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A46940 Praxis medicinæ reformata: = or, The practice of physick reformed Being an epitome of the whole art: wherein is briefly shewed, the true causes, signs, prognosticks, and cure, of most diseases. Published for the benefit of all persons. By Robert Johnson, Med. Professor. Johnson, Robert, b. 1640? 1700 (1700) Wing J817; ESTC R216577 143,441 362

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Spirit of Niter twenty drops Laudanum ten grains mix it and give four or five spoonfulls of it often This Powder is also excellent Take Salt of Tartar vitriolated two drachms Powder of Crabs-eyes Salts of Powder Pigeons-dung Broom Beanstalks Wormwood of each half a drachm mix it and give twenty grains of it every morning and evening in the foremention'd Julep If the Patient be plethorick Phlebotomy may be used with good success If a Stone chance to stick in the Ureter which causeth numbness by its pressing upon the Muscle Psoas and the Nerves In this Case apply a Ventose on os Ilium which may bring the Stone by degrees into the Bladder afterward anoint the parts grieved with Rabbets fat If the Stone in the Bladder be very big there is little hopes of dissolving of it wherefore if the Patient being in continual pain be willing to submit to Lithotomy I advise them to make choice of an experienc'd Artist lest by Precipitancy the Operatour neglect to cleanse the Bladder after the Extraction of the Stone by the neglect of which many have generated the Stone again and have been forced to endure that dreadfull operation the second and sometimes the third time under which many have died and others who recovered have never held their Urine In other Nephritick pains if the fleshy parts of the Kidneys be obstructed they may be opened by Diureticks that cut attenuate and make glutinous Phlegm fluid For example Take of Eringo-roots the five opening Roots of each one ounce the Tops of Agrimony Decoction the greater Celandine of each two handfulls the Berries of Juniper and Winter-cherries of each two drachms let them be cleansed bruised and boiled in two quarts of Fountain-water till half be confumed then strain it and add Syrups of Marsh-mallows and the five opening Roots of each two ounces Tincture of Salt of Tartar two drachms Spirit of Niter twenty drops mix it and give four spoonfulls of it every morning and evening They who like Juleps better may use this or the like Take the Waters of Fennel Parsley Pellitory Iulep of the Wall of each two ounces the carminative Spirit of Sylvius Syrups of Marsh-mallows the five opening Roots of each one ounce Oil of Juniper Spirit of Salt Armoniack of each ten drops Spirit of Niter twenty drops Laudanum opiat four grains mix it and give three spoonfulls every three or four hours The Patient may also drink freely of the mineral diuretick-Diuretick-waters of Tunbridge c. which will conduce much to the Cure especially if some old diuretick-Diuretick-wine and a little oily Volatile Salt made of Diuretick Vegetables be mixed with the water When the glutinous Phlegm is prepar'd and loosned it may be educ'd with some convenient Phlegmagogue either in the form of Pills or Potion of which there are variety mention'd in page 3. and four c. The fixt Sulphurs of Minerals and Metalls exalted to their highest perfection do before all others mildly temper all the humours next to which oily Volatile Salts come and Aromaticks next to these By the force of which prudently us'd not onely an effervescency of somewhat contrary Humours most agreeable to Man's nature is bred in the small Gut and afterward in the Heart but the preternatural growing together and uniting of the more sharp humours being first moderated by them is again dissolv'd in the Bloud I speak these things by experience and because it is of great moment in practice I commend them to the truly Studious of Physick If the Urine be bloudy it testifieth the opening of some Vessel of Bloud in the Kidneys Ureters Bladder or its Neck To heal and consolidate this harm the following is excellent Take the Waters of Parsley Plantain of Cordial Astringent each two ounces Cinamon-water Syrups of Mirtles Comfry Marsh-mallows of each half an ounce Powder of Dragons-bloud red Coral prepar'd of each ten grains Laudanum opiat three grains Spirit of Niter ten drops mix it and give three or four spoonfulls every two hours If there be an Ulcer in any of these parts it may perhaps be more happily cur'd by the daily taking of Balsam of Sulphur made with the Oil of Amber Juniper Anise-seed or Turpentine in any convenient Vehicle than by any other Medicine hitherto known In all suppression of Urine the following is very effectual Take the Waters of Chamomel Golden-rod Iulep Winter-cherries of each four ounces Syrups of Marsh-mallows the five opening Roots of each two ounces Powder of Egg-shells calcin'd one ounce Tincture of Salt of Tartar two drachms Spirit of Niter twenty drops mix it and give four spoonfulls every three hours CHAP. XXII Of Extraordinary Pissing c. THIS Distemper is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 i. e. pertransire quod urina ureteres urethram subito pertransit It being a quick or plentifull pissing or making of water The cause is either external or internal The external or primary efficient Cause Cause is an immoderate drinking of stale Beer Sider or acid Wines either French or Rhenish by which an incurable Diabetes hath been ofttimes suddenly contracted The internal Cause of this Disease is sharp serous humours abounding in the Bloud by which not onely the whole Mass of it doth in time become too thin but the nervous Juice is also thereby ill affected and consequently the Reins inflam'd by the continual flowing of the over acid serous humours Whence the attractive faculty of the Kidneys is increas'd drawing the serosity of the Bloud more potently from the emulgent Vessels into the Funnels and provoking the expulsive faculty it is soon sent through the Ureters to the Bladder from whence it is often evacuated by pissing The signs are a continual pissing so that much more moisture is voided than is taken Signs into the Body by eating and drinking It is always accompanied with an extraordinary Thirst the sick is also feverish something like a Hectick If it continue long it will decay all the Progn radical moisture of the Body which will render it incurable but if it be taken in the beginning and the Patient be young it may be easily cured All things which have power to incrassate Cure the thinness of the Bloud and temper the over acidity of the humours may be administred in this Distemper In the beginning of the Cure after a stool hath been procured by an emollient Clyster you may open a Vein in the Arm. The next day a gentle Purge of Rhubarb may be administred but if the Stomach be foul and the sick can vomit easily you may give an Antimonial Emetick with good success because it will potently draw the sharp peccant humours from the emulgent Vessels and Reins and evacuate some of them both by Vomit and Stool After the Operation of the Emetick let the sick take two spoonfulls of this Cordial Opiate often which will ease pain and thicken the humours Take the Waters of Barley red Poppies
Gold But if the Patient's body be costive and there be eminent signs of a Plethora or great fulness of Bloud then let a carminative Clyster be first administred and after its operation let a Vein be opened and draw seven or eight ounces of bloud at a time and if there be occasion let it be reiterated for I always prefer it s repeated less diminution as need requires sometimes instituted in the same day before great evacuations made suddenly which hath brought many Evils to the sick It matters little what vein be opened unless in Women because of the monthly Terms either at hand or hindred And seeing it is the duty of every honest Physician to be Natures helper he ought to endeavour to remove all impediments whereby the sick may be cured more quickly safely and pleasantly without demurs to magnifie the Cure and inflame the reckonings Wherefore since the first curative intention of most Fevers is the discharge of the first turgent Monitor from the Stomach and adjacent parts by vomiting as is before said Let the Patient upon the discovery of the assaulting Enemy take an Antimonial Emetick and if one doth not suffice let it be reiterated by which the Morbifick matter will be evacuated nature calmed and the contemperating of the incited or enraged nonnatural heat will be the easier performed But here the Sex is to be consider'd the Female not so well enduring this evacuation Cautio because Emeticks cause great Commotions and flatuous Vapours in them which may also prevent or corrupt natures own intentions in her great discharge of turgent humours Wherefore administer no Emetick to them except they vomit very easily but rather let the peccant humours be diminisht or emptied out gradually by the following decoction to be taken twice a day to three or four ounces Take the Roots of Parsly Fennel Plantain Purging Decoction Peony Dandelion Succory of each two ounces the Leaves of Endive House-leek Fumitory Damask-roses of each one handfull Let them be cleansed bruised and infused for a Night in one quart of Fountain-water very hot then boil it gently till a third part be consumed strain it and add Syrup of Succory with Rhubarb the best Manna of each two ounces Powder of Cream of Tartar and Tartar vitriolated of each two drachms Oil of Sulphur twenty drops mix it all together This pleasant Medicine will conduce much to correct the salt sharpness of Choler and will also amend its Oily inflameableness and separate it from the Bloud and mildly dispose it and the rest of the abounding humours to be voided out by stool After these Evacuations give the sick the following Medicine twice a day in a little thin broth or Water-gruel Take Salt of Amber volatile Salt of Harts-horn Volatile Powder Tartar vitriolated of each six grains mix it This excellent volatile Medicine is both abstersive and Diuretick and will cleanse the Stomach and Intestines of the remaining Sordes and expell them by Urine In the Declination of the Fever if sleep be wanting this following Julep will much avail both to cause rest and refresh the spirits Take the Waters of Carduus benedict Fennel Cordial Iulep of each two ounces Treacle-water Syrup of red Poppies of each one ounce Laudanum opiatum six grains Salt of Wormwood half a drachm Spirit of Salt twenty drops mix it and give the sick three or four spoonfulls every three hours By the frequent use of this Cordial Julep or one like it all pains will be eased nature quieted and relieved and the importunate thirst allayed But if thirst still urgeth give the dulcified Spirit of Salt or of Niter in Posset-drink and all the Liquids they take from six to ten or twelve drops at a time If you fear there be any Malignancy in the Fever give the sick eight or ten grains of Bezoardic mineral every fourth hour in a spoonfull or two of the aforesaid Julep or good sound Canary-wine to keep the Patient in a breathing sweat As for the Cure of Fevers attended with grievous and furious raging and watchings c. I refer you to the Chapter of Phrensies which is full to this purpose I shall now give some directions to young Physicians and Nurses and so conclude this Chapter of Fevers in general 1. First give no Opiats in the beginning of a Fever because they tye up the Archaeus of the Stomach and first passages thereby hindring it from expelling the occasional cause of the Disease 2. Give the sick neither Mithridate nor Diascordium as is the common custome nor apply it to the Wrists nor Stomach nor any thing else that is nauseous whilst Nature and the Disease are strugling but if the Patient tends to coldness you may moisten a piece of Rose-cake or a tost of stale Bread in Sylvius's Spirit or for want thereof in Brandy dulcified and apply it to the Stomach twice a day which will revive nature and fortifie it against the invading Enemy 3. Give no meat whilst the disease is on them for the Stomach is not fit to receive it neither hath it strength to digest it and therefore it will become a recruit or supply to the Disease except it be speedily vomited up again 4. If it be a Child give it not any Milk and if it Suck wean it for Milk is the first matter and foundation of this disease in them neither give it Beer nor water nor any cooling things to correct the heat because it will weaken nature and strengthen the Disease But hot Posset-drink turn'd with white-White-wine or sound Beer with a little Vinegar may be drank liberally after the Cause is removed 5. If the sick be Adult you may give two parts of Water and one of good Wine either French Wine or Sherry but Malaga or any other sweet Wine is not so good 6. When the Patient begins to recover the plainest broths and gruels are the best till then a little is too much and if you did use Salt and Vinegar instead of Spice and Sugar it would agree better with them CHAP. VII Of intermitting Fevers AN intermitting Fever is that which returns after intervalls sometimes longer sometimes shorter in divers Fits whence according to the divers space of every access or fit the same gets also divers Names for if a new Fit return daily answering the precedent in proportion it is called a Quotidian If it comes every other day it is called a Tertian If the fit return after two days intermission it is called a Quartan and so forward although Quintans Sextans c. are seldom observ'd And here you may note that intermitting Fevers do but seldom return in the exact Observation intervall of natural days of twenty four hours but return quicker or slower for the most part wherefore then they are said to anticipate the expected time for some hours which is disliked or to come later which is commended by some Although it matters not whether the fits anticipate or come
Rhubarb let it be made into twelve Pills for three doses After purging these Astringents will be profitable Take of Cinamon the Roots of Bistort Tormentile Astringent Electuary Rhubarb Seeds of Plantain Dill Flowers of red Roses Balaustins red Coral sealed Earth whitest Amber Harts-horn Gum-dragon and Arabick of each two drachms Saccharum Saturni Dragons-bloud Salt Prunella of each two scruples Laudanum opiat Camphire of each ten grains let them be all finely powder'd and searced and with Honey of red Roses Syrups of Quinces and Comfry of each equal parts let it be made into an Electuary according to Art Let the sick take the quantity of a Nutmeg of this Electuary every morning and evening either upon the point of a knife or dissolve it in two or three ounces of red Wine to which you may add a few drops of Tincture of red Coral and drink it This Julep is also of great virtue Take the Waters of Comfry Plantain Astringent Iulep Oak-buds Knot-grass red Wine of each four ounces in which infuse red Rose-buds Balaustins Flowers of Comfry Bugloss of each one handfull for the space of twenty four hours then boil it gently for half an hour strain it and add Tincture of red Coral Syrups of dried Roses Comfry and Mirtles of each two ounces Oil of Vitriol twenty drops mix it and take six spoonfulls every three hours Let the Region of the Womb be anointed with this Linament Take Unguent Comitissoe Oil of Mirtles Linament of each one ounce Saccharum Saturni one drachm Camphire ten grains mix it After the part is anointed let this Plaster be applied Take the Plaster against Ruptures Diapalma Plaster of each one ounce the carminative Plaster of Sylvius half an ounce mix it and spread it on leather and apply to the region of the Womb. In the Whites let this be used for a Fume Take of Olibanum Amber Cloves of Fume each half a drachm red Rose-buds Balaustins of each two drachms beat them all together into a gross powder put a little of it at a time upon a pan of coles and let the Woman sit over it CHAP. XVII Of the Falling Down of the Womb and Fundament IF the Womb falleth down it may be called in Latin Procidentia Matricis So likewise if the Fundament cometh down it is called Procidentia Ani. The Causes of these distempers are either Cause External or Internal The External Causes may be any violent exercise with much striving also falls or blows on those parts also bathing in cold water c. The Internal Causes are serous and phlegmatick humours a Dysentery with a Tenasmus the Whites continuing long a violent drawing the Child or After-birth out of the Womb also much Sneezing or Coughing especially in Child-bed to conclude all things that may cause a Rupture or relaxation of the Ligaments of the Womb or sphincter Muscle of the Anus may be the cause of these griefs In a Procidentia Ani there is always a Signs mucous and purulent dejection from a phlegmatick viscous and sometimes also a sharp acid humour adjoining about the seige which often causeth a troublesome Ulcer by fretting In young people these distempers may be Progn easily cur'd if they have not continued long and do not come very far out and be not ulcerated But if there be a Rupture of the Ligaments of the Womb it is incurable likewise great pain and inflammation are very difficult and if either the Matrix or Anus be Gangrenated it is mortal without speedy amputation You must begin the Cure with removing Cure the symptoms and discharging the Guts of their Excrements either with Clysters or Lenitives Then anoint the part with some astringent Oils and endeavour to reduce it gently by degrees The manner of the reduction every ingenious Artist knows and therefore needs not any directions When the Womb is reduc'd it may be kept with a Pessary fram'd of Cork as thick as necessary and cover'd with Wax mixed with a little Castor and Assafoetida which may there continue If there be pain and inflammation let the part be bathed with this Take the Flowers of Chamomel Elder of Bath each one handfull Marsh-mallow-roots one ounce Seeds of Flax and Foenugreek of each half an ounce boil it in two quarts of Milk till half be consumed then strain it and add Malaga Wine one pint mix it Let Stuphs be moistned in this and wrung out and applied hot after which apply a Plaster of ad herniam to the lower part of the Belly Before you reduce the Anus anoint it with Oil of Mirtles and bestrew it with Powder of Album Groecum or the following Take of red Roses Pomgranat-rinds Cypress-nuts Powder Mastick Crocus Martis burnt Lead of each half an ounce beat them all into a fine powder A Bag quilted with the following astringents and applied hot to either griev'd part three times a day will conduce much to keep it up Take of Plantain Sanicle Buds of Oak For a quilted Bag. and Medlar red Rose-buds Balaustins of each one handfull Roots of Comfry Tormentil Bistort Cypress-nuts Seeds of Anise sweet Fennel of each one ounce beat them all into a gross powder Inwardly may be given Astringents and Strengthners but not in time of the courses those prescrib'd against the immoderate flowing of the Terms are good CHAP. XVIII Of Barrenness BArrenness is called in Latin Sterilitas It may be called in English Unfruitfullness it being an impotency of Conception We reade in the Scripture that the Women of old did think it a reproach to be Childless and therefore when Elizabeth had conceived who before was Barren she said the Lord hath taken away my reproach among Men as you may reade at large in the first Chapter of Luke's Gospel Very few Women in a Marriage state but desire Children yea some would give all they have in the world for a Child and are very impatient if they do not Conceive Rachel said to Jacob in Gen. 30 ver 1. give me Children or else I dye I will now briefly shew you what may be the cause of Sterility 1. First want of Love between a Man and his Wife way hinder Conception 2. Any malignant distemper in the womb may corrupt the Seed and be the cause of Barrenness Some are of opinion that Witch-craft may be the cause But to conclude the Whites or any moist distemper of the Matrix may be the cause of Barrenness Sometimes the cause is in the Man for if he doth want Sperm or is unable to erect his Genital by reason of any weakness or distemper in his Secrets or if he be effeminate and taketh little or no delight in the act of Venery he is not fit for Venus School There are some Rules left by the Ancients to try whether a Woman be naturally Barren or no. Hippocrates adviseth to put a Clove of Garlick or a little Galbanum into her Womb and if her Breath do smell
Cause of all continual Fevers not putrid If the Stomach by Dietetick Errors as in Eating or Drinking too much sour Fruit or Juices be over-charg'd with Acids it may prove hostile injurious and a morbisick Cause of that which we call the Heart-burning c. with sour Belchings and sometimes a Nauseousness even to Vomiting In this Case after the Operation of a gentle Emetick you may administer half a Dram of the Pouder of Pearl Crabs-Eyes or any of the Testaceous Pouders twice or thrice in a Day to absorb the peccant Acidity Chalybeates may be also safely administred Likewise in all Chronical Diseases caused by the over-sourness of the Juice of the Pancreas c. as aforesaid after general Evacuations the finest Filings of Iron turn'd to Rust may be given to half a Dram at a time in a stued Prune or any other Vehicle twice in a Day because the Stomach by its incisive Acidity together with other accidental or concomitant Acids doth penetrate the Particles of the Iron and rarifie its Vitriolick Salt which will not only help Digestion but kill Worms and circulates with the Blood and Lympha and will in time purifie the whole Mass of it But if Choler be peccant as aforesaid causing Fevers and other Acute Diseases then after Evacuation by Vomiting or Purging I commend acid Liquors and Juices as Lemons c. Also purified Niter may be given in all Fevers But here we may note That it is the Nature of all Acids to coagulate and thicken the Blood and its Serum wherefore we must be cautious that we do not let Blood nor give too many Acids in the Small-Pox and malignant Fevers because in these Distempers the Blood is preternaturally viscid and therefore it abounds with too much Acidity of which you may read more at large in the ensuing Treatise I come now to mention some choice Specificks for the Cure of Diseases for the Sake and Benefit of the Poor who have not Money to pay a Doctor for his long Receipts nor the Apothecary for Medicines SAlt Niter purified is an efficacious Medicine in the Cure of most Diseases it may be poudred with an equal Quantity of white Sugar and given to half a Dram at a time every six Hours in all Fevers the whole time of Sickness and also before and after because it is an acid Salt and contains in it a volatile incorruptible Sulphur and by reason of its Acidity it refrigerates the inflamed Blood and powerfully checks the preternatural Fermentation of it and preserves its natural Consistency For by the subtilty of its Spirit it insinuates it self into the whole Mass of Bloud and penetrates into all Parts and so strengthens and recreates the Heart as to make it resist and overcome all Putrefaction and therefore it is a great Antidote against the Plague and all contagious Fevers If it be dissolved in any liquid Vehicle and drank a little often it will dilute the Lixivial Salt of Choler and being mixed with proper Catharticks and Balsamick Medicines it will conduce much to the Cure of most Chronical Distempers also for it discusseth Wind opens all Obstructions and causes the vitious Humours to precipitate and to be evacuated both by Urine and Stool Quicksilver boil'd in Water with a few Raisons of the Sun to sweeteen it and the Liquor drank freely killeth Worms The Quicksilver may be boiled a thousand times and always have the same weight so that the Water partakes of Mercurial Irradiation by which it becomes destructive to Worms A strong Decoction of Ground-Ivy or Alehoof sweetned with Sugar-Candy and a quarter of a Pint of it taken twice or thrice in a Day helps Distempers of the Breast and Lungs and a strong Infusion of it in Aqua Vitae or Brandy cureth the Colick The Decoction of Herb Robert and Patronichia or Whitlow-Grass with Leaves like Rue given inwardly every Day 'till the Mass of Blood and Juices of the Body be impregnated with the Vertues of the Herbs cureth the King's-Evil The Juice of Penny-royal clarified and a little sweetned with Sugar-Candy and given the quantity of a Spoonful three or Four times in a Day cureth all sorts of Coughs Cows and Goats-milk boiled in an equal quantity of Water wherein unslak'd Lime hath been quenched and a little Cinamon and the young Bark of the Oak bruised and boiled in it 'till a third part be consumed cureth all kinds of Fluxes Glauber's Sal Mirabile is an excellent Lenitive Cathartick It may be safely given to Men Women or Children in all Diseases where purging is necessary The Dose is from half a Dram to an Ounce dissolved in warm Whey or Milk and Water A few Drops of rectified Oyl of Vitriol mixed with a quarter of a Pint of fair Water to a light Acidity a little sweetned with white Sugar and drank every Day for some time killeth Worms and quencheth Thirst in Fevers If you mix an Ounce of rectified Oyl of Vitriol with two Ounces of Oyl of Ben or pure Oyl of Olives stirring it 'till it be well incorporated you have a good Balsam to ease Pain and cure an Inflammation in any part by anointing once in a Day or two you may apply a Colwort-leaf or a Plaister of Diachilon or a Poultis of White-Bread and Milk with a little Butter in it to the grieved part after anointing but you must have a care that it does not touch your Linnen A strong Tincture of Catechu or Japonian Earth with half its weight of Jesuits Bark both in fine Pouder in small Cinamon-Water cureth Catarrhs and all sorts of Fluxes Take a quarter of a Spoonful thrice a Day in any Vehicle Sweating is good in most Diseases if Strength permits Virginia Snake-Root and the Root of Contra Yerva bruised and boiled in fair Water and sweetned with a little Sugar and given a quarter of a Pint every four Hours to any that are bitten with an enraged Viper soon cureth the Patient especially if you bathe the part bitten with the same Decoction without Sugar so hot as can be endured Gambogia finely poudred and mixed with an equal quantity of pure Niter and given to half a Dram at a time twice or thrice in a Week soon cureth the Yellow-Jaundice and Dropsies The best Gum Arabick given at least a Dram twice or thrice in a Day either in Pouder or dissolved in small Ale or any other convenient Vehicle doth wonderfully mitigate the Sharpness of Urine A strong Decoction of woody Nightshade a little sweetned with Sugar and given to a quarter of a Pint every Morning will purge gently and open all Obstructions and cure the Yellow-Jaundice Dropsies c. The Decoction of Hearts-Ease sweetned with Sugar-Candy cureth the Pleurisie and other Inflammations It is an excellent Antivenerian c. and therefore it may be a chief Ingredient in Decoctions to cure the French-Pox A Decoction of Groundsel is an universal Medicine for all Diseases coming of Heat It purgeth gently and if the Stomach be
nauseous it may cause Vomiting It is very safe and may be given in all Distempers where Purging is necessary The fresh Herb boiled in Milk 'till it be tender and then strained out and the Herb bruised and boiled in the same Milk with Crumbs of White-Bread or fine Oatmeal into the Consistence of a Poultis and a litle Oyl or Hog's-fat put to it and applied to any Inflamation or Swelling it will soon give Ease and either dissolve the Tumor or bring it to Suppuration Native Cinnaber finely powdred and washed from its volatile malignant Salt often in warm Water and rectified Spirit of Wine burnt over it two or three times doth Wonders in curing most Chronical Diseases The Dose is from ten Grains to twenty in any Vehicle Missleto dried and finely poudred with double its weight of white Sugar and a few Drops of Oyl of Amber mixed with it half a Dram of this Pouder given twice or thrice in a Day cureth Convulsions and the Epilepsie Crude Antimony flux'd at least an Hour with decrepitated Sea Salt in a strong Fire and afterwards washed from the Salt in warm Water is friendly to Nature and cureth Fevers The Dose is from five Grains to ten in any Vehicle The Jesuit's Bark finely poudred and given from half a Dram to two Drams or more at a time infused in Wine and drank at the going off of the Fit and afterwards every four Hours is such a Specifick for the curing of all Intermitting Fevers or Agues that it seldom fails especially if the Patient be well purged before he take it You must continue the use of it for at least ten Days that the Particles of the Pouder may be continually conveyed into the Bloud by which the Febritick Ferment may be destroyed Give the Sick a little Broth of Mutton or Chicken with a few Crumbs of White-Bread or any other Food easie of Digestion within half an Hour after the taking of each Dose which will mix with the Chile and the Bloud will be impregnated with the Vertue of it It also cureth all kinds of Fluxes Three or four Drops of the Juice of Ivy or of Asarabacca clarified and dropt into each Ear warm every other Night and the Ear gently stopt afterwards with Cotton or Wool will soon cure Deafness snuff up the Juices into each Nostril also to purge the Head Two Grains of each of the aforesaid Herbs dried and finely poudred and snuffed up each Nostril at Night going to Bed twice in a Week will purge the Head of Rheum and cure an inveterate Head-ach Tooth-ach and Inflammation of the Eyes c. The Syrup of the Juice of Buckthorn-Berries or of wild Cucumbers taken an Ounce at a time with two Drams of pure Nitre dissolved in Ale or Whey twice or thrice in a Week cureth the Dropsie The Pouder of Olibanum or Mastick or equal parts of both mixed with old Conserves of Roses and taken the quantity of a Nutmeg twice or thrice in a Day cureth a Catarrh especially if you blow some of the Pouder into the Throat every Night going to Bed to strengthen the Salival Glands Lapis Haematites or the Bloud-stone being applied to the bleeding part will stop the Hemorrhage It is likewise an excellent Medicine taken inwardly being repleted with the Primum ens Auri from which being finely poudred may be drawn a Gold-like Tincture with a strong Aqua Regis made of the rectified Spirit of Nitre and Sal Armoniack to which you may add four times the quantity of rectified Spirit of Wine Take twenty Drops of it in a Glass of Ale or Wine two or three times in a Day It cureth most Chronical Diseases The true Lapis Nephriticus cureth the Stone being prepared and taken after the same manner Ens Veneris is good to cure the Rickets three or four Grains of it may be given to a Child twice a Day in any Vehicle Half a Dram of the fine Pouder of Gum of Guiacum mixed with an equal quantity of factitious Cinnaber in fine Pouder given every other Morning in a Spoonful of Milk or Whey for thirty or forty days cureth the Venereal Pox and most other Chronical Diseases Oyl of Walnuts or Linseed-Oyl by expression either exhibited inwardly or given in Clysters to four Ounces at a time giveth Ease in the Stone and Collick c. A Dram of Oyl of Amber unrectified mixed with an Ounce of Populion cureth the Piles Purified Honey is a universal Balsam It cureth Sore-Eyes being spread on a fine Rag and applied mix it with Gargarisms for sore Mouths and with Injections for hollow Ulcers c. The gross Pouder of Mastick is excellent to smoke in a Pipe for a Defluxion of Rheum on the Lungs c. Saccharum Saturni dissolved in Water mortifies sharp Humors in the Eyes and all other Inflammations it is a great Anodine cures Burnings and Scaldings in a short time stops Bleeding and prevents Accidents in Amputations for it resisteth Putrefaction If you give half a Dram of it twice a day in any Vehicle it will soon quench the Flame of Lust. Half an Ounce of burnt Alum mixed with two Ounces of White-wine-Vinegar cureth an Inflammation in any part being spread on a Rag and applied Sulphur of Copper or Vitriol called Sulphur of Venus is an incomparable Anodine far exceeding any Opiate Roman Vitriol calcin'd to redness stoppeth all Fluxes of Blood in a moment and cures Wounds by the first intention You may dissolve half a Dram of it in three or four Spoonfuls of warm Water and dip a Pledget of Lint in it and apply it to the Wound keeping the Lips of it close But if the Wound be deep it must be injected with a Syringe Any other Vitriol is of the same Virtue but not so potent Half an Ounce of Quicksilver mixed with an Ounce of Pomatum spread on a long Linnen Rag two Inches broad and covered with another Linnen Rag for a Girdle worn for some time cureth the Itch. But you must purge once or twice in a Week to prevent Salivation The small Bone in a black Snail's-head used as an Amulet to hang about the Neck and Rings made of an Elk's-hoof or of the Teeth of a true Sea-Horse and worn continually are all of the same Virtue and cureth the Cramp The Hand of a dead Man or Woman being laid upon a Scrophulous Tumor and there kept 'till the Patient do feel the Coldness of it penetrate to the innermost parts of the Swelling it will dispel and cure it by often doing It likewise cureth a Dropsie of the Belly The Roots of Contra yerva or Counterpaison Virginia Snake-root and Zedoary all or either of them is good against the Plague and all contagious Fevers any way used Here followeth some Receipts of choice Medicines which I use in my own Practice Pulvis Balsamicus noster Our Balsamick Pouder TAke of Sarsaparilla grosly poudred four Ounces let it be infused in two Quarts of rectified Spirit of Wine for two
is called stupor corporis it being an Abolition of sense and motion through the whole Body The parts affected are the Brain Spinalis medulla and Nerves the motion of the Animal spirits through them being deprav'd The causes are either external or internal The external is much cold and moisture Cause which doth chill and over moisten the Head and extreme parts and this seems to prove Cause internal that phlegmatick and watry Humours abiding about the Ventricles of the Brain and Nerves may over moisten and perhaps so far loosen the Tunicles or Membranes of them that it may render them unfit to let the Animal spirits pass through them hence it is that sometimes one particular Member hath been Paralytick by too much Cold and Moisture and sometimes more parts have more or less lost sense and motion It is the opinion of most eminent Physicians both ancient and modern that the Animal spirits being severed from the Bloud in the Brain c. are from thence carried through all the Nerves to exercise the external senses and Animal motion which is continual and equal in healthy persons but changeable and unequal according to the divers diseases of the Body or Mind Wherefore when no Animal spirits are carried to the Organs of the external Senses or Animal motion the functions of seeing smelling tasting hearing and touching and the sense of heat as also of motion in the Palsie and Apoplexy cease all that time The Signs of the Palsie are manifest to wit deprivation of sense and motion of the Signs Paralytick parts the Eye and half the Tongue viz. of that side affected is much weakned and deprav'd The signs of the Apoplexy approaching are these a sudden crying out for help with an abolition of sense and motion 1. If the Palsie or Apoplexy do invade the sick in the decrease of the Moon and the Patient Progn be old 't is an ill sign 2. If the sick do snort and is droughty and cast spume or froth out of the Mouth and have great sweat with difficult breathing 't is mortal But if the Person be young and a strong Fever immediately happen 't is a good sign for the Fever consumes the superfluous moisture and makes a Dissipation of the gross and phlegmatick Matter 3. A Palsie coming after the Apoplexy is ill and many times turns to the Apoplexy again When any of the extreme parts be Paralytical Cure or when the Head is ill affected by the external coldness of Air Water or Snow or a stoppage of the Head be also bred thereby or the defect of the Animal spirits chiefly urge then the sick may be cur'd by driving out whatsoever cold has pierc'd into the Head or any other parts of the Body which may be done by spirituous and volatile Sudorificks for they do not onely alter and correct the cause of Cold and other Evils accompanying it but do also amend the harm entring into the Body containing and contained To this end I commend this following Form Take of Treacle-water one ounce Fennel-water Cordial to cause sweat and Epidemical-water of each two ounces Syrup of red Poppies and Syrup of the Juice of Scurvigrass of each half an ounce Bezoar-mineral Antimony Diaphoretick of each ten grains Laudanum opiat three grains Spirit of salt Armoniack twenty drops Oil of Cloves four drops mix it give the sick three or four spoonfulls of it and expect to sweat being meanly covered and a spoonfull every half hour afterward till the sweat break forth then give them some pure Broth with a little Wine in it whereby strength may be recreated and the Patient enabled to bear a Sweat longer for nothing so much helps the sick as a sweat continued mildly a while which experience hath often taught me For by the help of this spirituous and volatile and also Aromatick medicine or one like it the troublesome Cold and dulness of motion are discust They who let bloud in this Distemper caused Observation by external Cold or think they can carry out the Cause of this Evil either by vomit or siege put the sick into danger of death or at least of most grievous Evils But when phlegmatick and watry Humours stick about the Nerves c. And too much moistening and loosening their Membranes and Marrow be the cause of the Palsie and Apoplexy and if the same humours much abound in the Body then Phlegmagogues and Hydragogues may conduce to the Cure after Clysters and internal Aromatick Sudorificks Wherefore to begin the Cure of this you may first give this or the like Clyster which must be made strong Take of sweet Marjoram Betony Sage Penny-royal Clyster Hyssop Rue Mercury Marsh-mallows the lesser Centaury the Flowers of Chamomel and Stoechas of each half a handfull Anise-seed sweet Fennel-seed Juniper-berries of each half an ounce let them be cleansed bruised and boiled in a quart of Fountain-water till half of it be boiled away then strain it and dissolve in it the Electuary Diaphoenicon benedicta laxativa of each half an ounce pil Cochioe twenty grains common Salt one drachm Oil of Rue two ounces mix it for a Clyster The next day if the sick have a Plethorick body you may draw bloud from either arm to eight or nine ounces If Phlebotomy cannot be done apply Ventoses with Scarification to the shoulders afterward sweat the Patient with the aforesaid Sudorifick Sometimes Suppositories may be used in stead of Clysters This may serve for Example Take the Powders of Coloquintida Salt-niter Suppository Hiera-picra simple of each one drachm Euphorbium half a drachm Honey boiled as much as will make it into a Suppository But if it appear that phlegmatick and viscous Humours do abound in the Body Purgers may be prescrib'd most conveniently in the form of a Pill because the Gums are most apt above all other Medicines to loosen and cut viscous Phlegm neither can they be easily dissolv'd in any liquour Let this or such a like form of Pills serve Take the Gums Amoniacum and Galbanum of each two drachms dissolve them in Vineger Purging Pills of Squills strain it and boil it to a due consistence then add Powders of Troches Alhandal Scammony Mastick of each one drachm Oil of Anise-seed eight drops make it into a Mass of Pills according to Art Let the sick take five or six small Pills of this in the morning fasting and an hour after drink some thin broth If the humours be more serous I commend this Electuary Take Juniper-berries one pound boil them in six pints of fennel-Fennel-water till Purging Electuary half of it be boiled away then add the Fruit of Tamarind eight ounces and pulp them both through a Sieve To which add Powder of Jalap and Scammony prepar'd of each three ounces Cinamon sweet Fennel-seed of each half an ounce white Sugar one pound make it into an Electuary according to Art The dose of this effectual Medicine is to half an
parts be according to nature and the sick can in some good measure perform all actions you may conceive some hopes of recovery But if the Body be extenuated almost like a Sceleton viz. when the body seemeth to be nothing else but Skin and Bone as the vulgar proverb is acquaint the sick with the danger least Death seize upon them unprepared Nevertheless if the sick implore your aid of Christian Charity withdraw not what comfort you are able to procure unto them The Cure of a Consumption and Hectick Cure Fever will differ not a little according to the diversity of causes producing them When an Hectick Fever comes with or succeeds Fevers with or without fits then upon their account the cure may be varied according to the divers harm of the humours differently peccant If a Consumption or Hectick Fever be caused by purulent matter from an Ulcer of the Lungs c. then you must endeavour to free the bloud and humours from matter which may be done by any Antimonial medicines rightly prepared perhaps before all others whether they be Diaphoreticks Purgers or Vomiters as experience doth manifest for it hath been observ'd even in a Phthisick and an inveterate great Ulcer of the Lungs to bring away a good quantity of matter by Stool and Urine so that then for many days no matter was cast forth by a Cough Among common things all Vulnerary plants are good used in Decoctions Let this or one like it be a form of a Decoction in this case Take the Roots of Plantain Comfry Round-birthwort Liquorish of each two ounces Fennel Scabious Plantain of each two handfulls Figs Raisons of the sun stoned of each four ounces let them be all cleansed bruised and boiled in three quarts of Barley-water till a third part be boiled away then strain it and add Syrups of Hore-hound and Hyssop of each two ounces Laudanum opiatum ten grains Mix it Let the sick drink two ounces of this Decoction oft in a day and if you add one or two drops of Balsam of Sulphur with Oil of Annise-seed to every draught it will be the more effectual The Balsam prepared of the truly Sulphureous and inflameable Flowers of Antimony is most excellent in this distemper if it may be had which may be taken as the Balsam of Sulphur Also those medicines may be used which mildly amend and correct the viscousness and glutinousness of all the humours for which I commend all mild Aromaticks and Oily Volatile Salts as that cut and alter every viscous humour and reduce it into its natural state Those medicines are to be selected as do most conduce to and agree with the constitution of every sick person Vitriolated Tartar is an excellent medicine which will agree with all constitutions and may be taken from ten to twenty grains every other morning in a little warm Broth. Also the following medicine is very effectual Take the Powder of Cream of Tartar Powder and Tartar Vitriolated of each half a drachm Volatile Salt of Harts-horn Salt of Amber of each ten grains Mix it for two doses which may be taken in Chicken Broth in the morning These choice medicines will conduce much to cleanse the bloud and humours from all purulent matter if there be any hopes of the Patient's recovery All Effusions of Bloud Seed and Milk are to be shun'd except the wonted emptyings which are natural and serve the individual Let the motions of the Mind be moderate and the exercise of the Body be gentle and let sleep and watchings keep a mediocrity Appoint a moistning and nourishing Diet which is of easie fermentation as Broth and Jellies of young Creatures and Milk of Goats Sheep and Cows and chiefly of wholsome Women A Panado made with the Broth of a Chicken the Crums of White-bread and the Yelk of a new laid Egg may sometimes be given the sick for a change Let cooling Herbs be boiled in the Broth and Jellies adding other ingredients that are cooling moistning and cordial both to strengthen Nature and revive the Spirits Let the sick drink Barley-water made pleasant with some Pectoral Syrup and if they have been accustomed to drink Wine let it be well diluted with water As for Fruit Apples are much commended especially Pippins and Permains which will much refresh the sick If the Patient be costive you may sometimes administer a Clyster of Milk and the yelk of an Egg. The worst symptome that can attend these diseases is a Loosness if it so happen give Goats or Cows milk wherein steel hath been quenched and Rice boiled in it adding a little Powder of Cinamon and let the sick eat commonly of it CHAP. IV. Of the Palpitation of the Heart THIS Disease is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and in Latin palpitatio Cordis 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 quod leviter ac frequenter commovet because there is an over frequent Pulsation or leaping of Bloud in the Heart c. It is a Convulsive motion of the Heart with a vehement Systole and Diastole of it which sometimes hath been so inordinate that the Pulsation hath not been onely seen but heard at a notable distance yea sometimes it hath been so great that the adjacent Ribs in young and tender people who have been afflicted with this distemper hath been dislocated and the Aorta or great Artery hath been much dilated See Fernelius lib. 5. cap. 12. pag. 292. This deprav'd motion or Palpitation of Cause the Heart is for the most part caused from sharp viscous and flatuous humours frequently arising out of the small Guts and transmitted to the ventricles of the Heart and adhereth to them by which the Heart is provoked to a vehement and unequal contraction of it self without intermission These humours are mov'd and driven forward either by their vitious effervescency or else they are stirr'd up by violent motion or exercise of the Body especially in the quick ascending of a steep hill and sometimes they are constrain'd or urg'd by grievous Passions of the mind Sometimes there have been observ'd fleshy Tumours and Cartilaginous excrescencies in the Substance of the Heart when dissected and those poor Creatures when living were never free from a vehement Palpitation Also Worms have been found in the Pericardium of some that have been dissected after death which without doubt caused a deprav'd motion or pulsation of the Heart when living That which is caused by fleshy Tumours Progn Cartilaginous excrescencies Worms or any other extraneous thing in the Pericardium or substance of the Heart is incurable But the Palpitation of the Heart which is caused by acrimonious flatuous and viscous humours may be cured Those medicines must be administred Cure that cut and discuss and temper an acid Acrimony The following Julep may serve for an example Take the Waters of Parsley Fennel of Iulep each three ounces Tincture of Cinamon Syrup of Mint of each two ounces Chymical Oil of Mace ten drops Spirit of Salt
in two quarts of Fountain-water for a night then boil it gently till a third part be consumed strain it and add Syrup of Mugwort Staechas tincture of Cinamon of each two ounces mix all together Two or three ounces of this Decoction may be taken at any time twice in a day either before or after meat that so the power of the medicine may mildly mix and incorporate it self not onely with the food but with Spittle in the Stomach and also with the threefold humour flowing together in the small Guts and thence with the universal bloud and humours in all the Veins and Arteries whereby the desired amendment and correcting of them will be performed sooner easier and more happily If any like a medicinal Wine better they may infuse the aforesaid Ingredients in a sufficient quantity of White-wine and drink it daily both at dinner and supper time These choice Medicines may be continued for some time but when the sick is weary of them you may use the same Ingredients in the form of a Powder or Electuary or make them into Troches with Syrup of Staechas Mugwort c. Or you may make use of those compound Powders which are to be sold at the shops viz. Spec. Diambr Diagalangae Dianthos c. all or either of which may be used as aforesaid If any will be better pleas'd with Pills than other Forms you may prescribe these or some like them Take of Galbanum prepar'd with Vinegar Purging Pills two scruples Powder of Amber Mastick of each one scruple Frankincense Mirrh Castor of each ten grains Vitriol of Mars prepar'd to whiteness half a drachm Chymical Oil of Mace eight drops beat them into a mass for Pills Let the Patient take four or five of there Pills in the morning fasting or at night an hour after supper whereby the viscous phlegmatick and acid humours will be potently corrected and temper'd which being done the peccant humours may be effectually educ'd with these hydragogue Pills Take Gum Sagapenum prepar'd with Vinegar Purging Pills half a drachm Rosin of Jallap Gambogia of each one scruple Oil of Juniper four drops mix them into Pills Four or five of these Pills may be administred at a time or more or sewer as the sick is more difficult or easie to be purg'd When a swouning Fit or Syncope is near approaching give those things that will powerfully concentrate the sour flatuous vapours and discuss the glutinous Phlegm The following Volatile and Aromatick Cordial will conduce much to this purpose Take the Waters of Mint Fennel Betony Cordial Iulep Scurvigrass Cinamon of each one ounce Syrups of Borage Mint of each six drachms Tincture of Castor Confection of Alkermes of each two drachms Salt of Amber one drachm Spirit of Salt Armoniack twenty drops Laudanum opiat Amber-greese of each six grains mix it The sick may take two or three spoonfulls of this Cordial in time of the fit and likewise both before and after which will much repair both the Vital and Animal strength which is wont not a little to languish in these fits None but they who have try'd will be easily perswaded of the wonderfull efficacy of the aforesaid medicines not onely in preventing but in diminishing and soon curing Swounings and the Syncope When either of these fits urgeth or is upon the party you must use those outward things which may stir up the external senses as frictions of the external parts shoutings in the Ears also make a smoak with Amber or Partridg Feathers at the nose or hold the Spirit of Salt Armoniack in a narrow mouth'd glass to the Nostrils You may also wring the Fingers and pull the Hair c. If you have not a Cordial ready give Cinamon or Treacle water or the Apoplectick or Antepileptick waters or for want of them Brandy Aqua vitae or strong Wine may serve CHAP VI. Of Fevers in General A Fever is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 vel a feritate morbi that is from the fierceness of the disease It is called febris in latin a fervore quasi fervens because it is a hot distemper A Fever is a nonnatural heat which may be so termed because it is more than nature requires for the continual management of her vital functions for when nature is grieved or over-burthned by any distemper there is a strugling endeavour of nature her self to remove it which causeth this non-natural heat It may be called the Prince of diseases because it is the general door through which most of humane mortals take their exit of this world The cause of the preternatural frequency of the pulse is either a permanent and over rarefaction of the bloud or any sharp sour or salt vapour carried to the Heart corroding the internal substance of it by which the Archaeus or vital Airy spirit of the Heart is provoked to allarm all the faculties and powers both vital and natural that it may the more couragiously resist its invading Enemy so that the spirits are thereby much stirred up and inflamed from whence proceedeth a Conflagration or vitious Effervescency of the Bloud and Humours throughout the whole Body Fevers are either continual or intermitting A continual Fever is that which remains from the first moment of its invasion to the last of its duration When a continual Fever is very mild and remains but one day it is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 dies quod diem durans It is called in Latin Diaria Ephemera febris This Fever is often excited by sudden passions of the mind as vehement anger c. and also by our abode too long in the Sun or by vitiously using any other of the six nonnatural things so called for which there is no great need to prescribe Medicines for a Cure it being not difficult the very nature of such a Fever terminating it self most commonly by a breathing sweat especially if you substract the Patient from the inflammatory Cause If the Fever continues longer it may be called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 continuo From whence it is called in Latin febris continua quae nullas hujusmodi mutationes habet quae accessiones videri possint sed unicam modo accessionem a principio usque ad finem nullis exacerbationibus distinctam The continual Fever is also called Homotona quae fimilem calorem ad finem usque servat It is also called Acmastica quae continuo crescit intenditur A Synochus or continual Fever may be divided into two sorts viz. that which is not Difference putrid called in Latin Synochus non putrida and that which is putrid called Synochus putrida In a Synochus non putrida the bloud and other humours is a little sharper than is natural and the heat somewhat great and vaporous declining a little to the nature and manner of those called putrid Continual Fevers are oft times mixt or compounded
use of four things a little Harsh mixt with drink or Broth as beforesaid because they much conduce to restore by degrees the former consistency to the Bloud In Calentures Phlebotomy may be safely used CHAP. IX Of the Plague or Pestilence THE Plague or Pestilence is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 solvo quod vitam solvat It is called in Latin Pestilentia Pestis ex depascendo quod veluti incendium depascat It is also called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 percutio hinc Angl. the Plague Pestis significat omne malum quod tam inanimis quam animatis mortem exitium repentino adfert The Plague is a contagious disease suddenly afflicting the Heart and all the vital animal and natural faculties with many grievous Symptoms The Cause is chiefly the sins of Mankind Cause provoking the great God to send this Pestiferous distemper as a judgment on them for their Impiety The Cause next to God's judgment is a sharp venemous and contagious volatile Salt in the Air very much heightned inspired with the Air into the Lungs or is swallowed down with the food or spittle into the Stomach it may also get in through the pores into the Body by which the acid liquor in all the conglobated glandules is weakned and made sluggish that it doth not circulate with its wonted force whence the natural consistency and rarefaction of the Bloud is diminsht and the separation of the Animal Spirits hindred and the vital strength is much opprest by which the Pulse becomes not onely little but also languishing till at length the Spirits are extinguisht and Death unexpected to many carries them speedily torrenti similis in fiery Chariots God knows where All the signs in Malign Fevers are common and much heightned in the Pest besides Signs many other grievous symptoms as Diarrhaea Hemorrhage at the Nose Ears Eyes Mouth and Secrets sometimes yellowness of the Eyes Buboes in the Groins Armpits and behind the Ears and in some white Bladders and Carbuncles also spots called the Tokens with raving c. 1. The Pest is deceitfull above all other diseases Progn therefore no certain prognostick can be drawn of it for many have died when there hath been great hopes of recovery and on the contrary many have escaped with mortal signs 2. A Bubo is less dangerous than a Carbuncle and it than the spots vulgarly the Tokens which most commonly portend Death wheresoever they are 3. Buboes incompassed with a blue or livid circle are most commonly a mortal sign especially if they suddenly disappear unless the Malign humour be sent to some other part and if with a Bubo behind the Ears there be pain of the Throat without inflammation 't is mortal 4. If a Carbuncle rise after a Bubo and look white with a litle push or tail at the end of it 't is dangerous except the Fever do very much abate and if after cauterizing or cupping the Carbuncle abate not in twenty four hours 't is a sign of Death approaching except matter appear and if Carbuncles seize the Stomach Guts Bladder or other Intrails it portends Death 5. Deliriums Drowsiness Heart-ach Trembling Convulsions great driness of Tongue are all bad signs also a Dysentery is most commonly mortal but a Hemorrhage at the Nose or Menses are not so dangerous To preserve from this Pestiferous distemper although transmigration in the fear of God may be lawfull yet let none think to escape by flying and so neglect their duties to God for 't is impossible to run out of his reach for he filleth Heaven and Earth with his presence wherefore let servent prayers be put up to God whose compassions fail not and then make use of an honest Physician 1. You must endeavour to purifie the infected Air with great fires wash the house daily and after sprinkle it with Vinegar and Fume either with Pitch Frankincense Mirrh Amber Benjamin Wood and Berries of Juniper c. 2. Avoid all passions watchings and immoderate exercise and venery 3. Eat nothing that is hard of concoction and use a moderate diet though easie of digestion and drink good sound Wine c. 4. Go not forth with an empty Stomach but always take some preservative against infection For example Take Spirit of Vinegar Julep of Roses of each one ounce mix it Vinegar Verjuice Oranges Limmons Citrons Pomgranats Barberries Quinces Wood-sorrel c. are all very good used as before directed in Malign Fevers This Poison must not be sent out by vomiting Cure or purging neither is phlebotomy allowed For it is known by manifold experience that the cure of the Pest is most happily instituted by Cordial Sudorificks rightly prepar'd of Antimony because it hath an admirable Sulphur in it whereby not onely sharpness is wonderfully temper'd but the Malign poisonous volatile Salt is thereby most safely driven forward and expelled by sweating out of the Body to which may be added other Cordials as followeth Take the Powders of Crabs-eyes Tartar Cordial Electuary vitriolated Antimony Diaphoretick Bezoar-mineral of each one scruple Bezoar-stone of the East red Coral prepar'd Salts of Rhue Scordium of each half a scruple Venice-treacle two drachms Spirit of Salt ten drops mix it into an Electuary with confectio de Hyacintho Let the sick take half a drachm of this Cordial Electuary every three hours and drink three or four spoonfulls of this Cordial Julep after it Take of epidemical-Epidemical-water the Waters of Cordial Iulep Carduus Borage Scordium compound of each three ounces the Waters of Treacle Cinamon Syrups of the juice of Carduus and Limmons Syrup of Saffron of each one ounce Salt Prunella and Salt of Wormwood of each one drachm Laudanum opiat ten grains mix it for a Cordial Let the sick person take the aforesaid medicines till sweat is plentifully provoked then let the sweat be gently wiped off with warm linen cloaths In the mean while give the sick a little hot Chicken-broth or other Broth of fresh Meat temper'd to a gratefulness with some sour thing as was directed in Malign Fevers as Barberries Wood-sorrel Limmons c. You must persist in this course till the danger be over and some time after though the sick think themselves well lest the disease deceive you by a sudden surprize again There are many Cordial Confections always to be had ready at Apothecaries Shops as Mithridate Diascordium Venice-treacle London-treacle Treacle-water c. any of which may be used by the Rich or Poor for they will not onely cause sweating but also will temper and moderate the hurtfull acrimony of the volatile Salt before mentioned You may dip a hot Toast in aq prophylactica and apply it to the region of the Stomach and also tye some of it in a rag and smell to it If there be great drowsiness avoid Opiates and take the Cordial Julep without the Laudanum but if there be great Watching Vomiting Flux of the Belly or Hicket you may give it with the
and should all the Gravel and Stone come away the pain would not be the less untill the Kidneys themselves be reduc'd to their right temper For many in perfect health have voided much Gravel at a time without the least pain and therefore it is evident that Gravel is onely the product and not the producer or primitive cause of this pain The Symptoms of Nephritick pains are Signs so much like that caused by the Stone that they cannot be easily distinguished for the signs of both are great pain of the Loins loathing or vomiting there being a great consent between the Reins and Stomach The Patient often pisseth bloudy water and when the Reins are ulcerated the matter is often evacuated with the Urine Wherein the force of concreting or growing Cause of the Stone together of Stones in divers parts of the Body consists is not enough known I will freely declare what I conjecture in this obscure matter whereby I may according to my power the more help others that are ingenious to search out this hidden truth All the Stones that are generated in the Body may be dissolved in the sour Spirit of Salt Peter or Niter whence I conclude that the Coagulation of Stones cannot be expected from an acid Spirit as such therefore from another somewhat contrary to it in part at least If any consider the several things that promote the growing together of natural things they will find that such force is in tart things whence the Glutinousness and Toughness of fluid things is wont to be produc'd to which if earthy and volatile salt parts be join'd something will be produc'd not much unlike Stones I incline therefore to this opinion that an earthy and salt matter join'd to that which is glutinous groweth together into Stones by help of a tart humour Also Gravel of all kinds that is usually seen in the bottom of Urine testifieth that the conglobated Glandules are all affected by a frequent external Cold or else by sour things taken in and when the Gravel is great it is then near to the Nature of Stones yea sometimes groweth together into Stones especially in cold phlegmatick Bodies where for the most part it giveth Stones their first rising and daily cherisheth their production and increaseth them and the more especially where a glutinous stone-making faculty doth concur in the Body Many Histories mention that Stones are produced from a stone-making Spirit or Histories Breath out of the Earth which hath turned the Bodies of Men Beasts and other things into Stone Riverius in his last edition quoteth Aventius Annal. Bavar lib. 7. Anno 1343. who saith that above fifty Men with many Cattle were turned into Stone Ortelius telleth the like story that whole Herds in Russia have been turned into Stone And Camerarius reporteth that in the Province of Chilo in Armenia at the blast of a South-wind which happeneth four times in a Year whole Troops of Horse have been turned into Statues of Stone standing in the same warlike Posture in which they were marching Children are most inclinable to this Monster in Nature because they have much moisture and weak digestions which generate Crudities Stones are generated in many parts of the Body as the Gall Reins Bladder c. I once opened a Woman that had sixty History four Stones in her Gall. I also dissected another whose Ureters were stony and out of her Gall I took out a large Stone and a small one about the bigness of a Hazle-nut out of the Neck of the Gall. 1. These distempers are very dangerous Progn and bring many sad Symptoms to the afflicted Patient as great pain inflammations exulcerations long watchings weakness fevers suppression of Urine and Death it self 2. Pain from acrid Lympha c. may be cured in those that are young if the strength be not too much dejected nor the Disease hereditary That we may now address our selves to Cure the Cure of these grievous Diseases I would advise those who are not very skilfull in the Art of Physick to forbear giving of any thing in these Distempers without the Advice of an experienc'd Physician for I believe many Stones have been bred in those Bodies who before were free from it and were onely troubled with Nephritick pains by the frequent taking of ill Medicines for many Remedies have been invented to dissolve the Stone but experience teacheth that they are most of them inimical to the Reins and Bladder and debilitate their Ferment The solvent of the Stone ought to be homogenious and so singular that it submit not to any digestions or fermental Powers through which it passeth in its way to the parts affected for the Virtue of all common Remedies taken at the Mouth are alter'd and transmuted in passing three digestions For acid things from which much hath been hoped as soon as they are past the Stomach lose their acidity and are converted into a saline Nature so that the dissolving Power of the acid is wholly transmuted before it gets either to the Reins or Bladder Likewise those Medicines which are injected into the Bladder with a Syringe ought to be agreeable to its Ferment that it may not be painfull thereto for if but a small quantity of any sharp Medicine be injected it stirreth up an intolerable Strangury it being wholly foreign to the Ferment of the part And seeing the Stone and all other Distempers of the Reins and Bladder are wont to be bred and increased in length of time the Remedies which you administer must be long us'd before you may have experience of their effects I will here set down some choice Medicines not onely to hinder the increase but to dissolve small Stones in humane Bodies if they be long enough us'd Amongst which we may deservedly attribute the first place to Spirit of Niter seeing Stones of any kind are so easily and manifestly broken and dissolved by it which may commodiously be mixt in any ordinary Drink or Wine and Broths c. to a light acidity whose excellent effects all may admire If the Patient have a costive Body you may give the following Lenitive three or four times in a week Take of Cassia newly drawn one ounce Venice Turpentine half an ounce Crystal Purging Bolus prepar'd Salt of Tartar vitriolated of each one drachm Oil of Juniper Spirit of salt Armoniack of each four drops Spirit of Niter twenty drops mix it for two doses The following is also very effectual Take of Cio-turpentine half an ounce Powder of Rhubarb one drachm the Yelk of one egg mix it for two doses give it in the morning fasting and drink four ounces of this Julep after it Take the Decoction for Syrup of Marsh-mallows Iulep one quart the waters of Horse-radish Pellitory of the Wall Speedwell Winter-cherries Syrups of Marsh-mallows and the five opening Roots of each two ounces Crystal prepar'd Salt Prunella of each half an ounce tincture of Salt of Tartar two drachms
Cordial Opiate of each four ounces Cinamon-water Syrups of Coral and Comfry Penidies of each one ounce Gums Arabick and Dragon of each half an ounce Powder of Dragons-bloud red Coral prepar'd of each one drachm Laudanum opiatum six grains let the Gums be dissolved in the distill'd waters and strained then mix all together according to Art You may prescribe this or such a like Decoction for the Patient 's ordinary drink Take the Roots of China Sarseparilla Decoction Comfry Plantain red Sanders of each two ounces Liquorish red Roses Hemp-seed of each one ounce Raisins of the Sun stoned four ounces let them be cleansed bruised and boiled in a Gallon of Fountain-water till half of it be boiled away then strain it and keep it for use Let the Diet be cooling and thickning Broths and Jellies made of Knuckles of Veal with the Roots of China and Comfry boiled in it is excellent You may also make Panado's of the aforesaid Broth with a few Crums of Whitebread and the Yelk of an Egg. Also milk wherein the aforesaid Roots are boiled will be very effectual CHAP. XXIII Of involuntary Pissing commonly called pissing in Bed WHEN the Urine floweth involuntarily which in Children is vulgarly called Pissing in Bed pissing in Bed it may be called in Latin urinae incontinentia pro impotentia sive imbecilitate retinendi The causes are either external or internal Causes The external Cause is a large Wound in the sphincter Muscle of the Bladder which sometimes happens in Lithotomy for by extracting a great Stone the sphincter Muscle may be so much lacerated that it ceaseth to be contracted and the Orifice of the Bladder to be shut wherefore the Urine distilleth of its own accord It may be caused internally by the Palsie Apoplexy Epilepsie Syncope c. Sometimes Ebriety may be the Cause of the Resolution of the Nerves which from the Loins are inserted into the Neck of the Bladder and so render the sphincter Muscle incapable of Contraction hence the Urine is involuntarily voided In Children this Distemper is curable if Progn taken in time but if it happen to old Folks or if it be caused by a Wound in the sphincter Muscle of the Bladder it is incurable That which is caused by the Palsie Epilepsie Syncope c. look for the Cure in Cure their proper Chapters If it be caused by Ebriety Sobriety may be commended to cure it especially by the help of inward means to strengthen the parts affected Many things have been given to Children that have been troubled with this Distemper the most effectual are these Fried Mice the inner Skins of Hens-gizzards Cocks-weasands Pudenda suilla Stones of a Hare Snails with the shells all or any of these dried and poudred also the Powder of Agrimony Egg-shells the burnt Ashes of an Hedge-hog c. Any of these may be given in red Wine or in Lime-water chalibeated which may be dulcifi'd with Syrup of Comfry If Phlegm do abound in the Body you may purge it with Phlegmagogues Also sweating with gentle Diaphoreticks is very effectual Those already mention'd are proper onely consider the Age and Strength of the Patient CHAP. XXIV Of the Stoppage of Urine and the Strangury THE Stoppage of Urine is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ab 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 comprimo 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Urina 'T is called in Latin Urinoe suppressio The Strangury is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 i. e. urinoe difficultas vel urinoe per guttas excretionem Ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 stilla 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 urina These differ onely in degree for when the Urine is totally obstructed it may be called Ischuria but when little is voided and by drops it may be called Stranguria These distempers may be caused by viscous Cause Phlegm or coagulated Bloud in the Ureters or Urethra especially if a Stone or some Gravel do also stick in the Passage by which the obstruction will be more strengthned Sometimes it is caused by a schirrous Tumour or other excrescency of Flesh as a Carbuncle c. growing in the Urethra or Chanel of Urine Sometimes it is caused by a preposterous holding in of the Urine either for shame or want of opportunity to evacuate it so that the Bladder being extremely fill'd and distended it hath not power to contract it self hence the voiding of Urine is supprest It may also be caused by sharp humours fretting and ulcerating the internal Superficies of the Bladder by which it is continually stirred up to contract it self and expell the Urine which is in it so that the Bladder is empty having little or no Urine in it as I have known by experience This may be called a Bastard Ischuria which may be also caused by some hurt in the attractive or expulsive faculty of the Reins If the aforesaid Causes be violent it causeth an Ischuria but if remiss then a Strangury is stirred up in which there is a perpetual Irritation to extrude the Urine although slowly and by drops with exceeding pain and trouble Suppression of Urine is dangerous and if Progn it continue long it is mortal especially if the Patient's Breath stinck of Piss or hath a Hiccough or Tenasmus If the Cause be in the Neck of the Bladder Cure or Urethra stopt you may clear it and draw away the Urine with a Catheter as I have often done both from Men and Women with good success If the Cause be from the Reins or Ureters seek the Cure in the Chapter of Nephritick pains c. Glutinous Phlegm and coagulated Bloud may be cut and attenuated with Aromaticks boild in Water or Wine and mixed with oily volatile Salts Spirit of Niter c. Stone-Horse dung is rich in Volatile Salt wherefore if you mix the Juice of it with Rhenish-wine and drink it often you will admire its wonderfull effects in curing not onely Stoppage of Urine but most other obstructions Those Diureticks prescrib'd in page 266 267. are also very effectual here Let the Belly and parts affected be anointed with Dears-suet which will conduce much to give ease When the Urethra is obstructed by a Caruncle c. You must gently thrust in a hollow Instrument made of Lead or Silver being first anointed with some consolidating Ointment You may leave the Instrument in till the fear of a new Closing of the Passage be remov'd CHAP. XXV Of the Scalding or Sharpness of Urine THIS Distemper is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Urina The causes are either external or internal Causes The external Cause may be by the Application of Cantharides or some other stronger Poison The internal Causes are sharp salt and acid humours mixed with the Urine which do corrode and ulcerate the internal Superficies of the Bladder and sphincter Muscle Sometimes it is caused by sharp Stones occasioning an Ulcer If the Bladder or sphincter Muscle or the