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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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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-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
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
oyntment But some think that Quick-si●ver ought not to be used to tender Infants because it may occasion ill symptoms besides there are other more gentle Medicines that are sufficient to Cure this Disease CHAP. IX Of an Hydrocephalus and Inflation of the Head AN Hydrocephalus is a watery Tumor of the whole Head it sometimes seises grown persons of which Carolus Piso has two observations but it most freequently befalls Infants their heads being so soft as that they may be easily extended Some Children have had this Disease in the Womb but many have been afflicted with it after the birth Rhasis says he saw a Child whose head was so increased in length and breadth that the body was not able to bear it Pareus says he saw four such Children and cured them If the water be contained within the Skull it is much more difficult to cure than when without and is most commonly deadly The indication is to evacuat the waters and to dry them up This may be done by medicines applied to the Head Ears and Nostrils Take Snails in their Shells number Thirty of Marjoram and Mugwort each one handful and beat them and add to them one scruple of Camphor and half a dram of Saffron with oyl of Camomile make a Cataplasm and inject the following water into their Nostrils Take of Nutmegs Cloves and Cubebs each one scruple of common sweet smelling Flag and of the bark of Frankincense each half a Dram of the water of Marjoram three ounces mingle them Or with the balsom of Marjoram Cloves and Nutmegs Musk and Ambre the Nostrils may be anointed and hot Oyls may be injected into the Ears But if the water be not carried off in this manner within twenty days incision must be attempted and the brain must be opened and the water extracted but by degrees and by turns lest the Childs strength be too much djected and care must be taken that the cold air does not hurt the Brain Authors make mention of another Tumour in the head which they call inflation which is generated by wind contained under the skin of the head or membranes of the brain and so it distends the head and increases the bulk of it but wind alone without water can scarce be collected in so great a quantity in this cold part of the body as to make an inflamation here but if water be collected here it is not impossible but some of it may turn to wind and if so rarifying and discussing Medicines must be applyed to the head as Oyls of Rue and Camomile the Seed of Rue Anise and the like CHAP. X. Of a Siriasis THis disease is known by a heat in the forepart of the head and by the cavity in it by the hollowness of the Eyes redness of the Face dryness of the body want of Appetite and Sleep this disease is dangerous and most commonly deadly according to the opinion of the women and they suppose any disease will be so if this bone or the membrane subside and make a hollowness and indeed the Children so affected generally dye in three days and many apply the 50 th Aphorism of the 7 th Section of Hyppocrates to this disease quibus cerebrum sideratum est intra tres dies interiunt si vero hos superaverint sani fiunt Because there is a hot intemperies with matter it indicats refrigeration but the humour that flies to the part discussion But to prevent the flowing of more matter it is proper to purge which may be conveniently done by a Glister or by Syrup of Roses solutive or by Syrup of Violets Cooling things may be prepared of the juice of Lettice Gourds or Melons or a fresh Gourd may be cut in slices and applyed but you must take notice in the use of these things that they must be applied actually cold and when they grow hot they must be renewed but at the same time care must be taken that the brain which is but just under and only covered with skin and membranes be not hurt by the too great use of cooling things therefore it is safest to anoint the part with Oyl of Roses Or Take of oyl of Roses half an ounce Populeon Oyntment two Drams the white of one Egg of the emulsion of Poppy seeds made in rose water two drams mingle them When the fluxion is over and the inflamation is stopt things that discuss made of Cammomile Dill and the like must be used As Take of Camomile one ounce and an half of Dill half an on ounce the yelk of an Egg mingle them When the fluxion is over and the inflamation is stopt things that discuss made of Cammomile Dill and the like must be used As Take of oyl of Camomile one ounce and an half oyl of Dill half an ounce the yelk of one Egg mingle them Take of the tops of Dill half an handful of the Flowers of Camomile one Pugil boyl them in water add oyl of Camomile one ounce mingle them Or you may apply the waters of Camomile or Dill. The Nurse must observe a good diet whereby the heat of the Milk may be attemperated therefore let her use cooling diet as a Ptisan of barley an Emulsion of the greater cold Seeds Poppy Lettice Endive she must wholly abstain from wine and strong beer and she must either drink water or small-beer The Child must be kept in a cool air and the Nurse avoid all great commotions of the body and mind especially anger CHAP. XI Of Frights in Sleep TO come now to the symptoms of the animal faculty in the common sense and imagination two symptoms happen viz. Frights in sleep and great watchings and first as to frights in sleep they are nothing but sleep disturbed by terrible dreams according to Hippocrates parvis nuper natis puerulis accidunt pavo res inter dormiendum Tho Aristotle says that Children do not dream before they are four years old but experience teaches us otherwise for it appears plainly by their laughing and frights in sleep The cause of frights are impure vapours mingled with the animal Spirits that disturb them and represent to the imagination terrible Phantasms These vapours arise from the Stomach and are caused by ill concoction and therefore this disease chiefly happens to such Children as suck greedily and more than the Stomach can Concoct upon which account the milk corrupts and raises vapours to the brain that disturb the animal spirits and it is not absurd to think that these vapours are sent to the head by the veins as well as by the Oesophagus For as in the Night-Mare that is generated by a too great quantity of food affording blood filled with gross wind thick vapours ascend thro the vessels to the brain and occasion this disorder so if Infants fill their Stomach with too much food blood also full of gross vapours may be generated which being elevated to the brain occasion this disease These frights also happen in Fevers and in the
Coloquintida There is no purging Medicine more ●oper for Children and more innocent ●an Rubarb it gently and safely eva●ats the matter occasioning the Fever ●d gently purges off the Humours that ●rthen the Stomach and whole Body ●d it strengthens wherefore it is very ●oper for Infants Children big belli● Women Old Men and such as have ●en weakned by Diseases After the Purge hath done working ●me Powder like the former must be ●ven in the Evening and afterwards ●ust be repeated three or four times in day at fit times for two days and on ●e third day purging must be used ●d it must be dosed according to the ●eration of the former These things being performed the ●orst Symptoms most commonlly ●ase As to Bleeding of Children tho it ●ay be used when the Febrile matter is cast upon the Lungs or for a hooping Cough yet it is plainly a remedy not agreeable to their nature A Child about three years and a● half old was seized with a small Fever that was continual and accompanie● with very irregular Exacerbations she complained of a great pain in the Head and sometimes in the Belly she nauseated all meat and was very sleepy 〈◊〉 that the standers by thought she would have the Small-Pox There was a twitching of the Nerves in sleep and she ha● sometimes a dry Cough I prescribe● the following things Take of Aqualactis Ale●iteria six Ounce of Epidemick-water half an Ounce 〈◊〉 prepared Pearl one Dram of the simp● powder of Crabs-claws two Drams 〈◊〉 Cristaline Sugar half an Ounce ming● them make a julep whereof let● her tak● three spoonfuls every fourth hour shaking the glass before useing of it Take of Succotrine Aloes one Dram of the tops of the lesser Centaury of the leaves of Savin dry'd each half a Dram of Burgundy-pitch one Dram of Venice-turpentine a sufficient quantity make a Plaister to be applyed to the Navel The next day she persisted in the use of the julep and a Blistering Plaister was applyed to the Neck A Glister with Milk Sugar and Salt was injected ●ecause the Belly was bound At bed●ime she took the following Bolus Take Aethiops Mineral and Merourius Dulcis each fix Grains of Marmalad● of Quinces two Scruples make a Bolus The next morning she took the fol●owing purging Syrup Take of Syrup of Buckthorn two Drams of the Earl of Warwicks Powders six Grains of choice Rubarb powdered twelve Grains of tincture of Saffron twen●y drops of black-cherry-Black-Cherry-water one Dram mingle them On the fourth and fifth day the fol●owing mixtnre was given by spoon●uls Take of Coraline two Drams of the leaves of Mint dryed and powdered one Scruple of the simple powder of Crabs claws one Dram of Balsamick Syrup and of the Syrup of Marsh-mallows each one Ounce of Orange-water half an Ounce mingle them The evening preceding the sixth day the Bolus before prescribed was repeated and the morning following the purging Syrup by the virtue where of the Child vomited up a Worm and soon after recovered The Fevers which are occasioned by corrupted Milk are known for that the Teeth are not come and there are signs of corrupted Milk grips frequent yellow or green stools Fevers that come from breeding the teeth known by the signs of breeding teeeth these Fevers most commonly are not dangerous for the cause being taken away they cease of themselves but if the corruption of the Milk continues long the Childrens lives are in danger Those Children says Hyppocrates who have an Acute Fever upon breeding the Teeth are seldom troubled with convulsions yet they are sometimes destroyed by a Flux of the Belly and Watchings If the Fever proceed from corrupted milk you must use cooling and moistening things because such Fevers generally come from Choler and therefore such nourishment must be given to the Mother or Nurse viz. Lettice Endive Sorrel an Emulsion of the four greater told Seeds and a Ptisan of Barley and the Mother or the Nurse must abstain from Wine whilst the Childs Fever continues and the Nurse must be gently purged with Manna Cassia or Syrup of Roses Solutive and alteratives may be given to the Child as the Juice ●nd Syrup of Violets or the Syrup of Sorrel or Citron the waters of Succory endive and Violets sweetened with Sugar and the Spine must be anointed with an Oyntment made of the mucilages of the Seeds of Quinces and Flea●ane of Oyl of Violets and a little Wax or a Plaister made of Houseleek Plan●ain Night-Shade Rue Barley-Meal ●nd the White of an Egg may be applyed to the Stomach and it is necessary when the Milk is corrupted and ●urns to choler to apply to the Stomach ●ooling and astringent things that the ●orruption of the Milk may be preven●ed and the Concoction helped Take of the Oyles of Roses and Mastich each half an Ounce of red Sanders and Coral each one Scruple of Wax a little mingle them But if the Fever proceed from breeding the Teeth we must endeavour to make the eruption of them easie but more of this when we come to speak of breeding Teeth and the Alteratives mentioned before for the Fever occasioned by corroupted Milk are of use here and do good CHAP. IV. Of the Small Pox. THere are two sorts of them the distinct and confluent the distinct begin with a shivering and coldness which is presently followed with excessive heat a violent pain in the Head and Back Vomiting a great propensity to Sweat in grown persons But I have not observed says Sydenham any such disposition in Children either before or after they come out A pain at the cavity of the Breast beneath the region of the Heart if it be pressed with the hand dullness and sleepiness especially in Children and sometimes convulsive fits and if these happen to them that have all their Teeth I reckon the Small-Pox are at hand which most commonly coming out a few hours after sufficiently answer the prognostic●tion For instance if the Child has a Convulsive fit in the evening as it usually happens the Small-Pox appear the next Morning and more over I have very often observed that when they come immediately after these fits they rise in large Pustles and are mild and favourable and seldom Flux It is to be noted that sometimes the course of separation is past over gradually without any sickness but most commonly as we said before the sickness before the eruption is most violent The distinct Small-Pox usually come out on the fourth day inclusively and sometimes a little latter but rarely before at which time the Symptoms most commonly abate or totally vanish The eruption is after this manner first pimples as big as small pins heads here and there shew themselves and first of all in the Face Neck and Breast and afterwards in the whole body At this time the Jaws are afflicted with a pain that increases as the Pustles rise which growing daily bigger and higher inflame the neighbouring skin and flesh for about the eight day from
the first approach of the sickness the spaces between that before were somewhat white now begin to be red and swell more or less according to the number of the Pustles so that sometimes the eyes are swelled up and the Patient is deprived of sight Next after the Face the Hands and Fingers swell more or less according to the number of th● Pustles Th● Pustles that were smooth and red to this day are now grown rough and some what white which is the first sign of their coming to maturity more over they cast out by degrees a certain yellowish matter On the eleventh day the tumour and inflamation of the Face manifestly diminish and on the fourteenth or fifteenth day totally vanish That s●rt of Small-Pox which is called the Flux has the same Symptoms with the distinct only they are more violent Moreover a loosness sometimes preceds the erruption and continues a day or two after it This sort comes out generally on the third day and sometimes so like a Erisppelas or the Measles that they cannot be easily distinguished These do not rise so high as the distinct especially those in the Face After the eight day they begin to change into a duskish-colour A Loosness afflicts Children in the Flux-Pox but does not invade Children so soon as Spitting does grown people But at what time soever it comes if it be not stopt by art it continues thro the whole course of the Disease I have always observed that when the Disease was violent the sick had as it were a fit in the Evening and then the Symptoms raged as it were more cruely As soon as the signs of this Disease shew themselves I keep the sick from the open air and forbid them the use of Wine and Flesh and allow them Small bear gentlly warmed with a Toast for their ordinary drink and now and then permit them to drink as much of it as they will I order them for victuals Oat-meal and Barley-broths and roasted Apples and other things which are neither too hot nor cold nor hard to be digested I forthwith prohibit an hot regimen and the use of all manner of Cordials On the forth day I commit the sick to his Bed and then if the Pustles come not out well some gentle Cordial may be properly prescribed at lest for once to drive them out Among the Medicines for this purpose those they called Paregorick such as liquid Laudanum Diascordium and the like if they be mixed in a small quantity with some proper Cordal waters excell the rest when the Pustles first come out I then carefully consider whether they be of the distinct or confluent kind because they differ exceedingly one from the other though they agree as to some symptoms if therefore from the bigness and paucity of the Pustles and the slowness of the coming out and from the vanishing of sickness and other symptoms which tire the Patient after the eruption of the Flux-pox it appears that they are the distinct sort I take care that the sick be refreshed with Small-beer Oat-meal and Braley gruel and the like and if the Small-Pox be but few and in Summer time and that very hot I see no reason why the Patient should be kept stifled in ●ed and why he may not rather rise a few hours every day provided the inconveniences of too much cold or heat may be prevented by the place and cloathing but if either the cold season of the year or a large eruption of the Puscles put the Patient under a necessity of keeping his Bed continually I take care that he lye not hotter nor has more cloaths on him than when he was in health and that he have a fire kindled only in the Morning and Evening unless it be Winter nor do I require that he should be always fixed to one place least he Sweat which I confidently affirm cannot be promoted without great danger when the Disease is going off it is proper to give some proper Cordial Medicine and at the same time also a little hotter and more cordial-diet may be allowed For instance Sugar-soaps and Oat-mea●-caudle and the like nor is there any need of any other thing at all in the distinct and gentle sort if the Patient be treated moderately with this method and diet unless by chance restlessness or watchings should now or then perswade the use of a Paregorick But if the Small-Pox flux the case is very hazardous for this sort is no less different from the other than the Plague is from this tho among the vulgar who take names and words for things the cure of both is said to be the same for towards the end of the Disease the sick is in great danger namely on the Eleventh day in the common Flux-pox on the fourteenth in a worser sort and on the sevententh in the worst sort and sometimes tho rarely on the 21st day the Fever the restlessness and other symptoms invading together whereby the sick is generally destroyed unless art relieve him wherefore seeing there is so much danger when they flux the Physitian should endeavour all he can to hinder their fluxing by bleeding presently in the Arm if there be the lest suspicion of the Flux-pox and by giving a Vomit afterwards and by keeping the sick up till the sixth day from the first sickness afterwards he must be put to Bed and kept there till the end of the Disease But he must have no more Cloaths on nor a greater Fire in his Chamber than he used to have when he was well and he must drink freely of Small beer or other coolling Liquors But because notwithstanding the Sick freequently grows hot light-headed and restless I give an Anodyne every night but a little earlier than is usual because in this Disease a sit of heat and restlessness comes almost every day towards the evening But which is to be lamented notwithstanding these and all other physical helps the Sick is very often seized on the eleventh day or on some other of those days which we said were most fatal in the various kinds of Flux-pox with a violently Fever difficulty of Breathing and restlessness and dies suddenly Therefore in this deplorable case blood must be taken away according to the strength and age of the Patient from a young man ten or twelve ounces must be taken and in the evening a large Anodyne must be given as before and so afterwards morning and evening and sometimes oftener but it is to be diligently noted that in some the fury of the Disease is so high that a very large dosed Anodine cannot stop its force in twelve hours in which case it is necessary to repeat the Anodyne every sixth or eighth hour And because it happens often at the lattor end of the Disease that the Body is bound up so much that the Sick is like to be suffocated and consequently is in great danger in this case I have given successfully to grown people an ounce and an half
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
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
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-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
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
chief Coralline Wormseed the Roots of white Dillany Harts-horn the Water and Decoction of Grass Roots and Mercurius dulcis As Take of Worm-seed two Drams of Coralline and Hartshorn prepared each one Dram of the Roots of Peony white Dittany and Magistery of Coral each one Scruple make a Powder Or Take of Worm-seed Coralline each one Dram and an half of the Roots of white Dittany and Tormentil each half a Dram make a Powder or give the essence of Peach Flower or half an Ounce or an Ounce of the Water or Decoction of Fern or half a Scruple or half a Dram of the Powder of Fern. But you must consider whether a Fever accompany the Worms for if there be a Fever you must use cooling things and add to them such things as resist Malignity as the juices of Lemons Pomgranats Oranges Vinegar Hartshorn Bezoar and Confection of Hyacin●h or the following Potion may be given Take of the Water of Grass four Ounces of Syrup of Sorrel and Citron each one Ounce of Syrup of Violets half an Ounce of Spirit of Vitriol two or three Drops mingle them give a Spoonful or two at a time Moreover you must observe that Medicines to kill the Worms especially bitter things must be taken in by the Mouth and that sweet things must be injected after the manner of a Glyster for the Worms hating bitter Medicines will go downwards aud will be allured thither by the sweet things and so will be the easier ejected and therefore when Medicines are given to kill the Worms a Glister of Milk must be injected Or Take of Raisins number Ten of Figs number Seven Boyl them in a sufficient quantity of Water in four or six Ounces of the strained Liquor disolve an Ounce or an Ounce and an half of Sugar and so make a Glister It is to be noted also that you must not always keep to one Medicine for the Worms will be accustomed to it and so will not be driven away Apply outwardly to the Belly especially about the Navel Medicines that are Proper to kill Worms as the Leaves of Peach Tree Wormwood and Lupins of each a like quantity or apply to the Belly Cummin mixed with Bulls Gall or a Cataplasm made of Wormwood St. John's Wort Bulls Gall Or Take of the Powder of Wormwood Nigella the lesser Centaury Wormseed the Meal of Lupins each half an Ounce of Oyl of Wormwood a sufficient quantity of Wax half an Ounce mingle them over the Fire make an Oyntment wherewith anoint the Belly Or Take of the Powder of the Seeds of Nigella and of Wormwood each two Drams of the Meal of Lupins two Ounces of the juice of Rue one ounce and an half of the juice of Wormwood four ounces or if you cannot get the juices make the Cataplasm with Oyl of Rue and Wormwood apply is to the Navel in a Rag as large as the Palm of the Ha●d Or. Take of Venice Treacle half an ounce dissolve it in the juice of Wormwood and anoint the Belly therewith or take of the Meal of Lupins four ounces of the Powder of 〈◊〉 Myrrh Tansie Wormseed each two drams of Scordium Vinegar two ounces of Bulls Gall half an ounce with a sufficient quantity of the Juice or Oyl of Wormwood make a Cataplasm Or the following Bath may be prepared Take of the Leaves of the Peach Tree and Wormwood each a sufficient quantity Boyl them in Water and let the Child sit up to the Navel in it But if there be a Fever more temperate things must be used As Take of the Juices of Purslain and of Peach Leaves each three Ounces of Vinegar one ounce of the Meal of Lupins a sufficient quantity make a Cataplasm Chap. XXVI Of Ruptures CHildren are afflicted with Ruptures by the fall of the small Guts into the Scrotum the Peritoneum being relaxed or broken by violent crying a cough and much straining in going to Stool But grown Children are sometimes bursten by violent motions of the Body and indeed the Peritoneum in Children is tender so that it may be easily relaxed or broken There is another Tumor which often happens in the God of Children new Born which is commonly reckoned amongst Ruptures and yet the Peritoneum is sound it proceeds from watery Humours abounding in the Belly A Rupture or Tumour of the Scrotum appears to sight But we must carefully mind whether the Swelling be occasioned by the falling of the Gut into the Scrotum or from a watery Humour that flowes thither in a Rupture the Swelling is most commonly in one side of the Scrotum for the Peritoneum is seldom broke in both sides and you may percieve that by touching with your Finger and the hole through which the Gut falls may be felt with the Finger But the watery swelling of the Cod is most commonly on both sides and the Scrotum is more inflamed than when there is a Rupture and no Hole can be perceived in the Peritoneum and no cause that might produce a Rupture went before and there are signs of Crudity present A Rupture in Children is easier Cured than in grown persons for the Peritoneum in them is soft and easily unites Some say that all watery Swellings in the Scrotum are harder cured than a Rupture but this is false in Children for experience Testifies that this watery Swelling is easily Cured by Discutients nay it often goes away of it self in progress of time the Humours being dried up In the Cure of a Rupture we must endeavour to keep the Childrens Bodies open that they do not fill their Bellies too much nor cry much and if they are some what grown they must abstain from all violent Motion You must lay them on their Backs and gently put up the Gut and apply a proper Plaister or Cataplasm and bind it on with a Truss Take of Plaintain Sanicle each half an ounce of the Meal of Lentils and Lupins and red Roses each two drams of Frankincense one dram Alum half a dram make a Powder and with a sufficient quantity of it beaten up with the white of an Egg make a Cataplasm to be applied to the part ●ffected Or Take of Frankincense Cypress Nuts Aloes and Acacia each two drams Myrrh one dram make a Powder mix it with Iseing-glass and apply it in form of a Plaister Or Take of Cypress-Nuts two drams of Balaustins of the Powder of the Root of Comfry Thorrow-wax Sanicle Rupture-wort each one dram Bdellium one dram and an half Bole-Armentick two Drams Dragons Blood four Scruples Greek Pitch one ounce Rosin of the Pine six drams with Turpentine-wax and Oyl of Eggs. make a Cerate Or Take the green Leaves of Thorrow-wax and the fresh Roots of Comfry beat them them small and with a third part of new Wax make a Plaister and apply it to the part affected Or Take the Roots of Comfry cleansed beat them and heat them and apply them in a Linnen Rag and change them every twelve hours
Sassafras Lentisk-wood Rosemary the knotty part of Firr the Roots of China and Sarsaparilla the three Sanders the Roots of Osmund Royal or rather the Cloves of the Roots the Roots of Sea-fern or rather the Buds of them Grass roots the Roots of Asparagus Eringo Succory Burdock the Barks of the Roots of Capers the Capillary Herbs and chiefly Trichomanes Ceterach Wall-rue Harts-tongue Liverwort Male-speedwell Agrimony Brooklime Watercresses the Leaves and Flowers of Sage Rosemary Bettony dead Net●le and of Tamarisk Also Steel prepared or its Salt or Vitriol Tartar Castor Flowers of Sulphur Earth Worms Millepedes prepared and the like whereof Compositions may be made in the following manner Take of the Cloves of the Roots of Osmund-Royal or the Roots of Sea-fern or the Twigs of the Roots of it scarcely sprung above ground one handful boil them in a pint of Milk or Spring-water to the consumption of a third part let the strained Liquor with Sugar be drank twice or thrice a day Take of the Leaves of Tea one dram of the Flowers of Sage and Bettony each half a dram put them in a convenient Vessel and pour on them a pint of boiling water let them stand close and warm about an hour sweeten the strained Liquor with Sugar and let it be drank in the same manner as the former Take of Lentisk-wood Rosemary of the Ro●ts of Sarsaparilla flowering Fern or male-fern each three ounces of the Herbs Agrimony Maiden-hair Speedwell Haris-tongue Sage Bettony each two handfuls of the tops of Fern and Tamarisk each two handfuls boil them in so●r Gallons of Ale till one is consumed when it has done working in the Vissel put into a bag two hundred Millipedes washed in white Wine and gently bruised of Juniper-berries two ounces of Nutmegs sliced number two hang the bag in the Vessel and put a piece of Steel in it to make it s●●k If there be any suspicion of the Scurvy you may add of Water-cresses and Brooklime each two handfuls after a fortnight let it be drunk for the ordinary drink But the Medicine which is most approved in this Disease is Ens veneris five or six grains of it may be taken every Night at Bedtime in half a spoonful of Syrup of Gill●flowers If the Lungs are stopped with viscid Humours as happens often and the Mesentery with scrophulous Glands three or four drops of Balsom of Sulphur mixed with Sugar-candy powdered may be given Morning and Evening Note Steel must not be given in Coughs Plurises a stoppage of the Lungs nor when there is a Hectic Fever The Bath water is very proper and is excellent to take off the swelling of the Belly the following artisicial Bath as much commended Place the Sick in a large Vessel and put round him warm Barley Fermented which has been a while infused in boiled water as is usually done for making Beer cover him well and let him abide in it to provoke sweat Regard must be had to the Symptoms coming upon this Disease the most frequent whereof is a Looseness for the cure of which gentle Purgers as an infusion of Rhubarb Tamarinds and Sanders or a Bolus made of them is of use and sometimes astringents and gentle Opiats may be used but Purging must go before Sometimes immoderate sweating afflicts the child which if it follow a Feverish Fit is critical and ought not to be rashly stopt but if it flow in ordinately it is a sign that the Body is oppressed with ill Humours therefore this sort of sweat must be corrected by a gentle Purge especially with Rhubarb Apperitives also and such things as help Concoction must not be omitted Breeding of the Teeth difficultly is familiar to this Disease and often occasions a Fever in which case gentle evacuations especially by Glisters must be made and sometimes it is necessary to cut the Gums to make way for the Teeth and to apply a Blister behind the Ears and if there be great pain and watchings Hypnoticks must be used as a dram or two of Diacodium in a spoonful of Cowslip water External things must be used as Exercises of all sorts and if the Child be able walking srequently if not he must Play sitting or be carried about in the Nurses Arms or the like Frictions are also good in this case with warm Flannel the Parts to be rubbed are the Spine which is primarly affected and the Muscular parts but you must not rub the Bones where they stick out the Concave parts of the Bones you must Ligatures are also of use which are to be made above the Knee and above the Elbow but they ought to be soft and loose Boots are also of use but you must take care that they press a little upon the Protuberant part of the Bone and scarce touch the Cavity Bodice are also to be used to keep the Body up-right Swinging is also necessary A Formentation of all sorts of Wine and common Aqua Vita is also very good for this purpose to corroberate the nervous Parts which must be used for the weak Parts and especially for the Spine which being done the Parts must be ●●ointed with Oyl or some proper Ointment which we shall mention by and by and instead of Wine the following Decoction may be used Take of the Roots of Osmund Royal or of Male-fern three ounces of the Leaves of Bettony Sage Rosemary Marjoram Water-cresses each one handful of the Flowers of Cammomile Melilot and Elder each one pugil of the Berries of Lawrel and Juniper each half an ounce boil them in a sufficient quantity of Fountain water to a quart add of white Wine or of common Aqua Vitae one pint Keep the strained Liquor for use Take of the Leaves of Elder Lawrel Marjorum Sage Rosemary Bettony and the tops of Lavender each two handfuls of the Berries of Juniper and Lawrel each one ounce cut them and bruise them and put them into a pot with three pound of May Butter or of Fresh Butter and add to them half a pint of Aqua Vitae and while the strained Liquor is hot add half an ounce of Oyl of Nutmegs by expression and one dram of Peruvian Balsom mix them make an Ointment Instead of May Butter Beef Marrow or Deers Suet and Oyl of Worms or Oyl of Foxes each one pound and an half may be used The Ointment must be applied warm before a hot Fire and the Parts must be rubbed with a warm hand till they are dry If the Belly be hard and swelled the following Ointment must be applied Take of the Oyls of Capers Worm-wood and Elder each one ounce of the Ointment above prescribed one ounce and an half of Gumm Ammoniacum dissolved in Vinegar half an ounce make a Linement whilst the Ointments are applied to the Hypochondres the Bowels must be handled by the Nurse If the Lungs are affected the Breast must be anointed with some pectoral Ointment or with the Ointment of Marshmallows and at the time of Unction a