not here trouble my selfe or the reader to insert examples of the aforegoing medicines the Chapters beforegoing together with every Artists ingenuity will sufficiently insorme Take this for a generall rule that when a Catarrh or Deflaxion is caused by excrementitious humours flowing from any of the inferior parts by reason of the naturall passage being stopped you must open the obstruction by often purging or by medicines regarding the nature of the obstruction and by that meanes turn the humours offending into their naturall channell after convenient Evacuations with internall and externall medicines labour to corroborate the head and dry up the humours Internall medicines may be prepared thus or after this manner Take of Coriander seed prepared and Coltsfoot dryed Nutmegs and Frankinsence of each halfe an ounce Liquoris Mastick and Cubebs of each two drachms flos Sulphuris three drachms Conserve of red Roses one ounce with a pound of white Sugar dissolved in Popy-water make rolls weighing three drachms or half an ounce Take one morning and Evening Or you may make Troches in this manner Take of the best Frankincense and juice of Liquoris of each one drachm Lac Sulphuris half a drachm Opium Saffron and Mirrh of each one scruple the oyles of Annise-seed and Nutmegs of each three drops with Diacedium as much as sufficeth to make Troches or if you please you may make them into pills and take halfe a drachm morning and evening It is good to apply bags of hearbs to the fore part of the head which have a drying quality shave the fore part of the head and apply the gum Sacamahaca spread upon a cloath in the forme of a plaister and add thereto a little Mirrh or if you make a fume thereof and shut the Chamber close it profiteth If the defluxion proceed from a hot cause you must administer medicines which have power to thicken the humours to repel and evacuate it you must likewise correct the distempers and fortifie the parts both sending and receiving and that you may so do you must revel or pull bâ—ck the humours by Phlebotomy if nothing hinder it You must thicken the humours by administring Juleps made of the Waters of Plantane Purslane Lettice the Sirrups of Poppies Violets Water-Lillies of dryed Roses and Meconium and such like Having thus thickned and prepared the humours you must evacuate them by gentle Purgatives Take of the Bestrhabarb a drachm infuse lit in any of the afore-named waters as much as is sufficient for a potion six hours in warm Embers strain it out and add to the liquour one ounce of Manna and as much Sirrup of dryed Roses and administer it To make the potion stronger you may dissolve therein Catholicon Diapranam Solative or Lenitive Confectio Hamech c. or such like having respect to the age and strength of your Patient and humour offending You must endeavour to restrain the Flux thus take of Conserve of Roses one ounce Diatraganthum Frigidum and Palyis Haly of each a drachm Bolearmenick prepared with rose-Rose-water a drachm with the Emulsion of the four great cold Seeds and Sirrup of dryed Roses make an Opiate and give the quantity of a Nutmeg to bedward These Troches are much commended take Gum-Dragant and Arabick of each two drams Bolearmenick and Terra Sigillata washed in Rosewater of each one drachm White Poppy seeds and Juyce of Liquorish of each half a drachm Sugar-penid one ounce with the Musilage of Quince-seeds extracted with Rosewater make Troches to be held in in the mouth day and night The Spirit of Sulphur and Vitriol given three or four drops in a convenient Julep morning and evening worketh no small effects against a defluxion especially if it proceed from an inflammation of the bowels If you find the Disease too stubborn to yield to these medicines you must make use of Narcoticks of which Laudanum is none of the worst four or five grains given at bed-time Faventius extolleth these Pills in a Salt Catarrh or defluxion of salt humours Take of the juyce of Liquoris two drachms washed Aloes one drachm Pillulae de Cynoglosso half a drachm with Sirrup of Violets make a Mass and take a scruple thereof at bed-time It is convenient to make pouders to apply to the head which have power to strengthen to stop the defluxion and consume the humours Take of white Amber Benjamin Mastich Nutmegs of each half an ounce Betony Sage Rosemary Lavender Marjarome of each half a handful Frankinsense graits of Kermes Red-roses Peony seeds and Poppy heads of each two drachms Sanders Myrtles Cyprus nuts and Pomegranate flowers of each one drachm make a powder for the lining of a Cap or Quilt or if you had rather you may make a plaister with the same Simples with Wax and Oyl of Rofes according to art and apply it to the head being first shaved CHAP. X. Of Diseases of the Eyes and first of the Diseases proceeding from Obstruction in the Optick Nerves IN the former book having given you a brief account of this worthy member and what varicty of wonderful operations God and Nature hath placed in so little a subject yet of the parts and faculties thereof it is too hard a task for the most exquisite Philosopher to conceive aright or for the most eloquent Orator to express such wonderful notions But seeing God hath indued every man with this member by whose curious inspection he is inabled to pry into all things it is the duty of every Naturalist to exercise this member in finding out its own constitution and curing the distemper and maladies to which it is subject For the benefit of those who want better helps I shall as briefly as may be discover the diseases and cures of the eye as they are in which work I adhere to the opinions of the wise and learned Physitians verified by Reason and my own Experience Sometimes it happeneth that the sight of the eye is totally extinguished and no fault appears in the eye And this cometh to pass either by obstruction or adstriction of the Optick Nerves and is called by the Latines Gutta Serena and Amauresis Obstruction for the most part is the cause of this Disease which happeneth by the flowing down of a watry humour upon the Nerves which causeth blindness or dimness of sight the like obstruction happening to the other Nervs causeth the Palsie Adstriction or compression sometimes happeneth by some moist humour gathered about the Optick Nerves as blood or filthy matter gathered In the brain sometimes bp humours sometimes by inflammation in malignant Feavers and may be the cause of this Disease For the Nerves being thus obstructed or compressed the animal Spirits cannos pass from the brain to the eyes To this I may add that in case by a wound in the head the Optick Nerves be cut without controversie it causeth blindness The sign of this Disease is the loss of sight and the eye appearing in its natural condition onely the Pupilla or sight
condition escape If black or blew Spots come forth among the Pox it shews great Malignity and the Patient in great danger If the Excrements and Urine be black or livid they signify abundance of Melancholy and great danger For the Cure keep the Patient in a warm room and if you tender his life keep out the cold Air lest the Humours be driven inward Keep the Cloaths close about him but let them not ly too heavy Let his drink be Barly-Water and boil therein Sorrell Roots and Harts-horn and Figs if the Feaver be not violent let his Sleep be moderate Physitians for the most part advise the Cure to begin with blood-letting that is if the Patient be full of Blood and nothing forbid it but it must be done before or just as they be coming forth Purges are absolutely forbidden but if the body be very costive move it with a Suppository but do not provoke it Then endeavour the expulsion of the Matter thus Take of the Roots of grass Asparagus and Fennell of each four Ounces Liquorish half an Ounce Wood Sorrell two Handfulls twenty Figs the cordiall Flowers one Pugill make a Decoction to a Pint towards the latter end put in a little Saffron take four Ounces Night and Morning Bezar and Gascoins powder is good to send out the Pox and for Children Diascordium is a familiar Medicine We must endeavour to preserve the internall parts if you fear that the Liver Spleen or Guts should suffer to the former Decoction add husked Lentils two drams Gum Lac and Traganth of each one Drachm You must defend the Eyes with the Water of Roses and Plantane and infuse Camphir Saffron and if the Inflammation be great infuse Tutty You must defend the Lungs with the Conserve of Roses and Violets the Sirrup of Violets Jujubees Myrtles dried Roses Poppyes and such like You must defend the Throat with a Gargle of Oxycrate or you may make it with Plantane Water and Sirrup of Mulberryes or Pomegranates To defend the Nose put up a Nodulus made of Vinegar Rose-Water and the Powder of Sanders and Camphir When the Pox are out full ripe and begin to break anoint them often with the Oyl of Almonds it will be a means to prevent their pitting and where there are likely to be holes anoint with the Oyl of the yolks of Egs. The End of the Second Book The Third Book HAving in the former Book been more voluminous then I expected I shall be briefer in this and treat more theorically then practically And leaving the Description and Cures of Wounds Tumors and Ulcers in particular to the ingenious and expert Chirurgion I shall run over their Causes Signes and Cures generally and as briefly as may be CHAP. I. Of a Green Wound A Wound is a breach of Continuity fresh and bloody without Putrefaction or Matter It is caused by a Sword Bullet Arrow or such like which the Chirurgion may easily perceive Wounds in the flesh are easily cured in the Nervs Veins and Arteryes they are not without danger In the instrumentall principall parts as the Heart Liver Lungs Brain Spleen Midriff Wezand Stomach Guts or Bladder are deadly A Feaver Perturbation Swooning Convulsion and such like Symptomes are dangerous The Cure must be directed first to the cause secondly to the Wound itself thirdly to the part affected lastly to the Symptomes attending The Cause or outward things viz. a Bullet Arrow or such like sticking in the Body must be drawn out by Instruments or by Medicine what concerns the first I shall not meddle with the medicinall part I shall breifly handle The Simples availeable and of force for the purpose aforesaid are The Roots of Reeds and Birthwort the Leavs of Dittany Crow-foot Missletoe Thapsia Sagapenum Ammoniacum Opopanax Quick Lime burnt Frogs Galbanum Bears grease the Load-stone Mustard-Seed and such like Of these and such like you may prepare compound Medicines This Unguent of Vesalus is much approved of Take of Rozin of the Pine tree two Ounces Galbanum three Ounces of the Stone called Calamites one Ounce the Gall of an Ox one Ounce and an half of Turpetine three Ounces New Wax two Ounces first strain out the Wax Rozin and Turpetine after mix the Golbanum Gall and the Powder of the Stone and make an Unguent This Plaister is likewise good for the same purpose Take of Leaven one pound Oyl half a pound the juyce of Knot-grasse and Dittany or for want of it the Powder of the dried Herbs of each three Ounces Turpetine one pound The Bird Lime made of Missletoe Berryes Ammoniacum Galbanum and dissolved in wine of each one Ounce of Wax four Ounces mix them upon the Fire and make a Plaister Having thus far proceded and removed all things unnaturall from the Wound then must the Chirurgion if the Solution be great artificially join the gaping sides of the Wound by Seam Taches or stiching cloths and such like which I omit and shall lay down a few Rules to prevent pain Inflammation or other untoward Accidents which may happen to the wounded part or whole Body Inflammation is restrained by taking away the Cause of the Fluxion Now the Humours flowing to the part are either drawn or sent They are drawn by reason of the Pain and Heat of the Member which doth attract the Humours to it self They are sent thus when the whole Body is full of evill Humours and every part disburtheneth it self upon the weaker The Inflammation of the Part must be allayed with such Medicines that quench Heat and the Body must be purged and such a Course of Diet used as may somewhat free the Body from such Humours which are offensive and burthensome to Nature But before I come to treat of the removeall of such Accidents and evill Symptoms I shall briefly shew you the manner of Cure which ought thus to be performed After closing of the Wound dresse it with some agglutinative Medicine made of such Simples viz. Frankincense Mastich Aloes Rolearmenick Sanguis Draconis Sarcocolla Terra Sigillata Balaustines Pomegranate Rinds Cypresse Nuts Galls Horse-tail Tobacco and such like You may make a Balm thus Take of Turpetine a pound of Galbanum Gum Elemy Gum of Ivy Frankincense Mastich Myrrh of each two Ounces Aloes Lignum Aloes Galanga Nutmegs Cloves Cinnamon Cubebs of each one Ounce Aqua Vitae three Ounces infuse and distill them to a Balm After the Application of this or the like Balsome lay on this Plaister Take of Ammoniacum dissolved in Vinegar two Ounces Gum Elemy three Ounces Rozin of the Pine tree five Ounces Turpentine of the Fir-tree three ounces Oyl of Roses two Ounces make a Plaister Open it once in twenty four hours till it be whole thus may you cure a simple Wound in the Flesh If the Wound be hollow you must put in Tents twist them not too hard but so that the Sanies may come forth If the Wound be deep without losse of Substance you must consider whether the
month with Manna Syrups of Roses and Rubarb and every change of the Moon take a dose of the powder before mentioned and oftener if need require To conclude if the Disease be caused by some evill effects in the mouth of the Stomach you must labour to free the Stomach from the humours that offend For the Cure of the Vertigo I shall say nothing but refer you to those Medicines propounded for the Cure of the Falling-sicknesse and to the 2. Chapter viz. Of the cure of Cephalaea proceeding from cold crude and phlegmatick humours it being my present task only to epitomize not to write largely of the cure of Diseases CHAP. VII Of the Palsie PAralysis or the Palsie is a disease wherein the whole Body or part thereof as Atm Hand Leg or Tongue doth lose sense or motion or both Sometimes it followeth the Apoplexy Here note that the Faculty of sense and motion floweth from the Brain as from its proper fountain and is conveyed to all parts of the Body by the Sinews the proper Organs of sense and motion Hence it commeth to passe that if that faculty of the Brain be obstructed that it cannot descend to all parts that all or some of the 〈◊〉 of the Body lose either motion or sense or bâ—… according to the part obstructed The Causes The Palsie is caused by abundance of grosse and clammy humours which stop the sinews and hinder the animal faculty that it cannot come from the Brain or fountain to the members It may be caused by vehement cold or by some inflammation or swelling near the Back-bone or the sinews may be crushed by some binding or hurt by some wound or Ulcer or the like The Signs and Cure There need no more Signs to know this disease by than what hath been declared in the explanation of it This disease for the most part happeneth to old folk and surprizeth them in the Winter time therefore Phlebotomy for the most part is unnecessary and dangerous If plenitude of humours or blood appear open a vein on the sound side draw blood sparingly lest you cool the Body too much Let what part soever of the Body be affected yet you must not forget the Brain but you must purge corroborate and strengthen it If you find the originall of the distemper in the Brain you must apply Medicines which have power to extenuate dissolve and discusse such as are described in the second Chapter for the cure of cold and phlegmatick distempers of the Head To the purging Medicines you may add these Pillulae Fatidae de opopanace Arabicae and Trochisci Alhandall taken in a convenient quantity as you shall be instructed in the next Book and sutable to the season of the year and aâ—…â—f your Patient Let him abstain from drinking â—f strong beer and Wine and let most of his drink be the decoction of Guiacum and the bark of the same and if you add Cephalick hearbs to these it will be the better This Decoction is commendable viz. Take of Guiacum ground two ounces of the bark of the same half an ounce the root of China and Salsaparilla of each two drachms Sasafras three drachms Lignum Aloes and Galanga of each two scruples the root of Angelica Peony and Fennel of each two drachms the seeds of Peony and sweet Fennel of each one drachm Betony ground Pine Sage of each one handfull the flowers of Lavender Rosemary Stechas and Cowslips of each one pugil Cinamons and Polipodium of the Oake of each half an ounce Infuse them in six quarts of water twenty four hours then boil it gently to the consumption of two quarts strein it and add to the decoction of brown Sugar candy and syrup of Stechas of each four ounces Let the diseased take half a pint in a morning three or four mornings as a preparative to purging you must purge once in a week with one of the aforenamed Medicines having respect to the age and strength of your Patient season of the year Or you may prepare the aforesaid water by distillation thus Take of the simples aforenamed and infuse them 24 hours in four quarts of water and two of White-wine then distill them in Balneo Mariae as you shall be taught in the fourth part of this Treatise to a pound of this distilled water add one ounce of the syrup of Staethas and a drachm of Theriaca diatessaron divide it into three parts for three mornings It is convenient to set Cupping glasses to the part affected without scarifying of it but easily drawing the humours and spirits to the place afterwards you must rub and chafe the parts it is convenient to bathe the paralytick part and cause it to sweat with the decoction of Bur root and Elder leaves hot-houses often profit much but much better it is if they can come to natural baths which proceed either from Nitrous hituminous or sulphureous Mines as the Bath of Bath You may safely Bathe two or three times in a week and afterwards annoint the Member with some convenient Liniment viz. Take of the Oyls of Foxes Castor Earth-worms and Rue of each one ounce Unguentum Nervinum and Martiatum of each half an ounce the distilled oyl of Rosemary one drachm Oyl of Spike six drops mix all these and make a soft ointment with which annoint the Back-bone and the other parts that are diseased afterwards wrap them up warm with the skin of a Fox or Hare If the Palsey be caused by an inflammation or hard swelling in any part the cure of the inflammation or swelling cures the Palsie also If bruising of the sinews by pinching or binding be the cause remove the bruised blood and the cure will ensue If the Spondills of the Back be out or broke and that cause the Palsie or Resolution the cure of the cause taketh away the effect If the Palsey ensue a wound or Ulcer in the Head Back or any particular Sinew if the Sinew be curable the Palsie ceaseth CHAP. VIII Of the Covulsion SPasmus Cramp or Convulsion is a disease when the Sinews are drawn or plucked up against a mans will Of this there are two sorts viz. a true Convulsion when there is a constant retraction of the Muscles and the Limb remains unmoveable or a convulsive motion when the retraction is every time new and the Members moved divers ways They differ likewise in their Causes for a true Convulsion proceedeth either from repletion or inanition a convulsive-motion from irritation or provocation Again they are thus divided a true Convulsion is either total by which most part of the Body is contracted or partiall by which one particular member suffereth contraction The Universal Convulsion is caused from the Brain when the Face is plucked together as well as the whole Body or from the marrow of the Back when the Muscles that move the Head and Back are drawn together A particular Convulsion is made from the contraction of the Muscle of some part comming from the
for which purpose this Gargarism is good Take Violet-leaves Mallows and Parsly of each one handfull whole Barley four ounces Figs and Raisons stoned of each three ounces the seed of Flax and Fenugreek of each one ounce Spring water a quart boyle it to the Consumption of halfe straine it and add four ounces of the syrrup of Jujubes use it as the other before When the humors are suppurate if it break not make incision then cleanse it with Plantane water and Hony of Roses There is another Tumor under the Tongue called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the Latines Ranula because it representeth the hinder part of a Frog also because they that are thus affected when they speak do Croake like a Frog This humor is a loose and soft carnosity under the Tongue the tumor therein contained is somtimes hot though for the most part it is cold slimy and pituitous matter which when it is opened is like the white of an Egge somtimes mixed with yellow This disease is not for the most part accounted dangerous unlesse it be in a Child or the humor be Cancrous If nothing prohibite you must begin the Cure with blood-letting that so the humors may be the more obedient you must likewise purge the peccant humors with discretion then you may endeavour to disolve and discusse the humor thus Take of green Mugwort and Hysop of each one handfull Common Salt and Salt Armoniack of each two drachms Galls one drachm beat them well together rub the place often with it But if it submit not to this way of Cure as it seldom doth you must open it with a large Orifice and if you open it on both sides it will be the better Some commend a Cautery of iron after you have opened it squeez out the matter with your finger then wash it with White-Wine and Hony of Roses or thus Take of White Wine and Plantane water of each two ounces dissolve a drachm of Allum then add twenty drops of the Oyle of Sulphur with an ounce of syrrup of Mulberrys make a Lotion and wash the place till it be whole Somtimes the Tongue suffereth a Palsie by which it is deprived of its motion Somtimes it followeth an Apoplexy and somtimes it is joyned with a Palsey which afflicts half the body somtimes it is only in the Tongue when its nerves and moving Muscles are prejudiced by some moist or pituitous matter Somtimes those Nerves may be cut and the Palsie may follow Avicen confirmeth this opinion by an example in his time of a certaine man being cupped and scarified by which the small Nerve was cut and caused a relaxation of the Tongue If this Palsie follow an Apoplexy and the other parts of the body be affected and the Patient be old it is incurable If you have hopes of recovery you must take away the Antecedent cause lodged in the braine and you must dissolve and discusse the conjunct cause viz. the humors which obstruct the Nerves and hinder the motion of the Tongue If you see occasion you may make use of Phlebotomy it profiteth much to open a Vein under the Tongue you may purge with Pills or Cephalick Apozems you may rarifie the humors by sweating drinks cuppings vesicatoryes Cauteryes may be applyed for discussing and drawing forth of the humor let Gargarisms Masticatories and Errhies be followed for strengthening the braine and dispersing offending humors therein contained make use of Fumigations Powders and Quilts for the head for the making and application of which I refer you to the second Chapter of this Book CHAP. XXI Of the Diseases of the Teeth THE Teeth also are subject to Distempers viz. the ache and foulness and rottenness The Tooth-ache is caused by a Flux of Humours either hot or cold which flow to the Membrane Nerves or to the substance of the Teeth Sometimes Worms are bred in hollow and rotten Teeth of an Excrementitious Humour which causeth pain sometimes Wind contained between the Cavity and the Nerve doth cause pain The External Causes are cold Air and South Winds Likewise the debility of the part as hollowness or rottenness of the Teeth do sometimes cause pain Every cause is known by its proper sign for if a hot Humour falling upon the part be the cause the pain is more violent the Patient is sensible of heat about the Teeth and Gums hot Medicines encreasoth pain Signs contrary to these do declare the Humour peccant to be cold If the cause be Worms the pain is with intermission and their motion may be felt If Wind cause the pain it is exceeding violent with sensible extension yet quickly ending after the use of discussing Medicines If it be a hot Humour that causeth the Tooth-ach it is good to open a Vein on the same side by which the Humours are revelled and though the Humour be cold yet Phlebotomy may be needful to revel the Defluxion but it must be regulated according to the age and strength of the Patient The next day you may purge the Humour that principally offendeth Cupping is sometimes requisite and fâ—r the most part Vesicatories to the Neck and behind the Ears are successful to draw back the Humours Astringent Medicines to the Temples are good to hinder the Defluxion Of Plaisters these are good Emplastrum de Mastiche ad Herniam and Gum Elemi spread and applyed to the Temples and behind the Ears Riverius commendeth the Root of Comfry bruised and applyed as before to hinder the Defluxion Riverius Physitian to Henry the Great commendeth this Plaister Take of Cyprus Nuts Red Roses Mustard seed torrified Mastich and Terra Sigillata of each one drachm and an half Steep them in Vinegar of Roses twenty four hours and then dry them Opium three drachms dissolved in Aqua Vitae Pitch and Colophonia of each one drachm Yellow Wax melted in the expressed Oyls of Henbane and White Poppy as much as is sufficient to make an Emplaister which must be applyed as before The Oyl of Bitter Almonds or Vinegar put into the Ear is good to stay the Defluxion if it proceed from a hot cause If the Humours be cold put the Oyl of Rue or a Clove of Garlick into the Ear and wash the Teeth with Red Wine wherein is boiled the Roots of Bistort Cinquefoil Tormentil the Leaves of Vervain Peny-royal and Galls and anoint the Checks or the Check on the same side with the Oyls of Camomel Rue or Roses to asswage the paâ—n If the Tooth-ache come from a hot cause boil the Leaves of Henbane spotted Arsmart Housleek and Nettle Roots in Vinegar and wash the Teeth and to asswage pain anoint the Checks with the Oyl of Lillies Roses sweet Almonds Or you may make a Cataplasm with Barley and Bean Meal the juyce of Housleek and Milk and the aforesaid Oyls and if you add a small quantity of Opium to it it will not be amiss But take this Caution that if the Checks be swelled beware how you
apply Cataplasms lest the Humours be repelled and do fall into the Throat Many find ease by Masticatories by which they draw much Rheum from the Teeth Take of Mastich and Pellitory of Spain of each a drachm the Seed of Henbane Satuesacre and Pepper of each half a drachm Pouder them and sew them up in Linnen bags like little Balls and chew them If the Teeth be hollow the Oyls of Cloves Camphire Tobacco Box and of Hazel Nuts are good if a little Lint dipt in any of them be put into the hollow Tooth If the pain cease not add Laudanum and Opium for sometimes Narcoticks by stupefaction do give ease when other means have failed Sometimes all Medicines can do no good till the Nerve in the hollow Tooth be burned with an actual Cautery This may be done with Aqua Fortis or safer with Oyl of Vitriol but be well advised before you operate with things of this Nature If Worms be in the Hollow Tooth Take of Aloes two scruples Camphire one scruple Aqua Vitae one scruple the Oyl of Vitriol and Tobacco of each three drops mix them and with Lint dipped in it apply it If all the Medicines prescribed take not away the pain of the Hollow Teeth you must draw it out but beware of drawing Teeth when the Defluxion is great the Head aketh or the Gums swell Draw not a Tooth violently lest you injure the Jaw bone or cause a Flux of bloud which may prove dangerous but if such a thing should happen and the bloud not easie to be stanched you must apply Burnt Vitriol to the Gum and dip Lint in Vinegar and lay thereon or if you see cause you must burn the Nerve with an actual Cautery Many people have their Teeth disfigured by black or yellow Humours cleaving to them which in time make them rotten this is caused sometimes by a Defluxion of Humours into the Teeth by Distempers of the Stomach and evil nourishment thence arising Sometimes the Scurvey is the cause For the cure it is requifite that the antecedent cause be removed by purging and other Remedies and that things that corrupt the Teeth be abstained from especially things that are sweet Many are the Medicines prescribed to make the seeth white as Corral White and Red poudered Tobacco Ashes and the Ashes of Vine Branche burnt Burnt Allum and many more that which I have found to be the most excellent is the Oyl of Vitaiol mixed with Spring Water and the Teeth washed therewith some say the Oyl of Sulphur hath the same virtue CHAP. XXII Of the Diseases of the Gums SOmetimes sharp and corroding humours flowing from the Brain or occasioned by some Disease of the Stomach Liver or Spleen may cause an Erosion or exulceration of the Gums this Disease is easily known you must purge the humour offending and if the cause be in the Liver Spleen c. you must endeavour to remove it the Flux must be diverted from the part affected by convenient Revulsions Then you must apply Topical Medicines that are astringent and drying Take of Acorn cups Galls and Allum of each one drachm Sanguis Draconis Burnt Hartshorn Red-Roses of each two scruples Sugar-candy Tobacco-ashes and Mirrh of each one scruple pouder them all the white of one Egg beaten to water with as much honey as sufficeth to make it into the form of a soft Ointment spread it upon a Rag and apply it The Oyl of Vitriol or Sulphur mentioned in the former Chapter may be here applyed as there described or a few drops mixed with the aforegoing medicine Sometimes a fleshy excressence is generated upon the Gum and in time groweth so big that it hindereth the speech Fernelius saith that it hath its original from an Ulcer not well healed see Fern. lib. 7. pag. 340. Sometimes it groweth to a Cancer It must be taken off by a careful and well-skilled Chirurgion and afterwards burnt with a Cautery or the Oyl of Vitriol Some cure it thus after purging and sufficient revulsions to divert the defluxion of humours they tye a double thread about it close to the Gum so streight that in time it falleth off then use your Cautery as before to prevent its growth again CHAP. XXIII Of the Ulcers of the mouth IN the upper part of the mouth there are certain Ulcers bred called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 we call it Trush vulgarly Thrush it is most common to children presently after they are born caused by the sharpness of the milk or by reason of the milk corrupting in the Stomach for want of good digesture sometimes they happen to men of ripe years they are more or less dangerous as they exceed in quantity or quality their bigness may be discovered by the Eye also how deep and putrid they be their colour declareth the quality of the humour which is the cause of them It Flegme be the cause the Trush is white and easily cured If yellow Choller is the cause and 't is harder to cure If red Blood predominateth If black Melancholy is the cause and 't is the worst and hardest to cure It cometh sometimes by reason of a foul Disease in the body or when the Patient hath got the French Pox. For the Cure if it be in Children you must wash the mouth often with Plantane water and Sirrup of Mulberries or dryed Roses if you find that too weak add some Allum to it Let the Nurse eat such things as are cooling and drying as Pears Medlers and Services Marmalade of Quinces is very good in this case let her likewise make use of Lettice Purslane and other cooling hearbs and if need require let her bleed and purge If your Patient be a man and the Disease be stronger and more violent after the use of mild medicines you must proceed higher If he hath the French Pox he must be freed from that or else you labour in vain Generally you must consider what humour offendeth and purge that you must bleed and use such revulsions as necessity calls for Then you must make a decoction of Plantane Bramble Violet and Strawberry leaves Pomegranate flowers c. add Allum and the Sirrups before mentioned and wash the mouth with it if you finde that it healeth not dip a little Lint in Oyl of Vitriol and often touch it If there be an inflammation add to the before mentioned decoction the juyce of Purslane Housseek and Nightshade or the Mucilage of Quince-seeds or the emulsion of the cold seeds If you find an extraordinary defluxion and your Patient want sleep administer Laudanum the Dose regulated according to the age and strength of your Patient CHAP. XXIIII Of a loose Columella and the inflammation thereof and diseases of the Tonsils The Columella or the Uvula is relaxed or loosened by a waterish humor falling upon it which doth so moisten and soften it that it is extended to the upper part of the Wezand and causeth a Nauseousness and the Patient often striveth to
swallow it by which it may be known as also by looking into the mouth You must make use of such Evacuations Revulsions Derivers Repellers as are prescribed in the ninth Chapter of a Catarrh And you must make use of Gargarisms which restrain and dry Take of Plantane Purslane and Shepheards purse of each one handful Cyprus nuts Pomegranate flowers and Red roses of each one ounce Galls and Allum of each one drachm boile them in a quart of Spring water to the consumption of half strain it out and add to it Bolearmenick a drachm Sirrup of Mulberys and Hony of Roses of each one ounce gargarise the mouth therewith Powders are better which have an astringent and drying property Take the Roots of Bistort flowerdeluce and Tormentil the Flowers of Pomegranates and Red Roses of each half an ounce Burnt Allum and long Pepper of each one scruple make them into fine powder and depressing the tongue blow it upon the Uvula If this doth not perfect the cure the superfluity must be cut off this operation must be performed very warily for if you cut too much it will be prejudicial to the speech if there be an inflammation in the Columella you must extenuate such accidents before you cut it lest a greater inflamation follow or a flux of blood if the Uvula be greater at the bottome then it is at the top then it is fitter and safer to cut If the Uvula be onely inflammed you must make use of such medicines as are prescribed for the cure of the inflammation of the tongue There are other distempers of the throat viz. the inflammation and Ulcers of the Tonsills or Almonds of the throat occasioned by a defluxion of crude Phlegmatick and Viscid humors mixed with blood or by excessive drinking of wine or strong liquors or by a greedy devouring of meat they who are thus afflicted swallow with much difficulty and pain and many times have a Feaver For the cure administer a cooling Clister open the Vein under the tongue and if blood abound open the Cephalick-Vein in the arme use all other convenient revulsions Then make a Cataplasme of Barly meal the Seed of Flax and Fenugreek and the Leaves of Mallows bruised with new Milke sufficient and apply it to the throat Then use astringent Gangarisms you have examples enough in the foregoing Chapters If the inflammation increaseth and the pain be sharp and vehement in the Evening then expect suppuration then you must surther it by gargarising with a decoction made of Hysop Figs and the Seeds of Marsh mallows or with aquamulla When it is perfectly rotten squeez it gently that the matter may run forth or else open it with a sharp instrument and let the Patient hold his head down that the matter may the better run out then wash it again with aquamulsa till it be healed For the cure of the Ulcers of the Tonsils you must observe the same rules prescribed for the cure of the Ulcers of the mouth CHAP. XXV Of the Quinzie ANgina or the Quinzie is a disease of the Jaws and Throat by which breathing and Swallowing are hindred withour defect of the breast and Lungs there are two sorts of Quinzyes Legitimate and Bastard Legitimate Quinzy is accompanied with a feaver and inflammation of the part which Galen and the antient Greekes have divided into four sorts the first they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 when the inflammation is in the inward proper Muscles of the Larynx the second they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the outward Muscles of the Larynx are in flammed the third they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and the interiour muscles of the pharynx are inflamed the last they called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 because the exerior muscels of the Jaws are inflamed a Bastard Angina or Quinzy cometh without a feaver The cause of the first is blood either pure or mixed with Choler flegm or melancholly flowing from the head to the jugular veins the cause of the Bastard Angina is caused by much flegme falling into the jugular veins and by its glewinesse obstructing the passage of the spirits or by a Tumor in the Vertebrae of the neck caused by a deflux of cold flegm removing the Vertebrae from its proper seat or causing a luxation thereof by loosening their Nerves and making them slippery between the joynts or lastly this may happen by some fall or stroak or some external cause The Legitimate Quinzy may be known by the difficult swallowing and breathing without fault of the breast or Lungs pain about the Jaws and threat red nesse heat and a feaver their sorts may be distinguished by their proper signes In the first there is great hinderance of respiration the patient is almost strangled cannot breathe except he open his mouth and hold his neck streight In the second there is lesse difficulty of breathing but greater of swallowing especially of drink which flyeth out at the nose In the third there is some red tumor about the Jaws less difiulty of brething then in the first but more then in the second The last doth hinder the breath but little or not at all the outward parts of the neck are red and painfull The bastard Angina may be known by the abundance of flegm and humors flowing to the mouth If it comes by Luxation the motion of the head and neck is hurt and a preternatural cavity appeareth in the neck I shall not need to spend time to shew the signes of every distinct humor predominating reason or other parts of this book will informe you A Legitimate Quinzy is an acute disease and very dangerous for want of freedome in respiration therefore the first is worst and the patient in most danger of strangling the other are more or lesse dangerous as they more or lesse hinder respiration If the matter fall upon the Lungs or the swelling vanish away without critical or artificial Evacuation it is very dangerous and for the most part deadly If the patient foame at the mouth it is a signe of death saith Hippocrates in his 43 Aphorism because it is a signe of streightnesse and violent heat about the heart which squeezeth the moisture out of the Lungs and sendeth it to the mouth in a foame Every Quinzy requireth a hasty and speedy cure for it sometimes killeth in one day read Fernelius Lib 5 pag. 284. Let the physitian open the Cephalick Vein and if the body be naturally plethorick and blood the cause of the disease draw as much as the Patients strength will bear and reiterate Phlebotomy according as necessity requireth give a Glister first or after or both or as often as need requireth you must speedily make use of other revulsions as cupping glasses with scarification to the shoulders vesicatories frictions and ligatures to the lower parts purges must be administred and if you find the case desperate you need not Question the time of the day Trallianus reporteth that he was forced to open a
too drying lest they thicken the humors and encrease the disease Then you must endeavor to unstuffe and cleanse the Lungs and wind pipe with the before named Lohock or of the like nature I could insert many which I omit for brevitie sake Quercetanus his Sirrup of Tobacco is very good the Tincture of dryed Tobacco as much as a pease held in the mouth and swallowed by degrees draweth abundance of flegm out of the stomack and Lungs or if you take Tobacco in a pipe it is good The juice of red Coleworts made up into a Sirrup and a little Spirit of Sulphur added to it may be taken an ounce in the Morning Or you may make Tablets of great virtue thus Take of the Roots of Elecampane and Licorish of each one ounce the Leaves of Colts foot Maiden haire Scabius and Woodbetony of each a drachm Lac Sulphuris two drams Saffron two scruples make them all into fine Powder and with the Mucilage of Gum Traganth made with Coltsfoot water make Tablets which let the Patient hold in his mouth often Platerus highly commendeth the preparation of a Cock thus Take an old Cock kill pull and draw him stuff him with these things following Fox Lungs fresh or prepared one ounce Raisons stoned and figs of each two ounces Elecampane one dram Hysop Savory Horchound Thyme Calaminth Peneroyal dryed of each one drachm The Seeds of Fenel and Annise of each one drachm Carthamas Seeds bruised and the Roots of Polypody of each half an ounce White Tartar one drachm Salt half an ounce the Yolks of two Eggs Fresh Butter half an ounce Cut and bruise them according to the precepts of Pharmacy and few them up into the Belly of the Cock boile him in a large Vessel and soe much water as will cover him and no more till his flesh come off from his bones strain it and add to every ten Pints one Pound of Hony that it may not quickly corrupt let the Asthmatick person take a Porrenger full every morning in which dissâ—lve of Manna and Cassia newly drawn of each half an ounce It will be the better if presently after he take a dram of Venus Turpetine with penids in form of a Bolus or otherwise The Patient may continue taking this Cock-broath a Moneth or longer CHAP. XXVII Of the Pleurisie and inflammation of the Lungs A Pleurisie is an inflammation of the Membrane Pleura and the internal intercostal muscles girding the sides within the Greeks call it 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and the Latines also Pleuritis The matter causing this disease for the most part is Cholerick blood which doth easily penetrate the Membrane but seeing other humors may cause it it is either Sanguineous Cholerick Phlegmatick or Melancholick but what ever the humor offending be Choler it hath for its Vehicle The signes of a Pleurisie according to Galen are five first a pricking pain of the side caused by a Cholerick humor in the Membrane extending it self either towards the throat or the Hypochondria Secondly a continual sharp Feaver which is either Symptomatical comming from some Sangnineous Tumor about the part or essential that is when a Feaver first invadeth the Patient and the boiling blood is expelled to those parts Thirdly difficulty of breathing because thâ— heart being inflamed as well as the rest greedily desireth refreshment and he parts inflamed cannot sufficiently distend themselves to draw in the cold aire Fourthly a hard Pulse like a Saw which is caused by the stretching out of the Membrane by which defect the Arteries are distended Fifthly and lastly an often and troublesome Cough because nature doth strive to expel those troublesome humors from the part affected also some of the matter sweateth from thence into the Lungs which causeth a Cough I might here add another signe viz. spitting of blood or bloody matter but because it happeneth not in all Pleurisies nor at all times I omit it You may partly judge of the humor peceant by the constitution of the Patient and season of the Year The particular signes are first of blood bloody spittle stretching and pricking pains full Veins especially about the Temples red Urine and the like Signes of Choler are yellow spittle a burning Feaver a hard and quick pulse the pain more acute and pricking restlesnesse bitternesse of the mouth and yellow Urine The signes that shew Phlegm are much sweet and frothy Spittle the Feaver remiss little thirst the pain heavy but not violent the pulse not so hard the Urine white and thick the Spittle black and tough the pain and Feaver moderate a dry Cough the tongue black and rough the belly bound the Urine red and darke are signes of Melancholly As to the prognostick I say This disease afflicting old men women with child Asthmatical persons or such as have had it often is dangerous If the Feaver be violent the breath fetched with dissiculty the Cough raiseth up no matter or the Spittle very bloody or very white and glutinating green tustick black much Spitting and yet the pain abates not the spitting cease and the pain continue all these are dangerous signes On the contrary plentiful vomitting Choler in the beginning of the disease blood or Choler mixed with the spittle c. are good signes The Cure of a Pleurisie consists in the revelling Deriving discussing digesting maturating and expectorating the peccant humors if the Feaver be essential seek its cure in its proper place Bleeding is a very natural remedy for a Pleurisie which you must moderate according to the constitution and strength of your Patient and the violent or remiss symptoms If your Patient spitt freely forbeare blood-letting lest his spitting be stayed and his life endangered Twice or thrice in a day or oftener as you see occasion administer cooling Juleps to restrain the heat of the boiling humors make a Iulep of Poppy water and Sirrup of Violets After bleeding prepare a fomentation Take of Mallows Violet leaves Chamomel Pellitory of the wall of each one handful the roots of Marsh mallows and Lillies of each four ounces the seeds of Flax Commin and Fenugreek of each one drachm boile them well and put them with the liquor into a hogs bladder and foment the side afterwards anoint it with this following Liniment Take of Fresh butter and Hens grease of each two ounces the Oyles of Chamomel Lillys Dill and sweet Almonds of each half an ounce The Chimical oyle of wax a scruple mix them and make a Liniment some slit a live-Hen and apply it some the Lungs or the paunch of a sheep hot others apply hot bread out of the Oven dipped in Butter Then you may make an Emulsion of blanched Almonds and the great cold seeds thus Take of Almonds blanched and steeped in Coltsfoot water one ounce the four great cold seeds of each half an ounce the seeds of Lettice and white Poppy of each one drachm beat them in a Marble morter pouring on by degrees the decoction of Barly Liquorish and Plantane a
Pint and an half strain it out and dissolve Sirrup of Jujubes two ounces Sirrup of Violets one ounce make an Emulsion for three doses give it Morning and Evening If his Cough be violent let him alwayes have in his mouth Sugar of Roses Sugar Candy or penids or the Tablets of Diatraganthum Frigidum or with Sirrup of Violets and Jujubes you may make it into the form of an Celegma or Lohock If his spittle be thick and tough adde Oxymel Simplex or the Sirrups of Liquoris or Coltsfoot Let his constant drink be Barly water boile it in Currans Borrage and Bugloss Flowers Hartshorne Maidenhaire Coltsfoot Liquoris and such like give it warm You must not purge in this disease till the declination thereof and then use a gentle potion Many medicines there are proper and special for a Pleurisie as Stone-horse dung or White-hens dung soaked in Carduus water and strained give a quarter of a pint this hath a peircing and discussing quality by reason of the volatile salt in it and doth wonderfully disperse the humors in the Pleurisie An Apple made hollow and a dram of Frankincense put therein and rosted given to the sick drinking three ounces of Carduus Water after it and laid to sweat is good saith Quercetan Goats Blood also is good If the Sick fall into a loosness in the height of this Disease it is very dangerous in the declination it is good but if it so happen give him the Sirrup of Myrtles and do as you are taught in the Cure of Diarrhaea 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Or The inflammation of the Lungs is a disease not much different in the causes or signes from a Pleurisie but only in the part affected Sometimes this Peripneumonia commeth alone and sometimes followeth another Disease as the Quinzy or Pleurisit which is a dangerous Symptome on the contrary if a Pleurisie follow the inflammation of the Lungs it is a hopeful Symptome This Disease is more dangerous then a Pleurisie and for the most part deadly by reason of want of respiration and the nearness of the heart The cure is the same with the Pleurisie therefore I shall say no more of it CHAP. XXVIII Of Empyema EMpyema 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or a Collection of matter in the Cavity of the Thorax is a Disease which for the most part followeth a Pleurisie and Peripneumonia and sometimes a Quinzy when they are not carefully cured and the inflammation commeth to Suppuration and when the Imposthume breaketh the matter falleth into the cavity of the breast Sometimes blood falling into the Thorax by the breaking or wounding of a Vein may come to Suppuration or rather Corruption Sometimes flegm falleth from the head and other parts into the breast and there putrifying begetteth matter like quitter The signes of Suppuration beginning according to Hippocrates are these First the Pleurisie being not purged the Feaver increaseth while the matter is turning into Pus Secondly the sharpness of the matter touching the Membranes causeth quaking the Third is weight and sense of heaviness in the part To these we may adde the difficulty of breathing for although when the Imposthume is broken the Diaphragma and the Muscles of the Thorax move more freely yet the Lungs are oppressed by the matter lying about them But an old and confirmed Empyema is known by a lingring putrid and partly Hectick Feaver more violent towards night and much sweating a constant troublesome Cough the Cheeks grow Red the Eyes hollow the legs swell Pustles break out on the breast If the Suppuration break and the Feaver continueth are thirsty want appetite the pus green livid or frothy brought up with much difficulty and a loose belly all these are signes of Death or of long sickness the contrary are the signes of recovery They who in this condition doe lift up the whole breast when they breathe by reason of the matter contained are quickly choaked If the matter be not spit forth in forty dayes it turneth to a Consumption and death followeth The Supuration on both sides is more dangerous then that of one that on the left side the worst by reason of the left Ventricle of the heart If the matter flow plentifully by Stoole and Urine and the Patient strong and hearty it is a signe of recovery For the Cure you must endeavour to help nature in Suppurating the humors if Suppuration cannot be hindred by this or the like Cataplasme Take of Chamomel Melilot and Mallows of each one handful the Roors of Althaea one handful Figs and Raisons stoned of each four ounces after due boiling beat and strain them adding to the Liquor the Oyles of sweet Almonds Lilies and Fresh Butter of each one ounce with the Meal of Wheat Fenugreek and Flax Seed sufficient make a Cataplasm and apply it In the mean time let the Patient take of this Lohock Take of the Conserve of the Flower of Bugless Violets and Roses of each one ounce Maidenhaire Liquorish and Coltsfoot of each one ounce Oyle of Sweet Almonds newly drawn one ounce Sugar Candy one ounce Powder what is to be Powdered and with Sirrup of Liquorish or Colts foot sufficient make a Lohock and let the Patient take thereof often Venice Turpentine washed and with Liquorish powder made up into Pills are good to maturate discuss and cleanse give three drachms in the Morning But if the matter will not be spit up you must open it between the fourth and fifth Rib and apply a Plaister to draw out the matter giving the Patient a Wound-drink in the mean time If you desire particular direction herein read Hieronymus Fabricius ab aqua pendente in Libro de operationibus Chirurgicis CHAP. XXIX Of spitting of Bloud Sputum Sanguinis or spitting of Blood called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is an unnatural Flux of Blood from the vital parts viz. the breast Lungs and Aspera Arteria The Immediate cause is Organical or common the Organical twofold either the opening of the Vessels called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or Rarefaction called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The common Disease is twofold also as the breaking of the Vessels called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the Erosion of them called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Blood offending in quantity or quality may be the cause of opening rarifying breaking or Corroding of the Vessels To be further satisfyed therein Ipray you have recourse to the nineteenth Chapter of Bleeding at the nose Some external cause as Fall Wound or the like may be the cause of Haemoptysis Immoderate Cold may be the cause by hardening the Tunicles that they cannot be extended It is very difficult to judge of the part from whence it commeth If it comes from the head it is cast forth by Coughing hawking and there is a tickling in the Palat as in a Catarrh That which comes from the breast and Lungs causeth Coughing that which comes from the Lungs is Frothy that which comes from the breast is Blackish
and commeth up with pain That which comes from the Gullet and Stomack is known by Vomitting from the Jaws and Wezand by Hawking from the Mouth by simple spetting Sometimes the Blood is sent from some other part to the Lungs and spet forth but this may be known by pain or some hurt happened there You must judge of the signes from the quantity or quality of the Blood the Nineteenth Chapter will instruct you To the Prognostick Hippocrates saith that what kind of Blood soever is spit from any of the inferiour parts is evil for every opening of a Vessel which letteth out Blood is dangerous especially in the Lungs But sometimes it happeneth without hurt when nature critically doth evacuate superfluous Blood that way as it is seen sometimes in women who have their courses stopt You must begin the cure with Blood-letting open a Vein on the same side you judge the distemper to be If there be obstruction of the Termes open the Saphaena If your Patient is subject to the Hemorrhoids Bleed with Leeches Cupping or other Revulsions you may use if occasion be Then purge Choller which causeth the Blood to be thin and fluid with Rubarb Mirabolans and the like Then give Medicines a stringent to close the Orifice of the Vessels but at the first give such things with them which have an expectorating quality lest Blood in the breast or other parts out of the proper Vessels should be coagulated Take of Conserve of Roses and the juice of Purslane of each two ounces Sugar of Roses one ounce Red Coral Blood-stone Bolearmenick and Terra Sigillata of each half a dram Troches of Amber a scruple the Oyle of Vitriol six drops with the Whites of eggs beaten to Water make a Lohock of which let the Patient lick often especially Night and Morning Quercetan prescribeth a Water excellent against spitting of Blood see the fourth part of this Treatise among Distilled Waters The Chymical Oyle of Amber two or three drops hath an excellent astringing quality take it in the Distilled Water of Knorgrass or Plantane or the like so you may take or give half a drachm of Sanguis Draconis or the Blood stone alone finely powdered out two scruples Opium Laudanum Philonium Romanum and Persicum These and such like may be given provided the dose be regulated by an able brain the juice of Nettles drunk four or five ounces in the Morning hath prevailed when all other have failed saith Amatus Lucitanus If by the use of Astringent medicines your Patient be costive give a Clister or purge that leaves an Astringency behind it and if the use of Astringents hinder spitting mix those things which doe not only stop Blood but mollifie the breast also such are the juyces of Plantane Purslane the Sirrups of dryed Roses Quinces Myrtles and of jujubes Gum Arabick Traganth and Starch and such like If Blood be congealed in the breast indeavour to dissolve it by administring six ounces of Oxycrate three times a day if it cause Coughing sweeten it with Sugar or Sugar Candy Apply this cooling Epithem to allay the heat of the Liver if you see occasion Take of the Water of Rose Plantane and Succory of each four ounces Vinegar of Roses two ounces of the powder called Diatrion Santalen a drachm and an half Camphire one scruple make an Epitheme apply it warme to the Liver afterwards anoint with unguentum Rosarum and Rose Vinegar Anoint the reins with Oyle of Roses and Water Lillys and the Testicles with Oxycrate If a Defluxion of sharp humors from the head unto the Lungs be the cause of the Disease seek the cure in the ninth Chapter When the Blood is stanched let your Patient avoid all things that may cause a returne thereof as Salt and spiced meats rich Wines great heat anger and violent exercise If you judge him inclinable to the Distemper by reason of thin Cholerick humors mixed with the Blood purge those humors at the Spring and Fall CHAP. XXXI Of the Consumption or Ptisick This Disease is called in Latine Tabes and in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which although it signifieth every Consumption yet is most properly taken for the extenuation of the whole Body caused by an Ulcer in the Lungs An Ulcer in the Lungs by reason of its nearnesse to the heart afflicts it with putrid vapours the heart disperseth it into all parts hence commeth a Feaver hectick joyned with a putrid and by its unnatural heat does hinder the well concocting of nourishment hence the whole Body decayeth Sometimes sharp corroding and Salt humors falling from the head or the Suppurated humors from the Pleurisie or Empyema which humors putrifying upon the Lungs may Ulcerate them Many times the cause is in the Lungs themselves which have a vitious hereditary constitution naturally tender and disposed to corruption Sometimes a Pustule is bred in the Lungs and never breaketh but groweth till it stop the passage of the breath and killeth the Patient Sometimes it commeth to Suppuration and is called the Imposthume of the Lungs which being broken and flowing to the Bronchia or passages in the Lungs it may be spit up if the body be strong and the matter little in quantity but many times an Ulcer remaineth which causeth a Consumption If the Impostumated matter flow into the Ventricle of the heart the sick dye sudainly and many times insensible of any pain or sicknesse take examples from Fernelius lib. 5. de partium morbis et Sympt Chapter 10 Pag. 288. To the causes of this Disease here mentioned you may adde all the causes mentioned in the ninth Chapter of Defluxions Hippocrates mentioneth many more kinds of Consumptions too tedious for me to insert in this Volume as those proceeding from nocturnal pollutions the running of the Reins also the obstruction of the Nerves or the flowing of Choler to the Back so of nourishment or drying causeth a Consumption likewise a Distillation from the head to the Marrow on the back may be the cause as Hippocrates faith when a Defluxion falleth upon the Spinal Marrow there is a secret and undisernable Consumption Sometimes it hath its original from hunger and want of nourishment Sometimes when the Meseraick Veins are obstructed that the Chylus Concocted in the stomach cannot passe to the Liver In the Diagnostick we must observe the signes of a Consumption beginning begun or confirmed Signes of a Consumption beginning are a small Defluxion the Lungs not much hurt thereby the Cough but small the spittle Sweet Salt or Bitter the body a little Feverish The signes of a Consumption begun the Distillation is stronger the Lungs pierced by which the Lungs are exasperated and the Cough violent The matter contained in the Lungs maketh the stomach weighty a sharp pain before and behind from the humors suppurating sharp and hearing humors fall into the body and sometimes into the Veins causing a hective Feaver sometimes joyned with a Putrid The Lungs by contracted Filth grow hot
Patient be weak and indisposed to Vomits give often Clisters or purge the Body with this or the like Pills Take de Aloe lota three Drachms yellow Myrabolans and Rubarb in Powder of each half a Drachm red Sanders and prepared Coral of each one Scruple with the Sirrup of Roses solutive make them into a Mass give a Drachm every other or third day and if the Sick be weak give but half so much If the Vomiting be violent give two Scruples and an half of Cochie the lesse with three grains of Laudanum in the morning Then you must strengthen the Stomach with the sirrup or conserve of Quinces conserve of Roses Mastick in a small quantity sirrup of Mints Plantane water made sowr with Oyl of Vitriol c. All these strengthen the Stomach and stay Vomiting of which you may make Medicines in divers forms Foment the Stomach with a sponge dipt in Plantane water Rose water and Rose Vinegar But First boil in the water a handful of Mints Or apply this following Cataplasm Take of Marmalade of Quinces or Quinces boiled soft in Rose water or Vinegar four Ounces the roots of Bâ—stort and Tormentill of each two Drachms Mastick Moce and Nutmegs of each two Scruples Sowr Leaven halfe a pound with the juice of Mints and Vinegar make a Cataplasm and apply it If your Patient vomit Blood the Causes and Sâ—gnes you may find in the 19 and 30 Chap. and the Medicines prescribed in the 30 Chap. Of Spitting of Blood ordered by an able Head-peece may perform the Cure CHAP. XL. Of Cholera 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Greek and Cholerica Passio in Latine is a Disease violently sending forth by Vomit Stool sharp and cholerick Humours this Disease is a symptom of the expulsive Faculty being hurt by Meats not well concocted and if the retentive Faculty be also in fault the Disease is the worse and more violent Some will have two sorts of Choller a moist and a dry A moist is that which hath relation to what hath been said The dry is more rare and cometh from a windy spirit produced in the Stomach by the fiery Heat of the Part corrupting the Meat or by Meats which are Rank and Windy and this is the opinion of Hippocrates himself Sennertus from the Hermetical doctrine addeth another Cause viz. Salt and adust Humours in the Hypochonaria which grow hot by the mixture of another Humour and demonstrateth it by the mixing of Aqua fortis and Oyl of Vitriol with Salt of Tartar which produce very flatuous Spirits So that the immediate Causes of this Disease are cholerick burnt sharp salt or rotten Humours in the Stomach Bowels Spleen Mesentery or some Nourishment of an evil Quality or some strong Medicine or Poyson taken The signes of this Disease are often and plentiful Evacuations of cholerick sharp and corrupted Humours by Vomit and Stool swelling with Wind Thirst and a Gnawing of the Stomach and Guts a Loathing which is appeased a little with cold Drink which is soon after cast up The Pulse is small and unequal Sweating with Convulsion of extream Parts Swooning and such dangerous Symptoms It is easily discovered whether the Cause come by some violent Medicine Poyson or offensive Diet. The internal Causes are known by the Quality of the Humours that are ejected If there be a continual Loathing and Gnawing the Disease is in the Stomach If a malignant Feaver be joyned it is in the Veins If it hath its original from some evil Food there is hopes that when the Matter is cast forth the Disease will end If it be very violent it is dangerous I had almost said desperate for the greater the Convulsions Swoonings and Coldnesse of the extream Parts be the nearer is Death at hand In the beginning of the Cure you may help forward Evacuations with gentle cooling and cleansing Clisters thus Take of Milk half a pint Sirrup of Violets and Lettice of each one ounce The Oyles of Roses and water Lillyes of each halfe an ounce The yelks of two new laid Eggs well beaten mix them and give it Or you make a Clister with Chicken Broth or Oxycrate It is good to open a Vein by which means the burnt and boiling Blood may be cooled revelled and asswaged but do it with discretion twice or thrice if the strength be not impaired by the first You must endeavour to qualify the sharpness of the Humours thus Take of the waters of Plantane Purslan and Mint of each two Ounces Sirrup of Quinces and dried Roses of each one Ounce Sirrup of Vinegar half an Ounce mix them and dissolve therein two Scruples of Theriack Andromachi and six drops of the Oyl of Vitriol give now and then a Spoonful But if the Patient hath someease and the Symptomes abate or appear not beware lest they suddenly return and destroy the Patient as it sometimes happeneth in this case Therefore nourish him and strengthen his Stomach with this restoring Opiate Take of the Gelly of Harts-horn made with Canary Wine four Ounces of the Conserves of Roses Burrage Bugloss and Clove-Gilliflowers of each one Ounce Confectio Alchermes half an Ounce Citron Barks and Nutmegs candied of each three Drachms the Essence of Cloves Mace Nutmegs and Cinnamon of each three drops with the Sirrup of Clove-Gilliflowers make an Opiate of which let the Patient take often the Quantity of a hazel Nut and more Mornings and Evenings To conclude the Medicines prescribed in the last Chapter against cholerick Vomitings may be useful here CHAP. XLI Of Pain in the Stomach Dolor Ventriculi or Pain in the Stomach is caused by naughty venemous and gnawing Humours contained therein the Ancients made this distinction viz. that if the upper Orifice of the Stomach which is of exquisite sense by reason of the great Nerve which it hath from the fifth Conjugation be affected the Pain is very sharp which maketh the Heart the most Noble part and near unto it sensible of the same from thence it is called Cardialgia But if the Membranes of the Cavity or lower Orifice called Pyloras be affected it is called Dolor Ventriculi or Colica Ventriculi especially if it comes of Wind. The Cause of this Disease is either Worms gnawing the Tunicles of the Stomach or Wind lodged in the Cavity of the Stomach which causeth Swelling and painful Distension or sharp and malignant Humours therein contained as salt Phlegm green and black Choller whose sharp Vapours cause Pain corrupt Matter from an Imposthume of the Liver or the Breast Diseases of the Stomach and the Parts adjoyning evil Humours from the whole Body in Feavers Choller from the Liver Melancholy from the Spleen and salt Phlegm from the Head all these may be the Causes of this Evill The external Causes may be evil and corrupt Nourishment or Meats that are too hot that breed Wind or Choller Meat taken in too great a Quantity Poyson strong sharp and deadly Medicines not well corrected Diagnostick Signes are thus taken
and the Troches of Amber of each half a Drachm with Sirrup of Comphrey make an Opiate and let the Patient take a little often Take of the Powder of Rubarb one Ounce the Troches of Sanders two Drachms mix it and give the Patient two Drachms twice a day it evacuateth the Matter and strengthneth the Bowels Both the Sirrup Magistery and Tincture of Coral availeth much and the Decoction of Juniper Berryes in red Wine is no lesse effectual If it continue long and your Patient's strength much decay give Laudanum among your other Medicines The Fume of Fleabane and Mullein taken through a hollow Chair is excellent The Conserve of Hips is good against a cholerick Flux you may mix with it such things which are astringent I shall say no more of the Cure of this Disease but refer you to the next Chapter Onely this if the Disease come by consent of other parts seek the Cure in their proper Chapters CHAP. XLVII Of the Dysentery or Bloody Flux 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is a bloody Loosenesse of the Belly depending upon the Ulceration of the Intestines but it is commonly taken for every Bloody Flux the Latines call it Tormina because of the Torture the Patient endureth Galen mentioneth four kinds of Fluxes which he calleth Dysenteries The first is when any usual Evacuation of Blood as the Haemorrhoids or at the Nose is omitted or impedited or any part of the body is hurt and by that means the Blood is sent to the Intestines and voided by the Belly The second is when watry Blood is voided by reason of the weakness of the of the Liver of this I shall treat hereafter The third is when Blood mixed with Melancholy and burnt by reason of long Retention in the Liver and Spleen is evacuated and shineth The last and that which I am now to discourse on is when Blood and Excrements are mixed together and sometimes also Matter is mixed therewith and is evacuated with Torture to the Patient by reason of Ulceration in the Guts this is the proper Dysentery The internal Causes are sharp and ulcerating Humours yellow green and black Choller Salt Phlegm in the Head bred by Heat or in the Belly by putrefaction which being brought to the Guts and sticking to them ulcerateth the part The Causes external are all things which make sharp and evil Humours Meats which soon putrify Fruits which are soon rotten all things unripe the Air thus qualifyed the Winter cold and dry and the Spring very wet and ful of South Winds cause Dysenteryes in the Summer Or if the Winter be wet and full of South Winds and a dry Spring and the North Winds blow much such a Season produceth Dysenteryes Sometimes the Air is infected and produceth a contagious and epidemical Dysentery which is so infectious that the Excrements of the Sick being cast into a Privy infecteth all that sit over it The Diagnostick Signes are often and bloody Evacuations with Pain in the Belly Watching Thirsting Loathing of Meat sometimes a Feaver If the small Guts are affected the Pain is vehement like the pricking of Pins because they are of more exquisite Sense they go not to Stool presently after the Pain and the Blood is mixed with the Excrements The contrary judge if it be in the great Guts the Pain not so sharp they go to Stool presently after and the Blood swimmeth on the top of or a little mixed with the Excrements You may judge of the Humour causing this Disease by the Colour of the Excrements Age and Temperament of the Patient and Season of the year Thus the Prognosticks are made Dysenteryes caused by black Choller are deadly if it be not Critical because the Ulcer groweth cancerous be sure you judg aright between Melancholy and Blood congealed If Loathing of Meat and a Feaver accompany it it is dangerous If pieces of Flesh be voided it is deadly Much Watching great Thirst black bloody and stinking Stools without a Mixture of Humours Hiccough cholerick Vomitings Pain in the Liver and Midriff are for the most part deadly Signes If Choler or sharp Diet be the cause of this Disease it is easily cured salt-Phlegm is worse because it sticks longer to the Guts If this Disease happen to one troubled with a disease in the Spleen or the Gout it is good saith Hippocrates because the Matter is sent forth but this is rather a Diarrhae a then a Dysentery To cure you must evacuate sharp Humours you must asswage Pain cleanse consolidate and dry the Ulcer and stop the Flux To evacuate the Humours you must purge every second third or fourth day according to your Patients Age Strength Season of the year and the like Rubarb is exceeding good in this Disease given a Drachm or a Drachm and an half or two Drachms Or made into a Potion thus Take of Liquorish scraped and sliced and Raisons of the Sun of each three Drachms Tamarinds and yellow Myrabolans of each two Drachms boil them in Barly and Plantane water to three Ounces in which streined infuse a Drachm of Rubarb thin sliced then add one Ounce of the Sirrup of Roses solutive and make a Potion if you think it not strong enough add of Diacatholicon three Drachms or you may give the Rubarb in Powder in the aforesaid Decoction If the Dysentery be accompanied with a Feaver and Inflammation of the Bowels open a Vein and let the Patient bleed according to his Strength Sometimes vomiting is profitable to revell the Humours which fall from the Stomach to the Intestines Omit not vomiting if you find the Stomach very foul Especially if the Sick be inclinable to vomit for then Nature dictates the right way and ought to be imitated In the mean while you must give asswaging mild and cleansing Clisters afterwards glutinous and astringent Thus Take of the Roots of Marshmallows Butter-burr of each one handful Camomil Flowers one Pugil the Seeds of Flax and Fleabane of each two Drachms boil them in Barly water or Milk Chalybeated or Mutton Capon or Sheeps Head Broth to a Pint strain it and dissolve therein the yolks of four Eggs well beaten Oyl of Roses and Sirrup of Quinces of each one Ounce and make a Clister If the Ulcer want cleansing add Century and Wormwood to the former Decoction and to the strained Liquor add Turpentine dissolved in the yolk of an Egg the chymical Oyl of Wax of each one Drachm When there is need of more binding and glutinating make a Clister thus Take of the Roots of Comphry Tormentill and Bistort of each one Ounce Plantane Shepherds purse Knot-grasse and Mous-ear of each one handfull Pomegranate Flowers Mirtles Acorn cups and Cypresse Nuts of each one Drachm parched Rice French Barly and red Roses of each one Pugill Make a Decoction in Smiths water to a Pint of the straining add of the Juyce of Plantane and Yarrow of each one Ounce and the yolks of two roasted Eggs. Or insteed of the Juyces you may add
the Musilage of Gum Traganth made with Rose or Plantane Water and the Suet of a Goat of each one Drachm which Emplastick Clisters as with a Plaister cover the internal Superficies of the Guts and preserveth the part from the gnawing of the Matter All this while you must give internal Medicines of the same Nature and the oftner if the upper Guts are ulcerated First to cleanse give Gears Milk to glutinate Cows Milk Chalybiated with it you may mix the juyce of Plantane Sirrup of Comphry Sugar of Roses the Troches of Amber and the white Troches of Rhasis Let the Sick eat Rice boiled in Chalybiated Milk or the Musilage of Gum Traganth and Arabick drawn as before in his Broth half a Drachm The Body being well cleansed you may make an astringent Decoction to compleat the Cure Take of the Roots of Bistort Tormentill and Comphry the Leaves of Plantane Yarrow Shepherds purse Horse-tayl Mousear and Agrimony of each one handfull the Seeds of Sorrel Sumach and Grape-stones of each one Ounce make a Decoction in four quarts of Water to the Consumption of half Sweeten the strained Liquor with the Sirrup of Comphry Quinces dryed Roses Myrtles or Corall Front what hath been said there is light enough for the Ingenious to make Medicines in any form to please the Pallate of his Patient which I omit being loath to be tedious but lest I should omit any thing necessary make an Opiate thus Take of Conserve of Roses and Quinces of each one Ounce Conserve of Comphry Roots half an Ounce Coral prepared Sanguis Draconis Bolearmenick sealed Earth Acatia Conserve of Sloes of each one Drachm burnt Ivory and Spodium of each one Scruple with any of the Sirrups aforesaid sufficient to make an Opiate and give the Quantity of a Chesnut Morning Night and Noon Narcoticks do Wonders especially if they be mixed with astringents and strengthners Take of Conserve of Roses and Services of each one Drachm Confectio Alchermes half a Scruple Laudanum three Grains make a Bolus Anoint the Belly with the Oyls of Quinces Myrtles Roses Mastich Wormwood and the like The Oyntment called Comitissae is of wonderful Virtue I might here teach you to make Fomentations and Cataplasms for the purpose aforesaid of the aforenamed Simples but seeing the Ingenious need it not and the Ignorant deserve it not I shall save that labour fearing my Booke will swell to a greater Volume then I intended What ever you do remember to strengthen the Liver with Cataplasms for that purpose made of Simples strengthning the Liver If the Dysentery be Epidemical and Malignant Sudorifick Medicines are of great force As Medicines made of Bezoar and Treacle water you must begin with Cordials and proceed as you do in a Malignant Feaver CHAP. XLVIII Of Tenasmus 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in Greek and Tenasmus in Latine is a continual desire to go to Stool yet the Patient voideth nothing but Slime and bloody Matter it is caused by an Ulcer in the Intestinum rectum or streight Gut from which filthy Matter continually flowing provoketh the expulsive Faculty hence followeth a continual desire to go to Stool This Disease properly belongeth to a Dysentery yet by custom when onely the streight Gut is ulcerated it is called Tenasmus therefore I shall not insert the Causes being the same with the former For the Knowledg of this Disease it is easy to distinguish between this and a Dysentery In a Tenasmus the desire of going to Stool is continual in the Dysentery by Fits onely In the first notwithstanding all straining nothing is voided but Slime bloody or mattery in the other both Exerements and Humours are voided The Signes of the Causes seek in the former Chapter Tenasmus for the most part is easily cured but is dangerous if a melancholy Humour be the Cause lest it turn to an ulcerated Cancer yet for the most part it is of long Continuance and very troublesome If a Woman with Child hath the Tenasmus it brings many Inconveniences to her and great danger of Miscarriage Hippocrates saith she will miscarry but I have known the contrary True it is a Woman seldom escapeth in that condition for that Motion doth much disturb the Womb because the same Muscles which serve to cast forth the Excrements are employed for Delivery If the Ulcer be near the Fundament or Anus if it continue long it turns to an incurable Fistula For the Cure I shall refer you to the former Chapter it being the same both in the Causes and the part affected of the same Nature with the other Intestines CHAP. XLIX Of the Flux of the Liver FLuxus Hepaticus a Flux of the Liver is when serous and bloody Humours are voided much like Water wherein Flesh hath been washed It is caused by an evil Disposition consuming the radical Moisture of the Liver and destroyeth the natural Heat thereof this Disposition cometh by burning and swooning Feavers by a hot Distemper of the Bowels or by great Coldness from abundance of Phlegm and Melancholy which oppresseth the natural Heat Outward Causes as great draughts of cold Water extraordinary eating of raw Sallets poysonous and too violent Purges salt sharp and peppered Meats which parch the Substance of the Liver may corrupt the natural Hear There is also a bastard Flux of the Liver when the radical Moisture is not in fault nor the Faculty hurt yet the Blood is impure and corrupt by the mixture of Choller Melancholy or some corrupt Matter or by its staying too long in the Liver and the parts adjacent by which it is made thick burnt or rotten or the Spleen is in fault and doth not suck away the drossy Blood In this Bastard Fluy thick and black Blood and sometimes Blood mixed with divers Humours is voided The Signes of this Disease may be gathered from what hath been said and it differeth from the Dysentery in this that the Stools are lâ—quid bloody and watry and voided without pain The Signes of the Causes most be considered If this defect of the Liver come from a hoe Distemper there went before a burning Feaver or a Feaver is present green Vomits or Stcols Thirst Foulnesse of Body and Want of Appetite stinking Evacuations If from cold the Stools are not so stinking nor is there Thirst the whose Body is colder and blewish Moist and dry Causes produce contrary Effects a moist Distemper causeth more Stools and thin a dry sewer and thicker and lesse in Quantity with much Thirst This Disease is very dangerous because a principal part is affected and the radical Moisture consumed which can scarcely be restored and nothing but destruction to be hoped for so much the more if the Disease comes of Hear If it comes in Feavers the whole Body melteth and putrifieth If it come from a cold Cause it losteth the longer and turns into an incurable Dropsy Though a Bastard-Flux of the Liver be dangerous yet it is farr lesse then a true one because the Liver
is sound and the Distemper may be taken away if the Humours which corrupt the Blood be evacuated In the Cure of this Disease your main work is to strengthen the Liver correct the Distemper and stay the Flux If it come from a cold Cause deal with it as with a Dropsy But if it come of a hot Cause as for the most part it doth you may gently evacuate the peccant Humours with Rubarb as you are taught in the Cure of the Dysentery Then you must give Medicines which strengthen the Liver Take of the Roots of Succory Sorrell Bloodwort and Monks-Rubath of each one Ounce the Leaves of Plantane Endive Succory Purslane Agrimeny and Dandelion of each one handfull Wormwood half a handfull Red Sanders two Drachms Coriander seeds prepared a Drachm red Roses one Pugill the shavings of Ivory and Spodium of each a Drachm boil them in Barly water to a Quart and in the straining dissolve of the Sirrups of Quinces Vinegar Simple and dried Roses of each two Ounces of the Oyl of Vitriol as much as will make it moderately sharp and make a Julep for six Doses to be given Morning and Evening First and Last The Sirrup of Myrtles of Succory simple or compound with Rubarb the Sirrup Tincture or Magistery of Pearl is very good and may be made use of as the former or made into a Julep with Plantane or other cooling Waters The Liver of a Wolf is much commended and it may be made into an Electuary Opiate or into any other form with the aforenamed ingredients The Tops of young Nettles boiled in Broth or Water are good and the juyce taken is more powerful to stop the Flux and to purify the Blood It is good to apply an Epitheme to the Region of the Liver made of the aforenamed Ingredients or as many of them as you think good It is convenient that among your Medicines which you give to stop the Flux you administer such as are restorative because in this Disease the Body is much consumed Riverius much commendeth this distilled Water and the truth is it deserveth commendation Take a fat Capon and a Partridge pull and draw them and filth ir bellyes with Succory Agrimony and Snails of each one Handfull Conserve of Roses three Ounces Plantane and Coriander Seeds prepared of each two Drachms Citron Myrabolans one Drachm the Leavs of Bloodwort half a handfull the Troches of Amber and Spodium of each four Scruples the Powder of the Electuary de Gemmis Triasantalon and Diamargariton frigidum of each one Drachm Sprinkle them with Styptick Wine and put them into the Fowls Bellyes boil them in a close Vessel in four Pints of Water till half be consumed then put them into a glasse Limbeck with three Ounces of good Wine and distill them in Balaeo give a little of the Water often by it self or with other Medicines CHAP. L. Of the Worms VVorms for the most part breed in the Guts therefore I shall speak of them here Galen Propounds three kinds of Worms the First are round and long and are called Teretes and are more common then the rest and are bred in the Guts but do somtimes get up into the Stomach The Second are called Ascarides they are little and smal like threds and they commonly ly in the lower part of the thick Intestines and over against the Sphincter-Muscle The third sort are broad Worms and long though seldome seen sometimes they are voided of an incredible length They are bred of such Nourishment as easily putrifieth in the Stomach hence it cometh to passe that Children and such as are gluttonous who eat much Fruit and such things as easily putrify especially more being eaten before the former is digested are troubled with Worms The Signes of Worms in the Guts are divers not in all alike a stinking and sowr Breath Stools like Cow dung in colour Gray like Potters earth Sometimes there is a continual Feaver Heavinesse Fainting Loathing Vomiting unquenchable Thirst and sometimes cold Sweats an unequal Pulse the Cheeks are sometimes red sometimes blew the Eyes shine the Nose itcheth the Teeth gnash a dry Cough There is pain in the Belly sometimes by Inflammation and sometimes by Distention some start in their Sleep Sometimes the Body pineth and the Patient hath an insatiable Appetite this is a Signe of flat Worms which eat up the Food The Ascarides are known by the itching of the Fundament and the Excrements are many times full of them Sometimes the eating away of the Gums is a Signe of Worms Though to Children and older Folk Worms are common and little feared yet many and dangerous Symptoms and Diseases are bred by them In the beginning of a Disease it is evil for Worms to be voided alive or dead especially alone without Dung if they be alive they signify great Crudity and Want of Nourishment if dead great Putrefaction by which they are killed In the declining of a Disease Worms comming forth with the Excrements is a good Signe The Cure of the Worms consisteth in giving Medicines to kill them and to evacuate them being killed The best way to kill them or at least to drive them to the lower Intestines are these Simples which follow viz. all the sorts of Wormwood Southernwood Calamint Dogs-tooth Century Horehound Dittany Hyssop Rew Savin Peach leavs Coriander seed Harts horn Lupines Mints Garlick Elecampane and many other of these Simples may several forms of Medicines be composed mixing with them such things as purge not onely to kill but also to carry away the Cause of Worms Rubarb is much commended because it may safely be given if a Feaver be present Take of Rubarb one Drachm yellow Sanders half a Scruple infuse them in Purslane water three Ounces strain them and dissolve the Powder of Rubarb and the Powder against the Worms which you may have at the Apothecaryes of each one Scruple Sirrup of Roses one Ounce mix them and make a Potion If the Feaver be not great add Hiera picra to your Potion more or lesse according to the strength of your Patient afterwards give a Clister made of the Decoction of Liquorish Raisons Figs or Chicken Broth sweetned with Sugar and Hony of Roses such Clisters are good to draw them down into the thick Guts Afterwards give a Clister made after this manner Take of Wormwood Southernwood Century of each one handfull Lupines half an Ounce the Seed of Wormwood and Coriander seed prepared of each two Drachms In a half Pint or a Pint of the strained Liquor according umo the age of the Patient dissolve one Ounce or two of the Oyl of Wormwood and Salt one Drachm and an half To bring them out being killed add to the former Clister Benedicta Laxativa Hiera picra and Cassia newly drawn of each three Drachms or more if your Patient can bear it Rondoleitus doth highly commend Diaearthamum and the Infusion of Agarick in Oxymel because it not onely killeth Worms but purgeth Phlegm and corrupted
and it will be more powerfull it a little Bolearmenick Sanguis Draconis and Terra Sigillata be given with it Among a multiplicity of Medicines which are astringont and proper for this Diseale I shall insert but one or two Zecheus doth highly commend this following Electuary Take of Gum Arabick and Gum Tragant of each two Drachms Corall of both sorts Eg-shells burnt Harts-horn Dill Seeds Amber of each four Scruples Hony of Roses as much as will make into it an Electuary give half an Ounce in the Morning and fast two howers after it This Julep I have found of great virtue Take of the distilled Water of Plantane red Roses Oak Leavs and Knot grasse of each four Ounces infuse therein a whole Night of the Flowers of Comphry Buglosse and red Roses of each one Pugill strain them out and make it sharp with Oyl of Vitriol with the Sirrup of Comphry and red Roses make a Julep for four or five Mornings Draughts Whatever part sendeth pblegmatick Matter to the Womb you must seek its cure from its proper Chapter To conclude the Medicines prescribed in the former Chapter are good against this Distemper Outward Remedies as Fomentations Unguents Fumes Pessaryes and Injections such as are prescribed in the Chapter aforesaid are usefull here CHAP. LXXV Of the Mother THis Disease is called the Hystericall passion Uteri Strangulatio by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 we call it the Mother and Strangling of the Womb. It is caused by the Seed menstruall Blood or other excrementitious Humors retained besides the intent of Nature in the Womb and there putrified and corrupted breedeth venemous and malignant Vapours which arising doth afflict divers parts of the Body Now these Vapours do not alwayes afflict but when they are stirred up by some cause the most noted are sweet odours sweet meats eaten anger terror and grievous passions of the mind these and such like bring Women subject to this Infirmity into their Fits wherein their breathing is impaired sometimes to appearance abolished the Body becomes cold their Speech gone and Pulse intercepted so that they ly for dead and sometimes have been laid out for burial and yet have revived Sometimes these choaking Fits are not so extream yet is accompanied with other hystericall Symptomes as Vomitings Ravings Convulsions Swoonings and the like Sometimes the Patient feeleth herself as it were choaked by an halter or rope this is caused by abundance of Vapours and Winds ascending from the Womb sometimes seconded by hypocondriack Melancholy which Vapours compressing the Diaphragma and Lungs hinder Respiration and the Patient feeleth herself as it were strangled Others will have it proceed from the Nature of the malignant Vapours whose property is to cause Suffocation Sometimes she loseth her Breath without pain or sense of Strangling by reason of the stupefactive Power of these Vapours which taketh away the vitall Action from the Heart and so hindreth Respiration For Nature having ordained the drawing of Breath to cool the Heart and the Heart is extreamly cooled by these venemous Vapours having no need of the cool Air Breathing ceaseth For the vitall Spirits being destroyed the Animall which are made of them must needs lose their functions We may also say that these venemous and stupisying Vapours do fly up and assault the Brain and hinder the Influx of the animall Spirits whereby the Motion of the Diaphragma and the Muscles which serve for Respiration are hindered Likewise the Womb being filled with these flatuous Vapours doth ascend towards the upper parts as it were by a convulsive Motion which causeth a Compression of the Midriff and Muscles of Respiration Sometimes these sharp and malignant Vapours ascend to the Head and disperse themselves into the membranous parts and cause divers pains pricking and smarting and sometimes stretching and swelling sometimes they cause pains beating like the Pulse Sometimes the Falling-Sicknesse cometh from the Womb by reason of sharp and malignant Vapours which having gotten a powerfull Acrimony do sharply smite the nervous parts These Vapours assaulting the Heart the Heart laboureth to expell them hence ariseth Palpitation Likewise it causeth a great Pulsation in the Back The Stomach doth oftentimes suffer much by this Distemper according to the Nature of the Humours afflicting or part of the Stomach it gets possession of as Want of Appetite or a depraved Appetite that is destring Food which Nature disdains as Coals Chalk c. Loathing of Meat Vomiting Belching Hiccough and pain in the Stomach If in the Womb menstruall Blood is retained it floweth back by the Voins into the Liver from thence shed abroad into the whole Body hence cometh Swelling Feavers and other Diseases If it flows back to the Spleen Swelling Stopping Melancholy and hypocondriacal Diseases are bred Lastly Women have pains in their Loins Thighs and other parts which are caused by these Vapours conveighed from the Womb. Therefore to know this from other pains mark well the Signes of this Disease Much may be gathered from what huth already been said remembring this you must not expect all the Symptomes in one but some in one and some in another the Breathing faileth Sense of Strangling Coldnesse of the Body the Pulse ceaseth and the like which I have mentioned before There goeth before the Fit a Noise in the Belly below the Navill Belching Inclination to Vomit Wearinesse Stretching the Face pale and wan As it gathers Strength it bringeth Suffocation or Choaking afterwards all the vitall animall Actions are depraved diminished and as it were abolished the Womb may be felt in divers parts of the lower Belly gathered round like a Ball tossing and tumbling to and fro When the Fit begins to be over a moist Humour floweth out of the Womb the Body beginneth to be warm they have a Colour in their Face they open their Eyes they sigh they begin to move and so by degrees are freed from the Fit Signs of the Causes are thus known If the Seed corrupting in the Womb hath been the Cause there hath preceded those things which might gather together or excrease Seed and cerrupt it in the Womb as flourishing Age high keeping and an idle life Sanguine Complexion and ripe for Generation or one formerly accustomed to the Actions of Generation and left it of if any such fall into this Disease and have their monthly Purgation well you may judge that Corruption of Seed is the Cause If it come from the Putrefaction of menstruous Blood the Menstrues are stopped or come not down well and the Woman wanteth no carnall Embracements If evill Humours be the Cause the Woman enjoyeth camall Excercise and hath her monthly Purgation but her Body is full of evill Humours Prognosticks we make thus This Disease is seldom mortall but of long continuance the Patient is in great danger if it continue long because Respiration being so often hurt there is danger that the native Heat be suffocated Young Women when they come to bear Children for the most part
Mercuriall and antimoniall Purges and many preferr Vomits before all Then apply resolving Decoctions made of the Roots of Briony Danewort the Leavs of Ground-Pine Mint Marjarom Sage Savin Rue Rosemary Pennyroyall c. the Flowers of Camomill Melilor and Mallows the Seeds of Flax Fenugreek Bay Juniper Berryes and such like and foment the part therewith Also Juniper Berryes fryed in a pan being first beaten with Salt and Bran and moistned with Canary Wine and put in a Bag and applyed warm With the aforenamed Ingredients Cataplasms may be made and with the Oyls following let the part be anointed viz. Oyl of Camomill Dill Nord Orice Rue Scorpions Tiles Turpentine of Foxes and the like the Ointment of Marsh-Mallows and Spanish Soap dissolved in Spirit of Wine This is much commended Take a good Quantity of Snails bruise them well in a Morter then make Paste with them and Rye Flower adding a little Spirit of Wine and fasten it to a Spit and roast it a Liquor will drop from it with which anoint the part for it is of excellent Virtue Then lay on this Plaister Take of Shio-Pitch Rozin of each two Ounces Gum Ammoniacum dissolved in Vinegar and Emplastrmm Diachylon cum Gummis of each one Ounce Brimstone and Hermodactylls powdered of each three Drachms Turpentine three Drachms and Wax sufficient make a Plaister If the Disease do still continue proceed to a Vesicatory add to the former Mass for a Plaister Cantharides their Wings taken off Staves-acre and Mustard Seed of each one Drachm In the whole course of the Cure let not frequent Clisters be neglected And if the Disease be old make an Issue in the Leg on the same side on the outside of the Leg. If you find Symptoms of a Catarrh which may occasion the Sciatica by a Defluxion of Humours make an Issue in the hinder part of the Head and use other means to correct the Distempers of the Brain See Chap. 9. by this means hath the Sciatica been cured when all other means failed Sometimes the Matter causing the Sciatica doth imposthumate and after it is opened there remains a filthy Ulcer which for the most part pineth the Patient away brings him into a Consumption The Cure whereof belongeth to an expert Chirurgion CHAP. LXXXIII Of one day-Feaver THis Disease is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ephemera in Latine Diaria Febris in English One day-Feaver because for the most part it finisheth in one day of its own Nature It is caused by some internal cause as some hot fiery Swelling on some part of the Body or when some hot Excrements shut up in some part do offend the Heart by Retention of Excrements and Obstruction of the Vessels by which the Pores of the Skin are shut and Transpiration is hindered Or secondly it is caused by externall causes as vehement Motions of the Body or Mind by which the Spirits are inflamed by being heated with the Sun or Fire by Surfetting Drunkennesse especially with Meats and Drinks of a hot Nature By what hath gone before you may know this Feaver the Pulse is swift and great and so he fetcheth his Breath he is very hot and his Head aketh He hath no Shivering Cold nor Wearinesse unlesse it came by the Heat of the Sun or by cold You must give the Sick such things as are cooling moistning as cooling Broths Barly Cream Ptisan Drink small Beer and Sugar Water and Sugar or mix Sirrup of Violets Lemmons or Maiden-hair with his Drink If the Disease was caused by the Heat of the Sun give him cooling things and lay him in a cooling Lodging and anoint his Temples with Vinegar of Roses If he took his Feaver being in the cold provoke Sweat the like observe if the Pores be obstructed If it come by over eating and drinking let him take a Clister If evill Humours abound in the Blood and Body open a Vein and purge if putrified Humours lodge in the Stomach vomit If it continue above three dayes it degenerates into a simple Synochus putrid or Hectick Feaver CHAP. LXXXIV Of the Feaver Synochus non-putrida IF the Feaver aforesaid light upon a plethorick Body or one who is grosse and thick skinned it turns to a simple Synochus It is known by the corpulent and swelling Habit of the Body high Colour of the Face He breathes with difficulty he is much pained in his Head and his Temples beat strongly The Pulse is orderly but quick and full The Urine little differeth from its naturall colour yet a little thick and red and the Heat is not very violent It lasteth to the fourth and sometimes to the seuenth day if it ends not then it degenerates into a putrid Feaver The Cure is to be performed by blood-letting by cooling and by opening the Pores of the Body Before blood-letting if the Patient be costive and his Body foul give an emollient and laxative Clister Then give cooling Juleps made of the Decoction of Barly and cool Herbs or with their distilled Waters as of Endive Succory Sorrell Buglosse Borrage and the like with the Sirrups of Succory Lemmons Vinegar Violets Pomgranates and the like adding some drops of Oyl of Vitriol or boil in the distilled Waters Triasantalon or Diamargariton frigidum lest the Waters encrease Crudityes by their Rawness Or you may make an Emulsion of Almonds the great cold Seeds and white Poppy Seeds with Barly water or the distilled Water of the aforegoing cooling Herbs Galen adviseth to give the Patient cold water in great abundance till his colour fade but beware this Cure unlesse the Patient be strong corpulent and not full of ill Humours and that he take it in the height of the Fit I confesse I have seen many so cured and have experimented it upon my own Body but durst not advise it Anoint the Liver and Loyns with Unguentum Rosatum Refrigerans Galeni or Ceratum Santalinum Or make an Epithem of the distilled Waters of Endive Succory Sorrell c. the three Sanders and Powder of Diamargariton frigidum If the Disease end not quickly after bleeding purge with gentle things that do not heat nor much stirr the Humours as Rubarb Cassia Manna Tamarinds Sirrup of Roses Catholicon and such like CHAP. LXXXV Of continuall putrid Feavers I Shall describe the causes and Cures of all putrid Feavers in one Chapter for though there are divers sorts yet the Cure is almost the same in all therefore laying aside particular precepts let the Judgment and Dexterity of every Physitian put a difference between them I shall likewise wave many nice descriptions and definitions of Feavers first as not beneficiall to the young Student in Physick secondly as not befitting this Volume Synochus putrida is engendred of the same causes as the simple Synochus as the shutting up of the Pores of the skin and Obstruction of the Vessels by much Blood or clammy Humours by which means the Transspiration of fuliginous Vapours is hindered and Putrefaction is bred
known by a fat and oyly Urine chollerick fat clammy and stinking Stools the Nose sharp and a sudden Consumption of the whole Body I need not tell you how shivering or tumbling and tossing Feavers are known Elodes is known by inordinate Sweats abundance of Urine and thick by reason of Putrefaction the Stools shew an apparent Wasting and the losse of Strength doth manifest the same Syncopalis Febris is known by the swooning Fits Epiala by Heat and Cold felt together and Symptomatick Feavers from the Diseases from which they proceed Signa Prognostica Synochus putrida is not without danger If Signes of Concoction appear about the fourth day the Disease will terminate about the seventh day If Concoction appear not and the Patient's Face is swelled it will continue long The redder the Urine is the better if Concoction appear but with Signes of Crudity it threatens death White Urine is worst and threatens death Chollerick Feavers are acute and dangerous and so much the more as the Symptomes are violent and encreased above the naturall Temper of the Patient A continuall Quotidian continueth long for the most part because of the thickness of the Humours the more Evacuations the better beware lest it degenerate into a Chachexy or Dropsy A continual Quartane is rare sometimes the quartane Ague degenerates thereunto is deadly for the most part The melting sweating shaking tūbling swooning Feavers are dangerous Symptomatick Feavers are to be judged from the excellency of the part affected the Nature of the Distemper and the Validi◅y of the Patient's Strength Medicines in a cholerick Feaver ought to be cooling and moistning in phlegmatick and melancholy more warm and attenuate Let the Air be cold and moist let cool Water be sprinkled upon the ground with Herbs and Flowers let the covering of his Bed be light and thin Let his diet if he eat any thing be very sharp thin and slender Let his drink be Barly Water and his Meat Barly Broths Pavados and such like If the Feaver be of long continuance let the Sick make use of a fuller Diet viz. of the Broth or Flesh of Chickens Hens Capons Partridges Veal Mutton or Gellyes made with them In his drink or Barly Water let cool Herbs be boiled and give it a gratefull Rellish with Spirit of Vitriol If the Feaver arise from not and thin Choller or if there be a Consumption of the Lungs Inflammation of the Stomach bloody Flux Ulcers of Kidneys and Bladder or Pissing of Blood sharp things are not good but rather such things as gently thicken as Barly Water with Sirrup of Violets or of dryed Roses Sleep is very good and Watching hurtfull yet overmuch Sleep doth overwhelm the naturall Heat and hinder Evacuation which ought to be made and nothing to be retained which ought naturally to be expelled First Blood-letting doth diminish Plenitude of the Body and Veins pulls back the Humours which cause Obstructions cooles the Body and makes it perspicable keeps back Putrefaction and furthers Concoction Therefore after the Patient hath had a Stool by Clister or otherwise open a Vein and bleed the Patient according to his Strength and present State But this observe that you bleed not in the extremity of the Fit When Weaknesse or Age will not permit a Vein to be opened Copping-Glasses must be applyed Frictions must not be used but in swooning Feavers After you have let Blood once twice or thrice if you see occasion come to purge the morbifick Matter the Medicines for this intent must be Cassia Manna Tamarinds Catholicum Electuarium lenitivum Diaprunum simplex Sirrup of Roses and of Succory with Rubarb Some do object against Rubarb for its Heat Manna and Sirrup of Roses because it is sweet and soon turned into Choller but being mingled with cool things or given in cool Waters they can do no hurr If the Stomach is much afflicted and the Patient is troubled with Vomiting you must understand that Nature endeavours to cast out her enemy that way she ought to be assisted by a Vomit The gentler sort and such as are to be chosen for weak people is the Oyl of Almonds or common Oyl given in Barly Water you must give a Pint at the least or else it will hardly work the effect Sirrup of Vinegar or Oxymel given in the Decoction of Radishes Every day or every other day give an emollient and refrigerating Clister such as Barly Mallows Violet leavs and Mercury Flowers of Camomill and Melilot Seeds of Dill and Fennell c. cooling Herbs are Lettice Endive Succory Housleek a Blade or two Water-Lillyes dissolve therein Cassia Catholicon Diaprunum simplex the Hony of Violets and Mercury Oyl of Water-Lillyes Violets c. If the Disease spring from Phlegm leave out the cooling Herbs and dissolve in it Hiera Picra Diaphaenicon Hony of Roses and Mercury Oyl of Camomill Dill or common Oyl No absolute and perfect Purgation ought to be administred till the Morbisick cause be ripened and digested which must be done by Juleps thus Take of the distilled Waters of Endive Succory and Sorrell of each two Ounces Sirrup of Lemmons and Violets of each one Ounce and an half a little Oyl of Vitriol to sharpen it make a Julep and let the Sick take a Spoenfull or two often Or you may make a Decoction of the Roots of Sorrell Succory Maiden-hair Endive Dandelion Tamarinds and such like and make a Julep with the aforesaid sirrups or the Sirrup of Vinegar and Pomgranats If the Choller by its sharpnesse cause a Flux make Juleps which have a thickning Quality Take of the waters of Lettice Purslane and Plantane of each three Ounces the Sirrups of Violets and Water-Lillyes of each one Ounce of red Poppyes half an Ounce mix them and make a Julep If the Feaver comes from a phlegmatick cause you must give things more cutting and attenuating as a Decoction of Agrimony Maiden-hair Betony Carduus Benedictus and the five opening Roots Liquorish Raisons and such like and the Sirrups of Vinegar Maiden hair and Byzantius and Spirit of Vitriol If it proceed from Melancholy make a Decoction of Ceterach Burrage and Buglosse Maiden-hair Fumitory Dedder scordium the Bark of Ash Capers Tamarisk and with any of their Sirrups viz. Fumitory Buglosse c. make a Julep Or with such like Ingredients according to the Nature of the peccant Humour you may make physicall Broths or Emulsions and Almond Milks Likewise of the aforesaid Ingredients you may make Epithems Ointments and such like to cool and well temper the Liver Altering and preparing Humours used for some dayes together you may make bold to purge with Scommoniate Medicines as Diaphaenicon Diaptugū soletivum Electuarium de succo Rosarum and Diacarthamum and such like whose Doses you shall find in the last Book To strengthen dejected Nature make use of the Conserve of Buglosse Roots the leavs of Sorrell and Wood-sorrell the Stalks of Lettice the Flowers of Burrage Buglosse Violets Succory Roses Pulp of
Sanguine Tumors p. 422 chap. 8. Of cholerick Tumors p. 429 chap. 9. Of Phlegmatick Tumors p. 432 chap. 10. Of Melancholy Tumors p. 439 chap. 11. Of Ulcers p. 444 chap. 12. Rules for Vomiting and Purging p. 448 The Contents of the Fourth Book CHap. 1. Of Distilled Waters page 452 chap. 2. Of Syrups p. 464 chap. 3. Of Decoction and Juyces p. 484 chap. 4. Of Lohocks p. 486 chap. 5. Preserves Conserves Sugars and Lozenges p. 489 chap. 6. Of Troches p. 493 chap. 7. Of Pills p. 501 chap. 8. Of Powders p. 510 chap. 9. Of Electuaries p. 519 chap. 10. Of Oyls p. 534 chap. 11. Of Oyntments p. 534 chap. 12. Of Plaisters p. 539 CHAP. I. A Physicall Description of Man THe omnipotent and wise Creator having created all things out of nothing and out of a rude and undigested lumpe or masse according to his will and by his word brought all things into a decent frame and comely structure out of a confused nothing wrought the Heaven and the Earth out of that which was darke and voide he created light he seperated the Waters from the Earth and gave bounds to the unruly waves and indued the dry and barren Earth with a prolificall virtue richly adorning it with grasse hearbs and Fruit-Trees he made the Sun Moon and Stars to divide the light from the darknesse to enlighten and rule both day and night to be for signes to distinguish seasons dayes and yeares by his word he created every living thing that moveth in the Sea and in the Earth Having thus farr I say proceeded in his so excellent and admirable workmanship of Creation he made Man a Summary of the Worlds Fabrick a small draught of the Divine Nature he was made after other Creatures not only as the most perfect but as the super-intendent master of all things created Qui dominetur in pisces maris et in volucres coeli et in pecudes in universam terram atque in omnia reptilia reptantia super terram to rule over the Fish of the Sea and over the Foule of the Aire and over the Cattle and over the Earth and over every Creeping thing that creepeth upon the Earth In man he closed up and ended his work on man he stamped his Seal and figne of his power on him he hath imprinted his image and superscription his armes and his portraiture Dixit deus Faciamus hominem ad imaginem nostram secundum similitudinem nostram God said Let us make man in our image after our liknesse In the Creation of man God seemeth to deliberate and take Counsell with himselfe how to epitomize and gather together all his works in so small a compasse to contract his so large book of Creation into so small a volume He is called the Microcosm or little World the recapitulation of all things the ligament of Angels Beasts Heavenly and Earthly spirituall and corporall things the perfection of the whole work the honour and miracle of nature He created him naked being a pure neat and delicate Creature made up of thin subtill well tempered and seasoned humours innocent and far more beautifull than the rest He was created upright but-little touching the Earth quite opposite to the vegetable Plant whose root is therein fixed far different also from the beast who is a meane between a Plant and himselfe and goeth downward his two extreames tending to the bounds of the Horizon This upright gate belongeth only unto man as the holiest and most Divine Creature his head tending to the Heavens on which he looks and there beholds himselfe as in a glasse according to that of Ovid. Os homini sublime dedit coelumque videre Jussit erectos ad sydera tollere vultus Which I English thus He gave man lofty looks and upright gate To view the Heav'ns and thereon contemplate His body being thus formed of pure subtill Earth as a house and habitation for the Soul God breathed in him the breath of Life and he became a living Creature So in the ordinary generation and formation which is made of the seed in the Womb nature observeth the selfe same order the body is first formed as well by the Elementary force which is in the seed and the heat of the matrix as by the Celestiall influence of the Sun according to the Adagy Sol homo generant hominem the Sun and Man do engender man which is don according to the opinion of most in such order that the first seaven dayes the seed of the man and woman mingle and curdle like cream which is the beginning of conception The second seaven days the seed is changed into a formlesse bloody substance and concocted into a thick and indigested masse of flesh the proper matter of the Child The next seaven days out of this Lump is produced and fashioned a grosse body with the three most noble parts viz the Liver Heart and Braine The fourth seaven days or neare thirty the whole body is ended perfected joynted and organized and becometh a body fit to entertaine the soul which invests it selfe into the body as some think about the seaven and thirtieth or fourtieth day at the third month or there abouts the Infant hath motion and sense at the ninth Month is brought forth These times cannot be so exactly prefixed but that by the strength or debility of the seed or matrix it may be either hastened or prolonged But I shall forbeare further discourse of the soul it not being my taske to act the part of a Divine and come to a more particular description of Man yet not so as to act the part of an Anatomist CHAP. II. A more particular description of the Body of Man THe body of man consists of above two hundred bones and as many Cartilages which are as the basis and upholding Pillars of the whole building the joynts are compacted with many Ligaments and cloathed with innumerable membranes the members are supplied with above thirty paire of sensitive Nerves as with little Cords and all besprinkled with as many arteries like water-pipes conveighing vitall spirits to all parts The empty places are filled up with almost four hundred Muscles and flesh of divers sorts as with flocks all covered over with skin In him are the temperament of all Creatures Some there are who have the stomack of an Ostrich others the Heart of a Lion too too many have the Heart of a Dog not a few conditioned like a Sow and many by nature very like to the Asse Man for whom all things was made is nourished by the Balsamick Spirits of Vegetables Animals and Mineralls and therefore doth consist of all these faculties that spring up as a token of health or sicknesse Balme Violets and Germander produce fruit in man viz the Spirits of the Heart Braine and Liver Likewise the nettle Aron and Crowfoot as Scabs Sores and Pushes Minerall seperations also may appeare in man of vitriall Allum Salt and Tartar c as the
and speak comfortably to him Let no unseemly action nor uncivil word proceed from him Let him not forsake his Patient for any cause whatsoever Let him consult with God in the beginning of all his cures and heartily give God thanks for the performance of them Let him love godliness and honesty and be an unblameable servant to God and Nature These are the principal and chief Characters by which every diseased man may make choice of his Physician of whom I shall say with the learned Fernelius Medicus remedia confert non solum ut naturae minister fed interdum ut adjutor interdum etiam ut opifex primarius A Physician doth cure not only as Natures servant but sometimes us her helper yea sometimes as the chief workman I shall not build my discourse Theorically but Practically and having in the former Book briefly desctibed the principal parts of man and the humane faculties and virtues thereon depending I shall in this Book declare the Causes Symptoms and Cures of Diseases in those parts which hinder them in the exercise of those humane faculties I shall treat of each disease simply and distinctly and leave this Aphorism to the consideration of the ingenious Simplex affectus simplici remedio compositus composito propellendus A simple Disease is removed by a simple remedy a compound Disease is expelled by compound Medicines CHAP. II. Of Diseases of the Head MAny Diseases are incident to the Head of Man I shall treat of them in order according to the places which they possesse which I shall devide into three parts First the Membranes Secondly the substance of the Brain Thirdly the Nerves which nourish the Brain The Membranes is the first pannicle within the Skull called Dura Mater or without the Skull called Pericranium which are subject to these Diseases viz. the Head-ach the inveterate Head-ach and the Megrim In the substance of the Brain which is the seat and instrument of the intellectual faculties of the Soul viz. imaginations judgment and memory are defects also viz. the depravation of those faculties as a Frensie Melancholy and Madnesse Sleepy Disease Lethargy The Ventricles of the brain are subject to many distempers as Vertigo Falling sicknesse the night Mare the Apoplexy Palsy Convulsion trembling and quaking and Catarrhs Of inveterate Head-ach â—…d the Megrim The inveterate Head-ach is called in Greek and Latine Cephalaea it is a disease of long continuance very painful and upon every light occasion invadeth the Patient with sharp fits that he cannot indure noise nor light but desireth to lye still in the dark sometime this Disease is with continuance and sometimes with intermission The Cause This Disease is caused through blood or other humors abounding or by sharp humors or vapours within or without the Scull inflaming the Head sometimes weaknesse of the Head is the Cause The Sign If fulnesse of humors be the cause of the Disease then is the Head very heavy and lumpish if the humors be sharp the pain is felt with pricking shooting if there be inflammation the Head worketh like the Pulses if wind be the peccant cause there is found distention or stretching out without heaviness or beating if two or more of these Symptomes appear together judge accordingly Note that if the pain be felt superficially or outwardly than is the perieranium grieved If it be felt within which is known by the pain at the roots of the Eys then is the grief within the Dura Mater Hemicrania or the Megrim differeth not from Cephalaea saving if in the Megrim one half of the Head is afflicted whereas in the other the whole Head by the aforegoing Symptoms you may discover the humour offending The Cure As there are diversity of Causes so there is of Cures If the Disease be ingendred of plenitude of humors and the whole boy appâ—…â—…ll it is not amiss to begin the cure with the evacuâ—… of the whole body and if age strength and the season consent open the Gephalick or head Vein If flegmatick and viscuous humors be the Cause it is good to extenuate and make thin the humors thus Take of Oximel scilliticum and syrup of Staechas of each half an ounce distilled water of Marjerom Betony and Parsley an ounce mix these and make a potion for the morning Or else make a decoction in this manner Take Mint Calamint Marjerom Betony Sage of each half a handful the seeds of sweet Fennel Annis and Parstey of each half an ounce the roots of Asparagus Fennel and Parsley of each two ounces Peony root half an ounce shread the hearbs bruise the seeds slice the roots and take out the pith and boil it in a quart of water till half be consumed strein it and add of syrup of Betony compound one ounce and Oximel simplex as much and make a potion for three times take it at night two hours after a light supper the Body thus prepared you may come to purge and evacuate the peccant humours Take half a dram of Pill Cochiae the greater in the morning and keep the Chamber they which are most commendable are pills of Hiera with Agarick Take half a drachm at night two hours after a light supper take some warm broth in the morning and keep the house thus do for a week or longer in like manner you may use Pill Alephanginae and order your body as before and remember that grosse and clammy-humours will not follow a sudden purgation and therefore often purging is used that so they may be drawn out by little and little Also clisters are necessary because they cleanse the bowels and pull back those humours and vapours which ascend and annoy the head Take of Mallows Pellitorie of the Wall Endive Succorie Violet-leaves Cammomell-flowers of each one handfull sweet Fennellseed halfe an ounce Linseed Two drachmes boile them in a quart of Spring water or rather cleare posset-drink till halfe be consumed streine it out and to the decoction adde of the pulpe of Cassia Fistula one ounce Oile of Rue halfe an ounce Benedictae Laxativae half an ounce The Body being purged by discretion it is not amisse for the patient to make use of some diet drink that hath power to warme the braine to exsiccate and concoct crude humours to attenuate the grosse cut that which is tough and expell the thinnest either by Urine or insenfible transpiration You may make it thus Take of Guajacum Sassufras the Root of Salsaperilla of each two ounces English Liquoris and Cinamon of each one ounce Coriander-seed halfe an ounce infuse them 24 houres in 4 quarts of Spring-water the vessell standing in hot embers and close covered afterwards boile it gently to the consumption of halfe sweeten it with honey whilst it is hot let the Patient drink halfe a pint in the morning and dispose himself for sweat and if he drink it for his ordinary drink 15 or 20 dayes more or lesse as necessity requireth it is the better If the Patient become costive
If you feare blood-letting by reason of age want of streangth or a bad season use cupping with scarification behind the neck upon the back bone It is good also to use Frictions and Ligatures upon the legs and to draw blisters upon the Armes and Shoulders After Phlebotomy you must apply medicines that do coole the Braine and repell and hinder the humours from ascending to the head as Oyle of Roses two ounces Rose Vinegar one ounce the water of Plantane and Lettuce of each two ounces with the whites of two Eggs mingle them together and apply it to the forehead with a double cloath If that prove not essicacious take oyle of Mandrakes Roses Violets and water Lillyes of each two drachms the juice of Lettuce and Puâ—slane of each halfe an ounce the whites of two eggs mingle and apply it But here let me advise people to be very wary and carefull in the applying of these medicines by no mâ—anes apply cooling medicines in the extremity of the fit nor refrigerate and stupsie the Braine too sodainly lest by overmuch cooling you turn the Frensie into a Lethargy and make your Patient sleep his last Likewise consider from the Symptomes of the disease to what part of the head to apply your medicine having consideration to the age of your patient and season of the yeare your Wit will informe you whether you are best to apply it warm or cold If you find the inflammation extend it selfe to the skin and exterior parts use no repelling medicines for feare you drive the distemper to the Braine It is convenient likewise to refrigerate the interior parts thus take of the syrups of Violet erratick Poppys and Pomegranates of each four drachms the distilled waters of Plant Lettuce Poppy and Purslane of each two ounces mix them and make a julep for three doses This electuary is good in this case Conserve of Roses and Violets of each one ounce the conserve of Clove-Gilliflowers and water Lillys of each halfe an ounce Diamargatiton frigidum halfe a drachme with Syrup of Violets make it into an electuary give the sick the quantity of a Nutmeg once in an houre two or three as necessity shall require Having thus prepared the humours you may evacuate them by purgations but it is convenient to use the most gentle purgers you may safely administer an ounce of Catholicon in the evening drink somwhat warme in the morning it is a fine cooling and gentle purge Or you may make a decoction of some cooling hearbs and in halfe a pint of the liquor warme infuse therein a drachme of Rubarb 12. hours dissolve therein halfe an ounce of Catholicon and two drachms of syrup of Roses and make a potion Let his drink be Barly water and mingle with it the syrup of Pomegranats Lemons or Barberies By this you may know how to cure not onely Frensies but all ravings and watchings which are ingendred by Feavers CHAP. IV. Of Madnesse THe Latines call this disease Insania and Furor and the Greeks Mania we call it Madnesse In this distemper the body is much out of order and the Spirits much disquieted It cometh without a Feavour and therein it differeth from the Frensie This disease is caused somtimes of the abundance of blood flowing up to the Braine Somtimes of hot and cholerick humours or of a hot distemper of the Braine The Symptomes of Madnesse are weaknesse of the Head tickling of the Eares and shinings before their eyes watchings strange thoughts and ravenous appetite If it proceed from the abundance of blood there followeth continuall laughing objects of laughter evermore appearing before the eyes When it proceedeth from both blood and choler it causeth a dashing and fervent motion in the braine which maketh the sick irefull full of motion and bold But if the choler wax grosse the sick is more mad and harder to cure There is another sort of Madness caused by melancholy occupying the mind and changing the temperature of it Somtimes the blood is generally corrupted by melancholy and the brain hurt thereby Somtimes melanchollyblood ascendeth to the braine when the blood is not generally corrupted Somtimes inflammations obstructions and evill effects of the Stomach and Spleen may be the cause thereof There are many Signes of this distemper they which are most common are these fearfullnesse sadnesse hatred and very strange imaginations Some have fancyed themselves beasts and have counterfeited the voice of Beasts others earthen-pots and have fled from company for feare of being broken Somtimes they desire death and to make away themselves Somtimes they much dread death Some think themselves inspired with the holy Spirit and do Prophesie others fancy themselves great Philosophers If the blood be generally corrupted the body is leane pale and rough and generally melancholly They whose distemper arise from defects of the stomach or Spleen have burnings grevious inflammations and plucking of the sides are subject to be costive troubled with wind fuming to the head causing lightnesse and troublesome dreames For the cure If blood abound after the administring of a Clyster you must come to blood-letting You may open the Cephalick if that appeare not the middle veine draw as much blood as the strength of the Patient will beare you may as you find occasion open the veine in the forehead if it appeare if the sick be a woman open the veine under the Ancle you may also bleed the Hemorrhoid-veines I beseech you not only here but in all other distempers to be very carefull and sparing of your Patients blood draw not too much at a time lest you weaken nature too much in this case it is best often to bleed and in the mean time keep the body soluble either by Clysters made as the former Chapter will direct you or other convenient purges viz Take black Hellebore sliced small one ounce infuse it three days in a quarter of a pint of raine-water then boile it gently to the consumption of the third part keeping it close covered streine it out and add to the liquor two ounces of clarified honey let the sick drink halfe an ounce in the morning in a little broath or posset-drink for severall dayes together increase or decrease the dose according to the strength or debility of your patient Or take of the extract of black Hellebore halfe a scruple Syrrup of Violets one ounce mix it for one dose If the body require a stronger purgation Take of Diagridium and Lapis Lazuli of each halfe a drachme Turbith one drachm Sena halfe an ounce Epithymum Cremo-tartar of each two drachms Of Cinamon and Citron pills of each one scruple Safron halfe a scruple Let them be finely pulverized the dose is a drachme or four Scruples administred in broath or some other convenient Liquor These are convenient medicines which purge both choler and melancholly You may purge with confectio Hamech Diasenae Pillulae Indae Pill Lapid Lazuli the dose must be regulated according to your patients condition strength and
age Before you come to purging make use of altering or preparing medicines Take of the slowers of Borage Buglosse and Violets of Harts-tongue Fumitory and Tamarisk of each one handfull Raisons of the Sun stoned one ounce barke of the root of Capers three drachms roots of Fennell Parsly Lycorish of each a drachme boile them all gently in three pints of water till one be consumed streine them out and clarifie the liquor with whites of eggs add to the same of the syrups of Fumitory Epithimum and Apples magisteriall of each one oâ—nce Take halfe a pint in the morning use this or medicines of this nature three or four dayes twice in the week purge gently twice in a month administer a strong purge ever remember in the meane time to use Phlebotomy as necessity requireth forget not to empty the body by Clysters if there be occasion The night after you have let your patient blood be sure you administer such things as have power to procure sleep which you may do thus Take of conserve of Roses Violets and Buglosse flowers of each halfe an ounce the conserve of the young tops of Tamariske and Clove Gilliflowors of the stalke of Lettuce and Citron rindes preserved of each four draâ—… Mirabolanes and Emblicks of each one Confectio Alchermes and de Hyacintho of each two drachms Corall and Pearles prepared of each two scruples pil diá Margariton frigidum and Laetificans halfe a drachme mix them well in a marble or glasse Morter adding one ounce of syrup of sweet-sented apples The dose is the quantity of a Wall-nut drink after it a little of some convenient Julep or decoction You must likewise apply repelling and discussing medicines to the head the Chapter of the Frensie will furnish you with such medicines But if the Cholerick and melancholly humors in the Braine are grosse and hard to be removed prepare a fomentation in this manner Talte a sufficient quantity of Cephalick herrbs viz Betony Penny-royall Rosemary Lettice Plantane Willow-leaves Housleek Strawberry-leaves Violet-leaves Fumitory Water-Lillys or their Flowers Staechas Poppys boile them in a sufficient quantity of Fountaine water then take of Bay-berries and the root of black Hellebore a sufficient quantity crosly bruise them and sow them with some of the softest of the hearbs into a long bagg boil the bagg a little in the aforesaid decoction bathe the head being shaved with the decoction an houre as hot as may well be indured with double cloathes then bind the bagg to the crowne of the head with hot clothes let the patient lye in his bed and sleep if he can this will wonderfully expell the humours through the Emunctories of the head for it wonderfully discusseth the fuliginous matter gathered in the head which other remedies can scarcely performe This you may do for nine dayes together if you see occasion but be sure to keep the head warme afterward If you find that obstruction or inflammation of the Spleen or defects of the Stomach be the cause of the distemper you must administer inward and outward medicines to open the obstruction and allay the inflammation for such medicines I referr you to those Chapters where I shall treat of the distempers of those parts CHAP. V. Of the Apoplexy Lethargy and Sleepy-disease THe Apoplexy is a depriving of sense motion throughout the whole body coming suddenly without let or hurt of all voluntary functions Causes It is caused of humours cold grosse and tough which fill up and obstruct the Ventricles of the braine which are engendred by overmuch crudities drunkennesse is oftentimes the cause Somtimes a blow or fall causing humours to flow thither is the cause Somtimes of a grosse melancholly humour Or the excrements and humidity of the braine are congealed and thickned by the coldnesse of the aire Signes The Symptomes or forerunners of this disease are violent and sharp paines of the head the Vertigo the swelling of the Veins of the neck a slownesse to move the extreame parts of the body cold When the disease cometh to its height the breathing is so diminished that it cannot be perceived and that is a very evill signe or else it is holden for a while and then fetcht with great violence so much the more it differeth from the naturall course so much stronger is the disease Hippocrates in his Aphorismes saith that it is impossible to cure a strong Apoplexy and not easie to cure a weak one The Lethargy is likewise an inexpugnable desire of sleeping sluggishness Its name in the Greek viz. 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 signifieth forgetfulness and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 dull viz. dul oblivion The cause is the same with the former in quality they differ only in this that the Lethargy is accompanied with a Feaver and raving the Pulse is great and striketh seldom and as if they were full of water they fetch their breath weakly alwaies sleepy and can scarcely be compelled to awake If you call them very loud they will sometimes open their eys but soon shut them again they gasp and gape and sometimes forget to shut their mouths c. Coma is a profound sleep from which if he be roused he will answer to any Question but soon fall asleep again sometimes the sick watcheth much yet cannot hold open his eyes but is very desirous to sleep Carus is also a sleepy disease and differeth from the rest it differeth from Coma and the Lethargy because they that have Carus lye in a dead sleep call them pull them and prick them they will not answer Again for the most part a violent Feaver goeth before Carus in the Lethargy it followeth it differeth from the Apoplexy in it the breath is very streight that the sick can scarcely breath at all but in Carus the sick hath his breath at liberty The Cure They who are afflicted with either of these Diseases are in much danger and have need of the speedy help of an able Physician who must without delay use his best endeavours First let him endeavour to awake his Patient out of this dead sleep by presenting forcible objects to every sense Let him place him so that the Sun beams or some clear light may shine upon his face Let him fill his ears with noise clamours and sounds and call him by his name with a loud voice put up into his nose things that are sharp as Rue Castoreum and Vinegar do the like to his mouth Likewise you must provoke the sense of feeling by frictions pulling of the hair pulling out and solding the fingers and all other parts binding c. You must provoke the body to stool by sharp Clysters thus Take of Sage Betony Rue Centory of each one handfull Camomel Calamint and Penny-royall of each half a handful the seeds of Cummin sweet Fennel and Dill of each three drachms the roots of Polypody six drachms Agarick three drachms pulp of Coliquintida one drachin boyl them in a convenient quantity
hurt of that Nerve which is ordained for his motion The immediate Causes as I said before is repletion or inanition the Nerves being too full of moisture or too dry are extended or contracted and the Muscles into which they are united are by that means drawn back to their original The mediate Causes of a Convulsion proceeding from repletion are flegm and waterish humours slowing to the Nerves stretching them in breadth must consequently make them shorter and sometimes cause an inflammation But here in the way lyeth an Objection namely why a watery humor obstructing the Nerves and the cause of the Palsie and Conuvlsion should sometimes bring one and sometimes the other the humour offending and the parts affected being one and the same The diverse opinions and long disputations of writers I shall not here repeat the difficulty of the matter having distracted them into divers opinions I shall answer the objection briefly and adhere to the most able modern Physicians and say they differ thus A Palsie is caused of a pure watery humour without mixture which softeneth the Nerves extends them not The Convulsion is caused of the same humour but mixed with much wind by which the Nerves are stretched and the Muscles contracted to their original It is the opinion of all Physitians that wind is the cause of Convulsions and experience teacheth us that the greatest distentions are caused by wind as we see in the Dropsie Tympanites and the Chollick Sometimes an inflammation in or near the original of the Nerves may cause a contraction of those Nervous parts and the cause of this inflammation is sometimes internal as a flux of blood upon the part or external by a wound contusion or bruise The Causes of a Convulsion by emptiness are all immoderate evacuations whatsoever diseases diet and Medicines which are hot and dry A convulsive motion is caused by humours or vapours which are full of Acrimony or Malignancy and it sometimes so happeneth in malignant Feavers and Diseases of choller occupying the Head or Stomach From what hath been said it is easie to know a Convulsion proceeding from fulnesse or emptinesse or convulsive motion A Convulsion near the Brain is dangerous in the Muscles of the brest gives fear of suffocation If it come after bleeding or purging it is deadly So is a Convulsion following a Frensie A Convulsion coming upon a Fever shews malignant matter which ends in death but if a Feaver follow a Convulsion it taketh away its cause The cure of this disease is as various as the cause The Convulsion caused by emptinesse requires moystening medicines both internall and externall This disease seldome happening and almost if not altogether incurable I shall say nothing of it A Convulsion comming of repletion or fullnesse must be cured by evacuation of the pecant humours if you see occasion make use of Phlebotomie and purge the humours with medicines agreeable to the age and strength of your Patient and somtimes with sharp Clysters such as are described in the fifth Chapter If you see it not convenient to let blood apply Cupping-glasses alwaies above the parts grieved that so the humours may be brought back to their originall that is to say if the Convulsion or Cramp be in the Leggs apply them to the Buttocks and Loines observe the same rule where ever it be The part affected ought to be chafed with oyles and oyntments sutable to such a distemper viz. the oyles of Rue Camomill Dill Spike the oyle of Foxes c the oyntments of Marsh-Mallows Martiatum Nervinum to which may be added the Mucilage of Briony with which you may make convenient Liniments to anoint the parts affected and the root of the Nerve which comes to it Ducks oâ— Goose-grease prepared in manner following is much commended viz. Take a fat Duck or Goose pluck it and draw it then fill it with these things following viz. of Sage Marjerome and Staechas of each one handfull Gum Ammoniacum and Bdellium of each one ounce Calamus Aromaticus Nutmegs Mace and Cloves of each half an ounce beat them in a Morter moystening them with oyle of Earth-wormes after sew them into the belly of a Goose or Duck spit it and roast it receiving the dripping in a pan half full of Vinegar and anoynt therewith Or you may make it stronger thus Take of the aforesaid dripping six ounces The Chimicall oyles of wax Nutmegs and Sage of each two drachms mix it and make a Liniment when you have anoynted the part affected cover it with a hot sheeps skin a Hares or Foxes skin To put the part affected into an Oxe or Sheeps belly or any other newly killed or to apply the Lungs of a Sheep yong Pidgeons Whelps or Chickens slit in the middle is much commended and hath been successefully proved For those that are thus affected it is very good to bathe themselves in the Bath of Bath or such like proceeding from a sulphureous Mine If you cannot conveniently come to this Bath you must make a Bath with thesethings following Of Marsh-mallow roots and Lillys of each two pound Of the leaves of Penniroyall Lawrell Rue Marjerome St. Johns wort Violets Mallows Sage and Wormwood of each two handfulls Linseeds and Fenugreek of each one pound boyle all these in water sufficient to make a bath and let the party diseased sit therein not too long but let him come out as soone as he finds ease If you dare venture to be at the cost make your bath with oyle boyling a Fox therein together with the aforesaid hearbs you may purge the head with sternutations Gargarisms and such medicines as you may find in the second Chapter for the cure of a cold Phlegmatick distemper of the braine and it is good to soment the hinder part of the head and neck with hot Aqua Vitae The infusion of Castor or the Spirit of the same the dose is a drachme or halfe a drachme according to the age or strength of the Patient Mathiolus his Bezoar water the like dose the compound water of Peony give these mixed with other cooler medicines The syrrup of Peony compound Diamoschu dulce Diacorum diatessaron are much commended for the cure of this disease I might adde variety of medicines for the cure of this distemper but what I have said I hope is sufficient to give light to the ingenious searching Spirits CHAP. IX Of a Catarrh or Desluxion A Catarrh is a Desluxion of excrementitious humours from the head into the inferiour parts The braine requiring much nourishment must necessarily void much excrements which if they are in quantity moderate and naturall they are received into the fore-Ventricles and conveid to the moist gladules and spit out from the Palat If it grow more plentifull yet naturall it is dispersed through the films of the brain and sent forth by the Nostrill as well as the Palat. But when the brain is weak and affected with distempers and receiveth more nourishment then it can concoct it aboundeth
Sugillatio Sometimes the Cornea is made yellow by the Jaundise All these Diseases are easily discovered and their causes are laid down in the Description That which cometh after a Wound or Ulcer and is a Scar is not easily cured But the cure of the Pin and Web consists in Emollients attenuating and discussing medicines But the Antecedent cause must first be removed by universal evacuations such as are described in the 10. and 11. Chapters Then you must soften the hard matter with the decoction of Fenugreek Mallows Melilot Celendine Fenel and the like Then let a Child chew sweet Fenel-seed and afterwards liek the eye or make a Water thus Take of Honey a pint the juyce of Fenel-Brooklime and Celendine of each half a pint Sugar-candy dissolved in the juyces an ounce with the natural Balsome a scruple clarifie them together or distil them in Balneo Mariae and drop it into the eye The seed of Oculus Christi put into the eye is good If it be a scar after the use of the former medicines use the Water of Honey afterwards put a quantity of the Gall of an Ox to the Juyces before spoken of and thicken it with Gum-Traganth If the Eye be blood-shod and yieldeth not to the fore-going medicine you must seek its cure in the Chapter of the Cataract As for the yellowness of the Eyes caused by the Jaundise take away the cause and the effect ceaseth CHAP. XIV Of the Inflammation of the Eyes THis Disease is called Ophthalmia which is an inflammation of the Tunicle Adnata and is sometimes extended to the Cornea By the Latines it is called Lippitudo bloodshontess This Disease is divided into three kinds the first is called Taraxis by the Greeks and by the Latines Conturbatio and it cometh from an external cause viz. the Sun Smoke Oyl Dust or the like If it comes from an internal cause namely from distempers of the stomach it is called Phlogosis and is a light inflammation but is the Original of the true Ophthaliny which always proceeds from an internal cause accompanied with tumour redness and pain and a thick Exerement called Lippa from whence the Latines call it Lippitudo or bloodshotness The third sort is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in in Latine also Chimosis this is attended with vehement pain and the eye-lids are so inverted that they can scarcely cover the eye the red covereth most part of the Iris and it proceedeth from repletion and flegmy humours I might here shew you how Hippocrates hath divided these Diseases namely a moist and dry Ophthalmy the moist I have already spoken of the dry he calleth 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 it wanteth humidity and proceedeth from Choler and adust Melaneholy there are other subdivisions if there be itching joyned with it he calleth it 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and if it come with hardness of the eye-lids 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Galen mentions another which he calleth Ophthalmia Tabida which ends with a Consumption and loss of the eye this happeneth to them who have moist heads and weak eyes sit to receive a defluxion The immediate causes are defluxion or congestion and sometimes both The defluxion cometh from the head either by the internal veins which comes from the brain under the skull or by the external veins which come from the Pericranium to the Eyes These signs demonstrate the Disease and the cause thereof if redness appear without swelling it is a Contâ—rbation If swelling heat and tears be joyned to the redness then is it a perfect Ophthalmy but if it cover the black of the eye and invert the eye-lids then it is called Chimosis If blood abound and cause the distemper the eye and face will be red and the veins swelled If Choler be the cause the Patient feeleth a pricking pain sharp tears which corrode the cheeks and corners of the eyes If it proceed from Flegme the pain is heavy many slâ—my and glutinâ—…tious tears If Melancholy cause the grief the tumour is but small the colour of a dusky redness few tears the humour thick the constitution of the Patient melancholy If the defluxion come from the internal parts of the head the pain will be felt inwardly and about the roots of the eyes if through the exterior vessels the contrary signs appear the veins of the forehead are distended and there is much shooting about the Temples For the cure the external causes must be removed the antecedent causes evacuated revelled and repelled the conjunct cause derived and discussed and the parts affected strengthned Let the Patient observe an orderly and temperate Diet and eat such things that are of easie disgesture let him avoid all sharp and salt things and such as fume up to the head and such things as breed Choler Let him abstain from strong drink let most of his drink be Barley water Let him avoid all motion let him lie still as long as he is able and sleep as long as he can Let him keep his eyes shut and what ever you do endeavour to keep his body soluble Phlebotomy for the most part is convenient but let it be regulated and moderated according to the constitution strength age and sex of your Patient and nature of the Disease If the body be Plethorick and the Disease hath its original from blood you must take away the greater quantity for Galen in his book de curat per sang mis reiateth how one was cured of an Ophthalmy by bloed-letting first three pound and four hours after one pound understand this onely in the case before mentioned though I could instance many cases more cited by eminent Authors and Fathers of Physick yet let this serve for all to avoid prolixity If onely one eye be affected bleed your Patient on the contrary side If you finde a stoppage of any accustomed evacuations viz. the Terms or Hemorroid veins if the first be stopped open the Saphaena if the other bleed them with Leeches To make revulsion some do apply Cupping-glasses to the shoulders and back others open the veins of the head and temples sometimes the veins or the corners of the eyes and behind the ears and some bleed these veins by Leeches all which are very profitable for derivation When you have bled and made sufficient revulsion you must purge the humour that offendeth and causeth the blood to be inflamed but first let the humours be prepared then purge gently and often and if you see occasion after all this you may purge more strongly Prepare the humours thus Take of Endive Succory and Fumitory of each one handful Red. Rose leaves one ounce of the greater Cold-seeds half an ounce Of Lettice and Poppy-seeds of each two scruples boil them in a quart of Spring water to the consumption of half shrein it and with Sirrup of Violets two ounces and Sirrup of Fumitory one ounce make a Julep for three potions afterwards you must administer such medicines as have power gently to carry away the peccant
with a defluxion of humors otherwise heat is freindly to those Nervous and Membranous parts The cold matter which causeth pain is Flegme water or cold wind either coming from without or from some inferiour part within The hot matter is Choler or blood There may be other evident causes of pain as wounds Contusions Ulcers or breaking of an impostume or any hard or pricking thing got into the Eare. You may judge the distemper to be from cold if a cold cause hath preceded and hot medicines profit the contrary declareth a hot distemper If Flegme cause the paine the Eare and Head will be heavy some Rhume falleth upon some other part the distemper is taken in cold wether or the Patient is old If wind be the cause the paine is without heavinesse nor is it constant If water causeth the pain the Patient is troubled with a sharp defluxion upon the Teeth Eyes Breast c. If it come from Choler the paine is sharp and pricking cold things give ease the body is Cholerick c. An inflammation is accompanied with a great heating paine the parts adjacent are very red and there is joyned a Fever A wound maketh it self known by blood issuing out at the Eare and an Ulcer by filth But somtimes there issueth filth from an Impostume in the braine but this may be distinguished by Head ach preceding and other signes of Impostume the filth cometh away in great abundance at first and decreaseth by degrees If an Ulcer follow an Impostume in the Eare the symptomes of an Impostume going before declareth it If the Ulcer come by defluxion there is a burning and shooting paine and the matter issueth forth by little and constantly If the Ulcer be in the bone the matter is thin and yellow and hath continued long the deeper the Ulcer is the more matter issueth the fouler it is the more and thicker is the matter If it be Virulent the matter is thin if putrid it stinketh much if it corrode blood accompanieth the matter If it continue very long it groweth Fistulous and then the matter is Virulent and the flesh groweth hard If the distemper proceed from a cold cause with or without matter you must use the medicines prescribed for the cure of deafnesse especially fomentations and fumes with warme oyles dropt into the Eare and if it be with matter you must evacuate and purge the humor If the distemper come from a hot cause without matter use cooling Topicks If it hath a Cholerick matter you must revel the humor by Phlebotomy and with cooling drinks and Juleps allay the preternaturall heat of the Liver but this having dependancy to the diseases of the head proceding from a hot cause also to the inflammation of the Eare I leave the ingenious there to seek the Cure The inflammation of the Eare is cured by making revulsion after the administration of an Emollient Clister by blood-letting and this must be done in as great a quantity as the violentnesse of the disease requireth and the strength age and constitution of the Patient permitteth open the Head-Vein on the same side the inflammation is If the stoppage of the Termes hath been prejudiciall open the Saphaena or the Hemorrhoids if you see occasion Revulsions by frictions and ligatures of the Armes and Thighs Cupping the Shoulders and Back with or without scarifications are often successefull a Cupping-glass fixed behind the Eares with Scarification hath been attended with admirable successe and Horsleeches applyed to the same place hath been no lesse effectuall If you find the Cure difficult the opening of the Arteries in the Temples is good to prevent hot and windy bloud which doth much feed the inflammation you must often purge Choller and temper the Humours with cooling Juleps thus Take of Lettice Purflane and Sorrel Water of each two ounces the Water of Plantane and Succory of each three ounces of Syrup of Lemons two ounces the Syrup of Erratick Poppies one ounce mixe them and make a Julep take sour spoonsuls morning and evening You may foment the Ear with the decoction of cooling and piercing Hearbs and let the Patient receive the same with a Funnel then come to the use of Topicks which have power to mitigate pain thus Take of Breast milk two Ounces the Oyl of Roses and Water-Lillies of each one ounce and an half the Water of an Ashen stick before mentioned one ounce the White of an Egg beaten to water half an ounce mixe them and drop some into the Ear after you have formented and famed it If you would have it repelling add Vinegar of Roses to it but use it with moderation lest you drive the Humours to the Brain If the vehemency of the pain constrain you to make use of stupefactive Medicines mixea scruple of Opium or an ounce of Oyl of Poppy seeds with your former Medicine but be careful also in the use of this lest you offend the Brain If you see occasion for resolving Medicines the Oyls of Camomil Dill sweet Almonds and Violets all or either of them may be mixed with your aforesaid Medicine If after all this you find that the Imposthume will come to suppuration you must help Nature therein thus Take the leaves of Mallows Nightshade Camomel and Dill of each one handful bruise them well in a STONE-MORTAR boil them in a quart of milk to the consumption of half add the Musilage of Line-seed Fleabane and Fenugreek seeds of each one ounce Ducks and Hens Grease of each one ounce the Oyl of Camomel Roses and Violets of each one ounce with the crum of White Bread as much as is sufficient make a Cataplasm and apply it After the Imposthume is broken and the Matter run out you must apply cleansing Medicines viz. Mixe Barley water and Honey of Roses and drop it into the Ear. If the Humour be sharp and cause an Ulcer you must after the use of needful Purgings necessary bleeding and all requisite Evacuations make use of cleansing and drying Topicks Take of the juyce of Reets and sow-Bread of each one ounce Horehound Smallage and Wormwood of each half an ounce Myrrh and Frankincense of each half a drachm Saffron and Verdegreece of each one scruple White Wine and Honey of each four Ounces boil it and scum it till the Wine be consumed then drop of it into the Ear 2 or 3 times in a day After you have well cleansed it you must come to cicatrize it Take of the Powder of Galls and Burnt Allum of each one drachm Frankincense and Myrrh of each half a drachm Gum of Juniper and Sarcocol of each one seruple make them into fine Powder and mixe them with White-Wine and drop it into the Bar. If you find that it is sed by defluxion you must labour to divert the deflaxion as you are taught in the 9th Chapter of this Book If the Ulcet be very foul you must mixe Unguentum Aegyptiacum and the Rust of Iron powdered with White-Wine and drop it into
Vein and to purge the same day or else his Patient had bin strangled To derive the humor from the part it is good to open the Veins under the tongue called Ranulae If the ease be desperate open the jugular Vein and if the blood cannot be stopped make use of Galens Emplaister against a flux of blood You must make use of Gargarisms which have power to allay the inflammation somewhat to repel Take the leaves of Plantaine Nightshade Woodbine Strawberry and Cinqueoil of each one handful the flowers of red roses and pomegranates of each one pugill boile them in a quart of running water to a pint Strain it and adde four ounces of Sirrup of Mulberies But beware lest repelling medicines drive the matter to the Lungs The oyle of Vitriol mixed with water sufficient to allay its sharpnesse often taken is good to allay the inflammation of the stomack Liver and veins also the parts inflamed in this distemper Then you must apply loosning and resolving Liniments adding such things as easeth pain Take of the juice of Mallows Chamomel and Orpine of each two ounces the oyle of Chamomel sweet Almonds and Lillies of each one ounce hens grease and frish Buter of each three ounces boile it to the Consumption of the juices and make a Liniment You must apply such things as have power to dissolve among those which have a peculiar property against the Quinzy as Riverius teacheth Take of a Swallows nest and Album graecum of each one drachm powder them flowerdeluce roots and Chamomel of each halfe a drachm Hens grease and oyle of Lillys of each one ounce yellow wax a little make a Liniment Orpine hath a peculiar faculty against the Quinzy if the bruised hearb be outwardly applyed and the juice sweetned with hony often swallowed Let us not forget the old and vulgar medicine viz. album graecum and hony mixed and administred like a Lohock For sqeemish stomacks or such as delight in dearer medicines you may prepare this lohock Take of Species Diatraganthum frigidum and diapenidion of each one ounce Lohock Epinis et Sanum et Expertum of each halfe an ounce mix them and with the Sirrups of Mulberies and Jujubes sufficient make a lohock and take as before If it tend to Suppuration make use of the first Liniment prescribed in this Chapter Cassia newly drawn held in the mouth and gently swallowed easeth pain and maturateth the humors when it is ripe and will not easily break you must open it with a crooked incision-knife or drop a little oyle of Vitriol upon it when it is open let the Patient hold down his head that the matter may run forth then wash it often with barly water and hony of roses CHAP. XXVI Of the Asthma Asthma is a difficulty and shortnesse of breathing which cometh from the stuffing of the Lungs and the obstruction of the Bronchion or gristles of the wind pipe and is naturally with out a feaver yet sometimes it may be joyned therewith This disease is divided into three sorts the first is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 this is a difficulty of breathing caused by the stuffing of the substance of the Lungs and not the gristles and is not accompanied with snorting and this is the least of the three The second is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 when the bronchia of the Lungs are filled with flegm and doe make a great noise with snorting and wheezing in which the Diaphragma and the intercostal muscles between the ribs and the Abdomen are violently moved The third is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in which the Patient fetcheth his breath with much difficulty with his neck stretched upright the aforesaid Muscles together with the Muscles of the breast and shoulders violently moved This disease is caused for the most part from flegm which falleth from the head into the Lungs and obstructeth the wind-pipe sometimes humors brought thither by Arteria Venosa flow to the Bronchia and causeth Asthma with snorting but if they fall into the substance themselves or into the smooth arteries it causeth an Asthma without snothing There needeth no more signes for the discovery of this disease then what may be gathered from its description As to the prognostick I say that this disease is Chronical hard to be cured unlesse the Patient be young and of a strong Constitution if a child hath this disease if it be not speedily removed it dieth of a Catarth In men it ends in Chachexia or the dropsy If it turne to a pleurisy or peripneumonia it is deadly You may begin the cure with blood-letting if the body be plethorick or Corpulent for when the Veins are empty of blood the respiration is free But you must beware of phlebotomy in such bodies where you fear diminishing the natural heat lest flegme increase You may openthe Saphaena or ancle-Vein without danger you must in the next place purge the head of Phlegmatick humors which are prescribed in the second Chapter of this Book It oftentimes hath bin proved that vomitting is good in this case that the stomack may be emptied of flegm and thick vapors which puffing up the stomack compresseth the diaphragma and causeth difficulty of breathing one ounce of Tobacco water sweetened with Sugar will cleanse the stomack by vomit Let the Physitian be careful how he administreth vomits to weak people Sharp Glisters are good in this disease for revulsion but let them be given in small quantityes lest the fulnesse of the Bowels compresse the diaphragma The Patient must make use of such things as extenuate and make thin the humors Take of Coltsfoot-water two ounces Cinamon water one ounce with an ounce of Oximel Simplex and take it in the morning Then let him make use of such as have an Expectorating quality Take of the powder Diatraganthum Frigidum the powder of Liquorish and Colts soot of each one drachm the roots of Elecampane and Marsh mallows Candied Conserve of roses and Violets of each halfe a drachm the flower of Brimstone and Sugar Candy of each a scruple with oyle of sweet Almonds newly drawn and Sirrup of Maidenhaire make a Lohock And let the Patient take the quantity of a Nutmeg Morning and Evening and halfe so much every two houres this I have often given with good successe In the extremity of the Fit rub the breast with a cloath to open the pores then anoint it with this following ointment Take of the Oyle of Chamomel Dill Rew and sweet Almonds of each two drachms the Roots of Elecampane and Flowerdeluce in powder of each one drachm the meale of flax-seed and Fenugreek a drachm Saffron one scruple with wax sufficient make an ointment Out of the fit to perfect the cure you must endeavour to stop the defluxion and to cleanse the Lungs For the first you may find sefficient remedies in the ninth Chapter of this book adding such which respect the breast to them Let your medicines not be
Humours oppressing the Stomach and afterwards strengthen it You must evacuate the Humours eitherby Vomit or Stool give no Vomits but to those who are easy to vomit Of Purges Pills are most profitable because of their long continuance in the Stomach the last Booke will furnish you with purging Medicines If the Humours in the Stomach be tough you must dissolve them with Hony of Roses Oxymel and the like Beware how you administer Pills which are strong in operation lest they draw Humours from other parts to the Stomach If the Liver be very hot you may be let Blood otherwise not and in this case you must administer such things as cool the Liver After sufficient Purging you must come to strengthen the Stomach internally and externally Take of the Sirrup of Wormwood and Quinces of each two Ounces the Sirrup of Citron Peels one Ounce Cinnamon water four Ounces the Spirit of Sulphur ten Drops mix them and let the Patient take a Spoonfull or two Morning Noon and Night or oftner as necessity requireth Quercetanus his Sirrup of Cinnamon is very good See the last Book If the Disease be of long continuance let the Patient make use of the Guajacum Drink prescribed in the Second Chapter of this Book the bath of Bath is profitable in this Case But if a hot Liver attend a cold Stomach as it often doth your Medicines ought to be the more temperate Zechius commendeth this Bolus Take of washed Turpentine two Drachms Powder of Mastich half a Drachm Aromaticum Rosarum half a Scruple make a Bolus and let the Sick take it two hours before Meat Candied Nutmegs and Ginger is good and it is convenient for the Patient to drink his Beer warm This Liniment is good Take of the Balsom of Peru three Ounces the Oyles of Nutmegs Wormwood and Mastich of each one Ounce mix them and anoint the Stomach Also with these and other ingredients which have a heating and expectorating Quality you may make Unguents and Plaisters to be applyed to the Stomach CHAP. XXXV Of a depraved Appetite The Appetite is depraved two wayes Either in Quantity or Quality If it be depraved in Quantity Nourishment is desired in greater quantity then Nature would it is called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the Latines Fames Canina whence we call it Dogg's Appetite It is depraved in Quality when things which are not Food but vitious and unwholsome are desired This is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 First those that are troubled with the Dogg's Appetite do feed insatiably and afterwards some do vomit like Dogg's some do purge and others do digest it and if they have not more presently are sick The part affected is chiefly the mouth of the Stomach The Cause containing is Sense of sucking and vehement pulling which stirrs up the Appetite Vicious Humours sticking to the mouth of the Stomach by their too much Coldness Sharpness or Sowrness do bind wrinkle and pull the mouth of the Stomach and so beget a false Appetite Melancholy sent from the Spleen to the Stomach if it exceed and be praeternaturall causeth an unnatur all Appetite It may be caused by want of Food and Emptiness caused by too great Evacuations by which the Veins do continually suck Somtimes it cometh from Wormes in the Stomach which devour the Chilus The Hermetick Physitians do attribute it to a sharp salt and devouring Spirit or Faculty in the Stomach which doth readily consume what ever Meat is taken as Aqua Fortis doth quickly dissolve the fixedst Mettals the hardest Stones into Liquor and by this meanes doth not allow Nature a lawful and necessary bound of Nourishment The Disease it self needs no other Signe then the devouring of Meat The signes of the Causes may be easily found they which manifest a cold Distemper and sharp Humours in the Stomach are belching and sharp vomiting crude Ejections want of Thirst and external Causes of Refrigeration If defect of Nourishment is the Cause the Patient is Lean and there are Causes present or a foregoing of the decay of Moisture If Wormes be the Cause in the Chapter of the Wormes their signes shall be spoken of Prog If this Disease come from external Causes or from Wormes it is not dangerous Judge the contrary if it follow Emptinesse and great Evacuations or if the Patient doth vomit or purge much for then the Body for the most part falleth into a worse Disease To cure this Disease you must purge by Vomit or Stools taking the Caution in the last Chapter the Phlegmatick and Melancholy Humours sticking to the Stomach Then you must labour to strengthen the Stomach with internal and external Medicines prescribed in the former Chapter Six graines of Ambergrease taken in a reere Egg hath a special Quality to strengthen the Stomach and cure the Disease Narcotick Medicines by dulling the exquisite Sense do sometimes cure the Disease but must not be used till all other meanes fail and then advised by an able Brain Hippocrates saith that Wine and Aqua vitae is good and experience teacheth that Oyl and Fat things are seldom given without Successe Pica and Malacia is a depraved Appetite by which unprofitable and hurtfull things are desired It is caused by the eating of evil Meats by which the Stomach is disposed for the production of Melancholy and Phlegmatick Humours hence divers Apperites of evill things are engendred Some desire things that are sowr sharp bitter and cold as Vinegar Juyce of Lemmons and Orenges cold Water Snow Ice unripe Fruits and the like Some do desire earthly dry and burnt things as Nutmegs Cloves Cinnamon and other Spices Salt Ashes Coles Chalk Tobacco-Pipes Lime Oat-meal Tar Candles and such like This Disease happeneth for the most part to Women with Child or to Maids which have the Green-sicknesse who having their Termes stopped and staying corrupteth the Body and ascending infecteth the Stomach and taketh the Appetite from its Natural Condition Sometimes though seldom Men and Boyes are thus troubled Fernelius speaks of a Noble man who having an extraordinary Appetite to Lime did devour a piece as big as his fist without offending his Stomach or Bowels The Cause of this Disease may be found out by the things desired For if they desire Coles Salt or the like we may conclude that the Disease depends upon salt and burnt Humours This Disease is Chronical and of Continuance but is seldom dangerous yet somtimes if the Stomach cannot be reduced to its former Condition Obstructions Evill habits Dropsies and Cardialgiaes are produced The more contrary to Nature the things desired are the farther distant is the Stomach from the Natural Temper If you aim at the Cure it differeth not from the former but you must consider the variety of the Bodyes affected If this Disease happen to a Man it hath its original from the Obstruction of the Liver and Spleen and you must seek
when the Pain is under the Ensiformis it shews that the upper Orifice of the Stomach is affected a very sharp Pain that the Patient cannot rest and sometimes fainteth the Vapours sometimes offend the Brain and cause inveterate Head-Ach the Megrim Vertigo and Epilepsy In the other parts of the Stomach there are not so violent Symptomes but great Paines like the Chollick Thus you may know the Causes The Humours offending may be known by the Excrements avoided at the Belly or Mouth also Choller Phlegm Wind or Worms may be knowne by their proper Signes The Diseases of the Stomach or parts adjoyning causing this Disease may be known by their proper Signes Prog This Disease is more dangerous then any other Disease of the Stomach The danger is greater if a Feaver accompany it if the extream Parts be cold Death is at hand thus saith Hippocrates It is least dangerous if it proceed from Worms yet sometimes dangerous Symptoms appear and the Patient dyes sometimes if the cause of Wind cannot be removed a dry Dropsy followeth If it come from other Parts there begin your Cure if it be in the Stomach properly consider the peccant Humour If Wind be the Cause first administer a Clister Take of Camomil Penny-royall Miats and Pellitory of the Wall of each one handful the Seeds of Annise Fennel Cummin and Dill of each two Drachms make a Decoction in white Wine Posset Drink add Benedicta Laxativa half an Ounce the Oyls of Dill Rue and Chamomil of each half an Ounce the Chymical Oyl of Juniper Berries ten Drops make a Clister and give it or the like as often as need requireth Make a Fomentation with the Herbs and Seeds aforesaid or with others of the like Nature then anoint the Stomach with the Oyls of Sage and Cloves Chymical Oyl of Dill Camomil Rue and the like Then administer this or the like Julep which hath power to asswage Pain discusse Wind and strengthen the Stomach Take of Wormwood Pennyvoyall Century the lesse and Agrimony of each one handful the Flowers of Camomill and Juniper Berryes of each one Ounce the Seeds of sweet Fennel and Anise of each two Drachms Boil them in a Quart of white wine to the consumption of half sweeten it with the compound Sirrups of Wormwood and Betony of each two Ounces Let the Patient take a spoonful of this often and six spoonfuls Night and Morning this have I often proved with good successe let the Cause be what it will If the Disease be yet too stubborn to yeeld to ordinary Medicines make a Bath of mollifying Herbs and let the Patient sit in it giving inward discussing Medicines In vehement Pain some do give a Purge and mix Narcoticks with it to allay the Pain and this following is much commended by Forestus Take of Diaphenicon half an Ounce Philonium Romanum two Scruples with Camomil water in want thereof the Decoction make a Potion If Choller cause pain purge it administer Juleps cooling and thickning Foment the Stomach and apply a Cataplasm made of mollifying cooling and discussing Herbs and Seeds CHAP. XLII Of the Inflammation Ulcer and Imposthume of the Stomach The Inflammation of the Stomach is a Tumor comming of Blood sent into the Stomach and its Membranes from the Vena Porta by the small Veins which Blood is either pure and maketh a proper Phlegm or mixed with Choller and maketh an Erisipelatous or with Phlegm making an Oedmatous or with Melancholy making a Schirrous Tumor In a word all things that may inflame the Blood may be the Cause of this Tumor Diagnostick Signes are great Pain burning pricking distending beating even to the Back you may see or feel the Tumor belching and sometimes vomiting of Blood and the Breath is ferched difficultly and a burning Feaver If it be onely of Blood it is somwhat gentler but if it be with Choller there are grievcus Symptoms But be carefull to distinguish this Inflammation from that of the upper side of the Liver see the Chap. of the Inflammation of the Liver This Disease for the most part is deadly If the Inflammation be in the upper part of the Stomach or over the whole or much loathing of the Stomach or rumbling in the Belly all these are deadly Symptoms If the Inflammation kill not and the Feaver and Pain ceaseth and the Tumor remain then it turns to an Imposthume which being broken there remaineth an Ulcer which is known by voiding of Matter by Vomit and Stool But an Ulcer may be bred in the Stomach from other Causes as sharp salt cholerick Humours bred in the Stomach or sent thither from other parts the breach of a Vein which could not grow together again a Wound not well cured Poyson or corroding Medicines taken The Signes of an Ulcer bred in the Stomach are the same with the former to which I add these a constant lingring Feaver stinking Belching no Appetite a pricking Pain and Burning when any thing is taken which is hot cold sharp salt or sowr This Disease for the most part is deadly because Cleansers encrease Pain and Dryers cannot execute their Office but are hindred by Meat Drink and Chylus The Cure of theso Diseases must be diversly considered Purging is altogether prohibited lest more Humours be gathered to the Stomach but give an emollient and cooling Clyster every day such an one as is prescribed in the last Chap you must let Blood in both Arms as much as strength will bear bleed the Haemorrhoids if you see Occasion cup and scarify the Shoulders Back and Buttocks rub and bind the extream Parts and heat them with the Oyl of Spike or Flowerdeluce and the like You must give Medicines which are altering and strengthning and with them mix such which have power to dissolve This Julep is good Take of Barley water well clarified two Ounces Fennel and Purslane water of each one Ounce the Sirrups of Water Lillies and Violets of each one Ounce the Sirrup of Poppy half an Ounce Diamarganiton frigidum a Drachm mix them and make a Julep for three Doses give it Morning Noon or Night Foment the Stomach with â—he Decoction of cooling and mollisying Heâ—… Roots and Flowers and afterwards anoint it with Oyl of Roses Violets and the like Some commend Turpentine washed in Wormwood water given in Pills three or four times which will quickly dissolve or maturate the Imposthume If you find that the Imposthume tend to Suppuration apply this Cataplasm Take of the Roots of common and March Mallows of each one Ounce Camomill two handfuls red Rose leaves a handfull boil them well together and then beat them in a stone Morter then add of the Meal of Barley Flax seed and Fenugreek of each one Ounce with Hen's Grease and Oyl of Roses and Camomill alike QUantity sufficient to make a Cataplasm which must be applyed and often removed When the Imposthume is broken cleanse the Ulcer with new Milk and Sugar or Hydromell or Take of Barley water 3.
that you make a distinction between the Haemorrhoids and the clefts of the Fundament which are like those chops which are in the lips caused by sharp Northerly winds and the Tumor called Condiloma which is in colour black as the Haemorrhoids are in form long and not in the Veins whereas the Haemorrhoids are in the Veins and round There is also in the Fundament sometimes to be found a carnuons swelling called Thymi and sometimes in the privities of Men and Women and they are like the flowers of Thyme they are little white or reddish without pain the Haemorrhoids are for the most part black greater and painfull The piles are greater then the former they are called Fici they are blew and painfull are like the Haemorrhoids onely they are a carnuous swelling and the Haemorrhoids is a swelling of the Veins The Piles are of a Maligne quality and do sometimes ulcerate The swelling of the Haemorrhoids is not dangerous unlesse it be inflamed and Gangrene Or if it suppurate and come to an Ulcer and chance to turn to a Fistula which may prove incurable To cure you must bleed and make such revulsions prescribed in the former Chapter likewise open the Saphaena You must not use strong purges lest you draw more humours to the place yet you must keep the body soluble least the voiding of hard dung greatly encrease pain keep the body soluble by this or the like Medicine Take of the leaves of Lettice Burrage Buglosse and Mallows of each one handfull Polypody of the Oak three ounces Liquorish Raisons stoned and Currant of each half an ounce Buglosse Burrage and Violet-flowers of each one Pugill Boil it in running water to a pint and an half Strain it and infuse therein an Ounce of Senna the liquor being kept hot six hours then put in of Cassia newly drawn one ounce and let it stand an hour strain it and Clarify it and sweeten it with two ounces of syrrup of Violits make four potions thereof and give it twice in a day first and last Then you must apply such things to them which hath power to case pain viz. the Oil of Peach-kernells Sweet Almonds Nuts Egs Box or oils of the seeds of Poppy or Henbane Of these may divers Lineaments be made good to appease pain discuss the Tumor and to dry the Ulcers Take of the oyl of Eggs made in a Leaden Morter the oyl of Violets and Roses of each one ounce Populeon half an Ounce the Oyl of Box two scruples with Hens Grease and Goats Suet sufficient to make a Liniment and apply it or take of the juice of Purslane and honey of each two ounces white Diachylon mollified with the Oyl of Chamomell two Ounces Opium six grains make an Unguent Horstius commendeth wild Flax made into an Oyntment with Hogs grease To discusse the Tumor the Balsome of Sulphur is much commended or this Cataplasme is good Take of Plantane Pilewort and Mallows of each a like quantity make a decoction in Milk till the liquor be half wasted strain out the hearbs and make a Cataplasm with the crums of white bread adding to it the Oyl of Violets Roses Myrtles and the like Or a Cataplasm made of the heads of Leeks is much commended Green Elder leaves boyled to slime and applyed and often renewed are very good The Lungs of a Sheep or Goat taken hot and some slices thereof applyed or if the sick sit upon them it oftentimes proveth effectuall If you see good you may make a fomentation with Mullein Mallows Marshmallows Pellitory of the Wall Flax and Fenugreek seed in Milk water or Oyl or all of them or with a great quantity make a Bath Or a fume made of the powder of Darnell Mullein Pilewort dried and thrown upon hot coals and the Sumen received The decoction of yarrow Mullein and Pilewort is a good Medicine to take inwardly or a Syrrup made of their Juyces against both Haemothoids and Piles If they will not open bleed them with Leeches or rub them till they bleed If the Piles be ulcerated the Balsom of Sulphur the Oyl of Egs stirred in a Leaden Morter is good to cleanse them To conclude those that are subject to these distempers ought to have an Issue in the Leg. CHAP. LIII Of a hot distemper of the Liver A Hot distemper of the Liver is either with or without matter but for the most part a hot distemper of the Liver doth produce hot and cholerick humours It is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 it is caused either by hot weather violent exercise anger or such like passions of the mind hot or spiced nourishment drinking much Wine or any thing that is naturally hot This distemper is known by loathing of meat the body Costive and hot especially the palms of the hands and soles of the feet the whole body groweth lean a bitternesse of the mouth and for the most part a Feaver if there be plenty of humours the patient vomiteth or evacuateth downwards Choller he is the worse for hot and the better for cold things This distemper though not very dangerous in it solf yet may be the cause of many diseases It is hard to cure it if the stomach be cold because what you give to cool the Liver increaseth the distemper of the stomach To cure it you must cool the Liver and evacuate Choller First give a Laxative and cooling Clister then open the Liver-Vein in the right arm and draw as much bloud as the patients strength will well bear either at once or at severall times Then make an Apozeme to purge Choller thus Take the roots of yellow Docks or Muncks Ruharb Sorrel Succory and Licoris of each one Ounce the Leaves of Endive Succory Fumitory Dandelion and Burrage of each one handfull of the great cold seeds of each three Drachres Of the Cordiall flowers of each one Pugill Tamarinds one Ounce boil them to a Pint and an half then adde to infuse of Rubarb and Senna of each half an Ounce Syrrup of Succory with Rubarb and of Roses Solutive add at the last and clarify it aromatize it with two drachms of yellow Sanders Let the Patient take it four mornings Let his ordinary drink be Barly-water and put therein the Syrrup of Lemmons or Maiden-hair or if he delight in things that are sharper make it sharp with the spirit of Sulphur or Vitriol Whey likewise is very good it is best if it be made by turning the milk with Vinegar or the juice of Lemmons and add such things as I advised for the Barly water Likewise you may prepare Juleps to cool the Liver Take the waters of Endive Succory Sorrel and Buglosse of each one ounce the Syrrups of Lemmons Sweet Apples and Pomegranats of each one ounce of the Syrrup of Corall compound half an ounce the Oyl of Vitriol ten drops mix them and make a Julep for four doses Or Take of the Conserve of the flowers of Buglosse Violets and Succory of each one
Ounce the conserve of Hips one Ounce and an half with Syrrup of Lemmons make an Opiate and take a little often Likewise you may make a decoction of China and Hepatick hearbs sweetning it with the aforenamed Syrrups and taking half a pint in the morning Likewise of the aforenamed cooling hearbs you may make an Apozen to cool the Liver or you may make a Bath to cool and moysten the body CHAP. LIV. Of the Inflammation of the Liver THe Inflammation of the Liver is a hot Tumor occasioned by bloud out of its proper vessells sent into the substance of the Liver This Tumor ariseth either from pure bloud or else the bloud is mixed with Choller Flegme or Melancholly so producing either a true Erysipelous Oedematous or Schirrous Phlegmon This Tumor is sometimes in the gibbous or hollow part of the Liver The causes of this disease are too much bloud or the heat thinnesse or sharpnesse thereof and by its motion in the Veins it is sometimes thrown into the Liver For the Liver being hot and in pain doth attract the humours to it self or by its weaknesse is forced to receive the burden that stronger parts lay upon it according to the Proverb The weakest goes to the walls Sometimes an obstruction of the Liver by retaining the thick humours which by a preternaturall heat is inflamed The externall causes are the same which cause heat of the Liver To which add a stroak or fall bruising the Liver or Medicines applyed to a cold stomach or a Cupping-Glasse fastned to the Region of the Liver The signs of the disease are heavinesse in the right Hypocondrion a weighty pain sometimes extending it self to the throat and sometimes to the lower ribs a Feaver more or lesse violent according to the nature of the humour offending viz. Choller or Flegm and difficulty of breathing because the motion of the Diaphragma is hindered a dry chough an unequal pulse and like a Saw the Tongue at the beginning red afterwards black great thirst loathing of meat vomiting Choller and sometimes Flegm a pale and yellowish colour of the whole body red and flaming Urine the sick hath more ease lying upon his back then upon either side for the most part he is costive because the heat of the Liver dryeth up the moysture of the Chylus but if the Liver be weak also the sick is loose and the excrements are like water wherein flesh hath bin washed If the Gibbous part of the Liver be affected you may feel the Tumor in the right Hypochondrion the breath is fetched with difficulty and the pain reacheth to the right side of the Throar If the cavity of the Liver be affected the Tumor is not felt but because that part lyeth upon the stomach there is greater loathing of meat vomitting thirst and sometimes loosnesse of the belly by reason of the corruption which the distemper of the Liver causeth in the Stomach The signs of the causes are thus known if the inflāmation be of bloud onely the face is either red or duskish the Pulse is great and soft the Urine is red and thick the body is full of flesh and there is sweetnesse in the mouth and for the most part the Patient is young and hath fed high If Choller cause the inflāmation the face is yellow the pulse swift hard and unequall the Urine thin and yellow the body thin the eyes hollow a bitter tast in the mouth and Cholerick vomitings The Symptomes of the inflamation of the Abdomen differ little from them of the inflāmation of the Liver therefore let us a little consider the difference If the Muscles of the Abdomen be inflāmed the skin is extended and if you lay hold of it you cannot move it but if the Liver be inflamed if you lay hold on the Muscles they yield and the Tumor appeareth deeper If these Muscles be inflamed the colour appeareth fresh and in its naturall colour but if the Liver be inflamed the colour is yellow as in the Jaundise you must likewise distinguish between the inflāmation of the Liver and a Pleurisy Sometimes moist and bloudy stools distinguish it in the Pleurisy the pain will be vehement and great towards the right Hypocondria no change of colour the cough great and dry with bloudy spittle for the most part the pulse hard and like a Saw the inflāmation of the Liver is manifosted by the signs laid down before If the Mesentery be inflamed the Tumor appeareth beneath the region of the Liver the stools will be thin and moist with unconcocted matter if the party recover the matter quickly is concocted the colour of the face is not much altered Prog. every inflāmation of the Liver is dangerous for the most part deadly if the Patient be not cured or killed presently the disease ends in a Dropsy Atrophy or Consumption If Choller be the cause of the inflāmation it is worse then if bloud were the cause and the Feaver is stronger The Hicchough in this distemper is a very evill sign for it shews the greater Malignity of the inflāmation which doth disturb the Stomach A Flux joyned with it unlesse it be criticall and the humours evacuated concocted is deadly To cure it follow the rules prescribed in the 42. Chapt. Of the Inflāmation of the Stomach Let his drink be Barly water with a little Syrrup of Violets If the disease be stubborn to the former Medicines prescribed in the 42. Chapter add this following Apozeme Take of the roots of Smallage Fennell and Parsly of each two ounces the leaves of Agrimony Violets Succory and Maidenhair of each one handfull Polypody of the Oak four Ounces Chammell flowers one Ounce the seeds of Fennell Gromwell and Parsly of each one Drachm boil it to a Pint and an half and in the strained Liquor infuse an Ounce of Sen na and three Drachms of Rubarb afterwards add of Sirrup of violets and Vinegar Simple of each two Ounces divide it into four Doses and let the Sick take every other Morning Then make an Epithem Liniment Unguent or Plaister thus Take of the Juyce of Endive Succory Sorrell and Plantane of each half an Ounce of the Oyls of Roses Wormwood Camomill and Myrtles of each one Ounce Vinegar half an Ounce boil it to the Consumption of the Juyces then add of the three Sanders in Powder of each one Scruple with Wax sufficient make an unguent and anoint the Region of the Liver If the Pain and Feaver decreaseth you must add to the former Oyntment such things as dissolve and mollify as well as cool as the Flowers of Camomill and Melilot Barly-meal the Roots of Marsh-mallows Calamus Aromaticus and Cypresse the Leaves of Mallows Violets and Agrimony the Seeds of Annise Fennell Faenugreek and Flax. Or with these Simples you may make a Fomentation If the Inflammation be not discussed as it seldom can it tends to Suppuration otherwise to a Gangrene The Imposthume for the most part is compleat in twenty dayes it is
Hydropicall person eate his meat and digest it well and be not sick after have no cough nor pain his tongue not rough nor thirsty if he be in a naturall order without physick and medicines work easily with him if he be not faint and his Urine change according to his Diet he may easily be cured For the cure you must consider if the disease hath its originall from obstructions Tumors c And seek the beginning of your cure out of their proper Chapters Afterwards you must labour to evacuate the matter whether it be in the Abdomen or whole body first make an Apozem thus Take of the roots of Parsly Smallage Fennell Elicampane Bruscus Danewort and Madder of each one ounce The Leaves of Agrimony Wormwood Maidenhaire the tops of St. Johns wort and Century of each one handfull the inward bark of the roots of Capers Ash and Tamarisk of each four drachms Liquorish one ounce the seeds of Fennell Parsly and Juniper berryes of each half an ounce the flowers of Broom Beans and Elder of each one pugill Julep roots two drachms boile them in a sufficient quantity of water wherein steel hath been quenched to a pint and an half strain it and add to the Liquor one ounce of Senna cover it and let it infuse six houres strain it and dissolve therein of the syrup of Harts-tongue one ounce and the syrup of Succory with Rubarb three ounces Clarifie it with the whites of Eggs and aromatize it with two drachms of Cinnamon or yellow Sanders give it four mornings Afterwards once a week give this pouder Take of Senna Jallap Mechoacah Turbith Gum and Hermodacts of each one drachm Cream of Tartar and Salt of Wormwood of each two drachms Cambugia half a drachm Diamher Diarrhodon abbatis and Fennell seeds of each two scruples make a fine ponder and infuse one drachm in a quarter of a point of White-wine all night and let the Patient take it in the morning Of these and such like may be prepared medicines of all formes Some commend the juyce of flowerdeluce roots taken with hony or manna the dose is three ounces and Platerus in his Observations doth highly extoll it Chimists do much commend the extract of black Hellebore Mercurius vitae and Diaphoreticus Mercurius dulcis antimonium Diaphoreticum and such like but let the physitian beware how he gives medicines of this nature except his Patient be strong the like caution let him observe in giving of purging medicines especially such as purge with violence But rather let him if his Patient be weake give discussive and Diuretick Clisters thus Take of Mallows Marsh-Mallows Chamomell pellitory of the wall and Mercury of each one handfull the seeds of Annis Sweet Fennell Caraway Dill and Bay-berryes of each two drachms the flowers of Broom and Melilot of each one pugil boyle them in Posset drink or Mutton broath to a pint dissolve in the strained liquor of Oyle of Camomell Dill and Rue of each one ounce Diacatholicon or Diaphaenicon of each one ounce and if you see good add half an ounce of Benedicta Laxativa and make a Clister you must principally give such medicines which purge by Urine the steeled-wine prescribed in the 55. chap. is very good in the preparing of it you may add if you see occasion any of the aforementioned ingredients which provoke Urine The Spirit of Vitrioll Tartar and Salt is much commended if it be administred in some Diuretick decoction The salt of Wormword and Juniper profiteth much Or you may make a Lee of the Ashes of Juniper and White-Wine giving five or six ounces thereof which Lee alone hath cured some Dropsies saith Mathiolus the same I have known my self Bleeding is prohibited and upon good grounds too unlesse the disease come from stoppage of the Termes or Hemorrhoids bleed not then unlesse it be in the beginning of the disease and the Liver in its naturall condition Issues Blisters and Scarifications are likewise forbidden because they gangren for the most part yet in the beginning of a Dropsie the lower parts being exceedingly swelled I made an Issue in the Leg out of which an incredible quantity of water issued and the Patient perfectly cured Among Evacuations Sweatings are not the least profitable especially in Anasarca but in Ascites and Tympanites the Liver being dry besides the difficulty of procuring it it rather hurteth then profiteth All the time of the cure forget not to strengthen the Liver that you may hinder the encrease of water as well as purge it have recourse to the 55 Chapter of the Obstruction of the Liver Hollerius commendeth this opiate Take of Currance cleansed half a pound boyle them in Sack till they be as thick as a pultis heat and strain them then add of the Conserve of Rosemary flowers Citron peels Candied and Cinnamon of each one drachm the pouder Aromaticum Rosatum Diamargariton Calidum and Diacinamon of each two scruples Lignum Aloes half a drachm Saffron half a scruple mix them and make a soft Electuary Then make a fomentation for the belly with these or hearbs of the like nature Agrimony Danewort Chamomell Calamint Elder Mallows Marsh-Mallowes Marjerom Melilot Broom Penny-royall Rue Snakweed Southern wood Tamarisk Wormwood and the like the seeds of Parsly Dill Cummin Fennell Bay and Juniper berryes foment the belly with spunges dipt in the decoction of these or lay the hearbs themselves in a bag hot to the belly Afterwards anoynt the belly with the oyle of Dill Chamomell Rue Flowerdeluce and the like Or you may make Unguents Cataplasms or Emplasters This harmlesse Cataplasm I have found profit much Take of Wormwood Chamomell Mayweed and Danewort of each two handfulls bruise them in a stone morter then boyle them in Vinegar and Hony then with Bean and Barly meale and Cow-dung dryed of each a like quantity make a Cataplasm Galen commendeth a Cataplasm of Snailes bruised with their shells and layd upon the Navell and there keep it till it falls off of its own accord Radishes bruised and laid to the Belly and Reynes worketh by stoole and Urine To conclude If the body be strong you may use strong purgers in your Cataplasms but if the body be weak forbeare In Anasarca you may often and strongly purge watry and flegmatick humors In Ascites and Tympanites more seldome and gentle In Ascites order your internall and externall medicines principally to purge water in Tympanites let them be Carminative and discussive In every of them have a speciall respect to the Liver and if it be too hot as it somtimes happeneth give cold things mixed with warm openers Let their meat be of the dryest and let them shun sweet-meats as a Plague For drink let them abstaine from it as much as can be and drink none but what is made with Wormwood Tamarisk Elecampane Juniper c or let them only hold it in the mouth to coole and asswage their thirst let them chew Mastick for it draweth water from the
Ounce Liquorish two Drachms Camomill and Saxifrage of each one Pugill Winter Cherryes twenty Red Cicers four Ounces Raisons of the Sun two Ounces the four great cold Seeds a Drachm and an half French Barly four Ounces boil them gently in the distilled Water of Saxifrage Cammock and Parsly of each half a Pint when it hath boiled a while add half a Pint of white Wine and let it boil till half be consumed to the straining add six Ounces of the Sirrup of Marsh-Mallows drink three or four Ounces in the Morning To the Region of the Bladder must be applyed mollifying and asswaging Fomentations If all Medicines fail and the Patient's pains unsupportable Necessity requireth the dangerous Operation of Cutting Let the Physitian prepare the Patient's body by Purging Bleeding and Diet according to the Constitution and Condition of the Patient's Body and let the Patient prepare his Soul for God CHAP. LXIV Of the Inflammation of the Reins and Bladder THis Disease is a Tumor in those parts caused by the flowing of Blood or Choller unto them The Causes of this Inflammation are natural unnatural or preternatural Natural when there is a natural haereditary Infirmity in the parts or great Heat originally which violently draw the Humours thither Causes not natural are Gluttony Drunkennesse much Venery great Passions of the mind violent Excercise Stoppage of some usual Evacuation as the Terms or Haemorrhoids all things which cause Repletion or evill Concoction and drive the Humours to the inward Bowels Things preternatural may be the Cause as a Stroak Wound or Bruise upon the Reins or Bladder constant Feavers the Matter of the Pleurisy or Empyema carried away by the Urine Heat or Stoppage of the Urine the Stone or Exulceration of the part may cause an Inflammation The Inflammation of the Reins is known by those Signes a weighty and beating Pain about the part which extendeth it self to the adjacent parts the Patient cannot help himself nor ly otherwise then upon his back If he doth sneez or move his Body the pain encreaseth he hath a Numbnesse in the Leg on the same side he maketh Water with difficulty he hath a constant sharp Feaver with Watchings Dotings and dangerous Symptomes He vomiteth Choller Phlegm and other Humours the Urine is first thin and yellow afterwards thick and red If the Bladder be inflamed the Patient is vexed with a sharp Feaver Watching Vomiting c. as aforesaid The Share becometh hard and hath vehement pain he hath almost continuall Provocation to go to Stool as in the Disease Tenasmus Prog The Inflammation of these parts do threaten continual danger of Death Convulsions Dotage Watchings cold Sweats are the Messengers of Death If the Inflammation suppurate and the Imposthume break and the Matter be evacuated by the Urine there is hopes If the Haemorrhoids bleed there is hopes that the Inflammation will cease You must begin the Cure with a mollifying and cooling Clister to the Decoction for the Clister prescribed in the Chapter of the Stone in the Reins add of Cassia and Diaprunes Lenitive of each half an Ounce Sirrup of Violets one Ounce the Oyl of Violets two ounces make a Clister Then open the Liver-Vein on the same side the Inflammation is If the Bladder be inflamed open the Liver-Vein on the right Arm draw as much Blood as your Patient's Strength will bear And if you open the inferior Veins it is a good derivation Then give the Clister again and as often as need requireth but remember to give it in a small quantity least it oppresse the Tumor Use Cupping and Scarifying Frictions and Ligatures to the extream parts to draw the Humours outwards You must allay the Heat of the Blood by cooling Juleps in which use no Diuretick Simple lest it carry Humours to the part and increase the Inflammation in the declination of the Disease Diuretick Medicines may be given You may make a cooling Julep thus Take of the distilled Water of Endive Lettice Plantane and Purslane of each four Ounces Sirrup of Pomegranats two Ounces the Sirrup of Water-Lillyes and Violets of each one Ounce Oyl of Vitriol as much as sufficeth to give it a gratefull Relish mix them for four Mornings and Evenings Draughts Or you may make an Emulsion of the Seeds of Sorrel Letrice Purslane Poppy Almonds Pine-Nuts and the like The great cold Seeds are diuretick and must not be used in the beginning of the Disease for the reason before given Nor ought you at first to purge till the Declination then you may profitably purge with Medicines which are gentle as Manna Cassia Rubarb Tamarinds Diaprunes lenitive Sirrup of Roses c. Outwardly you may apply Cataplasms Liniments Unguents that are cooling repelling and if the Inflammation be in the Bladder astringing when the Defluxion is stopped use Softners and Dissolvers If the Strangury or any other dangerous Symptome appear converse with their proper Chapters If the Tumor tend to Suppuration which you may know by the encrease of the Feaver and Symptomes trembling and vomiting you must help Nature with mollifying Cataplasms the Chapters of Inflammations of other parts will advise you If the Tumor appear outwardly you must open it with a Cautery or Incision-knife If it break and the Matter fall into the Abdomen it brings sudden Death or a Hectick Feaver If the Tumor grow hard and the Feaver gone it breeds the Dropsy evill Habit or some such Disease and is incurable for the most part you must deal with it as with the Schirrhus of the Liver CHAP. LXV Of the Ulcer of the Reins and Bladder THis Disease is caused either from an Imposthume broken there from Sharpnesse of the Humours or from a Stone which doth corrode them This Disease is known by the voiding of much Matter with the Urine To know whether the Reins or the Bladder be diseased take a few Rules If the Ulcer be in the Reins the pain is there the Matter is more concocted more in quantity and more mixed with the Urine making it appear like Milk which standing settleth to the bottom sometimes much Blood is voided and pieces of Flesh which sometimes stops the Passage When the Ulcer is in the Bladder contrary Signes appear the pain is neer the Privityes the Matter is lesse in Quantity and not well concoct but of divers Colours and stinketh sometimes Matter is voided without Urine If the Ulcer be old callous and hard snotty Phlegm is voided such as is voided if there be a Stone in the Bladder for the most part little Skins like Scales or Bran are voided As all inward Vlcers are dangerous so are these much more because the continuall Flux of Humours with the Vrine to the part doth nourish the Vlcer The Violence of the pain causeth Watchings and a Consumption of the whole Body If the Vicer be taken in time and the Patient yong it may be cured else not The Cure must be performed by evacuating the peccant Humours by cleansing drying and healing the
Vlcer You must parge the Humours which flow to the part affected with gentle Medicines such as are prescribed in the Chapter aforegoing If there be Repletion or Inflammation in the part let Phlebotomy be used Evacuate the Humours by gentle purgers mentioned in the Chapter aforegoing Mercuvius Dulcis doth cleanse and heal the Vlcer Turpentine is a good cleanser It is good for the Patient to vomit often After due Evacuations you must use cleansers as the Milk of Cows Goats or Asses which are very good and cleanse with their wheyie part and heal with their cheezie but give it not in a Feaver Let the Patient drink Water and Sugar thin Hydromell or Barly Water In Hydromell if there be a Feaver boil the cold Seeds Mallows Liquorish c. Waters that spring from Allum and Iron Mines are good for they correct the Heat and cleanse the Ulcer The Decoction of China Guajacum Sarsaparilla and the like is good to dry up the Humours to purge the crude Matter in them that have the French Pox and have no Feaver nor Flux of Blood But lest the Bowels should be inflamed give cooling Broths at Night After the use of cleansers you may see by the Vrine when the Vlcer is cleansed viz. when it appeareth white and clean without any dreggy or filthy Matter then you must give astringing glutinating and healing Medicines Take of Conserve of Roses four Ounces Bolearmenick Terra Sigillata red Coral and Sanguis Draconis of each two Drachms the Seeds of Lettice Purslane and Plantane of each one Drachm red Roses and Shavings of Ivory of each two Scruples with Sirrup of Comphry make an Opiate Or you may make of it a Masse for Pills with Venice Turpentine or if that cause pain with the Juyce of Liquorish Chymists do much commend Antimonium Diaphoreticum Mercurius Dulcis Diaphoreticus To allay the vehemency of the pain you must sometimes mix Anodines with your Medicines as Laudanum the Sirrup of Poppyes and the Emulsion of the cold Seeds Outwardly foment the Region of the Kidneys thus Take of Camomil Mallows Melilot Pellitory of the Wall and Violets of each one Handfull the Roots of Marsh-Mallows and water-Lillyes of each two Ounces the Seeds of Flax Fenugreek and Winter-Cherryes of each three Drachms make a Decoction and foment the part Then apply this Liniment Take of the Oyl of Violets and Sweet Almonds of each one Ounce and an half Oyl of Roses one Ounce of the Musilage made of the Seeds of Marsh-Mallows and Fenugreck of each two Ounces Saffron one Scruple make a Liniment If the Ulcer be in the Bladder you must make an Injection twice in a day with new Milk Whey Hydromel or Barly Water with Hony of Roses to cleanse afterwards add Astringers and Driers as the white Trochts of Rhasis or of Gordonius or boil in Whey or Barly-water the Roots of Comphry Allum Mirth Tragacanth and the like CHAP. LXVI Of extraordinary Pissing 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Diabetes is a quick and plentifull making of Water after which followeth violent Thirst and a wasting of the whole Body The Cause of this Disease is a hot Distemper of the Reins which draweth Water violently from the Veins which causeth a great Thirst after drink which as soon as it is taken is carried to the Reins where burthening the retentive Faculty and provoking the expulsive it is soon sent to the Bladder Some attribute it to choletick sharp and salt Humours in the Kidneys which draw Water thither as such Humours which stick to the Tunicles of the Stomach in Feavers cause Thirst Others will not admit of this opinion because the Kidneys onely suffer in this Disease and that Choller and other burnt Humours are first bred in the Liver They say there is a venemous Quality bred in the Kidneys Galen himself is of this opinion that divers kinds of Poisons may breed in the Body of Man In Lybia there is a Serpent called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Dipsacos which name the Greeks give this Disease from the unquenchable Thirst with which it is accompanied which Serpent if he biteth any man infecteth him with such a Poyson as begets an unquenchable Thirst The Signes of this Disease are clear from what hath been said viz. An unquenchable Thirst an extraordinary Pissing and voiding the Drink as soon almost as it is drunk and a Decay of the whole Body This Disease is deadly if it be not taken in the beginning and the Patient yong for it brings a Consumption If you judge the Patient curable you must labour to allay the hot Distemper of the Kidneys to correct their poysonous Quality to thicken the Humours which flow to them and to strengthen them First give mollifying and asswaging Clisters and purge if you see occasion as you are taught in the Chapter Of the Inflammation of the Kidneys Gentle Vomits do evacuate and draw the Humours from the Ureters If nothing forbid open a Vein in the Arm. To correct the Distemper and thicken the Humours make a Julep thus Take of the distilled Water or the Decoction of Plantane four Ounces of Lettice Poppy and Purslane of each two Ounces the Sirrup of Myrtles Comphry and Quinces of each one Ounce the Sirrup of Poppyes half an Ounce the Spirit of Vitriol twenty Drops mix them and make a Julep If you will have a Medicine more astringent or binding thus Take of the Seeds of Plantane Purslane and Coriander prepared of each one Ounce the Flowers of red Roses Pomegranats and yellow Mirabolans of each half an Ounce Nutmegs half a Drachm Corall and Pearl prepared burnt Harts Horn Bolearmenick and the Roots of Tormentill of each one Scruple make them into Powder Or if you please make them into a soft Electuary with the Sirrup of Myrtles Comphry or Quinces The Milk of Asses Cows Goats or Sheep is good especially if Flints be often quenched therein Sweating is a good Remedy if it be provoked by outward means or with China Sarsa and such mild Medicines for it drives the watry Humour outward but beware of strong Medicines least they purge by Urine and encrease the Distemper Outwardly foment the Loyns with things which cool and bind as the roots of Sorrel Plantane Pomegranate-peels Sumath Seeds c. boiled in Vinegar afterwards anoint with the Vnguent of Roses Sanders and Comitissa CHAP. LXVII Of involuntary Pissing THis Disease consisteth in the hurting of the retentive Action of the Bladder Some are subject to this Distemper while they are awake which is the worst Others are subject to it sleeping onely which is not so bad because then the animall Functions are lesse excercised There are two Causes of this Distemper First the Weaknesse and Loosenesse of the Sphincter Muscle of the Bladder Or Secondly the exquisite Sense of the Bladder and the Sharpnesse of the Urine which stirreth up the expulsive Faculty with consent of the Will The first Cause is apparent in sucking Children weak people and such whose
they are cured Old women are seldome or never cured To women with Child it is very dangerous and threatneth Miscarriage To Women lying in as dangerous by reason of their Weaknesse It is good for a Woman to sneez in the Fits for it signifyeth Strength of the Brain and it disperseth the Vapours from the Brain I shall lay down a few Rules first to give present ease in the Fit secondly to give perfect Cure First lay her down in such a posture that her Neck and Shoulders may ly high her Thighs and Privities low shooting downwards that so the Womb may be the better reduced Let her lower parts be rubbed and bound so hard as to cause pain And if her Fit be inveterate apply Cupping-Glasses to her Hips and Share If she swoon rub the Bottoms of her Feet with Vinegar and Salt and course Cloths Hollow in her Ears and bend her Fingers and if need require apply Epispastick Cataplasms to her Feet Put strong and stinking things under her Nose as Leather and Fethers burnt Brimstone fited Assafaetida Castoreum and the like But take this Caution carefully to distinguish between this Disease and the Falling-Sicknesse for in the latter such Smells are hurtfull The Warts that grow upon a Horses Legs being dryed and powdered and a Fume made thereof under the Patient's Nose is very good in the time of the Fit The smoak of Tobacco blown into the Mouth and Nostrils is likewise of great efficacy to free the Woman from the Fit-Whilst you do this you must apply Musk or Civet wrapped up in cotton Wool to the Womb. Then blow thâ—s Powder into her Nose Take of white Pepper Mustard Seed Pellitory and Castor of each one Scruple mak it into a very fine Powder and blow some up her Nose if you judge it not strong enough add a little white Hellebore or Eaphorbium Or let her Nose be anointen with Oyl of Amber If the Fit be of long continuance give her a laxative carminative or wind-expelling Clister if one doth it not give another Afterwards give another made of Vinegar and Water and let her drink a little Vinegar and Water Apply Emplastrum Hystericum to the Navel or a Plaister made of Galbanum Caranna Assafaetida and Tachamahaca If you find the Sick troubled with plenty of Wind and Vapours bathe and soment the Belly with Fomentations made of emollient carminative and discussing Herbs and Seeds If the Sick be a married Woman let her have carnall Conjunction with her Husband as soon as ever the Fit is over If that cannot be had that is if she be a Maid or Window let a Mid-wife tickle the Neck of the Womb with her finger anointed with the Oyl of Musck Cloves or the like that so the offensive Sperm may be avoided You may in the Fit give Pills made of Assafaetida Castor Faecula Brioniae Mirrh and the like and if the Fit be violent give Pillulae Faetidae Oyl of Amber given three or four drops in some convenient Waters are very good The After-Birth of a Woman that lyeth in of her first Child dryed and powdered and a Drachm given in some convenient Liquor is excellent Quercetanus his Powder made of Elder-Berryes taken a Drachm in Wine is very good For the Cure you must consider whether the Woman be with Child or not and be carefull how you administer stinking Medicines for fear of Abortion but rather outward Medicines then inward Whatever part of the Body suffer by this Disease either Brain Heart Liver c. take care to free and strengthen the part seek the means in their proper Chapters The Patient must once in a Month be purged with such Medicines as principally regard the Humour offending adding thereto things that are hystericall If the Body be full of Blood open a Vein or bleed the Haemorrhoids if Nature requireth it After generall Evacuation make use of sweating Decoctions or let the Patient frequent sulphurous Baths These Pills are much commended Take of the Troches of Agarick one Drachm and an half Hiera of Colloquintida one Drachm the Seeds of Carrots and Agnus Castus of each one Scruple Mirrh Castoreum and Diagridium of each half a Scruple Venice Turpetine as much as will suffice to make all into a Masse let ber take half a Drachm or two Scruples twice or thrice in a Month. Or Pillulae Faetidae taken half a Drachm once in a Month doth very much cleanse the Womb. Then make use of this Sirrup much commended by Mercatus Take of the Juyce of Mercury and the cream of Carthamus Seeds of each six Ounces the Water of Scorzonera seven Ounces Sugar as much as will make it into a Syrrup while it boiles add of Confectio de Hyacintho of Alchermes and Powder of the Electuary de Gemmis of each two Drachms let the Dose be two or three Ounces Assasaetida and Castor made into Pills with Hony have a peculiar property against these Firs many use the former with good successe tyed up in a thin ragg or farcener and hung about the Neck and for this purpose the Liver or Flesh of a Wolf or the Pizzell or Stones of a Fox dried and hung about the Neck with a string resting upon the Navell vitriolated Steel or the Salt thereof given with Sugar from two to twenty grains according to the Strength of the Patient is much commended for opening Obstructions and cooling the Womb. Eight dayes before she expect her monthly Purgations let the Woman sit in a mollifying and resolving Bath that so the Humours may be resolved and flow forth with her Courses Lastly Issues made in the Thighs are good for they derive and turn aside evill Humours from the Womb. CHAP. LXXVI Of the Inflammation Ulcer and hard Swelling of the Womb. THis Disease is a Swelling of the Womb which is caused by Blood mixed with Choller or other Humours flowing to the part vehement Excercise or immoderate Copulation some Blow or Fall upon the part Meats that are sharp and sretting or such things as naturally offend the part as Cantharides or Pessaryes that are of a sharp Nature Abortion hard Labour in Child-bed or a violent handling by an unskilfull Midwife The Signes of this Disease are Swelling Heat Pain about the Region of the Womb the Body feavourish If the Inflammation be in the Neck of the Womb the pain is felt towards the Groin if in the former side the Bladder suffereth if in the hinder side the strait Gut will be sensible thereof and the Pain is violently felt about the Loyns If either side of the Womb be inflamed the Thigh and Groin on the same fide will be heavy and pained If you consider the Const tution and present Temper of the Patient you may easily guesse what Humour offends If it be purely Blood the Symptomes are more mild if Choller be mixed it is more vehement if Phlegm or Melancholy the Distemper is more fixed and lasting but the pain is not so vehement If the
little and flaggy she feels a heavinesse about the Loius and Hips she hath no appetite to eat nor desire to stirr she hath a shivering by Fits she hath Streightnesse of the Sides and Belly above the Navell and a pain in her Head plenty of Milk flowing from the Dugs shews that the Child is weak and danger of Abortion If pains about the Reins Loins and Share torment the Woman then know that Abortion is hard at hand the same judg if Blood or Water burst out and flow and the Scituation of the Child is changed from the middle of the Belly to the Bottom If any of these or the like Symptoms befall a Woman with Child after any externall cause of Abortion as Blow Fall c. let the Woman betake herself to her Bed and take such Medicines which prevent Abortion Prognosticks of Abortion are thus made Women are more endangered by Abortion then by a naturall and timely Birth because in a timely Birth the Vessels and Ligaments are loosned and opened of their own accord but in Misearriage they are broken in sunder the like you may perceive between the Stalk of ripe and unripe fruit Women many times become barren by Miscartiage because the womb is rent and its natur all disposition much altered Much bleeding seconded with Convulsions raving and fainting is alwayes deadly If an Inflammation of the Womb follow Abortion it is deadly In young Women who never bore Child before it is worst because the passage is narrower and they more unaccustomed to pains The bigger the Child is the more the danger Women who have moist and slippery Wombs do often miscarry and with little danger To prevent Miscarriage you must before and after she is with Child endeavour to remove all evill dispositions of the Body or Womb that may cause Miscarriage if Blood abound open a Vein purge the peccant Humours strengthen the Womb but if the Woman be with Child beware how you bleed except it be in the first month and the Body full of Blood and in this case let Purges be gentle and often reiterated To conclude to streng then the Womb fetch Medicines from the 73 Chapter CHAP. LXXXI Of hard Travel in Child-birth HArd Labour is when more vehement Pains and dangerous Symptomes happen to Women in Travell and continue a longer time There are divers causes some whereof may be assigned to the weakness of the Womans Body Leannesse or Drinesse as well as Fatnesse of the Body her Age or Sicknesses as the Stone or preternaturall Tumor in the Bladder or any Disease of the womb Other causes may be assigned to the Child when its Body or Head is too big when there are two or when the Child is dead or when it endeavours to come forth with his Feet Hands Back Belly or Breech c. A cold and dry Air and Northern Wind streightneth the Body and driveth the Spirits inward and is obnoxious to the Child's first entrance into the world If the Air be more hot then ordinary it is as bad as the former for it dissipates the Spirits exhausts the Strength and introduceth feavourish Distempers into the Bodyes of Mother and Child Meats of a hard digesture or astringing quality taken a little before the time of Delivery Sleepinesse and Sortishnesse the Retention of Excrements all vehement Passions of the Mind want of an expert Midwife and Women to assist the labouring Woman may be causes of hard Labour Hard Labour is easily known to the Woman herself to the Midwife and the Assistants The time of a naturall Birth ought to be accomplished in the space of twenty four houres if the Woman continue a longer time it is hard Labour If her pains be weak and long before they return and more about her Back then Privityes the causes may easily be known many you may gather from the Relation of the Woman in Travell her Leannesse Weaknesse Fatnesse and Age is perceived Diseases of the Womb and Bladder may be known by their proper Signes The Bigness and disorderly Posture of the Child is soon seen by an expert Midwife If the Child be dead you may know it by these Signs the Breasts of the Woman become flat and flaggy her Eyes hollow and troubled her Face and Lips are of a pale and leaden colour her Belly is cold there is a Sense of Weight there is no Motion felt though you apply somthing wetred in the Decoction of Tansy warm to her Navell When the Woman turnes the Child sways that way like Lead If the after-Birth come away before the Child it is a Sign of the Death of the Child And if the Child cometh not away it soon putrifieth and stinketh and stinking Moisture floweth from the womb and their Breath stinketh Hard Labour is dangerous for sometimes the Mother sometimes the Child and sometimes both do lose their lives Sleepy Diseases and Convulsions if they befall a Woman in Travell death is at hand If the Woman be in Travell above three dayes it is likely the Child will dy If the Woman fall a sneezing in her Travell it is good saith Hippocrates If the Child be dead the danger is exceeding great especially if it be not brought soon away for it will cause Feavers Faintings Convulsions dead Sleeps and death it self In difficult Labour first all causes which hinder the Birth must be removed if it be possible then such things as further the Birth must be administred An Ounce of Oyl of sweet Almonds and a Drachm of Confectio Alchermes given in Broth is good Burn white Wine with a little Saffron and Cinnamon afterwards dissolve a little Alchermes this I have found very powerfull to hasten the Birth If you find this Medicine too gentle make a Julep of more efficacy thus Take of the Water of Mugwort and Vervain of each two Ounces the Sirrup of Maiden-hair one Ounce Confectio Alchermes half a Drachm Dittany of Creet and both Birth worts of each one Scruple Oyl of Cinnamon five Drops mix them and make a Potion Oyl of Amber fifteen Drops or the Extract of Saffron five Grains may be either of them mixed insteed of the Oyl of Cinnamon Provoke sneezing and open the lower Veins if need be Then let the Midwife anoint the Mouth of the womb with the Oyl of Lillyes and Sweet Almonds and the like and foment the Belly with a mollifying Decoction and in a dangerous case give a sharp Clister Some things have a peculiar property to help the Birth as the Stone Aetitis Loadstone and Storax held neer the Privityes the Eyes of a Hare taken out in the month of March and dryed use it as the Stones and when the Woman is delivered take them away lest it draw out the Womb. Some commend the Gall of an Hen applyed to the Navell If the Child be dead give the same things before mentioned but it is convenient to make them stronger by adding Savin Water and the Leavs of Savin dried the Troches of Mirrh
and Castor Then foment the Privityes and Share with a mollifying Decoction to which add Briony Roots and the Roots of wild Cucumber round Birth-wort and the like And put up a Pessary made in this manner Take of the Roots of round Birth-wort Orice black Hellebore Coloquintida and Mirrh of each one Drachm Galbanum Opopanax of each half a Drachm with Ox Gall make a Pessary and apply it If all this will not do you must implore the help of the Chirurgion If the After-birth be retained you must endeavour to expell it by such Medicines as expell the dead Child to which add these which are said to have a specifick property the Stones of a gelded Horse dried and powdered and given as much as will ly on a three pence two or three times as need requireth is commended by Gesnerus and Augenius Some commend the Juyce of an Onion given in Wine or an Onion held in the Woman's mouth between her teeth and the Juyce squeezed out and swallowed and a Draught of white-Wine drunk after it Or 20 or 30 drops of the Oyl of Juniper drunk in Wine or the Juyce of Lovage taken in Renish Wine If her Purgations flow immoderately that you fear the Death of the Woman or in case her Purgations be suppressed which may cause dangerous Symptoms have Recourse to the Chapters treating of those Maladyes Many Women are much troubled with after-pains which do much afflict them and these pains are caused either by the Thicknesse or Sharpnesse of the Blood or by Wind. If the Blood be thick you may know it by its clotting if thin by its Tenuity or yellow Colour If the Blood be thick give this Julep Mugwort water two Ounces sirrup of Violets oyl of sweet Almonds of each half an Ounce If the Blood be sharp add to the former the Musilage of Quince Seeds drawn with Violet Water half an Ounce If Wind be the Cause of these Pains which you may know by its Motion from one part of the Belly to the other then give inwardly and apply outwardly carminative Medicines Take of the Seeds of Carrots one Drachm of Annise Nutmeg and Cinnamon of each a Scruple make them into fine Powder and give it half at one time in Wine Foment her Belly with the Decoction of Bawm Bay Leavs Camomill Calamint Mugwort and the Seeds of Carrots Caraway and Cummin and lay on a Pultise made of boiled Onions Camomill Flowers the Seeds of Flax and Cummin beaten and Barly Meal CHAP. LXXXII Of the Gout and Sciatica 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Arthritis in Greek in Latine Articularis Morbus is the Joynt-Sicknesse caused by an Influx of Humours into them which causeth pain in the Membranes Tendons and Nervs Authors do commonly make four sorts of Gouts according to the diversity of the Joynts affected as 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Chiragra the Hand-Gout of 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 a Hand 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Gonagra when it is in the Knees of 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the Knee 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Podagra when it is in the Foot because the Greeks call the Foot 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ischias the Hip-Gout or Sciatica of the word 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the Hip. The immediate cause of the Gout is a wheyish Humour flowing to the Joynts and by its Quantity stretcheth the sensible parts or by its Sharpnesse twitcheth them and this Humour floweth not onely from the Brain and Head but from all parts of the Body The cause may be attributed to all Meats which encrease raw and wheyish Humours Meats of a grosse Substance hard to be digested and such as afford plenty of Excrements Gluttony Drunkennesse immoderate Venery therefore the Gout is called the daughter of Bacchus and Venus long Sleep and unseasonable Watchings Fear Sadnesse continuall care and intermission of such Excercises or Evacuations as men have been accustomed to and the like The beginning of the Gout is known thus there is a more exquisite and quick Sense in the Joynts then formerly they are easily hurt as by a new shooe walking the least touch against any hard thing Commonly a Feaver ushers it in and at its approach there is a kind of unusuall Heat felt in the Joynts and a Motion as if some living Creature were therein after which followeth a tormenting pain in the Joynts for the most part beginning in the great Toe and attended with Rednesse and Swelling The Signes of the causes or the Humours which are mixed with the wheyish Humours are thus considered If choller be mixed with the wheyish Humour the Urine is thin yellowish or red the pain great and violent the Feaver comes to the height the part is swelled is red or pale but very hot the application of cold things giveth ease If Phlegm be mixed there is a soft and loose swelling of the part the pain not so violent the Urine is thick and troubled little or no Heat and hot things give ease If Melancholy be the Humour mixed the Temper of the Body inclineth to Melancholy and there is a wearinesse felt all over the part is of an obscure Colour like Lead the pain deep and the Urine thick and melancholy The Gout is no dangerous Disease but it continueth long and is attended with violent pain for the most Part to the end of a man's life and sometimes it is a means of long life because Nature doth drive the vitious Humours to the Joynts which if they should fall upon the more noble parts would be a means of great Diseases if not death it self But in weak Bodyes that are decayed by Sicknesse or Age that Nature cannot expell these Humours to the Joynts many dangerous Diseases are ingendered He that hath no knots in his Joynts is inclinable to Labour and is for the most part soluble by a skillfull Physitian may be cured An haereditary Gout is seldom or never cured If the Veins of a gouty Person do swell with black Blood there is hopes that the Gout leavs him If the Gout doth not return at its season it is dangerous unlesse the matter be taken away by Medicines for it is an argument that Nature is weak and cannot expell it The Cure of the Gout is to be performed by stopping the Flux of the Humours into the Joynts by removing the Humours in the Joynts and to abate the Sharpnesse of the pain If the Patient be full of Blood and strong let him bleed in a great Quantity or let him blood often till the plenitude of Blood be sufficiently abated Then let him be purged with strong Medicaments which may evacuate the stirred Humour and turn the cause from the Joynts Whilst you are purging let Ointments or Plaisters be applyed to the Joynt above the part affected of an astringeing and drying property by which the Humours may be intercepted that they may not so much nor so forcibly fall into the Joynt Let your Ointments be made of the Roots of Snake-weed
Citrons These Powders are pood of Corall Pearls Ivory Harts-horn Diamargaritum frigidum Diatriasantalon Diarrhodon Abbatis Confectio Alchermes and de Hyacintho with these may the Ingenious make Electuaryes or other Compositions according to Art CHAP. LXXXVI Of the Hectick Feaver AN hectick Feaver occupies the solid parts of the Body as well as the Spirits it is an unnaturall Heat of which the Patient is scarce sensible This Feaver is either primary and begins of it self or secundary and followeth some other Feaver Some begin at the Heart and some at other parts as the Lungs Liver Spleen Kidneys Womb or other parts inflamed The causes of this Feaver are externall or internall Externall causes are all that may occasion any of the other Feavers The Internall Causes are burning and pestilentiall Feavers which do speedily consume the Moisture of the Heart or some lingring Feaver An Inflammation Ulcer Putrefaction of any of the inward parts may cause an hectick Heaver An hectick Feaver is known easily because it is continuall without encreasing or decreasing saving a little after Meat the Pulse is little frequent and quick the Arteryes are hotter then the other parts the Urine appeareth as of a healthy man but after long continuance there is an Oyl swims on the top and a Sediment like to Meal which signifieth the Wasting of the Body An hectick Feaver may be cured unlesse it be neglected till it come to the height that is when the Eyes are hollow dry with dry Excrements the Bones stick out and the Colour of the Face is gone the Skin is dry and the Midriff so contracted as if the Patient had no Guts then it is incurable If the hectick Feaver depend upon the Disease of any other part the Cure must be directed to that Discase and if it be joyned with any other Disease respect must be had to that Disease The Cure of the hectick consisteth more in a due observance of Diet then in Medicines His Diet must be cool moisten and soon nourish as Chicken Broths or Broth made of Hens Capons Veal Kid Mutton in which boil French Barly Lettice Endive Succory Sorrell Burrage Purslane and such like The Flesh of young Hares Pheasants and young Partridges are good Panados Water Gruell Barly cream Rice pottage with Almonds or the cold Seeds Boiled Meat is better then rosted and if the Patient eateth rosted Meat let Oranges and Lemmons be his Sauce For his Diet likewise may be prepared Gellyes made of Capons Knuckles of Veal and Mutton Calves Feet Sheeps Feet and such like adding Herbs or other Ingredients that are cooling moistning and cordiall New laid Egs boiled rear are good and of Fruit Apples are much commended especially Pippins because they breed cold Blood For his drink let him use Barly Water with cooling Sirrups Galen approveth of cold Water with which he saith he hath saved many from the Marasmos which is the Consumption of the radicall Moisture of the Body which commonly followeth this Disease Great care is to be used in the giving of cold Water to decayed people lest the heat of the Patient should be wholly extinguished Motion and much Stirring and Labour is not good yet a little Exercise before Meat may be allowed of But above all Excrcises let him beware of the Under-sheet Let his Sleep be moderated if he be costive provoke a Stool by a Suppository or gentle Clisters Purges are not to be allowed of because the Body hath more need of repairing then weakning yet if the Body be full of Excrements you may venture to give gentle Purgers as Cassia Manna c. Cooling and altering Juleps such as are prescribed in the Chapter before going the Patient make use of but let him beware of the too frequent use of them lest they diminish his Heat too much Such Epithems Unguents or Oyles mentioned in the aforegoing Chapter are good to temper the Heat of the Lover Lastly such Medicines mentioned in the former Chapter as strengthen Nature and revive the Spirits may be used and there is need enough thereof The worst Symptome that can attend this Disease is a Loosenesse if it so happen give Goats or Cows Milk wherein Steel hath been quenched or Rice boild in it or Sirrup of Quinces given with the Decoction of French Barly parched or such like CHAP. LXXXVII Of the Tertian Ague THis Disease is divided into an Exquisite and Bastard Tertian the exquisite is terminated in 12 hours but a bastard lasteth lenger if it exceed twenty four hours it is called Tertiana extensa a Tertian extended The Tertian Ague is Simple Double or Triple the Simple is that which cometh every other day the Double Tertian cometh every day and shall be distinguished from the Quotidian in its proper place and sometimes the Patient hath two Fits in one day The Triple Tertian is when the Patient hath three Fits in two dayes Choller and such things as engender it are the cause of this Disease viz. a hot and dry Distemper of the Spleen youthfull Age hot Air Watchings Cares Anger Fastings use of hot Meats and overmuch Exercise Those that have hot Livers that eat and drink liberally and such things as breed Crudityes Phlegm and melancholy Humours are subject to bastard Tertians by reason of the Mixture of Choller with the Crudityes The exquisite Tertian doth alwayes begin with shaking the Quotidian begins with a light Shivering or Coldnesse After the cold Fit followeth great Heat sharp biting and intolerable Thirst and sometimes all the Symptomes of a putrid Tertian Feaver In the bastard Tertian all the foregoing Signes appear but more remisse and more vehement then a Quotidian according as more or lesse Phlegm is mingled with the Choller this Disease cometh nearer to a Quotidian or exquisite Tertian A Legitimate Tertian seldom lasteth above seven dayes and is not dangerous unlesse some Malignity be joyned with it and the Patient be of a healthy constitution and temperate in eating and drinking judg the contrary if the Patient is otherwise qualifyed If the Patient's Lips break out with Scabs or if he fall into a Loosenesse these are good Signes for Nature is turning out the Enemy To work the Cure a cooling Diet must be appointed and withall moistning such as hath been prescribed in the Cure of continuall Feavers the same you must observe in the double Tertian But in the bastard and Single Tertian a fuller Diet is to be observed What ever the Patient â—ateth let him eat nothing before the Fit two or three hours that there may be a digesture but it is good if he go to Stool before the Fit to help the same give a Clister Clisters in an exquisite Tertian must be made of emollient and cooling Decoctions adding Cassia Catholicon Diaprunum lenitive and solutive c. In a bastard Tertian let the Decoction be emollient and cutting and dissolve in it Diaphaenicon Hony of Roses c. Purgatives ought to be the same for the exquisite Tertian as for the continuall
sort are these the Powder of Mercury Unguentum Aegyptiacum or Apostolorum with Natural Verdegrease Of the stronger sort are Quicklime Red Vitriol Burnt Vitriol Mercury sublimate Of these may many Compounds be made which for brevity sake I omit If the Lips of the Ulcer be hard soften it with mollifying Medicines made of the fat of a Goose Hen Duck Lion Bear Calf Oxe or the like the Oyl of Lillies Sweet Almonds Earth-Worms Foxes Unguentum Basilicon Diachilon and Emplastrum de Mucilaginibus If it be so hard that it will not yield to Medicine make use of In cision Cautery or of the aforenamed corrosive Medicines If the Bone be defiled by an Ulcer take it off with a Scaling Instrument or an hot Iron after you have loosed the Scale the first three days apply Oyl of Roses and the White of an Egg warm the next three days the yolk of an Egg and Oyl of Roses after that with Butter and Hony If the Bone lie so deep that you cannot apply your hot Iron inject this Water Take of White Wine one pound and an half the distilled Waters of Plantane and Roses of each one pound Mercury sublimate three drachms Bolearmenick half an ounce Burnt Allum one ounce and an half white Vitriol and Borax of each half an ounce White Sugar two ounces Maslick Sarcocol of eath one ounce and an half Powder what is to be powdered boil it to the consumption of half then filter it and add of the best Aqua Vitae one pound and reserve it to your use It is good also to lay this following Powder to the putrified Bone Take of round Birthwort and the Bark of the Pine-tree of each three drachms of the Root of Hegs Fennel and Reeds of each two drachms of Agarick and Tartar of each one drachm and an half Eupborbium one drachm make a Powder lay it upon the putrified Bone or mixe it with Honey or Aegyptiacum or such like If Worms breed in the Ulcer take away the humidity and putrefaction whereof they are ingendred kill the Worms with the Juyces or Decoction of Wornewood Centory Eupatorium Wormwood and such like bitter Hearbs So much for the general cure of Ulcers CHAP. XII Rules for Vomiting and Purging THE first thing herein confiderable is the matter offending what part of the body is afflicted and which is the best way to evacuate the peccant humour The matter offending is either Flegm Water Choller or Melancholy Purging Simples work gently or strongly those that work gently onely are to be given to weak Bodies the strongest to stronger persons Be well advised of the offending humour before you purge least instead of helping you weaken Nature Before you take a purge let the Humours be prepared by some Medicines proper for the purpose especially if Flegm or Melancholy be the humour you would purge Prepare the body before with Medicines that are attenuating and cutting and let your Purge be made up with it The next Book will furnish you with variety of altering and preparing Medicines It is a matter of consequence to consider what part of the body is afflicted and to form your Purges accordingly If the remote parts of the body be afflicted as the Head Arms Feet and the like let your Purge be made up into a hard form as Pills that by their long stay in the body they may be the better able to draw the humours from those parts If the oftending humour lye in the Bowels or adjacent parts use liquid Medicines and in all these look not upon the multitude of Ejections but of the matter ejected If the humours lye in the Tunicle of the Stomach a Vomit is necessary and in many cases more it is a good Revulsion but take them not without advice from an able Physitian If the Purge work not at all give warm Broath and Posset Drink and if the Purge were strong give a Clister If it work too stronâ—ly which is worse give such things as make the Bowels slippery for Ejection as the Oyl of Almonds which is good if the mouths of the Veins be opened or if there happen excoriation for the same purpose Quince-seeds and Mallows boiled in milk is good and Gum Traganth dissolved in water or Milk the Syrup or Marinalade of Quinces have the like virtue If Vomiting hold too long give a draught of Milk with a little Mastich therein and lay to the Stomach Emplastrum è Crusta Panss If either Vomit or Purge work too churlishly some give a Pill of Laudanum and with good success Anoint the Stomach and Belly with Oyl of Roscs and lay on it the Powder of Mastich of Galls and Red-Roso leaves Chymical Medicines if they be rightly prepared and administred with care and judgment are the best for they stay but a little while in the body and do not bind afterwards because the Terrene part is taken away If the Humour be tough it is not easily carryed away therefore in such cases purge gently and often The Dose ought to be regulated by an able Brain In the next Book I shall give you the Faculties and Dose of most of the Medicines in use amongst us For the Times and Seasons of purging in respect of the motion of the Moon and Stars I have given you a few general Rules at the latter end of my Almanack for the Year 1659. to which I refer you An end of the Third Book BOOK IV. IN this I shall shew you the Faculty and Natural Operation of most of the compound Medicines now in use amongst us and sold by the Apothecary together with a general Rule for the making of all such kind of Medicines Those that desire a more particular Description of their Ingredients or Compositions let them peruse the Dispensatory made by the Colledge of Physitians of London If they cannot understand the Latine Tongue let them make use of the Translation thereof by Mr. Culpeper it being unbefitting for this Volumne Be pleased therefore to accept of their Faculties and Doses from the least to the greatest which must be regulated with judgment and discretion according to the age or strength of the Patient the Season of the Year and the nature of the Distemper CHAP. I. Of Distilled Waters COld or simple Distilled Waters are drawn out of Hearbs Flowers Fruits and Roots all which ought to be distilled when they are in their greatest vigour and ought to be gathered in a dry day about Noon The common way is to distil them in a Peuter Still the Water thus distilled is of all Medicines the weakest yet is of use in mixing them with other Medicines that they may be the better taken To avoid burning put fifted Ashes under the Vessel which holds the Hearbs and give a gentle fire But to make the Water have more smell and vertue of the Hearbs do thus Take what green Hearb and Roots or Flowers fresh gathered if you please bruise them and mix with them some Leaven and let them stand close
two or three Choclearies either by it self or mixed with Syrup of Myrtles dryed Roses or Syrup of Comphry and if the Flux of Bloud be very violent give a scruple of the Tincture of Corral with it CHAP. II. Of Syrups OF syrups there are three sorts syrrups made by infusion juyce and decoction syrrups made by infusion are made of flowers and such flowers as soon loose both colour and strength by boyling as Violets Roses Clove-gilly-flowers Peach-flowers c. and they are thus made Having picked your flowers to every pound add three pints of water made boyling hot put them into a Pewter-pot with a close cover and keep it hot twelve hours If you would make your syrrup very strong put in more fresh flowers as often as you please having strained it out put the liquor into a Pewter-Bason and to every pint add two pound of fine Sugar put it upon a Chaffin-dish of Coales and melt it stirring and scumming it till the Sugar be perfectly melted without boyling Secondly to make a syrrup of the juyce of an hearb you must make choice of such hearbs as are full of juyce then beat it in a stone Morter presse out the juyce put it over the fire and clarifie it that is scum it as long as any scum arise then boyle it till a quarter of it be consumed to a pint of this add a pound of Sugar boyling it to a syrrup and scumming of it You may know when it is enough if you coole a little in a spoon After this manner you may make syrrup of Wormwood simple of Betony Buglosse Borrage Chamomell Carduus Endive Succory Strawberryes Funtitory ground Jvy St. Johns-wort Mercury Mous-care Plantane Purslane Apples Raspberies Sage Scabius Scordium Housleek Colts-foot and such-like and when you have done so and would know what they are good for see the virtue of the Simples Thirdly Syrrups made by decoction for the most part are compounds though you may make Syrrups of Simples by decoction the operation is thus Take of what hearb root flower or seed you please and bruise it a little if you make a Syrrup of roots or wherein there are many roots let the roots macerate in the water twenty four houres then add the hearbs and the rest and boyle it till half the water he consumed then let it stand and when it is almost cold strain it through an hypoeras-bag without pressing to every pint of the decoction add one pound of Sugar and boyle it till it comes to the thicknesse of a Syrrup or new hony After this manner the most part of the Syrrups following are made except they be made of flowers or juyces Take this for an example Take of common Worm-wood meanly dry half a pound red Roses two ounces Indian spicknard three drachms old White-wine and juyce of Quinces of each two pound and an half steep them a whole day in an Earthen Vessell then boyle them gently strain it and adding two pound of Sugar boyle it into a Syrrup according to art This Syrup is very good for cold and Flegmatick Stomachs it helpeth concoction strengtheneth the Stomach and Liver provokes an Appetite breaks wind and is good against the Jaundise the dose is from one ounce to three Syrupus Acetousus simplex vel compositus Syrup of Vinegar simple or compound These Syrups cut Flegme and tough Humors they coole the body quench thirst and ease any stuffing in the Stomach and are good to prepare the body for a Vomit especially the first if you use it so take from one ounce to two or three in other cases take it with a Liquorish stick Syrupus de Agno Casto Or Syrup of Agnus Castus I conceive by its composition it was intended to prevent immoderate Letchery and nocturnall pollutions for without doubt it dryeth and cooleth the naturall seed thereby restraining venereall thoughts for my part I can say nothing of it by experience Syrupus de althaea Syrup of Marsh mallows This is a fine cooling opening slippery syrup good against the paines of the Stone Gravell or Chollick You may give an ounce or two it is so safe and harmlesse you cannot err in the giving of it Syrupus de Ammoniaco Syrup of Ammoniacum It opens Obstructions of the Liver and Spleen and cooles the parts and helps all diseases arising from their Obstructions and heat as Scabs Itch Leprosie and such like You may take an ounce or more if you see occasion Syrupus de Artemisia Syrup of Mugwort It helps the coldnesse wind paines and all other diseases of the Womb it strengthens the Nerves corrects the blood opens the pores and provokes the Termes You may take an ounce at a time or from half an ounce to two Syrupus de Betonica compositus The compound Syrup of Betony It is good against diseases in the Head and Stomach proceeding of Cold and Wind Vertigoes and Madnesse it concocteth Melancholly and provokes the Termes The dose is from half an ounce to two Syrupus Bizantius Simple and compound It strengtheneth and freeth the Liver from Obstructions and diseases thence proceeding cures the Yellow-Jaundise cuts tough Flegm and is good against the Rickets Take it with a Liquorish stick or from half an ounce to two Syrupus Botryos Syrup of Oake of Jerusalem This Syrup is commended in the Asthma and cold diseases of the breast Coughs and shortnesse of breath Take it with a Liquoris stick Syrupus Capillorum Veneris Syrup of Maidenhaire This strengthens the Stomach and Lungs and helps their infirmities it also cleanseth the Reins of Gravel for the first take it with a Liquoris stick for the last give an ounce or two Syrupus Cardiacus a Cordial Syrup It comforts the Heart and revives drooping Spirits it is good for people in Consumptions it is of an opening quality and expels those Vapours which offend the Brain Take it from one ounce to three Syrupus infusionis Caryophillorum Syrup of Clove Gilly-flowers This Syrup is good in any Feaver Pestilential or not it strengtheneth the Heart Liver and Stomach and refresheth the Vital Parts The Dose is from half an ounce to an ounce and an half It is so harmless you cannot err in the taking of it Syrupus de Cinnamomo Syrup of Cinamon It strengtheneth the whole Body and helpeth Digestion and comforteth the Stomach and Womb and cheareth the Spirits Take one ounce in a Cordial Syrupus aceto sitatis Citriorum Syrup of the Juyce of Citrons This Syrup hath a refrigerating cutting attenuating penetrating faculty it allays Choller and tempers the heat of the Heart cools the bloud and is therefore good against Feavers Pestilential or not small Pox or Measils it resisteth Poyson The Dose is from one ounce to four Syrupus corticum citriorum Syrup of Citron Pills It is of a most grateful savour and most pleasant odour it strengtheneth the Stomach Liver and Heart amends the heat of them and resisteth Palpitations Faintings Swoonings it strengtheneth the Vitals is profitable in
Consumptions and Hectick Foavers The Dose is from one ounce to two Syrupus è corralliis simplex compositus The Syrup of Corral simple and compound It refrigerateth dryeth and astringeth it stayeth the immoderate Monethly Flux and the Whites the Dysentery all Fluxes of Bloud it is good in the Falling Sickness it strengtheneth Nature profitable for such who have Hectick Feavers or Consumptions The Dose is from half an ounce to an ounce Syrupus Cydoniorum Syrup of Quinces It is the best to strengthen the Stomach and to help the cold distemper of the Liver it helps Concoction and provokes an appetite it helps Vomiting and is good against a Flux if it be without a Feaver The Dose is from one ounce to two take it in the morning For a Looseness take an ounce before Mâ—at for Vomiting an ounce after Meat Syrupus de Erysimo Syrup of Hedge-Mustard It prevaileth against cold afflictions of the Breast and Lungs as Coughs Astmachs Hoarsness and the like Use it with a Liquoris Stick or take an ounce with two or three ounces of some Pectoral Decoction in the Morning Syrpus de Fumaria Syrup of Fumitory It concocteth Melancholy and freeth the Bloud of such Humours as cause Scabs Itch Leprosie Tetters Ring-Worms Cancers Corns Warts c. It openeth Obstructions of the Liver and Spleen and is soveraign in the Hypochrondriack Melancholy it cooleth the Liver and cleanseth the bloud The Dose is from one ounce to three Syrupus Glycyrrhiza Syrup of Liquoris It helps Coughs and is good against Plurifies for it cleanseth the Breast and Lungs Take it as Syrup of Hedge-Mustard Oxy-Saccharum Simplex Syrup of Pomegranates with Vinegar It is many times used in the small Pox and Measuls by reason of the Vinegar it cutteth and attenuateth 〈◊〉 Humours it restraineth Choller and mitigates its heat The Dose is from two ounces to four Syrupus de Hysopo Syrup of Hysop It hath a notable Faculty of cutting and expectorating tough Humours out of the Breast and Lungs and to strongthen the parts It prepareth and expelleth Salt and Phlegmatick Humours in the Urine which causeth heat and pain in those parts For the first take it with a Liquoris stick For the last the Dose is from half an ounce to two ounces Syrupus Jvae arthriticae sive Chamaepityos Syrup of Chamepitys or Ground-Pine It is good against the Fits of the Mother procureth Womens Courses expelleth the dead Child let Women with Child forbear it It is good against the Strangury or stoppage of Urine openeth obstructions of the Liver and Spseen The Dose is from half an ounce to an ounce Syrupus Jujubinus Syrup of Jujubes It halpeth Diseases of the Trachaea Arteria occasioned by sharp and dry Humours for it is cooling and moistening it helps Hoarsness Coughs Plurisies It is good against Ulcers of the Lungs or Bladder or any inflammation Take it with a Liquoris Stick or take half an ounce or an ounce as oft as you please Syrupus de Meconio vel Diacodium de Meconio compositus Syrup of Meconium or Diacodium and of Meconium compound It prevails against dry Coughs Ptisick hot and sharp gnawing Rheums and provokes sleep but beware of giving it to provoke sleep in the beginning of a Feaver or the body being costive The Dose is from half an ounce to two Syrupus Melissophylli Syrup of Bawm It is cordial strengtheneth the Heart Breast and Stomach chears the Spirits and resisteth Melancholy it helps them that languish strengtheneth Memory and is good in Feavers The Dose is from half an ounce to two Syrupus de Mentha Syrup of Mint This Syrup strengtheneth the Stomach helpeth Digsstion stayes Vomiting and sowr Belechings The Dose is from one ounce to three Syrupus de Mucilaginibus Syrup of Musilages It is a fine Remedy against the Ptisick Bloudy Flux Stone in the Reins or Bladder or Ulcers there or sharp corroding Humours there or in any part of of the body and is of great virtue for those who have taken Physick too strong and corroding Yake one ounce or two sometimes it is lawful to give four or five Syrupus Myrtinus Syrup of Myrtles It is of a comforting and astringent Nature it helpeth all Fluxes and spitting of bloud and strengtheneth the retentive Faculty of the Stomach An Ounce or two is the Dose Syrupus Florum Nymphae simplex compositus Syrup of Water Lilly-flowers simple and compound It allayeth the heat of Choller cooleth the Head Heart Liver Reins Matrix and allayeth all hot Diseases and provokes sleep Syrupus de Papavere Erratico Syrup of Erratick Poppies This Syrup cools the bloud and may be safely given with moderation in Surfeits Feavers Frenzies and hot Agues The Dose is from half an ounce to an ounce Syrupus de Pilosella Syrup of Mouse-Ear It is an astringent and hearing Syrup good for the cure of a Rupture and necessary to be used by wounded people The Dose is from half an ounce to two Syrupus Florum Paeoniae vel de Paeonia compositus Syrup of Peony Flowers or the compound Syrup of Peony It is good against the Falling-Sickness Convulsion and such like infirmities The usual Dose is an Ounce Syrupus de Pomis Alterans Syrup of Apples It cools the Heart and Stomach helps palpitation breeds good bloud profitable in Hectick and other Feavers quencheth Thirst You may take an Ounce in the Morning Syrupus de Prasio Syrup of Hore-hound It cleanseth the Lungs from thick and putrified Flegm it is good against the Ptisick and Cough in antient people or such as are of cold Natures Take it with Liquoris stick Syrupus de quinque Radicibus Syrups of the five opening Roots It openeth the Obstructions of the Liver Spleen and more especially of the Reins it is good against the Stone if you mix it with Syrup of Maiden-hair it is of great vertue in preparing Phlegmatick and tough Humours and is profitable in the beginning of Feavers The Dose is from one Ounce to four Syrupus Raphani or Syrup of Rhadishes It breaks the stone of the Kidneys and cleanseth the part it provokes Urine and Womens Purgations and is profitable against the stone in the Bladder The Dose is from one Ounce to three Syrupas Regius vel Julepium Alexandrinum Julep of Alexandrina It is profitable in Summer time for such bodies which abound with Choller 's for it allayeth the heat and evacuateth it and is convenient to prepare it against Purging The Dose is from two Ounces to five Syrupus de Rosis siccis Or Syrup of Dryed Roses It strengtheneth and comforteth the Heart and Vital Spirits helps Fluxes and Corrosions and gnawing in the Guts strengtheneth the Stomach and stayes Vomiting Take it as Syrup of Quinces Syrupus Scabiosae Syrup of Scabius It freeth the Breast and Lungs of Phlegm and Crudities it easeth Stirches in the sides and is good against inward Imposthumes The Dose is from one Ounce to three Syrupus de Scolopendria
It is good against the Falling sickness Megrim Vertigo swimming and pain in the head and cleanseth the Stomach Lungs and Women after their lying in The Dose is from half an Ounce to an Ounce To these I add these following Syrups of Quercetanus which I have sometimes quoted in the former Book whose manner of preparation if rightly understood and virtues excelleth most extant Syrupus de Peto simplex compositus Syrup of Tobacco simple and compound Take of the Juyce of Tobacco four pound Simple Hydromel one pound Simple Oxymel four Ounces put them into a Glass Vessel of a fit bigness that one 4th part be full Let them digest in Balneo Mariae for the spaco of 2 or 3 days till the thickest fall to the bottome then pour of the clearest and purest of the Juyce and digest it again as before till no impurity remain therein then put to it of white Sugar two pound and boyl it to a Syrup The compound Syrup is thus made Take of the Juyce so digested as before two pound and an half Simple Hydromel one pound In which macerate for the space of 2 or 3 days these Simples following Hysop Maidenhair and Wall-Rue of each half a handful the flowers of Colts foot Staechas Violets and Bugloss of each two Pugils the seeds of Cudweed Nettles Carduus Benedictus of each one Ounce the Leaves of Sena three Ounces Agarick trochiscated one Ounce Cinamon Mace and Cloves of each one drachm then press it out strongly and let it be digestod to separate the pure from the impure add its equal weight in Sugar and boyl it to a Syrup This Syrup rightly made is of excellent use and its violent acrimonious and venemous quality is taken away yet it powerfully provokes Vomiting and is excellent against Asthma's and all Diseases of the Lungs proceeding from cold and gross Humours as old Coughs and difficulty of breathing The Dose is from one Ounce to two His Syrup of Cinamon prepared with the Spirit of Wine is thus made Take of Cinamon 2 or three Ounces or more if you please grosly bruise it and put it into a Glass Vessel pouring upon it the Spirit of Wine as much as may cover it 3 or 4 fingers cover it close and let it stand in a cool place till the Spirit of Wine hath drawn the Virtue and Tincture of the Cinamon then pour it off clear To every 8 Ounces of the Liquor add 3 or 4 Ounces of white Sugar finely poudered then put it over a fire and dissolve the Sugar then set the Spirit of Wine on fire with a lighted paper stirring it with a large Spatula and all the Spirits of Wine will fly away and the Syrup remain Or if you please a little before the spirit is consumed put it out by covering it close with a silver Bason that the Air come not at it by this means the Syrup will be the better This Syrup is of a grateful relish and a Medicine inferiour to none in Diseases of the Heart as Palpitations Swoonings c. against Weaknesse Crudities Windinesse of the Stomach The Dose is half a Cochleary His Syrup of Ground-Ivie is thus made Take of the Juyce of Ground-Ivie or Alle-hoof two pound and an half digest and purifie it in Balneo Mariae as you are taught before the Juyce being perfectly cleansed add to it of Sugar one pound of Penids 4 Ounces and boyl it into a Syrup It is a very soveraign Medicine for the Prisick Ulcer in the Lungs and for a Consumption caused by any defect in that part CHAP. III. Of Decoctions and Juyces DEcoctions are made of Roots Leaves Flowers Seeds Fruits or Barks conducing to the Cure of any Disease Decoctions principally aim at such Diseases as lye in the passages as the Stomach Bowels Kidneys Ureters and Bladder If they be made of White Wine they will last the longer and are more penetrating then if they be made of Water If you make your Decoction with Roots Leaves Flowers c. Boil the Roots first as I told you in boyling of Compound Liquors Such things as make the decoction slimy you may tye up in a Rag. You may sweeten it with Sugar Honey Sugar-Candy or Syrups sutable to the Distemper aimed at and to make it keep the longer stop it up close in a Glass or Stone-Bottle and keep it in a cool place Decoctum Epithymi Or a Decoction of Epithymum Take of common Myrabolans Chebula and Indica of each half an Ounce Staechas Raisins of the Sun stoned Epithimum and Sena of each one Ounce Fumitory half an Ounce Maudlin five drachms Polypodium fixe drachms Turbith half an Ounce Whey made of the milk of a Geat or Heifer four pound Let them all boyl the Epithymum excepted to two pound the Epithymum must boyle but a walm or two then take it from the fire and add black Hellebore one drachm and an half Agarick half a drachm Salgemone a drachin and an half steep them ten hours and straine it out It purgeth Melancholly and adust choller and is a soveraign remedy against all diseases caused by Melancholly The dose is four ounces Decoctum Sennae The Detoction of Senna This also purgeth melancholly and is good for weak people and the dose is the same with the former for the most part other purging medicines are mixed with it and in so doing you may purge any humor Decoctum pectorale A pectorall Decoction This is good against a Cough Asthma Hoarsenesse it cleareth the voice and is good against all diseases of the Lungs The dose is the same Decoctum commune pro Clystere A common decoction for a Clyster and a carminative Decoction These both serve for Clysters to them you may add Oyles Syrups purging Electuaries as necessity requireth Lac virgineum It was invented for proud Ladyes and Wenches to cleare their faces of Sun-burning Freckles Pimples and such like deformityes To preserve the juyce of any hearb or fruit take these few rules First gather the hearb when it is very dry then beat it and presse out the juyce Secondly you must clarifie It over the fire till no more scum will arise Thirdly boyle it to the thicknesse of hony and when it is cold put it up into a pot or glasse for your use This is called Rob or Sapa when you find the word Rob or Sapa simply without any relation of what it should be made know it is the juyce of the white grape I shall insert none of them nor their virtues but refer them to the virtue of the simple out of which Rob Sapa or juyce is extracted CHAP. IV. Of Lohochs LOhoch is an Arabick word the Greeks call it 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Eclegma the Latines Linctas viz a thing to be licked It is thicker then a syrup and not so thick as an Electuary It s used generally against diseases in the breast and Lungs and the manner of taking of it is with a Liquoris stick The manner of
making it is thus Take of any pectorall hearbs or ingredients make a decoction then add twice its weight of Hony or Sugar and boyle it to a Lohoch Some are made of the pulp of fruits roots and seeds if there be gums in them they must be dissolved If you would know the manner of making each of them particularly you must peruse the London dispensatory Lohoch de farfara The Lohoch of Coltsfoot Take of Colts-foot roots cleansed eight ounces Marsh-Mallow roots four ounces boyl them in a sufficient quantity of water and presse the pulp through a sieve dissolve it again in the decoction and let it boyle once or twice then take it from the fire and add two pound of white Sugar Honey of Raisons fourteen ounces juyce of Liquoris two drachms and an half stir them well with a wooden pestle sprinkling in of Saffron and Cloves in Powder of each one scruple Cinnamon and Mase of each two scruples make them into a Lohoch according to Art It is good for a Cough ond roughnesse of the Wind-pipe Lohoch de papavere Lohoch of Poppys It is good against salt humors and sharp distillations upon the Lungs it it very good in Feavers accompanied with want of sleep it is of great use in a Pleurisie and allayes the sharpnesse of the humors which cause roughnesse of the throat Lohoch è passulis A Lohoch of Raisins This is a fine medicine for Children and is good not only against Coughs and Consumptions of the Lungs but also against Convulsions and falling sicknesse Lohoch è pino A Lohoch of Pine-nuts It succours such as are Asthmatick helps continuall Coughs and difficulty of breathing it cuts and attenuates tough humors in the brest Lohoch è portulaca A Lohoch of Purslane It is good against inward bruises or wounds in the Lungs or those parts for such as spit blood it is very binding Lohoch è pulmone vulpis A Lohoch of Fox-Lungs It is very good in Phthisicks cleanseth and healeth Ulcers in the Lungs Lohock Sanum Expertum a sound and well experienced Lohoch It is good in cold Distempers of the Breast and Lungs and attenuates thick and gross Humours there No better Romedy for those who have lost their Tongues by Cold. Lohoc Scilliticum a Lohoch of Squils It hath the same virtue with Oxymel of Squils but more gentle it helps Asthmas and difficulty of Breathing it carryes away all offensive Humours from the Breast and Lungs and thereby furthers Digestion Lohoch Caulium a Lohoch of Coleworts It opens Obstructions of the Liver and Spleen and is thought to be good against the Rickets it cuts attenuares and concocts the thick and viscuous Humours in the Breast Stomach and Bowels of Children To these I add one of Quercetans Lohochs Take of the Roots of Marshmallows well cleansed half a pound or as much as you please boil it till it be tender in common Hydromel then beat it well and rub it through a Sieve of which take two Ounces of the Species Diarragacanthi and Diaireos of each three drachms of white Sugar and Penies of each half an ounce Flos Sulphuris rightly prepared two drachms◠Syrup of Maidenhair and Coltsfoot of each as much as sufficeth bring it into the form of a Lohoch and take it with a Liquoris Stick It is an excellent Remedy saith he against all inveterate Coughs whether they have their Original from a hot or cold cause against the Asthma Ptysick stoppage of the Pipes and all other Diseases of the Lungs it maturates the Plurisie and causes it to be spit up CHAP. V. Preserves Conserves Sugars and Lozenges Preserves are made of Roots Barks Fruits and Flowers And first of Roots Take of what Root you please scrape it very clean and if there be any Pith therein take it out boil them in Spring Water or in rose-Rose-Water if you can afford it till they be soft then take them out and to a pint of the Liquor add a pound of white Sugar boil it to the thickness of a Syrup then put in the Root and let it boil a little then put it into a glass or a glassed pot and keep it for your use So you may preserve the Roots of Angelica Acorus Burrage Bugloss Succory Elecampane Eringo Ginger Burnel Satyrion Comphry Zedoary the stalks of Artichokes Angelica Burs Lettice c. before they be quite ripe making this difference that whereas before you took out the Pith of the Roots you must of these make use of none but the Pith. In like manner you may preserve Barks as Citron Pills the Pills of Lemons and Or anges and the green Rind of Walnuts viz. Take of the exterior or outmost yellow skin then boyl it as before till it be tender make a Syrup and preserve it You may preserve Fruits as you did the former viz. Pare and quarter them and take out the Oore boil them till they be tender and do as you are before taught Another way is this Pate quarter and take out the Core of some of others pull off the outward skin and pull out the stones take their weight in Sugar and dissolve it put in the fruits and let them boyl a little Thus may you preserve Apples Peares Quinces Apricocks Plums Peaches Citrons Myrabolans Nutmegs Grapes Barberryes Cherryes Cornells c. or of any of these fruits you may preserve the pulp by boyling them till they be tender then pulp them through a Sieve boyle the pulp gently till the water be consumed then add its equall weight in Sugar and boyle it to its due thicknesse Though flowers are seldom yet they may be preserved thus Take a glasse broad both at the top and bottome first cover the bottome of the glasse with fine Sugar then cover the Sugar with the flowers you would preserve lay them even and smooth then cover them with Sugar and that againe with flowers till your glasse be sull Tye a Paper over the top and you will have a pleasant preserve The virtue of Preserves you may easily gather if you consider the nature of the root stalk fruit bark or flower preserved they are of great use in physick and many times welcome to sick people but are most commonly used at banquets Conserves Conserves are made either of hearbs or flowers if you make your conserve of herbs you must take only the tender tops and leaves and beat them in a stone Morter when they are beaten pretty small add to them their treble weight in Sugar beat them very well you cannot beat them too much till if you eate it it feels not rough in your mouth then put it into earthen pots well glazed and keep it for your use Conserves of flowers are done in the same manner only remember to do them whilst they are fresh pick them clean and cur off the whites I shall say no more of Conserves but leave the virtue and use of them to the ingenious Lozenges Diacodium Solidum sive Tabulatum Take of
profitably used in the Dropsie Jaundice and inveterate Obstructions following a Feaver Take from half a drachm to a drachm and an half Trochisci de Santalis Spodio Troches of Sanders and Spodium Both those are cooling and binding allay the heat in Feavers quench Thirst stop a Flux and strengtheneth the retentive Faculty The Dose is half a drachm Trochisci de Scilla ad Theriacam Troches of Squils for Treacle They serve principally for other Compositions as for Venice Treacle For their particular virtue see the nature of Squils Trochisci de terra Lemnia Troches of Earth of Lemnos It is very good to stanch bleeding at Nose or any Flux of Bloud in any part of the body Half a drachm is a sufficient Dose Sief de Thure Sief of Frankincense It dryes up Rheum in the Eyes Trochisci de Violis Solutivi Troches of Violets Solutive They purge Water tough Flegm and Choller they are violent take but half a drachm and that with good advice that it may be mixed with some proper Corrigents Trochisci de Agno Casto Troches of Agnus Castus See the virtues of the Syrup of Agnus Castus Trochisci de Anniso Troches of Annis-seeds They open the Obstructions of the Liver and help all infirmities thereof It is good in Quartan Agues The Dose is from a drachm to two Trochisci Diarhadon They are good against Feavers coming of Flegm all Quoridian Feavers and Agues easeth pains in the belly and cleanseth the bowels The Dose is from half a drachm to a drachm Trochisci de Lacca Troches of Lacca It opens Obstructions of the Liver and helps Feavers arising from that cause purgeth by Urine and is good in Ascites or any Dropsie Take from half a drachm to a drachm Pastilli Adronius Musae They heal Wounds and cleanse Ulcers Fistulas and such like It cleanseth the Ears that are mattery represseth excressency of flesh and cleanseth the filth of the bones It is good against the inflammation of the Fundament and Chollerick eating Pustules Croco Magma of Damocrates It strengthens the Stomach warms the Heart and is expulsive Trochisci Ramich They strengthen the Stomach Heart Liver and other parts gives ease in the Chollick and helps Pluxes of Bloud and cleanseth the body of salt sharp and chollerick Humours You cannot err in taking of it Trochisci de Rosis Troches of Roses They strengthen the digestive faculty of the Stomach and easeth pains there they are good against the Hectick Feaver and the beginning of a Dropsie it restores Colour lost Take it at any time Trochisci Diacorrallion They stop the immoderate Flux of the Terms and other Fluxes of Bloud Take half a drachm take them with care and discretion Trochisci Kaemoptoici is like it in operation And Trochisci Diaspermation helps the Pleurisie eases pain and differs little from the former CHAP. VII Of Pills THE Greeks call them 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the Latines Pilulae or little Bails we commonly call them Pills they were invented to purge the Head principally as also the remote parts of the Body which they best perform by reason they are long digesting and better able to draw the peccant Humours to them Pâ—lls are made of any Powder with Syrups Sapa or Jellies by the help of a Morter and Pestle As for Example Pilulae de Agarico Or Pils of Agarick Take of Agarick three drachms Blew Orris Roots Mastich and Hore-hound of each one drachm Turbith five drachms Hiera-Piera half an ounce Colocynths Sarcocol of each two drachms Myrrh one drachm Sapa as much as is sufficient to make it into a Mass for Pils It purgeth Choller and Flegm from the Head Breast and Lungs The Dose is from two scruples to a drachm in the Morning Pilulae Aggregativae It purgeth Flegm Choller and Melancholy Humours it helps Diseases of the Stomach and Liver and is good against Quotidian Agues The Dose is from half a drachm to four scruples take it in the Morning Pilulae Alaphanginae They cleanse the Stomach Brain and the Sensitive Organs from gross and putrid Humours which hindereth the exercise of their Functions It strengthens also and helps the Concoction of the Stomach The Dose is from a drachm to four Pilulae de Aloe Rosata It purgeth Choller and frees the Stomach of such Humours opens Obstructions caused thereby as the Yellow Jaundise and is good against Worms c. The Dose is from a scruple to a drachm take them at night going to bed Pilulae de Aloe Lota It purgeth the Brain Stomach and Bowels of putrid Humours and strengtheneth them Take them as the former Pilulae Aurea It is good in Opthalmia or inflammation of the Eyes helps the Megrim coming from a cold cause and frees the Bowels of Wind. The Dose is from two scruples to four Pilulae Cochiae the greater It purgeth the Head of flegmatick humours and is good against the inveterate Head-ache Megrim Palsie Falling Sickness c. The Dose is from two scruples to four Pilulae Cochiae the less Take it not alone Pilulae ex duobus Or Pills of two things They purge Choller and Flegme but with such violence that it ought not to be given alone Pilulae de Eupatorio Pills of Eupatorium It purgeth Choller gently and are good in Tertian Agues Yellow Jaundise Obstructions of the Liver and Spleen The Dose is from half a drachm to a drachm taken at night Pilulae Faetidae Stinking Pills It purgeth gross tough Melancholly and flegmatick humours from the remotest parts of the body It is good against the Gout and cold afflictions of the Joynts Leprosies and Diseases of the Skin The Dose is from half a drachm to four scruples Pilulae de Hermodactyls Pills of Hermodaetils are of the same nature with the former The dose is from one drachm to two Pill de Hiera cum Agarico Pills of Hiera with Agarick Some will have this Pill an Universal Medicine It purgeth Choller Flegm and Melancholly it opens obstruction of the Liver and Spleen is good against the Jaundise the Dropsie and Scurvey against Vertigoes and Dizziness of the Head provoke the Terms ease the Mother-Fits and strengthen the Womb help shortness of breath all which I have sound by Experience Authors say it resists Epidemical Diseases and poysons helps the Gout and cures all sorts of Agues The dose is from one scruple to four Pilulae Imperiales Imperial Pills Strengthen the Stomach Liver Bowels and Natural Spirit and purge mixt Humours The dose is from a scruple to a drachm take them at night Pilulae de Lapide Lazuli Or Pills of Lapis Lazul It purgeth Melancholly and Adust Choller it works violently The dose is from two scruples to a drachm Pilulae Macri. They strengthen the Stomach Brain and the Nerves and purge the Humours that afflict them and hinder the motion of the body they open Obstructions of the Liver and Spleen and are good for people who have been hurt by Falls and Bruises The dose is from half a
thing turneth round and suddainly his sight faileth him all things appear misty and dark This disease is caused through inordinate moving of windy vapours and Spirits contained in the Brain or in the Mouth of the Stomach offending the Brain The Sign Those that are thus troubled a darknesse and mist appears before their eys upon every light occasion especially if they turn about It astonisheth him to see a man a wheele or any thing turn round When it is accompanied with sound and noise in the ears and vehement pain in the Head with much heavinesse the deprivation or debility of any of the senses these are infallible testimonies that the cause of the distemper lyeth in the Brain then is the fit worst when the head is heat by the Sâ—n or any other means If gnawing of the stomach or a disposition to vomit precede the fit then the disease proceedeth from the mouth of the Stomach This Disease is oftentimes a Prodormus or forerunner of the Epilepsie or Falling-sicknesse and sometimes of the Apoplexie The Epilepsy is a Writhing Cramp and Convulsion of all the parts of the Body it attacheth and much hurteth the sense and mind Sometimes it is caused through grosse and clammy flegm or choler stopping the passage of the Ventricles of the Brain and sometimes from the mouth of the Stomack as in the Vertigo There goeth before this Disease an evil state of the body and mind sadnesse forgetfulnesse troublesome dreams ach of the Head and continual fullnesse of the same palenesse of the Face and inordinate moving of the Tongue The Sign They who are afflicted with this Disease fall down are plucked up together they tremble and turn about snort cry out beat themselves and foam at the Mouth The Cure It is good for those that are thus afflicted to eschue all meats of a hard digesture and such as afford a crude nourishment or breed fumosities observe the same in all Diseases of the Head In the beginning of the cure make the body soluble by Clysters if need be If plentitude appear and the sick be of a sanguine complexion begin the cure with blood letting otherwise observe the same order before prescribed in the Cephalaea or Headach proceeding of grosse and phlegmatick humours this remembring to adde to the Medicines there described the roots and seeds of Peony and Misleto of the Oake which have a notable faculty in the cure of the Falling-sicknesse as experience teacheth Make use of the sudorifick drink there described thirty or fourty days adding to every dose three or four drops of Vitriol You must purge the sick with Pillulae Cochiae Pillulae cum Agarico or such as purge flegm but remember to regulate your purges according to the strength of the sick and to prepare the body with Medicines which do attenuate and cut grosse and thick humours as be the syrups of Wormwood Hysop Stechas or Oximel scilliticum or with the decoction of Hysop the roots of Peony or such like Stibium is of great force and doth mightily purge the superfluous humours of the Head you must use it thus take 12 grains and make it into fine powder put it into four ounces of Wine and there let it remain 24 hours shaking it every three or four hours then powre off the Wine leaving the powder and drink it with a little Sugar let none use this Medicine but such as have strong Bodies and be first well advised by a skilful Physitian The syrup of Tobacco mentioned by Quercetanus in his Pharmacopaeia is of great force and virtue against this disease but before you make use thereof be well advised as I said before After the Body hath been diligently and carefully purged it is meet you make use of this or such like Medicines viz. Take of the flowers of Betony Rosemary Peony and Buglosse of each one ounce the root of Eringo and the rind of Citrons preserved of each two drachms powder of Sassafras one ounce of the seed of Peony and Misleto of the Oake gathered the Moon decreasing Elks claws of each half a drachm of the Scull of a man not buryed calcined half a drachm of Coral Pearls and Harts-horn prepared of each four scruples of Bezoar one scruple Diamosh dulcis four scruples Theriaca Andromachi and Confectio de Hyacintho of each one drachm Oyl of Vitriol 20 drops with as much Syrup Citron Pills and Oximel as is sufficient to make a liquid Electuary or Opiar of which take three or four times in a day the quantity of a Filberd Emplastrum Epispaslicum and such as have power to draw blisters and Causticks may with good successe be applyed to the hinder part of the Head and Neck Fabius Columnus extolleth the root of Valerian to the Skies for the cure of this Disease a drachm in powder administred in Wine or other convenient liquor is a sufficient Dose Of no lesse esteem is this Chimicall Medicine following Spirit of Vitriol one scruple Spirit of Tartar one drachm Treacle water camphorated one drachm and a half mix them and in a glasse well sealed digest them a Month the Dose is one drachm taken with some convenient liquour If a Child have this Disease you must make use of Medicines sutable to the age and strength of the Child If it suck let the Nurse use a moderate diet and eat such meats as afford good nourishment By Clyster or Suppository make the Child soluble Take one ounce of fine Sugar of Poony root and Misleto of the Oake of each half a drachm with as much oyl of sweet Almonds as is sufficient to make a Lohock and let the Child lick often thereof Riverius commendeth this Epileptick powder by him called Pulvis de gutteta Take the root and seed of Peony the root of white Dittany Misleto of the Oake of each half an ounce the seed of Arach two drachms of mans Scull three drachms red Corall prepared of Hyacinthus or Jacinth of each half a drachm of Elks claws prepared half an ounce Musk one scruple leaf-gold one drachm mix them and make them into very fine powder of which administer from half a scruple to a scruple in milk broth or some Antepileptical water as the compound water of Peony c. Annoint the Head of the Child with oyls of Dill and Marjerom apply Medicines to the Head that have power to discusse the peccant humours and to corroborate the Brain Annoint the Back-bone and those members which are contracted and drawn together with this following Liniment Take of the Oyls of Rue and Earth-worms of each two ounces the oyl of Castor a drachm with a little Aqua vitae make a Liniment Or take of Venice Treacle one drachm Confectio Alchermes and de Hyacintho of each a scruple the waters of Betony Sage Marjerom and Cinamon of each half an ounce mix them all and bathe the Nose Temples and Eares and you may give the Child half an ounce to take inwardly You may purge the Child twice in the