ounce of the Electuary Caryocostinum Oil of Chamomel two ounces mix it for a Clyster Sour things and all that have a Lixivial salt either fixt or volatile and all Aromaticks do correct and amend the viscous Phlegmatick humours Let these forms serve for example Take the Waters of Baum and Mint of each three ounces Cinamon-water and aqua Coelestis of each half an ounce Syrup of Fennel and Mint of each six drachms Spirit of Salt as much as will make it of a gratefull taste mix it and give three spoonfulls of it often Take salt of Tartar vitriolated half a drachm Cream of Tartar one drachm white Sugar-candy two drachms make it into a fine Powder for four Doses which may be taken every morning and evening in white or Rhenish wine For the Rich you may prepare a medicinal Wine This may serve for example Take the Roots of Elicampane Calamus aromaticus of each one ounce of Rue Sage Vervain sweet Marjoram of each three handfulls Anise-seed sweet Fennel-seed of each an ounce and half Orange-peel half an ounce let them be cleansed bruised and infused in two quarts of White-wine It may be given to three or four ounces in the morning fasting with twenty drops of Elixir proprietatis you may also give it by it self at dinner and supper When the Wine is used fresh Wine may be put to the Ingredients for a second infusion But farther to correct and gently evacuate the viscous Phlegmatick humours This opening Apozeme is effectual Take of the five opening Roots of each two ounces Liquorish an ounce and half Guiacum half a Pound Anise-seed sweet Fennel-seed the Berries of Bays and Juniper of each half an ounce Vervain Betony of each one handfull let them be cleansed bruised and infused in two quarts of Rain-water very hot for twenty four hours then strain it out very strongly and add the best Manna Syrup of Roses solutive with Senna of each four ounces tincture of Cinamon three ounces salt of Tartar vitriolated half an ounce mix it and give three ounces every morning fasting If there be need of stronger Physick you may administer these purging Pills Take of Extract Rudii pil foetidae Cochiae of each half a drachm Mercurius dulcis twenty grains mix it for three Doses If the pain be old and stubborn apply Vesiccatories to the Neck also Leeches to the Temples and Haemorrhoids or open the jugular or frontal Vein which hath often prov'd effectual Errhines Sternutatories and Apophlegmatisms may also be used and Ventoses with Scarification if need require Baths of Sulphur whether natural or artificial with Cephalick Herbs are good to bathe the Head and whole Body Some approve of the fume of Amber taken into the Mouth and Nostrils Also spirit of cranium humanum or spirit of salt Armoniack held to the Nose in a narrow-mouth'd Vial giveth present ease in all cold Pains of the Head Also you may touch the Nostrils and Temples with Oil of Amber or Nutmegs or apply this Epitheme to the Temples and Forehead with Linnen-rags Take the Waters of Vervain and Betony of each one ounce Vineger of Roses Ointment of Alabaster of each half an ounce Laudanum opiatum one scruple mix it Cold distempers of the head may also be corrected by hot Cephalicks quilted in a Cap for the Head Take of sweet Marjoram Stoechas Vervain Betony Sage Flowers of Chamomel of each one handfull Nutmegs Cloves Wood of Alloes the Roots of Galangal Cyperus Calamus aromat of each half an ounce let them be all beaten into Powder for a quilted Cap. Before you put it on let the Hair be shaved close and the Head gently rub'd for some time the better to open the pores Let the Sick abstain from fat and viscous Food and let the mind be compos'd to chearfulness If the Juice of the Pancreas abounding in the Body be over sour it causeth a vitious Effervescency being oppos'd by Choler and Phlegm in the small guts from whence sour and ungratefull vapours may be sent to the Stomach and thence to the Head If the humours be over sour the sense of hunger will be encreased notwithstanding the Pain of the Head This distemper is to be cur'd by giving those things which temper and amend the acid Juice in the Body and do prevent its encrease Those things abounding with either a lixivial or volatile salt do powerfully destroy this acid Juice as Pearl Crabs-eyes Coral Chalk Amber Bloud-stone Filings of steel c. Take this as a form of a Powder Take of Crabs-eyes Pearl red Coral prepar'd of each half a drachm white Sugar half an ounce let it be made into fine Powder for six Doses which may be taken morning and evening in two or three spoonfulls of the following Cordial Julep Take Waters of Baum and Mint of each three ounces Scurvigrass-water two ounces Cinamon-water Syrup of Worm-wood of each one ounce and half Oil of Juniper one drachm mix them together for a Julep of which you may also give two or three spoonfulls every fourth hour I prescribe no Purgers in this Distemper because I am taught by large Experience that the four Humours in the Body may be stirr'd up indeed but not purg'd unless with very great gripes which will doe more hurt than good The encrease of the acid Juice may be prevented by abstaining from the use of acids Let the Patient's diet be moist and fatty as fat Broths Jellies aromatiz'd c. When the Head-ach proceedeth from a hot cause if the Patient be costive first give this Clyster Take of Mercury Violets Lettice Mallows Dandelion of each one handfull Damask Prunes twenty let them be cleansed bruised and boiled in two pints of Fountain-water till half of it be boiled away then strain it and add Electuary lenitive one ounce and half Oil of Lillies two ounces mix them for a Clyster After its operation you may open a Vein and draw eight or nine ounces of bloud Some Authours will not consent to Phlebotomy in any Head-ach except the Pain be intollerable but I have had sufficient Experience that it may be done safely in any Pain of the Head Elixir proprietatis taken in Wormwood-wine to the quantity of half a drachm at a time a little before meat doth wonderfully conduce to amend the vitious quality of Choler Choler may be evacuated by vomit most commodiously by Antimonial preparations Take of the infusion of Crocus Metallorum one ounce Oximel of Squills half an ounce Give it in the morning But if the Patient be averse to vomiting the Choler may be evacuated by stool by this or the like Cathartick Take of Baum-water one ounce Cinamon-water two drachms Syrup of Roses solutive the best Manna of each half an ounce Powder of Cream of Tartar twenty grains Diagredium ten grains mix it for a Potion which may be given in the morning fasting Also these most gratefull Tablets of Scammony may be
prepared and kept for use Take Cristals of Tartar two ounces Scammony one ounce white Sugar four ounces with Gum Dragon dissolv'd in Rose-water as much as is sufficient let it be made into Troches according to Art Half a drachm of these Troches may be given to a Child with carefull governing a Man or Woman may take two drachms of them They who are fearfull of Scammoniats though safe and potent let them take the following infusion Take of choice Rhubarb two drachms Cream of Tartar one drachm infuse them in four ounces of Endive-water for a night then strain it and add Syrup of Roses solutive Syrup of Cicory with Rhubarb of each half an ounce Cinamon-water two drachms give it in the morning fasting This Electuary is also an excellent Cholagogue Take the Pulp of Damask-prunes ten ounces Powder of Scammony Cream of Tartar of each two ounces Rhubarb ten drachms Cinamon half an ounce yellow Sanders two drachms the best Manna Syrup of Cicory with Rhubarb of each eight ounces mix all together into an Electuary according to Art The Dose is from two drachms to half an ounce taken either in a Bolus or dissolved in a sufficient quantity of Endive-water or any other convenient vehicle These excellent Medicines do not onely purge Choler abounding but purify the Bloud and other Humours and here we may note that if a purging Medicine do not operate according to Expectation it may safely be repeated the same day without any danger If the Head-ach be accompanied with a great Fever and Thirst be augmented the following Medicines will much conduce to asswage it Take of Barley-water two pints Cinamon-water two ounces Syrup of Violets four ounces salt Prunella half an ounce mix it and give the sick three or four spoonfulls of it often This Tincture is also very effectual Take of Barley-water two pints Red-rose-buds one ounce spirit of Vitriol twenty drops or as much as is sufficient to make it of a good Tincture let it infuse all Night then strain it and add Syrup of Jujubes four ounces mix it and give three or four spoonfulls every three hours If an Emulsion may please better take this following form Take of sweet Almonds one ounce the four greater Cold-seeds of each half an ounce white Poppy-seeds two ounces let the Almonds be blanched and all well beaten in a stone Mortar then with four pints of Barley-water make an Emulsion strain it and add Syrup of the Juice of Limmons Diacodium of each three ounces Cinamon-water two ounces of which let the sick drink often four spoonfulls at a time You may also have a little fine Sugar and salt Prunella equally mixt which may be kept in the Mouth to deceive the Thirst. But where rest is hindred by the Choler abounding and cannot be obtain'd by the Emulsion which gently procureth sleep you may dissolve two grains of Laudanum opiat in two or three spoonfulls of it and give it at night or you may order this or the like Julep Take the Waters of Lettice Water-lillies of each two ounces Syrup of red Poppies one ounce Cinamon-water half an ounce Laudanum opiatum four grains Oil of Vitriol six drops mix it and give four spoonfulls of it to cause sleep This Epitheme may be applied to the Temples and Fore-head with Linnen-rags Take the Oils of Violets and Water-lillies of each half an ounce the waters of red Roses Lettice and Houseleek of each two ounces Vineger of Roses half an ounce mix it You may also anoint the Temples and Fore-head with this Ointment Take the Ointment of Alabaster Populion Oil of Mandrakes of each half an ounce mix it Let the Patient's diet be Mutton or Veal-broth without salt When a salt Catarrh or the like spittle is the cause of Thirst augmented you may administer a Pill of Sâ—yrax or Cynoglosson which will temperate the saltness of the humours and if salt serous matter abound in the Bloud you may purge it bâ—â—â—ool and Urine for which there are variety of Medicines prescrib'd in the Chapter of Catarrhs CHAP. II. Of the Palsie and Apoplexy THE Palsie is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 quod a 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 i. e. a solvendo eo quod nervorum genus resolutum facultate animi defluere prohibita sensu motuque destituatur It may be also called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 i. e. dimidia Apoplexia In Latin it is called nervorum resolutio vel relaxatio It is a Privation of sense and motion of one side of the Body or of some particular part The Apoplexy is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 percutior attonitum reddo In Latin 't is called stupor corporis it being an Abolition of sense and motion through the whole Body The parts affected are the Brain Spinalis medulla and Nerves the motion of the Animal spirits through them being deprav'd The causes are either external or internal The external is much cold and moisture which doth chill and over moisten the Head and extreme parts and this seems to prove that phlegmatick and watry Humours abiding about the Ventricles of the Brain and Nerves may over moisten and perhaps so far loosen the Tunicles or Membranes of them that it may render them unfit to let the Animal spirits pass through them hence it is that sometimes one particular Member hath been Paralytick by too much Cold and Moisture and sometimes more parts have more or less lost sense and motion It is the opinion of most eminent Physicians both ancient and modern that the Animal spirits being severed from the Bloud in the Brain c. are from thence carried through all the Nerves to exercise the external senses and Animal motion which is continual and equal in healthy persons but changeable and unequal according to the divers diseases of the Body or Mind Wherefore when no Animal spirits are carried to the Organs of the external Senses or Animal motion the functions of seeing smelling tasting hearing and touching and the sense of heat as also of motion in the Palsie and Apoplexy cease all that time The Signs of the Palsie are manifest to wit deprivation of sense and motion of the Paralytick parts the Eye and half the Tongue viz. of that side affected is much weakned and deprav'd The signs of the Apoplexy approaching are these a sudden crying out for help with an abolition of sense and motion 1. If the Palsie or Apoplexy do invade the sick in the decrease of the Moon and the Patient be old 't is an ill sign 2. If the sick do snort and is droughty and cast spume or froth out of the Mouth and have great sweat with difficult breathing 't is mortal But if the Person be young and a strong Fever immediately happen 't is a good sign for the Fever consumes the superfluous moisture and makes a Dissipation of the
may be safely diminisht by a mild chologogue for example Take of Dandelion Succory Sorrel of each two handfulls Tamarind-fruit two ounces Boil them in a quart of Barley-water till half be consumed Strain it and add the waters of Cinamon and Fennel of each one ounce The best Manna Syrup of Succory with Rhubarb of each three ounces Spirit of Niter twenty drops Let the sick take oft a draught of this Julep till the body be made soluble but if there be a strong constitution of body I refer you to those excellent Medicines prescribed in page 8.9 of this book which evacuates choler more powerfully by stool But where the Stomach is full and nauseous let a vomit be administred without delay and here I prefer Antimonials before all o-thers both because they do most happily empty any humours promiscuously and because they are most friendly to humane nature bringing all the humours by degrees after a peculiar manner to a most laudable state And because in this distemper the sick is always attended with a greivous and furious raging let those things be given which will not onely promote sleep but powerfully temper the sharp cholerick humours To this end I commend any fixt Mineral Sulphur of Vitriol or Antimony which will temper the Acrimony of choler and free the bloud from such matter perhaps before all others But where these choice Medicines are not to be had Opium well prepared will conduce beyond any commonly known Medicine which may be used both Internally and Externally This Cordial Opiat is of great virtue Take the Waters of Sorrel Lettice Penny-royal Fennel of each two ounces Cinamon water Syrups of red and white Poppies of each one ounce Laudanum ten grains Tartar vitriolated half a drachm Oil of Vitriol ten drops mix it and give two spoonfulls of it often whereby the body may the sooner be reduc'd to sleep and the mind to tranquillity The following Epitheme and Linament may be used outwardly to give ease and promote sleep Take the Waters of Betony red Roses of each two ounces Vinegars of Roses and Marygolds of each half an ounce Opium twenty grains Mix it Let Linen cloaths be dipt in it being warm and applied to the Forehead and region of the Temples and as often as the cloaths are dry moisten them with the same till pain be diminisht and sleep follow Take Populion half an ounce Opium dissolv'd in Oil of Poppies half a drachm mix it for a Linament wherewith anoint each region of the Temples and spread some of it on brown Paper and apply it Let the diet be very thin and cooling Avoid hot spices Wine and other strong Liqours and let the common drink be Barley-water with Syrup of Limmons Pigeons cut asunder and applied to the Soles of the Feet do many times avail by drawing down hot Vapours and Fumes from the Head By this you may know how to cure not onely Phrensies but all ravings and watchings which are ingendred by Fevers for it will not be very hard from what is aforesaid to frame or join such helps as may conduce to the same In mania or madness when Phlegm is over viscous and the Juice of the Pancreas too tart and harsh exceeding and over-ruling the other humours in the Body whereby sharp halituous Vapours are continually rais'd disturbing the sick both in Body and Mind Speedy care must be taken to correct and educe the vitiated humours to amend and discuss the hurtfull flatuous Vapours and also to compose the immoderate passions of the mind Volatile Salts and Aromatick Oils do not onely correct viscous and acid Phlegm but sour and tart Vapours also for they have power to cut and dissolve that which is viscous to temper and correct that which is sour and tart and to discuss and dissipate what is vaporous and windy The following Julep whose power is singular and stupendious may be deservedly preferr'd before many others Take the Waters of Parsley Fennel Mint Penny-royal Scurvigrass of each two ounces the Waters of Treacle and Cinamon of each half an ounce Syrups of Fennel Poppies and the five opening Roots of each one ounce Laudanum opiat twenty grains Spirits of Salt Armoniack and Niter of each twenty drops Oils of Annise-seed and Cloves of each ten drops mix them By the frequent use of this Julep or such like the hurtfull humours and vapours will not onely be corrected and amended but a new Production of them will be hindred and both Body and Mind reduc'd to a more quiet frame These Pills will be also usefull to correct more and mildly educe or expell the vitious humours Take of Galbanum prepar'd with Vinegar of Squills Powders of Mastick Troches Alhandal Rozin of Scammony and Jallop of each one drachm Powders of Castor Mirrh and Saffron of each twenty grains Oils of Cloves Harts-horn Balsom of Sulphur with Oil of Anise-seed Spirit of Salt Armoniack of each ten drops beat them all into a Mass for Pills of which you may give half a drachm at a time in the Morning fasting It will be convenient to take these Pills twice a week for the better vanquishing the rebellious and redoubl'd humours Also let Antimonial vomits rightly prepar'd be sometimes administred they being endued with an universal force of cleansing Man's body from all harm and impurity By these forms any judicious Practitioner may easily invent other prescriptions in some things to be varied as the disease requires Thus having premis'd a rational and dogmatical cure of these grievous diseases confirm'd by experience I think it my duty once for all to admonish the honest Physician and others who attend the sick to be often seeking the Lord for a Blessing on the means And if all refuge sails to take the Advice of the Apostle James in the 5 th Chapter and 14 and 15. verses This was the Custome of the Primitive Christians without doubt and I wish it were more in use amongst us at this day for God is as able to heal the sick now as he was then for he is the same yesterday and to day and for ever I thank God I have had some experience of his great goodness and mercy extended towards some of his poor Creatures by means of this ordinance when all other help of medicine c. have prov'd unsuccessfull for which uni Deo trino Gloria CHAP. VII Of CATARRHS THE Catarrh is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 a 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 fluo It is called in Latin distillatio because it is a defluxion of excrementitious and sharp Rheumatick humours from the Head into most parts of the Body invading not onely all the conglobated and conglomerated Glandules by which the Circulation of Lympha and Spittle are deprav'd But also the Nerves which causeth intense or vehement pains and inflammations in the parts ill affected which is most commonly attended with a Symptomatical Fever especially if the Rheum
which is not abated after their eruption with great thirst and difficulty of breathing also black or bloudy Urine or Stool Hemorrhage at the Nose Mouth c. doth signifie a great acrimony and malignancy of the bloud that nature is compelled to evacuate it by such preposterous ways and are most commonly mortal signs So likewise if it be long e'er they come out and they be green blewish or black and sink in again the sick is in great danger of Death As for the Cure of these distempers if they be Malignant or Epidemical let the same means be used as is prescrib'd in Malignant Fevers but if there be little or no sign of Malignancy you may first administer an Antimonial Emetick and after its operation give this or the like Cordial Take the Waters of Carduus Dragons Treacle Scordium compound of each two ounces Venice-treacle two drachms Syrups of the Juice of Limmons Carduus Saffron of each one ounce Confection of Hyacinth one drachm mix it for a Cordial Let the sick take two or three spoonfulls of this every half hour till a sweat be promoted after sweating keep the Patient in a warm Room till the danger be over Before the Eruption if there be eminent signs of a Plethora and the sick be adult Phlebotomy may be used with good success Bezoar and Gascoign's Powder and Diascordium are commonly used in these Diseases You must endeavour to defend the inward parts with the pectoral decoction to which you may add a little Saffron Also a Saffron Stay in which is put a few Sows called Millepedes bruised is excellent to defend the Throat For the Eyes this water is good Take the Waters of Plantain white Roses of each three ounces of Camphire Saffron of each ten grains mix it Or you may use Womens milk and Saffron If the Throat and Mouth are inflamed make a Gargarism with plantain-Plantain-water and Syrup of Mulberries To defend the Nose put up this with a rag or feather Take of red rose-Rose-water Vinegar of red Roses of each one ounce Powder of red Saunders Camphire of each one drachm mix it When the Small-pox begins to dry anoint them often with Oil of sweet Almonds and Oil of the Yelks of Eggs which will prevent their pitting OF DISEASES OF THE BELLY BOOK III. CHAP. I. Of the Thirsty disease THIS is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 a 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 sitio to be thirsty In Latin 't is called sitis morbosa Thirst is the first natural Passion of Mankind and also of Beasts as is manifest by their first sucking milk out of the Breast to asswage it The causes of thirst augmented are either external or internal The external are the Air over heated by the Sun over salt Food too much exercise of body vehement passions of the mind as much anger c. prolong'd watches the Body either too costive or too loose much sweating Urine voided too plentifully any notable Evacuation of Bloud Milk or Seed c. The internal Cause is deduced for the most part from too sharp Choler carried down into the small Gut where it raiseth such an Effervescency with the Juice of the Pancreas flowing thither that thence are elevated salt Vapours to the Stomach and Gullet and there produceth a sense of drought It may also pierce through the lacteal Vessels and so to the Heart and infect the Bloud too much with its Saltness whence the Spittle and the other Humours also become too salt by which a great Thirst is stirred up and augmented The signs are manifest for the Patient's complaint for want of drink will inform you This distemper may be cured by such acid Liquours and oily Emulsions which will dilute the Lixivial Salt of Choler and potently change its Acrimony and asswage its sharpness and deduce it to the Bladder The following Julep may serve for Example Take Tincture of Red-roses Barley-water of each twelve ounces Cinamon-water two ounces Syrup of Violets three ounces Salt Prunella two drachms mix it and give the sick three spoonfulls every two hours This Emulsion is also of great Virtue not onely to restrain Thirst but mildly to procure rest also Take of French-barly boiled four ounces sweet Almonds blanched white Poppy-seeds of each two ounces let them be well beaten in a stone Mortar then with two Quarts of Barley-water the Waters of Cinamon and Fennel of each two ounces mak◠an Emulsion to which add Julep of Roses four ounces Syrups of Violets and the Juice of Limmons of each two ounces mix it Let the party thirsting drink a moderate draught of this Emulsion often in a day which will be very acceptable You may also make gratefull Troches or Pellets of Sugar and Salt Prunella to be kept in the Mouth to deceive the Thirst. If salt serous matter abound in the Body purge it by Stool or Urine This gratefull Medicine may serve for both intentions Take the Roots of Flower-de-luce Parsley China of each two ounces Dandelion Agrimony of each one handfull Senna one ounce Rhubarb half an ounce Agarick Turky Turbith Jallap of each three drachms Cinamon Cloves of each two drachms let them be cleansed bruised and infused in two quarts of White-wine for the space of twenty four hours then strain it and add Syrup of the five opening Roots four ounces of which you may give the sick four ounces every third day in the morning fasting If there be a salt Catarrh it may be temper'd with Pills of Styrax you may administer a Pill every Night going to bed Let the Patient's diet be Mutton or Veal-broth without Salt CHAP. II. Of Hunger vitiated HUnger may be called the Appetite of Meats as Thirst is of Drinks It may be many ways deprav'd viz. when it is augmented diminish'd or abolish'd Hunger augmented may be deprav'd two ways either in quantity or quality if it be in quantity there is more Nourishment desired than the Stomach can digest This distemper is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 fames quod affatim edatur It is called by the Latines fames canina and in English Dog's appetite because in this distemper the sick do feed insatiably after which some do purge and vomit like Dogs and are presently hungry again and sick if they do not eat If hunger be deprav'd in quality then vitious things which are not Food as Coals Ashes Clay Turfs Leather and I know not what are desired This is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and Pica also in Latin ab ave Pica vel quod varia appetant ut Pica varii est Coloris vel ex eo quod Pica terram mandet If this distemper be in Women with Child it is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and in Latin also Gravidarum malacia which is an inordinate longing in them of which I shall
the waters of Plantain Comfrey of each three ounces cinamon-Cinamon-water distill'd Vinegar of each an ounce and half Syrups of Mirtles Quinces of each one ounce Powder of Dragons-bloud half a drachm Laudanum opiatum six grains mix it The sick may take two or three Spoonfulls of this Astringent Julep every hour with good success for it will cure the most ruptions of Vessels and stop the flux of bloud beyond expectation After Vomiting is supprest if the Patient be troubled with belching of wind c. in this case the following exemplary mixture may bear the praise for it doth not onely conduce to curb and discuss wind remaining as well in the Stomach as Guts but it doth temper and correct both Phlegm and Choler and hinder wind in its rise and will dissipate it when it is bred Take the waters of Mint Fennel of each four ounces the Carminative water of Sylvius Syrup of Mint of each two ounces Spirit of Niter twenty drops Chymical Oil of Mace ten drops Laudanum opiatum ten grains mix it Let this be taken by Spoonfulls often or more slowly as pains or stretchings do more or less urge If bloud be thought or feared to be clotter'd in the cavity of the Guts to dissolve it you may add to the above mentioned Carminative Julep pul ocul Cancror Antimon Diaphoret Sperma Coeti of each one drachm The voiding of matter by vomiting and stool is not to be staid but mildly promoted seeing it is wholly unnatural and hurtfull to the Body but its new rise is to be hindred as much as may be seeing it is bred of bloud which is the fuel of our vital fire and the sustenance of all parts of the Body Among all the medicines that move or promote the voiding of matter and hinder the continual breeding of it out of corrupt bloud I prefer and commend Antimonials rightly prepar'd as well Emeticks as other preparations of it as Antimonium Diaphoretic and above all a Balsam made artificially of its flowers which will powerfully conduce to alter and correct the harms befalling the Body by matter and hinder the new producing of it Also Balsam of Sulphur with Oil of Anise-seed is excellent to cleanse and consolidate any inward Ulcer if two or three drops of it be taken often in a day in any pleasant healing vehicle In all preternatural vomitings keep the Belly open so that the sick may have at least every day a stool either by Nature or Art and let the peccant humours remaining be emptied out by siege with these or the like Pills Take Extract Rudii half a drachm Resin of Jallop Salt of Wormwood Tartar vitriolated of each ten grains Oil of Cinamon three drops mix it for two doses to be taken in the morning The cure of Ileos or Iliaca passio may for the most part be performed by the aforesaid medicines But for the sake of young Practitioners I shall add some few directions for the cure of this lamentable contracted motion Wherefore to appease the troublesome irritation of the Guts let fat Broths be often taken in at the Mouth and also injected into the Fundament as a Clyster but if an emollient Clyster can conveniently be made let the following be prepared and often used the Decoction of which may be also taken at the Mouth with a few drops of Oil of Anise-seed Take the Roots of Marsh-mallows two ounces of Mallows Marsh-mallows Mullein of each two handfulls the Seeds of Anise Sweet-fennel Coriander Flax Faenugreek of each two ounces let them be cleansed bruised and boiled in a quart of spring-Spring-water till half be consumed then strain it and add oil of white Lillies the Fat of a Hen of each one ounce mix it for a Clyster Of which ingredients you may also make Fomentations and Cataplasms to be applied to the region of the Navel moderately hot adding Swines or Goats dung to the Pultess The following Emulsion will conduce not onely to allay the irritation and temper the sharp humours but will make the passages slippery and by degrees moisten the hard Excrements contained in the small Gut and in the mean time will mildly procure rest and stop vomiting Take of sweet Almonds blanched white Poppy-seeds of each two ounces French-barley boiled four ounces the waters of Fennel Plantain Roses of each half a pint Barley-water a pint let it be made an Emulsion to which add Syrup of Violets three ounces confectio Alkermes de Hyacintho of each two drachms Laudanum twenty grains Spirit of Niter forty drops mix it Let the sick take three Spoonfulls of it often In this grievous Disease nothing is to be neglected either outward or inward that may procure ease to the Patient The intrails of Animals as sheep c. applied very warm in hot cloaths and often repeated are very effectual Also Ventoses applied to the Navel have prov'd succesfull after which let a little Civet wrapt in Cotten be put to the Navel and upon it apply a Plaster e Cymino or Sylvius's Carminative Plaster or else let the aforemention'd Pultess be applied warm Golden bullets swallowed are excellent but for want of them leaden bullets may serve Some give great Pills of Antimony and crude Mercury or Quick-silver well depurated is also highly commended to be given to three pound at a time and walk or ride after it to agitate the Body but before you give either of them let the sick take an ounce of oil of sweet Almonds or Sallet oil and likewise after it and be sure that no acid thing be given after the Quick-silver till it be evacuated lest it coagulate the Mercury and hurry the Patient to the grave CHAP. VII Of pain in the Stomach and of various pains of the Guts as Cholick c. THE pains of the Stomach may be distinguish'd or divided into two sorts viz. of the upper and lower orifice If the upper orifice of the Stomach which is of exquisite sense by reason of the intertexture of Nerves with which it is wonderfully furnish'd from the vaga sexta whereof branches are also communicated to the Heart be affected it is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 vel 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Cor. It is also called in Latin Cardiacus dolor cui os Ventriculi dolet per consensum cordis ergo vocatur affectio Cordis seu oris ventriculi For the Mouth or upper orifice of the Stomach being primarily affected the Heart suffers by consent If the lower orifice called Pilorus be affected it is called dolor seu colica ventriculi especially if it come of wind The pains of the Guts may also be distinguish'd because one while the small guts and other whiles the thick guts are griev'd As often as the upper part of the small gut nearest the Stomach is pain'd because that part of the gut is over the right Region of the Lions it maketh the Patient and sometimes the Physician think that the
Cordial Julep to uphold the Spirits when they sweat Take of Tincture of Cinamon the Carminative Spirit of Sylvius of each half an ounce the waters of Mint Baum of each two ounces Syrups of the juice of Oranges Clove-gilliflowers of each one ounce Laudanum opiat four grains Oil of Cloves six drops mix it and give two or three spoonfulls of it often Let Sylvius's Carminative Plaster be spread on Leather and applied to the region of the Stomach and Navel As for the cure of the Cholick let an Emollient Clyster which discusseth wind be given often at least twice in a day Take the roots of Marsh-mallows one ounce Pellitory of the Wall Mallows Marsh-mallows the Flowers of Melilot Chamomel of each two handfulls the Seeds of Anise sweet Fennel Dill the Berries of Bays and Juniper of each one ounce let them be cleansed bruised and boiled in two quarts of Whey till half of it be consumed then strain it and add Electuary Diaprunum Cariocostinum Benedicta laxativa of each half an ounce Oils of Dill Chamomel Roses of each six drachms Oil of Harts-horn ten drops mix it for two Clysters The smoak of Tobacco may be blown into the Clyster-bladder and given with it with good success Besides a Clyster may be made of Canary wine or warm Cows Milk and a little Honey or Malossus and given sometimes to soften the hard excrements and to dissolve those that are too viscous whereby they may be the easier evacuated and also Wind invited to an easie outlet To drink the Decoction before prescrib'd will much conduce to ease the sick also of the same ingredients you may make fomentations and Cataplasms But if the Patient do not care for the trouble of such medicines you may anoint the Belly with this ointment Take Ointments of Marsh-mallows Martiatum Oils of Capers white Lillies of each one ounce Oil of Bricks half an ounce mix it After which apply a large Plaster of Sylvius's Carminative Empl. to the Belly The following Julep taken often by spoonfulls will much conduce to ease the pain and discuss the wind Take the Waters of Mint Scurvigrass Fennel Lovage Penny-royal of each one ounce the carminative Spirit of Sylvius Tinctures of Cinamon and Castor of each half an ounce Syrups of Mint Fennel and Mirtles of each six drachms Oil of Mace distill'd ten drops Spirits of Harts-horn and Niter of each twenty drops Laudanum opiatum ten grains mix it for a Julep The Oil of Harts-horn is a very Potent though ungratefull remedy in this disease Also the Balsam of Sulphur made with Oil of Anise-seed Amber or Juniper is excellent in vanquishing this rebellious distemper After the violence of pain is abated you may purge the Body with this following Decoction Take of Guiacum four ounces Roots of China Sassafras Lovage of each one ounce Seeds of Anise sweet Fennel Berries of Bays and Juniper of each two drachms let them be cleansed bruised and boiled in two quarts of Fountain-water till half be consumed strain it and add of the best Manna Syrup of Succory with Rhubarb of each four ounces cinamon-Cinamon-water two ounces Spirit of Niter two drachms mix it and take two ounces of it every Morning and Evening The following Pills with Gums will be also very usefull and potent to educe the viscous Phlegm c. Take Galbanum prepar'd with Vinegar of Squills two drachms Resins of Jallop and Scammony Powders of Castor Mastick Mirrh Vitriol of Mars calcin'd to whiteness of each half a drachm Saffron ten grains Powder of Troches Alhandal two Scruples Oils of Harts-horn Cloves of each ten drops beat them all into a Mass for Pills Let the sick take three or four of these Pills in the morning fasting which will kindly expell the vitious humours After which let them take some of the aforesaid Julep to procure rest and ease Oily volatile Salts and Spirit of Niter are excellent not onely to correct Choler and other peccant humours but do potently discuss wind CHAP. VIII Of the Worms WOrms may be generated in all parts of the Body those which are bred in Ulcers may more fitly be called Maggots in Latin termetes but I shall onely treat of those which are bred in the internal parts of the Body Every man living in all places and climes doth more or less suffer by the frequent generation of these little intestine Enemies especially the weaker state of Man as Infants and the female Sex whose ferment or digestive heat being not sufficiently master of their great moisture part of it is turned into putrefaction which corrupteth the humours Wherefore it is no wonder that active Nature being never at rest by the quickning animating heat which causeth Concoction doth frequently generate Worms either in the Stomach or Guts according to the various occurrences of matter and seminal dispositions There are three or four kinds of these inbred disturbers which we may take notice of The first are called in Latin Teretes a terendo quod quasi terendo rotundum sit vel ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 i. e. terebrando They are long and round like Earth-worms but whiter they are more common than the rest and are bred in the Guts but do sometimes get up into the Stomach The second are called lumbrici Lati longi because they are broad and long They are also called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 tendo i. e. fascia extensa Because they are something like a womans Head-band This worm is full of joints and is a native of the Jejunum which is a fit place to nourish these Milk-suckers or craving Vermine there being the most supply of milky Juice by reason of the numerous lacteal Vessels Some of these worms have been of an incredible length Pliny lib 11. nat hist. cap. 33. affirmeth that some have been thirty foot in length If you peruse Schenckiu's his observations lib. 3. pag. 411. you may reade variety of such Histories The third are called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 à 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 salio In Latin they are called Vermes exigui intestinorum quod ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 è sordibus nascantur They are little and slender some call them Arse-worms because they commonly lye in the Intestinum rectum near the Sphincter Muscle There is another kind of worms though seldom seen in the Colon like the Botts in Horses they may be called in Latin Vermina ex vertendo quod rependo torqueant sese vertant cum quodam minuto motu Ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 serpo The material cause of all worms is most commonly the inconcocted part of the Chylus which is produc'd of such nourishment as easily putrifieth in the Stomach as green fruit c. which gives sufficient matter to these intruding Vermine This part of the Chylus being crude and unfit for sanguification is left undrawn
each two ounces Tincture of Cinamon Syrups of Quinces Mirtles of each one ounce Laudanum opiat ten grains Oil of Juniper ten drops mix it If there be an Ulcer in the thick Guts and Clysters can come to the part affected let the following be often injected and instruct the sick to retain them so long as they can Take new Milk wherein Steel hath been quenched one pint Honey of Roses one ounce Venice Turpentine half an ounce the Yelk of one Egg Balsam of Sulphur four drops mix it The following Bolus may be sometimes given in the Morning fasting Take the Powder of Rhubarb tosted two Scruples Nutmeg one scruple make it into a Bolus with Conserves of red Roses And this Bolus may be given at Night going to bed Take Diascordium Conserves of red Roses of each half a drachm Laudanum opiat three grains mix it By the frequent use of these choice Medicines the Ulcer will be cleans'd the Gripes asswag'd and the Consolidation of the ulcerated Gut both in the Tenasmus and Dysentery c. will be wonderfully promoted But if the Ulcer be in the small Guts the following vulnerary Decoction will more conduce to the Cure Take the Roots of Comfry Plantain Knot-grass of each two ounces the Tops of Saint John's wort Sanicle Germander red Roses of each one handfull Shavings of Harts-horn Cinamon of each half an ounce let them be cleansed bruised and boiled in three quarts of fountain-Fountain-water wherein steel hath been quenched till half of it be boiled away then strain it and add Syrup of dried Roses Tincture of Cinamon distill'd Vinegar Syrup of Marsh-mallows of each two ounces mix it and give the sick four spoonfulls every two or three hours If you add two or three drops of Balsam of Sulphur made with Oil of Anise-seed to every dose of the Decoction c. it will be the more effectual both to cleanse and consolidate the Ulcer The flux of the Hemorrhoids if it be symptomatical and weaken the sick is then to be hindred which may be effectually done by the afore-mention'd Medicines If much serous Liquour can so dilute the Bloud and relax the Vessels that part of it may be carried out of them into the Guts and produce a Flux like the washing of Flesh commonly called a Flux of the Liver it may be cur'd by driving forward the serous Liquour out of the Body by Sudorificks and Diureticks and also by tart strengthning things that repair the hurt of the loosened Vessels The Diuretick decoction of China before mention'd is excellent in this case to be taken as is there directed Also the following Diaphoretick may be sometimes used with good success Take the Waters of Treacle Cinamon of each half an ounce plantain-Plantain-water two ounces distill'd Vinegar three drachms Confectio de Hyacintho Diascordium of each one drachm Powder of Crabs-eyes Antimony Diaphoretick of each half a drachm Syrups of Mirtles dried Roses of each six drachms mix it for two doses Also the Powder and astringent Julep prescrib'd in page 192 193. is excellent to corroborate the loosened Vessels c. Anoint the Belly with the Oil of Quinces Mirtles Roses Wormwood c. mixed with unguent Comitissae which is also good in all Fluxes of the Belly CHAP. X. Of the dry Belly-ach THIS cruciating disease may be called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and in Latin Spasmus Abdominis quod sub umbelico est ad Bubem and because of the additional Torments it may be also named Tormen Abdominis quod dolore torquetur Abdomen This disease doth also need as well the Name as the invocation of Miserere mei Deus the sick being in such extreme misery that 't is incredible to all but them that have endur'd it The most urgent and exquisite pain under this affect being in that most tender and sensible part viz. the Belly may seem to have some Alliance with the Iliack or Colick passion and indeed they are sometimes its Concomitants but much different from it The causes of this lamentable Distemper are either external or internal The external general occasional cause is contracting Cold in the Region of the Belly c. which doth cramp not onely the Muscles of the Abdomen but also the tender Fibres of the Intestines cruciating all the affected parts with obdurate Contractions which is more aggravated when the Moon doth come to opposition with the Sun Which may be also observ'd in all Spasms and convulsive motions that about the full of the Moon the tide of such nervous diseases doth rise highest Especially in those places where the direct aspects of the nocturnal luminary have the most power which demonstration will evince to be between the Tropicks which many of our Mariners who have sailed that way can tell by wofull experience Another external procuring cause of this grievous disease is a mineral Gas ascending from the Caverns of the Earth infesting the Air with its poisonous Fumes whereby not onely the tender fibrous and nervous parts of the Belly are oft times crampt with Convulsive spasms but the mineral Fumes being inspired with the Air into the Body produce most eminent apparent evils as the Corruption of the Chyle into porraceous and adust Choler from whence followeth irritating Vomitings and the Constipation of the Belly with obdurateness of the excrements which inflames the Bowels and entails a Symptomatical fever with a heavy and slow pulse and as the pain doth aggravate more and more there is want of sleep and rest with other uneasiness and commotions of Body and Mind as the Operatours in Chymistry have sometimes experience of to their cost and trouble in mineral preparations for if a Vessel chance to break the sharp and acid Vapours or Gas of the mineral immediately seiseth the Animal spirits of all that are in the Elaboratory by which they are mov'd unequally against the will through the Nerves to the Musculous parts which causeth Convulsive motions with trembling and shaking of the Limbs and other accumulated evils The like grievous Symptoms though not so violent happen to many People that inhabit near the mineral Mines in Hungaria and also in some Places of England as Derbyshire c. Where there are Lead-works from whence mineral Fumes continually ascend from the separating Oar which infesteth the Air and is a great producer of such Convulsive effects At the first seisure of this evil the Muscles of the Abdomen and sometimes those of the Breast and Back through contractions prove hard and painfull as in our ordinary Cramps which Symptoms will evince that these Vapours are peccant in an acid Acrimony The internal Cause is also sour Vapours arising most commonly out of the small Guts which the concurring symptoms consider'd and weighed with an attentive mind will confirm for these Vapours being sharp are driven forward into the Nerves and gnawing them with great pain aggravate and produce this Convulsive spasm 1. If this miserable and afflictive
the Lacteal veins or Lymphatick vessels may be cur'd by Medicines that do powerfully cut and happily open the said obstructions This Aromatick Sudorifick may be commended for these intentions Take the waters of Treacle Scurvigrass Fennel of each one ounce waters of Parsley Fumitory of each two ounces distill'd Vinegar half an ounce Syrups of the juice of Carduus and the five opening Roots of each six drachms Powder of Crabs-eyes Antimony Diaphoretick Salt of Amber Beans Worm-wood of each one scruple Spirits of Salt Armoniack Niter of each twenty drops mix it and give four spoonfulls of it every two or three hours After the Vessels are freed from the noted obstruction by the medicines before-mention'd or such like they will be easily consolidated again by conglutinating food in which you may boyle the Roots of Comfry Plantain and Solomon's Seal for the more quick and easie cure In a Tympany the dulcifi'd Spirit of Niter is excellent being taken in Broth or Sack three or four times in a day from six to twelve drops at a time for it doth correct both Phlegm and Choler and hinder Wind in its rise and dissipate it when it is bred Also the following exemplary Julep doth curb and discuss Wind remaining as well in the Stomach as Guts Take the Waters of Mint Fennel of each four ounces the Carminative Spirit of Sylvius Syrup of the juice of Mints of each two ounces Laudanum opiat eight grains Spirit of Niter one drachm Salt of Amber half a drachm Chymical Oil of Mace ten drops mix it and take three or four spoonfulls every three hours You may prepare a Medicinal Wine for the rich very beneficial in Dropsies Take the Seeds of Anise Fennel Caraway Coriander Berries of Bays and Juniper of each two ounces Salt of Tartar half an ounce let them be bruised and infused in three pints of White-wine for three days then strain it and add Spirit of Niter half an ounce Salt of Amber two drachms Syrup of Mint three ounces mix it and take four or five spoonfulls of it often Sweating is very profitable in all Dropsies either in Bed with the forementioned Sudorifick or in a Bagâ—io or Hot-house by which the water standing beside nature in any part of the Body will by degrees be emptied through the pores of the Skin Also it may be necessary especially in persons more elderly to use warm Baths That which is prescrib'd for the cure of the Belly-ach in page 201 202. is also very profitable in Dropsies into the which it may be agreeable to descend at evening before Bed-time and there to continue so long as the Patient can well endure without fainting after which Frications may have their proper use and great benefit And to strengthen the cutaneous Fibres and restore their true tone for their better service of the offices of Nature let the affected parts be anointed with the following fragrant Balsamick Ointment Take of Flanders Oil of Bays Nerve-oil Oil of Earth-worms of each two ounces Oil of Mace by expression half an ounce mix it Galen commendeth a Cataplasm of Snails bruised with their shells and laid upon the Navel But a Pultess prepar'd of the ingredients of the Bath and applied to the affected parts will be more effectual to discharge the Ichorous water Or you may make a Cataplasm after this manner Take the tops of Elder Dwarf-elder Vervain Worm-wood Chamomel of each two handfulls Horse-radish-roots four ounces let them be cleansed bruised and boiled in two quarts of the juice of Wild-cucumbers till they are very tender then strain it and beat them very well and add Barley-meal one pound and with the same liquor boil it into the consistence of a Pultess Let the Patients diet be drying and let them drink moderately you may infuse Juniper-berries Tamarisk and Elicampane-roots in their ordinary drink And for the benefit of those Physicians and Chirurgeons that live in the West-Indies there groweth almost every where in moist places a large Cane much like the Sugar-cane the Planters generally call it the dumb Cane because they that taste it are presently dumb and unable to speak for two or three hours after which the Tongue returns to its former use and volubility without any prejudice The reason why this remarkeable Plant doth so affect the Tongue upon the touch of it is its power of attracting such plenty of moisture into it as doth distend all the Vessels thereof and render it immoveable till the crouded moisture be gradually discharged Hence we may conjecture and indeed experience teacheth that of this Plant may be prepared diversity of medicines as Cataplasms Oils Ointments c. Which will be effectual to attract and easily and kindly discharge the swollen part of the Ichorous water which may be used for some time after the evacuation of it the better to prevent a farther accumulation or return of the Disease Likewise may medicines be prepared by a skilfull Artist of this Plant very effectual to be taken inwardly not onely against Dropsies but the Scurvy Gout c. If these choice medicines are not to be had and nothing be effected by other means A harmless Paracenthesis may be instituted in the Dropsie of the Breast or Abdomen provided the Apertion be made by such a little hollow instrument as is describ'd in page 81 82. of the Cure of the Pleurisie for by such a small wound there is no danger to the sick But this operation must not be delay'd lest the humour collected get an hurtfull Acrimony and by degrees corrode and corrupt the Membrane and hence the substance of all the parts contain'd and so make the Disease incurable CHAP. XIV Of the Scurvy and Hypochondriack Suffocation commonly called the Fits of the Mother THE Scurvy being a Hypochondriack disease it will not be amiss to treat of them together The Scurvy is called in Latin Scorbutus it is a Complication or Concatenation of Diseases generated by the Conjunction of divers Causes contributing to a scorbutick Deformity The Scurvy is generated or planted essentially in the vital Principles or digestive Offices and therefore it is not discerned by sense but the effects are distributed throughout the Body and are augmented more or less according to the strength and debility of parts to resist or consent and be depraved The Hypochondriack suffocation is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 vel quod ad Hypochondria pertinet vel sub cartilagine fita sit It is called by the Latins Hypochondriaca melancholia The Ancients thought that this was an uterine disease in quibus mulieres uteri fuffocatione laborant and therefore it was called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and in Latin morbus Hystericus vel Hysterica passio and in English 't is called Fits of the Mother it being most subject to Women from the suppression of their monthly Courses But because men are also molested with longing and suffer often both the Sense and Disease of
gross and phlegmatick Matter 3. A Palsie coming after the Apoplexy is ill and many times turns to the Apoplexy again When any of the extreme parts be Paralytical or when the Head is ill affected by the external coldness of Air Water or Snow or a stoppage of the Head be also bred thereby or the defect of the Animal spirits chiefly urge then the sick may be cur'd by driving out whatsoever cold has pierc'd into the Head or any other parts of the Body which may be done by spirituous and volatile Sudorificks for they do not onely alter and correct the cause of Cold and other Evils accompanying it but do also amend the harm entring into the Body containing and contained To this end I commend this following Form Take of Treacle-water one ounce Fennel-water and Epidemical-water of each two ounces Syrup of red Poppies and Syrup of the Juice of Scurvigrass of each half an ounce Bezoar-mineral Antimony Diaphoretick of each ten grains Laudanum opiat three grains Spirit of salt Armoniack twenty drops Oil of Cloves four drops mix it give the sick three or four spoonfulls of it and expect to sweat being meanly covered and a spoonfull every half hour afterward till the sweat break forth then give them some pure Broth with a little Wine in it whereby strength may be recreated and the Patient enabled to bear a Sweat longer for nothing so much helps the sick as a sweat continued mildly a while which experience hath often taught me For by the help of this spirituous and volatile and also Aromatick medicine or one like it the troublesome Cold and dulness of motion are discust They who let bloud in this Distemper caused by external Cold or think they can carry out the Cause of this Evil either by vomit or siege put the sick into danger of death or at least of most grievous Evils But when phlegmatick and watry Humours stick about the Nerves c. And too much moistening and loosening their Membranes and Marrow be the cause of the Palsie and Apoplexy and if the same humours much abound in the Body then Phlegmagogues and Hydragogues may conduce to the Cure after Clysters and internal Aromatick Sudorificks Wherefore to begin the Cure of this you may first give this or the like Clyster which must be made strong Take of sweet Marjoram Betony Sage Penny-royal Hyssop Rue Mercury Marsh-mallows the lesser Centaury the Flowers of Chamomel and Stoechas of each half a handfull Anise-seed sweet Fennel-seed Juniper-berries of each half an ounce let them be cleansed bruised and boiled in a quart of Fountain-water till half of it be boiled away then strain it and dissolve in it the Electuary Diaphaenicon benedicta laxativa of each half an ounce pil Cochiae twenty grains common Salt one drachm Oil of Rue two ounces mix it for a Clyster The next day if the sick have a Plethorick body you may draw bloud from either arm to eight or nine ounces If Phlebotomy cannot be done apply Ventoses with Scarification to the shoulders afterward sweat the Patient with the aforesaid Sudorifick Sometimes Suppositories may be used in stead of Clysters This may serve for Example Take the Powders of Coloquintida Salt-niter Hiera-picra simple of each one drachm Euphorbium half a drachm Honey boiled as much as will make it into a Suppository But if it appear that phlegmatick and viscous Humours do abound in the Body Purgers may be prescrib'd most conveniently in the form of a Pill because the Gums are most apt above all other Medicines to loosen and cut viscous Phlegm neither can they be easily dissolv'd in any liquour Let this or such a like form of Pills serve Take the Gums Amoniacum and Galbanum of each two drachms dissolve them in Vineger of Squills strain it and boil it to a due consistence then add Powders of Troches Alhandal Scammony Mastick of each one drachm Oil of Anise-seed eight drops make it into a Mass of Pills according to Art Let the sick take five or six small Pills of this in the morning fasting and an hour after drink some thin broth If the humours be more serous I commend this Electuary Take Juniper-berries one pound boil them in six pints of Fennel-water till half of it be boiled away then add the Fruit of Tamarind eight ounces and pulp them both through a Sieve To which add Powder of Jalap and Scammony prepar'd of each three ounces Cinamon sweet Fennel-seed of each half an ounce white Sugar one pound make it into an Electuary according to Art The dose of this effectual Medicine is to half an ounce to people of age a Child may take from half a drachm to a drachm either by it self or dissolv'd in Whey or parsley-Parsley-water or in any other convenient Vehicle After universal evacuation hath been made and the Patient's stomach be still nauseous this vomit may safely be given Take the Infusion of Crocus metallor Vinegar of Squills of each one ounce give it in the morning with Care After the operation of it give some of this Cordial Julep Take the Waters of Sage Couslips Lillies of the Valley of each two ounces Cinamon-water one ounce Syrup of Peony-flowers Stoechas of each six drachms Spirit of Castor two drachms Spirit of Salt as much as will make it of a gratefull taste of which you may give the sick three or four spoonfulls every fourth hour To correct a slow ferment and also to amend Phlegmatick viscous humours a Medicinal Wine may be prepared for the rich in this form Take the Roots of Galangal Elecampane of each half an ounce the tops of Wormwood Mint and Calamint of each one handfull Powder of Cinamon Anise-seed of each half an ounce Nutmegs two drachms let them be cleansed bruised and infused in six pints of White-wine The sick may drink of this Physick-wine at dinner and supper adding to every draught five or six drops of Elixir proprietatis When the wine is almost consum'd more may be poured on till it cease to be Aromatical External means for the Palsie and Apoplexy are also to be used Bathing is much commended both natural and artificial and how excellent it is daily experience doth manifest This artificial Bath or one like it may be prescrib'd where a natural sulphureous or nitrous Bath cannot be had Take Sage Penny-royal Betony Organ sweet Marjoram Hyssop Rue Time Ground-pine of each six handfulls Flowers of Chamomel Melilot of each four handfulls Roots of Briony Pellitory of Spain of each four ounces Bay-berries Juniper-berries of each three ounces Brimstone six pound Salt-niter two pound let all be bruised and boiled in twenty Gallons of Spring-water till the third part be consumed Let the sick be well bathed with this as often as strength will permit After bathing anoint the hinder part of the Head and Neck and down the Vertebra of the Back with this Oil upon which let a Fox-skin drest be worn
wound or puncture the Oil of Turpentine with rectifi'd Spirit of Wine both actually hot as that famous Chyrurgeon Mr. Ambrose Parey adviseth in his ninth Book Chap. 11. of which I have had large experience with good success The like course may be taken with all other wounds of the nervous parts But if the wound of the Nerve or Tendon yield not to this medicine the same is to be cut asunder cross-ways seeing it is safer to lose the action of one part than that the sick should be exposed to the danger of a deadly Convulsion When the Nerves or Tendons of the Muscles are prickt by sharp splinters of bones the grievous pains succeeding soon cause a particular Convulsion of that part and at length an universal Convulsion will attend the Patient if there be not speedy help Wherefore if possible the sharp fragments of the bone must be cut away or if this have been neglected or could not be done and an universal Convulsion be feared you must hasten to amputation of the member For Necessitas non habet legem If a particular Convulsion be occasion'd by a hot Tumour or any other sharp pain which hath rais'd an inflammation let the pain be diminisht as well by internal as external Anodines and Narcoticks to allay the over encreas'd motion of the Animal spirits To this end you may give the sick two or three grains of Laudanum opiat at a time either in a Pill or dissolve it in a little Wine or other convenient Vehicle And if the ingenious and judicious Physician or Chyrurgeon do add a little volatile Salt either of Animals or Vegetables to his topical Medicaments whether fomentations Cataplasms or Ointments he will wonder at the incredible benefit for by the help thereof the Tumour will be mollified and dissolved the internal obstruction loosned and the pain eased If a Convulsion be caused by the taking of Hellebor or any other venemous matter administer an Antimonial vomit with all speed But if it be a Child give it ten grains of Salt of Vitriol or half an ounce of Oxymel of Squills with a drachm of Oil of Almonds After the operation of the Emetick and also at other times you may give some of this Julep Take of black-cherry-Black-cherry-water the Water of Line-flowers of each two ounces Briony-water compound Syrup of Peony of each one ounce Tincture of Castor half an ounce Confection of Alkermes one drachm Spirit of Salt Armoniack twenty drops mix it and give three or four spoonfulls every fourth Hour Having briefly hinted at the Cure of particular Convulsions I come now to those more universal as likewise Convulsive motions and the Epilepsie And seeing there is little difference in the remote causes of them in the Body these diseases may for the most part be cured with the same Remedies 1. First then the peccant humours are to be temper'd and diminisht 2. The rising of vapours is to be hindred and their expulsion procur'd by sweat or insensible transpiration By which the over motion of the Animal spirits will be restrain'd and brought to tranquillity that is a more quiet motion All Aromaticks and all things abounding with either a fixt or volatile Salt do not onely correct and by cutting amend the viscous phlegmatick humours but do powerfully temper and destroy the over acidity and tartness of the juice of the Pancreas To temper and diminish these humours I commend these medicines Take the Roots of Male-peony Valerian Missletoe of the Oak and Peony-seeds of each two ounces Castor half an ounce let them be all bruised and infus'd in Peony-water compound the Water of Line-tree-flowers of each one pint for the space of twenty four hours then strain it out very strongly and add Syrup of Peony and Stoechas of each three ounces Spirit of Castor half an ounce mix it and give three spoonfulls at a time every fourth hour with which you may mix Spirit of Salt Armoniack Elixir proprietatis of each six drops Also you may give the Patient half a drachm of the following powder in three or four spoonfulls of this Infusion with the aforesaid Spirit and Elixir Take of Crabs-eyes Salt of Tartar vitriolated Salt prunella of each half an ounce volatile Salt of Harts-horn Salt of Amber of Man's skull prepar'd of each two drachms make it into a fine powder which may be taken half a drachm at a time morning and evening The peccant humours being temper'd and diminisht by the frequent use of the abovesaid medicines the inordinate involuntary and impetuous motion of the Animal spirits in Convulsive and Epileptick fits will be the better reduc'd to a calm and voluntary motion by the help of volatile and spirituous Sudorificks mixt with Anodines and Narcotick medicines us'd in a small quantity and at times which two will be expedient to be given together because then they will the better circulate to the Animal spirits and temper and educe the hurtfull flatuous Vapours For which I commend the following form Take of Treacle-water Fennel-water of each one ounce Syrup of Peony Syrup of the Juice of Scurvigrass of each half an ounce Antimony Diaphoretick Bezoar mineral Crabs-eyes in powder of each ten grains Laudanum opiat four grains Tincture of Castor one drachm Oil of Cloves three drops Spirit of Salt Armoniack ten drops mix it and let the sick take it being well cover'd with cloths whereby the sweat will the easier come forth If the Body be costive let it be made soluble by a Clyster or Suppository such as is prescrib'd in the cure of the Apoplexy As often as the Stomach is nauseous or the sick inclines to vomiting let the Emeticks before mention'd be carefully administred and likewise three or four days before the full of the moon But if the sick be averse to vomiting and Pills or Potions are more acceptable take the following as Examples Take of Extract Rudij pil foetidae ex duobus of each a drachm and half Castor black Hellebor prepar'd of each half a drachm Salt of Amber twenty grains Oil of Rosemary twenty drops with Syrup of Stoechas make it into a Mass for pills of which you may give half a drachm twice a week Also this purging Infusion is very effectual Take of the best Senna Rhubarb and Cream of Tartar of each an ounce and half Liquorish and the five opening Roots of each one ounce Guiacum China-roots of each six ounces Missletoe of the Oak Anise-seed sweet Fennel-seed Bay-berries and Juniper-berries of each half an ounce let them be all bruised and infused in Black-cherry-water and the Water of Line-tree-flowers of each a quart very hot for the space of a Night then strain it very hard and add Syrup of Roses solutive with Senna Syrup of Succory with Rhubarb of each three ounces Cinamon-water two ounces Salt of Tartar vitriolated half an ounce mix it Let the sick take four ounces of this purging Infusion every morning whereby the viscous humours and flatuous Vapours
an ounce Spirit of Niter six drops mix it for a Potion You may give this Potion twice in a week which will both temper and gently evacuate the serous and acid humours and flatuous Vapours will also thereby be discust and gently educ'd To cause rest and thicken the Rheum let one of these Pills be given every Night to bed-ward Take of Laudanum three grains Powder of Olibanum Extract of Saffron of each four grains with a little pectoral Syrup make it into four Pills Or you may give a Pill of Styrax every Night going to bed When the Rheum flows down from the Head into the Trachaea arteria it stirs up a Coughing more or less according to the sharpness and plenty of the humours which are many ways vitiated wherefore a Cough may be diversly cur'd according to the diversity of its cause If the humours be over sour they may be corrected with Pearl Coral Crabs-eyes c. If the Rheum be too serous and salt the aforesaid pil Estyrace Cynaglos c. is excellent to temper it Becchical Troches both white and black are not onely effectual but gratefull to the sick in this coughing distemper If the humours be thick and viscous they require sourish sweet things and Aromaticks to attenuate and cut them The fore-mention'd Julep may be prescrib'd in this Case When the salt sharp and serous humours abounding are corrected and temper'd they may be diminisht by Hydragogues The Hydragogue Electuary prescrib'd in page 18 is an effectual and gratefull medicine which may be often us'd to the profit of the sick Children may take from one drachm to two and Adults to half an ounce of this excellent medicine once or twice a week As in other distempers always so let me here admonish you in general to be very diligent to attend to the medicines that most conduce to every particular Body whereby they may be prefer'd before the rest and as long as they profit continue in the use thereof that so the health of the sick may be every way promoted When much bloud is voided by coughing there is great danger wherefore we must hasten the more to its cure lest the opportunity here if any where urgent be lost by delay for the singular substance of the Lungs is easily infected and corrupted but difficultly restor'd and repair'd wherefore bloud carried down from the Head into the Lungs and raising a Cough is to be stopt in its efflux To this end let a Vein be opened especially if a Plethora concur or there be a notable heat of Bloud or a suppression of its wonted emptying After bleeding let the over great heat be allay'd with sour and tart medicines for example take the following Decoction Take of Plantane Housleek Wood-sorrel of each two handfulls boil them in Barley-water one quart till half of it be boiled away then strain it and add Syrup of Jujubes three ounces Salt prunella one drachm Spirit of Niter twenty drops mix it and give four spoonfulls every three hours The flux of bloud may be stopt by conglutinating medicines which have power to close the Vessels either broken by violent coughing or corroded by the sharpness of the descending Rheum Take the Waters of Comfry Plantane of each two ounces cinamon-Cinamon-water distil'd Vinegar of each one ounce Syrup of Mirtles Comfry of each six drachms Powder of Dragons-bloud red Coral prepar'd of each one drachm Laudanum opiat six grains Oil of Sulphur per Campanam twenty drops mix it and give three or four spoonfulls every two hours This choice medicine often taken will cure the most ruptions of vessels and will soon stop the flux of bloud beyond expectation but I advise that a sparing use of it should be continued for some time after the disease is cur'd to sense whereby the affected parts may be strengthned against the access of a new evil The bloud distilling into the sharp Artery of the Lungs will soon corrupt and turn into purulent matter if not prevented by convenient medicines which hath power to dissolve the coagulated bloud that it may be the easier expectorated The following form may be prefer'd Take the Waters of Hyssop Fennel of each two ounces cinamon-Cinamon-water distill'd Vineger of each half an ounce Syrup of Hore-hound one ounce Powder of Crabs-eyes Antimony Diaphoretick of each half a drachm mix it and give two or three spoonfulls every two hours If the Lungs be ulcerated the Cure thereof will be promoted if you add two or three drops of Balsam of Sulphur with Oil of Annise-seed to every spoonfull that you give of the aforesaid medicine or in any pectoral Decoction it must be given oft in a day the better to finish the Cure In all Catarrhs if the Rheum have been long you may use a Decoction of China which will wonderfully temper the humours or you may add lign sanctum sassaphras sarsaparilla c. which will dry up the Rheum by degrees The sharp humours being temper'd and the matter of Rheum partly evacuated by Phlegmagogues and Hydragogues c. outward means that dry up Rheum are likewise to be used as Caps for the Head Perfumes Errhines Sternutatories Masticatories Apophlegmatisms c. Ventoses with Scarification may be also applied to the Neck and Shoulders and Fontinels may be made in the Neck and Arm for they have been often profitable in Catarrhs Also Vesiccatories applied to the Coronal future and inter scapulas will avail much Let the Temples and parts adjacent be anointed with Oil of Amber Oil of Nutmegs c. and let the Fume of Amber or Mastick be often drawn up into the Nostrils Also a Sternutatory such as is prescrib'd in page 21. in the Cure of the Palsie is very effectual to cause sneezing twice or thrice in a day A Cap may be also quilted for the Head of the following things with Cotton-wool and red Sarcenet Take of sweet Marjoram Betony Baum Bazil Red-rose buds of each half a handfull the Berries of Mirtle and Juniper the Seeds of Peony and white Poppy of each one drachm Calamus aromaticus Nutmegs Cloves Frankincense Mastick Styrax calamitis Laudanum of each two drachms let them be all beaten into a gross Powder for a quilted Cap. Also this following Powder may be prepar'd to fumigate the Head and Cloaths morning and evening Take of Olibanum Styrax calamitis Amber of each two drachms red Roses Coriander-seeds prepar'd Mastick Gum of Ivy Cloves Mirtle-berries white Poppy-seeds of each one drachm let them be all beaten into a gross Powder Also this Masticatory may be often used Take of Mustard-seed Roots of Pellitory of Spain Master-wort Capers Mastick Amber of each one drachm let them be all beaten into a gross Powder and tye up some of it in a Linen-rag and chew it in the mouth every day before Dinner and Supper Or you may chew either Mastick Amber or the Root of Pellitory of Spain by it self which will draw the
the spirituous and more volatile and subtle parts that are wont to temper both the acid and salt parts do afterward begin to vanish whence both being made sharper do more fiercely rise up one against another and stir up an hot Effervescency because of the Oily parts of the bloud present yea by degrees do so corrupt the bloud as it turns it into matter which is different according to the variousness of the bloud corrupted 1. The sooner the inflammation and Tumour comes to suppuration the more easie will be the Cure 2. If a Pleurisie follow an Inflammation of the Lungs there may be hopes of recovery but if a Peripneumony follow a Pleurisie or Quinzy 't is dangerous and for the most part mortal 3. If much matter be expectorated by coughing and there still remain difficulty of breathing 't is an ill sign so likewise is it if in coughing nothing be spit up 4. If the Pleurisie or Peripneumony remain above twelve days an Empiema will inevitably ensue for the bloud standing still is by little and little collected in its vessels and being peccant in a great excess it distends them more and more till at length they burst whence there happens an effusion of bloud into the Cavity of the Breast and being there collected and corrupted into matter it constitutes a suppuration called Empiema To cure a Pleurisie and any Inflammation and Aposteme following it is required that 1. The obstruction of the vessels be opened that the Circulation of the Bloud stopt and standing still may be restor'd 2. That the Bloud effus'd out of its vessels if possible may be discuss'd before it turns to matter 3. That if the Suppuration cannot be hindred it must be promoted with all expedition that the purulent matter collected might be evacuated 4. That the cleansing and consolidation of the Ulcer be speedily performed An obstruction of the vessels by viscous Phlegm or bloud coagulated in them may be cur'd by volatile Salts prepar'd not onely of several parts of Animals but also of Scorbutick plants viz. Dandelion Hedge-mustard Scurvigrass Garden and Water-cresses c. To these may be referred Crabs-eyes the Jaws of a Pike the Bone of a Harts-heart Mummy Sperma caeti Antimony Diaphoretick Opium prepar'd c. as also all fixt metallick and mineral Sulphurs These volatile medicines have an egregious Power of dissolving all things coagulated and conglutinated in Man's body and of reducing the same to their wonted fluidity and do mildly promote sweat hence it is that often by one such Diaphoretick given in season both a Pleurisie and Piripneumony and also Inflammations of other parts have been most happily and safely cured without Phlebotomy But where a Plethora concurs after a stool hath been procur'd by a carminative Clyster let a vein be opened for thereby the bloud standing still will be restor'd to its wonted Circulation for some of the bloud being let out there will be a larger space made in the veins for a more brisk and swift motion of the universal Mass of it After a sufficient quantity of bloud is taken away it will be profitable to give a Sudorifick This may serve for example Take the pectoral Decoction four ounces the Waters of Hyssop Fennel Parsley Juice of Horse-dung clarified distilled Vineger of each three ounces Treacle-water Cinamon-water Syrups of the five opening Roots and of red and white Poppies of each one ounce Powder of Crabs-eyes two drachms Mummy Sperma caeti of each half a drachm Laudanum opiatum ten grains volatile Salt of Harts-horn half a drachm Spirit of Salt Armoniack twenty drops mix it Let the sick take often a spoonfull of this Julep which is rich in volatile Salt and powerfully corrects the acidity of the bloud by the help whereof the clottering of it will not onely be hindred but it s over thick parts incided and by degrees attenuated and it s over thin parts will be discust and evacuated together with Sweat or insensible Transpiration It s over sharp parts will be also temper'd and the Pain asswaged and at length wholly taken away as also the obstruction it self will be loosened and dissolved for when the volatile Salt of the Sudorifick comes to the place of obstruction it attempts the matter obstructing be it what it will and cuts attenuates loosens and makes it fluid whence it is farther driven forward together with it more easily The bloud is also thereby more and more rarified and becomes more fluid and moveable wherefore there needs no farther care for elaborated medicaments and Methods Frustra fit per plura quod fieri potest per pauciora As for Topical medicaments or external applications the following are excellent Take the roots of Briony Smallage Fennel of each four ounces the tops of Elder Dwarf-elder Hedge-mustard Agrimony Wormwood Mint Vervain Flowers of Melilot Chamomel of each two handfuls Cummin-seed the Berries of Bays and Juniper of each two ounces Let them be all cleansed bruised and boiled in two gallons of Rain-water till half of it be boiled away then strain it for a Fomentation Let the Inflammation or Tumor be well bathed with it as hot as may be suffered either with woollen cloaths or soft spunges fit to cover the part affected after which let it be anointed with the following ointment Take Ointments of Marsh-mallows Martiatum of each one ounce Oils of Dill Bays Lillies Poppies Henbane of each half an ounce Oils of Amber Turpentine Bricks of each one drachm Camphire two drachms mix it Then let this plaister be spread on leather or linen cloath and applied Take Yellow Wax four ounces Sperma caeti two ounces Galbanum prepar'd with Vinegar one ounce Make it into a plaster according to art This egregious Plaster doth not onely preserve the bloud from coagulation in any part where it is applied but Milk also from curdling in the Paps But if it be not to be had the following dissolving and mollifying Cataplasm may be substituted Take of Onions rosted under the ashes two ounces Dwarf-elder Hedge-mustard Vervain Elder Chervil Water-cresses of each one handfull Powders of Album Graecum Lupines a Swallows nest Barley-meal of each one ounce Butter-milk as much as will make it into a Pultis Apply it meanly warm to the inflam'd part for thereby the internal obstruction will be the better opened but it must be renewed as often as it begins to dry When the bloud is effus'd into such places out of which it cannot be well remov'd or discust suppuration or the generation of matter must be promoted and hastned which may be done by emollient and ripening Medicines as the roots and leaves of Mallows Marsh-mallows white Lillies Onions Squills the powder of Fenugreek and Flax-seed the meal of Barley and Beans the Marrow of all bones and all kind of fats and almost any Oil that is exprest of seeds or kernels as also divers sorts of Gums as Galbanum Liquid Styrax Bdellium
spoonfulls every three hours By the frequent use of this Cordial Julep or one like it all pains will be eased nature quieted and relieved and the importunate thirst allayed But if thirst still urgeth give the dulcified Spirit of Salt or of Niter in Posset-drink and all the Liquids they take from six to ten or twelve drops at a time If you fear there be any Malignancy in the Fever give the sick eight or ten grains of Bezoardic mineral every fourth hour in a spoonfull or two of the aforesaid Julep or good sound Canary-wine to keep the Patient in a breathing sweat As for the Cure of Fevers attended with grievous and furious raging and watchings c. I refer you to the Chapter of Phrensies which is full to this purpose I shall now give some directions to young Physicians and Nurses and so conclude this Chapter of Fevers in general 1. First give no Opiats in the beginning of a Fever because they tye up the Archaeus of the Stomach and first passages thereby hindring it from expelling the occasional cause of the Disease 2. Give the sick neither Mithridate nor Diascordium as is the common custome nor apply it to the Wrists nor Stomach nor any thing else that is nauseous whilst Nature and the Disease are strugling but if the Patient tends to coldness you may moisten a piece of Rose-cake or a tost of stale Bread in Sylvius's Spirit or for want thereof in Brandy dulcified and apply it to the Stomach twice a day which will revive nature and fortifie it against the invading Enemy 3. Give no meat whilst the disease is on them for the Stomach is not fit to receive it neither hath it strength to digest it and therefore it will become a recruit or supply to the Disease except it be speedily vomited up again 4. If it be a Child give it not any Milk and if it Suck wean it for Milk is the first matter and foundation of this disease in them neither give it Beer nor water nor any cooling things to correct the heat because it will weaken nature and strengthen the Disease But hot Posset-drink turn'd with White-wine or sound Beer with a little Vinegar may be drank liberally after the Cause is removed 5. If the sick be Adult you may give two parts of Water and one of good Wine either French Wine or Sherry but Malaga or any other sweet Wine is not so good 6. When the Patient begins to recover the plainest broths and gruels are the best till then a little is too much and if you did use Salt and Vinegar instead of Spice and Sugar it would agree better with them CHAP. VII Of intermitting Fevers AN intermitting Fever is that which returns after intervalls sometimes longer sometimes shorter in divers Fits whence according to the divers space of every access or fit the same gets also divers Names for if a new Fit return daily answering the precedent in proportion it is called a Quotidian If it comes every other day it is called a Tertian If the fit return after two days intermission it is called a Quartan and so forward although Quintans Sextans c. are seldom observ'd And here you may note that intermitting Fevers do but seldom return in the exact intervall of natural days of twenty four hours but return quicker or slower for the most part wherefore then they are said to anticipate the expected time for some hours which is disliked or to come later which is commended by some Although it matters not whether the fits anticipate or come later if so be that their continuance and the grievousness of Symptoms daily accompanying be diminish'd There is great diversity among Authours concerning the Causes of intermitting Fevers which I shall not insist on but in a few words will set down the true Causes of them The causes then are either external or internal The external Cause of Agues is a stop of the usual necessary discharge of fermenting humours the porous skin being shut by external sudden cold denies passage to the constant discharge of the sweatty humours which happens most commonly about Autumn and likewise when any comes suddenly out of a hot Climate into a cold Region for the sweatty Vapours being detain'd by the Constipation of the skin or shutting of the Pores the same condense and thence become sour which chills the external parts and causeth the shaking or shivering cold fit at the first invasion of this disturbing Foreigner after which the inflaming Ferment of Choler being exasperated doth act its part and having gain'd Dominion it doth rarefie the Bloud by degrees whence the Pulse becomes greater and stronger which is increas'd by an irritation of the Acrimony of Choler and the rarefaction of the Bloud at the Heart for the heat and burning in the Heart and thence in the whole Body is increas'd by Choler successively over-ruling The internal Cause of Agues or intermitting Fevers is an obstruction of one or more of the lateral ducts or branches of the Pancreas or Sweet-bread by reason of viscous Phlegm which being separated from the Bloud by the Glandules of the Pancreas is there collected by degrees whence it is sent in too large a quantity to the main duct or pipe thereof which detaineth the Juice of the Pancreas contrary to nature which ought continually to flow into the small Gut called Duodenum The Juice of the Pancreas which is naturally sourish being compelled to stand still in its passage quickly grows more acrimonious or acid because the Volatile Spirit which is naturally conjoin'd to it to temper it doth gradually fly away by which this Juice becoming more sharp and acid acquires a putrefactive Ferment whence at length it makes way through the obstructing Phlegm and is effused into the Duodenum where meeting with Choler it stirs up a vitious effervescency or preternatural Ferment from whence comes the Ague fit with all its Symptoms as in the beginning Horrour Chilness Cold Shaking c. then presently follows Reachings Yawning and Vomiting c. At length acrimonious and flatulent Vapours raised by the aforesaid vitious Effervescency are carried through the Lacteal veins and Thoracick passage and so through the Vena cava ascendens in what form soever to the right Ventricle of the Heart and by its Acrimony alters and troubles the vital Effervescency and by over stirring the Heart causeth a more frequent Pulse and many times produceth grievous Symptoms as great Heat and Thirst difficulty of breathing Heart-ach Raving Swouning and all other Symptoms that happen in all intermitting Fevers The nature of viscous Phlegm is such that though it be pierced through by the Juice of the Pancreas too acid and acrimonious yet it doth presently run together and unite again and so repairs and renues the obstruction that was in part opened and the Juice of the Pancreas being stopped as before grows sour by standing still as aforesaid so that it forceth through the Phlegm that stopped
and the separation of the Animal spirits often hindred The sharp volatile salt aforesaid may be also swallowed down with food or spittle into the Stomach or it may enter the pores of the body by which not onely the liquor of the glandules but the bloud also may be infected hence depends the variety of symptoms which may be observ'd in these Diseases In Malign fevers there oft precedes a light shivering after which a gentle heat soon follows the pulse is frequent and unequal though little and weak and sometimes deficient the sick is often drowsie and possest with a kind of Lethargy and when they sleep they are often vex'd with turbulent dreams they are often grip'd in the Stomach and troubled with loathing and vomiting accompanied with the Head-each raving giddiness c. also there is great thirst weariness and unquietness of the whole body sometimes there happens cholerick and setid loosnesses and also a haemorrhage at the nose or womb doth often concur 1. If tumors in the glandules and spots and little pimples divers both in colour and greatness do break forth in many parts of the body they are signs of great malignity 2. If the sick get no ease after sweating promoted by Art there is little hopes of recovery also if the extreme parts soon wax hot and again are presently cold 't is an ill sign First to preserve and defend the body from all malignity and infection in time of contagion I commend the frequent and moderate use of sour and tart things mixt with all things potable for the Patient's drink or food as Barberries Quinces Oranges Pomgranates Limmons Wood-sorrel Verjuice Vinegar c. In the beginning of malign Fevers and also the Calenture if a loathing urgeth part of the acrimonious volatile salt adheres to the tunicles of the Stomach wherefore in this Case first administer an Antimonial Emetick which is well prepared mild and fixt because it hath an admirable sulphur in it whereby any sharpness is wonderfully temper'd and the Malign Poison is thereby in part sent out by Vomit and Stool After the Operation of the Emetick let a Cordial Sudorifick be presently administred that the remaining part of the Malign Poison may be driven forward and expelled most safely and commodiously out of the Body The following Cordial may serve for example Take of Epidemical water Spirit of Vinegar of each one ounce The Waters of Treacle and Cinamon of each half an ounce the Waters of Carduus Scabious of each two ounces Syrups of the Juice of Carduus Clove-gilliflowers of each one ounce and half Antimonie Diaphoretick Bezoar-mineral of each one drachm Venice-treacle two drachms mix it Let the sick take a quarter of this Diaphoretick Julep and dispose the Body to sweat and after half an hour take one or two spoonfulls more and so go on till a profitable Sweat follow In the interim if the sick be thirsty let them drink a little warm Broth temper'd to a gratefulness with juice of Oranges Citrons or Verjuice c. whereby the breaking forth of the sweat will not onely be promoted but also the hurtfull Acrimony of the peccant Salt will be corrected and asswaged After this excellent medicine hath been sufficiently and rightly us'd so that you perceive the Malign Poison to be carried out of the Body yet you must persist in the moderate use of it as likewise in the use of sour things a little Harsh mixt with drink or Broth as beforesaid because they much conduce to restore by degrees the former consistency to the Bloud In Calentures Phlebotomy may be safely used CHAP. IX Of the Plague or Pestilence THE Plague or Pestilence is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 à 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 solvo quod vitam solvat It is called in Latin Pestilentia Pestis ex depascendo quod veluti incendium depascat It is also called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 à 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 percutio hinc Angl. the Plague Pestis significat omne malum quod tam inanimis quam animatis mortem exitium repentino adfert The Plague is a contagious disease suddenly afflicting the Heart and all the vital animal and natural faculties with many grievous Symptoms The Cause is chiefly the sins of Mankind provoking the great God to send this Pestiferous distemper as a judgment on them for their Impiety The Cause next to God's judgment is a sharp venemous and contagious volatile Salt in the Air very much heightned inspired with the Air into the Lungs or is swallowed down with the food or spittle into the Stomach it may also get in through the pores into the Body by which the acid liquor in all the conglobated glandules is weakned and made sluggish that it doth not circulate with its wonted force whence the natural consistency and rarefaction of the Bloud is diminsht and the separation of the Animal Spirits hindred and the vital strength is much opprest by which the Pulse becomes not onely little but also languishing till at length the Spirits are extinguisht and Death unexpected to many carries them speedily torrenti similis in fiery Chariots God knows where All the signs in Malign Fevers are common and much heightned in the Pest besides many other grievous symptoms as Diarrhaea Hemorrhage at the Nose Ears Eyes Mouth and Secrets sometimes yellowness of the Eyes Buboes in the Groins Armpits and behind the Ears and in some white Bladders and Carbuncles also spots called the Tokens with raving c. 1. The Pest is deceitfull above all other diseases therefore no certain prognostick can be drawn of it for many have died when there hath been great hopes of recovery and on the contrary many have escaped with mortal signs 2. A Bubo is less dangerous than a Carbuncle and it than the spots vulgarly the Tokens which most commonly portend Death wheresoever they are 3. Buboes incompassed with a blue or livid circle are most commonly a mortal sign especially if they suddenly disappear unless the Malign humour be sent to some other part and if with a Bubo behind the Ears there be pain of the Throat without inflammation 't is mortal 4. If a Carbuncle rise after a Bubo and look white with a litle push or tail at the end of it 't is dangerous except the Fever do very much abate and if after cauterizing or cupping the Carbuncle abate not in twenty four hours 't is a sign of Death approaching except matter appear and if Carbuncles seize the Stomach Guts Bladder or other Intrails it portends Death 5. Deliriums Drowsiness Heart-ach Trembling Convulsions great driness of Tongue are all bad signs also a Dysentery is most commonly mortal but a Hemorrhage at the Nose or Menses are not so dangerous To preserve from this Pestiferous distemper although transmigration in the fear of God may be lawfull yet let none think to escape by flying and so neglect their duties to God for 't is
pain is in them But if that part of the small gut which riseth up from the Loins and Mesenterie Towards the left Hypochondrium be afflicted with rendings and distensions with a notable hardness this is attributed to the Spleen even by some Physicians although without any solid reason when indeed this distending pain is altogether Hypochondriacal If the pain be in the Gut Ileon it is thence called Iliaca Passio which hath been already treated of Whatsoever pain is rais'd in the Gut Colon may be called Colica Passio These may be distinguish'd from one another chiefly from the situation of either Gut For the Gut Ileon is for the most part contorted hither and thither up and down about the region of the Navel and from thence a little upward but the Colon from the Navel downward the pain of the Cholick generally pressing to the bottom of the Belly as well as to each side and the Back c. according as the Gut is writhed which is almost in the manner of a Roman S. being roll'd to the Navel and from thence with a remarkable winding through the middle of the Belly it is writh'd to the left kidney and groin and so down to the Os sacrum and bladder and ends in the right Gut whence the pain rising in the circuit and circumference of the Belly below the Navel may truly be called Cholical Sometimes there is a hot distending pain with pulsation and inflammation in the latter part of the thick Guts called Rectum and this is either with a troublesome rending as in the internal or blind Hemorrhoids or else it is a corroding pain accompani'd with more or less itching perpetually provoking to siege as in the Tenesmus which oft times follow a Dysentery or bloudy flux In these various pains of the Guts there is one while a hot burning with pulsation and other whiles a cold chilness seemeth to be fixt pricking and as it were boring the bowels sometimes there is a distension of the bowels pressing them with a sense of weight wonderfully writhing and contorting them with such a tearing corroding pain that the sick cannot give an explanation of the grief and misery which they endure The causes are either external or internal The external are wounds or contusions caused by external violence The internal causes are divers sometimes Worms may be the cause But a burning pain is produced either by an obstruction of the Capillary veins of the Stomach or Guts by which the bloud is forc'd to stand still in the vessels till at length after a great distension the vessels burst and the bloud is effus'd which breedeth an inflammation and a manifest pulsation about the part affected by which it may be distinguish'd from any other Kind But for the most part a burning and corroding pain riseth from Choler too fat powerfully and vitiously raising an effervescency with the juice of the Pancreas too acid as experience teacheth in outward things for if you pour Spirit of Vitriol to oil of Turpentine it will presently raise an effervescency join'd with a notable heat and burning This burning pain is chiefly felt in the region of the Loins because there is the conflux of Choler and the juice of the Pancreas and from thence ariseth vitious sharp vapours which produce griping pains of the Stomach and pricking pains in the Guts as also other wandring pains therein If the pain be chill and cold it is caus'd from the juice of the Pancreas very acid and sharp which raiseth a vitious effervescency with Choler not oily and phlegm together as we may observe if we mix Spirit of Vitriol with any volatile Salt not oily how it will raise an effervescency coupled with a notable Chilness and Coldness onely sensible hence we may conclude that the operation of the acid Spirit in producing cold is much promoted by phlegm The cause of the Colick is over viscous phlegm mixed with Choler peccant both in its Saltish acrimony and volatile oiliness by which the viscous phlegm is rarifi'd into Wind and if the excrements are contain'd beyond their course they harden and adhere to the Gut whereby the natural ferment is vitiated and the windy blasts are more and more rarifi'd and being shut up and remaining in the Cavity of the Gut Colon it causeth a violent distension and contraction of it But if the aforesaid humours be mixt with the juice of the Pancreas over sharp acid and harsh then there is a wonderfull sense of contortion in the part affected urging and writhing from place to place according to the winding or rolling of the Gut If this wind pierceth through the Guts into the Cavity of the Belly it expandeth the Peritonaeum and so inflateth the whole Abdomen and causeth a Tympany These Distempers are all dangerous and sometimes mortal especially if a violent Fever be complicated with them We must vary the cure according to the diversity of the causes A burning corroding pain may be cur'd by tempering too fat Choler with Acids as Spirit of Niter c. being mixt with Opiates For example Take the Waters of Fennel Fumitory Sorrel Succory of each three ounces cinamon-Cinamon-water distill'd Vinegar Syrups of Violets and white Poppies of each two ounces Laudanum opiatum ten grains Spirit of Niter twenty drops mix it Let the sick often take a Spoonfull of this Julep till the heat and pain be diminished and sleep be procured The following Emulsion is also profitable and therefore may sometimes be given for a change Take the four greater cold Seeds white Poppy-seeds of each one ounce French Barley boiled four ounces with two quarts of Barley water let it be made an Emulsion and add to it Syrups of Violets and white Poppies of each two ounces Salt prunella half an ounce Spirit of Niter thirty drops mix it and give four Spoonfulls every two or three hours If Choler be two plentifull let it be educ'd with this or the like mild Cholagogue Take Damask-rose water two ounces Manna Diaphaenicon Electuary of the juice of Roses of each two drachms Tartar Vitriolated ten grains mix it and take it in the morning The Cholagogue Electuary of Sylvius is also excellent of which you shall have the receipt at the latter end of the Book Chilness and cold pains may be cur'd by tempering the over sharp acidity of the juice of the Pancreas Lixivial Salts both fixt and volatile are excellent in this Case as also any Aromatick Spirit of wine Treacle water c. with which may be mix'd Coral Pearl Crabs-eyes Antimon Diaphoret c. and let the body be compos'd to sweat The following forms may serve for example Take the waters of Treacle Fennel Syrup of the juice of Carduus of each half an ounce powder of Crabs-eyes Antimony Diaphoretick Salt of Wormwood of each ten grains mix it and give it the sick to cause sweat You may also give some of this
twenty drops mix it and give two drachms morning and evening After the frequent use of this Electuary you may purge with this Powder Take Powder of Cream of Tartar half a drachm Salts of Wormwood Amber Scurvigrass Resin of Scammony of each ten grains mix it for two doses If the Patient like Pills better these may serve For Example Take Extract Catholicon Rudii of each ten grains Resin of Jallop Agarick Salt Armoniack of each six grains Oils of Amber Cloves of each two drops make it into eight Pills for two doses A Medicinal Wine may be prepar'd very effectual in these distempers Take of Water-cresses Brook-lime Scurvigrass Rue of each one handfull Roots of Polypodium Jallop Horse-radish Angelica Cream of Tartar of each half an ounce white Nettle-seed one ounce Orange-peel Cinamon Salt of Tartar of each two drachms let them be cleansed bruised and infused in three quarts of White-wine for two or three days then strain it and give four spoonfulls in the morning fasting In the Hypochondriack suffocation you may often hold to the Nostrils a glass with a narrow mouth containing the Spirit of Salt Armoniack for by its sharp smell the sick for the most part are wont to be rais'd both from that suffocation and from the Epilepsie If the Gums are putrified let the mouth be washed with the following Tincture mixed with some Plantain water and Syrup of Mulberries Take Powder of Gum Lacca one ounce burnt Alome half an ounce the small Spirit of Salt Armoniack one quart let them digest together 'till it be of a red colour then filtrate it through brown paper and keep it for use If the sick hath a costive Body you may administer a Carminative Clyster once or twice a week In pains of the Belly and Hypochondries this linament is effectual Take Oils of Earth-worms Scurvigrass Chamomel of each one ounce Oil of Mace by expression half an ounce mix it with which anoint the parts affected This Antiscorbutick water will be very profitable to be taken two or three spoonfulls at a time morning and evening Take the Barks of Ash and Capers the Roots of Tamarisk Polypodium Horse-radish of each three ounces Water-cresses Scurvigrass Brook-lime Sorrel Centaury the less Harts tongue of each four handfulls Berries of Bays and Juniper Goose-dung of each one ounce the Seeds of Citrons Mustard Carduus benedictus Cloves Cinamon Nutmegs Ginger of each half an ounce let them be cleansed bruised and digested in one Gallon of White-wine and two quarts of Spirit of wine being close covered for three days then distill them with a glass Still according to art and keep it for your use Frictions Ligatures Ventoses Sternutatories c. are all profitable to stir up the sick in the Hypochondriack suffocation CHAP. XV. Of the Green-sickness and Suppression of the Courses THE Green-sickness is called in Latin Icteris Febris alba In English the Virgin 's Disease the White Fever and the White Jaundice because in this disease the native colour of the Face is pale This disease is caused either from defect of Bloud or it proceedeth from plenty of crude viscous phlegmatick humours obstructing the veins about the Womb by which the courses are supprest the veins of the Matrix being obstructed that superfluous Bloud which nature hath ordained to be evacuated that way having not passage doth return to the greater Vessels and is circulated with the whole mass of Bloud and humours by which they are in time vitiated and a Cachexie or ill habit of body is thence caused for the Bloud and natural humours being indued with a vitious quality the nourishment of all the parts of the body will be deprav'd several ways according to the variety of the quality peccant whence likewise not onely the fermentation of Food but also the Appetite of it is deprav'd wherefore Anxieties and Palpitation of the Heart c. troubleth the sick as well before as after Food taken in This distemper may be also caused by external coldness of the air c. and sometimes great fear and sudden shame may be the cause of the suppression also aliments and medicaments that are too astringent taken inwardly In these diseases the Urine cometh away crude thick and less colour'd because the phlegmatick watry humours abounding incorporating with the Bloud do diminish the desired effervescency so that the separation much less excretion of the excrementitious parts to be voided together with Urine doth not follow If the Hypochondries be afflicted and the veins of the Womb obstructed there will be great loathing of wholsome Food and a desire after those things which ought not to be eaten as Ashes Salt Coals c. which is called Pica and in Women with Child Malacia of which we have hinted in the Chapter of Hungar Vitiated page 145 146. 1. These distempers are sometimes of long continuance causing much weakness and oft times barrenness in them that have been so afflicted and if they do conceive they bring forth weak and sickly Children and those that are very melancholy are in danger of falling into madness or other grievous affects as Palpitation of the Heart Swouning Vertigo Epilepsie Apoplexy c. 2. If the obstruction be onely of the vessels of the Womb and have not been oâ— long continuance it may be easily cur'd 3. Bleeding at the Nose is sometimes beneficial but if the Bloud doth disburthen it self by the Eyes Ears Mouth or Bladder it is preposterous from whence may arise other bad Symptoms In the cure of these distempers such medicines are to be selected which will mildly and by degrees alter correct and evacuate tough and glutinous Phlegm seeing that all prolong'd diseases depend on it either wholly or at least in part for by the frequent use of such medicines the Bloud and peccant humours will be the easier reduc'd to their natural constitution especially by the help of good Food easy of digestion in the mean while not neglecting the moderate use of the rest of the nonnatural things An obstruction of the Vessels by viscous Phlegm may be cur'd by the frequent use of such medicines as have power to loosen the peccant humours and again make them fluid All fixt metallick and mineral Sulphurs and also volatile Salts prepar'd not onely of several parts of Animals but also of scorbutick Plants such as are the juice of Hedge-mustard Scurvigrass Garden and Water-cresses Dandelion c. conduce before all others to loosen and dissolve Phlegm coagulated or Bloud clotter'd as having an egregious power of dissolving all things coagulated and conglutinated in humane bodies and of reducing the same to their wonted fluidity and moreover to move sweat which together being mildly promoted the desired dissolution of the aforesaid viscous humours c. will be obtained much easier and sooner An example of such a Sudorifick I have here set down for the sake of young Practitioners Take the Waters of Treacle Dandelion
Parsley Scurvigrass Fennel Syrups of Hedge-mustard white Poppies of each half an ounce Spirit of Salt Armoniack Harts-horn of each ten drops Laudanum opiatum four grains mix it The following is also very effectual Take the Waters of Fennel Hyssop of each two ounces distill'd Vinegar six drachms the Carminative-water of Sylvius half an ounce Syrup of the five opening Roots one ounce and half Powder of Crabs-eyes one drachm Sperma Coeti Mummy Antimony Diaphoretick of each one scruple Laudanum opiat four grains mix it Let the sick often take two spoonfulls of either of these mixtures especially in bed to promote the power of the medicine and to facilitate a sweat by the help whereof the mention'd power of the Sudorifick will the better come to the place of obstruction and will attenuate loosen and make fluid the matter obstructing the whole Mass of Bloud will also become more fluid and moveable being rarefi'd by the volatile Salt of the medicine If the Patient be plethorick let the Saphaena vein be opened for by opening and breathing a Vein the motion and circulation of the Bloud will be the better restor'd for a larger space being made for the universal Bloud it will circulate more swiftly and potently The phlegmatick viscous humours must be corrected and evacuated by Phlegmagogues The following medicines are of great efficacy Take of Salts of Mugwort Ash Amber Tartar vitriolated of each ten grains Powder of Cream of Tartar white Sugar-candy of each half a drachm mix it and give it in white Wine in the morning fasting The next day you may administer the following Pills Take of pil foetidae ex duobus of each half a drachm Amber prepar'd Steel Borax Mercur. Dulcis of each one scruple Mirrh Castor Saffron of each twelve grains Oil of Cloves Spirit of Salt Armoniack of each six drops make it into ten Pills for two doses which may be taken in the Morning fasting If a medicinal Wine be acceptable to the sick the following or one like it may be used Take the Roots of Horse-radish the five opening Roots of each one ounce Savin Vervain Penny-royal Hyssop Calamint Mugwort of each one handfull Senna Cinamon sweet Fennel-seeds Juniper-berries Orange-peel Liquorish of each half an ounce let them be cleansed bruised and infused in one Gallon of White-wine for three days then strain it and keep it for use You may add more wine to the ingredients so long as there is any Aromatick taste Four or five spoonfulls of this Wine may be taken two or three times a day with which you may mix Salt of Tartar vitriolated ten grains Elixir proprietatis six drops If you expect a laudable success you must persevere awhile in the use of these or such like medicines CHAP. XVI Of the immoderate menstrual Flux and the Whites in Women THE monthly terms being immoderate may be called in Latin mensium fluxus immodicus And the Whites in Women Albae mulierum fluxiones The causes of too many Courses are either external or internal The external Causes may be by an Ulcer in the Matrix or some outward Violence and sometimes by too much Coition The internal Causes are either a sharp serous humour abounding in the Bloud increasing its fluidity or else an over great heat in the Womb stirring up a more potent and therefore a swifter rarefaction of Bloud provoking an expulsion of it either by breaking or some other preternatural opening of the vessels of the Womb. The white Flux of the Womb is an excrementitious humour flowing from it This distemper is subject not onely to Women but sometimes to Maids also These humours may be bred in the Womb either by a cold or hot distemper therein The cold doth render it unable to digest its nourishment A hot Distemper corrupteth it hence cometh this excrementitious humour Also Abortion Contusion Inflammation Imposthume or Ulcer in the Womb may weaken and dispose it to breed such humours The signs that distinguish between this Distemper and an Ulcer in the Womb and Gonorrhoea are these 1. If there be an Ulcer there the Womb will not admit of Coition without pain and the matter which floweth from her is stringy and more digested and sometimes bloudy 2. In the Gonorrhoea the seminal matter cometh in a small quantity and seldom except it be gotten by acting with an unclean Person then the Urine is sharp with many other malignant Symptoms All long Hemorrhagies of Bloud are dangerous especially those of the Womb If it be caused by exulceration and be in elderly Women 't is incurable The white Flux is not very dangerous but is often difficult of curation especially in old Women because they abound with Phlegm and 't is hard to divert the humours from this Chanel it being the sink of the body through which the superfluous humours of a healthy Woman are every month evacuated If this distemper continue long it may breed great evils as Barrenness Falling out of the Womb c. These diseases may be both cured by the same medicines If the courses have continued too long the following mixture will soon stop the flux of Bloud and will cure most ruptions of vessels Take the Waters of Plantain Comfry of each three ounces cinamon-Cinamon-water Syrups of Mirtles Quinces of each one ounce and half distill'd Vinegar one ounce red Coral prepar'd one drachm Dragons Bloud one scruple Laudanum opiat six grains mix it and give three spoonfulls every four hours When the flux of Bloud is stopt you may purge with the following Take of Manna one ounce Powder of Rhubarb tosted Cream of Tartar of each half a drachm Resin of Jallop four grains mix it and take it in broth If the Patient like Pills I commend the following Take Resins of Jallop and Scammony extract of Rhubarb Agarick Salt of Amber Powder of Dragons-bloud of each ten grains Oil of Mints six drops with Syrup of Rhubarb let it be made into twelve Pills for three doses After purging these Astringents will be profitable Take of Cinamon the Roots of Bistort Tormentile Rhubarb Seeds of Plantain Dill Flowers of red Roses Balaustins red Coral sealed Earth whitest Amber Harts-horn Gum-dragon and Arabick of each two drachms Saccharum Saturni Dragons-bloud Salt Prunella of each two scruples Laudanum opiat Camphire of each ten grains let them be all finely powder'd and searced and with Honey of red Roses Syrups of Quinces and Comfry of each equal parts let it be made into an Electuary according to Art Let the sick take the quantity of a Nutmeg of this Electuary every morning and evening either upon the point of a knife or dissolve it in two or three ounces of red Wine to which you may add a few drops of Tincture of red Coral and drink it This Julep is also of great virtue Take the Waters of Comfry Plantain Oak-buds Knot-grass red Wine of each four ounces in which infuse red Rose-buds Balaustins Flowers
things as hasten the Birth may be safely administred To encrease the Pains and further the Womans Labour I commend sneezing and also the following Medicines Take the Livers of Eels prepar'd with Cinamon-water and dried one drachm Powder of Borax whitest Amber Mirrh Saffron Dittany of Crete round Birth-wort of each half a drachm mix it and give a Scruple of it at a time in three spoonfulls of this Julep Take the Waters of Vervain Mugwort of each two ounces Syrup of Saffron one ounce Confectio Alkermes one drachm Extract of Saffron six grains Oils of Cinamon Amber of each three drops mix it Some things have a peculiar property to help the Birth as the stone Aetites Loadstone Storax the Eyes of a Hare c. held near the privities The time being come the Woman must be put into a posture which every Midwife doth understand and let her not labour too much till strong pains come and then let her resolve on patience and not be disorderly in the time of her Travel If she be faint you may give her some of the formention'd Cordial Julep to comfort her Let your hands be anointed with some Anodine Ointment After the water is broke if the Head cometh with the Face towards Anus receive it if not endeavour to place it right Then turn your Finger round about the Child's head gently to make way for the Birth If the Child cometh any other way you must endeavour to gain the Feet and bring it away with the Face towards Anus as before mention'd The Child being born you must bring away the Secundine gently by degrees after which put a Closure to the Woman to prevent Cold from entring the Womb. Then prepare her for the bed and give her some Sperma Caeti or Irish-slate in a little burnt White-wine with Cinamon If the Woman doth flood much or be troubled with after-pains give her some of the following Cordial Opiate Take of small Cinamon-water the waters of red Poppies Baum of each two ounces Syrups of Clove-gilliflowers white Poppies of each one ounce Laudanum opiat three grains Oil of Cinamon two drops mix it and give three spoonfulls of it often If the Child be born alive after the Navel string is secured give the Child ten grains of prepar'd Coral in a little Breast milk or black cherry-Cherry-water dulcifi'd with Syrup of Peony to which you may add a little Oil of sweet Almonds new drawn If the Child be troubled with gripes you may give it a little Powder of Anise-seed in the Pap. But if the Child be dead and the Labour gone or if the Child's head be very big and the passage too strait so that the Midwife cannot doe her Office you must then speedily implore the help of the Man-midwife as we are called If a Woman in Child-bed hath a costive Body give her a Suppository of Castile-soap or Honey boiled and after three or four days you may administer an emollient carminative Clyster If a Woman after hard Travel cannot hold her Urine bathe her secret Parts and Region of the Womb with this or the like Decoction Take of Plantain Comfry Shepherds-purse Tops of Brambles Penny-royal Rosemary Sage Stoechas of each one handfull let them be cleansed bruised and boiled in a Gallon of Smiths-water till half of it be boiled away then strain it and bathe the parts affected very warm with woollen Stuphs Afterward anoint the grieved parts with this Linament Take the Ointment Comitissae Oil of Mace by expression of each one ounce Oils of Earth-worms Foxes Lillies Goose-grease of each half an ounce mix it CHAP. XXI Of Nephritick pains and of the Stone in the Reins and Bladder DIseases of the Reins are called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 à 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ren. In Latin they are called morbus Renum which comprehends not onely any Ach in the Kidneys but also the Stone and Gravel in the Reins Nephritick pains may be caused divers ways 1. First by a sharp salt matter or a sharp and serous Lympha in the Kidneys which doth easily concrete into a Stone especially when the Ferment of the Reins is much vitiated which may be known by those cruel torturing Fits that come by intervals 2. Worms in the Kidneys which for the most part arise from Bloud there corrupted may be the cause of pain 3. An Abcess or Tumour in the Kidneys following an Inflammation doth hinder the passage of Urine and is always accompanied with great pain 4. It may also be caused by glutinous Phlegm obstructing the fleshy parts of the Kidneys and hindring the separation of Urine so that it is not strein'd into the Funnels of the Reins as usual but is deprav'd and vitiated Whence the natural descent of the Urine through the Ureters into the urinal Bladder is also hindred The same also may happen sometimes by a stone sticking in the Funnel and stopping the entrance of the Ureters Although I think that Stones sticking in the Ureters themselves cannot long hinder the passage of Urine because it hath been found by experience in dissecting of dead Bodies that Stones near the bigness of a Doves-egg have been sticking in the Ureters by the sides of which Stones Urine descended freely which was evident because the Ureter was no were distended unless where the Stone did stick Neither was there any Urine contain'd in the Ureter above the obstruction besides when the Party was living there was no stoppage of Urine Those fits which come by intervals are caused by a debility or vitiousness of the Ferment of the Kidneys which generates crude salt and sharp matter which causeth those cruel Tortures and should all the Gravel and Stone come away the pain would not be the less untill the Kidneys themselves be reduc'd to their right temper For many in perfect health have voided much Gravel at a time without the least pain and therefore it is evident that Gravel is onely the product and not the producer or primitive cause of this pain The Symptoms of Nephritick pains are so much like that caused by the Stone that they cannot be easily distinguished for the signs of both are great pain of the Loins loathing or vomiting there being a great consent between the Reins and Stomach The Patient often pisseth bloudy water and when the Reins are ulcerated the matter is often evacuated with the Urine Wherein the force of concreting or growing together of Stones in divers parts of the Body consists is not enough known I will freely declare what I conjecture in this obscure matter whereby I may according to my power the more help others that are ingenious to search out this hidden truth All the Stones that are generated in the Body may be dissolved in the sour Spirit of Salt Peter or Niter whence I conclude that the Coagulation of Stones cannot be expected from an acid Spirit as such therefore from another somewhat contrary to it in
may be opened by Diureticks that cut attenuate and make glutinous Phlegm fluid For example Take of Eringo-roots the five opening Roots of each one ounce the Tops of Agrimony the greater Celandine of each two handfulls the Berries of Juniper and Winter-cherries of each two drachms let them be cleansed bruised and boiled in two quarts of Fountain-water till half be consumed then strain it and add Syrups of Marsh-mallows and the five opening Roots of each two ounces Tincture of Salt of Tartar two drachms Spirit of Niter twenty drops mix it and give four spoonfulls of it every morning and evening They who like Juleps better may use this or the like Take the Waters of Fennel Parsley Pellitory of the Wall of each two ounces the carminative Spirit of Sylvius Syrups of Marsh-mallows the five opening Roots of each one ounce Oil of Juniper Spirit of Salt Armoniack of each ten drops Spirit of Niter twenty drops Laudanum opiat four grains mix it and give three spoonfulls every three or four hours The Patient may also drink freely of the mineral diuretick-Diuretick-waters of Tunbridge c. which will conduce much to the Cure especially if some old Diuretick-wine and a little oily Volatile Salt made of Diuretick Vegetables be mixed with the water When the glutinous Phlegm is prepar'd and loosned it may be educ'd with some convenient Phlegmagogue either in the form of Pills or Potion of which there are variety mention'd in page 3. and four c. The fixt Sulphurs of Minerals and Metalls exalted to their highest perfection do before all others mildly temper all the humours next to which oily Volatile Salts come and Aromaticks next to these By the force of which prudently us'd not onely an effervescency of somewhat contrary Humours most agreeable to Man's nature is bred in the small Gut and afterward in the Heart but the preternatural growing together and uniting of the more sharp humours being first moderated by them is again dissolv'd in the Bloud I speak these things by experience and because it is of great moment in practice I commend them to the truly Studious of Physick If the Urine be bloudy it testifieth the opening of some Vessel of Bloud in the Kidneys Ureters Bladder or its Neck To heal and consolidate this harm the following is excellent Take the Waters of Parsley Plantain of each two ounces Cinamon-water Syrups of Mirtles Comfry Marsh-mallows of each half an ounce Powder of Dragons-bloud red Coral prepar'd of each ten grains Laudanum opiat three grains Spirit of Niter ten drops mix it and give three or four spoonfulls every two hours If there be an Ulcer in any of these parts it may perhaps be more happily cur'd by the daily taking of Balsam of Sulphur made with the Oil of Amber Juniper Anise-seed or Turpentine in any convenient Vehicle than by any other Medicine hitherto known In all suppression of Urine the following is very effectual Take the Waters of Chamomel Golden-rod Winter-cherries of each four ounces Syrups of Marsh-mallows the five opening Roots of each two ounces Powder of Egg-shells calcin'd one ounce Tincture of Salt of Tartar two drachms Spirit of Niter twenty drops mix it and give four spoonfulls every three hours CHAP. XXII Of Extraordinary Pissing c. THIS Distemper is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 i. e. pertransire quod urina ureteres urethram subito pertransit It being a quick or plentifull pissing or making of water The cause is either external or internal The external or primary efficient Cause is an immoderate drinking of stale Beer Sider or acid Wines either French or Rhenish by which an incurable Diabetes hath been ofttimes suddenly contracted The internal Cause of this Disease is sharp serous humours abounding in the Bloud by which not onely the whole Mass of it doth in time become too thin but the nervous Juice is also thereby ill affected and consequently the Reins inflam'd by the continual flowing of the over acid serous humours Whence the attractive faculty of the Kidneys is increas'd drawing the serosity of the Bloud more potently from the emulgent Vessels into the Funnels and provoking the expulsive faculty it is soon sent through the Ureters to the Bladder from whence it is often evacuated by pissing The signs are a continual pissing so that much more moisture is voided than is taken into the Body by eating and drinking It is always accompanied with an extraordinary Thirst the sick is also feverish something like a Hectick If it continue long it will decay all the radical moisture of the Body which will render it incurable but if it be taken in the beginning and the Patient be young it may be easily cured All things which have power to incrassate the thinness of the Bloud and temper the over acidity of the humours may be administred in this Distemper In the beginning of the Cure after a stool hath been procured by an emollient Clyster you may open a Vein in the Arm. The next day a gentle Purge of Rhubarb may be administred but if the Stomach be foul and the sick can vomit easily you may give an Antimonial Emetick with good success because it will potently draw the sharp peccant humours from the emulgent Vessels and Reins and evacuate some of them both by Vomit and Stool After the Operation of the Emetick let the sick take two spoonfulls of this Cordial Opiate often which will ease pain and thicken the humours Take the Waters of Barley red Poppies of each four ounces Cinamon-water Syrups of Coral and Comfry Penidies of each one ounce Gums Arabick and Dragon of each half an ounce Powder of Dragons-bloud red Coral prepar'd of each one drachm Laudanum opiatum six grains let the Gums be dissolved in the distill'd waters and strained then mix all together according to Art You may prescribe this or such a like Decoction for the Patient 's ordinary drink Take the Roots of China Sarseparilla Comfry Plantain red Sanders of each two ounces Liquorish red Roses Hemp-seed of each one ounce Raisins of the Sun stoned four ounces let them be cleansed bruised and boiled in a Gallon of Fountain-water till half of it be boiled away then strain it and keep it for use Let the Diet be cooling and thickning Broths and Jellies made of Knuckles of Veal with the Roots of China and Comfry boiled in it is excellent You may also make Panado's of the aforesaid Broth with a few Crums of White-bread and the Yelk of an Egg. Also milk wherein the aforesaid Roots are boiled will be very effectual CHAP. XXIII Of involuntary Pissing commonly called pissing in Bed WHEN the Urine floweth involuntarily which in Children is vulgarly called pissing in Bed it may be called in Latin urinae incontinentia pro impotentia sive imbecilitate retinendi The causes are either external or internal The external Cause is a large Wound in the sphincter Muscle of
Take the Plasters Nervinum De minio ad Herniam of each one ounce the Carminative Plaster of Sylvius Balsam of Peru of each two drachms mix it and spread it on thin Leather It may be applied to the Back or any other weak part after anointing If the Lungs be affected anoint the Breast with the following Ointment Take the pectoral Ointment two ounces Oil of Mace by expression Oil of Violets of each half an ounce mix it After which apply a Plaster They that desire more variety of Medicines c. let them peruse that excellent and learned tract of the Rachites written by the famous Doctours and Fellows of the College of Physicians at LONDON Ornari res ipsa negat contenta doceri CHAP. XVIII Of the Gout and Rheumatism THE Gout is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ab 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Articulus quod Articulos infestet hence it is called in Latin Articularis morbus it being a Disease of the Joints This is a general Name for all Gouts or when all or most of the Joints are affected But when any particular Joint is infested with a Gouty distemper it doth from thence take its denomination For if it invadeth the Jaw-bones it may be called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 maxilla 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 saevio quod maxillarum usum impediat It being for the most part accompanied with a fierce and cruel Pain And so likewise if it invade any of the rest of the Joints If the Vertebrae of the Neck c. be affected it may be termed 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 collum vel cervix c. That which molests the Shoulders may be fitly called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 humerus c. If it affects the Collar-bones you may call it 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 clavis vel clavicula c. That in the Elbow may be termed 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 cubitus c. The Gout in the Hand is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 manus c. That in the Hip may be called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ab 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 coxa c. quod ab 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 lumbus In Latin Coxendicum dolor quod coxendices praecipue infestat If it be in the Knee 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 genu c. If in the Foot 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 pes 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 saevio Quod pedum usum impediat which may be added to every particular This and all other Gouts are most commonly accompanied with a fierce cruel tormenting pain and thus much if not too much of the Names of the Gout The Causes are either external or internal The external Causes are Gluttony Drunkenness immoderate Venery Idleness external Cold and excess or defect of any of the non-naturals The internal Cause of all Arthritick pains is the Juice of the Pancreas too acid and sharp which raiseth a vitious Effervescency with Choler c. whereby a Fermental sharpness is increased and when it is exorbitant it is sent forth into the extreme parts and meeting with that seedy Glue which is between the Joints doth not onely affect it with its fermental Acrimony but is also the grand Cause of the virulent tormenting pain and inflammation in the part affected But seeing the pains are different not onely in divers People sick of this Distemper but also the Pains of the Gout are divers in the same sick party we must therefore as well by reason as experience search into the true Cause thereof Therefore in as much as the present molesting pains are not always freed with the same medicines no not in the same fit much less all that are Gouty We may hence consider that divers humours as Choler Phlegm c. are diversly mixt and fermented with the Juice of the Pancreas which is peccant in a four Acrimony being the primary Cause of all Gouts And here we may note that this over acid humour doth molest the sick chiefly in the beginning of the fit with a corroding pain but after a while when Choler by its exceeding heat hath gotten the Predominancy it causeth a divers burning pain according to the diversity of its faultiness But if viscous Phlegm be predominant the pain is much dull'd and the motion of the part hinder'd with a phlegmatick Tumour rather than an acute pain which ought to be accurately observ'd by every ingenious Artist When the Gouty humour hath invaded any joint there is presently an unusual heat and more exquisite sense in it than formerly so that the least touch of any hard thing doth hurt the part and the longer it continues the more the Pain increaseth with redness and swelling of the part affected and most commonly attended with a Symptomatical Fever 1. The Gout is a Chronical disease attended with violent Pain but is seldom mortal except in very weak Bodies that are much decay'd by Sickness or old Age. 2. If it continue long till the Joints are knotty it is incurable according to Ovid Tollere nodosam nescit medicina Podagram But if there be no Knots in the Joints and the Patient is laborious and the Body is for the most part soluble and there be swelling of the Veins called Varices then it may be happily cured 3. If it becomes habitual to the sick the morbifick Idea is implanted in the vital Spirit and transfer'd through the seed which makes it Hereditary The Cure of the Gout will consist 1. First in defending the afflicted Joints as well against future Pain as freeing them from that which doth molest at present 2. In the universal amendment of the juice of the Pancreas 3. In the correcting and evacuation of the vitious Choler 4. In the altering and diminishing of Phlegm any way peccant To asswage the present Pain I commend the following Medicaments which will conduce much to mitigate the sharpness of the acrimonious humours in all Gouty people and ease the part affected When there is excessive heat you may bathe the Gouty part with this Fomentation very hot with wollen Stuphs which must be often renewed Take the Waters of the Spawn of Frogs Fumitory Elder of each one quart Vinegar of Mary-golds one pint Opium Camphire of each half an ounce mix it according to Art But when the Pain is more corroding than burning I commend the following to be used as the former Take of Treacle-water half a pint the Waters of the Spawn of Frogs Parsley of each one quart Opium Camphire of each half an ounce mix it After Bathing with either of these apply this Cataplasm Take Powders of the Roots of Marsh-mallows Flax-seed Barley-meal of each four ounces new Milk three pints boil it to
degrees procured Those Medicines which are prescrib'd for the Cure of the Dropsie and Scurvy are proper for this Disease wherefore I shall forbear prescriptions here CHAP. XIII Of Dropsies THE Dropsie is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ab 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 aqua quod nomen sumpsit ab aquoso humore Cutis The Ancients have assigned three sorts of Dropsies 1. The first is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ab 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 uter pellis 'T is called in Latin aqua intercus ex inter cutis because the Water is between the Skin and the Flesh. This is the most proper Dropsie in which the Abdomen Secrets Thighs and Legs are affected 2. The second is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 quod tumor est ad similitudinem tympani vel tympani sonum referens As this is the most rare so 't is the most cruel and afflictive 3. The third is called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ab 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 per 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 caro quod hydrops toto corpore diffusus It is also called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ex 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 album 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 phlegma vel pituita because it is caused of white Phlegm gathered in all parts of the Body Some Authours make a difference between Anasarca and Leucophlegmatia that Anasarca is caused by a serous humour and Leucophlegmatia by a phlegmatick and more viscous humour but all Dropsies except Tympanies seem to me to be little less than a distinction of degrees of one and the same Disease The Ancients did take the Liver to be the chief part male-affected in these distempers but Helmont who was happy in a remedy to cure it doth severely reprove them and is so bold to tax the whole Schools with the ignorance of Anatomical dissections he having inspected many Carcases of dropsical Persons of whom he makes distinct mention doth assert the Livers of them all no-way vitiated and therefore he concludes the Liver faultless in dropsical affects and he derives the Cause of Dropsie to be an obstruction of the Kidneys with the Stone or Gravel and so the water which should be transferr'd through the Kidneys to the Bladder to be evacuated by pissing is forced into the Cavity of the Abdomen But experience teacheth that Dropsies may be caused many ways wherefore I shall betake my self to a more evident description thereof The causes of Dropsies are either external or internal The external Cause is the Constipation of the porous Skin impeding transpiration whereby the discharge of sweaty Vapours through the Habit of the Body is lessned and interrupted hence what moisture is usually carried off by sweating doth rebound inwards and condense into an Ichorous water and is there by degrees aggravated and increased through the hindrance of the necessary transpiration till at length a great quantity of water is accumulated and stagnating in the affected parts in time may work farther alterations on the subjected Bowels Matter of fact hath evinced this to me having cured several Hydropical patients onely by sweating and external applications The internal Cause of the Dropsie may be over viscous Chyle or Phlegm of the Guts coagulated in the lacteal Veins and causing an obstruction in more or fewer of their Branches so that the Liquour rising either from the continual Conflux of Choler the Juice of the Pancreas and the Phlegm of Spittle or else from Chyle or from drink plentifully drunk being stopt and intercepted in its motion it doth by degrees more and more distend the Vessels that at length they burst and the moisture receiv'd into them is poured out between the Membranes of the Mesentery and presently after into the Cavity of the Abdomen This disease is sometimes suddenly produc'd by much drinking in a burning Fever join'd with an urgent and permanent Thirst. After the same manner though difficult to be known may a Dropsie of the Breast be caused viz. by an obstruction of the lateral Lymphatick Vessels by glutinous Phlegm carried together with Lympha into the said Vessels and there coagulated by which the motion of Lympha is hindred so that the Lymphatick vessels being much distended by the great quantity of Lympha gathered in them at length they burst and the Lympha piercing through the Pleura into the Cavity of the Breast procureth a Dropsie in it The cause of a Tympany is wind together with a serous humour piercing through the Guts into the Cavity of the Belly and being there detained it is more and more rarified by which the Peritonaeum is not onely expanded but the whole Abdomen inflated and violently distended The signs of Ascites are swelling and fluctuation of the Belly difficult breathing a dry Cough accompanied sometimes with a symptomatical Fever and great Thirst. The signs of Anasarca are weakness faintness and swelling of the whole Body which being pressed with the Finger it doth pâ—t and leave an impression breathing is also difficult with a continual Fever In a Tympany the Belly is distended and being struck upon there is a noise like a little Drum 1. Every Dropsie is difficult of Curation especially if it hath been of long continuance 2. If the Hydropical persons have a good digestion and void more moisture both by stool and urine than they either eat or drink it is a hopefull sign of recovery e contra Dropsies may be cured by strong Hydragogues Sudorificks and Bathing and sometimes by a Paracenthesis or boring the Belly The Best Hydragogues are prepared of Elder Dwarf-elder Jallop-roots Elaterium Gum-gutty Crystals of Silver c. of which you may prepare purging Infusions Pills c. for example Take the Roots of Flower-de-luce Dwarf-Elder Madder Liquorish the five opening Roots of each one ounce the tops of Saint John's wort Centaury the less Agrimony the best Senna of each one handfull the Barks of Capers Ash Tamarisk Cinamon of each six drachms Flowers of Beans Elder Dwarf-elder Broom of each half a handfull seeds of sweet Fennel Parsley Gromwell Juniper-Berries of each one ounce and half Cloves Salt of Tartar of each half an ounce let them be cleansed bruised and infused in two quarts of White-wine for two or three days then strain it and add Syrup of Succory with Rhubarb six ounces mix it and give four ounces of it in the morning fasting If any like Pills better I commend the following Take the Resins of Jallop and Scammony Tartar vitriolated Mercur. dulcis of each half a drachm Oil of Juniper one scruple make it into Pills with Venice-Turpentine of which you may give twenty grains at a time in the morning fasting The following Pills are also very effectual Take of Elaterium Gambogia Resin of Jallop of each ten grains Oil of Nutmegs six drops make it into Pills with Venice-Turpentine for two doses The obstructions in