare given to drink in red Wine The Seed of Flix weed the plant fern pouderd and given each half a dram The Differences are taken from the Causes and places into which they fal 1. One is from a Rupture of the Peritonaeum which is known by this that a Tumor is suddainly raised and also is quickly increased the Gut fals down to the very bottome It ariseth from violent Causes fals straining to cast forth the Child or the Excrements of the Belly holding of the breath straining of the voice wounds of the Peritonaeum c. In the Cure a Ligature being applied shal be given inwardly one spoonful of the essence of the greater comfrey with two drops of the balsome of Sal Gemmae Outwardly must be applyed Villanovanus his Plaister of a Rams Skin Mynsichtus Armam p. 364. And the same Authors Vnguent against a Rupture p. 352. The fat of a Hedg-Hog concerning which see Hartman If these do no good seek for help from Chirurgery of which see Platerus Another is from the Relaxation of the Peritonaeum which is known by this that the Tumor grows by little and little and the Gut doth not descend to the very bottome It ariseth both from the moisture of the Peritonaeum whence Children often fal into a rupture and from those things which break it if by degrees and often they assaile the Peritonaeum though not so violently II. There is another called Oskeocele when the Guts descend into the very God 't is known by seeing Another Bubonocele when they fal down no lower than the groin This somtimes doth very much distend the Skin and is stretched out under it and Causeth a great Tumor Both of them is either Enterocele when the Ileon Gut cheifly fal down or Epiplocele when some part of the Cal. See Geigerus in his Kelegraphy Hither belongs Exomphalos or Omphalocele when the Navel either Relaxt or broke struts forth somtimes the bigness of a nut somtimes of an Apple nay somtimes there is a Tumor raised like a Bag. If it be lately first of al foment it with a Decoction of tree Mosse self Heal made in astringent Wine afterwards lay a Cataplasme of Plantane and Lentils If it be Old after the like Fomentations t is Cured with the Oyntment of Mushrums of Nuts outwardly applied with convenient ligature inwardly with the essence of the greater comfrey with the Arcanum of Sal Gemmae Article V. Of the falling down of the Fundament and of the wounds and Vicers of the Guts 1. The falling down of the Fundament is a hanging forth of the outer part of the right Gut There is no need of SIGNS The CAUSES shall be spoke of in the Differences The CURE requireth I. A putting up of the Fundament fallen down which is performed gently with the Hand premising a Fomentation of emollient and