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A46235 The idea of practical physick in twelve books ... / written in Latin by John Johnston ... ; and Englished by Nich. Culpeper, Gent. ... and W.R.; Idea universal medicinae practicae libris XII absoluta. English Jonstonus, Joannes, 1603-1675.; Culpeper, Nicholas, 1616-1654.; W. R. 1657 (1657) Wing J1018; ESTC R8913 546,688 377

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interception of the said humor and for this purpose serveth wel the Emplaster of mastick Gum elemy and Taccamabaka throughly warmed and so applyed to the temples IV. By discussion with the playster of Melilote and other the like V. By the Application of such remedies as act and operate by their own specifical property among which the cheif are the tooth of a dead dog burnt in the furnace mingled with posset drink and so imposed the root of the sharp and sowr sorrel taken up in the spring before it blossom and bud forth wel dryed and so applied unto the pained tooth That we term senect a serpentis boyled in wine or vinegar Gum Hedera put into the teeth VI. By extraction and drawing it forth which wil be much facillitated if the tooth be first touched with the distilled water of Sal Armoniack take notice of this let the Cause be what it wil Take the Fern root and Cinquefoyl of each three drams Bistort two drams the leaves of Rew of Sage of Betony the Flowers of Roses of each half a handful boyl al these in a sufficient quantity of red wine that is most astringent and as much common water as you think fit until a third part be wasted for a Collution to wash the mouth withal The differences are taken from the original place and quality of the Humors I. For their rise and original they somtims flow together from the highest part or crown of the head and then the Revulsion ought to be by the Cephalick vein and likewise those things that we hinted before touching repellers are heedfully to be observed Somtimes they arise from the inferior parts and then the revulsion ought to be made by the Basilick vein II. For the place sometimes they stick and abide in the tooth and then the pain is not altogether so deep but is extended according to the latitude of the tooth For the most part it conteyneth within it a worm by the motion whereof the pain is exasperated Somtimes in the little nerve tending toward and into the roots of the tooth and the nervous membrain thereof and then the pain is the more vehement It extendeth it self in breadth al along the Gums and reacheth even unto the Ear the tooth being taken forth it is much eased in regard that by reason the way is opened the pain may the better be dispersed and blown abroad Somtimes it seateth it self in the very Jaw-bones themselves and then it floweth into the upper Jaw-bone along by the greater Angle of the Eye and into the lower by the Temple Veins We cannot attempt the Cure by Repellers without apparent danger in regard that the matter being brought unto the Jaws inevitably suffocateth and choaketh III. For the Qualities some are hot Serous or Wheysish Salt and Sharp which excite a most violent and intolerable pain but hot withal such as soon hath an end by Reason of the sudden changes It is very rare that they have adjoyned to them as a Concomitant the swelling of the Cheek They are removed and taken away by Repellers among which are Roots of the sour Sorrel boyled in hard and austere Wine and together with Wine held in the Mouth as long as need requireth the Roots of the Wild sloes the outward Rind being taken away and this indeed is one of the cheif Remedies al things else corresponding and answerable thereto Others are Cold and Flegmatick from the which that pain that proceedeth is indeed more remiss and gentle than the former but then it is of longer continuance these most commonly produce a swelling of the Cheeks This pain is to be taken away after that Universal and general Remedies have been made use of with Camphire half a scruple Spirit of Wine two ounces or of the Juniper Gum half an ounce boyled together with eight ounces of Rhenish Wine and for a while kept in the Mouth Or lastly of the Distilled Oyl of Cloves two drops thereof with a smal proportion of Camphire put upon the Tooth being first wrapt up in Cotton Article II. Of Stupor Stridor and Nigredo in the Teeth THe Stupor or if we may so term it the astonishment of the Teeth is Caused I. Somtimes from the Sowrness either of meats or of the Humors or else of the fumes and vapors which frequently befalleth those that are Hypochondriacal II. Somtimes from the imagination at the Noise that is made in filing of hard mettals or the Mastication and Chewing of sharp sowr fruits by one standing neer If the sound be very acute piercing and making a loud crashing then the imagination suffereth a kind of violence the Application of the said noise being made within an extream narrow compass and then next of al the Membrane of the sense of hearing being likewise as it were smitten is offended and thereupon is immediately contracted and together with it certain little Nerves also even unto the Root of the Teeth into which place a new Air suddently falling in and getting entrance causeth a certain kind of horrour about the Teeth It is Cured and taken away by Chewing of Wax hot bread Cloth c. The Stridor Grinding or Crashing noise of the Teeth proceedeth I. From the imbecillity of the Jaw-bone Muscles produced and caused by cold II. From Worms the brain being affected by Consent III. From the multitude of Vapors is in the beginnings of Paroxysmes It is wont to threaten the Apoplexy and likewise in Feavers the Deliry or Dotage in such especially as are not accustomed thereunto in case this doting went not before the Feaver III. Nigredo or blackness proceedeth from divers Causes as wel External as Internal And these external are a Carelessness and neglect in Rubbing and Cleansing them the use of sweet and hot things and the anoynting of the upper parts with Quick-Silver or as they commonly cal it Hydrarge These latter to wit the internal are 1. The Exspiration or breathing forth of Crudities by reason of surcharging the Stomach with meats or Drink 2. A fault of the Humors by reason of the impurity of the Bowels and cheifly of the Spleen left remayning behind after a Quartane Feaver It is taken away by the Dentifrice Compounded of Marsh-Mallow Roots and of the Illirian Flower-de-luce Boyled in Water with Salgem and Alum of each alike and as much as wil suffice and after that throughly dryed in a Furnace beaten together into a very smal powder and mingled wel together with some few grains of Musk. There are other dentifrices that are formed and made of the Jaw-bones of the Lucefish or Pike burned White Coral and Date Stones burned the Bones of the Sepia or Cuttle fish and Egg-shels burnt Harts horn burnt c. Title XII Of the Affects of the Gums THe principal Affects of the Gums are an Excrescence and a Purulis I. The Excrescence is somtimes so great by reason of the Spungy rarity and loosness of the Gums and the abundant afflux of Blood that the Teeth and
are exprest in the definition The CURE which also must be hastened doth respect 1. The bringing forth and discussing that flatulent spirit where Clysters and carminative decoctions take place 2. A Removal of the Cause from which it ariseth of which in the differences As concerning the Differences One is From the fiery heat of the stomach corrupting the meats and converting them into a nidorous matter and sharp vapors in which the cure must be turned against a hot distemper and outwardly the boyling hot hypochondries must be cooled Another is from sharp and windy nourishments as Raddish Rocket Seed fryed Egs and the like and then the matter must be emptyed and give diartion Piperion Another is from Black-choler and other adust and Salt Humors lurking about the Hypochondries and growing hot by the mixture of another Humor as we see Salts and saline spirits being mixt with acrid spirits do yeild a great quantity of spirits Title III. Of the Affects of the Guts Chap. 1. Of the Diseases of the Guts THe Diseases of the Guts are Cheifly Inflamation Straitness Wormes Rupture Wounds Vlcers and the affects of the right Gut Article I. Of the Inflamation of the Guts An inflamation of the Guts is a swelling of them arising from blood out of its vessels falling into them and putrefying The SIGNS are a fixt and distending pain the perceiving of a Tumor that the Guts may be perceived to be rowled up like the strings of an instrument costiveness of body a stoppage of the Urin a Feaver present The CAUSE is explained in the definition In the Autum the blood chiefly flows thither by reason of its thinness because the thin and moveable Humors generated in the Summer by the inequal cold of the Autum are driven to the center of the body The CURE must be ordered according to the rule of other inflamations and that quickly because the evil is acute and oftentimes turnes to a gangrene and mortification The cooling Medicines which are administred for it ought to be without astriction we must wholy abstain from Purgers lest the place affected be exasperated 'T is divided according to the place and Causes I. One is of it self of which we have now treated another from the Navel Rupture of which in its place Another from the Rupture of the guts in which the Guts ought presently to be put back into their place Another from a contusion in which to those things which are applyed for the inflamation must be added somwhat lenifying and concocting II. One is in the smal guts which is most common in which a distention of the stomach straitness of breathing daily vomitings do molest that they are not able to contain their drink the pain and Torture tends most to the upward parts Another in the great Guts in which the pain reaches more to the Hypochondries there is a heaviness in the Loins and vomiting is not so continual Article II. Of the Straitness of the Guts The Straitness of the Guts is known cheifly by this that the Excrements of the Belly are not rightly cast forth by stoole It hath its Differences according to the Nature of the Causes I. One is from External things that are astringent and drying as quinces and other things which is known by the relation of the Patient and standers by In the Cure are required things moistening and mollifying fat things c. II. Another is from the Excrements hardned obstructing them which is known by this that there is no Tumor pain yet the Excrements are not cast forth It ariseth at that place especially where the smal and great Guts end either from too dry matter and drink to much diluted or from the heat of the neighbouring parts sucking up the moisture 'T is Cured by Mollifiers by a bath of sweet Water with emollient Herbs by the Grease of a rosted Goose cast in by a Clyster by blowing up the Guts with a Pair of bellows which must be followed with a strong Clyster with half a dram of Sal gema III. Another is from Inflamation of which we spake in the former Chapter IV. Another from the growing together of the Guts which is incurable V. Another from a Rupture or worms of which shal be spoken hereafter VI. Another from thick Flegm which is known by this that Causes generating that went before crudities flowness of the belly to stoode and much wind abound It ariseth from the fault of the Dier and the feeble heat of the Guts and if it stick there long it grows so thick that it wholly stops up the Guts It is Cured by things that cut flegm and sharp Clysters concerning which consult with the Chapter of the Cholick Article III. Of Worms Worms and smal creatures wholly preternatural generated in the guts out of a thick clammy and viscous Humor having in it the principal of life in its kind by a vivid heat raised up by putrefaction which do hinder the actions of the Guts The common signs are many to wit a stink in the mouth disturbed sleep with skipping trembling noise and gnashing of the Teeth Itching and often rubbing of the nose a pale face somtimes by fits ruddy hollow and dark Eyes the white of which is changed into a Saffron or Pale running of drivel from the Mouth more than usual a distension and puffing up of the belly with murmurs a knawing in the belly that exasperated in the time of hunger somtimes a loosness vomiting falling-sickness If in the morning while Children are fasting cold water be sprinkled on the Mouth of the stomach they wil al gather together and this sign hath most weight with it if the Age of the Child wil bear with it The CAUSE is a viscous and Flegmatick Humor which ariseth from much eating meats that easily corrupt generate a thick juyce as cheese Milk pulse decaying fruits sweet things sugard things honyed things c. It hath somthing analogous to seed endued with a formative faculty and a vivifying discretion which doth dispose the matter to receive this and no other form of worm and being disposed doth Cloath it with that from as we see peculiar worms do proceed out of wormwood Sea Salt a Horse a calfe Mulberry leaves Cheese Honey The CURE which is Difficult if there be many great ones red and of divers colors living if in the beginning of Feavers and acute Diseases as also in the augment by the malignity of the Disease they be Symptomatically voided Is Performed I. By things that kil them those which are bitter acrid Salt or enemies by their whol propriety ought to be given upwards but alwaies mixt with sweet things downwards premising sweet things then when they are in the lowest places or in the right Gut with them Oyl ought to be mixed that they may be stifled in it with cheese butter which they exceedingly fear The chiefe things that kil them are hot as Coralline given in pouder one dram Wormseed centory the less peach flowers Myrrh
anointing of the belly with Oyle of Violets dil Chamomel a little butter in which a Snakes Skin ought first to be boyled 2. By mitigation of the pain by cataplasmes unctious fomentations baths of sweet water narcoticks also mixt with purgers c. II. The Pancreas doth chiefly labor of obstructions whence the stomach by reason of its neerness is affected pains and the sence of a weight are caused about the region of the stomach and pulsations in the back by the compression of the celiacal artery and also a difficulty of breathing molests them by the consent of the midriffe The cure is perfected by the same remedies as the obstructions of the spleen III. The Caule by twiggs from the spleen branch doth oftentimes receive feculent humors from the spleen in that part especially which is between the spleen the midrif and the stomach in its cavity in the left hypochondry under the diaphragma arising from the connexion of the stomach Caule colon and bowels and having no passage out Oftentimes from thence the belly in the left part towards the navel is raised up into a tumor oftentimes the belly being prest a sound and noyse is heard They cannot be emptyed unless they vanish by the continued drinking of bath or sharp waters If it putrefy or suffer an impostumation the cure is in vaine Titile VI. Of the affects of the Liver Chap. 1. Of the diseases of the Liver Article 1. Of the Distemper of the Liver THe diseases of the Liver are distemper obstruction inflamation a schirrus wounds and ulcers The distemper of the liver is a swarving of the same from its natural temperament by reason of external and internal causes The Signs are fetcht from the hurt of its action and others of which in the differences The Causes are either not natural and external or the neighbouring parts as the stomach heart and that either by contact or by communication of matter or the collection of matter in the vessels or parenchyma by reason of some fault of the liver either innate or acquired The Cure varies according to the nature of the differences Internal remedies because the liver is situate in a lower place ought to be the more efficacious 'T is performed by alteration and removing the matter offending As concerning the Differences the distemper is fourfold I. One is hot and that either simple or without matter which is known by this that there is a loathing of meat and most of al of flesh and nevertheless fastings doth hurt a vehement thirst troubles them the whole body is hot especially the palms of the hands and soles of the feet and either they are moist or dry the belly is somewhat dry by reason of the extraction of the moisture from the chyle It is cured by coolers amongst which the cheife are the roots of Dandelion and Strawberries the leaves of Succory Endive the seeds of Sorrel the greater and lesser cold seeds the wood of Saunders fruits of Cherries Currans Strawberries Of compounds syrupe of Corals Strawberries Sorrel Citrons Succory The Salt of Corralls Pouders Diatrion Santalon diarrhodon Abbatis Diamargartium Fridgidum Mynsichtus his mter vitriolate Amongst external things Saccarum Saturni a Cerote of Saunders oyle of green olives The mixture compounded of the Water Lillies henbane the flowers of white lillies plantane Red Roses each one ounce and an half Salt of Saturne Camphure dissolved in spirits of wine each one scruple Sal Prunella half a scruple adding a little of Tragacanth and applyed to the right hypochondry c. Or with matter which is known by this that a bitterness of the mouth a loathing of meat and a vehement thirst doth trouble them and a feaver either an intermitting tertian or a slow feaver or erratick doth vex them by which the body by degrees is dryed up That choler doth break forth by vomiting and stoole first of al thin and pale afterwards thick truly yellow and stinking It ariseth from choler either generated in it or sent from the bladder of gal laboring of obstruction or from some other part It is cured 1. By revulsion by opening a veine in the arme by scarifying or friction if the humors flow from some other part 2. By attraction by Succories cheifly if the humors be already flowed thither 3. By evacuation either by the stool where syrup of Roses of the Leaves of Rubarb and tamarinds take place or by urine where whey grass roots barley take place 4. By strengthening of the liver that it collect no more II. Another is cold and that either is simple and without matter which is known by this that there is a greater desire of meat no thirst a voiding of flegmatick crude and oftentimes of liquid matter there is generated a warry and crude blood 'T is hardly cured because 't is more repugnant to the nature and office of the liver and 't is cured by things that alter amongst which the cheife are The roots of burnet the true acorus The leaves of Wormwood Agrimony Centaury the less Betony Maidenhair Raisons Cloves Nutmeg Cinnamon Agallochus of compounds Mynsichtus his tincture of Cassia lignea treacle mithridate Mynsichtus his aromatical rowles Cratoes confection of Rhubarb The pouders of Diamargartium calidum Or with matter which is known from the foregoing of the like causes the white color of the face and whol body a soft habit of body flegmatick stools a heaviness in the right hypochondry The rise and cure do follow other distempers The essence of Mars is good the preparation of which see in Hartman III. Another is moist which is known by the soft pulse watry blood liquid excrement thick urine The cure is performed by dryers IV. Another is dry which possesses in a contrary manner neither is there any things singular concerning its cure for the most part it troubles in composition Article 2. Of the obstruction of the Liver The obstruction of the Liver is a narrowness of the vessels in the liver caused by a matter filling up their cavities and hindring the distribution of the nourishment The signs are heavy and obtuse pain in the right part of the hypochondries which after the taking of meat is increased especially if soon after meat some violent exercise be undertaken The excrements varying from their natural manner oftentimes more liquid and copious because the chyle is not received A change of the color especially in the face by reason that the sanguification and distribution are hurt c. But it is frequent that a veine from the porta dispersed through the substance of the liver in most fine branches is obliterated and it hath others no less smal from the Vena Cava through al which the nourishment ought to be produced and carried The Cause is the matter filling up the cavities of the vessels or also the very substance of the liver whether it be generated there its action being hurt either by a distemper or by some external error or whether it flow from elsewhere
succeed the washing of the Head with Fallopious his lie IV. Pains of the Head in whose cure inwardly takes place Hartmans Diaphoretick Oyl of Mercury outwardly Vigoes Magistral Plaister de ranis and that of Platerus Observat l. 3. V. Pains of the Joynts and especially of the lower parts between the Joynts which at night grow more feirce because then the pores are stopt and they are taken away by fomentations VI. Pustles Efflorescencies Scabs clefts in the palms of the Hands and soles of the Feet the Cure of which see in Hartman VII A running of the Reins in which the same Hartman commends green Mercury precipitate or the Gum of Pockwood which being given Turpentine washt in violet water and dissolved with the yelk of an Egg ought to be administered with the Decoction of Sarsaparilla 'T is distinguished from another by this that it causeth little or no itching nor doth not so soon cast the Patient into a Consumption VIII A tingling of the Ears which is very difficultly cured yet somtimes it vanisheth by the use of the decoction of Pockwood Septalius commends an Asses water distilled in which Pockwood some castor and a bundle of Horse mint have steeped al night and dropt into the Ears or the fume of it received IX Hardnesses or Knobs and Gummosities for the Cure of which Platerus hath afforded excellent Plaisters in the third book of his Observation Hither belong Hartmans Oyntment made of Vnguentum Aureum of the shops and Mercury sublimate X. A Consumption in the Cure of which Septalius tels me l. 7. Of his Animadversions p. 322. That the Decoction of Sarsaparilla made with leane Veal is admirable Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title II. Of Poysons Chap. I. Of Poysons digged out of the Earth POysons considered in special are either digged out of the Earth or Vegetables or Living Creatures The cheife and most common of those digged out of the Earth are the following I. Aqua Fortis whose strength is broke by the Mucilage of Quince Seeds Flea-wort Gum Tragacanth c. II. Antimony whose Antidote is bole-Armenick given with Oyl of Cloves and a little Wine That it hurt not with its Vapors whiles it is wrought in the fire we must Eat butter with Rue or drink Zedoary water III. Lapis Lazuli which if it be taken either ill prepared or in a greater quantity it ought to be cast up by vomit and be tempered with a drauft of warm Milk especially asses Milk IV. Arsnick Auripigmentum Sandarach which somtimes infect by their smel their specificks are Crystal digged out of the Earth poudered and drank one dram weight with new Oyl of sweet Almonds and Oyl of Pine Nuts given three drams weight V. Burnt brass Scales of Brass the flour of Brass the rust of Brass which are weakned by sheeps Fat taken in broth are killed by Bole-Armenick given with Honey and water VI. Refuse of Iron and the rust of Iron whose antidote is thought to be one dram of a Load-stone made into Pils with the juyce of Mercury VII Lead to which are opposed the Kernels of quinces husked bruised and given two drams weight with sweet wine VIII Quick-silver against whose fume received we proceed with a drauft of wine in which some Cephalick things have been boyled Sublimate is resisted by Oyl of Tartar or Salt of Wormwood Chap. 2. Of Vegetable Poysons VEgetable Poysons or those of plants are as follow I. Aconitum or Monkes hood whose antidote is Andromachus Treacle or Terra Lemnia in wine outwardly the swelled body must be anointed with Oyl of St. Johns wort and Scorpions II. Spurge against which a vomit being premised Andromachus Treacle is good with Carduus water III. Mezereon which is resisted with water Germander red Coral Treacle and Terra Lemnia IV. Black Hellebore whose antidote is the pouder of the flowers or Roots of white water Lillie or of Parsnip seed with wine V. Coloquintida whose force Treacle doth infringe VI. Euphorbium whose force is broke with Citron Seed in wine in which Elecampane Roots have boyled VII Green Coriander which causeth a furious raving and hath the Root of swallow wort in wine for its antidote VIII Mandrakes which causeth a heavy sleep its Symptomes are resisted by garden radish taken somtimes with Salt IX Henbane which they that have taken of it do somtimes rangle and dote like drunken men somtimes think that they are beaten with rods by reason of an Itching caused in the whol body its antidotes are Pistachoes castor Rue Nettle Seed X. The Walnut Tree whose shade if any one lie under it it doth hurt and causeth pains of the Head they are taken away with a lie of betony Marjoram Lavender c. XI Nux Vomica whose antidote is Zedoary two drams weight Citron Pill or the Juyce of it Juyce of the Myrtle or quinces XII Opium upon the too much use of which a Heavy sleep seazeth with a Vertigo and itching of the whol body whose antidote is assa Faetida and castor to which add Rue and Origanum XIII Mushrums which if they be taken either in too great quantity or be not wel concocted do cause Suffocation raise the hickops stop the Urin and exulcerate the Guts In the Crue are commended the ashes of prunings of vines with honeyed water Treacle and other things Chap. 3. Of Poysons from live Creatures THe cheife Poysons which are inferred by living creatures are those which are Caused I. By an aspe whose wound is so smal that it can scarce be seen upon its biting there come a heaviness of the Head sleepiness paleness of the Face often gapings c. In the Cure we must provide by ligatures and Scarifications that the Poyson peirce not into the body Treacle with bruised Rue must be laid on the wound Things alexipharmacal must be given inwardly amongst which are commended the leaves of Mullein Avens boyled in Vineger II. By a Viper at whose stroke first the blood comes forth pure which is followed by a bloody and fro thy filth like to the rust of brass with a notable tumor of the part and whol body pustles adust and blackish in the part affected It s antidote is costus given from half a dram to one dram with wormwood wine or the Decoction of wormwood an Hares Runnet Leeks c. III. By a Scorpion at whose stroke do follow pain inflamation a Tumor pustles about the wound like warts 'T is resisted by sage water germander wormwood gentian birth wort up-right vervain wild time c. One hath been freed by frankincense bruised in whom the scorpion had left its print IV. By a Lizard which leaves in the wound for the most part its subtile smal black teeth the teeth must be drawn out with Cupping-Glasses a Cataplasme of the crum of wheaten bread made with the Decoction of
pressed from ful ripe olives it affords nourishment sutable to our Natures and is fit to correct the bad quallities of other meats and of herbs Also it molifies and loosens the Belly it takes away al Asperity it helps such as are bruised and mitigates pain 3. Juice of unripe grapes Citterns Lemmons and of Crabs which the French and Itallians much use doe coole bind and helpe the extravagant longings of women Hereunto belongs Vinegar which is extream cold and pierceing The eagerness thereof is blunted with a peice of toasted bread wine raisons elder flowers roses sugar and such like things T is hurtful for mellancholly persons and women that are subject to mother fits IV. Honey is of an hot nature saving that which is white and seems convenint for healthy people It easily turns to choller and therefore it is neither fit for hot natures nor hot parts otherwise it has a power to clense and resist putrefaction Mead is made hereof IV. In the Fourth place we reckoned BREAD of which in respect of the Matter and waies of making there are sundry differences I. In Respect of Matter I. Such as is necessary 1. It is made of fine flower and which is most nourishing to the Body 2. That which is made of bolted meal and finest flower being taken away and is next in goodness to the former 3. Houshould bread which is made of the finer sort of bran and nourishers less than the former but descends better through the belly because of the branniness 4. Of Courser bran which nourishes least of al but goes soonest through the belly 5. Bread of altogether which nourishes very wel and soone passes through the belly 6. Barley bread which if it be made of the most excellent barly is the less inferior to wheaten bread if of loose and light barly it is like the wheaten bran bread 7. Rye bread which if it be black and heavy it burthens the eater is of sad and thick juice and breeds stones in the kidneys II. In respect of the matter prepared and quallified it is 1. Leavened bread which is lighter and sooner destributed than the unleavened 2. Vnleavened bread which is of a contrary Nature 3. Soure leavened which is also hard to digest and lies heavy upon the stomach 4. Salted bread which is lighter than the unsalted 5. Vnsalted bread which is apt to breed obstructions I shal not speak of Saffron-bread Eye-bread Butterd-bread Cheese-bread Sugard-bread Hereto belong the parts of bread 1. The Crum of which that which has been here said of bread is to be understood 2. The upper crust which drinks up moisture in the body and sharpens the Heat thereof but if it be scorched and burnt it breeds adust humors and black choler 3. The Lower Crust which is of like nature with the former II. In Respect of the preparation bread is 1. Savory in which the leaven and salt are wel mingled 2. Vnsavory or tastless which is contrary wise ordered 3. Wel Kneaded which is neither too littl not too much but moderately wrought 4. Ill kneaded which obstructs pufs up burthens the stomach 5. Baked in an Oven which Because its throughly bak't is the best of al others 6. That which is baked on tiles or in a portable oven which because it is not so wel baked in the bottom is worse than the former 7. That which is back't on a gridiron or on the hearth is bad because the outer parts are scorched and the inner parts are dough-bak'd 8. Bak't under the ashes or embers from which it receives a bad quallity 9. Biscoct or Bisket which is drying and if made of fine flower it affords very little excrement 10. New Bread which if hot causes thirst and breeds winds and suffocations if cold t is wholsom to feel on if it be two or three days old t is hard of digestion because of its dryness 11. Old bread which is hard and moldy breeds a melancholly humor and binds the belly 12. A Great Loafe because the fire has not sufficiently digested the moisture thereof lies heavy upon the stomach and raises wind 13. A Little Loafe because it is more than ordinarily crusty round about produces adust blood as the material cause and makes the Body dry 14. A Loafe of a middling size which is most commended 15. Light and spungy which nourishes lightly and makes no obstructions in the bowels 16. solid and heavy which is worse than the former 17. The best bread therefore is that which is made of fine white wheat meal the wheat being ripe not very new grown in a fat soil not infected with moaths dust cockel darnel or frost not wet with rain or musty with keeping being wel kneaded leavened and salted V. In the first place we are to consider of the TIME OF EATING which varies according to the several Customs of natures The Hebrewes seem to have eaten twice a day Among the Greekes even so long as since Homers daies their times of eating were distinguished into dinner and supper The latter Grecians did eat oftener The Romans had their Breakfast dinner after noones bever their Supper and Rere-supper Our Age followes the Custom of the Romans yet thousands there are that content themselves with a dinner and supper only And so much may suffice to have spoken of meats They that would know more besides Galen of the faculties of meats let them consult Morellus upon Schola Salerni Bruyerinus of Meates Julius Alexandrinus of wholesome diet and Vlisses Aldrovandus de Animalibus Article 3. Of Drink Drink is a thing non-natural restoring the moist substance of Mans Body and quenching his thirst Touching which two things are observable The Necessity thereof to preserve Health and its kinds I. That Drink is necessary for Health is hereby manifest in that it restores the moist substance of our Bodies which daily wasts away it quenches natural thirst it carries the fat and thick moisture through the narrow passages it causes the mixture digestion and liquefaction of meats in the stomach and prohibits the inflamation of that same fat juice which is ordained to nourish the Body II. The kinds of drink are 1. Water 2. Wine 3. Beer and Ale 4. Mead. 5. Liquors made of Apples Peares and such like fruits I. Touching water two things are considerable viz ' its differences and Correction I. In respect of the Differences water is either 1. Raine water which it stormy and cloudy is condemned if it come down with thunder it is exceeding light and thin because the Sun drinks up and draws out the most subtil parts yet is it impure and subject to putrefaction because divers vapors drawen up by the heat are mixed with the Raine 2. Snow and ice-Ice-water which because the most subtile and light parts are dissipated is thick and hurts the stomach and breeds greivous diseases of the joints nerves and bowells 3. Water gathered in Cisterns which has much setlings is slow in passage oftentimes has a strong
peculiar property above all other medicines purges this Humor howbeit but weakly 'T is more safely used in the Winter than the Summer That of Crete is the best Polypodie of the Oak which because it binds when it is old must be used fresh and new gathered That which grows on over old Oaks by its overmuch Humidity subverts the stomach Sena which is used to draw humors out of the Mesentery in the broth of Prunes Reisons and in Whey c. its cods if gathered when ful of juyce before they are fully ripe wil work as the leaves doe but withering upon the stalk they lose al their virtue Among Comporunds are Syrup of polypody and Epthymum Pils of Fumitory Pouder of Sena of Montagnana c. II. The stronger sort are among simples Lapis Armenius which must be so long washed in cordial waters til no more foulness appear Lapis lazuli which must be used after the same manner Black Hellebore which is least dangerous in the decoction 'T is best corrected with the flegm of Vitriol An excellent way and Elegant to give it is to stick an apple with cloves and black Hellebore Roots and roast it in the Embers Among Compounds are Extract of black Hellebore and Syrup of the same in Heurnius IV. Water-purgers are Medicaments which drive waters out of Mans body 1. The more gentle are among simples Soldanella or Sea-Colewort which extreamly delights in the company of Rhubarb and loses not its Vertue by boyling 2. Germane Orice which provokes the Courses and loses its force by boiling The juyce of the Root is put in an Egshel with the yolk of the Egg and so they are boil'd together or roasted til the Egg be soft boyled so as it may be supt Among Compounds are Conserve of Peach Flowers Pouder of Soldanella of Fowentinus c. II. The more vehement sort are Elaterium which slips even without the Veins and draws water away It may be given to strong persons to the quantity of ten grains if wel corrected understand in German Bodies and tough english plough-men or Sadlors 't is corrected with Cinamon Spike c. Cambogia which because it makes the Stomach a little sick it is corrected with Spirit of Salt and Mace The use thereof is hurtful to cholerick natures See thereof Reudenius and Lotichius Hedge-Hyssop which works upwards downwards It is dried and steeped in milk then dried again so as that it may be reduced to pouder Esula whose Milk Seed Leaves are very strong but the Root more mild It must not be used til a month after it has been gathered That is best which is five or 〈◊〉 months old The Bark of the Root is chiefly in use 'T is corrected by Infusing three dais in Vineger Among Compounds are the Magistery of Cambogia Pilulae Freytagii Oyl of Elder-berry Stones V. Purgers of al Humors together which are called Catholica and Panchymagoga are these which follow of simples Sena Hellebore Antimony c. Of the compounds Panchymagogum Crollii Vegitabtle Paracelsi Extractum Catholicum majus minus Electuarium Diacatholicon c. Point 2. Of Vomitories and Diureticks Vomitories are such Medicaments as cast forth bad humors by the Mouth Which they do either because they naturally tend upwards or because they swim upon the Stomach and burthen the same or because they loosen the upper Orifice of the Stomach Of this sort are I. The more gentle simple water Luke-warm water Barley water fat broaths simple Oyl with water Butter Hydromel Root of Orach Garden Cowcomber Melons Daffodillies Asarum Flowers of Peaches of which conserve is made Seeds of Rocket Orach The middle Rind of a Walnut Tree when it is fullest of juyce especially the Cats-tailes thereof Electuary of Asarum of Fernelius II. The stronger sort are white Hellebore The Vomitory of Cunradinus which is given from three drops to ten drops Gilla of Paracelsus White vitriol vomitory Sala his salt of vitriol Flores Mercurii argentei Mercurius Vitae Mercurius dulcis Manna Mercurii Aquila-Flowers of Antimony Oyl and Electuary of Antimony and Crocus Metallorum Aqua benedicta of Quercetanus Pismire water Platerus his Wine Heurneus his Helleborate wine Aqua Benedicta Rulandi II. Diureticks are medicaments which provoke Vrine and by that means evacuate withal the morbifick matter They are twofold 1. Properly so called which easily penetrate into the Veins and therein melt the Humors with their heat and they are Roots of Parsly Smallage Eringos Ruscus Asparagus Pimpernel Herbs Asarum Liver-wort Chervil Scordium Seeds of Gromwel Chervil Saxifrage Fruits bitter Almonds Peach Kernels c. among chymical preparations is spirit of Salt and whatever things are compounded of Tartar II. Improperly so called and they either hot as Maiden-hair Terpentine Ambona Root of which see Zacutus Or moist and which lenifie the passages as Mallow-seeds Marshmallow Lycorice Or cold as Strawberries Barly the four cool seeds bath-Bath-waters Whey of Milk Juice of Lemons Also Peach-Kernel water with Muscadine is commended The whitest slints heated red hot and quenched in rich Wine Oyl of Wax from five drops to six Salt of Amber an half dram in weight Water of Hips Oyl of Juniper Berries c. Point 3. Of Hydroticks and Diaphoreticks Hydroticks are such medicaments as drive out the morbifick matter by the habit of the body in a sensible manner viz. by sweat They are otherwise termed Sudorificks The act by reason of their heat and thinness or subtilty of parts turning the peccant matter into a vapor and they which are cold do act by a propriety of their Substance Now they are I. Either Simples as Angelica Pimpinella Fumitory Tormentil Zedoary China Sarsaparilla Sassafras Lignum Guajacum Cornu Cervi Bezoar stone oriental and occidental 2. Or Compounds as Orenge-Flower Water and Treacle water Spirit of terra sigilata Tartar Carduus de tribus Treacle Mithridate Salt of Scabious Carduus Wormwood Ash Among chymical preparations there is Aurum Diaphoreticum Flowers of Antimony fixed Turpetum minerale diaphoreticum Sulfur Auratum Bezoardicum joviale c. II. Transpirers properly termed Diaphoreticks are such medicaments as drive the morbifickmater through the pores of the Skin invisibly They are al hot turn the Matter in a vaporous steam and open the bodies pores The chief are Melilote Fenugreek Rue Marjerom Of Kin to these are Wind-discussers such as are the Roots of the smaller Galangal Leavs of Bayes Dictamus Penyroial Origanum Rue Marjerom Seeds of Annis Fenel Carway Cumin Carrot Fruits Bay-berries Juniper berries Barks of Citrons Orenges c. Point 4. Of Medicaments which purge the Brain Brain-purgers are such as void the morbifick matter nestling in the Brain by the Nostrils or Pallate The former are called Errhina and Ptarmica the latter Apophlegmatizantia I. Errhina do by their nitrous quality melt and dissolve the flegm which hangs about the Coats of the Brain and draw it out into the Nostrils without any disturbance to the Brain it self The chief are the Roots
where note 1. It must be extended without any pain or as little as may be by one man if the lesser hones by two if the greater be hurt 2. They must be rightly placed in their proper places so as the ends may fitly joyn one to another so that the Eminencies of the Bones may not be forcibly thrust into their Cavities lest they should be broken That if they break out of the Skin they be handled after a peculier manner 3. We must see whether they be rightly placed and framed together which is known by Cessation of pain and that there is no cavity that the broken part feels just as the whol save that it is thicker possibly by reason of afflux of humors 4. They must be duly bound up which is then done when a medicine made of the white of an Egg beaten with astringent pouders is first laid on to prevent Inflamation When the binding is neither too loose nor too strait It is then too loose when the Patient finds that he is lightly pressed and the same night feels himself more strongly bound and the day after a swelling arises in the extremity of the Member if it be too strait the contrary signs follow If it be not loosed before the third day 5. The member must be rightly placed that is to say softly lest it be pained equally that it may not be distorted it must be somwhat raised lest the Humors flow to it III. The Body of the Patient where if need be blood-letting and purging must be used IV. The Callus and then meats of good juyce must be given Medicaments which breed the Callus must be drunk down and applied especially in grown persons one dram of Osteocolla with Comfrey Water See Aquapendent and Hildanus in their observations V. The Symptomes 1. Inflamation whereto respect is to be had presently at the Beginning nor is the part to be bound or at least not so hard 2. A Gangrene which see in its proper Chapter 3. Itch and Excoriation which proceeds from sanies where the Sanies is to be washed off and afterwards unguentum album Camphoratum Rosaceum c. must be used 4. Pain which either springs from the overstraitness of the Swath-bands and then a swelling appears in the extremity of the part and the sick Patient complains that he is extreamly pressed The swath-bands are to be loosed and the binding to be made more easie Or from a pricking bone and then a pain arises from a light handling of the part The Bone is either to be restored to its place or taken out or cut off Or from a Confluence of Humors and then 't is cured like a beginning Inflamation Or from an evil scituation of the Member and then the Patient easily discovers the same the scituation of the Member must be changed 5. The Gracility or leanness of the member and then either an over-thin diet or long binding of the swathes is the cause Nourishment must be drawn to the part The Differences of Fractures are sundry I. One is athwart so as the Extremities do not at al stick together 'T is known by this in that you may feel the ends of the broken bone asunder one from another and in the place of the Fracture a nonnatural Cavity is observed c. 'T is more easily healed especially if it be simple and equal and the broken bones be not removed out of their places II. Another is when a bone is broken into divers parts This is hardly Cured especially if sharp eminences or points do prick the parts adjoyning If they cannot be reduced to their former state and the member is become shorter and unfit for service III. Another is according to the length of the Bone which is called a Clift This is known by the preternatural thickness of the member 'T is easily cured because there is no need of any laborious replacing of Bones but it suffices that the gaping Chinkt or Rift of the bone be closed up IV. Another is Flesh which is easily consolidated V. Another is old which is hardly because Inflamation being added extension is dangerous The extremity of the Bones grow hard Galen saies if the Cure be protracted beyond the seventh day there is danger that the bone wil be blasted VI. Another is alone of which al that has bin hitherto said must be understood VII Another is with conclusion of the flesh and has a wound joyned therewith This is dangerous if the wound be great and in the greater Muscles inflamations easily arise therupon the splints and other things for the better repose thereof cannot so wel be fitted but an hole must be kept open for the Wounds VIII Another which happens in the middle of the Bone and then the division is lighter IX Another which is near the Head above or beneath and then because in the former there are more nerves in the latter more tendons greater pain happens X. Another is near the Joynt and then by ligaments nerves tendons the part broken cannot be conveniently bound up in a bloodless part the Heat is weak the motion of the member is hindered by reason of a Callus or hard substance which binds up the tendons or muscles XI Another is when Two Bones joyn'd together are broken as in the Arm the Radius or Ulna and then the Cure is hard XII Another when One and then the Muscles can be less contracted because they are kept stretched by the whol Bone Title II. Touching Symptoms and their Removal A Symptome is a preternatural Disorder in such things as beside the Constitution of the parts are necessary to action following some other preternatural thing 'T is many waies divided but two waies especially For I. One is of Action hurt whether it be abolished diminished depraved or augmented It comes to pass either through fault of the Faculty when the immediate instrument is ill affected to which the Absence of the Spirits and Influent Heat is referred or by reason of some external Error when those things deceive with which the actions are performed or at least without which they cannot be Another is of Things voided and things retained Another of Qualities changed which depend upon the Hurts of Actions and the Humors depending thereupon II. Others are Symptomes of the natural Faculty viz. the Nutritive Augmentative Generative Retentive Attractive Concoctive Expulsive Others are of the vital Faculty others of the animal Faculty to which belong Symptomes of the external Senses of the internal Sences of the motive Faculty c. The CURE of Symptomes is their Mitigation or asswagement and that must be sudden when they are urgent that is to say do threaten so great danger that we cannot stay to take away the Disease or its Causes upon which they depend but if we should wait danger of death or some great Inconvenience would threaten us Of these we shal Treat in the particulars But because amongst al symptomes the most frequent is pain we shal
making an Issue in the Neck if the Distemper be altogether refractory and wil not give place no● yield unto the aforesaid Remedies VI. By Corroboration which is effected by appropriat Cephalicks VII By a Diet that is opposite and contrary unto the Cause and the distemper It is divided into that which is from thick Flegm where preparatives have their place as being of singular use neither may blood-letting in this case be safely allowed of and that which ariseth from Flegm that is thin and fluid and which excites and begetts a Catarry and in removing of which sneezing wort and al sorts of Sternutatories and Errhina liquid Medi●aments to be pu● up into the Nostrils that are over strong and violent ought carefully to be avoyded IV. The Sercus or Wheyish distemper o● the brain is known by those signs and tokens that are before mentioned It is derived unto the Head either sensibly and by degrees especially together with the Arterial blood it self and likewise the spirits or else al at once by reason of some external more forcible Causes to wit overmuch drinking of wine anger violent exercises c. It is Cured I. By the Evacuation of the serous Humor from the Brain without the premising or use of any preparatives whatsoever This Evacuation is performed 1. By a purgation of the Humor with such Remedies as draw forth water 2. By blood-letting especially if there be present any Feaver although never so gentle and an extraordinary heat which moveth the serous part of the blood unto the Head and in case the accostomed Evacuation be suppressed 3. By the Exhibition of Sudorificks that are over hot as for instance Antimonium Diaphoriticum Bezoarticks the Lunar Fumary c. 4. By the drinking of Diureticks which are likewise very good and profitable to the spleen II. by Correcting the Distemper for which purpose we usually prescribe the powder of a mans bones drying Lotions c. III. by Diet touching which fee and consult the practical Physitians V. The Melancholy distemper of the brain is known by the dotage that accompanyeth it together with fearfulness and sadness a pain especially on the left side turbulent dreams and oftentimes a sudden loss of al motion Is Proceedeth from Causes that generate Melancholy The Cure hereof is easie in its beginning It is Accomplished I. by the reiterated Preparation of the Melancholly Humor after the Purgation of the first waies and passages by the use of those medicaments that both heat and moisten among which the syrup of apples is excellently good II. By the evaccuation of the said humor by purging potions at first such as are genttle but afterward such as are stronger in opperation and here for this purpose Lapis Lazuli is much commended adding thereunto such things as moisten after which there must immedeiatly follow an evacuation by the frequent use of those remedies that we term Errhina and other such like III. by corroberating and strengthening the Brain by the confection Alkermes with other suchlike confections IV By diet i● the which vinegar in rega●● that it doth ferment and as it were leaven and sowr the mellancholly humor is principally to be avoided It is divided into that that is Essencially such in which likwise the opening of the cephalick or head vein of the left arme and a copious letting out of the blood if it be black but a more sparing evacuation thereof if pure hath its place and use and into that which ariseth from the suppression ether of the Monthly Courses or of the hemorrhoides in which case revulsion and the opening of the Ankel vein is to be put in practise VI The Atrabiliary distemper of the brain is Known by the want of sleep and extream dobting of the sick party and it arisath from such causes as foment and supply a melancholly Juyce and together with these as it were burning of the same aforesaid Juyce the extraordinary heat of the bowels may do very much The Cure is very difficult in regard that it to far receeds from the Temperament of the Brain It is atchived I. By an often repeated preparation by coolers and moisteners an evacuation of the first Vessels or passages being before premized That compound which we commonly cal Cachund of which hath already bin spoken in the melancholly destemper hath here likwise its place and use II. By a frequent and reiterated evaccuation of the black choler by medicaments such as they term Melanagogues well mingled together with Moisteners as also by those things that peculiarly and properly purge the brain III. By digestion and that by Topicks and sweet water baths if yet the distemper wil not give place nor be removed then let the patient drink the whey of milk together with such things as are specifical remedies against melancholly and of a moystening quality It is divided I. into that which is such in its very sence whe●e the opening of the cephalick or the common Basilick vein hath its place and that which is caused by the suppression of the courses or the Hemorrohides of the which sufficiently above II into that which is from the blood burnt or over heated in which distemper the sick party is evermore very apt and propense unto laughter And this is to be cured by letting blood in the same manner as was that that was generated by yellow choler in which a bruitish kind of dotage and fierce anger gets the upper hand and that likewise that had its original from the Melancholly humor in the which pensiveness or sadness and a continued silence or else haply after a while that this silence is broken a tedious extream talkativeness hath the predominance c. Chap. 3. Of the straintness or narrowness of the passages of the Brain THe Straightness of the passages of the Brain then happeneth when the said passages are either obstructed or compressed by their causes Those passages are the pores of the Brain which is of a spungy substance the pores or passages of the stomach the Veins Arteries Nerves and the sutures of the Skul The SIGNS are taken from the diminution or else the utter abolition of the actions of the Brain The Causes are either obstruction from pituitous and flegmy humors blood poured forth out of the vessels grosse and thick Vapours or otherwise Compression and this either from the skul by reason of some violence offered thereunto or else from blood distending the vessels from whence they are affected with a flegmatick distemper or else haply such as is shed forth and fallen into the substance of the body by reason of the a bundance of its thinness or acrimony apituitous or flegmy humor having first obstructed the Basis of the brain and lastly by an hard tumor or swelling The CURE is Various according to the variety of the differences The differences are taken from the many and several causes I. One difference is from Causes External to wit the fumes that arise either from coals beer or
impostums of the Brain abundance of Yellow Choler c. Or else they exalt the same such as are hot and dry temperaments that cause an inordinate motion of the Animal spiritts Or else lastly They impede and hinder the motion of the Animal spirits and such are a less than is requisite conformity of the head and brain the over great thickness of the same c. The CURE respects the several Causes and may be taken and understood by what hath been already above spoken Those medicaments that are appropriated either for the conservation or restoration of the memory are reputed and accounted to be that they term Tinctura lunae taken in the water of lilies of the vally The pouder of Trithemius of which there is sufficiently spoken in the miracles of Mullerus the Anacardine Confection in weight half a dram thereof exhibited and taken with al possible cautions unless haply an hot and dry temperament hinder it Those things that resist and therfore are good against a cold and moist distemper are that water that Practitioners cal Aqua Magnanimitatis Cunradi The lily of the vallys balm frankinsence in weight half a scruple taken with wine Nutmeg c. Toughing which consult the practitioners in Physick Article II. Delirium or dotage A deliry or dotage is a depravation of the Phantasie and the ratiocination Faculty arising from the bringing and presenting of an absurd and inconvenient Phantasme The SIGNES of a delirium beginning are garrulity or talkativeness in a person of few words and so on the contrary fierceness in a quiet and mild person ribaldry and scurilous speech the quick motion of the eyes in regard that they are associated with the brain Arteries veins and nerves a pulse with perturbation in the Hypocondria But the signs of that that is present are speeches and actions that the patient hath been altogether unaccustomed unto and which in themselves are indeed very absurd and incongruous The CAUSE hereof is an absurd Phantasme having its rise and original from a default in the Animal spirits as wel those that are fixed as those that are movable which ought to be pure clear and transparent temperate and regularly and ordinatly movable For if they swerve from those aforesaid requisites there is then an error and mistake communicable unto the Phantasmes about and upon which the Reason is employed and busied and then those Phantasms are represented unto the intellect or understanding otherwise than they ought to be The CURE is different according to the variety of the differences It is divided into a dotage that we cal primary and that which we cal sympathetical I. The Primary is that when the brain is in its one proper substance and essence that is in it selfe affected and this is either with a feaver of which more in the Chapter following or else without a feaver containing under it as wel that wherein Paraphora and Leron that is to say an error of the mind or a dotage and busying of it about toies and trifles proceeding from the imbycillity of the principal faculty by reason of an immoderate flux of blood or else by reason of long continued watchings as that we term downright folly in the which the principal faculties are not only impared and diminished but likewise extreamly depraved and corrupted II. That which is sympathetical when the Cause is communicated from other parts It is disposed and divided into that which is without a feaver which comprehendeth under it temulency or a kind of drunkeness and distemper brought upon the spirits either by wine or beer or else from hemp darnel henbain the dry sticks of that they cal Levanthe the rinds of mandragoras opium and the like Those things that preserve are the smal strings of wormwood and Rew eaten upon an empty stomach the cabbage or colewort and a morsel of bread eaten after a draught as aforesaid those things that accomplish the cure are vomits and the use of things Acid and sharp c. and into that that is with a feaver which often hapeneth in acute feavers and not otherwise And then the feaver is at hand and presently appeareth if it shew it selfe in the very begining without any apparent signs of concoction it introduceth a Phrensie which is quallified in great part removed by sleep but if it happen to be with concoction and other hopeful signs and tokens then it is Critical and decretory It is cured 1. By revulsion by the opening of a vein in the feet and other such like remedies 2. by tempering and allaying the extraordinary heat of the blood in the head by topical or local medicaments 3. By the application of hypnoticks or medicaments caussing sleep 4. both by the evacuation of the matter which hath already seized the head and this is to be done by openining either the forehead or the tongue vein and likwise by the discussion of the said matter by applying unto the head pidgons dissected and cut in midst and withal the decoction of Camomile c. Or else it happeneth in an inflamation of the parts and especially the diaphragme And then the breathing is unequal the Hypocondria are violently drawn back more inwardly there is likewise Joyned therewith a deliry or dotage together with a Cough and a pain of the side The Cure ought to proceed according to the Nature and condition of the part affected Article III. Of a Phrensie A Phrensie is a perpetual and Continual deliry or dotage arising from the Inflamation of the Membranes of the brain and afflicting the Patient with a continued Feaver The SIGNS are a perpetual doting a continual Feaver incessant watchings and short and frequent drawing of the breathe The CAUSE is an inflamation of the Membranes of the Brain of the which we have already above treated in this very Book The CURE ought to be ordained according to the Disease the Nature of the watchings and the suppression of the Urine In this distemper Venesection or blood-letting is one especial if not the only Remedy But then a plentiful measure or as we say good store of blood is somtimes to be drawn forth at the Nostrils by putting up a Feather made into the fashion of a Star even unto the very Root of them and forcibly turned about therein But touching what we are now upon more may be seen in what hath been already delivered concerning the Inflamation of the brain Neither must we forget by reason of those aforesaid watchings together with repellers to mingle Hypnoticks that cause rest or else they ought to be administred severally and by themselves alone as we see good Three grains of Opiat Laudanum cautelously administred in a convenient liquor least the Phrensie should by any means degenerate into that Disease we cal Veternus that is the Lethargy or drousie distemper are very much commended This said mutation or change is wont to happen either of its own accord or else because the sick persons neglect cannot endure to reply unto
patient in his fever is even scorched with a more ehement and intence burning heat Chap. 3. Of the streightness or narrowness of the Lungs The streightness of the Lunges is the interception of the vessels thereof by reason of obstruction Compression or exsiccation producing a Cough oppression and a difficulty of breathing As for the Signs Causes and Cure thereof let them be al sought our from the differences The differences are taken from the Causes and the parts affected I. One is of the rough Arteries touching which let the Reader advise himself further and satisfy himself fully from the following differences the which proceedeth from an obstruction c. Another is of the smooth Arteries which is known from the breathing which is with much difficulty yet not only in the beginning but likewise in the increase thereof from the pulse being altogether various unequal intermitting great swift slow rare frequent vehement by reason of the Combare betwixt nature and the Morbifique cause she being not able to expell the fuliginous or sooty fumes by reason of the streightness and narrowness of the Arteries from the palpitation or beathing of the heart it being now very much oppressed and from fainting and swooning It a●iseth either from thick Visced or clammy and flegmatick humors and then the pulse is by the extension it differeth much from it self but yet it is for the greatest part more equal in it self and this is not very hard to be cured especially if it newly begun the cure remameth to be spoken of below Or else it ariseth from a little riseing or swelling and then the pulse is hard by extension and dryness its inequality is uniform by reason that the Cause is more fixed Touching the Cure we shal speak more anon II. One is understand this of the Rough Arteries from an obstruction by blood a humor c. Touching which more below Another from Compression and almost from the very same causes as in the dropsy Another from Exsiccation very frequent and incident unto such as work in Metalls and this for its cure requireth almond milk III. One is from blood obstructing or compressing the rough Arteries expelled and driven forth thither either from the Lungs or from else where which is to be driven back and evacuated And lastly if it become Clotted by Oximel scillitick and a posset that is a mixture of water and vinegar six ounces thereof in weight so that it be pleasant to drink and likewise so that by reason of the vinegar it provoke not to Cough and this to be administred blood warm three or four times in a day it is to be dissolved Another from a Humor and especially that that is Phlegmatick which is plentifull and abounding and then if by distilling it flow forth only into the Membrane that surroundeth and grindeth in the throat it obscureth the voice and causeth a hoarsness if this humor fal into the hollow the channel of the throat it produceth a little sheeps cough as we cal it with a certain sence and feeling of an acrimony that continually provoketh to Coughing or else the sayd humor is thick and viscid or clamy but this is very rarely generated in the Lungs in regard that they are nourished by a thin and pure blood it almost alwaies ariseth from Catarrhs falling down from the head the which in tract of time by the force of the heat is changed into a Glassy or Plasterlike Phlegm which being by the many distillations returning in a round as it were and circuit stored up in great abundance causeth the Asthma The same likewise exceedingly afflicteth the Patient with a kind of dry Cough by the which there is hardly any thing expelled and brought away it rendereth the breathing difficult and causeth in the taking in and puting forth of the breath a snorting or wheezing as we term it in regard that it is impacted and pertinaciously stuffed into the Lappets of the Lungs it hath signs and tokens foregoing of a distillation either from the head brain or from the neighboring parts In the Cure whilest the matter is in preparing with Colts foot Horehound and other attenuateing and cutting Medicaments let Borrage Liquorish and Raysons be mingled together The purgation is wel performed with Agrick Another is from the Pus or purulent Matter that is powred forth out of some Apostume and then expectorating Remedies have their place IV. One is from Causes that in their whol kind are preternatural amongst which are I. Little Substance some of them very hard and solid others of the consistence of old Cheese all of them included in their own proper Cisterns and Bladders and producing the Asthma II. Little Risings or Swellings which have their Original from a matter collected in one part and thence strutting and standing forth without any token or sign at al of any distillation preceding and these said swellings adhere and stick close unto the Aspera Arteria or great rough Artery They are divided into those that are Crude or raw which are very hardly known and they are never suppurated neither have they any Feaver joyned with them and such as are Suppurated in the which the Pus or filthy corrupt matter is so strictly and closely shut up in its little Membrane and proper bladder that hardly can there any noysom and stinking smell expire and breath forth of it into the Body Then the sick persons are of a black blew or leaden color their Tongue is replenished with a certain kind of Clamminess especially when they have abstained long from Food the Urine is dyed and hath a tincture either from the vehement motion and stirring of the Body or else from meat and drink that is hotter than ordinary after an extream and violent motion there are little pils and smal round bals or pellets like unto a smal Pease included and wrapped up in a little Membrane ejected and cast forth of the Lungs There is then likewise a troublesom Cough and a difficulty of breathing excited A pain there is that continually affecteth sick persons but then chiefly when they are moved with a more vehement and violent morion The Patient recovereth not to be well of these unless 1. The Suppuration be speedily wrought 2. Unless the Suppuration when it is made suddenly break forth 3. Unless it tend upwards and be cast forth by Coughing 4. Unless al the Pus and the whol filth be evacuated and emptied forth 5. Unless the belly that is that Cavity in which the Pus or purulent matter was contained be perfectly agglutinated and united as formerly Chap. 4. Of the Wounds of the Lungs THe Wounds of the lungs are wel known by the difficulty of breathing by reason of the hurt the organs have received by the casting out of froath and blood by the mouth with a cough by the spitting up of a red and froathy blood out of the chest without any pain at al by the swelling and strutting of the neck veins and lastly
from a humor which is known by this that its invasion is not altogether so sudden and unexpected and that it continueth longer And this is I. Either waterish having its residence in the Pericardium which is not known but with much difficulty albeit the malady be continual and that the sick persons complain of the suffocation of the Heart It is taken away by discussives as wel such as are internal as Treacle Confection of alchermes the Species of diambra as those that are External namely hot Bread besprinkled with a cordial water and applied to the region of the heart Neither vesicatories nor venesection are here to be made use of Or else it is sent from some other parts and by its weight either burtheneth too much the veins Arteries and the ventricles of the heart so that it is thereby deprived of the freedum of its motion as it hapeneth in wounds great fear and terror c. or else by its quallity it infesteth the same which is especially wont to be done by Choler a dust and terrefied by excessive heat and then there wil be need of evacuations and revulsions For the Cauteryes if we make use of any there are no cantharides to be therewithal mingled or put thereinto Treacle outwardly applied if the matter be cold is here commended 2. Or else it is not malignant and of this what hath already been spoken ought to be understood or else it is Malignant and poysonous and then there is great variety in the Pulse which chanceth especially in regard of the greatness and smalness thereof c. III. One is from a Tumor which if it be hot the inflamation in the Body wil be so much the greater and the breathing wil be difficult if the swelling be hard and in the Pericardium the motion is then continnual and the sick person wasteth and weareth away by degrees and without any manifest Cause The Cure is to be proceeded in according to that of a Tumor IV. From Worms which are discovered by the Convulsion for the whole and entire cure hereof see in Hartman The Bezoar stone is here of excellent use V. From the defect of Spirits which is known by the foregoing of dissipating Causes It is Cured by those things that Cheer and Comfort as odoriferous wine c. VI. From a hot Distemper touching which the second Book is to be Consulted Chap. 2. Of Fainting or Swouning FAinting or Swooning is a sudden and Precipitate fayling of al the Spirits and especially of the vital powers and strength with a pulse much weakened and almost totally abolished as likewise with a cold sweat arising from an extraordinary great weakness of the Heart through the fault and defect of the vital spirits of which those that remain retire also from the External parts of the Body unto the Centre to wit the Heart According to the diversity of the degrees of this sad affect so are the names thereof various and different Ecclusis is a smal and light fainting Lepothimia and Leipopsychia is that which is somwhat more greivious and Syncope is the most sad and greivious of them al which last if it proceed so far that the pulse or beating is abolished in the whole Body it is then termed Asphyxia the reason whereof shal be declared in its definition The Signs and that first of the affect not yet present but very neer approaching are especially in persons unaccustomed thereto an Anxiety that neither was nor indeed could be foreseen a vertigo or swimming in the head a representation as it were of strange and various Colors an often reiterated change and alteration of the Pulse The Signs of the Affect present are a suden fal and failing of al the Powers of the Body a Pulse most weak and obscure and so it is distinguished from the Apoplexy the strangling of the womb the Chilness and Coldness of the whole Body but more especially of the extream parts a cold sweat and therefore termed syncoptick breaking forth and chiefly in the temples neck and Thorax which if it be with an abolition of the Pulse it is then to be accounted a sign Pathognomick The CAUSE is a sudden fayling of the vital spirits whithout which neither the heart nor indeed any other part of the body can perform its actions but as touching this we shal speak more fully in the differences There is some hope of a Cure if it be only from the single or simple distemper of the heart if it proceed from evident and apparent Causes and if it be by Consent There is no hope if the patient fal often into these fainting fits and that without any manifest cause if it befal a weak body if the sick person be not raised out of these fits after the sprinkeling of Rose water upon his face and the drinking of wine nor yet even after sneezing wort hath been administred if the heart primaryly lie and labor under this affect and lastly if it affect those that are Feverish and by reafon of the great store of humors with an inflamation of the stomach and the Liver The Cure hath respect 1. Unto the paroxysme in the which the Spirits are to be refreshed and cheered with the vinegar of the flowers of tunica a kind of Gilly-flowers the vinegar of Rue and of the Elder Tree the balsam of white Ambor and likewise by putting to the nostrils wine Rosewater Cinnamon water and carbuncle water c. When the disease is hot then cooling Medicaments but if the Affect be Cold then those Remedies that heat and warm are to be administred and unto women those things that afford the most strong and stinking savour Unto the Region of the Heart Epithems and inunctions of treacle Mithridate and the oyl of Citron are to be applied Wine that is old and odoriferous is here most efficacious II. It respecteth the intermission touching which more shal be sayd now we are come in the next place to speak of the differences The Differences are taken from those Causes that produce a defect of the Spirits I. One is that Spirits are not generated either by reason of a defect of Matter to wit the blood overmuch evacuated and the Air corrupted or else by reason of some defalt in the faculty as wel in regard of the more noted and considerable diseases of the Heart whether they be from its distemper or whether they be instrumental as in regard of the Arfects of the Brain and the Liver yea likewise of the stomach and the womb and of al these there ought to be a special and due regard had in the cure II. Another is from the Dissipation of those spirits that are generated and bred which is caused 1. by those insensible evacuations that are either habitual or else happen from the over great rarity and thinness of the skin and in this case we must have recourse unto perfumes and sweet smelling medicaments and to those kind of meats that afford a good and wholsom
are of no force in a dysentery from sharpe choller when as they leave a biting quality behind them 8. By dyet in which biskit bread milk of sweet almond sthe flower of sugar c. take place The Differences of a Dysentery are Divers I. One is in making when the exulceration begins onely in the superficies of the guts and there from them suffering an inflamatory disposition their temper being destroyed Another is already made when the corrosion peirces deeper and either fibres and smal skins of the inward coat are voided with blood or peices of the fleshy substance cut off from the proper substance of the guts are voided with membranous shavings and much blood and purulency which is the utmost degree of malignity II Another is of the smal guts in which the pain is most acute by reason that they are membranous the stool is longer after the torments the blood is exquisitely mixt with the excrement by reason of the longer passage the blood is blacker Purging medicines must be given by the mouth 't is almost incurable Another of the great guts in which the paine is less by reason of their fleshiness t is cheifly perceived about the navel by reason of their situation the stools are quickly after the torments the blood purulent matter swims upon the excrements of the belly Note that for the most part the great guts are tainted and being tainted medicines are best administred by glisters Somtimes the stomach and neighboring parts are drawn into consent somtimes the belly over against the ulcer and hole is perforated by reason of the putrefaction communicated to it III. Another is from things external viz. either from poysons whose cure is performed by vomits by things that dul them whiles they teare as milk rice fat broths by antidotes cheifly six grains of an emrald prepared but they must abstain ten hours from meat and sweat Or by purging medicines that are very strong and then if you consider the cure after abstersives 't is good to drinke warme milke new treacle c. Another is from things internal of which hereafter IIII. Another is epidemical and malignant in which we must act with things alexipharmacal amongst which are harts-horn terra sigilata Corals saphyres water germander pulvis Bezoardicus aureus The same may be mixt with purgers Another is simple to which those things above may be applied V. One is from Yellow choler from which for the most part it begins the which sometimes is generated in the stomach somtimes in the guts sometimes is cast from the bladder of gall the meseraick veins the whole body Another from Black choler which if it be voided by reason of a crisis in feaverish diseases it may be cured It ought not to be purged before it be tempered and then with Lenitives Another is from Choler of a leek color and the rust of Brass which though by Nature collecting it self it may be cast off yet not presently Another is from Salt Flegm which somtimes is produced in the head from a great heat somtimes in the stomach being carried to the Guts and by its clamminess sticking long to them it troubles them and at length Exulcerates 'T is hardly Cured 'T is wel rooted out with Agarick and Mechoacan Point 4. Of the Bloody and Hepatick flux I. The bloody Flux is known both by the sight and by this that it is voided without pain and exulceration It ariseth 1 By reason of plenty of Blood proceeding either from a hot distemper of the Liver and then there wil be signs of fulness 'T is voided without pain and wasting of the Body the Urin is thin of a Goldish color Thirst oppresseth both by reason of the wasting of the moist substance and the heat of the Liver In the Cure the diet must be abated the Liver must be corrected by succories and other proper coolers steeled milk c. If Choler be mixt with it it must be emptyed Or from the cutting off of some member and then blood must be let according to Course Or from the suppression of some accust omary Evacuation and then we must act by frictions the stoppage must be opened 2. by reason of a vein broke or opened which is known by this that it is cast up also by vomiting Some vehement fal hath happened before Fainting is Caused by reason of the putrefaction in the stomach The cure is difficult II. An Hepatick flux is either Exquisite which is known by this that that which is voided doth look thinly red as the washing of the flesh of a beast newly kild doth not clod together doth flow more frequently yet not so often as in a dysentery without any knawing but yet not without a Heavy pain the Eye-lids are swelled and the Feet the excrements are crude It ariseth from a weakness of the Liver and the defect of natural heat in it from causes that do dissipate or choak it up The Cure must be hastened because this Disease Leads to an ill habit of Body a dropsie and Consumption 'T is hard when t is beginning and in young men Almost incurable when its inveterate and in old men and in them also whose spittle is bloody somwhat pale or clearly cholerick It excludes Purgers and is perfected only with altering strengthning medicines mixt with the meats Hens Livers Chickens and Geese stones are commended Or Spurious in which the blood is either acrid by the mixture of Choler or thick by its long stay in the Liver or elsewhere or faeculent by reason of the foulness of the Liver because the Spleen doth not attract the feculent parts Title IV. Of the Affects of the right Gut Chap. 1. Of the Diseases of the right Gut THe Diseases of the right Gut are Inflamation warts Clefts and Fistulaes I. Inflamation comes either from violent Causes or from Medicines and corroding cauteries It is known by the sharp Launcing pain fixt in one and the same place by a vain desire of going to stool in which by reason of the greatness of the Tumor obstructing nothing or very little is voided The cure is difficult both because the part is endewed with an acute sense and because the Excrements of the Belly hinder Applications and because by reason of the heat and moisture of the place the Disease degenerates into Ulcers II. Warts are either Condylomata or swellings of the Skin of the Anus viz. Hard and callous bunchings growing out from a Melancholy humor more troublesom than painful Or Thymi or the rougher warts having a narrow basis and large superficies which do easily pour forth blood into the same which if they grow out much are called Ficus If they bleed they are worst of al especially if a disposition to a Cancer draw neer Or Crista or excerescences of flesh arising from preposterous Venery They are taken away either with the Ashes of Mouse dung boyled with Wine and applied or with the oblong shels of Fishes found by the Sea side
either by reason of its attraction or reception The Cure is difficult both by reason of the narrowness of the veins in the liver and because more diseases do follow upon this It is performed by things that open obstructions amongst which are commended Riverius his extract of pils of amoniacum made of gum amoniacum dissolved in Vineger of squills three drams the species of biera picra one dram and half crude aloes four scruples Myrrh one scruple Saffron six grains With Syrup of Wormwood Quercetans Pilulae tartareae reformed by Sennertus Tinctura Martis whose description is in Petreus from one ounce to two three and more Deodates pouder compounded of the species of diarrhodon Diatragacanth each two drams Agrimony Madder Roots Ferne poudred Sorrel Purslane seeds each one dram Magistral of pearles Corralls Crocus Martis made without corrosives Crocus Martis prepared by oyl of sulfer each foure scruples with sugar-candy as much as is sufficint given one dram the former tincture being drank after it Pils of steele The decoction of the whitest tartar mundefied and poudered one pound made with foure ounces of crude steel and two gallons of spring water and given two ounces in opening broth Penotus his opening spirit c. In the cure these things come worth observation 1. That universals must be premised before particulars and topicks 2. That medicines ought not to be given to drink but a long while after meat least they carry with them crude humors to the liver 3. Astringents must be added to mollifiers as spicknard burnt Ivory that the tone of the liver may be preserved 4. That things attenuating discussing and resolving ought to be moderate least the thinner parts discussed the thicker doth remaine 5. That we use sweet things not as meats but as sauces 6. The medicines must be given liquid or finely poudered 7. Topicks must never be applied actually cold 8. After the use of steel-medecines the body must be stirred unless black excrements do follow we must abstaine from them The Differences of this obstruction are various I. One is lately which is the easier cleared Another inveterate which causeth putrefaction and a Feaver and produceth a jaundice schirus and dropsie II. One is in the hollow part of the liver which is known from hence that nothing is perceived outwardly by reason that the part lurketh deep the stomach is drawn into consent from whence is loathing of meat nauseousness vomiting thirst liquid excrements It must be cured by things that empty by the stool Another in the gibbous part which is known from hence that the belly prest on that place doth resist the midrif especially because the liver is joyned to it the excrements of the belly appeare bloody by reason of the light change of the chyle into blood The Cure is the easier by reason of the penetration of medicines and the emptying of the obstructing matter by a larger passage we must act chiefly by things that move urine III. One is from Blood either pure which is remedyed only by the opening of the basilica in the right arme or cholerick hot and which is joyned with paine being a long time preternaturally imprisoned in the liver and not timely purged it grows wonderfully thick Or flegmatick viscous and thick which ariseth from gross meats viscous too much by baths or motion forced or carried into the smal veins sometimes it fals from the brain into the stomach by and by passing through by degrees it penetrates with the nourishment into the smal veins of the Liver Another from Winde that is grosse imprisoned under its coate or sticking in the veins which is known from hence that the paine is greater but not continual there is such a great tumor of the right hypochondry that it fils up the whole hypochondry so that the ends of the ribs cannot be perceived yet t is without heaviness and being prest it yeelds it makes no murmuring and gives no suspition of an impostumation lurking there It ariseth either from windy meats from which they must beware or from the weakness of the liver not able to overcome the matter then the matter prepared must be emptied or 't is sent from the neighboring parts and the whole body especially in flegmatick Feavers The Cure in general requires carminatives of which in the dropsie Article III. Of an inflamation of the Liver An inflamation of the liver is a hot tumor of the same arising from blood impacted and putrefying in the substance of the Liver afflicting with a continual feaver a heavy paine and sence of a weight in theright hypochondry The CIGNS are a sence of heaviness in the right hypochondry from the membranes with which the liver is joyned in some to the bastard ribbs A tumor in the same which appeares greater the sick lying on his left side less the body being bowed to the right and the liver sliding under the bastard ribbs A paine reaching from the throat to the bastard ribbs by reason of the heape of matter restrained which puls the membrane that lines the Breast A Feaver whose vehemency follows the greatness of the inflamation and at night is exasperated the inflamation growing hot A dry cough by intervals by reason of the vapors raised up to the lungs and afflicting the midriffe by compression A Difficulty of breathing because the feaver brings a greater necessity of cooling uneasie lying both on the right side because the liver is prest by the stomach and guts and on the left because the liver hanging the membranes are retcht A swift and unequal pulse by reason of the necessity of cooling increased by the hot distemper c. It is distinguished from an inflamation of the muscles of the belly and pleura by the signs mentioned there The CAUSE is blood impacted and putrefied which either is attracted or transmitted or flows thither either by default of its quallity viz. its thinness heat and accrimony or by reason of its quantity and abundance or by the impulse of external causes as while hot medicines are applied to the stomach The CURE is difficult because a principal part is affected and by occasion of it there is iminent the feare of a dropsie or consumption Of little or no hope if the hickops follow because it is a signe that the liver is come to the highest inflamation and so by communion of the nerves the mouth of the stomach is drawn into consent If a loosness follow because this voiding of crude matter proceeds from the weakness of the faculty If a burning and continual feaver accompany it because it signifies that bowel is exceedingly inflamed If it come to Superation which is known by this because that happens after the twentieth day if nature be not weake paines and feavers with other symptomes grow strong yet most by night shakings assail in no order and with no reason which are attended mith an exacerbation of heat because from the impostumation there ariseth a sordid ulcer because t is perpetually
must be emptyed especially with things that purge water 3. To open obstructions is commended the cachectick pouder of steele prepared one part Cassia lignea three parts of the whitest sugar four the pouder of young geese turds 4. Sweats are happily moved with antimony diaphoretick 5. The Cachexy of virgins is driven away by the distilled water of Walnutts fresh cut into thin slices steeped in white wine twenty four hours sweetened with Canary sack and exposed some few days to the sun and taken three ounces weight using exercise after it Article 3. Of the dropsy in general The dropsy is considerd either in General or in special The dropsy considered in general is a tumor of the body or of part of it preternatural arising from a watrish and serous humor or a collection of wind The Signs of it are a swelling and puffing up of the body a heaviness difficulty of breathing an extensive pain in the right or left hypochondry a filthy color of the face betwixt green and whitish or declining to a yellowish or lead color little urine and deep dyed continuall thirst partly from the defect of natural and alimental moisture partly from the ascent of hot salt vapors drying up the mouth of the stomach partly by reason of the little aire drawn in whence the heart and lungs also boyl with thirst But concerning the tumor of the feet we must note 1. That they cheifly swel after excercise of the body and in the eveining because the waterish humor by its own weight tends downwards 2. In the night concoction being finisht the swelling bates by reason of the increase of the heat the heat of the bed helping somwhat too 3. They do often swel in those that are recovering either from acute diseases or of long continuance because the languishing heat cannot concoct so much as the patient receives and the crude and serous part which ariseth from thence flyes to the feet without any eminent danger if it be timely taken care of The Cause is the fault of nutrition proceeding from a cold distemper of the liver which is induced either by the extention of heat either immediatly by the six non natural things or mediately by diseases of the whol or of other parts Or by the dissolution or dissipation of it either from too much heat or from other causes The cure is not difficult if the dropsy be of late Difficult if after another disease it seize upon a body weakned If it be inveterate We must observe in it 1. That we begin with gentle things 2. Because the disease is chronical remedies must be used the longer time 3. Least nature be accustomed to them they must be varied 4. Somtimes for a while we must forbear least nature be opprest See the manner in the species Article 4. Of an Ascites The dropsie considered in Specy is either an Ascites or Tympany or Anasarca An Ascites is a distension of the belly from a watry serous and Salt Humor poured forth into its Capacity by default of the Liver Spleen and Kidneys with a Tumor of the ●e●t Thighs and somtimes of the God The SIGNS are a swelling of the Belly which begins from the lower parts as being most distant from the heart the fountaine of heat a slenderness of the upper parts the belly being struck a hoarse sound as from a bladder half ful the sick turning from side to side a ●●ife like the Murmuring or waving of Water The Disease growing strong there follows a difficulty of breathing by reason of the abundance of water lying on the midriffe A Cough somtimes either from the compression of the midriffe or from the peircing of the Water into the breast from whence suffocation in a short time ensues the impression of the Fingers Leaves behind it a manifest mark in the flesh The CAUSE is a watry and serous Humor whence Dropsie people pisse little they that pisse much after great draufts are not taken with a Dropsie And some by abstinence from drink have been restored to health That humor is collected if you consider the place between the stomach and kidnyes through which otherwise naturally the serum is wont to be emptyed especially in the spleen veine the mesaraick and perhaps in the branches of the spleen artery and the roots of those veins about the hollow parts of the bowels gastrical and epiploical Whence after quartanes and long continued feavers whose cause is in the mesaraick veins a dropsy follows If the cause 't is collected from too much drink and moist meats by the accession of the fault of the bowells which either attract or contein the serum by which it comes to pass that it stays in the belly and afterwards is poured forth into its cavity But it is poured forth into the capacity of the belly or that space which is between the peritoneum the caule and the guts cheifly by the epiploick and gastro epiploick branches yet so as neither the caul which hath veins only from the vena porta and can easily receive the burthen of the mesentary and spleen nor the pancreas which in its middle hath a splenicke veine passing to the spleen with the left branch of the celiacal artery are free from fault The humor poured forth although it be cold yet because it contains many salt parts and borrows heat from the neighboring parts 't is hot also but by continuance of time it putrefies from whence is raised a corruption of the bowels a Feaver thirst whiles the vapors strike the mouth of the stomach The Cure is of better hopes if the patient be young and strong If a slave who is able to endure hunger thirst and other troubles if more moisture be voided by urine than is taken if the water which is in the veins flow to the belly or stool the bowels unhurt Of none almost if it come from an acute disease because the bowels the radical moisture being waisted do contract a cold and hectick distemper which cannot be corrected If the water break forth into the caul and that be corrupted If it happen to the splenetick after a longe dysentery because by the passing of the evil humor the symmetry of the innate heat is perisht in the guts and bowels If a cough come upon it because it shews that the watery moisture is so much increased that it penetrates into the breast and doth already possess the rough arteries If impostumations or spots break forth in the thighs if being eased by remedies 't is wholly renewed again because it signifies the bowels are corrupt and possest either with a schirrus or consumption and hectick distemper If it arise from a colliquation because al the strength is dissolved and the body languisheth 'T is perfected 1. By the emptying of the water poured into the belly premising a preparation of thick humors if they intervene But it is emptyed 1. By the Stool by medicines that purge water the gentler as mechoacan Jallop which may be given to
water is made it doth sinke and is hardly bruised with the fingers Or doth arise from the adustion of humors in the veines and liver that which is voided in the declination of feavers both acute and chronical 'T is known from hence that it doth not subside but is mixt with the substance of the urine cleaves to the chamber pot like pouder and is easily bruised with the fingers Article II. Of an inflamation of the Kidneys An inflamation of the kidneyes on nephritis is a swelling of them from blood poured forth into their substance and there putrefying joyned with a vehement paine fibrous or gravelly excretions The Signs are a heavy and extensive paine about the loins to the first vertebrae which differs from the collick in these because it doth not wander into the middle of the belly or about it with a murmur doth not alwaies grow gentler the belly being purged by its cruelty and fe●rceness it puls the peritonaeum t is very thick and frequent There is a continent inordinate feaver which somtimes increaseth somtimes abateth and about night is exasperated a subvertion of the bowels and stomach A casting up by vomite first of al of fl●gmatick things afterwards of colerick a scarceness thinness waterishness of the urine when the evil begins somtimes a suppression by and by that plenty and thickness with a compulsion to piss from a certain sence of heat A stupidity and numness of the next thigh by reason of the compression of the nerve A difficult raising of the body lying down upon the sick side mirigates the paine upon the contrary exasperates it The Cause is blood either pure or mixt either heaped up in the kidnies by way of collection or thrust thither by way of fluxion either from the whole body or from a part as is often said elswhere The firmness and hardness of the kidneys seldom give occasion for a fluxion oftentimes diuretick medicines doe which carry the blood to the kidneys The CURE is easier if the hemrods come upon it if the impostume being broke a white smooth equal matter not stinking be voided through the passages of the urine if it tend to resolution Very difficult if the Impostum being broke after suppuration the matter take its way through the emulgents to the liver and guts If it tend to induration Past hopes almost if there flowe a white thin or purulent water without the remission of the feaver and symptoms and with a wasting on the legs and thighs 'T is ordered as in other inflamations yet we must observe 1. That things moderately cooling and astringent be used with things anodyne for repulsion outwardly indeed least the humors subsisting about the external and fieshy parts be struck inward into the kidneys but inwardly least when they begin their astriction about the belly or liver and veins they should either cast down the blood to the kidnies or by straightening the narrow passages cause an ischury 2. We must abstaine from purgers because they inflame and trouble the humors yet gentle and benigne must be given if choler stick in the mesaraicks and stomach least it be carried thither 3. Diureticks must not be drank unless when the inflamation is perfectly alaied Here takes place tartar vetriolate half a scruple with the Julep of roses and cinnamon water two drams and other things The Differences are taken from the part affected I. One is in the Right kidney in which the loins on the right side are payned the paine ascends more to the liver the right thigh is benummed Another in the left in which the paine descends to the bladder Another in both in which the symptoms oppress in both sides II. One is in the fleshy part of the kidney in which a greater heaviness affects Another in the parts in which the arteries are terminated in which a beating paine urgeth Article III. Of the Stone of the Kidnies The stone of the Kidnies is a solid and stony substance mucilaginous s●imy carterous endued with a stone making faculty arising in the kidnies by the help of heat The Signs are principally five 1. A Pain which affects in the loyns causeth a sence of heaviness by reason of the substance of the kidnies void of sense in its descent into the ureters 't is increased by reason they which consist of a crosse and thick membrane are distracted especially if the stone be great craggy and rough 'T is distinguisht from the chollick because 't is neither so grievous nor so large because 't is fixt and is circumscribed with the region of the kidnies and if it fal into the bladder it follows the course of the ureters and affects not with winde 2. Bloody urine by reason of the wounding of the parts through which it passes which at first is little and waterish by and by supprest the stones being removed out of the kidneys t is turbulent and having a sandy sediment 3. A Numness of the thighs which hapens not in the paine of the chollick because the muscle on which the kidney lyes and which is appointed for bending of the thigh and is inserted into the inner part of the thigh is comprest 4. A retraction of the testicle of that side by reason of the retraction of the neighbouring vessels which lead to the stones and are inserted in them 5. A ●auseousness and vomiting for the kidnies are knit to the stomach by the mediation of the peritoneum whose membran each bowel participates and two nerves of the sixth conjugation issuing from the stomach are implanted into the internal coate of the kidneys The voiding of gravel is a signe of the stone in making The Cause is not flegme for many are troubled with that who have no commerce with the stone-growing juice hence chose that have the stone oftentimes make water which is like mucous matter and presently concretes into a stone But this proceeds from the faeculency of the nourishment which if it be retained glues it self to this or that part by the new arrival of matter is dayly increased being increased by degrees it is dryed and where it finds a viscous thick earthy matter it coagulates it and afterwards the internal spirit of the microcosmical salt comming the which by reason of its natural viscousness or clamminess that Tartar easily receives and hides within it self at last 't is Coagulated into a perfect Stone The CURE is Difficult if bubbles for some daies are perceived to continue in the Urin because they shew a great quantity of Tartar ous and mucilaginous Humors together with wind doth abound in the Kidneys If from Urin remaine subtile and last so for some time because it argues a great obstruction If the it an Ulcer of the Kidneys ensue If the Patient be of Nephritical parents It respect I. Prevention that either it be not generated or do not ●ncreafe and then 1. There must be care had of the Diet in which meat and drink making for the stone must be eschewed the
juyces in the veins or in the substance of the body are changed into a serous matter which attracted by the kidnies slides through them and descends to the bladder Article III. Of an Ischury An Ischury is a suppression of the Vrine by reason of the disappointment of the expulsive faculty so that none of it can come forth There is no need of Signs in an affect so manifest The Cause is the disappointment of the expulsive faculty the causes of which we shal explaine in the differences The Cure must be hastened least it regurgitace into the whole body oppresse the liver infect the blood and cause a danger of suffocation Oftentimes the humors putrefie feavers are kindled and unless they pisse before the seaventh day they dye There is no cure if it arise by reason of the deadly concourse of fits if it come from a wound of the back bone or luxation of its vertebrae If the hickops or a tenesmus come upon it It respects 1. The symptom it self that the urine be provoked here meet us a pressing of the belly with holding of the breath putting up of a catheter unless an inflamation doe hinder or of a wax candle dipt in oyl of sweet almonds suppositories and sharp glysters by reason of the communion of the right gut with the bladder fomentations of the pubes and perinaeum with the decoction of pellitory of the wal melilot chamemel Cataplasms of horse raddish bruised and fryed in butter The juice of a cray fish baked and strained through hair given in wine The salt of beane cods The decocti-of buck-thorn in wine of gillyflowers with their root dryed in the shade with wine of quinces 2. The Causes of the Symptom of which in the differences An Ischury is divided twofould One from Diseases of the bladder which is known by this that a continnual desire to pisse doth oppress them the pubes is distended and pained by the collection of abundance of urine by putting in a catheter plenty of urine flowes forth with ease Those diseases are 1. A stupidity by reason of which it feels not its spur either by reason of a palsey and obstruction of the nerve or the aversion of the spirits and then although the bladder be ful there is no desire to pisse nor no paine felt 2. A cold distemper contracted from cooling causes and then such causes went before diureticks must not be used unless the body be purged first 3. A streightness either by reason of a tumor of the muscle compassing the neck or by Reason of a stone and other things formerly alledged if from this 't is somtimes cured with an emulsion of the seeds of purple violets made with speedwel water 4. Too great an extention then the urine hath been retained too long against the wil we must act with fomentations of pellitory of the wal with oyl of sweet almonds Another is from the streightness of the urinary passage which is known from hence that the urine is not voided by compressing the bladder and that a catheter is difficultly put up See the Cure in its chapter II. One is exquisite of which we treated even now Another Spurious which is knowne by this that the bladder is empty so that no water flowes forth though a catheter be put up There is no heaviness or distention or paine perceived about the pubes though you presse it It ariseth either by default of the Kidnies which do not attract or expel the matter of the urine either by reason of its owne diseases of which formerly or by reason of some external error viz. because the serum is either consumed or converted to some other parts Or by default of the uriters which either are bound up or obstructed and then the patient was subject to the paine of both kidnies there is a great heaviness in the loins and somtimes a vehement paine torments every where there is little or no desire to make water But the specificks in this disease are thought to be earth worms in number five drunke with sweet wine An egg-shel purged from which a chick in hath been hatched Goats piss dranke warme ' its caule and guts applied to the belly c. To an Ischury belong A deminution of the water which in malignant and acute feavers is therefore bad because it is a signe that the nerves are affected And the slowness of urine when it is voided at longer distances than it was wont because they differ from an ischury only gradually therefore we wil treate no more of them Article IV. Of a strangury A strangury is a voiding of urine by drops made with or without paine and a continual urging to piss arising from a continual goading of the expulsive faculty of the bladder by reason that the sphincter is affected or from the weakness of the retentive faculty oppressed with the least burthen The Signs of an affect so manifest are evident The Cause is explained in the definition viz. the irritation of the expulsive or weakness of the retentive facculty but from whence they are shal be exprest in the differences The Cure is of little or no Hopes almost if it come upon an Iliack passion proceeding from an obstruction of crude and thick Humors no Feaver following it which may attenuate the Humors 'T is ordered according to the diversity of the Causes of which hereafter The Difference is taken from the Causes I. One is with pain proceeding from the irritation of the expulsive faculty and it ariseth 1. From the Acrimony of the Urin which either is inferd by external Causes as meat and drink hot and Salt new and dreggy drink which when it cannot be concocted commodiously and hath a power to ferment the Humors and loosen the Belly if it be quickly carried to the Kidneys 't is carried crude to the bladder and stimulates it Then drinking of spanish or Mallego wine does good Nut-megs Goates Fat put on the Navel Or from internal Viz. Sharp Humors either produced there or sent from elsewhere which being viscous do by their clamminess stick to the Orifice of the bladder and somtimes by their long continuance exulcerate the same They are known by this that the Urin is red and Yellow there is a sharp biting felt with a heat and thirst The Cure requires emptying by Cassia and Turpentine Tempering by coolers and moistners and a bath of sweet Water Promotion of the Vrin By Salt of Acorns of bean stalks half a scruple Oyl of Wax three drops in the Decoction of red Vetches By the pouder of stones squeezed from the Heads of Snails given in Wine 2. By matter sent from the Liver Kidneys or else where and then some of it wil appear in the Urin whey with Sugar of Roses is good 2. From the Stone which Excoriates the bladder to which we must have respect 3. From an inflamation of which was spoke formerly 4. From the affects of the neighboring Parts for upon an Inflamation of the right
Gut and Womb and purulency of the Kidneys there follows a dropping Upon the falling down of the Womb the Urin comes by drops and is a little biting Another is simple and without pain which is known by a white Watry Urin by the Age Complexion cold course of Diet pregression of a burning Feaver It ariseth either from the refrigeration of the bladder it self and the Muscle shutting its neck and then Diagalanga Mithridate c. are wel taken inwardly Oyl of Rue is wel outwardly applied Or from a Compression of the bladder which is wont to happen in great Bellied Women Article V. Of a Dysury A Dysury is a making of burning Vrin somtimes little somtimes much with pain without interruption arising from Causes both external and internal affecting the Vrinary passage The SIGNS are evident for the pain is easily perceived by the Patient The CAUSES are whatsoever can dissolve the continuity of the Neck of the Bladder or of the urinary Passage or Cause pain in pissing The CURE is Difficult if it fal upon Decreped Old men if a suppression of the Urin happen with it It respects 1. The Cause which must be moved by the aforementioned emptyers which ought to be followed with essence of Turpentine one dram with Parsley water and Syrup of Citrons 2. The Pain which is mitigated with warm Milk cast in by a Catheter by dipping the privities in a Vessel ful of Milk by a Cataplasme of Pellitory of the Wal with Oyl of Scorpions c. The Causes raising the pain do afford us the Differences One is from things external as Cantharides and then milk is good from Poyson and then we must act with things alexipharmacal Another from internal which are 1. The Acrimony of the urin of which formerly The water of bean flowers or its fresh Cods given with Syrup of Liquorish or Poppies six ounces weight before meat is good Also Fallopius his Electuary in Schenkius in Exoter Experim Gent. 4.19 2. An Inflamation whose pain is encreased the bladder being contracted to send forth the Urin and compressed after the emission which oftentimes an exulceration follows 3. A Stone striking against the Neck of the Bladder in pissing 4. The Seed moved in men bu●sticking in the Passage and by an Acrimony contracted corroding the Passage which is wont to happen in the French Pox. 5. A white and milkie matter which somtimes is sent forth in such abundance that when 't is setteld it fils one half of the Chamber Pot. The which ariseth from a Vitious Con●●ction in which the Salt and Tartarous parts are not separated but are attracted by the Kidneys It is Cured universals premised by the use of Hyppocrist or Mallago Wine Article VI. Of Pissing of blood matter and Hairs Bloody Pissing is a voiding of Blood together with the Vrin arising from the heaping up of the same in the Bldder The SIGNS are that the Urin doth not shine and hath the Color of Water in which the flesh of beasts new killed is washt The CAUSE is explained in the definition and in the Difference more shal be said The CURE must be hastned if the evil be inveterate least it lead to a Consumption or cachexy If it be cast forth in abundance least it stop in the Bladder and putrefie It must be turned against the Cause The Symptoms requires other things being alike things astringent condensing and consolidating amongst which do excel Yarrow with the white flower the Tincture of emralds the Arcanum of agrimony and Cinquefoil Mynsichtus his Decoction c. The Difference is taken from the Parts that pour forth the blood One is from The Kidneys which is known by this that it is plentiful is exquisitely mixt with the whol Urin that being as it were diluted with it 't is thin ruddy liquid and sertles without clotting together It ariseth either from the Anastomosis of some Vessel in them and then 't is made plentiful and high colored or some violence or wound hath went before or there are signs of Fulness or the blood is too thin Or from the corrosion of a Vessel and then the blood is voided in a lesser quantity especially at the beginning Or By a Diapedesis and then the Urin is lightly dyed with a red color The Cure also requires opening a Vein in the Arm which must be followed with the use of astringent means inwardly and outwardly The Trochisks of Gordonius are good Another is from the Liver either weakned or opprest with blood or affected with the same diseases as I said even now and then there are no signs of the Kidneys affected we must consult with the Chapter of the diseases of the Liver Hither belong the suppression of the Hemorrhoids of which in its place a wound of the ureters from stones passing through them from which very little blood flows forth c. Another from the Sphincter muscle of the neck of the bladder and then the Urin is not equally spred over with it the blood setling goes into clots the pain for the most part oppresseth in pissing and burns as it were the Root of the Yard other signs either of an Ulcer or of a Vein broke are present the Cure is the same Another from the inward Passage of the Yard and then it oftentimes comes forth without the Urin that which comes with the Urin clotting together presently sinks II. Purulent Pissing is a voiding of matter with the Vrin heaped up in the Bladder 'T is heaped up 1. By default of the bladder it self either because that is troubled with an Ulcer or because the blood conteined in the bladder is turned into matter and then the matter is voided less mixt with the Urin with branny Scales 2. By Default of the ureters and then a little swims a top like Hairs By default of the Vrinary Passage of the Spermatick Vessels and the parastatae and then in the first place it comes forth sincere 4. By default of the Kidneys Liver breast in as much as those parts do transmit matter through the Veins to the Bladder and then the matter is accurately mixt with the Urin if any thing thicker be a Part it flows forth towards the end III. A Pissing of Hairs or Trichiasis is when with the Vrin a mucous matter is voided somtimes like to Hairs somtimes to thin Leaves Those Hairs somtimes equal the length of one or two hands breadths The Cause of them is a thick and viscous flegm dryed and knit together in the Veins by heat which in its long passage through the narrow Veins of the Kidneys and ureters is extended to so great a length See concerning this Horstius his fifth Section Epistol medica In the Cure Spirits of Turpentine with Syrup of Marsh-mallows is good Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title X. Of the Affects of the Genital
Parts in Men. Chap. 1. Of their Diseases Article I. Of the Diseases of the Stones THe Diseases of the genital Parts in men have under them the Diseases of the stones Cods and Yard The principal Diseases of the Stones are which follow I. A Distemper and that either hot which is known by a proneness to Venery by too much and hot Seed by heat of the stones by swelling of the Veins about them with blood 'T is Cured by a contrary Diet and cooling Medicines of Littice Water Lillies Purslane but especially by those compounded of Sugar of Saturn and sallow Leaves Or Cold which is known by little and Watry seed by casting it forth with little or no Pleasure little desire to Venery cooling Causes went before or immoderate and unseasonable Venery 'T is Cured by a contrary Diet and taking of medicines inwardly Betony Calamint Marjoram Sage Nettles Nutmegs Diamoschum Outwardly Oyl of Costus Spike of Aunts Or moist which is known by this that the Seed is cast forth too soon Or dry which yeilds little and thick They are Cured by their contraries II. A Tumor which either is an Inflamation in whose Cure for of the rest I have nothing to say observe I. That whiles Medicines are applied to them the ligature ought alwaies to tend towards the upper parts that they may not hang down too much and the defluxion may be less 2. To intercept the flux a defensive must be laid on the side of the Pubes where the Veins and Arteries from the belly tend to the stones and Cod. 3. Other things being a like the Decoction of Agrimony with Wine and Vinegar is commended The Root of wild Cowcumber likewise boyled The Herb Paris green bruised and applied c. A Schirrus or another cold and hard Tumor which oftentimes ariseth from an Inflamation ill Cured 'T is taken away with a Cataplasme of Littice Roots boyled in sweet wine with the flowr of Flax Barley Faenugreek Onyons c. Which must be followed with a Liniment of the Balsom of Sulphur and the Plaister Diasulfuris Or an inflation for the Cure of which serve the Leaves of Henbane and a drauft of Juniper water one ounce weight every day with the Rowls of Diacyminum III. Vlcers which because they are in a moist place are dangerous and somtimes turn to a Cancer or Gangreen They ought to be washt with the decoction of Roses Leaves of Speedwel and Plantan they may be mundefied with the Oyntment of the Apostles IV. A Con●usion which is joyned with a great pain it corrupts their Oval Figure and oftentimes takes away the power of generation We must timely oppose the pain least a Defluxion be Caused Article II. Of the Diseases of the Cod. The Diseases of the Cod are Inflamation Excoriation Wounds Vlcers and Rupture Of them there is no need to say any thing An Excoriation is often Caused by the Urin the upper Skin being corroded and 't is Cured by sprinkling of Pompholyx or dryed Myrtle finely poudered searced and mixt with Frankincense or Myrrh A Rupture of the Cod is a Tumor of the same arising either from the cause falling down into it or from wind or water collected there or a masse of Flesh generated there The Species of it are four if you consider the Differences I. One is windy or a Pneumatocele which is known from hence that the Cod somtimes also the stones is very much distended without a weight heaviness the wind is felt if the Cod be prest with the hands and is removed from place to place w th a noise It ariseth from winds which are either collected there or transmitted from the neighbouring Guts and Belly and 't is most familiar with Children 'T is Cured premising universals by things discussing outwardly and inwardly applied A Cataplasm of Bay-berries the flower of Beans and Fenugreek with Bran the pouder of Cummin seed ammoniacum turpentine oxymel and oyl of bays mixt together is good II. Another is watry or a hydrocele which is known because there is perceived a waving the cod appeares as it were shining the tumor alwaies continues at the same bigness neither doth it go up into the belly by pressing it It ariseth from water which for the most part flows thither from the belly for those causes which are mentioned in the dropsy It is cured 1. By prohibition that the watery humor be not generated or flow thither of which see the differences 2. By emptying the water fallen thither either insensibly to which end the former cataplasme wil serve or sensibly by opening of the cod of which see Authors 'T is divided diversly 1. One is from water only distending the cod another also from wind joined with it in whose cure we must have regard to both another from flesh growing together about the stone whose cure must be warily handled that it turne not to a cancer 2. One is with a dropsy and then the cure must be directed against the dropsy Another without a Dropsy in which although there is not such great plenty of water that it can raise up the belly into a tumor that there is somwhat of it collected in the cavity of the belly by reason of the weakness of the parts especially an external cause being added as striking c. The tumor either possesses the whol cod or only one side and then the humor sticks in the erythroidal membrane that conteines the stone The right stone never alwaies the left swels Or the fault is in the left kidny through which when the serum cannot descend it fals through the seminal veine proceeding from the emulgent of the left kidny into the erythroidal coate from the cure of which we must either abstaine or the cod must be opened only in the lower part Or it is not and then the cod must be cut in the upper part neer the groin that both the humor may be emptyed and the afflux of more through the skar of the erythroidal coate be hindred See Frabricius his observations 3. One is when the water is conteined between the erythroidal coat and the darton in which the tumor is rounder like an egge the stone is hidden from the sight and touch the cod it self is more white and is distended little or nothing another is when 't is out of that betwixt it and the adjacent skins in which the stone is to be felt the cod is more distended Another when 't is in its proper skin or coate growing over it in which the tumor is every where globical resembles the draft of another stone III. Another is a fleshy rupture or a Sarcocele in which somthing fleshy is bred It is known by a hard tumor increased by little and little afflicting without a tumor of the groine by which it is distinguished from a rupture of the guts 't is for the most part in the right stone because nature doth most comodiously cast off the blood to the stones by the seminal veine issuing
be moderate and therefore we must be obedient to reason whose part it is to bridle them IV. The motion of the Body ought to vary according to the Nature of several Bodies the time place and manner And therefore 1. Leane persons must be moderarly moved strong persons strongly respect being had to custome touching which Hippocrates Persons used to daily labours although they are weak and old do more easily undergoe their daily labours than persons unaccustomed though strong and yonge 2. While a man is hungry or meat remains undigested upon his stomach he must not labor for if he doe the nourishment wil be drawn undigested into divers parts of the body but he must not continue too long fasting neither for then the natural heat wil be dessipated and bad humors wil be brought into the stomach 3. Motion must goe before and follow after eating but such as is light The former removes such excrements as stick in the narrow passages the latter brings down the meat into the bottom of the stomach 4. Those whose head is weak or ful must not walke in the Sun 5. Motion and Rest must follow one another interchangably 6. Men must leave off exercising when their face begins to be coloured and sweat begins to break forth 7. A man must not study presently after meat least the heat be called forth of the stomach and the brain be filled with vapours V. Sleep as to the time ought so long to continue til the meat is digested and the spirit restored It must not therefore be continued beyond nine hours nor must it be less than sixe Nor is sleep in the day time commendable unless a man have passed the greatest part of the night without sleep otherwise the Head wil be filled with vapours Also that sleepe is not allowable which is after Sun-rise which by its beames opens the passages of the body and cals forth the humors and spirits from the Centre to the Circumference as for the manner of lying in bed it ought to be upon one side begining on the right that the stomaches digestion may be assisted by the Liver the thighs and armes being moderatly contracted the head a little high the rest of the body as softly reposed as may be As for the place the moon-beames must be avoided Let the bed be soft fit to keepe off the injuries of the aire Whether the Head should be covered or no I leave as a thing doubtful VI. Touching Baths observe these following rules 1. They ought to be neither frequent nor long for they dissipate natural heat and cause a redundancy of il humors 2. We must not goe into the bath before our meat be digested least crudities be drawn into the body 3. We must not eat nor drink in a bath 4. We must come out of the bath before we we be weary nor must we eate or drink before the heat be expired Concerning washing of the head and feet I shal only ad what followes The former is not good in Head-ach or Catarhs in other cases it opens the pores and le ts out fumes the latter drawes humors from the Head VII Excrements because they are daily accumulated ought also daily to be voided forth And therfore 1. A man should goe to stoole as soone as he rises 2. If he cannot doe that his belly must be moved with the broath of an hen and other lenitive 3. The Excrements of the third Digestion must be expelled by exercises Point 3. Of Preserving the healths of old People By old people I Vnderstand such as have attained to fifty yeares age But their Age is divided into green old age which reaches from the begining of the eight septinary to some part of the ninth and old age it selfe precisely so called The part of Physick which takes care hereof is termed the Regulation of old age Now we shal provide wel for the health of Aged persons if we shal observe some things in General other things in special I. In General we must indeavor because in old age the body daily dries away that the said dryness may be prevented and that a diet hot and moist may be used II. In Particular I. Let the Air be hot and moist and let the cold winter air be conquered and driven away by Art II. Let their Nourishment be of good juice and easie to digest some commend honey to wast away flegme and let them take a less quantity than formerly lest too much over whelm their natural heat Let them eat thrice a day rather than twice nor let them ever if possible offende in the Quantity of their meat Somtimes let them change their Diet. III. Let their drink be either thin Wine fragrant of middle Age fle●m colored or yellow or mead or beer IV. Let them avoid passions of the mind least their weak Natural heat be dissipated or suffocated and a consumption be caused V. Their accustomed exercises are not wholly to be omitted but let them use light exercise before meat Moderate frictions are commended that heat being excited after sleep the distribution of their meat may be more happily accomplished VI. Let their Sleep be long and let want of sleep be removed by washing their feet near bed time and other sleep procuring Remedies VII Let their Excrements be conveniently and seasonably voided forth and because aged persons are commonly costive because of the dryness of their remper let them use emollient and abstersive things as honey Figs Raisons terpentine c. See Sebizius of the Diet of aged people Article II. Of Preserving the Health of Intemperate Persons By intemperately Complexioned Persons we understand three kinds of men which deflect from the best temper Viz. Such as are simply Intemperate which indeed want their most exact health yet can sufficiently perform the actions of life nor are inclining to any Diseases Declining Persons which are turning from a temperate state towards some Disease which is known by the threefold kind of Symptome and if they be not helped they fal into the said Disease and Persons recovering who recollect themselves from some Disease For the first for Hygieine particularly so called for the middle sort Prophylactice for the last Analeptice takes care I. Touching Intemperate Persons note 1. In General If they are not to be reduced into a better condition they must be preserved with things alike in general and in special or as they are wont to speak in quantity and degree if they may be reduced they are by little and little to be used to contraries 2. That an not and moist temper because convenient to our Nature must in no wise be Changed 3. It Dry Distemper must be kept off as much as may be II. In Particular 1. Hot and dry persons lest they over inflame a fretting heat or heape up sharp Excrements must avoid hot soultry aire hot meats anger over great Meditations they must drink plentifully but the drink must not be strong They must use frequent Baths of
fresh water long sleep and shun the use of hot and dry things 2. Persons hot and moist if moderately such preserve their Temperament and follow al things moderately lest contracting plenty of Excrements they sal into putrid Diseases 3. Cold persons require both hot meats which stir up heat and consume it not and seasonable Evacuation of Flegmatick Excrements 4. Dry Constitutions must have moist meats and baths of fresh Water 5. Such as are Cold and Dry have an unhappy constitution which must be holpen with long sleep frictions which strengthen the Natural heat and discuss it not and with a bath of fresh Water 6. In Cold and moist persons coldness must be corrected and the moisture preserved as much as may be Temperate exercises do stir up the Natural heat whereby it is inabled to conquer the moisture II. Persons Declining because in regard of a Plethorick and Cacochymical disposition encline to sickness must in the first place use rest and abstinence and in case these suffice not they require Blood-letting and purging Therefore at the beginning of the spring Flegmatick and Melancholly Humors about the end thereof Choler and about Autumn black Cholerick Humors are to be purged A pil of Aloes Rosata taken an hour before supper but not too often lest it hurt the Liver may suffice to Empty the matter which sticks in the stomach and first passages III. Touching persons neither sick nor wel but recovering two things are to be observed 1. That they fal not back again into their sicknesses 2. That they may soon recover their perfect health And therefore 1. Because such reliques as are left in Diseases after the Crisis wont to cause relapses if there be as yet any superfluous matter remaining it must be drawn away by little and little and the parts are to be Roborated 2. If there be no matter over the Body must be carfully nourished with moist Diet easie of digestion and of good nourishment 3. Bodies that have been long extenuated must be repaired by little and little such as have been suddenly decaied must be quickly repaired 4. These things are chiefly to be used which respect the Causes of the weakness and may resist the Morbifick Dispositions And so much for the Method of preservation of Health THE SECOND BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of the Preternatural Affections or Disorders of Mans Body and their Respective Signs The INTRODUCTION SO much may suffice to have spoken touching Hygieine or the Art of Preserving Health The Second Part of Physick followes termed Therapeutice which teaches the way to know all Infirmities which impair the Health of Mans body and being known by certain convenient Remedies to remove the same if possible It s End therefore is to remove if possible the preternatural Dispositions of the body and to restore health lost Its Parts are likewise two 1. General which treats of the Nature Signs Causes Differences and Cure of the praeternatural Affections of the Body both in General in particular in Conjunction 2 Special which treates of such preternatural affections as refer to the particular parts of the Body The former is again subdivided into four parts In the First we shal treat of the Nature and signs of praeternatural affections The Second declares the Medicaments The Third laies open the general method of curing The Fourth treates of the first differences of Diseases and delivers their Cure considered in gross Title I. Of a Disease in general Chap. 1. Of the Nature of a Disease THose Affections or disorders which praeternaturally infest the Body of Man are three A Disease its Cause and its Symptome A Disease is the Inability of the living parts of Mans body to perform their natural Actions ariseing from their praeternatural Constitution Concerning which we are to consider 1. The Subject 2 The Times 3 The cause 4 The Differences 5. The Signs 6. The Issue or event Of the first four we shal treat in this Chapter assigneing peculiar Chapters to the two last I. The Subject is the liveing parts of mans body both spermatick and sanguine both in reference to their matter to which Temperament and occult qualities belong as also to their structure to which conformation and unity do appertaine Sometimes altogether sometimes many sometimes only one of these is affected II. The times are four 1. The Beginning in which the disease i● crude nor are there any signs of coction or corruption contrary thereto present althings are remiss unless the matter being agitated does infest some one part more than the rest til it is either dissipated or thrust out into the Circumference of the Body and healthily disposed diseases their causes being removed do sometimes vanish 2. The Augment or Increase wherein the Symptomes grow more burthensome and the signs either of Coction or contrary Corruption begin to appeare 3. The State in which there is the greatest combate betwixt Nature and the Disease the signs of Life and Death do manifestly shew themselves and all things are vehement and if any Remission appeare the reason is because nature being weakened gives over and is no longer able to oppose her against the morbifick Causes 4. And lastly this Declination or Decrease in which the disease being overcome by nature grows gentle and no man dies at this time unless through the fault of himself or the Physitian or the disease changing into a worse Touching all these times note in general 1. That each of these being not of equal length in all diseases is subdivided after the same manner so that the beginning hath its beginning Augment and Declination and so the rest 2. That Intermitting Diseases have their particular times in each fit 3 That Diseases which receive nourishment in winter are finnished in Summer and contrariwise unless they are terminated within the circuit of certaine daies III. When we speak of Causes we do not consider any material cause For a disease hath no such cause its subject being instead thereof nor do we intend the formal cause for that is explained in the definition nor of the final because those things have final causes which consist in perfection whereas a disease consists in defect thereof also it is bred and receives growth by accident but we speak of the Efficient Causes which are considered either in respect to the disease or absolutely or according as the things themselves are The former are sundry I. Remote which either works as procatarctick causes which 1 Are either in the Body or without and therefore have not recourse with externals 2. They are called external because they belong not to the Constitution of the body 3 When manifest causes as a sword c. may be the immediate cause of a disease they are reckoned with the former 4. They stir up and put in motion such causes as lie hidden in our Bodies so that they sensibly affect our bodies as Watchings 5. Of their own nature and force they cannot cause a great disease