Ounces of Wax a little and make an Oyntment of them Remedies also are convenient which are put in at the Nose or Ears As the Oyl of Cammomile with a little Ireos or Brimstone or the Oyle of the Gumme called Sagapenum with a little Castor Some commend the Brain of a Wolf dried and sprinkled with Musk put into the Nose In the use of these Remedies you are to take notice that if the water moves from the internal to the external parts it is incurable Likewise if the Water is plentiful which is collected out of the Skull the use of inward or outward remedies are in vain because as strong internal remedies in this tender Subject are not convenient so moderate and weak remedies do not prevail the like is also in external Medicaments wherefore there is only hope in a sensible evacuation by Chyrurgery and Incision which is to be used if the water be not discuss'd within three weeks by the preceeding means Incision is dangerous in regard of the tenderness of the Age and greatness of the distemper and ought to be the last remedy and not to be used upon Children newly born but in others of elder years In the making Incision if the Tumor hath a great point the head of the point is to be opened with two or three Cuttings and in the lowest part for the easier evacuating the humour which Evacuation ought not to be at once but by degrees lest the Spirits are dissipated and care is to be taken that the coldness of the Air doth not hurt the Brain After Incision is made and the water evacuated by little and little Proper Medicaments to wounds are to be used as Linnen wet in Oyl or Wine which Medicaments are to be straightly bound if the Child is very strong but if very tender and weak the place that is cut is to be only covered with some soft Wool or the like dipt in Medicaments proper for wounds If after Incision the Flesh will not grow by the fault of the bone as if often happens scrape the bone gently that the fault may be removed and the flesh grow If the Water is between the skin and the Temp'ral Muscles or between the Muscles and the Skin it is mortal to make Incision but you must expect the setling of the Water in the sides of the Muscles not belonging to them Some there are that use Caustick Medicaments and burn many Ulcers in the Childs head and if it is not effectual then they come to Incision but it is very dangerous for exulcerations in the Childs head which is full of water are never or hardly cureable CHAP. III. Of the Kings Evill THe Kings Evill is a hard or Schirrous Tumour contrary to nature growing for the most about the Neck and chiefly of Children The immediate cause is sometimes Flesh but very seldome Sometimes the Glandules turn into this Tumour but most frequently Phlegm or Melancholy hardned Some think the Cause is an Alamentary Juyce hardned because they are not changed into a disgested matter nor do putrefie and continue a long time The Antecedent causes are youngness of Age cold and moist temper softners of Flesh and Muscles and shortness of the Neck thereby the humours fall easily from the head in the neck and cleave tenaciously The external causes are the coldness and moisture of the Climate Idlenesse drinking crude and thick waters the use of Cheese Fruits and grosse food but chiefly voracity and imoderate eating wherefore Children and Infants are principally troubled with this Disease If the matter is not viscous and glutinous although it condenses yet it is not coated or contained in a Membrane but if part of the matter is glutinous when it is congealed by the cold of the Part or Glandule a skin is made round about and consequently a Bladder or Membrane in which afterwards the matter by degrees thickens the thinner part being in time consumed The difference of this Disease is taken from 1. Magnitude some being as great as a Melon others moderate and little as a Pea. 2. Nature Some gentle without pain or inflamation and with a moderate hardness Some moderate between a Schirrus and an Aposteme or Malignant with pain and inflamation and very great hardnesse 3. Constitution some being elevated and move hither and thither others as if they were impacted and unmoveable 4. Place Some are about the hinder part of the head others about the auteriour part some in the Skin others profound and about the noble great vessells 5. Plenty Some are accumulated into an heap others not The signs are Tumour sometimes round sometimes somewhat long sometimes of the same colour with the Skin sometimes more red hard and without pain and move not to and fro being handled The Kings Evill is known from hardned Glandules because 1. The matter of Glandules is more subtile and thin then the matter of this Disease which is more thick viscid and contumacious hence it is that as often as the thin and subtile matter is incraffated the Kings Evill is made of the Glandules 2. Hardned Glandules are more separated from the next Flesh that it it is easie to discern them from the flesh by Feeling the contrary is in the Kings Evil. 3. The Kings Evill hath for the most part a Membrane or Coat the Glandules not Some distinguish them thus Take the Leaves of Ivy and Citron and bruise them together lay them upon the Tumour and if in three dayes the Tumour lye hid it is a sign of the Glandules but if they are exasperated by the Medicament then it is a sign that it is the Kings Evill The Presage is This Disease is troublesome and wearisome to the Patient and Physician for whatsoever way you deal with them they are exasperated and if they seem to be cur'd return again It is very difficult to cure but with lesse difficulty and danger in Infants and Children then in youth because they often degenerate into Cancers and dangerous Ulcers The Kings Evill that is little superficial and gentle are not very dangerous are more easily cur'd but such as are great deep and malignant are pernicious and for the most part incureable The Kings Evill though it is most exactly cur'd yet it returns again which is not from the motion of the Moon as some have thought because they have return'd after a Month a year or two years but the cause is 1. The Viscosity thickens and contumaciousnesse of the matter which is not perfectly eradicated and extirpated in the Cure but some part is left which vitiates and corrupts the temper and nourishment of the part 2. The Coat or Membrane which is tenaciously infix'd that it can scarce be extirpated and so is fill'd with new matter if it be extirpated yet there remains some roots or ligaments out of which the Membrane or Coat growes again and so the Tumor or Kings Evill remains The Cure is taking away the antecedent cause and correcting the Debility of the Parts
Ounces of it with a little Sugar the Stomach being empty Outwardly are useful the rubbing and compressing the hands being annointed with the Oyl of Scorpions If it help not boyle the Pellitory of the Wall in the Oyl of Rue and make a Plaister and lay it to the parts about the neck of the Bladder or Take a Cruce Glass in which Oyl hath been kept a long time put it in hot water then put the Yard of the Child into the Mouth of the Cruce Glass and it is very effectual CHAP. XVII Of the Stone of the Bladder CHildren are very obnoxious to the Stone of the Bladder and are often troubled with it by their much eating causing much crude humours which stay not in the Reyns but is expelled into the Bladder Female Children are seldome troubled with it because they have the Channel of the Bladder broad straight not contorted and crooked The Stone of the Bladder which is immediately made in the Bladder is more often made in Children then in old men because Children are great Eaters thereby abound with much crude humours which is the matter of the Stone and falls into the Bladder besides Childrens native heat is strong which easily hardens the matter into a Stone old men although they abound with crude and earthy humours because their heat is weak in the Bladder the Stone is not made to which may be added the strength of the expulsive faculty the narrowness of the passage and the tenuity of the humour in Children The Stone which is first made in the Reins is in old men more often then in Children as is proved by experience because old mens expulsive faculty is infirm and the Ureters wide so that the thickest and grosse matter is detained in the Reins and consequently turn then into a Stone The material causes are humours thick petuitous and tenacious the efficient cause is the greatnesse of the heat The immediate internal causes are chiefly the narrownesse and straightnesse of the passage or Channel then the hereditary disposition and propriety from parts and the Milk of the Nurse being bad either from Diet or temper for when the Child doth suck impure Milk if the Child hath large Veins from the Stomach to the Bladder the impure matter is carried to the Bladder where it settles with the Urine as muddy water shak'd together in some Vessell and then resting makes a Sediment in the middle which Sediment of the Urine afterwards is conglobated and made round by Phlegme like a little hill and is hardned as Iron in a Furnace The External Causes are the same as in the Strangury The Signes are 1. Groaning and pain in making water 2. The making water by drops 3. The Blood is often mix'd with the Urine 4. The water is somewhat white crude sometimes with a slimy sometimes with a Sandy Sediment 5. Inflamation of the Bladder 6. Itching of the Preputium and foreskin and frequently scratching of the Privities Prog. The Stone of the Bladder is very dangerous and difficult by reason of the pain and in curing Suppression of the Urine which often happens The Stone if it cannot be cur'd by cutting it is mortal for the most part because the Stone growes in Children so great that as the years increase Nature cannot sustain it The Cure is If the Stone be Small and newly begun by such things that break and diminish the Stone by a quality that is either 1. Manifest as by Goats Blood Restharrow Ceterach Saxifrage the Root of Parsley and Fennell Lapis Spongia Lapis Judaicus the Stone that is found in the Call of an Oxe powdered and drank in White wine or a Decoction of Restharrow Take 2. or 3. drams of Turpentine wash'd and melted and mingle it with two Ounces of the Water of Restharrow it is much commended 2. Or an Occult quality and propriety as the Throat of a Hen burnt and powdered and given in Wine So Eryngoes boyled breaks the Stone by propriety Before the use of these remedies the Child is to be put into a Bath Water for some dayes in which Mallows are boyled that the matter may be somewhat softned and more easily and safe done in Children in Men. CHAP. XVIII Of Costivenesse and being bound in the Belly COstivenesse is a preternatural disposition in Children by which they discharge not the filfth and Ordure of the Body either in a due hour and time or in a due measure The Filth ought every day to be expelled and if much be eaten or that is not nourishing the greater the quality of the Excrements ought to be expelled The Causes are the offending the Guts either not by sending the expulsive faculty to them by a resolution of some Nerve or Muscle by a distemper or obstruction or because Choller is not sent to the Guts by which the Guts are stimulated and excited to an Expulsion Or the Expulsive faculty of the Guts is hurt by some Tumor or Skin or some distemper The Guts are offended also by some Errors within by viscid and thick humors wrapp'd and mix'd with the Filth and so gather the Filth together that they fasten them to the Guts that they cannot go forth or with great difficulty or Externally by the coldness of the Air for it is certain that Costivenesse is more in the Winter than Summer much sleep idleness great Meditations they drye the Belly drink that is thick and binding and sparingly used the same Errors also in meats as also preposterous eating taking first astringent things afterwards liquid and they that are accustomed to dine and omit it are bound in their Bellies The Signs are the Child 's not discharging his Belly every day and complaining and if the Child is somewhat great it is troubled in the head and when the Child empties it self it is with pain groaning If it proceed from a cold distemper the body consumes is pale windy and belching if from gross and viscid humours they will appear in the Filth if from the want of Choller sent to the Guts the Colour of the body will be muddy and the Filth of the Guts white or somewhat Ash-coloured Prog. The Astriction of the Belly in most are dangerous especially in Children which great eaters for which Diseases are generated in them in time and in the Time of breeding of Teeth cause Inflamation Feavers and Convulsions the body being full The Cure is 1. In moving the Belly in sucking Children that the Nurse use meat that loosen the Belly as Mallows Dry Figs Raisins and the Broth of Coleworts and all such meats which can loosen the Belly for as the Milk is made out of Blood and it out of meat so it is not to be doubted that the Milk is affected with such meats as the Nurse eats The remedies that are to be used to the sucking Child ought raiher to be External then Internal The External are Suppositories made out of hard Hony or the roots of Mallowes Garlick roasted in Ashes and put
Tumor of the Head caused by the Collection of Waterish humours in some part of the Members constituting the head The immediate cause is either 1. A Wind which is seldome in regard of the rarity and purosity of the head which appears by the hairiness of it and the Thumes and Tenuity of the Wind made of a very thin humour and so easily dissolved and dissipated 2. Thin and Waterish humour which is sometimes thick and coloured by the mixture of the Ichor of other humours with it This humour is collected more often in the Womb then out of it and in the head then other parts because 1. Of the great moisture of the Brain 2. The plenty of Vapours which ascend to the head and by its coldness turne into Water 3. It being the seat of Waterish humors for the Head is placed over the Belly as the Head of a Still over the body of it 4. The Density of the Skull which retains the Vapours The Signes by which this Disease is known relate to the Cause or Place If Wind be the Cause the head lightly struck will sound like a Drum and the Tumor prest by a Finger yeilds to it and leaves a Dent which presently fills up again If an humour be the cause and not within the Skull the Tumor is soft clear if prest it slowly returns to its former fulnesse the Colour of the Skin is unchang'd and there is crying and want of sleep If the humour be within the Skull the Infant hath an heaviness of the head cryes and cannot sleep and in those of elder years the eyes are prominent and stand out weeping and can hardly be shut and sometimes the fancy is hurt The Presage If the Tumor is within the Skull some think it incureable others think it cureable by Cauteries and by Diaphoreticks If it is on the outside of the Skull it is dangerous because of the Dignity of the Head and the tenderness of it in an Infant for every Disease of the head is dangerous especially in an Infant whose tenderness cannot endure a Disease or Remedy and if the humor should move inwardly there is great danger of a Lethargy or Apoplexy The Cure is by discussing and extenuating the wind and evacuating the humour insensibly or sensibly by purging or manual Operation for the doing whereof a convenient Diet is necessary which ought to be directed to the Nurse if the Child suck otherwise to the Child Wherefore let the Air be hot and dry where the Nurse and Child is kept if it be not so naturally by the season of the year prepare it so by good fires and fumes of sweet and hot woods If the Child suck let the Nurse watch much and if it is wean'd let it sleep lesse then if it was sound because watching doth much dry the body as sleep softens it Moderate Exercise and a soluble belly is very convenient which if need let it be help'd by a Suppository made of Hony The Nurse and Child both are to abstain from Wine and in the place of it a Drink is to be made of Water with Coriander seed prepared and Anniseed let the Meat be such as discusses and breaks wind and dissipates humours wherefore let the Bread have a little Coriander seed in it and the Flesh be rather of Wild Fowl and roasted rather then boyled a Moderate use of spice is profitable and Coriander canded with Sugar All Herbs and Waterish Fruits are to be avoided If the Nurse be sound avoid purging her lest you hurt the Milk if she be unsound purge her as the quality and nature of the humour require External Remedies only belong to an Infant for Purges and other Remedies are to be used to the Nurse and very carefully least they hurt wherefore this Fomentation will be convenient Take of Pennyroyal Maryroom Savory of each an handful Cumminseed and Aniseed of each an Ounce boyl them together in a pint and an half of Water to a Pint in which wet a Spunge and apply it to the head afterwards anoint the head with the Oyl of Cammomile salted if this prevails not the Oyl of Anniseed may be added and to the two Oyles without the Salt you may add a little of the Powder of Anniseed and Fennel-seed It will be convenient for the Nurse to use the following Electuary which will make the Milk discusse wind Take the Conserve of Bettony and of Rosemary of each an Ounce the Powder of Coriander and Anniseed of each an Ounce mixe them and take Morning and Evening half an Ounce In a Child of some years that can endure Medicaments Purge the Child first gently with two Ounces of the Hony of roses solutive mixe it with a little Broath Afterwards prepare the humour thus Take of Mugwort Savory Staccados Celandine of each half an handful boyl them in a pint and half of water to a Pint. Take two or three Ounces of the said Decoction of the simple Hony of Roses of the Syrrup of Staccados of each half an Ounce mingle them and give it the Child 3. or 4. days together then purge the humours so prepared Take of the Pills called Pillula Aurea one Dram and a half of Castor two Grains of the Root of Ireos finely powdred half a Dram mingle them with the Hony of the Syrrup of Roses solutive and make thereof for one Doss or quantity to be taken at once five little Pills If the Child refuse Pills Take an Ounce of the root of Ireos of Raisins of the Sun half an Ounce the Seeds of Fennel and Coriander of each half a Dram boyl them according to Art Take of the Decoction an Ounce and a half of the Trochische of Agarick two Drams infuse them all Night then strain them strongly and add an Ounce and an half of the Hony of Roses solutive After sufficient Purging the use of the Electuary directed before for the Nurse and the External Remedies will be convenient to which may be added this following Lixivium Take of Figtree-wood two pound of Salt or common water twenty pints make of it a Lye according to Art when it is strained add to it Coriander-seeds and Anniseeds of each a Pugill of Bran one Pugill the Leaves of Penny-royal Maryroom and Mugworth one handful and an half boyl them away to a fourth part then strain and use them In the same manner you may prepare a Lye of Brimstone beaten and applied to the head with a drye woollen Cloth it dries the head very much stronger driers are dangerous There may be made Plaisters of the aforesaid Herbs being boyled and bruised to the form of a Plaister and laid upon the head a Plaister made of Snails bruised and applied to the head untill they fall of themselves is an approved of remedy The following Ointment doth very much discusse the water or wind in the head Take of the Oyl of Ireos and Cammomile of each two Ounces of the Powder of Sulphur and Ireos of each two
which make Phlegme all which is done by 1. A Convenient Diet let the Air be hot and dry the sleep little exercise moderate avoid much rubing or kembing of the head and bearing weight on the Head avoid all perturbations of the mind except moderate anger and Wine that is strong and thick if you use Wine do it moderately and mixe it with water Let your meat be attenuating and drying as Bread well bak'd and with Anniseeds or Coriander-seeds Let your flesh be of Wild-fowl and rather roasted then boyled avoid Spices as filling the head with vapours and all thick grosse viscid and cold meats as Beef Cheese Milk Eggs fried or hard and the like Hence it is that the Children of poor persons are more troubled with this Disease then the Children of rich men because they eat grosse and ill Diet which makes and â—oments the humour 2. Purging Take of the Leaves of Senna half an Ounce of Polypode two Drams Ginger 15. grains half an Ounce of Raisins stoned Sebestens Pruins of each three in number of the Flowers of Borrage Violets Red Roses and Rosemary of each half a dram boil them in a pint of fountain water until half be consumed Take of the Decoction two Ounces of the hony of Roses two or three Ounces Let the humours be prepaired thus Take of the Leaves of Brownwort Plantain Dry Bettony and Mint of each half an handful boyle it according to Art of the Syrrup of Roses and Oxymel of each half an Ounce mingle them After the humours are prepared purge thus Take 30 or 40. grains of the Pills of Agarick or infuse two Drams of the Trochische of Agarick in three Ounces of the Water of Bettony all night strain it and add 2. or 3. Ounces of the Hony of Roses solutive Observe that most gentle Remedies often used is better then violent and hath often cur'd 3. By the restraining of the moving of the humour into the Part by rubbing Cupping-glasses and Blisters and there is no remedy so effectual and fit for derivation diversion and evacuation of the humour and in all Swellings and Tumours in Children about the Neck as is the exulceration of the Skin of the Head which is best done with Mustard-seed and a Nettle but with prudence and moderation but have a care you use not Cautharides which cause great pain and pissing of blood 4. By discussing the humour in the part if it be moderately thick and viscid which is done by inward Medicaments as by the use of the Trochische of Vipers and Treacle but principally by outward Medicaments first by softning it and then by dissolving it Emollient or softning Medicaments are the Plaister of Diachilon with the Gums or this Ointment Take four Ounces of Diachilon one Ounce of Hyssop four Ounces of the Root of Ireos finely powdred mingle them and with the Oil of Almonâ—s make an Ointment which use several days until the matter is softned then use Discutients as drye Figs or a Plaister made of Hony or the root of a wild Cucumber bo led in old Oyl to the form of a Plaister is very effectual so is this following which is stronger Take of Stavesacre Nitre of each two Ounces Rocket four Ounces with as much Turpentine as is convenient make a Plaister The Ashes of Colworts mixt with Hony is also very good Observe that strong Discutients may not be used lest Feavers are caused and the tender Flesh of the Child hurt If the matter be very viscid and contumacious it is not cur'd but by cutting or burning it which is very dangerous and turns them into Cancers that are mortall as is experienc'd in the using such remedies for the Kings Evill in the Neck Breasts or Grayn CHAP. IV. Of Pustules and little Risings in the Head PUstules or Risings or Swellings for the most part they are in the Head but sometimes in the whole body In the beginning they are small and little afterwards they are sore and make hard white Scabs and Crusts by the driness of the humour In sucking Children they are call'd Crusta in those of elder years they are called Achores they are ulcerous Tubercles or Ulcers with small risings perforating the skin with small holes through which passeth a sanious or filthy matter The cause is as some think a nitrous and salt Phlegme mixt with Choler Others a putrid corrupted and Ichorous blood but I consent to them who think the humour is mix'd partly thick and partly thin waterish salt and nitrous and according to the various mixture of the humours with the salt waterish humours the various colours of the Sores arise being thereby black red white or yellow and those humours are either generated in the womb of the Mother out of the Menstruous blood or after the Child is born by the fault of Milk or Diet nature purifying and purging her self sends them forth into the outward parts of the body The signs are manifest to Sight the Child cries cannot sleep and are watchful the Child Itches and after Itching they are sore a bloody humour passes forth and oftentimes the Child is lowsy If they proceed from blood there is a redness pain and more easie Itch but if from a more sharp humour there is a great Itch. The Presage Pustules sometimes degenerate into great Ulcers and sometimes corrode the Skull by the Malignity and badness of the humour that the Membranes may be seen They many times preserve Children from great and many Diseases as Feavers Falling-sicknesses and others by natures purging her self by the skin They heal frequently of their own accord by Time and Age. The Cure is in 1. A Convenient Diet by avoiding salt sharp hot and sweet things fish and fruit If the Pustules are moist a drye Diet is convenient as the eating of Wild-fowl roasted bread twice bak'd c. which ought to be us'd only by the Nurse if the Child suck 2. Evacuation of the humours by Blood-letting Leeches or Cupping-glasses and purging the Nurse if the Child suck not prepare the humours with Cichory Eudave Fumitory and Agrimony of each an handful boyle them in a pint and an half of Water until half a pint be consumed Take thereof three Ounces and add the Syrrup called Syrrup Byzantius and the Syrrup of Fumitory of each half an Ounce or temper the humour that is faulty with the Syrrups of Borrage and Fumitory The humours being prepared Take of Rhabarb one Dram infuse it all night in three Ounces of Endive-water in the Morning strain it well and add an Ounce and an half of the Syrrup of Roses solutive The Body being purged the part excoriated is to be cur'd by outward Remedies A Bath of common Water in which the Leaves of Scabius Agrimony and Plantane are boyled is very good The Ointments of Litheridge Cerusse or Diapompholiges cures it CHAP. V. Of Chapt Lips in Children THe Lips are made not only for Beauty but also for use for the defence of the Mouth and
by the corruption or fault of the Milk or by meats and drinks that are hot salt or other things that heat the Liver The Signs are manifest The Cures are 1. By attemperating the humours with the Whey of the Milk of Goats and the Syrrup of Fumitory 2. In evacuating the humors Take a Dram of Rhabarb infuse it all night in a little Water strain it and add three Ounces of Whey and two Ounces of the Syrrup of Roses solutive 3. Mitigation of the pain and discussing of it by Baths of Water in which are Mallowes Cammomile or Pellitory So much of External Diseases The Second Book Of Universal Diseases in CHILDREN CHAP. I. Of Feavers in Children in Generall HItherto have been considered External Diseases Internal are either Universal which affect the whole body or perticular which affect some parts A Feaver is an Universal Disease so is the Small Pox and a Consumption which three Diseases will be considered in this Book Although Feavers and their Causes are common to all Ages yet in regard Infancy is most obnoxious to them and hath peculiar considerations in the Cure of them Limiting the strength quality and quantity of the remedy it will not be altogether improper to call Feavers Childrens Feavers Children are subject to Diseases that are accidental and Symptomatical proceeding from other Diseases as in breeding of the Teeth Inflamation of the Gums c. and also to Feavers essentiall and of their own accord and to all sorts of them but especially a Synoche Feaver in regard their bodies are hot and moist their temperament sanguine and their bodies dense by which transpiration of the heat is hindered which increases and produces a Feaver Children may have a Quartan Feaver though their natural temper be contrary to it because 1. Humours partake aswell of the matter as of the Agent and Temperament of the body wherefore as Humours and Excrements of the body do not shew the Temperament for old men are cold and dry of temper yet they abound with Phlegme so do they not only depend on it but on Diet likewise which in Children is very often grosse and unorderly eaten and so Crudities and very thick humours are made 2. If the Mother was elderly and of a Melancholy temper the menstruous blood with which the Child was nourish'd may much alter the temper of the Child 3. A Quartan Feaver is not always made from Melancholy but may be made from any humour that is thick The Internal Causes are the humours of the body The External Causes are chiefly 1. The Air If the Winter be cold and dry and the Spring hot and moist bodies cannot be cooled in the Summer but burn and cause Feavers besides in the Summer Childrens bodies are more thin and spare 2. Unseasonable and immoderate exercise being full or empty 3. Immoderate and ill Diet whence are Crudities Obstructions and Putrefying and so Feavers Presage All Feavers in Children for the most part are not dangerous because the natural Faculty is strong and active in them and can resist powerfully the Causes of Feavers Children sometimes by Feavers have an Hectick Feaver not by the difficulty of the Curing it or the greatnesse of the Feaver but by the morosity of the Child that will not be govern'd The Cure is If the Child suck the Nurse is to be cur'd with such things that alter and purge as the kind of Feaver seems to require It is much doubted how blood is to be lessened in Children that have Feavers Some think that after the Fifth Month Cupping-glasses may be applied and blood drawn out by them Others think not before a year which opinion is most safe because this Age is wont greatly to be overcome by pain and trouble and Cupping glasses are painful but after a year Cupping glasses may be applied but only to sanguine and strong Children And then not to the part above but on the Thighs because the Spirits and strength are not so wasted from those parts as from above And only to the taking away an Ounce of blood and no more Besides these remedies others may be added Inwardly may be taken the Juice of Granates which is highly praised with Oxymel and Citron It may be made thus Take of the Juice of Granates one Ounce of Simple Oxymell half an Ounce you may give the Child a Dram at a time unto half an Ounce but it is better to mixe the lesse quantity of Oxymel because the Childs Nerves are very infirm and Oxymel and all sower things hurt the Nerves wherefore the Syrrup of Maidenhair Syrrup of Red Poppies are good If the Child is bound in his belly you may not use purging Medicaments because the Childs body is hot naturally and is more heated by the Feaver so it is dangerous to add the heat of a purging Medicament wherefore it is better to use a more gentle Clyster or Suppository Take of Whey half a pint of Hony half an Ounce of Salt half a Dram mingle them make a Suppository of Flesh and Hogs grease or the common Suppository for strong Suppositories are dangerous Outward remedies may be used 1. Things very gentle may be applied to the head or Feet to provoke sweat as the Root of a Reed if the Childs body which is Dense be opened by Sweat the heat and putrid vapours will go forth 2. Cloths dipped in Cichory Endive Plantane or Rosewater applied to the Breast Side or Back for cooling The Liver and Stomach ought to be helped in Concoction in all Feavers much more here which is done by cooling and binding remedies applied to them Take of the Oil of Mastick half an Ounce powder of Red Corall Sanders and Red Roses of each two Scruples of Wax a little make an Oyntment of it but if the Child be between seven and fourteen years he must be handled in another manner which shall be set forth in the following Chapter CHAP. II. Of a Synoche Feaver EVery Synoche putrid Feaver in Children is from obstruction made by gross humours in hot moist and sanguine bodies and the putrid matter is in all or the greater veins The Cure of it in a Child between 7. and 14. years will be in removing the obstructions and tempering the Febrish heat which will be done by 1. A convenient Diet let the Air be cold motions of the body and mind avoided if the belly move not use a Clyster or Suppository let the Drink be water or Barly water the Diet sparing only Barly broth or Broth of Meat But because this will be accounted too strict and hard to indulge you may add to the Broth bread and sometimes the Yelk of an Egge but be careful you do not nourish too much because the strength and the Disease are nourish'd together The time of eating let it be as it was when the Child was well 2. Blood-letting Some think that Blood-letting ought not to be before the Child is 14. years old because that which the opening of a Vein ought
to do nature doth it of its own accord which consumes daily much of the Childs substance by insensible transpiration therefore it needs not evacuation lest the strength be dejected Others are for Blood-letting because if a Child can endure a disease from fulnesse why not the remedy which is Blood-letting otherwise as often as a Disease begins with the imbecility of strength especially which happens out of a natural dissipation and resolution so often will that Disease be certain and necessarily mortal Besides they which are against Blood-letting allow purges which are contrary to nature and is worse then Blood-letting moreover they bring notable examples for it as Avenzoar's letting of his son blood at three Months old In this Feaver because evacuating blood is an excellent remedy you may in the place of Blood-letting use Leeches which with ease open a vein and do not wast the Spirits they will be most safely safe applied to the Thighs and also to the Arms Or you may use Cupping-glasses which are not to be used in the upper parts because they draw humours from the whole body to the heart wherefore it is safer to apply them to the Loyns or Hips and then they must be oblonge and a narrow mouth because to draw from profound parts If you apply them to the Thighes they are to have a broad mouth which draws from the parts which are next and remote according to Latitude If the Belly be not loose use a Clyster or Suppository before you use Cupping-glasses or Leeches afterwards endevour to remove obstructions by internal and external remedies that attenuate and deterge without any notable heat Take Barly half a Pugil the Leaves of Hyssop half an handful boyl it according to Art Take of that Decoction two Ounces and an half of Simple Oxymel five Drams mingle it and drink it when you have thus prepared the humours Purge gently Take of Sebestens two Drams of Raisins the Leaves of Hyssop the Flowers of Borrage of each one Pugill make a Decoction according to Art take thereof three Ounces of the Hony of Roses solutive and of Manna of each an Ounce and a half mingle them the Purgative Medicaments may be lessened or increased as the body requires Outwardly things that open obstructions are convenient Such as are gentle as meal of Barly rubb'd upon the Skin Barly-water and a little Oyl of Almonds cool and moisten the Breast and prevent the increase of the heat of the Breast A Bath of fresh Water is very convenient This way may be observed also in a Tertian or Quartan Feaver respect being had to the humour that is faulty CHAP. III. Of the Small Pox and Meazles THE Small Pox is a Disease formerly unknown to the Ancients having neither writ any Book of it nor described it and it is not improbable it had a Beginning in our Northern Countries as it had in the West-Indies in which parts it is said by Historians that in that time in which we were infected by them with the French Pox they took from us the Small Pox and Meazles It is a Disease belonging only to Mankind and not to Beasts not is the Murrain or Leprosie in Hogs the same Disease with it as is supposed by some The Small Pox and Meazles have the same matter cause and Cure but the Meazles are made of the thinner matter and they differ from the Small Pox in that 1. The Meazles have little swellings or that the rising of them can hardly be seen 2. The matter of them is more dry and subtile 3. They trouble and affect the eyes lesse then the Pox. 4. The Small Pox for the most part terminates into an Abscessus and Collection of ripened matter which lasts many days and blemishes the body but the Meazles scarce passeth the seventh day either then they vanish or are almost wasted and leave no deformity The Cause as I conceive is not the Impurity of the maternal blood as by most is supposed because 1. The Small Pox proceeds for the most part from the fault of the Air and Stars 2. The fault of the menstruous blood was ever since the Sin of Eve and therefore this Disease should have been always but before the time of the Arabick Physicians no Author was found that writ of the generation of this Disease or clearly explain it which if they had done they would not have concealed it from us it being a great and dangerous Disease in regard they communicated in their Books small Diseases 3. There is scarce any man but some time or other hath a greivous Disease which makes an Ebullition or boyling of blood and putrefaction until the body is clensed and purified divers ways and so the fault from the menstruous blood would be expelled but it is otherwise for it follows immediately other Diseases and the sanguine man who is most healthy is most troubled It is granted that the seed of a Disease may lye in part of the body for many years but the whole blood infected cannot stay long and resist so many injuries and if as some think the menstruous blood infected should ferment and turn into other ill Diseases as pestilential Feavers then the rest of the time they would be free from this Evill 4. Sanguineous Beasts that have menstruous purgation would have this Disease as Bitches Asses and Mares having the matter of the Disease as menstruous Purgation and the Agent Heat 5. Natures care and wisdome for Preservation in seperating the Excrements from Nourishment in the Womb the excrements are past into the Tunicles in which the Child is wrapt and immediately after it is born it purges by stool plentifully and more then is fit for its bigness which is sometimes bloody black and white and afterwards it hath Sores in the head which purgeth the ill humours contracted in the Womb and though natures care may fail in some it cannot fail in all Nor is the cause of this Disease the fault of the Air as some conceive it to be because 1. This Disease arises from the Pravity of matter 2. The quallity of the Air that produces the great effects that follow the Small Pox would be very strong and powerful and so young men would not be free from it The true cause is a paternal propriety in the blood and Ichors of it boyling by heat which Ichors may be excited in the body divers ways That the Ichors is the matter is seen by the 1. Breaking of it out into the Skin 2. All Synoche Feavers arise out of the boyling of the Ichors of blood which Feaver is always in the Small Pox. 3. They are the Ichors or thin and serosous part of the blood because they are not sharp if they were there would be a concussion of the body and shaking when they are expelled That the Disease is made by the Ichors or thin and serosous and waterish humidity is manifest because the humor that goes forth is not a Pus and thick matter but
an Ichor thin waterish humour and that it is by Ebullition appears in the heat colour and Accidents that happen By this we may resolve our selves 1. That in our dayes scarce any man but hath this Disease because it is hereditary which came first by the fault of the Stars which affected all or almost all and now is propagated As Indians now generate children with long heads which in former Ages they endevoured to make by Art and now is become a natural disposition 2. This Disease is mortal to some and not to others by the abundance and badness of humours and ill constitution of body that the blood and Ichors boyling causes an unquenchable Fire and remedilesse putrefaction besides the badnesse of the Air and errors in the ordering of the person 3. They happen most to Children because they are full of blood and thin waterish humidity and abound with heat being nearest to the principle of Generation besides they are given much Motion 4. They that have most thin and waterish humours have most breakin gs out and the thicker and more tenacious the humours are the worse the marks and deformities are 5. The face is most troubled because of the Ebullition of the blood the vapours ascend to the head and so impetuously that neither the Spirits of the head or face or the Air to which the face is exposed can resist besides the face is moist and rare and apt thereby to receive them 6. The Feet and hands next to the face are chiefly troubled notwithstanding the Skin is hard because of the Sympathy between these parts and the Liver which is seen in a hot Liver by the burning of the hands and feet 7. The Small Pox troubles the eyes more then the Meazles because the matter is thicker and can be lesse resisted and repelled 8. The Small Pox is contagious and infectious by the boyling of the blood which sends vapours at a great distance which enter into other persons and infect them as it is in those that have sore eyes and by the Hereditary Propriety so that consanguineous persons are more easily affected in regard of the Similitude of their temper and for that reason whole Families in a Plague are destroy'd 8. Some have this Disease twice very rarely thrice almost all once because this Hereditary Disposition only disposes and continues as long as the Seminary parts in which it is implanted doth remain which most commonly is consum'd the first time the Blood is inflam'd and set on fire especially the second time when the Blood Ferments 9. Scars and blemishes are left chiefly in the Face Lips and Foreskin because the Skin of them is without Flesh or hath but very little and therefore difficult to heal The mediate causes of the Small Pox are 1. Internall hot and moist temper soft and fat habit of body and tendernesse of Age. Boys are more dispos'd to it then Girles by the disparity of heat in them boys being hotter 2. External hot and moist Air Southern constitution Spring time and an hot and moist region or Contagion or other things that move or corrupt the thin and waterish part of the Blood By what hath been said the Small Pox may be defin'd to be a disease having Pustules in an outward part of the Skin with a continual Feaver by the peculiar Effervessency and Ebullition of the Ichorous Blood excited by the expulsive faculty The Signes that this Disease is Imminent and coming which either immediately accompany the Disease or proceed it are Pain in the Neck and Breast with a heavinesse of the Eyes Itching of the Nose Shortnesse of Breath Suddain trembling and starting Often Sneesing Urine sometimes muddy sometimes sound weepings of the Eyes and tears falling of their own accord from them a continuall Feaver The Signes of the Disease present are manifest being little swellings and spots in the Meazles they are Red and not high in the Small Pox they first appear as the head of an Needle or Pin immediately after they are greater and red and daily increase untill they are ripen'd grow white are made an Ulcers and Soars and are dryed up Presage If the Small Pox and Meazles are White and a few appear without any other accident or if many appear and the Feaver is diminish'd and other accidents and the breathing easie there is no danger If the Small Pox are black or green or if few or many appear and the other accidents are worse and exasperated and the breathing difficult then it is pernitious and Mortall They who dye of the Small Pox dye either with a Sounding an Inflamation with which they are strangled or a looseness of the Belly which destroys the strength of the Child The Cure is in 1. Preserving the inward and outward parts the outward are call'd so because they are seen and they are the Eyes Ears Nose and Mouth The internall are Liver Lungs and chiefly the Guts the eyes are frequently troubled with heat and a tenacious Ichor that Exulcerates them whereby the Children cannot sleep which is helpt by cooling and moderately binding Medicaments as the water of Roses or Plantain mix'd with Sumach Take of the water of Roses and Plantain of each five Ounces Sumach half an Ounce infuse them all night and with a little white of an Egge mix them wet a little Cotten in it and wet the eye often with it if there be pain and Itching take the water of roses and milk and add a little Myrrh to them the scratching of the Eyes are to be avoided If the Ears be pain'd itch and run let them be kept open if the pain be great dip a Spunge in hot water with the Oyle of roses and lay it to the Ear the scratching whereof is very hurtfull The Nose is defended from Ulcers if Roses or Plantain be boil'd in water and the steam taken in at the Nosthrills The Mouth is helpt by this Gargarisme Take of the water of Barly one Pint and an half the leaves of Plantain and Flowers of Roses of each one Dram to which you may adde the Juice of Barbaries or Orange and wash the mouth with it 2. In helping of nature in expelling the humour which is perform'd by 1. Dyet that is convenient The Air is to be temperate or rather somewhat hot that the Pores may be opened and the coming forth of the Small Pox promoted therefore let the child be kept in a close room that the cold Air by no means may come in by the opposition of the Air many Children have dyed with a Benigne and gentle Small Pox the matter of the Disease being repercuss'd to the interior Parts let a red cloth be laid next the Skin which is conceiv'd by divers to be helpfull by a similitude it hath with the boyling Blood Be carefull your cloathing be not too much lest the Child be Smothered and Swound and so provide that the outward Parts are rather hot then cold but that neither the heat of the Air
or weight of Cloathing encrease the Feaverish heat of the Child and if the tongue waxes black with heat the breathing is short and Swounding is fear'd let some cold water be near the Childs mouth that he may suck the cold Air in Sleep is helpfull but the troubles of the mind especially Fear is to be avoided only a little Anger may be admitted which help the expelling the humour If the Belly be bound a very easie Clyster or Suppository may be used which doth not hinder the motion of nature because they only work in the Guts and the motion of nature is to the Skin and in the Veins besides Clysters do not deject us that they may be fear'd contrary to what some think Avoid fulnesse and emptinesse let the body be kept in quiet and rubb'd a little for it expells the humour let the drink be Barly Water with the Juice of Limmons or Barberies or a Decoction of the roots of Sorrell or a Decoction of Ivory or Hartshorn especially in the beginning and whilest the Feaver is vehement If the Feaver is not very vehement a Decoction of Barly and Figs will be most convenient and commonly with successe hath been used by most eminent Physicians for that effectually expells the humours to the Skin If Wine be permitted it must be but a little and in it steep Lettice Endive or Sorrell Avoid gross meats Spice Salt and Sweet meats for sweet things destroy and so doth bitter things being dry and contrary to the Childs nature which is moist wherefore the meat must be easie to concoct cooling as Barly Broth or Broth in which cooling Hearbs are boyled and when the danger is over you may feed them with Broth and Yelks of Egs put into it with some Juice of Limon or Vineger A dried Fig is good meat for it expells the humour to the skin 2. Emptying of the blood before the Eruption and breaking forth of the Small Pox or Meazles If the Feaver is great and there be a fulnesse of blood then it may be admitted unlesse the Age is very tender or something else hinders it It may not be used upon Children that are weake and forbeare the emptying of blood in Children before they are 10. Months old though the Arabians appoint at five months The lessenning of blood ought to be upon the first visit of the Physician because of the beginning of the Ebullition of the blood which is commonly then the Fervour whereof ought to be abated and nature eased so that one ought not to stay until the fourth day but it may be done when one will before that time and not after The lessening of blood is done several ways as by letting blood which ought to be very seldome Cupping-glasses or Leeches the latter is most easie and one or two may suffice in the place of Cupping-glasses or opening a Vein 3. Medicaments All Physicians agree vehement remedies are not to be used but some think gentle means may be used in the beginning of this Disease but I conceive that Medicaments may not be used in the beginning because the operation of it will trouble nature in her work which is critical the Physician being called when the blood is boyling and it is a rule there is nothing to be done unlesse nature act imperfectly which cannot be known in the beginning but a Clyster may be then and at any time used for that works only on the Guts as is said a little before Take a pint of Barly-water 4 Ounces of the Syrrup of Violets three Ounces of Butter and an Ounce of red and course Sugar mingle them for a Clyster the quantity is to be altered as the capacity of the Child is A dried Fig is a convenient Suppository and one made of hony Where the humour moves forth and the whole matter comes forth there no evacuation must be used for there the Child and all things are quiet But if the Child is troubled the trouble may be taken away with a Lenitive Take of Tamarinds half an Ounce Sebestens 15. of Barly two drams of the Flowers of Borrage Violets and Roses of each a Dram boyl them in a pint of water to half a pint Take 4. Ounces of this Decoction and an Ounce of Manna or more as the Child is Some think a gentle purge before the eruption breaking out and appearance of the Pox and Meazles if the Child abound with ill humours and the Feaver rage may be used for it lessens the ill humours that thereby nature doth expel more cheerfully but if the Small Pox begins to break forth then a Purge is pernicious and mortall The rest of the Cure is in helping nature in expulsion wherefore if Nature doth not expell readily and strongly but slowly use such a remedy as cools binds and opens Take of Lents one Ounce of Figs 10. Maidenhair two Drams Smalledge roots half an Ounce Sorrell half a handful boil them in a pint and an half of water to a pint use it morning and Evening from four Ounces to six as the Child is If nature expels strongly omit the opening things in regard of the Feaver which is great and the openings are not then to be used but when nature expels slowly which is known by the fewnesse and slownesse of their coming forth This expels Take of Lents two drams of Figs fifteen of Barly one dram of Lettice and Sorrell of each an handful boyl them in a pint and an half of water to a pint use 6 7 or 8. Ounces of it Morning and Evening as the Child is Note that Lents boyled alone loosens the Belly from whence are mortal Fluxes nor it is not to be used alone for a remedy because of its thickness and binding qualities Take of French Barly one Pugil slic'd Liquorish half a dram red Cicers one dram of the greater Cold seeds of each half a dram Cordial Flowers of each one Pugill three Figs boyl them well in water to 6 Ounces after it is strained dissolve in it half an Ounce of the Syrrup of Granat which is to be taken at twice it is very good it mitigates and tempers the Feaver These that follow are also good to expell as Confection of Hyacynth Alkermes Contraherva Harts-horn or Scabius boyled so is Antimonium Diaphoreticum Bezar-stone and the Bezardical Minerall some use to bath with Luke-warm water to promote expulsion by relaxing the Skin Observe that Medicaments that are Cordials and expelling are to be used from the appearing and first coming forth of the Small Pox to the Eleventh day which some call the increase and state of Eruption of the Ebullition If the Scabs dry not of themselves and have matter in them and are ripe they are not to be opened unlesse they be malignant for if they be ripe and white their heat and fervour and eating of the flesh is gone and they will dry and fall of themselves and so there is no danger of its putrefying and leaving holes and marks If the
Wine that is hot A long use of Mithridate with a Decoction of Paeony cures any Epilepsy as some think so doth a little fine Mosche given twice or thrice a day Take of the Oyle of Amber the Spirit of Vitriol of each two or three Graynes with the water of Betony and it presently frees the Child from the Fit CHAP. II. Of Convulsion CHildren often fall into a Convulsion by the weakness of the Nerves plentiful use of thick Milk Crudities and by breeding of Teeth The matter of it is the same as is in the Falling Sicknesse and it is very like to it so that an Eminent Physician said a Convulsion was an Epilepsie of a part and an Epilepsy a Convulsion of the whole body both being a Contraction of the Muscles but they differ one from another because in an Epilepsy the Internal and External senses are hurt but in a Convulsion the Brain is not so affected and the sense is not lost in the Epilepsy the matter in the Muscles is quickly discuss'd in the Convulsion not which is only also a contraction of the part but the Epilepsy is a Convulsion of the whole body A Convulsion is a preternatural Contraction of one or many parts of the body If it be a Contraction of the Anteriour parts of the Neck towards it is called Emprostonos or a Contraction of the parts before us If the hinder parts Opistotonos if both the hinder and anterior parts are contracted it is called Tetanos The Cause of a Convulsion by consent is when the knawing or pricking of the Mouth or Stomach or any other part hurts the beginning of the Nerves The Cause of an essential Convulsion is either repletion or exiccation for as strings fil'd with too much humour or are too much dryed they are contracted and break so it is with the Nerves if they imbibe too much humor they grow broader and shorter and so contract and if to drye they shrink up Repletion is from a Phlegmatick humour the exiccation and dryness is from a great peculiar Feaver which doth not universally dry the whole body but wast the Nerves more then the flesh and that violently So that though a Hectick Feaver doth very much drye the body yet it produces no Convulsion in regard the dryness is made leisurely and easily in all parts so that the Nerves are not dryed with any great vehemence Some saye that this dryness proceeds from any immoderate evacuation or things that vehemently heat and dry The External Causes are a moist Air wherefore Children have the Convulsion most often in the full of the Moon the Air being the most moist hurting the Nerves of the Child Watching Fear which making the Spirits retire the Nerves are contracted Bathes Costiveness and binding of the Belly Drinking of strong Wine Milk plentifully taken or thick crying the ill Diet of the Nurse and from other parts Signs are manifest if it be made by consent it is in a moment if by essence it is always if from repletion it is made suddenly and in a small time if by dryness and inanition it is caused by degrees and in a longer time Prog. The Convulsion that begins from the back is mortal 2. Children â—hat have the Convulsion perish for the most part before the seventh day from their Nativity 3. Convulsions in Children are more easily cur'd then in men because their humidity is Airy and is easily overcome 4. Convulsions from a perfect and consummated drynesse is incureable but that which is not from a perfect dryness is cureable which as the dryness is more or lesse is easier or with more difficulty The Cure of a Convulsion from repletion and moisture is the same as in an Epilepsy The Members and parts contracted are to be restored gently by hands to its straightnesse then annoint and rub the part with a convenient Oyl as of Lillies or Cammomile The Syrrup of Betony and Staecados with the Spirit of Black Cherries may be used Carduus Water is very good If the Convulsion is from drynesse the Cure is by moistning of the body by Diet and Medicaments a Bath that is hot and moist is convenient and annointing the part with the Oyle of sweet Almonds sweet Butter and such things that soften and moisten CHAP. III. Of a Palsy IN the two preceeding Chapters were considered the depravation of Motion in this place the Abolition and diminution of motion will be discoursed of not abolition of the whole body for Children are never troubled with a universal Palsy and privation of sense and motion in the whole body which is called an Appoplexy appears by experience and observation and Apoplexies are made for the most part from 40. years to 60. Although Children have often the Falling Sicknesse which hath the same matter and part affected as the Apoplexy and differs from an Apoplexy because it is a Privation of motion and an Epilepsy the Depravation Nevertheless a Child is not troubled with the Apoplexy not because it proceeds from a Melancholy humour as some think which a Child hath not which is untrue for a Child may have a Quartan Ague which is caused by Melancholy as you may see in the Chapter of Feavers but because the matter in the Epilepsy is not so thick as that which makes the Apoplexy being only Phlegme besides the Phlegme of Children is Airy and flatulent Moreover the expulsive faculty of the Brain is strong in Children so that it more effectually expells the humour that it stop not the Ventricles of the Brain which happens not in those Ages in which the humour is thick and lesse flatulent and the expulsive faculty more weak A Numness and Palsy is a distemper of the same kind and differ only in degree for a Numness is but as it were an imperfect Palsy and a Palsy is as it were a certain great Numness The cause is a pituitous humour which by coldness moistness thickens obstructs the Nerves that they cannot receive the animal Spirits or Influence of thea nimal faculty as this obstruction and condensation of the nerves and ways of the faculties is more or lesse so it makes numnesse or weak motion or want of motion In a Palsy there is no motion because the wayes of the faculties are totally stopt in a numnesse they are not stopt completely therefore the faculty operates and there is a weak motion The external causes are compressions by falls blowes binding tumours or other causes which can compresse and condensate the nerves that a free ingresse of the faculty is hindered Signs if a part is affected with the Palsy it cannot move and is called the Dead Palsy if with numnesse the party can move but weakly and with difficulty If the Disease be in the Spinalis medulla the Arms and all the inferiour parts are hurt if the right part of it is affected all the parts on the right side if the left the left parts If in the Osse sacro the parts above it are
putrifies it doth resemble the nature of Choler not that it is true pure Choler because it cannot be imagin'd how heat before the Disease or in it can make the most hot humour as Choler is in the head that is moist and almost water nor pure Phlegme because it is cold and moist and the humidities of Children are hot therefore old men waxe gray because they abound with Phlegme Children not because they abound not with Phlegme that is cold and moist The External causes are a very hot Air blows falls Milk that is very hot by the Nursés using hot drinks Milk hath the power of making one drunk and one observes well tender Kids of Goats are made mad with Milk and there is no doubt but the tender Brain of Children are much offended by the Milk of Nurses The Signs are the Hole and cavity of the Anterior part of the head because the heat of the Inflammation dries the Brain which being drye the Skull is deprest and sunk with its own weight and makes a hollownesse of the eyes by the same cause is a heat of the whole body and dryness continual Feaver palenesse of Countenance weaknesse losse of Appetite want of sleep and a loosness of the Belly Prog. This Disease is very dangerous in Children because they are more easily extenuated by their heat it is wont to kill in three days afterwards there is hopes the Disease declines and the strength increases The Cure is in 1. Dyet let the Nurse drink only water and use such Meats which greatly cool as Ptisan and Barly Broth with the Emulsions of the Seeds of Poppy-Broths with Lettice and Endive the Nurse and Child are to be kept in a cold Air in great quiet of mind and body Purges are unprofitable or hurtful but if the Child be costive his belly may be loosned with a common Suppository or this Clyster Take of Barly water Three Ounces of Whey Five Ounces red Sugar half an Ounce mingle them Outwardly use two Ounces of the Oyl of Roses with the Yelk of an Egge it mitigates pain concocts and dissolves the humour the Juice of Lettice Pomkins and Melons the flesh whereof may be pounded and the Juyce prest out and the Leaves of Lettice steep'd in it and laid upon the head or a Cloth dipp'd in the Juice These Medicaments are often to be changed lest by staying too long on the head they heat and dry and hurt as much as help and in the Winter they are to be laid on lukewarm in the Summer cold Nor is it safe to exceed these cold remedies and use the coldest lest the temper of the Brain is destroyed When the Inflamation is appeased then leave the use of the cooling remedies and use discussive ones and first such as are gentle the yelk of an Egge of Oyl of Cammomile two Ounces mingle them afterwards a stronger discutient Take the Flowers of Cammomile the Leaves of Penny-royal and Dill Bran tyed in a Cloth half a Pugill boyl them according to Art then take half a pint of the said Decoction the Oyl of Cammomile and Anniseed of each an Ounce shake them well together and apply them warm to the Head CHAP. VII Of the running at the Nose Cough and difficult Breathing THe running at the Nose Cough and difficult Breathing in Children are the effects and issue of a Distillation which as some observe is the mother of all Evill and is a desluxion of a petuitous humour into the parts subjected if the matter flowes to the Nose it is called the Pose and running at the Nose if it descends to the breast and is expelled by the Spirit that goes out it 's called a Cough but if the same matter falls upon the Lungs and stops the ways of the Spirit and oppresses the body of the Lungs it produces a difficulty in breathing this matter seldome makes hoarsness in Children because sucking Children by their daily use of Milk cleanses the Phlegme that it doth not stick about the Jawes in those that are elder hoarsnesse is seldome because they are hot about the Jawes which dryes up the Phlegme These Distempers are Symptomes and effects of a very moist Brain sometimes cold because Infants draw Air more cold then they were used to which cools the Brain and it is sometimes hot by its natural temper which is very hot by Air that is hot Fire Smoake too hot cloathing of the head and the gluttony and intemperance of the Nurse The Signs are manifest of the Cough Poze and difficulty of Breathing if they come from a hot cause the Child sneezes often the colour of the countenance of the Child is florid and red the Jawes are red and whilest the Child sucks the Breasts are heated that the Nurse perceives the heat If from a cold cause there is seldome sneezing no change of the Colour of the Countenance no heat perceived in the mouth Prog. These Distempers are not dangerous if they be not neglected otherwise they produce Broken Bellies and other Diseases and often Death The Cure is 1. in Diet let the Air be temperate without Excesse avoid Wine and Meats that are windy and grosse and such as flye to the head as Spice and meats prepared with them If the matter is cold a little Spice and hot meats may be allowed but sparingly for all which fly to the head are apt to attenuate and loosen both the cold and hot matter which causes these Distempers and many others 2. Evacuating and diverting the humour by loosning the Belly of the Child by a Clyster or Suppository or by a Vomit which is very good to evacuate the Phlegme which you may do by dipping your finger in Hony and pressing down the Tongue of the Child also to evacuate the matter Take of the Hony of Violets one Ounce of the Powder of Ocymi one dram mingle it and put it in the Mouth of the Infant and then give him the Breast in a cold cause Mirrh and Hony are commended In a hot cause Take one dram of the Seed of White Poppy of Tragacanthy half a Dram of the Seed of a Goard three Drams bruise them all and with a Decoction of Sobestens make a Liquor or you may powder them and take half a Scruple mingle them with a little hony of Violets and give it the Infant to lick If the Breath be difficult with the Cough use the Syrrup of Hyssop in the place of the Hony of Violets It is also convenient to keep the Breast of the Child easie and not straight that it may dilate wherefore annoint the Breast and Back with the Oyl of sweet Almonds which is also good if it be swallowed and taken inwardly CHAP. VIII Of the pain and humidity of the Ears THe pain of the Ears is reckoned by all Physicians amongst the Diseases of Children It is a grievous sense which vehemently affects the parts about the passage of hearing which is very sharp in regard the inward parts of the
weakness or the fault of the matter of the Teeth being not sufficiently glutinous and earthy or by a privation of matter by Worms or a loosnesse in the seventh year Teeth fall out and others grow in their places growing of Teeth continues until fourteen years afterwards very few grow unlesse they be those called Posteriores Gemini which sometimes grow at 80 years The sooner Teeth come forth the less pain but they are the weaker Teeth come forth in the Spring and Summer more easily but with worse Symptomes and effects in the Winter with more difficulty but with lesse danger for they are lesse troubled with a Feaver Loosness or Vomit because their inward heat is more strong But a modern Author says that in every time of the year some are more troubled some lesse according to the natural constitution of Children which the times of the year cannot hinder The Teeth are of an equal number in men and women being 32. The Cutting Teeth which are four above and below grow first which are made of a thin matter and as they are made first so weaker and are broke fall out sooner then the rest the next are the Teeth called Dogs Teeth whose use is to break the meat as to cut is before breaking so the Teeth that cut are first afterwards the Teeth that break the meat afterwards the great and grinding Teeth grow whose matter is more hard and earthy and therefore they break out the more slowly and last of all the Gemini which never are renewed and grow again Hence it appears why the breeding of Teeth causes so many evils if they should grow in the Womb they would not be troublesome but growing after the Birth of the Child and in that time when the Gums are most soft which being bruised and crushed by a hard body as the Bone is causes great pain The Signs are the Childs crying loosnesse pinching the Paps whilest they suck the Inflammation and heat of their mouths and when their Gums are rubbed they are eased Prog. The breeding of Teeth is alwayes dangerous by reason of the great and grievous Symptomes and effects it produces as Convulsions Feavers and other evils If the Child is loose he is lesse troubled with Convulsions and fat Children more than lean yet there may be Convulsions by the sharpnesse of pain If the Child hath an acute Feaver there is seldome Convulsions by fulnesse it being remedied by the Feaver Teeth come forth more slowly most commonly with a little Cough because there is a defluxion in the mouth which argues the weaknesse of the brain The Cure is in a cold dyet of the Nurse and the pap kept cool which much refreshes the Child the Child is not to eat any hard meat and the Gums are to be cooled and relax'd the Juice of Mallowes and Lettice cools Take the Juice of Mallowes half an Ounce of Butter washt in Mallow-water half one Ounce half the yelke of an egge mingle and anoint the Gums with it this that followes is stronger Take of the Juice of Night-shade half an Ounce of the Oyle of Roses six Drams of Butter washt in Lettice-water three Drams mingle them and anoint the Gums with it it being cold rubbing the Gums with your finger for it often mitigates pain The Gums are relax'd by things that are fat as all fat of a Hen c. Oyl of Almonds and the Brains of a Hare boyled in the place whereof may be the brains of a Hen Hony boyled is much commended It is conceived by some that the breeding of Teeth is the more easie by hanging about the neck Corral a Jaspis-stone or the Root of wilde Colothwiths which others think superstitious CHAP. XIII Of the Hiccough CHildren are more chiefly affected with Diseases in the lower Venter in three parts the Stomach Bladder and Guts which follow in their order The Hiccough is a motion like to a Convulsion in which the Stomach endevour to expell what is hurtful infixt in the mouth of it The cause is in Children the plenty or quality of the Milk or nourishment being too cold sharp or corroding vehemently irritating the expulsive faculty sometimes but rarely it comes from emptiness The external causes are a cold Air hot and sharp meats as Pepper The Signes are manifest for as the Proverb is Love and the Hiccough cannot be hid if it is from fullnesse the Child is greedy and Vomits if from cold it is known by rhe Nurses using cold meats and externall injuries that preceeded it if the Childs Stomach is fomented with hot Cloathes it ceases presently if from evacuation fasting flux or vomit preceeded it if from acrimony the meats are corrupted or the milk is sharp and biting and the Child often mourns and grieves and there are pains of the Belly besides the Ordure shewes it Prog. The Hiccough in Children for the most part is safe if it be made from emptiness it is mortal for Children which are naturally full and very moist if they are vehemently dryed by a great cause they are hardly restored If a Hiccough be with the Falling-sicknesse or another kind of Convulsion it is Mortall The Cure is if the Hiccough be from 1 cold use hot things inwardly and and outwardly Take the Syrrup of Mint or Betony outwardly the Oyl of Anniseed Chamomile and Wormwood besides Plaisters and Ointments that are hot and set forth in several Chapters 2. Plenty or quality of Milk correct it as is shewed in several Chapters and if it be from the Acrimony of the Milk let the Child use a little quantity of this Take of Saccharum Rosatum half an Ounce of Bole Armenick half a Scruple mingle them If from Evacuation the same remedies are good as are for Leannesse from Evacuation see the Chapter of Leannesse Bathing with sweet Water and Broth is good in elder Children the Yelks of Eggs and all Meats that easily nourish It is related by some that the Herb called Alyssus held in the hand look'd upon or smell'd to cures the Hiccough by Propriety of Substance Others say that Sneezing and holding the Breath cures all Hiccoughs but these Helps are too difficult for Children and Infants Sneezing and Vomiting because they evacuate the matter is commended CHAP. XIV Of Vomiting and a vain desire of Vomiting BEsides the Hiccough the vain desire of Vomiting and Vomiting happens to Children for the matter that troubles the Stomach is either infixed deeply in the mouth of the Stomach and so makes a Hiccough or infixed but not profoundly and either in the Mouth or Tunicles of the Stomach whence it is a vain desire of Vomiting or else the matter is contained in the Space of the Stomach and so makes a Vomiting The Causes of Vomiting or a vain desire of Vomiting in Children are The humidity and laxity of the Stomach the plenty of cold humours falling from the head the plenty of Milk or Meat the Acrimony and coldnesse of the same Milk The External causes
make a Clyster which is very good So is this Take of Mullen the greater Comfrey of each half a handful boyl them according to Art Take thereof two Ounces and an half of the Syrrup Deribes one Ounce mingle them Whey in which Steel is quench'd is good and may be given to six or eight Ounces at once If the Guts are sore this Confection is very useful Take of the Conserve of Barberies one Ounce of Thus one dram of Mastick half a dram of the powder of the great Comfrey two Scruples mingle them the quantity to be used is two or three drams every morning The Broth of an old Hen in which Mullen is boyled is good for all old and petuitous Fluxes So is the heart of a Beef burnt and powdered taken in Milk in which Steel is quench'd or in the Decoction of Mullen half a Scruple of it or a Scruple is to be used at once Clysters are good Take the Water of Barly in which Steel is quench'd eight Ounces Red Sugar one Ounce make a Clyster this is good in the beginning because it moderately dries absterges and mundifies the Ulcers afterwards the Ulcers are to be dryed and healed to which purpose use this Take of Whey in which Steel is quench'd nine Ounces of Thus Bole-Armonick and of Comfrey the great of each three drams Sanguis Draconis five drams mingle them and make a Clyster CHAP. XX. Of the Tenesme AFter a Loosness and in the Loosness and from them a distemper usually arises called a Tenesme which is a certain vain desire of evacuating the Filth of the Belly with pain and trouble The Cause is A hot or cold distemper of the Spyncter of the great Gut most commonly from a humour thick viscid and sharp adhereing to it where it stimulates the expulsive faculty which endevouring to expel the viscous and sharp matter but cannot in regard of the tenacity of the humour the Tunicle of the Gut is as it were strain'd into pieces and in the same divulsion the appetite and pain is made The antecedent causes most frequently are Preceeding Fluxes for the humors continually touching the great Gut distempers it if the humours are hot the distemper is hot if cold the distemper is cold whereby sometimes there is not only made a distemper but an Inflamation The Signs are manifest because the Child desires and endevours often to expell the filth of the Belly and with such endevours that sometimes the Fundament falls and comes down the Filth that is evacuated is very little slimy and bloody if it be from a hot cause a heat is perceived by the Children in the Fundament there is a rednesse and cold remedies help if from cold there is a lesser pain a little or no heat no rednesse and hot things help Prog. This Disease if it be diligently handled in the beginning ends well but it sometimes happens by continual pains watchings and crying of Children that it brings them into mortal Feavers and Consumptions The Cure is of sucking Children by ordering the Nurse if a Child somewhat great by abstaining from meats that are acid sharp salt and sweet and to use such as provoke Urine If the cause be hot to asswage the pain then lessen the desire of going to Stool Make a Decoction of Mullein or Dyptams and sit in it Take Mirabulous Chebules and the Leaves of Mullein and boyle them in Red wine and dip a Sponge in it and apply it to the fundament Turpentine put upon the Coales that it fume and smoke the fundament is very good if these will not help Take of Opium four grains of Saffron one Scruple of Thus one Scruple and make a Suppository of it with the White of an Egg roasted put it into the Fundament it takes away pain dryes up the humours that causes the distemper especially the hot humors CHAP. XXI Of the pain of the Guts THe Guts being very full of Turnings and windings and rowlings and very long retain the humors a great time in them which makes the internal Tunicles of the Guts bare and naked from the slime which covers the Guts and makes their sense dull for their receiving of hard and sharp excrements and corrodes the substance of them and distends them whereby there is a vehement torment and pain The cause is either wind that cools the Guts and oistends the Tunicles of them or humors that are cold or hot which distemper them or causes a Solution of continuity somtimes Worms is the cause The external causes are the coldnesse of Air Feet and meat also sweet meats and Summer fruits If it be from Wind the pain is sometimes vehement sometimes gentle goes and comes breaks forth upwards and downwards If from humors the pain is more durable and constant if from Phlegme that Filth that is evacuated is but little and slimy If from Choller the Excrements of the Belly are yellow If from the corruption or sharpnesse of Milk there are notes of the badnesse of the Milk and the Filth and Excrements evacuated resemble corrupted Milk Prog. Pains that are persevering are dangerous especially the vehement pains in the Guts of Children proceeding from Worms which many times kills them The Cure is If the pain is from corrupted Milk change the Nurse if the be so vehement that it will not allow time to correct the milk if from wind the Nurse is to abstain from all windy meats and use Coriander and Fennelseed So ought the Child that is elder to use Auodynes such things which heat in the first degree and evacuate the matter of pain and attenuate and dissipate it annointing the Childs Belly with the Oyle of Anniseed If it is not effectual put a Clyster-pipe in the Fundament so the Wind is drawn forth sometimes if not make three Ounces of the Oyle of Anniseed lumbricated is sufficient for a Clyster If the Child be great use Cummin or Anniseed in Sweet Oyle and the Oyle afterwards being strained take of it 6. or 8. Ounces for one Clyster Observe the Wind ought to be expelled out of the Guts by gentle remedies if more hot are used the pains usually are increas'd if the Cause of the Wind be in the Guts If the cause is a petuitous humour in a Child that is somewhat great the gentle remedies above mittigate pain afterwards take the Leaves of Dill Marjerome Cumminseed of each half a handful boyle them according to Art Take Take of the Decoction three Ounces of Oxymel Simple and of the Syrrup of Byzantine of each three Drams the humors being prepared purge with one dram of Hiera in Wine if the Child will take it and there being no Feaver otherwise Take of Electuary Lenitive 5 drams of Hiera Picra one dram mingle them and make a Bolus If the pain is from hot and sharp humors use outwardly the means as is said before Take of Barly water six Ounces Oyle of Anniseed two Ounces the Yolk of an Egge and make a Clyster