which there had been boyled the Root of the greater Dock which having drunk up when he could not be cured by any other remedies of the Physitians he made a great deal of white Water his Urine being like Milk and so was freed from all his pains Or Take Sarsaparilla one ounce Sassafras Wood half an ounce the Root of the Clove Tree one ounce Citrine Saunders two drams Infuse all in three pints of Water for twenty four hours and afterward boyl the same and give of this Decoction one draught in the morning either alone or else with Harts horn Topicks The Body being thus in a due manner evacuated Topicks and the Antecedent cause that would have augmented the Disease being once taken away we then come to the very moderating of the pain and the taking away of the Conteining Cause of the pain and swelling and so unto the Topicks But if Topicks shall presently be administred before those Universal and General Remedies shall have been first made use of the Patient shall receive from thence far more hurt then benefit For either the matter which Nature endeavoureth to thrust forth to the Joynts is driven back unto the more inward parts from whence very grievous Symptoms are excited or else it is impacted into the Joynts and so the pain is exasperated or else the part is effeminated and made weak and loosened and so the flux is increased Which being not commonly taken notice of and Topicks being oftentimes most unseasonably and without any caution at al administred the sick persons do for the most part receive more hurt then good from them and from hence it was that the common and received opinion had its first original to wit that the best course is to administer nothing at al unto the pained Joynts And the truth is that it is fir becter to apply nothing call but to commit the whole business to Nature then to make use of such Medicaments as are altogether unfit and improper Now the Topicks that are applied they respect either the pain only or else withall the Cause of the pain to wit the Humor that now and formerly hath flown in exciting both a pain and a swelling Mitigaters of Pain The Pain in this Disease for the most part is a most grievous Symptom Mitigaters of Pain and which is most troublesom to the sick parties and which they most of all Curse and Bann as Lucian hath it in the beginning almost of his Tragopodagra and therefore also it is that they most of all desire the removal thereof And indeed it is altogether necessary that the Physitian should have regard thereunto because that if it be too great it causeth a restlessness dejecteth the strength and by attracting the Humors it augmenteth the Malady and so deservedly draweth our care unto it for its removal as Gaien in the 12. of his Method C. 1. and thereupon it sheweth and pointeth us unto the asswaging thereof by Anodynes Now Anodynes or Mitigaters of pain have likewise this Good and benefit going along with them to wit that by loosning the parts they make that the Humor that before flowed only unto the interiour parts about the Joynts comes now also to flow and be diffused unto the Ambient and fleshy parts And hence it is that the pains in the Gout before the swelling of the part are most Vehement and Intollerable and that so soon as the part affected beings to swel they are much Mitigated But now these Anodynes of what kind they are we have told you elswhere in our Institutions to wit such as mollifie and loosen the part affected and yet do not discuss the very Cause it self And here they may be provided of Goats Milk newly drawn out of their Dugs as also white bread and Milk together with the Yelks of Eggs and a little Saffron as likewise of the Leaves of Marsh-Mallows Mallows Colewort or Cabbage laid upon the place affected as hot as the Patient can wel endure them as also of Mallow Seeds Seeds of Marsh-Mallows Quinces Fleabane and especially the Mucillages of them Cassia newly drawn out of the Pipe with the Decoction or Water of Nightshade which as Avicen tels us is the best Remedy that can be unto which if there flow any hot Humors thereunto we may add some of the Oyl of Roses or Rose water but if the flowing Humors be cold then we are to add thereto the Oyl of Camomil and instead of Cassa out of the Pipe we may likewise make use of the Rob of the Elder Tree of white bread and Wine and indeed if the Humor be more hot red Wane but if cold or betwixt both then white Wine with the pouder of Camomile flowers and Oyl of Roses of Cheese new made of sheeps Milk and imposed upon the pained part and often changed of fresh-made Ox or Cow dung in the first beginning of the Spring as also the Water that is distilled out of it Amost useful Remedy also is the Mucillage of Fleabane Seed extracted with the Water of Roses or Night shade unto which somtimes a little Vinegar may be added and this Medicament is by Serapton and others very much commended In the very first beginning of the Disease Solenander taketh the thick stalks of Hendock and sils them with Salt and then stoppeth them with Clay or Paste and puts them in a moist place that the Salt may dissolve which liquor he keeps in a glass and with Clothes applieth it unto the pained part And he oftentimes also made use of this Cataplasm Take Mallows the whole Herb Root and all cut it into very smal pieces and boyl it in equal parts of Wine and Vinegar in a new Earthen Vessel until a third part be wasted away and then mingle therewith the thicker Bran of Rye as much as will suffice for the making of a Cataplasm and apply this hot unto the grieved part Forrestus relateth that he knew one that added hereunto a little Barly flower and that of the Water Lentile boyled in Milk with Camomile flowers and so reducing them into the form of a Cataplasm he put them upon the part affected with miraculous success as one could judg no other of it And here also very useful is the Yelk of an Egg reduced into the form of a Liniment with the Oyl of Violets and so is also the Water of the Sperm or seed of Frogs which perhaps have in them some kind of Narcotick quality Adrianus Spigelius writes that among the Moravians there is in use a very notable Remedy and noble experiment for the speedy cuting of the Gout-pains to wit the Water of Meadow Sweet distilled with its Roots and Flowers and this water is likewise in frequent use among the Silefians And it is also very convenient to foment the part affected with the Decoction of Parietary or Pellitory of the Wall And very many there be likewise that make use of Oyls and Fat 's But here we are to give you
this Caution and good cause there is also for it that these Oyls and Fat 's are warily and carefully to be made use of For in regard that the Gout hath often some kind of alliance with the Erysipelas as to the cause thereof and that it is a thing generally wel known how that all fat things that stop up the pores in the Erysipelas do more hurt than benefit the very same seemeth likewise to be feared in the Gout lest that the Pores being stopt up by these fats the humor being detained within the pain may be augmented and this even very experience testifieth And it was related unto me by a certain honest Neighbor of mine that he himself in the asswaging of the Gout pains in his own Body found nothing to be better than Cheese of Sheeps Milk new and fresh made and laid on but often renewed For no sooner did the Cheese begin being made hot by the heat of the part to become fat and to drop forth butter as it were but as he said his pain was thereupon very much increased Take the Pith of wheaten Bread half a pound and boyl it in as much new Milk as wil serve to make a Cataplasm and then add of the mucilage of Marshmallow seeds two ounces the meal of Linseeds and Fenugreek of each two drams Powder of Camomil flowers and Melilote of each one ounce Saffron one dram Oyl of Roses and Camomil of each half an ounce and mingle them wel together Or Take Milk newly come from the Cow one ounce and half Crumbs of white Bread five drams Barly meal one ounce and half the common Hermodactyles six drams Saffron one dram Oyl of Camomile as much as wil suffice and make hereof a Cataplasm Or Take white Bread six ounces Milk as much as wil suffice and mingle them wel at the fire and then add the Yelks of two Eggs Electuary of Roses two ounces Saffron one scruple and mingle them Or Take the Meal of Barly of Beans of the bitter Vetch Orobus of each one ounce of Linseed six drams the Powder of Camomile flowers three drams of Melilote two drams of Saffron one scruple boyl them in a sufficient quantity of the Water of Camomile flowers then add the Yelks of two Eggs Oyl of Camomile and Roses of each one ounce and mingle them Or Take the soft Crumbs of Wheaten Bread one ounce Powder of the Mullein flowers two ounces boyl them in Milk and then add of the flower of Cassia one ounce and mingle them Or Take of Linseeds and Fenugreek seeds equal parts of each let the Mucilage be drawn out of them with rose-Rose-water and then add the yelks of two Eggs and a little Vinegar and then sprinkle in Bean Meal and make a Cataplasm Or Take Meal of Barly of Linseed of Fenugreek of Beans Powder of Camomile flowers of each half an ounce Marsh-mallow Roots one ounce Oyl of Roses and Camomile of each one ounce and half Yelks of three Eggs the Rob of Wine one ounce mingle them and make a Cataplasm Or Take the flowers of Mulleyn as much as you think fit infuse them in a sufficient quantity of Red Wine for two months and then let them be distilled let the place be fomented with the distilled water and then after anoynted with the Oyl or Liquor of Mulleyn flowers that is in the Summer time collected by the Sun-beams in a Glass close stopped Or Take the yong and tender buds of the Hazel Tree press the Oyl out of them after the same manner as it is wont to be made of Linseed The Body of it that remaineth after the pressing forth of the Oyl let it be burnt and out of the Ashes let there be the Salt drawn forth with pure spring water and let this be mingled with the aforesaid Oyl The Oyl when it is mingled with the Salt let it be clarified by pouring and passing it through a Box of Wood as Painters are wont to clarifie the Oyl of Linseed for their own use and so it becomes a very excellent Medicament for the mitigating of pains But now these very Anodynes themselves may be somwhat varied according to the quality of the humor and in a humor that is more hot there may be added some certain things that are cooling as Roses and the Water that cometh from them Plantane Water and the like But in a cold Cause the Flowers of Camomile and Melilote Wormwood Linseed and Fenugreek may be added Narcoticks If Anodynes be not sufficient for the aforesaid purpose Narcoticks then Narcoticks are to be made use of which in regard that they bring a certain kind of numness upon the part they do not only forth with asswage the pain but they likewise by their heat which they obtain do also withal resolve the humors and so with benefit and safety and without any danger at al as it is thought they may be made use of as Platerus writeth in the 2. B. of his Practice and therfore he as likewise many others have done much commendeth the Leaves of Henbant and Mandâ—ake and Poppy if while they be new they be first bruised or boyled and so laid upon the part and their Oyls are also very useful and so is the Juyce also that is pressed forth of them and used for a fomentation as likewise the Root of Mandtake and Henbane seed applied together with other things in the form of a Cataplasm The new and fresh Leaves likewise of Tobacco bruised and laid upon the pained part do asswage the pain And the same Platerus as likewise other Authors have here recourse unto Opium also and they mingle it together with other Anodynes and unto two ounces of these they add a dram of Opium And he writeth also that if it be dissolved in the infusion of the Spirit of Wine alone or the infusion of Saffron four ounces of the yellowest of it and one scruple of Camphyre with a dram of Opium and the part where the pain is be wel washed or bathed with the said Liquor it is a most efficacious and soveraign Remedy And so likewise the Opiate Antidores as Treacle Mithridate Philonium may be added while they are new especially in case the quantity of the Opium may be augmented And yet notwithstanding we are not to continue long in the use of these Opiates in regard that they are enemies unto the native heat and Nerves And yet nevertheless the same Platerus tels us in the first B. of his Practice Chap. 5. of the burting of the Touch that he could never find that the Skin could be made stupid and sensless of pain by any external Narcotick applied thereunto albeit that so he might know somwhat of a certainty he had applied a Mass of Opium when he had first softened it unto the part pained with the Gout But the truth indeed is that Narcoticks when they are administred do very easily asswage the pain but then withal it being so that they hinder the motion
Oxycrate then add the Yelks of two Eggs Saffron one scruple and mingle them Or Take Mucillage of the Seed of Fleabane extracted with Rose Water two ounces Mucillage of Marsh Mallow Seeds one ounce Barly Meal as much as will suffice the yelk of one Egge and so make a Cataplasm Or Take The water of the Sperm of Frogs four ounces Water of Nightshade of the flowers of Elder and of Plantane of each two ounces Camphire half a scruple and mingle them well together If you think fit the Mucillage of the Seed of Fleabane and of Quinces of each one ounce may be added Or Take Juyce of Henbane Sengreen Lettice of each two ounces Barly Meal one ounce the Yelk of one Egg and Oyl of Roses two ounces Mingle them well together Or Take Red Roses â—ne handful the Meal of Fenugreek Seed Beans and Barly of each one ounce Red Sanders one dram and half Camomile flowers one pugil when they are boyled and throughly bruised you are to add the Yelks of two Eggs Vinegar four ounces Oyl of Roses as much as will suffice and make a Cataplasm Or. Take Water of Night-shade of Plantane of the Sperm of Frogs of each two ounces Oyl of Roses and Camomile of each one ounce Cows Milk three ounces the Meal of Beans Marsh-Mallows and Barly of each one ounce or as much as will suffice Saffron one scruple the yelks of two Eggs Smallage two scruples Make a Cataplasm Some there are that steep Harts-born burnt and prepared in the Water of Mulleyn flowers or else they boyl it in the same Water and in the streyning they wet and soak Linen Clothes and these they lay upon the part that is pained Or Take Mulleyn new and fresh gathered six pound Wine one Quart Let them be Macerated for three whole daies and then afterwards let them be destilled Or Take The Flowers of Mulleyn and fill a Glass bâ—ttle ful of them and then stopping the month thereof very close set it in the Sun for so they dissolve as it were into a liquor wherein you are to wet a Linen Cloath and lay it upon the part affected for the asswaging of the pain If you judget sitter to make use of Oyls Then Take Frogs five of them in Number Earth-worms washed in Wine three ounces boyl them in the Oyl of Roses and strain them Discussing Medicaments But now when the force and violence of the fluxion is once past and gone Discussives and the part become swoln then those things are withall to be mingled which do cal forth the Humor and gently discuss the same and so take away some part of the Cause But now here Physitiaus are wont for the most part of them to be very long and Tedious in reckoning up and distinguishing the several Medicaments which of them are fit and proper in a hot Cause and which of them when the Cause is cold yea and which of them are most convenient for all kind of Humors But although we deny not but that we are in some kind of manner to have respect unto the Condition of the Humor that floweth in unto the Joynts yet nevertheless our chief and main Care ought to be that the ferous and sharp wheyish Humor which is the nighest and most principal Cause of the pain may be called forth of the more deep and close parts in the Joynts unto the external parts and that they be insensibly discussed and yet that this may the more conveniently be so done we may likewise as we said but now have some regard unto those Humors that the aforesaid serous and sharp Humor forcibly draweth along with it and which by Reason of the pain are together attracted to the part that is pained and which are very commonly taken for the highest and most immediate Cause of the Gout Yea and moreover that very serous Humor it self the prime and principal Cause of this Evil is in some more and in others less hot And therefore if the flowing Humor be more hot then the discussing Medicaments ought to be so ordered that they may indeed gently disperse the Humor but yet so that they give no occasion at all for any new afflux And such a like hot Humor inregard that it is withall moveable and thin is easily discussed neither needeth it any stronger Medicaments But if the Humor be less hot or somwhat cold then we may very safely administer Medicaments that are more hot Neither will there be any Cause to fear that then a new flux may easily be excited and therefore for the dispersing of such a like Humor there are necessarily required such Medicaments as are more hot then ordinary But now with what Medicaments that wheyish and as it is so called by the Chymists Tartarous Humore is to be drawn forth and discussed we are here and that for very good Reason diligently to make inquiry For we have elswhere told you viz. in our Tract of Chymic Confil. Diss Chap. 15. that the Medicaments ought in their own kind to be like unto the Cause For there is not any thing that suffereth from every thing neither is there any thing that may be united unto every thing Gum Arabick and Tragacanth and the Gum of Cherry Trees are dissolved by Water because of the neer alliance and agreement in their Natures but but so is not Sulphur and other things of a Sulphurous Nature and those things that are Oyly Sulphur is dissolved by Oyl but not by Aqua Fortis although the said Water is able to dissolve silver and other Metals The hands when they are all foul with Pitch or Turpentine are not to be made clean with Water but with Oyl or some thing else that is fat In burnings we use not to administer cold Water but Linseed Oyl Vernish and the like that may draw forth that fire and burning are to be applied And so in the Erysipelas or other wise called Rosa we ought not to impose those things that are fat and Oyly but ley tempered with Oyl and Sope that is dissolved in Elder Water and the Like which do not at al shut the pores but yet nevertheless they draw forth and discuss that subtile and hot Humor And the very same is the case in the Gout and since that it hath its Original not from a Watery Humor neither yet also from that which is Oyly or Sulphurous as the Chymists speak but from a Humor that is sharp and Salt for the drawing forth and dissipating of this Humor those things that contain in them a volatile and flitting Salt are rather to be administred then those things that are fat and Oyly And experience hath already taught many that the Gout pains are increased by such things as are fat And hence it is that the Chymists do so much commend and not without cause Salt Armoniack oftentimes sublimated dissolved in Wine or some other convenient liquor and so imposed upon the pained part Others commend the Salt of Urine
hath been deadly to some and therefore is not to be made use of unless al other meanes have been tried in vain and only on very strong bodies for this way of cure is very violent whenas the patients that do admit of it every day are wont to voide ten pints of virulent spittle but it takes not place in those that are weak wasted endewed with a hot and dry distemper not in those which are troubled with a difficulty of breathing or are subject to distillations from the head on the breast or who spit blood or are taken with a lientery or dysentery but physitians do cheifly use those suffumigations in a contumacious French ophthalmy and upon an imminent shedding of the haire which cannot be hindred by other medicines for this suffumigation doth fasten the haire Yet then a particular suffumigation may be appointed For we must note here Their difference that there is difference of suffumigations in this disease for some are universal which are received by the whol body and therefore also do empty the whol body others partitular which are applyed only to certain parts again some suffumigations are prepared of benigne medicines as frankincense myrrh oyl Cinamon Styrax calamite spikenard Amber Ammoniacum benjamin wood of aloes Amber greese Musk Gallia moschata and the like which though they may be fitted for the use of certaine parts yet they do not destroy the venereal disease Those therefore which are proper to this disease are chiefly prepared of mercury and of those things made of Mercury cinnabar Mercury precipitate sublimate As concerning those universal ones their basis as was said even now is mercury any way prepared some ad the Greeks Sandarach and yellow arsnick but whenas they are most pernicious poysons they are not safe enough applyed neither do they cure this disease in particular that we may give you some formes Take Of Factitious Cinnabar three ounces Myrrh Frankincense Mastich Formes each one ounce Liver colored aloe Styrax calamite Benjamin each half an ounce make a pouder Or Take of Cinnabar three ounces Myrrh Frankincence wood of aloe Laudanum Ammoniacum each one ounce mix them with turpentine make pills Or Take of Cinnabar three ounces Mercury precipitate three drams Frankincense Aloe Mastick Myrrh Benjamin Styrax Calamite each half an ounce make a pouder Epiphanius Ferdinandus reports the following forme is much in use at Naples in the Hospital for those that are incurable Take of Litharge five ounces of antimony Cinnabar each one ounce of Pontick Rhubarb six ounces Polipody of the oake three ounces Sweet cane Cinamon Laudanum Roses Mace Nutmegs Alum Verdegrece Aloe each three drams Red lead the Greeks Sandarache each one ounce Gumme caranna two drams Water of Roses and Citron Flowers as much as is sufficient mix them according to art But it seemes to me to be a forme made up without al reason which containes many things unprofitable and also hurtful That is safer which Ferdinandus himself proposeth Take of Cinnabar Mercury sublimate each one ounce Gumme of the Olive tree Laudanum each half an ounce Nutmegs Bay and Juniper berries each three drams Marâ—oram Coppras one dram and an half Turpentine as much as is sufficient to incorporate it make a mass But those medicines whether they be reduced into pouders or pills or trochisks The manneâ— of preparing these suffumigations are used after this manner first of al the patient that he may be able to undergoe this cure fit sauce for him and they are deservedly thus handled who defile themselves with lust you must give him two reare eggs a morsel of bred dipt in strong wine and a draught of wine and a spoonful of conserve of roses then let him rest quiet for a quarter of an houre in the interim let that Venereal bed or rather prison viz the sweating place be heated and in that hot house or dry bath prepare a tent or a pavilion of thick linnen cloath under which the patient may sit naked in a low seat under the same pavilion place a pot or vessel ful of burning coales on which by degrees cast either the pouder or the pills or trochisks that the sume from thence may be dispersed through his whol body and be received by the naked body of the patient when the smoak abates strow fresh water on the coals and continue so doing for a third or fourth part of an houre for half or a whol houre as the strength of the patient can indure it For we must carefully observe that the patient faint not which doth often happen if it be collected by his stammering speech he must presently be taken forth and be refresht with fitting medicines But that faintings may be prevented the patient may be permitted to draw the cold ayre by intervals through a reed and put forth his nose without the pavilion But these suffumigations are applied either once or twice a day and indeed for three six or nine or more daies according as the purgation doth sooner or later succeed for when this comes or a loosness we must presently sease from the suffumigation After the patient hath sweat sufficiently under his tent Being wrapt up in linnen he must be laid in his bed that he may there continue his sweat for an houre or two Particular suffumigations But particular suffumigations are not applyed to the whol body but only to parts exulcerated or affected with pain but then Salivation is not moved neither is that the intent but it is used only to take away diseases and symptomes in the external parts viz. for the falling of the haire suffumigatons are applyed to head to the hands and Feet for their paines and when they suffer Chaps and Clefts Last of al also a flux may be raised by taking Quick-silver inwards which though it was not known to Fernelius Internal Medicines causing Salivation yet it hath been taken notice of by the more modern and Quick-silver is used to this end by Rondeletius Platerus and others Such are those Pills called Barbarossa which have Quick-silver in them but Physitians give Pills made of Mercury so that at one dose there is given six or seven grains of Mercury and they give them almost every day and so long til a flux followeth and this cure they continue for thirty daies Yet Platerus admonisheth that this kind of cure is not easily to be admitted and not unless the Disease be inveterate when other Medicines premised availe nothing He also thinks that it is commodious if it be presently cast forth by stool either by its own weight or by the admistion of other things but if that be done doubtless it wil not cause Salivation therefore 't is better that Mercury what way soever prepared be given in a less dose than can cause purging either by vomit or stool viz. that the half or third or fourth part only of that dose be given which otherwise is wont to be given to purge For
guarded with a defensive Oyntment the Ulcer must be washt with the Decoction of Scabious Horehound and especially Soape-wort and Guajacum afterwards let the Ulcer be anointed with some convenient unguent those Oyntments are chiefly profitable which have Mercury in them either a live or sublimate or precipitate or Cinnabar And in Ulcers of the Yard and rottenness of the Nut as they speak Hercules Saxonia writes there is no Medicine yet found out more profitable then precipitate yet it ought not to be applied but where there is a thick filth but in clean Ulcers t is not to be used Eustachius Rudius Lib. 5. de Morb. occult Cap. 19. commends two Oyntments especially The first is Take of Oyl of Roses sweet Almonds of each half an ounce The Mercurial Vnguent Oyntment of Rozin which is made of pure oyl Rozin of the Pine Turpentine and Yellow Wax six drams Mercury Precipitate one dram a little Wax Mix al over the fire except the Mercury precipitate and taking them of the fire stir them carefully til they are cool then add the precipitate yet according to the Nature of of the Vlcer and the part affected with it you may add more or less of the mercury precipitate The other is this Take of Oyl of sweet Almonds Oyntment of Roses of each three ounces new wax one ounce Mercury precipitate half an ounce Mix them And those Oyntments are good not only for the Ulcers of the Yard but for French Ulcers of other parts for the Disease called Ficus swellings in the Fundaments and Crusts The Balsame of Mercury also is good which is thus prepared Take of Quick silver dissolved in spirit of Nitre to one pound of this dissolution pour of Oyl of Olives three ounces Let them stand and digest eight daies afterwards separate the oyl and keep it for your use Or Take the Yelk of one Egg boyled hard Honey one ounce Mix them over a gentle fire let them boyl and add of Mercury Sublimate half a dram After mundification this Oyntment also may be used Take of the best aloe half an ounce Crocus Martis two drams Frankincense red Lead of each one dram Honey half an ounce Turpentine two drams the Yelk of an Egg. Mix them But occult and hidden ulcers are wont to lie hid either bound up under the foreskin Hidden Vlcers or else are in the internal passage of the Yard if the Ulcer be under the fore-skin contracted either a convenient medicine is to be injected by a syringe and afterwards a tent dipt in oyntment is with a probe to be applied to the part affected or the fore-skin must be cut long waies and necessary Medicines be layed to it But if the ulcers be in the very passage of a mans Yard Vlcers in the passage of the Yard they are hard to be cured and have caruncles joyned with them or fleshy excressences which hinder the emission of the urine therefore in a slight ulcer we must inject Plantane water in which Alum litharge and white Lead have been boyled but in more grieous ulcers use this Liniment Take of Mercury precipitate one ounce Mercury sublimate one dram burnt lead two drams Grind them on a Marble stone wash them often with rose-Rose-water and let them dry in the shade Afterwards take of Hogs Fat six ounces White Wax two drams Let them be dissolved over the fire and add the pouder and two scruples of Camphire Make a Limment which must be besmeared over a Candle made of five ounces of White Wax and one ounce of Turpentine and let the Candle be put up into the Vrinary passage or let some convenient plaister wrapt over a smal probe be thrust in the Caruncle being taken away a drying and consolidating oyntment must be cast in But if there be an ulcer in the womb In the womb and that sordid and creeping the evil is incurable but the slighter are cured by injections of Alum waters in which Guajacum and Sarsaparilla is boyled or with pessaries of the juyce of Plantane with pouder of Aloes Bole Armenick white Lead and the like In a very sordid ulcer the Oyntment Aegyptiacum may be added or some Mercurial unguent and at last a drying and consolidating Oyntment may be used as that of Tutty or the like In more grieous ulcers suffumigations of the Womb are most profitable but whenas the Pipes are overheated by the coals these candels of Hercules Saxonia are good for a fume Take of Styrax Calamite Beniamin of each six drams wood of Aloes seven scruples white Frankincense one ounce Ladanum one dram and an half Orrice Cloves of each two drams Damask Roses six drams Cinnabar two drams coales of Willow half a pound Aqua Vitae as much as is sufficient Make Candels By the same Medicines the ulcers of the Guts are Cured But to the ulcers of the jaws whenas such Medicines cannot be applied make a Gargarisme of the Decoction of Sarsaparilla Vlcer of the Jaws the bark of Guajacum the Leaves of plantane scabious mittle red roses pomegranate pil sumach to which ad a little alume the decoction may be made in water and towards the end ad a little austere wine after they are washt the ulcers must be clensed with oyl of sulphur adding a convenient liquor or the compound water of alum which is thus prepared Take of mercury sublimate roch allum each one ounce The compound water of alum Grind them on marble stone then ad to them juyce of Lemons three ounces plantane water one pound and an half rose water nine ounces Boyl them in a glass to the consumption of the fifth part But you must have a care that no part of such medicines be swallowed down butter of antimony so called is very efficacious if the ulcer be gently touched with a piece of cotton moistned with the butter but there is need of the same caution here but whenas it cannot alwaies be prevented but somewhat wil slide into the stomach and so such medicines cannot be given safely enough but on the contrary other more gentle medicines are of little efficacy these ulcers are hard to be cured nay oftentimes are incurable the solution of gold is more safely applied to these ulcers prepared after this manner Take fifteen leaves of Gold roch alume nitere Salt each one ounce grind them on marble and poure to it some drops of spirits of vitriol afterwards poure on it spirits of wine two fingers bredth above it and let them stand in warm ashes last of al boyl that the leaves of the gold may be dissolved and the spirits of wine grow yellow Seperate the Spirits of wine by distillation then poure more on again and digest it and do this so often til the spirits of wine dissolve the gold and the salts be left at the bottom at last seperate the spirits of wine by distillation till t is dry and pour on spirits of turpintine and digest it eight dayes in a warm
in like manner dissolved in Wine or some other liquor And whereas Adrian Spigelius writeth that he saw when a Mans Urine being kept till it was Stale was laid upon the part affected the pains as yet abiding and continuing even in their heighth and that it was wonderfully beneficiall in giving ease and how much rather then must the Salt of Urine perform this Yea and there are some that use likewise other Salts to evacuate the aforefaid Humor And I my self know also one that was wont to administer the spirit of Salt tempered with other liquors And very fitly may it be tempered with the Water of Meadowsweet for being then with a Feather laid upon the part in pain it extracteth the Humor in such a manner as that it may even seem to exhale in the likeness of a Vapor Yea some there are that commend also those things that are wont to be made use of for the causing of redness in any part and the raising of blisters when there is occasion and these they mingle with Anodynes Neither are these things the inventions of the latter Physitians and the Modern Chymists but that plants abounding with a volatile and sharp Salt were heretofore in use likewise with the Ancients for the curing of the Gout we are taught even by that one plant which we call Lepidium or Sciatica Cresses whose Roots as they write being bruised and mingled with old Grease are with singular benefit applied unto those that are troubled with these pains of the Gout as it appeareth out of Dioscorides and Damocrates whose verses upon this subject we may read in Galen his 10. B. of the Composition of Medicaments according to the place and Aetius Tetrab 3. Serm. 4. Ch. 2. and others And as touching Mustard Seed Alexand. Tralleanus writeth That he knew a certain person who by the use only of the said Mustard seed mingled with dried Figs in extraordinary great pains arising from a cold Humor was freed from the said pain of the Gout Some commend the wild Radish throughly bruised and I my self have seen that it hath done good to many If we fear its Acrimony and that from thence some heat may be excited we may then first boyl it a little The Liquor of Snails is likewise very much extolled by some as Take Snails taken forth of their Shels in number twenty five the berries of Danewort or Dwarf-Elder and Salt of each as much as will suffice These being put into the Alembick in a clean Vessel with holes through the bottom thereof let there be a Vessel put under it that may receive the Liquor as it distilleth in the which you are to wet cloaths and apply them unto the part affected This Suffumigation is likewise much commended Take Lign Aloes yellow Amber Frankincense Gum Juniper Henbane seed Styrax Calamite Gum Tacamabaca of each one dram Pouder them grossly and cast the pouder upon live coals of fire and so for half an hour let the part affected receive the smoak hereof Quercetan in the seventh Chapter of his Pharmacop restit hath four Waters al good against the Gout The first is this Take Water of the Sperm of Frogs of white Mullein and Sallow of each a quart and half a pint the Vrine of a Boy that drinketh Wine three pints Treacle new and fresh two drams and half Vitriol Salt dissolved and Allum of each four ounces Let them be distilled till they be dry upon the Embers then add Salt of Vitriol one ounce and half Camphire and Saffron of each two drams and mingle them Let Linen cloaths be throughly wet in this Water and applied unto the grieved part and be very often renewed The Second Water is this Take Salt Vrine of a Child of each as much as you think fit and then distil them The third is this Take Leaves and Flowers of green Elder of each one pound let them be well bruised and macerated in a sufficient quantity of Wine for three daies together in Balneo and afterward let them be distilled The fourth Water is this Take Spirit of Wine rectified one quart the purest Honey one pound Let them be distilled in Balneo and let two Liquors be gathered from hence severally and apart to wit One watery and the other Sulphureous Add unto the remainders of whol Saffron one ounce and half Venice Turpentine two ounces Tartar calcined to a whiteness half a pound Salt one ounce the flegm of Vitriol four ounces Lye made of the tender shoots of the Vine two pints Let them be macerated for twenty four hours and then distilled till they be dry Vnto the feces that remain add the first Water and let them be distilled And at length mingle together all the Liquors and distil them in a Balneum where they may evaporate Andreas Libavius in the first part of his Apocalyps Hermet Cap. 8. preferreth before all others that Water in which Brass and Iron have been extinguished and afterwards Mercurius vitae hath therein been macerated Or Take venice Soap one ounce and half Spirit of Wine Water of Elder Flowers of each two ounces and mingle them Or Take River Crevishes eight in number Juniper grains one handful Myrrh and Frankincense of each one ounce the best Wine one pint let them be distilled Or Take Mastick Frankincense Myrrh Ammoniacum and Bdellium of each two ounces Vitriol one pound Honey a quart Tartar an ounce and half Spirit of Wine the best four pints let them be distilled according to art Solenander in his 24. Consil Sect. 5. writeth That he knew an old man that was much troubled with the Gout who made for himself a Medicine in this manner When there was a swelling and a real pain and the place red he took Salt Cinders the Urine of a Child and Vinegar in these wel mingled together and stirted up and down he throughly moistened a white woollen cloth and then squeezing it he applied it now and then unto the part that was pained And when he had now by this means in great part asswaged the pain and the disease declining he boyled live Sulphur and the pouder of white Hellebore in the Oyl of Linseed and with it he anointed the places affected And the same Solenander writeth also that this following was known to benefit many that made trial thereof There groweth unto the Roots of the Oak in the Autumn for the most part a certain kind of Mushrom that is red and tender and proportionably big enough according to the growth of the Tree which he therefore calleth Hypodrion the same no doubt that we have made mention of above in our 3. B. of Practice Part. 2. Sect. 2. Chap. 7. touching the Dysentery this when he hath cut it into many smal thin slices with Salt finely poudered he puts it into an Earthen pot so sprinkling the aforesaid Salt that every laying of the several pieces may receive some thereof betwixt each other he then puts them deep in the Earth for certain daies and
two drams Flowers of Sage Hyssop Rosemary Arabian Lavender or Cassidony and Spicknard of each one dram and half the Root of Birthwort and Hermodactyls of each one ounce pour in hereunto of the Spirit of Wine one pint or as much as wil suffice let them be macerated for one whol day and afterwards add of the best Turpentine one pound and half and so distil them in a glass Alembick Alexander Trallianus and others commend this and they assure us that by it not only such as have had the Gout from the flowing of a flegmatick Humor but that likewise many that have had the pains of the Gout from the flux of a Coleâ—ick humor have recovered their health and strength again Take Time Organy Savory and Calaminth of each as much as you think fit and boyl them in the sharpest Vinegar and with the hot Decoction often wash and foment the parts affected For the Knobs or Knots If the matter be now grown into the wonted hard Knobs For the Knots in the Joynts it is indeed a most difficult business to dissolve them but if they be not already become old and inveterate there may be yet some hopes left of curing them Now for the discussing of these knobs and knots we are not only to administer External and Topick Remedies but likewise Internal Remedies The Internal Remedies are those Antidotes above mentioned amongst which the Antidote of Trallianus made of Centanty is more especially useful And the same Trallianus writeth likewise That a certain person troubled with the Gout when the knots began first to appear by the drinking of the Decoction of Groundpine or Herb Ivy he prevented the further generating of them The External and Topick Remedies useful for the dissolving of the Knobs are Ammoniacum dissolved in Vinegar Or Take the simple Diachylon Emplaster one ounce Ammoniacum Galbanum Bdellium Sagapenum of each one dram Oyl of Orrace and white Lilyes of each half an ounce powder of Orrace one dram and make an Emplaster Or Take Briony Roots Wilde Cowcumber and Orrace Roots of each two ounces Roots of Marsh-Mallows and white lilies roasted under the hot Embers of each four in number the Seed of Nettle Mustard and Water Cresses of each one ounce Let them all be wel mingled and stird about together with Goose Fat and the Oyl of sweet Almonds as much as will suffice and make a Cataplasm Galen and others do much commend that which is made of old Cheese for the Skin being broken and divided of its own accord without any Section it refresheth and comforteth the Joynts that are from day to day without any hurt at all freed from the Stones Viz. Take Old and tart Cheese three ounces or as much as you think fit dip it in a sufficient quantity of the broth of Salt swines flesh and then after you have sufficiently pounded it in a Mortar let it be imposed upon the part affected Others boyl the Salt Feet of Swine in water until they be very soft and tender and afterwards they mingle with them of old Cheese two parts and Water Cresses one part and so they make an Emplaster which they greatly commend Or Take Juyce of Tobacco three ounces Citrine Wax two ounces Rosin of the Pine Tree one ounce and half Turpentine one ounce Oyl of Camomile as much as wil suffice and make a soft Cerote Or Take Honey Bears Grease and sharp Vinegar of each one pound or pinte Mountain Snakes and Snailes one or two of them boyl them in a Glazed Vessel over a soft fire until the Vinegar be consumed afterwards strein them and add of Wax three ounces Let them then beal dissolved together and kept for use and with this the place affected is to be anointed by the fire side The Dirt that is found in some certain Baths having in them a power to Mollisie and Resolve are here likewise very useful such as are those of St. Peter and Bartholomew in the province of Padua with which the part affected is to be fomented for an hour and better every Morning and Evening and afterwards to be washed with the Bath-Water Erasistratus Sicyonius provided this excellent and effectual Remedy against these knobs and knots Take Oake Missletoe one pound and half Frankincense Wax Fat Torches and Rosin of the Pine Tree of each one pound Those things that were dissolveable he melted and stird them wel about throughly mingling them with the Fat Torches from the which when all the Fat was flown forth he took the Liquor from the fire and strained it and then beating the Frankincense into a very sine powder he put it â—hereâ—nto dayly stirring it about until he had brought it into a Mass that would not foul or stick to his Hands See more of this in Trallianus his Eleventh B. Chap. 6. Of the Sciatick Pain THe pain of the Hips commonly called the Sciatica in indeed a kinde of the Gout The Sciatick Pain so that there may nothing seem needful to be spoken as touching it besides what hath been already said But seeing that both in regard of the part affected it hath somthing peculiar and that in the Cure there is something that is proper thereunto to be observed we shall therefore speak a little further thereof There are indeed some who by the Ischiadick or Sciatica pain understand some other affect differing from the Gout which is to be accounted among the Chronical affects and this happeneth also unto those that never were troubled with the Gout either in the Feet or in the hands from excrements there heaped up together or flowing into that part and this for the most part a little now and then and by degrees But it is not our purpose here to treat of that affect in regard that it pertaineth unto the impotency and inability in walking by reason of something amiss in the Hip and extendeth it self further then the Gout of which only our purpose is here to Treat and therefore we shall here handle the Sciatica pain only as it is Arthritick that is to say a species or kind of the Gout of which we have been hitherto speaking But now as touching the place affected there is here some kind of Disagreement among the learned Physitians Aetius Tetrab 3. Serm. 4. Chap. 1. out of Archigenes writeth thus They are properly saith he to be accounted â—schiadick or Sciaâ—ick persons that have a pain afflicting them about some certain Joynt of the veâ—tebrae But somtimes there goeth before this Malady and as it were to Vsher it in a pain of the Muscles lying neer and especially the Loyns but somtimes again the beginning of the affect is from the very Joynt it self but now somtimes it so happeneth that the pain of the Vertebrae being almost taken away the grief sticketh only about the Ham and in some neer unto the Ankles but in others the whole Leg is equally afflicted with pain and many also have this pain fixed about their Groyns and
Treacle touching which the Author of the Book of Treacle to Piso in his 15. Chapter wrireth But it most of all profiteth faith he when any one shall frequently take thereof whiles he is yet well and in health in regard that it consumeth the superfluous humors of the whol body and changeth likewise the temperament thereof And a little after I advise saith he that every man in such like diseases would use Treacle because that it both drieth up the superfluous humors and permitteth not that any other be bred whereupon very many from the use of this alone in the beginning have been altogether freed from the Gout Aetius in the place alleadged hath this description of the Antidote consisting of four things The Antidote of four things by some called a Mystery viz. Take Gentian Bayberries Mirrh equal parts and make a pouder Give hereof every day half a spoonful in hot Water Oribasius in the place alleadged hath another description hereof Take Germander one pound Gentian round Aristolochy or Birthwort of each two ounces Rue seed one sextary Let them be well bruised and searsed Give dayly hereof one spoonful That which is made of seven things hath as followeth Take St. Johns wort one ounce Centaury and Groundpine of each three ounces The Antidote of seven things The Antidote of Cantaury Gentian five ounces round Aristolochy one ounce Agarick three ounces Parsley one ounce Attick Honey sive pound The Dose one dram in three Cyaths of Water But Aetius chiefly commendeth the Antidote of Centaury and he writeth that he knew many cured by the use thereof and that it was so wholsom for such as were troubled with the Gout that the use thereof had enabled many that had been affected herewith fifteen yeers and so wel recovered them that they went journeys on foot and that it was grateful to the stomach convenient for the belly and provoking much urine The manner of making it is thus Take the tops of Centaury the less Roots of Centaury the Greater Germander Gentian round Aristolochy of each alike as suppose one pound Let one dram hereof be given for fourty daies out of hot water and in the other three hundred twenty five following daies of the yeer let half a dram be administred after the same manner And the same Aetius likewise very highly commendeth the Antidote of St. Johns wort The Axtidote of St. Johns wort as that which cureth al manner of Gouts the Disease of the Hips and al diseases of the joynts in general being drunk for the space of one whol yeer that it warmeth and cherisheth the stomach maketh the sight sharp and quick and that it maketh the rest of the senses also mote cleer and fitter for the discharge of their several Offices that it gently evacuateth the Urine and that it is excellent good in the falling-sickness that it freeth from the great and grievous pains of the head and lastly that it mollifieth the Liver and the Spleen when they are hardened into a Schirrus Now the manner of making it is this Take Germander nine ounces Centaury eight ounces round Aristolochy seven ounces Gentian Root six ounces the tops of St. Johns wort five ounces Parsley four ounces Spignel three ounces Valerian two ounces Agarick two ounces Honey well scummed three pound Alexander Trallianus greatly commendeth this Antidote of the Philosopher Heraclitus as much approved of by many Viz. Heraclitus his Antiâ—â—â— Take Spicknard two ounces Gentian long Aristolochy round Aristolochy or Birthwort the best Myrrh Bayberries Rhapontick of each half an ounce The Dose is one dram The best time to take it is the beginning of the Spring and the Autumn and indeed in those places and persons that are cold the Spring time but in others that are more hot the Autumn The same Trallianus preferreth the Diacorallium Antidote before al other Antidotes whatsoever The Antidote Diacorallium which is thus made Take of Corals two drams Mirrh four ounces Cloves half an ounce Rhapontick one ounce Peony Root the like quantity long and round Aristolochy of each two ounces Spicknard four ounces and make hereof a Pouder And of this he giveth in the morning one scruple out of warm water and after it he enjoyneth abstinence from al kind of food for six hours but yer the truth is a shorter time of fasting may suffice maketh the beginning hereof about the Kalends of January and so continueth administring of it for a hundred daies by reason of the long continued perseverance of the Indication as Cappivaccius explaineth it and then for thirty daies he intermitteth the administring of it because of the strength and powers of the body that they may be recollected as the same Cappivaccius tels us And then again he administreth it for a hundred daies mote and so again as before he intermits for thirty daies When the two hundred and sixty daies wherein there were two hundred potions administred are over and past he then giveth it again but now not every day but only every other day and so in a hundred and three score daies he administreth fourscore Potions And afterwards again in two hundred and sixty daies he administreth eighty Potions giving them every thud day until the three hundred sixty five Potions shal have been al taken But he warneth them that take this Antidote that they abstain from Anger Venery Astringent and sweet Wine al kind of bitter Pot-herbs the heads of Fish Crabs and Crevishes Lobsters Eels Hares flesh al kind of Pulse but more especially Beans And many more of such like Antidotes there are to be found in Paulus Aegineta Aetius and Trallianus in the places before alleadged Out of these afterwards in the Ages not long before ours and in our Age also there arose divers other such like Compositions Thomas Erastus telleth us that he had two of these communicated unto him and extolled with high commendations One of them that was given him by an Italian Physitian who called it the Pouder of Jupiter and was imparted unto him by Doctor Conradus Gesner is made in this manner following Take Round Aristolochy Jupiters Pouder such as is right the true Rhapontick of each one ounce Macedonian Parsley seed half an ounce Germander tops Centaury the less and St. Johns wort of each ten drams make a Pouder hereof In the first month give every day one dram hereof out of warm Water and afterwards half a dram for one whol yeer every month you must also order the Patient to take a purge or two or else for such as are flegmatick you may intermingle the Pouder of Agarick with the aforesaid Pouder a little to purge the sick person The other Composition bestowed on me by Dn. D. Christoph Wirsung an Augustan Physitian is thus to be made Take the true round Aristolochy Gentian Rhapontick or Centaury the greater but I think the true Rhapontick to be better the tops of Germander Groundpine or Herb Ivy of each alike
and make a Pouder Let there be one dram hereof taken for the one half of the yeer and for the other half of the yeer half a dram Doctor Johannes Mattheus out of an old Manuscript produceth this Pouder as he there findeth it prescribed Viz. Take Rhapontick one ounce Agarick two ounces Valerian three ounces Macedonian Parsley seed and Spignel of each four ounces Gentian and Aristolochy of each feven ounces Germander nine ounces and make a Pouder Donzellinus his Pouder is as followeth Take Germander Groundpine both the Centauries or only the lesser Marjoram Sage Betony Gentian and Birthwort of each one ounce the best Guajacum eight ounces or one pound and make a Pouder And by this one Remedy alone Donzellinus writeth that the Gout may be perfectly cured provided that a man live not like unto a Sardanapalus Crato his Pouder is this Take Aristolochy one ounce Centaury the less three drams Gentian six drams Spignel five drams St. Johns Wort six drams Parsley of Macedonia half an ounce Agarick two drams Rhapontick or if that may not be had Rheubarb one dram and make a Pouder Of which he giveth in the morning two scruples in the Water of Groundpine or Betony Water with the Syrup of either of the two former in January five daies in February as many in March two in May three in June one in July two in August one in September October November and December two but it matters not much if it be oftener taken only as he saith it wil be somwhat better to take it in the manner aforefaid This following is Doctor Manard his Pouder Take Germander Dittany of Crete Groundpine or Herb Ivy Roots of the greater Centaury and round Aristolochy of each two ounces the inward Rinds of Walnuts one pound make a Pouder The Dose is one dram for forty daies This Pouder next following is attributed unto Erastus Take Harts-horn burnt Beef bones burnt the Kernels of the Citron Dates Jaws of the Luce-fish or Pike equal parts burnt Coral and burnt Ivory of each half parts make hereof a Pouder Unto which for the tasts sake you may add a little Cinnamon Mace and Cloves and with Sugar make a Pouder Johannes Anglicus greatly commendeth this Pouder The Sarracenick Pouder which he calleth the Sarracenick Pouder Take Herb Ivy or Groundpine one ounce the bones of man or woman burnt two drams Liquoris three drams make a Pouder And yet nevertheless the sick person is not strictly and precisely to be tyed unto any forms of Pouders but of the same simple Medicaments there may with Sugar or some convenient Syrup be made Electuaries or Pills which for the most part are very fitly made up with Turpentine of Cyprus since that most of those that are troubled with the Gout are likewise obnoxious and subject unto the Stone or Extracts or those Medicaments they cal Essences or liquid Extracts or a Wine or a Medicate Drink that so in this manner also the palat of the sick person may be pleased Antonius Gallus a Physitian somtimes of Paris greatly commendeth this Electuary Take Valerian one dram Agarick two drams Spignel three drams Macedonian Parsley seed four drams St. Johns wort five drams Gentian six drams Birthwort seven drams the lesser Centaury eight drams Groundpine nine drams Mans bones taken out of the Joynts and moderately dried ten drams with Oxymel Scillitick as much as will suffice make an Electuary the Dose whereof is one dram for a whol yeer together Or. Take the Conserve of Germander three ounces of Herb Ivy and Betony Leaves of each one ounce and half Seeds of St. Johns wort Roots of round Aristolochy of each half an ounce Angelica two drams the bones of a Man prepared red Corals prepared Ivory prepared of each one dram Cloves and Cinnamon of each two drams and with the Syrup of Betony make an Electuary And we may likewise add the Medicaments of latter Physitians viz. their Magisteria their Feculae and their Salts as also Margarites and Crabs Eyes As Take Roots of Spignel or Masterwort St. Johns wort of each one ounce the Feculae of Cuckowpint two drams the Salt of Groundpine of Germander of Cherfoyl and of Masterwort of each one scruple Magistery of Corals and Crabs Eyes of each half a dram Margarites one scruple Sugar as much in weight as all of them and make a Pouder For the causing and provoking morning sweats there are also given Syrups of the Berries of Eldern prepared with Sugar two spoonfuls and if you please there may likewise a little Harts-horn be added Crato commendeth this Distillation of which one spoonful is to be taken every day in the week once if not oftener Take Balm Valerian Juniper Berries of each what you think fit Let them be sprinkled with good sweet Wine then macerated in Balm Water and afterwards destilled And in cold Bodies there may also very conveniently be used that Aquae vitae which Gilbertus Horstius Hollandus once a famous Physitian at Rome made frequent use of and it is thus prepared Take Rosemary flowers the lesser Centaury Comomile flowers Groundpine Gilbertus Hostius his A qua vitae St. Johns wort Germander Asarabacca of each one ounce the Rinde of Dwarf-Elder Root one handful Orace one ounce Treacle half an ounce Cinnamoin Nutmeg Galingal Mace and Ginger of each one dram and half Hermodactyls and Aloes Hepatick of each one dram Agarick half an ounce Coloquintida three drams all the Myrobalans of each two drams Roots of Polypody of the Oak one ounce and half Leaves of Choyce Sene one ounce Seeds of Anise Dauk and Fenel of each one dram infuse them in the spir it of Wine that so the said spirit may lie a fingers breadth above them for two daies space and then let them be afterwards destilled in Balneo Mariae Of this Water he gave unto such as had the Gout from one ounce to three ounces in the morning But now in the Judgment of very many of Decoction of Groundpine may serve in stead of all the aforesaid Medicaments The Decoction of Ground pine and will do better than any one of them and therefore it was likewise highly commended unto the Emperor Charls the fifth by the Physitians of Genoa and Solenander in his fifth Sect. Consil 1. tels us that it hath been found by experience that very many which had drunk of this Decoction for the space of threescore daies have been wholly freed from the Gout and restored unto their healths whereas before they had both the Joynts of their hands and of their feet also grievously afflicted and tortured by this Disease And no wonder for it attenuateth the thick Humors and consumeth them driveth forth the Excrements by Urine or else by sweat evidently or else it insensibly discusseth them by transpiration and it strengtheneth also all the internal bowels and every kind of Nerve yea and the whole habit of the Body But because that Vesalius writeth so largely and
the Medicine is deduced into act The time of sweating As for the time of sweating first of al it is sufficient if the patient sweat one hour afterwards by degrees let him rise to more But the manner of sweating is various most do suffer their Patients to sweat in bed which that they may do the easier bottles ful of warm water or hot brick wrapt up in Cloaths must be placed under the Arm-pits and sides of the Patient Some provide a wooden Mantle such a one as Andreas Tenzelius hath discribed and set forth in Exeges Chymiatre which manner of sweating is not a little toublesome But not without cause most men do prefer before al kinds of sweating in this disease that which is in a bath or sweating place as that which brings less trouble to the sick when as weak Patients sweating in their bed may use a Bath and a sweating place and the heat of the bath may be made more intense or remiss at pleasure be made dry or moist as the condition of the sick requires yet a moist hath and gently heated by the Vapor of hot water is most commodious whenas that hot vapor of the Water doth open and Lax the pores of the Skin that the sweat flows the easier and without any trouble to the sick but dry baths are altogether laborious and ought not to be used in dry and Melancholy bodies But those sweating baths are twofold Baths twofold first of al those gaeat ones in which a body may walk such as are our baths so commonly called in which many at once may sweat and be washed such though they be used for the cure of this disease by Barbers in Italy yet they ought to be eschewed whenas if one that is lightly infected receive that which exhales from another grievously infected he may be infected more and 't is more commodious that every sick body sweat by himself Then there are baths or smal sweating places in which one alone closed up may sweat such are made of bords of wood Joyned together which again are twofold some which can receive a man upright Without bowing of his body Jul. Palmarius discribes it de lue Vener Cap. 17. of a Square figure seven Foot high and four foot long and broad whose description you may see there With us others are in use made up of boards mutually receiving and received by one another square but oblong of that bredth that a man may without any impediment set and extend his Arms but two stories high one where the Patient sets so high that as he sets he may put forth his Head through a hole of the bords strictly fitted for the neck but the lower part is of that depth that if the Patient setting stretch forth his Feet he cannot reach the lowest board and it hath a little door through which the sick may go into it and a window behind which may be opened upon neceffity and it hath another little door towards the feet through which an Iron or brass Vessel is put in ful of stones or refuse Iron red hot and a Pipe in the upper part of it over against the Vessel through which either plain hot water or some convenient decoction is poured on the stones or dross by degrees as much as the Patient can endure from whence the Vapor exhaling diffused al through the body doth provoke sweat and though after this manner the head be thrust forth yet that doth no hurt neither is it unprofitable even where the head is affected for though it stands forth yet that sweats plentifully enough in the interim the Patient doth not attract again by drawing in his breath those filthy Vapors which do Evaporate from his body but the free and pure ayre by which he is refresht that he doth more easily and happily endure sweating But in what bath soever sweat is provoked after the sweating is over the bath ought to be opened that those filthy Vapors may be blown away and discussed by the free Air. The most convenient time for sweating is the morning When we must sweat yet somtimes we may sweat after noone in which case the strength of the Patient is to be considered for there are some who wil easily endure sweating twice a day other who but once others who are not able to endure sweating once every day But the Medicines which moue sweat must be taken upon an empty stomach and an hour or two after the taking of the Medicine sweat must be urged But we must sweat so long as the strength of the Patient wil bear it How long and if the patient sweat in a bath or sweating place and is not able to endure any longer the heat of the bath he must be laid in his bed in which afterwards sweat wil flow of its own accord and without any loss of strength the sweat must afterwards be wiped of and after sweating the cold ayre must in no wise be admitted But how often we must sweat How often and how long the use of these Medicines is to be continued cannot be defined in general They commonly teach that these decoctions are to be continued for forty daies yet somtimes twenty five daies or thirty do suffice and somtimes in a more grievous Disease we must persist in the use of these Medicines til sixty daies and more For we must sweat so often and so long til the Malignity of the Disease is overcome and the vitious and vitulent Humors are discussed by sweating and al the Symptomes cease especially the running of the Reins and Callous skars For as long as these last We must remain in the use of these Medicines Nay though al the Symptomes do vanish yet it is good so to continue the Medicines for some daies that also the Maligne dispositions of the parts may be taken away that there be no fear of a relapse But after noon though sweat be not moved yet the same decoction given then may insensibly discusse the vitious Humors and destroy the virulent disposition imprest both on the parts and Humors CHAP. XX. Of other common Alexipharmaca BUt some trust not to those Alexipharmaca alone Common Alexipharmaca as Guajacum Sarsaparilla China Root and Sassafras wood but add also common Alexipharmaca This was first done by Fernelius who gave to those that were to drink the decoction half a dram or one dram of this Opiate or Alexipharmacal antidote which is prepared thus Take of the Leaves of water Germander Fernelius his antidote half an ounce Poley of the mount Penny royal white Hore-hound Origanum Calamint St. Johns-wort centory the less French Lavender ground pine Germander Spikenard of each two drams of the Seeds of Anise Fennel Parsly wild carrot Libistick Rue Basile Clary Cresses of the Berries of Bay Juniper of the Seeds of Male Piony of each half a dram of the Roots of round Birth-wort Gentian Dittander Valerian Asarabaccha of each one dram of Nut-megs
Cloves Pepper Saffron of each four scruples of Cinamone Myrrh Castor Styrax Calamite of each three drams of good Honey as much as is Sufficient make an Opiate Jul. Palmarius Fernelius his Scholer followed him who as was said before in Lib. 1. de lue Vener Cap. 7. writes that Fernelius was most averse from the use of Quick-silver and first dared to promise the Cure of this Disease without the help of that and did take care for the compounding of many Alexiphatmaca at his House which he administred against the Mischeif of this Disease with Guajacum and also without it two of the which which he found to be most excellent and efficatious he describes the first was discribed even now the other is this Take of Divils-bit Scabious Burnet flowers of Marigold Mullein Plantane Balme Rue Broom Origanum Rosemary flowers Red Roses of each three drams of the Seeds of Citron Sorrel Fennel blessed Thistle of the Roots of Dittander Gilliflowers Tormentil round Birthwort Gentian Zedoary Roman Woolfesbane of each two drams Hartshorn shavings of Ivory Wood of Aloes Yellow Saunders Choice Cinamome of each half an ounce Saffron Cloves Nutmeg of each two drams And he relates that he called the first composition the greatet Opiate the other the less and that he gave for a dose half a dram of either with the like quantity of conserve of Bugloss and half a scruple of Mithridate and somtime without Mithridate but that he after Fernelius departed this life out of them both did compleat one adding also certain other Medicines which he found to be prevalent against poysons and most fit to provoke sweat the description of which is this Take of water germander half an ounce of divels-bit scabious burnet Palmarius his antidote Poley Mount peneroyal calamint white sweet smelling Horehound origanum mint St. Johns-wort centory the less French Lavender Germander Ground Pine Plantane Balme rue Time Elder each two drams of Hyssop the lesser Sage Oake Ferne vervin both speedwels each two drams Flowers of Betony Marigould Mullen Broome Rosemary Jasmin Sage Red Roses St. Johns wort Bugloss Burrage Violets Water Lilies of each three drams Seeds of Anis both Parsleys wild Carot Scarlet Graines St Johns Wort Libistick Rue Lovage Basil Berries of Bay Juniper seeds of both Pionies Hartwort of each on dram and half Seeds of citron Sorel Blessed Thistle Fennel of each three drams of the roots of male Piony Round Birthwort Gentian Sweet cane Flowerdeluce of Florence Sweet Cyprus each one dram of Angelico Dittander Gilliflowers tormentil Zedoary Romane Woolfesbane of each three drams and an half of choice perle three drams and hal of Harts horn Shavings of Ivory each one ounce wood of aloes yellow saunders bone of the heart of a hart both currals each half an ounce choice cinamon one dram and half Balsome wood if it may be had one ounce of al pretious stones each half a dram of Nutmeg mace loves myrrh styrax Calamite Benjamin Saffron Castor each half a dram juice of liquorish one ounce oyl of the seeds of Fennel Anise of Sage mint juniper Nutmeg Cloves red opobalsamum brought out of America if it be to be had of each one dram Let al the the herbs flowers and rootes be gathered at that time they are of greatest strength let them be dryed and kept in paper cases then al of them being reduced into a most fine pouder let them be mixt with wine and honey and be boyled into an electuary til it comes to the thickness of wel prepared mithridate yet the flowers may be candied and kept with sugar that they may be mixt with the other things towards the end of their boyling to one pound of honey mix two ounces of the pouder Let it be kept in a most large earthen vessel whose third part may be empty least it swel up and grow hot neither let it come to that use we shal by and by speake of before it be three years old He ads there also a cordial water and an alexipharmacal pouder their discriptions are these the Cordial water Take Of the leaves of sage mint marioram rue hysop origanum Galmarius his Cordiol water the tops of betony each one handful Bruise them al and put them in a great earthen vessel in a warm place and cover them with the water of blessed thistle that they be under it every day stir them with a stick and before they soure which wil he the fourth or fifth day after Strein out the liquor and keep it casting away the Faeces Again Take of plantane leaves marigold balme mullein St. Johnswort centory the less burnet each two handfuls After they have beensteeped four dayes and streined cast them away and take again of water germander Bivels-bit fennel parsly bugloss burage angelico of each one handful Which also being steeped so many dayes streined and then cast away Take of the roots of angelico dittander tormentil betony Zedoary each half an ounce of galangal three drams Nutmegs Cloves each one dram seeds of Fenel Citron Sorrel Blessed thistle Juniper berries each two drams Shavings of Ivory harts horn wood of aloes Yellow Saunders cinamon each one dram Safforn half a dram make a pouder of it and mixe it with the Liquor streined then weigh out of the amulet against this disease and of choice mithridate each one pound and half of old treacle foure drams and being mixt with the said liquor and pouder and put up in a glass alembick or an earthen one glazed expose them six or eight dayes to the heat of June til they grow hot and be perfectly fermented and at length distil them in a double vessel with a most gentle fire If the same simples be put into a new pot with the water of bastard saffron and be heated fifteen dayes in warm horse-dung there wil be extracted a more excellent Water Take of the aforesaid water three ounces Syrup of Lemmons and Violets of each six drams Make a dose A Description of the Pouder Take of the shavings of Ivory Palmarius his Alexipharmacal Pouder the younger Harts-horn Choice Pearles of each half a dram wood of Aloes Yellow Saunders the bone of the heart of a Hart of each one scruple Seeds of Fennel Coriander prepared of each one dram the Leaves of Mint Plantane Vervin Burnet of each two scruples the Roots of Tormentil Betony Zedoary of each half a dram the dryed flowers of Betony Marigold Broom of each half a dram Sugar of Roses three times as much Make a fine Pouder The dose is one spoonful beforemeat and before a drauft of the sweating drink if the Patient refuse the use of the Opiate And in cap. 13. Lib. de lue Vener where he disputes whether this Disease may be perfectly cured by the use of Guajacum alone or whether there be need of the assistance of other Medicines joyned with it at last he concludes with a distinction that the vertue of Guajacum is neither so great that that
place till the gold be dissolved with this solution wash the part affected twice every day Ulcers of the nose are cured by errhines or infusions by pouders strewed on it Of the nose by suffumigations made of Guajacum and cinnabar Clefts of the bands and feet If there be chaps and clefts in the palmes of the hands and soles of the feet Clefts of the hands and feet let them be washt with the decoction of Guajacum its barke scabious water germander cinquefoile and if there be hardness with it take also marsh mallowes or the root of wild cowcumber afterwards use an ointment of butter goose-grease or hens ammoniacum bdellium apples to which ad alittle of unflaked loome or precipitate or the oyntment proposed before Or Take of hogs-grease as much as you please and put as much oyl of tartar to it that by it the oyntment may be made sharpe If the evil yeeld not to these apply a particular suffumigation of cinnabar Hercules Saxonia de lue vener Cap. 30. writes that he hath observed a certain woman who for eight years together had clefts in her hands and had used the help of al the Venetian and Padua doctors to no purpose was in a short time easily cured with the juce of an herb which some cal mugwort others tansie being carefully dropt with a feather into al the clefts and forbearing to wash her hands at al and that he hath found the same juyce profitable in ringworms and Crusty Uloers Buboes Concerning buboes which are wont often to break forth in the groines in the Venereal disease we must hold fast this in general that we do our endeavor The cure of buboes to help the expulsion of that matter which nature assayes and indeavors to thrust forth to the more ignoble parts whenas sometimes by this evacuation nature is wont to free her self from al that disease therefore if a buboe break not forth enough and increaseth but tendeth not to suppuration we must use our endeavor to draw it forth and suppurate it Therefore the thigh of the same side must be rubbed and scatified about the lower part or else a vein must be opened about that place but on the bubo it self there must be layd strong drawing medicines As Take of sagapen Ammoniacum each three drams opoponax Bdellium each two drams mustard pepper Pellitory of spain of each one dram blacke sope half one ounce mix them and with wax and pitch make an emplaster Yet if nature be opprest with the plenty of virulent matter that it cannot expel it al then 't is good to give a purge that part of the butthen being taken off nature may the easier expel the rest When the tumor hath broke forth enough we must take care it be speedily opened and be kept open a long while that it may suppurate we must lay on it those maturatives which are wont to be applied in inflamations of the mucilage of mallows marsh-mallows wheat and flax seed figs hogs-grease goose-grease and the like or the simples diachyled or that compound with gums when 't is mattered we must not expect that the bubo should open of it self but it must be opened betimes least the virulent humor detained there do hurt other parts the tumor being opened the forementioned digestives and abstersives must be layd on to which there wil be need sometimes to ad a little of mercury precipitate and the ulcer must be kept open a long time Yet in cold buboes there is no such feare that the matter should ascend to other parts but if purgers and sweaters and proper alexipharmaca be applied sometimes the bubo doth wholly vanish without any danger Gummosities and Nodes Truely Such tumors and nodes which do rise in places void of flesh as the forehead the skul and the outward part of the legs do oftentimes vanish if the disease be perfectly cured especially after the use of sarsaparilla which is most effectual in discussing of these diseases and after the use of mercurial unctions which are applied to such tumors yet if after the cure is inded such tumors and nodes remain things emmollient attenuating and digesting must be laid udon them and that are strong as the rootsof wild cowcumber bdellium sagapen opoponax and cheifly ammoniacum or diachylon with gums or a mercurial cerote this is good and proved by experience Take Of the plaister diachylum with gums one ounce fimple diachylum half an ounce mercury killed with spittle one ounce oyl of guajacum as much as is sufficient make aplaster Or Take of Ammoniacum Opoponax Gume of ivy dissolved in aqua vitae hens and goose grease each one ounce and half the marow of a calfs leg one ounce ladanum styrax calamite and liquid each two drams the pouder of hermodactil roots orrice each three drams cinnabar one dram quick silver mix with turpintine six drams oyl of lillies and wax as much as is sfficient make acerote Also the lavatories made of mercury mentioned before are good in these tumors If these things do not satisfie the tumors must be opened with causticks especially if they be not in the joynts nerves tendons and the place must be kept open and the bone underneath which for the most part is hurt must be seraped Smal Bunchings and pustles Bunchings also and smal pustles thymi verrucae favi Bunchings and pustles as in other parts of the body so especially they are wont to rise in the head about the arsehole yard and privities in the french pox which though sometimes after a universal cure they vanish of their own accord yet sometimes also they require a peculiar cure This sort of bunchings which are in the head must be washed often with the decoction of guajacum and cheifly of the barke of it and sarsaparilla some use oyl of scorpions and vipers to which if they yeeld not they must be anointed with some mercurial unguent or the compound water of allum prepared of roch allum and mercury sublimate which some also prepare thus Take Of roch allum Mercury sublimate each two drams grind them ad of plantane and rose water each one pound Boyl them in a glass to the consumption of half afterwards let them stand fifteen dayes that the allum and mercury may sink to the bottom and let the cleare water be poured off and kept for your use If the pustles be in the mouth use washing of the mouth with the decoction of guajacum or if there be an inflamation with chalybeate whey to which may be added roses and plantane and if the pustles be soule ad scabious and ten graines of alum to every pint of the whey or decoction The compound alum water even now described is most profitable yet in pustles of the mouth t is not safe to use that alone but it must be diluted with a treble or quadruple quantity of rose and plentane water But the pustles of the arsehole and yard must every day
be often fomented with a linnen cloth wet in the decoction of guajacum and sarsaparila for the same the alum water even now described is very good or if the evil be stubborn some ointment must be laid upon them with pouder of precipitate such as were proposed before or precipitate mixt with foure times as much of the white of an eg which layed upon such excrescenses of the arsehole in 24. houres space extracts and roots them out after wards drying and cooling things must be layed on Some cut off the french warts with Scissers and afterwards take out the root with the medicines even now proposed also if the extream part of the wart be toucht with oyl of vitriol it dries up and falls off Falling of the Hair The falling of the haire wich is joyned with this disease doth happen rather from the knawing off of the roots of the hair than from other causes Falling af the hair both in the head and beard which that it may be cured generals being premized first the hair must be shaved off if the patient wil allow it for al do not admit of it especially religious men whose diseases must be kept private as Hercules Saxonia writes de lue Vener Cap. 38. then astringent things must not be used by the use of which the evil is made worse and ulcers and paines of the head do follow upon it the matter being retained but those things rather are to be used which do discuss and clense away that vitious matter which eates of the haires as a lye in which have bin boyled Guajacum and its bark farsaparilla leaves of fumitory betony scabious southernwood wormwood penyroyal asarabaca agrick and if the skin be dry mallowsmarshmallowes pellitory of the wal must be added then the other medicines must be applied which are propounded lib. 5. pract par 3. sect 2. cap. 3. and 4. al which if they satisfie not particular suffumigation for the head and face must be prepared of quick-silver and cinnabar by which remedy in the space of six or nine dayes the falling of the haire is stayed But for the most part if universal purgers and emptiers be applied and the matterknawing the haires be taken away and proper lotions be used afterwards haire doth succed of its owne accord in the place of that that fel away see more in the place alledged de Alope et Capil deflu Pains Also most grievous pains do often afflict those who are sick of the Venereal Disease The Cure of pains but they are most commodiously taken away by medicines proper to this disease but Sarsaparilla is chiefly good to take them away therefore if the pains be very urgent on the first daies you must take a greater quantity of Sarsaparilla and a less of Guajacum and though the matter being dissolved and melted the pains be encreased til the second week because Sarsa hath an extraordinary attenuating faculty without any astriction of the bowels yet we must not desist from the use of it but the patient must be told of it afterwards when the pain is ceased we may encrease the quantity of Guajacum and China Root may be added also to mitigate those pains but by intervals almost every week give proper purging medicines but to the places pained apply fomentations of Guajacum Leaves of Penyroyal Sage Rosemary Chamomel flowers Oyl of white Lillies also of Rue Scorpions Vipers Guajacum are good if the pain be very urgent we may give also Laudanum Opiate Upon the use of al which if the pain depart not those mercurial Unguents which we propounded before in the universal Cure must be anointed on the places pained or by the addition of wax make Cerotes of them and lay them on the parts pained or some other plaisters above propounded to which also may be added Castor Hermodactil Roots Orice and other Arthritical Medicines especially Vigo's Cerote of Frogs is of good use to lay asleep those pains and this Cerot of Platerus is good too Take of Quick-silver three ounces stir it with one ounce of Turpentine washt with Aqua vitae adding Bears grease the marrow of a Calves Legg of each an ounce and half Oyl of white Lillies Chamomel Dill bayes worms or Foxes of each half an ounce Spike or Turpentine two drams Euphorbium Frankincense of each half an ounce Liquid Styrax six drams Hermodactils two drams Castor one dram Wax as much as is sufficient Make a Cerote Also the aforesaid Lavatories prepared of Mercury formerly propounded applied to the parts pained especially the Legs do allay the pains The Running of the Reins The Running of the Reins The Cure of the Running of the Reins which also is frequent in this Disease is not to be stopt at the beginning nor rashly whenas Nature doth endeavor to purge the virulent matter through that place which if it be supprest flies up to the Head nay infects the whol Body but if it do not stop when the decoction hath been used til the third week let the Region of the Loyns and Perinaeum be anointed with astringent Oyls made of Mastich Mint Roses Mirtle But let Medicines be given of the seed of the Chast-tree Lettice Hemp to which add a double quantity of the pouder of Sarsaparilla and those Medicines may be given either in the form of a pouder or with Syrup of Water of Lillies be reduced into the form of an Electuary 'T is good also if every day there be given two or three drams of Water-lillies with one or two scruples of Turpentine Some also do give for this Running of the Reins green Mercury precipitate or the Rozin of Guajacum and Turpentine which is washt with Violet Water and adding the Yolk of an Egg and the Decoction of Sarsaparilla 't is reduced into the form of a Potion A Consumption At last it often happens A Consumption that either by the violence of the Disease or the Cure not rightly ordered the sick come into a deep Consumption For the Cure of which the common Medicines for a Consumption wil not suffice but there is need of Specificks Which kind of Remedy Audovicus Septalius animadvers Lib 7. n. 214. doth propound and writes that by it he hath wholly freed very many from this disease and from such a Consumption But 't is prepared thus Take of choice Sarsaparilla cut smal six ounces infuse it twenty four hours in fifteen pound of warm water in a warm place in a vessel shut afterwards boyl it with a gentle fire till five pound be wasted then with a spoon perforated take out the Sarsaparilla and bruise it in a marble morter then cast it into the same water again adding two pound of lean Veal Coriander seed prepared one ounce or instead of it so much of the shavings of Guajacum or three drams of yellow Sanders sliced according to the condition of the Patients body and humors and the vessel being covered let it boyl again with a gentle fire till
it is that the former of these is more easily separated either in the Stomach or in the Liver and so is thrust forth either by the belly with the rest of the excrements or else it is voided by Urine but this other being mingled with the spirit of the Wine passeth into the very Mass of the blood and so penetrateth into the most inward parts of the body And that those Salts that were fixed may be made Volatile the Distillations of Chymists do sufficiently prove and that the Tartar may be made as it were Spiritual and elevated by the Alembick this we are taught by the Tartarized Spirit of Wine yea and Metals may also be so dissolved in strong Waters and Spirits that they may not only be strained through paper but that they may likewise be elevated into the Alemâ—ick But yet nevertheless in regard that this Salt although it be subtile is altogether unfit for the nourishing of the body as partaking of a Mineral Nature which is not fit for the nourishment of living Creatures albeit it doth together with the blood penetrate into the Veins yet not withstanding as superfluous and useless it is at length by Nature cast forth of the Veins and Arteries and thrust out unto the Joynts And therefore whether or no Wine be apt to generate and cause the Gout we are in the first place to judg of this by the place where it groweth and its effect and then next of al by the strength therof For by how much the stronger Wines are by so much the more exactly and subtilly is this Salt mingled with them and becometh more spiritual like as it appeareth in the Spirit of Wine that is Tartarizated which is more strong than the simple Spirit of Wine All which notwithstanding is thus to be taken if by reason of the distemper and weakness of the Bowels as we also said before that which in the Wine is Excrementitious and Tartarous may not be separated For if it may be separated the Wine wil then be wholsom and without any hurt in it Yea and if any such Wine could be had that having but little of such a like Tartarous matter in it should yet strengthen the weak Bowels that do not wel separate these Excrements and so shal help the Concoction and promote the separation and evacuation of the Excrements we grant that this would prove to be not only harmless but likewise very useful and profitable if moderately drunk And some tel us that the Pucine Wine is such and therefore they commend it for the prevention of the Gout But I much doubt whether this Wine be in al respects answerable unto what hath been said and therefore I conceive that it is good first to make trial and to consult with Experience We have indeed above spoken somthing as touching the cause for which certain Wines breed and cause the Gout wine how it doth generate the gout but yet nevertheless my desire and purpose is here to explain the thing and so to make the matter somwhat more cleerly to appear I think it to be a very plain and cleer truth that Wine produceth the Gout not as it is Wine but as it containeth in it somthing that is unfit and somthing likewise that is extraneous and unuseful unto our bodies which is therefore by Nature thrust forth unto the Joynts And this appeareth if by nothing else yet by this That there are some certain Wines that do not generate the Gout and such are our Gorubergensian Wines and many others also that here in these Regions grow in Sandy places For albeit these Wines be drunk for a dayly and ordinary drink and that not scantly but very plentifully yet there was never any that from hence contracted the Gout But on the contrary the Moravian Bohemian Austrian Hungarian and likewise very many more Wines of other Regions are most apt to breed the Gout Yea and not only the Wines but even the Waters of some places dogenerate the Gout And so it was related unto me by that eminent Physitian Dn. D. Tobias Knoblochius In certain places waters also generate the gout that at Iglavia in Moravia where he had practised Physick there for some yeers that not only the Wealthier sort of People that drank Wine but even the poor who hardly ever tasted a Cup of Wine were al of them very subject unto the Gout Colick and Falling-sickness Diseases Epidemical in that place But now What that is that maketh that certain wines are apt to breed the gout Inquiry is to be made What that should be which maketh that certain Wines are apt to generate the Gout Where we are first of al to take notice that nothing doth nourish touching which we have spoken elswhere but what proceedeth from things animated or enlivened And therefore al other things as Minerals Metals and divers kinds of Earths are unapt to nourish our bodies and thereupon if they be at any time taken in they are again to be evacuated either by the Urine or else by the belly and this if it be not done they are then by Nature thrust into the Joynts and so they there generate the Gout And therefore those Vines that grow in a sandy Earth that is not at al fat and rank have nothing that they may attract and draw unto them besides the Alimentary Juyce but those that grow in Clayish grounds or any other fat Earths do not attract unto themselves only a vegetable juyce but also a Mineral juyce as it were and such as is wholly unuseful for our bodies which is not unfitly termed Tartar a substance to wit that consisteth of a fixed and volatile Salt and of an Earthy and almost Mineral matter such as not only sticketh fast unto the sides of Casks but is likewise throughly mingled with the substance of the Wine And this is altogether the Nature of Salts that they reduce other bodies into the smallest Atomes and then do associate the Atomes unto themselves We may see an Experiment of this in the dissolving of Metals in strong Waters in which the Metals bodies otherwise thick are so united unto the salt of the Waters that dissolve them that they may pass through a Card or Paper And the very same we likewise see in the dissolving of Pearls Margarites Cerals and Crabs Eyes which sticking fast unto the Salt of the Vinegar are throughly mingled with the Water and may be strained through a Card but being precipitated they will dissolve no further We have likewise an Example hereof in Vitriol which being dissolved in Water may likewise be strained through a Card but when the vitriol is Calcined and the Salt drawn forth of it there remaineth an Earth that is not dissolveable by any liquor whatsoever And so in hot Baths of Water there is an Earthy substance so exactly mingled therewithal that it cannot possily be discovered by any sense But yet when this afterwards shall stick fast unto the wooden
hath thereby been suddenly and unexpectedly taken away But in regard of the urgency of the Malady and that the Flux cometh very speedily therfore even forthwith if there be occasion Venesection is to be instituted and as much of the Blood as is needful if the strength of the Patient wil bear it to be taken forth at once opening of the Vein But if the Patients strength wil not bear nor allow of a more large evacuation of the Blood all at once then at several times and by intervals so much of the Blood is to be drawn forth as may answer unto the Bodies fulness thereof Cupping-glasses and Leeches Instead of this Venefection Cupping-glasses may also be applied which are wont to be affixed in the very first beginning of the Pains unto the sound opposite part with Scarification And so likewise Leeches applied in the accustomed places for the Hemorrhoids bring some kind of benefit unto the sick Person by their drawing forth the Blood Purgation These Revulsions by the Evacuation of the Blood being thus made Purgation purging is then next of all to be appointed unto the Patient touching which although there be some that think otherwise as we shal afterwards further shew you in the 11. Question yet for the most part it is very fitly and successfully administred But it is instantly to be ordained even in the very beginning of the pains or if occasion be when they are suspected as nigh at hand before such time as by the said pains as also by restlessness and want of sleep or by the augmentation of the Feaver the strength be too much impaired neither need we here to expect any Concoction or use any preparation before which most of the Physitians of former Agee were wont to do who first of all made use of Lenitives and then Secondly Preparatives or Digestives as they calthem for some certain daies and Lastly of Purgers that draw the humors from the Joynts For even then when the humors have already before been in their motion and are become thin and that Nature her self endeavoreth the separation of them as burthensome to her from the good Blood and that there is cause to fear left that as we said before ere ever any such things as these can be done and finished the humors may rush unto the Joynts and that by pain and want of rest the strength be too much dejected and that a Feaver following thereupon forbid a Purgation even then the Purgation is forthwith to be instituted And the exhibition of one only Purge doth for the most part less hurt and offend the stomack than those so often repeated digestive Potions which resolve and weaken the Stomack so that the Crudities being afterwards augmented there is caused a greater afflux of humors unto the Joynts Altering Medicaments Yet nevertheless Alterers if the humors be over-hot and sharp they may be attempered by Broths altered by Cichory Endive Sowthistle Purslane Sorrel and Medicaments made out of these neither are we to omit the administring of the Conserve of Roses with the species Diatrion santalon it being of singular use in the altering of the humors As Take Conserve of Roses three ounces Spec. Diatrion sant one dram Red Coral one scruple and with the Syrup of Pomegranates make an Electuary Or Take Margarites prepared one dram Red Coral prepared and all the Sanders of each one dram and half Red Roses one dram the Bone taken out of the Staggs heart one Scruple and make a Pouder Or else with Sugar dissolved in Rose Water make little Roâ—â—s But now as touching Purgation we are to advise you in these two things especially First that a fit time be made choyce of as we gave notice before and that the Purgation be not too long deferred For if dready the whol humor be flown in unto the Joynts it is easily called back And thereâ—â—â—s that the humor which is now ready to flow into the Joynts may be turned 〈◊〉 the â—elly and by it be evacuated presently in the very beginning of the Paroxysm 〈…〉 also so soon â—s ever we do but suspect it to be nigh at hand the Purgation is to be ocdaineâ— and adâ—â—isired for by this means the humor that is now flowing and that which was after tossâ—â— iâ— evacuated by convenient places and hindred that it rush not to the part affected and the encrease of the pain and swelling is hereby prevented and so that which hath already flown in unto the part affected is easily dissolved And experience it self testifieth that this kind of Cure hath profited very many And so Petrus Bayrus writeth of himself that he himvelf being by tour men carried to the Close Stool after that he had four times eased his Belly having before taken his own Caryocostin Electuary he was freed from all his pains and that he could then go without help from any other And then Secondly It is to be considered by what Medicaments the Purgation is to be inftituted and begun Some think that we ought to abftain from the stronger sort of Medicaments and to make use only of those that are more mild and gentle or of the stronger in the smallest quantity because that a strong purge may draw store of humors from the more ignoble and external parts unto the more noble and so it may somtimes happen that some of these sick Persons may by a vehement and strong Purge fall into burning Feavers as also Feavers Malignant and Mortal Which as we willingly grant and think that the humors that were hoâ— before are not by vehement Purgers to be more inflamed and that the motion of Nature is not altogether to be disturbed so also on the other hand we conceive that great care ought to be taken that the humors be not only stirred and moved up and down in the Veins and not wholly drawn forth and sufficiently evacuated Which when it happeneth they afterwards rush with a greater violence unto the part affected as unto the which they are withal attracted by the pain And therefore in the beginning of the Paroxysm or when it is nigh at hand we ought to make choyce of Medicaments that are somwhat stronger than ordinary and yet notwithstanding such as do no way offend the Stomack For as we said before if we make use of those that are too gentle and weak in their operation the humors are then only moved up and down in the Body and nothing worth speaking of is evacuated whereupon there is afterward a greater Conflux unto the part affected But now that during the purgation there may be no Conflux unto the part affected and that the Humor being moved by the Purgation may not rush unto the part affected this we ought carefully to prevent and it is done by placing the part affected in a higher place in the Bed until the Purgation shall be fully 〈◊〉 or which is the more sure and certain way by imposing a defensive Medicament after the administring of
the purge upon the head of the part affected As for example if the pain be in the Hand the defensive is to be placed upon the Shoulder and this may be made and provided of the Flowers of Roser Pomâ—granate flowers Roots of Bistort Tormentill the greater Consound the Rinds of Pomegraâ—ateâ— â—ole-Armenick mingled with the white of an Egg and Rose water or Vinegar Aâ—dâ—ner this Cataplasm being dried and so made hard may not excite Pains and thereby further provoke the flux a little of the Countesses Vnguent or of the Oyl of 〈◊〉 Omphacine is to be added thereto Or else instead of the Cataplasm a swathe that is long enough may be wet in posset in which Oak-moss Red Roses or other Astringents even now mentioned have been boyled and drawn over the upper part as for instance in the Gout of the Feet upon the part above the Knees And those Defensives are to be continued so long as the Purgation lasteth yea for the whole day as we see occasion But now we cannot in general desine with what kind of Medicaments this purgation is to be performed in regard of the great variety there is in Bodies For although the Humor the nighest cause of the Gout be wheyish Salt and Tartarous yet nevertheless this very Humor is in divers Bodies constituted after a different manner and hurrieth along with it other Humors also that abound in the Body Yea and in one and the same Body the same Medicaments are not alwaies fit and proper because that the stare of the Body is not evermore one and the same And therefore the Physitian ought to be present with the Patient when he prescribeth such like Remedies Now for the Evacuating of Serous Humors and Cholerick Ichores such as these following ought to be provided viz. Syr. of Roses solutive de Spina Cervma commonly called the Domestick Syrup Manna Mechoacan Sene the Seeds of wild Saffron and the compounds from any of these as also Electuar Diacatholic Triphera Persica de Succo Rosarum And so likewise in the stronger kind of Medicaments those are of special use that are made of Hermodactiles and among them the Caryocostine Electuary of Bayrus of which we shal anon make surther mention when we come to speak of the Preservation from the Gout Or Take The Choycest Turbith and Hermodactiles of each three drams Diagridium one dram and half Ginger and Mastick of each a dram Sugar six drams make a Pouder hereof the Dose whereof is one dram or a dram and half with flesh broth Or Else let the Patient make use of the Pills of Rhases which as he writeth in his 9. B. to Mansor Chap. 90. will presently make and enable those that keep their Beds to Rise stir and walk up and down and they are in this manner to be Compounded Take Aloes one dram Scammeny half a half peny weight red Roses a double quantity to the former Hermodact half a dram Make pills thereof and give them all at once and yet not without regard unto the strength of the Patient But now although the serous or wheyish Humor be the nighest cause of the Gout yet notwithstanding because that this Humor doth also violently carry along with it other vitious Humors in the Body and especially when the pain cometh the Physitian therefore ought to be present with the Patient when he is to prescribe such various purging Medicaments for the present occasion of the sick Person Vomitories A Vomit is likewise very useful in such as are accustomed thereunto A Vomit and seeing that it may Evacuate the Humor by a shorter way there is no such cause to fear the rushing of the Humors unto the part affected And yet not withstanding we dare not here give such strong Vomitories that may evacuate the Humors out of the very Veins but it will be sufficient if such be administred that do evacuate the first waies and the parts neer unto the Stomach For if there be many vitious Humors residing about the Stomach Spleen and the hollow of the Liver and in the places neer thereunto it may very easily come to pass that these Humors being stird up and down throughout the whole Body they may both penetrate unto the Veins and rush unto the part affected And purges may be likewise appointed unto the sick person after his vomiting yea and if one purgation will not serve the turn it is again a Second time to be repeated Franciscus India in his 2 B. of the Gout and the Third Chapt. doth here wonderfully extol a Vomitory that he maketh of Butchers Broom a sufficient quantity of the pouder thereof given with the defilled Water of unripe Oranges a little warm which as he writeth can with special benefit unto the sick person Evacuate both the Choler and the Flegm not only upwards but downwards also Sudorificks or Sweaters The Body being sufficiently purged Sweaters we are to endeavour that sweat may be provolâ—ed either of its own accord or else by administring of Medicaments For as Crain writeth truly in his 24. Cons if the sweat be at all deteined within and hindered from coming forth especially if the Patient hath been accustomed thereunto it will not be long ere a fit of the Gout come yea and without all doubt the Paroxysm will be much augmented and provoked if in it the sweat be deteined and if the remainders of the wheyish Humor in the Veins be not discussed and Scattered and on the contrary the Paroxysm wil be the shorter if the Serum or Whey be by sweat dispersed But since that in the first invasion of the Gout there is as it were a certain kind of boyling of the Humors and that for the most part there is likewise present a Feaver Sweaters of what kind they must be in this regard hot sweaters such as are Treacle Mithridate and the like are here scarcely fit and convenient because that by them the Humors may be the more inflamed But yet Harts-born either crude or prepared without any burning may be very fitly exhibited either alone or with the Water of Carduus Benedictus And so likewise Diaphoretick Antimony is very useful But if the Constitution of the Body and the disposition of the Humors wil bear it the Decoction of Sassaphrass or Sarsaparilla or Chyna may be administred which yet nevertheless we ought to temper with Succory Endive Sowthitle and Dandelion or Lions Tooth But yet al those things that are useful in the Paroxysms for the discussing of the Humors either sensibly or insensibly they have not all of them their place here in the Cure And so likewise the Decoction of the greater Dock or Burr in regard that it cutteth discusseth moveth sweats and Urms is very useful and Forrestus relateth that Vastellius a Pensioner at Mechlin when he was forced to keep his Bed by reason of the pains of his Joynts insomuch that he was not able to move or stir any one Member he drank warm Beer in the