Glutinous Medicines of which we are to speak more fully in the Chapter of Spitting of Blood As for Example The manner how this is to be done Let strong Ligatures be made upon the Arms and Thighs yea if it be necessary and the strength of the Patient will bear it let a Vein be opened with a Lancet and Blood taken away frequently but in a small quantity to divert the present Flux of Blood and to prevent the return of it If the Part where the Blood breaks out will admit of it let Galen's Styptick Plaister the Royal Styptick cold Oxycrate Ink the ashes of Humane Hair lightly burnt in a Retort and made into the form of a Pultise with Vinegar true Bole Dragon's Blood and other things of that Nature be in a convenient manner presently applyed and often renewed Inwardly let the Patient take three or four times a day xx or xxx drops or more of the Royal Styptick in a draught of Milk-water Also v. or vj. spoonfuls of the clarified Juices of Plantain and Nettles or let him frequently take the following Linctus out of a Spoon Take of Syrup of Purslane three Ounces true Bole Dragons-Blood Troches of burnt Ivory sealed Earth of each two Scruples Japan Earth a Dram of Gum Tragacanth dissolved in plantain-Plantain-water a sufficient quantity mix them up into a Linctus Or let him take the quantity of a Nutmeg of the following Electuary Take of the Conserve of red Roses an Ounce Troches of Amber three Drams true Bole Dragons-blood of each half a Dram Syrup of Myrtles a sufficient quantity mix them up into an Electuary Let him likewise take every Night v. or vj. Spoonfuls of the following Julep shaking the Bottle Take of plantain-Plantain-water six Ounces small cinnamon-Cinnamon-water three Ounces distill'd Vinegar half an Ounce true Bole Dragons-blood of each half a Dram London Laudanum three Grains Syrup of Myrtles an Ounce and half mingle them and make a Julep After the bleeding is stopt the blood must be supplyed with new Chyle The Flux of Blood being thus sufficiently stopt and cur'd we are to use our most diligent Endeavours that the Blood may be quickly replenished with such new Chyle as abounds with sweet and Nutritious Juice and that the Feverish heat if there be any may be extinguisht to prevent a Consumption And therefore the Patient is to be nourished with the frequent taking of Jelly-Broaths poached Eggs and variety of Food that affords good Juices and is both easie to be digested and most grateful to the Stomack Nevertheless he is to abstain from Wine and from things that are salt or have Spice in them lest they increase the heat of the Blood which was before too hot from the defect of its Nutritious Juice And because this sort of Patients as all that are upon the Confines of a Consumption are subject to Anger to Sadness Hypochondriacal Oppressions Hysterick Fits and to a want of Appetite whereupon they can neither take nor digest much Food and consequently uncapable of making up the loss of that Blood which has been spent therefore the sick Person ought to be diverted and humour'd by his Friends and to be sent as soon as may be into an open and wholesome Air The Patient must be diverâ—ed and sent into the Country Air. which in truth I have being taught from a great deal of Experience observed to conduce more than any thing of Medicines to the comforting and fortifying of the Nerves and Spirits to the recovery of an Appetite and a chearful Mind and consequently to the preventing of an approaching Consumption But if the Patient seems either through his own neglect When there is a Hectical heat it must be taken off with the Bark or the sudden advances of the Distemper to be affected with a Hectical Heat and some degree of a Consumption from his bleeding then let the Physician make it his whole business perfectly to put out this flame as soon as ever he can with the help of the Peruvian Bark given in a large quantity the efficacy of which I have often found to be wonderful in this case Afterwards What is afterwards to be done if it be necessary let the Patient be put into a Milk Diet or upon the use of the Chalybeat Waters But he must forbear the use of all Purging Medicines And some benefit may be reasonably expected from the giving of Crabs-Eyes Coral Pearl and other such kind of altering and sweetning Medicines A History Mr. Hotchkins a Merchant of London a Man that was Scorbutical and Hypochondriacal was subject to a frequent bleeding at the Nose from the twentieth almost to the thirtieth Year of his Age so that he sustain'd a great loss of Blood from the heat of his Feverish Blood at least once or twice a Month though it did not observe any certain periods till at length the Blood that was let out with a Lancet or that which he bled at his Nose did appear just like the Water that Flesh has been wash'd in From the return of which bleeding I could not then free that Excellent Person and my very worthy Friend either with Phlebotomy or the temperating Juices Opiate and Incrassating Medicines a Milk Diet Antiscorbutick and Chalybeate Remedies or any other manner of Medicines From which he first fell into the state of an Atrophy and at length into a true Consumption of the Lungs together with a very great difficulty of Breathing and thereupon falling into an universal colliquative state he suffered a little before he dyed an exulceration of the Salivatory Glands after an extraordinary swelling of them By the opening of which on the out-side there flow'd out so great and such a continual stream of the Salivatory Juice as very much hastened the Death of that worthy Man that was before brought almost to the state of a Marasmus by the Consumption of his Lungs which was caused by his Bleeding But I was extreamly troubled that I did not at that time know the Efficacy of the Peruvian Bark in suppressing this effervessence of the Blood upon which that Bleeding which return'd frequently did certainly depend for from the use of this Medicine we may justly expect more Service in the preventing of a Haemorrhage proceeding from the effervessence of the Blood than from a Milk Diet or any other manner of Medicines CHAP. IV. Of a Consumption from a Gonorrhoea and the Whites THIS Consumption seems to have been known even to the Ancients This Consumption was not unknown to the Ancients under the name of a Consumption of the Back when it proceeds from a Gonorrhoea Galen also notes the Story of the Wife of Boethius a certain Nobleman of Rome who fell into a Consumptive Dropsie from the Empirical suppression of the Whites that had flow'd in too great a quantity and a long time 'T is very true indeed that a Gonorrhoea A Venereal Gonorrhoea and Whites often end in a Consumption of the Lungs and the
And indeed I do not at all doubt but Catarrhs For want of this ordinary Coughs sometimes turn to a Consumption and ordinary Coughs do very often turn to a Consumption of the Lungs for want of due Bleeding and fanning of the Blood in the beginning of this Distemper And moreover we have reason to suspect that the Concretion or hard knots in the Glandulous parts of the Lungs and the Hectick Heat proceed from thence Secondly After Bleeding it is very necessary After bleeding a Vomit is necessary especially if the Distemper had its beginning from a Surfeit or if there be a nauseating and disposition to Vomit joyned with it to prescribe a gentle Vomit of Honey of Squills or Oxymel of Squills yea and sometimes of the Infusion of Crocus Metallorum to be taken in a moderate quantity By which Vomiting not only the Stomack that was opprest with a load of Humours may be eased and the sickness of the Stomack arising from thence may be removed and the Digestion restored all which are to be highly valued but likewise the heap of Humours which were before lodged in the Lungs uses by the exagitation or shaking of these parts in Vomiting to be expectorated very considerably not without a remarkable easing of that heavy weight which was caused by that load And I have not only seen several Empericks boast and that not without good Success that they could cure any incipient Consumption this way but likewise I my self by the Direction of Reason and the Encouragement of Experience have many times in the same manner stopt the Progress of a Consumption in the beginning of it in a very short time And is sometimes to be repeated This Vomiting especially if the Patient bears it well and finds Relief by it and if it be necessary may be repeated every third or fourth day for three or four times The most convenient time to give a Vomit The most convenient time to give a Vomit in this case is a little before the Evening but they ought to bleed first the day before for fear the Blood should be heated by the violent agitation of the Parts and by that means a Fever should be brought on or increased if there was one before And likewise to prevent a spitting of Blood which is wont to arise from the more vehement straining of the parts of the Breast caused at this time by Vomiting before the Blood-Vessels have been emptied It is also very convenient when the Vomit has done working When the Vomit has done working we must give an Opiate to Order some Opiate not only to temper the heat of the Blood excited by the straining and agitation but likewise to hinder a new influx of Rheum into the Lungs which uses to arise from this violent agitation of the parts The forms of the Vomits and Opiates which I commonly use in this case are these which follow Take of Honey of Squills half an Ounce let it be given in a Draught of Posset-drink and repeated twice or thrice in an hour if the Patient does not Vomit sufficiently Which is a Vomit mighty proper for Children and Young People being gentle and very grateful Or Take Oxymel of Squills Oyl of sweet Almonds of each an Ounce Mix them Let the Patient take it dissolved in a large draught of Posset-drink and repeat it twice or thrice in an hour if it be necessary to promote his Vomiting Or Take of the Infusion of Crocus Metallorum seven Drams Syrup of Violets two Drams mix them for a Vomit And in the time of its working if it be needful give Oyl of sweet Almonds and Oxymel of Squills of each half an Ounce in a draught of Posset-drink once or twice Salt of Vitriol is not so convenient because it continually twitches and irritates with its stypticity the Glandulous parts about the Throat and so uses to cause a greater flux of Rheum and so a troublesom and long Cough after the Vomiting is over The forms of the Opiates to be given after Vomiting are these which follow Take Cordial Milk-water Carduus-water of each an Ounce of Barley Cinnamon-water half an Ounce Syrup of white Poppies six Drams Mix them for a Draught Or Take of the clear Pectoral Decoction four Ounces of Tincture of Saffron two Drams of Helmont's Liquid Laudanum fifteen drops of Syrup of Violets two Drams Mix them for a Draught Or Take of coltsfoot-Coltsfoot-water two Ounces Oyl of sweet Almonds fresh drawn Syrup of white Poppies of each an Ounce Mix them Or if the Patient likes the form of a Bolus better Take old Conserve of Red Roses Mithridate or Venice-Treacle Conserve of Wood-Sorrel of each half a Dram of London Laudanum half a Grain Mix them into the form of a Bolus Or let him take in the form of Pills half a Scruple of the Cyncgloss Pill or as much of the Storax Pill Gentle Purges are convenient Thirdly it is convenient also gently to carry down the load of Humours by Stool and Stomack-Purges and others of that Nature such as may cause but a very little Effervescence and Colliquation of the Blood As for Example Take the best Manna Oyl of sweet Almonds of each an Ounce and half or two Ounces dissolve them in a Pint of hot Ptisane Let the Patient drink half of it in his Bed the other half half an hour after rising out of his Bed Or Take of the best Senna two Drams Cassia broken with the Canes Tamarinds of each half an Ounce of Coriander-seed prepared half a Dram boyl them in a sufficient quantity of spring-Spring-water or Barnet or any other Purging Water to half a pint Dissolve in the Liquor strained an Ounce of the best Manna half a Dram of Salt of Prunella Mix them Let the Patient take half of this Potion in the Morning and the rest half an hour after with due care After the working of a Purge we must give an Opiate that Night But whenever he takes a Purge that Night after it has done working there must be an Opiate given as after the Vomits to calm the Commotions in the Blood and to give the Lungs some quiet for fear there should arise a new influx of Humours into the Lungs from the agitation of the Blood by the Purges And for the same Reason it is convenient to mix some Opiate with Stomachick Purges to be taken just before they go to sleep As for Example Take of Rose-Aloes a Scruple or five and twenty Grains of Hounds-Tongue Pill half a Scruple Mix them and make them into four Pills to be gilt which must be repeated every other Night after the Patient has been duly blooded This Pill commonly goes by the Name of the Catarrh Pill amongst Apothecaries because it not only carries the Humours down by stool but also hinders a new influx of them into the Lungs Or Take of the Stomack-Pill with Gums Aloephangine Mastick Pill or Pills of Amber half a dram or
that is drank at a time must be made up by the length of the time that is every Year designed for the drinking of those Waters By which means likewise the Blood perhaps is more tempered and altered than by drinking a great quantity in a shorter space of time History 1. One of the Masters in the Hospital of Bridewell that had committed himself to my care a Year or two before when he was sick of a Pestilential Fever that went up and down attended with Swellings in the Groin and Carbuncles from which Venom perhaps his Blood had not yet sufficiently purged it self fell about the 35th Year of his Age and in the Year 1669. into a very great Haemoptoë by which he had lost a great deal of Blood before he sent for me But with Bleeding Ligatures Astringent Juleps and Electuaries a Milk Diet and a due Government in all things the Flux was perfectly stopt But yet he still continued Hectical and was troubled with an ugly Cough And therefore I ordered him to continue his Milk Diet and to take a Dose of an Opiate Electuary every Night And to prevent a Consumption that was like to follow I directed an Issue to be made in his Arm his Head to be shaved and the Cephalick Plaister to be laid upon it and that the Patient should be sent into the Country and into an open Air and that he should use there the Temperating Juices to wit of Plantain and Nettles at least twice a day with several other things which it is not necessary now to give a particular Account of But notwithstanding all this his Hectick Heat and his Cough continually troubled him and his spitting of Blood returned by uncertain periods at least twice a Month to wit about the Full and the New of the Moon from the heat and motion of the Blood being increased the Patient continually wasting more and more with the Fever that followed him till at length being brought into an universal Colliquative state with a Looseness Sweats a Dropsie c. and being troubled with a very great difficulty of Breathing he ended his Life For at that time I did not know the Vertue of the Peruvian Bark to take off this Hectick Fever from which that Fatal Colliquation did proceed The Body being opened I found the Lungs strangely swelled and every where in all the Lobes full of Tubercles some of which were crude others ulcerated History 2. Mr. Rookes in Cheapside being about Forty Years old from a multitude of Cares and hard Drinking seemed to be continually Hectical for Ten Years together being stufft in his Lungs troubled with a Cough and enclin'd to a Consumption And from extraordinary Exercise and excess in drinking of Spirituous Liquors he fell into a very great spitting of Blood accompanyed with a difficulty of Breathing and a pain in his Breast And the poor Man had it return'd upon him and that considerably every day or every other day for at least three Weeks and that notwithstanding frequent Phlebotomy the use of a Milk Diet of the Tempering Juices Astringent and Opiate Electuaries and Juleps and likewise of the Royal Styptick Water But at length when I had observed not only by the quickness of his Pulse and the high colour of his Urine but also from his very Temper that a remarkable Fever returning often by uncertain intervals always brought on his spitting of Blood I gave him a Dram of the Peruvian Bark in a convenient Draught every four hours To which I always took care there should be more or less Laudanum added according as he could bear it With the use of which I found his Fever taken off without any more to do and without any return of his spitting of Blood and that his Urine was come to its Natural colour I ordered the repeating of the Cortex again and again at due intervals and took care he should have Nourishment agreeable to his Appetite which now was better than it was before he spit Blood and that he should have the benefit of the Country Air. Whereupon which is strange to be told without any other help he came to have a more firm and strong Habit of Body his Lungs more free his Breathing more easie the heat of his Blood less and his Cough too more moderate now for a Year and half than he had found for several Years before his spitting of Blood his Friends admiring at it who expected he would certainly dye of a Consumption in a little time after his spitting of Blood Which was so much the more wonderful because he continued as careless in the management of himself in the six non-natural things as he used to be before his Haemoptoë which neglect he at last paid for with the loss of his Life For with the very great Errors he had lately committed he fell into a new Consumption and that a threatning and fatal one which at length carried him off His Body being opened after he was dead we found the substance of the Liver compact and close as if it had been parboyl'd all the Lobes of the Lungs most filthily ting'd with a black colour which perhaps was occasioned by his continual smoaking of Tobacco and every where full of a world of Tubercles of which some that were larger were full of purulent Matter others of a substance like Honey But the greatest part of the lesser ones which were disposed in Clusters and like Grape-stones through all the substance of the Lungs contained a Steatomatose Matter in them All the Glandules that were seated near the Wind-pipe were very black and had in them a Liquor of a black or dark colour such as I have usually observed Scorbutical and Hypochondriacal Persons that have been Consumptive to hawk up out of their Throats in a Morning especially those that have been used to smoak much Tobacco or have lived in an Air that has been filled with the smoak of Coals The Prescription for the Antipyretick Draught which I ordered for Mr. Rooks was this Take of the Waters of Tormentil of Plantain of each an Ounce Barley cinnamon-Cinnamon-water Syrup of Myrtils of each half an Ounce of distilled Vinegar half a Dram of the Jesuits Pouder a Dram. Mix them and make a Draught to be given every four hours till he has taken eight Draughts Once or twice a day I added a Grain of London Laudanum to the Draught In the same manner I cured Mrs. Martin an Old Woman almost Seventy Years old a Goldsmith in St. John's Mr. Bloomer's Daughter and a great many others of a considerable and to all appearance a fatal Haemoptoë All which continue well as yet without any return of their spitting of Blood or a Consumption following upon it and are able to go about their Business whose Histories perhaps it would be too long and tedious to give a particular Account of History 3. Mr. Luff the Son of that Reverend Divine which I have already mentioned living in Milk-street after he had married
please her I substituted a Chalybeate Syrup in the room of it for the same intention And because she was not easie to work upon I ordered instead of the former the following Pills to be made up For the Syrup Take of the Chalybeate Wine a Quart Tincture of Saffron of Castor of each an Ounce of fine Sugar a sufficient quantity Boyl them to the consistence of a Syrup Let her take two spoonfuls of it in the Morning and at five a Clock in the Afternoon on those days she does not Purge by it self or diluted with Carduus-water For the Pills Take the Stomack-Pills with Gums Aloes Rosate of each fifteen Grains of Salt of Wormwood four Grains Elixir Proprietatis a sufficient quantity Mix them and make them into four Pills to be taken on the Morrow Night without any strict Confinement I likewise ordered the Tendons that were indurated and contracted by reason of their thickness so as to be painful to be anointed twice a day with Oyl of Amber and Compound Spirit of Lavender oâ— each equal quantities before a good Fire and to put a Flannel upon them Though the swelling of the Tendons seemed to be lessened and her stiff Joynts to be rendred something more fit for motion with the use of these things yet the System of the Nerves seemed now and then to be grievously affected from her Hysterical Fainting Fits often returning And therefore on the Ninth of June I ordered four or five Spoonfuls of the following Julep to be given her when she was faint Take the Waters of Bawm Black-Cherries of each three Ounces the Compound Waters of Bryony and Piony of each an Ounce of Tincture of Caster a Dram Spirit of Salt Armoniack half a Dram Compound Syrup of Piony ten Drams Mix them and make a Julep I repeated the Bag of Antiscorbutick Ingredients and ordered the Purging Pills to be taken every fourth Night The Nerves having been relieved three or four times with the use of the Julep that had been prescribed I observed besides her continual Hectick Heat sometimes also a Fit of a true Intermitting Fever seizing her first with a chilness and going off with profuse Sweats though 't was by uncertain intervals And thereupon I did not without reason suspect that her loss of Appetite her continual Hectick Fever and Universal Weakness did proceed from this Feverish Ferment lurking within which had never yet been thrown out of the Mass of Blood and which hitherto had so like a Proteus in various shapes deceived my sight And therefore now I go and encounter this Enemy with all the Power of the Peruvian Bark For I promised my self and my hopes were not frustrated as the Event did afterwards prove that when this Enemy was vanquisht the state of her Health would be very much restored upon it however Baths Fomentations and other things of that kind would be of great use to extirpate fully the Trophies of the Gout which were left in her knotted and weakned Joynts And therefore June 13. I ordered the following Draught to be given and to be repeated every four hours for seven or eight times Take Baum-water Black-Cherry-water of each an Ounce Epidemick-water Syrup of Clove-Gilly-flowers of each two Drams of the Peruvian Bark finely pouder'd a Dram mix them and make a Draught I ordered likewise the following Julep to be taken by spoonfuls when she was faint Take of carduus-Carduus-water six Ounces Barley-Cinnamon-water four Ounces strong Piony-water two Ounces prepared Pearl a Dram and half white Sugar five Drams Mix them and make a Julep June 15. Take of the Peruvian Bark finely pouder'd five Drams the Mucilage of Gum Tragacanth a sufficient quantity Make them up into Pills of a middle size to be gilt of which let her take six at four a Clock in the Afternoon and when she goes to Rest from day to day taking every Morning the Chalybeate Syrup before ordered Let the Bag of Antiscorbutick Ingredients be likewise renewed But though the Patient was perfectly freed from the Fever Fits yet still her sickness at her Stomack and want of Appetite continued together with her Weakness and the other Trophies of her inveterate Enemy And therefore though I changed the form of the Medicine yet I still pursued the Enemy that was now plainly upon its flight with the Bark in the manner following Take of the Ingredients of the Purging bitter Decoction a sufficient quantity Salt of Wormwood half a Dram the Peruvian Bark pouder'd half an Ounce Infuse them in a due manner and boyl them in a sufficient quantity of spring-Spring-water to twelve Ounces Let her take four Ounces of the Liquor prest out hard from the Ingredients every Morning and repeat it for three days together continuing the use of the Chalybeate Syrup at Four a Clock in the Afternoon June 27. I ordered the following Bolus to be taken every six hours with four Ounces of the following Apozem for three days together Take of the Peruvian Bark finely pouder'd half a Dram Syrup of Mugwort a sufficient quantity mix them and make a Bolus Take of the Peruvian Bark pouder'd half an Ounce infuse and boyl it in carduus-Carduus-water and White-Wine of each a sufficient quantity to twelve Ounces Strain it out for use July 6. Because the Nervous Parts seemed still to be somewhat affected I ordered her three of the following Pills to be taken three times a day at Physical hours and to drink four Ounces of the Tincture of the Bark just before prescribed Take of the Pouder of the Peruvian Bark two Drams Troches of Myrrh a Dram Castor Ens Veneris of each two Scruples the Mucilage of Gum Tragacanth a sufficient quantity Mix them and make them into Pills of a middle size to be guilt With this plentiful use of the Bark though it was given in several forms my Patient was in a wonderful manner recover'd to a state of Health so as to be every way well and was perfectly freed from all the Symptoms of her Consumption and Rheumatism but only that the Tendons and Joynts especially those of her Hands continued stiff and likewise something swell'd and she did not yet gather Flesh enough And therefore when I had by way of Preparation taken care to Purge her with fifteen Grains of Extractum Rudii and a Scruple of the Fetid Pill I sent her down to the Bath to use those Waters both outwardly by bathing and inwardly by drinking them for six Weeks ordering the Tendons and Joynts that were swell'd at the end of every bathing to be embrocated for a good while and freely with the Waters of the King's Bath and the same Parts when she was laid in her Bed and disposed to sweat to be a good while anointed with the following Liniment Take Oyntment of Marsh-mallows Nerve Oyntment of each an Ounce Oyl of Scorpions of white Lillies of each half an Ounce of Chymical Oyl of Aniseeds three Drams Mix them and make a Liniment And for fear she should be
Medicines which by removing the Obstructions of the Liver and consequently by taking away the Procatartick cause of the Disease do likewise sufficiently provide for the Lungs which have not yet received so much Mischief but it may go off and vanish of its own accord after there is no more Fuel supplyed from a distempered Liver But this Consumption is never cured with Pectoral Medicines alone We must abstain from Incrassating Medicines Yet I never saw this kind of Consumption cured by Pulmonary Medicines alone but I have always observed that it has been very much and quickly confirmed even to a fatal degree with the plentiful use of Incrassating Medicines and of all those things which increase the Obstructions of the Liver And therefore as common Milk and all things made of it yea and Asse's Milk it self much more a strict Milk Diet is not convenient in the Cure of this Consumption So likewise for the same Reason it is best to abstain from all use of Laudanum and any sort of Opiates unless there is a great necessity to give them How the Patient is to govern himself The Patient must carefully avoid Sadness which does always promote the constriction of the parts of the Liver He must likewise live in a thin and open Air and there use moderate Exercise every day all which do very much help to remove the Obstructions of the Liver But above all things the long use of bitter and Chalybeate Medicines does promote this Cure and especially the Chalybeate Waters if the Obstructions are not come to that height as to hinder the passing off of the Waters by Urine But if it be so we must Religiously abstain from the use of them lest the Distemper be quickly rendred incurable by bringing a Dropsie sooner than it would otherwise have happened History 1. Mr. Dell about the Twentieth Year of his Age when he had for several Years before been troubled with a difficulty of Breathing an Asthmatick Cough together with other signs of a Chronical Consumption of the Lungs and had been affected with somewhat a yellowish Tincture in his Skin and had his Urine of the same colour with other signs of an obstructed Liver fell at length into an Inflammatory Fever accompanyed with dreadful pains of his Breast a Thirst want of Rest and likewise a little Tincture of Blood in what he spit and other signs of the Inflammation of the Tubercles of the Lungs and he desired my help Presently by looking on his Urine which was of a very red yellowish colour and likewise full of Contents like Mum as also from a light yellowness of his Skin though I had never seen the Young Man before this that I know of I rightly guest that the Peripneumonick Fever came by some Accident upon the Patient that was before in the state of an Icteritious or Hepatick Consumption And therefore the first day which was the 9th of Nov. 1688. I ordered Ten Ounces of Blood to be presently taken away from the right Arm and four Ounces of the following Apozeme to be given with a Spoonful of a Linctus very often Take Oyl of sweet Almonds Syrup of Hedge-Mustard of each two Ounces of white Sugar-candy two Drams mix them exactly and make a Linctus Take of the Pectoral Decoction depurated a Quart Ticture of Saffron the Syrup of the five opening Roots of each an Ounce and half mingle them and make an Apozeme To ease the pain of his Breast and Side I ordered the following Fomentation to be applyed hot to the Parts affected when the Pain was great being first put into an Oxe's Bladder so that the Bladder should be but half full Take Parsley-Roots Fennel-Roots Linseed Fenugreek-seeds of each two Ounces the Flowers of Camomile of Melilote of each two handfuls boyl them in a sufficient quantity of Spring-water for a Fomentation I took care that when the Bladder was removed a Flannel should be rub'd warm with the following Liniment and put upon the Parts affected Take of the Oyntment of Marsh-mallows half an Ounce Oyl of white Lillies Oyl of Bricks of each three Drams mix them and make a Liniment To comfort his Spirits I ordered the following Cordial Julep to be taken by Spoonfuls at any time Take Baum-water Black-Cherry-water of each three Ounces of Epidemick-water two Ounces of Syrup of Clove-gillyflowers ten Drams mix them and make a Julep Nov. 10. His Fever being yet very high and his Pain very violent I again ordered Eight Ounces of Blood to be taken from the same Arm at which he had been bled before and because of his great Thirst fifteen Grains of the finest Salt of Nitre and half a Dram of white Sugar mixt together to be dissolved in every draught of Beer that he took likewise a Clyster of Milk and Sugar with Camomile-flowers boyled in the Milk to be given if he had not a Stool of his own accord and if the Pain required it a Plaister of equal quantities of Paracelsus and De Minio Plaisters to be spread upon Leather and to be applyed to the Parts affected likewise when he was to go to Rest if his Pain were still very great fifteen Drops of Helmont's Liquid Laudanum to be given in a little Draught of the Julep and an Ounce of Stone-Horse dung to be infused cold in the Pectoral Apozeme With the use of which things he seemed to be something better his Fever being now very much abated but then having made a diligent inspection of his Urine Skin and Stools I was more certain of the Obstruction of his Liver And therefore in the stead of the former Apozeme I ordered that which follows with a Linctus to be taken to the quantity of four Ounces every four hours Take a sufficient quantity of the Ingredients of the Pectoral Decoction the Roots of Parsley Fennel Succory Grass of each two Ounces the Roots of Turmerick the inner Bark of the Barberry-tree of each an Ounce the shavings of Harts-horn of Ivory of each half an Ounce of Currans two Ounces of Saffron tyed up in a Cloth half a Dram boyl them in a sufficient quantity of spring-Spring-water to a Quart adding when they have done boyling half a Pint of the best White-wine To the Liquor when it is strained add of the Magisterial Water of Earth-worms three Ounces the Syrup of the five Opening Roots the Traumatick Decoction of each two Ounces mix them and make an Apozem I likewise ordered two Ounces and a half of Tinctura Sacra to be given when he went to Rest with which he had two Stools the next Morning with relief And therefore Nov. 11th I ordered the use of the Apozem to be continued the Tincture to be repeated when he went to Rest and two Quarts of the Purging Mineral Waters boyled to three Pints and turned with half a Pint of Milk to be given to drink the next Morning and in the room of the former Julep I substituted the following to be drank plentifully Take
colour of his Skin I understood well enough that the first Original of all this mischief was not in the Kidneys but had layn in his obstructed Liver and that neither the progress of his Consumption could be prevented nor that horrid Pain that moved up and down between his Back Sides and Belly could be removed unless we had a due respect first to this part And I did not make any matter that the pain was felt in the lower parts of the Belly just by the Region of the Kidneys and Bladder and a great way below the seat of the Liver because I had often observed this same thing before in those that had the Jaundies whom I had often heard complaining and crying out by reason of the violent pain which they felt in the lower parts of the Belly when in truth the cause was remote in the right Hypochondre Which appearance it is no hard matter to Account for to wit that as the substance of the Liver according to my Hypothesis and Observation by reason of its preternatural closeness and density is almost deprived of Sense so likewise for the same reason it affords a very difficult passage to the Blood Lympha and other Juices that passed through it so that the Vessels which tend hither from the lower parts of the Belly must necessarily be distended beyond their Natural Tone and be rendred varicous and thereupon suffer a great deal till at length with the use of Hepatick and Deobstruent Medicines the Substance of the Liver had recovered its loose and Natural Tone From this Hypothesis for three weeks I ordered two Ounces and a half of Tinctura Sacra to be given every Night when he went to Rest to which being forced I allowed Thirty Forty and at length Fifty Drops of Liquid Laudanum to be always added by reason of the violence of the pain I likewise ordered the Purging Apozem with the addition of an Ounce and half of Syrup of Buckthorn to be repeated every fourth Morning and four Ounces of the following Diuretick Apozem to be given every four hours on the days between Take the Roots of Succory Grass Parsley Fennel of each two Ounces the Roots of Turmerick the inner Bark of the Barbery-tree of each an Ounce shavings of Hartshorn of Ivory of each half an Ounce of Currans two Ounces of Saffron tyed up in a Linnen Cloth and often squeezed half a Scruple of Aniseeds half a Dram boyl them in a sufficient quantity of spring-Spring-water to a Quart adding when they are almost boyled enough half a Pint of White-wine Add to the Liquor when 't is strained of the Magisterial Water of Earth-worms three Ounces the Juice of two Lemons of the Syrup of the five opening Roots three Ounces Mix them and make an Apozem I advised him likewise to take an Ounce and half of the Steel Wine sweetned with a little brown Sugar every Morning After Eight or Ten days were now past as his Pain began to abate so he likewise began to go to Stool more easily And therefore first I left out the Syrup of Buckthorn from the Purging Apozem And at length Aug. 30. in the room of the Purging Apozem I substituted six Pints of the Purging Waters crude with which he now went to Stool well enough and therefore I took care they should be repeated every third Morning Sept. 6. Because of his Faintness caused by his frequent Purging from that time he began to have so many Stools I ordered the omission of the Purging Waters for the future and prescribed the following Cordial Julep to be given often Take of Dr. Stephens 's Water two Ounces of the Epidemick-water an Ounce of Black-Cherry-water four Ounces of Syrup of Clove-gillyslowers ten Drams Mix them and make a Julep Sept. 12. When now at length my Patient began plainly to loath the Tinctura Sacra by reason of the long use of it instead of that and the Laudanum mixt with it I substituted the Stomack-Pills with Gums Cynogloss-Pill of each twelve Grains to be made into three Pills which I ordered to be repeated every Night And because I now perceived by the plenty and less high colour of his Urine that the Obstructions of his Liver were in some measure opened I ordered four of the following Pills to be taken every Morning for the farther promoting of Urine Take of the Pouder of Wood-lice half a Dram of Salt of Amber very well cleared from the Oyl fifteen Grains of Syrup of Marsh-mallows a sufficient quantity mix them and make them into Pills of a middle size to be gilt Sept. 18. When by the Tincture of his Urine being brought almost to its Natural colour I rightly conjectured that the Liver was in a manner restored to its Natural Tone I advised my Patient that he should try to open the Obstructions that remained and to precipitate the Reliques of the Morbifick Matter by Urine with the use of Sadler's Chalybeate Waters at Islington But when after the tryal of a day or two I was well enough satisfied that the obstructed parts were not yet opened so much as to give the Waters liberty to pass freely by the Kidneys because the Serum of the Blood being held by the bilious Particles and too much saturated with them and as it were coagulated by reason of the preternatural viscousness contracted thereupon could not yet be readily strained through the Pores of the Glandules of the Kidneys I altered my mind and instead of the Waters I prescribed the following Julep to be drank often and plentifully and two Drams of the following Chalybeate Electuary to be given every Morning expecting from the former of them a more plentiful flux of Urine and from the latter a farther opening of the Obstructions whilst at the same time I persisted to make the Tone of his Stomack more firm and his Body more soluble by repeating the Tinctura Sacra every third Night Neither did the Event deceive my Expectation The Julep was this Take Parsley water Fennel-water of each a Pint the Magisterial Water of Earth-worms the Syrup of the five opening Roots of each six Ounces Mix them The Electuary was this Take of the filings of Steel prepared two Drams Saffron Mace of each a Scruple Conserve of Hipps of the Flowers of Succory of each an Ounce and half of Syrup of Citron-peel a sufficient quantity Mix them and make an Electuary With the use of these things my Patient plainly recovered being freed not only from his Pains and his disposition to Vomit but likewise from the stuffing of his Lungs which he used to have from his Cough and difficulty of Breathing as also from the yellowish Tincture of his Skin and from all the other signs both of the Obstructions of his Liver and the Distemper of his Lungs For he got a very good Appetite again with which he soon was freed from his Consumptive as well as his Jaundies state and continues hitherto well and strong However when I dismist him
are commonly called Pectorals and Expectorating the more neat forms of which I shall very willingly subjoyn Take Oyl of Sweet Almonds Syrup of Maiden-hair Jujubes Violets or of Marsh-mallows of each an Ounce and half of white Sugar-candy a Dram and half mix them very well for a Linctus of which let the Patient take a Spoonful every four hours and drink four Ounces of the following Apozeme warm after it Take of the Pectoral Decoction when 't is clear a pint and half Tincture of Saffron extracted with treacle-Treacle-water Syrup of Maiden-hair Scabious or Jujubes of each an Ounce mix them and make an Apozeme If you have a mind to incrassate more Take Oyl of sweet Almonds fresh drawn Syrup of Comfrey red Poppies or of dryed Roses of each an Ounce and half of Syrup of Meconium half an Ounce of Sugar of Roses a Dram and half mix them and make a Linctus But if you have a mind to lubricate more Take Linseed-Oyl fresh drawn without fire Syrup of Liquorice or Honey of Violets of each an Ounce and half of white Sugar-candy a Dram and half mix them exactly for a Linctus to be taken either by it self or dissolved in a Draught of the Apozeme above-mentioned If a Feverish Heat should forbid the use of Hyssop or of the Tincture of Saffron If there is a feverish heat hot things must be omitted let them be omitted in the Apozeme If there be a Looseness such things as will make them laxative must be omitted If a Looseness or any other Symptom forbid their use let the Pectoral Fruits be left out of the Apozeme and the Oyl out of the Linctus's or else instead of the Medicines just now mentioned let these be substituted which follow Take the Lohoch of Poppies Sanans of each an Ounce and half Syrup of Purslane of dryed Roses of each an Ounce the cold species of Gum Tragacanth Haly's Pouder of each a Dram Saccharum Penidiatum or Sugar of Roses three Drams Mix them and make a Linctus to be taken in a Spoon or with a Liquorice-stick every four hours or oftner if the Cough requires it swallowing it gently and drinking after it a quarter of a pint of the following Emulsion warm Take the four greater cold Seeds of each a Dram white Poppy-seeds Lettuce-seeds of each two Drams Pine-Kernels Fistick-Nuts of each three Drams with a pint of the Water of Red Poppies Red Rose-water Barley Cinnamon-water of each three Ounces Make an Emulsion according to Art to be sweetned with Saccharum Penidiatum Or Take the Lohochs of Foxes Lungs of Colts-foot of Purslane of each an Ounce the Syrups of Jujubes Maiden-hair of each an Ounce and half of Flower of Brimstone two Drams of the Tincture of Saffron half an Ounce the cold species of Tragacanth the could species of Pearl Haly's Pouder of each a Dram Saccharum Penidiatum half an Ounce Mix them and make a Linctus to be taken as before Take Tacamabac Balsam of Tolu of each a Dram a sufficient quantity of the Ingredients of the Pectoral Drink boyl them in a sufficient quantity of spring-Spring-water to a pint and half with the Liquor strained and a Dram of each of the four greater cold Seeds two Drams of white Poppy seeds and as much Henbane seed seven sweet Almonds blanch'd Make an Emulsion according to Art to be sweetned to the Palate with Saccharum Penidiatum But if there be a greater difficulty of Breathing than ordinary from the toughness of the Phlegm let the following Linctus be prescribed Take the Lohochs of Raisins of Squills of each an Ounce and half the Syrups of Hedg-Mustard of Hyssop of Hore-hound of each an Ounce and half the species of Orrice of Calamint Flower of Brimstone of each a Dram and half of the Tincture of Saffron half an Ounce of white Sugar-candy six Drams Mix them and make a Linctus to be taken as before Yea if this Symptom be very urgent there may be added a Dram of Gum Ammoniack depurated and a Dram and a half of Flowers of Benjamin to the Linctus These Intentions to wit the speedy Concoction of that Mass which is lodg'd in the Lungs and the preventing of a new influx of it are likewise satisfied by Compositions made of Balsamick and Agglutinating Medicines As for Example Take the Pulp of Conserve of Red Roses of Wood-Sorrel of each an Ounce and half of Olibanum three Drams of Natural Balsam two Scruples mix them and make an Electuary of which let the Patient take the quantity of a Wallnut three times a day at Physical hours and drink after it a quarter of a Pint of the following Apozeme warm Take the Leaves of Yarrow Mouse-ear Burnet Dandelion spotted Lung-wort Jerusalem Oak Scabious of each a handful Flowers of St. John's wort Violets great Daisies red Poppies of each half a handful Jujubes Dates of each six pair of Saffron tyed up in a Cloath half a dram Anise-seeds Juniper-berries of each three drams steep them in a due manner and boyl them in a sufficient quantity of spring-Spring-water to three pints In the Liquor when it is strained dissolve a quarter of a pound of the Conserve of Red Roses which being in this manner added to the Apozeme gives it a Balsamick and very grateful taste strain it again and then add Syrup of Corals of Jerusalem Oak of Maiden-hair of each an Ounce mix them and make an Apozeme for use Or instead of the former Electuary let this be prescribed which follows Take of the Pulp of the Conserve of Red Roses strained through a sieve two Ounces of the Conserve of the Fruit of the Dog-Rose an Ounce of Haly's Pouder a Dram of Leucatellus Balsam half an Ounce a sufficient quantity of the Balsamick Syrup mix them and make an Electuary to be taken as before Let the Patient likewise take often in a day a Spoonful or two of the Balsamick Syrup which is very grateful to the Stomack and a Scruple of Balsam of Tolu made up into little Pills with every Dose of the Syrup Every Night an Opiate must be given Also every Night when there are not some other Medicines to be taken if nothing forbids it it is convenient to give xv or xx Drops of Helmont's Liquid Laudanum in a Spoonful of the Balsamick Syrup For this end likewise 't will be well to prescribe a Dram of the Flower of Brimstone in a potch'd Egg or a sufficient quantity of Honey of Rosemary-flowers If a tickling Cough by reason of the Acrimony and thinness of the Humour separated by the Wind-pipe and the branches of it be very troublesome to the Patient so that 't is to be feared the Catarrhous Cough being irritated after the manner of Suction or drawing the Humour more into those parts will be increased let the following Lozenges be always at hand to be taken at pleasure and swallowed gently to quiet the Cough Take of the Pulp of Marsh-mallow-Roots prest through a sieve an Ounce
of which let her take the quantity of a Nutmeg every six hours Take the Waters of Rue Black-Cherries of each four Ounces of Barley Cinnamon-water three Ounces the Compound Waters of Piony of Briony of each an Ounce and half of prepared Pearl a Dram and half of fine Sugar a sufficient quantity to sweeten them Mingle them and make a Julep of which let her take four or five Spoonfuls after every Dose of the Electuary and likewise at other times when she has a mind to it To help the pains and stiffness of her Joynts I ordered that same Night Blistering-Plaisters to be applyed to the inside of her Arms near the Arm-pits and I tryed a gentle Evacuation by Stool with two Ounces of Tinctura Sacra which she bore well I ordered the following Paregorick Draught to be taken when she was to go to Rest Take of Red Poppy-water three Ounces Barley-Cinnamon-water an Ounce of Compound Piony-water two Drams Salt of Wormwood six Grains Syrup of Meconium six Drams Mix them and make a Draught October 28. I gave her the following Vomit Take of the Infusion of Crocus Metallorum an Ounce Syrup of Violets two Drams Mix them and let them be given for a Vomit about five a Clock in the Afternoon with due care and management and if it be necessary let her take between her Vomiting a Scruple of Salt of Vitriol twice or thrice in a Draught of warm Posset-Ale I ordered also the following Paregorick Draught to be taken when the Vomit had done working Take of Mint-water half an Ounce Dr. Stephen's Water three Drams Barley-Cinnamon-water the Cordial Milk-water of each an Ounce of Meconium six Drams Mix them and make a Draught From the Vomit she found an Universal Relief and that not only from the Symptoms of her Consumption but also of her Rheumatism And therefore after three days I ordered the repetition of the Vomit and then I endeavoured to extinguish the Hectick flame which had been kindled in the Blood by the Rheumatism and thereby to take care of her Lungs which had been injured by it in the manner following Take a sufficient quantity of the Ingredients of the Pectoral Decoction of the Peruvian Bark an Ounce Balsam of Tolu a Dram boyl them in a sufficient quantity of spring-Spring-water to a pint and half to the Liquor when it is strained add distilled treacle-Treacle-water the Balsamick Syrup of each an Ounce and half Mix them and make an Apozem of which let her take four Ounces three times a day for six days together taking always in the Night-draught fifteen drops of Helmont's Liquid Laudanum if any Gripes or Looseness or want of Rest should trouble her When she had done using the Apozeme I ordered the Emetick Potion to be repeated and afterwards sc Novemb. 13. I prescribed the following Pills Take of the Peruvian Bark finely pouder'd an Ounce Mucilage of Gum Tragacanth a sufficient quantity Mix them and make them into Pills of a middle size to be gilt of which let her take six Morning and Evening from day to day With the use of which she grew perfectly well being plainly freed not only from the pains and stiffness of her Limbs but likewise from her Cough difficulty of Breathing Oppression Fever and all the other Symptoms of a Pulmonary Consumption Her Appetite also returned and at length she likewise recovered her Strength and her Flesh and still enjoys very good Health without any return of her Rheumatism or Consumption History 2. Mrs. Covert a Virgin about the Eighteenth Year of her Age fell into a Continual Fever which at length was followed by another that was Intermittent which continued for the space of Eleven or Twelve Months But this went away of its own accord only a Humorose Rheumatism succeeded to it But the Fever and Rheumatism in process of time being I know not by what means in some measure overcome yet the poor Virgin remained continually Hectical Coughing Short breath'd very much Emaciated and pale as if she had no Blood in her presenting in a manner an Hippocratical Face Moreover the Tendons of her Muscles were almost universally stiff by reason of a preternatural thickness and hardness in them the Trophies of her former Rheumatism so that all her Joynts not only the lesser ones of her Feet and Hands but also the larger being plainly unable to do their Office or at least doing it with a great deal of difficulty and pain she continued almost always fixt to her Chair or Bed like an Image She was likewise many times seized with wandring and shifting spasmodick and dreadful pains up and down all about her Breast and troubled with Hysterical Faintings and Fits of a Fever often returning at uncertain times To all these Symptoms there were joyned a continual languishing Weakness a want of Appetite and a suppression of her Courses The universal Habit of her Body too seemed to me to be very Scorbutical A case verily if any is so very deplorable which yet with the Blessing of God I did help by our Art in the following manner Going to see this poor Virgin on the Thirtieth day of May 1683. to temper the Scorbutical sharpness of her Blood and to ease in some measure her wandring Pains which as they had continued a long time so they did not a little wear out oppressed Nature I ordered Calomelanos Diagrydium of each fourteen Grains Syrup of Succory with Rhubarb a sufficient quantity Mix them and make a Bolus to be taken in the Morning with due care I likewise ordered two Scruples of Wood-lice prepared and Crabs-eyes prepared mixt together to be given three times a day at Physical hours in a spoonful of the following Julep drinking three or four spoonfuls of it after them Take the Waters of Baum Black-Cherries the Cordial Milk-water of each four Ounces Barley Cinnamon-water Epidemick-water of each three Ounces of Sugar of Pearl six Drams Mix them and make a Julep I also ordered the following Bag to be hung in three Gallons of midling Ale for her ordinary Drink Take the Roots of sharp pointed Dock of Male-Piony of each two Ounces Garden and Sea Scurvy-grass of each three handfuls Brook-lime Water-cresses Tun-hoof Pine-tops of each two handfuls of Aniseeds an Ounce Mix them and make a Bag. On the Second of June because the form of a Pouder was not so grateful to her and that I might promote the opening of Obstructions instead of the Pouder I substituted the following Electuary Take the Conserves of Hipps and Red Roses of each half an Ounce of Wood-lice prepared a Dram and half Crabs-eyes prepared two Scruples Salt of Steel twelve Grains Syrup of Steel a sufficient quantity Mix them and make an Electuary of which let her take the quantity of a Nutmeg every six hours drinking a Draught of the Julep after it I ordered likewise a Scruple of the Stomack-Pills with Gums to be taken the Night following June 5th because the form of an Electuary did not
Parsley-water Fennel-water of each four Ounces the Magisterial Water of Earth-worms Syrup of the five Opening Roots of each two Ounces Mix them and make a Julep Nov. 13. With this Method all the Symptoms began to be abated and he did not make such a Jaundies Urine as he did before And thereupon I ordered a continuation of the Apozeme Linctus and Julep which were last prescribed and the repetition of the Tinctura Sacra when he went to Rest and likewise for the farther opening of the Obstructions of the Liver three of the following Pills to be given every four hours in a Spoonful of the Linctus with a Draught of the Apozeme Take the Pouder of Wood-lice prepared Goose-dung of each a Dram of Saffron half a Scruple of the Syrup of the five Opening Roots a sufficient quantity Mix them and make them into Pills of a moderate size to be gilt Nov. 14. After I had taken this care for the relief of his obstructed Liver with good Success I began as the thing required to take more particular care of his Lungs which had suffered very much from the defect of this Entrail because his Chronical Cough as also his difficulty of Breathing proceeding from the toughness of the Phlegm with which the branches of the Wind-pipe were stufft did continually put me in mind of this part of my business but especially when both were now not a little increased by a Peripneumonick Affection he had so lately had And therefore besides the continuing of the use of the Abstersive Linctus and the Apozeme made of Pectorals Hepaticks and Diureticks and likewise of the Julep and the repeating of the Tinctura Sacra when he went to Rest I ordered three of the following Pills to be taken in a Spoonful of the Linctus three times a day with a Draught of the Apozeme Take of Wood-lice prepared three Drams of Gum Ammoniack depurated a Dram and half Flowers of Benjamin a Dram Extract of Saffron Balsam of Peru of each half a Scruple of Balsam of Sulphur Terebinthinate a sufficient quantity mix them and make them into Pills of a middle size to be gilt Nov. 15. I ordered him to insist upon the same things and after Midnight to repeat the Tinctura Sacra and the Purging Waters next Morning In which manner he proceeded by my Order to the Nineteeth day but only in the stead of the Tincture I substituted half a Dram of the Stomack-Pills with Gums because of the loathing of that Medicine which he began now to have from the long use of it Nov. 19. I ordered the repeating of the Stomack-Pills and the Purging Waters every third day for three times and that he should persist in the use of the Linctus Apozeme and Balsamick Pills for eight days Decemb. 10. He came to me into my Study strong fresh-colour'd and lusty and much more free from the unhealthful Symptoms of his Lungs and Liver than he had been for many Years past But that this Chronical Mischief might be perfectly eradicated I ordered a Pint of the Tinctura Sacra that he might take six or seven Spoonfuls every fourth Night and that he should take during the use of that four Ounces of the Pectoral and Hepatick Apozeme before described three times a day at Physical hours on the intermediate days Moreover I seriously advised him to use a Diet-drink made of Antiscorbutick Hepatick and Pectoral Ingredients steep'd in Beer and Sadler's Chalybeate Waters at Islington the Spring and Summer following History 2. Mr. Maddox a Man at least Fifty Years old Gouty and Hypochondriacal from long Cares and troublesome Passions of his Mind and from the hard drinking of Spirituous Liquors which he had used himself to fell by degrees into a want of Appetite a disposition to Vomiting a stuffing of his Lungs together with a Cough and likewise an Obstruction of his Liver and a Consumption of his whole Body But I being called on the third day of August in the Year 1688. found him labouring under a Costiveness of his Belly and a Spasmodick and very dreadful pain of his Back and Side for several days not without the manifest signs of a Fever and a Languor upon him which now were come to that height that they plainly despaired even of his very Life At first I thought the pain arose from a Stone-Colick and thereupon I ordered Ten Ounces of Blood to be taken from his Arm being induced to do it not only by the present Fever but likewise for fear of an Inflammation of the Intestines that might follow by reason of the violent pain I ordered the Parts affected to be anoynted warm with the Oyntment of Marsh-mallows Oyl of white Lillies and Oyl of Bricks mixt together and Pills of half a Dram of Extractum Rudii and a Grain and half of London Laudanum to be given him in his Bed that he might get some sleep likewise a temperate Cordial Julep to be given him often to drink to comfort him And I ordered that if there were occasion a Stool should be procured after eight hours with a Clyster of Milk and Sugar with Camomile-flowers boyled in the Milk but when the Purge had once done working they were to give him Twenty Drops of Liquid Laudanum in a small Draught of the Cordial at the time he should go to Rest But these things having no effect either to give him any Stools or the easing of his Pain on the 6th of August I prescribed a Mucilaginous and Lubricating Apozeme to be drank often and for three Nights together half a Dram of the Stomack-Pills with Gums and a Grain and a half of London Laudanum and the next Mornings two Quarts of the Purging Mineral Waters Aug. 17. I ordered the repetition of the Pills when he went to Rest and likewise of the Waters the next Morning and that he should drink the Waters boyled dissolving an Ounce and half of the choicest Manna in the last Draught But for all this the Spasmodick pain of his Back and his Costiveness continued And thereupon Aug. 18. I ordered four Spoonfuls of Elixir Salutis and Thirty Drops of Liquid Laudanum to be given when he went to Rest and that he should take three Ounces of the following Apozeme warm every three hours until he had had some good large Stools Take of Senna half an Ounce Coriander-seed prepared Salt of Tartar of each two Scruples boyl them in a Pint and half of the Purging Mineral Waters to a Pint dissolving in them when they are strained two Ounces of the best Manna With the use of which he at length began to have too many Stools that is more than he could bear but without any relief of his Pain which was so violent that it could hardly be quieted even with the use of Laudanum it self though by degrees I went as high as Forty Fifty Sixty Drops which yet I was forced to repeat every Night Aug. 21. Being called a second time to go see him by the little yellowish
a Dropsical and Oedematous swelling of his Legs After many things had been tryed in vain by other Physicians at length I was call'd and quenching the flame which was in his Blood and Spirits by the use of the Peruvian Bark I also brought his sweats within moderate bounds By which means the sick Person lying in Bed as he ought to do the swelling of his Legs also plainly vanisht though he still appears lean and Consumptive The APPENDIX THIS general Consumption proceeding from Evacuations does often depend upon other Distempers This Consumption from Evacuations often depends upon other Distempers as A Lientery and therefore it may justly be called a general Symptomatical Consumption As first upon a Lientery to wit when the Faculty of the Stomack which makes the Chyle is injured by a Preternatural disposition of the Spittle and the ill Temper of the Nervous Liquor Whereby it comes to pass that the Blood and Habit of the Body since the Food that is taken is carried down through the Guts and comes away as it went in without any alteration cannot receive any Recruits from the Food and from hence there necessarily follows an Atrophy caused by Inanition Many times this general Consumption proceeds from a Preternatural alteration The Celiack Passion or obstruction of the Gall and Pancreatick Juice or else of the Juice which is naturally and uses to be separated by the small Glands planted through the whole Pipe or Duct of the Intestines and which serves for the separation of the Excrementitious parts of the Food from those which are for Nourishment For from hence it comes to pass that the Chylous parts of the Food that goes down out of the Stomack slipping by the small mouths of the Milky Vessels are thrust out together with the dreggy Excrements by Siege and that either in white Stools and such as are plainly Chylous from the defect or preternatural disposition of the Choler which is the proper Liquor for separating the Chyle as it commonly happens in the Jaundice together with a great weakness of the Body and wasting of the Flesh Or else in yellow Stools as in the Celiack Passion which either is from an Obstruction of the Pancreatick Juice and that which is separated by the Glands of the Intestines or uses to happen from the depravation of the Nature of those Juices In the first case the Urine is much tinged with a Yellow or Jaundice colour but in the latter it is quite contrary In both of them the Chyle not being separated from the Excrementitious parts of the Food the Blood is depriv'd of its due recruits upon which I have often observed that an Atrophy or Consumption and that no lingring one has seized the sick Persons Scrophulous Glands in the Mesentery Finally this general Symptomatical Consumption is sometimes caused by many and large Scrophulous Kernels preternaturally situated in the Mesentery by which the Milky Veins being straightned as with a Thread or being comprest the passage of the Nutritious Liquor which is separated in the Intestines and taken in by the mouths of the Lacteal Veins into the Mass of Blood is either totally or in part hindred In which case the Stools are large and Chylous the Belly grows hard and is swell'd but the Urine flows in a very little quantity yet keeps its Natural colour Thereupon the Blood not being every day replenished with new Chyle the Muscular Parts are deprived of their due Nourishment and daily pine away and at length are wasted to the degree of a Marasmus though the Appetite at the same time be greedy and the Patient continues almost always free from any thing of a Fever an Instance of which kind I once met with in a Boy about four Years old the History of which because it was a very rare case I shall presently relate All these Symptomatical Consumptions are plainly incurable In the Cure of these Symptomatical Consumptions respect must be first had to the Original Diâ—â—â—se unless a particular respect be first had to the Distempers upon which they depend but if these are once remov'd by Art this kind of Consumption ceases of its own accord and therefore the Cure of this Consumption is to be sought for in another place to wit in the Cure of those Distempers which are the cause of it History 1. A certain Citizen's Son in the Street commonly called Wood-street being about four Years old seem'd without any Fever or Cough to be brought by degrees to the highest degree of a Marasmus but his Belly was unequally hard and swell'd his Urine very little in quantity yet of a good colour his Stools frequent large and plainly chylous Nevertheless his Appetite continued good or rather greedy all the time of his ilness whereupon I did easily conjecture that the passage of the Chyle through the Milky Veins was much hindred by the many and very large Glandulous Swellings plac'd up and down in his Belly and that his Consumption had its Origine from the Evacuation of the Chyle caused in this manner I ordered the Plaister Diasaponis to be apply'd to his whole Belly and the following Julep to be given him plentifully and frequently Take Parsly-water Fennel-water of each four Ounces the Magisterial Water of Earth-worms Syrup of the five opening Roots of each two Ounces of the purest Salt of Amber very well freed from the Oyl half a Dram mix them and make a Julep This Liquor he very greedily coveted beyond all expectation plainly refusing any other so that in the space of Four and Twenty Hours he drank up double the quantity of the Julep that was prescrib'd Upon which he made Water at a strange rate and had fewer and less chylous Stools the swelling of his Belly falling at the same time and in a short space with the frequent and plentiful use of this Julep and torrefied Rhubarb made up into the form of a Bolus with Diascordium the little Boy was freed from his Marasmus beyond the expectation of all his Friends History 2. Very lately which was just after I had wrote this Treatise I was called to go see Mr. Gouge's Son at the Sign of the Cornelian Ring in the Strand a Boy about six Years old and perfectly reduced to a Skeleton by a Marasmus As soon as I had made a diligent Enquiry into the cause of this Consumption I presently found his Belly which was very much and unequally tumifyed every where full of swellings which were disposed here and there in clusters which yet could not be discerned without pressing very hard with ones fingers His Stools also were frequent and chylous his Urine little but of a Natural colour he had no Cough breath'd freely enough but he had a very Melancholick and plainly dead Look and his Countenance was squalid and pale I ordered him the White Drink and a Bolus with Diascordium and torrefied Rhubarb of each half a Scruple to be taken once a Week the Plaister Diasaponis to be
to pass that the Blood retaining a Hectical heat the Lungs for a long time remain hotter than they ought to be and upon that there is a conflux of the Humours flowing into the Part affected or rather a plentiful separation of the new Chyle by the Glands of the Lungs From which there follow violent and dry Coughs Inflammations and at length when the Consumption comes to its height Exulcerations And therefore I never do take away so great a quantity of Blood from other Persons that have a Fever as from these sickly Consumptive People whenever they happen to be Feverish and this I have done with very good Success so that I do not remember that I ever yet repented of doing it If there be any Hectick heat with a Catarrh an Opiate must be given If the Catarrh has but the least degree of a Hectical heat joyn'd with it and the other Circumstances of the Patient allow it the frequent use of an Opiate is also very necessary in this case and that not only to quiet the Lungs which at this time are heated by the continual and violent motion of the Cough but also to temper and calm the whole Mass of Blood So that it is plainly convenient every Night or every other Night to give a Grain and half of London Laudanum in a little Conserve of Red Roses or an Ounce of the Syrup of Meconium with three Ounces of Milk-water and three Drams of old Epidomick Water or twenty Drops of Helmont's Liquid Laudanum in a spoonful of the Balsamick Syrup which I shall afterwards describe or half a Scruple of Hounds-tongue Pill or the Pill of Styrax Yea And in this case every Purge excepting the Mineral Waters should have an Opiate mixt with it and in this case no Purge except the Purging Mineral Waters ought to be prescrib'd without mixing an Opiate with it lest the Cough and Heat should happen to be increased by too great a Commotion of the Humours As for Example Take a Scruple or half a Dram of Aloes rosate half a Scruple or twelve Grains of Hounds-tongue Pill mix them and make them up into four Pills to be gilded and taken when the Patient is to go to sleep Or Take two Ounces and a half or three Ounces of the Sacred Tincture fifteen or twenty Drops of Helmont's Liquid Laudanum This kind of Purges may be ordered every third or fourth Night and two Quarts of the Purging Waters the following Mornings either cold or boyl'd according to the Season of the Year Those days the Patient does not Purge When the Patient does not Purge Diureticks and Diaphoreticks are to be taken the Physician must go another way to work and endeavour to carry off the Humours gently by the Pores of the Skin and by the Kidneys and do it with the use of such Diuretick and Diaphoretick Medicines as may rather abate than increase the Preternatural heat of the Blood For Example Let the Patient take three times a day Fifty Wood-lice bruised in small draught of Milk-water Parsley or Fennel-water sweetned to the Palate with the Syrup of the five opening Roots Or Take two Drams of Wood-lice prepar'd a Dram of Ceruss of Antimony so much Turpentine washt in plantain-Plantain-water as will make them into Pills mix them and make them into Pills of a middle size to be put up in Pouder of Liquorice of which let him take three three times a day at Medicinal hours and drink after them half a pint of the Decoction of Sarsa and China keeping himself from the open Air. The Chalybeate Waters are excellent in this case But for this purpose I generally prefer the Chalybeate Mineral Waters before all others it being what I have learnt from long Experience for that they are found by precipitating the serous Liquor out of the whole Habit of the Body by the Kidneys in a great quantity and tempering the Hectical heat of the Blood and Spirits likewise by opening Obstructions and restoring the due Tone of the Parts to perform every thing that is requisite to a preventive Cure even Reason it self being Judge Which I have also found by much Experience ever since this kind of Waters here near us that is at Islington have first come into Publick use with the Approbation of our Famous Colledge Many preserv'd and cured by them And by the help of these I have seen a great many preserved and indeed others miraclulously recover'd from a Consumption such as I had plainly thought could never be cured no not with all that vast stock of Medicines which are Sold either in the Apothecary's or Chymists Shops and the most approved Method of giving them at least that I knew unless I had had those Waters or at least some others like them ready for my purpose I shall afterwards at the end of this Treatise give a short Account of some few Histories out of many that are pertinent to this business Here also Issues made in the Arms Issues or between â—he Shoulders are serviceable for abating the â—uantity of the Serous Liquor of the Blood and â—onsequently for comforting the Brain and Nerves and tempering the Animal Spirits which doubtless contribute very much to the exâ—inguishing of the Hectical Flame and to the â—revention of a Consumption Shaving of the Head And perhaps â—ut little less benefit may be expected from the â—â—equent shaving of the Head When by this the â—assage of the Humours through that very thick â—kin of the Head is rendred more free the use â—f which thing in relieving obstinate Catarrhs 〈◊〉 approved almost by universal Experience But alas Physicians seldom consulted for the preventing of a Consumption Physicians have very seldom an ocâ—asion to give their Advice about preventing this Distemper when in the beginning perhaps it â—ay be cured as well as other Diseases although â—or the most part by neglect it proves fatal â—e sick Persons seldom imploring Aesculapius â—elp before the Distemper has run on so far as 〈◊〉 be a fatal case and then they in vain expect Miracles from the Art of Physick when it is â—ore convenient for them to have the good Counsel of a Minister about the future Salvaâ—â—on of their Souls and the Advice of a Lawyer â—bout making their last Will. Wherefore I â—â—all spare that labour which will be to so little â—urpose and without any farther delay proceed 〈◊〉 the Diagnostick and Pathognomonick Signs â—f this Distemper CHAP. III. Of the Diagnostick and Pathognomonick Signs of the beginning of a Pulmonary Consumption THE Diagnostick and Pathognomonick signs of a present Consumption The signs either shew the beginning or confirmation of a Consumption are either such as discover it when it is but begun or when it is once confirm'd and deplorable The Pathognomonick signs of the beginning of a Consumption of the Lungs are First a Cough which one may and that by very certain signs distinguish from a simple Catarrh how violent soever
very troublesome one of thin Rheum from the Glandules of the Wind-pipe and Lungs like the sucking of a Pump In the second degree of a Consumption the Indications are almost the some as those above mentioned In the Second degree of this Distemper that is when the Tubercles are first bred in the Lungs with a dry and troublesome Cough and so long as they remain crude without any great Inflammation and Exulceration the Indications are almost the same as before excepting that they must insist more diligently upon a very plentiful use of altering Medicines according as the degree of the Hectick heat is increased but according as their Weakness and the Colliquation of the Humours are greater all manner of Evacuations must be made more cautiously and sparingly but especially we must endeavour all we can to dissolve those Swellings with the use of Balsamicks Chalybeates Antiscorbutick Medicines of Wood-lice and other things of that kind But in the last degree of a Consumption there are new Indications But as soon as the Distemper comes by the Inflammation and ripening of the Tubercles at length to the last and for the most part fatal degree of a confirm'd Consumption which commonly shews it self not only by the vast increase of the Colliquation and the accession of a new Fever not only an Inflammatory or Peripneumonick but likewise a Putrid Intermitting Fever there presently arise new Indications of Cure 1. For when the Lungs are affected with an Inflammation of the Tubercles in the manner of a Peripneumony as there is an Indication of timely Bleeding and of Temperate and Cordial Juleps to soften the Blood and to keep up their Strength so also of a very thin Diet and a plentiful use of Pectoral Medicines but especially such as are Oily and Mucilaginous to take off the Convulsive contraction of the Lungs by their Anodyne Power and to facilitate and promote the bringing up or expectoration of the Phlegm out of the stufft Pipes But as soon as the Peripneumonick Fever happens to be succeeded by a Putrid Intermitting In the Putrid Intermitting Fever all Evacuations are to be avoided and extream Colliquative Fever together with a sudden decay of Strength after the Inflammation of the Tubercles turns once to an Exulceration as all Evacuations are contradicted by that Weakness so there is an Indication for the use of Temperate Pectoral Cordials Pectorals Opiates Slippery and Cleansing Medicines We must likewise endeavour to root out the Putrid Fever which although some deceitful Truce may be gained with the use of the Peruvian Bark The Peruvian Bark must be given yet does never admit of a perfect Cure without the Ulcers are healed which when they are small and benign is not altogether impossible with the help of a convenient Diet and good Air and the use of Balsamick Medicines But however that may be we may endeavour to give some check to the Colliquation by mitigating the Fever Fit and to alleviate the fatal Symptoms which arise on every hand from the Colliquation Of which I shall speak more largely by and by in the Method of Cure The Medicines that are proper in this Disease What Purging Medicines are convenient in a Consumption are First Purging Medicines which ought always to be mild and benign as Manna Lenitive Electuary the greater Compound Pouder of Senna Aloes prepared with the Juice of Roses Mastick Pills Pills of Amber Alaephangine Pills Stomack-Pills with Gums my Magisterial Stomack-Pills by the Prudent use of which at due distances my most dear Father who was himself a very Skilful Physician for the space of Thirty Years lived till he was an Old Man though in a Consumptive and Sickly state the description of which I am willing to publish out of his own Manuscript for the Publick Good Take of the finest Aloes an Ounce the best Myrrh Mastick of each half an Ounce Cinnamon Saffron of each two Drams Cloves Roman Wormwood Red Roses Nutmeg Mace Calamus Aromaticus of each a Dram of the best Rhubarb two Drams Galingale Schaenanthus Yellow Saunders Wood of Aloes the lesser Cardamoms of each half a Dram of Oriental Musk four Grains with a sufficient quanty of Syrup of Wormwood Make them up into a Mass for Pills according to Art Likewise the Purging Mineral Waters and in general all gentle Purgers that are grateful to the Stomack and Nerves and which cause as little heat as may be in the Blood and Spirits are of use here What Vomits may be given To this Head we must also refer Vomits as Honey of Squills and in the beginning of a Consumption especially when it is from a Surfeit the Infusion of Crocus Metallorum What Diuretick Medicines are proper Secondly Diureticks as the Mineral Waters both Chalybeate and Purging Wood-lice both crude and prepared the four greater cold Seeds common Turpentine Natural Balsam Balsam of Tolu of Peru and Compound Medicines made of these as Balsam of Sulphur made with Oyl of Turpentine and with Oyl of Aniseeds Dr. Goddard's Balsamick Syrup both the Simple and the Anodyne the Roots of Fennel Parsley Eringo and those either raw or candied of Elecampane the Seeds of Mallows of Marsh-mallows Plantain-leaves Juniper-berries Elder-berries simple Honey Honey of Violets Craw-fish Syrup of Marsh-mallows Sweet Almonds c. Thirdly Diaphoreticks The Diapheretick Medicines that proper As Sarsaparilla-roots and China in decoctions Venice-Treacle Laudanum both liquid and solid Mithridate Confection of Alkermes Saffron Sassafras-wood Lignum Vitae Saunders yellow or red Fourthly Pectorals The several sorts of Pectoral Medicines As those that are soft to which Head I use to refer First all Simple and Compound Medicines which by taking off the Acrimony of the Humours do abate the Colliquative state of the Blood whereby it comes to pass that the Rheum is not separated so plentifully by the Wind-pipe and Glands of the Lungs As for Example Coltsfoot Maiden-hair Alehoof Brook-lime Water-Cresses Pine-tops Scabious spotted Lungwort the Flowers of the great Daisie of Rosemary Betony Sage Violets of Borrage Bugloss Lilly of the Vallies the Roots of Polypody the Leaves of Yarrow Mouse-ear Burnet Dandelion Plantain Self-heal Sanicle Fluellin and such mild Plants abounding with a Volatile Salt with Syrups and other Compound Medicines made of those Simples the Leaves of the Oak of Jerusalem of Sun-dew Golden Maiden-hair and other Herbs commonly called Vulnerary which by altering the Mass of Blood do very much help the Concoction of the Humours that are lodged in the Lungs Likewise the Balsam of Tolu of Peru Natural Balsam Storax Benjamin Gum Elemi Balsam Capivi with other Gums and Balsams Brimstone and the several Preparations of it Crabs-eys Egg-shells Chalk Coral Pearl Wood-lice the four greater cold Seeds the Seeds of Mallows Marsh-mallows and Lettuce the Roots of China Sarsaparilla the shavings of Hartshorn and Ivory with the Compound Medicines made of them such as Haly's Pouder the Analeptick or Restorative Antidote the
their proper Heads But now besides the altering Medicines already described which are given in a little quantity and at certain hours The altering Medicines we must do all we can to temper the Feverish Heat of the Blood and to eradicate the inexhausted stock of Humours lurking in the Habit of the Body together with the Colliquation arising from it by making the Patient take them plentifully and continually in the manner of a Diet. And therefore we must not only diligently make choice of such Food as affords good Juice and corrects the sharpness of the Humours as Partridges and Mountain-Birds potch'd Eggs Oysters the Feet of Animals together with Gelly-Broths and Gellies made of them also Craw-fish and other Testaceous Fishes with Broths artificially made of them some forms of which I shall afterwards subjoyn but also the Chalybeate Mineral Waters a Pectoral Mead a Milk Diet Asses Milk Milk-water Pig-water Snail-water and other Liquors that soften and take off the sharpness of the Blood must be ordered to be taken plentifully in the manner of Drink Likewise Issues shaving of the Head and the application of proper Plaisters are of great advantage Of the use of which and the Cautions that are to be taken in the use of them I shall briefly and particularly propose my own Observations If the Hectick heat is small we must use the Chalybeate Waters And first if the Hectical Heat be moderate and almost insensible from whence we may conjecture that those fixt Swellings of the Lungs are crude or at least scrophulous and of a cold Nature that they are stufft with a chalky fatty or any other such kind of Matter the Patient must by all means be put upon the use of the Chalybeate Mineral Waters in the Summer time And by this means I have relieved a great many of this kind of Consumptive Persons for many Years restoring their Appetite their Flesh and Strength abating their Hectick Heat and Cough and giving then a greater freedom of Breathing and that not only during the time of their drinking the Waters but also all the next Winter From whence we have reason to conclude that those Swellings if they are not perfectly eradicated by the use of the Waters at least are lessened and the Mass of Blood mightily temper'd by them And this palliative Cure if we cannot obtain a perfect one is of some moment For although the Patient prolongs his Life in a state somewhat sickly yet still he lives and by taking due care is able to do his usual Business and to have a moderate Enjoyment of the common Delights of Humane Life But I have seen some perfectly recovered from an evident Consumption by the use of these Waters and made sound again without a Relapse a History or two of whom I shall faithfully and briefly relate in the Chapter of a Hypochondriacal Consumption But for the use of the Chalybeate Waters I would recommend the following Rules strictly to be observed by all Consumptive Persons First in an Acute Consumption to wit Rules to be observed in the use of the Chalybeate Waters where the Lungs are evidently putrefied and where the Fever is advanced beyond the degree of a Hectick as also in an extream Chronical Consumption where the Patient is come to some degree of a Marasmus together with Colliquative Sweats a Looseness or Dropsie the Waters must be avoided which most certainly in this case are not only mischievous but also deadly Secondly those that are sick of a Consumption though they ought to spend a long time to wit the greatest part of the Summer in the use of the Waters that the Crasis of the Blood which is almost quite destroyed may by degrees be restored by the long use of them yet they must drink them sparingly every day and in a less quantity than others are wont to do that is four five or six Pints at a time lest by too great a distention of the tender Vessels of the Lungs there comes at length a spitting of Blood Thirdly during the use of the Waters they ought to take more care lest they get cold and commit any Errors in their Diet than many Persons that are sick of other Distempers commonly do Fourthly it is convenient for Consumptive People to repeat the use of the Waters for several Years in the Summer-time though after they have been used to them it is not necessary to drink them so long every Year as at first Fifthly neither are Consumptive Persons to be purged during the use of them as other Water-drinkers use to be But if they are subject to be more costive than they should be it is convenient before they fall upon the use of the Chalybeate Waters and after they have made an end of drinking them to give them the Purging Mineral Waters in a moderate quantity and to repeat them every three or four days till they have taken them three or four times Sixthly if the Waters do not pass off in a sufficient quantity by Urine much more if they cause a Looseness they must not persist any long time in the use of them unless we can by Art provide sufficiently against these Inconveniences To take off and prevent a Looseness I use to order the quantity of a Wallnut of the following Electuary every Night when they go to Bed Take the pulp of Old Conserve of Red Roses Marmalade of Quinces of each half an Ounce of Troches of Amber three Drams Bole Dragons-blood of each half a Dram of London Laudanum three Grains of Syrup of Myrtils enough to make an Electuary To promote the passing of the Waters by Urine they must dissolve a Scruple of the finest Salt of Amber very well cleared from the Oyl in the first draught of the Waters Seventhly it likewise does very well during the use of the Chalybeate Waters to order their ordinary Drink to be impregnated with a Bag of Pectoral Ingredients to which may also be added such as are proper for the Scurvy and the Kings-Evil that are mild if the Original Distemper requires it Secondly If the Hectick heat is great and the Consumption quick we must rather make use of a Milk Diet. The Rules that are to be observed in a Milk Diet. but if the Hectick Heat be considerable and thereupon the Consumption quick in its Progress it is better to temper the heat with a Milk Diet than with the Waters But about a Milk Diet we must observe these following Rules First In the use of this Diet nothing must be either allowed or taken for Meat and Drink but Milk and things made of Milk except Bread But they must take this Food in a good quantity and frequently for fear the parts should be deprived of their due Nourishment by reason of the thinness of it Secondly a Course of the Milk Diet ought to be continued a Month or two Thirdly the Spring is the most convenient time of all for this Diet that is when the Flowers
follows upon it And likewise after the use of an Opiate Medicine we must give them Expectorating and Lubricating things more plentifully lest the Matter which has been some time fixt by it in the Lungs be too hard for the Patient to bring up Secondly How to abate the continual Cough and to help the Patient against pertinacious Watchings As a Looseness and sometimes also an implacable Bloody-flux together with dreadful Tortures do often come upon a Consumption from the Colliquation of the distemper'd and sharp Lympha made by the Bowels which are wont to scour in Consumptive Persons that have a Scorbutical disposition by reason of the peculiar Tone of their Guts more than in others As I have observed in very many who have been taken away in the very Flower of their Age by a Scorbutical Consumption attended with those Racking Symptoms So likewise many times in this state of the Disease The Cause of the Cough c. others use to be sufficiently troubled with an extraordinary Colliquation by the Wind-pipe and the branches of it caused by this Putrid Fever whereupon the Cough that was before dry and moderate now becomes violent and continually troublesome with a plentiful spitting sometimes of a thin Rheum sometimes of a discolour'd glutinous and purulent Phlegm so that the Patient by reason of his Cough troubling him both Day and Night is wont to be afflicted with almost continual Watchings till he is light-headed These Symptoms too are not to be relieved without the use of Opium These Symptoms require Opium Yet it must be cautiously given But in this extream degree of Weakness it must be allowed with a great deal of Caution but sparingly and not without manifest Necessity because from the stuffing of the Lungs caused by it there is wont to follow a very great difficulty of Breathing a weak Pulse and a faultering of the Senses together with a coldness of the extream parts so that the Patient to the disgrace of the Physician and his Art does not seem so much to dye as to be kill'd Therefore in this case I commonly use the following Linctus or some one of the same Nature Take Syrup of Marsh-mallows of Purslane of each an Ounce and half Species Diatragacanth frigidae Haly's Pouder of each two Scruples Syrup of Meconium an Ounce and half Mix them and make a Linctus to be taken out of a Spoon or with a Liquorice-stick when the Cough is troubelsome swallowing of it gently Likewise Aqua Mirabilis because it is Aromatick and Carminative being mixt with Pectoral Syrups and taken down gently is proper to quiet the Cough Or Take of the Balsamick Syrup two Ounces of Helmont's Liquid Laudanum two Scruples mix them and let the Patient take one Spoonful every hour or every two hours In this state of the Disease the Patient must seldom ascend so high as to half a Scruple or twelve Grains of the Cynogloss-Pill Here likewise the Trochisci bechici or Cough-Lozenges both the white and black or any others of that kind are good being to be dissolved gently in the mouth and swallowed down when the Cough is troublesome Of moderating the vast Colliquative Sweats From the first of the Putrid Fever there are Sweats These Sweats are wont to accompany a Consumption after the Putrid Fever arises through the whole course of the Disease and as I hinted before do very much relieve the Cough Watchings and other troublesome Symptoms and therefore so long as they are moderate Whilst they are moderate they must not be stopt they are by no means to be stopt by Art for fear a Looseness or some other more troublesome and fatal business arise upon the taking away of this Symptom But sometimes when the Consumption once comes near to its fatal Period because the colliquative state of the Blood is at this time so much increased that scarce any new Nourishment is united to the Solid parts or retained in the Mass of Blood it happens that these Sweats become so profuse that the Patient when-ever he falls into a sleep does not only seem to lye as it were in a Flood of Water which he finds very troublesome but likewise from a great sinking of his Spirits caused by those vast Sweats as soon as he awakes he is taken with some degree of Swooning In which case his sleeps must be short In this case their sleeps must be shorâ— and if there be occasion he must be awak'd out of his sleep before his Spirits are too languid with long Sweating Also temperate Pearl Cordials must be given often and in a large quantity to which it is convenient to add Chalk Coral Dragons-blood and other Temperating Astringent and Emplastick Ingredients which may in some measure lock up and mitigate the fluid state of the Blood As for Example Take the Waters of Tormentil Plantain Oak-buds of each three Ounces of small cinnamon-Cinnamon-water four Ounces of Aqua Mirabilis an Ounce Pearl and Coral prepared Chalk of each two Scruples true Bole Dragons-blood of each half a Dram of Japan-Earth a Scruple of distilled Vinegar or Spirit of Vitriol a sufficient quantity to give a grateful sharpness of Syrup of Myrtils an Ounce and half mix them and make a Julep of which let the Patient take two or three Ounces every third or fourth hour shaking the Bottle Some of the Bed-cloaths also must be taken off and let the Patient be removed into a thin open and fresh Air let him always sleep in a large Chamber and as soon as he begins to be faint let the Sweat be presently wiped off with dry Linnen Cloaths and the Patient be removed into another part of the Bed The pores of the Skin being in this manner once stopt though Nature should make it her business to throw out some part of the colliquated Humour by the Bowels or any other passage and thereupon new Symptoms should arise yet it is better for the Patient to labour under several moderate than one very extream Symptom Of extream Vomiting in the latter end of a Consumption Consumptive Persons are all along subject to Vomiting Persons in a Consumption are in some measure subject to this Symptom through the whole course of the Disease from the morbid state of the Blood and from the Tone and Ferment of the Stomack being thereupon perfectly destroy'd as also from the stuffing of the Lungs and the motion of the Stomack being inverted by the Cough and hawking up of the Phlegm that sticks in the Lungs as I have shewed before But about the end of a Consumption this Symptom is sometimes so much increased Which increases towards the end of the Consumption that scarce any Nutriment can be retained in the Stomack but the Food as soon as it is taken down is apt to be thrown up again by the Stomack Though there is not much to be done by Art in the extremity of this Symptom yet a Physician ought to give his helping Hand
short time provoked to Vomit he brought up not only crude Chyle out of his Stomack but also near a Pint of Pus plainly fetid out of his Lungs and thereupon with the use of a Cordial Julep both his Spasms and his Strangulation went off the heat of the Extream Parts too and his Pulse came again and at length after three hours he began to mutter some incoherent words and after some quiet sleeps he came to himself And so within 24 hours he was hungry and asked for something to eat to the great Amazement of his Friends and those that were about him But nevertheless he was not only weak and confined to his Bed but also emaciated and Hectical and lay continually Coughing and fetching his Breath very short from the weight of that Matter in the Cavity of his Breast which prest upon his Diaphragm as if he would in a short time dye of a Consumption By reason of the Acute Consumption which was upon him and his Weakness I dare not try to evacuate the Matter by Catharticks nor to let it out by a Paracentesis because as they that were about him were against it so indeed there appeared no protuberance in the Hypochondres to shew the right place where the aperture should be made And therefore for the present I resolved to bring the business about by a long and slow Method by ordering a Milk Diet to temper his Blood and the frequent use of the following Apozeme partly Pectoral and partly Diuretick with which if it were possible I might bring away the Matter by the Urinary passages without any loss of his strength The form of the Apozeme was this which follows Take the Seeds of Mallows of Marsh-mallows of each three Drams the four greater cold Seeds of each a Dram of red Cicers an Ounce of Winter-Cherries two Drams the Leaves of Colts-foot Maiden-hair of each a handful seven Figgs fifteen Sebestens Liquorice sliced an Ounce boyl them in two Quarts of spring-Spring-water to a Quart To the Liquor when it is strained add of Syrup of Marsh-mallows an Ounce Mingle them and make an Apozeme With this Management and the addition of a Pearl Julep and a Pectoral Linctus his strength seemed to be much mended But upon that there arose an Universal Dropsie which increased so much that the poor Patient seemed every day ready to dye for want of Breath But with the plentiful use of Salt of Amber gentle Purges and Chalybeate Electuaries Balsamick and Pectoral Medicines being always mixt with them he grew perfectly well of his Consumption and Dropsie both with the help of the Spring and Country Air and is yet living in health strong and lusty following his Business of Merchandize History 2. Mr. Gifford's Daughter in Fleet-Lane about the Eighth Year of her Age was taken with an Inflammatory Fever a Pain in her Side and a troublesome and dry Cough I being called after the Second or Third day of the Disease judging by the Diagnostick Signs that the Patient had a Pleurisy ordered a Vein to be opened once and again Liniments and Fomentations to be applyed externally and likewise Expectorating Medicines to be given her plentifully which she took too sparingly I ordered likewise Blisters as it was necessary upon the account of her Fever and the Affection of her Nerves and Pearl Juleps made of Cephalick and Cordial Waters After the use of these things the Inflammatory Fever turned to a Hectick and the Convulsive Pain of her Side into a Gravative Pain and thereupon all the Symptoms appeared more mild But because no Phlegm could by any Art be brought out of the Lungs by Coughing I did much suspect that the Putrid Phlegm which had been concocted in the Lungs had found some other way through the very substance of them into the Cavity of the Breast and that my poor Patient would at last dye of an Empyical Consumption caused by the Pleurisy for want of Expectoration And indeed I was not much out in my Conjecture For after the poor Girle had lain languishing for Twenty days after the end of the true Pleurisy every day pining away with a continual Hectick Fever a redness in her Cheeks often returning the palms of her Hands very dry with a dry and troublesome Cough pertinacious Watchings shortness of Breath and other expensive Symptoms at last she began to complain of a gravative pain of her Side about the left Hypochondre which increased so one day after another that at last she could not be moved nor set upright without crying out But after the Thirtieth day of the Disease looking upon the Part affected I found it swelled and rising a little with a point But yet I stay'd till the fortieth day and then Mr. Hollier a very Skilful Surgeon being called in we took out by degrees the putrid Phlegm by a Paracentesis made a little above the Diaphragm in the space of a Month For by reason of the emaciated state of her Body she could not bear the taking away of much at a time But for a Year or two the Wound was designedly kept open in the same part like as an Issue In the mean time making use of a Milk Diet Balsamick Medicines Wood-lice and drinking freely and a long time a Vulnerary Decoction of Sarsa c. with the help of the Country Air interposing likewise at due intervals and according to the strength of the Patient Purges made of Calomelanos and Diagrydium at length she recovered out of her Consumptive state having got a good Colour and Flesh and so she continued for several Years without the least Symptom of her former Distemper but only that she was somewhat drawn in with a crookedness on the Side that had been affected to her dying day when she was taken off by a Malignant Fever CHAP. XI Of a Consumption proceeding from the Gout and from a Rheumatism There is a Colliquation in a Gout and Rheumatism IN a Gout and Rheumatism especially that which is true and Humorose which is caused by a sharp Ferment supplyed from the Nerves there is such an evident Colliquation in the whole Mass of Blood that no Body can reasonably think it strange that a Consumption should arise from these Distempers but especially when they are stubborn and Chronical and return often And hereupon it is an easie matter to observe that a Rheumatick Pain In Rheumatick Pains there is a Cough coming from the taking of Cold seldom if ever is wont to seize upon the Joynts without a Pulmonary Cough And as I have seen that great Man the Lord Bridgman Mr. Philips and Mr. Tibs and many others after frequent and long Fits of the Gout and Rheumatism dye at last of a Consumption or Asthma so I have likewise observed that sometimes an Acute and Fatal Consumption has followed upon the first Fit of a Rheumatism This Consumption it sometimes Acute This Consumption when it seizes them from the first Invasion of a Rheumatism happens sometimes
faint in the use of the Bath she had the following Cordial in readiness to be taken by spoonfuls at any time when she pleased Take the epidemick-Epidemick-Water Dr. Stephens 's Water of each half a Pint of Syrup of Clove-Gillyflowers two Ounces Mix them and make a Cordial Julep In the Month of September my Patient returned from the use of the Bath having found a great deal of Benefit But especially her Tendons and Joynts that were affected were very much restored by it to promote the Cure of which yet farther I advised her to use one of our Bagnio's here at London twice or thrice a Week together with the following Medicines Sept. 4. 1683. Take of the best Sarsaparilla four Ounces China-Roots an Ounce and half shavings of Ivory of Hartshorn of each three Drams of Raisins of the Sun stoned two Ounces Liquorice sliced half an Ounce after a due Infusion boyl them in four quarts of Spring-water to two quarts Let her take half a Pint of the Liquor strained thrice a day at Physical hours Take Ceruss of Antimony Wood-lice prepared of each a Dram and half Mix them together for six Papers of which let her take one three times a day with every Draught of the Decoction before prescribed but especially when she goes into the Bagnio As soon as she had made an end of using the Bagnio I endeavoured to promote a gentle Diaphoresis every Night with the use of the following Draught Sept. 12. 1683. Take Carduus-water distilled Treacle-water of each an Ounce of Ceruss of Antimony a Scruple Syrup of Violets two Drams Mix them and make a Draught to be repeated for Ten Nights together With the use of which her Joynts and Tendons received a great deal of benefit But at length for fear the Patient's relapse into an Intermitting Fever at the end of the Year of which I had a great and reasonable Suspicion should frustrate the perfecting of her Cure I advised her to repeat the use of the Peruvian Bark for several days to be taken every fourth or fifth hour in the form of the following Apozem Sept. 20. 1683. Take of the Peruvian Bark pouder'd an Ounce boyl it in Carduus-water and White-wine of each an equal quantity to a pint and half and then let it be prest out very hard Lastly For the getting of her Flesh again and the farther tempering of her Hectick heat I advised her to go into a strict Milk Diet to be used for six Weeks in the Country Air. With the use of which she grew plump and recovered her perfect Health her Monthly Purgations then at length returning with a florid colour which before this had been quite stopt for four Years by reason of the emaciated and thin Habit of her Body But the next Year which was 1684 in the Month of June because of some stiffness which remained in the Tendons of her Wrists and of one Foot she went again to the Bath and afterwards repeated the Milk Diet. From which time to this present she has enjoyed perfect Health and likewise having been married has had Children With almost the same Method I happily cured Mr. Overton living without Newgate beyond the Expectation of all his Friends who with a long Rheumatism was at length brought plainly into a Tabid state with a difficulty of Breathing a violent and perpetual Cough a continual Hectick Fever a spitting of Matter like Pus and the other signs of a Fatal Consumption of the Lungs Whose Case I here forbear to recite for Brevity's sake History 3. Mrs. Lane a Barber's Wife whose Husband lived in Cow-Lane being about Five and Thirty Years old when she had lived in a Consumptive state Emaciated and Coughing for several Years past fell in the Month of April 1684. into a true Rheumatism with violent Pains and inflam'd Swellings which yet were moving suddenly from one Joynt to another with a Fever likewise that was evidently of a remitting kind accompanying of it which had the Type of a Tertian which I have very often observed to be the Nature especially peculiar to a Rheumatick Fever In which case whenever a new Fever-Fit seizes the Patient the Rheumatick Pain and Swelling which before were almost quieted are wont to be renewed in the Parts that were before affected or else by a Metastasis of the Matter as the Ancients love to speak to be translated to some other Joynts But the Fits were very long lasting for the space of Twelve or Sixteen hours and attended with a want of sleep light-headedness great tumbling and tossing heat and a very Feverish Pulse All which Symptoms used to be followed and go off with great Sweats But at the beginning of every Fit I observed that her Rheumatick Pains always grew more sharp in the Joynts affected or else seized some other Joynts that were free before So that a new Rheumatism seemed to come with every Fever-Fit Being called in the time of her Fit I endeavoured to satisfie the present Indications with Bleeding Blisters an Anodyne Draught Tincture of Roses a Pectoral Linctus and a Pearl Julep And indeed all the Symptoms going off at the end of the Fit when I came to see my Patient the next day I reckon'd the Distemper was overcome and removed with those things I had ordered till at length by the return of the Fever and Rheumatick Fit the next Night I plainly understood how vainly I had hitherto flattered my self And therefore according to the urgency of the Symptoms that indicated it I bled her again ordering the repetition of the Hypnotick Draught and likewise the application of an Anodyne Cataplasm to the Joynts that were affected with extream pain from the Rheumatism But after I found the Type of the Fever and Rheumatism for two or three times to be plainly a Tertian and that notwithstanding the Method I had before prescribed all things continually grew worse the very System of the Nerves being now at length seized with Spasms but especially in the time of the Fit and her Mouth being likewise ulcerated with a Thrush being led by a happy Conjecture I betook my self in this deplorable case to the use of the Peruvian Bark prescribing a Dram to be given every third or fourth hour when her Fit was off With the use of which in the space of Twenty Four hours she was freed both from her Rheumatism and Fever without any other Remedy and was well after her manner that is Consumptively but yet she was less opprest in her Lungs than she had been before she fell sick But as soon as she got rid of her Pain and Fever she wholly neglected her Chronical Consumption which likewise seemed to be helpt with the Bleedings the use of the Bark and the other Medicines before prescribed refusing all sorts of Medicines and thereupon after a Year or two she dyed of that Chronical Consumption of the Lungs CHAP. XII Of a Consumption proceeding from Fevers especially such as are from Surfeits Scarlate and Intermitting
to be Acute for this Reason because it proceeds from a Colliquation of the Humours in an Acute Fit of a Humorose Rheumatism And therefore because it partakes of the Nature of an ordinary Consumption And must be treated with the general Method it ought to be treated wholly in the General Method that is with the use of Lubricating Incrassating Opiate and other Pectoral Medicines And indeed it has been my Practice and that with very good Success to prescribe in every Rheumatick Fit the plentiful use of Pectoral Lubricating and Incrassating Apozemes and Linctuses though there be no urgent Cough nor difficulty of Breathing not only to temper and soften the Blood but likewise to prevent a Consumption which uses often to be the effect of a Rheumatism But whenever this Consumption proceeds from an old Gout or a Rheumatism When it comes from an old Gout c. 't is Chronical that has returned frequently it is plainly Chronical and does gradually in several Years create trouble to the Lungs and the Parts that serve for Respiration And indeed it is of an Asthmatick kind And of an Asthmatick kind attended rather with a difficulty of Breathing from the toughness of the Phlegm than a pertinacious Cough Because it seems to arise rather from a Stupor of the Nerves than from a Colliquation of the Humours But yet this Asthmatical Consumption to me seems to be of a peculiar Nature But of a peculiar Nature because it is not at all relieved by the choice of a good Air. For I have observed that this kind of Consumptive Persons though they be likewise Asthmatical breath as well in a foggy and smoaky Air as in that which is thin and open And from thence also it comes to pass that Lubricating and Expectorating Medicines do no good in this case though Incrassating and Opiate Medicines are fatally Mischievous But there is more Relief to be expected from the frequent and plentiful giving of Spirit of Hartshorn of Salt Armoniack and Chymical Oyl of Juniper and other things of that Nature that excite the Spirits and comfort the Nerves than from any Opiates or Pectoral Medicines As the Consumption proceeds the Pains abate The more this Asthmatical Consumption grows upon the Patient the more the Rheumatick Pains and Swellings are wont to abate And a true and genuine Humorose Rheumatism long before it becomes Mortal degenerates into a Nervous Rheumatism attended with pains running up and down but with no evident Swelling When a Rheumatick Consumption is incurable This Rheumatick Consumption proceeding from a Chronical Rheumatism and happening to those that are Old so far as I understand is plainly incurable For it is a sign that Nature absolutely sinks and is now overcome in the last Scene of a Rheumatism Gentle Vomits are good Gentle Vomits repeated at due intervals especially if the Patient bears them well and they are not given when 't is too late do much towards the promoting of the Cure of this Consumption because they open the Obstructions of the Brain and Nerves and abate the Rheumatick pains by taking off the stiffness and Stupor of the Nervous parts from whence it comes to pass that a great part of the Procatartick Cause or that which feeds the Distemper is taken away Bleeding does good in the beginning Likewise Bleeding in the beginning of this Consumption before the Habit of the Body is too much extenuated does a great deal of good not only by abating the Hectick heat and the Rheumatick pains but also by relieving the difficulty of Breathing When the Distemper is improved it is hurtful But in the progress of the Distemper when a great Emaciation has before seized the whole Habit of the Body as I have often observed Nature to be more weakned so their Respiration to be rendred more difficult with Bleeding And indeed I do not at all doubt but this Asthmatical Consumption does often proceed from Bleeding profusely and the often repeating of it in the Fits of a Rheumatism the Crasis of the Blood being thereby destroy'd and the whole Mass of it impoverisht as it uses to happen in all immoderate Haemorrhages I have likewise very often by Experience found the extraordinary Vertue of the Peruvian Bark in extinguishing the Colliquative Hectick Flame which has been kindled in the Blood The Peruvian Bark does well and is left there by its Rheumatick state which Flame unless it is taken away either by some Art or by Nature does most certainly prepare the way to this Pulmonary Consumption I have observed likewise that Chalybeate Medicines do for the same Reason conduce very much in the beginning of this Distemper So Chalybeate Medicines at least to the gaining of some respite if not to a perfect Cure but especially the Chalybeate Waters if it be not too late when they are drank if they pass plentifully enough by Urine The use also of Natural and Artificial Baths And Baths if they are used before the Habit of the Body is too much extenuated is wont to promote the Cure of this Consumption very much at the beginning by opening the Obstructions of the Nervous parts every where A Milk Diet is likewise very beneficial at the first Invasion of this Distemper And a Milk Diet at the beginning by lessening the flame that is kindled in the Blood and correcting the preternatural Acrimony of it Though it must be confest it does not so well agree with these Patients in the progress of the Distemper when once there comes to be a difficulty of Breathing because it uses to cause a greater toughness of the Phlegm that is lodged in the branches of the Wind-pipe And it may be this Conjecture is grounded upon very good Reason to wit that the using of Milk too much in a Rheumatism does very much dispose the Patient to this Asthmatical Consumption History 1. Mrs. Laurence about the Five and Thirtieth Year of her Age at which time too she was big with Child fell into an Universal Rheumatism and committed her self to the care of a certain Apothecary for several Months till at length with a Cough difficulty of Breathing Hectick Fever Emaciation and other Symptoms of this kind which she then had upon her it was uncertain whether she would dye of a Rheumatism or of a Consumption the Rheumatism which before was a genuine one being degenerated into a Nervous Rheumatism attended with a rigidity and a wandring pain in the Limbs but with no Swelling At which time being the 25th of October 1686. I being sent for ordered an Electuary with the following Julep to temper the Rheumatick and Hectick heat of the Blood and Spirits and to allay the Hysterical Affections arising from thence Take the Old Conserve of Red Roses of Hipps strained through a Sieve of each an Ounce Lavender-flowers pouder'd Magistery of Coral of each a Dram of Syrup of Corals a sufficient quantity Mix them and make an Electuary