off by one half but still obstructing the other constitute the containing Cause IV. Thus the Motion of the Left-side was taken away because that half of the Pith being obstructed the Animal Spirits could not enter into that half of the Pith nor the Nerves proceeding from it which causes a Cessation of the Actions of the Instruments of voluntary Motion or the Muscles on that side But the Sense is not quite lost but remains very dull because that several Spirits pass through the contracted Pores of the Pith sufficient for Motion yet not anew to impart Sense to the feeling Parts V. This Malady is hard to be cured by reason of the detension of a viscous and tenacious Humor in a cold Part but Youth and Strength of Body promise hopes of Recovery VI. The Method of Cure requires the Attenuation and Dissipation of the Obstructing Humor 2. To prevent the Afflux of any more 3. To take away the antecedent Cause 4. To cortoborate the Parts affected VII For Evacuation of the Flegmatic Humor give these Pills â„ž Mass of Pill Cochiae Ê’s Extract of Catholicon ℈ s. with a little Syrup of Stoechas make up vij Pills Instead of them may be given Powder of Diaturbith or DiacarthamumÊ’j or a Draught of an Insusion of Leaves of Senna Root of Jalap Agaric These Purges are to be repeated by Intervals VIII Blood-letting is not proper in this Case IX To corroborate the nervous Part of the Body and prevent the Generation of flegmatick Humors let him take this Apozem â„ž Root of Acorns Fennel an Ê’vj Florence Orice Ê’iij Betony Ground-pine Marjoram Rosemary Calamint Thime an M. j. Flowers of Stoechas M. s. Seeds of Fennel Caroways Bishops-weed an Ê’j s. Water and Wine equal parts boil them to a Pint and a half and to the Straining add Syrup of Stoechas â„¥ iij. For an Apozem Of which let the Patient take four ounces three or four times a day with a small Quantity of this Conditement â„ž Specier Diambr Diamosch Dulcis an ℈ iiij Conserve of Flowers of Sage Anthos Root of Acorns candied an Ê’v Syrup of Stoechas q. s. X. The Use of Paralitic and Apoplectic Waters will be very proper in this Case of which there are several to be found among the Prescriptions of Physicians XI If the Disease will not submit to these Remedies let him take every Morning five ounces of the following Decoction and sweat in his Bed according to his Strength â„ž Lig. Guaiacum â„¥ iiij Sassafras Sarsaperil an â„¥ ij Water lbvij Macerate these twenty four hours then boil them adding toward the end Roots of Acorns Valerian Butter-bur Fennel an Ê’vj Galangale Licorice sliâ—…'d an Ê’ij Herbs Betony Miij Ground-Ivy M. ij Thyme Marjoram Rosemary Flowers of Stoechas an M. j. Sage Ms. Iuniper-berries â„¥ j. Boil them to lb. iij. XII For Corroboration of the Head prepare this Quilt â„ž Flowers of Rosemary Marjoram Thyme Flowers of Lavender Melilot an one small Handful Cloves Nutmegs an ℈ ij For a Quilt XIII While these things are doing let the Spine of the Back be well chafed with hot Cloaths especially in the Neck about the Head and then fomented with a Fomentation of hot Cephalics boiled in Wine or else anoint the Neck with this Liniment warm â„ž Oyl of Foxes Spike Rue Goose and Cats-grease an Ê’vj Oyl of Turpentine â„¥ s. Oil of Peter Rosemary Amber an ℈ ij Powder of Castoreum ℈ iiij After Unction and Friction lay on this Plaister â„ž Pul Castoreum Ê’ij Benjamin Ê’j Galbanum Opoponax dissolved in Spirit of Wine Emplaster of Betony Lawrel-Berries and Melilot an Ê’vj Mix them according to Art XIV This Disease requires a hot dry and pure Air. Meats of good juice and easie Digestion calefying and attenuating For Drink Hydromel or Wine imbib'd with Rosemary Marjoram Betony Cardamum c. Now and then a Draught of Hypocrass or a Spoonful of Juniper-wine or Anthoswine or Aquae Vite of Matthiolus will not be improper avoid long Sleeps and Repletion and let Natures Evacuations be regular and due HISTORY XIII Of Trembling A Man fifty years of Age struck with a great and sudden Terror immediately fell down fixing his Eyes upon the Standers by but not able to speak Soon after recovering his Spirits he talked well enough but rose up with a Trembling over his whole Body From that time when he moved his Limbs the Trembling still remained which as his Body drew cold was more violent as he grew warm abated I. TRembling is a Deprivation of the Voluntary Motion of the Limbs by which they are agitated with a contrary Motion in a continued Vicissitude II. The antecedent Cause is a Flegmatic Humor contained in the Brain which being stirred by the great sudden and disorderly Commotion of the Spirits proceeding from the Terror and cast off to the Pith of the Spine constitutes the containing Cause III. For the Humor in that place contracting the Pores of the Pith prevents the free Influx of the Animal Spirits through the Marrow into the Nerves and Muscles So that not being sufficient to perfect the voluntary Motion it happens that the Limbs are moved forward by a voluntary Motion but are depressed by their own Weight so that both together cause a trembling Motion IV. This Trembling is more vehement in the Body when cold less violent when the Body is warm Because the Pores are more contracted by the Cold and more dilated by the Heat Which causes a freer or less open Passage to the Animal Spirits and consequently a more or less vehement Trembling V This Trembling is not a little dangerous for it may turn to a Palsey or may be accompanied with an Apoplexy a Carus or a Lethargy VI. The Cure is the same as of the Palsey HISTORY XIV Of a Convulsion A Maid about thirty years of Age received a Wound in her Right-arm which laid a Nerve bare but unhurt However she lay in a cold Place and by reason of her Poverty not well guarded against the Cold and besides an unskilful Chyrurgeon having stopped the Blood put a Tent into the Wound dipped in Egyptiaeum and the Apostles Oyntment which caused a most painful and vehement Convulsion in her Arm which soon after was accompanied with a Convulsion of the Thigh on the same side and of her Arm and Thigh on the other side which lasted sometimes half a quarter sometimes an Hour sometimes half an hour intermitting and returning She was in such Pain that many times it made her talk idly I. THE Nerves and Muscles of this Patient were affected as appeared by the Motion not spontaneous and that still more encrease and her Head was grieved as appeared by the Delirium II. This Simptom is called a Convulsion which is a continued and unvoluntary Contraction of the Nerves and Muscles toward their beginning III. The remote Cause was the Wound received which laid the Wound bare The next Cause was the sharp and biting Oyntment provoking the Nerve and the cold
happen to be of the Number of the great Personages or one of their Children who will not be satisfy'd with such plain and ordinary words of the Physitian then you may prescribe a small quantity of Bezoar Stone with Magistry of Pearls or Crabs Eyes or Essence of Corral adding thereto some few Grains of Saffron or some such thing that will not disturb Nature in her work and satisfie the importunity of Friends or Parents But if Nature seem insufficient in the performance of her Duty so that she requires Assistance we must have recourse to other remedys that may succour Nature in her Endeavors Now among those Expulsives that are to be prescribed upon the first coming of the Physician are most of those Diaphoretics and Antidotes which we have said are to be prescrib'd at the beginning of the Pestilence lib. 3. cap. 5. out of which the Physician may choose those that he thinks most proper for his Patient For some are most proper for Infants and Children others for grown People others for the robust some for the feeble others for such as have but slight Fevers and others for those whose Fevers are more violent For the robust the most generous Medicins are Treacle and Diascordium with Salts of Wormwood Carduus Benedictus and the like For Children and Nice Persons make choice of such things as have a grateful Taste compos'd of the Species of Hearts-horn coral Pearls Saffron Alkermes Hyacinth and such like But above all the rest I never found any thing more effectual then our treacle-Treacle-water which we have describ'd in our Treatise of the Pestilence lib. 3. cap. 5. which has no ungrateful Taste and therefore may be given alone or with some pleasing Syrup to Children and Infants If the Small Pox do not come forth freely in the first place let the Patient take some Sudorific prescrib'd after the following manners â„ž Treacle of Andromachus Ê’j Salt of Carduus Benedict ℈ j. s. Water of Carduus Benedict â„¥ ij Mix them for a draught â„ž Diascordium of Fracastorius Treacle of each Ê’ s. Extract of Carduus Ben. Salt of Wormwood of each ℈ j. Decoction of Carduus Ben. q. s. Mix them for a draught â„ž Diascordium Ê’j Hearts-horn burnâ—… red Coral prepared of each ℈ j. of our treacle-Treacle-water â„¥ j. s. Syrup of dry Roses â„¥ s. mix them for a draught if there be any fear of a looseness â„ž Of our Treacle water â„¥ j. or â„¥ j. s. double refined Sugar Ê’j mix them for a draught for very nice Children â„ž Confect Hyacinth Diascordium Harts-horn burnt of each ℈ j. Mix them for a Bolus â„ž Pulv. Liberants ℈ ij Saffron gr iiij Harts-horn burnt ℈ j. Mix them for a Powder â„ž Pearls red Coral prepared Harts-horn burnt of each Ê’j Manâ—…s Christi ℈ j. Mix them for a Powder to be taken in some Cordial Liquor â„ž Seed of Columbines and Turnip-seed an ℈ j. s. of Nosesmart seed ℈ j. make a Powder for ordinary People â„ž New Sheeps dung Ê’ vj. or â„¥ j. small VVhite-wine Decoction of Barley an â„¥ j. s. Mingle them together and let them stand two or three hours then strain them gently and give the Liquor strained for one draught which powerfully expels the small Pox. After these and such like other forms Sudorifics may be conveniently prescribed and exhibited There is it requisite in this Case to prescribe many laborious Compositions as the same Physitians especially the Scholars of Paracelsus with great Ostentation will be studying to do in regard that a few are sufficient for this Indication When the Patient has taken his Sudorific he is to be well cover'd with Blankets and other Coverings and so be provoked to Sweat Nevertheless care is to be taken least being covered too hot or lying in a hot Stove he do not fall into a Swoon for as in all other things so there is a Moderation to be observed in this sort of swoonding Here by the way we are to take notice that Fracastorius Io Paschalis Forestus Riverius and many others recommend for the better provoking of Sweat that the Patient should be covered with red Coverlets whether they believe that there is something of a Singular property in red which contributes very much to the Expulsion of the Small Pox or that a Sweat provoked by such red Coverlets is more Efficacious to bring out the Small Pox or that the looking upon red provokes the Colours outward as Velescus de Taranta and Duncan Liddelius write But they all seem to be under a great mistake who expect any thing particular from the red Colour of the Coverlets For it is not the Colour but the heat provoked by the Coverlets which causes the Expulsion of the Small Pox. But this same Errour seems to have derived its Original from hence that formerly in the time of our great Grand-Fathers the best and thickest Coverlets were dy'd of a red Colour the thinner and courser Sort were dy'd of other Colours and hence it was that when the Physitians of those times saw it necessary for their Patients to be well covered they ordered them to be covered with the best and thickest Blankets which the succeeding Physitians not really observing thought the preceding Physitians had ordered their Patients to be covered with red Coverlets as if they had Experienced something more notable and singular in a red that in any other Colour to provoke the Small Pox. After the Patient has Sweat well according to the proportion of his strength the Cloaths may be somewhat lighten'd to relieve him in his great Sweat However he is to be kept still in a moisture or gentle Breathing Sweat for a day or two till the Pox are well come forward taking great care nevertheless that his strength be not wasted with two much heat Thus Forestus orders the Patient to be kept in an Air moderately warm and to keep him so covered with Cloaths and Coverlets that he may still lye in a kind of Breathing Sweat taking care above all things that the heat of the Body be not too much augmented by heaps of Coverings or heat of Stones and so the Fever getting strength the Patient come to be stifled with a Syncope This Duncan Liddelius also rightly admonishes Now to the end that during this same Breathing-Sweat the Expulsion of the Pox may have the more swift and better success our Country Folks are wont to boyl sliced Figgs in small Ale and give the Decoction lukewarm to the Patient with good success And Forestus highly extolls this Simple Decoction of Figs and gives it all Children However Leonellus does not boil the Figs in small Ale but in Whey and very properly uâ—…es that Decoction Some will give the more sprightly sort of Children Figs to eat nor do they do amiss so that their Stomacs will bear them For Figs which way soever they are used are very wholsom in this Distemper And this is the reason why being boiled and mixed in Cataplasms and laid upon
ours which came from a certain Infection of the Air and chiefly prey'd upon the Spirits and not upon the Humors and was chiefly cured with Antidotes whereas Blood-letting did harm On the other side our Fever more an Enemy to the Humors then the Spirits was cured by Blood-letting Wierus makes mention of a Malignant and Pestilent Fever which was very rife about the Countries lying upon the Rhine and very different from ours which the Cure informs us for he writes that he found Blood-letting very dangerous From our Fever also differ very much those Fevers which Forestus describes wherein there were neither the same Symptoms neither would the Cure admit repeated Blood-letting Lazarus Riverius produces one Example of a Malignant Fever which in many Patients agreed with ours and was cured by five times Blood-letting To which there was one very like that we saw in France in the year 1632 already mentioned Observ. 3. But that it may be the better understood How Patients afflicted with this same Malignant Fever are to be ordered I shall produce one or two Examples of a thousand in the following Observations OBSERVATION XXV A Malignant Fever HErman Thomas a Baker was seized with the foresaid malignant Fever the fifth of September with a very great Heat and Consumption of his Spirits at the beginning his Pulse beat thick yet not very unequal this Thirst was vehement with a very great driness of the Tongue All the Body seem'd to be equally affected and therefore he never felt any Pain only complained of a great Faintness and Dejection of his Heart the first day coming to him about the Evening I ordered him an Emollient Glister which gave him three Stools and to quench his Thirst I prescribed him this Julep â„ž carduus-Carduus-water Borage and sorrel-Sorrel-water an lb j. 〈◊〉 of Citron newly squeezed out of the Fruit Syrrup of the â—…owre part of the Citron of Violets Rob of red Ribâ—…s an â„¥ Oyl of Sulphur q. s. to make it gratefuly sharp mix them for a Iulep The sixth of September in the Morning we took away a pint of Blood out of the Median Vein of the right Arm which gave him great ease The Blood was very bad the upper half between livid and green and like a Muscilage the lower half black and coagulated the Serum also was Green The next day he felt a Pain in his Throat which was without any Tumour for the asswaging of which I ordered him a proper Gargarism In the Morning he took a gentle Purge which gave him five Stools To quench his Thirst he took small Ale and sometimes his Julep the eight of September his Fever continuing in the same state we took away ten Ounces out of his left Arm which was as bad as the first the ninth this Sudorific was given him â„ž Diascordium of Fracastorius Ê’j Confection of Hiacinth Extract of Carduus Salt of Rue an ℈ j. Treacle and Carduus water an â„¥ j. Oyl of Vitriol ix drops mix them for a Draught Upon this he sweat well nevertheless the Continual Fever his weakness his Pain in his Throat his Thirst and driness of his Mouth continued still besides that he could not sleep hardly at all Therefore in the Afternoon he drank two Draughts of the following Apozem and took it also the next day â„ž Roots of Succory Grass Asparagus an â„¥ j. of Elecampane Sea Holly and stone Parsley an â„¥ s. Herbs Sorrel Carduus Benedict Borage Centaury the less Scordium Scabious an one handful One whole Pome Citron cut in slices the four greater Cold-seeds an â„¥ j. s. Fruit of Tamarinds Rhenish Tartar an Ê’vj Curants â„¥ j. s. Boyl them in common water q. s. to 〈◊〉 ij add to the straining Syrup of Limons â„¥ iij. mix them for an Apozem The eleventh after an Emollient Glister first given we took away seven Ounces more of Blood out of his right Arm which very much abated the Fever the twelfth after he had taken his former Antidote in the Morning he Sweat very much and in the Afternoon he took his Apozem The next day because his Belly did not answer our Expectations I gave him this Powder to take mixed with a little of his Julep which gave him three Stools â„ž Rhubarb the best Ê’j Cremor Tartar Ê’ s. for a Powder This Powder he took again the sixteenth in the Intervening days and the three days following he took the foresaid Apozem and a small quantity of this Conditement â„ž Pulvis Liberans Ê’j s. the three Saunders ℈ ij Confection of Hyacynth ℈ j. s. Candy'd Orange Peels Rob of red Ribs Pulp of Tamarinds an â„¥ s. Syrrup of Limons q. s. mix them for a Conditement Upon the twelfth his Fever abated every day more and more neither was he molested any more with Anguish or Thirst but his Stomach began to come to him but then through a slight Errour in his diet he fell into a Relaps and his Fever returned with great violence Therefore after we had Glistered him first we took half a pint of Blood out of his left Arm which gave him so much ease that the Fever was almost totally quenched with that one Blood-letting The next Morning taking his Antidote again he Sweat soundly and then taking his Apozem and his Conditement both that day and the three or four next days he was presently delivered from his Fever During the Cure we kept him to a slender diet of Broths wherein were boil'd Sorrel Borage Pome Citrons Barley cleansed and unripe Grapes To drink we gave him small Ale and sometimes Juleps and sometimes he quenched his Intollerable Drought with Pulp of Tamarind or by chawing a slice of Pome Citron dipped in Sugar or else by laying upon his Tongue a Leaf of the bigger Sempervivum steeped in water and the outer Skin pulled off OBSERVATION XXVI A Malignant Fever GErtrude Coets a Young Maid of about twenty four Years of Age was seized with the same Pestilential Fever Upon the eight of September I being sent for which was the fourth day of the Disease I found her so weak that she could hardly speak she swoonded away every moment by reason of the Malignant Vapours that oppressed her Heart her Pulse was very weak thick and unequal the heat not very intense in regard the Morbific Matter infested her more by it's Malignity then it's Heat presently I gave her this Sudorific â„ž Oriental Bezoar stone ℈ s. Diascordium of Fracastorius Mithridate Damoc. Confection of Hyacinth an ℈ j. Carduus water â„¥ j. mix them for a Draught Though she did not sweat long by reason of her weakness yet she had very much ease to quench her Thirst I prescribed her this Julep â„ž Carduus Baum Sorrel and Scabious waters an lb. s. Cinnamon â„¥ j. Citron juice newly squeezed â„¥ j. s. Syrrup of Limons Violets an â„¥ j. s. Oyl of Sulphur q. s. mix them for a Iulep The ninth her Belly was moved by a Suppository and two hours after we took from the Median Vein
the Head hence this Melancholy is not particular to any Part but Sympathetic and therefore from the Name of the Place where the Nourishment of the Distemper lyes is called Hypochondriac V. This Melancholly Delirium is hard to be cured and not void of danger 1. Because the Causes of it are mischievous and remote in regard they occasion the Generation and Accumulation of that feculent Melancholly Matter in the Hypochondriums 2. Because that feculent Matter is obstinate and not easily tam'd by Medicaments and infects the Animal Spirits with a peculiar evil Temper 3. Because the Cure requiring a longer time the question is whether the Patient will take so much Physic or no. 4. Because the continued ascent of the Melancholly humor to the Brain the Distemper instead of being Sympathetic may turn to be the peculiar Passion of that Part. 5. Because those Melancholly Humors are troublesom to the Membranes of the Brain and Nerves through their occult and manifest Qualities their acrimony and sourness c. whence the fear is least their copious afflux to the Brain should cause Convulsions Epilepses c. 6. Because this Delirium is not accompanied with Laughter but with a sad and serious Musing Yet while there is strength and a willingness to take Physic there is some hopes of Cure VI. In the Method of Cure the containing Cause is first to be discussed and the ill temper of the Animal Spirit to be removed as also that the Antecedent Cause or Melancholly Humor in the Hypocondriums be atteuated digested and evacuated and a new Generation and Accumulation of it prevented that Obstructions be removed and that the Brain Spleen and other Bowels be corroborated VII Milder Medicaments not very hot will be most convenient least the Matter being agitated by stronger and very hot Medicines be carried in too great a quantity to the Heart and Brain VIII First loosen the Belly with this Glyster â„ž Emollient Decoction â„¥ x. choice Hiera Pâ—…cra Diacatholicon an â„¥ j. s. Oyl of Camomile â„¥ j. s. Salt Ê’ j. mix them for a Glyster The next day but one or the third day give him this Purge â„ž Leaves of Senna â„¥ s. white Agaric Anise-seed an Ê’ j. Ginger ℈ j. Decoction of Barly q. s. make an Infusion then add to the straining Confect Hamech Ê’ ij Hiera Picra Ê’ j. For a Potion IX Now because People thus affected have their Veins swelled with a Palpitation of the Heart sometimes and that their strength is in good Condition after Purging Blood-letting will not be amiss in the Arm or if the Hemorhoid Veins appear Leeches may be properly applied X. This done let the Patient drink three or four times a day a draught of this Apozem â„ž Root of Polipody of the Oak â„¥ j. Eringos Cammoch Rind of the Roots of Capers Tamarisch an â„¥ s. Herbs Borage Roman-Wormwood Strawberry-leaves all the Dandelions Ceterach Germander water Trefoile an M. j. March Violet leaves and Baum an M. s. Citron and Orange-Peels an â„¥ s. Damask Prunes vij Currants â„¥ ij Steel ty'd in a little knot â„¥ j. Anise-seed Ê’ iij. common Water q. s. Make an Apozem of lb j. s. XI After he has used this Apozem four days let him take the Puâ—…ge aforesaid again and then return to his Apozem and so continue this method for some time and if he be bound while he takes his Glister let him be loosened with the foregoing Glister now and then the Apozem may be made Purging by adding â„ž Leaves of Senna â„¥ ij Root of black-Hellebore Ê’ ij Indian Mirobalans Ê’ vj. Anise-seed â„¥ s. and let him drink â„¥ iiij every Morning If he find himself nauseous and inclining to Vomit this Vomitory may be given him â„ž Conserve of Leaves of Asarabacca Ê’ x. Decoction of Radishes â„¥ iij. Oxymel Scyllitic with Agric â„¥ s. Vomitious Wine Ê’ iij. XII In the mean time that he takes these things let him also for the strengthening of his Head and Bowels take of these Tablets several times in the Day â„ž Specier Diambrae Ê’j Dianthos Aromatic Rosatum an ℈ j. Powder of the Yellow of Citron-rina ℈ j. s. Sugar dissolved in betony-Betony-water â„¥ ij For Tablets Or let him sometimes take a small quantity of this Conditement â„ž Specier Diambrae Ê’ j. Conserve of Borage Baum Rosemary-flowers pale Roses an Ê’ iij. Syrup of Citron rind q. s. XIII Let him keep in a good and pleasant Air and avoid Loanliness converse with merry Company and be merry himself Let him abstain from all Meats of hard Digestion and ill Nourishment especially salted and smoaked food Let him avoid bottled and windy Drink and let his Salads and Sauces be such as attenuate and open and promote Concoction but not very hot HISTORY V. Of Madness A Young Gentlewoman about twenty eight Years of Age lusty perspicacious melancholy musing and thoughtful but using an ill Diet and sometimes liable to obstructions in her Hypochondriums finding her self to be slighted by her Parents a long time concealed her greif and publickly shewed her self chearful but spent the Nights without sleep in Morosness Tears and Sighs At length she was taken with a pain in her Head accompany'd with a slight Fever disorderly but continual within a few days her pain leaving her she appeared to be light Headed for she that was before reserved of her Speech grew to be very talkative of a suddain so that at length she began to talk not only all day but all night long However for the first two or three days though she talked much yet what she said was all sence and rational enough but after that she fell to raving and non-sence then her Fever ceased but still she never slept this Delirium within a few days increased to that degree that she grew sullen angry run about the Chamber made a noise and grew so out-ragious that she laid violent hands upon all that came near her talked obscenely and tore her Cloaths so that she was forced to be held down in her Bed nevertheless she was strong had her Evacuations duly and an indifferent good Stomach nor was she very thirsty neither was she much sensible of the bitter Cold Frosty Winter-Season though she had hardly any Cloaths upon her but was always warm I. THAT the Brain of this Woman was terribly affected appears by her continued Madness accompanied with want of sleep boldness immodesty and anger and that her Heart and the rest of her Body suffered was plain from her extraordinary heat II. This Delirium is called Madness and is a continued Commotion of the Mind with an enraged Boldness arising from the heat of the Spirits III. The chiefest of all the evident Causes was her grief to be so slighted by her Parents which though she dissemblingly suppressed at first nevertheless in a young Person Melancholy of her self and by reason of her disorderly Diet abounding with Choleric and Melancholy humors and so liable to Diseases it might easily produce a raging Delirium For
Molestation of the Animal Actions with a cold Rhuminess of the whole Body in which Distemper the Patient keeps that Posture of Body wherein they were when first taken III. The Brain of this Woman was affected not the whole but in that Part where the common Sense lies and that by a vitious Humor or Vapor translated thither from the Womb. IV. The Antecedent Cause is a vitious and viscous Humor or thick Vapor generated or collected in the Womb and thence conveighed to the Head through blind Channels which adhering to the common Sensory and Parts adjoyning and involving them of a sudden hinders the determination of the Spirits from the common Sensory and so constitutes the containing Cause of this Catalepsis V. Now because the whole Brain is not affected but that sufficient Spirits are generated therein whose Influx into the Nerves is not hindred by any Compression or Obstruction of the beginning of the Nerves hence it comes to pass that those Spirits flowing into the Parts designed when the common Sensory is already possessed of a sudden by that vitious Humor or thick Vapor are not determined to other Parts but copiously flow to those Parts to which they were determined just before the Catalepsis Which is the reason that the several Parts remain in that Posture wherein they were before the Fit and that the Eyes Arms and Thighs remain as it were fixed VI. Now the reason why the Patient stands being set upon her Legs and why her Members being moved this way or that remain in the same Situation is this because the Situation of the Muscles being changed the Influx of the Spirits is also changed and the Pores before open through which the Spirits flowed are shut but others which were shut before are opened so that the Spirits which copiously flowed before into these the Situation being altered flows into those Muscles into which they still also flow till the Situation be altered VII Respiration is performed after the same manner as in those that sleep and remains unhurt partly because of the remarkable largeness and broadness of the Pores and the mainly necessary use of the Respiratory Nerves partly because of the Customary and continual Determination to the Respiratory Nerves VIII The Fit ceases upon the discussing or dissipation of that Humor or Vapor which possesses the common Sensory And the Fit returns when any Vapor or Humor of the same Nature suddenly takes possession again of the same common Sensory IX This Distemper is very dangerous because the most noble Part is affected and because those vitious Humors or Vapors are not easily dispiers'd But in this Patient there was great hopes of Cure in regard the Malady was not generated in the Brain but arose from another Place Besides that the Fits being short we thence judge the common Sensory to be seized not so much by a tough and viscous Humor as by a thick Vapor which is more easily attenuated and dispelled However in regard this thick Vapor may condense into a tough Humor to the hazard of a more durable Catalepsis and loss of Life it self therefore the Cure is not to be delay'd X. The Method of Curing is 1. To discuss that thick Humor or Vapor possessing the common Sensory 2. To purge the Womb and remove the Obstructions of it and prevent a new Generation of that depraved Humor 3. To prevent the assent of that Humor or Vapor to the Head 4. To strengthen the Head that it may no more admit of those Humors or Vapors but may be able forthwith to dissipaâ—… and expel them XI In the Fit let this Sternutory be blown up into the Nostrils that the Expulsive Faculty being provoked the Vapor or Humor may thereby be violently removed â„ž Root of white Hellebore ℈ j. s. Pellitory Leaves of Marjoram Flowers af Lilly of the Valley an ℈ s. Black Pepper Corns n o vii Castoreum gr iiij Then anoint the Nostrils Temples and Top of the Head with this Liniment and put a little Cotton dipped in it into the Ears â„ž Oil of Thyme Rosemary Sage Caroways Castoreum Amber an ℈ s. Martiate Oyntment Ê’j Then let this little Bag be hung about the Neck â„ž Castor Assa Fetida Camphor an ℈ j. s. Sow them into a thin silk Bag. And in the mean time omit not the giving of a strong Glister XII If after all this the Fit remain apply Cupping glasses with and without Scarrification to the Necks Scapulas and Shoulders with dolorific Ligatures and painful Frictions of the Thighs and Feet Then leÌ„t this little Bag boil a little while in Wine and then squeez'd be laid warm upon the top of the Head â„ž Flowers of Rosemary Marjoram Thyme Calamint Flowers of Camomil and Stoechas an M. s. Seeds of Cummin Caroways Lovage an Ê’j s. Lawrel-berry Nutmegs an Ê’j For a little Bag. XIII The Fit being gone off give this purging Draught â„ž Leaves of Senna â„¥ s. White Agaric Ê’j Seed of Lovage ℈ ij Decoction of Barley q. s. infuse them and add to the Straining Elect. Hiera Picra Ê’ij XIV The Body being thus purged open a Vein in the Ancle and take away six or eight ounces of Blood XV. Then let the Patient drink three or four times a day a Draught of this Apozem â„ž Roots of Fennel Valerian Dittany Aromatic Reed Male Pyony an â„¥ s. Herbs Marjoram Nipp Calamint Rue Peniroyal Water Trefoil Baum an M. j. Flowers of Camomil Melilot Stoechas an M. s. Seeds of Lovage and wild Carrots an Ê’ij Iuniper Berries Ê’vj Water q. s. For an Apozem of lbj. s. XVI These Medicaments are to be often repeated as occasion requires And as for the regular Course of living let the Air be temperate and pure perfumed sometimes with Rosemary Baum Thyme Rue Lovage Castor and the like The Diet of good Juice and easie Digestion as such as corroborates the Brain and Womb. The Drink small and without Setling Sleep and Exercise moderate and let all the Patients Evacuations be regular and in due time either spontaneous or procured by Art HISTORY X. Of Giddiness A Woman of thirty years of age fat and lusty of a flegmatic Constitution having many times been troubled so soon as Winter was over with a heavy Pain in her Head and Noise in her Ears at length in the Spring time was taken with a Giddiness that often went and came first more mild then more vehement at what time she thought all things turned round so that sometimes she could hardly stand upright but fell down unable to rise till the Giddiness ceased which presently returned if she looked upon Wheels that ran round Flame or Smoak ascending upward upon any rapid Stream or from any Precipice Her Appetite and Digestion were good her Evacuations were regular and in Season and all the Bowels of the middle and lower Belly seemed to be in a good Condition I. CErtain it is that the Seat of this Affection was in the Brain in regard that Annoyance
Sense or Motion only that he breathed and had a strong Pulse I. THat this man's Head was terribly afflicted the Cessation of the Animal Functions sufficiently declared II. This Affection is called an Apoplexy which is a sudden Privation of all the Animal Functions except the Act of Respiration III. It is plain that it was no Lethargy Syncope Sleepy Coma Catalepsis or Epilepsie because the Patient without any Fever lay almost immoveable insensible nor could be waked by any means having all his Members languid only with a strong Pulse and a heavy Respiration which are no Simptoms of the foresaid Diseases IV. The Brain is affected about the beginning of the Pith which is the Original of all the Nerves then besieged by a Flegmatic Humor V. The remote Cause was continual Gluttony and Drunkenness by which the Brain in a long time was extreamly weakned and the many crude and Flegmatic Humors generated therein and collected together in the Ventricles made the Antecedent Cause which afterward setling at the Original of the Nerves constituted the containing Cause VI. The Animal Spirits being hindred by those Humors contracting the Pores of the beginning of the Nerves presently all the Animal Functions cease and the Patient becomes void of Sense and Motion except Respiration because the Spirits still flow thither by reason of the largeness of the Pores of the Respiratory Nerves But the Distemper lasting together with the Flegmatic Obstruction or Compression the Influx of the Spirits into them is also stop'd which causes the Respiration also to fail and thence a heaving and ratling in the Throat VII The Pulse beats well because the Blood sent from the right Ventricle of the Heart to the Lungs is sufficiently as yet refrigerated but if the Disease continue the Pulse will also fail because the Blood of the right Ventricle of the Heart is not sufficiently ventilated and cool'd so that little Blood comes to the left Ventricle which weakens the Motion of the Heart VIII This Disease is very dangerous yet because it is but in the beginning and Respiration is not yet come to Ratling and for that there is a strong natural Heat remaining in the Patient there is some hope of Cure though not without some fear of a Palsie that will ensue the Cure IX The Method of Cure the removal of the flegmatic Humors obstructing the beginning of the Nerves to prevent a new Generation and Collection of them and to corroborate the Brain X. Let the Body be moderately moved let the Hairs be plucked and laborious Rubings and Ligatures of the Arms and Thighs This Glister may be also administred â„ž Wormwood Rue Pellitory of the Wall Mercury Hyssop Beets Lesser Centaury an M. j. Leaves of Senna â„¥ j. Celocynth ty'd in a Bag Ê’j Anise-seed Ê’v Water q. s. Boil them according to Art â„ž Of the Straining â„¥ x. Elect. Hiera Picra Diaphoenicon an â„¥ j. Salt ℈ iiij for a Glister Or instead thereof this Suppository â„ž Specierum Hierae Ê’j Trochises Alhanhal ℈ s. Salt Gemma ℈ j. Honey ℈ vj. Make a Suppository and at the end of it fasten gr iiij of Diagridium XI After he has taken this Glister Bleed him moderately in the Arm then apply Cupping-glasses with and without Scarification to his Neck Shoulders Scapulas and Legs XII Let this Sneezing Powder be also blown up into the Nostrils â„ž Roots of white Hellebore ℈ j. Pellitory of Spain ℈ s. Leaves of Marjoram ℈ j. Black Pepper Castoreum an gr v. For a Powder XIII Outwardly let this little Bag be applied warm to his Head â„ž Salt M. j. s. Sea-sand Mij Seeds of Cummin Fennel Lovage an Ê’ij Cloves Ê’j s. Heat them in a dry Stone Pot put them in a linnen Bag and apply them warm to the Head XIV Let the Nostrils Temples and Top of the Head be anointed with this Liniment â„ž Oâ—…ls of Castor Lavender Rosemary Amber an ℈ j. Martiate Oyntment Ê’j XV. When the Patient begins to come to himself give him now and then a Spoonful of this Water â„ž Water of Tylet Flowers Lilly of the Valleys Aqua Vitae of Matthiolus Syrup of Stoechas an â„¥ j. XVI Let him then be purged with Pill Cochiae extract of Catholicon Elect. Diaphenicon or Hiera Picra Powder of Diaturbith or the Infusion of such kind of Flegm-purging Ingredients XVII After Purgation let him take this Apozem â„ž Roots of Sweet Cane Fennel an Ê’vj Galangal â„¥ iij. Marjoram Betony Rosemary Rue Calamint Hyssop an M. j. Flowers of Stoechas M. s. Cordial Flowers an one little Handful Iuniper Berries Ê’vj Seeds of Anise Fennel an Ê’ij Water and Hydromel equal parâ—…s Make an Apozem of lbj. s. Of which let him take four or five ounces thrice a day with a small quantity of this Conditement â„ž Specier Diambre ℈ iiij Sweet Diamosch Ê’s Roots of sweet Cane candied Conserves of Betony Anthos and Flowers of Sage Syrup of Staechas q. s. XVIII Let this Quilt be laid also upon his Head â„ž Leaves of Marjoram M. j. Rosemary and Flowers of Lavender an two small Handfuls Cloves Nutmegs an ℈ jj Benjamin ℈ j. Beat them into a gross Powder and quilt them into red Silk XIX An Air moderately hot and dry either by Art or Nature is most proper for this Distemper Meats of good Nourishment and easie of Digestion condited with Rosemary Marjoram creeping Thyme Sage Betony Baum Hyssop the Carminative Seeds and Spices c. Small Drink and sometimes a little Hypocrass Short Sleeps moderate Exercise and orderly Evacuations HISTORY XIII Of the Palsey and Trembling A Virgin twenty five years of Age of a Flegmatic Constitution having for a long time â—…ed upon Sallads Cucumbers and raw Fruit afterwards complaining of heavy dozing Pains in her Head at length fell Apoplectic to the Ground without Motion or Sense except Respiration The Physician who was sent for had brought her to this pass that after six hours she opened her Eyes again and after twenty hours was fully restored to her Senses and spoke but all the Left-side of her Body below the Head remain'd immoveable with a very dull Sense of Feeling Yet her Monthly Customs observed their Periods though not so copious I. THat Affection which remained after the weak Apoplexy went off is called a Palsie Which is a Privation of Voluntary Motion or Sense or both in one or several Parts of the Body II. The Part affected is the Spinal Pith chiefly about the beginning of it where the one half Part of it being compressed or obstructed by the Flegmatic Humor expelled from the Brain disturbs the Use of all those Nerves proceeding from that side and by consequence of the Muscles III. The remote Cause is disorderly Diet and the too much use of cold things whence many flegmatic Humors being generated in a flegmatic Body cause an oppressive Pain in the Head which is the antecedent Cause which also afterwards obstructing the Original of the Marrow of the Brain and afterwards cast
Damage to the Mouth though the Salival Channels be stopped up by this Cure for Experience tells us that the Spittle finds other Channels and Passages for the moistning the Mouth The Diet is the same as in other flegmatic Diseases Now because I do here assert a new Cause of the Ranulae and another part to be affected than other Physicians do and mention also the Salival Channels I think it necessary to tell what those Channels are These Channels were unknown till of late found out in England by Doctor Wharton and Glisson and last Winter publickly shown at the Anatomy Theatre at Leyden by Doctor Iohn ab Horn. The Substance of them is much like the Veins but stronger They are two in number and so wide in a Man as to admit an ordinary Bodkin They rise with a broad Beginning from the great and remarkable Kernel above the middle Tendon seated between the Flesh of the Digastric Muscle And hence carried upward about the middle of the Cheek they abscond themselves between two small Kernels there seated which when they have past they are carried with a streight Channel along the Nerve of the seventh Pair which they cut like a St. Andrews Cross and so somewhat toward the Fore-parts near the Bridle of the Tongue they terminate and open into two peculiar Kernels covered with a thin and porous little Membrane which are seated under the Tongue near the Frog-like Veins between the Flesh that joyns the Tongue to the neighbouring Parts and the Kernels that lye under the bottom of the Tongue Their Office is to powre the Salâ—… Moisture into the Frog-like Kernels which in them is contained as in a Sponge and emptied into the Mouth through the broad Pores of the Membrane that covers them for the moistning of the Tongue and Mouth HISTORY XXV Of the Hydrocephalus or Watry Tumor of the Head A Little Boy about a year and a halfold having been weaned six months and by his Parents that were very poor fed with raw Whâ—…y Fruit and other bad Nourishment nor keeping his Head sufficiently warm in the Winter within a short time had the hairy Part of his Head and Fore-head swelled out to his very Eyes Which Tumor in a months space increased to that degree that his Head was as big as a Mans Head and yet his Face was not swelled the Tumor was soft and white and the deep Prints of the Finger might for some time be seen in it The Child eat and drank indifferent well he had no Fever but was sleepy and moved the Members of his whole Body but dully and faintly His Nostrils were drier than usual and he spit but little He was loose and voided much Urine I. THis Childs Disease by the Physicians is called Hydrocephalus which is a Swelling of the Head caused by a Collection of serous Humors II. This serous and flegmatic Humor is collected within the Cranium and lies hid under the Skin which is discerned by the Touch there being only a soft Tumor III. That it is a serous and flegmatic Humor appears by the white Colour of the Skin and copious because it yields to compression without pain IV. The anteceding Cause are cold and most Humors in the whole Body which being raised beyond the Cranium and condensed under the Skin constitute the containing Cause V. These Humors are generated partly through bad Diet partly through the cold and moist Constitution of the Body which weakens the Concoctions of the Bowels and causes the breeding of many flegmatic and serous Humors which being carried to the Head are there attenuated into thick Vapors and gathered together till they come to a copious Body VI. These Humors cannot be evacuated through the Nostrils and Palate because their thickness has obstructed those Passages Nor can they pass through the streightned Pores of the Skin as being streightned by the External Cold so that new Humors increasing every day and none being evacuated thence hapned such a Swelling in a Months space VII However the Child fed because his Stomach was not yet loaded with this excrementitious Flegm as being copiously evacuated downwards by Urine and Stool VIII He had no Fever because the Humors were not putrified nor was there any Malignity or Excess of Heat IX He was sleepy because of the cold and moist Temper of the Brain which renders the Nerves of the Sensory languid and unfit for the Passage and Reception of the Animal Spirits besides that fewer Animal Spirits are generated in regard the vital Spirits cannot pass the streightned Arteries of the Choroid Fold Which Scarcity of Animal Spirits causes him also to move the Members dully and languidly as he did X. His Belly was soluble by reason of the great quantity of serous and flegmatic Humors that flow'd down to the Intestines the thinner Part of which being mixed with the Blood and separated from it in the Reins causes a greater abundance of Urine XI This Disease is dangerous in tender Age that will not bear strong Remedies in regard of the ill Temper of the Head the great Cachexy of the whole Body and the Quantity of the Humor In the Cure the serous and flegmatic Humor collected in the Head is chiefly to be gently evacuated the Bowels to be strengthened and the Generation of the Mistemper for the future to be prevented XIII First give the Child in a Spoon an ounce of laxative Syrrup of Succory with five or six grains of Jallop in Powder or give him to Eat five or six drams of Solutive Currans Then give him a little old Treacle and if you can let him Sweat also give him every day a little Conserve of Anthos Balm or Flowers of Sage XIV This done foment his Head with the following Fomentation warm â„ž Betony Rosemary Basil Thime Flowers of Camomil Melilot Stoechas an M j. Leaves of Lawrel M. s. Seeds of Anise Fennel Cummin an Ê’ ij White-Wine q. s. Boil them to 〈◊〉 ij For a Fomentation with a large Spunge taking Care not to let it cool XV. The Tumor being dissipated by the use of this Fomentation to remove the other Distemper anoint the Head Morning and Evening with this Oyntment hot â„ž Oyl of Camomil Alabastrin Ointment an â„¥ j. Oyl of Nutmegs pressed ℈ iiij Powder of Castor Storax Benjamin an ℈ j. Mix them for an Oyntment XVI After anointing put on the following Quilted Cap. â„ž Leaves of Rosemary Marjoram Flowers of Camomil Melilot an M. s. Benjamin Cloves Nutmeg an ℈ j. s. Beat them for a gross Powder to be sowed into a Silken quilted Cap. And let him wear this Quilted Cap for some time XVII In the mean time to Corroborate the Bowels twice or thrice a day let him take a Spoonful of this Mixture â„ž tylet-flowers-Tylet-Flowers-water Lilly of the Valleys an â„¥ ij â—…innamon water Ê’vj Syrup of Stoechas â„¥ j. Or instead of this let him now and them drink a little Hydromel And to the Region of the Stomach Liver and Spleen apply this
Liniment â„ž Oyl of Lawrel Camomil Matiate Oyntment an â„¥ s. Oyl of Nutmegs pressed Ê’ j. s. XVIII If these things avail not in three or four the most swelled places of the Head make a small Perforation in the Skin with a little Lance no wider then is usual in Blood-letting that the Serum may distill by degrees through those little holes which is to be dried up with warm Rags till it ceases to flow then lay the afore mentioned Quilt XIX These Children must have drier Diet then ordinary as Biscuit masticated Little bits of White-bread moistened in the Decoction of Raisins or Hen-broath and sweetened with a little Cinnamon or Sugar Let him have thin Broths made with Wheat-flowre and Decoction of Raisins to which add a little Wine Let him often drink Almond-Milk with a little cinnamon-Cinnamon-water Let him abstain from Sowre Milk Whey Ale Fruit unless now and then a Baked Apple or Pear Let him sleep moderately and keep his Body soluble and regular in his Evacuations THE CURES OF THE Chief Diseases Of the whole CHEST WITH TEN CASES OF THE PATIENTS HISTORY I. Of the Pleurisie A Young Gentleman of twenty four Years of Age having over-heated himself in the Tennis-Court and being very dry drank a large Draught of cold Ale Upon this he felt a Pain in the left side of his Chest which within half an hour grew so acute that through the trouble and the intolerable Pain he could hardly breath At the same time he had a strong Fever and a dry Cough which very much exasperated the Pain But neither his Faintness nor his Thirst was very great I. VArious Parts were affected in this Patient the Pleura Membrane the Muscles of the Misopleuron and the Heart and consequently the whole Body II. The Diseases called the Pleurisie which is an Inflammation of the Pleura Membrane and the Muscles of the Mesopleuron accompanied with a Pricking Pain in the Side difficulty of Breathing and a continued Fever III. That it is a Disease appears by the pricking Pain difficulty of Breathing and the continued Fever that it is no Inflammation of the Lungs the pricking Pain declares which never is felt in that Distemper That it is no Tumor Inflammation or other Pain in the Spleen appears from the sharpness of the Pain above the Diaphragma toward the Arm-pits and the difficulty of Breathing IV. The anteceding Cause was the great quantity of Blood in the Body The Original Causes vehement Exercises and pouring down cold Ale just after it The containing Cause is the over-large quantity of Blood contained in the Pleura Membrane and the Mesopleuron Muscles inflamed and corrupted V. The whole Body was over-heated by Exercise whence a strong and swift Pulâ—…e of the Heart which attenuating the Blood forced it in great quantity to all the Parts which so long as it had a free return through the Veins never occasioned any trouble But being thickened by the cold Ale in the Veins of the Left side of the Pleura and the Veins themselves thereby contracted it came to pass that more past through the Arteries then could circulate through the Veins which caused that accumulation of Blood that bred that Tumor in the Pleura and because the Blood that flows from the Heart has its own heat thence with the increase of the Blood the heat encreased and thence the Inflammation which caused the Putrefaction Part of which putrifying Blood being carried through the Intercostal Veins to the hollow Vein and so to the Heart caused the continued Fever which however is only Symtomatical as only arising from the Putrifaction of the Inflamed Part poured fourth into the larger Vessels VI. Now in regard the Ribs must be dilated in Respiration but by reason of the Tumid Inflammation of the distention of the Pleura Membrane and Mesopleuron Muscles they can hardly be dilated thence difficulty of Breathing which is the more troublesome because the Pleura being ended with a most acute Sense can endure no farther distention So that the Patient to avoid the Pain breaths slowly which not being enough to cool the Lungs causes a Drought of the Chaps and Mouth VII Sharp Vapors exhaling from the inflamed Part infest the neighbouring Lungs and by their vellicating the Aspera Arteria cause a dry Cough VIII This Disease is dangerous in regard the Heart is affected and Respiration is impeded besides the fear of an Imposthume in the Breast IX In the prosecution of the Cure Blood-letting is first to be done in both Arms and the Patient must bleed freely And if the first bleeding do not relieve the Patient it is to be again repeated within an hour or two after a third time if need require with regard to the strength of the Patient though a small debilitation is not to be feared X. In the mean time his Belly must be mov'd with a Glister â„ž Emollient Decoction â„¥ x. Elect. Diacatholicon Diaprunum Solutive an â„¥ j. Salt Ê’ j. Or else infuse two drams of Rubarb in Barley-water and give him to drink the streining with one ounce of Syrup of Succory with Rubarb or Solutive Rosatum Stronger Purges must be avoided XI He may also three or four times aday drink a draught of this Apozem â„ž Cleansed Barley Roots of Asparagus Grass an â„¥ j. Licorâ—…ce sliced â„¥ s. Venus-hair Borage Lettice Endive Violet-leaves an M. j. Flowers of Wild-Poppy Violets an P. ij Four great Colder Seeds an Ê’ j. s. Blew Currans â„¥ j. Water q. s. Make an Apozem of lb j. s. with which mix Syrup of Poppy Rheas and Violets an â„¥ j. To allay the Cough let him take this Looch â„ž Syrup of Wild-Poppy of Venus-hair of Violets an â„¥ j. Mix them for a Looch To allay the Pain and to attenuate discuss and Concoct the Blood collected in the affected Part Foment the Region of the affected Part with this Fomentation â„ž Mallows Althea Colewort Chervile Beats Violet-leaves Flowers of Camomil Elder and Dill an M. j. Water q. s. Make a Decoction to 〈◊〉 i j. For a Fomentation Of the same may be composed a Cataplasm by adding Meal of Lin-seed and Barley Oyl of Almonds and new Butter XIV Let him keep a Temperate Diet and of easie digestion Cream of Ptisan Chicken-broths prepared with Endive and Lettice or else let him take some such Amygdalate â„ž Sweet Almons blanched â„¥ ij Four great Colder Seeds White Poppy Seed an Ê’j s. Decoction of Barley q. s. Make an Emulsion of lb j. with Sugar q. s. to sweeten it gently His ordinary Drink must be Ptsan or small Ale but not Sowre or such a Julep â„ž Decoction of Barley lb j. Syrup of Wild Poppy and Violets an â„¥ j. Mixt them for a Iulep Let him sleep long if possible and use no Exercise HISTORY II. Of an Empyema A Person about forty Years of Age being seized with a terrible Pleurisie in his left side and not having any Remedies applied to him before the third day found little ease so that
the Distemper continued till after the fourteenth day being accompany'd with a Fever and other bad Symptoms from that time forward he felt his Pain and his Fever much abated only a ponderous heaviness troubled him about the Ribs in the side affected About the twentieth day the Fever still continuing though very slight he felt a troublesome Ponderosity with a little Pain upon his Diaphregma chiefly on the left side and if he turned from one side to the other of a suddain he felt a certain Humor to flow down the Fluctuation of which was manifestly to be heard in the motion of his Body forward He had also a dry Cough but spit little or nothing he could hardly fetch his breath especially if he lay upon his right side he was faint and weak easily and often sweat he loathed Victuals and desired rather Drink then Meat I THis Man was afflicted with an Empyema which is a Collection of Corruption in the Cavity of his Breast II. This Disease is known by the Signs preceding and present The preceding Signs are the Pleurisie it self Then the Pain and Fever ceasing with any manifest Evacuation by Spittle whence that heaviness about the Ribs in the side affected The present Signs are the heaviness upon the Diaphregma the fluctuation of the Humor upon Motion of the Body and a Cough to no purpose with faintness weakness difficulty of Breathing and loathing of Victuals III. The Matter was not Evacuated by Spittle 1. because the Lungs of this Patient did not stick close to the place affected 2. Because the Matter in the Cavity of the Breast could not enter the Lungs through the Pores of the Membrane investing the Lungs 3. Because perhaps the Pores of this Mans Lungs were so narrow as not to admit such sort of thicker Humors IV. The Pain and Fever abated because the sharp matter of the Inflammation was turned to Matter and so rendred more gentle The quantity of which Matter contained within the Membrane troubled the Ribs of the affected side with its Ponderosity But upon breaking the Aposthume about the twenty fifth day the Matter flowing into the Cavity of the Breast molested the Diaphragma with its weight and the Fluctuation of it was easily perceived in the Motion of the Body For the weight hindred the depressed Diaphragma from moving freely which caused the Pain in Breathing especially if he lay upon his right side for that besides the Diaphragma the right Lobe of the Lungs is compressed by the weight of the Matter lying upon the Mediastinum V. The slight Cough proceeds from the Vellication of the exterior Tunicle of the Lungs caused by the Acrimony of the Corruption But nothing is spit forth because the Matter touches only the outside of the Lungs but never enters the Aspera Arteria VI. The Patient is faint by reason of Respiration hindred and weak as having been weakned by the acute preceding Disease And the Stomach and Liver being weakened by the same Cause thence debility of Concoction and loss of Appetite and loathing of Meat but drink is still desired to quench the drought of the Fever VII This is a dangerous Distemper 1. Because Respiration is damnified 2. Because it follows an acute Disease that has much wasted the Body already 3. By reason of the Difficulty to Evacuate the Matter out of the Breast 4. Because if the Matter stay but a short time it will putrifie and corrupt the Lungs 5. Physic is uncertain 6. Chyrurgery dangerous VIII Therefore after a gentle Evacuation of the Belly Expectorating Medicaments are to be made use of to try if the Matter may be drawn away that way IX To which purpose let him take this Apozem â„ž Roots of Elecampane â„¥ j. Florence Orrice Ê’ ij Licorice shav'd â„¥ s. Hyssop white Hore-hound Venus-hair Violet-leaves an M. j. red Cabbage M. ij Anise-seed Ê’ ij Four greater cold Seeds an Ê’ j. s. Raisins cleansed â„¥ iij. Water q. s. Make an Apozem of lb j. s. To which add Syrup of Horehound Hyssop Oxymel an â„¥ j. Let him take three or four Doses in a day Now and then also let him take a lick of the following Looch â„ž Syrup of Horehound Hyssop Iujubes an â„¥ j. Saffron Pulverized ℈ j. Mix them for a Looch Turpentine also reduced to a Cream with White of an Egg in Barley Water and sweetned with Sugar may be very proper in this Case For though these Medicaments be hot yet the Fever being small there is more regard to be had to the Cause which being taken away the Fever will soon go off X. If these or such like Medicaments will not bring away the Matter in a Fortnight there is no more to be expected from Physic So that the last Remedy must be the Chyrurgeons hand XI To that purpose the Chest is to be cut through as far as the inner Cavity with a sharp Pen-knife under the Arm-pit between the fifth and sixth Rib so as not to hurt the Intercostal Vein Nerve or Artery nor must the hole be very large but such as will admit a Silver hollow Pipe which is presently to be put in after the Incision and so to be fastened that it may not fall out of it self The fore-part also is to be stopt So that the Matter may not flow out without the Chyrurgeons leave Through this Pipe twice a day half a Pint or a Pint of Matter more or less is to be let out according to the quantity of the Matter and the ability of the Patient to endure and then the Pipe is to be stopped again XII When no more Matter flows forth the Lung and inner Cavity is sometimes to be washed with this mixture syring'd into the wound â„ž Decoction of Barley â„¥ v. Spirit of Wine â„¥ iiij Hony of Roses Syrup of Horehound an â„¥ j. Mix them for an Injection to stay within for some hours and then to be drawn â—…ut again through the Pipe XIII If the continual Efflux of Matter shews that the Ulcer within is not healed abstergent and vulnerary Decoctions must be used and Injections moderately drying and abstergent And the Pipe is to be kept in the Wound till no more Matter flow forth and then to be taken out and the wound to be closed XIV The Patients Diet must be attenuating and abstergent as Meats condited with Chervil Hyssop red Cabbage Beets Fennel Almonds Raisins His Drink sweetned with Sugar or Hony or Hydromel Moderate Sleep and a soluble Body and let him be sure to avoid Passion and Anger HISTORY III. Of a Cough A Merchant in the prime of his Years taking no care of his Diet and many times traveling in cold and hot in fair and fowl Weather and many times ill fortified against the external Air the last Autum began to be troubled with a Pose and toward Winter with a terrible Cough that lasted all the Winter long Many times his Cough was extreamly violent especially toward the Evening for an hour together at what time he
2. The next things required are to hinder the Defluxions of Catarrhs to the Lungs 3. To reform the cold ill Temper of the Head and Lungs 4. To change the Flegmatic Disposition of the Body and abate the cold Humors abounding in the whole XIV In the first place let him take a common Glister or a Suppository Let him use a thin Diet and Sawce his Meat with Hyssop Sage Betony Saffron Anise Fennel Raisins and the like XV. Let him often take a Spoonful of this Syrrup ℞ Syrup of Hyssop Horehound Preserved Ginger and Roots of candied Elecampane an ℥ s. Compounded Magistral Oxymel ℥ j. Mix them Also in the Morning and about five a clock in the Afternoon let him take one dram of this Powder in a little Malmsey Wine Hydromel or Broth. ℞ Roots of Elecampane ʒj Root of Florence Orrice Seed of Bishops-weed an ʒj Benjamin Saffron an ℈ j. Musch gr j. White Sugar Candy ʒiij To which add Oyl of Anise drops iiij or v. XVI The Fit ceasing let him be purged once a Week with Cochiae or Golden Pills Hiera Picra or some Phlegmagog Infusion Blood-letting is not convenient XVII Upon other days let him use this Apozem ℞ Root of Elecampane Fennel an ℥ j. Acorus and Licorice sliced an ʒv Marjoram Scabious Venus Hair Hyssop white Horehound Savine an M. j. Iuniper Berry ℥ s. Anise and Fennel-seed an ʒij s. Raisins cleansed ℥ ij Water q. s. Boil them to lbj. Add to the Straining Magistral Oxymel Syrup of Stoechas Horehound an ℥ j. Mix them for an Apozem XVIII Also let him often take a small quantity of this Conditement ℞ Specier Dianthos Diambr an ʒj Root of Elecampane candied conserve of Flowers of Sage Anthos an ʒv Syrup of Elecampane q. s. Mix them for a Conditement XIX To evacuate the Flegm out of the whole Body Decoctions of Saffafrass and Sassaperil are very proper adding at the end some proper Cephalic and Pectoral Ingredients to corroborate the Head and Lungs Also let him wear a Cephalic Quilt upon his Head and lastly let him make an Issue in one Arm or in the Neck XX. If the Patient mend upon the use of these Medicins for removal of the farther Cause of this Mischief let him take every other day in a Morning a Draught of this medicated Wine ℞ Root of Elecampane dry ℥ s. Of Florence Hyssop Ialop an ʒj s. Hyssop white Horehound an M. s. Iuniper Berries ℥ s. Anise and Fennel-seed an ʒj s. white Agaric ℈ v. Lucid Aloes ℈ iiij Tye them up in a Bag and hang them in four or five pound of White-wine XXI For preservation let him use this Bolus twice a Week for three Weeks together ℞ Venice Turpentine ʒiij white Sugar ʒij Mix them for a Bolus to be swallowed in a Wafer moistned in Malmsey Wine XXII His Diet has been already prescribed His Drink must be small his Sleep and Exercise moderate and let him be sure to keep his Body soluble and regular HISTORY V. Of the Quinancy A Young Man about thirty years of Age fleshy strong and Plethoric having overheated himself with hard Labour and being very thirsty drank a large Draught of small Ale brought him out of a cold Cellar So that not able to endure the Coldness of the Drink in his Chaps he was forced to take the Pot from his Mouth Soon after he felt a certain Narrowness with a Burning in his Chaps and from thence some kind of Trouble in Breathing and Swallowing which still more and more increased After seven or eight hours a strong Fever seized him with a strong thick and unequal Pulse and the Difficulty of Breathing and Swallowing encreased to that degree that he could hardly breath either sitting or standing and his Drink presently flew back out at his Nostrils His Mouth was dry with an extraordinary Thrist which because he could not swallow no Drink could allay His Tongue looked of a dark Colour and being depressed with an Instrument in the hinder Part an intense Redness appeared but no remarkable Tumor was conspicuous because it lies in a lower Place The Frog-like Veins were thick and tumid His Speech so obstructed that he could hardly be heard Restless he tumbled and tossed and was mighty covetous of the cool Air Without there was no Swelling but an unusual Redness about the Region of the Chaps I. THis terrible Distemper is called Angina or the Quinancy Which is a Difficulty of Breathing and Swallowing proceeding from an Inflammation and Narrowness of the upper Parts of the Throat Larynx and Chaps and always accompanied with a continued Fever II. This is no bastard Quinancy Swelling of the Tonsilae with Redness caused by a Catarrh but a real Angina bred by a meer Inflammation III. The anteceding Cause of this Malady is Redundancy of Blood which being stirred by the original Causes and copiously collected in the Chaps and Muscles of the Larynx and there putrifying becomes the containing Cause But the original Causes were hard Labour and cold Drink the one exciting the Heat the other chilling too soon IV. For the Body and Heart being heated by hard Labour the Blood was rapidly moved by the strong and thick Pulsations of the Heart and swiftly pass'd through the Vessels but the Blood in the little Veins about the Chaps being thickned by the coldness of the cold Drink and the Roots and Orifices of the little Veins being likewise so streightned that the Blood sent continually from the Heart was not able to circulate through those Passages which caused a Detention of much Blood therein thence proceeded the hot Tumor which streigthned the Passages of Respiration and Swallowing and the Blood now no longer under the Regulation of the Heart became inflamed and putrified and part of it communicated to the Heart kindled a continued Fever about seven hours after when the Matter was sufficiently enflamed and the effervescency was become grievous to Nature V. The Fever made the Respiration more difficult because the boiling Blood required more Room and by that means encreased the Tumor and Narrowness of the Passages besides that the feverish Heat requires more Respiration VI. His dryness of Mouth and extream Thirst proceeded from the hot Vapors exhaling partly from the Inflamed Part next the Mouth partly from the Heart and lower Parts by reason of the Fever Nor can he swallow his Drink because the upper Part of the Ossophagus is so compressed and strengthened by the inflamed Tumor that nothing can pass that way so that the Drink is forced to find another Passage back through the Nostrils VII The Intense Redness that appears in the Chaps proceeds from the abundance of Blood in those Parts which being denied free Passage through the Frog-like Veins is the Cause that they are swell'd too VIII The Speech is disturb'd by reason of the Inflamation of the Muscles of the Larynx and Difficulty of Breathing IX There was no Tumor conspicuous without because the whole Inflamation lay
hid about the Larynx Ossophagus and Chaps nevertheless a certain Redness extended it self toward the outward Parts adjoyning to them X. This is an acute and dangerous Disease which must be either speedily cured or sudden Death ensues for that the Inflamation and Tumor increasing will cause a Suffocation The Fever augments the Danger for that the Patient being not able to swallow any thing the internal Heat cannot be quenched by Drink nor the Debility of the Body be repaired by Nourishment However there is some hopes because the Inflamation does not lye altogether hid in the Miscles of the Larynx but extends it self to the outward Parts where Topicks may be applied besides that the Redness promises an Eruption of the Inflamation towards the outward Parts to the great Benefit of the Patient XI In the Method of Cure it is requisite 1. To hinder the violence of the Blood flowing to the Parts affected 2. To discuss the Blood already collected therein 3. To promote Maturation 4. To prevent Suffocation by Chyrurgery XII The first thing therefore to be done is to let Blood freely in the Arm. And if once letting Blood will not suffice to open a Vein in the other Arm and a third time if need require Also to draw a good quantity of Blood from the Frog-veins XIII In the mean time the Body is to be kept open with emollient Glisters XIV Let the Patient make frequent use of this emollient and discussing Gargarism â„ž Sliced Licorite Ê’iij Two Turneps of an indifferent bigness Scabious Violet Leaves Mallows Mercury Beets an M. j. Flowers of Camomil pale Roses an M. s. Citron Peels â„¥ s. Water q. s. Boil them to lbj. s. Add to the Straining Syrup of Dianucum â„¥ ij Diamorum â„¥ j. Honey of Roses â„¥ s. Mix them for a Gargarism If the Tumor seem to tend to Suppuration add thereto Cleansed Barley Ê’j s. Leaves of Althea M. j. s. Figgs n o ix XV. Outwardly apply this Cataplasm â„ž Root of white Lillies Ê’j s. Leaves of Beets Mallows Mercury Althea Flowers of Camomil an M. j. Pale Roses M. s. Fengreek Meal â„¥ j. s. The inner Part of one Swallows Nest powdered Water q. s. Boil them into the Form of a Poultis to which add Oyl of Camomil â„¥ ij Mix them for a Cataplasm If there be any likelihood of Maturation add thereto Fat Figs n o vij or viij Meal of the Root of Althea Hemp-seed Pulp of Cassia Oyl of Lillies an â„¥ j. XVI So soon as the Patient is able to swallow purge him gently with an Infusion of Rhubarb Pulp of Cassia Syrup of Roses solutive or of Succory with Rheon XVII Then give him this Julep for Drink â„ž Decoction of Barley lbj. s. Syrup of Diamoron Dianucum and Violets an â„¥ j. Oyl of Sulphur a little to give it a Sharpness Mix them for a Iulep XVIII If the Imposthume break let the Patient holding his Head down spew out the purulent Matter and cleanse the Ulcer with a Gargarism of the Decoction of Barley sweetned with Sugar Honey or Syrup of Horehound or Hyssop of which Syrups a Looch may be made Afterwards let him use a Gargarism of Sanicle Plantain Egrimony Cypress Nuts red Roses c. sweetned with Syrup of dry Roses and Pomegranates XIX If while these things are made use of the Difficulty of breathing increase so that a Suffocation may be feared before the Matter can be discussed or brought to maturity the last Remedy is Laryngotomic or Incision of the Larynx concerning which consult Casserius in his Anatomical History of the Voice Aquapendens in his Treatise De Perforatione Asperae Arteriae and Sennertus's Institutions L. 5. P. 1. Sect. 2. C. 7. XX. When the Patient can swallow let his Diet be Cream of Barley Amygdalates thin Chicken and Mutton Broth boiled with Lettice Endive Purslain Sorrel Damask Prunes c. Let his Drink be small Ale refrigerating Juleps and Ptisans Keep his Body soluble and quiet HISTORY VI. Of a Peripneumony or Inflammation of the Lungs A Strong Young Man having overheated himself with drinking Wine after Mid-night drank a Pint of cold Water and so exposing himself to the cold nocturnal Air went home Presently he felt a Difficulty of Breathing which every moment encreased without any acute Pain in the Breast However he felt a troublesome Ponderosity in the middle of his Breast toward the Left-side He had a little Cough which after molested him and caused him to spit bloody and frothy Matter but not much He had a great Redness upon his Cheeks About three or four Hours after a strong and continued Fever seized him with an extraordinary Drought and Dryness of his Mouth His Pulse beat strong thick and unequal and his Head pain'd him extreamly and his Difficulty of Breathing encreased to that degree that he was almost suffocated I. THE chief Part here affected was the Lungs especially the left Lobe as appeared by the difficulty of breathing and the heaviness in the middle of the Breast toward the Left-side By consequence also the Heart and the whole Body II. This Disease is called Peripneumonia which is an Inflamation of the Lungs with a continued Fever difficulty of Respiration and a ponderous trouble in the Breast III. A Plethora is the antecedent Cause of the Disease The next Cause is greater Redundancy of Blood forced into the Substance of the Lungs then is able to circulate The original Cause was too much overheating and too suddain refrigeration IV. The Wine overheated the Body thence a strong and thick Pulsation of the Heart by which the Blood attenuated by the Heat was rapidly forced through the Arteries into the Parts but being refrigerated by the actual Coldness of the Water drank and the in-breath'd Air and not able to pass through the obstructed Passages of the Pulmonary Veins and Arteries begets that remarkable Swelling accompanied with an Inflamation partly through the Encrease of the Blood partly by reason of its Corruption and violent Effervescency V. Now the Bronchia or Gristles of the Lungs being compressed by this Tumor of the Lungs the Respiration becomes difficult and that Difficulty more and more encreases because every Pulse adds some Blood to the Tumid Part. VI. Then because the Lungs being swelled and distended must needs be more heavy thence that troublesome Ponderosity is perceived in the Breast especially toward the Left-side because the Inflamation possesses the sinister Lobe However there is no great or acute Pain because there are no large Nerves in the Substance of the Lungs which therefore have no quick Sence of feeling and as for the inner Tunicle of the Bronchia which most acutely feels it is hardly affected with this Distemper only the sharp Heat of the putrifying Blood somewhat tickling it and the thinner Particles of the Blood being squeezed into it provoke a little Cough accompanied with a little spitting of Blood VII The Cheeks are red by reason of the spirituous Blood boiling in the Lungs
the Cough Suppuration and an Ulcer followed the Corrosion whence the Purulent matter spit up which became still more and more as the Ulcer increased However as yet it has no ill smell because the Ulcer is not come to that degree of Putrefaction VI. the sleight Fever proceeded from the Humors putrifying about the Ulcer For the Blood forced from the right Ventricle of the Heart cannot but receive some infection from the putrified Humors about the Ulcer and carry it to the left Ventricle where it kindles that Fever which is but sleight because the Putrefaction is not great But continual for that every time the Heart dilates something of that Putrefaction falls into the left Ventricle VII The Nostrils are dry because the Flegmatic humors have found out other Passages to the Breast and none come to the Nostrils VIII The Patient is emaciated because the Blood is corrupted by the putrid Humors continually heated in the Heart and mingled with the Blood which is thereby made unfit for Nourishment and uncapable of Assimulation with the Parts IX The Appetite decays because the Stomach not being nourished with good Blood grows weak and breeds bad Humors besides that the continual and violent Agitation of the Cough destroys the natural Constitution of it so that it is not sensible of that Corosion which begets Hunger neither can it conveniently retain nor concoct the Nourishment received X. By what has been said it is apparent that the Disease is a Consumption the certain Signs of which are Bloody and purulent Spittle a soft and lingring Fever and a wasting of the whole Body XI This Disease is very dangerous 1. Because the Ulcer is in such a Bowel the use of which cannot be spared 2 Because it is in a Spungy part that is not easily consolidated 3. Because attended with a Fever that drys up the whole Body 4. Because there is a great wast and decay of strength 5. Because the Cure of the Ulcer requires rest whereas the Lungs are always in continual Motion 6. Because the Medicaments do not come to the Lungs with their full Vertue but through various Concoctions 7. Because a Fever and an Ulcer require different Remedies XII The Method of Cure requires 1. That the cold ill Temper of the Head be amended the generation of cold Humors and the defluctions of cold Humors and the Cough be prevented and allay'd 2. That the Ulcer be cured and the Fever be remov'd XIII First Therefore the defluction of the Catarrhs is to be diverted from the Breast by Issues in the Neck or Arm. The Head is to be corroborated the redounding cold Humors are to be dry'd up and the obstructed Pores to be opened To which purpose the Temples and Bregma are to be anointed Morning and Evening with Oyl of Rosemary Sage Amber Nutmegs c. Let him also wear a Quilted Cap stuft with Cephalics for some time ℞ Leaves of Marjoram and Rosemary an ʒ j. s. Flowers of Rosemary Lavender Melilot an ʒ j. Nutmegs ℈ ij Cloves Storax an ℈ j. Beat them into a gross Powder for a Quilt XIV The Belly is to be gently moved with Manna or Syrup of Roses Solutive XV. Then to facilitate Excretion of the Spittle with such Remedies as at the same time may heal the Ulcer ℞ Syrup of Venus-hair of Comfrey of dried Roses an ℥ j. Mix them for a Looch Or such kind of Trochischs ℞ Flower of Sulphur Powder of sliced Liconice an ʒ j. Root of Florence Orrice ℈ ij Haly's Powder against a Consumption ʒ iij. Benjamin Saffron an ℈ j. White Sugar ℥ v. With rose-Rose-water q. s. Make them into a Past for Trochischs XVI If the Cough continue very violent add to the Looches a little white Syrup of Poppy Moreover to allay the Cough and recover strength let him frequently take of this Amygdalate ℞ Sweet Almonds blanched ℥ ij s. Four greater Cold Seeds an ʒ j. Seed of white Poppy ʒ iij. Barley water q. s. Make an Emulsion to lb j. To which add Syrup of Popies ʒ ij Sugar of Roses q. s. XVII Afterwards for the more speedy closing the Ulcer use this Conditement ℞ Haly's Powder against a Consumption ʒiij Old Conserve of Red Roses ℥ j. s. Syrup of Comfrey For a Conditement XVIII Let his Food be easie of Digestion and very nutritive as potched Eggs Veal Mutton and Chicken-Broath with cleansed Barley Raisins Rice Almonds Chervil Betony and such like Ingredients also Gellys of the same Flesh. Let him drink Goats Milk Morning and Evening warm from the Udder and not eat after it for some hours Let his Drink be Ptisans sweetned with Sugar of Roses Let him sleep long keep his Body quiet and his Belly solule HISTORY IX Of a Syncope A Man forty Years of Age of a Flegmatic Constitution after he had fed largly upon Lettice Cowcumbers Fruit Whey and such like Diet all the Summer long at length having lost his Stomach became very weak with a kind of sleepiness and numness and a Syncope which often returned if any thing troubled or affrighted him which Syncope held him sometimes half an hour sometimes longer with an extraordinary chillness of the extream parts and much cold Sweat so that the standers by thought him Dead Coming to himself he complained of a Faintness of his Heart and with an Inclination to Vomit voided at the Mouth a great quantity of Mucous Flegm no Fever nor any other Pain I. MAny Parts in this Patient were affected and many times the whole Body but the Fountains of the Disease were the Stomach and Heart whence all the rest proceeded II. The most urging Malady was a thick Syncope which is a very great and Headlong prostration of the Strength proceeding from want of heat and Vital Spirits III. Now that it was a Syncope and no Apoplexy is apparent from the Pulse and Respiration both which cease at the very beginning whereas at the beginning of an Apoplexy they continue for some time IV. The remote cause of this Syncope is disorderly Dyet crude and cold which weakens the Stomach that it cannot perfect Concoction and thence a vast quantity of viscous Flegm which adhering to the upper Orifice of the Stomack begets in that cold and moist Distemper which destroys the Stomach And because there is a great consent between the Stomach and the Heart by means of the Nerves of the sixth Conjugation inserted into the Orifices of the Heart and Pericardium hence the Heart becomes no less languid and fainting sometimes suffers a Syncope For that Flegmatic Blood affords very few Spirits for want of which the strength fails and sometimes is ruin'd altogether V. And not only the Animal but the Vital Actions fail for the Vital Spirits failing in the Heart the Animal fail also in the Brain And the Motion of the Heart failing the Motion of the Brain fails which renders the Body numb'd and sleepy though the Syncope be over VI. In this Syncope the Patient lies like a dead Man
they are well digested that vitious Ferment being Evacuated IX There is no Fever because no Putrefaction X. He is thoughtful and sad for that by reason of the acid Humors mixed with the Blood the many Animal Spirits are generated somewhat thicker in the Brain so that they do not pass so chearfully and orderly through the narrow Pores of the Brain which makes the Patient thoughtful and musingly Melancholly XI The Body is emaciated because the first Concoction is not well performed which infects the Blood with a Scorbutic quality that renders it more unapt for Nutrition XII This Disease is dangerous for fear of an absolute Atrophy and Consumption of the Natural strength XIII Therefore in the Cure let the Patient be Purged once in eight days with an Infusion of Senna Agaric c. adding thereto a little Electuar of Hiera Picra or Diaprunum or with Chochia Pills Extract of Catholicon Powder of Diaturbith and the like Blood-letting signifies little in this Case where there is no Fever XIV If his inclination to Vomit continue give him some such Vomitory â„ž Fresh Leaves of Asarabacca Ê’ iij s. Radish-water an â„¥ ij squeez out the Iuice then add Antinomiate Wine Ê’ iij. Oxymel of Squills â„¥ s. XV. Let him take three times a day some convenient Apozem like this that follows â„ž Roots of Tamarisch Capers Polypody of the Oak Elecampane an Ê’ vj. Germander M. j. s. Baum Betony Borage Dodder an M. j. Leaves of Lawrel Water Trefoyl an M. s. Orange-peels Ê’ vj. Anise and Fennel-seed an Ê’ j. s Raisins cleansed â„¥ ij Water q. s. Make an Apozem to lb j. s. XVI Between whiles let him take a small quantity of this Conditement â„ž Roots of Elecampane Orange-peels Condited Conserve of Borage Baum Flowers of Sage an â„¥ s. Oyl of Anise drops xij Syrup of Elecampane q. s. XVII In a great distention of the Maw and Intestines with Faintness and Pain such a Bolus will be very proper â„ž Treacle Ê’ j. Crabs Eys prepared ℈ j. Oyl of Annise drops iiij Mix them for a Bolus XVIII Instead of his Apozem sometimes in a Morning fasting give him a Dose of this Powder in Ale or Broth. â„ž Crabs-Eyes prepared Ê’ ij Red Coral prepared Ê’ s. Amber prepared Ê’ s. Make a Powder to be divided into four Doses XIX Let his Diet be of good and easily digested Nourishment avoiding all dry'd smoak'd acid sowre rank and crude Victuals Let his Drink be sound stale Ale and small Wine but not acid Let him Sleep and Exercise moderately and evacuate duly and regularly AN INDEX OF MATTER Contained in the TREATISES OF THE Small-Pox Measles AND THE CURES and DISPUTATIONS following AGue Tertian 134 140 Ague Bastard 135 151 156 St. Anthonie's-fire Apoplexy 185 Appetite lost 113 Apthae 204 205 Arabian's Opinion of the Causes of the Small Pox. 4 An Asthma 44 216 The Author rejects the Opinions of all the Physicians concerning the Small-Pox 6 Avicins Opinion concerning the Causes of the Small-Pox 4 B. Bâ—…thing in the Small-Pox dangerous 37 Belly-bound 150 Blear ey'dness whether contagious 109 Bleeding at the Nose 52 116 200 Blindness 197 Bloodletting when to be admitted in the Small-Pox 13 34 Bloodshot Eyes 195 To break the Pox more speedily 19 b. Breath stinking 83 A Burning 64 Burstness of the Guts 86. With a Gangrene 122 C. Camphire debilitates Venery 79. a. b. A Canine Apetite 233 Carus 178 Catalepsis 179 A Catarrh Chimical dissolutions of little use 15 a. Chyrurgical Helps for the Small-Pox 12 Cinnamon water the use of it in the Small-Pox 35 Cholic 98 137 Coma a Disease so called 174 Ill consequences of catching of Cold in the Small-Pox 26 a. b. Concoction difficult 234 A Consumption 75 123 224 Convulsions Epileptic 133 Convulsion 189 Coverlets red contribute to expel the Small-Pox 15 A Cough 158. 214 Cupping-Glasses improper 13 Cure of the Measles 24. a D. Deafness 160 The Diagnostic Signs of the Small-pox 7 Diagnostic Signs of the Measles 23. b Diaphoretics for the Small-pox 14 Diarrhea 120 Duncan Liddel defends the Opinion of the Arabians 5 What Diâ—… convenient in the Small-pox 10 A Disentery 59 61 73 74 A Dysury 47 E. Emplasters hurtful 15 Empyema 212 Epilepsie 190 Epileptic Convulsions vid. Swoonings Epithemes hurtful 15 Evacuations monthly dangerous in the Small-Pox 32. a. b Expulsâ—…oes the several Sorts 14 External Parts how to cure 19. a. Exulcerations how to cure them 22. a. Eyes how to preserve 20 Eye-lid seized by the Small-Pox how to cure 37 Eye-lids closed by a Wound 46 F. Face swell'd with a Fall 142 Fever Malignant 69 70 72 Tertian Intermitting 115 Female Purgations suppressed 61. 80. 91 Fernelius of the Small-Pox 5 Figs the use of them in the Small-Pox 15. b The Vertues of them 16. a Fissure of the Skull 102 Fomentations hurtful 15 French-Pox 118 G. Gallic Fever 66 Gargles 19. b Gentilis of the Small-pox 5 Giddiness 181 A Gonorrhea 37 Gout in the Knee 97 Gouâ—… 154 H. Head-ach 80 103 128 163 Hickup 104 Several Histories of the Small-pox 25 26 27 28 29 c and Measles 38 Hoarsness 49 House-Swallows 13 A Hurt upon the Shin 78 The Hydrocephalus 208 Hypochondriachal Passion 235 Hysterical Suffocation 111 I. Imagination the Strength of it 29 Inflammation of the Lungs 41 221 Internal Bowels may be seized by the Small-Pox 27. a Internal Parts how to â—…re 15. b The Itch. 52 160 Itching in the Measles how to prevent 24. a K. Kidneys pain'd 95 Kings-Evil 143 L. Lethargy 176 What Lotions to be rejected 22. a M. Madness 173 Of the Measles in General 1 Of the Measles in Specie 23. a Melancholy 167. Hypochondriac 169 Mercurialis of the Small-pox 5 Milkie which the best for a Consumption 76. b Milk in a Virgins Breast 132 Mortification of the Legs and Thighs by Cold. 54 The Murr 200 201 N. Nature to be observed in the Cure of the Small-pox 28. a. b Nephritic Passion 63. Pains 125 132 The Night-Mare 183 Noise in the Ears 198 O. An Ophthalmy 108 194 Oyls hurtful 15 P. Pain extream under the Breast-bone 127 Palpitation of the Heart 228 Palsie 50 187 Perforation with a Bâ—…dkin dangerous 21. b Pestilential â—…ever 36 Pharmacutic Remedies 13 A Phrensie 165 Pin and Web. 195 Pitting to prevent 21. a Pits to take them away 22. b The Pleurisie 210 The Pose 200 201 Of the Small-pox in general 1 Of the Small-pox in specie 3 The Causes of the Small-pox 4 The preservative Physic. 9 The prognostic Signs of the Small-pox 8 Prognostic Signs of the Measles 23. b Purgatives whether proper or no. 13 Purging violent 82 Purples 24. a. b. 32 Q. Quick-silver good for the Worms 153 Quinancy 218 R. The Ranula 206 a Red Spots how to take them away 22. a Remedies not to be changed when truly applied 28. b S. Saffron the Use of it in the Small-pox 35 A Scald 46 Scars to prevent 21. a Sâ—…iatica 146 Scurvy 128. When first known 129
backward toward the Ligature but are almost quite empty beyond the Ligature Have they not the same Right and Power as the lymphatic Vessels Wherefore also when there is no Ligature cannot the Lympha be forc'd by the Finger from the chyliferous Bagg toward the Liver and Glandules of the Groyns and Armpits tho' it may be easily forâ—…'d toward the Vasa Chyliferae Why do the Valves obstruct this more than that Motion of the Lympha Certainly all these things plainly teach us that the Lympha does not move from but to the chyliferous Bag and the Vasa Chylifera In the Liver or a little below the Liver the thing is so plainly manifest by the forementioned Ligature that it is beyond the Contradiction of any Man that has Eyes whenas there is no Chylus strain'd through the Liver nor any Chylus that comes thither whatever Regius Bils and other Asserters of antiquated Learning and erroneous Demonstrations so vigorously maintain to the Contrary as shall be more largely prov'd l. 7. c. 2. Now then if this happen thus in the Liver why shall the same thing seem such a wonder in the forementioned Glandules in which the same thing is evident by Ligature Why must the Glandules of the Groyns and Armpits make milkie Juice and not rather extract it out of the Vasa Sanguifera themselves in like manner as we see that in the Ventricles of the Brain the small Glandules adhering to the Choroïdal Plexure so far as which no milkie or chylous Liquor penetrates extract a serous and lymphatic Liquor out of the Vessels to which they adjoyn and discharge it into the Cavities of the Ventricles However if any Follower or Admirer of Lemis de Bils either will be pleased or can at any time demonstrate this thing otherwise to us so as to convince us by seeing it with our Eyes we shall rest satisfy'd in the mean time we are bound to believe what we have hitherto seen and now asserted XX. Reason also gainsay's the foresaid Opinion For that the milkie Iuice of the chyliferous Receptacle cannot immediately upon its slipping out of the Receptacle toward the Glandules supposing 'em to be the Glandules of the Groyns changed into this pellucid and clear Lympha and lose all its milkie Colour in a Moment But this they say is done because it is strain'd through the Glandules lying in the Mid-way But there are no Glandules where the Insertion of the lower lymphatic Vessels into the Receptacle of the Chylus shews it self There are two indeed a little lower but the various lymphatic Vessels pass by 'em at such a Distance that they do not so much as touch 'em so that the Lympha contained in them cannot attain its transparent Thinness from such a Straining Others more studious of Novelty than Truth that they may by some means or other underprop this new Opinion assert with Regius that the milkie Juice being infused with Violence into the Receptacle of the Chyle becomes Frothy and White but by Cessaâ—…ion the Froth ceasing becomes watery and flows to the Glandules so coloured like Water Like brown Ale which being poured forcibly into the Glass foams at the top with a white Froth but let it stand a little and the Froth turns again to watery Liquor But how lame this Simile is is every way apparent For certainly there is not so much Violence in the Motion of the Chylus which should occasion the chylous Juice to become white and frothy for that natural Motion proceeds softly and gently of which no more violent Motion can ever be felt by a Man not discern'd by the Eye in Dissections of living Creatures So that if it presently loses its white Colour which they call Spumosity descending from the chyliferous Bagg by a short way to the Loins and Glandules of the Groins why does it retain it in a Channel four times as long ascending to the subclavial Veins Whence has it that whiteness in the Intestines and milkie Mesaraics before it is infused into the chyliferous Bagg with that feign'd Violence Wherefore standing quiet in the milkie Vessels or taken out in a Spoon by that Sedateness does it not lose its Colour but still preserve its whiteness XXI And thus whether we consider the Autopsia viz. Ocular Convincement or Reason the Lymphatic Vessels do not seem to have any other Original than from the cluster'd Glandules and the Parts by us already mention'd And further also it manifestly appears that the Lympha is a Liquor very much distinct from the Chylus XXII After the description of these Chanels or Vessels let us examine in few words what sort of Liquor the Lympha contain'd in 'em is For the Opinions of Learned Men are very various in this Matter and every one advances his own as truest or at least most probable XXIII Bartholine de vas Lymp Brut. c. 6. writes that the Lympha is a simple Water being the remainder of the Nourishment as it is Elementary This Martin Bocdan who Apol. 2. Memb. 11. Artic. 3. agrees with his Praeceptor asserts in Man to be diffus'd between the â—…at Membrane and the Muscles but in other Creatures is contain'd under the Skin and because it does not all transpire through the Skin therefore that these Vessels were made for its Evacuation But both the one and the other describe a very mean rise substance and use of this Lympha when such a simple Water could never be sufficiently expell'd through the Pores only by the heat of the Parts nor would there be such a necessity for it to be carried inward through the Pores of the Body If you say that this is requisite for the moist'ning of the Parts certainly that Office is sufficiently perform'd by the moisture of the Meat and Drink assum'd Besides a meer Water never settles into a Gelly as this Lympha will do if it stand a while in a Spoon XXIV Glisson Anat. Hep. believes the Lympha to be a Liquor consisting of the Vapors of the Blood gather'd together like Dew forc'd into these Vessels and flowing back with the Vehicle of the Nourishment brought through the Nerves But this Opinion is confuted by these Reasons 1. Because such Vapors may easily thicken into Dew or Water but never like the Lympha into a Gelly 2. For that the Supposition of the Nutritive Juice being carried through the Nerves is false and by us C. 16. of this Book and L. 3. c. 11. and L. 8. c. 1. sufficiently refuted 3. Because the Vapours of the Blood partly invisibly through the Pores and visibly by Sweat partly by the Expiration of the Lungs or else condens'd may be emptied with the Urine Stool Weeping c. so that if that be all there is nothing that compells 'em to enter those Vessels XXV Backius does not seem to differ much from Glisson who seems to deduce those Vapours of the Blood out of the Veins into these Vessels for he affirms the Lymphatic Vessels to be Veins arising
the Fibers ascend from the Pith into the Brain with the same priviledge I may say that they descend from the Brain into the Pith neither is it any argument against me that the brain is not sufficiently harden'd at the beginning for that then neither is the Pith sufficiently coagulated but appears like a moist Slime Besides the perception of the Senses proceeds from the brain as being the beginning of all the nervous Fibers and not in the Pith for it is not the wound of the pith but the wound of the brain that hinders and obstructs the Perception Nor does the Argument brought from a Chicken prove any thing to the contrary For if at the first formation of the Chicken the Film contract it self upon the pricking of the Needle that is rather a sign that then the brain which is the beginning of all sensation and without which no sensation can be was no less form'd than the Pith. XVII The Shape of the Pith is various nor is it the same in all Creatures nevertheless in Men it is oblong and almost round Vesalius Laurentius Picolhomini and Spigelius assert that it is larger and thicker at the beginning and thinner toward the end and so describes it in his Table affix'd Which is deservedly found fault with by Fallopius who excellently well observes that about the lower Vertebers of the Neck and the first of the Thorax where the great Nerves extend themselves to the Arms as also in the Loâ—…ns where large Nerves run out to the Thighs it is fuller and thicker than in the upper middle or lower parts but that in all the rest of the parts it is every where for the most part of an equal thickness unless it be the end that lies hid in the Os Sacrum XVIII From the seventh Verteher of the Breast to the lower parts it is separated as it were into several small strings being the Productions of the Nerves in the pith of a newly deceas'd Body dippâ—…d in Water and stirr'd about therein so conspicuous so that toward the end that same vast quantity of little Strings seems in some manner to represent the Figure of a Horses Tayl. Which Riolanus who did not understand that the whole constitution of the Pith was fibrous asserts to have been so created by God lest the Pith of the Back being soft and juicy as it is observ'd in the Neck and Back should be bruis'd and broken by thâ—… continual moâ—…ion of the Loins The said divarication of the Pith toward the end into small Ropes or Strings the learned Tulpius questions For says he near the Os Sacrum we have examin'd very diligently but never could find those hairy strings which Andrew Laurentius describes in his Tables tho' otherwise a most credible Writer We met indeed in that place with Nerves more loose than in other places but yet compact and so closely united that no hot Water would separate their twisted Body as that other asserts unless he meant by Strings those Nerves into which the extream part of this Spinal Marrow is evidently distracted But ocular view opposes and resolves this Doubt by which it manifestly appears that the lower part of the Pith especially that which is contain'd in the Loins and Os Sacrum being beaten and stiâ—…r'd in the Water will separate into several strings Now the Reason why Tulpius did not observe that dissolution might be because he let the Pith lie in the Water but never stirr'd and shook it sufficiently XIX The Pith within the Skull has a Hollowness like a Pen shap'd for writing constituting the lower part of the fourth Ventricle and so far to the midst of its thickness it is manifestly divided into the Right and Left part in the same manner as the Brain is divided in the upper part And hence the Palsie sometimes in the Right sometimes in the Left side But this Division in the outside of the Cranâ—…um in the Cavity of the Spine is not conspicuous to the Eyes because of the exterior Tunicle or hard Meninx which enfolds it round about for which Reason the whole Pith being view'd without seems round and simple without any division to the end of the Os Sacrum though if that Tunicle be taken away there is in reality such a division found by the intervening thin Film and may be shew'd by neat and curious Dissection and not only by Dissection but by the blowing in of Wind the same division may be discover'd Thus Bartholine after a tedious Examination by putting a Pipe into the Hollowness â—…bove the separation easily brought the Wind to the extream parts so that the whole Body of the Pith where the Division ran along seem'd to be rais'd up But this Division descends no farther than about half way of the Substance Nor is there any other manifest Discovery to be found in any part of the Pith. XX. It is lapt about with two Membranes of which the first that enfolds it immediately arises from the Pia Mater which being sprinkl'd with innumerable small Arteries entring the Substance of the Pith washes and nourishes it with Vital Blood the remaining part of which Blood intermix'd with little Arteries suck up and convey back to the heart The other Membrane sticking to the first by the means of small tender Fibers proceeds from the thick Meninx Gerard Blasius observes a third between these two which as resembling a Spider's Web he calls the Arachnoides and alledges that it sticks to the thin Meninx and may be easily separated from it either with a Bodkin or by blowing About these Tunicles is wrapt a strong and nervous Membrane by a strong Ligament that binds the fore-parts of the Vertebers which perserves the Pith of the Spine from damage in the bending and extension of the Back Over this a thick and viscous Humor spreads it self to moisten and smooth it that it may be more easie to prevent pain in motion upon its being over-dry With which Humor all the Joynts are moisten'd for their more easie Motion Lindan and Blasius erroneously number this Membrane with the containing parts of the Pith in regard it rather serves to bind the Vertebers withinside than to enfold the Pith. Besides the foremention'd Coverings the Pith is also included within a Bony Sheath for its better preservation the upper part of which is cover'd with the Skull CHAP. VIII Of the Mamillary Processes the Pituary Kernel the Funnel the wonderful Net and the Nerves proceeding from the Pith within the Skull See Table 12 and 13. HAving gone thus far in Demonstration the Brain is to be rais'd up in the fore-part that the Parts which lie underneath may be more easily seen I. Among the Parts that lie hid under the Bulk of the Brain the first that occur to the Eye are the Mamillary or Papillary Processes so call'd from their Figure which is round at the end like a Teat These were not reckon'd by the Ancients among the Nerves by reason of
in the first place the Preservation and Life of the whole Body some few things are to be said concerning the special Cure of some parts which in this Disease are more Afflicted then others Because that the Morbific matter either is more especially troublesom to them or falls upon them with greater force and in greater abundance Now the Parts more then others Afflicted are either Internal or External The principal Internal Parts are the Lungs the Stomach the Guts the Liver and the Reins and that they are Affected and greivously Prejudic'd is discern'd by the bad Performance of their Functions But although when these Parts whether one or more be particularly afflicted the danger of the Patients is so great that very few so seiz'd recover from the Disease and escape nevertheless because all do not dye but some are sav'd it behoves the Physitian to Devise what Cure may be done in these desperate Cases and as much as may be to lessen the cause of the Disease and asswage the Symptoms that so he may either restore the Patient to Health or procure him a more easie Death In General the Decoctions of Lentils Lack and Tragacanth relieve all these Parts and Bowels so Afflicted For Lack preserves the Liver Spleen and Kidneys Lentils Corroborate the Intestines and Tragacanth defends the spiritual Parts Particularly sweet things are proper for the Lungs Labouring under Sickness as being those things which promote Maturation asswage Coughing and facilitate Spitting Such are Syrup of Colts-foot Licorice Jujubes Wild Poppies Violets Roses cold Diatragacanth Diapendium Powder and Juice of Licorice Conserves of Roses Borage Violets and the like of which as occasion requires sometimes Loches sometimes Trochischs sometimes Electuaries are made Or else Pectoral Decoctions of Barley cleans'd Colts-foot Althea Violet Leaves Figs Raisins Jujubes c. are sweeten'd by their mixture Treacle at the beginning powerfully asswages Vomiting of the Stomach and Pains of the Heart Afterwards some such kind of Emulsion is to be Administer'd â„ž Sweet Almonds cleans'd â„¥ j. four greater Cold seeds an Ê’j s. Lettice and Columbine seed an Ê’j s. White Poppy seed Ê’ij s. Barley water q. s. make an Emulsion for one pint To which add Syrup of Poppies Ê’ij Syrup of Borage â„¥ s. Mix them Outwardly a Fomentation may be applyed to the Region of the Stomach of a Decoction of Mallows Althea Mint Sage Thyme Marjoram Flowers of Roses Camomil and Melilot seeds of Anise and Cumin After Fomentation for the greater Corroboration of the Part anoint with this Liniments â„ž Oyl of Mint and Anise an â„¥ j. Expression of Nutmegs Ê’j s. Oyl of Spike and Bricks an Ê’j Mix them for a Liniment After Unction let this little Bag be lay'd on sprinkled with hot Wine or else boyl'd a little in Wine and gently squeez'd â„ž Ledves of Majoram Rosemary Sage Flowers of Melilot and Roses an half â—… handful Seeds of Dill Lovage Cumin Nutmegs an Ê’j Clove Gilliflowers ℈ ij make a gross Powder and sow it in a little Linnen bag according to Art Treacle Mithridate Diascordium Hart's-horn burnt Crabes Eyes Powdred Terra Sigellata or sealed Earth red Coral conserve of red Roses or else the first Decoction of Avicen in the foregoing Chapter asswage the Gripings of the Guts and stop the Flux of the Belly Or else some such kind of Almond Composition â„ž White Poppy seed Ê’iij Sweet Almonds cleansed â„¥ ij Decoction of Barley q. s. make an Emulsion to a Pint to which add Syrup of Poppies and dry Roses an Ê’iij mix them together for an Almond composition When the Liver is affected the same Amygdalate will be very proper adding the four cold Seeds Or else a Decoction of Barley with red Roses and red Saunders sweetned with Syrup of wild Poppies Roses and Violets Or else an Electuary of Citron Rinds condited Conserve of Roses Borage Violets and Powder of the three Saunders with an addition of Syrup of wild Poppies For the Kindneys if the Patient makes Bloody Water the following Emulsion is to be prescribed â„ž Sweet Almonds cleansed â„¥ j. s. the four cold Seeds an Ê’j White Poppy seed Ê’iij Decoction of Barley q. s. make an Emulsion to a Pint. In which dissolve Tragacanth powdered ℈ ij Syrups of Wild Poppy dryed Roses and Cumphry an â„¥ s. Mix them together for an Almond composition Liddelius in this case commends powder of Amber Trochischs of Yellow Amber or Alkakengy with an Emulsion of the four greater cold Seeds These are the primary and cheif things which can be prescribed and administred in these most dangerous cases when the inner Bowels are greivously affected according to which method Physiclans may and ought to devise many others of the same Nature For a Patient is not presently to be abandond as uttterly lost in the pangs of extremity and danger of Death which would be an uncharitable act in Christanity but it behoves a Physitian to try his utmost and leave the rest to God who has many times restored to Health such as have lain in a desperate condition CHAP. XII Of the Cure of the External Parts THE External Parts which are usually most afflicted by this Distemper are the Hands and Feet the Mouth and Chaps the Nose the Ears the Eyes and Face At the coming forth of the small-Pox or when they begin to ripen many times an extraordinary Pain and Itching afflicts the Persons diseased in the hollow of their Hands and the Soles of their Feet because the thickness of the Skin in those Parts prevents their coming forth You shall cure this symptom by somenting those Parts in warm water or in warm water mixt with Sweet Milk or in a mollifying Decoction If the small Pox are come out very thick about the Mouth and Chaps they cause a difficulty of Respiration and swallowing In this case the Mouth is frequently to be washed and the Throat also frequently gargl'd with the simple Decoction of Figgs or if there be any Inflammation or violent heat the same Decoction may be thus prescribed â„ž Barley cleansed â„¥ j. s. sliced Figs no. xvij Raisins of the Sun stoned â„¥ j. s. Leaves of Althea Violets Endive Lettice an one handful and a half flowers of pale Roses one handful of Elder one handful Water q. s. make a Decoction of two pints to wash the Mouth When the Pox are ripe to render the act of swallowing more easie and cause a swifter breaking of the Pox let the Patient frequently swallow a Pill about the biggness of a filbeard of new Butter without any Salt wrapt up in Sugar for this wonderfully dissolves the Swelling Pox of the Jaws But if this happen to fail and that the Pox remain wholâ—… and that the difficulty of Breathing and Swallowing still increases then take a small Spunge fastened to a little stick and having dipped it in Syrup of Violets squeeze it strongly against the Jaws to the end thereby the Pox may be forcibly broken and the narrowness of the Passage
open'd So soon as the Pox are broken gargle with a Decoction of Barley Plantain and Red Roses sweetened with Honey of Roses and Syrup of Cumfrey To defend the Nostrils from the Pox let the Patient very often smell to Venegar Thus also Forestus writes that Benedict Faventinus before breaking of the Pox ordered their Patients to smell to Vinegar wherein they had boil'd a quantity of Roses Liddelius also and Riverius approve the smelling to Vinegar But if the Pox happen to be very thick in the Nostrils annoint them often with a Feather dipped in Oyl of Sweet Almonds But if they are grown into hard Scabs and obstruct the Nostrils and so procure a difficulty of Breathing then stuff into the Nostrils new Butter without Salt by which means the Scabs being softned fall off and the Obstruction ceases The advice of others is that the Patients should snuff up into their Nostrils these and the other Decoctions but that Children cannot do nor can grown People do it by reason of the Obstruction Only Butter thrust up often into the Nostrils does the business so that there is no need of other troublesom Remedies But if there be any Exulceration in the Nostrils that is to be cured with a Liniment made of the Oyl of the Yolks of Eggs and juice of Plantain well mixt together in a Mortar To which if there be an occasion of drying up the Matter more than ordinary you may add a little Tutia Oyntment If the Ears ake and itch let not the Patient handle them with his Hands or if they run let the Matter go and take care that they continue open But if the Pain be very much dip a Spunge in the Decoction of the Leaves of Althea Flowers of â—…amomil Melilot and Roses Seeds of Fengreek Dill and Cumin and drop it lukewarm into the Ear. The Medicinal Part that concerns the Eyes consists partly in Preservation partly in the Cure To preserve the Eyes from being over-run with the Pox some wash the Eye-lids with Plantain and Rose water wherein a little prepared Tutia has been infused or mixed with a little white Self and Camphire Bauderon prescribes to this purpose the following Collyrium â„ž Leaves of Black-thron-Bush Plantain red Roses an half a handful Boyl them in Smiths water to â„¥ iij. In the straining dissolve Saffron ℈ j. Camphire gr v. The white of one Egg and mix them together Of this drop some few drops into the Eyes every hour and lay little Rags dipped in the same upon the Eye-lids and keep the Patient dark Liddle prescribes this â„ž Rose-water â„¥ ij Plantain-water â„¥ j. Powder of the Seed of Sumach Ê’ij warm them over a gentle Fire and strain them with a good force Add to the straining Camphir ℈ j. Saffron gr v. Mix them for a Collyrium and let the Eyes be often moistened with a Linnen cloth dipped therein Mercurialis administers this â„ž rose-Rose-water Plantain-water an â„¥ j Sumac â„¥ s. let them steep a whole night and make a mixture with as much white of an Egg as suffices Or else he takes â—…halybeat Milk mixt with rose-Rose-water with which sometimes he mingles a little Mirrh to assawge the pain and itching For my part I find nothing better then Saffron powdered and mixt with Cream of sweet Milk With which mixture let the Eyes be anointed with a Feather touching with the same now and then the Caruncles in the larger corner which I use with success when the Eyes are damnified only adding thereto a little white Sief If the Eye-lids cannot be preserved from the Small Pox then it frequently happens that they swell very much so that the Eyes are closed by reason of the swelling In this case observe that the Eye-lids notwithstanding that swelling are to be opened with the Fingers once or twice every day to the end the humour abiding therein may be let out which otherwise thickning within the Eye-brows begits a Whitshot But if by reason of the largeness of the swelling the Eye-lids cannot be conveniently opened they are first to be fomented with a soft Spung dipt in Mutton broth or a lukewarm Decâ—…ction of Leaves of Althea Flowers of pale Roses and Melilot and Seed of Fengreek and after the use of this Fomentation for some time then try again to sunder the Eye-lids with your Fingers If after the swelling is abated and consequently the Eye-lids freely open any white Clouds like the white of an Egg appear in the Eyes dimming the sight blow a little white Sugar Candy finely powdered through a quill into the Eye with which and nothing else I have successfully removed those little Clouds But if they chance to grow harder and absolutely blind the sight then add to the said Sugar Candy a fourth or sixth part of Lapis Calaminaris finely powdred together with the Sugar Candy That powder wonderfully takes away those Clouds and restores the sight But if the Eyes are Ulcerated by the Pox they must be cured with this Collyrium â„ž Ceruse washed Ê’iij Sarcocol Ê’j Gum Tragacanth ℈ j. Opium gr ij make Trochischs of this with Muscilage of Tragacanth extracted in Plantain-water which when use requires are to be dissolved in Womans milk or Rose-water The care of the Face like that of the Eyes consists partly in Preservation partly in Cure Preservation is not intended to prevent the breaking forth of the Pox in the Face for if that should be hindred the Distemper would seize the inner Parts as the Brain Meninx's Eyes and other Parts which would be a greater prejudice but that the Small Pox being dried and falling off may leave as few Scars and Pits as may be To which purpose several Topics have been invented Some while the Pox are coming forth frequently foment the Face with a Decoction wherein Pease have been boyl'd to an Extraordinary softness as we say to mash Others anoint the Face twice a day with a Feather dipp'd in Oyl of Navews with great success Forestus recommends Oyl of Sweet Almonds Riverius Oyl of Nuts Others Bacon tosted at a hot Fire and the dripping receiv'd into Rose-water and so made into a soft Oyntment which does well and was generally used by that great Practitioner Timannus Gesselius Others roast the Caul of a Boar-Pig at the Fire upon a Spit letting the Fat drop into a Receptacle fill'd with rose-Rose-water and smear the Face all over with that mixture and then cover all the Face with the Fat of the same Hog cut into thin slices This they do twice a day taking off the Old and laying on fresh till perfect Maturation of the Pox which happens sooner by that means till they fall off and this is a great secret among the Court Lady's Certainly none of these ways are to be contemn'd but excellent in their kind and I believe they are many times to be made use of Especially among the Richer sort and great People that think the Physitians care do them more good by some notable Exploit then Nature by
for that by the Motions of the Mind it frequently works Miracles And thus in these two Gentlewomen through a continual and constant Cogitation caused by the Preceding Fear that Idea of the Small Pox so strongly Imprinted in their Minds and thence in the Spirits and Humours begat therein a disposition and Aptitude to receive the Small Pox. I remember the same Year I went to Visit a Noble German who Dreamâ—… that he was drawn against his Will to visit one that was Sick of the Small Pox and was very much Disfigur'd which Dream made such an Impression in his Mind that he could by no means drive it out of his thoughts He lived free for three Weeks but then falling into a Fever was pepper'd with the Small Pox. HISTORY VI. A Certain Apothecary that was a strong Man about Thirty Years of Age going into a Citizens House when he found and saw of a suddain his Patient all over covered with the Small Pox upon his Face he trembled a little at the sight of so much deformity and so departed A little after to drive the Whimsey out of his Head he drank very hard nevertheless all he could do could not put that Fancy out of his thoughts which the sight of such an Object had imprinted in his Mind though he were otherwise a Man of an undaunted Courage So that the sixth day a Fever seized him with an extream Heaviness a restless sleep and a kind of slight Delirium which after twice taking of a Sudorific Decoction was attended with the red Spots that usually fore-run the Small Pox which within the space of twenty four hours came forth very thick upon which eruption the Fever and all the Symptoms vanished and the Patient being restor'd to his Health went abroad again in three weeks ANNOTATIONS I would not advise any Persons that are timorous to come near those that are Sick of the Pestilence or Small Pox for if the Sight of one that lay Ill of the Small Pox could move a Man of that courage as this Apothecary was how much more would it have affected a timorous Person now it may be questioned whether this Apothecary might not be touched with any Infection or whether he might not contract the Distemper from some other cause Now that there could not be any thing of Contagion appears from hence that the same Person was of such an undaunted Spirit that he Visited at other times several Persons that had lay Sick of the same Distemper without any prejudice and therefore the cause seems rather to be that suddain conturbation of his Mind and Spirits with which he was stricken upon the unexpected Sight of this same Sick Person and which continually ran in his thoughts from which Idea such a disposition arose in his Body which at length produced the Small Pox. Now if any man can more clearly unfold how such an Accident should happen he shall be my great Apollo HISTORY VII A Young Maid of two and twenty Years of Age full body'd fresh colour'd and somewhat fat being seized with a mild Fever besides extream Heaviness and some sleight interveneing Deliriums suffered under frequent and strong Epileptic Convulsions and very terrible swooning Fits so that the standers by thought she had been troubled with the Mother and that she would presently dye I being sent for when I understood that she had had her Monthly Evacuations eight days before loosened her Belly with a Glyster and the same day order'd her to be let blood in the Arm about the Evening I gave her this Sudorific â„ž Theriac Androm Ê’ j. Harts-horn burnt Extract of Carduus Benedictus Salt of the same an ℈ j. treacle-Treacle-water and Carduus-water an â„¥ j. Oyl of Amber three drops Mix them for one draught Having taken this she sweat soundly that Night with great relief neither did her swooning Fits nor her Convulsions return The next day the red Spots fore-runners of the Small Pox began to appear up and down all over her Body Thereupon we gave her this Decoction to drink â„ž Elecampane Root Licorice sliced an Ê’ iij. Barley cleansed â„¥ j. Red Vetches â„¥ j. s. Fennel Seed Ê’ij Figs no. xvj Raisins stoned â„¥ j. s. Water q. s. Make a Decoction to two Pints Upon this the Small Pox broke out very thick and all the Symptoms presently ceasing with the Fever she was restored to her health in four Weeks and as it were rescu'd from the Jaws of Death went abroad again about her business ANNOTATIONS IN this Disease such Epileptic Convulsions and Swoonings are very band presages and unless the Small Pox appears very quickly the greatest danger is to be feared for that they may be easily the Death of the Patient before the Pox break forth Nor is it any wonder in regard this malignant Mischeif grievously effects the Heart as appears by the Fever the Swoonings and the heaviness of the Mind and therefore greater danger is to be expected if the Brain the Primary Bowel of Life be equally afflicted HISTORY VIII RUtger Schorer a Lad of Fourteen Years of Age and Eldest Son of Isaac Schorer a Lodger of mine was taken in September with a Fever and Small Pox and had them very thick when he began to grow well about the fourteenth day his Brother Isaac Schorer was taken in the same manner When he had lain sixteen days his Sister Mary Schorer about Ten Years of Age fell sick of the same Distemper and when she was pretty well at the fourteenth day the other and Youngest Daughter Maud Schorer had the Small Pox come out very thick upon her In the mean time the two Sons that were first seiz'd were recovered and went abroad But when the Youngest Sister Maud Schorer had kept her Bed about twenty days Rutger Schorer was taken again with a Fever and the Small Pox and he being recovered Isaac Schorer took his Bed again upon the same account and being almost cured Mary Schorer was taken a second time and the third week after Maud Schorer was again seized as the rest had been And as the first time the Disease had descended in order from the Eldest to the Youngest so likewise in so short a space of time it observed the same order a second time and yet two at once were never seiz'd with the Disease And which is to be wondered at all these four were so little prejudiced by the Distemper that not one of them happened to be disfigured in the Face either with Pits or Scars which is in great part to be attributed to the great care which we took in the Cure in regard we were all of one Family so that we had the opportunity to see them every hour ANNOTATIONS THe Small Pox seldom seize the same Person twice or thrice for that generally upon the first seizure all that Specific Malignant Contamination inherent in the Blood and several Parts being seperated by the Fermentaceous Ebullition is quite expelled which Effervescency if it be not strong enough
which the Fever was almost gone off with a great part of his heaviness I ordered them to keep him in a Breathing Sweat for three or four days and to be sure not to let him take Cold. ANNOTATIONS I Expected this Body should have had the Small Pox but the Measles came forth of which the first Cure is the same with the Small Pox. New Sheeps-dung with equal Efficacy expels both the one and the other and therefore in both cases is very advantageously administer'd especially in those places where other things are not to be had some there are who prefer Horse-dung administer'd after the same manner before it But that Sheeps-dung is much more prevalent the Savour tells in which we find there is much more Salt of Niter or some more specific Diaphoretic Salt HISTORY XVIII A Young Man of twenty four Years of Age strong and Plethoric after his violent Exercises of Tennis and Fencing and hard drinking of Wine between while fell into a violent Fever accompany'd with great thirst dryness of the Mouth and extream Anxiety and restlessness with other very bad Symptoms This Young Man we order'd first to be let Blood and then prescribed him a Glister together with Julips cooling Apozems and Electuarys to quench his thirst The third day he was Purged with an Infusion of Senna-Leaves and Rhubarb mixt with Electuary Diaprunum which gave him six Stools but the heat remaining together with the Fever he was let Blood again the fourth day The fifth day he continued the use of his Julips Apozems and cooling Electuary The Night succeeding the sixth day he was so very heavy and drowsie that there was little hopes of his Life and we thought he would have dyed The seventh day the Measles came out all over his Body by way of Crisis Then the Fever and all the pressing Symptoms somewhat remitted so that the Patient slept a little the next Night but by the two next days both Fever and Symptoms were quite gone off by degrees The tenth day the Measles began to lessen and upon the twelsth quite vanished And thus the Patient who seemed to be at Deaths Dore contrary to the Expectation of many was restored to his former Health ANNOTATIONS THE beginning of the Disease was such that no Man could well have any suspition of the Measles and therefore the Patient was dealt with by us as labouring under a Burning Fever which Fever at length you see ended nevertheless in a Critical Evacuation of the Measles HISTORY XIX A Strong Young Man was seized by a Violent Fever accompany'd with a thick weak and unequal Pulse an Extream Anxiety heavy Pain his Head drowsiness restless sleep and a slight kind of Delirium I would willingly have let him Blood but because he would not permit me I gave him the following Sudorific toward the Evening ℞ Treacle ℈ ij Diascordium of Fracastorius ℈ i. s. Confectio Alkermes Extract of Carduus Benedictus Salt of VVormwood an ℈ j. of our Treacle Water Carduus VVater an ℥ j. mix them for a Draught Though upon this he Sweat very well yet finding the Disease to continue in the same State the next day he took the same Sudorific again and Sweat very well but then the red Spots that fore-run the Small Pox began to appear up and down in the Skin Nevertheless the Fever and other Symptoms seemed to be somewhat abated yet did not go off Therefore I ordered the Patient to be kept in a gentle breathing heat and that he should take a Draught of the following Decoction luke-warm several times a day ℞ Red Vetches ℥ j. s. Barley cleansed ℥ j. Scabious one handful s. fat Figgs no. XVI Raisins Stoned ℥ ij VVater q. s. make a Decoction to two Pints By this means the Small Pox came forth every where very thick and rose very high the Fever and Anxiety still continuing so that the Patient seemed to be in great danger of his Life For which reason I thought it necessary to give him the former Sudorific again puting him into somewhat a greater Sweat and the Decoction of Figgs being continued over and above for two days the seventh day contrary to all expectation the Measles came out over the whole Body between the Small Pox and then the Fever and other Symptoms abated very much and by degrees went off all together and the Patient being happily recovered the fourth week from the beginning of the Disease went abroad again ANNOTATIONS I Do not remember that ever I saw this Accident above twice or thrice in all my Practice that is to say that the Small Pox and Measles should come both together However by this Observation it appears that although both these Diseases in respect of Infection have somewhat in common yet in respect of the Subject to which that Infection adheres there is something of difference and distinction between them Otherwise what should be the reason that in this Patient the whole Infection should not be Evacuated with the Expulsion of the Small Pox Then again it is to be admir'd that why the Measles adhering to the more suttle and thinner Matter did not break out first seeing that the thinner Matter is quicker in coming forth than the thicker HISTORY XX. A Noble Batavian was seized by a Fever accompany'd with a strong Pulse but very unequal an extream Anxiety Thirst restlessness a slight Delirium and some little convulsive Motions of the Extream Parts Having loosned his Belly with a Glister I ordered him to be let Blood Toward Evening having taken a Sudorific he Sweat very much but the Disease remaining in the same State the next day the Sudorific was repeated he Sweat very well All this while the Symptoms nothing abated but the Patient began to complain of a Pricking in his Skin quite all over his Body Soon after it was observed that great red Spots appeared in his Skin some as broad as a Dollar some half a Hands breath some more some less which seemed to be all fiery sown all over with little risings like Millet Seeds These Spots in a days time closed all together and spread themselves all over the Body So that it was all over of a red florid Colour In the mean time the Fever and Symptoms abated Three days after that general redness abated also and the Spots returned to be as they were when they first appeared and so within three days vanished quite away and so the Patient after the Skin of his Body was all peeled off was restored to perfect Health ANNOTATIONS THis Distemper which Forestus calls Purpurae or the Purples is very near akin to the Measles and the Cure of both is almost the same only the Subject to which this Infection adheres is hotter then that of the Measles but it is as easily dissipated nor are those little Pustles suppurated but dissipated by heat MEDICINAL OBSERVATIONS AND CURES OF Isbrand de Diemerbroeck OBSERVATION I. An Inflammation of the Lungs MOnsieur La Fontaine a
Noble French Man about thirty Years of Age Plethoric no great Drinker yet a Lover of unmixed Wine upon the Tenth of November going to Bed began to complain of difficulty of breathing yet without any pain in his Breast soon after a redness seized his Face especially his Cheeks and his Eyes also appeared swelled and inflamed This difficulty of breathing within two hours was so encreased that he could hardly draw his Breath insomuch that he was afraid of a Suffocation Wherefore about Midnight he sent for me bidding the Messenger tell me withal that he should dye unless I could help him with some present Remedy By the redness of his Face and his little frothy and flowry spitting as also by his difficulty of Breathing which was without any pain yet with a kind of heaviness in his Breast I judged this Distemper to be an Inflammation in his Lungs so much the rather because I found by his Pulse that he was in a strong Fever Thereupon I ordered a pint of Blood to be taken from the Basilic Vein of his right Arm by which he felt very much ease To drink for he was very thirsty I gave him a Ptisan of Barly cleansed and Licorice boyl'd in Water In the mean time the following Glister was prepared and given by six a Clock the next Morning â„ž Emâ—…llient Decoction â„¥ x. Elect. Diacatholici Diaphoenici an â„¥ j. common Salt Ê’j Oyl of Violets â„¥ ij for a Glister This gave him two sufficient Stools But because the difficulty of breathing still continued very oppressive about ten o Clock we took away a pint of Blood out of his left Arm. The Blood appeared indifferent good only that it had a great deal of Yellowish froth at the top Then besides the Ptisan he drank of the following Apozem now and then every day â„ž Barley cleansed Ê’ij 〈◊〉 Licoriâ—…e Ê’j â—… Endive Sorrel an one handful Violet Leaves two handfuls Flowers of Poppy Rheas two little handfuls the four greater Cold-seeds and Lettice-seeds an Ê’ij Currants Ê’ij common-Common-water q. s. Boyl this according to Art to two Pints In the straining dissolve Syrup of Poppy Rheas Violets and Limons an â„¥ j. mix them for an Apozem For his nourishment I prescribed him Broths with Chervil Endive clensed Barley and the like boiled therein The next day because the Patient would admit no more Glisters I gave him a Laxative Medicin which gave him four stools with great ease In the mean time he breathed much more freely and his Fever very much abated The following days the foresaid Apozem was five times repeated the seventh day of the Disease he fell into a very great Sweat of his own 〈◊〉 and so the force of the Disease being broken by a Crisis the â—…ever with the difficulty of breathing went off and the Patient was restored to his former Health ANNOTATIONS SAys Gallen when an acute Fever happens with difficulty of breathing accompanied with streightness and heaviness that Distemper is an Inslammation of the Lungs Now this Inflammation sometimes happens of it self sometimes it succeeds a Squinancy or 〈◊〉 when a Humor is carry'd from the Chaps or side into the Lungs by way of Mutation Whence Hippocrates An Inflammation in the Lungs from a Distemter in the sides is bad For it is a dangerous thing for one acute Disease to accompany or follow another But an Inflammation of the Lungs that does not proceed from any other Distemper but grows of it self proceeds from a thin and Choleric Blood flowing in a greater quantity then can be circulated into the Substance of the Lungs and there inflamed This Inflammation of the Lungs Fernelius asserts to be the less frequent of the two And it is much less frequent then the Pleurisie from which it differs because the one seizes with a most acute pain the other with a little pain but an oppressing heaviness for that the one inflames and distends the Pleura Membrane which is endued with an Exquisite Sence the other inflames and dilates the Lungs which are nothing so Sensitive In other things as acuteness of the Fever difficulty of breathing and other signs as also in the Cause and Cure of the Disease they both agree But besides the foresaid Inflmamation of the Lungs there is another sort more frequent which differs very much from the other in the excess of the Symptoms and the Cause as arising either from Flegm collected and putrified in the Lungs or from a thin sharp and copious distillation falling down upon the Lungs from the Brain and there preternaturally glowing and causing a Fever and by degrees wasting the Patient with a Cough difficulty of Breathing and a slow Fever without any spitting of Blood An Inflammation of the Lungs therefore is an acute Distemper which as Celsus testifies is more dangerous than painful Now this Distemper does not always seize the whole Lungs but sometimes one particular Lobe which Iacotius testifies he has seen in the opening of a Peripneumonic Body So says Iouberâ—… also In a Peripneumony there is no necessity that the whole Lungs should be always enflamed but many times some one of the Lobes only suffers as we have found by the Dissection of an Infinite number of Bodies This Hippocrates plainly declares where he teaches us how to know the differences of this Distemper in these words In an Inflammation of the Lungs if the whole Tongue be white and rough both parts of the Lungs are vext with an Inflammation but where but half the Tongue is so effected on that side where it is discoloured and rough there the Inflammation lyes A pain under one Clavicle denotes an Inflammation of one of the upper VVings of the Lungs but the pain extending under both Clavicles denotes that both the upper Wings of the Lungs are inflamed if the pain lye in the middle of the Ribs the middle part of the Lungs suffers but if the pain comes to that part to which the Lungs extends it self the lower wing of the Lungs is effected Where one whole Part is affected there all that answer to that Part must of necessity suffer The most certain and proper sign besides others of a true Peripneumâ—…ny is a redness of the â—…aws according to the Testimony of Galen Paulus Aegineta and Aviceâ—… with an acute Fever and extream difficulty of Breathing if accompanied with none or very little oppressive pain All which when they appeared so manifestly in our Patient there was no question to be made of the Distemper which Disease went off the seventh day upon an extraordidinary spontaneous Sweat which Forestus observes to be customary in a true Peripneumony Though sometimes as Aetius tistifies in young People it uses to go off with a violent Bleeding at the Nose or Flux of the Monthly Evacuaations which nevertheless I find that Riolanus denies Gregory Horstius has observed that a Peripneumony has gone off the seventh day with a Critical Flux Which however seems to be contrary to Reason when a Flux of
abated and much of the watry Corruption run out of the Wound Within two days after the Swelling of his Leg palpably fell and returned to its natural Colour and threw out the Corruption well concocted and so being dressed as it ought to be the Cure was easily compleated ANNOTATIONS THings put into a Wound that ought not to be are utter Enemies to Nature endeavouring Consolidation especially if they compress any nervous Body Membrane or Tendon or the Periosteum Hence terrible Pains Tumors Inflammations and other Mischiefs proceed and therefore all such things as are foreign to Nature are to be taken away as Paraeus Pigius and other Chyrurgeons tell us Thus hard and thick Tents which inwardly offend and distend the Wound or else stop it quite up or compress the Nerves Membranes or Periostea are not to be thrust into Wounds as being those things that hinder the Operation of Nature Suppuration Erection of the Matter and Consolidation and beget Pains Inflammations and other Mischiefs Thus we have seen by the Ignorance of Chyrurgeons some Men tormented with Pains others thrown into Fevers Syncope Convulsions Mortifications and Gangrenes As it had like to have befallen our Patient who beside other ill Simptoms was very near a Gangrene and had it not been in time prevented upon the Approach of the Mortification he had hazarded the loss of his Limbs or his Life Hence Felix Wirtius in Wounds of the Hands and Joynts rejects the Use of Tents which Opinion Hildan refutes who says that Tents are necessary in the nervous Parts to keep the upper Lips of the Wound open and give passage for the Corruption By which Doctrine it appears that he praises those Tents which do not offend the inner Part of the Wound but only keep the upper Parts open But the Chyrurgeon as to our Patient had committed a great Error in this very Particular for he had distended the inner Parts of the Wound with a thick and hard Tent and had compress'd the Periosteum and prevented the Concoction and Efflux of the Corruption OBSERVATION XVI Suppression of Urine THE Wife of Gerrard Anthony a Taylor had layn in in May and in three days after she was brought to Bed had not made Water which was an extraordinary Pain to her and had brought her so low that she could hardly speak The Mid-wife declared that she was very well laid but that presently after her Evacuations were stopp'd that something hard was to be felt on the other side in the lower part of her Belly Hence I guessed that there was some Superfoetation or Mole which remain'd behind For the Cure of which and to provoke her Urine and Purgations withal I prescribed this Apozeme â„ž The Roots of Stone Parsly Masterwort Valerian Sea-holly Cammock an â„¥ s. Round Birthwort sliced Licorice an Ê’ij Leaves of black Ribs Mâ—…gwort Peny-Royal Water-Nasturtium an one Handful Water-Parsly with the Whose two Handfuls Savine Flowers of Camomil an half a Handful White-wine q. s. Boil them for an Apozeme to a Pint and a half â„ž Of the said Apozeme Ê’iij Oyl of Amber distilled by descent Drops xx Make a Draught This she took hot the first time This she took after three hours again upon which several Motions of Child-bearing supervening she brought forth a round Mole about the bigness of a Childs Head which had the perfect Eyes of a Man This being thus luckily expell'd her Urine and Purgations followed and she was presently delivered from the imminent danger she was in ANNOTATIONS MOles are of different kinds some within others without the Birth some very dangerous and troublesome to the Woman others less hazardous some without any Form others resembling some Shape or other some having Life others without Life Sometimes they presage something of Good for though they do not hinder the Birth yet they are very prejudicial both to the Birth and the Mother Which our Patient confirmed by her own Example who had certainly dy'd had not the Mole expell'd by Medicaments made way for her Urine and Purgations OBSERVATION XVII A Dysentery GErard Vossius our Neighbour had been troubled with a Dysentery for some days he was miserably tormented with cruel Pains in the Guts and many times he voided Excrements that were all bloody and mix'd with a tenacious Slime he slept not at all his Stomac was gone he was very thirsty and he had a Fever which though not vehement yet was continual Though the young an were not above thirty years of Age and very strong yet he was brought so low by these Mischiefs that in a few days he was reduced to an extream Imbecility The sixth of February I gave him the following Purge which brought away much Choleric Matter â„ž The best Rhubarb somewhat burnt Ê’ij Mirobans Indian Citrine an Ê’j Leaves of Senna cleansed Ê’iij Aniâ—…eseed Ê’j White Poppy Ê’ij Plantain Water q. s. Let them boil for half an hour Add to the Straining Elect. Diaphanicon Ê’j s. Mix them for a Draught In the Evening after his Purging I gave him this Bolus â„ž Terra Sigillata Nicholas's rest an ℈ j. Mithridate Damoc. ℈ ij Mix them for a Bolus The next day the following Apozeme was prepared of which he took three times a day and once at mid-night â„ž Barley cleansed â„¥ j. Roots of Snake-weed Tormentil Pomegranate Rinds an â„¥ s. Leaves of Oak Plantane Sanicle Pimpernel Great Sanicle Snake-weed an one Handful Seed of small Roses Ê’vj Heads of white Poppies noiij Raisins with the Stones â„¥ v. Common Water 〈◊〉 iiij Boil them to the Consumption of the half for an Apozeme In the Hours intervening he took often in a day a small quantity of this Electuary â„ž Nutmegs Trochischs of Terra Sigillata an Ê’s Harts-horn burnt red Coral prepar'd Lapis Hematitis Mastich an ℈ j. To these being pulverized add Conserve of Red Roses â„¥ j. s. Miv. ciâ—…on Rob. Acaciae an Ê’iij Nicholas's Rest Ê’j s. Syrrup of sower Pomegranates q. s. Mix them for a Conditement I ordered him to bear with his Thirst as much as he could which he the more ready yielded to in regard that after drinking especially of Ale he found himself most cruelly griped and therefore instead of Ale I prescribed him this Amygdalate for his usual Drink â„ž Barly cleansed â„¥ j. s. Seed of the smallest Roses â„¥ j. Of white 〈◊〉 Plantain and Lettice an â„¥ s. Common Water 〈◊〉 iij. boil them to the Consumption of the Half â„ž The Straining aforesaid sweet Almonds blanâ—…h'd â„¥ v. white Poppy Seed Ê’iij The four greater Colt-seeds Ê’j s. Make an Amygdalate according to Art to which add Syrup of Poppies â„¥ j. Of Red Roses Ê’j s. The ninth of February I gave him ℈ iiij of Rhubarb a little burnt and powdered in a little Ale the tenth and thirteenth I repeated the Apozeme and the twelfth the Conditement And thus by the use of these Medicines the Flux ceasing the Patient regain'd his Health by degrees and by the help of convenient
after that was delivered of another Boy and both lived in good Health Therefore we must conclude the last Conception had Nourishment enough in the Womb and was strong and consequently able to retain it self in the Womb during the delivery of the other in regard the Woman's Labour was easie and without any violence OBSERVATION LXI Worms in the Head THE Son of a certain Treasurer of Iuliers a Young Lad about twelve Years of Age from his Child-hood had been always troubled with Worms in his Head at length his Mother by the advice of a Quack washed and daubed his Head with I know not what Lotions and Oyntments and so the Worm was kill'd by which the Mountebank thought to have got himself a great name in the Town but within a few days after the Boy began to complain of a Pain in his Head which every day increasing at the Months end was so intollerable that I was sent for but all to no purpose after tryal of all external and internal Medicaments at nine Weeks end Epileptic Convulsions seiz'd him which in a few days turned to a vehement Epilepsie which afflicted him at first every day then every hour then every quarter of an hour at length the Child died his Head being open'd the Hard Meninx was all over of a red Colour and very Black in that part next the upper-part of the Head somewhat toward the the left side this being dissected there came forth a Blackish and watry Goar which had lain between both the Meninxes the substance of the Brain was very little altered but in the Ventricles of it there was a kind of greenish Humour watry yet not very clammy but the quantity very small in other things there was no alteration ANNOTATIONS IN this manner it was that these Worms were cured by this Mountebank However he was wise in this that upon Notice of the Boys Death he sneaked out of Nimeghen perhaps afraid I should upbraid him with the Death of this Patient like an Ignoramus as he was who had stopp'd up the way by which Nature voided the noxious Excrements of the Brain before he had made any diversion OBSERVATION LXII A Tertian and Intermitting Fever THE Wife of Monsieur de Spieck a strong Child-bearing-Woman the second Week after she was brought to Bed found her self very well but trusting too much to her strength got out of her Bed walked about the Chamber and eat a bit of a dry'd Neats-Tongue but at the end of the third Week she was seiz'd with a violent double Tertian Intermitting Fever with an extraordinary Heat continual Waking her Stomach quite lost unquenchable Thirst with several other bad Symptoms The twenty second of August I was sent for when I found her very anxious and weak and in the midst of her second Fit which most People thought would have carry'd her off I gave her presently Bezoar Stone ℈ s. Confection Hyacinth ℈ j. with six Drams of our treacle-Treacle-water which as she said soon after gave her some ease to quench her Thirst I gave her this Julep which pleased her so well that she drank nothing else all the time of her Distemper ℞ Waters of Carduus Benedict Succoury Borage an lb. s. Syrup of Limons ℥ j. s. Violets ℥ j. Oyl of Sulphur q. s. to make it grateful to the Pallat. Toward the Evening I prescribed this Infusion which she took the next Morning ℞ Leaves of Senna well cleans'd ℥ s. Rubarb the best ʒj s. Rhenish Tartar Anniseed an ʒj Succoury water q. s. Steep them all Night the next day boyl them gently then press them strongly adding Syrup of Roses Solutive ℥ s. For a Draught This gave her four Stools which brought away much stinking Excrement and gave her great ease after the Purge I prescribed her Chicken Broth with Sorrel and Chervil boiled together in it with a little juice of Citron to relish it and to quench her Thirst still gave her the Julep before mentioned The next Night she slept indifferently and when she waked found her heat much abated the next expected Fit was so slight that she was hardly sensible of it nor did the Fever after that appear any more being vanquished by these Medicins only ANNOTATIONS CHild-bearing Women not careful of themselves when they lye in oft-times pay for their Rashness as this Gentlewoman did As also did a Neighbour of Ours who going abroad too soon fell into a continued Fever upon which first a Frenzy and then Death ensued Another of our Acquaintance the second week of her Month looking to soon after her House Affairs and presuming to Combe her Head fell into an Epilepsie upon which a Delirium ensued which Maladies though at length they were much abated yet could they never be cured all the while the Gentle-Woman lived OBSERVATION LXIII A Bleeding at the Nose THeodore Bijl about fifty five Years of Age in August about four a Clock in the Morning was taken with a Bleeding at his right Nostril Three hours after being sent for for revulsion I ordered the Chyrurgeon to open a Vein in his right Arm with a large Orifice and to take away ten Ounces of Blood which done by applying cold Water to his Neck and Forhead the Bleeding was stay'd three days after being invited to a Feast where he drank Wine a little too freely upon his return home he was again taken with the same Malady and bled all that Night before I was sent for the next day I ordered him to be let Blood as before but to no purpose nor durst we repeat Blood-letting in regard of his Age and his strength nor would he permit any Tents to be put up into his Nostrils and therefore we apply'd a little lock of Tow moisten'd with this mixture to his Forhead ℞ Bole Armoniack ʒij s. Bloodstone Mastick Frnkincense Red Coral an ℈ ij The white of one Egg. Vinegar of Roses q. s. mix them together Moreover Oxocrate which is actually cold was applied to his Neck Forehead and Testicles and Revulsions by Ligatures and Painful Frictions of the extream Parts and by Cupping Glasses applied to his Shoulders which avail'd nothing at length after the bleeding had continued above thirty six hours and the strength of the Patient through loss of Blood was very much exhausted then he was forced to admit of Astringents to be thrust up into his Nostrils therefore when we had cleansed his Nostrils from the clotted Blood we ordered a Powder of Trochischs of Myrrh of Bole-Armoniac Mastick and Frankincense to be blown through a Quill into his Nostrils and withal thrust up a thick Tent made of Linnen about a Fingers length dipt in Vinegar and the white of an Egg and sprinkled with the same Powder by which means the bleeding seemed to stop for two or three hours but afterwards the Blood began to descend through his Palate into his Mouth and the Tent falling out he bled again at the Nostril Then after we had once more cleansed his
Galbanum dissolved in Vinegar â„¥ j Soft and whitish Bedellium Ê’ij Powder of Feverfew Ê’j s. Myrrh ℈ j. Mix them for a Plaister Forestus affirms that a Plaister of Galbanum alone has done Miracles but that he had found by daily Experience the extraordinary benefit of the following Magisterial Emplaster which he spreads upon Leather edg'd about with Galbanum to make it stick the better â„ž Gallia Moscata Alipta Moscata Storax Calam. Pure Laudanum Mastic an â„¥ Lignum Aloes Xylobalsamum Galangal Cyperus Carpobalsamum an Ê’iij Red Roses Ê’j s. New Wax lb. s. Turpentine q. s. Make a Plaister according to Art OBSERVATION LXVII A Burstenness in the Groin with a Gangrene THomas Adeler an English Trooper about sixty years of age had had a burstenness in his left Groin for many years In the Year 1637. in September the Gut which fell down into the Burstenness being distended with a great quantity of Wind hapned to break so that the Ordure fell down into the void Space of the Burstenness This presently caused a Gangrene of the Part with an intollerable Stench by which means the Part being putrified and broken the Ordure of the Belly came forth at that Hole never at the Fundament Being sent for though I thought him incurable yet I ordered Spirit of Wine with Mel Rosatum and Oyntment Egyptiacum to be applied to the Part till the Gangrenous Parts were separated from the sound Parts Then we found that the Gut was not only broken but quite broken off the one Part from the other and that the upper Part hung out and gave passage to the Excrement The end of this Intestine afterwards grew fleshy and acquired a kind of a fleshy Ring and this Ring cleaved afterwards so fast to the neighbouring Flesh so that for the future the Intestine remained always fix'd and open in that Part and gave passage to the Excrement So that we ordered him to carry a little brass Pot so ordered and hung as to give him the least trouble that might be and thus in all other Parts sound and healthy he walk'd abroad where-ever he pleased and in nine years that he was forced to carry about him that troublesome Burthen he was never sick ANNOTATIONS THis is a tare and remarkable Example I never thought before that a broken Gut could grow to the adjoyning Flesh in the Groyn till I was a Witness of it in this Patient True it is that if a Gut happen to break among the fleshy Muscles of the Abdomen such a Coalition may sometimes happen as Plater observes A certain Captain says he being wounded in his Belly voided his Excrements through a Pipe which was left there after the Wound was cured and was for many years afterward alive and well The Cause of which when I examined I found that Wounds of the Guts if they seem to trace the fleshy Portions of the Muscles of the Abdomen after the Lips of the Wounds of the Guts and muscly Flesh are glutinated on both sides there may be a Passage made for the Excrement to come forth and be prevented from falling into the Cavity of the Abdomen and that those Wounds although they cannot be consolidated yet they are not Mortal which though very seldom happens sometimes in other Parts as in the Bladder Iohn Hornung also a Physician of Heydenheim tells a Story of a Country Man whose right Gut upon a Wound in the Abdomen came forth opened with a broad Wound nor was it put back by the Chyrurgeon but the Wound of the Abdomen being cured hung out as long as the Man lived retaining its natural Colour yet somewhat more thick and more fleshy and through this Passage it was that the Excrement came always forth with an extraordinary Stench forsaking the common Road of the Fundament OBSERVATION LXVIII A Pining Consumption caused by a vitiated Stomach MOnsieur de Nassau a Captain of Horse in the Flower of his Age in the Year 1637. during the Siege of Breda in September as he lay in his Bed all in a Sweat hearing some Troops of Horse march by his Window leap'd out of his Bed opened his Casement and stood looking out for some time and by that time became suddenly overcool'd by a North Wind at that time cold and tempestuous fell into a violent Distemper Presently he complained of an extraordinary Griping in his Belly about the Region of his Stomach he had also withal a slight Fever with a violent Cough which brought up much clammy flegmatick ill-coloured Matter yet without any Pain in his Breast Several of the most eminent Physicians were sent for who by his Spittle his Cough and other Symptoms concluded that his Disease was a real Consumption and that incurable and told the Prince of Orange that he would suddenly dye As for the Pain in his Belly those they unanimously agreed to be the Cholic Passion caused by the suddain Cold. To asswage this Pain which they call'd the Cholic they used several Remedies for a long time which gave ease sometimes but never cur'd which they affirmed was impossible to be done To abate his Cough they made him an Issue in his Left-arm and gave him the following Apozeme to take for many Weeks â„ž China Roots the best â„¥ j. Leaves of Scabious Colts-foot Betony Pimâ—…ernel Plantain an m. j. Cordial Flowers an one small Handful ston'd Raisins â„¥ j. Licorice shav'd Ê’ij Anise-seed ℈ iiij Boil them in Barley water of the second Decoction q. s. to lb ij For an Apozeme For an ordinary Looch they gave him equal Parts of Syrup of Poppy and Cumfrey Also they prescribed him a cold Diatragacanth in Tablets and to loosen his Belly they gave him this small Potion â„ž Rhubarb choice Ê’j Yellow Saunders ℈ s. Decoction of Barley â„¥ iij. Infuse them all Night and to the Straining add Manna of Calabria â„¥ s. For a Potion This gave him one or two Stools Now when they had had the Gentleman two Months and a half and all their Physick did no good insomuch that the Gentleman was reduced to Skin and Bone and his Strength every day more and more decay'd they would give him no more Physic but gave him over for incurable Then I was thought of and the Gentleman was brought from Breda to Nimeghen in a Man of War The Gentleman gave me a full Accompt of his Distemper and what had been done to him and shewed me the Receits that had been prescribed him and which he had taken So that when I had considered all things I could not be of those Physicians Opinion For by his Spittle and Cough he shewed no Signs of a Consumption for though he brought up tough and ill-coloured Stuff yet neither was it Matter nor Blood The Pain of his Stomach was no Cholic as being fixed in his Stomach and not accompanied with Wind but twitching the Ventricle with extream Pains by Intervals not wandring through the Guts Therefore I judged the Cause of this Pain to be a
The third day I was sent for presently I ordered this Quilt to be prepared and laid upon his Head â„ž Leaves of Marjoram Vervain Rosemary Flowers of Melilot an one small Handful Nutmegs ℈ j. s. Cloves ℈ j. Make a gross Powder to be quilted up in red Silk After this had lain four or five hours upon his Head the Convulsions ceased by degrees and within twelve hours vanished quite to the Admiration of all that the Child should be so soon freed from so desperate a Distemper ANNOTATIONS IN regard the Brains of Children are very moist and that thence arise many watry and flegmatic Vapors Nature for their more easie Evacuation leaves the Skull open for some time at the top of the Head But as this Opening gives an easie Exit to the Vapors so if the Head be not well covered to prevent the entrance of the external Cold then upon shutting the Pores and the Refrigeration and weakning of the Brain the Vapors being detained therein condense into a tough Slime in the Ventricles of the Brain which Burthen when Nature cannot throw off thence arises Epileptic Convulsions which procure the Death of many Infants Or if they scape with Life they either become Changlings or retain some other terrible Misfortune as long as they live as some Paralytic Member Blindness of one Eye c. However this Diistemper differs from a true Epilesie in regard the Convulsions in this Malady are less vehement though more frequent and of longer continuance Besides that these Convulsions proceed from abundance of Humors and weakness of Concoction anâ—… Expulsion in the Brain but the true Epileptic from the Malignity and the Envenomness of the Humors Nevertheless it has been known when the Humors so collected in the Brain if the Distemper have continued long by degrees have acquired a malignant Quality and indeed a malignant Quality into the Brain and Meninxes and then these Convulsions become the most grievous of all Epilepsies The Cure of this Distemper consists chiefly in corroborating and warming the Brain to the end the Pores may be opened and the Vapors have free exit which being done in time I have known many that have escaped the Distemper Some endeavour an Evacuation of the Flegm at the Nose and Mouth by thrusting up Oyl of Amber and Rosemary into the Nostrils But when the Brain is become so weak through the extraordinary quantity of Flegm that overlays it that it cannot contract it self that way of Cure does little good or rather more harm as causing stronger Convulsions while the enfebled Brain is forced to more vehement Expulsion Therefore it is much more expedient to warm and corroborate the Brain and by that means to promote the Concoction of the crude Humors and to evacuate the Vapors through the Brain not yet consolidated Which done the Brain is sufficiently able to concoct and dissipate the rest of the Slime which adheres to the Ventricles and to expel it through the Passages appointed for that Evacuation To which purpose I have often found a Quilt lay'd upon the top of the Head to be very prevalent for it answers all Expectations it warms and corroborates the Brain it opens the Pores and powerfully promotes the Concoction and Dissipation of the Crude Humors Sometimes before I lay on the Quilt I anoint the top of the Head with a drop or two of Oyl of Marjoram Sometimes I order the Patient to take a spoonfull or two of the Water of the Flowers of Lilly of the Valley and Syrup of Stoechas two parts of the first and one of the latter I have also observed that if Infants wear these Quilts till their Heads are firmly consolidated they are not only free from this but many other Maladies of a cold Brain Nicholaus Fontanus in this case highly extols Childrens Urine and tells a Story of a Patient to whom he gave three Glysters with success of the Decoction of proper Herbs boiled in Urine and then gave him to take a Syrup of Childs Urine made up with various Cephalics OBSERVATION LXXVIII An Intermitting Tertian Ague JOseph Wenties a young Man in the beginning of March was taken with an Intermitting Tertian Fever which seized him with an extraordinary shaking and went off with a violent Sweat Within a months space he had made use of a hundred several Remedies of old Women and Mountebanks Purges Vomits and Topics to his Wrists not forbearing Charms and Amulets to hang about his Neck all which were so far from abating the Fever that after the beginning of April it grew stronger every day than other Upon the seventeenth of April I was sent for I found the Patient very weak his Stomach quite gone and so lean that his Skin could hardly cover his Bones He had taken a Vomit the day before and therefore I thought it not proper to purge him any more Wherefore after I had prescribed him a proper Diet I gave him an opening and refrigerating Apozeme which he drank three days together but without any benefit Thereupon I ordered the following Mixture for a bag to be hung up in a Vessel of White-wine â„ž Leaves of Carduus Benedict Lesser Centaury VVormwood an two small handfuls Lucid Aloes ℈ ij Cut the Herbs small and bind them together in a bag to be hung in 〈◊〉 v. of White-wine and sometimes to be squeezed out Of this bitter Wine he drank a draught of â„¥ iiij or v. the first day twice but afterwards once a day this gently purged him and brought the Distemper to a simple Ague and then it abated every day and this drink being continued in a short time went quite off leaving the Patient restored to a very good Stomach OBSERVATION LXXIX A Bastard Intermitting Tertian THE Lady of Nassaw in the Flower of her Age but lean and squeamish was seized by an intermitting Tertian that came every other day but no certain hours sometimes latter sometimes sooner accompanied with pain in the Head Nauseating Anxiety of Heart and seizing with an extraordinary shaking but going off with a violent Sweat her Stomach was gone and she slept very little and in regard she was very thirsty she would drink six or eight Pints of Water during her Fit Upon the twenty fifth of April at the beginning of her cold Fit I was sent for at what time to make her sweat the sooner I prescribed her this draught â„ž Salt of Wormwood Extract of Carduus Ben. Confection of Hyacinth an Ê’j Treacle water â„¥ j. Mix them for a draught The next day not willing to a Purge she took a Glister only which gave her two Stools after which she took no more Physic for four days May the first I prescribed her a refrigerating and opening Apozem which she drank up in two days her Ague still continuing in the same state thereupon because she abhorred the taste of Physic I gave her the following Vomit which when she took she thought she had drank Wine â„ž Crocus Metallorum gr xvi White French
Boyl these in Common-water q. s. adding at the end Leaves of Senna cleansed â„¥ j. s. white Agaric Ê’ij Fennel-seed and Dill-seed an Ê’j s. Make an Apozem of 〈◊〉 ij The following Emplaster was likewise applied to the part affected â„ž Sulphur finely Powdered Ê’v Castoreum Ê’j Tar. Ê’vj Oxycroceum Plaister â„¥ s. Balsome of Sulphur Ê’ij For a Plaister to be spread upon red Leather After he had taken all his Apozem and that his pains remain'd in the same condition I prescribed him another purging Decoction of which he drank twice a day â„ž Sassafrass wood Ê’vj Roots of Eringos Cammoch Lovage an Ê’j Masterwort Fennel stone Parsley an Ê’ s. Vervaine Rosemary Betony Majoram Germander Ground Ivy an Mj. Savine Flowers of Stoechados an M. s. Anise-seed Iuniper-berries Ê’iij Boyl them in common-Common-water q. s. to 〈◊〉 ij Then add Syrup of Stoechas â„¥ iij. For an Apozem Two days after the former Plaister was laid on again and when he had drank up his Apozem I gave him the following Vomit which brought up a great quantity of Viscous Flegm with Choler â„ž Leaves of green Assarabacca Ê’iij Bruise them and press out the juice with â„¥ ij of the Decoction of Raddish to which add Oxymel Scyllit with Agaric â„¥ j. Mix them for a Potion When all these things did no good I applied this other Plaister â„ž White Mustard-seed and of Nasturtium an Ê’j Castorium ℈ ij Euphorbium ℈ j. s. Spanish-Soâ—…e Ê’x Pine-Rosin and Turpentine an Ê’iij Mix them well to spread upon Leather After this had stuck on two days it had raised innumerable little Blisters in the Skin out of which a green Humour flowed from the inner parts in great quantity so that in four days he felt great ease The Plaister being removed I laid on Colewort-leaves but observing the Plaister not to be very violent but that it only gently drew out the internal Humors and kept the Blisters open without Corrosion I laid it on again and so in twelve days the pain went quite off and the joynt was so corroborated that the Patient went about without any trouble but for fear of a relapse I gave him the purging Apozem again and the Plaister of Sulphur was laid on for a Fortnight longer which absolutely compleated the Cure ANNOTATIONS THough the Sciatica be a kind of a Gout yet because of the Place the Cure differs in some Remedies Sometimes it is very hard to be cured because that joynt is not so profound that Topics cannot reach it by reason of the thickness of the Muscles that lye over it and for that inward Medicines require a great deal of time to abate and remove the Cause This Disease proceeds from too much fullness of Blood sometimes from a defluxion of cold and and sharp Humors In repletion Blood-letting is requisite which in a very great repletion is to be done in the Arm then in the Thigh affected The Vein is to be opened in the Ham or else the Sciatica Vein I have cured said Galen the Sciatica by opening a Vein in the Thigh Some there are that apply Leeches to the Fundament instead oâ—… Blood-letting Which way Paulus and Aurelian commend if you lay on eight or ten Leeches at a time and Zacutus affirms he has cured the Sciatica with Leeches when other Remedies sailed within the space of ten hours Some prefer Cupping-glasses before Leeches But if the Malady proceed from sharp tartarous and cold Humors Blood-letting does no good unless there be a Plethory but first there must be strong Purging with Elect. Caryocostin and Hermodactyl Pills or Vomits of Ammonia or Asarabacca and then Topics such as asswage Pains sufficiently known to every skilful Physitian Some extract and dissipate the Morbific matter insensibly to which purpose Donatus ab Altomary takes a great quantity of the Stones of sweet Grapes and presses out the Liquor strongly This he heats with its Must then pours it out upon the Pavement and with his Hands strongly compresses into a heap then making a kind of a furrow in the Grape-stones burys the Patient in them up to the Mid-belly and there lets the Patient lye to sweat for half an hour or an hour twice a day Duretus commends Grape-stones in all sorts of Gouts If in Vintage time the Grapes are carried into a Barn and covered with Coverlets till they grow warm and then for the Patient to thrust his Feet Arms legs â—…r else to lay his whole Body in the heap Then which says he There is not a better Remedy under Heaven Solenandâ—…r also among the best and safest Remedies that corroborate the Parts affected and cherish the natural heat commends the laying the Hands and Feet or other Parts affected in a heap of Grape-stones hot from the Press or heated with new Wine and this continued for fifteen days To which he adds that he knew a Noble Person that could not go who was recovered by the use of this Medicine I knew my self a Country man cured by such a Fomentation for some days together in Horse-dung Matthiolus affirms experimentally that several Sciaticas have been cured with the slimy water of Snails when all other Remedies failed which Paraeus and Laurentius approve Old stinking Cheese kneaded into the form of a Cataplasm with the Decoction of a Westphalia-Ham asswages the Pain draws forth the cause of the Malady and dissolves the rigid hardness of the Part. Sylvius commends a Cataplasm of Dwarf-Elder Barley-meal and Honey Forestus also tells of two Sciaticas cured with laying upon the Part only Nettles boyled in Ale We look upon Balsom of Sulphur among the most effectual Remedies as having more then once observed the happy effects of it Galen commends an Emplaister of Pitch two Parts and one of Sulphur mixt and laid upon the Part affected till it fall off of it self Which Forestus so highly extols as the most effectual Remedy that can be invented only he believes it would be better to equal the proportions of the Pitch and Sulphur If these things or the like avail not then such things must be made use of that insensibly draw forth the matter and that either by diversion or from the Part affected By diversion â—…auteries applied to the Arms and Thighs are of great use So Paschal tells us of a Physitian cured of a pain in his Hipps by a Caustic applied under his Knee of Quick-Lime and Alum Hippocrateâ—… orders an Incision of the Veins behind the Ears Zacutus of Portugal in â—… defluxion from the Head saw a Person cured by a Caustic applied behind the Ears from whence after the falling off of the Crust for ten days together there flowed a thin and watery moisture and so the Distemper ceased From the Part affected Visicatories and Rubificants draw forth the peccant Matter Thus Douynetus tells us of several that have been cured by the application of Vesicatories Arculanus and others have successfully made use of a blistring Cataplasm in an obstinate pain that gave way to
no other Remedies â„ž Sowre Leven lb s. Cantharides â„¥ j. Pulp of Figs â„¥ s. Andrew Laurentius recomends this Visicatory â„ž Old Leven â„¥ ij Cantharides Ê’ ij Seed of Mustard and Stavesacre an Ê’iij Beat them together with Strong Vinegar for a Vesicatory Iohn Matthew de Gradibus prepares another of the Seeds of Mustard and Nasturtium Pigeons-dung Decoction of Figs and Venegar which rubifies and raises Blisters which being broken and cleansed with the Decoction of Figs then lay on a Colewort Leaf warm and this he says extirpates the inveterate Pains of the Hips and the Gout Galen Aetius and Paulus prefer a Cataplasm of wild Cresses which raises Blisters and is accounted a peculiar Remedy for these Distempers Schenkeus tells us of a Sciatic who when all other Remedies failed of his own Head took Skins of Hemp macerated with Ashes and having boiled them in strong Vinegar laid them to the place affected as hot as he could endure them This raised several Blisters upon the Skin out of which flowed a great quantity of greenish yellow Water by which means his Pain left him Tagaultius celebrates this Emplaister of Galen and Avicen then which he says there can be none more effectual or that gives such present ease â„ž Mustard and Nettle-seeds Sulphur Froth of the Sea round Birthwort Bdelium an â„¥ j. old Oyl Wax an â„¥ ij For an Emplaister I have found that Emplaister which I prescribed to our Patient with Spainish Soap to have wrought wonderful effects I remember a Young Maid at Montfort miserably troubled with the Gout so that she could neither move Shoulders Arms nor Hips who was cured only with Emplaisters of Spanish Soap mollified in Wine and spread upon Leather which raised Blisters and drew out a great quantity of yellow greenish Water which restored her unexpectedly to her Health in a few weeks OBSERVATION LXXXIX A Wound with a Bullet A Citizen of Nimeghen the twentieth of May 1637. imprudently discharged his Pistol downward so that the Bullet rebounding from the Flint-stone-pavement of the Street hurt a Woman that was passing accidentally by The Bullet had entered the Cavity of her Breast about three Fingers from the Spine of the Back between the fifth and sixth Rib and entring the exteriour substance of the Lungs had made a great Wound in the fourth Rib in the side from the inner part so that the Rib was broken but the Bullet did not pass through but stook in the Cavity of the Breast not round but flat and oblong by hitting against the stone as appeared by the Wound unequal and bigger then usual the Woman was carried wounded home very little Blood Issued from the Wound but the next day with Coughing she threw up a good quantity the danger was great which I foresaw in regard that the Bullet lying upon the Diaphragma could no way be drawn forth out of the Cavity of the Breast as also for that Wounds in the Lungs are difficultly cured because of their continual motion especially when the Wound is made by a Bullet which cannot be done without a great contusion However the Chyrurgeon bound up the Wound and after I had gently purged her Body I prescribed her this Apozem to drink Morning and Evening â„ž Roots of Madder â„¥ j. Eryngos Fennel stone Parsley an â„¥ s. scraped Licorice Ê’vj Herbs Scabious Violet-leaves Coltsfoot Chervil Leaves of black Ribes or Garden Currants an M. j. greater Celandine M. ij four greater Cold-seeds Anise-seed an Ê’j Raisins of the Sun â„¥ ij Boyl them in common-Common-water q. s. to lbij. add Syrup of Licorice Poppy Rheas an â„¥ j. s. Mix them for an Apozem She complained of no pain but one where the Wound was and the place where her Rib was broken which pain went off upon laying on a Plaister of Oxycroceum and her Rib closed again The first six days she was very weak she eat little or nothing little or no Matter came out of her Wound she had no Fever or Cough or difficulty of Breathing and after the second day she spit forth nothing either of Blood or Matter out at her Mouth May twenty seventh being somewhat bound we gave her a loosening Draught which gave her two or three Stools May the thirtieth she was grevously tormented so that every Body thought she would have died but in the Evening of a suddain she coughed up a good quantity of white Matter with some Blood which gave her great ease and then she began to be better the Wound also closed against our Wills neither did any thing of Matter come forth from the Wound out of the hollowness of her Breast all the time of the Cure after she had voided this corruption for seven days she continued without a Cough The seventh of Iune with a slight Cough she spit up a small quantity of Corruption again and then the Cough ceased and the Patient grew stronger and stronger every day nor did she after that spit forth any more Matter or Blood but after the second Month being restored to her perfect Health went abroad again feeling no Inconvenience from so great a Wound afterwards for nine Years together nor did she feel the Leaden Bullet in her Breast only when she fetched her breath with a deep sigh she felt something heavy upon her Midrife ANNOTATIONS WIthout doubt the Bullet did not pass the middle of the Lungs nor touched the Bronchia or bigger Vessels but only slightly touched the substance of the Lungs in the outer side otherwise more terrible Symptoms would have ensued nor would the Cure have been so soon accnmplished which however was sufficiently to be admired when such a wound could not happen without a very great Contusion Now the great Wounds in the Lungs are incurable and slight Wounds difficult to be cured yet we are not to despair since very great Wounds in the Lungs have been often Cured I remember I knew a Victualer that lived near Leyden who in a scuffle with a Country-man was stabbed under the Pap of his right Breast with a broad Knife that past through the middle of his Lungs and went out behind under the Scapula Yet this Man reduced to meer Skin and Bones through the Exulceration of his Lungs two years afterwards being brought to Utrecht was perfectly cured by a Chyrurgeon with only vulnerary Decoctions However a great Paâ—…t of his Lungs was consumed by Suppuration which was easily perceived when he moved backward or forward for then his right Lung would strike against his Breast like the Clapper of a Bell. 'T was to be admired that such a Wound should be brought to a perfect Cicatrization yet this Man I saw ten years after without a Cough without any Malady sound and whole as ever I saw a Man in my Life In the year 1635. I had another sturdy Country-man in Cure who had received a Wound under the Pap of his left Breast with a broad Knife that entered as far as the middle of the Lungs Other Country-men
j. Make them into a Mass with juice of Wormwood or Gentian the dose from Ê’s to Ê’j Sennertus prescribes these â„ž Aloes ℈ j. Rhubarb ℈ ij Myrrh ℈ s. Trochischs of Alhandal gr iij. Powder of Coral Ê’ s. Make them into twenty two Pills with juice of Wormwood The Dose for Children ℈ j. To destroy all Matter and Nutriment of VVorms in the Guts there is not any better Remedy to be found then for the Patient to swallow once a VVeek one ℈ of Aloes Succotrine for Aloes has a peculiar occult quality to Purge and cleanse the extream Parts of the Guts This is the opinion of Mercurialis in his own Words but I usually order a Ê’ or two of Rhubarb to be put into a little bag and hung up in the ordinary drink which the Patient drinks and by that means I both expel the Worms and the cause of the Worms Saxonia and Solenander with many others extol the Decoction of Sebesten in Ê’iiij of which Crato macerates Ê’j of Rhubarb and gives the straining to drink Rhubarb also given in substance is a great enemy to the Worms and Dodoneus voids them with this Powder â„ž Worm-seed Ê’j Shavings of Hearts-horn Citron-seed and Sorrel-seed an ℈ j. Rhubarb Ê’ij Make them into a Powder the Dose Ê’ j. Riverius takes â„ž Powder of Rhubarb and Coral an Ê’s Duretus prescribed this â„ž Chosen Rhubarb Wormwood Sea Wormwood Shavings of Harts-horn an Ê’iij Make them into a Powder Dose Ê’j with the Decoction of Scordium This as we have tried says he excells all the rest Lastly Antonius Cermisonius as a most destroying expelling Remedy against the Worms prescribes a Glister of Ê’ x. of Goats Milk and Ê’ij of Honey OBSERVATION XCII The Worms THE Son of Mr. Cooper about six or seven years old had been long troubled with Worms in his Belly which sometimes ascending his Gullet crept out at his Mouth in the Night-time The Parents had often given him Worm-seed but to no purpose so that at length when the Child was nothing but Skin and Bone they sent for me I found him thirsty and averse to all manner of Physick thereupon I took half a pound of Quick-silver and macerated it in two pound of grass-Grass-water shaking the Water very often Afterwards having separated the Mercury I added to the Water Syrup of Limons â„¥ iij. Oyl of Vitriol q. s. to give it a grateful Taste This he only took for two days together in which time he voided downward six and thirty Worms and being so rid of his troublesome Guests recovered his Health ANNOTATIONS SOme extol Quick-silver it self given in the Substance as an excellent Remedy against the Worms insomuch that Sanctorius says there is no killing of the Worms but with strong and violent Medicines as Aloes and Mercury or Quick-silver Of which Baricellus thus writes Quick-silver says he which many take to be Poyson is given with great Success against the Worms and is accounted so certain a Remedy in Spain that the Women give it to Infants that puke up their Milk to the quantity of three Granes I cured a VVoman that for nine days together had been troubled with continual Vomiting occasioned by the VVorms besides that she had not eaten in three days nor could keep what she swallowed but after I had given her two Drams of Quick silver mortified with a little Syrup of Quinces without any trouble she voided downward about a hundred VVorms and was freed from her Distemper the same day I have VVater at home wherein I continually keep Quick-silver infused and wil lingly give it away to children for the VVorms yet never heard of any Hurt that ever it did The dose of Mercury to be given to Children is ℈ j. to elder People ℈ ij or Ê’j It is corrected and mortified by bruising it in a Glass Mortar with brown Sugar till it be dissolved into invisible Parts and to prevent it from returning to its pristine Form you must add to it two little Drops of Oyl of Sweet Almonds and give it fasting with Sugar of Roses Syrup of Violets or Quinces to the Party affected Zappara confirms this use of Quick-silver by many examples and Hildan tells of a Woman cured of the Worms by Quick-silver of which she passed Ê’j s. through a piece of Leather and then swallowed it Where this is remarkable that the same Woman at that time wore a Plaister upon her Navel which was afterwards found all covered over with Quick silver Thus many Physicians celebrate Quick silver but more applaud it than condemn it as Plater Horatius Eâ—…genius and Fallopius says of it That it does not work those Effects being drank as used by way of Oyntment I have known says he Women that have drank Pounds of it to cause Abortion without any dammage and I have given it to Children for the Worms The same is testified by Marianus Sanctus and Fracastorius And Matthiolus affirms that Quick-silver is only prejudicial because it tears the Guts by its weight and therefore if it be not given in too great a quantity he says it can do no harm And I have seen it given by Midwives to Women in difficult Labours without any hurt at all For my part I never give it alone but always in some Infusion of Grass-water Wine or other Liquor And as for Stromaiier and Horstius though they reject raw Quick-silver yet rightly prepared they extol it as the best Remedy in the World against the Worms Sennertus however advises that though Quick-silver may be used in desperate Cases yet to forbear it where milder Medicaments may serve the turn Since there is a possibility that it may do mischief OBSERVATION XCIII The Gout MR. Hamilton in the Flower of his Age was miserably tormented with the Gout in the Joynt of his Right-shoulder so that he had not slept in three Days and Nights After I had prescribed him a proper Diet I purged him with Cochia Pills gave him a Diuretic Decoction for some days and then applied this Plaister to the place affected â„ž Gum. Galbanum dissolved in Spirit of Wine Tacamahacca dissolved in Spirit of Turpentine Emplaster of Oxycroceum an â„¥ s. Mix them and spread them upon Leather This Plaster stuck on eight days within which time that immense Pain went off so that he could freely move his Arm after that he returned to the Camp where he was unfortunately slain ANNOTATIONS MAny Disputes there are about the Causes of the Gout but for my part I believe there are necessarily two For either those Pains proceed from cold Defluxions mixed with some Salt and Acrimony falling from the Head upon the Joynts refrigerating and corroding the Nerves Tendons and Ligaments annexed to the Joynts For how great an Enemy Cold is to the Nerves and membranous Parts we find in Winter-time by the Wounds by which those Parts are laid bare There says Hippocrates all cold things are fatal to the Nerves Besides that such Defluxions cause Weakness and Stiffness of
the Nerves or too much Relaxation so that being oppressed with weight they are extended with Pains but this sort of Gout is not so terrible For the second Cause of the Gout proceeds from the salt sharp and tartarous Humors separated from the Blood and thrust forward upon the Joynts Therefore says Sennertus I must conclude that a sharp salt subtil Humor nearest to the Nature of salt Spirits is the Cause of the Gout Let any Man call it by what other Name he please Choler or Flegm mixed with Choler Salt or Tartar so the thing be rightly understood In vain therefore Physicians have hitherto sought for the Cause of the Gout in the Heat and Drougth of Choler or the Moisture and Cold of Flegm for they are not the first but the second Qualities which induce those Pains that is the Salt and the Acrimony which corrode and gnaw those Parts Therefore says Hippocrates 't is not hot cold moist and dry that have the acting Power but bitter and salt sweet and acid insipid and sharp which if rightly tempered together are no way troublesome but when alone and separated one from the other then they give the Vexation and shew themselves c. In the Cure of the first in regard the Cause proceeds from a depraved Disposition of the Brain therefore the Brain is to be evacuated and corroborated to prevent these Excrements from gathering any more in that place The Parts affected also are to be corroborated with Topics warming the Parts dissipating and drying up the crude Humors In the Cure of the hot Gout the salt Humors are to be evacuated and purged away by inward Medicaments before they be pushed forward into the Joynts and that their Generation may be prevented Topics also must be made use of to temper the Acrimony of the salt Humors to dissolve dissipate and evacuate by transpiration those Humors the Forms of which I shall give in another place OBSERVATION XCIV A Pain in the Stomach with Vomiting PEtronella Beekman a Maid about twenty seven or twenty eight years of age the nineteenth of Iune was taken with an intolerable Pain in the upper part of her Belly which extended it self sometimes to the Right sometimes to the Left but most to the Sides She had a Vomiting likewise sometimes more gentle sometimes vehement which brought up all her Meat Sometimes her vehement Vomiting brought a Pint or a Pint and a half of black Water with some tough Flegm At the top of this Water swam certain little Bodies about the bigness of a Filberd in Colour and Consistence resembling Butter When these came up she had some ease for two or three hours but then her pain returned again She had no Fever no Tumor in her Spleen no Obstruction in her Kidneys and she made Water without trouble but very thick neither did she void any Gravel either before or after nor was there any Distemper to be perceived in her Womb where all things proceeded according to Nature nor had bad Diet been the cause of her Distemper but what that buttery Substance should be I could not certainly tell for my Life only I conjectured that it might be some corrupt Choler preternaturally chang'd into that Substance However the first thing I did was to stop her Vomiting to which purpose I caused her Stomach to be anointed with Oyl of Nutmegs and applied a warm Cataplasm to it of Mint Red Roses Nutmegs Cloves Mastich Olibanum sowre Ferment and Vinegar of Roses but all to no purpose The next day her Pains and Vomiting having very much weakned her I gave her a corroborating Medicament of Matthiolus's Aqua Vitae Treacle and cinnamon-Cinnamon-water and Syrup of Limons equal parts to take frequently in a Spoon which stay'd with her The twenty first of Iune I applied to the Region of her Stomach a corroborating Plaister of Tacamahacca Galbanum Cloves Benjamin and the like The twenty second I gave her a gentle Purging Draught which she presently brought up again then I ordered her a Glister which gave her two or three Stool but her cruel Pain and Vomiting continued still The twenty fourth I gave her one Scruple of Pill Ruffiae which stay'd with her and gave her three Stools about Evening and then because the Plaister was troublesome I took it off and applied in the Room a Linnen Quilt filled with Mint Wormwood Sage Flowers of Cammomil Melilot Dill Nutmegs Cumin-seed Fennel and Dill-seed which Quilt was boiled in strong Wine and applied to her Stomach The twenty eighth she took another Glister The twenty ninth about night I gave her two Scruples of Philonium Romanum prepared with Euphorbium in a little Wine which caused her to sleep that Night four hours whereas she had not slept till then from the beginning of her Distemper the next day her Pain returned nevertheless the Philonium seemed to have endeavoured some Concoction for that she began to belch which gave her some ease wherefore about Evening I gave her two Scruples of Philonium The first of Iuly she belched more freely therefore that Evening I gave her Philonium again The next day her Pains abated and her Vomiting ceased and at Noon she supp'd a little Broth which was the first Nourishment she had taken since her Sickness Iuly the third she took Pill Ruffiae to loosen her Belly The fourth of Iuly her Pains encreasing I prescribed her an Amigdalate but she brought it up again Therefore the sixth of Iuly I gave her two Scruples and a half of Philonium which caused her to rest indifferently The next day her Pains abated so that at night the same Dose of Philonium was again given her as also the next Evening The ninth of Iuly in the Morning she took Pill Russiae and in the Evening Philonium again and so for three Evenings more one after another by which means her Pains and Vomiting ceased her Appetite returned and she recovered her Health The twenty third of November she was again taken with the same Pains and Vomiting thereupon after I had purged her Body with Pills I gave her Philonium again which gave her ease and so continuing the use of Philonium for twelve Evenings together and loosning her Body every day with Pills at length I mastered the Obstinate Disease so that for six years together I knew her safe and sound from that and all other Distempers OBSERVATION XCV A Bastard Intermitting Tertian Ague HErman N. in the Vigor of his Age in the beginning of March was taken with a Bastard intermitting Tertian Ague which began with a great Coldness and ended in a violent Heat it came every other day but at uncertain hours sometimes sooner sometimes later During the Fit his Head ach'd violently and he was very faint his Stomach was gone and his Strength much wasted After he had taken many things in vain from other Physicians coming to me I gave him half a Dram of lucid Aloes reduced into Pills which gave him five Stools afterwards I
the Pain anoint the Fore-head Temples and Top of the Head with Martiate or Alabastrin Oyntment mixed with a sixth part of Oyl of Dill or a Cataplasm of Flowers of Cammomil Melilot and Dill adding a little Nutmeg and Saffron with as much of the Crum of White-bread and White-wine as is sufficient and lay it between two Linnen Rags to the Temples and Forehead but beware of all Narcotics XII For the Corroboration of the Head and the rest of the Bowels and Diminution of the Flegm External and Internal Medicaments are proper and a convenient Diet. â„ž Roots of Calamus Aromatic Elecâ—…m pane Fennel an â„¥ s. Galangale Ê’iij Herbs Betony Marjoram Rosemary Hyssop Baum Thyme an M. j. Sage Fowers of Cammomil Staechas an M. s. Seed of Fennel Aniâ—…e Caroways an Ê’s Iuniper-berries Ê’vj Raisins cleansed â„¥ ij Common Water â—…nd Whiteâ—…ine equal Parts Boil them anâ—… make an Apozem to lb j. s. with which mix Syrup of Staechas â„¥ ij or iij. If after he has taken this there requires more Exsiccation still the same Simples may be boiled in a Decoction of 〈◊〉 Sassapeâ—…il or Sassafras which will make the Medicine more effectual Let him continue this Decoction for some time or if at length it prove distastful let him often take of this Conditement â„ž Specier Diambra ℈ iiij Aromatic Rosatum ℈ ij Ginger condited Conserve of Flowers of Sage and Rosemary an â„¥ s. Syrup of Staechas q. s. For a Conditment XIII And in regard that Topics are of great use to corroborate the Head and fetch down cold Humors therein remaining let him anoint his Temples and fore-part of the Head upon the Coronal Suture with this Liniment â„ž Oil of Nutmegs pressed Ê’j Oils of Thyme Rosemary Dill disâ—…illed an ℈ j. Mix them for a Liniment After this Anointing put upon the Head the following Quilt â„ž Leaves of Rosemary and Marjoram an Ê’s Flowers of Melilot Red Roses and Lavender an Ê’j Root of Florence Orrice Nutmegs Cloves Benjamin an ℈ j. Beat them into a gross Powder for a Quilt Let him wear this a Month or two upon is Head XIV Let the Patient keep a proper Diet live in an Air moderately hot Let his Food be Meats of good Juice hot and easie of Diâ—…estion seasoned with Rosemary Marjoram Stone-Parsly Sage Betony Hysop Pepper Ginger and other Spices His Drink small Wine or Mede or midling Ale Let him not sleep long and use moderate Exercise Let him keep his Body soluble Let him avoid Sadness Melancholy and sudden Frights and keep himself in an even Temper free from Passion HISTORY II. A Phrensie A Stout young Man of a Choleric Constitution abounding with Blood and living intemperately having drank over freely at a Merry meeting and thereby over-heated at length being affronted by one of the Company fell into a most violent Passion yet being hindred from his present Revenge and carried Home never slept all that Night but like a Mad-man ran about his Chamber talking of nothing but Brawls Fighting Wounds and Revenge and that with great Rage and many Follies intermixed The next Day he was absolutely mad and began to lay violent Hands upon the Servants so that he was forced to be held by lusty Men. The next Night he continued waking with an extraordinary Delirium and Fury picking Straws and the Bed-cloaths sometimes flying upon those that were in the Room His Eyes were red his Looks furious and wild he bawl'd and roar'd was very thirsty feverish and his Urine pale The third Day the Physicians were sent for I. THE continued and raging Delirium with his Waking shewed that the Brain of this Patient was distempered and the Fever was a Sign that his whole Body was out of order II. The Disease was an Inflamation of the Membranes of the Brain and thence a hot Distemper of the Brain and Spirits which caused the Fever and that the Commotion of his Mind which the Physicians call a Phrensie which is a raging and continued Delirium with a continued Fever arising from an Inflammation of the Membranes of the Brain III. The remote Cause was Intemperance in Diet which engendring a great quantity of choleric Blood in the Body occasioned the antecedent Cause Which choleric Blood being heated by excess of drinking Wine and carried in greater quantity to the Head and there powred into the Substance of the Membranes of the Brain constitutes the containing Cause of this Distemper which Disease this Simptom follows IV. For the hot Blood flowing over copiously into those Membranes and there putrifying inflamed them and part of that Putrefaction being communicated through the Veins to the Heart and thence expelled hotter through the Arteries to the whole Body kindles the Fever which causes the extraordinary Drought of the Gullet and Mouth V. This Inflammation of the Membranes infects with a hot Distemper the Brain it self and Spirits whose extream Heat Mobility and inordinate Motion deprave the principal Functions of the Brain and so breed a Delirium which proves raging and continued because of the extream and continued Heat and rapid Motion of the fervent Spirits VI. This Disease is dangerous for several Causes 1. Because the principal part is affected 2. Because continual Waking weakens the Patient 3. Because this Delirium is not accompanied with Laughter but with Raging 4. Because the Inflammation is thereby much augmented and fomented and the Choleric Matter which uses to dye the Urine is carried all to the Head and leaves the Urine pale Only there is some hopes of Cure because there is no decay of Strength or appearance of bad Simptoms as Convulsions loss of Speech Hickupings Gnashing of Teeth or the like and therefore Cure must not be delay'd till the Patient grow worse VII This Cure consists in taking away the antecedent and containing Cause and Correction of the ill temper of the Parts VIII The choleric Blood which flies to the Head is first to be evacuated drawn back derived and repelled And therefore after an emollient Glister given open a vein first in one Arm and take away ten or twelve ounces of Blood the next day in the other and the third day again if there be necessity in the Vein of the Fore-head IX To evacuate the choleric Humors give this Draught â„ž Rubarb the best Leaves of Senna an Ê’ij Rhenish Tartar Ê’iij Anise-seed ℈ j. Succory Water q. s. Make an Infusion then add to the Straining Elect. Diaprunum solutive Ê’iij Diagridion gr iij. Mix them for a Draught The next Days if he be bound let him be loosned with Glisters and the third or fourth day give him the foresaid Purge again X. Let his Temples and Fore-head be anointed twice or thrice a day with the following Liniment â„ž Populeon Oyntment Ê’vj Oyl of Poppy Ê’iij Mix them for a Limment After anointing apply the following Oxyrrhodine with rags luke warm to his Fore-head â„ž Oyl of Roses â„¥ ij Iuice of Lettice â„¥ iij. Iuice of Housleek Rose-water Vinegar of Roses
an â„¥ j. s. Mix them well together XI For diversion of the Morbific Matter apply Pidgeons dissected alive to his Feet or else this following Medicine â„ž Leaves of red Cabbage white Beets an â—… j. s. beat them in a Mortâ—…r and make them into a Past with sowre Levea â„¥ iiij Salt Ê’ij Vinegar of Roses q. s. XII About Night give gr iiij of Laudanum in a Pill or if he refuse a Pill dissolve three Grains of that Laudanum in one ounce of Decoction of Barley adding an ounce of Syrup of Poppy Rheas to provoke Sleep XIII While these things are done for his usual Drink give him small Ale or Whey of sowr Milk or Fountain Water having some Pieces of Citron steeped in it adding a little Sugar and rose-Rose-Water or else this Julep â„ž Lettice Leaves M. iiij Endive M. ij Red Currants M. j. Barley-water q. s. Boil them to a Pint to the Straining when cold add Syrup of Violets and Limons an â„¥ j. of Poppy â„¥ s. Iuice of Citron q. s. to make it pleasing XIV Let him also take of this Conditement often in a day â„ž Powder of Diamargarite cold ℈ iiij Pulp of Tamarinds Conserve of Violets pale Roses Robb of red Currants an Ê’ iij. Syrup of Violets q. s About Evening when he does not take his Laudanum Opiate let him drink one or two Draughts of this Emulsion â„ž Four greater Cold seeds an Ê’ ij Seed of white Poppy â„¥ s. Decoction of Barley q. s. Make an Emulsion of about â„¥ vij To which add Syrup of Violets and Poppy Râ—…eas an Ê’ v. XV. When the Distemper begins to asswage the sooner to dissolve the peccant Matter cut alive Hen in the middle and lay it to his Head or else the Lungs of a Calf or Sheep newly killed XVI Let his Air be between cold and moist and his Chamber somewhat dark His Diet sparing and cooling prepared with Lettice Endive Borrage Sorrel and the like his Drink as before Let him not be tâ—…oubled with much company nor Talk Only let those for whom he had a Kindness in his Health endeavor now and then to pacifie his Rage with good Words Lastly keep his Belly soluble HISTORY III. Of Melancholly A Learned Man forty years of age of a melancholly Constitution in the Summer time walking out of the City with a Son of his came to the River side pulling off his Cloaths leaâ—…t into the Water to please himself with Swimming to which he perswaded his Son likewise to make him skilful of the same Art but his Son leaping into the Water sunk to the bottom and was drowned before his Father could come to his Assistance Upon which the Father fell into such a deep Sadness continuing thinking of his Misfortune and believing himself the Author of his Childs Death that he did nothing but weep Day and Night without sleeping and within a few Days was brought to that pass that he believed himself guilty of Murther and for that reason eternally damned He also thought the Devil who had tempted him to do the Fact alway stood at his side and shewed his horrid Shape to those that stood by pointing at him with his Finger wondring they did not see him as well as He. As to other things he was well enough only this false Imagination stuck so deeply in his Mind that no Perswasions or Consolations of his Friends could root it out I. VVhen the seat of the Principal faculties in the Brain was endamag'd and the Imagination deprav'd it was a sign the Patients Brain was out of order as appeared by his sadness and fear II. This Malady is Melancholly and a deprav'd Distemper of the Brain hurting the Imagination and deluding it with false Apparitions and causing fear and sadness without any reason which are two unquestionable Signs of Melancholly according to Hippocrates Therefore we may well define Melancholly to be a Delirium without a Fever arising from a Melancholly Fancy III. The first and external Cause of this Mans Malady was his grievous Misfortune having his Son drown'd which seiz'd him the more violently as being naturally Melancholly Which when he could not forget but spent whole Days and Nights continually thinking upon it without any Sleep the Animal Spirits prone to Melancholly were disorderly agitated in the Brain and so contracted a Specific and Ocult distemper which they communicated not to the Brain but to the Heart and whole Body Hence horrible thoughts sadness and fear VI. When he thought of his Son whom he believed to be drown'd by his fault he perswaded himself he was guilty of Murder which because he knew it was a Sin hareful to God therefore he thought himself Damn'd and the Devil to be always at his Elbow the continual thinking upon which had shaped the Idea of a Devil so firmly in his mind that he could not be otherwise perswaded but that the Devil was always before his Eyes nor could any Body dispossess him of that Imagination In other things he was well because his perception and judgment of things was no way hindred by that false Imagination as being wholly taken up with that Imagination and nothing so much not with such an emotion of Mind intent upon other things V. Because this occult Distemper of the Brain and Animal Spirits was bred in the Brain plain it is that this was a primary or self-suffering Melancholly VI. This Melancholly Delirium tho' very troublesom yet is it not Mortal and gives great hopes of Cure because only the Imagination is depraved the Ratiocination and Memory little endamaged then again he was sound in Body and lastly because he was a Learned Man and so much the sooner to be governed by Reason besides that it was in the Summer when this happened which was a Season more proper for Cure VII In the Cure the Evil Melancholly Matter and the ill Temper of the Brain is to be amended that the purer Spirits may be freed from that Specific Melancholly Contamination and generated anew The same evil Matter is also to be evacuated and his Head to be corroborated and all means try'd to take off the Patients thoughts from false and horrible Imaginations VIII First therefore Purge him with this Bolus â„ž Conâ—…ection Hamech Elect. Diaphoenicon an Ê’ j. s. Diagridion gr vij Mix them Or if he will not take that give him this Glister â„ž Emollient Decoction to which an Ounce of the Leaves of Senna has been added â„¥ ix Elect. Diaphoenicon â„¥ ij Oyl of Camomil â„¥ j. s. Salt Ê’ j. IX Because such a Patient has not much Blood therefore to preserve his strength there is no Blood letting to be used unless there be a Palpitation of the Heart or any such Symptom which requires it X. After the Belly is well cleansed to prepare the Melancholly humor and strengthen the Head let him drink three or four times a day a draught of this Apozem â„ž Root of Polypody of the Oak â„¥ j. Calamus Aromatic Fennel rind of Caper-rooâ—…s
Tamarisch an ℥ s. Herbs Baum Borage March Violets Tops of Hops Betony Germander Majoram an M. j. Flowers of Stoechas M. s. Cordial Flowers an one little handful Citron and Orange Peel an ʒ iij. Seeds of Fennel and Caraways an ʒ j. s. Currants ℥ ij Water and Wine equal Parts Make an Apozem for a Pint and a half to which mix Syrup of Stoechas and Borage an ℥ j. s. XI After this preparation Purge with this Potion ℞ Leaves of Senna ℥ s. White Agaric ʒ j. Anise-seed ʒ j. Ginger ℈ j. Decoction of Barly q. s. Infuse them all Night Then add to straining Confect Hamech ʒ iij. XII This done let him take this Apozem again and continue it for some time loosing his Belly every three or four days either with the foresaid draught or Confect Hamech or Cochiae Pills or Mesues and compounded Syrup of Apples highly commended by Rondeletius in this Case XIII After every Dose of his Apozem as also after Dinner and Supper let him eat the quantity of a Nutmeg of this Conditement ℞ Specier Diambr sweet Diammosch Dianthos an ℈ ij Candid Citron and Orang Peels an ʒ iij. Conserve of Flowers of Borage Baum and Rosemary an ℥ s. Confect Alkermes ℈ j. s. Syrup of Citron Rind q. s. Mix them for a Conditement XIV In the midst of these Cures peculiar Evacuations of the Head will not be amiss either by Masticatories or Sternutories made of Mar joram Gith-seed Roots of white Hellebore and Pellitory or the like XV. Great care is to be taken to provoke the Patient to sleep Therefore for his Supper give him sometimes a Hordeate or Amygdalate made with a Decoction of Barly and Lettice with which if he be hard to sleep mix one Ounce of Syrup of Poppys or more Or if these avail not of the Mass of Pills of Storax fifteen grains or of Laudanum Opiat three grains but this not often When he is not so much troubled with Waking it will suffice to anoint his Temple with Oyntment of Populeon mixt with some few grains of Opium Though Narcotics are to be used as little as may be for fear of accustoming the Patient too much to the use of them XVI His Diet must be such as breeds good Blood and corrects all the qualities of Melancholly Humors easie of Digestion moderately hot and moist prepared with Barly cleansed Borage Baum Bugloss Marjoram Raisins Betony c. avoiding Leeks Onions Garlic Cabbige Fish long pickled or dry'd in the Smoak and whatever beeds ill Juice and Melancholly nourishment let the Patient be moderate in his Diet neither too full nor too empty Let his Drink be small with a little Baum Rosemary or other such Herb mixt with it Let his Exercises be moderate His sleeping time much longer Let his Body be kept soluble And which is of great moment in this Cure let his Mind be taken off from all manner of sadness and thougthfulness and all occasions of fear and grief be avoided while his friends on the other side labour with grateful Arguments to perswade him of the vanity and falsehood of his idle Dreams and Imaginations HISTORY IV. Of Hypochondriac Melancholy A Noble German of forty Years of Age of a Melancholy Constitution having suffered deeply in the calamities of the late German War as Captivity Exile Famine and other Miseries which had reduced him to an ill sort of Diet the long use of which had begot wind roarings and distensions about his Midriff and a troublesom Ponderosity especially about his left Hypochondrium with difficulty of respiration and a palpitation of the Heart though not continual with loss of Appetite which made him sad fearful and thoughtful till at length understanding the death of his Wife he became so consternated that no perswasive and kind Language could asswage his sadness so that through continual watching restlessness horrible thoughts and want of sleep he began to rave at first by intervals but afterwards without ceasing he thought every Body came to kill him and therefore sought retirement and avoided Society No body but Servants entered his Chamber and of them he was afraid too if any other Persons came to visit him he besought them not to Murder him unprovided but to give him time to prepare himself for Death he only seemed to trust his Physitian from whom he often desired Antidotes against Poyson which he assured himself were often mixed with his Meat and took any Medicaments that were brought him IN this Person thus Distempered various Parts were grievously afflicted especially the Brain as appeared by the Delirium and the Bowels of the middle and lower Belly which the Palpitation of his Heart difficulty of breathing distention and ponderosity of his Hypochondriums and loss of Appetite plainly demonstrated II. The Symptom that chiefly insested is called Melancholly which is a Delirium without Rage or Fever arising from a Melancholly Phantasm III. The remote Causes of this Malady are Fear Terrors and Grief occasioned by Misfortunes which had long troubled and disordered the Spirits in their Motion to which an ill Diet mainly contributed For thereby Crudities were bred in the Bowels of the lower Belly thence Obstructions in the Spleen and neighbouring Parts The faculty of the Spleen was weaken'd so that not able to do its Office in Chymification and breeding Matter unfit for convenient Fermentation of the Humors it left many feculent acid sour thick and crude Humors which not able to pass the small Vessels got together in a large quantity in the left Hypochondrium about the Spleen which occasioned that troublesom Ponderosity accompanied with wind and roarings for that while Nature endeavours the Concoction of that acid Matter which she cannot well accomplish those acid Humors receive some Fermentation which begets that great quantity of Wind which not finding an easie Exit occasions those rumblings and distensions of the Parts This thicker acid and sharp Matter being carried to the Heart causes Palpitation while the Heart endeavours to expel that sharp pricking Matter from it And in regard that Melancholly Juice is not equally troublesom to all the Parts of the Heart thence it happens that the Palpitation does not always continue but comes by intervals The same Juice being expelled from the right Ventricle of the Heart to the Lungs when it comes to fill the small branches of the Arterious Veins and Veiny Artery as not being able to pass them without great difficulty fills the Breast with many Vapors and causes difficulty of Respiration But being carried through the Arteries with the Vital blood to the Brain it disorders the Motion of the Animal Spirits renders them more impure and alters them by a Specific and bad mistemper Thence those Melancholly Imaginations by which the Operations of the Mind and Ratiocination are disturbed which occasions a Delirium accompanyed with fear and sadness IV. But because that Melancholly humor is not generated at first in the Head but ascends from the Hypochondriums especially the left to
that slight sometimes moved her to Anger while the Choler boiled that was mixed with her Melancholly humors sometimes to sadness the Melancholly humors being moved and overcoming the Choleric and through that disorderly strife and Effervescency of the Choler with the Melancholy the whole Mass of Blood boiled which occasioned a slight Putrefaction which begot a slight disorderly Fever accompanied with the Head-ach caused by the sharp Choloric and Melancholy Vapors carried up together to the Head But at length that effervescency of Choler and Blood being vanquished by the abundance and quality of the Melancholy Humor the Fever went off and the Animal Spirits were heated also by the hot Melancholy humors predominant in the Body and the Head and set a boiling by the foregoing effervescency of the Choler and were so rapidly and disorderly moved that they caused a Delirium first more geâ—… while the Spirits were not so much heated and agitated then violent with Anger Immodesty and Rage by reason the sharp heat of the Animal Spirits was augmented so that being now too much attenuated and become more eager they are more rapidly moved and more disorderly and violently agitated IV. Now because not only the Animal but the Vital Spirits are possessed with that heat as also the whole Mass of the Blood hence it comes to pass that the whole Body becomes so heated that they are not cool'd by the Cold of the External Air but always re mains hot V. Yet there is no Fever because that violent fervor of the Blood and Spirits though it be great and sharp yet there is neither Putrefaction nor Inflammation because it consists more in Salt then Sulphury Particles VI. This Malady is difficult to Cure partly because the most noble Bowels are affected partly because the Cause lyes in a depraved obstinate and copious Humor Lastly because the Patient being Mad will not be rul'd nor suffer the administration of proper Medicines However the longer it is delay'd the more difficult the Cure will be VII The primary Indications relating to the Cure are these 1. To prepare and evacuate the Melancholly humor abounding in the Body and to extinguish the heat both of that as of the Blood and Spirits 2. To prevent the new generation of the same Humor and Fervor 3. To coroborate the Bowels especially the Heart Brain Liver and Spleen And this is to be done by Diet Chyrurgery and Pharmacy VIII The Chamber wherein the Patient lyes must be gloomy where he or she must be kept by strong Men or Women or else their Arms must be bound with broad Swaths that they may do no harm to themselves nor others They are to be visited by very few whose Company they loved in the time of Health They must be kept in a temperate Air. Their Diet must be moistning and moderately cooling rather moist then dry Their Drink Ptisans or small Ale They must be kept quiet with good words and provoked to sleep as much as may be and all Evacuations of Nature in both Sexes must proceed naturally while Art supplys the disorders of Nature IX Though the enraged Patient refuses all Medicaments yet fair words must be try'd and this draught obtruded instead of Drink â„ž Leaves of Senna â„¥ s. Anise-seed Ê’ j. Decoction of Barly q. s. infuse them according to Art then to the straining add Confect Hamech Ê’ iij. Extract of Hellebore ℈ j. Mix them for a draught X. After Purgation Blood-letting is requisite not once but often in the Hands Feet Forehead Arms and other convenient Places and a good quantity of Blood to be taken away according to the strength of the Patient And the Patient is to be well guarded from loosening the bindings of the Fillets after stopping the Blood XI Between every Blood-letting Purge the Patient then with a draught before mentioned or Powder of Dia-Senna or Confect Hamech alone Or if these be refused make use of Codiniac or Rob of red Currants to every Ounce of which add grains twenty four and of this mixture give six or seven drams as you find it works Or if the Party love Currants boil them in the Decoction of Senna-leaves or Roots of black Hellebore till they â—…row plump then take them out and let them dry in a place exposed to the Wind that they may not seem to have been boiled and give them to eat XII You may try either by fair words or by fraud to make her drink now and then in a day a draught of this Apozem â„ž Roots of Polypody of the Oak Succory an â„¥ j Rind of Caper-roots Tamarisch an â„¥ s. Herbs Dodder Venus-hair Lettice Dandelion with the whole Sorrel Ceterach Borage Bugloss an M. j. Cordial Flowers an one little handful Citron and Orange Peels an Ê’iij Fruit of Tamarinds â„¥ j. Common-water q. s. Boil them for an Apozem of lb j. s. If you steep in this Apozem Leaves of Senna â„¥ j. s. Root of Black HeleboreÊ’ ij Anise-seedÊ’ ij By that means it will become a Purging Apozem which if the Patient likes may be often administered XIII Let this Conditement be also offered upon occasion â„ž Conserve of Violets Pale Roses Rob of Red Currants Candied Citron-peel an Ê’ iij. Pulp of Tamarinds Ê’ vj. Syrup of Violets q. s. XIV Because such a Patient chiefly requires sleep toward Evening givâ—… an Amygdalate wherein put an Ounce of Syrup of Popies or a little more or three grains of Opiate Laudanum but this not above once or twice in a Week or one or two Heads in the boiling the aforesaid Apozem or by adding to the aforesaid Conditement one or two drams of Nicholas's Rest or by anointing the Temples and Forehead with Oyl of Popies or Populeon Oyntment But give not these Soporifics too often too long nor too strong XV. In the mean time the Hair being shaved off let the Head be fomented for an hour or two in the Morning with this Fomentation luke-warm â„ž Herbs Betony Vervain Marjoram Plantain an M j. Lettice M iiij Flowers of Roses Melilot Dill Camomil an M j. Hemp and Coriander-seed an â„¥ s. common-Common-water q. s. After Fomentation keep the Head well covered from the cold Air. But this Fomentation will not be proper before the Body be well purged and some Blood be taken away XVI When the Distemper begins to asswage it will not be amiss to clap alive Hen cut in two upon the Head or the Lungs of a new kill'd Sheep or Calf newly killed XVII Some applaud the clapping of Medicines to the Feet as also Pidgeons slit or Tenches slit or else Leaves of Coleworts and Rue with Sowre Ferment Salt and Vinegar and so bruised into the form of a Past and bound to the Soles of their Feet which if they do no good yet do no harm and therefore in this case may safely be made use of for the satisfaction of such as desire it HISTORY VI. Of the Disease call'd Coma both Somnulent and Wakeful A Person about forty Years of
Baum Calaminth an M. j. Sage Flowers of Stâ—…chas an M. s. Iuniper-Berries Ê’vj of Lawrel Ê’ij cleansed Raisins â„¥ ij VVater q. s. Boil them and make an Apozem of 〈◊〉 j. s. to which may be added Syrup of Stoechas â„¥ ij or iij. Let him drink of this Decoction three or four times a day In the mean time let him continue the use of his Sternutory IX If he cannot take his Apozem let him now and then take a Quantity of this Conditement â„ž Specier Diambrae Ê’ j. s. Conserve of Baum Flowers of Sage Betony Rosemary an Ê’ s. Syrup of Stoechas q. s. For a Conditement X. Also let the following Quilt be laid upon his Head â„ž Leaves of Marjoram Rosemary Flowers of Lavender Melilot an ℈ iiij Benjamin Nutmeg Cloves an ℈ j. To be grosly powdered for a Quilt Then anoint his Temples and the top of his Head with this Liniment R. Oyls of Rosemary Marjoram Nutmegs an ℈ j. Martiate Oyntment Ê’ij And let him wear this a good while after the Cure XI Let his Diet be sparing Meats of good Juice and easie of Digestion seasoned with Rosemary Marjoram and other Cephalics When he wakes continually Amygdalates are proper for they yield good Nourishments and provoke sleep and all natural Evacuations must duly proceed HISTORY VII Of the Lethargy A Person threescore Years of Age of a Flegmatic Constitution having all the Autumn being careless of his Diet feeding greedily upon Fruit Lettice Cowcumbers Melons and such like for some days perceived a weariness of his whole Body with a great Inclination to sleep Then he was taken with a slight continued Fever which toward Night growing worse seemed like a Quotidian This Fever was presently accompany'd with a very great drowsiness so that he could not be kept from sleeping and which was so profound that he heard not the standers by though they bawled out and made never so loud a noise being at length rowsed out of his sleep not without great difficulty and hawling and pulling he looked upon the standers-by but answered very little to their questions and that very little to the purpose not knowing that he had been asleep if they gave him a Chamber-Pot he forgot to make water and so with his Mouth and his Eyes shut he fell asleep again his Pulse was strong but slow and at distant intervals and toward Night unequal and somewhat swifter his Urine was muddy with a very thick Flegmatic Sediment I. THat the Head and whole Body of this Patient were affected appears from the profound Sleep which oppressed the one and the continued Fever and lassitude that seized the other II. That heavy drowsiness which seiz'd our Patient is called a Lethargy which is an insatiable Propensity to sleep with a gentle Fever and molestation of the Principal faculties III. The remote Cause of this Malady was cooling and bad Dyet which generating a great quantity of Flegmatic humors in a Flegmatic Body made the antecedent Cause IV. Which Flegmatic humors being carried in great quantity to the Brain and affecting it with a cold mistemper partly putrifying in the larger Vessels and inflam'd in the Heart and thence dispeirsed through the whole Body and through the Carotides Arteries to the Brain constitute the containing Cause of the Sleep and Fever V. For when those crude Humors already inflam'd in the Heart come through the Carotides Arteries to the Choroid-Fold whose small Arteries by reason of the cold temper of the Brain are narrower then usually and partly through their own thickness partly through the narrowness of those passages slowly pass through the Choroid Fold they are there thickened still more and more by the cold Constitution of the Brain and their Passage becomes more obstructed so that for that reason the Animal Spirits growing fewer and but ill supplyed and consequently not sufficing to officiate in their dutys hence follows a Cessation in the Organs of those Senses by which means when no objects can be carry'd to the Principal Senses they cease too when a profound Drowsiness out of which when the Patient is roused the Principal Senses appear damnified for want of Spirits and their disorderly motion through obstructed Passages VI. This Disease is dangerous 1. Because the Brain is dangerously affected 2. By reason of the Fever which affects the whole Body 3. Because the Patient was old and unable to conquer such a Malady for want of Natural heat and strength but because he had some strength remaining there was hopes of Cure VII In the Cure the Flegmatic Matter abounding in the whole Body is to be Evacuated drawn back from the Head and deriv'd to the lower Parts The Cold Distemper of the Head to be remov'd the Head to be corroborated and the Matter therein contain'd to be dissolv'd and drawn away VIII After a Glyster Dolorific Ligatures and hard Frictions of the Thighs are very proper if frequently used Blood-letting at such an Age is not so convenient therefore Cupping-glasses both with and without Scarification are to be apply'd to the Shoulders Neck and Back But no repelling Cold Medicines are to be used in this Case IX So soon as the Patient can be wak'd let him have this Apozem given him â„ž White Agaric Ê’j Leaves of Senna â„¥ s. Anise-seed Ê’j Ginger ℈ j. Decoctions of Barley q. s. Infuse them then add to the straining Ele. Diaphenicon Ê’iij If the Body be bound it must be loosen'd with Glysters X. The Body being well Purg'd let him take every foot a draught of this Apozem â„ž Roots of Aromatic Reed Elecampane Fennel Stone-Parsly an â„¥ s. Herbs Betony Venus Hair Century Lesser Dandelion an M. j. Rosemary Marjoram Hyssop Flowers of Stoechas Camomil an M. s. Iuniper-Berries Ê’vj Anise-seeds ℈ j. s. Citron and Orange-Peels an â„¥ s. Water q. s. Make an Apozem of lb j. s. To which add Syrup of Stoechas â„¥ ij or iij. XI After he has taken this Apozem let him Purge as before or if he like Pills better let him take ℈ ij or iij of Cochia Pills or Ê’j of Diaturbith or Diacarthamum powder'd and dissolv'd in Barley-water XII After this second Purgation let him return to his Apozem to which you may then add several Diuretics as Roots of Dodder Asparagus Eryngos and Herbs as Stone Parsley Strawberry Leaves and the like Castoreum also may be properly mix'd in this Apozem or else five or six grains given him in a little Oxymel of Squills XIII While these things are a doing let the Matter be specially Evacuated out of his Head the Head be Corroborated with Topics and the remaining Matter there discuss'd Evacuation is performed by Errhins of equal Parts of Roots of Beets and Leaves of Marjoram and by Snuf blowing into his Nostrils the following Sternutory â„ž Root of white Hellebore ℈ j. of Pellitory and Leaves â—…f Marjoram an ℈ s. Black Pepper gr v. Castoreum Benjamin an gr iiij To corroborate the Brain anoint the top of the Head and Temples with this
Liniment and then cover the Head with the following Quilt â„ž Oyls of Amber Rosemary Marjoram an ℈ ij Martiate Oyntment Ê’ij Castoreum Powdered ℈ s. For a Liniment â„ž Leaves of Marjoram M. j. of Rosemary Sage and Flowers of Melilot an one little handful Cloves Nutmegs an ℈ j. Castoreum ℈ s. Beat these into a gross Powder for a Quilt XIV Let him have a good Air a light Room moderately warm and Perfumed with Castor Peny-royal Rosemary Sage Thime Marjoram Baum c. let his Food be easie of Digestion Condited with Rosemary Betony Marjoram Hyssop and the like Let him avoid Milk Pulse and Fruit Garlic Onions Mustard Radishes c. Let his Drink be Barley-water with Majoram Hyssop Rosemary and the like boil'd in it sweetened with a little Hydromel or Honey and aâ—…omatiz'd with Saffron Let him sleep as little as may be and make his natural Evacuations come forth in due order HISTORY VIII Of the Profound Sleep call'd Carus A Stout young Man having fallen from a high Place upon his Head was seized with a deep sleep being put by his Friends who thought him drunk into his Bed he continued so for two days There was no Wound appeared in his Head which was defended by a good strong Cap only in the top of his Head there was a Contusion not very big his Pulse beat well nor did he shew any Signs that his Heart was affected he breathed freely If he were prickt he shrunk up the prickt Member In the mean time no noise nor pulling him by the Hair nor other means would wake him I. How far this Patients Head was affected the profound sleep sufficiently shew'd II. This sleep is called Carus which is a profound sleep with an injury to the Animal Actions III. 'T is no Apoplexy because the Person breaths freely nor Lethargy because there is no Fever and the Patient cannot be waked wherein it differs from Coma since the Patients in that Distemper are often waked and move their Limbs from one place to another IV. The cause of this is a depression of the upper Skull and the Bones of the Bregmâ—… caused by the Fall by which the Brain being depressed the Brain is hindered in its Motion which injures all the Animal Actions Besides that the Choroid-fold being obstructed by the Compression hinders the Passage of the Vital Spirits to the Brain and consequently the Generation of Animal to supply the wast of Spirits in the Organs of the Senses into which the Animal Spirits having not a free Influx by reason of that Compression the actions of the Parts fail and thence that deep sleep V. This Carus is very dangerous and threatens an Apoplexy if not taken care of in time VI. The Cure consists in raising the depressed Skull 2. In corroborating the wakened Brain 3. In taken care of the whole Body to prevent the flux of many Humors to the Head or any other Disease from breeding at that time in the Body VII Therefore a Glister given take eight or nine Ounces of Blood out of the Arm. Then proceed to Denudation and if need require Perforation of the Brain VIII The same day the Glister is given and the Vein opened toward the â—…kull in the place where the Contusion â—…ppears must be laid bare with a Crossâ—…ike Incision made in the fleshy Parts The next Morning raise the Bone with â—…roper Instruments But for fear least â—…y that violent Contusion some little Veins should be broken in the hard Meninx which may have poured forth any Blood between the Meninx and the Cranium which corrupting there should afâ—…erward be the Cause of unexpected death the safest way would be to Perforate the Skull in the firm Part next the depressed Part to give â—…he extravasated Blood an easie Exit and for the more easie raising of the depressed Skull IX The Skull being raised and the wound stopt according to Art let this Fomentation be clapt warm about his Head still shifting it as it grows cold â„ž Betony M. iiij Marjoram Rosemary Vervain Fennel Leaves of Lawrel Baum Thime Rue Flowers of Stoechas Camomil Melilot an M. j. Common Water q. s. boil them according to Art adding toward the end White-wine lb j. Make a Fomentation of 〈◊〉 iij. X. Anoint his Fore-head with this Liniment â„ž Oyls of Amber Rosemary Marjoram distilled an ℈ j. Castoreum pulverised gr ix Martiate Unguent Ê’ ij XI The Patient being rous'd from his sleep which uses to happen after the raising of his Skull give him this Purging draught â„ž Leaves of Senna Ê’ iij. Rubarb Ê’ j. s. white Agaric Ê’ s. Anise-seed Ê’ j. Decoction of Barley q. s. Infuse them then add to the straining Elect. Diaprunum solutive Ê’ iij. XII The Body being Purged let him drink twice or thrice a day a draught of this Apozem â„ž Succory Root â„¥ j. s. of Fennel and Acorus an â„¥ s. Herbs Betony Dandelion Borage Baum Rue an M. j. Rosemary Marjoram Flowers of Stoechas an M. j. Orange and Citron Peels an â„¥ s. Currants â„¥ ij Water q. s. For an Apozem of lb j. s. XIII Instead of the Apozem he may now and then take a small quantity of this or such like Conditement â„ž Specier Diambrae Ê’ j. Roots of Acorus Condited Candied Orange-peels Conâ—…erve of Anthos and pale Roses an â„¥ s. Syrup of Stoechas q. s. XIV If he be bound at any time in his Body let him be loosened with Glisters Or else take the following Mixture and hang it up in a little Bag in a Pint and a half of small Alâ—… and give him a draught or two every Morning â„ž Leaves of Senna â„¥ j. s. Rubarb Ê’ ij Root of Iallop Ê’ j. Anise Ê’ ij Leaves of Marjoram Carduus Benedict an M. s. XV. Keep him in a good temperate clear Air let his Meats be of easie Digestion and spaâ—…ing at first His Drink small his Exercises moderate little Sleep at first especially But let his natural Evacuations duly proceed either spontaneously or provoked by Art HISTORY IX Of a Catalepsis A Young Maid her Evacuations being obstructed and frequently liable to Uterine Suffocations being taken of a suddain remained void of Sence and in that Posture as she taken waxed cold keeping her Eyes open and fixed but seeing nothing if the standersâ—…y moved her Arm upwards or downward or side-ways it remained as they laid it if they set her upon her Feet she stood if they moved her Body forwards she put out her Foot if they turned her Head on one side so it stood all this while she breathed freely when this fit had lasted an hour she came to her self but remembered nothing of what had happened Two days after she was taken with another Fit which went off of it self I. THat the Seat of this Distemper was in the Head the terrible Molestation of the Animal Actions declare as the Uterine Suffocation shewed the Distemper of the Womb. II. This Affection is called a Catalepsis and is a sudden and very great
could hardly speak or breath and when she endeavoured to throw off the Burthen she was not able to stir her Members And while she was in that Strife sometimes with great difficulty she awoke of her self sometimes her Husband hearing her make a doleful Inarticulat Voice waked her himself at what time she was forced to sit up in her Bed to fetch her Breath sometimes the same Fit returned twice in a Night upon her going again to Rest. I. THe Brain of this Woman was primarily affected especially in the hinder Ventricle of the Brain near the Spinal Pith for the Muscles of the Parts seated below the Head are agrieved which appears by her difficulty of breathing and the hindered Motion of her Breast Thighs and Arms. Hence the Heart is affected with the Lungs II. This Affection is called Incubus or the Night-Mare which is an Intercepting of the Motion of the Voice and Respiration with a false Dream of something lying ponderous upon the Breast the free Influx of the Spirits to the Nerves being obstructed III. The antecedent Cause of this Malady is an over-redundancy of Blood in the whole Body whence many Vapors are carried to the Head and there detained by the Winter-cold streightning the Pores and thickning those Vapors and narrowing the Passage to the beginning of the Spinal Marrow which hinders a sufficient Passage of the Animal Spirits to the Nerves and this constitutes the containing Cause IV. For while the Passages of the Nerves are compressed by the more thick Vapors detained about the lower part of the Brain at the entrance of the Marrow into the Spine sufficient Animal Spirts do not flow into the lower Parts which causes the Motion of the Muscles to fail Now because the Motion of the Muscles for the most part ceases in time of sleep except the Respiratory Muscles therefore the failing of their Motion is first perceived by reason of the extraordinary trouble that arises for want of necessary Respiration Now the Patient in her Sleep growing sensible of that Streightness but not understanding the Cause in that Condition believes her self to be overlay'd by some Demon Thief or other ponderous Body being neither able to move her Breast nor to breath Then endeavouring to shake off that troublesome Weight as apprehensive of some ensuing Suffocation but not being able to move the rest of her Members she believes them under the same Pressure Upon which when she tries to call out for assistance but because of the streightness of her Respiration she is not able to speak distinctly she makes an inarticulate Noise with great difficulty In this Strugling she continues till the Animal Spirits detained at the lower Part of the Brain by the Compression of the Spinal Marrow and there collected in a greater quantity at length forced by the continual Flux of Spirits from the Heart violently make their way through the Pith into the Nerves and Muscles and restore Motion to the Parts Then the Patient moves her Body and wakes and by that motion those thick Vapors are dissipated and being awake she is forced to take Breath to repair the Loss which she suffered for want of Respiration But because there is yet a larger quantity of these Vapors still remaining in the Head hence it comes to pass that if she fall asleep again especially if she lye upon her Back the same Evil returns in regard those thick Vapors settle more easily toward the hinder part of the Head near the Marrow V. Now that they are Vapors and not Humors is plain from hence that the Malady is so soon mastered which could not be done so suddenly were they Humors which would rather cause an Apoplexie or some other more dangerous Evil that they are thick and not thin Vapors appears from hence because the thin Vapors would pass more easily through the Pores though narrower which the thick cannot do which requires motion of the Body to dissipate them which Motion ceasing in Sleep they stick to the Place and streighten the Pores of the Nerves But if any cold ill Temper of the Brain happen at the same time those Vapors are easily condensed into Humors by that Cold which if detained in the Head cause Heaviness the Coma Apoplexy and the like If they flow from the Head to the lower Parts they breed Catarrs with which our Patient was wont to be troubled in the Winter-time VI. This Malady is dangerous least the collected Vapors being condensed in the Head should breed a Coma Apoplexy or the like VII It consists in removing the Antecedent Principal and containing Cause and the Corroboration of the Brain VIII To purge away the Antecedent Cause or the great quantity of Humors let the Body be purged with Pill Cochiae Powder of Diaturbith or this Potion ℞ Leaves of Senna ʒiij White Agaric Rhubarb an ʒj s. Anise-seeds ℈ ij White Ginger ℈ s. Decoction of Barley q. s. Infuse them and to the Straining add Elect. Diaphaenicon ʒij IX Then because she is plethoric take away ℥ viij or ix of Blood from her Arm. X. After Blood-letting let her take every morning a Draught of this Apozem ℞ Root of Calamus Aromaticus Fennel Stone-parsley Capers an ʒvj Herbs Betony Marjoram Dodder Succory Borage Sorrel an m. j. Flowers of Stoechas m. s. Iuniper Berries ℥ s. Blew Currants ℥ ij Water q. s. Boil them according to Art adding toward the end Rubarb white Agaric an ʒij Anise-seed ℥ s. Cinnamon ℈ j. s. Make an Apozem of lb. s. XI To expel the containing Cause Errhinas snuft up into the Nostrils or a sneezing Powder of Root of white Hellebore Pellitory Leaves of Marjoram and Flowers of Lilly of the Valley greatly conduce XII To corroborate the Brain let her take a small quantity of this Conditement ℞ Specier Diambr Aromatic Rosat an ℈ ij Conserve of Flowers of Betony Sage Anthos candied Root of Acorns an ℥ s. Syrup of Stoechas q. s. XIII To the same purpose let her wear such a Quilt as this upon her Head ℞ Leaves of Rosemary Marjoram Thyme Flowers of Lavender an ʒj Nutmegs ℈ ij Cloves ℈ j. Benjamin ℈ s. Beat them into a gross Powder XIV Keep her in a pure and moderate hot Air. Let her Diet be sparing but of good Juice and easie Digestion Let her Suppers be more moderate then her Dinners Her Drink must be small her Exercise moderate and so must her Sleep be and let her be careful of sleeping upon her Back Lastly a sedate Mind and a soluble Body are of great moment in this Case HISTORY XII Of the Apoplexy A Strong Man about forty years of age both a great Feeder and Drinker complained of a heavy Pain in his Head for two Months together but took no care of himself but followed on his usual Course of Drinking Fore-noons and After-noons but at length one Morning waking in his Chamber after he had muttered out three or four inarticulate Words he fell of a sudden void of
Air no less troublesome to it IV. Which Vellication of the Nerve being communicated to the Nerve and perceived by the Mind presently more copious Spirits were determined to the Place affected for its Relief which distending in breadth the Nerve and Muscle belonging to it but contracting it in length caused the Convulsion By the Pain of this Convulsion the Head being troubled sends the Animal Spirits disorderly to these or other lower Parts and so contracting them in the same manner the Contraction happens not only in the wounded but in other Parts likewise and from this great Disturbance of the Brain and Animal Spirits happens a Delirium V. This is a dangerous Malady for besides the Nerves and Muscles the noble Bowel is distmpered Therefore says Hippocrates a Convulsion ensuing a Wound is very dangerous But the Youth and Strength of the Patient promises great hopes of Cure besides that the Convulsion proceeds from an external Cause that may be removed VI. The Method of Cure consists in keeping the Patient warm and in a warm Place in removing the sharp and biting Oyntment and washing the Wound with Barley-water boiled with Hyssop and a little Honey dissolved in it then put a Tent into it dipped in this Oyntment â„ž The Yolk of an Egg n â— j. Honey Turpentine an Ê’iij Spirit of Wine Ê’ij Then lay on Emplaster of Betony or Melilot VII The Parts afflicted and especially the wounded Arm are to be fomented with this Fomentation â„ž Marjoram Rosemary Betony Calamint Hyssop Basil an M. j. Flowers of Dill M. ij Of Chamomil Melilot an M. j. s. Seeds of Cumin â„¥ j. of Lovage Ê’iij Of Dill â„¥ s. White-wine q. s. Boil them to lbiij VIII After Fomentation strongly chaâ—…e the Parts affected with this Liniment warm â„ž Martiate Oyntment Oyl of Ireos Oyl of Foxes Earth-worms and Spike an â„¥ j. Oyl of Castor â„¥ s. IX In the mean time after a Glister given let the Parties take a Draught of this Apozem to strengthen the Brain and Nerves â„ž Root of sweet Cane Fennel Male Piony an Ê’vj Herbs Of Majoram Rue Betony Rosemary Baum Basil Calamint an M. j. Flowers of Stoechas M. s. Fennel Seed Ê’ij Raisins cleansed â„¥ ij Water q. s. Boil them to lbj s. Then mix Water of Tilet Flowers Syrup of Stoechas an â„¥ iij. X. Now and then let her take a small quantity of this Conditment â„ž Species Diambra ℈ iiij Candied Root of sweet Cane Conserve of Flowers of Sage Betony Anthos an â„¥ s. Syrup of Stoechas q. s. XI Lastly clap such a quilted Cap upon her Head â„ž Leaves of Marjoram M. s. Of Rosemary Betony Flowers of Dill Melilot an Two little Handfuls Nutmegs Ê’j Benjamin Ê’s Beat them into a Gross Powder for a quilted Cap. XII The Convulsion ceasing the Body must be purged with an Infusion of Leaves of Senna Rubarb Agaric c. or with Cochiae or Golden Pills Diaphenicon or Diaturbith with Rubarb And then return to the use of the foresaid Apozem and Conditement XIII Her Diet must be easie of Digestion condited with Marjoram Hyssop Rosemary Betony Sage Anise-seed Fennel-seed and the like Let her sleep Long and take her Rest as much as may be And be sure the Body evacuate regularly HISTORY XV. Of the Epilepsie A Boy of eight years of Age indifferent lusty no care being had of his Diet first became sad and the Winter being past often complain'd of a grievous Head-ach In March as he was at play he fell down of a sudden quite senseless writh'd his Eyes and clutch'd his two Thumbs hard in his Fists That Fit soon went off but the next day it returned much more vehement attended with manifest Convulsions of the Body From that time the Fits returned twice thrice and four times a Week with more terrible Convulsions But in the Summer they were much gentler and not so frequent But the Autumn following especially near Winter the Fits took him very often and very violent and that too of a sudden without any warning with horrid Convulsions and Foming at the Mouth And at last the I continuance and violence of the Distemper had so disordered the Animal Functions that the Child was become sottish I. THAT the Boys Brain was affected was plain by the distress of the Animal Functions II. This Distemper is called an Epilepsie Which is a Convulsion of the whole Body not perpetual with which the Party taken falls to the Ground with an intercepting of the Senses and Functions of the Mind rising from a Peculiar malignant and acrimonious Matter III. Bad Diet contributes much to the breeding of this Disease as the greedy devouring of bad and raw Fruit which heaps up Crude and Flegmatic Humors in a Flegmatic Body and these filling the Brain first caused the Head-ach then through their long stay in the Brain obtaining a certain peculiar pravity and acrimony constitute the containing Cause of the Epilepsis IV. From this depraved and acrimonious Humor exhale sharp and malignant Vapors which as often as they twitch and bite the beginning of the Nerves about the heat of the common Sensory so often they cause the Fit For while Nature endeavors to shake off that troublesom Acrimony from the sensible Parts it happens that as the Spirits flow in greater or less quantity into them they contract and relax alternately and move the rest of the Nerves and Muscles of the Body after the same manner whence those short and frequent Convulsions V. Now because this Malignant and sharp Humor chiefly and oftenest afflicts the small diminutive Nerves near the seat of the common Sensory hence it comes to pass that the fit so suddainly seizes For so soon as those little Nerves feel that Acrimony Nature endeavors to shake it off And because that endeavor is made and begins near the common Sensory therefore there is a stop put upon the Functions of the Senses and Mind For in regard the Pine Kernel is presently affected and for that the Influx of the Animal Spirits through the Nerves sometimes contracted sometimes relaxed can never be regular hence it happens that the Organs of the Senses become defective in their Functions and by reason of that disorderly Influx of the Spirits into the Nerves and Muscles the Patient presently falls VI. The Fits are milder and not so frequent in Summer For that the Pores of the whole Body are more open by reason of the External heat so that there is a greater dissipation of the Humors and considering the time of the year less Flegm is bred and heaped up in the Brain Therefore in Autumn and Winter they are most frequent and violent because of the greater abundance of Flegm then bred and less easie to be dissipated through the Pores then contracted with Cold besides the Vapors exhaling from it are more abundant and acrimonious VII The Foam at the Mouth proceeds from hence for that those Flegmatic Humors expelled from the Brain into the Jaws and Lungs by that
vehement agitation by reason that respiration is hindered grows hot in those places and being mixed with the Air unequally and difficultly passing to and fro by vehement respiration are forced all frothy into the Mouth VIII The Fit lasts till that malignant and sharp Vapor be altogether discussed and returns again when the depraved matter stirred anew sends forth the same Vapors to the Original of the Nerves The Fit is more or less vehement and does less hurt to the principal Functions according to the quantity and quality of the evil Matter IX Now because this ill and acrimonious Humor is bred in the Brain and because the Fits were frequent and vehement and the Disease of nine Months standing therefore the Cure was difficult but the Strength and Age of the Patient gave great hopes of Cure For being but a Child the very change of Youth out of one Age into another many times effects the Cure as Hippocrates testifies X. The Cure is to be performed either in the Fit or when the Fit is gone off In the Fit Castor green Rue Oyl of Marjoram Amber Nutmegs and the like are to be held to the Nostrils XI When the Fit is past the Original Causes are to be taken away the antecedent Cause to be removed the depraved quality of the containing Cause to be removed and the whole Brain to be corroborated XII Let the Body be gently Purged with two drams of Heira Picra or Diaphaenicon or with one Scruple and a half of Powder of Diacarthamum or an ounce of Purging blew Currans XIII Then let him drink twice or thrice a day a draught of this Decoction ℞ Roots of Male Piony Misletoe Sassafras-wood an ʒvj of Calamus Aromatic Valerian an ℥ s. Herbs Marjoram Rue Calamit Rosmary Vervan Laurel-leaves Flowers of Stoechas an M j. Iuniper-berries ℥ s. Seeds of Anise Wild Carrots Fennel an ʒ j. Seed of Male Piony ʒ iij. Raisins cleased ℥ ij Water q. s. Boil them to an Apozem of lb j. s. Before he drinks this let him take a small quantity of the following Conditement ℞ Spicier Diambr ʒ j. s. Roots of sweet Cane candied Conserves of Anthos Flowers of Sage Betony an ℥ s. Syrup of Stoechas q. s. XIV Sometimes instead of the Apozem he may take a spoonful of this mixture ℞ Epileptic water of Langius ℥ iij. Water of Lime-tree Flowers of the Lilly of the Valleys an ℥ j. Syrup of Stoechas ℥ j. s. XV. Upon his head let him wear this Quilted Cap. ℞ Leaves of Marjarom Rosemary Thime Flowers of Lavender and Red Roses an Two small handfulls Cloves Benjamin an ℈ j. Beat them into a gross Powder XVI Let the Patient be kept in a warm Air his food must be Meats of easie digestion condited with Marjoram Baum Rosemary and other Cephalics His drink must be small his sleep and exercise moderate and his Evacuations regular Raw Fruit Garlick Onyons and Swines Flesh and all other Meats of hard digestion and ill juice are nought HISTORY XVI Of a Catarrh A Man of forty Years of Age of a cold Constitution and one that had long used a cooling and moistning Diet was troubled first with a heavy Pain in his Head with a proclivity to sleep Afterwards he was troubl'd with a vehement Cough sometimes with deafness noise in his Ears Pains in his Neck Teeth Shoulders and other Parts sometimes a most terrible Cough took him not without some difficulty of breathing and danger of Suffocation sometimes he had nauseousness and was molested with troublesome Belchings and Pains in his Stomach under his lower Jaw rose Flegmatic Tumors which fell and vanished soon after his Nostrils were more then usually dry and he spit little He complained also that he felt a continual chilness in the top of his Head and that his Hair was not so moist as it used to be I. HEre is one molested with a Catarrh which is a Preter natural Defluxion of Humors from the Head to the lower Parts II. The remote cause of this Distemper was a cold raw and Flegmatic nourishment which over-cool'd and weakened the Bowels serving to Concoction and bred a great quantity of Excrementitious Flegm which was the anteceding Cause of the Distemper and which being colected and accumulated in the Brain over-cool'd it and thence fell down upon the lower Parts III. This Flegm augmented in the Brain because it had not heat enough to concoct and dissipate so cold and thick a Humor besides that the Passages to the Nostrils and Palate were obstructed IV. This Obstruction happens in the inner Parts of the Head by reason of the viscosity of the Humors stuffing up the narrow Passages for the Evacuation of those Excrements Therefore not able to pass the regular way they flow to the inner Parts of the Ear where they cause Noises Deafness and Pain sometimes to the Larinx and Lungs which causes vehement coughing and danger of Suffocation sometimes to the Stomach and other Parts where they breed several Maladies In the Exterior Parts this Obstruction happens by reason the Pores in the top of the Head are filled with Humors contracted by the External cold and that cold continuing in those refrigerated Parts causes that chilness complained of by the Patient And this cold not only hinders the Passage of the Vapors but condenses them under the Pericranium into a serous and flegmatic Humor which being ill concocted becomes salt and sharp Which for want of dissipation falls down upon the Teeth Neck Shoulders c. and causes those Pains complained of V. That the ordinary Passages were obstructed is apparent from the driness of the Patients Nostrils and Hair and because he spit so little VI. This Affection is not a little dangerous in regard the Symptoms that attend it may bring a Man into a Consumption and breed occult and dangerous Apostems in the inner Parts VII In the Method of the Cure the Body must be Purged twice or thrice with Pill Chochiae Powder of Diaturbith or Diacarthamum or such a draught as this ℞ Leaves of Senna ʒiij White Agaric ʒ j. s. Anise-seed ʒ j. Choice Cinnamon white Ginger an ℈ s. Decoction of Barley q. s. Infuse them then add to the straining Elect. Hiera Picra ʒ j. Diaphoenicon ʒ ij VIII Then the Brain is to be dried and strengthened with the following Apozem ℞ Roots of Acorus Fennel an ʒ vj Galangal ʒ iij. Herbs Marjoram Betony Thime Rosemary Baum Calamint an M. j. Laurel-leaves Flowers of Stoechados an M. s. Seeds of Anise Fennel an ʒ ij Laurel-berrys ʒ s. Water and Wine equal Parts Boyl them to an Apozem of lbj s. Of which let him take three or four draughts a day IX Noon and Night after Meals let him take a small quantity of this Conditement ℞ Specier Diambr Diamosch Diagalanga an ʒ s. Conserve of Anthos red Roses an ʒvj Candv'd Roots of Acorus ʒiij Syrup of Stoechas q. s. X. While he follows this course Masticatories and Errhines may be used
and of easie Digestion condited with Fenel Eyebright Succory Borage c. His Drink must be small Let him avoid Radishes Onions Cabbiges Beans Lentils Olives c. The longer he sleeps and the less Exercise he uses the better and let him keep his Body open HISTORY XVIII Of the Pin and Web and Bloodshot A Boy about twelve Years of Age of a cold Constitution above five Months since perceived a dimness in both his Eyes so that at first he thought he saw Gnats and Straws fly before his Eyes Afterwards he seemed to look through a thick Mist and so his sight began to fail more and more so that he saw Men after a fashion but could not distinguish Faces nay he could hardly distinguish a Horse from a Cow In the Apple of his Eye appeared a white spot covering the Christaline Humor which yielded to the Finger if lay'd upon it I. THis Affection of the Eye is by the Physitians called Suffusio or the Pin and Web which is an Obstruction of the hole of the Uveâ—…us Tunicle caused by a Humor preternaturally gathered and staying between the Horny Tunicle and the sight of the Eye and hindring the Sight II. This Humor in this Patient was Flegmatic as appeared by the white colour in the Apple of the Eye where it was collected by reason of the cold Temper of the Eye not so able to concoct their Nourishment but that some few thick Vapors exhale from the Uveous Tuncle which are condensed into a thick Humor by the External cold in the space between the Chrystalline Humor lying upon the Uveous hole and the Horny Tunicle and mixed with the watry Humor and swim at the top in viscous and thick Particles III. This Humor being thinner and less in quantity at the beginning did not hinder the Ingress of the Beams into the Christalline humor altogether but only the thicker Particles of it prevented all the Beams from entring in which made the Patient think at first that Gnats and Straws hovered before his Eyes which however were only the thicker Particles of the said Humor but the Humor afterwards becoming more plentiful and thicker then the Sight lookt as it were through a Cloud and as that thickness of the Humor increased the Sight waxed dimmer and dimmer IV. The Cure of this Evil is very difficult because the Humor covering the Apple of the Eye is now very much condensed and therefore the danger is least hardning into a little Skin it should produce Blindness But there is hopes of Cure while the Sight remains and for that the Humor giving way to the Finger appears as yet not to be fixed V. In the Cure the Body must be Purged with Pill Lucis Golden Pills or Chochiae Diaphoenicon Hiera Picra Diacarthamum or any draught composed of Agaric Turbith Iallap Senna or the like VI. For the discussion of the cold humors let the Patient Sweat twice a week with Treacle Mithridate Decoction of Sassaparil China and Sassafras In the middle between whiles let him take Decoctions of Marjoram Rosemary Eyebright Fennel Betony Rue and the like as also Cephalic Conditements of Conserves of Anthos Flowers of Sage Eyebright Betony c. VII To strengthen the Head let him make use of Cephalic Quilts The Excrementitious humors are to be diverted from the Eye and carry'd otherways off by Visicatories applied behind the Ears or an Issue in the Arm or Neck VIII After these things Topics may be applied to the Eyes and first such a Decoction is to be prepared â„ž Roots of Radishes â„¥ ij Valerian â„¥ j. Rue Fennel Eyebright Lovage Marjoram Leaves of Laurel an M. j. Flowers of Camomil M. ij Seeds of Fennel Caroways an Ê’ ij Water q. s. Boil them to lb j. s. While it is boyling let the Patient sit with his Eye over the steam of the Decoction afterwards with a soft Spunge dipped in the same Decoction luke-warm let him frequently and long foment his Eye and observe this course for three weeks together IX Let him then drop this Collyrium into his Eyes â„ž Iuice of the bigger Celandine Rue Fennel hony-Hony-water an â„¥ s. When he has used this for some time let him make it stronger by adding to it the Gaul of a Patridge and of a Pike one dram and afterward one dram and a half X. His Diet must be moderate hot attenuating and discussing His Sleep and Exercise moderate and an open Body XI If these avail not the Suffusion must be taken from the Eye by the help of a Needle Of Bloodshot A Plethoric Young Man playing in a Tennis-Court by misfortune a Ball strook him in the Left Eye His Eye upon this aked to that degree that he could not hold open his Eye The next day the Pain ceasing an extraordinary Bloody Redness was seen over his whole Eye without any Inflammation and his Eye-lids seemed to be infected with the same Redness But his Sight was no way damnified I. THis Malady of the Eye is called a Suggillation or Bloodshot Being a pouring forth of the Blood without the Vessels into the Tunicles over the Eyes and Eye-lids II. This Blood flowed out of the small Vessels of the Annate Tunicle and the Eye-lids broken and opened by the stroak of the Ball. For the Horny Tunicle was not hurt as appeared by the soundness of the Sight which was no way damnified III. There is no danger in this affection if it be taken in time before the extravasated Blood putrifie and inflame IV. First the Body is to be Purged and a Vein opened in the Arm. Then drop Womans Milk into the Eye or Blood squeezed out of the Quills of live Chickens and foment the Eyes frequently with this Fomentation â„ž Willow-leaves Plantain Flowers of Camomil Melilot an M. j Boil them in Water q. s. Add to the straining Rose-water â„¥ j. s. V. When there is no fear of a larger Efflux of Blood let the Fomentation be only discussive HISTORY XIX Of Blindness A Person of forty Years of Age strong but given to his Belly after he had complained for sometime of a slight giddiness with a troublesome heaviness at length his sight in two days time was so decay'd that he could hardly see no not so much as the light but became absolutely Blind and yet his Eyes did not seem to ail any thing The Patient for some time was very temperate but his blindness still continued though his heaviness and Vertigo went off and the rest of his Body was well I. THis Malady is called Caecitas or blindness which is a Deprivation of the Sight II. The Antecedent Cause of this Distemper is Flegm collected in the Ventricles of the Brain which flowing thence to the Optic Nerves and obstructing them hinders the Influx of the Animal Spirits to the Eye and the preception of visible Objects III. This Flegm was generated out of the Crude and Flegmatic Vapors and Humors arising from too much gutling and there thickned through the colder temper of
Tragacanth or the white of an Egg to be form'd into a slat Cake and sowed up in a silk Bag and hanged about the Patients Neck XV. While these things are doing give him sometimes a Draught of this Decoction â„ž Roots of Tormentil greater Consound Snake-weed an Ê’vj Knotgrass Pimpernel Plantain Shepherds Purse Sanicle Purslain an M. j. red Roses M. s. White Poppy Seed Ê’v Seeds of Quinces and Lettice an Ê’j s. Raisins of the Sun â„¥ ij Water q. s. Boil them into an Apozem of lbj s. to which add Syrup of Quinces and Sowre Pomegranates an â„¥ j. s. XVI Now and then let him take a small quantity of this Conditement â„ž Trochischs of seal'd Earth ℈ ij Pulp of Quinces Conserve of red Roses an Ê’vj Syrup of Poppy Rheas q. s. XVII If these things will not stay the Bleeding clap a Cupping-glass with much Flame to both Hypochondriums without Scarification Or else give him fourteen Grains of the Mass of Pill de Cynoglossa or Hounds-tongue reduced into three Pills Or else this Amygdalate â„ž Sweet Almonds peel'd â„¥ j. The four greater Cold Seeds Ê’j White Poppy Seed Ê’iij Decoction of Barley q. s. Make an Emulsion of lb s. To which add Syrup of Poppy Ê’j s. Sugar q. s. Mix them for two Doses XVIII Avoid a cold and dry Air and a very light Being Observe a cooling and thickning Diet and drink small Drink Abstain from Exercise nor cover the Body too hot sleep long and keep the Belly Soluble HISTORY X. Of the Pose or Murr and Loss of Smelling A Gentleman about thirty years of Age was wont to snuff up Powder of Tobacco into his Nostrils which caused him to sneeze At length being taken with the Pose or Murr yet he continued his Powder of Tobacco which he took three or four times a day which made him void a great quantity of flegmatic Humors through his Nostrils and Palate however his Murr encreased to that degree that he quite lost his Sense of Smelling And then his Sneezing brought away little or no Matter I. THis Gentleman lost his Smell by reason of that Pose which is a cold and flegmatic Distillation from the Ventricles of the Brain and falling into the Ethmoides Bone and the Membranes belonging to it II. This flegmatic Matter by reason of the Gentlemans frequent Sneezing and Contractions of the Membranes of the Brain and consequently the streightnings of the Pores and Detentions of the Vapors was copiously collected in the Ventricles of the Brain and expelled down to the Ethmoides Bone The diminutive Holes of which when it was not able to pass it so obstructed that no Odor could come to the inner Parts of the Nostrils which caused the Loss of the Smell III. Because this Pose which hinders the Smell continued long the Cure proves the more difficult IV. After due Evacuation of the Body care is to be taken of the Head which is to be corroborated with hot Cephalics given in Apozems Conditements Powders c. the better to attenuate and discuss the Vapors ascending thither V. To open the Pores Frictions of the Head and Fomentations with hot and opening cephalic Decoctions After which put on a dry Quilt of the same Cephalics upon the Head of the Party VI. Put up into the Nostrils such things as are proper to cut and attenuate thick Humors as â—…amphire Vinegar of Squills and Root of wild Radish bruised VII Let him continue the Use of these things for some time which if they prove ineffectual the only way will be to make an Issue in the Neck VIII Let his Food and Drink be condited and intermixed with hot Cephalics and let him feed sparingly Let his Sleep and Exercise be moderate and let him be sure to keep his Body open HISTORY XXII Of the Tooth-Ach A Young Lad about fifteen years of age of a flegmatic Temper having after hard Exercise exposed himself bare-headed to the cold Air and the Wind was taken with a most terrible Pain in his Teeth upon the Left-side which extended it self to the innermost and upper Parts of the Head There was no Swelling in the Gums of the the out-side of the Cheek no Redness or Inflammation only out of one of his Hollow Grinders he felt a certain serous salt sharp Humor distil as cold as Ice I. THis Malady is by the Physicians called Odontalgia or the Tooth-ach II. The anteceding Cause was flegmatic and cold Humors gathered in the Body which by the Heat of Exercise being attenuated into Vapors and carried to the Head and there not only detained by the External Cold shutting up the Pores but also being condensed into a scrous saâ—…t and sharp Liquor and not able to pass through the Passages appointed for the Evacuation of the Excrements of the Brain fell upon the Jaw-teeth on the Left-side and there caused a most cruel Pain III. That this is a salt serous cold Humor the Patient himself finds by the Taste of the Drops that distil out of his Teeth into his Mouth IV. The Pain proceeds from hence because the little Nerve inserted into the Cavity of each grinding Tooth together with the Periostium that surrounds every Cavity is corroded by the sharp Humor and vexed by the extraordinary Cold of it V. The Pain extends it self upward to the inner parts of the Head because the little Nerves of the Teeth inserted in the Cavities are Branches of the third and sixth Pair No wonder then that those Nerves being grieved carry the Pain to the inner Parts of the Head besides that 't is very probable that that same sharp and salt Humor falls down to the Teeth all the whole length of those Nerves through the Holes of the Cranium from whence those Nerves issue forth and so not only the Particles which are inserted into the Roots of the Teeth but the whole Nerves from the Cranium to the Teeth are infested with that Humor VI. There was no Tumor in the outer Part of the Jaw because the Humor which caused the Flux did not abound in quantity but was only sharp and very little Nor was there any Swelling in the Gums because the Humor did not stay therein but issued out from the hollow grinding Teeth VII Neither was there any Redness or Inflammation in the Gums or Jaw for though the Humor were sharp yet it was actually and potentially cold so that it could not breed any Inflammation or hot Distemper VIII This Pain is not to be contemned for that being so terrible as it is and causing continual want of Sleep and Commotion of the Humors and Spirits it may produce Deliriums Convulsions and continual Fevers IX In the Cure the Anteceding Cause is to be taken away then the Containing and the Original is to be removed the Pain to be asswaged and the Head to be corroborated X. Let the Body be purged with one Dram of Powder of Diaturbith or Diacarthamum or with these Pills â„ž Mass of Pill Cochiae Golden Pills an
℈ j. Diagridion gr iiij with Syrup of Stoechas Make up vij Pills XI To evacuate the Humor contained in the Ventricles of the Brain make use of this Errhine ℞ Iuice of Mercury Marjoram an ℥ s. of Beets ʒj s. Or else instead of this take the following Sternutory ℞ Roots of Pellitory White Hellebore Leaves of Marjoram an ℈ j. black Pepper gr v. For a Powder XII To strengthen the Head open the Pores and dissipate the cold Humor prepare this Quilt ℞ Leaves of Rosemary Marjoram Sage an M. s. Flowers of Lavender Melilot red Roses an one small Handful Nutmegs Cloves an ℈ j. Frankincense Mastich an ʒj Beat them into a gross Powder for a silken Cap. XIII Also lay this Plaister upon both Temples ℞ Frankincense Mastich an ℈ j. Sagapen Tacamahacca an ℈ j. s. Mix them and spread them upon black Silk Nor will it be amiss to make use of Conditements and Cephalic Apozems of Marjoram Rosemary Sage Betony Conserves of Anthos Sage c. Tobacco also taken in a Pipe is an excellent Remedy XIV Let the Patient also frequently wash his Mouth with this Decoction warm ℞ Root of sharp pointed Dock ℥ j. Male Piony ℥ s. Marjoram Sage Hyssop Thyme Betony Rosemary an M. j. Fennel and Aniseseed an ʒij Wine q. s. Boil them to lb j. XV. After he has washed his Mouth let him put into the Hollow of the Tooth with a little Cotton one Drop of Oyl of Basil or Cloves In extremity of Pain a little Spirit of Wine may be held in the Mouth to the Teeth affected But this is not to be done often for fear of hurting the Lungs XVI To divert the Humor apply a Vesicatory behind the Ear or in the Neck and keep it open for some time XVII These Remedies not availing in extremity of Pain give the Patient toward Evening three grains of Opiate Laudanum in a Pill or thirteen grains of the Mass of Cynogloss Pills or two or three Scruples of Philonium Romanum XVIII Let his Diet be condited with hot Cephalics avoiding all salt sharp and acid Diet that fill the Head with Vapors Let his Drink be small Let him sleep long exercise moderately and keep his Body open HISTORY XXIII Of those Tumors in the Mouth called Aphtae A Woman of about thirty years of Age was taken with a continued Fever accompanied with an extraordinary Faintness yet without any vehement Heat or great Thirst which in two days had brought her extreamly low Her Pulse beat slow and unequal Her Urine was like that of a Man in perfect Health So that she complained of no excessive Pain in any Part but of an extraordinary Weakness of her whole Body which was such that she could not sit upright in her Bed The fourth Day she perceived a Difficulty to Swallow so that her Drink would not go down her Throat and Gullet without Pain Trouble and Impediment At the same time her Palate Gums Tongue and Chaps were full of little white Pustles without number Her Taste was also so far gone that she relished nothing that she eat I. THis Woman was seized with a Malignant Fever accompanied with Aphtae which are certain Exulcerations in the upper part of the Mouth with an extraordinary Heat II. The Anteceding Cause were putrid Humors sharp and malignant contained in the Body which being attenuated by the feverish Heat and carried through the Arteries and occult Passages to the Mouth and causing an Exulceration therein constitute the next Cause III. That these Pustles proceed from a certain malignant putrid Humor is plain from the putrid malignant Fever preceding and joyned with them The Malignity of which appeared by the Faintness and Decay of Strength which the Patient endured whereas a Fever seems to shew no such manifest Causes of so much Weakness Then again that it was a flegmatic Humor appeared by the lesser Heat of the Fever and the whiteness of the Pustles IV. This Humor attenuated by the Fever and coming sharp to the Mouth exulcerated the inner rather than the other Parts as the Palate Tongue Gums c. because they are cloathed with only a thin and soft Pellicle which are easily exulcerated by sharp and putrid Humors whereas the former Parts more easily resist the Corruption V. Now because that Pellicle which covers the inner Parts of the Mouth extends it self through the Jaws and Gullet to the Stomach Hence also the Gullet was beset with the same Pustles which caused that Difficulty of Swallowing and painful going down of the Drink VI. Her Taste was lost because the inner Pellicle of the Mouth into which the Gustatory Nerves are inserted and by means of which the Taste happens was so full of those little Ulcers that the Gustable Objects could not come to it Besides that the Tongue being grieved by the Ulcers and infected with bad Humors could not well judge of Savors VII These Pustles are more a Sign than a Cause of danger For they indicate a malignant and dangerous Fever upon the Cure of which their Cure depends VIII The Body therefore being well purged and Blood being taken away and other convenient Remedies administred the Mouth of the Patient must be gargarized with this Decoction ℞ Barley cleansed Roots of Snakeweed Tormentil an ℥ s. Licorice sliced ʒiij Plantain Purslain Knot-grass Oak-leaves an M. j. Flowers of Mallows red Roses Pomegranates an M. s. Water q. s. Make a Decoction to lb j. Add Syrup of Mulberries and Dianucum an ℥ j. s. Mix them for a Gargle IX After she has well gargled her Mouth let her lick and wash the inside of her Mouth with this Syrup ℞ Syrup of Quinces sowre Pomegranates and dry Roses an ℥ j. X. If the Pain grow sharper let her hold new Milk in her Mouth or rather Whey and change it often Then let her lick Syrup of Quinces or dry Roses alone and rowl her Tongue about her Mouth especially when the Pustles are broken XI Let her Diet be refrigerating and such as resists Putrefaction her Drink small or else Ptisans and let her be sure to keep her Body soluble HISTORY II. Of the Aphtae Pustles AN Infant of two months old when the Mothers Milk failed was put to a Nurse of a choleric Temper but otherwise healthy and abounding with Blood and Milk After the Infant had suckt this Woman eight days it began to vomit up curdled Milk mixed with choleric and flegmatic Humors slept unquietly and voided much yellow and green Excrement At last the Mouth of it was full of white Pustles so that through Pain it could suck no longer though it seemed very desirous of the Breast In the mean time there was no manifest Fever nor alteration of the Pulse I. THE Cause of these Pustles was the Nurses serous hot and sharp Milk which the weak Stomach of the Infant could not well concoct but bred much Choler from which sharp Vapors ascending to the Mouth exulcerated the tender Pellicles of the Inner Part of
brought up a great quantity of tough and viscous Slime which sometimes tasted saltish he Cought very much after Meals insomuch that through the violent Agitation of his Stomach he brought up all he had eaten with a great Pain in his Breast and Abdomen After Vomiting his Cough ceased he never spit Blood he had no Fever however his Body fell away and his strength wasted yet not so but that he still went abroad about his business Somtimes he was very Loose His Appetite held indifferent good and he slept moderately well I. THE Lungs of this Person were chiefly affected then the Stomach and several other Parts of the Body suffered under the violent Agitation of the Cough II. This Malady is called Tusis or a Cough which is a violent forcing of the Breath caused by a swift Contraction of the Breast and Lungs whereby what is troublesome to the Instruments of Breathing is expelled by 〈◊〉 force of thein-breath'd Air. III. This Malady needs no signs to discover it IV. The anteceding Cause of this Distempet is a Cold and Flegmatic disposition of the Air contracted by bad Diet. The Original Cause was Heats and Colds violent and unseasonable Exercise The containing Cause is Flegm in the Lungs either by Defluction or Collection partly twiching them with its Acrimony partly obstructing the Bronchia with its great quantity V. Cold Diet and of hard digestion bred Crudities and many saltish Humors which for want of Concoction became Acrimonious The Brain was refrigerated by the cold â—…empestous Weather and the Pores of the outward Head obstructed so that the Flegmatic serous Vapors ascending from the lower Parts soon condensed in the Ventricles of the refrigerated Brain which not being able to pass through the obstructed Pores caused first a Pose Afterwards the fiercer Cold of Winter encreasing the quantity of those Humors they being debarr'd their usual Passages by reason of their thickness fell upon the Aspera Arteria and Gristles of the Lungs and hinder Rispiration and the Acrimony of those Humors farther molesting the Pellicle of the Aspera Arteria and Bronâ—…hia enforces those Parts to a violent Exclusion of the provoking Humors VI. This Cough had lasted long for want of care of Diet and taking Remedies whence a frequent defluxion of Catarhs to the Breast the Cold of which in time much refrigerated and weakned the Lungs so that Vapors rising from the lower Parts and stopping in the Lungs were easily condensed into a Viscous liquor that stopped up the Channels of the Lungs and stuck like Bird-lime to the sides of the Bronchia which caused that violence of Coughing to shake off that tenaoious Matter VII The Cough was longer and more vehement and threw off much more tenacious Flegm in regard the Flegmatic Humors that had been gathering together all day and night about the beginning of the day abounded in so great a quantiâ—…y that they could no longer be contained in the Head but falling down upon the Lungs and tickling the Bronchia not only with their Acrimony provoked the Cough but more plentifully filling the Bronchia contracted by the Vapors condensed within them and thence hindring Respiration irritated the Cough as being that by which Nature endeavoured to throw off the trouble VIII The Cough increased after Meals because the Vapors being raised by the swallowed Nourishment and endued with some Acrimony fell upon the Lungs and there condensed stick to the refrigerated Bronchia and tickling the sensible inner Tunicle both of them and the Aspera Arteria already prepared to ease Provacation by the former Humors exasperate the Cough through the violent Agitation whereof and Compression of the Muscles of the Abdomen the Stomach throws up all again upon which the Cough ceases for a time because there is nothing in the Stomach from whence any more sharp Vapors can ascend to the Lungs IX And by reason of the same violent Motion and over frequent distension of the Muscles some Pain is felt in the Breast and Abdomen And that Compression forcing the Meat and Drink unconcocted out of the Stomach causes a violent Loosness and dejection of the Nourishment X. There is no Fever because there is no Putrefaction of the Humor but the Body is emaciated and becomes very weak because the violent concussion of the Cough weakens all the Parts of the Body nor are they able to receive or retain the Alimentary Blood flowing through the Arteries sometimes loose sometimes compressed as they ought to do 2. Because that violent Agitation expells the Nourishment received before due Concoction by which means all the Parts of the Body are deprived of their due Nourishment and consequently must be very much weakned XI The appetite continues because the Stomach is in good order undisturbed by the Catarrhs the disturbance of its Concoction being only accidental XII He sleeps moderately because the Flegmatic humor falls not in the Night from the Head to the Breast besides that the rapid Motion of the Animal Spirits to the Organs of the Senses is for a while restrained by the Cold and Plenty of the Humors so that the Organs are at rest for a while for want of copious Spirits XIII Such a Cough as this threatens great danger by reason of the Saltness of the Catarrhs the Acrimony whereof in some Veins in the Lungs may be easily corroded and broken thence Spitting of Blood and Exulcerations Beside that the Cure is difficult by reason the cold ill Temper of the Brain and Lungs is of a long standing not easie to be removed XIV In the Method of the Cure 1. The vehemency of the Cough and the Acrimony of the Catarrhs is to be allay'd 2. The Teâ—…acity of the Spittle is to be attenuated concocted and brought to Maturation 3. The cold ill temper of the Lungs and Head is to be amended and the Parts to be Coroborated 4. The falling down of the Catarrhs to the Lungs is to be prevented XV. After Purgation with Chochiâ—… Pills or Golden Pills Electuary of Hiera Picra or Diaphâ—…con c. this Apozem is to be prescribed â„ž Roots of Elecampane Acorus Florence Orrice an â„¥ s. sliced Licorice Barley cleansed an â„¥ vj. Scabious Venus Hair White Hore-hound Betony Coltsfoot an M j. Oak of Jerusalem M. s. Iuniper-berrys â„¥ s. Seeds of Anise and Fennel an Ê’ ij Fat Figs No. ix Raisins cleansed â„¥ ij Water q. s. Boil them to lb j s. Add to the straining Syrup of Stoechas Horehound Oxymel Pectoral Magistral an â„¥ j. Mix them for an Apozem To which you may afterwards add for the swifter Consumption of the Flegm Sassaperil Sassafras and China-root Also the Patient may make use of this Looch â„ž Syrup of Hyssop Horehound Oxymel Magistral an â„¥ j. Syrup of Stoechas â„¥ s. Instead of which he may now and then take one of these Tablets â„ž Powder of the Root of Elecampane ℈ j. Florence Orice ℈ ij Licorice Ê’ j. Saffron gr xiv Sugar dissolved in Fennel-water â„¥ ij XVI If
which insinuates it self and its Vapors into the spungy Substance of the Cheeks besides that there is a hot Exhalation from the inflam'd Lungs themselves with which fierce Vapors break forth out of the Chaps and lighting within the Mouth into the Cheeks make them much hotter and encrease the Redness VIII The continued Fever proceeds from the Blood putrifying in the Lungs and communicated continually to the Heart which did not appear at first till after three hours that the Blood being encreased in quantity and heat began to putrifie and be inflamed and then the Mouth became dry by reason of the fervid Exhalations drying the inside of the Mouth The Pulse was strong and thick by reason of the quantity and heat of the Blood Unequal because of the unequal Mixture of the putrid Particles sometimes more sometimes less communicated to the Heart IX At the beginning of the Fever the Difficulty of breathing encreased almost to Suffocation because of the greater quantity of Blood forced into the Heart by stronger Pustles partly because the Blood now putrifying and boiling in the Lungs wants more room and therefore causes a greater Compression and Contraction of the Bronchia X. The Pain in the Head is caused by the sharp Humors caused by the Wine excessively drank and vellicating the Membranes of the Brain partly by the hot Blood and its sharp Exhalation forced by the Motion of the Heart into the same Membranes somewhat chill'd by the Cold of the Nocturnal Air. XI This Disease is very dangerous by reason of the Difficulty of breathing and the Excess of the Fever Besides that the Bowel is affected which is next the Heart and without the use of which it cannot subsist XII Therefore in the Method of Cure a Vein is first to be opened in the Arm and a good quantity of Blood to be taken away and the same Bleeding to be repeated twice or thrice if need require which though it weaken the Party yet it is better he should be cured weak than die strong XIII In the mean time let his Belly be moved with some ordinary Glister as the Infusion of Rhubarb Syrup of Roses solutive Succhory with Rheon Decoction of Pruens or solutive Electuary Diaprunum or some such gentle Purgatives for stronger must be avoided XIV To quench his Thirst give him some such Julep ℞ Decoction of Barley lbj. s. Syrup of Poppy Rheas of Violets Pale Roses an ℥ j. XV. This Apozem may be prescribed to take of it three or four times a day ℞ Roots of Succory Colts-foot Asparagus Grass an ℥ j. Sliced Licorice ℥ s. Violet-leaves Endive Coltsfoot Lettice Venus Hair Borage an M. j. Flowers of Poppy Rheas p. ij Four greater Cold Seeds an ʒj Blew Currans ℥ j. Water q. s. Boyl them to lbj. s. Then add to the Straining Syrup of Poppy Rheas of Violets and pale Rases an ℥ j. For an Apozem Of the same Syrups equally mixt with a little Saffron added may be made a Looch to alleviate the Cough XVI If the Inflamation come to maturation which will appear by the purulent Spittle and the Diminution of the Fever then first let him take abstergent Apozems of Elecampane Horehound Hyssop Scabious c. also Looches of Syrup of Venus Hair Horehound Hyssop c. And when the Ulcer is sufficiently cleansed then come to Consolidation XVII Let the Patients Diet be Cream of Barley Chicken and Mutton Broth with cleansed Barley blew Currans Endive Lettice Damask Pruens and such like Ingredients boiled therein or Almond Milk For his Drink small Ale or the aforesaid Julep HISTORY VII Of Spitting Blood A Lusty Young Man accustomed to a salt hard and sharp Diet having many times exposed himself bare Headed to the Cold of the Winter Air and thence contracted first a terrible Pose with a heavy Pain in his Head was after molested with a violent Cough caused by sharp Catarrhs descending upon his Breast that brought him to spit up a great quantity of Blood and that not without some pain At first a Physitian being sent for let him Blood in the Arm and took away a good quantity which appeared cold very thin and ill coloured and something but very little coagulated the Blood-letting stopped his spitting of Blood for two days but afterwards it returned again His Appetite failed him and his strength decay'd but he had no Fever I. THE Primary Malady that afflicted this Man is called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the Latines Sanguinis Sputum or spitting of Blood II. In general it is a Symptom of Excrements flowing from the Lungs and the Vessels belonging to it but the Disease which follows that Symptom is a Solution of the Continuum III. The Part Primarily affected is the Lungs with it's Vessels which appears by the Cough and the Blood spit out with the Cough which comes away without Pain because of the little sence of Feeling in the Lungs The Pose and falling down of the Catarrhs shew the Head to be affected in like manner Secundarily and the other Parts suffer nothing but only as they are wearied by the violence of the Cough and weakened by that and the Evacuation of the Blood IV. The anteceding Causes are the sharp and crude Humors descending from the Head to the Lungs which vellicating the respiratory Parts by their Acrimony cause a terrible Cough and by their Corrosion a Solution of the Continuum The Original Causes are the External Cold the obstruction of the Pores of the Head and what ever others that cause a Collection of crude Humors or an endeavour to expel them being colected V. Disorderly Diet and ill Food bred a great quantity of bad and sharp Humors in the Body and made the Blood it self thin and sharp hence many sharp Vapors were carry'd to the Head which wont to be evacuated through the usual Passages and Pores which being stopped and contracted by the Cold the Humors likewise condensed with their viscous Slime beset the Spongy-bones of the Nostrils and so caused the Pose which was attended with a heavy Pain in the Head while the detained Humors distended the Membranes of the Brain afterwards descending to the Aspera Arteria and Lungs they induced a violent Cough and Corrosion of the Vessels upon which ensued a Solution of the Continuum while the Vessels were broken and opened by the Violence of the Cough VI. That the Blood abounded with bad and sharp Humors appeared from hence that being let out of the Veins it was thin and ill colored VII This spitting of Blood returned again because that when the opened Vessels are emptied there is some time required before they can be filled again but no sooner are they swelled with more Blood but it bursts out as before VII Now the reason why the Blood stopped for two days after the Blood-leting was because by that Evacuation the Heart was debilitated and the Pustles grew weaker so that less Blood was forced out of the right Ventricle
by reason of the extraordinary Prostration of the Strength and Vital Actions The External Parts are cold for want of hot Blood from the Heart There is a cold clammy Sweat in regard the thin Vapors which otherwise used insensibly to exhale through the Pores of the Skin are suddenly condensed by the sudden want of Heat and so sticking viscous to the Skin begets a cold Sweat Nor is there hardly any Respiration to be perceived for that the fainting Heart sends no hot Blood to be cool'd in the Lungs besides that the Motion of the Heart and Brain failing few or no Animal Spirits are sent to the Respiratory Muscles VII The Syncope ceasing the Languor of the Heart remains by reason of the great quantity of Flegm contained in the Stomach which flows out at the Mouth with a kind of nauseating VIII This is a dangerous Malady as well in respect of the Principal Bowel affected as in respect of the Cure in regard of the Weakness of the Patient IX The Cure is as well to be begun during the Syncope as when it is over X. During the Syncope the extream Parts are to be rubbed with Musk Amber Benjamin green Baum bruised and such other odorous Smells are to be held to the Nostrils either alone or mixed with Wine or Spirit of Wine A little of Matthiolus's Aqua Vitae Spirit of Wine Cinnamon-water or Hippocrass is to be powered down his Mouth with a Spoon and the Region of the Stomach to be somented with this Epitheme warmly applied ℞ Rosemary Baum Mint Leaves of Laurel an M j. Nutmegs Cinnamon Cloves an ʒj s. Fennel Seed ʒij Generous Wine q. s. Boil them according to Art to lbj To the Straining add Spirit of Wine ℥ ij For an Epitheme XI When the Syncope is past the Flegm accumulated in the Stomach is gently to be removed To which purpose let him take this Bolus ℞ Electuar Hiera Picra ʒij for a Bolus Or this Powder ℞ Root of Ialap Cinnamon an ℈ j. Diagridion gr iiij Make them into Powder XIII Afterwards to strengthen the Heart and Stomach and gently to purge away the Flegm this medicated Wine is very proper Of which let the Patient take a Draught every Day or every other Day ℞ Root of Elecampane ℥ s. Acorus Galangale an ʒij Baum Marjoram Tops of Wormwood an M. s. Orange Peels Iuniper Berries an M. s. Fennel and Anise-seed an ʒj s. Agaric Lucid Aloes an ʒj Choice Cinnamon ʒij s. Cloves ℈ ij Put these into a Bag to be hung in lbiiij Of odoriferous White-wine XIV In the day time let the Patient now and then drink a little Hippocrass or Hydromel after a little Bag of Cinnamon Nutmegs Ginger Cloves and Grains of Cardamum has been hung Or take now and then a small quantity of this Conditement ℞ Specier Diambrae Sweet Diamosch an ʒj s. Orange-peels Roots of Elecampane Ginger condited an ℥ s. Conserve of Anthos ℥ v. Oyl of Cinnamon and Cloves an gutt ij Syrup of preserved Ginger q. s. For a Conditement Or let him use these Tablets ℞ Choice Cinnamon ℈ ij Mace Cloves White Ginger an ℈ j. Specier Diambrae ʒj Sugar dissolved in odoriferous Wine ℥ iij. For Tablets XV. Outwardly apply this little Bag to the Region of the Heart and Stomach ℞ Cloves Cinnamon Nutmeg Storax Benjamin an ℈ j. s. Leaves of Marjoram and Rosemary an M. s. Reduce them into a gross Powder to be sowed into a little Bag. Lastly that which is called the Amber Apple or Storax Benjamin Grains of Cardamom Cloves or other odoriferous Spices somewhat bruised and ty'd up in a thin piece of Silk or put into an ivory or silver Box perforated will be very proper to smell to XVI When the Patient begins to recover Strength let him take a spoonful or two of this Mixture ℞ Strong Rhenish-wine ℥ iiij cinnamon-Cinnamon-water ℥ j. Matthiolus's Aqua Vitae ʒvj Confection of Alkermes ʒj s. Perl'd Sugar q. s. to a moderate Sweetness For want of this Composition let him take a little generous Wine or Spirit of Wine or Matthiolus's Aqua Vitae XVII Let his Chamber be strewed with odoriferous Herbs as Baum Thyme Marjoram Rosemary c. or else be perfumed with Cephalic Spices His Diet must be sparing easie of Digestion and very nutritive as the Juices and Gravies of Chickens and Partridges Gellies of Mutton Veal and Hens prepared with Baum Rosemary Sage Roots of wild Raddish Anise and Fennel-seed Nutmeg Cloves Pepper Ginger Cinnamon c. His Drink must be midling Wine Hydromel or Ale moderately taken tinctured with a little Wormwood Nor will it be amiss to take now and then a little Wormwood-wine or Hippocrass or a spoonful of Matthiolus's Aqua Vitae or Spirit of Juniper Wine Cinnamon or Fennel Wine His Sleep and Exercise must be moderate and gentle and his Excrements must have their due and regular Course HISTORY X. Of the Palpitation of the Heart A Lusty young Man about thirty four years of Age but somewhat Scorbutic and for a long time accustomed to salt Meats dryed in the Smoak and pickled in Vinegar and other Food of hard Digestion many times complained of a troublesome Ponderosity in his left Hypochondrion Afterwards about three or four hours after Meals he felt a strong Palpitation of his Heart accompanied with a strong Pulse very unequal and sometimes intermitting for two or three stroaks together at what time he was seized with an extraordinary Faintness This Palpitation lasted for half an hour then ceased again after which slight but frequent Palpitations often return'd His Appetite was indifferent and his Stomach digested well He slept also very well only sometimes he was troubled with frightful Dreams I. THE Part most manifestly affected in this Patient was the Palpitation of the Heart which is a disorderly and over vehement Motion of the Heart II. The Proximate Cause is a salt and sharp Humor mingled with the Blood which being mixed with the Chylus concocted out of sharp and salt Food and three or four hours after Meals poured forth into the hollow Vein and sliding with it into the Heart causes a disorderly and vehement Fermentation in the Chyle which is to be turned into Blood For the sharp and salt Particles of the Chylus together with the Veiny Blood impregnated with that sharp Humor falling into the Heart too much augment the Fermentation whence that vehement and disorderly Dilatation and Contraction of the Heart which causes that Inequality and strong beating of the Pulse III. Now in regard there are many fixed and thicker Particles mixed with the thinner Particles of that salt and sharp Humor which cannot be so soon dissolved and attenuated in the Heart therefore while the Heart is busied in the Dissolution and Dilatation of them the Pulse intermits for a stroke or two whence arises the Faintness for that no Spirits are forced to the Parts while the Pulse ceases IV. This vehement Palpitation lasts half an hour
because in that space all the Chylus of one Meal or the greatest part of it is mixt with the Blood in the hollow Vein and passes through the Heart and the Remainders more or less cause those slighter Palpitations afterwards V. Now the reason why that sharp Humor continually flowing with the Veiny Blood to the Heart does not cause a continual Palpitation is because the Particles of the Blood and sharp Humor fermented in the Heart are many times more equal more mitigated and less sharp so that such vehement Effervescencies cannot be excited in the Heart especially if they fall into the Ventricles by degrees and in lesser quantity But when the Body being heated by exercise the Blood more copiously and rapidly passes through the Heart with its sharp Particles mixed with it then the Heat encreasing and the sharp Humors abounding the Effervescency increases and thence the vehement Palpitation which abates upon Rest and Diminution of the Heat and extraordinary Motion of the Blood VI. This salt and sharp Humor is bred through a particular Depravity of the Spleen and emptied out of it into the Liver through the Spleenic Branch where it is concocted with the sulphurous Juice and mixed in the hollow Vein with the Blood flowing to the Heart The Vice of the Spleen is a depraved and salt ill Tempet with some Obstruction causing that troublesome Ponderosity VII The Stomach still craves and digests well because it is not affected besides that the same sharp Humors carried with the Blood through the Arteries to the Tunicles of it raise a Fermentation within it VIII He sleeps well but troubled with troublesome Dreams because that Vapors ascending to the Brain do cause Sleep but being somewhat sharp they twitch the Membranes of the Brain and the beginnings of the Nerves and so disordering the Fancy procure frightful Dreams IX This Disease is dangerous because the Heart is affected and because the depraved Disposition of the Bowels is not so soon reformed X. The Cure aims at three things 1. To correct the Depravity of the Spleen 2. To attenuate and concoct the salt and sharp Hâ—…mors in the Brain 3. To corroborate the Heart XI First then let the Patient be three or four times purged with Pill Cochiae Hiera Pills or Golden Pills Electuary of Diaphoenicon Hiera Picra Confection Hamech or Infusion of Senna Leaves Agaric c. XII Afterwards let him take this Apozem â„ž Roots of Elecampane Fennel an â„¥ j. Of Capers Tamarisch an â„¥ s. Germander Dodder Fumitory Borage Motherwort Water Trefoil an M. j. Baum M. ij Citron Rind Iuniper Berries an Ê’v Fennel-seed Ê’iij Blew Currans â„¥ ij Water and Wine equal Parts Boil them to an Apozem of lbj. s. XIII After he has taken this let him drink every Morning a Draught of this medicated Wine â„ž Roots of Acorus Elecampane an â„¥ j. Of Capers and Tamarisch an Ê’ij Water Tresoil Germander an M. s Orange-peels â„¥ s. Iuniper Berries Ê’vj Choice Cinnamon Ê’j s. Cloves ℈ j. Fennel-seed Ê’ij Lucid Aloes white Agaric an ℈ iiij Make them into a Bag to be sleeped in Wine XIV In the Afternoon let him take the quantity of a Nutmeg two or three times â„ž Specier Diambrae Sweet Diamosch an Ê’j Orange-peel and Root of candy'd Elecampane Conserve of Anthos of Flowers of Sage and Baum an â„¥ s. Syrup of Elecampane q. s. for a Conditement XV. Let him keep a good Diet upon Veal Lamb young Mutton Pullets Rabbets and Partridges c. The Broths of which must be prepar'd with Rosemary Borage Baum Betony Hyssop Calamint creeping Thyme Leaves of Lawrel Root of wild Raddish Rinds of Citron and Oranges Seeds of Anise and Fennel Nutmeg Cinnamon Cloves Ginger c. Also gravelly River-fish Turneps and new-laid Eggs. His Drink midling Ale with a little Wine at Meals Moderate Sleep and Exercise and a soluble Belly THE CURES OF THE Chief Diseases OF THE LOWER BELLY WITH THE CASES OF THE PATIENTS IN THREE HISTORIES HISTORY I. Of a Preternatural Ravening Hunger A Young Man twenty eight years of age of a healthy Constitution but somewhat Melâ—…ncholy and a great Lover of hard salt and acid Diet was sometimes seized with a very great and extraordinary Hunger so that unless he presently drank two or three Draughts of strong Ale or Wine and eat a piece of Bread or other Meat he complained of a Dimness of Sight accompanied with a slight Vertigo and presently became so weak that not being able to stand he fell into a Swoon From which when he recovered and had refreshed himself with Bread and Wine he continued free from that excessive Hunger for some days This Distemper suddenly came upon him sometimes in the Morning when he was fasting sometimes an hour after Meals before his Stomach was well emptied without any Nauseousness or Vomiting I. THE Stomach of this Man was affected in the upper Part of the Stomach and the Disease is called Bulinus Which is a Preternatural and Insatiable hunger seizing a Man on a suddain with Weakness and Swooning II. The remote Cause was a Melancholly Disposition of the Body and such a Dyet as somewhat vitiated the Concoction of the Spleen which bred many sharp and Acid Humors in the Body ill concocted by the Spleen which being carried to the Ventricles and adhering to the upper Part of it near the Stomach twich'd it after a peculiar manner and by means of a certain acid Distemper and Constriction caused an extraordinary Hunger III. The swooning follows together with a notorious weakness because of the great consent between the Stomach the heart and the Brain by means of the vagous Nerves which are inserted into the Stomach and upper Part of the Ventricle with infinite little Branches which being ill affected about the Stomach by Sympathy the Heart and Brain are affected Now the Brain being affected presently the Animal Spirits were disturbed which caused the dimness of Sight and the Vertigo The same disorderly and sparing Influx was the occasion of the weakness and faintness of the Heart which is the reason it makes lesser Vital Spirits and sends a lesser quantity of Arterious Blood to the Heart IV. Now whether a few hours after Meals or Fasting t is all one for at whatever time that subacid Juice flows into the Ventricle and knaws the upper Part of it that vehement Hunger seizes V. The Patient is so corroborated with strong Ale or generous Wine and the Distemper is presently mitigated because such sort of Liquor refreshes both Animal and Vital Spirits and washes off nay sometimes concocts and digests the acid Humor sticking to the Tunicles of the Ventricle and breaks the sowre Force of it till there be a sufficient quantity of the same Humor collected again to make the same Vellication VI. The danger of this Distemper is least the Patient should be seized at any time with this raving Hunger where Meat and Drink are not to be had and so should be carry'd off in
a Swooning Fit VII Therefore a Person thus affected ought never to Travel without a sufficient Provision of strong Wine and Food along with him that he may have his Weapons ready to resist the suddain Invasion of his Enemy VIII Moreover let him be gently Purged with Electuary of Hier a Piora Cochia or Ruffi Pills avoiding strong Purgations or if he be easie to Vomit let him take a Vomit of Asarabacca IX To strengthen the Ventricle and Spleen and mend Concoction let him take this Apozem ℞ Roots of Elecampane Tamarisch Capers an ʒ vj. Galangal ℥ s. Germander Dodder Agrimony Ceterach Baum an M. j. Leaves of Lawrel M. s. Orange Peels ℥ s. Iuniper-berries ʒ vj. Fennel-seed ʒ ij s. Blew Currans ℥ j. s. Water and Wine equal Paris Make an Apozem of lb j. s. To the same purpose also let him take this Conditement ℞ Specier Diambrae Abbots Diarrhodon an ʒ j. Elecampane Roots and Orange Peels Candy'd Conserve of Anthos and Flowers of Sage an ℥ s. Syrup of Elecampane q. s. For a Conditement X. Let his Dyet be of good and easie Nourishment and Digestion Mutton Lamb Veal Pullets and River-fish the Broaths of which must be prepared with Rosemary Betony Anise and Fennel-seed Nutmegs Cloves Wild Carrots c. Let his Drink be clear Ale and middling Wine Moderate Exercise and Sleep HISTORY II. Of a Canine Appetite A Maid about Thirty Years of Age of a Melancholy and somewhat Pensive Disposition accustomed to Salt Acid Sowre smoaked Meats of hard digestion for a whole Year was troubled with an insatiable hunger without Swooning All manner of Victuals she devoured most greedily but drank moderately after it when her Belly was full her hunger never ceased but was somewhat abated After eating she flung up all again which in a short time became so Sowre in her Stomach that the Sowre smell offended the standers by and the Maid her self confess'd that they came up sharper then juice of Limons After that Evacuation she fell to again and then again brought up what she had eaten and day and night she would have done nothing but eat and Vomit had not her Poverty enjoyned her a most troublesome and tedious abstinence in the mean time however she grew very Lean. I. THIS Distemper is called Canina Appetentia or a Cane or Dog-like Appetite Which is an unsatiable Hunger without swooning proceeding from an acid ill Temper of the Inferior Stomach wherein the Nourishment so greedily devoured is presently cast up again and then other Nourishment devoured without any abatement of Hunger II. It differs from a Bulimia for that there is a Prostration of the strength without Vomiting but many times with Swooning in the other there is Vomiting without any signal weakning of the Body III. The Ventricle of this Maid was affected especially in the lower Part. IV. The containing Cause is an acid and viscous Humor bred through the defect of the Spleen and infused in the Ventricle which vellicating the Ventricle with it's acidity causes an insatiable Appetite after all sorts of Nourishment to appease that Vellication Which Nourishment being infected by the Humors with the same acidity causes the Vellication to be more troublesome upon which great plenty of Spirits being determined to the Inferior Fibres of the Ventricle causes a Contraction of the lower Tunicles of the Ventricle and so by the help of the Muscles of the Abdomen a strong Expulsion of the Nourishment received which not being able to dissolve or eject the acid Humor still firmly impacted in the Tunicles of the Ventricle which is rather fomented by the Spleen it happens that the same raging Hunger still continues after Vomiting V. There is no Swooning in this case because there is no great consent between the lower Part of the Ventricle and the Heart and Brain VI. Because this Raging hunger accompany'd with Vomiting hinders due Nutrition and Atrophy and wast of the Natural strength is to be feared VII In the Cure the Body is osten to be Purged with Aloes Hiera Picra Infusion of Agaric and other bitter things and two or three Vomits with Leaves of Asarabacca VIII Then such things are to be prescrib'd which corroborate and cleanse the Ventricle and Spleen and promote Concoction by consuming the acid Crudities such as are prescribed against the Bulimia and the same Dyet must be observed HISTORY III. Of Difficult Concoction of the Ventricle A Certain Person Forty Years of Age accustomed to Salt Smoaked Acid Meats and of hard Digestion after he had struggled with a Quartain Intermitting Ague for Eight Months at length being freed from that slowly recovered strength because his Ventricle difficultly digested the nourishment which it received for that after Meals he was troubled with a great distention in the Region of the Ventricles and Hypochondriums which was eased sometimes by sending forth violent and loud Belches and the fewer of those he sent forth the more he was troubled Sometimes he did not belch at all and then he felt his Meat to fluctuate in his Stomach and the next day he threw it up raw and unconcocted with some relief of his trouble and so he remained free as long as his Stomach was empty but after feeding the same molestation returned His Urine was thick and pale with a copious sediment thick and palish No Fever could be perceived but his Pulse was weak and unequal and his natural strength decay'd I. HERE the Ventricles which performs the first Concoction and Chylification was infected which occasioned a difficult Concection of the Nourishment by the Greeks called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 proceeding from a cold ill Temper of the Ventricle and chylifying Bowels II. Ehe Proximate Cause of this Evil is the unaptness of the Ferment to promote fermentaceous Concoction in the Ventricle by reason the subacid and saltish Particles of it are less fixed and not reduced to that fluxibility and tenuity as to penetrate the Particles of the Aliments stir up the Spirits latent therein and separate them from the thicker mass III. That defect of the Ferment is contracted through the depraved and over-cold disposition of the chylifying Bowels the Liver Spleen and Sweet-bread for which reason they do not sufficiently concoct the Ferment which is to be prepared nor reduce it to a due fluxibility and tenuity but make it over-fix'd and crude which being communicated to the whole Body begets Crudities 1. In the Blood which is therefore difficultly and unequally dilated in the Heart so that few and those thicker both Vital and Animal Spirits are generated whence a decay of Strength and dejection of the Mind 2. In the Salival Kernels of the Chaps and others of the Head where the fermentaceous falival Juice being bred raw and so falling into the Stomach becomes unfit to make a due Fermentation of the Nourishment And the same is to be said of all the other sermentaceous Juices flowing through the Choler-receiving and Pancreatic-Channel into the Duodenum and