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A53914 A general treatise of the diseases of infants and children collected from the best practical authors by John Pechey ... Pechey, John, 1655-1716. 1697 (1697) Wing P1023; ESTC R1273 61,817 263

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of Lenitive Electuary dissolved in four ounces of Succory water or the like which draught generally gives some stools before night but if it does not an Anodyne must be given in the evening and sooner notwithstanding the Purge if great restlessness or some considerable sickness threatens danger if therefore the Purge does not answer the first day it must be repeated the next and then it seldom fails and in this manner Bleeding and Purging may be repeated by intervals as occasion requires But it is to be noted that the sick must not be purged till the thirteenth day or after nor then unless bleeding has gone before For spitting of blood and bloody Urine coming upon the Small-Pox for both these Hemorrhagies come sometimes at the beginning of the Disease after Bleeding largely once give an Anodyne Take of red Poppy-water two Ounces liquid Laudanum 14 drops of distilled Vinegar three Drams of Diacodium half an Ounces make a draught to be repeated every night at bed time Note that bleeding must be ordered and prescribed according to the age and condition of the Patient The like is to be observed in giving Anodyens and dosing other Medicines Take of Troches of Lemnian Earth Blood-stone Dragons Blood and red Coral prepared each half a Dram of Dragons Blood and red Coral prepared each half a Dram of Mastick and Gum Arabec● each one Scruple mingle them make a fine powder whereof let him take half a Dram every third hour drinking upon it four or five spoonfuls of the following julep Take of the waters of Plantain and Oak-buds each three Ounces of Cinnamon water hordeated two Ounces of Syrup of dryed Roses one Ounce make it a little accid with Spirit of Vitriol Emulsions also of the four greater cold Seeds with white Popies do a great deal of good After the Hemorrhagy is quite stopt you must proceed according to the method prescribed in the Small-Pox The loosness in Children must be permitted in the Flux-Pox because it evacuates the morbisick matter At last when the Pustles are crusty and hard anoint the face often with Oyl of Sweet-Almonds Note if in the distinct Small-Pox the Face does not swell you must give an Anodyne presently But if the Patient be light headed and very Sick and makes water often but little at a time he can be relieved no other way death being near at hand than by giving Narcoticks freely or by taking away a large quantity of Blood and exposing the Body to the Air But I would not be so understood here as if in every frenzy coming upon the Small-Pox there being no symptom more frequent that I should advise bleeding presently but only in that which therefore happens because the Face does not swell in the distinct kind tho there be a great number of Pustles Note also for a suppression of Urine which sometimes a●flicts young and brisk people nothing does so well as taking the sick out of Bed and after he has walked twice or thrice cross the room by the assistance of the by standers he will presently make water freely and be much relieved thereby Note the symptoms arising from catching cold or by evacuations unduly used whereby the Small-Pox are struk in must be removed by Cordials and an agreeble Regimen But they must not be continued after the symptoms are gone off the chief of these are flatting of the Pustles and a looseness in the distinct Small-Pox for in the Flux a depression of the Pustles is natural nor is a looseness dangerous in Children In both these cases a Cordial Portion made of distilled Waters Diacordium liquid Laudanum and the like is proper not only to remove these symptoms but also at any time of the Disease if the Sick complains of a pain at the Heart or of Sickness But to speak the truth symptoms of this kind are very rare compared with those that owe their original to the other extreme which is more fatal tho less blamed When the Patient is mending and and the Pustles are falling off after he has eat meat a few days namely about the 21st or 22d day I think he ought to be blooded if the Disease has been violent and after bleeding he must be purged three or four times CHAP. V. Of the Meassels THis Disease chiefly invads Infants and all those that are together in the same house it begins with shaking and shivering and with an inequality of heat and cold which mutually expel one another the first day the second day it ends in a perfect Fever with violent Sickness Drowth and want of Appetite the Tongue is white but not dry there is a tickling Cough with a heaviness of the Head and Eyes accompnied with perpetual drowsiness and for the most part an humour distils from the Eyes and Nose and this effusion of Tears is a certain sign of the approaching Measles to which this is to be added no less certain viz. that tho this disease shews it self most commonly in the Face after the manner of little swellings in the Skin yet in the Breast rather red Spots than swellings are perceived arising no higher than the superficies of the Skin The Patient sneezes as if he had taken cold and the eye-lids swell a little before the eruption he vomits but is oftener troubled with a looseness with greenish stools but this chiefly happens to Children that are breeding their teeth and they are frowarder in this Disease than they are commonly wont to be The symptoms increase till the fourth day at which time generally tho sometimes they are deferred little red spots like fleabites begin to come out about the Head and other parts of the Face and being increased in number and magnitude branch into one another and so paint the Face with large red spots of various figures which are occasioned by little red wheals not far distant one from another that are elevated a little above the Superficies of the Skin and their Protuberancies may be perceived by a gentle touch tho they can scarce be seen These spots spread themselves by degrees from the Face which at first they only possessed to the Breast Belly Thighs and Legs but they affect the Trunk and Members with redness only without any sensible inequality of the skin The symptoms of the Measles do not abate by the eruption the Cough and Fever increase with difficulty of breathing weakness of the Eyes and the defluxion on them and the drowsiness and want of Appetite continue the same as before On the sixth day or there about the skin breaking and the Pustles drying off the forehead and Face grow rough and at that time the spots in other parts of the body are very large and very red About the eight day the spots in the Face vanish and are scarce perceived in the rest of the body but on the ninth day they totally disappear and as we said the Measles most commonly vanish on the eighth day at which time the vulgar being deceived by reckoning upon
it is to be feared that these Ulcers may foul the Skull if the matter be very filthy for it has been observed that the Skull has been so corrupted by these Ulcers that it has fallen off and the Meninges have appeared But when there is no danger to be feared especially when the Face is not deformed nor the Eyes hurt the Ulcers ought to be left to themselves yea we ought to endeavour that the other matter be expell d and if the Ulcers vanish ●nd the Child fall sick upon it we must give Fumitory Scabious Carduus-Benedictus Harts-horn or the like to drive the humour out again and cooling and astringent things which repel the matter must not be used But the Nurse in the mean while ought to observe a good Diet and to abstain from Salt and acid things and all things that generate ill juries as Onions Garlick Radish Pulse salted Meat and the like and if her body be foul the vitious humours must be purged off for otherwise the Child will be prejudiced and the Disease increased but if the ill humours are evacuated these Ulcers will soon go off wherefore these humours should be altered and prepared with Medicines made of Borrage Bugloss Fumitory Succory Hops the roots of Polypody sharp pointed Docks and afterwards they must be purged off with the leaves of Senna Epithymum Rhubarb Black Hellebore or with Diacatholicon tryphera Per●●ca or the like and afterwards you must give such things as strengthen the Viscera and attemperate and expel the other humours As Take of the Conserves of Borrage Bugloss Violets Fumitory and Succory each 〈◊〉 Ounce of the candid roots of Succory and of the bark of Citron candied ●cah half an Ounce of the Sp●cies Diarrhodon Abatis Diamargarit frigid Harts-horn prepared each one Scruple with a sufficient quantity of Syrup of Gilliflowers make an Electuary Or Take of Harts-horn prepared two Drams of Magistery of Goral one Dram of the Species Diamargarit Frigid half a Dram make a Powder whereof give the Nurse daily half a Dram or a Dram. ●ome of these Medicines may be also given to the Children as Syrup of Borrage Fumitory Polypody and Hops and the Childs Body may be evacuated respect being had to its age with Glisters with Manna or laxative raisins or the like But if the Disease continue long and here is danger that great putrifaction ●ill arise under the Scab and so foul he Skull we must use Topicks and first he head must be washed with a Deoction of Mallows and Barley or ●ith a Decoction the roots of sharp ●ointed Doke the leaves of a Mallows he greater Celandine Wormwood the Seeds of Fenugreek Vetches Lupines and Beans If you would have it abstersive you must boyl the Herbs in Wine or you may make a Lotion with roots of Marsh-mallows boyled in childs urine alone or mixed with Barley-water afterwards anoint the part with the Oyl of Roses and Bitter-Almonds mixed with a little Lytharge Or Take of the Ashes of Myrtles and Nut-shells each one Dram of Tutty one Dram and an half of old Butter washed in rose-Rose-water one Ounce mingle them Or Take of the juice Beets of greater Celendine each one Ounce Hogs-lard two Ounces Sulphur one Dram mix them Or Take of Lytharge moistened with Oyl of Roses one Ounce Ceruss half a Dram Aloes and Frankencense each one Dram and an half Myrrh on Dram Oyls of Roses and Rue each a sufficient quantity mix them in a Morter The following is stronger Take of the powder of Red-roses of the roots of Briony Pidgeons-dung Verdegrease and Sulphur each two Drams Oyls of Junipir and Wall-flowers each a sufficient quantity mix them in a Morter and anoint the part with it every other day Or Take of Cerass and Lytharge each two Drams Balaustins and Agarick each one Dram with Oyl of Roses and a little Vinegar make an Oyntment Or having rubbed the affected part with soft Soap wash it off with a proper decoction If the Skull be hurt by the Ulcers the Scab must be first taken off and mollified with Mallows and Violets boyled in May Butter or in Lard Afterwards the Ulcer must be washed and dryed with a Lee made of the ashes of the Vine Beetch and Ash ●a little Butter being added to it when the Skull appears you must apply Honey of Roses mixed with spirit of Wine afterwards you mnst apply the powder of the roots of Birthwort and Peruvian Balsam or you may ad Turpentine washed in tobacco-Tobacco-water CHAP. VII Of a Tinea IF the Ulcers continue long or are ill cured they turu to a Tinea viz. crusty and fetid Ulcers of the Head corroding the skin It is properly reckoned amongst the dieases of Children tho the adult have it too for tho grown people are sometimes afflicted with this disease yet it has its beginning in their Infancy it is called Tinea from the Moths that spoil Cloaths because these Ulcers corrode the skin as Moths do Cloaths It differs from Scabs and the Ulcers treated of in the foregoing Chapter by being dry and crusty whereas they are moist and have always an humour flowing from them and they sometimes possess other parts of the body as well as the Head but this only the Head The cause of it is a Salt and acid humour degenerating to melancholly taking its rise from the Mothers blood wherewith the Child was nourished or from the ill milk of the Nurse or Mother and by progress of time and the long continuance of the disease and neglignce for it most commonly befalls poor peoples Children it turns to this disease Moreover it is easily imparted to Infants when the cap of that which has it is put upon another infant This disease is not always the same for sometimes it is scaly sometimes viscous This disease plainly appears to sight and is commonly known for some crusty and dry Ulcers are seen upon the Head sometimes they are green sometimes yellow and sometimes of an ash-colour scarce any thing flows out of them and that which does is very fetid It is very difficult to cure that which is new and of a yellow colour and a little moist is easiest cured But that which is old ●uite dry of an ash-colour or black is very hard to cure If it seiz a Child in its infancy it can scarce be cured till the Child come to an age fit to bear the Medicines the Disease requires and the severity of the Cure and when it is cured Hair seldom grows upon the place especially if the skin be hard and testatious and does not look red when it is rubbed but if the skin be soft and looks red upon rubbing there is hopes hair may ow again tho not without difficulty The indications are the same with o●er Ulcers namely magnitude lessen requires Medicines that in●arn the lution of the continuity requires things ●at conglutinate but we cannot satisfie hese indications unless the corroding humour be taken off and this must be done
them in all things necessary to a good Life CHAP. II. Of the Diseases and Symptoms of Infants in General WHat ever diligence has been used for the right ordering of the Diet of Infants yet notwithstanding they are often subject to Diseases for that blood which was wont to be evacuated every month and those vitious humours that were wont to be carried off with it being detained nine whole months in the Womb it may easily happen that the Child be injured there by especially all Mothers being not equally healthful and besides many great errors being committed in Diet many vitious humours are communicated to the Fetus with the nourishment all which tho not always disorder Children in the Womb and sometimes after they are Born occasion various Diseases and Symptoms and sometimes the Child is injured in the Birth or by the cuting of the Navel-string or by the change of place for when it was in the Womb it was encompassed with peculiar coverings flesh membrans and humours all warm and soft The Diseases and Symptoms of Children are many some common with the adult which being added by some Authors to Treatises of Childrens Diseases makes them bulky and therefore I will here pass them by and treat only of such as are proper and familiar with them In the cure of Infants a special regard is to be had to the Methods and Medicines for Children by reason of the weakness of their bodies cannot under go severe methods or strong Medicines They do not well bear bleeding nor strong Purges but where purging is required a Suppository ought to be used or a Glister must be injected For instance Take of the leaves of Violets and Mallows each one handful of the Flowers of Camomile and Violets each one pugil boyl them in a sufficient quantity of fountain water Take of the strained liquor four or five ounces according to the age and add to it of Syrup of Roses solutive half a ounce six drams or an once of oyl of Violets half an ounce make a Glister Take of the Whey of Goats-milk a sufficient quantity add to it of Syrup of Succory with Rubarb or of Honey or of Syrup of Roses solutive six Drams of Oyl of Violets half an ounce make a Glister But if there be occasion for other Purges they are most conveniently given to the Nurse or Mother for the purgative quality is imparted by the Milk to the Child or lenitive purges may given to Children respect being had to their age as Syrup of Roses solutive Syrup of Succory with Rhubarb Cassia Manna or the like CHAP. III. Of the Fevers of Children THE first indication incuring Childrens Fevers is to prepare well the acid that it may be the easier ejected but this preparation must not be endeavoured by Sudorificks properly so call'd that is such as heat the body which are by no means to be used for Infants or Children but such things as absorbe the acid and gently restrain the Ebullition are to be used the chief of these are Crabs-Eyes and Claws Oyster-shells Cuttle-bones Egg-shells Coral Coraline Pearl Mother of Pearl both the Bezoarstones Hearts-horn burnt burnt Ivory the Bone of a Stags heart Shavings of Harts horn Bolearmonick Seald-earth Blood-stone and the like and among compounds compound powder of Crabs Claws the Goastone and confection of Hyacinth Take of compound powder of Crabs Claws and of Pearl prepared each one dram mingle them make a powder to be divided into six equal parts Or Take simple powder of Crabs-Claws one dram of Crabs-Eyes prepared two scruples of Cochinel six grains mix them make a sine powder to be divided into six Papers let one be taken as soon as may be and another two hours after and afterwards let one be taken every fourth hour for the first two days unless the Child be a sleep but let the Powders be taken in a spoonful of the following Julep and give a spoonful presently after Take of the Aqualactis Alexiteria four Ounces of black Cherry Water each two Ounces of compound Peony and Epidemick Water each two Drams of pearled Sugar half an Ounce mingle them make a Julep Or Take of Sweet Almonds blanched number ten beat them in a Morter and pour upon them gently half a pint of Barly water or of Aqualactis Alexiteria strain it and add six Drams of simple Cinnamon water half an Ounce of White Sugar mingle them make a julep Sometimes I am wont to use other things being omitted a julep that hath much Pearl in it but I order that the Glass should be well shook before it be poured out Take of Black Cherry water four Ounces of the Water of all the Citron two Ounces of Aquamirabilis and prepared Pearl each two Drams of White Sugar half an Ounce mingle them make a Pearl julep give three spoonfuls at a time But if the Child be troubled with a Cough give half a spoonful of some ●ectoral mixture or Linctus and let him take less of the Powders above prescribed Take of the Powder of Coraline and simple Crabs claws each one Dram and an half of the Syrups of Maiden-hair and Marsh-mallows each one Ounce balsom of Tolu half an Ounce of red Popy-water half an Ounce mingle them Bolearmonek is often properly mixed with such things to good purpose it powerfully stops Cattarhs flowing upon the Lungs The juice of Penny-royal eated and sweetened with Sugar-cany is also better than most other remeies Oyl of Sweet-almonds is very ood if Children can take it so is Brim●●one and the Flowers of it The foresaid Powders are to be repeated seldom or often according to the degree of the Symptoms but it is here to be noted the Gripes Restlessness and Watchings of Children are as easily apeased by testaceous Powders as Pains nd Watchings by Narcoticks in grown eople The third day unless the Small-Pox Meazles or Scarlet-Fever appear I order a Child of one year old to be purged in the following manner Take of Syrup of Succory with Rubarb 〈…〉 Drams of choice Rubarb powder'd fifteen Grains or a ●●uple of Aqualactis ●●●lectiteria one Dram of small Cinnamon water thirty drops mingle them Or Take of Sweet-almonds blanched number three beat them in a marble Mortar and pour upon them gently an Ounce or an Ounce and an half of Barly-water in the strained liquor dissolve three Drams or half an Ounce of the best Manna● mingle them and make a purging Emulsion Sometimes I order this or the like Plaister to be applied to the region of Navel especially if Children are troubled with Worms Take of Succortrine Aloes one Dram of the powder of the leaves of Savin of the tops of the lesser C●ntaury and of the Flowers of Camomile each one Scruple with a sufficient quantity of Venice Turpentine make a Plaister let the margin of it be spread with the Plaister of Cumin to make it stick the better and sometimes it may be converient to add to the other ingredients a Scruple of
Constitution Leaches must be applyed to the jugular Veins and Linements must be used to the temples nostrils and neck and to the soles of the feet and glisters which empty the belly plentifully must be injected and every sixth or eighth hour specifick Remedies must be given Take of oyl of Copaiba and Castor each two drams of oyl of Ambar half a dram make a Liniment Apply to the soles of the feet the P●●ist●r with Euphorbium spread on Leather Take of prepared Pearle of the Powder de Guttita each one dram mingle them for twelve Papers whereof let the Child take one morning and evening in a Spoonfull of the following julep drinking after it one or two Spoonfulls Take of the waters of black Cherries and of Lilly of the Vallies each two ounces of Fennel water and Compound Peony water each two drams of Syrup of red Poppies six drams Take of the powder of the seeds of Rue of Castor and Asasetida each a sufficient quantity mingle them and tye it up in a rag sprinkled with Vinegar and put it often to the nostrils Vnzerus Commends much the gall of a sucking kitling all the juice being taken out out of the bladder and mixed with a little water of Lime-flowers and given to the Child and an excellent Physician says that he knew several Children cured with this Remedy When by reason of breeding Teeth difficultly Convulsions happen this symptom is secondary and less dangerous and therefore does not require the first and chief work of healing in this case we are more solicitous to ease the pain and to take off the Fever and therefore we order a thin cooling diet and the eruption of the Teeth is to be endeavoured either by rubbing or cutting the Gums and things that are annodyne are to be applyed to the swelld and pained parts and blisters and bleeding are to be used often and we ought to procure sleep and to qualifie the fury of the blood But in the mean time temperate Medicines for Convulsions and such as do the least stir the humours are to be used and blisters often do also give relief But Children are sometimes seized with Convulsions from other occasions and accidents the cause most commonly of such is either in the head or in the bowells when the former is suspected as is wont to be known by the signs which shew watery humours heapt up in the brain the Medicines above-mentioned must be used Moreover for those who bear purging well a vomit or gentle purge must be prescribed Wine and Oxymel of Squills also Mercurius Dulcis Rhubarb and Rosin of Jalap are of good use When the cause of the Convulsions seems to be lodged in the bowels or where Worms or sharp humours in the belly are the cause for Worms a purge of Rhubarb or of Mercurius dulcis with the rosin of Jalap must be given and the following Medicines are also of use Take of the roots of Virginia Snake-weed powdered one dram of Coral calcined till it is white half a dram make a powder The dose is half a scruple or a scruple twice a day for three days following drinking upon it the d●●oction of the roots of grass Take of Hiera Piera and of Venice Treacle eachone dram make a plaister for the 〈◊〉 If the Convulsions are thought to proceed from sharp humours disturbing the bowels and stomach purging upward or downward is to be ordered by turns to this end a gentle vomit of Wine of Squills or falt of vitriol is to be given if the Child is inclined to vomiting of its own accord Take of Syrup of Peony three ounces Salt of vitriol two scruples of Compound lavender-Lavender-water one dram Mingle them give a Spoonfull three or four times in an hour till the Child has once vomited or went to stool once But if evacation downward seem most proper give the infusion of Rhubarb or the powder of it or Syrup of Succory with Rhubarb or Syrup of roses with Agarick and with these remedies seasonably used Convulsion fits have been often cured in Children and moreover Glisters are to be used frequently and external Medicines namely Fomentations Linements or Emplasters must be applyed to the belly Take of the leaves of Camomile cut small two handfulls put them into two bags made of fine Cloath or of Silk which being dipt in hot milk and pressed out are to be applyed successively to the Belly CHAP. XIV Of Squinting SQuinting belongs to animal Actions hurt wherewith new born babes are seized This Disease is either natural by reason of an ill conformation of the eye or is co tracted by custom the Infant turning its eye often in the Cradle to a Candle or the light ill placed or it is occasioned by a Disease when after frequent sits the muscles of the eyes are distorted If it be from the very birth it is hardly cured or when it proceeds from sits but if it arise from an ill custom it may be cured if it be taken in time but when it is let alone a long while it is in a manner incurable It is cured by placing a Candle opposite to the part whereunto the Eye is preternaturally inclined or fine Pictures or the like may be offered to the sight in the same manner and by constant and daily use the eye may be reduced to a right position or a mask may be so made that the sight may be directed right CHAP. XV. Of the Pain Inflamation Moisture Vlcers and Worms of the Ears AMongst Childrens Diseases Hippocrates reckons the moisture of the ears for the brain of Children being very moist part of the humidity is sometimes evacuated by the ears And this is seldom done without an inflamation for most Commonly if superfluous humours flow plentifully to the ears an inflamation is occasioned and pain arises from thence and when it is not discussed by reason of the moisture of Childrens bodies but turned to matter afterwards blood matter and senies flow out and sometimes Worms are bred in the ear These D●seases are not to be neglected for the pain which is most commonly joined with them may kill a grown person in seven days sayes Hippocrates and much easier a Child or may occasion fits or great watchings besides because Childrens ears are very moist Worms are are apt to be generated in them and sometimes by a continual flux of humours and by foul Ulcers the bones of the ear are at length corrupted and if the Ulcer is not cured in time an incurable deafness arises and therefore the cure must be begun early And first if the pain be very violent care must be taken to quiet it but Childrens bodies cannot bear strong Medicines it is sufficient for them that their ears be fomented with warm milk with oyl of Roses or Violets or with a decoction of poppy heads or you may put into the ear the white of an Egg with a little Saffron And to cleanse the care from moisture it is good to use honey of Roses
generated upon a Tree and if it continue long and increase it hinders the speech and therefore ought to be timely remedied wherefore the tumour is to be removed by the application of Salt and Frankincense mixed or with powder of Sage mixed with honey of Roses and a drop or two of spirit of Vitriol Or Take of Cuttle bone Sal Gemma and Pepper each one dram of burnt spunge three drams make a powder wherewith rub the tumour or with the foregoing powder and honey make a Linement and anoint the tumour with it and apply under the chin a Plaister made with equal parts of Goose-dung and honey boyled in Wine to the consumption of the Wine CHAP. XIX Of a Catarrh Cough and Difficulty of breaking CAtarrhs arise in Children from their natural constitution and moist temper of their brains whereby many excrements are heapt up there for too great a quantity of milk burdening the stomach sends vapours to the head and sill the brain and Children being unaccustomed in the Womb too cold the extream coldness of the air or too much heat or much Cloaths upon their heads pour the matter upon the Nostrils Jaws or Lungs and if the excrementitious humours cannot be evacuated by the Nostrils they fall upon the Aspera Arteria and cause a Cough but if they fall upon the Bronchia of the Lungs they cause difficulty of breathing These Symptoms are easily discovered but whether the humour be cold or hot may be known in the following manner if the humour be hot the Catarrh is thin the Children often sneeze the face is florid and the jaws look red and a hot vapour exhales from their mouths and the Nurses perceive it when the Children suck If the humour be cold it is thick and the Children do not sneeze nor is there any redness in the face or jaws nor heat in their mouth But whether the difficulty of breathing arise from matter coming from the head or from phlcgmatick blood may be known as follows If it come from the head there is a Catarrh and also a Cough and in breathing a noise is perceived the air not passing freely through the obstructed Bronchia But if it be occasioned by a phlegmatick humour arising from the hypochonders there is no Catarrh nor Cough and the hypochonders appear inflated and tumid Catarrhs Coughs and difficulty of breathing are not to be neglected in Children for Coughs do not only occasion Watchings and frequent Vomitings but also ruptures and Catarrhs occasion suffocations and sometimes kill They are not easily cured because children cannot bear all sorts of Remedies and besides they do not know how to spit up the matter We must principally endeavour that the intempers which occasions the matter be rectified and the fluxion of the humour to the breast hindered But because children cannot take or bear many Medicines and nature it self without the help of Medicines does most commonly concoct the cause of the Catarrh and so stop it if a good diet be observed therefore great care must be taken that neither the Child or Nurse commit any errour in diet wherefore the Infants stomach must not be filled with milk or any other meat and the nurse must abstain from Acid Salt and acid things and all other things which send many vapours to the head and it is useful to give a Pectoral decoction to the nurse Take of figs and jujubs each number ten Sebestins number thirty raisins stoned ten drams Liquorish two drams Maiden Hair Hyssop and Violets each half an ounce boyl them in three pints of Fountain water to the Comsumption of a third part Care must be taken to keep the belly loose with honey Syrup of Roses Solutive Cassia Manna or with Glisters it is al● convenient to give a Spoonful of oyl of sweet Almonds fresh drawn and mixed with Sugar Candy for it loosens the belly and eases the cough or vomiting may be provoked by putting a finger in the childs mouth But you must take a special care to keep the belly loose if difficulty of breathing arise from an repletion of the stomach or Hypochondres then it is also proper to give flax-seed with honey and a little cummin-seed afterwards give the juice of Fennel with milk or Syrup of Jujubes and Maiden-Hair and if the matter be thick Syrup of Hyssop or an emulsion of sweet Almonds and Pine Nuts made in Scabious water or some other convenient water and sweetened with Sugar Candy or a Linctus may be made of the species Diaireos or Diatragacanth Frigid Penidiat Sugar and with Syrup of Jujubes or with honey oyl of sweet Almonds and the juice of Liquorish and Fennel But if the Catarrh be hot an emulsion of the four greater cold seeds may be prepared in mallow-Mallow-water and the species of Diatragacanth frigid may be added to it and to dry up the Matter of the Catarrh hot linnen stups sprinkled with red Roses and Frankincense may be applied outwardly and the Childrens feet may be washed with Beer wherein Cephalick Herbs have been boiled afterwards anoint the soles of the Feet with Deers-suet or the O●l of Laurel And because the Catarrh sometimes falls upon the Jaws and Aspera Arteria because the Nostrils are stopt anoint them with Butter or with the Oil of Bitter or sweet Almonds often in a day Or Take of the Juice of Beets and Majoram each two drams of Chickweed half an ounce of Oyl of sweet Almonds one ounce mingle them and anoint the Nostrils therewith Or put up the Nostrils Butter to the bigness of a Pea or you may apply Marjoram to the Nostrils that sneezing may be provoked to evacuate through the Nostrils the matter which flows upon the Aspera Arteria To conclude some anoint the Breast with Butter Hens-fat or Oyl of Camomile and Oyl of Almonds to render Respiration more easie Chap. XX. Of the Hickops THe Hickops happen to Children by reason of the coruption of Meat in the Stomach or by the repletion of the stomach with Milk or because of the refrigeration of the stomach by external Air whereby the expulsive faculty of the stomach is so much offended and irritated to expel that which troubles it The Hickops for the most part are not dangerous in Children but if the câuse of it be so great as to be communicated to the rest of the Nerves and to occasion other Convulsions it is most commonly deâdly If the Hickops be occasioned by a corruption of the Meat it ought to be cast up by Vomitting to which end put your Finger in the Childs mouth or a feather dipt in Oyl afterwards strengthen the stomach with things that heat and lessen the Childs diet If the Hickops are occasioned by a corruption and fault of the Milk it must be amended with proper Remedies and the corrupted Milk must be carried off from the Childs stomach with syrup or Honey of Roses solutive and afterwards Conserve of Red Roses with Powder of Coral and Bole-armonick must be given
If the Hickops âre occasioned by Refrigeration the stomach must be heated by external and internal Medicines give the Infant syrup ôf Mint or of Bettony foment the stomâch with a decoction of the Leaves of Mint and Wormwood and with the Roots of Cyperus and afterwards anoint with Oyl of Mint Mastich or Dill or apply a Cataplasm made of Mint and the seeds of Dill beaten up with Oyl of Mastich or Mastich and Frankincense mixed wi●● the White of an Egg may be applied to the Orifice of the stomach Or Take of Mastich one ounc● of Frankincense and the seeds of Dill each two drams of Cummin-seed one dram powder them and mix them with the Juice of Mint apply a lenient stup dipt in it to the Stomach Chap. XXI Of Vomiting THis is occasioned in Infants most commonly by sucking too greedily or by reason of Worms it may also proceed from flegm in the stomach and sometimes from a weakness of it If Vomiting proceed from too great a quantity of Milk the Nurse may soon know it and the Child is at ease presently after vomiting if it be occasioned from the corruption of the Milk it may be known by what is brought up and it is either yellow green or some other vitious colour and it smells ill Worms may be known by their proper signs Vomiting in Children is most commonly not dangerous and Women commonly say that those Children are longest lived who Vomit sometimes from the very Birth and this opinion is not irrational far Infants having collected some vitious Humours in the Womb that lie in their stomachs which is moreover laxed humid and weak they easily generate crudities by sucking too much and so the Milk is corrupted therefore if the vitious humours collected in the stomach are ejected by vomiting it is much better and more for their health than if these humours were retained and distributed to the innermost parts of the Body If Vomiting proceed from a great quantity of Milk there is little danger for most commonly the Children are better âfter it but if it proceed from corruption of the Milk it is ill for many other symptoms are apt to accompany it If it continue long it is dangerous for it causes a Consumption and often kills If that which is rejected be white and s●egmatick it is better than that which is of a safron green or blackish colour If the Vomiting proceed from a great quantity of Milk the Child must not suck often nor never fill the stomach If the Vomiting proceed from a corruption of the Milk it must be rectified by proper Remedies and that which is corupted must be carried off with Syrup or Honey of Roses solutive and to strengthen the Childs stomach you must give Syrup of Mint or Syrup of Quinces Or Take of the Wood of Aloes Mastich Coral each half a dram of Galingal half a scruple mix them with the Syrup of Quinces or the powder of them may be taken in the Nurse or Mother's Milk If the Humour be acid and hot give Syrup of Pomegranates or Syrup of Coral apply to the stomach the Stomach Cerate or a Toast dipt in Malago Wine Or Take of the Oyls of Mastich Quinces Mint Wormwood each half an ounce of Oyl of Nutmegs by expression half a dram of Powder of Cloves one scruple Or Take of Red-Roses half an handful of Mint one pugil of the Roots ef Cyperus and of Myrtle-berries e●ch two drams boyl them in Red-wine dip a Spung in the Wine and apply it to the stomach Or Take a White-bread-Toast moistened with Vinegar three Yolks of Eggs boiled till they are hard and of Mastich Frankincense and Gum-Arabick each a sufficient quantity with the juice of Mint make a Plaister Or Take of Mastich Frankincense Red Roses each two drams Cloves one scruple with the Juice or Water of Mint make a Cataplasm If the Milk be hot anoint the Stomach with the Oils of Roses Myrtles Quinces As Take of the Oyls of Roses and Myrtles each one ounce Sperma Ceti two drams of the Powders of Coral and of all the Sanders each half a dram mingle them Or Take of Mastich Red-Roses each two drams Balaustins one dram of a Toast muistened with Rose-Vinegar one ounce and an half with a sufficient quantity of Oyl of Roses make a Cataplasm Coral is counted a Specifick in this case and therefore is hung about Childrens Necks to prevent Vomiting Chap. XXII Of 〈◊〉 〈◊〉 GRipes frequently happen to 〈◊〉 either with a Loosness or without it They most commonly proceed from the Milk Wind and acid Humours being generated by it for if too great a quantity of Milk burthens the Stomach Crudities and Wind are occasioned and sometimes the Nurses eating windy things is the cause or cold Air that offends the Child's belly and if the Milk be corrupted in the Stomach when it descends to the Guts it gnaws and vellicats them and so causes pain Worms in the bowels oftimes causes pain The Gripes in Children are known by their restlessness and continual crying and refusing to suck and by throwing themselves hither and thither I● the Pain be occasioned by Wind it sometimes remits and sometimes increases the Belly i● inflated the Child belches and breaks Wind backwards if it proceed from an Humour the Pain is almost continual and if the humour be flegmatick and viscid the Belly is most commonly bound and the Excrements are slimy If the Pain proceed from corrupted Milk or from bilious and cholerick humours there is most commonly a loosness joined with it and the Excrement is of a saffron or green colour If the Pain proceed from Worms there are signs of Worms The Gripes if they continue long weaken Children and occasion Convulsions but the worst Gripes proceed from corrupted Milk and acid Humours and those which proceed from Worms are also dangerous If the Gripes take their rise from Wind and crude Humours and the belly is bound it is convenient to inject a Glister Take of Pellitory of the Wall and of the Flowers of Camomile each half a handful boil them in the Broth of Flesh take of the strained Liquor three or four ounces of Honey of Roses strained an ounce half the Yolk of an Egg make a Glister This Glister may be given to a Child of a Month or two Months old or you may give the Child Oyl of Sweet-Almonds fresh drawn an hour before it eats for it loosens the Belly and eases the Pain Heurnius says That he has found that a scruple of the Seed of Anise grosly beaten being given to Children new-born mixed in a spoonful of Pap has freed them from green Choler and filthy Flegm and that it eases the Gripes We must apply outwardly such things as gently heat attenuate dissipate and loosen and are also anodyne to which end you must anoint the Belly well with Oyl of Dill or Pellitory bruised and mixed with Oyl of Camomile or you may make a Fomentation of the Flowers of
the Roots of Comfrey one ounce of the Leaves of Platain and Mullein each three handfuls of Red Roses one handful of Balaustines half an ounce boil them in Water for a Bath But if the Loosness proceeds from a cold cause and the Excrements are white give Syrup of Mastich or Syrup of Quinces mixed with Mint Water and outwardly apply Medicines made of Mint Wormwood Mastich or Cummin As Take of the Oyls of Nard Mastich Mint each half an onnce of the Powder of Coral half a dram of Oyl of Nutmeg by expression two scruples with a sufficient quantity of Wax make an Oyntment Or you may apply to the Belly Mint boiled in Wine or a crust of Bread moistened with mint-Mint-Water or a Bag of Mint Wormwood and Red Roses Mastich Nutmeg and Cloves Chap. XXV Of Costiveness in Children IT often happens that Children are bound in their Bodies or go to Stool seldomer than they ought which happens by reason of a cold and dry Intemperies of the Bowels or because the Humours are viscid and flegmatick but this chiefly happens by a fault in the milk when the Mother and Nurses use a gross viscid and astringent Diet and drink too sparingly A hot Intemperies of the Liver Spleen or Reins may also occasion Costiveness or an obstruction of the Gall which should stimulate the Guts to excretion This Disease is manifest of it self but what is the cause of Costiveness or of going to stool seldom must be carefully considered If a natural dryness of the Guts is the cause the Belly is scarce ever orderly dischârged if gross and viscid Flegm is the cause the Excrements when they are evacuated are covered with it if any error in Diet of the Nurse or Mother be the cause it may be known by them If a hot and dry Intemperies of some neighbouring part be the cause it will be manifested by the signs of them if Choler which irritates the Guts to excretion does not flow to them the Excrecrements will not be tinctured but be white or of an Ash-colour and the colour of the Childs body will be yellow Those grown People whose Bellies are bound are sometimes very healthy Nature being accustomed to evacuate the liquid parts of the Excrements or to discuss them insensibly but it seldom happens that Children whose Bellies are bound are very healthy and it is best for Young People to have their Bellies open for when they are bound Vapours from the Excrements are cast upon the whole Body and gripes pains of the Head and other ill Symptoms are occasioned The cure of Costiveness in Children is to be performed two ways first by removing the Cause and then by loosning the Belly First we must endeavour that the cause of Costiveness be removed and if the temper of the Bowels be cold and dry Children must be frequently washed and when the Intemperies is cold you must use a Bath of hot Stomach-Herbs when it is dry you must use things that moisten as Mallows Marsh-mallows Pellitory of the Wall and Bears-breech If the Mother or Nurse have used meats which bind the Belly as Quinces Medlars Pears Beans or the like they must for the future abstain from all such things and instead of them they must use such things as molli●ie the Belly as Mallows Raisins Pruns and the like If the Infant be pretty big and eats as well as sucks it must abstain from all astringent things and use such things as loosen If viscid Flegm stick to the Guts and the Excrements are covered with it things that incide and cleanse must be used as Honey of Roses solutive or Syrup of Horehound or the like If any neighbouring part be hot and dry the Intemperies of it must be corrected with the Syrups of Violets or Succory or with a decoction of Barly or with an emulsion of the four greater cold Seeds and the like If the Choler does not pass from the Gall-Bladder to the Guts the obstructed passages must be opened with a decoction of the roots of Grass of Fennel Asparagus Maiden-hair and the like But we must not always wait till the Causes are taken away for the Belly must be seasonably loosned to prevent ill symptoms which may be done by external and internal Medicines Amongst Externals are Suppositories which may be made of Honey and Salt or with crude Honey put into a Rag or with Lard Soap or the root of Mallows besmeared with Butter Or Take Mouse-dung half a dram with Goats-suet make a Suppository But Nature must not be accustomed to the too frequent use of Suppositories for if so she will not ease the Belly unless she be provoked by them it is therefore better to use Glisters and other external things which may also remove the cause of the Disease and correct the dryness of the Guts or carry off the viscid Flegm according as their is occasion As. Take of common Oyl three or four ounces of brown Sugar two or three drams the Yolk of one Egg of Salt three grains make a Glister Or Take of the Roots of Marsh-mallows half an ounce of Mallows and Pellitory of the Wall each half an handful of the Flowers of Camomile one pugil of the Seeds of Flax and Fenugreek each one dram boil them in Water In three five or six ounces of the strained liquor according to the age of the Child dissolve two or three drams or half an ounce of Cassia of common Oyl one ounce or one ounce and an half with the Yolk of one Egg ●ake a Glister Such things may be ap●lied to the Navel as loosen the Belly ● Oyl of Sweet Almonds alone or with grain or two of Scammony or Colouintida or Butter or Hen-fat with ulls gall or with the Juice of Sowread Or Take of Aloes two drams of the Gall of Bull one dram of Scammony one ●ruple with a sufficient quantity of Butter ●ake an Oyntment fill a Walnut shell with ● and apply it to the Childs Navel And the whole Belly may be anointed with an emollient Oyntment As Take of fresh Butter and of Hens and ●ucks Grease each half an ounce of Oyls ●f Sweet-Almonds and of Flax each three ●rams of Calves Marrow of Oyntment ●f Marsh-Mallows each two drams with ● little Wax make an Oyntment Or Take of the Leaves of Mallows and Marsh-mallows each one handful of the ●eeds of Flax and Fenugreek each half an ●unce of Figs number six boil them in Water and pulp them through a Sive and add of Butter and of Hens-fat ●ach one ounce of Oyntment of Marsh-mallows half an ounce of Saffron one Scruple mix them make a Cataplasm to be applied to the Belly If you would have it loosen more forcibly you must add Aloes and other Purgers or you you may make a Cataplasm of fine Flower and Juice of Dwarf-Elder But you must take notice that these Cataplasms and other Purging medicines applied to the Belly must not touch the stomach To the Children that are pretty big you must
Small-Pox and Measles and they also sometimes come from Worms This disease is easily known by the standers by for the Children groan and shake in their sleep and cry out of a sudden and a hot and fetid vapour exhals from their mouth most commonly This disorder must not be contemned for it is often the forerunner of sits wherefore you must endeavour to remedy it in time by removing the vitious humours from the stomach that corrupt the meat In order to which the Nurse ought to be healthy and to eat moderately of meats of good juice and to abstain from all that yeild an ill nourishment that the milk which the Infant sucks may be good The Infant also ought to suck sparingly that the Stomach be not burthened nor must the Infant after sucking or feeding be presently laid asleep but must be kept up a while that the meat may descend to the bottom of the Stomach and be the easier concocted and that the corrupt meat may be removed from the Stomach or vomited up Oyl of Sweet-Almonds may be given to the Child or you may give a spoonful or two of Honey of Roses solutive to carry off the vitious humours by stool The cause of the disease being taken off the Stomach must be strengthened which may conveniently be done with magistery of Coral and consection of Hiacinth given in milk and you may anoint the Stomach with the Oyls of Wormwood Mint Mastick or Nutmegs And before sleep it is good to give the Child a Lozenge of Diamosch dissolved in Milk If this symptom proceed from a Fever you must take care of that if from Worms proper remedies must be used Some in this case use Amulets as Coral or the tooth of a Wolf hung about the neck CHAP. XII Of Watchings ALL the while the Child is in the Womb it is almost perpetually asleep and for some times after it is born if it be well it is always almost asleep for the brain is yet very moist and abounds with a great deal of humedity therefore when it watches much and cannot be brought to rest either by rocking singing or giving the breast nor by any other way it is to be reckoned of a sickly constitution This Disease is very dangerous and especially to children because it is so contrary to the nature of them and occasions Convulsions Fevers and Catarrhs and other Diseases If those acid Vapours that disturb sleep and occasion watchings proceed from the corruption and fault of the milk care must be taken for a Remedy If a Fever or some pain be the cause it must be removed and the child must be cleansed but Medicines that provoke sleep are not so safely used in Children as in grown-persons Some Nurses indeed are wont to give Infants at bed time Sy●up of Poppies or the like but this is very injurious to them but if there be occasion the Nurse ought rather to take things that cause sleep moderately as sweet Almonds Lettice the seeds of white Poppie and the like As to externals the feet may be washed with a Decoction of the tops of Dill of the flowers of Camomile and the heads of Poppies and it is very good to anoint the soles of the feet with the marrow of Stag's bones but strong Narcoticks must not be applyed to the head for the moist and weak brains of Infants will be thereby offended It is safest to use fresh oyl of Dill for anointing the Temples or you may anoint them with the oyl of Roses mixed with a little oyl of Nutmegs or you may apply a Cataplasm made of the seeds of white Poppies a little Saffron and Womans milk and the ●ostrils may be anointed with a little ●yl of Violets if the brain be dry a ●ag dipt in Violet or Lettice water and pressed out may be applyed to the head CHAP. XIII Of Childrens Convulsions CHildrens Convulsions are so frequent that they are almost the only species of Convulsions they are chiefly subject to them in the first● months and at the time they breed their Teeth but they also happen at other times and proceed from other causes in such as are disposed to them Sometimes they do not come presently after the Birth but lie hid until the breeding of Teeth or not till a great while after and take their rise from other evident causes as from an unhealthy or big bellied Nurse from milk coagulated or corrupted in the Stomach from a Feverish disposition from Ulcers or Scabs in the head or other parts suddenly disappearing from changes of the air or from the conjunction or opposite aspects of the Sun and Moon We must endeavour to prevent these Convulsions in Children and Infants o● to cure them when they are come for if the former Children of the same Parents have been subject to Convulsive Fits this Disease ought to be prevented by the early use of Remedies in such as are born after To this end it is customary to give to new-born Babes as soon as they begin to breath some Medicine proper for Convulsions as some drops of pure honey a Spoonful of Canary Wine sweetned with Sugar oyl of swee● Almonds fresh drawn a drop of oyl of Ambre or half a Spoonful of Epileptick water besides these things used at first which certainly do good some other Remedies ought to be administred For instance give a Spoonful twice a day of the following Liquor Take of the waters of Black Cherries and Rue each one ounce and an half of Langiuses Epileptick water one ounce of Syrup of Coral six drams of prepared Pearl fifteen grains mingle them in the Vi●l The third or fourth day after the Birth make an Issue in the neck and if the countenance be florid evacuate by bleeding an ounce and an half or two ounces of blood from the ingular Vein But take care that too much blood do not flow out in sleep Rub gently the Temples with the following Linement Take of oyl of Nutmegs by expression two drams of balsam of Copiaba three drams of Ambar one scruple mix them Hang round the neck the roots and seeds of male Peony and Elks-hoof sewed up in a rag Moreover Medicines proper for Convulsions must be given daily to the Nurse Let her take morning and evening a draught of Whey wherein the roots of male Peony or the seeds of sweet Fennel have been boyled Take of the Conserves of the flowers of Bettony Male Peony and Rosemary flowers each two ounces of the roots and flowers of Male Peony each two drams of red Coral prepared and white Ambar each one dram of the the roots of Angelica and Zedoary prepared each half a dram with a suffient quantity of Syrup of Peony Make an electuary let the Nurse take the quantity of a Nutmeg of it morning and evening and be very orderly in her diet But if the Infant be actually seized with Convulsions you must apply a Blister to the neck or behind the ears and if the Infant be of a hot
or water of honey which must be put into the ear with a tent and if these things are not sufficient Allom diluted with Wine must be put into the ear with a little soft wool it is also good to put into the ear with soft wool the roots of Orris Myrrh and Saffron Nitre Allom and Saffron mixed with Wine and Honey Or Take of Virgin-honey half an ounce of red Wine two ounces of Allom Saffron and Nitre each one scruple Or the fresh oyl of Hempseeds mixed with a little Wine may be dropt into the ear CHAP. XVI Of Aphthae Bladders of the Gums and and an instamation of the Almonds ULcers arise often in the mouths of Children which are called Aphthae they are occasioned by ill milk or by corruption of the stomach for the internal parts of the mouths of Children being very soft and tender and unaccustomed to meat in the Womb if the milk be sharp or any otherwise faulty their mouths are soon Ulcerated or if acid vapours arise from corrupted milk in the stomach their mouths may be easily Ulcerated this way for the tunick of the Jaws is common to the Osophagus and so the faults of the stomach are easily communicated to the jaws The bladders of the Gums are much the same with the Aphthae and are also occasioned by corrupted milk and the cure is the same Take of Lentils excorticated what quantity you please powder thém and chew them and apply them to the Gums Or Take of the flower of Millium half an ounce of Rose water and Omphacine oyl each a sufficient quantity make a Linement Hippocrates reckons an inflamation of the Almonds amongst Childrens distempers they are most subject to it from the eleventh year of their age to the thirteenth As to the cure you must endeavour to keep the belly open if there be occasion you must give a Glister and in the beginning repellents must be used afterwards resolvents must be used with them at length resolvents only in a manner The part affected must be anointed with honey of Roses Syrup of dry'd Roses Syrups of Myrtills Pomgranats or Diamoron according as the state of the Disease requires and the neck must be anointed with the oyls of Almonds Camomile or St. Johns wort In some cases it is necessary to apply a blister to the poll CHAP. XVII Of breeding Teeth AMongst all the Diseases and Symptoms which are wont to happen to Children breeding of the Teeth is the most proper for tho' many other Diseases are familiar to Children yet there are very few that are unavoidable excepting the breeding of the Teeth Altho' the breeding of Teeth be Natures work yet by reason of the Diseases and various Symptoms which easily accompany it it is reckoned amongst Childrens Diseases As soon as Children are born they have Teeth but they lie in the gums Yet some Children have been born with Teeth appearing as Pliny relates in his natural History of Marcus Curius who was therefore called Dentatus But the Teeth most commonly do not come forth till the seventh Month first those that are called Incisores afterwards the Dog Teeth and at length the Grinders There are many preternatural disorders that arise from the solution of continuity Frst a great itching is perceived in the Gu ns afterwards pricking as it were of needles and this occasions great pain wachings inflamations of the Gums Fevers Loosness Convulsions and these commonly happen upon the coming forth of the Dog Teeth commonly called the Eye Teeth and therefore it is commonly said that Parents should not reckon much upon their Childrens lives till the Eye teeth are come forth The first Teeth fall away about the seventh year and new ones come in their room without pain because the Gums were perforated before Tho' Children cannot tell the pain they suffer in breeding Teeth yet it may be known first by the time they use to come out in which is about the seventh month and then because Children frequently put their fingers in their months to asswage the pain thirdly because the Mother or the Nurses perceive they squeeze the nipple harder than they used to do fourthly the Gums are white in the place where the Teeth endeavour to come out and sometimes at length various ill Symptoms arise as pains watchings Loosness Fevers and Convulsions As to the progn●sticks breeding of Teeth is often very dangerous and many Children dye of the Diseases and Symptoms that are occasioned thereby Those Children that have a Loosness in breeding of Teeth are least subject to Convulsions and when an acute Fever happens it most commonly prevents Convulsions because the matter occasioning Convulsions is carried off by the Fever Children breed their Teeth best in winter As to the cure we must endeavour to ●oo●en and mollifie the Gums that the Teeth may come out the easier and we ought to use cooling t●ings to ease the pain and inflamation But they must be mixed with Emollients therefore rub the Gums with the finger dipt in honey or with honey mixt with butter or let the child bite a Candle made of Virgin Wax or anoint the Gums with a mucilage of Quince-seed made in Mallow water or rub the Gums with the brains of a Hare Foment the Jaws without with a decoction of Marsh mallow flowers of Camomile and Dill or with the mucilage of the seeds of Quinces and Marsh mallows mixed with the yolk of an Egg if the Gums are inflamed the juice of Night-shade or of Lettice must be added to the former things The Nurse must observe a good diet rather cooling than hot she must use Oatmeal and barley broaths porched Eggs Prunes Indive Lettice and the like she must abstain from salt and acid meats and from Wine CHAP. XVIII Of loosening the String of the Tongue and of the Ranula under the Tongue IT happens often in Infants that the Tongue is bound so strait by the string that it cannot well or freely move and sometimes in the place where the bridle of the Tongue is a soft and white swelling appears which they call Ranula The binding of the Tongue is most conveniently removed by Surgery for tho' Midwifes often break the string as soon as the Child is born or cut it with a groat yet they often err in the operation and do it many times when there is no occasion therefore it is much safer to use a skillful Surgeon afterwards apply the following Linement Take of barley meal half an ounce mingle it with a sufficient quantity of Clarified honey and over a gentle fire let all the humidity exhale that it may be reduced to a powder and with honey of Roses make a Linement As to the Ranula under the Tongue there are large and conspicuous Veins under the Tongue which are sometimes filled with ill blood therefore if a flegm●tick humour be gathered here and sweats out thence and sticks there within the passage of the flesh a tumour is occasioned by it and the blood like a Fungus