Ounces Turbith Mechoacan of each an Ounce and a half Epithymum yellow Saunders of each an Ounce Coriander-seeds an Ounce and a half let them be slic'd and bruis'd and put in a Bag according to Art for four Gallons of Ale the Dose is from twelve Ounces to a Pound either every Morning or twice or thrice a Week CHAP. IV. A Cure for Over-purging or of Medicines that stay too much Purging or a Looseness Also the Cure of the London-Flux with Instructions in each Case TO prevent over-purging upon giving any Purging Medicine we must proceed thus Before we give a Purge we must first consider well the Constitution Strength and Custome of the Body to be Purg'd as also the Nature Dose manner of Working and ordinary effects of the Medicine to be given and then by comparing the one with the other we must proportionate the vertue of the Agent according to the bearing of the Patient Secondly whilst the Medicine is working let the Viscera where digestion is perform'd the Blood and the Animal Spirits be kept free from any other perturbation Wherefore during that time let not the Patient eat gross or viscous food or too great a plenty of any food which may offend the Stomach let him carefully avoid the admittance of any outward cold by which the Pores of the Body are shut up also let the mind be kept calm and undisturb'd free from all Cares and toilsome Studies Thirdly The Operation of the Medicine being ended we must appease the angry rage of the Animal Spirits and allay the effervescence of the Blood and Humours for which ends let an Anodine Medicine or a gentle Hypnotick be given according to the following forms Take Water of Cowslip Flowers two Ounces cinnamon-Cinnamon-water hordeated Syrup of Maeconium of each half an Ounce Pearls half a Scruple make a draught to be taken going to rest Or Take Conserve of red Roses vitriolated two Scruples Diascordium half a Dram Pearls half a Scruple Diacodium what suffices make a Bolus to be taken going to sleep In case this Provision be either omitted or does not hinder a Purging Medicine from working to excess let the Patient presently be put into a warm Bed and be ordered as follows First Let either a Plaister of Mithridate be apply'd to his Stomach and to the whole upper Region of the Belly or let those parts be fomented with warm Linnen Cloaths dip'd in a decoction of Wormwood Mints and Spïces in red Wine and so wiung forth presently upon it let him take inwardly either a Bolus of Venice Treacle or a Solution of it in Cinnamon-water Moreover let him drink every now and then a spoonful or two of Burnt-wine diluted with a little Mint-water if he be troubled with Gripes give him a Glister of warm Milk with Treacle dissolv'd in it and warm frictions must be us'd to the remote parts and sometimes Ligatures to draw the Blood outwards and so keep it from too great a Colliquation and from discharging it self into the Cavities of the Viscera then in the Evening if there be strength and a pretty good Pulse let him take a Dose either of Diacodium or of Liquid Laudanum with some fit Vehicle As to other kinds of excessive Purging which are wont to happen without the Administration of a Purging Medicine for the most part they are meerly Symptomatical depending on other Diseases and their method of Cure is wholly the same as of those Diseases whose off-spring they are Nevertheless sometimes a Looseness or Flux seems to be a Disease of it self and because this kind of Distemper Raging almost yearly in the City of London is commonly accounted Endemious or a Disease peculiarly attending Inhabitants I shall here set down its method of Cure I have often and long observ'd that there are two and that very different kinds of that Flux usually call'd the Griping of the Guts which happens here almost yearly about Autumn In one of them the Stools are watry and in a manner cleer with a sudden failing of the strength in the other they are bloody but tolerable withal In the Year 1670. about the Autumnal Equinox a World of People here were seized with a most dangerous Flux though without Blood and joyn'd with a cruel Vomiting which presently caus'd great faintings and a total decay of strength For the Cure of this Disease no Evacuation did good nay Bleeding Vomiting and Purging always did hurt only Cordials and those of the hottest nature to wit such as abounded with Spirit and Sulphur or a Volatile Salt prov'd commonly of good effect insomuch that Brandy burnt a little with Sugar was a Popular and as it were Epidemick Remedy and in that sort of Flux was seldome given without success though in the other sort of Flux which carry'd Blood with it having been us'd without due regard it has often been found to be hurtful The method of Cure which I then took successfully enough with many and am wont still to take in the like case is after the following manner Take Venice Treacle from a Dram to a Dram and a half let the Patient take it in Bed and drink after it seven or eight spoonfuls of the following Julap and let him repeat this Dose every third fourth or fifth hour Take Mint-water Cinnamon-water hordeated of each three Ounces strong cinnamon-Cinnamon-water Plague-water Treacle-water of each two Ounces Powder of Pearls a Dram Sacchari Crystalin half an Ounce mingle them and make a Julap At the same time take a piece of Bread spread some Treacle on it and dip it in Sack or Red-wine warm'd and let it be apply'd to the Stomach as hot as it may be suffered and change it every now and then In the Evening if the Pulse and Breathing seem strong enough to bear it let the Patient take of Liquid Laudanum Cydoniated twenty Grains in a draught of Plague-water Take Diascordium a Dram Liquid Laudanum half a Scruple Compound Powder of Crabs Claws a Scruple Cinnamon-water what suffices make a Bolus to be taken going to sleep To those to whom Treacle or Mithridate prove nauseous or disagreeing give a Dose of the following Powder or Spirit of Treacle every third hour with the Julap Take Compound Powder of Crabs Claws Roots of Contrayerva or Serpentaria Virgin of each a Dram Cinnamon Roots of Tormentil of each half a Dram Saffron Cochinele of each a Scruple make a Powder the Dose is from half a Dram to two Scruples Take Spiritus Theriacalis Armoniacus three Drams the Dose is a Scruple with the Julap every fourth hour or give that and the Doses of the Powder interchangeably one one time and the other the other After the same manner the Spirits of Harts-horne or of Soot may be given let the persons Drink be Ale or Beer with a Crust of Bread Mace add Cinnamon boil'd in it and sweeten'd or let it be Burnt-wine diluted with Mint-water let his Food be Chicken-broth Gruel or Panada with the shavings of Ivory Hartshorn
the like cause And in truth many difficult Diseases which are falsly imputed to the ill constitution of the Viscera arise from hence viz. that the Blood being distemper'd and obnoxious to coagulations when it cannot continue its full course of circulation deposes the Serum in many places this being too apt of it self to recede from it The Diureticks to be given in these cases are such as do not fuse the Blood but make void its coagulations of this kind are those things that are endow'd with a fixt Volatile and likewise Alkalisate Salt and they must be such as restore and strengthen the Ferment of the Reins which is done by certain Sulphureous and Spirituous things For these ends are given Sulphureous and mixt Diureticks Lixivial Salts of Herbs Powders of shells Salt and Spirit of Vrine c. Millepedes Horse-Raddish Parsly-seed Nutmegs Turpentine and preparations made of it Spirit of Wine The vertues of all which are not to fuse the Blood and to precipitate serosities from its Mass these things are chiefly done by Acids and in those cases do commonly hinder any Purging by Urine but to dissolve the coagulations of the Blood so that its Body recovering a perfect mixture and being more readily circulated through the Vessels drinks up the Serum every where extravasated or depos'd and finally delivers it to the Reins to send it forth Now we shall shew after what manner according to both these as it were opposite ends of Curing Diureticks of all kinds operate and in what forms they are chiefly prescrib'd The Kinds and Prescripts of Diuretick Medicines FIrst then as to Saline Diureticks we say that any Salts whatsoever of a differing nature being put together lay hold of each other and are presently join'd in one and that whilst they are so combin'd other Particles freed from the mixture separate from each other or fly away This is plainly seen when a fluid or Acid Salt is put to a fixt or Alkalisate Salt and so when a fluid or fixt Salt is put to a Volatile or a sharp Salt and indeed on this only disposition of Salts depends the whole business of Solutions and precipitations of what kind soever Wherefore since the Blood and humours of our Body very much abound with Salt which Salt is also wont to be variously chang'd from one state to another and so to cause a Morbid disposition and likewise since Saline Diureticks are of divers kinds to wit consisting of fixt fluid nitrous volatile or Alkalisate Salts it will always require a great discretion and judgment in a Physician to see that the Saline Particles in the Medicine differ from those in our Body We shall shew after what manner this ought to be done by running through each Species of Diuretick Salts Amongst Diureticks containing an Acid Salt Spirit of Salt or of Nitre also Juice of Limmons of Sorrel Whitewine Rhenish and Cyder are of chiefest note amongst the vulgar and pretty often perform that intent for these things without the help of others fuse the Blood and precipitate it into serosities as when an Acid is dropt into boiling Milk but this does not happen equally to all persons nor to every one alike In a sound constitution or not very far from it the Salt of the Blood is partly fixt partly nitrous and partly volatile also in some Scorbutical and Hydropical persons it becomes for the most part fixt In every of these cases Diureticks containing an Acid Salt are given with success but in Catarrhous affects and in some Hydropical and Scorbutical distempers when the Salino-fixt Particles of the Blood are exalted to a state of flowing and the volatile are deprest as it often happens Medicines of an Acid nature commonly rather do hurt than good insomuch as they more pervert the Blood already degenerated from its Crasis and Medicines containing a fixt or volatile Salt are more proper to be us'd by such persons Prescripts of Diureticks that have an Acid Salt for their Basis TAke choice white Tartar powder'd Crystal Mineral of each a Dram and a half Powder of Crabs Eyes a Dram Make a Powder the Dose is from half a Dram to two Scruples in a fit Vehicle repeating it every sixth or eighth hour Take Tartar vitriolated or nitrated two Drams Powder of Egg-shells a Dram and a half Seeds of Parsly or of wild Carrots half a Dram Make a Powder the Dose is half a Dram after the same manner Take of the best Spirit of Salt two Drams Hartshorn burnt and powdred what will suffice to imbibe it Make a Powder the Dose is from a Scruple to half a Dram. Take Juice of Limmons two Ounces Radish water Compound an Ounce and a half Syrup of the five Roots three Drams Make a Potion Take Juice of Sorrel two Ounces Whitewine six Ounces Mingle them for a Potion Take Radish water Compound two Ounces Water of Pellitory of the Wall four Ounces Spirit of Salt a Scruple twenty five drops Salt of Tartar fifteen Grains Syrup of Violets half an Ounce Make a Potion That Medicines containing a fixt or Lixivial Salt move Urine it plainly enough appears from the Vulgar and Empyrical Practice of Physick which commonly gives them for Curing Hydropical persons For it s a usual thing in an Anasarca and sometimes in an Ascites when the Viscera or Fleshy parts are very much swollen by a loading of Waters To give a Lixivium made of the Ashes of Wormwood or of Broom or of Bean-stalks with Whitewine whence it frequently happens that a very plentiful evacuation by Urine follows and that the Disease is taken away Nevertheless I have observ'd that this Medicine has not prov'd Diuretick to some persons and rather to have encreast the Hydropical disposition than to have cur'd it The reason of which if we enquire into we shall find by what is said before that Lixivial Salts neither fuse Milk nor Blood or precipitate them and therefore that they are not Diuretick in their own nature though that effect sometimes follows because that a fixt Salt taken in a good plenty destroys the Energy of the Acid and coagulative Salt predominating in the Blood so that the said Blood which before being too apt to fusion and unable to contain its Serum did cast it off from it self in divers places now by the intercession of the fixt Salt recovers its due Crasis and therefore drinking up again its extravasated Serum and constantly carrying it to the Reins causes a large Evacuation by Urine Prescripts of Diureticks which have a fixt Salt for their Basis TAke Salt of Tartar or of Wormwood two Drams Coral calcin'd to a whiteness a Dram and a half Nutmegs half a Dram Make a Powder the Dose is from half a Dram to two Scruples Take Tincture of Salt of Tartar from a Dram to a Dram and a half Radish water Compound an Ounce and a half Mingle them give it in a draught of Posset drink which has had the Roots and Seeds of the great Bur-dock
boild in it Take the Deliquium of Salt of Tartar which whilst the Tincture is extracted floats under and is impregnated with the Sulphur of the Wine from two Scruples to a Dram and a half Whitewine from four Ounces to six Syrup of the five Roots half an Ounce Mingle them and make a draught to be repeated twice or thrice a day Take Ashes made of the Prunings of the white Vine half a pound Nutmegs two Drams pour to them of White or Rhenish wine two pounds and a half let it stand a day in a moderate heat and close cover'd then keep the straining for use The Dose is four Ounces twice or thrice a day Let Flints be made red hot in the Fire and be quencht in White wine or stale March Beer Give of the Liquor from six Ounces to eight twice a day Take Water of quick Lime from four Ounces to six Tincture of Salt of Tartar from a Dram to a Dram and a half Make a draught to be taken twice or thrice a day For the same reason as fixt Salts sometimes also volatile Salts are given with good success to move Urine in a sourish distemper of the Blood to wit forasmuch as its Particles when admitted into the Blood destroy the predominancy of the fluid Salt in it so that the Blood recovering its due mixture and being freed from coagulations and fluxions drinks up again what Serum is extravasated and conveys what is superfluous to the Reins to be sent forth by the Ureters But we may note withal that Medicines prepar'd of a volatile Salt having particles somewhat fierce in operation and instigating when they correct the Crasis of the Blood dispose what there is superfluous of Serum to be discharg'd sometimes by Sweat as much as by Urine In this order of Diureticks not only the bare volatile Salt drawn forth of Animals and Minerals ought to be numbred but likewise the integral parts of Animals and Vegetables such as are the Powders and Extracts of Insects and Vegetables of a smart nature Prescripts of Medicines that have a volatile Salt for their Basis TAke Salt of Amber Pure Sal Nitre of each two Drams make a Powder the Dose is from a Scruple to half a Dram in a fit Vehicle Take Flowers of Sal Armoniack Crystal Mineral of each two Drams Make a Powder the Dose is from a Scruple to half a Dram in a good spoonful of Radish water compound Salt of Vrine may be given after the same manner Take Powder of Bees a Scruple Lovage-seed a Scruple Make a Powder give it in a spoonful of distill'd water Take Spirit of Vrine from a Scruple to half a Dram Radish water compound from an Ounce to an Ounce and a half Juniper water three Ounces mingle them make a draught Spirit of Tartar may be given after the same manner in a double quantity Take Millepedes prepar'd two Drams Flowers of Sal Armoniack half a Dram Nutmegs powder'd half a Dram Venice Turpentine what suffices Make Pills let four be taken twice a day Take Powder of Burdock-seeds two Drams Wild Carrot-seed a Dram Salt of Amber a Dram Oyl of Nutmegs half a Scruple Balsamum Capivii what suffices Make a Mass form it into little Pills of which let four be taken in the Evening and as many the next Morning Take Roots of Chervil Stone Parsly Fennel Eringo Cammock or Rest-harrow of each an Ounce Leaves of Saxifrage Clivers or Goose-grass of each a handful Seeds of Gromwel Hartwort of each half a handful Juniper Berrys six Drams boil all in four pounds of fountain water till half be consum'd then add Rhenish Wine a pound fine Honey two Ounces Make an Apozem the Dose is six Ounces twice a day Take fresh Millepedes two pounds Leaves of Clivers Chervil Saxifrage and Golden Rod of each two handfulls Roots of Horse Radish six Ounces Nutmegs an Ounce Juniper Berrys Wild Carrot-seeds of each two Ounces being slic'd and bruis'd pour to them of White-wine Posset-drink eight pounds distil it in a common Still Let the whole Liquor be mixt the Dose is four Ounces twice or thrice a day Take fresh Millepedes wash'd from forty to sixty Nutmegs half a Scruple being bruis'd together put to them distill'd Water of Saxifrage three Ounces wring it forth hard and drink it Take Leaves of Chervil Macedonian Stone Parsly of each three handfulls being bruis'd together pour to them of Whitewine a pound and a half wring it forth hard and keep it in a Glass the Dose is three Ounces twice a day Prepare a Tincture of Millepides Bees Grashoppers or of Cantharides dry'd with the Tincture of Salt of Tartar give it from fifteen to twenty or thirty drops in a fit vehicle Nitre is a sort of Salt but differing from any other Salt or from the nature of Saline Particles being neither Acid fixt or volatile but holds the mean state as it were betwixt those three And in truth Nitre is the thing by which all Plants have their vegetation all Animals live and breath and every Sublunary Flame or Fire is kindled and maintained But as to our present purpose it 's well enough known that Sal Nitre cools the Blood and powerfully provokes Urine though it seems somewhat strange how this which is of so fiery a nature should so quallify the Blood and run it into Aquosities to move Urine I conceive that Nitre works those effects in a two-fold respect to wit as it is a Salt ally'd both to a fixt Salt and a volatile and as it carries a living Root of Fire in it As to the first we observe that Nitre ev'n as fixt and volatile Salts being put into Milk hinders or takes away its coagulation so likewise Blood whilst warm being pour'd to this is preserv'd from coagulation and from being discolour'd no less than if put to those Wherefore since Particles of Nitre inwardly taken preserve the mixture of the Blood entire or restore it it follows that they prevent or take away the fusions or coagulations of the same from which heats and a suppression of Urine very often arise So again Nitre in regard it carries in it a living Root of Fire when inwardly taken cools the inflamed Blood and moves Urine because according to what is hinted before it adds a vigour to the flame of the Blood which before was troubled and full of fumes and so renders it more clear and pure and consequently more mild since therefore the Blood burning clearer by the access of Nitre becomes of a more loose consistency the serous Particles easily get clear of the more gross and pass away in a more plentiful manner Prescripts of Diureticks that have Sal Nitre for their Basis TAke Nitre prepar'd two Drams Barley water with Grass Roots and Candied Eringo Roots boil'd in it two pounds Syrup of Violets two Ounces Mix them the Dose is four Ounces twice a day Take Sal Prunella two Drams Sugar-Candy a Dram make a Powder to be divided into six
the Tincture of Salt of Tartar of Steel and other things that chiefly abound with Spirit and havd a plenty of Sulphur of which sometimes these sometimes those may be taken as every patient lists When by reason of the Bloods being not kindled and consequently of its too greatcorwding and stagnation as it were within the Praecordia a languishing and failing of the Spirits with a great oppression of the Heart happens then Aqua Mirabilis the waters of Cinnamon Cloves Wormwood Compound also of the Rines of Oranges distill'd with Wine are proper to which sometimes a Dose of some Spirit Elixir or Tincture may be added But here great caution is needful that a person do no indulge himself too much to these kind of Cordials for many by often sipping of them get an ill habit continuing their daily use and encreasing the Dose which at length proves fatal to them for the Liver chiefly and other entrails are so dry'd and scorch'd thereby that the stock of Blood being diminish'd and its Crasis perverted an unhealthy Cacochymia follows or an abbreviation of Life In the second Rank of Cordials we put those Medicines which somewhat appease the too great boiling of the Blood and put a little stop to and allay its immoderate deflagration of this kind are distill'd Waters Acids and Nitrous things Take the waters of Wood-sorrel of whole Citrons of Straw-berrys of each four Ounces Syrup of the Juice of Citrons an Ounce Pearl Powdred a Dram Make a Julape the Dose is two Ounces three or four times a day Take the waters of Pippins or Garden Apples of Rasberrys of each four Ounces Syrup of Violets an Ounce Spirit of Vitriol twelve Drops Make a Julape Take fountain water a Pound and a half Juice of Limmons two Ounces Sugar an Ounce and a half Make a drink of which let three Ounces be taken at pleasure Take Grass Roots three Ounces Candied Eringos six Ounces two Apples slic'd or Corinths two Ounces Shavings of Ivory and of Harts-horn of each two Drams Leaves of Wood-sorrel a handful boil them in three pounds of fountain water to two pounds to the clear straining add of Sal Prunella a Dram and a half Syrup of Violets an Ounce and a half Make an Apozem the Dose is three or four Ounces thrice a day Take Conserve of red Roses vitriolated four Ounces fountain water two pounds dissolve it close cover'd and warm then strain it the Dose is three Ounces at pleasure Take Conserve of Barberrys Rob of Rasberrys of each an Ounce and a half Pearl prepar'd half a Dram Confection of Hyacinth a Dram Syrup of the Juice of Citrons what suffices Make a Confection the Dose is half a Dram thrice a day The third rank of Cordials furnishes those sorts of Medicines which being destinated against the exorbitancies of the boiling Blood loosen and open its close texture for the separation and discharge of its drossy superfluities These being chiefly and in a manner only of a saline nature are also of divers kinds according to the manifold state of the saline Particles of which they consist but for the most part their Basis is either a Volatile Alchalisate Acid Fixt or Nitrous Salt we shall set down certain forms of each of these In the First place Cordials endow'd with a volatile Salt are wont to be given with good effect according to the following prescripts both in Feavers in respect of the Blood and also in swoonings and sudden faintings in respect of the Animal Spirits Take Spirit of Hartshorn from fifteen Grains to twenty Treacle water two Drams give it with a spoon drinking after it a draught of some appropriated Liquor After the same manner may be given the Spirits of Blood of Mans Scull of Soot of Sal Armoniack Compound Take Salt of Vipers a Dram Sal Prunella two Drams Powder of Crabs Claws Compound a Dram and a half Mix them make a Powder the Dose is from half a Dram to two Scruples in a spoonful of Cordial Julape drinking after it a little draught of the same Take Flowers of Sal Armoniack half a Scruple Bezoartick Mineral a Scruple Make a Powder give it in a spoonful of some proper Liquor Secondly Those are chiefly call'd by the name of Cordials by the Vulgar whose Basis is an Alchalisate or Petrifying Salt as particularly Oriental Bezoar Pearl Coral and other Powders of Shells and Stones Take Gascoins Powder or Powder of Crabs Claws Compound from a Scruple to half a Dram give it in a spoonful of Cordial Julape drinking after it two Ounces of the same Take Oriental Bezoar from six Grains to twenty give it after the same manner Take Powders of Crabs Claws and Crabs Eyes of each a Dram Pearl both sorts of Coral prepar'd of each four Scruples both sorts of Bezoar half a Dram the best Bole-Armoniack Aurum Diaphoreticum of each two Scruples Bezoartick Mineral a Dram Mix them make a Cordial Powder the Dose is from a Scruple to two Scruples or a Dram with a fit Vehicle In Persons seiz'd with a Plurisie the following things are accounted the most proper Cordials for as much as by destroying the predominancy of the acid Salt they take away or prevent the Coagulations and Extravasatings of the Blood Take the Powder of a Wild Bores Tusk from half a Dram to a Dram Cristal Mineral a Scruple Powder of red Poppy Flowers half a Scruple Make a Powder to be taken in any Liquor After the same manner may be given the Powders of Crabs Eyes and of the Jaw-bone of the Pike-fish To this place belong also preparations of Nitre which are often given with good effect in Fevers according to the following Forms Take Cristal Mineral a Scruple Volatile Salt of Hartshorn from three Grains to six mix them Make a Powder give it in a spoonful of Cordial Julape Take Cristal Mineral Antimony Diaphoretick of each a Scruple Bezoartick Powder half a Scruple Make a Powder give it after the same manner Medicines whose Basis is a fluid or acid Salt are prescrib'd in Fevers after the following Forms to loosen the Texture of the Blood Take Spirit of Vitriol from four Drops to six Carduus water three Ounces Treacle water two Drams Syrup of the Juice of Citrons three Drams Pearl half a Scruple Make a draught to be taken twice or thrice a day Spirit of Salt or of Nitre may be taken after the same manner For the same the drink Cherbet called also the Divine drink of Palmarius are proper Take Powder of Hartshorn Calcin'd or of Antimony Diaphoretick three Drams Spirit of Vitriol or of Salt a Dram bray them together in a Glass Mortar and let them dry The Dose is from a Scruple to half a Dram in a spoonful of Cordial Julape Fixt or lixivial Salts of Herbs often enter the Compositions of Alexipharmicks Moreover Medicines which have these for their Basis as they are accounted very famous Febrifuges so they ought to be numbred amongst Cordials for instance we
propose that known Medicine Take Salt of Wormwood a Scruple Carduus water three Ounces Spirit of Vitriol or Oyl of Sulphur a Scruple Syrup of Violets three Drams Make a draught to be taken three or four hours before the Fit Take the waters of whole Citrons and of Wood Sorrel of each half a pound Salt of Tartar a Dram and a half Juice of Limmons two Drams Sugar half an Ounce mix them make a Julape the use of it is in Anomalous Fevers which though always burning have daily returns of sharp fits The Dose is three Ounces twice a day The last rank of Cordials and truly in some respect the chiefest is of Alexipharmicks because these are more vital than the rest But Alexipharmicks being either for preservation or for Curing In the first place we shall set down Select Medicines to be given to persons whilst yet in a state of health against the Infection of the Plague or any Malignity whatsoever omitting in the mean time what is usually ordered concerning the alteration and rectifying of the Ambient Air And then in the second place we shall give you Select Forms of Prescripts to be used after the Contagion is taken 1. Antidotes for Preservation TAke Conserve of the Leaves of Rue four Ounces Mithridate and Confectio liberantis of each an Ounce Confection of Hyacinth two Drams Salt of Wormwood two Drams and a half Pulvis pannonici rubri half an Ounce Bezoartick Vinegar what suffices Make an Electuary the Dose is the quantity of a Chesnut thrice a day Take Powder of the Roots of Virginia Serpentary Contrayerva Zedoary Species liberantis of each two Drams Camphire two Scruples Sugar dissolv'd in Bezoartick Vinegar and boil'd to a consistency for Tablets six Ounces Make Tablets according to art each weighing half a Dram let one or two be eaten often in a day Take Roots of Virginia Serpentary three Ounces boil them in three pounds of fountain water till half be consum'd to the straining add of the best Honey two Ounces Venice Treacle an Ounce dissolve it warm and close cover'd and strain it The Dose is two or three spoonfuls three or four times a day Take Flowers of Sulphur four Ounces melt them in a Crucible then put into it by spoonfuls one after another Salt of Wormwood four Ounces stirring them together 'till the whole Mass grows red then add the Powders of Aloes Myrrh Olibanum of each a Dram Saffron half a Dram stir them again for a quarter of an hour till they are incorporated the Mass being cool'd and put on a glass plate let it stand till it dissolves into an Oyl like a most beautiful Ruby The Dose is from ten drops to twenty in an Ounce and a half or two Ounces of the Bezoartick water twice a day Or pour to the said Powder some spirit of Wine rectified on the Roots of Contrayerva and Virginia Serpentary till it cover them three fingers over draw forth a Tincture The Dose is from twenty drops to thirty in a fit Vehicle Or Take of the same Powder half an Ounce pour to it of the best Canary two pounds let it dissolve close cover'd and warm The Dose is a spoonful twice or thrice a day After the Contagion is receiv'd and the Crasis of the Blood is vitiated and begins to corrupt the same Medicines are still proper to be taken but in a greater Dose and oftner Moreover the Vinegars and fixt Salts of Herbs are very often added with good success to Alexipharmicks because by them the Coagulations of the Blood are resolv'd and then all Heterogeneous Particles evaporating and the other being brought into a due mixture its liquor at length recovers its former state and keeps it There being innumerable Medicines in the Books of Physicians for this end I shall here only set down a few Antidotes for Curing TAke of the Bezoartick water two Ounces and a half Bezoartick Vinegar half an Ounce Venice Treacle a Dram mix them by shaking them in a Glass Make a draught let the person take it and sweat upon it Take Gascoins Powder Roots of Contrayerva and Virginia Serpentary of each from a Scruple to twenty five Grains Make a Powder give it in a spoonful of Treacle water drink after it a little draught of the same or of a Cordial Julape Take Powder of Teads prepar'd Powder of Crabs Claws Compound of each half a Dram Make a Powder give it after the same manner Take Bezoartick Mineral half a Dram Venice Treacle a Dram Camphire six Grains Bezoartick Vinegar what suffices Make a Bolus to be taken after the same manner Take the waters of Wood Sorrel and Dragon-wort of each four Ounces Water of Scordium Compound two Ounces Treacle water and Bezoartick water of each an Ounce Powder of Pearl a Dram Syrup of Clove-Gillyflowers or of the Juice of Citrons two Ounces spirit of Vitriol twelve drops Make a Julape the Dose is three Ounces often in a day sometimes by it self sometimes with other Medicines CHAP. X. Of the Passions of the Heart and their Remedies AFter Cordial Medicines vulgarly though improperly so call'd it now follows for us to treat of the Passion of the Heart in which the Heart is really ill affected and therefore requires true Cordial Medicines Under that name two affects somewhat differing betwixt themselves are commonly denoted to wit The trembling of the Heart and its panting In both affects the motion or beat of the Heart seems to be disorderly and in a manner Convulsive but the irregularity of the first consists in the frequency of its Vibrations and of the other in their vehemency As to the Cure of the panting of the Heart since its Causes are various and manifold its Cure also must be various for what some affirm that those sorts of Remedies vulgarly call'd Cordials which are reputed to revive the Heart and to relieve it when ill affected are proper in any of all these Cases it is contrary both to reason and common experience We say then that the palpitation or panting of the Heart proceeds either from the fault of the Blood or of the Arteries belonging to the Heart If it happens through the fault of the Blood the chief intent of Curing must be to raise the Blood to a better Crasis it being then become too watery and unmeet for accension and fermenting and to exalt or encrease its active principles which are then depress'd or diminish'd for which end spirituous Medicines also saline Medicines of all kinds Sulphureous and especially Chalybeates conduce And to this place may be referr'd those things which are wont to be prescribed in the Pica or longing Disease in the Leucophlegmatia and in the cold Scurvy Take Conserve of Sea Wormwood the outward yellow Coats of Oranges and Limmons of each two Ounces Powder of Winters Barke two Drams Species of Diacurcuma a Dram Steel prepar'd with Sulphur three Drams Salt of Wormwood a Dram and a half with a sufficient quantity of Syrup of
Heterogeneous Particles may be subdued and soon evaporate the Operation of a Narcotick intervening puts a stop to these endeavours of the Praecordia and consequently retards the Purification of the Blood and sometimes disappoints it As to other Excrementitious humours usually heap'd together in the Ventricle or the Intestines these also must be purg'd forth by Vomit or Seige before an Opiat be given For otherwise being there fixt they will stick more pertinaciously For the Fibres of those parts being stupified by the Medicine are not irritated as before nor do they readily set upon excretory Convulsions for expelling those drossy superfluities or perform it with any vigour Wherefore according to the ancient Precept If any thing be to be Evacuated let it be done before a Narcotick be given The Kinds and Prescripts of Opiats THe safest Narcotick and which is generally approv'd of by long experience is the Poppy and preparations of it Wherefore as often as we endeavour effectually and safely to provoke sleep the whole stress of the Medicine is Plac'd in Opium or Diacodium As to the Heads of white Poppies with the Seeds out of which Diacodium also Decoctions Emulsions and other Hypnotick Confections are made it plainly appears that these have much less of a Narcotick Sulphur in them than the concreted Juice of Opium and what they have of it is much more pure and innocent Wherefore we give oftner and with more safety Medicines made of these nor ought we to use Laudanum but when through the violence of Symptoms Diacodiats will not serve Again since these have in them less of virulency they do not want much preparation but either a simple Decoction or Infusion or Expression being made of them they may be apply'd to Physical use Now Opium is seldom prescrib'd simply and by it self but is wont to be corrected and compounded after a various and diversifyed manner of preparation that it may become a safe Anodine The wild Poppy has a certain Hypnotick vertue but much more mild and gentle than that other wherefore in certain cases it agrees excellently well and we may be more secure as to its use Of this a Syrup and a distill'd water is always ready prepar'd in Apothecaries Shops which in many continual Feavers are often given with good success and they are judg'd to have a certain specifical virtue in Curing the Pelurisy because they take away pains and by putting some stay to the Pulse abate the Feaverish boiling of the Blood Moreover a Tincture is made of its Flowers Infus'd in Brandy which is a famous Medicine amongst Empiricks and good Women and is averr'd to be good against Surfeits The reason of which effect seems to be that the Spirit of Wine frees the Contents of the Stomack from putrefaction and the Narcotick force of the Flowers prevents the Invasion of the Feaver I shall now set down certain Select Forms of Narcoticks which I shall also digest into certain Classes according as the Opiats have for their Basis either the Syrup or distill'd water of the wild Poppy or Diacodium or Laudanum Extractum or Liquidum or Pilul de Styrace or de Cynoglosso or lastly Philonium Take the water of wild Poppies and Cowslip water of each six Ounces Syrup of red Poppies two Ounces Sal Prunella half a Dram mix them Make a Julape the Dose is three or four Ounces thrice a day in the Pleurisie Pains watching without a Feaver or any manifest Cause Take of Poppy water from four Ounces to six Let it be taken now and then by it self twice or thrice a day for the same intent Take Diacodium from half an Ounce to an Ounce Cowslip water three Ounces Treacle water three Ounces Make a Potion Take Carduus water three Ounces Diacodium half an Ounce Spirit of Hartshorn from half a Scruple to a Scruple Make a draught for procuring sleep and sweat Take Diascordium half a Dram Gascoins Powder a Scruple Diacodium two Drams mix them Let it be taken in a spoon Take Diacodium three Ounces Snail water an Ounce mix them It s proper in the Cough and Phthisick The Dose is a spoonful going to Rest and if need be take it again after Midnight Take London Laudanum a Grain Powder of Claws Compound from half a Scruple to a Scruple with a sufficient quantity of Syrup of Clove-Gillyflowers Make three Pills to be taken going to Rest Take Laudanum a Grain Stomack Pills with Gumms half a Dram Make four Pills to be taken going to rest in the Colick Take Laudanum from a Grain to a Grain and a half Diascordium a Scruple Make a Bolus instead of Diascordium you may put the Confection of Alkermes or of Hyacinth Take Laudanum a Grain dissolve it in a spoonful of Treacle water add of Cowslip water two Ounces Make a draught Take of our Liquid Laudanum tartariz'd twenty Drops give it in a spoonful of Aqua Mirabilis or of Cinnamon water or of any other fit Vehicle It s proper in Colick Nephritick or Gouty pains Take Species of Hiera half a Dram of the foresaid Laudanum twenty drops Make four Pills let them be taken going to rest for Purging and easing pains of the Colick at the same time Take Liquid Laudanum Cydoniated from fifteen Drops to twenty Give it in a spoonful of small Cinnamon water for the Flux Take Conserve of red Roses an Ounce Venice Treacle Confection of Hyacinth of each two Drams Pulvis Pannonici Rubri a Dram Laudanum Cydoniated two Drams Syrup of Coral what suffices Make an Electuary the Dose is a Dram every fourth or fifth hour in a violent Bloody Flux with Gripes Take Pilul de Styrace from five Grains to six Lac Sulphuris half a Scruple Oyl of Anniseeds a Drop Balsam of Peru what suffices Make three Pills to be taken in the Cough Asthma c. Take Pilul de Cynoglosso from six Grains to eight Make two Pills to be taken going to rest for the same intents Take Philonium Romanum from one Scruple to two Conserve of Clove-Gillyflowers half a Dram mix them Make a Bolus to be taken going to rest It s proper for the Colick in a cold temperament I shall now say something concerning the Effects of the great Anti-Hypnotick Coffee Coffee though in some cases it be very profitable and Physical in others it is hurtful and unwholesome for we see that great Coffee-drinkers become lean and are very often subject to be Paralytick and grow impotent for generation Yet as to Affects of the Brain and the Genus Nervosum I very often prescribe this Drink for them For indeed in very many Cephalick Diseases and Infirmities viz. in Head-aches Giddiness the Lethargy Catarrhs and the like where with a full habit of Body and a cold temperament or one that is not hot and a watery Blood there is a moist Brain with a sluggishness and dullness of the Animal Spirits Coffee has often a very good effect for being daily drank it wonderfully clears and
the Blood If haply those Organs being not so much seiz'd with Convulsions they can Cough out freely nevertheless they are still fore'd to Cough with violence and so long till theia strength fails them Though this Cough seldom kills or proves very dangerous yet it is very difficult to be Cur'd and oftner ceases of it self as the year changes then it is conquered by Medicines The reason is that we must not only in this as in an ordinary Cough alter the Blood and derive its drossy Excrements from the Lungs to the habit of the Body to be sent forth by transpiration but we must likewise take care to correct the Nervous Juice which in this case is vitiated with a Heterogeneous and Elastick matter which causes the Convulsive motions As to the Cure of this Disease the method of Curing us'd in other Coughs seldom proves successful in this whererore only Empirical Remedies are commonly Administred Amongst many Remedies of this kind the two following are usually preferr'd before all others whatsoever and are chiefly in use viz. to give inwardly Cup-moss and various preparations and compositions of it and if there be need of and further Cure the Child is to be put into some sudden fright And if these things work not the desir'd effect Ptisans Syrups Julapes or Decoctions and other Pectorals are laid aside and commonly all other Medicines are thrown by expecting till the Disease either ends of it self in process of time or be Cur'd by the succeeding change of the year Cup-moss so commonly us'd amongst us against Coughs of Children has an Astringent vertue as we find by its tast and contains Particles of a smart nature which denote a plenty of Volatile Spirits whence we guess its use to be to fix the Blood and to moderate the Fluxions of the Serum and likewise by Volatilising the Nervous Juice to take away its Convulsive disposition It s usually given in the form of a Powder Decoction and Syrup according to the following Forms Take Cup-moss Powdred a Dram Sugar-Candy a Scruple Mix them divide it into three or four parts take a Dose Evenings and Mornings with a fit Vehicle Take of the said Moss two Drams Lae Sulphuris two Scruples Powder of Anniseeds a Scruple Divide it into six parts give them after the same manner Take of the said Moss Dram boil it in a quantity of Milk sufficient for one Dose let the straining be taken Evening and Morning For those with whom Milk does not agree or to whom it does no good let a decoction of it be prepar'd in fountain water or Hyssop water or any other Pectoral water and let it be given to two or three Ounces twice a day sweetning it with Sugar or some proper Syrup Take of this Moss an Ounce boil it in two Pounds of some Pectoral Water till half be consum'd To the straining add of Sugar-Candy a Pound and let it evaporate in a gentle Bath heat to the consistency of a Syrup The other remedy commonly in use for the Cough of Children is to put them into some sudden fright as by setting them in a Binn when a Mill goes c. which sometimes Cures the Disense on a sudden the reason of which doubtless consists in this that the Animal Spirits being put to flights and driven into new distractions quit their former disorders and likewise that the Convulsive matter is either dissipated by that perturbation or driven into other Nerves where it proves less offensive The Empirical Cure of this Disease being thus set forth together with the Remedies vulgarly us'd and their Aetiologies at least probably explicated I shall now set down a certain rational method of Curing and haply more efficacious against these sorts of Coughs of Children Therefore in such a case I usually prescribe according to the Forms following and sometimes successively enough And First since we must begin with a Purge Take Syrup of Peach Flowers a spoonful Hysterick water a Scruple Mix them let it be taken Cum Regimine Or Take Calamelanos six Grains Scammony sulphurated Rosin of Jalup of each three Grains Make a Powder give it in a little pulp of preserv'd Cherries to a Boy of six Years Old and let the Dose be encreas'd or lessen'd according to the Age Let the Purge be repeated in six or seven days If the Patient as it often happens be prone to Vomit take Oxymel of Squills six Drams Salt of Vitriol four Grains Mix them give it to a Child six Years Old and according to this proportion let a Dose be accommodated to others I have known this kind of Vomit given every Morning for four or five days successively to have done well Blistering Plaisters are much us'd and let them be apply'd sometimes to the Nape of the Neck sometimes behind the Ears sometimes to the Insides of the Arms near the Armpits and as soon as the Sores in those places begin to heal let others be rais'd elsewhere Instead of Beer let the following Decoction be his ordinary drink Take China Roots and Ounce and a half all the Saunders of each half an Ounce shavings of Ivory and Hartshorn of each three Drams Let them infuse according to Art and boil them in six Pounds of fountain water till half be consum'd adding of Raisins ston'd an Ounce and a half Licorice three Drams Take Spirit of Gum Guaiacum with Sal Armoniack a Dram Syrup of Cup-moss three Ounces Hysterick water an Ounce The Dose is a little spoonful at Night and Early in the Morning Or Take Tincture of Sulphur two Drams The Dose is three drops at Night and early in the Morning in a spoonful of Syrup of Cup-moss To some persons of a hot Constitution and turning of a deep red or rather black colour with Coughing I have sometimes successfully ordered a Vein to be opened or that two or three Ounces of Blood should be drawn from them by Leeches Take live Millepedes cleans'd two Ounces Powder of Anniseeds a Dram Nutmegs haif a Dram double refin'd Sugar an Ounce Being bruis'd together pour to them of Hyssop water six Ounces Magistral Snail water two Ounces Stir them together a little with a Pestle and express it storngly the Dose is two or three spoonfuls twice a day Thus far of the Cough and its Cure whilst it is only an entrance to a Consumption now we must treat of this affect having pass'd the frontiers of this dangerous Disease and set down a method of Cure and forms of Medicines proper for Curing an Inveterate Cough viz. when either neglected or not easily yielding to Medicines it begins to degenerate into a Phthisick that is to say when it is come to that pass that the Blood being loosn'd in its Texture does not only pour the superfluous Serum but even the Nutritive and haply the Nervous Juice the Lympha and other its dreggy Excrements on the Lungs and deposes them within its Ductus's and withal that the depravation of the Lungs is by so much
Nervous Liquor A Boy about ten years of Age subject from his Infancy to be often troubled with a Cough has undergone of late years some great and tedious fits of that Distemper that is to say he is wont at times to fall ill of a hollow and shrill sounding Cough without Spitting which almost continually toyls him Day and Night and so tormenting him for many Days nay and Weeks it brings him to a very great weakness Afterwards the Course of the Disease being pass'd over which happens not till the store of Morbid matter be consum'd in a short time he becomes well enough again and as free as may be from any Distemper of the Thorax till the Morbifick matter as it seems being heap'd together again to a fullness without any evident cause the same affect returns and acts over its Tragedy again with its wonted severity About the time it first seizes the Cough usually troubles him only Mornings and Evenings afterwards the Distemper growing worse by degrees he often Coughs whole Days and Nights almost without ceasing and if at any time Sleep either happening of it self or being procur'd by Anodines gives some truce presently upon his waking a more violent fit of Coughing comes upon him After this manner Coughing very frequently and most vehemently without Spitting he continues ill for three Weeks or a Month till he be brought to a mighty leanness and an extream weakness and then the Distemper remits by degrees so that he Coughs somewhat more seldom and Sleeps indifferently shortly afterwards growing very hungry he soon becomes full of Flesh and vigorous and recovers in a short time his former Health These fits seldom trouble him in the Summer but in the rest of the year they return sometimes three or four times and put the Patient in great danger of his Life The cause of this Distemper is not the same as of a vulgar Cough in which a Serous humour distilling either slowly or in a plentiful manner from the Vessels of the Trachaea or of the Lungs into the Vesiculae or little Pipes of the Trachea induce the Symptoms that attend that affect for it plainly appears that in this the Ductus's of the Aspera Arteria are wholly free from any Serum or thick humour because the Cough which is always deep and sonorous throws forth nothing Nor does this Cough arise from the Blood forc'd into the Membranes of the Lungs because in this there is no Feaver Thirst nor Pain as in a Peripneumonia neither does its Morbifick matter seem to stick to the Nerves or Muscles ordain'd for breathing because then besides the Cough Asthmatick or Convulsive fits with a sense of choaking would sometimes follow which do not happen to our Patient I guess therefore that a certain Serous and sharp matter full of a Scorbutick taint falling from the Head by the conveyance of the Nerves enters the Nervous Fibres and Membranes of the Lungs or of the Trachaea and throughly cleaving to them increases by degrees to a fulness and at length growing angry and turgid through its perpetual irritation creates so troublesome a Cough When this affect once seizes it is wont to hold on its Course for a very long time in despite of all Remedies Pectoral Medicines commonly so called as Syrups Linctus's Eclegma's did little or nothing towards the Cure of this Disease though sometimes I have thought good to use them for making the Lungs slippery and to moisten them lest hap'ly they should be endangered to be torn asunder by the violence of the Cough and their Vessels to be broken for sometimes in a violent fit our Patient used to Cough forth a little Blood though no thick Spittle A gentle Purge in the beginning of this Disease has often done good as also in its declination Opening and Diuretick Medicines always work a good effect of both which he uses what suffices throughout the whole Course of his Distemper for his ordinary drink Evenings and Mornings he takes some drops of the Tincture of Sulphur with the Water of Snails lacteated I was forc'd sometimes to give late at Night a Dose of the mixture of Diacodium or of Liquid Laudanum In two of his fits he was Blooded from which he receiv'd no good In the last fit which beginning about the Autumnal Equinox pass'd over somewhat more lightly and gently the following method of Cure was observ'd First of all this Cathartick was given him and repeated after four days Take Calamelanos half a Scruple Rosin of Jalup four Grains Mix them make a Powder let it be taken in a spoonful of Syrup of Violets Take China Roots slic'd a Dram Grass Roots three Ounces Chervil Roots an Ounce Candied Eringo's six Drams shavings of Ivory and Hartshorn of each three Drams Raisins of the Sun ston'd three Ounces Boil it in three pounds of fountain water to two pounds strain it and let it be us'd for ordinary drink Take Syrup of Jujubes two Ounces Diacodium an Ounce Spirit of Sal Armoniack with Gum Ammoniacum a Dram Mix them the Dose is a spoonful going to Bed and early in the Morning He was much reliev'd by this Remedy though he took it only every other or every third day and sometimes in its stead a Dose of the Tincture of Sulphur with Syrup of Violets was given him The Disease declining he was purg'd twice and afterwards recovering by degrees he grew well enough within a fortnight But finding him subject not only to frequent relapses of Coughing but that each fit when it came upon him was irresistible and that its stay notwithstanding any use of Remedies was of long continuance and threatned nothing less than a Consumption I advis'd him that as well for preservation and in case the affect return'd as for Curing it he should Travel to a Region hotter than ours He took my advice and about the beginning of November went to Montpellier where passing half a year he had only two slight touches of illness Since being return'd to England he enjoys thanks be to God a perfect Health quite free from his Cough CHAP. II. Instructions and Prescripts for the Cure of Spitting Blood THe Indications for Curing a Spitting Blood are chiefly these two viz. First presently to moderate and stay the Flux of Blood And then in the Second place to heal the dissolution of Unity without leaving a Consumptive Putrefaction in the Lungs In reference to the First These two things are chiefly to be procur'd First That the Blood do not flow to the part affected Secondly That withal the Aperture of the Vessel be some way clos'd 1. To keep the Blood from flowing to the part affected many intentions of Curing must be set upon together viz. We must lessen the quantity of Blood moderate its fervent boiling alter its ill temper retard its motion or divert it another way For which ends Blooding Ligatures and Frictions most commonly do well Moreover Julapes Decoctions Emulsions and Juicy expressions of Herbs ought to be given
and likewise moderate Hypnoticks especially Diacodiats are taken with good success For these by putting a stay to the motion of the Heart allay the fervour of the Blood 2. To close the Aperture of the Vessel Astringent Remedies and Agglutinatives are most proper The chief of these are usually given in the Form of a Linctus so that some of its Particles in swallowing falling on the Aspera Arteria may more immediately communicate their vertue to the part affected But the way of this Operation seems to be of no great moment because the Efficacy of the Medicines reaches chiefly and in a manner only by the way of the Blood to the Root of the Disease Wherefore not only Lohoch's but likewise Decoctions Powders and Pills of Traumatick and Balsamick Ingredients are successfully prescrib'd The Second Indication which is for preservation having regard to the Cure of the dissolution of Unity without leaving any blemish in the Lungs ought to provide against two sorts of evils viz. That the Spitting Blood to which the Persons affected will be always subject does not return at times and that the Consumption which threatens all those that Spit Blood does not follow it For which ends in order to the prevention of this Disease we must take an assiduous care of or use a constant method of Cure to the Blood and Lungs 1. As to the Blood its Mass ought always to be kept in a due quantity a just temper and a gentle and continued motion Hence lest it abound too much or being affected with an evil temperament grows turgid or deposes impure dregs in the Brest we must sometimes use Bleeding and a gentle Purge an exact Form of Diet is always necessary Moreover drinking of Asses Milk or of Mineral Waters contribute sometimes egregiously to the purifying and sweetning of the Blood Again Decoctions Distill'd Waters Juices of Herbs which take away the Dyscrasies of the Blood and derive the Serum and other Impurities from the Lungs and carry them forth by Sweat or Urine must be diligently taken Issues also mightily conduce for this end 2. Nor must less care be taken of the Lungs themselves that their whole frame and especially the place affected be preserv'd in a due Conformation and right Tone Hence all violent motion by which Unity is farther dissolv'd or its restauration hindred is carefully to be avoided Let the Person live in a clear and brisk Air though it must not be too sharp and piercing Let him abstain from gross Food long Sleeps large Suppers and other errours in Diet which cause a Repletion or Obstruction in the Praecordia Besides this let Remedies be us'd which are said to Cure the Lungs by a peculiar or certain Specifick Vertue Having given you the method of Curing Blood Spitting I shall now set down some Select Forms of Medicines answering to each of the Therapeutick Indications and to the various intentions of Curing that belong to them And we justly give the precedency to those which encountring the most urgent Symptome presently stop the flowing forth of Blood cast out of the Lungs by a Cough or otherwise In the First rank of these Medicines we place those which hinder the Blood from flowing to the part affected and have a certain Astringency together with an Agglutinative Vertue by which the Aperture of the Vessel is clos'd and after a Glyster and Blooding unless the weakness of the Pulse and a deficiency of heat forbid it they are presently given in the form of a Julape Decoction Emulsion Juicy Expression Powder Pills and Lohochs I shall give you some of the choicest and most efficacious prescripts of each of these as also of Hypnoticks which nevertheless must not be us'd at random and indifferently but every of them methodically and seasonably according to the various Constitution of the Patient and Nature of the Disease as a prudent Physician shall direct 1. Julapes and distill'd Waters TAke the Waters of Purslain and red Poppies of each six Ounces Dragons Blood finely Powdred half a Dram Syrup of red Poppies two Ounces Spirit of Vitriol of Mars half a Scruple Mix them the Dose is three Ounces repeating it within five or six hours Take Plantain water a pound the Gums Tragacanth and Arabick Powdred of each half a Dram mingle them and dissolve them then add Syrup of dry'd Roses an Ounce and a half Make a Julape the Dose is three or four Ounces every third or fourth hour Take the Waters of Oak-buds red Roses and Nymphaea of each four Ounces Blood-stone very finely Powdred Bole Armeniack Powdred of each half a Dram Syrup of Nymphaea two Ounces Mingle them the Dose is three or four Ounces three or four times a day Take of the Dew or insipid Phlegm of Vitriol a pound Syrup of Myrtles two Ounces Mix them the Dose is two or three Ounces often in the day or in the night Take Cypress tops eight handfuls Willow Leaves or Flowers six handfuls Roots of the greater Comphrey and Nymphaea of each half a pound Balaustia two handfuls all being slic'd small together pour to them of fresh Milk eight pounds distil them in Common Organs The Dose is three or four Ounces thrice or oftner in a day Take of this distill'd water and of Plantain water of each half a pound the Gums Tragacanth and Arabick of each two Drams Dissolve them the Dose is three Ounces every third hour The following Mixture is prescrib'd by Frederick Deckers to be taken a Spoonful at a time and seems to be a good Medicine Take Plantain water two Ounces Cinnamon two Drams Confection of Hyacinth a Dram and a half distill'd Vinegar half an Ounce red Coral prepar'd half a Dram Balaustia Dragons Blood of each half a Scruple Laudanum Opiatum three Grains Syrup of Myrtles an Ounce Mingle them Take the Waters of Plantain red Roses and Purslain of each four Ounces Blood-stone and Dragons Blood reduc'd into a fine Powder of each half a Dram Sugar Candy six Drams Make a Julape A Solution of common Vitriol or of Vitriol of Mars made in fountain water and apply'd to a Wound with a rag excellently stops all Fluxes of Blood but it is not proper to be given inwardly 2. Decoctions Tinctures and Emulsions TAke Leaves of Blood-wort Perwincle Mous-ear Plantain Wood-sorrel both sorts of Daisies of each a handful Flowers of red Roses half a handful Barley half an Ounce Raisins two Ounces boil them in three pounds of Water in which red hot Iron has been quench'd till it comes to two pounds add to the straining Syrup of St. Johns wort two Ounces or of Mous-ear Make an Apozeme the Dose is four or six Ounces thrice a day Take Leaves of St. Johns wort Roots and Leaves of Tormentil great Burnet Meadow-sweet of each a handful Seeds of Purslane Plantain and Sorrel of each a Dram Conserve of red Roses half a pound fountain water four pounds Let them boil close in B. M. for twelve hours to the straining add
Spirit of Vitriol of Mars half a Scruple take it after the same manner Take Barley water with madder Roots boil'd in it a pound and a half Put into it when grown pretty cold of red Rose Leaves a handful Add Spirit of Vitriol a Scruple let there be a close and warm infusion for three hours Make a Tincture to the straining add Syrup of the Juice of St. Johns wort an Ounce and a half Take three or four Ounces thrice or four times in a day Take of the Decoction of the Roots of fresh Nettles a pound and a half Seeds of white Poppies and of Henbane of each two Drams Melon seeds pill'd six Drams Make an Emulsion according to Art sweetned with Sugar Penids The Dose is three Ounces three or four times a day 3. Juices of Herbs and Juicy Expressions TAke Juice of Plantain Leaves half a pound Let two or three Drams be taken thrice a day with three Ounces of the distill'd Water above written and sweeten it at pleasure Take Leaves of fresh Nettles Plantain the lesser Daisy of each three handfuls being bruis'd together pour to them of Purslain water six Drams Wring it forth hard take it as the former 4. Powders and Pills TAke Powder of Blood-stone of Dragons Blood ground on a Marble with Rose-water and of Pearl of each a Dram Bole Armeniack Terra Lemnia of each half a Dram Troches of Winter Cherries two Drams Make a Powder divide it into twelve parts let one part be taken thrice a day with the distill'd water above written Take of the Seeds of Henbane and white Poppies of each ten Drams Terra Sigillata red Coral of each five Drams Sugar of Roses three Ounces Make a Powder the Dose is a Dram Morning and Evening This Composition brought into a soft Consistency with some proper Syrup is call'd Helidaeus's Electuary so Famous heretofore in Germany The foresaid Powders may also be made into convenient Pills and Tablets by adding the Solution of Tragacanth or some fit Syrup The spungy Excrescency usually growing to the fruit of the Dog-Rose Tree made into Powders and given twice a day to the quantity of half a Dram is a very good remedy in spitting Blood Take Yarrow bruis'd and dry'd in the Summer Sun what you think good Make it into a fine Powder and keep it in a Glass for Vse The Dose is from half a Dram to a Dram twice a day in a fit Vehicle The Powder of Julius Caesar Scaliger or rather of Serapion is mightily commended The Dose is four Drams twice or thrice a day 5. Lohoch's and Electuaries TAke Conserve of red Roses and of the Dog-Rose of each two Ounces Powder of the Seeds of the white Poppy and of Henbane of each two Drams Species Diatragacanthi frigidi a Dram and a half Blood-stone Sanguis Draconis prepar'd of each half a Dram Syrup of red Poppies what suffices Make an Electuary let the quantity of a Chesnut be taken Evenings and Mornings and at other times suck it with a stick of Licorice Take Conserve of the Flowers of great Comphrey and of Water-Lillies of each an Ounce and a half Troches of Winter Cherries and Diatragacanthum frigidum of each a Dram and a half Syrup of Jujubes what suffices Make a soft Lohoch of which take often with a stick of Licorice Take of the White of an Egg well beaten two Drams Lucatellus's Balsam half an Ounce Troches of Winter Cherries two Drams Syrup of red Poppies what suffices Make a soft Lohoch take the quantity of a Chesnut Morning and Evening The Second Indication being for preservation suggests to us those Remedies which keeping the Blood in a just temper and the Lungs in a due Conformation provide against a relapse of Spitting Blood and an ensuing Consumption such as regard the Blood are either gentle Evacuatives by Seige Urine and Sweat or meer Alteratives Every one of these are wont to be prescrib'd either in the Form of a Drink Powder Electuary or Pills We shall set down some Select Forms of some of the chief of them 1. As to Evacuatives a gentle Purge may sometiems be ordered after this manner Take of the best Sena three Drams Cassia bruis'd with the Fistula an Ounce Tamarinds three Drams Coriander-seeds a Dram and a half Boil them in a sufficient quantity of fountain water to fix Ounces to the straining add Syrup of Cichory with Rhubarb an Ounce Clarify it with the White of an Egg. Or Take Gereons Decoction of Senna four Ounces Purging Syrup of Apples an Ounce Mix them and make a Potion For preserving the Blood in a good temper and that its dreggy Excrements deriv'd from the Lungs may be continually discharg'd by Sweat and Urine the following Alteratives or some of them must be constantly taken which being also of a healing Nature relieve Lungs that are infirm or dissolv'd in their Unity For ordinary Drink let it be pure Water especially in a hot Constitution or water a little ting'd with Claret Wine Those with whom this Drink does not agree may use with as good success a Bochet of China and Sarsa with the shavings of Ivory Hartshorn and white Saunders in it or sinall Beer or Ale with the Leaves of Harts Tongue Oak of Hierusalem and the like infus'd in it Let Pectoral Decoctions or Hydromels with temperate Traumatick Herbs be taken twice or thrice a day to six or seven Ounces Take Roots of fresh Nettles and Chervil of each an Ounce Leaves of Harts Tongue Speedwel Mous-ear Ground Ivy St. John's-wort of each a handful Boil them in three pounds of fountain water to two pounds adding Raisms stone'd an Ounce and a half Licorice two Drams to the straining add Syrupus Byzantinus two Ounces Clarifie it with the White of an Egg Make an Apozem to be taken to four or six Ounces twice or thrice a day for a Month. In a cold or Phlegmatick Constitution the Licorice and Raisins being omitted with the Syrup add towards the end two Ounces of the best Clarified Honey strain it and keep it for use The Dose is the same as the former Let these things sometimes be taken betwixt whiles with a distill'd water appropriated to the same end which also may be more frequently taken by some Persons to whom Apozems are nauseous and loathsome Take Cypress Tops Leaves of ground Ivy of each six handfuls Snails half boil'd a pound and a half All the Saunders bruis'd of each an Ounce Being slic'd and bruis'd pour to them of new Milk eight pounds distil it with common Organs The Dose is three or four Ounces with a spoonful of Syrup of the Juice of ground Ivy twice a day 2. In respect of the Lungs viz. that the Union of its parts and the due Conformation of the whole may be preserv'd without any obstruction or opening of its Vessels temperate Balsamicks are of chiefest use For this end Lucatellus Balsam is perscrib'd even by the vulgar to be taken constantly and for a
and Baum of each four Ounces Powder of a Boars Tusk a Dram Syrup of Violets ten Drams Make a Julape and take it after the same manner Take Grass Roots three Ounces shavings of Ivory and Hartshorn of each three Drams Raisins ston'd an Ounce and a half Licorice two Drams boil them in three pounds of fountain water to two pounds to the straining add Syrup of Violets an Ounce Sal Prunella a Dram Make an Apozeme take to three or four Ounces thrice a day For the same Intention viz. that the emptied Vessels may withdraw the matter maintaining the Disease or may drink up again the Morbifick matter it self a Purge also is prescrib'd by some In the Practise of the Ancients it was a thing in constant use after bleeding to Order Preparatives and Purgers against this Disease as well as against most others And Chymists of late with a greater confidence give Vomits and cry them up before all other Remedies in a Peripneumonia Nay further neglecting bleeding or forbidding it they lay the chief stress of their Cure in Antimonial Emeticks though I know not whether any thing can be imagin'd more pernicious than that their rash proceeding In rustick and robust Bodies sometimes this Medicine is given without harm but in tender Constitutions it may be reckon'd little Inferiour to poyson And as to purging though it be not proper in the very beginning but in a manner always does harm yet the Morbifick matter ceasing to flow to the part and the effervescence of the Blood being appeas'd you may empty the Body gently with a Purging Medicine Take Gereons Decoction of Sena four Ounces Syrup of Roses Solulutive and Ounce Mix them make a Potion Take the best Sena three Drams whole Cassia Tamarinds of each half an Ounce Coriander-seeds two Drams Boil them in a sufficient quantity of fountain water to six Ounces to the straining add Syrup of Violets an Ounce Clarifie it with the White of an Egg and give it Let not Purges be given always nor ever in this Disease without consideration but Glysters must be given frequently nay for the most part every day but let them be only Lenitive and Emollient so that they gently loosen the Belly without much stirring the Blood and Humours For this end Milk or Whey with brown Sugar or Syrup of Violets often do well Or Take the Leaves of both Mallows Melilot and Mercury of each a handful Linseed and sweet Fennel-seeds of each half an Ounce sweet Prunes in number six Boil them in a sufficient quantity of fountain water to a pound to which add Syrup of Violets an Ounce Sugar ten Drams Sal Prunella a Dram Make a Glyster 3. Medicines for the Third Intention viz. For dissolving the clamminess of the Blood are usually given in the Form of a Powder Spirit Draught or Bolus according to the Forms following 1. Powders TAke Crabs Eyes powdred two Drams Sal Prunella a Dram and a half Sugar of Pearl a Dram Make a Powder divide it into six parts take one every sixth hour with some proper Julape or Apozeme Take Powder of a Boars Tusk or of the Jaw-bone of a Pike Crabs Eyes of each a Dram and a half Flowers of Sal Armoniack Powder of red Poppy Flowers of each half a Dram Mix them for four Doses 2. Chymical Spirits and Liquors TAke Spirit of Sal Armoniack distill'd with Olibanum three Drams The Dose is from twelve to fifteen or twenty Drops thrice a Day Take Spirit of Vrine or of Soot three Drams give it after the same manner Take Spirit of sweet Nitre viz. often Cohobated with Spirit of Wine three Drams The Dose is from six drops to ten after the same manner Take Spirit of Tartar half an Ounce The Dose is from fifteen drops to twenty or twenty five with a fit Vehicle Take of the simple Mixture an Ounce The Dose is from a Scruple to half a Dram after the same manner 3. Draughts TAke Carduus water a pound fresh Horse-dung three Ounces dissolve it warm and filter it The Dose is three or four Ounces twice or thrice a day adding Syrup of Violets or of red Poppies half an Ounce Take Leaves of Dandelion two handfuls being bruis'd pour to them Water of Ladies Thistle half a pound Treacle water half an Ounce Wring it forth hard to which add Powder of Crabs Eyes a Dram take four or six spoonfuls thrice a day The Fourth Intention of Curing having regard to the most urgent Symptoms suggests to us various preparations of Medicines 1. In respect of the Feaver the Julapes and Apozems before set down are proper Moreover you must frequently use Sal Prunella 2. For the Cough and difficulty of Breathing Linctus's Lohochs and Decoctions or Pectoral Julapes are given with success Take Syrup of Jujubes of Maiden-hair of each an Ounce and a half Syrup of Violets an Ounce Flowers of Nitre a Scruple Make a Linctus to be taken now and then with a stick of Licorice Take Syrup of Dialthea an Ounce Diacodium Syrup of red Poppies of each half an Ounce Crabs Eyes finely powdred two Scruples Make a Linctus to be taken as the other Take Syrup of Hyssop of Licorice of each an Ounce and a half Powder of red Poppy Flowers a Scruple Crabs Eyes a Dram Lohoch de Pino six Drams Mix them make a Lohoch of which take the quantity of a Nutmeg four times or oftner in a day Take Roots of Grass Chervil Marsh-mallows of each an Ounce Figgs in number four Jujubes Sebestens of each in number six Raisins of the Sun an Ounce Licorice three Drams Barley half an Ounce boil them in three pounds of fountain water to two pounds Strain it the Dose is three or four Ounces Take Raisins ston'd an Ounce and a half Filberts slic'd in number four Licorice slic'd three Drams hyssop-Hyssop-water a pound and a half Make a close and warm Infusion according to art for six hours to the straining add Syrup of Althea an Ounce and a half Make a Julape the Dose is three or four spoonfuls often in a day swallowing it down by little and little 3. Against want of Sleep Take of red Poppy water three Ounces Syrup of the same six Drams Plague water two Drams Make a draught to be taken going to Bed It the Pulse be strong and the strength holds Take Cowslip water three Ounces Syrup of Meconium half an Ounce Mix it and drink it going to Bed 4. If the pain be pressing about the part affected Take of the Oyntment of Marsh-mallows two Ounces Oyl of sweet Almonds an Ounce and a half Mix them for a Liniment to be apply'd with thin Lawn Paper Take Oyntment of Marsh-mallows and the Pectoral Oyntment of each an Ounce and a half Oyl of Linseed fresh drawn a Dram to which add of the Emplaister of Mucilages what suffices Make a Plaister for the Region of the Brest to be apply'd on the part affected Fifthly For the last Intention of Curing
or Alkalisate Salt destroy the Combinations entred into by the Acid sixt and otherwise Morbifick Salts with other more gross Particles In which respect the Eyes and Claws of Crabs the Tusk of a Boar the Stone of Carps the Jaw-bone of a Pike the Bone in the Heart of a Stag the Pisle of a Deer Sal Prunella Salt of Coral the Volatile Salt of Urine or of Hartshorn Powder of Goats Blood Infusion of Horsedung Spirit of Hartshorn of Sal Armoniack Spirit of Tartar Mixtura Simplex Bezoartick Mineral Antimony Diaphoretick Flowers of Sal Armoniack are very famous Remedies in the Pleurisie The Third and Vital Indication which takes care that the strength and Vital heat be preserv'd in their due Tone and State during the Course of the Disease prescribes principally a fit Diet and likewise Cordial Remedies and Anodines and things which seasonably afford Relief to other Symptoms if haply they present First in a true Pleurisie you must order a most thin Diet viz. consisting of meer Oat and Barley-meats and for ordinary drink Ptisan or Posset-drink is more proper than Beer alone though in a mignty thirst this also may be allow'd in a moderate quantity Moreover to quench thirst Julapes Apozemes and Emulsions may be taken at set times to all which let Sal Prunella be added Secondly let only temperate Cordials be given which may gently refresh the Animal Spirits and not add to the Accension of the Blood which burns before too fiercely For these intents the Waters of Ladies Thistle Carduus Benedictus Bawm Borage Cowslips and Black-Cherries are usually given with good success to which the Powders of Pearl and Coral may be added Thirdly Anodines must be used both inwardly to procure sleep if at any time it be very much wanted as also outwardly to ease the pain of the side The most usual things of the former kind are the distill'd water Syrup and Powder of the red Poppy which are accounted Specificks in the Pleurisie as well as in the Peripneumonia Moreover when a very acute pain and watchings press very much we may give also Diacodiats Against Pains Oyntments Fomentations Cataplasms and sometimes the warm Inwards of Animals newly kill'd are proper to be applyed I shall now give you Select Forms of Medicines adapted to each of these Indications First Therefore about the beginning of the Disease to take away the Inflammation Julapes Apozemes Powders Glysters and gentle Purges are wont to be prescrib'd Take Water of Ladies Thistle eight Ounces Water of red Poppies four Ounces Syrup of the same an Ounce Sal Prunella a Dram Make a Julape the Dose is two or three Ounces every third hour Take Grass Roots four Ounces Barley half an Ounce parings of Apples a handful Raisins of the Sun an Ounce Licorice two Ounces boil them in three pounds of fountain water to two pounds To the cleer straining add Syrup of Violets an Ounce and a half Sal Prunella a Dram and a half Make an Apozeme the Dose is two or three Ounces often in a day Take Sal Prunella two Drams Flowers of Nitre a Dram Powder of the Flowers of red Poppies two Scruples Sugar Candy four Scruples Make a Powder the Dose is half a Dram three or four times a day Take of the Decoction of Mallows Roots and all together with sweet Prunes a pound Syrup of Violets three Ounces Sal Prunella a Dram Make a Glyster Take of whole Cassia bruis'd two Ounces Tamarinds an Ounce white Rose Flowers a handful Coriander-seeds two Drams boil them in a sufficient quantity of fountain water to a pound To the straining add Syrup of Cichory with Rhubarb two Drams Clarify it with the White of an Egg the Dose is five or six Ounces in the Morning for two or three days one after the other Secondly To dissolve the clamminess or coagulating Viscousness of the Blood the following things are of use viz. in the Form of a Drink Powder and Spirit Take fresh Horsedung four Ounces Carduus water a pound and a half make a close and warm Infusion for two hours then filter the Liquor to which add Syrup of the Juice of Dandelion or of Cichory two Ounces Spirit of Sal Armoniack a Dram give five or six spoonfuls three or four times a day For this end Water of Horsedung does admirably well Take Horsedung four pounds Leaves of Carduus Benedictus Ladies Thistle Scabious Pimpernel of each three handfuls being slic'd and mixt together pour to them of fresh Milk six pounds distil them with common Organs The Dose is two or three Ounces either alone or with other distill'd Waters in the Form of a Julape For the same use the Tinctures or Solutions of other Dungs are given by some Physicians and are highly magnifyed by them Helmont deservedly commends in the Pleurisie the Dung of an Ox Panarolus Pidgeons Dung others the White of Hens Dung Epiphanius Ferdinandus usually gave with good success in the Pleurisy the Decoction of Tobacco macerated in new Wine Valeriola used the Decoction of the Flowers of red Poppies as a try'd and familiar Remedy Sylvius prescribes the following mixture to be taken one spoonful after another by little Intervals of time Take the waters of Stone-Parsly and Hyssop of each two Ounces fennel-Fennel-water an Ounce simple Treacle water half an Ounce Laudanum Opiatum four Grains Sal Armoniack half a Dram Syrup of red Poppies an Ounce Mix them To this composition Frederick Deckers adds Powder of Crabs Eyes and Bezoartick Mineral of each a Scruple Medicines very efficacious for this use are wont to be given in the Form of a Powder for Example Take Powder of Crabs Eyes two Drams Sal Prunella a Dram and a half red Poppy Flowers half a Dram Mix them make a Powder the Dose is half a Dram three or four times in a day with a fit Vehicle Instead of Crabs Eyes you may use the Powder of the Jaw-bone of a Pike or of a Boars Tusk or of a Stags or Bulls Pisle and if these do not succeed you may try what follows Take Antimony Diaphoretick or its Ceruse or Bezoartick Mineral two Drams Volatile Salt of Hartshorn half a Dram Powder of red Poppy Flowers two Scruples Make a Powder the Dose is a Scruple or half a Dram thrice or oftner in a day It is for the same Intention of Curing that Riverius gives Powder of Chimney Soot from half a Dram to a Dram and that others give the Powder of Pigeons or Hens Dung Nay farther according to this Analogy by which the Dungs of Animals stor'd with a Volatile Salt give relief in this Disease its probable that the Dung of a Dog may prove no less successful in Curing the Pleurisie than in the Squinancy and so much the more likely because these Diseases often interchange their Types and the one assumes the likeness of the other Chymical Liquors endow'd with a Volatile Salt sometimes also work great effects in the Pleurifie Take Spirit of Blood two Drams Red
Poppy water three Ounces Syrup of the same an Ounce Mix them give a spoonful of it every other while Take Spirit of Sal Armoniack distill'd with Olibanum three Drams the Dose is from twelve drops to fifteen or twenty three or four times a day in a fit Vehicle After the same manner you may give Spirit of Vrine of Soot or of Hartshorn Take Spirit of Tartar three Drams The Dose is a Scruple in a fit Vehicle Take Mixtura Simplex three Drams The Dose is from a Scruple to half a Dram. 3. As to the Third Indication besides a thin Diet Cordial Remedies and Anodines are prescrib'd Forms of the former kind may be supply'd by the Julapes and Apozemes prescrib'd for the first Indication and by the Spirits and Powders for the Second Inward Anodines to be given in Watchings and in a very Intense pain are prescrib'd according to the Forms following Take red Poppy water two Ounces Syrup of the same six Drams Spirit of Hartshorn twelve drops Make a draught to be taken going to Bed If we must go higher Take Carduus water two Ounces Diacodium from three Drams to half an Ounce or six Drams Spirit of Sal Armoniack with Frankincense half a Scruple Make a draught Sometimes though rarely its necessary to rise to Laudanum's which being seasonably given have a mighty good effect inasmuch as they procure Sleep and move Sweat and Vrine Take water of Cowslip Flowers two Ounces Laudanum Tartariz'd from sixteen drops to twenty Spirit of Blood half a Scruple Syrup of Violets two Drams Mingle them make a draught Outward Anodines are usually prescrib'd in the Form of an Oyntment Fomentation and Cataplasm Take Oyntment of Marsh-Mallows two Ounces Oyl of sweet Almonds an Ounce Album Graecum two Drams Mix them by braying them together Take of the Emplaister of Mucilages two Ounces and a half Malax it with Oyl of Linseed and let it be apply'd upon Lawn Paper Take the tops of Both Malbows Leaves of Mercury and Beets of each three handfuls Boil them in a sufficient quantity of fountain water let the straining be us'd for a Fomentation Take the remaining faeces of the Herbs after the Liquor is wrung forth and being bruis'd add to it of Oat-meal six Drams Linseed Fenugreek-seeds of each two Ounces Oyntment of Marsh-Mallows two Ounces Make a Cataplasm I need not go far for Stories and Instances of persons troubled with the Pleurisie for I have a notable Example of this Disease now under Cure viz. a very fine young Woman subject most frequently and as it were habitually to that affect is committed to our care This Virgin who is very fair of a Sanguine Complexion but of a weakly Constitution has been wont for many years past upon every slight occasion viz. upon taking Cold or by errours in any of the six nonnatural things nay sometimes upon the meer change of the Season or of the Air to fall into a Feaver presently accompanied with pains of the Pleura a Cough and a difficulty of Breathing and for the most part horrible Convulsions following them She has been taken so very ill formerly of this Distemper that she has been often forc'd to keep her Chamber six Months or more every year but of late though she be not freed from this affliction yet she is seldomer tormented with it The last year she was pretty well all the Summer and well near all the Autumn about the beginning of Winter she fell sick of that Disease and now towards the end of it is fallen ill again The Pleuritick pain constantly possesses the right side where the Blood sticking and being extravasated in its passage about the Intercostal Muscles the Irritated Fibres commence a most tormenting pain together with a Convulsive motion of Coughing which they reiterate almost perpetually In the mean time the Lungs being found enough and open in their passages readily convey the Blood as clammy as it is without any lett or stay which often is the cause of a Peripneumonia No Remedies are wont to do good to this person without Bleeding which is always so particularly necessary that every time she is ill we are forc'd even whether we will or no to repeat it two or three times nay sometimes oftner The Blood emitted has constantly a Viscous and whitish Film on its surface This Disease was always a simple Pleurisie without any Peripneumonia and for its Cure she constantly us'd the following method with success Take Spirit of Sal Armoniack with Gum Ammoniacum three Drams give from fifteen drops to twenty thrice a day with the following Julape Take Carduus water Black-Cherry water of each six Ounces Hysterick water a Dram Sugar six Drams Betwixt whiles she took a Dose of Powder with three Ounces of an Apozeme Take the Powders of Crabs Eyes of a Bores Tusk of Sal Prunella of each a Dram Make a Powder divide it into six parts Take Grass Roots three Ounces Candied Eringo's an Ounce shavings of Ivory and Hartshorn of each two Drams parings of Apples a handful Raisins of the Sun an Ounce Boil them in three pounds of fountain water to two pounds add to the straining Syrup of Violets an Ounce Sal Prunella a Dram Mix them make an Apozeme Glisters of Milk with Syrup of Violets were administred sometimes every day and sometimes every other day if at any time Opïats though never so gentle were given her to allay pain commonly afterwards an aking and heaviness of the Head and Convulsive Affects most sorely tormented her CHAP. V. Instructions and Prescripts for the Cure of an Empyema BY the word Empyema according to its usual acceptation is denoted a Collection of Pus or corrupted matter within the Cavity of the Thorax by which the Organs of Respiration are opprest That Pus commonly flowing thither either from a Pleurisie or a Peripneumonia and sometimes haply from a Squinancy suppurated and broken As to the Cure of an Empyema we must in the First place consider whether the signs of this Disease as to the reality of its present Being be certain or doubtful if certain there will not be much need of Physick but only the Body being prepar'd you may presently proceed to open the side Therefore if after a Pleurisie or Peripneumonia not rightly Cur'd or after an inward effusion of Blood occasion'd by a stroak fall or wound there be perceiv'd a floating of Pus or of corrupted or bloody matter within the Cavity of the Thorax and this with little or no Spitting we need no longer think of Maturating or Expectorating Medicines but the Belly being loosen'd and the Blood and humours duly qualified by Julapes Apozemes and Anodines either order a bare Incision or in tender and timorous persons First let a Cautery be apply'd betwixt the sixth and seventh Vertebrae and after the Eschar being rais'd let the Incision Knife be entred obliquely towards the hinder and upper parts and that leisurely and by little and little till it penetrate
Preservatory The First teaches what is to be done in the Fit to free the Patient from present danger the other what out of the Fit to take away the Cause of the Disease 1. In the Fit there are two chief Intentions of Curing viz. First That care being taken as well of the Air as of the Lungs a more free Breathing be procur'd at least as much as may suffice to support Life And Secondly That the Organs of Respiration be reclaim'd and made to cease from the Convulsions they are fallen into and which are wont to be continued with obstinacy As to the former in the First place let the Patient be set in an upright Posture of Body in a pretty open place somewhat Airy and free from Smoak and the Breath of By-standers then endeavour that the Lungs being freed of all inward stuffing and oppression as well as outward compression may be able to draw and return the Breath deeper For these ends lest the weight of the inferiour Viscera press down and straiten the Praecordia let the Belly be loosen'd by a Glister and let the Garments and all other things covering or binding the Thorax be slacken'd Moreover since in this case the Lungs are usually opprest either from the Blood growing too turgid within the Pneumonick Vessels or from the Serum distilling forth of the Arteries and Glands into the Ductus's of the Trachea the Sallies and Impetuosities of both humours ought to be restrain'd and appeas'd Hence if the strength will bear it and the Pulse be strong enough Bleeding is often proper Again let those things be carefully given which discharge the Serum and the superfluities of the inflamed Blood by Urine and Sweat For which end Julapes Apozems and Pectorals commonly so call'd are of excellent use Moreover Powders of shells preparations of Millepedes Volatile Spirits and Salts are taken with good effect In the mean time let there be likewise given things that open the Ductus's of the Trachea and make them slippery and provoke expectoration and such also if need be as stop the Catarrh distilling on them for which ends Linctus's Lohoch's Pectoral Decoctions and Suffumigations are proper As to the other intent of Curing in Fits of the Asthma viz. That the Organs of Respiration being reclaim'd from the Convulsions they are fallen into return calmly to their ordinary Functions unless this follows of its own accord after that the turbulent boiling of the Blood and Serum within the Lungs is appeas'd We must use Anti-Convulsive and Anodine Remedies for Medicines wont to be given in Hysterick passions are also proper in a Convulsive Asthma The Spirit of Hartshorn of Soot and especially Spirit of Sal Armoniack distill'd with Gum Ammoniacum also the Tincture of Gum Ammoniacum of Sulphur Castoreum Assa-foetida the Syrup of Ammoniacum of Sulphur Oxymel of Squills and the like which being of an ungrateful tast or smell dissipate the Spirits as it were and withdraw them from tumultuary Efforts prove sometimes of notable use But if the raging Spirits cannot be appeas'd by this means we must come to Narcoticks that some of them being destroyed the rest may return into order For Opiats sometimes are mighty beneficial unless a stopping of the Lungs and a great oppression of the Praecordia forbid their use In horrible sits of this Disease when other Medicines have availed nothing I have often given Diacodium nay Laudanum Tartariz'd with good success Nevertheless these may not be taken without great caution for Respiration which is difficult and clogg'd before being hindred more and that very much by them they often put the Patient in danger of Life Moreover to reclaim the Pnenmonick Spirits from their Convulsions its good sometimes to put the Spirits to torture in some other part for when some of them are any where tormented all the rest for the most part being in a concern at it quit their disorderly motions Wherefore Vesicatories Cupping-glasses Ligatures and Painful Frictions give relief Nay for this reason Vomits taken in the midst of the fit do good I shall now set down certain Select Forms of Remedies appropriated to each of those ends First therefore to restrain the Fluxions of the Blood and Serum and to discharge their superfluities deriv'd from the Lungs by Sweat and Urine let the following things be prescrib'd Take Leaves of ground Ivy eight Ounces Rue Penny-royal and Dragons of each two Ounces Sal Prunella a Dram and a half Srrupus Byzantinus Syrup of red Poppies of each an Ounce Mix them make a Julape let three or four Ounces be taken thrice or oftner in a day Take Grass Roots three Ounces Roots of Butchers-Broom two Ounces Candied Elecampane an Ounce and a half Barley half an Ounce Raisins of the Sun an Ounce Boil them in three pounds of fountain water to two pounds to the straining add of Sal Prunella a Dram and a half sweeten it if it be needful with a sufficient quantity of Syrupus Byzantinus or of Syrup of Violets Take Tincture of Sulphur three Drams The Dose is from six drops to ten at Night and early in the Morning in a spoonful of the Syrup of the Juice of Ivy or of Violets Take Feculae of Aron and Briony of each a Dram and a half Flowers of Sulphur a Dram Flowers of Benzoin half a Dram Sugar Candy half an Ounce Licorice two Drams Make a Powder to be taken to half a Dram or two Scruples twice a day with the foregoing Julape or Apozeme Or Take of the foresaid Powder two Ounces Honey or Oxymel what suffices Make a Linctus take at Night and early in the Morning about half a spoonful at other times take it with a stick of Licorice Take Syrup of Hore-hound and of Garlick of each an Ounce and a half Tincture of Saffron and of Castoreum of each two Drams Mix them take about a small spoonful in the fits Take Spirit of Sal Armoniack with Gum Ammoniacum three Drams the Waters of Snails and of Earth-worms of each three Ounces Syrup of Horehound two Ounces Mix them take a spoonful once in four or five hours Take Powder of Hedg-mustard or of ground Ivy gathered in the Summer Sun an Ounce Oxymel simple what suffices Make a Linctus So much concerning the Medicines and method requisite in a fit of the Asthma The other Indication which is for preservation undertaking to remove the Morbifick cause and the whole Morbid Root has two parts or distinct Intents of Curing which for the most part are both set upon together one of these endeavours to amend the Conformation of the Lungs if it be any way prejudiced or faulty and the other to take away the Irregularities of the parts for motion and of the Spirits appointed for them Both these Intents will very well be answered if Pectoral Remedies commonly so call'd are joyn'd with Anti-Convulsives and are us'd interchangeably with other Medicines which have regard to the preparation of the whole Body and to Emergent Symptoms for which
ends the following Method and Forms of Medicines may be us'd Take Aloe Rosata a Dram and a half Flowers of Sulphur a Dram Salt of Amber half a Dram Tar what suffices Make Pills in number twenty four take four in the Evening every Night or every other or third Night Or Take Gum Ammoniacum and Bdellium dissolv'd in Vinegar of Squills of each half an Ounce Flowers of Sulphur three Drams Powder of the Leaves of Hedg-mustard and of Savory of each half a Dram with a sufficient quantity of Syrup of Diasidphur or of Oxymel of Squills Make a Mass form it into little Pills and take three every Evening Or Take Millepedes prepar'd two Drams Flowers of Benzoin half a Dram Salt of Amber two Scruples Extract of Elecampane half a Dram Castoreum half a Dram Saffron a Scruple Venice Turpentine what suffices Make a Mass and form it into small Pills take four every Evening and Morning unless when you Purge If Pills are not grateful or the foresaid Medicines will not do then let the following be try'd to free the Lungs from obstruction Take Spirit of Gum Ammoniacum distill'd with Sal Armoniack three Drams Syrup of the Juice of Ivy three Ounces Magisterial water of Snails and of Earth-worms of each an Ounce Tincture of Saffron two Drams Mix them take a spoonful going to Bed and early in the Morning Or Take Tincture of Gum Ammoniacum three Drams The Dose is from fifteen Drops to twenty in a spoonful of Oxymel or Syrup of ground Ivy. Or Take Tincture of Sulphur three Drams The Dose is from seven Drops to twelve or twenty at the same hours with a fit Vehicle After the like manner also other Spirits endow'd with a Volatile Salt and mixt with Pectoral Syrups and Cephalick waters may be usefully prescrib'd Morning and Evening Instead of a Mixture or Asthmatical Julape of distill'd waters of the shops the following Magisterial may be prepar'd to be us'd frequently and upon several occasions Take Roots of Elecampane Florentine Orris Angelica Masterwort of each four Ounces of Briony a pound Leaves of white Horehound Hyssop Savory Penny-royal ground Ivy of each four handfuls fresh Juniper and Ivy Berries of each a pound Lawrel Berries half a pound Seeds of sweet Fennel Caraway Annise Lovage Dill of each an Ounce Cubebs two Ounces long Pepper Cloves Mace of each an Ounce all of them being slic'd and bruis'd pour to them of Brunswick Beer eight pounds distill them with common Organs Let the whole Liquor be mixt and when it s used let it be sweeten'd at pleasure with Sugar or the Syrup of the Juice of ground Ivy or with Oxymel Moreover instead of Oxymel or of any common Pectoral Syrup let the following Forms of Medicines be prescrib'd which are more appropriated to an Asthma And in the First place the Syrup of Elecampane invented by Horatius Augenius and afterwards recommended by Platerus Sennertus Riverius and other famous Practitioners shall be set down here and ought to be frequently made use of Take Roots of Elecampane and of Polypody of the Oak prepar'd of each two Ounces Currans two Ounces Sebestens in number fifteen Coltsfoot Lungwort Calaminth Savory of each a handful one large Tobacco Leaf Licorice two Drams Seeds of Nettles and of Cotton-plant of each a Dram and a half boil them in Wine and Honey diluted to a pound and a half and with the like quantity of Sugar make a Syrup Let it be taken either by it self in the Form of a Linctus or a spoonful at a time Mornings and Evenings or put a spoonful of it to a Dose of the distill'd water or Apozeme Take Roots of Florentine Orris and of Elecampane of each half an Ounce Garlick pill'd four Drams Cloves two Drams white Benzoin a Dram and a half Saffron a Scruple being slic'd and bruis'd let them digest warm in a pound of rectified spirit of Wine for twenty eight hours To the straining add of the finest Sugar a pound put it in a silver Bason on hot Coles then the liquor being fired keep stirring it as long as it will burn and then the flame going out it will become a Syrup let it be given after the same manner as the former Moreover in this place we may aptly insert the Decoctions of an old Cock so much commended by famous Physicians both ancient and modern for the Cure of the Asthma These Broaths are of two kinds viz. with or without Purgers and we find various and differing sorts of both amongst Practical Authors though I shall only give you a form or two Without Purgers this is a common Form Take Roots of Elecampane and of Florentine Orris of each half an Ounce Leaves of Hyssop and of Horehound dry'd of each six Drams Carthamus-seeds an Ounce Anniseeds and Dillseeds of each two Drams Licorice slic'd and Raisins cleans'd of each three Drams let them be prepar'd and sewed up in the Belly of an old Cock which must be boil'd in fifteen pounds of fountain water till the flesh falls from the Bones strain it and let it settle The Dose of the clear Liquor is six Ounces with an Ounce of Oxymel simple or if you would have it purge in each draught dissolve fresh Cassia and Manna of each half an Ounce Let it be taken for many days together sometimes for a whole Month. Riverius prescribes a good Form of this sort of Purging Broath Take Roots of Elecampane and of Florentine Orris of each a Dram and a half Leaves of Hyssop and Coltsfoot of each a handful Licorice slic'd Raisins clean'd of each two Drams Figs in number four Senna cleans'd three Drams Roots of Polypody of the Oak Carthamus-seeds of each half an Ounce Anniseeds a Dram and a half Boil them with a third or fourth part of an old Cock according to art and make a Broath for one Dose to be taken in a Morning let it be continued for twelve or fifteen days I shall now give you a Relation of a Person who was subject to fits of this Disease which were meerly Convulsive and of another who was subject to fits of the same which were partly Convulsive and partly Pneumonick A Noble Man of a tall Stature and full and strong grown having bruis'd is left Side by a fall found himself injur'd upon it and afterwards fell into an Asthmatick Distemper so that now and then though at no set times First a pain would seize him about that place and presently after a great straitness of Breath followed with a vehement and long continued straining of all the parts of Respiration so that during the Fit the Patient seem'd to be in the very Agony of Death I was first call'd to him after he had lain ill of such an Asthmatick Fit for two days and was look'd upon as almost past Cure Nevertheless finding his Lungs to be without hurt our Prognostick bid us still hope well and presently other Physicians being joyn'd with me in Consultation it was
Empirical Remedy with our Country men to take Nine Lice alive in the Morning for five or six days by which Remedy I have heard that many have been Cur'd when other things did no good which certainly can give relief no other way but by restoring the Volatile Salt which was depress'd in the Blood On the account of the same way of Curing the Flowers of Sal Armoniack the Volatile Salts of Amber Hartshorn and Soot and likewise their Spirits are often given with great success in this Disease Take Powder of Earth-worms prepar'd two Drams Species Diacurcumae a Dram Flowers of Sal Armoniack half a Dram Salt of Amber a Scruple Extract of Gentian a Dram Saffron a Scruple Gum Ammoniacum dissolv'd in water of Earth-worms what suffices Make a Mass Form it into small Pills the Dose is three or four Morning and Evening drinking after it of the Julape before written three Ounces Take Spirit of Hartshorn ting'd with Saffron three Drams The Dose is from fifteen drops to twenty with the distill'd water above mention'd In this rank of Medicines with which the Blood distemper'd with the Jaundise is intended to be corrected Chalybeats also justly claim a place for these give a considerable relief in the Jaundise as well as in other Cachectical Distempers not so much by opening the obstructions of the Viscera as by depressing the exaltations of the Sulphur and fixt Salt and by volatilizing the Blood Therefore to the Decoction Tincture or Infusion above written the Filings of Iron or its Powder prepar'd its Mineral Texture being some way loosen'd or its Vitriolick Salt extracted may be properly added for hence it is that our Mineral waters sometimes cure even to a Miracle such as are quite given over in the Jaundise Though these waters when drank in a very large quantity passing through all the Vessels open also all the Ductus's of the Liver be they never so much shut up Therefore also to the Electuaries Pills and Powders before exprest preparations of Steel sometimes of one sort and sometimes of another may likewise be added in a fit proportion Moreover you may give to the quantity of a spoonful of its Syrup twice a day in three Ounces of the Anti-icterick Apozeme or distill'd water also the Tincture of Steel to twelve or fifteen drops may be given after the same manner with good effect Lastly in this rank of altering Medicines we ought to place those which are said to Cure this Disease not as inwardly taken but outwardly apply'd either by the touch or being put into the Urine of persons troubled with the Jaundise As to the First it s a common Remedy with the vulgar to take a Tench and apply it to the right Hypochondre or to the Ventricle as some will have it or according to others to the Soles of the Feet of the Person that has the Jaundise whence they expect the Disease to vanish in a short time though many promise a certain Cure by this means yet it did not succeed with me having sometimes try'd it The other Cure of the Jaundise at a distance is said to be done by I know not what Sympathy or secret manner of working Take the fresh Vrine of the Patient made at one time ashes of the Ash-tree searced what suffices Mix them and make it into a Paste and form it into three Balls of an equal bigness and put them in a close place near the Fire or a Stove when these Balls grow dry and hard the Jaundise vanishes After this manner I have known this Disease successfully Cur'd when it was grown inveterate and would not yield to other Remedies this is a familiar practice with the vulgar The reason of this Operation is that when the Lixivial Salt in the ashes is mixt in the Urine it presently sets free the Volatile Salt which before was kept under in it or entangled with other Particles and at the same time that this is done in the Icterical Urine it happens by Sympathy that the Volatile Salt also in the Blood of the Patient gets free from the Dominion of the fixt Salt and Sulphur and consequently the Icterical Dyscrasy of the Blood vanishes And thus Phil. Grulingius and Felix Platerus tell us that Making Water on warm Horsedung has Cur'd many Persons troubled with the Jaundise viz. inasmuch as the fixt Salt of the Urine and consequently of the Blood of the Patient is altered by the Volatile Salt of the fresh Horsedung and is reduc'd to its due temperature The Third and Vital Indication orders a fit Dyet and likewise prescribes Cordials and Anodines both which are often wanted As to what concerns the First the Diet in this Disease is wont to be more Physical than in any other whatsoever For Vegetables and their parts vulgarly call'd Hepatick Remedies are boil'd in the Broaths of persons troubled with the Jaundise their Broaths also are usually made of Worms and Snails being accounted the Antidotes of the Jaundise instead of other Flesh Moreover their Ale and other ordinary Drinks are Impregnated with an Infusion of Physical things Take Roots of the greater Nettle and of Strawberries of each an Ounce and a half Candied Eringo Roots an Ounce shavings of Ivory and Hartshorn of each two Drams Earth-worms cleans'd in number twenty a Crust of White-bread Mace two Drams boil all in two pounds of fountain water to a pound Strain it through Hippocrates Sleeve add to it Species of Diatrion Santalon half a Dram Make a Broath of which take from four Ounces to six twice a Day For ordinary drink fill a little Vessel of four Gallons with Ale into which after it has wrought put the following bag Take Tops of Sea Wormwood and white Horehound dry'd of each two handfuls Roots of sharp pointed Dock dry'd six Ounces Bark of the Ash-tree and of the Barbery-tree of each three Ounces the outward Rinds of eight Oranges and of four Limons being slic'd and bruis'd let them be prepar'd according to art Many Persons in the Jaundise being troubled with a great weakness and frequent faintings stand in need also of Cordial Remedies Take small Aqua Mirabilis eight Ounces Earth-worms four Ounces Syrup of Orange Pills two Ounces Mix them the Dose is two or three Ounces Moreover there are some who in this Disease are found subject now and then to very troublesome pains chiefly tormenting them by Night and who are often molested with want of sleep wherefore Anodines also must here come in use Take Aqua Mirabilis water of Earth-worms of each an Ounce Diacodium six Ounces Tincture of Saffron half an Ounce Mix them the Dose is a spoonful or two late at Night when there is want of sleep Take Laudanum tartariz'd two Drams Aqua Mirabilis two Ounces Syrup of Clove Gilly-flowers an Ounce Mix them the Dose is a spoonful after the same manner CHAP. II. Instructions and Prescripts for other Distempers of the Liver THe Liver often uses to be faulty especially in one of
these two things viz. either intercepting the Nutritive Juice appointed for other parts it applies it to its proper use as it s generally seen in Children troubled with the Rickets and in many others leading a sloathful and idle Life Or Secondly it too easily receives into its most inward Recesses the filthiness of the depraved Blood and all dreggy Excrements coming in its way and retaining them does not only grow large but is obstructed in its Ductus's whence oftentimes proceeds a Jaundise or Dropsie and tumours and preternatural Concretions of divers kinds Therefore we must take care of these two things viz. lest the Liver by taking to it self too much of the Nutritive Juice grow to too great a Bulk and lest by retaining the filthy dregs of the Blood it be troubled with obstructions and preternatural tumours Both these faults are much more easily prevented than Cur'd For the former is effected only by taking care that the Blood being well constituted in its Crasis and enjoying a free Circulation both distributes the Nutritive Juice to the parts and especially the outmost and driving all its Excrements to all their respective Emunctories deposes them there And indeed the Hepatick Medicines vulgarly so call'd though they regard the other Viscera as well as the Liver do first and more immediately exert their vertue by purifying the Blood rather than by correcting the Liver or other entrals for entring the Blood and being immiscible with it they so throughly exagitate it that they make it discharge all its superfluities by their proper Emissaries and if any Medicines are found by some specifick virtue to have respect to one part more than to another it s because their Particles being more ally'd and consequently associated to the Recrements to be separated within that entral are carried thither together with them For this reason Rhubarb Turmerick the greater Celandine and many other things ally'd to the Gall readily pass to its Ductus's and are wont to do good in the Jaundise We have before set forth the Energies and ways of operating of these Medicines As to other Hepaticks commonly so call'd we shall briefly set down certain Forms First of those which are said to prevent or remove the Non-natural accretion of the Liver and then of those which do the like in respect of its obstructions and preternatural tumours 1. Against the too great accretion or disproportionate nourishment of the Liver First a spare and thin Dyet short Sleep and frequent and moderate Exercises are proper Wherefore if at any time Infants and Children are found obnoxious to this affect as likewise to the Rickets we order that they suck thin and serous Milk that they are daily toss'd in their Nurses Arms and carried from one place to another with a swift motion or that they are put in a Chariot or in a Chair and swiftly driven to and fro and that they learn to use their feet as soon as may be and go about Take the Waters of Snails and Earth-worms of each three Ounces Syrup of Cichory with Rhubarb two Ounces Spirit of Sal Armoniack with Gum Ammoniacum a Scruple Mix them take a spoonful at Night and early in the Morning Take Roots of Male Fern Chervil Candied Eringo's of each an Ounce Leaves of Agrimony Harts Tongue Male Speedwel of each a handful shavings of Ivory and Hartshorn of each two Drams white and yellow Saunders of each a Dram Raisms ston'd an Ounce and a half Barly three Drams Boil them in three pounds of fountain water to two pounds to the straining add the waters of Snails and Earth-worms of each an Ounce and a half Syrup of Cichory two Ounces Make an Apozeme take to two or three Ounces in a day Take Powder of white and yellow Saunders Crabs Eyes Lignum Aloes of each half a Dram Salt of Wormwood a Scruple Make a Powder the Dose is from half a Scruple to a Scruple twice a day Take Emplastrum Diasaponis Ceratum Santalinum of each what suffices Make a Plaister to be apply'd to the right Hypochondre Take Vnguentum Splanchnicum two Ounces Oyl of Wormwood an Ounce Mix them make a Liniment for the Region of the Liver The Remedies for most other Diseases of the Liver are either Simple or Compound Amongst those of the former kind are usually reckon'd all Cichories Sorrels sharp-pointed Docks and in a manner all Vegetables which have a sort of bitterness joyned with somewhat of a smartness in which the Deopilative vertue is said to consist as Wormwood Germander Ground-Pine Fumitory Tansie Agrimony Liver-wort Lignum Aloes all the Saunders Tamarisk-bark Ash-bark and the Roots of Capers with many others which make up the greatest part of Botanicks The fixt Salts of Herbs and the Acid Spirits of Minerals claim a chief place amongst these because they mightily agitate the Mass of Blood dissolve its Concretions clear its stoppages and make it every where permeable in all its parts It s also manifest both by reason and experience that preparations of Steel are often proper in Distempers of the Liver as especially in the Jaundise and the Dropsy In the Antidotaries of the Ancients we find a great many Physical Compositions which seem to be wholly design'd for the Liver as the Electuary ê scoria ferri Rhasis c. But passing over these I shall now give you some Forms and Examples of Medicines which are accounted Deopilatives according to the practice of our times Therefore for an Opening Decoction TAke Roots of Fern Chervil the greater Nettle Dandelion of each an Ounce Leaves of Agrimony Harts Tongue Speedwel Oak of Hierusalem Liver-wort of each a handful white and yellow Saunders of each three Drams shavings of Ivory half an Ounce Red Cicehs an Ounce Coriander Seeds three Drams Raisins two Ounces Boil them in four pounds of fountain water to two pounds adding about the end Whitewine four Ounces strain it through Hippocrates sleeve to which put Species Diarrhodon Abbatis a Dram our prepar'd Steel two Drams To the straining add Syrup of Cichory with Rhubarb two Ounces waters of Snails and Earth-worms of each an Ounce The Dose is six Ounces twice a day after a Dose of the following Electuary Take Conserve of the yellow Coats of Oranges and Limons of each two Ounces of Wormwood and Fumitory of each an Ounce Simple Powder of Aron Roots Lignum Aloes yellow Saunders and Caper Roots of each a Dram and a half Crabs Eyes a Dram Salt of Wormwood two Drams Syrup of Fumitory what suffices Make an Electuary the Dose is the quantity of a Wallnut twice a day drinking after it a draught of the Apozeme before written or of the following distill'd water Take Leaves of Wormwood Centory Tansie both Southernwoods Branches of Tamerisk of each four handfuls green Wallnuts four pounds green Ashen-keys two pounds the outward Kinds of ten Oranges and of four Limons Snails Earth-worms prepar'd of each a pound being all slic'd pour to them of Whitewine eight pounds distil it
Prunella or Sal Armoniack from a Dram to a Dram and a half Make a Glister Take of the Vrine of a sound Man a pound Sal Prunella a Dram Venice Turpentine dissov'd with the Yolk of an Egg an Ounce and a half Make a Glister 2. Dinreticks If any other Remedies premise help in this Disease Take live Millepedes cleans'd three Ounces one Nutmeg slic'd being bruis'd together pour to them of the following Diuretick water a pound express it strongly The Dose is from three Ounces to four twice a day Take of the green Berries of Juniper and Elder of each six pounds Firr tops four pounds green Wallnuts two pounds Winters Bark four Ounces the outward Rinds of six Oranges and four Limons the Seeds of Ameos Rocket and Water-cresses of each an Ounce and a half Dill-seeds two Ounces being slic'd and bruis'd pour to them of Whey made with Whitewine eight pounds distil it with common Organs Let all the Liquor be mixt Take Crystal Mineral half an Ounce Volatile Salt of Amber two Drams Powder of wild Carrot-seeds a Dram Venice Turpentine what suffices Take small Pills take three at Night and in the Morning drinking after it of the foresaid water three Ounces Take sweet Spirit of Salt half an Ounce give from eight drops to twelve twice a day with a Draught of the same water adding Syrup of Violets a spoonfull Take Spirit of Salt of Tartar an Ounce give from a Scruple to half a Dram twice a day after the same manner So also Spirit of Nitre and Tincture of Salt of Tartar may be given Take Leaves of Plantain Chervil and Clivers of each four handfuls being bruis'd together pour to them of the former distill'd water a pound express it strongly The Dose is three Ounces twice or thrice a day with some other Medicine Take Grass Roots three Ounces Roots of Butchers-broom two Ounces Chervil and Candied Eringo's of each an Ounce shavings of Hartshorn and Ivory of each two Drams burnt Hartshorn two Drams and a half Burdock-seeds three Drams boil them in three pounds of fountain water to two pounds In the warm straining put Leaves of Clivers and Watercresses bruis'd of each a handful adding of Rhenish Wine six Ounces let there be a close and warm Infusion for two hours then strain it again and add of the Magisterial water of Earth-worms two Ounces Syrup of the five Roots an Ounce and a half make an Apozeme the Dose is four Ounces twice a day with some other Medicine Whilst these things are taken inwardly let Topicks also and outward applications be carefully Administred not such as are hot and discussing but such as are endow'd with Particles of a Volatile and Nitrous Salt which destroy the combinations of the other Salts and make void the efforts of the Spirits for which ends we propose the following things If Fomentations ought to be us'd at all let them not be apply'd too hot and let them not be prepar'd of the vulgarly call'd Carminatives but chiefly of Salts and Minerals Cabrotius quoted by Helmont says he Cur'd a Person eighty years of Age whose Belly he somented twice a day with a Lixivium in which he boil'd Salt Allum and Sulphur and after apply'd Cow-dung for a Cataplasm I use to prescribe as follows Take Flowers of Sal Armoniack an Ounce Crystal Mineral two Ounces small Spirit of Wine containing much Phlegm in it two pounds Mix them and dissolve them in a Glass Let a Woolen Cloath dipp'd in this warm be apply'd on the whole Abdomen and be chang'd now and then dipping it afresh Let it be done twice a day for half an hours space afterwards let there be apply'd either a Cataplasm of Cow-dung with the Powder of Dogs-turd or the Plaister following Take Emplastrum Diasaponis that is of Minium with Venice Soap what suffices Let it be thin spread on thin Leather and apply'd to the whole Belly renewing it within ten or twelve days The Second Indication requires chiefly altering Medicines viz. such as put a stop to the Fermentations of the humours in the Viscera of the Belly and to the wild Efforts and irregular excursions of the Spirits and which likewise procure the even mixtures and due motions of the Chyle and Nervous Juice For which ends Chalybeats are principally us'd and truly not only for this Disease but for many others belonging to the Viscera of the Belly it 's usual to have recourse to Steel Medicines though in the mean time many Empyricks confidently prescribing them do not consider after what manner such Medicines work or what alterations for the better may be expected from them And indeed it very often falls out that nature her self is destroyed and not the Disease when Chalybeats of which there is a great variety and of diversified Operations are given without any distinction or choice or without respect to the Temperament Constitution and state of the Disease in Patients We have treated elsewhere ex professo concerning Medicines prepar'd of Iron and Steel and of their vertues and manners of working so that it 's needless to repeat the same here As to this Disease if any of them are proper for it certainly they are not all For those in which the Sulphur still remains and being free predominates over the other principles after that the texture of the mixt Body is open'd must be wholly excluded from this number for by their powerful fermentation they greatly ferment the Juices of the Viscera and put the Blood and Spirits in such a Commotion that the whole Region of the Belly is puft up in a greater Bulk as though some Spirit rush'd violently into it Nor are those more proper here from which the Sulphureous Particles are wholly driven away with the Saline as in Crocus Martis prepar'd by a very strong and long Calcination for as this Medicine is good to stay all fluxions so it sixes more any Impactions of Spirits and humours and renders them more obstinate But there remains a Martial Remedy of a middle kind in which the Sulphur being wholly or for the greatest part expell'd the Vitriolick Salt remains and has for the greatest part the Predominancy as it has in a Solution of the Filings of Iron or in its Infusion either simple or in Mineral waters in Salt or Vitriol of Mars in our preparation of Steel with many others preparations and compositions of which have been often found by experience to have done great good in some cases for these destroy the Exotick and restore the Genuine Ferments of the Viscera open their Obstructions fix the Blood and keep its Texture from much dissolution Wherefore Chalybeate Medicines as also some other Alteratives have haply some effect against the Procatarctick and more remote Causes of a Tympany but do little or no good at all against its Conjunct Cause Take of our Steel ground very fine two Drams of the Distill'd water above written two Pounds Syrup of the five Roots two Ounces mix them in a Glass
and let it Clarifie by setling the Dose is three or four Ounces in the Morning and at five in the Afternoon Take Powder of Aron Roots and of Crabbs Eyes of each three Drams Chrystal Mineral two Drams Vitriol of Mars a Dram and a half Sugar of Rosemary Flowers two Drams Mix them the Dose is half a Dram twice a Day with a fit Vehicle Hartman highly extolls the Liquor of the Flowers of the Herb Mullein as a Specifick Remedy in this Disease Put those Flowers fresh gather'd into an Alembick and press them in hard then the Vessell being carefully stopt that nothing can breath forth let it stand in an Oven whilst bread is bak't and afterwards the Flowers being taken forth press forth the Liquor very hard and let it be Distill'd in Balneo The Dose is a Scruple in Decoction of the Seeds and Roots of Fennel Certainly if this Medicine can do any thing it ought to be given in a greater Dose Johannes Anglicus Commends the Electuary Rosata Novella with Diatrion Santalon and Ants Eggs which Medicine truly being probable enough seems to promise something In Imitation of these I shall here propose the following Take Conserve of the Flowers of Cichory and Indian Cress of each three Ounces Powder of Aron Roots Lignum Aloes yellow Saunders of each a Dram Crabbs Eyes a Dram and a half Salt of Wormwood an Ounce Ants Eggs an Ounce Liguor of male Mullein half a Dram with a sufficient quantity of Syrup of Citron Pills make an Electuary the Dose is two Drams twice a Day Drinking after it of the former Distill'd water or of the following Julape three Ounces Take water of the Leaves of Aron of the Juice of Elderberryes water of Juniper and of Elder Flowers of each six Ounces Magisteriall waters of Snails and of Earth-worms of each two Ounces Syrup of the Juice of Elderberryes two Ounces mix them make a Julape The third Indication being vital Prescribes Remedies chiefly against Faintings of the Spirits and difficulty of Breathing and against Watching and Thirst I shall briefly set down certain Forms of both kinds 1. Cordials TAke water of Navews of Marigold and Cammomill Flowers of each three Ounces Dr. Stevens's water two Ounces Tincture of Saffron two Drams Sugar an Ounce Pearl a Dram make a Julape the Dose is four or five Spoonfuls thrice or oftener in a Day in Faintings Take Conserve of Marigold Flowers two Ounces Confection of Alkermes and of Hyacinth of each two Drams Pearl Powdred an Ounces of the Juice of Citrons what suffices make a Confection take the quantity of a Nutmeg Evening and Morning drinking after it a Draught of the Julape 2. Hypnoticks TAke Aqua Hysterica six Drams Syrup de Meconio half an Ounce mix them take it late at Night Or Take small Cinnamon water an Ounce Diacodium three Ounces Tincture of Saffron two Drams mix them take to the quantity of a Spoonfull late at Night if Sleep be wanting Or Take Syrup of Cowslip Flowers three Spoonfulls Compound Peony water one Spoonfull Laudanum Tartarizd a Dram take a Spoonfull late at Night if you cannot Sleep Quenchers of Thirst must be frequently given in this most Thirsty Disease but it must be in a very small quantity that we may allay that most troublesom Symptom without much Drink which is always pernicious For which end Take Conserve of Wood-Sorrel passed through a Sieve three Ounces Pulp of Tamarinds two Ounces Sal Prunella a Dram Syrup of the Juice of Wood-Sorrel what suffices make a soft Lohoch of which let him lick often CHAP. V. Instructions and Prescripts for Curing the Anasarca AN Anasarca is describ'd after this manner that it is a white and soft Tumour of the whole outward part of the Body or of some parts of it yielding to the Touch and leaving a Pit uppon Compression proceeding from an Aqueous Homour extravasated and heapt together both within the Interstices of the Muscles and within the Pores of the Flesh and Skin and even of the Glands and Membranes That watery Humour proceeds wholly or for the greatest part from the Blood for being continually produc't within the Mass of Blood through the defect and fault of Sanguification it is pour'd forth of the Mouths of the Arteries in a greater quantity than that it can be receiv'd and carried back by the Veins and Limphaeducts and be sent forth by the Reins and Pores of the Skin and other Emissaries of the Serous Latex And Anasarca whilst it is simple is the least dangerous amongst all the species of Dropsies And a particular Anasarca occupying only the Inferior Members so the Belly do not swell withal is much safer than an Universal one In order to a right proceeding towards a Cure two chief scopes of Curing here present themselves viz. First we must take Care that the water betwixt the Skin and the Flesh be some way Evacuated and Consum'd and Secondly that a new supply be not continually engendred and heapt together For which end we must use what means we may both that the Viscera of Concoction being cleans'd from Excrements and free from Obstructions prepare always a good Chyle and supply the Mass of Blood with it in a due quantity and likewise that the Blood its Principles being restor'd to their fermenting Power may duly ferment and convert into its own Nature the Juice of the Chyle continually sent into it The Vital Indication seems not necessary in this Disease as in many others because Faintings of the Spirits or Watchings for which Cardiacks and Hypnoticks are required seldom happen here And there is little need of restoring Diets because Fasting and Abstinence do more good and most commonly are the greatest part of the Cure the reason is that the Vessels being drain'd by Fasting drink up the waters Stagnating betwixt the Skin and the Flesh or elsewhere and send them forth partly by the Reins the Pores of the Skin and other Emissaries and partly employ them most Advantageously for nourishing the Body they being yet full of a Nutritive Juice First to perform the first Indication which is for the Evacuation of the Morbifick matter all Hydragogue Medicines both Simple and Compound and likewise the Forms of Medicines set down before in the Chapter of the Ascites ought to be apply'd to use Moreover not only Catharticks and Diureticks but likewise Diaphoreticks have often place in the Cure of the Anasarca though for the most part they are forbidden in other kinds of the Dropsie In a simple Anasarca you may Purge Strongly and it often does much good I have given you before Forms of Hydragogue Catharticks of both kinds viz. of such as exert their force both upwards and downwards and both of a gentle and strong Operation from whence you may take them and apply them to the present Method of Curing If you ask how Catharticks work in this Disease and wherefore they carry forth waters better and more efficaciously than in other kinds of the
are wont to use not only by injecting it but by applying it Sympathetically to a Bloody Linnen-cloath I have also known a Water prepar'd of an Infusion of white Vitriol with Bole and Camphire us'd successfully to Wounds and often to other Eruptions of Blood But in regard a water injected into the Nostril does not stick enough to the Mouths of the Vessels but is washt away by the Bloods breaking forth before it can exert its Vertue therefore it is better either that a Stiptick Powder be blown into it or that a Pledget dipt in the water of Vitriol be thrust into the Nostril to the upper part of it either by it self or strew'd to the Nostril to the upper part of it either by it self or strew'd with an Astringent Powder Many Stiptick Powders and of divers kinds are wont to be prescrib'd for this purpose I commonly use either Crocus Martis Calcin'd to the highest reduess or the Powder of Vitriol Camphorated or a Vitriolick Soot scrap't from the bottom of an old Brass Kettle the Powder of which I have often try'd with success in this case In obstinate Haemorrhagies and not yielding to other Remedies let a Pledget having on its top a Caustick Colcother be thrust up into the Nostrils as far as it will go that the little Mouths of the Vessels being burnt and covered with an Eschar all Eruption of Blood may be presently stopt There are many other Errhines famous amongst Practitioners for stopping Blood as Hogs-dung thrust up into the Nostrils which is thought meerly by the Nastiness of its Odour to repel the Blood ready to burst forth Also the Fume of the Blood dropping on a red-hot Iron and return'd up into the Nostrils the Powder of which also when burnt is blown up into them Vsnea or the growing Moss on a Mans Scull which has not been inter'd is highly commended by some for this effect So much of outward Remedies for stopping Bleeding whose Vertue ought likewise to be promoted by inward things seasonably given and cooperating Therefore a thin Dyet being prescrib'd and the Patient ordered to keep himself in an erect posture or not much leaning back whilst the foresaid Administrations are orderly apply'd let Medicines appropriated to the same end be prescrib'd also to be inwardly taken Remedies of this kind have two chief scopes viz. First to cause the Blood being kept within its Vessels to be quietly Circulated its Effervescence whether happning through its Accension or Fermentation being supprest Secondly to retard by fit Remora's the violent Motion of the Heart driving round the Blood too rapidly 1. The first intention requires those kinds of Medicines which suppress the too great Accension of the Blood and appease its undue Fermentation for which uses I am wont to prescribe the following Take the waters of Plantain red Poppies Purslain and of the Spawn of Froggs of each four Ounce Syrup of Water-lillies two Ounces Sal Prunella a Dram mix them make a Julape the Dose is three Ounces thrice or four times a Day Take Barley-water two Pounds red Rose-leaves a handful Spirit of Vitriol as much as will give it a grateful Acidity or about half a Dram make a warm Infusion for extracting the Tincture add Syrup of the Juice of St. John 's Wort two Ounces the Dose is three or four Ounces to take at pleasure often in the Day time or by Night Take Leaves of stinging Nettles and of Plantain of each three handfuls being bruis'd pour to them of Plantain water four Ounces express it strongly and take it 2. For the Second intention viz. to retard the over-violent beat of the Heart Hypnoticks and Opiats are proper Take red poppy-Poppy-water three Ounces Syrup of Diacodium half an Ounce Mix them make a Draught to be taken going to Bed Or Take Conserve of red Roses an Ounce and a half Powder of the Seeds of Henbane and of white Poppies of each two Drams Syrup of Poppies what suffices Maek an Opiate The Dose is the quantity of a Nutmeg every six or eight hours Or Take Laudanum Cydoniated a Dram the Dose is fifteen Drops twice a Day in a proper Vehicle So much of an immoderate Eruption of Blood and its Cure whilst it happens without a Fever but when it happens in a Fever and must be stay'd because of too much loss of Blood it is either Critical growing to be immoderate by reason of some Accident to which the Method and Medicines even now prescrib'd may be accommodated though with some caution and a due respect to the State of the Fever Or it is meerly Symptomatical which hapning in a Malignant or Spotted-fever the Small-pox Meazles or Plague it scarcely either can or ought to be repell'd or stopt by the foresaid Remedies For letting Blood is not proper repelling Topicks also cooling Julapes or Decoctions or Narcoticks have no place The chief intention of Curing will be to change the Eruption of Blood into a Sweat for upon raising a gentle Sweat the Flux of Blood if it be not extreamly dangerous ceases of its own accord Take water of Meadow-sweet and Tormentil of each four Ounces Of the cold Cordial of Saxonius two Ounces treacle-Treacle-water an Ounce and a half Bezoartick Vinegar three Drams Syrup of Coral an Counce and a half Confection of Hyacinth two Drams make a Julape the Dose is six spoonfuls every third hour Take Powder of Toads prepar'd half a Dram Camphire two Grains let it be taken with the foresaid Julape every sixth hour Or Take Pulvis Pannonici Rubri from half a Dram to two Scruples give it after the same manner Take Confection of Hyacinth three Drams Pulvis Pannonici Rubri a Dram Syrup of Coral what suffices make a Confection the Dose is the quantity of a Nutmeg every other hour Take Roots of Bistort and Tormentil of each an Ounce Leaves of Meadow-sweet Burnet Wood-sorrel of each a handful burnt Harts-horn two Drams Shavings of Ivory and Harts-horn of each two Drams boyl them in three Pounds of Fountain water to two Pounds add towards the end Conserve of red Roses three Ounces sirain it the Dose is three Ounces often in a Day So far of the first Indication which is Curatory together with the scopes of Curing and the forms of Medicines destinated for an Eruption of Blood from the Nostrils hapning either with or without a Fever The second Indication which is Vital prescribes only a thin Dyet temperate Cordials and a fit ordering of the Patient The provision for the two For former is so small and easy that it seems not necessary to set down a form and rules particularly for them Concerning the latter the chief question is whether we ought to keep those that are seiz'd with an Eruption of Blood either in Bed or out of it It 's an unquestion'd thing that those that are weak and subject to fall often into Swounding Fits ought not to be stir'd from Bed unless haply it be to try a Cure as we have
of Cichory with Rhubarb or of Roses with Agarick ought to be given And I have often seen a Convulsive affect in Children Cur'd by these Remedies when seasonably administred moreover Clysters in this case are of frequent use But withal let not outward Medicaments be omitted viz. Fomentations Liniments and Plaisters to be applyed to the Belly Take Cammomil Leaves small slic't two handfuls let them be put into two bags made of fine Linnen or Silk which being dipt into warm Milk and wrung forth must be applyed successively to the Belly Take Tops or Flowers of Mallows slic't boil them in fresh Butter or Hogs Lard and let them be applyed to the Belly in the form of an Ointment or Cataplasm CHAP. III. Instructions and Prescripts for Curing Convulsive Diseases in Adult Persons hapning by reason of the Origine of the Nerves being chiefly affected THough Convulsive affects which happen to Adult Persons being denoted by other Names are also vulgarly accounted to have another Origine and are wont to be refer'd to those they call Hysterical Hypochondriacal or Colick passions or to the Scurvy nevertheless if the thing be a little more attentively considered it will easily appear that certain Convulsive Symptoms frequently happen both to Men and Women which properly and duly claim the name of a Convulsion Now these may be variously distinguisht according to the Manifold seat of the Morbifick cause but especially into these three kinds viz. into certain Convulsions caus'd by reason of the Origine of the Nerves being chiefly affected and into others which are caus'd by reason of the extremities of the Nerves being stopt with a Morbifick Matter and lastly into others whose Morbifick Matter descending from the Head gets possession of the whole or the greatest part of the Ductus's of some peculiar Nerves or of them altogether We shall treat of each of these kinds of Convulsions one after the other Therefore first of all as to Convulsions hapning by reason of the Origine of the Nerves being affected we must note first that the Morbifick Matter besetting the Origines of the Nerves sometimes passes chiefly into the foremost Pairs of Nerves viz. which attend the Muscles of the Eyes and Face and thence Contractions and tremblings sometimes of the Nose Cheeks or Lips sometimes of the Eyes or Mouth ensue Secondly sometimes the Par Vagum and Intercostal chiefly imbibe the Heterogeneous Particles and then Inflations or Contractions of the Abdomen and Hypochondres and also a Palpitation and Trembling of the Heart a difficult and interrupted Breathing an intermitting Pulse and other Symptoms of the middle or lower Region of the Belly chiefly molest us Thirdly but sometimes the Morbifick Cause lying behind chiefly affects the Spinal Marrow and therefore the outward Members and Limbs are rendred obnoxious to Twitchings and Contractions Moreover as we may conjecture from various Types of the Con\vulsive affect it seems that the Convulsive Matter going to these or those Nerves or to many of them together either lodges it self in a manner only about their Origines so that upon frequent Explosions of the Spirits there an almost continual and very troublesome Vertigo arises and so Tremblings and a short Fainting and danger of Swounding are perceiv'd about the Praecordia and often Twitchings and gentle Contractions in the Bowels or Muscles Or Secondly the explosive Particles convey'd to the Origine of the Nerves enter deeper into their Processes and often falling down into the Plexus's of the Nerves belonging to the Praecordia or Viscera of the Belly or also to the outward Members make there other seats as it were of Convulsive affects so that as often as the Spirits are forc't to Explosions about the Origine of the Nerves presently Fits as it were Hysterick Asthmatick or otherwise Convulsive arise in the Belly Thorax or outward Members I shall now give you some instances of Persons in whom the Morbifick Matter besetting the Origine of the Nerves and not yet fall'n deeper into their Processes caus'd frequent Vertigo's and only gentle Convulsions of the Viscera and Praecordia 1. A Lady of great Quality about Thirty years of Age of a tender Constitution and of a thin habit of Body was wont to be sorely afflicted every Winter with a Catarrh distilling on her Trachaea and Lungs with a Cough Hoarsness and great Spiting but the last year through a diligent care and caution us'd she escaped that evil But after the Winter solstice upon taking cold she was seis'd with a violent Head-ach a ringing in the Ears a Vertigo with a mighty Distillation of Rheum at the Eyes and Nose whence it easily appear'd that the filthy Mass of Serum which was wont before to distil on the Brest was then wholly depos'd within the Head and Brain The effect whereof moreover was that as often as she began to sleep she was very much troubled with a sort of Hysterick Fits to which she had never before been obnoxious For if at any time beginning to sleep she clos'd her Eyes presently it caus'd a rising of a heavy thing in her Belly a Suffocation in her Throat and Tremblings and Twitchings about the Praecordia Which affects nevertheless when she was perfectly awak't presently ceas't so that the Diseas'd was forc't to abstain in a manner wholly from sleep for many days and nights together Being call'd to this Lady after she was become very weak upon many days Sickness I was forc't to use only gentle Medicines Therefore I ordered four Ounces of Blood to be taken from her Foot and a Clyster of Milk with Sugar to be daily given her after which she was wont to have three or four Stools Moreover every eighth hour I gave her a Dose of Spirit of Harts-horn in a Spoonful of the following Julape Take Water of Penny-royal Wallnuts black Cherries of each three Ounces Hysterick Water two Ounces Syrup of Clovegilly-flowers an Ounce and a half Castoreum tyed in a Nodulus and hung in the Glass half a Dram Pearl powdred a Scruple mix them I applyed with good effect Vesicatories behind the Ears and Cataplasms of Leaves of Rue and Aron with Bryony Roots Sea Salt and black Soap to the Soles of the Feet Sometimes in the Evening I gave half an Ounce of Diacodium in a little Draught of the Julape before ordered which was followed by a moderate sleep without being attended according to wont with Convulsions Which kind of effect I have often experienced in such a case after Opiats given For quenching Thirst I gave a Ptisan with Diuretick Ingredients boil'd in it By the use of these things she was very much reliev'd within a short time But that which fell out much for her good was that an Abscess in the left Ear breaking of its own accord first discharg'd a yellow Gore and afterward for many days a vast quantity of thin Ichor After which Evacuation the Convulsions of the Bowels and Praecordia wholly ceasing the Disease was perfectly determin'd I have known many
in the Groin or on the Thighs or Calves of the Legs viz. sometimes in this part sometimes in that to wit that the little Sores made here and there flowing continually may plentifully discharge the Serum filled with Heterogeneous and Morbid Particles Moreover Remedies gently conveying the Serum to the Reins and Urinary passages are often given with good effect for this purpost let Diuretick Apozems ans Julapes be ordered according to the following Forms Take Roots of Scorzonera Chervil Grass Eringo's preserv'd of each six Drams one Apple slic't Leaves of Burnet Meadow sweet of each a handful Raisins an Ounce and a half burnt Harts-horn two Drams being slic't and bruis'd let them boil on a clear Fire in four Pounds of fountain-Fountain-water till a third part be consum'd to two Pounds of the clear Straining add Syrup of the Juice of Citrons or of Violets two Ounces Sal Prunella a Dram and a half make an Apozeme the Dose is from four Ounces to six thrice a day Or let that Straining be pour'd on fifteen sineet Almonds blanch and on the four cold Seeds of each a Dram being lruis'd make an Emulsion according to Art Take water of Dragon-wort and of black Cherries of each four Ounces of Scordium compound two Ounces treacle-Treacle-water an Ounce and a half Syrup of Clove-gillylowers two Ounces Spirit of Vitriol twelve drops wake a Julape Let Sal Prunella be giben often in a day in small Beer or Whey from half a Dram or two Scruples Moreover in this Fever Medicines gently promoting Sweat especially such as restore the Animal Spirits and free them from any Heterogeneous Combination are of excellent use Wherefore either let Powder of Pearl or Spirit of Harts-horn or of Blood be given in a small Dose twice a day viz. Morning and Evening Let Glysters be injected alniost daily and if it seems convenient let a gently loosning Medicine be repeated twice in a week Let none but a thin Diet be ordered viz. such as is wont to be in other Fevers Flesh or its Broath being wholly forbidden let the Sick eat only Oat or Barley-broath let his Drink be small Beer or Whey But if notwithstanding any Physical provision the Morbifick Matter gets possession of the Brain or Lungs or both of them together so that a failing and disorder of the Animal faculty or also a violent Cough come upon the Diseas'd we must consider what is to be done in either state of the Disease rais'd after this manner to an ill condition for then the Curative Indications ought to respect a stupor or madness or the Cough and at length if the Disease being upon declining these Symptoms remit let appropriated Remedies be given against the Atrophia it being as the last fortress of this Disease 1. Therefore if the Morbifick Matter as it frequently is wont being brought to the Head causes there a Stupor or Sleepy affects Remedies ought to be carefully administred which draw it to another place and derive it some way or other from the Head and likewise such as raise up the Animal Spirits and make void the impure Combination Wherefore in this case let the use of Epispasticks be very much encreast outwardly let Spirit of Harts-horn be given every sixth hour in somewhat a large Dose let Blood be drawn again from the Jugular Veins the Salvatella or also from the Veins of the Fundament by Leeches If the affect does not remit the Hair being shav'd off let Emollient Fomentations be often applyed to the Head Moreover let Cupping-glasses Plaisters and Cataplasms be applyed to the Soles of the Feet and other ways of administration such as are vulgarly indicated for Curing a Stupor ought to be us'd In like manner if to the evil or defect of Crisis in this Fever a Frensy or Mania Supervene let Remedies appropriated to those affects be administred 2. But if together with or without this Detriment brought on the Head the Lungs also are injur'd by the Disease so that the Diseas'd not yet freed of their Fever seem to have fall'n into a Consumption or Ptizick with a troublesome Cough much and thick Spittle and that often discoloured Medicines commonly indicated in such affects are proper wherefore Pectoral Decoctions Lohoch's Syrups Waters of Milk and Snails distill'd and other Remedies of this kind ought diliently to be us'd The Forms of which are to be found in their above written cases Hitherto we have describ'd a continual Fever for the most part Convulsive and taking its rise both through the default of the Nervous Juice and of the Blood I shall now set before you an example of a Disease resembling an intermitting Fever and chiefly radicated in the Nervous Juice A fine Woman of a very tender Constitution and a weak temper of the Brain and Genus Nervosum and consequently very subject to Convulsive affects after she had conceiv'd about the fourth Month of her Child-bearing upon taking cold was most sorely afflicted with Asthmatick Fits and likewise with frequent Faintings of the Spirits But by the use of remedies endowed with a Volatile Salt she grew well of these Distempers within a fortnight nevertheless after six weeks were past an unusual and very wonderful affect seis'd this Lady On a certain morning awaking after her sleep which had been somewhat troubled that night she felt in her whole body a light shivering as tho' the fit of a Tertian Ague were coming upon her Frequent Gapings and Retchings follow it with a frequent straining to Vomit Then her Urine which just before was of an Orange colour with a laudable sediment became pale and watery and was very frequently voided viz. every munute of an hour Moreover about the Loins and Hypochondres and in other places pains with light Convulsions passing from one place to another were rais'd Which kind of Symptoms being manifestly Convulsive with the frequent making of Limpid Water continued from the morning almost to the evening In which space of time a vast quantity of Urine viz. thrice more than the Liquor drank was made In the mean while the Heat became not more intense nor did Thirst seem pressing nor was the pulse rais'd In the eveing the foresaid affects ceast and the Urine came again to be of an Orange colour and in a small quantity and she enjoyed a moderate sleep during the whole night and then the next morning the Fit returned near the same hour accompanied whol'y with the like Symptoms and daily acted over the very same Tragedy Going to see this Lady after the had lain ill after this manner for twelve days I judged that this disease being chiefly rooted in the Genus Nervosum depended on the effervescency and flowing of the Humour that lies in the Nervous parts to this Breeding person I Prescribed Bleeding and to take twice a day a Powder made of Coral Pearl Ivory and other Cordial things in an appropriated Liquor morning and evening she took twelve drops of the Tincture of Antimony the effect whereof I
to be taken on occasion when the Spirits faultered He also Drank Oat-bear Alter'd with temperate and Diuretick Herbs By the use of these things he past at least seven years without any great alteration for the worse At length Old Age pressing opon him and the Disease together the Convulsive fits growing more violent seis'd him not as before when his sleep was over but as soon as he was warm in his Bed so that he was forc't wholly to forbear going to Bed and he put off his Cloaths but seldom unless it were to change Linnen Hence transpiration being hindred the Serous and other Filthy Dregs which were wont to evaporate were fixt on the Lungs which first brought a thick Breathing afterward an Asthmatick affect and lastly a Mortla Consumption If the reasons of the foresaid affects be enquired into it will appear that all these Evils proceeded from the ill Constitution of the Brain and Genus Nervosum and more immediatly from the Dyscrasy and Default of the Juice that lies in these parts The reason is plain why this Disease first increasing by degrees was soon rais'd to a far worse state by the use of hot Baths for it is manifest by experience that hot and sulphureous Baths very much exalt the Saline and other Morbid Particles that abound within the Viscera or Humours of Human Body and soon carry them to the highest pitch viz. by exagitaing them they render them more wildly exorbitant and froce them from the first passages into the Blood and thence into the Brain and Genus Nervosum nay and joyn them together being first sever'd and lying idle and stir them up to a certain Fermentation Wherefore such as being hereditarily obnoxious to the Gout or or Stone have not yet felt any Fits of those affects after the use of hot Baths very often find that both those diseases are presently brought to a maturity in them You may find the reasons of the other Symptoms in Dr. Willis at large So much for universal Convulsions which for the most part being joyn'd to the Paralytick affect are raised at once in many places separately there remain others which we call continual viz. because being conveyed on a sudden from these parts to others they mutually succeed each other and force the Members sometimes these sometimes others and often the whole Body to be mov'd involuntarily and to be bent and agitated divers ways I shall give you an instance or two of this affect A Beautiful Virgin tall and thin grown begotten of a Father obnoxious to very great distempers of the Genus Nervosum about the twentieth year of her Age was afflicted for many days with a very violent and Periodical Head ach at length the Winter Solstice being near at hand the pain of her head remitted but in its stead a mighty Catarrh succeeded with thin and much Spittle and with an Ulcerous affect of the Nostrils Mouth and Throat having undergone the tediousness of this for some time at length by the advice of some old Women she drew into her Mouth the smoke of Amber through a Tube and was presently Cur'd viz. the Catarrh was suddenly stopt but presently upon it she complain'd of a mighty giddiness with a Pain of the Head and a Ringing in the Ears on the third day the Tendons of the Neck were Convuls't that her head was bent sometimes forward sometimes backward sometimes sideways and sometimes it stood stiff and immovable in a short time after this such a Convulsive affect seiz'd the ontward parts of the whole Body and the Limbs the Arms and Hands were so wonderfully twisted that no Jugler of Mountibank was able to imitate their Flections and Convolutions Her Legs qand Feet were forc't awry this way and that and were made to beat aginst each other and to cross each other alternatively after this manner she was perpetually affected with Convulsive Motions either sitting in a Chair or lying in Bed unless when she was overwhelm'd with sleep and when she contained her members a little by much forcing her self presently she was seized with a difficult and short Breating and with a danger of being Choakt yet in the mean time the Eyes Jaws Mouth and inferiour Viscera continued free from any Convulsion Nor was she troubled with a Vomiting Rumbling nor Inflation of the Hypochondres Moreover her mind held always sound and she duly performed the functions of Memory Understanding and Imagination she neither spake nor did any thing shewing want of Reason or Indiscreetly but amongst all these stupendious evils always using Pious and Vertuous expressions she gave an admirable specimen of Christian Patience and Piety her appetite was soon dejected so that she was averse from all food unless very much press'd to it but thirst continually prest upon her she was so very weak she could neither stand nor go Her Urine was of an Orange Colour very much Impreguated with a Saltness on the Surface of which a thin Tartareous Film grew Being call'd to this Lady the sixth day after her being ill I proceeded in order to her Cure as follows In the first place having made a gentie preparation of the Body I gave her a Loosning Potion of an Infusion of Sena and Rhubarb with the addition of Yellow Saunders and Salt of Wormwood whereby she had twelve stools which gave her great ease the day following I drew eight Ounces of blood from her left Arm every evening I gave her an Opiate of the Water and Syrup of Cowslip flowers with the Powder of Pearl Moreover once within six hours I ordered her a Dose of Spirit of Harts Horn to be taken with a little draught of the following Jalape Take Water of black Cherries Wall-Nuts and Peony Flowers of each three Ounces the Antiepileptical Water of Langius two Ounces Syrupe of Male Peony Flowers two Ounces Pearl powdred a Scruple mix them make a Julape Because she could not bear much Purging Glysters of Milk and Sugar were frequently us'd Besides Anticonvulsive Liniments apply'd to the Neck and Spine we ordered Frictions of the Members affected with Woollen Cloths moistned in an appropriated Oyl and warm'd By the use of these things within six days the diseased seem'd to be very much relieved for the Convulsive Motions in a manner wholly ceast she could keep her Members in their due Site and without Motion only she was forc't sometimes by a slight Contraction to bow her head gently this way and that Moreover she was able to arise from her Chair and Walk a little but as she Walk't she did not go upright but inclining to one side 's Parting from her at that time I left her in a manifest state of Recovery she seeming to be much better But somewhat more then a week after a boistrous North Wind arising in the night time and blowing strongly on the diseas'd as she lay in her Bed the window being not well shut presently upon taking Cold she fell into such a relapse that she became not
Belly with violence By and by respiration being stopt she became senceless with a Cadaverous aspect After that she had lain thus dead as it were for three or four minutes of an hour she was wont to start up on a sudden that she could scarce be kept down or held by persons present Then followed violent contractions and distortions in all the parts of the Mouth and Face and in all the Members of the Body These Symptoms were judg'd really Hysterical because the noble Lady had so lately Aborted But considering all these things I was at length of this opinion That the cause of both Fits viz. the Paining and Convulsive depended wholly on the evil affects of the Brain and Genus Nervosum without any fault in the Womb to wit that the sharp humour heapt together within the Brain descended thence by the passages of the Nerves into parts very remote and lying in the Membranes and Fibres and fermenting with the humour coming to it from the Mass of Blood irritated them very much and caus'd violent pains then afterwards when the heterogeneous and explosive Particles admitted into the Brain with that Humour and entring the Ductus's of the Nerves joyn'd with the Spirits thereupon the Convulsive disposition now and then breaking forth into violent Fits was caus'd as it will by and by appear more at large Directing my curative intents according to this Aetiology I ordered the sick Lady at the time she was extreamly ill that Blood should be drawn from the Saphaena Vein That a gentle Purge should be given her within two days and that it should be repeated once or twice a Week Also on other days I gave her Morning and Evening Spirit of Harts-horn and at other hours twice or thrice in a day Powder of Pearl and Crabs-eyes with a Dose of the following Julape Take Water of Snails Magisterial Water of Earth-Worms of each three Ounces Water of Saxifrage and of Black-Cherries of each four Ounces Hysterick Water an Ounce Syrup of Coral an Ounce and a half Tincture of Castoreum a Dram mix them She us'd frequently a Bath of fresh Herbs when necessity required it she took Opiats always with good success Vesicatories were applied to the inward part of each Thigh and to her Neck Moreover Fomentations Liniments Glysters Cupping-glasses Sneezing-powders and many other ways of Administration were prescrib'd according to the exigency of Symptoms After this method of Curing used about fourteen days the noble Lady being very much relieved was wholly without the Convulsive Fits nay and the pains of the Bowels and Members and other Symptoms being very much mitigated gave us a very fair hope of a speedy Recovery but after this partly by reason of an ill Dyet to which the Diseased upon never so little an amendment always indulg'd herself but especially by reason of a sudden passion of terriour or sadness which a severe accident happening within her own House had rais'd falling into a Relapse the Disease was presently brought to a much worse condition for both the Convulsions and Pains troubled her in a more violent manner nay and the Stomach being stirr'd up in a manner with a continual Vomiting neither admitted Food nor Medicines she took Asses Milk for some days with some Benefit yet in regard it turn'd to Choler in her Stomack and gave her some offence it was soon left off At length in despite of all Remedies prescrib'd with all diligence by the advice of many Physitians the noble Patient languish't daily more and more and by degrees drew near to Death Two days before her Decease the pains of her Belly and Loyns remitted very much and becoming more chearful than her wont she had some hope of her Recovery but in the mean while she complain'd of a pain and a mighty oppression of her Head and falling into a profound Sleep about the beginning of the Night upon her awaking she fell into a very horrible Convulsive Fit which presently past into a mortal Apoplexy for becoming insensible and speechless she departed this Life within twelve hours The Body of this person being open'd after her Decease the Womb was found wholly without fault tho' many of the Viscera were preternaturally dispos'd in the Mesentery about the midst of it where it is fixt to the Back and contains great Plexus's of the Nerves a lax substance and blown up as it were with many Bladders was seen it equalling a hands breadth in extent opening this place I found no Humour in it but only that the Membranes were separated from each other and that nothing was included in the spaces betwixt them but a Wind which Separations doubtless were caused by the Convulsions and Explosions of the Spirits sent from the Head into those Plexus's and as to those pains in the Belly and the ascent of the great heavy thing as it were and the Inflation of the Abdomen in the Convulsive Affects it is not to be doubted but the Seat of the morbifick Cause lay hid in that part of the Mesentery As to the method of Curing to be us'd in the Passions vulgarly call'd Hysterical since the greatest part of the Symptoms of this Disease are Convulsive it is thence plain that anticonvulsive Remedies such as above written are chiefly indicated Nevertheless since these Affects very often happen to the Female Sex in which the Menses and other accidents of the Womb are most commonly taken in as a part of the Morbifick Cause therefore Medicines having regard to various dispositions of the Womb ought to be added to the former and be sundry ways complicated with them The Therapeutick Indications are either Curatory to be us'd in the Fit or Preservatory which being prosecuted out of the Fit remove the cause of the Disease and prevent its Accesses As to the former if the Fit be but small let it pass off of its own accord without any farther perturbation of the Spirits but if it so forely presses that it is needful to give aid to Nature as being greatly opprest let this one thing be endeavoured That the Spirits being made free from the Embraces of their Heterogeneous Combination remit of their Disorders and Explosions For this end it is very usual in the first place to apply to the Nostrils stinking and strong-smelling things the effluvia's of which repress and reduce to order the Spirits which are grown too wild and apt to make exorbitant efforts nay and discuss their Heterogeneous Combination and often wholly exterminate it Assa Foetida Castoreum Galbanum tyed in a fine Linnen Cloth and held to the Nostrils are proper also the Feathers of Partridges or old Shoes burnt or Sulphur kindled moreover the Spirit and Oyl of Soot or of Harts-horn often give help tho' I have known that these kinds of Suffurnigations have prov'd very offensive to some Women and have encreas'd the Fit it 's probable that sometimes they irritate the Spirits too much and force them into greater disorders As stinking things held to
the Nostrils so the like being pour'd into the Mouth often give help wherefore we often give with good success to Hysterical persons the Tincture of Castoreum Solutions of Assa Foetida and of Galbanum also the Spirits of Harts-horn and of Soot with appropriated Waters Take Spirit of Harts-horn from twelve drops to fifteen or twenty let them be taken in a little Draught of the following Julape Take Water of Penny-royal and Mugwort of each four Ounces Water of Bryony compound two Ounces Castoreum tyed in a Nodulus and hung in the Glass half a Dram double refined Sugar an Ounce Mix them Take Tincture of Castoreum from a Scruple to half a Dram let it be taken in a little Draught of Small-beer Take Assa Foetida or Galbanum two Drams let them be dissolved in Spirit of Wine till a red Tincture be extracted the Dose is a Scruple in two or three Spoonfuls of Water of Featherfew Riverius greatly extols that of Solenander Take Musk Dragons-blood of each a Scruple let more or less be taken in three or four Ounces of Water of Navews Johannes Anglicus commends the Seeds of Parsnips or of Columbines in Wine or an appropriated Water as most certain Remedies If the Fit continuing a long time renders the Person senseless or without any Pulse let smart Clysters as of the Roots of Briony with Carminatives boil'd with them in Water be injected let Frictions be us'd to the Legs and Feet and if we must proceed to stronger things let Cupping-glasses be applied to the Belly or Groin nay and let sneezing be often provok'd it is good for some to give them in the midst of the Fit a Draught of cold Water either simple or in which Camphire has burnt The preservatory Indication comprehends these three chief intents viz. First To take away or to drive to some place else the impurities of the Blood which are apt to be discharg'd on the Brain and Genus Nervosum Secondly To fortifie the Brain and so strengthen the Spirits in it that they either admit not at all the Heterogeneous Combination or readily shake it off Thirdly to amend whatsoever is amiss in the Womb and contributes to the Convulsive Disposition 1. The first Intention is perform'd by Purging and Bleeding and other common ways of Cleansing and Purging the Blood and Humours If there be room for a Vomit I Judge we must always begin with that especially in Cacochymical persons or such as are troubled with the longing disease in whom a mighty load of Viscous Phlegm sticking in the Folds and Coats of the Stomach hinders the vertues of other Medicines Within a few days after the Vomit unless somewhat indicates the contrary let Blood be drawn in Women of a hot temperament presently from the Arm and afterward if need be from the Foot or from the Veins of the Fundament by Leeches but in Bodies troubled with obstructions and less hot let Blood be drawn more sparingly and rarely and only in places seated below the Womb. After these evacuations provided always that they are indicated being duly perform'd let a Purge be given once within six or seven days according to the forms following Take Pil. Foetidae Majores a Dram and a half Rosin of Jalap twelve Grains Tartar Vitriolated Castoreum of each a Scruple Ammoniacum dissolved in Hysterick Water what suffices make twelve Pills for three Doses Or Take Rosin of Jalap eighteen Grains Calomelanos a Dram Castoreum a Scruple make a Powder divide it into three parts for three Doses give it in the Pap of a boil'd Aple or in Conserve of Borage To persons of a Hot temperament a dose of our Extract or Loosning Syrup may be properly given For the revulsion of the Morbisick matter from the Head an Issue in the Leg or Thigh and somtimes Vesicatories Ligatures and Painful Frictions are wont to be us'd Nor must we only have regard here to the cleansing of the Blood and to the Revulsion of its superfluous Dreggs from the Head but likewise to the alteration of its Liquor and the reducing of it to its due Crasis Wherefore in certain Hysterical persons Chalybeats prove beneficial in others Mineral Waters or Whey in some the use of Hot Baths are wont to do mighty good 2. The second intention viz. the rectifying of the Brain and of the Animal Spirits is perform'd by Cephalick and Particularly by Anticonvulsive Medicines and let them be carefully given almost every day when there is no Purging or Bleeding There being various kinds and ways of Administration of such Medicines I shall here give you some of the more choice forms of them Take Faecula of Briony Assa Foetida Castoreum of each a Dram Salt of Coral Amber and of Jupiter of each half a Dram Galbanum dissolv'd in Hysterick Water what suffices made a Mass the Dose is from half a Scruple to a Scruple Morning and Evening Drinking after it a Dose of an appropriated Liquor Or Take seeds of Wild Parsnips and of Nettles of each two Drams Vitriol of Mars a Dram extract of Gentian and Feverfew of each a Dram and a half with a sufficient quantity of a Syrup of Mugwort make a Mass let it be taken to half a Dram after the same manner If the form of a Powder be more grateful Take roots of Virginia Serpentary and Contrayerva of each a Dram and a half Coral prepar'd Pearl White Amber of each a Dram mix them make a Powder the Dose is from a Scruple to half a Dram Morning and Evening with an appropriated Liquour Let Opiates be made after this manner Take Conserves of the Flowers of Lillies of the Valley Male Peony and Betony of each two Ounces Peony Seeds Red Coral prepar'd of each two Drams Powder of Bastard Dittany a Dram and a half Salt of Wormwood two Drams with a sufficient quantity of Syrup of Citron Pills make an Electuary The Dose is Morning and Evening the quantity of a Nutmeg After the same manner to the Poor let Conserves of the Leaves of the Tree of Life or of the Leaves of Rue be given twice aday The Liquours appropriated to Hysterical affects and to be Drank after the foresaid Medicines are either Distilled Waters which may be taken by themselves or with others in the Form of a Julape or they are Decoctions or Tinctures and Infusions Take Water of Mugwort and Pennyroyal of each half a Pound Hysterick Water four Ounces Tincture of Castoreum half an Ounce Syrup of Coral an Ounce and a half mix them the Dose is from an Ounce to an Ounce and a half with any of the Medicines above prescribed Take Leaves of Penny-royal Feverfew both Southernwoods Calamint Nep both Horehounds of each a Handful Briony Roots four Ounces Parsnip-Seeds two Ounces being Slic't and Bruis'd pour to them of White-wine or Sider six pounds distil them according to Art Take roots of Male Peony Angelica Valerian of each half an Ounce Leaves of Mugwort Ground Pine Calamint Peny-royal Misteltoe
Pains and bitter Tortures chiefly infesting her by night one while in the Shins another while in the Arms In regard she was with Child she had been forc't to leave off a course of Physick often begun in order to its Cure After he last Child-birth her Lochia flowing plentifully she continued for many days faint and weak with a difficult Respiration and being out of Breath upon any motion A Month after being deliver'd being taken out of Bed and attempting to walk she fell into a most severe difficulty of Breathing with a Trembling of the Heart and a frequent Fainting of the Spirits Being presently put to Bed she continued almost for a whole day still Trembling and continually Panting Moreover the lower Limbs as though Death were at hand being quite chill'd waxed not warm by any Frictions or Applications of warm'd Cloaths At length after near four and twenty hours upon the frequent giving of strong Cordials she was better about the Praecordia though there followed near the right Groin in the top of the Thigh a very acute Pain reaching even to the Leg and within a few hours a pretty hard swelling resisting the touch possest all that space Being call'd at this time the Diseas'd still fetching her Breath short and with difficulty presently having order'd a Clyster to be forthwith injected I gave her twelve drops of Spirit of Hearts-horn in a spoonful of the following Julape Take Water of Snails six ounces Hysterick Water four ounces Water of Wall-nuts simple and of Pennyroyal of each three ounces Sugar one ounce Castoreum tyed in a Rag and hung in the Glass a Dram. These Medicines were repeated every sixth Hour I ordered a large vesicatory to be applyed to the inward part of the Thigh then in the Evening in regard during this whole Fit she had continued without Sleep I gave her of Laudanum a grain Pearls powdred six grains confection of Alkermes without Musk half a dram she slept quietly and there next Morning she was much relieved the pain and swelling of the Thigh somewhat abated also while she lay quiet in her Bed she was well about the Precordia but sitting upright or turning on one side presently she seem'd almost ready to dye through straitness of Breath she continued the use of the Spirit of Harts-horn and of the Julep to be repeated every sixth hour for many days Moreover because she was press'd with Thirst and made water always in a small quantity ruddy and filled with contents she took twice a day a Dose of the following Julep to six Drams Take roots of Grass Chervil preserv'd Eringos of each six drams shavings of Ivory and Harts-horn of each two Drams burnt Harts-horn a dram and a half Raisins two ounces one Apple slic'd Licorish two drams and a half being slic'd and bruised let them boyle in three pounds of Fountain Water till a third part be consumed then four ounces of White-wine being added to it let it be strained into a Flagon to which put Leaves of Scurvy-grass and Brooklimes of each a Handful Salt of Wormwood two drams make a close and warm infusion for three Hours let the straining be kept in Vessels close stopt Sometimes every day sometimes every other day a Clister was administred By the use of these things she seemed to grow better daily so that within a weeks space arising from her Bed she was able to sit up two or three Hours by the fire in her Chair but if she kept from her Bed or walkt a little more than was fitting she was presently wont to fall into a straitness of Breathing or a fit of the Asthma so that on a certain day having stayed out of Bed too long she underwent a violent fit of the Disease and was affected with a difficult Breathing a trembling of the whole Body and frequent Swoonings Being called again by reason of this Relaps of the sick Lady I gave her Spirit of Harts-horn to twenty drops with the Julep above prescribed and in the Evening a dose of our Laudanum and as thereby she found her self better about the Precordia Pains and Swellings succeeded in the right Thigh and Legg such as before had paned in the left I ordered also vesicatories to be applyed to that Thigh and besides the Remedies hitherto mentioned she took twice a day of our Wine of the Juice of Scurvy-grass four ounces with two ounces of the Magistral Antiscorbutick Water Moreover I ordered her to be purged with our Solutive Syrup above prescribed which doing well I ordered it to be repeated within three or four dayes By these Remedies she grew well within a Month. A Noble man about the thirty third year of his Age seeming to be of a sanguine Temperament tall and slender of a very acute Wit and quick understanidng tho he had used himself for a long time to immoderate and excessive Studies together with a disorderly way of Diet yet being still sprightly and full of vigour he seem'd to enjoy a sound Mind in a sound Body a little more than two years since when he had greatly tired himself by dancing a whole Night with Friends and in the Morning being put in a cold Bed in a Room that was too moist and having slept a little he began to be sick for upon his awake he fell into a mighty troublous Passion about the Precordia with terrible Swoonings as though he were ready to dye After a draught of Wine and some cordial Remedies taken he was a little better but he often relaps'd so that all that day both himself and his Friends dreaded either a swoon without returning to himself or an imminent Apoplexy Moreover after that this Fit of the Disease was past yet still he lived obnoxious to daily passions of the Heart and upon any great Error committed in Diet he was wont to be afflicted again with a violent fit Notwithstanding the use of Remedies the Disease growing worse within a few Months did not only infest the Precordia but in the whole habit of the Body Expansions sometimes of heat sometimes of cold moreover in the Limbs a numbness or formication or light Convulsions and sudden contractions were raised but of late besides the Symtoms hitherto mentioned which still greatly molest the Noble Person he is moreover sorely afflicted with a frequent Vertigo and with Distractions and Failings of the Spirits residing in the Fore-brain insomuch that he is forc'd to abstain from the Studies and Politick Employs to which he has been always addicted and even from any strong intention of the Mind for otherwise he feels both in the Head and in the genus nerevosum these troublous Passions that he may fear either an invasion of the Apoplexy or horrible Convulsive Affects a great fit of this Disease pressing upon him the Ventricle also for the most part is disturbed Moreover he has often found ease after a Vomit either hapning of its own accord or raised by the help of an Emetick Medicine Hence some
things being thus premitted concerning the Vertigo in general it seems likewise proper for us to delineate a therapeutick method more particularly and to give an orderly process of it And first it shall be shewn what is to be done in the Fit for curing it and then what out of the Fit for preservation 1. As to the former tho an invasion of the Vertigo how violent soever it may seem for the most part is free from danger and often passes off easily of its own accord yet because those that are affected with it fearing themselves a dying desire Physical Aid in such a case if the Pulse indicates it a Clyster being premitted let bleeding be ordered then a Vesicatory being applied to the Neck let strong-smelling things as Castoreum Spirit or volatile Salt of Harts-horn Vrine or Sal Armoniack be presently held to the Nostrils moreover let those Spirits be given twice or thrice a day with a convenient dose of a Cephalick Julep going to bed let a bolus of Mithridate with powder of Castoreum be taken the day following if the affect be not yet gone let a gentle Purge be given or if the Diseas'd be inclined or easie to vomit let an Emetick be taken than which there is scarce any Remedy more excellent Take Pillulae de Succino twenty five grains Rosm of Jalap six grains Tartar vitriolat seven grains Balsam of Peru what suffices make four Pills to be taken going to bed or early in the morning or Take Sulphur of Antimony five grains Cream of Tartar half a scruple Castoreum two grains make a powder to be taken with governance expecting a vomiting That Vomits often do good in the Vertigo besides the testimony of Authors it sufficiently appears also by common observation and since vertiginous Persons vomit often of their own accord hence an opinion has grown amongst many that the cause of this Disease lies hid in a manner alwayes in the Stomach but we have shewn elsewhere that this is otherwise and that the vomiting frequently happens by reason of the Spirits being troubled in the Brain Now the reason why Emeticks do good in this Disease is that by this kind of Medicine both a very great Revulsion is made of Humours from the Brain and that the Spirits there being in a tumult are presently restrain'd When the Membranes and Fibres of the Ventricle and the Viscera placed near it are twitcht various Humours viz. the nervous serous lymphick pancreatick and bilous are drawn into those Parts and so dreined that the Brain continues free from their Incursions nay and easily throws off a great many then sticking in it Then as to the animal Spirits we have shewn elsewhere that there is alwayes a very great communication and intimate accord betwixt those that reside in the Stomach and those of the Brain so that a grateful or ingrateful affect of the Stomach from things taken causes erections or dejections of the Spirits residing in the Brain Opiats whilst remaining in the Stomach bring a sleepiness so in the Vertigo and other Cephalick Diseases it will not conduce a little to the redressing and regulating of the Spirits in the Brain when all in confusion and mightily agitated if their consociates or relations be put in a consternation within the Ventricle by an irritating Medicine for whilst for the aid of these a great many are call'd from the Brain the others remaining remit of their disorders and resume their ancient Offices doubtless it is chiefly for this reason that Emeticks often give great Relief in affects of the Mania insomuch that certain Empiricks use in a manner those alone 2. But returning from this small digression let us consider what is to be done for curing an inveterate and almost continual Vertigo out of the Fit therefore in the first place a method being ordered concerning blooding and purging to be us'd and repeated at fit intervals of time according to the Constitution and strength of the Patient I also use to advise that a Vomit if nothing indicates the contrary be taken once a Month for which end to weak Persons after the Stomack 's being fill'd with light food let Wine and Oximel of Squills be given to two or three ounces and afterwards let posset-drink with Carduus leaves boyl'd in it be drank in a great quantity and let it presently be thrown up again with a spontaneous or forced vomiting To others let an Emetick be given of Salt of Vitriol or of the Infusion of crocus Metallorum Concerning Issues Vesicatories the opening of the hemorrhades also of a Plaister or Cap to be worn on the Head and of topicks to be apply'd to the soles of the Feet or to the Wrists for revulsion or derivation let a Physician deliberate Take Conserve of the Flowers of male Peony six ounces powder of its Roots an ounce Peony seeds powdered two drams Amber Coral Pearl powdered of each two drams and a half Salt of Coral a dram Syrup of coral what suffices make an Electuary The Dose is a dram and a half or two drams in the evening and early in the morning drinking after it three ounces of the following distilled Water Take fresh leaves of Mistletow six handfuls roots of male Peony Angelica of each a pound and half the white dung of Peacocks two pounds Cardamum bruised two ounces Castoreum three Drams all being slic'd small and mixt together pour to them of White wine or of Whey prepar'd of it eight pounds distill it with common Organs let the whole Liquor be mix'd Take powder of the root of male Peony half an ounce red Coral prepar'd Species Diambroe of each a dram and half powder of male Peony flowers fresh bruised and dried in the Sun a dram make a powder to which add of double resin'd Sugar dissolved in Peony water and boyled to a consistency for Tablets ten ounces make Tablets according to Art weighing half a dram let one or two be taken often in a day Because all things do not agree with all Persons but a Physician ought to assay divers Medicaments and insisting on a various Method at one time to try these Medicines another those therefore I shall here set down certain forms of another kind Take our Syrup of Steel six ounces let a spoonful be taken in the Morning and at five of the Clock with three ounces either of the distilled Water even now described or of some other Cephalick Water or take from fifteen to twenty drops of our Syrup of Steel with a draught of the same distilled Water twice a day I have known these things to have given great Relief to many Sometimes let doses of the Spirits of Soot Harts-horn or Sal Armoniack impregnated with Amber Coral or Mans Scull or let tincture of Amber Antimony or Coral be daily given after the same manner Take Powder of the Roots of male Peony an ounce and a half Peony Seeds Coral prepared white Amber of each three Drams Pearl prepared Powder of male Peony
must have regard both to the Fever and to the fury The feverish burning or immoderate effervescence of the Blood which for the most part is the antecedent cause of the other affect ought in the first place to be restrained and appeased and withall the Animal Spirits ought to be pacified and freed from any violent excandescence If a Frensy happens about the beginning or middle of a Fever in a manner the same remedies and method of Curing conduce for both ends But if that affect happens upon this whilst it is in its greatest force or height the ways of curing often are contrary to each other and there is need of great caution lest while we give help to one disease we increase the other in this case the vital indication concerning the preservation of the strength has the first place and let not Blooding or Purging be used rashly and in a large measure In the former case when the Fever and Frensy are almost of the same standing let Phlebotomy which is seldom or never to be omitted presently be used and if the strength bears it let it be sometimes repeated for nothing depresses and diminishes the immoderate flame of the Blood as much as this Remedy and nothing more removes or withdraws its burning flame from the Animal oeconomy Wherefore if the case requires it let a Vein be opened sometimes in the Arm or Hand sometimes in the Leg or Foot sometimes in the Neck or Forehead sometimes haply it may be expedient to open the Artery of the Temples and sometimes also to draw Blood from other places by Leeches or Cupping-glasses for this is the chiefest relief And according to Galen this being the first and greatest of all Remedies is wont to satisfie a great many indications in the Frensy Moreover to prevent the violent recourse of the febrile matter from the Viscera to the Head Clysters will be of chief use with which if need be let the Belly always be kept soluble Vemits and Purges unless only such as are lenitive have seldome place here Let Cataplasms of Rue Cammomil Vervain Briony Roots Red Poppy-flowers with Soap be applied all over the Feet or in their place let Pidgeons slit in two be applied whilst they are warm Mean while Juleps Apozemes Powders Confections by which both the boylings of the Blood and the excandescence of the Spirits are appeased ought to be prescribed according to occasion Take the waters of Apples Black Cherries Cowslips of each four ounces of whole Citrons two ounces Pearl powdred a dram Syrup of the juice of Citrons an ounce mix them make a Julep let three ounces be taken three or four times a day Take Roots of Grass Leaves of Wood-Sorrel Burnet of each a handful Barley half an ounce Apples slic'd Corinths or Strawberries or Rasberries a handful let them boyl in four pounds of fountain-Fountain-water to the consumption of a third part to the clear straining add Syrup of Violets an ounce Sal Prunella a dram and a half Take fresh and tender leaves of Borage four handfuls Wood-Sorrel two handfuls two Apples pounded to a mash Sal Prunella two drams the pulp of one Orange double refin'd Sugar an ounce being bruis'd together pour to them of fountain-Fountain-water two or three pounds make a strong expression keep it in a glass to be clarified by setling Let six or seven ounces be taken at pleasure often in a day For quenching thirst drink at pleasure the divine drink of Palmarius viz. Fountain Water with Sugar and the Juice of a Limon or Water or Whey with the leaves of Meadow-sweet or Burnet infus'd or boyl'd in them emulsions of a decoction of the roots and flowers of Nymphaea with the seeds of Melons or fountain or distill'd Water with the pulp of boyled Apples dissolved in them Hypnoticks are often necessary in this Disease but such as are strong are not proper presently at the beginning nor may they be frequently used because sleep caused by opiats brings the matter more to the Brain and fixes it there more deeply Take Water of Cowslip flowers four ounces Syrup of Maeconium half an ounce Pearl a scruple make a draught to be taken late at night Take white Poppy-seeds two drams Sugar-candy a dram and a half being bruis'd together pour to them of white poppy-Poppy-water six ounces wring it forth and take it after the same manner Let Narcoticks consisting of meer cold things be given with caution because they do not agree with some whose Stomachs have their fibres very tender and sensible I have often observ'd that these kinds of Hypnoticks have caus'd a great oppression in the Ventricle and that then presently its inflation and a little afterward distractions and disorderings of the Spirits in the Brain nay in the whole Body followed So that not only a frustration of sleep but a mighty restlesness was caus'd Let a dose of liuqid Laudanum prepared with Salt of Tartar or the Juice of Quinces be given in a convenient liquor Epithemes also which provoke Sleep are often applied to the Temples Forehead and Sinciput with success of which kind are Oxyrrhodinum an Embrocation of Water or Milk liniments of the Oyl of Nutmegs by expression and unguentum populneum to which sometimes let five or six grains of Opium be added or a cake of Roses or of Poppy-flowers with Vinegar and Nutmeg c. Again on this account rather than for removing the inflammation of the meninx the warm lungs of a Lamb or Weather also Pidgeons or Chickens cut in two often give an excellent relief For this use the great Burr-dock bruised and mixt with Womans Milk and applied to the Sinciput shaved is greatly commended Also Penotus's Epitheme of twelve grains of Musk half a scruple of Camphire and twenty ounces of rose-Rose-water impregnated with the Tincture of Red Saunders is commended by some Moreover not only to the Head but likewise to the Heart Liver and other parts Epithemes are wont to be applied Let a Sacculus of fine Linnen with lays of cordial Species and Cotton stuck in it and irrigated with the distilled Water or Vinegar of Roses be applied to the Praecordia also let Linnen Cloaths dipt in Vinegar of Roses be laid on the Testles Let the Feet be bathed with a decoction of the leaves of Willow Lettice and the heads of the white Poppy But let these kinds of cooling and mitigating topicks be us'd only about the beginning of the Disease in its greatest height let Resolvents and Emollients as the flowers of Cammomil Melilot Elder c. also the leaves of Mallows Arach Marjoram Hyssop and the like be added In the declination of the Disease let Resolvents only and those sparingly be used In the mean while a very great regard ought to be had of the Strength for this being too much broken all hope of Cure is lost Now the strength is wont to be soon consumed by reason of great watchings perpetual agitations of the body and mind a thin dyet and Blooding
or of Tea Or Take Roots of Chervil Polypody of the Oak of each an ounce and a half leaves of Hearts-tongue Spleenwort Ceterach Germander of each a handful Tamarisk half a handful bark of the same half an ounce Raisins ston'd two ounces one Apple sliced being sliced and bruis'd let them boyl in four pounds of fountain-Fountain-water to a consumption of the third part towards the end add leaves of Water-cresses a handful strain it and clarifie it let six ounces be taken twice or thrice a day let it be sweetned with Syrup of Fumitory iron-spaw-Iron-Spaw-waters are wont to contribute egregiously to the Cure of Melancholy Persons viz. in as much as being plentifully drank they wash away the salino-sulphureous tincture of the Blood and destroy its evil ferments Moreover they cleanse the filth of the Viscera open obstructions and which is of mighty benefit by their astriction they both strengthen the weak or over-lax Viscera and close the mouths of the Vessels gaping into the Brain that a passage may not lye open into it for the extraneous matter together with the nervous Juyce and in this respect to wit by corroborating the Viscera and closing the passages into the Brain Vitriolick Preparations of Iron are wont to be given with good effect in Melancholy and also in the Vertigo Take our Steel prepared three ounces infuse it in two pounds of the water above prescribed let three or four ounces be taken twice a day by it self or with some other solid Medicine Take filings of Steel an ounce put them in a Glass with two ounces of the Juice of Oranges let it stand for a day shaking it now and then then pour to it water of Apples and White-wine of each a pound or of small and mild Cider two pounds let three ounces be taken twice a day after the same manner Take Vitriol of Mars Cream of Tartar Crabs Eyes of each a dram mix them make a powder divide it into nine parts le tone part be taken every Morning in a draught of an appropiate distill'd Water or a Decoction or appropriate Julep Take Syrup of Steel four ounces let a spoonful be taken twice a day in a fit vehicle Take extract of Steel from our Steel prepared with an appropriate Decoction three ounces powder of Ivory yellow Saunders Lignum Aloes of each half a dram Salt of Tartar two Scruples Ammoniacum dissolved in Water of Earth-worms what suffizes make a mass let it be made into little Pills let three or four be taken every Evening drinking after it three ounces of Water of Apples or of Cowslip-flowers Whey if it agrees with the Stomack being drank plentifully for many dayes is often used with good effect for the like reason as Spaw-waters viz. by washing away the salt and sulphureous Particles of the atrobilarious Blood Whey with Epithymum infused or boyled in it is egregiously commended by some Let Broaths be prepared of the Decoction of a Chicken with the Roots of Polypody Chervil Fennel Butchers-broom and the Leaves of Ceterach Hartstongue Scolopendrium c. let a draught be taken in the Morning and at five of the Clock in the Afternoon in which dissolve Vitriol of Mars from six grains to ten Salt of Wormwood Cream of Tartar of each a scruple Juices and Expressions of Herbs sometimes contribute egregiously to the taking away of the Dyscrasy of the Blood Take Leaves of Borrage Water-cresses of each six handfuls two Apples mash'd the pulpe of two Oranges double refined Sugar an ounce all being bruised together pour to them of excellent Cyder a pound and a half make a strong expression let it be kept in a Glass the dose is four ounces twice or thrice a day In the Summer a Bath of sweet Water inasmuch as it cleanses the filth sticking in the Skin and promotes insensible transpiration does great good to some Because Melancholy persons Sleep with difficulty and after long or frequent watchings are worse therefore let Anodynes and sometimes gentle Hypnoticks be prescrib'd to be taken late at night when there is need For this purpose a decoction of Cowslip-flowers or of the leaves of Lettices or the distill'd water of the red Poppey or Syrup of the same Moreover Emulsions of the seeds of the white Poppey Syrupus de Meconio and other things that are mild and soothing the Spirits are proper There being an infinite number of Melancholick persons as well as of Fools I shall illustrate our hypothesis only with two examples in one of which the Disease began from the sensitive part of the Soul or from the Animal Spirits and in the other from its Vital part to wit from the Blood Some time since a renowned man about forty years of age of a florid countenance chearful and quick at all business being afflicted in mind and very much dejected by reason of some misfortunes became thenceforward very sad and melancholy with a dead and fallen aspect When first I went to see him he complain'd of much trouble and distraction of his thoughts which were so great that his Fancy being occupied day and night without intermission he liv'd wholly without sleep and nevertheless this Person minded not at all the concerns of the Publick nor of his own Family nor was he greatly sollicitous concerning the welfare of his Soul or the health of his Body but rather was continually perplext about petty things and almost of no moment he was so fearful of all things that he fancied some harm or Death would presently happen to him upon any little accident In fine he always liv'd so sad as tho he endeavour'd to exceed Heraclitus in mourning Moreover he was troubled with so great a straitness and constriction of his Heart that it seem'd to him as tho the whole Praecordia were most closely strain'd together as a first contracted and he thought that he always carried a vast and very oppressive burthen there which forc'd him always to go forward and stooping towards the Earth Whilst he was discoursing with his friends that constriction and oppression of the Praecordia was wont somewhat to remit but then upon any unusual object striking him with a terrour it returned with more violence Nor was he only troubled with a certain constriction in the Precordia but in the whole Body besides and a certain weight as it were seemed to lye on the Region of his Loyns also on his Shoulders and Arms. As to the Cure of this Person after various Medicines us'd without any great success at length I perswaded him because it was Summer to drink our artificial Spaw-waters for six weeks Therefore in the first place in four pounds of Fountain-water I infus'd for a night of our Steel prepar'd half a dram and afterward as much in eight pounds of Water The Diseased every morning drank the clear Liquor and within four or five hours discharged the greater part of it by Urine He took moreover going to Bed and early in the morning a dose of an
Colick they may sometimes be given with success in order to agentle Salivation Baths and Sudorificks are generally wont to be prescribed in Pains of the Colick tho as far as it has appear'd to our Observation seldom with good success for these by exagitating the Blood and nervous Humour make them depose more yet of Matter into the Minera of the Colick nay and make the Matter there deposed serment more and be more unruly and very seldom perfectly discuss it Diureticks are wont to be given much more advantageously by which in regard the Blood it fus'd and its Serosities are copiously precipitated thereby the Fuel of the Disease is cut off and the mass of Blood being emptied receives into it a part of the morbifick Matter so that the remainder of it is easily discust For this end Take Spirit of Tartar excellently rectified half an ounce let half a dram be given twice or thrice a day in a Spoonful of two of the following Julep drinking after it of the fame four or five Spoonfuls Take Water of the Leaves of the great Bur-dock or of Aron or Arsinart a pound Water of the flowers of Elder and Cammomil of each four ounces compound water of Gentian and compound Raddish water of each two ounces Sugar six drams mix them After the same manner as Spirit of Tartar you may give in a meet dose sometimes Tincture of Salt of Tartar sometimes Mixtura Simplex or Spirit of Sal Armoniack succinated Take Millepedes prepar'd two drams flowers of Sal Armoniack tartariz'd a dram Oyl of Nutmeggs half a scruple Turpentine what suffises make a mass let it be form'd into Pills let three or four be taken once or twice a day drinking after it a dose of the Julep or five or six spoonfuls of the following distilled Water Take fresh Millepedes cleansed a pound and a half the yellow Coats of six Oranges and of four Limons Nutmeggs in number six being slic'd small add to them Crum of stale white Bread a pound all being bruised together and well mix'd pour to them of fresh Milk four pounds Sack two pounds distill them according to Art let the whole Liquour be mixt and sweetned with Sugar or Syrup of Violets at pleasure In a long continued and obstinate Colick where there are a hot Temperament and Viscera purging spaw-Spaw-waters or Whey with Syrup of Viclets is often wont to be drank with great relief for both Liquours where they agree being drank in a plentiful manner cool the Stomack and hot Intestines and presently ease and relax them being contracted with Cramps and painful Corrugations or being convulsively extended with Flatus's Moreover whence I conceive they chiefly give help insinuating saline Particles of another Nature into the morbifick Minera they conquer and subdue the Saline and Irritative Particles residing in it and often carry them forth by purging In this Disease since all things do not agree with all Persons nay nor the same alwayes or a long while with the same Person there is need of the careful observation and daily advice of a prudent Physician that by coindications taken from things that do good good or hurt the method of Cure may be rightly ordered and now and then chang'd The Vital Indication ought to be joyn'd to the Curatory and be now and then interchangeably us'd with it for since the Diseased being almost continually affected with tortures watchings vomiting and abstinence often fall into faintings and are sometimes in danger of Life let Remedies which support the strength refresh the Spirits and procure certain times of truce against the Fits of the Disease viz. Cordials and Hypnoticks have their turns Take water of the Flowers of Camomil and Elder of each four ounces of Cinnamon hordeated of the whole Citron of each two ounces Pearl powdred a dram Sugar four drams make a Julep let five of six spoonfuls be taken now and then Take powder of Pearl Crabs-eyes of each a dram divide it into four parts let one part be given twice or thrice a day with the Julep or with the Decoction of the roots of Contrayerva Take Conserve of Clove-gilliflowers an ounce Confection of Hiacinth Alkermes of each two drams Pearl powdred a dram and a half Syrup of the Juyce of Citrons what suffices make a Confection let the quantity of a Nutmeg be given twice or thrice a day with a Julep In Constitutions that are not hot Spirit of Harts-horn of Soot of Sal Armoniack succinated also Tincture of Antimony or of Coral often do excellently well Opiats in the Cholick are of necessary Use without which the Diseased can neither live nor the Physicians be at any rest or quiet Take water of Cowslip-flowers three ounces Syrup of Meconium half a dram Aqua mirabilis two drams mix them make a draught to be taken going to rest If the pain being very intense will not yield to such a Remedy you must give Preparations and Compositions of Opium Paracelsus's or the London Laudanum Pillul de Styrace or Cynoglosso are proper a Solution of Odium tartariz'd to sixteen or twenty drops is wont to be of chief use with me Which Medicine I have truely given to some Persons long and miserably troubled with this Disease sometimes for a long time one while every night another while every other night with good success 3. The Preservatory Indication having place only in the Intervals of the Fits endeavours the removal of the present Procatarxis of the Disease and the hindring of a future so that the Invasions of Pains may return seldom or never afterwards In order to these things the Blood and nervous Liquour ought to be purified and kept in a due Crasis that they do not engender a morbifick Matter and the Brain and nervous Plexus's of the Abdomen to be strengthned that they do not receive it too readily For these ends a way of dyer being ordered Spring and Fall let solemn Courses of Physick such as we have prescribed for the Prophylaxis of the Gout be entred upon Let Vomiting if it agrees never be omitted in this Case as by which the Emunctories of the Viscera being emptied they may more plentifully receive the Recrements of the Blood and nervous Liquour which would otherwise encrease the morbifick Matter And likewise that the nervous Plexus's and all the parts may be so shaken that nothing which would turn to a Minera of the Disease may be permitted to stagnate or be heap'd together there Let purging for three or four times by due Intervals also in a hot Constitution let blooding be used Moreover let altering Remedies and chiefly Chalybeats when the Person rests from purging be daily taken at physical Hours But above all other Medicines whatsoever Spaw-waters coming from Iron drank in the Summer time for a Month are wont to give most relief but when they are drank diligent care must be taken that they pass off well and quick by Urine or Seige least happily if they stay long in the Body by taking
chief of them together with the Remedies The Emetick matter subsisting in the Ventricle is either brought into it from elsewhere or what for want of digestion or because it is vitiated is engendred there in either respect the present offensive load is first of all to be carried off and then care must be taken to prevent any farther supply of it To cleanse the filthy Mass of viscous matter forth of the Stomach prescribe a gentle Vomit of Carduus Posset-drink or of Oxymel or Wine of Squills or of a Decoction of the Flowers of Chamomil or of the Roots of Eupatorium or give a Solution of the Salt of Vitriol or such like then let the remainder be gently carried off by Glisters or by a Purge of Pilulae Mastichin or Pil. Stomach cum Gummis Tinctura Sacra or an Infusion of Rhubarb Moreover when an impure or rank Blood conveying ever and anon new Stores of offensive matter to the Stomach either by the Arteries or by the Gall-Vessels which often overflow causes a disposition to Vomit Bleeding frequently affords relief and therefore Women with Child troubled with Vomiting are often Cur'd by this means those things also do good which so temper the Blood that they keep it free from breeding adust Excrements Hence Whey Mineral Waters Juices of Herbs Sal Prunella and such like for as much as they fuse the Blood and convey its dreggy Particles some other way often remove Vomiting dispositions These sorts of Remedies may also be us'd in case a frequent and daily Vomiting proceeds as some think it may from the meetings and contest of the Bilous and Pancreatick humours and from their regurgitation into the Ventricle The more frequent Vomiting and harder to be Cur'd is that which proceeds from a disagreeing matter and consequently Emetick engendred within the Ventricle to wit by reason of the vitiated ferment of the Stomach whatsoever is taken into it degenerates into an irritating Mass of Corruption wherefore in this case after that the filth of the Stomach is cleans'd forth by gentle Evacuatives Remedies commonly call'd Digestives are generally us'd which according as the fermenting Juice of the Stomach being for the most part of a Saline Nature and sometimes of a Sulphurous is in a various state of fixtness flowing or adustion are variously prescrib'd and sometimes these sometimes the others do most good In Belching and Acid Vomiting these following Medicines may be try'd and you may fix upon your method of Cure according to what you find agrees best Take Powder of Aron Compound an Ounce and a half Salt of Wormwood two Drams Sugar of Roses three Drams make a Powder give a Dram of it in the Morning and at five a Clock in the Afternoon in a little draught of Beer boil'd with Mace and a Crust of Bread or give it in the distill'd Water or Tincture of Roman Wormwood Take the Powders of Ivory Crabs Eyes and red Coral of each two Drams Calcind Coral one Dram red Saunders Cinnamon of each half a Dram make a Powder the Dose is half a Dram after the same manner Take the Powders of Lignum Aloes yellow Saunders Winters Bark of each two Drams of white Chalk six Drams Sugar-Candy half an Ounce with the Solution of Tragacanth in Mint Water as much as suffices make a Past and let it be form'd into Troches weighing half a Dram let the Patient take three or four of these thrice or oftner in a day Take Tincture of Salt of Tartar an Ounce the Dose is from a Scruple to half a Dram twice a day in some proper distill'd Water In hot and sharp or tartish Vomiting Medicines endow'd with a sharp or tartish and vitriolate Salt are more proper The famous Medicine of Riverius in this case does well Take Salt of Wormwood a Scruple give it in a spoonful of Juice of Limmons Take prepar'd Coral two Drams Salt of Wormwood a Dram and a half Juice of Limmons four Ounces let all stand in a large Glass add to it of strong cinnamon-Cinnamon-water two Ounces give a spoonful or two twice a day first shaking the Glass Take Powders of Ivory and Coral of each two Drams Vitriol of Steel a Dram Sugar-Candy a Dram mix them then divide the whole into six or eight parts of which take one part twice a day in some convenient Vehicle In this case Purging Mineral Waters which have much Nitre in them also Waters that come from an Iron Mineral and likewise our Artificial Chalybeate Waters prove of notable effect When at any time the Stomach perverts the most part of what comes into it into a bilous and bitterish Mass of filthy corruption as it often uses to do and for that reason is prone to frequent Vomitings then both acid and bitter things are proper Take Elixir Proprietatis an Ounce the Dose is a Scruple twice a day in some fit Vehicle Take Rhubarb Powdred twenty five Grains Salt of Wormwood a Scruple cinnamon-Cinnamon-water half an Ounce Juice of Limmons an Ounce let it be taken alone or with some other Liquor Take Powder of Aron Compound an Ounce and a half white Christals of Tartar three Drams Vitriol of Steel a Dram Sugar half an Ounce make a Powder the Dose is half a Dram or two Scruples every Morning drinking after it a draught of the Tincture of Roman Wormwood or some Coffee Take Powder of Crabs Eyes half an Ounce Chalybeat Tartar two Drams Sugar-Candy a Dram make a Powder the Dose is half a Dram with a fit Vehicle twice a day Oftentimes the cause of a frequent and habitual Vomiting is not so much the matter irritating the Ventricle as the extream debility of its Nervous Fibres which are neither able to Concoct what is taken into the Stomach nor to endure the weight or burthen of it but are presently irritated by any thing lying upon them and stir up the Carnous Fibres to Excretory Convulsions There are two principal causes of this sort of Affect viz. either the debility of the Stomach arising from the Fibres themselves is gotten by disorder in eating and drinking so that those Fibres for as much as they are beyond measure extended or over-heated and as it were scorch'd are not capable of admitting or containing a sufficient plenty of Animal Spirits Or Secondly These Fibres though they may be well enough dispos'd of themselves yet for that the Nerves are in some other place obstructed they are destitute of a due Afflux of Spirits whence becoming languid and flaxid they cannot bear what is taken in but presently finding themselves over-charged throw all forth by Vomiting In the former Affect those Remedies are indicated which by their Styptick force cause the too much distended and tenuated Fibres to corrugate and contract themselves into a shorter space also such as by their most grateful refreshment enliven their languishing Spirits and allure others more plenteously to them Take Mynsicht 's Elixir of Vitriol an Ounce give from ten Grains to fifteen twice
or thrice a day in a spoonful of the following distill'd Water drinking seven or eight spoonfuls of the same after it Take Cypress Tops six handfuls Clary Leaves four handfuls the outward Coats of twelve Oranges Cinnamon Mace of each an Ounce the Roots of Cyperus and the lesser Galingal of each half an Ounce being slic'd and bruis'd let them be put into eight pounds of Brunswich Beer and distill'd in an ordinary Still Take Tincture of the Balsam of Tolu extracted with the Tincture of Salt of Tartar an Ounce the Dose is twenty Grains with the same Vehicle the Tincture of Wormwood prepar'd with the same Menstruum may also be try'd Take Powder of the Leaves of Wormwood and Myrtle dri'd in the Sun in the Summer time of each two Drams Cinnamon Flowers of red Roses of each a Dram Cubebs Roots of the lesser Galingal of each half a Dram red Coral prepar'd a Dram make of all a subtle Powder then with six Ounces of double refin'd Sugar dissolv'd in cinnamon-Cinnamon-water and boil'd up to a consistency make it up in little Cakes weighing half a Dram let one or two of these be eaten often in a day as the person pleases Take Conserve of red Roses vitriolated four Ounces Myrobalans condited six Drams Ginger condited in the Indies half an Ounce Species of Hyacinth two Drams the reddest Crocus Martis one Dram Syrup of Corals what will suffice make of all an Electuary the Dose is a Dram twice a day drinking after it a little draught of the distill'd water In the debility or resolution of the Ventricle by reason of the Nerves being somewhere else abstructed Paralytick Remedies joyn'd with Stomachicks must chiefly be insisted on Take Elixir Proprietatis Tartariz'd an Ounce the Dose is a Scruple twice a day with the water above prescrib'd The Tinctures of Salt of Tartar of Coral of Antimony may be us'd after the same manner In this case also the sweet spirit of Salt tht spirit of Sal Armoniack or its Flowers are of great effect Moreover Vomits Purges and even Diaphoreticks are often successively administred I have known this Distemter sometimes happily Cur'd by Bathing in our hot Baths at Bathe CHAP. III. Instructions concerning Purging with prescripts of Purges AS Nature often Purges it self according to three Degrees so there are three Degrees of Purging by Medicine The first is soft and easie gently expelling any loose matter contain'd in the Ventricle and the Intestines The second reaches not only that but Purges likewise other humours from the Bilous and Pancreatick Passages and from the Mouths of the Vessels The third performs all this and that in a more full manner and going yet farther strongly Purges from the Blood and consequently from the Nervous Juice and other parts an Excrementitious matter which is brought by the Arteries into the Intestines As for what concerns the choice to be us'd in Purging Medicines though we do not approve of those cry'd up Classes of Medicines appropriated to this or that Juice or Humour yet we do not think that all Purges are indifferently to be us'd in all cases but that there is need of a strong Judgment and a wary circumspection in a Physician that according to the strength of his Patients their temperament the state and ability of the Viscera their bearing custome and fancy and so according to the nature of the Disease its time and quality he prescribe a Purge more gentle or strong and that of hot things or temperate gentle or more smart and in a solid substance or a liquid or something of some other certain kind and form as he shall see good A Purge therefore being not convenient at all times nor in every state of Body to proceed as we ought we must take a fit season and use a certain preparation and both these have regard to the first passages and to the Mass of Blood As to the first if at any time the Stomach be loaded with a Mass of viscous Phlegm or troubled with the boiling of Turgid Choler a Purge most commonly either becomes of no effect or does hurt unless those contents are first of all cleans'd forth by a Vomit or unless their oppression and effervescency be corrected by digestives As to what regards the Blood a Purge is often unseasonable sometimes also inconvenient and in neither of these cases Preparatives commonly so call'd but only Alteratives are proper for the business is not to dispose those imaginary humours for evacution but the Blood it self ought to be reduc'd from its troubled and confused state to a calm condition or from its debility and fall'n Crasis to its vigour and ev'n temperament Whilst the Blood Feaverishly boiling is disturb'd in its mixture Purging is always found hurtful and so whilst its Mass being become languid and weak does not arise to its due fermentation that sort of Evacuation is no less forbidden Moreover when the Blood is too bilous or watry or too much inclin'd to Coagulations or Fusions Purges for the most part do not take away those its defaults or depravations but most commonly encrease them Wherefore in those cases altering Remedies are rather Indicated which may destroy the undue Separations and Combinations of the Salts Sulphur and Serum and take away other their enormities Of these Digestives and Alteratives which supply the place of common Preparatives we shall speak particularly hereafter The chiefest Compositions of Purging Medicines being Potions Powders Bolus's Electuaries Morsels or Tablets and Physick-Ales or Wines we shall here set down certain of the more Select Forms of each of them and those of a threefold kind according as the operation of the Medicine ought to be gentle mean or strong to which in the fourth place we shall add Prescripts of easily prepar'd Purges for poor People 1. Gentle Potions Take Rhubarb slic'd three Drams yellow Saunders half a Dram Salt of Tartar a Scruple make a cold Infusion all Night in Cichory water and White-wine of each two Ounces and a half to three Ounces of Cleer straining add Syrup of Cichory with Rhubarb half an Ounce Cinnamon water two Drams make a Potion 2. Mean Potions Take of the best Senna three Drams Rhubarb Troches of Agarick of each a Dram and a half yellow Saunders two Scruples Salt of Tartar half a Dram Coriander-seeds a Dram let them have a close Infusion all Night in spring-Spring-water and White-wine made warm of each three Ounces to four Ounces of it strain'd add of the Purging Syrup of Apples an Ounce Aqua Mirabilis two Drams make a Potion Or Take the decoction of Senna Gerionis four Ounces Syrrup of Roses Solutive an Ounce Cream of Tartar half a Dram Cinnamon water two Drams make a Potion Take the best Senna Cassia Fistula Tamarinds of each half an Ounce Coriander-seeds two Drams boil all in ten Ounces of spring-Spring-water till a third part be consum'd strain it and Clarifie it with the White of an Egg add to it the Syrup of Apples
began to nauseate him I prescrib'd after the following manner Take Powders of Tormentil Roots of Contrayerva Bole Armenick Alexiteriated of each a Dram Pearl Red Coral prepar'd White Amber of each half a Dram make a Powder the Dose is half a Dram in the following distill'd water Take Tops of Cypress and Myrtle of each four handfuls Leaves of Meadow-sweet Burnet St. Johns-wort Avens of each four handfuls Roots of Tormentil Bistort of each six Drams Red Rose-flowers four handfuls Kermes Berries four Ounces Cinnamon Mace of each one Ounce Being all slic'd and bruis'd together pour to them Red Florence Wine and Red Rose water of each four pounds distil all in a common Still let the whole Liquor be mingled and sweetned with Syrup of Coral He took also three or four times a day of the following decoction three or four Ounces Take Roots of Avens and Scorzonera of each an Ounce of Tormentil two Drams Hartshorn burnt and powdred six Drams shavings of Ivory and Hartshorn of each two Drams Tops of St. Johns-wort a handful Flowers of Red Roses and Balaustiae of each a pugil Boil all in three pounds of fountain water till it comes to two adding towards the end of the boiling of Red Lisbon wine four Ounces let it boil close cover'd for an hour then let it be strain'd through Hippocrates Sleeve Every night he took a Scruple of Liquid Laudanum in three Ounces of the Bloody Flux water ev'n now describ'd with three Drams of Syrup of Clove Gilly-flowers in it His common drink was a decoction of burnt Hartshorn with Barley a Crust of Bread Mace and Cinnamon to a Pint and a half of which a Pint of new Milk was added He took the Purging Infusion a second time by the use of which and the things before mentioned within ten days the Feaver left him and the Flux became much more gentle which though without Gripes or much Blood yet still continued with the little pieces of Flesh the fragments of Membranes and a bloody Phlegm or Gelly which daily came from him Therefore to strengthen and heat the intestines the following things were given Take Tops of St. Johns wort Leaves of Perwincle and Mousear of each a handful Red Rose Flowers two pugils Boil them in the Broath of a Sheeps Guts To a pound of the Liquor strain'd add Oyl of St. Johns-wort two Ounces Honey of Roses an Ounce and a half mingle them for two Glysters whereof one was given him in the Morning the other at five a Clock in the Afternoon He wore Emplast de minio Paracelsi upon him Belly He took moreover twice a day three Ounces of Juice of Plantain wrung forth with water of Scordium and Plague water He eat also every day a Quince made hollow and fill'd with the Powders of Olibanum Mastick and Balsam of Tolu and so rosted in the Embers By the constant use of these Remedies he grew perfectly well within a Month. About the same time another robust young man fell into a dreadful Bloody Flux from the first day he was seiz'd frequent stools and very bloody presently brake forth with violence being accompanied with a Pain and Gripes Moreover a strong Feaver with a cruel Vomiting Thirst and Wakings molested him These Symptoms being a little mitigated with Opiats a Delirium and a Vertigo with an intermittent Pulse and horrible extensions and contractions of his Limbs presently seiz'd him this hapning because the malignant matter which was inwardly restrain'd presently flow'd into the Brain and Nerves Nevertheless as often as the Looseness and Vomiting return'd these affects were presently appeas'd On the fifth day Vomiting up a bloody matter he complain'd of a great torture in his Stomach and of a Pain as though it were Ulcerated and in truth I suspected that there might be a beginning of some Inflam'd Blisters or Ulcers in it as it usually happens in the Intestines but by giving him Emollient Broths with Milk in them his Vomiting and the tortures of his Stomach soon ceased his Flux in the mean time encreasing He took that night of Diacodium an Ounce Cowslip water and small Cinnamon water of each an Ounce and a half by which Medicine he was so much reliev'd that in twenty four hours space his Vomiting and Pains left him and he was only troubled with a few Stools and having a good indifferent Pulse and frequent Sleeps he was pretty well yet the following night though he took again the same Opiate his Flux return'd and that with very frequent Stools and bloody as before The next day after he took an Infusion of Rhubarb with Mirobalans Red Saunders and Cinnamon He often voided Bilous and very sharp Excrements but without the least of Blood then in the Evening he took Liquid Laudanum Cydoniated twenty five Grains in a good spoonful of Cinnamon water hordeated he had moderate and quiet Sleeps Afterwards loathing any more Medicines he took only an Opiate every Evening sometimes of one sort and sometimes of another and in a short time grew very well CHAP. V. Instructions concerning Diuretick Medicines or such as work by Vrine with Diuretick Prescripts THe chief Scopes or ends of Diuretick Medicines are as follows First If at any time the Blood becomes so compact and tenacious from a fixt Salt Sulphur and Earth fermented together and mutually combin'd in it that the Watery Particles do not easily separate from the rest Diureticks fit to loosen its Texture and to fuse the Serum must be such as excel in a volatile or acid Salt for such Particles chiefly dissolve any coalitions caus'd by a fixt Salt But in regard this disposition is common both to a Feaver and the Scurvy in the former affect the most proper Diureticks are the temperate Acids of Vegetables also Sal Nitre the Spirits of Sea-Salt of Vitriol c. And likewise such as have a Volatile Salt as the Spirits of Hartshorn of Sal Armoniack Salt of Amber of Vipers and others of this kind which we have also rang'd amongst Diaphoreticks In a Scorbutick disposition when the Urine is but in a small quantity and thick the Juices of Herbs and preparations both of a sharp or tart and acid nature are of excellent use also Salt and Spirit of Vrine of Sal Armoniack of Tartar c. Secondly Sometimes the Blood does not retain the Serum long enough within its Body but either being obnoxious to Fluxions or rather Coagulations it deposes it here and there in a great abundance even more than enough whence it breeds Catarrhs or Tumours in many places Or the Blood being become of a weak habit and withal of a depraved constitution to wit inclining to a sourness its apt to coagulate as to its more gross Particles so that the more subtle Particles being every where thrown off in circulating and falling on the weaker parts cause sometimes distempers of the Head or Breast sometimes an Ascites or Anasarca And we shall hereafter shew how a Diabetes happens from
he fell at length into a confirm'd Diabetes as it seem'd and almost past hope of recovery For besides that in the space of twenty four hours he voided near a Gallon and a half of clear water and wonderfully sweet as though Honey were mixt in it He was moreover affected with a cruel Thirst and a Fever seemingly a Hectick with a mighty Languor of the Spirits a fall of strength and a Consumption of the whole Body I then prescrib'd him the following Remedies by the use of which he seem'd in a short time to recover Take Cypress Tops eight handfuls Whites of Eggs beaten two pounds Cinnamon half an Ounce being cut small pour to them of new Milk eight pounds distill it in an ordinary Still taking care of an Empyreuma Let him take six Ounces thrice a day Take Gum Arabick and Gum Tragacanth of each six Drams Penids an Ounce Make a Powder let him take about a Dram or a Dram and a half twice a day with three or four Ounces of the distill'd water Take Rhuba-b powdred fifteen Grains Cinnamon six Grains Make a Powder let him take it in the Morning and renow the Dose within six or seven days Take Cowslip water three Ounces Cinnamon water hordeated two Drams Syrup of Meconium half an Ounce Make a draught to be taken every Evening His Diet was only Milk which he took pretty often in a day sometimes crude or diluted with the distill'd water or with Barly water sowetimes boil'd with White-bread or with Barly Growing daily better by the use of these things within a Month he seem'd to be almost Cur'd As he began to grow a little well his Urine which was Insipid did not much exceed the quantity of Liquids he took and afterwards turning a little Salt it became less in quantity than what he drank and so by degrees recovering the wonted tone of his Spirits and a good strength he took to his former Diet. Nevertheless the disposition to this Disease did not so throughly cease but afterwards being apt frequently to Relapses upon disorders in Living and haply upon changes according to the seasons of the year he first made Water in a greater measure than ordinary which by degrees grew clear and sweetish a Thirst and Fever with a Languor of the Spirits accompanying it But by the use of the same Medicines he us'd in a short time to recover again Not long since after a large interval of health a little before he fell into a Flux of Urine he found great irregularities and failings in the Genus Nervosum viz. He was seiz'd with a dull numbness of his Brain and a Vertigo and was taken with sudden Cramps in his Limbs and felt little Leapings of the Tendons and various runnings about him as though it were of a wind creeping here and there And when by the use of fit Remedies the aforesaid Symptoms seem'd to be Cur'd the Diabetes after its wounted manner burst forth afresh viz. the matter flowing forth in abundance from the Fibres and solid parts into the Blood and thence to the Reins and the Urinary Passages In this Juncture the same Remedies were prescrib'd again by the use of which when within a few days he began to grow bettr he was ordered to take thrice a day Water of quick Lime to five or six Ounces Having continued this Remedy four days he made water in a moderate quantity well ting'd and somewhat salt and as to other things he seem'd well as he was before By the same method and chiefly with the Water of quick Lime I Cur'd another of a Diabetes who was look'd upon as past recovery The Kinds and Prescripts of Medicines that stop Vrine flowing in excess A Stringent Medicines properly so call'd to wit such as are austere acerb and stiptick do little or nothing in stopping a Diuresis for the vertue of those things has no effect on the Mass of Blood nor does it reach to the Reins and Bladder But the Remedies that chiefly do good in the Diabetes are of two kinds as we have hinted before viz. First those that hinder the combinations of the Salts and consequently the fusion of the Blood such as the Incrassatives before mentioned Secondly Those that dissolve the Concretions of the Salts and consequently restore the mixture of the Blood of which kind are Saline Remedies of a contrary nature which are apt to cleave to the Acid Salt and so withdraw it from the combinations it has entred into within the Blood as chiefly Medicines endow'd with a fixt volatile or alchalisate Salt Besides these two Primary kinds of Medicines that restrain Urine there rests a Secondary kind to wit Hypnoticks which putting some stop to the Animal Aeconomy cause the vital function to be perform'd with more calmness and consequently with less fusion of the Blood or precipitation of the serous and nutricious humours It remains now to set down some Select Forms of each kind of these Medicines I. The first Scope of Curing to wit by which we endeavour by thickning the Blood to prevent its fusion or to take it away is effected by the Medicines following Take Gumm Arabick and Tragacanth powder'd of each an Ounce Sugar Penids half an Ounce Make a Powder divide it into sixteen parts Take one part thrice a day dissolving it in the distill'd water or in the docoction of the Roots of Comphry in fountain water or Milk Take of the Resumptive Electuary three Ounces Species Diatragacanthi frigidi an Ounce Red Coral prepar'd two Drams Confection of Hyacinth a Dram and a half Gelly of the cast Skins of Vipers what will suffice Make an Electuary of which let the Patient take twice a day the quantity of a Wallnut Take white Amber Mastick Olibanum powdred of each an Ounce Pulvis Haly two Ounces Balsam of Tolu half an Ounce Make a Subtle Powder the Dose is half a Dram twice or thrice a day Take Roots of great Comphry and Water Lillies of each three Ounces Dates slic'd two Ounces Seeds of Maliows Cotton-plant Plantain Fleawort of each half an Ounce Boil them in four pounds of fountain water till half be consum'd to the straining add Syrup of Water Lillies two Ounces The Dose is four Ounces thrice a day Take of the decoction of Barly with Water Lilly-roots a pound and a half Sweet Almonds prepar'd an Ounce and a half Seeds of white Poppies Purslain Lettice of each half an Ounce Make an Emulsion according to art the Dose is four Ounces thrice a day Take Cypress Tops six handfuls Clary Leaves four handfuls Flowers of blind Nettles Comphry Water Lillies of each four handfuls Roots of Water Lillies and Comphry of each half a pound Mace an Ounce all being small slic'd together pour to them of new Milk eight pounds distil them in an ordinary Still The Dose is four Ounces thrice a day with the Powder of Electuary above written II. In the second place though Saline Medicines of every kind and condition are accounted Diuretick
and every of them in certain cases inasmuch as they fuse the Blood and cause a copious separation of its Serosities are in some sort Diuretick Nevertheless for the reason above-mention'd to wit for that meeting with the Acid Salt when it is predominant in the Blood they prevent and take away its fusion and dissolution I do not doubt but sometimes they may be given with good success to stop Fluxes of Urine And I have heard for certain that one was Cur'd of a Diabetes by an Infusion of quick Lime Now in regard the Saline Medicaments which we suppose to take away the predominancy of the Acid Salt and to fetter it as it were contain either a fixt volatile or Alchalisate Salt I shall give you some Forms of Diureticks which have each of these for their foundation 1. First then when a fixt Salt by it self or join'd with Sulphur is requir'd for a Basis Take Tincture of Salt of Tartar or its Deliquium what suffices Give it thrice a day in a draught of the decoction or distilld water before describ'd Take Tincture of Antimony let it be taken after the same manner thrice a day I have found by frequent experience the use of this to be very profitable in this Disease Take Tincture of Salt of Coral a Scruple let it be taken after the same manner Take of the Infusion of quick Lime a pound The Dose is three or four Ounces thrice a day giving before a Dose of the Electuary or Powder above prescrib'd Take Conserves of the Flowers of blind Nettles and of the great Comphry of each four Ounces of the reddest Crocus of steel half an Ounce Coral calcin'd to a whiteness two Drams Syrup of Comphry what suffices Make an Electuary the Dose is two Drams thrice a day Take Lapis Specularis calcin'd an Ounce The Dose is from half a Dram to a Dram twice or thrice a day Country People with this Medicine successfully Cure their Cattle that piss bloody water Take Coral calcin'd to a whiteness and powdred three Drams Powder of Gumm Arabick and Tragacanth of each a Dram Make Powder divide it into ten parts let one part be taken thrice a day with a fit Vehicle to wit with the decoction or the distill'd water Take the reddest Crocus Martis six Drams Gumm Lac powdred half an Ounce red Saunders a Dram Make a Powder divide it into twenty parts whereof let one be taken thrice a day Take Hartshorn burnt and powdred half an Ounce boil it in four pounds of the water of a Smiths forge till half be consum'd adding towards the end a Crust of Bread Roots of great Comphry and water Lillies dry'd of each an Ounce and a half Sacchari Perlati two Ounces let him take four Ounces thrice a day 2. Medicines containing an Alchalisate Salt such as Coral Pearl Cuttle-bone Hartshorn Ivory Powders of Shells and the like as they are commonly us'd against Rheumatick affects so likewise for a Diabetes And inasmuch as they imbibe the Acid Salt abounding in the Blood and so free the Mass of Blood from fusion we may justly expect a benefit from them Take red Coral ground to a great subtlety Cuttle-bone of each half an Ounce Hartshorn Philosophically calcin'd three Drams Pearl Ivory Crabs Eyes of each a Dram Mix them make a Powder the Dose is half a Dram thrice a day with a fit Vehicle Take of the said Powder three Ounces Species Diatragacanth frigid two Ounces Sugar Candy two Ounces Make a Powder and with a sufficient quantity of the Solution of Gumm Arabick make a Paste and let it be form'd into Troches weighing half a Dram let three or four be taken thrice or oftner in a day Take of the said Powder two Ounces of the Resumptive Electuary four Ounces Conserve of the Flowers of water Lillies three Ounces Syrup of the same what suffices Make an Electuary let him take the quantity of a Chesnut thrice a day drinking after it a draught of the Apozeme or of the distill'd water above prescrib'd 3. For the same reason as Medicines endued with a fixt and Alchalisate Salt seem proper in Curing the Diabetes for the same reason do such as have a volatile Salt For these as well as those lay hold on and draw of the Acid Salt by which the Blood is fus'd and dissolv'd into Serosities so that its Liquor recovers its due Crasis Take the Solar Tincture prepar'd as I readily do it with Sal Armoniack an Ounce The Dose is twenty Drops thrice a day The Spirits of Blood Soot and Hartshorn may also be try'd in this Disease Take Salt of Amber a Dram the reddest Crocus Martis two Drams Mix them divide it into twelve parts the Dose is one part thrice a day III. As to the third kind of Remedies in the Diabetes to wit Hypnoticks which by putting a stay to the Animal Spirits retard the course of the Blood and so hinder in some measure its effervescency and fusion I use to prescribe to some persons Diascordium to be taken every Evening and when that does not do I give sometimes every Night and sometimes every other Night Liquid Laudanum Cydoniated or Tartariz'd and that with good success Take the decoction of Barly with the dry'd Roots of Comphry six Ounces white Poppy-seeds two Drams sweet Almonds prepar'd in number six Make an Emulsion according to art let it be taken every Night going to sleep Take of the Magistral distill'd water above prescrib'd four Ounces Solution of Tragacanth two Drams Diascordium from half an Ounce to six Drams Give it going to sleep Take Conserve of the flowers of water Lillies two Drams Laudanum Tartariz'd or Cydoniated a Scruple Tincture of Saffron six Grains Make a Bolus to be taken going to sleep CHAP. VII Instructions concerning Sweating and Diaphoreticks or Medicines causing Sweat with Prescripts of them FOr a ready and plentiful eruption of Sweat these three things are requir'd First that the Blood boiling more than its wont circulates with a more rapid motion Secondly That its Latex abounds with many watry Particles and those loose that is apt to be separated from the rest of the Liquor and to be resolv'd into Vapours for if there be a deficiency of Serum or if it be not easily separable from the Blood through its too great compactness or incrassation by reason of Faeculencies strongly mixt in it scarce any sweat at all will follow though the intense heat of a burning Fever presses for it and most powerful Diaphoreticks are given at the same time Thirdly The Pores of the whole Body must be set wide open for a free passage of the Sweat Therefore Sweating Medicines to be taken inwardly must be such as make the Blood boil more than ordinarily and consequently cause it to evaporate Also such as somewhat loosen and fuse its often too compact and incrassated Mass that its Serosities may more readily depart from it and be separated and they must be such as at the same
time dispose them so separated rather to pass forth by Sweat than by Urine or Seige As to the third thing requir'd to wit the opening of the Pores this is done in a manner wholly by outward Administrations Now because the same Saline preparations which are given to procure Sweat are often given to move Urine and sometimes also for Cordials we must shew by what preparation and other requisites Sweating is to be promoted alone without the other intents And we observe that Sudorificks inwardly taken seldom or never work of their own accord as Emeticks Catharticks or Diureticks but always need some Governance to actuate the Medicine and to determine it to that Energy Wherefore a Diaphoretick being given the Patient must presently be so ordered that the Pores of his Body may be open'd and the beat of his Heart very much heighten'd For these ends either let him be kept in a Bed Bath or Hot-house or let him exercise his Body with some quick or laborious motion and that these things may succeed the better in promoting Sweat when it is in our power let us make choice of a fit time and subject for it viz. when the Blood enjoying a laudable or not very evil Crasis both sufficiently abounds with a Serous humour and has not its Particles in too great a confusion or perturbation but is in a disposition readily to be loosen'd and to separate it self and run into parts For in a Bilous temperament in a thin and dry constitution and in the mindst of a burning Fever when all things are in a trouble and undigested Diaphoreticks commonly prove of no effect or do hurt Moreover when Diaphoreticks are judg'd proper we must not give all sorts of them indifferently but peculiar Medicines must be chosen according to the various disposition of the Blood and the different predominancies of the Element in it sometimes of this sometimes of that and according to the states of the Salts The Kinds and Prescripts of Diaphoretick Medicines SUdorifick Medicines being manifold and of divers kinds and being wont in a various respect to be rang'd in order and reduc'd to Classes In the first place I have thought fit here to distinguish them and set them down both as to their form and manner of Composition and as to the matter out of which they are made Their most usual forms are 1. a Powder 2. Chymical Liquors 3. A Potion 4. A Bolus 5. A Diet. The matter of each of these are either the integral parts of the whole mixt Body or certain Elementary parts of some mixt resolv'd by Chymistry and those are either simple viz. either Spirituous or Saline The latter of which also are either volatile or fixt Acid or nitrous Or lastly the Sudorifick Particles so divided and separated by Chymistry are Elementary parts compounded betwixt themselves viz. Spirituo-Saline and Salino-Sulphureous As we run through each of these Species in order we shall adapt to each matter the more Select forms of Prescripts Diaphoreticks which have the integral parts of a mixt for their foundation in which also a smart or volatile Salt is predominant in this respect often conduce to provoke Sweat that their Particles being admitted into the Blood and being immiscible with it and not to be subdued exagitate its Mass greatly divide it and draw it asunder as it were into most Minute parts so that at length the texture of the Blood being very much loosen'd and set a boiling the superfluous Serosites Recrements and taints of the Blood are cast forth together with the Particles of the Medicine which are expell'd by reason of their Heterogeneity Those that are of this rank are usually given in the form of a Powder Bolus Potion and Diet according to the following forms of Prescripts Take Roots of Contrayerva Serpentaria Virginiana Butter-burr of each a Dram Cochinele Saffron of each half a Dram Make a Powder the Dose is half a Dram with a fit Vehicle Take Powder of Vipers a Dram give it in some convenient Liquor Take Powder of Toads prepar'd from half a Dram to a Dram. When Diaphoreticks ought to predominate in Sal Alchali alone or mixt with the former Take Oriental Bezoar from a Scruple to half a Dram give it in a spoonful of distill'd water or some other Vehicle Take Powder of Crabs Claws Compound from a Scruple to half a Dram give it after the same manner The Bezoartick Powder is made after this manner Take Powder of the Roots of Contrayerva of Crabs Claws simple of each two Ounces Pearl both sorts of Coral white Amber Crabs Eyes Hartshorn Crystal prepar'd of each an Ounce Occidental Bezoar Lemnian Earth of each half an Ounce Ceruse of Antimony two Ounces Cochenele half an Ounce Ambergreece a Dram and a half Musk half a Dram Make a subtle Powder and let it be form'd into little round Balls with the Gelly of the Skins of Vipers the Dose it from a Scruple to a Dram. Take of this Bezoartick Powder a Scruple Powder of Toads prepar'd six Grains Make a Powder give it in a spoonful of Treacle water 2. Bolus's which have for their Basis the integral parts of some mixt made in the form of an Electuary Extract or Conserve Take of Mithridate from half a Dram to a Dram of the Bezoartick Powder from a Scruple to half a Dram Syrup of the Juice of Citrons what will suffice make a Bolus Instead of Mithridate you may put Treacle or Diascordium or Confectio Liberantis de Hyacintho So likewise Bezoar powdred or the Roots of Contrayerva and the Powders of the like things may supply the place of the Bezoartick Powder Take of the Extract of Treacle from half a Dram to a Dram of the Bezoartick Powder a Scruple Make a Bolus Take of the Extract of Carduus half a Dram Bezoartick Powder a Scruple Salt of Wormwood fifteen Grains with a sufficient quantity of the Syrup of the Juice of Citrons Make a Bolus 3. Potious which have for their Basis common decoctions of Vegetables or Infusions and Tinctures Take Roots of Butter-burr an Ounce Seeds of the same two Drams Eringo Roots Condited six Drams Carduus Seeds two Drams boil all in a pound of fountain water till half be consum'd In the cleer straining dissolve of Mithridate half a Dram or two Scruples Let it be taken warm in Bed After the like manner the Leaves of Carduus the Flowers of Marigolds or Cammomile may be boild in a sufficient quantity of Posset-drink of which six or eight Ounces may be given warm either alone or with some Powder Electuary or other Diaphoretick added to it 4. Diaphoretick Infusions and Tinctures of divers kinds may be prepar'd by extracting the vertues of simple Vegetables and Confections with Wine Vinegar or distill'd water which afterwards being strain'd and clarified by setling are often given with success To this place ought to be referr'd the Bezoartick waters Wines and Vinegars prepar'd by Infusion the forms of which are every where
meet the Acido-Saline Particles of the humours and are combin'd with them they loosen the Texture of the Blood and at the same strongly agitate its Mass by reason of their Heterogenous mixture Hence for a ready separation and driving forth of the Serosities through the Pores of the Skin those things are prescrib'd in the form of a Powder Bolus and Liquor Take Flowers of Sal Armoniack half a Scruple Cristal Mineral fifteen Grains Bezoartick Powder a Scruple mix them Let it be given in a spoonful of Sudorifick water Take Salt of Tartar a Scruple Ceruse of Antimony twenty five Grains Make a Powder let it be given after the same manner Take Powder of Bezoartick Mineral from a Scruple to half a Dram Gascoins Powder a Scruple Make a Powder let it he given in like manner Take Ceruse of Antimony from a Scruple to half a Dram Flowers of Sal Armoniack half a Scruple Make a Powder 2. Those things may be given in the form of a Bolus by mixing the aforesaid Doses with Treacle Mithridate or Diascordium or with the extract of Carduus Gentian or the like Take Bezoartick Mineral a Scruple Flowers of Sal Armonicak six Grains Mithridate half a Dram Make a Bolus Take Salt of Hartshorn eight Grains Bezoartick Powder fifteen Grains Extractum Theriacale a Scruple Make a Bolus or three Pills If a Liquid Form be more proper Take Spirit of Hartshorn or of Soot or of Sal Armoniack from fifteen Grains to twently Sudorifick water from an Ounce to three Ounces Make a draught let it be taken with governance Take Flowers of Sal Armoniack half a Scruple Salt of Tartar fifteen Grains Sudorifick water three Ounces Mix them make a draught 3. Diaphoreticks which have a Nitrous Salt for their Basis are wont to give relief generally in the same cases as those above made of a fixt and a volatile Salt because they destroy the predominancy of the Acid Salt and dispose the mixture of the Blood after such a manner that as it boils its Serum and Recrements are readily separated and discharged from it Take Cristal Mineral three Drams Salt of Hartshorn or of Soot or of Vipers a Dram Mix them the Dose is from a Scruple to half a Dram in a fit Vehicle Take Sal Prunella two Drams Bezoartick Mineral or Ceruse of Antimony a Dram Make a Powder the Dose is from two Scruples to a Dram. 4. Diaphoreticks whose ground is an Acid Salt have a peculiar efficacy against the predominancy of a fixt Salt and Sulphur viz. if at any time the Mass of Blood by reason of Salino-fixt Particles combin'd with Sulphureous or Terrene Particles in it comes to be too much lock'd up and close bound that it does not easily let go its Serosities to be expell'd by Sweat as it sometimes happens in continual Fevers and in Scorbutick affects the Acid Salt after the Medicine is given meeting the fixt Salt in the Body and laying fast hold on it makes void its undue combinations and so opens the boiling Blood and disposes it for a Sweat Take Spirit of Tartar from half a Dram to a Dram Sudorifick water three Ounces Flowers of Sal Armoniack half a Scruple Mix them Take of the simple mixture from half a Dram to two Scruples Give it in a spoonful of Treacle water or Bezoartick water Take Bezoartick Vinegar from half an Ounce to an Ounce Carduus water two Ounces Plague water six Drams Mix them make a draught Take Spirit of Guaiacum a Dram Sudorifick water three Ounces Mix them make a draught Some things meerly or for the greatest part Sulphureous are commonly plac'd in the rank of Diaphoreticks As for instance some Natural and other Artificial Balsams also Chymical Oyls as chiefly of Guaiacum Box Camphire Hartshorn and Soot So likewise the Resinous Extracts of Ponderous Woods with many others which though by themselves they do little for raising Sweat yet being join'd with the other Saline Medicines I do not think them altogether unprofitable because in a cold and Over-phlegmatick Constitution Sulphureo-Saline Medicines Rarify the Blood which is then become too watry and dispose it to a free evaporation no less than such as are Spirituous Take of Opobalsamum from Six Drops to twelve Water of Baum or of Ground Ivy three Ounces Sudorifick water half an Ounce Let it be taken every Morning to provoke Sweat for many days together It is proper for Phthisical Persons and such as have Vlcers in the Reins And so but in a greater Dose may be given the Balsam of Peru also the Tincture of the Balsam of Tolu and likewise compounded Balsams gotten by distillation Take Rosin of Guaiacum powdred two Drams Chymical Oyl of the same a Scruple Bezoartick Mineral Gumm Guaiacum of each a Dram and a half Balsam of Peru what suffices Make a Mass for Pills the Dose is from half a Dram to two Scruples drinking after it a Dose of the Sudorifick water or of the Decoction of Woods CHAP. VIII Instructions and Prescripts for Curing an Excessive or Depraved Sweating FRequent and immoderate Sweating is sometimes the Symptom of some other Disease then affecting the Person for in the Phthisick and Scurvy this is a common thing The reason of it is that the Blood tainted with some filthy infection or become of an ill habit is not able duly to concoct and assimilate the nutritive Juice still passing into its Mass and therefore always degenerating and coming now and then to be full charg'd by the addition of other Excrements it separates them and expells them by Sweat The Cure of this Sweating depends wholly on the Cure of the Diseass whose Symptom it is In the mean time those copious Night-sweats happening in those Diseases plainly shew that the Persons Diet ought to be altogether of light food viz. Milk Grnel Cream of Barly and the like whose gentle and mild Particles the Blood can bear and not of Flesh or strong substances Sometimes an excessive Sweating is the effect of some foregoing Disease which is brought to an end and this is so common a thing after long Agues that scarce any recover of them but this Indisposition still sticks upon them more or less I knew a young man who as he grew well of a Quartan Ague which had held him ten Months and began to lose its fits daily melted into such profuse Sweats that he was fain to change his Shift and Sheets thrice a Night being as wet as though they had been dipt in water This Evacuation continuing so for many Weeks his Flesh so fell away and his strength was so exhausted that he look'd like a Skeleton This Person when he had us'd many Medicines a long time without much benefit at length by drinking Asses Milk Mornings and Evenings and his other Diet being ordered of Cows Milk he grew very well in a short time The chief cause of frequent and copious Sweats seems to consist in the ill habit and weakness of the Blood in that it
unless the Patients resolve to take courage so as to attempt to go abroad to set forth their strength to their utmost and accustome nature daily to inure it self to hardship all medicines prove useless Wherefore a plentiful and cheerful way of living are no less necessary than Physick that thereby the stock of Animal Spirits may be daily renew'd and increas'd and so confirm'd in strength by greater practices now and then insisted on for which ends strong Wines with good Dishes of meat are very proper Moreover all Studies and Cares with which the Soul is deprest being laid aside let the time be past in idleness and recreatious or in moderare exercises As by such a kind of living duly ordered the Animal Spirits are greatly refresh'd so it repairs the decay and depauperations of the Blood For the same ends also the following Medicines may be given with good effect Take Spirit of Amber Armonicacated what suffices fifteen or twenty drops be taken in the Evening and the next Morning in aspoonful of the following distill a water drinking after it nine spoonfuls of the same Take Leaves of Sage Rosemary Time Savory Marjoram Costmary of each four handfuls Roots of Angelica and Master-wort of each six Ounces of Zedoary the lesser Galingal Calamus Aromaticus Florence Orris of each an Ounce and a half Cubebs anOunce and a half Nutmegs Cloves Cinnamon of each an Ounce the outward Coats of twelve Oranges and of six Limmons being slic'd and bruis'd pour to them of Whitewine and Canary of each four pounds Distil it in common Organs let the whole liquor be mixt and sweetn'd with Sugar perlated In the distilling hang in the head of the Alembick a Nodulus with a Scruple of Amber-greece in it and half a Scruple of Musk. Take Tincture of Antimony or of the Balsam of Tolu an Ounce let fifteen or twenty drops be taken in the Morning at Nine a Clock and at Five in the Afternoon in a spoonful of the water before prescrib'd drinking after it three Ounces of the same or rather in the Morning drink after it a Dish of Tea or Cofee or Chocholate prepar'd of a Decoction of Sage A little before Dinner drink a Glass of Sherry Sack When these things have been used some time and you think good to intermit them take the following things in their place Instead of the Spirit take a Dose of the following Electuary in the Evening and early in the Morning with the distill'd water or Viper Wine Take of wet preserv'd Citron Pills an Ounce and a half Mirobalans Condited an Ounce Nutmegs Ginger Candied of each half an Ounce Confection of Hyacinth Alchermes of each three Drams Pearl prepar'd red Coral prepar'd of each a Dram and a half with the Syrup of the Juice of Kermes make an Electuary Let the ordinary drink be a Physick Ale made after the following manner viz. into a vessel of four Gallons put the following bag Take an Old Cock half boil'd and mash'd Leaves of Sage and Harts-Tongue dry'd of each two handfuls six Dates slic'd Raspings of Sassafras two Ounces being slic'd and bruis'd mix them put them in a little bag and hang it in a Vessel after it had done working The second intention which undertakes to correct the Dyscrasies or depraved dispositions of the Blood and Spirits is perform'd by the same Remedies as in the Hypochondriacal distemper and Melancholy Wherefore the prescripts which I formerly gave for the Cure of those affects may serve here As to the third intention which for keeping the Pores in a due State ordains a meet way of Government as to cloathing the Air the Fire c. there is little left for a Physician to do for commonly every Patient will be his own Councellour as to these things There is only one kind of advice which they are apt to receive and is wont to do them good viz. that they change their habitation by which often the Mind is also chang'd for those that are never so much addicted to keep themselves pen'd up in a Chamber or in Bed when they travel into foreign Countries where they breath a warmer and more serene Air It 's almost incredible in how short a time they recover So much concerning this depraved Perspiration which has not been touch'd by others There remains yet a third kind of this immoderate Sweating which is not as the first the Symptom or effect of another present or past Disease but it self first beginning is either a Disease of it self or the parent of some Morbid affect To the first sort chiefly belongs the Pestilential Sweat which was heretofore call'd Sudor Anglicus But I shall not now go about to prescribe Medicines for a Disease which I hope will never return CHAP. IX Instructions concerning Cordial Medicines and Alexipharmicks or Preservatives against Venome with Prescripts of them IF the thing be duly considered the notion of Cordial Medicines was not well introduc'd but is a meer vulgar errour for since it is not the Heart which is the Subject of Life but chiefly and in a manner only the Blood and in regard the Soul it self on whose existence and act in the Body Life depends is founded partly in the Blood and partly in the united stock of Animal Spirits it plainly sollows that Medicines which preserve Life entire or restore it when in danger do rather and more immediately regard these parts of the Soul to wit the Blood and Animal Spirits than the Heart which is a meer Muscle serving for the Circulation of the Blood and as often as it slackens in performing this duty or gives it off This does not happen through its own fault but through that of the Blood and Animal Spirits by which it is actuated Therefore to know the ways and manners of working of those Medicines which are call'd Cordials we must consider these two things viz. First how many and particularly what ways the Blood being ill dispos'd and often endangered either as to its accension or mixture requires Physical helps which may preserve or correct it Secondly after what manner by reason of a defect or delinquency in the Animal Oeconomy the Heart is hindred or perverted from its due motion so that Medicines are Indicated which encrease the stores of the Spirits and better compose them To be well instructed concerning these things read Dr. Willis at large The Kinds and Prescripts of Cordials A Ccording to what is said before we distinguish Cordial Medicines commonly so call'd into two kinds some of them chiefly and more immediately affect the Blood others the Animal Spirits In the first rank of those that are design'd for regulating the accension of the Blood we place those which by encreasing or exalting its Sulphureous Particles cause its over-cold and slow moving Liquor to boil more to be more freely kindled and to burn with more life of which kind are good Wines Compound Strong-waters distill'd the Spirit and Tincture of Saffron Quercitans Elixir of Life
Citron Pills Make an Electuary the Dose is the quantity of a Nutmeg in the Morning and at five in the Afternoon drinking after it of the following Julape three Ounces and walking upon it Take water of the Leaves of Wake Robin a pound of Pennyroyal and Hyssop of each four Ounces Sugar an Ounce Mix them make a Julape Take of the Tincture of Antimony an Ounce the Dose is from twenty to five and twenty drops twice a day with the said Julape Moreover amongst these we may place the Tincture of Steel and its Syrup also Elixir proprietatis with many others Secondly The panting of the Heart which is more frequent and much more violent happens through some fault in the Arteries belonging to the Heart which fault is either an Obstruction or a Convulsive affect The first default for the most part is continual and often incurable but especially if it arises from Consumptive Lungs or because the Roots of the Arteries are half stop'd or compress'd by reason of some Tuberculum or bony Excrescency in them And in this case all that can be done is to give some ease now and then by Hypnoticks Moreover it is not improbable that the Arteries sometimes are almost fill'd up with Polypous Concretions engendred in them and sometimes within the Cavities of the Heart it self and that thereby the free passage of the whole current of Blood is hindred but as it is diffcult to be satisfied when this is so so it is as rare to find a Cure for it When there is a suspicion of it Saline Medicines seem to be most proper and of those we must give such as have a Volatile or Acid Salt but we must not give them together but for a time those which failing of success try the others Take Spirit of Sal Armoniack Compound viz. distill'd with Millepedes or with other Anti-Asthmaticks three Drams the Dose is from fifteen drops to twenty thrice a day with the Julape or some proper distill'd water After the same manner you may try the Spirits of Hartshorn Soot Blood and of an old Scull Take Spirit of Sea Salt or of Vitriol distill'd and often Cohobated with the Spirit of Wine impregnated with Pneumonick Herbs three Drams the Dose is from fifteen drops to twenty after the same manner for these purposes the Spirits of Tartar Guaiacum and of Box are often us'd The panting of the Heart is very often a Convulsive affect and wont to be produc'd from the like Cause and manner of affecting as other Hypochondriack and Asthmatick affects and its Cure also ought to be attempted by Antispasmodick Remedies but a cholce of them must be made with some difference according as the Disease happens in a hot or cold temperament In respect of the former the following Medicines may be prescrib'd Take Spiritus succini Armoniaci three Ounces the Dose is from fifteen Drops to twenty twice a day with the Julape or some proper distill'd water After the same manner may be given interchangeably the Tincture of Tartar of Steel or of Antimony Of the trembling of the Heart and its Cure THe trembling of the Heart is an effect distinct from its panting or Palpitation and of a different nature from it for in that its carneous and moving Fibres seem affected by themselves nor does the Morbifick Cause as in the other affect seem to lie in the Blood or in the Arteries of the Heart The trembling of the Heart may be well describ'd to be a Spasmodick Convulsion or rather a trepidation of its flesh by which the moving Fibres hastily and only half contracted cause most swift turns of the Systoles and Diastoles but broken and as it were at halfs so that the Blood is brought into and carried forth of the Sinus 's of the Heart only in very small Portions As to the method of Cure to be us'd in the trembling of the Heart since this affect is meerly Convulsive therefore they are not Cordial Remedies but rather Cephalicks and Nervous Medicines that are Indicated which nevertheless according to the temperament and constitution of the Patient must be either more hot or moderate or now of this now of that nature To comprehend all in a few words since there are three sorts of Mecines that are wont to be mighty successful in this Distemper viz. testaceous Medicines Chalybeates and such as are endow'd with a volatile Salt I shall here briefly set down certain forms of each of these and their use Therefore in the first place a provision being made for the whole by evacuatives and a choice being made of that sort of Medicine which promises best you may prescribe as follows Take Coral prepar'd Pearl of each two Drams both Bezoars of each half a Dram white Amber two Scruples Amber-greece a Scruple Make a Powder the Dose is half a Dram twice or thrice a day with a distill'd water or some proper Julape Take Powder of Crabs Claws Compound two Drams Powder of Male Peony Roots and of Mans Scull prepar'd of each a Dram Flowers of Male Peony of Lillies of the Valley of each half a Dram Make a Powder to be taken after the same manner Take Ivory red Coral powdered of each three Drams Species Diambrae a Dram double refin'd Sugar dissolv'd in a sufficient quantity of water of Navews and boil'd to a consistency for Tablets seven Ounces Make Tablets according to Art weighing half a Dram let one or two be eaten often in a day as the person pleases Take Conserve of the Flowers of Lillies of the Valley six Ounces Powders of Coral prepar'd Pearl Ivory Crabs Eyes of each a Dram and a half Vitriol of Mars a Dram Syrup of Coral what suffices Make an Electuary the Dose is from a Dram to two Drams twice a day drinking after it a draught of the following Julape Take the water of Navews and of whole Citrons of each six Ounces of Orange Rines distill'd with Wine two Ounces Sugar half an Ounce Make a Julape Take of our Syrup of Steel six Ounces the Dose is a spoonful in the Morning and at five in the Afternoon with two Ounces of the Julape before written leaving out the Sugar or with distill'd water Take Powder of Ivory and of Coral of each two Drams and a half Species Diambrae a Dram Salt of Steel two Drams Sugar eight Ounces Amber-greece dissolv'd half a Scruple Make Tablets weithing half a Dram the Dose is three or four Drams twice a day Take fresh Strawberies eight pounds the outward Coats of twelve Oranges fresh Filings of Iron half a pound being bruis'd together pour to them eight pounds of Wine let them ferment in a Pot close cover'd for twenty four hours then distill it in common Organs Take Spirit of Hartshorn or of Blood or the like three Drams The Dose is twenty drops twice a day with a fit Vehicle Take Flowers of Sal Armoniack Coral prepar'd of each two Drams The Dose is a Scruple twice a day Take
because they destroy the Acidities of the humours and hinder and put a stop to the dissolution of the Blood and its fusion into Serosities For the like reason and manner of Operating Medicines prepar'd of Sulphur are of such egregious use against the Cough 2. The Second Indication viz. the derivation of the Serum and other dreggy Excrements of the Blood from the Lungs and their Evacuation by other ways is perform'd by Diaphoretick Medicines Diureticks and gentle Purgers which must go along with other Medicines or be now and then interchangeably us'd with them Therefore after Bleeding we usually give a gentle Purge and sometimes repeat it In the Pectoral Decoctions let the Roots of Chervil Butchers-broom Elecampane and other things moving Sweat and Urine be of the Ingredients Millepedes Volatile Salt of Amber and other fixt Salts and Powders of Shells made into Pills with Turpentine are often given with good effect 3. The Third Indication viz. the fortifying of the Lungs and its Ductus's against the Fluxions of the humours and the assaults of the Cold and the suppression of the Catarrh vulgarly so call'd is perform'd by Linctus's Eclegma's and other particular Remedies and has chiefly a regard to two things viz. gently to close the Mouths of the Vessels and Glands that gape into the Trachea with Astringents lest they cast forth the Serosities too much into it And Secondly To make smooth and glib the sides of the Ductus's of the Trachea that they be not offended and thence continually stirr'd up to a troublesome Cough either by the sharp Serum coming upon them or by the assault of any outward Cold and moreover that those Ductus's being made slippery enough the Spittle sticking sometimes very fast to the sides of them may be more easily gotten off and Cough'd up For the First intent it is that Conserve of red Roses Olibanum Mastick Lohoch de Pino Syrup of Jujubes of dried Roses of Cup-moss and other Astringents are so often ingredients in pectoral prescriptions On the account of the second intent Licorice with its various preparations is accounted so famous a remedy against any Cough whatsoever For this end Syrups Eclegma's and all other sweet Pectorals seem to be ordered to which is added Oyl of sweet Almonds either given by it self or reduc'd into the Form of some Milky pap by long stirring it with some Pectoral Syrup These are the chief Therapeutick Indications together with the apt intentions of Curing which seem to be of most considerable use for a new Cough whilst it is yet free from the suspicion of a Phthisick or at least not yet entred its manifest limits It now remains after this general method briefly given unto you to set down some Select Forms of Medicines appropriated to each Intention These though they are manifold and diversly prepar'd yet those that are of chiefest note and most in use are Mixtures Linctus's Eclegma's Tinctures Balsams Troches Tablets Powders Pills Decoctions and distill'd Waters We shall give you some of the most Elegant Receipts of each 1. Mixtures TAke Syrup of Meconium and of Jujubes of each an Ounce and a half Olibanum powdred a Dram Water of Earth-worms or Hysterick Water or Water of Peony Compound a Dram Mix them the Dose is one spoonful going to Bed and after Mid-night Take Water of Snails and of Earth-worms of each an Ounce and a half Liquid Laudanum Tartariz'd two Drams Syrup of Violets an Ounce The Dose is one spoonful going to Bed Take Water of Snails six Ounces Syrup of the Juice of ground Ivy three Ounces Flowers of Sulphur half a Dram Mix them the Dose is a spoonful going to Bed and early in the Morning Take of our Syrup of Diasulphur four Ounces Water of Earth-worms an Ounce The Dose is one spoonful after the same manner 2. Linctus's TAke Syrup of Jujubes and Maidenhair of each an Ounce and a half Syrup of red Poppies an Ounce Mix them let it be taken with a stick of Licorice Take Oyl of sweet Almonds fresh drawn Syrup of Maiden-hair of each an Ounce and a half Sugar Candy two Drams Mix them by bruising them in a Glass Mortar or shaking them in a Glass Vial till they grow white 3. Eclegma's TAke Conserve of red Roses two Ounces and a half Lohoch Sanum an Ounce and a half Species Diatragacanthi frigidi a Dram and a half Flowers of Sulphur half a Dram Syrup of Violets or of red Poppies what suffices Make a soft Lohoch the Dose is a Dram and a half in the Evening and early in the Morning at other times let it be taken with a stick of Licorice Take Powder of the Leaves of Hedge-mustard or of Rockets an Ounce and a half Clarified Honey four Ounces Mix them make a Lohoch give it after the same manner it is proper in a cold Constitution 4. Tinctures TAke Tincture of Sulphur free from any Empyreuma three Drams The Dose is from six drops to ten at Night and early in the Morning in a spoonful of Syrup of Violets or of the Juice of ground Ivy. I know not a more excellent Remedy in any Cough so there be no Feaver Take Tincture of Sulphur of Antimony two Drams The Dose is twenty drops Evenings and Mornings in a spoonful of Pectoral Syrup Take Tincture of Gumm Ammoniacum prepar'd with the Tincture of Salt of Tartar an Ounce The Dose is from fifteen drops to twenty Tinctures of Galbanum of Assa-faetida of the Gum of Ivy prepar'd after the same manner are likewise proper in a cold Constitution 5. Balsams TAke Opobalsamum two Drams The Dose is from six Drops to ten in a spoonful of the Water of Hyssop or Pennyroyal or of any other Pectoral Water Take Artificial distill'd Balsam commonly call'd Mother of Balsam two Drams The Dose is from six Drops to ten in a spoonful of Syrup of Violets or of Canary Wine at Night and in the Morning Take Balsam of Sulphur two Drams The Dose is from five drops to ten after the same manner Take Balsam of Peru a Dram The Dose is from two drops to four or six in Conserve of Violets 6. Troches TAke Species Diatragacanthi frigidi half an Ounce Licorice a Dram Flowers of Sulphur two Scruples Flowers of Benzoin a Scruple Sugar Penids three Ounces Solution of Tragacanth made in Hyssop water what suffices Make a Paste form it into Troches weighing half a Dram let one of them be taken pretty often in the Day or Night Take Seeds of white Poppies six Drams Powder of red Poppy Flowers a Dram Extract of Licorice two Drams Lac Sulphuris half a Dram Sugar Penids two Ounces Mucilage of the Seeds of Quinces what suffices Make a Paste and form it into Troches Take Species Diaireos and of Fox Lungs of each half an Ounce Sugar Penids two Ounces Solution of Tragacanth what suffices Make a Mass to be form'd into Troches Take Powders of Elecampane Roots Anniseeds and Licorice of each two Drams Flowers of Sulphur a Dram
Classes and those are Mixtures Linctus's Lohoch's Tinctures Balsams Troches Lozenges Powders Pills Decoctions and distill'd Waters We shall set before you some Examples of each of these to which also may be added some of the forms of the Medicines prescrib'd before for a beginning Cough and not yet arriv'd to a Phthisick 1. Magistral Mixtures and Syrups TAke of our Syrup of Diasulphur three Ounces Water of Earth-worms an Ounce Tincture of Saffron two Drams Mix them take a spoonful going to Bed and early in the Mornign Take Syrup of the Juice of Ivy three Ounces Snail water an Ounce Flowers of Suslphur a Dram Mix them by shaking them together the Dose is a spoonful Evenings and Mornings Take Tincture of Sulphur two Drams Laudanum Tartariz'd a Dram Syrup of the Juice of Ivy two Ounces Cinnamon water two Drams The Dose is a spoonful at Bed time and if the Person does not sleep towards Morning The Syrup of Diasulphur TAke Sulphur prepar'd after our manner half an Ounce the best Canary Wine two pounds Make a close digestion in B. M. or in Sand for twenty eight hours Which being done take double refin'd Sugar two pounds dissolve it and boil it to a consistency for Tablets in a little Water of Elder Flowers then pour to this by little and little the Wine ting'd with the Sulphur whilst warm let it boil a little on the fire scumming it and strain it through Woollen You will have a mest delicate Syrup of a Gold colour and of great efficacy against the Cough and other affects of the Lungs so there be no bayling heat of the Praecordia nor Hectick Feaver the Dose is a spoonful Evenings and Mornings by it self or with other Pectorals Syrup of Garlick TAke Cloves of Garlick Pill'd and out in slices in number ten or twelve Anniseeds bruis'd half an Ounce Elecampane Roots slic'd three Drams Licorice two Drams let them have a close and warm digestion for two or three days in a pound and a half of spirit of Wine put the clear and warm straining into a silver-dish add of double refin'd Sugar a Pound and a half the Dish being put on hot Coals let the liquor be set on fire and whilst it burns stir it sirain it through Woollen and keep it for use Syrup of Turnips TAke Turnips slic'd and double refin'd Sugar of each half a pound put them in a glaz d Pot a lay of Turnips and a lay of Sugar till it be full Let the Pot being cover'd with Paper be put into an Oven to Bake with Bread when it is taken out press forth the Liquor and keep it for use The Dose is a spoonful Mornings and Evenings Syrup of Snails TAke fresh Snails with their shells in number Forty cleanse them with a Linnen Cloath then each of them being run through with a Bodkin let the Apertures of the shells be fill d with Powder of Sugar Candy and being put in a Linnen Bag let them be hung up in a Cellar and let a Glass Vessel be set under them to receive the Syrup which will drop from them The Dose of this is a spoonful twice or thrice a day in a fit Vehicle viz. Aqua lactis or some Pectoral Decoction 2.3 Linctus's and Eclegma's TAke Conserve of red Roses three Ounces Tincture of our Sulphur two Drams Mix them by stirring them in a Glass Mortar the Dose is the quanticy of a Nutmeg at Night and early in the Morning Sometimes to allay a troublesome Cough you may add to this of Olibanum half a Dram or a Dram. Take Conserve of red Roses four Ounces Flowers of Sulphur four Scruples fine Oyl of Turpentine a Dram Species of Fox Lungs three Drans Syrup of the Juice of ground Ivy what suffices Make a soft Lohoch to be taken after the same manner viz. Mornings and Evenings also to be suck'd at other times with a stick of Licorice Take Powder of Sugar Candy four Drams Tincture of Sulphur two Drams Mix them by stirring them in a Glass Mortar let it be taken after the same manner Instead of the Tincture of Sulphur you may put other Balsamick Tinctures as of Balsam of Peru of Opobalsamum of the Gum of Ivy Guaiacum Amber with many others which may be mixt either in Conserve of red Roses or with Conserve of the Flowers of Colts-foot or with Sugar Candy 4.5 Tinctures and Balsams of the same nature and composition as we have preserib'd before in a beginning Cough are proper in a Phthisick only the Dose must be a little larger Take of Tar an Ounce Water of quick Lime thrice Cohobated two pounds distil them in Balneo to half Then let the filtrated Liquor be drawn off in Balneo to the consistency of honey to which pour Tincture of Salt of Tartar half a pound Let it digest in a close Glass to extract the Tincture The Dose is from twenty drops to thirty with a proper Vehicle After the like manner a Tincture in gotten out of the black Oyl of Soot Liquid Amber Liquid Storax and many other things Take of our Sulphur prepar'd with the addition of Myrrh Aloes and Olibanum in a subtriple quantity an Ounce Let a Tincture be drawn off with Oyl of Turpentine also with Rectified Spirit of Wine The Dose of this is from fifteen drops to twenty 6.7.8 Troches Tablets and Powders because chiefly directed for the Cough are in a manner of the same Nature and Composition with those before prescrib'd for that affect when new taken only that for drying and consolidating the Lungs Sulphureous and Traumatick ingredients are requir'd in a greater proportion Take Powder of the Leaves of ground Ivy a Dram Flowers of Sulphur two Drams Sugar Penids a Dram and a half Juice of Licorice diluted with Hyssop-water what suffices Make Troches weighing half a Dram. Take Powder of Yarrow bruis'd and dry'd in the hot Sun half a Dram Flowers of Sulphur Olibanum powdred of each a Dram Powder of red Roses dry'd half a Dram Sugar dissolv'd and boil'd to a consistency for Tablets six Drams Oyl of Anniseeds a Scruple Make Tablets weighing half a Dram. Take one thrice or oftner in a day and especially at night and early in the morning 9. Pills TAke Juice of ground Ivy Clarified in the Sun a pound Flowers of Colts-foot dry'd tops of Hyssop Sage Penny-royal of each a handful Anniseeds Carraway-seeds sweet Fennel-seeds bruis'd of each half an Ounce distill them in Balneo Mariae to half then strain it and distill the straining to the consistency of Pills adding Juice of Licorice half a Dram Powder of Elecampane Roots Flowers of Sulphur of each three Drams Flowers of Benzoin a Dram Balsam of Peru half a Dram Tincture of Sulphur three Drams Laudanum Tartariz'd two Drams Make a Mass form it into small Pills and take three or four at night and early in the Morning 10. Decoctions such as we have before prescrib'd for an obstinate Cough may be also properly taken in a
beginning Phthisick In desperate Cases I have sometimes very successfully prescrib'd the following Decoction to be taken twice or thrice a day and also instead of ordinary drink Take Guaiacum four Ounces China Sassafras of each two Ounces all the Saunders of each an Ounce shavings of Ivory and Hartshorn of each three Drams Let them infuse and boil them in twelve pounds of fountain water to half adding Licorice an Ounce Raisins ston'd four Ounces strain it 11. Distill'd Waters such as before prescrib'd are also proper here to which may be added the Water of Solenander drawn from Hogs Blood with Turpentine also Balsamick Waters distill'd from Turpentine with Pectoral Ingredients Take Leaves of ground Ivy white Horehound Hyssop and Penny-royal of each three handfuls Roots of Elecampane and Florentine Orice of each two Ounces Turpentine dissolv'd with Oyl of Tartar four Ounces hyssop-Hyssop-water four pounds Malaga-wine two pounds distil them in Sand let all the Liquor be mixt the Oyl being separated The Dose is two or three spoonfuls twice a day with a spoonful of the Syrup of the Juice of Ivy. 12. In the last place We must here prescribe Forms of Vapours and Fumes the use of which sometimes does more good in a Phthisick not past recovery than any other Remedies and this because they go to the Lungs it self and so by an immediate operation Purge it dry it free it from Putrefaction strengthen it and open its Ductus's First Therefore let a moist steam be made after this manner Take Leaves of Hyssop ground Ivy whit Hore-hound of each two handfuls Elecampane Roots two Ounces Calamus Aromaticus half an Ounce Anniseeds Caraway-seeds of each an Ounce being slic'd and bruis d boil them in a sufficient quantity of fountain water Let the Vapour of the hot strain'd Liquor be drawn into the Lungs through the hole of a Paper roul'd up Conically or in the Jhape of a Funnel use it Mornings and Evenings for a quarter of an hour 2. A fumigation or dry Vapour is usually made one while more gentle of meer Balsamicks another while more strong of Sulphureous and sometimes Arsenical substances Take Olibanum white Amber Benzoin of each two Drams Gum Guaiacum Balsam of Tolu of each a Dram and a half Powder of red Roses red Saunders of each a Dram Make a Powder to be strew'd on burning Coals Take Gum of Ivy Frankincense of each two Drams Flowers of Sulphur a Dram and a half Mastick a Dram with a Solution of Gum Tragacanth make Trothes Take white Amber Olibanum of each two Drams Auripigment prepar'd half an Ounce Storax Calamita Laudanum of each a Dram and a half with a sufficient quantity of the Solution of Gum Tragacanth Make Troches for fumigation Empiricks ordinarily prescribe the smoak of Auripigment to be taken in a Pipe lighted like Tobacco and that sometimes with good success Moreover it s a practise with the vulgar to take bits of Cloth Painted with Auripigment such as serves for Hangings in Taverns and shredding them very small to kindle them in a Pipe like Tobacco and so to draw the smoak into the Consumptive Lungs for a Cure Now in the last place it remains for us to speak of the great confirm'd Phthisick which is commonly past Cure and to advise what is to be done when the Lungs being very much vitiated and affected with one or more filthy Ulcers do not convey the Air and Blood according to their due Course but defile or corrupt the Mass of the latter by Ministring to it continually a stook of Putrified matter so that a Hectick Feaver and an Atrophia through want of nourishment seize the Diseas'd with a great decay of all their faculties and daily impairing their strength precipitate them to the Grave The most certain sign generally acknowledged of this Disease growing so desperate is a very troublesome pain with an Inflammation in the Throat for this affect argues a great Putrefaction of the Lungs whence the corrupted Effluvia's exhaling stick against the narrow passage of the Throat and there pierce and vehemently irritate the tender Fibres in that part In this case its in vain to attempt to Mundify the Lungs and to cleanse the Ulcer and dry it for all hot Medicines designed for those ends and proper enough in a beginning Phthisick are not to be endur'd when it s confirm'd because augmenting the Inflammation of the Lungs they increase the Hectick Feaver the Thirst Watchings and other very troublesome Symptoms or stir them up a fresh And indeed in such a state of this Disease when we only propose to our selves to protract Life by helping towards a well-bearing of the Distemper and to an easie death those Remedies are of chiefest use that moderate the fervour of the Blood allay the heat of the Praecordia restore the Spirits and gently cherish them Hence for Food Asses Milk also Water-gruel Barly-Broaths Cream of Barley and for Drink Ptisans Emulsions Milk Water distill'd with Snails and temperate Pectorals are usually of greatest success Let Syrups and Linctus's which lenify the Inflammation of the Throat and Lungs and facilitate expectoration be often or daily given but especially gentle Hypnoticks to procure a moderate rest I shall now give you some of the more Select Forms of each kind Take Barly half an Ounce Candied Eringo Roots six Drams parings of Apples a handful Raisins ston'd two Ounces Licorice three Drams boil them in three Pounds of fountain water or two Make a Ptisan to quench thirst let it be taken three or four times a day and if it agrees let it be used instead of ordinary drink Take twenty Caudae Gammorum Candied Eringo Roots an Ounce a Crust of White-bread Raisins ston'd two Ounces Licorice three Drams boil them in three pounds of running Water to two pounds Strain it take three or four Ounces thrice a day after the same manner you may make a Decoction of Snails Take Snails half boil'd and slic'd three pounds Leaves of ground Ivy six handfuls Nutmegs slic'd in number six Pith of White-bread two pounds Milk from the Cow eight pounds distil it in an ordinary still After the same manner you may distil a Water è Caudis Gammorum The Dose is three or four Ounces thrice a day sweetning it with Saccharum Perlatum or Sugar of Roses Take Ears of green Wheat what suffices distil them in a Rose Still Let the Person drink three or four Ounces thrice a day sweetning it with Saccharum Perlatum Take Syrup of Meconium three Ounces Water of green Wheat six Ounces Mix them let two or three spoonfuls be taken going to Bed every Night or every other Night Take Conserve of the Flowers of Wild or Garden Mallows three Ounces Lohoch de Pino two Ounces Syrup of Jujubes two Ounces Make a Lohoch of which let a Dram and a half or two Drams be often taken I shall now give Instances of some Patients which I have had in Cure in the foregoing Distempers And
First of one troubled with a simple Cough which begins of it self and is free from the suspicion of a Phthisick Some years since I took care of the Health of a Student who from his Childhood had been subject to a Cough and was wont often to undergo severe fits of it and of long continuance he seem'd to be of a pretty strong Constitution only that his lungs being originally weak suffer'd much whenever his blood began to run into serosities in summer as long as a free perspiration lasted he was sound enough but spring and fall when the blood changing its temper either of its own accord or upon some slight occasion offer'd falls into serous fluxions he fell lightly into a Cough accompanied with abundance of thick spittle yet this affect very often vanisht by degrees within six or seven days without any great adoe with Medicines assoon as the mass of blood was purg'd by the lungs But if to the said slight occasion of this Disease other greater Causes were added as chiefly the stoppage of the Pores and errours in Diet sometimes a most violent and obstinate Cough came upon him not soon nor easily yielding to Remedies and threatning nothing less than a Phthisick Then growing ill indeed for the first days he had light shiverings in his whole Body and perceiv'd a Catarrh in his Larynx Afterwards he was troubled with a frequent Coughing accompanied with a thin spittle together with a giddiness deadness of the senses and a dropping at the Nose In this state his best Remedy and often try'd with good success was to drink Sack somewhat freely and as little of any other Liquor as might be for by this means the Acidity and flowing of his Blood being supprest and a more free perspiration rais'd he sound himself very much eas'd and sometimes in a very short space grew well Moreover going to Bed and first in the Morning he us'd to take seven or eight drops of Tincture of Sulphur in a spoonful of Syrup of Violets or of the Juice of ground Ivy Or Take Conserve of red Roses four Ounces Spirit of Turpentine two Drams Mix them the Dose is the quantity of a Chesnut Evenings and Mornings But if these Remedies together with the Canary Antidote and a thin Diet do not do the Disease not being Cur'd by such means runs then to a great length and following him sharply for some Weeks and sometimes Months brings the Diseas'd to a mighty leanness and even to the brink of the Grave For the Cough growing daily worse and very troublesome hinders sleep mightily and interrupts it his strength languishes his appetite is dejected heat and drought press hard upon him In the mean time the Spittle is daily increas'd and cast forth in a vast quantity so that afterwards not only the Serum and dreggy Excrements of the Blood but even the nutritive Juice and the wastings of the solid parts being continually pour'd on the Lungs turn into corruption which is Cough'd forth in abundance but respiration grows difficult the Limbs very weak and the Flesh consumes very much When our Patient was lately ill in this manner we prescrib'd the following Method and Remedies by the continued use of which he at length recovered In the first place a thin Diet being ordered him and Ale or Beer wholly forbidden he took of the following Apozeme about four Ounces twice a day warm and a little of it at other times cold to quench his thirst Take China Roots two Ounces Sarzaparilla three Ounces white and yellow Saunders of each an Ounce shavings of Ivory and Hartshorn of each three Drams Infuse them according to Art and let them boil in eight pounds of fountain water to half adding Raisins of the Sun three Ounces Licorice three Drams Strain it and let it be us'd for ordinary drink Take Tincture of Sulphur three Drams Let him take from seven drops to ten going to rest and early in the Morning in a spoonful of Syrup of Violets or of Syrup of the Juice of ground Ivy. When by a long use of this Medicine he began to loath it the following Eclegma was ordered in its stead Take Conserve of red Roses four Ounces Spirit of Turpentine two Ounces Mix them by bruising them together the Dose is about a Dram at the same hours Afterwards instead of this the following Powder was sometimes taken Take Powder of the Leaves of ground Ivy prepar'd in the Summer Sun three Ounces Sugar Candy half an Ounce Mix them the Dose is half a spoonful twice a day with three Ounces of the following distill'd water Take Leaves of ground Ivy six handfuls Hyssop white Hore-hound of each four handfuls the Lungs of a Lamb half boil'd and slic'd small pour to them of Posset-drink made with small Ale eight pounds distil it in common Organs Let the whole Liquor be mingled and when it is us'd sweeten it at pleasure with Sugar Candy or Syrup of Violets To appease the almost continual toyl of Coughing he swallowed now and then the following Troches or a little extract of Licorice Take Species Diatragacanthi frigidi three Drams Powder of the Seeds of Annise Caraway and sweet Fennel of each half a Dram Flowers of Sulphur two Scruples Flowers of Benzoin a Scruple extract of Licorice diluted with Hyssop water what suffices Make a Paste and form it into Troches Or Take Species Diaireos è Pulmone Vulpis of each two Drams Flowers of Sulphur Roots of Elecampane of each half a Dram Oyl of Anniseeds half a Scruple Sugar dissolv'd in a sufficient quantity of Pennyroyal water and boil'd to a consistency for Tablets six Ounces Make Tablets according to art weighing half a Dram let him take one as often as he pleases swallowing it by little and little In the midst of this Course though he had a weak Pulse and was of a cold temperament he was let Blood in the Arm Besides these Remedies a great benefit accrued to him from the fresh Air which he took daily either on Horseback or in a Chariot For by this he first began to recover his Appetite Digestion and Sleep which afterwards were followed by degrees with an abatement of the other Symptoms so that at length he perfectly recover'd He has us'd a method like to this and with the like success as often as till this time he has been troubled with a tedious and stubborn Cough and now though he be wholly free from that distemper yet he is forc'd carefully to avoid all occasions by which the Pores are stop'd or by which a Fusion or Precipitation of the Blood into Serosities is rais'd such are chiefly his going by Water on the Thames and his drinking Acid Liquors as Cider French or Rhenish Wines The foregoing Relation gives you a Type and way of Curing a Cough caus'd through the fault of the Blood and not reaching the limits of a Phthisick Now follows another which Illustrates the nature of the same affect when it proceeds chiefly from the
of the following Electuary drinking after it seven spoonfuls of the Julape Take Conserve of red Roses three Ounces Conserve of Hipps and Comphrey of each an Ounce and a half Dragons Blood a Dram Species of Hyacinth two Scruples red Coral a Dram with a sufficient quantity of Syrup of red Poppies Mix them and make a soft Electuary take at Night and early in the Morning a Dram and a half drinking after it a draught of the following Julape at other times let him take it with a stick of Licorice Take of the Waters of Plantain and of the Spawn of Forgs of each six Drams Syrup of Coral and of dry'd Roses of each an Ounce Dragons Blood two Scruples Mix them made a Julape CHAP. III. Instructions and Prescripts for Curing a Peripneumonia THe Peripneumonia is an Inflammation of the Lungs with an Acute Feaver a Cough and a difficulty of Breathing it is caus'd by a rushing of the Blood into the Ductus's of the Lungs and its being there inflam'd and obstructed The Primary Indication in order to the Cure of a Peripneumonia is that the Blood forc'd into the Vessels of the Lungs and causing there an Obstruction with an Inflammation be thence discust and restor'd to its former Circulation which if it may not be done the Second Indication will be that that matter be duly Concocted or Suppurated and with all expedition voided by Spittle 1. Whilst the former Indication holds good the Intentions of Curing will be these following In the First place That the excessive current of the Blood to the part affected be cut off or some way hindred Secondly We must endeavour that the matter stagnating in the Lungs or extravasated be suck'd up again by the Veins into the rest of the Mass and restor'd to its Circulation Which the better to effect Thirdly The Blood must be freed of its clamminess or viscous nature whereby its fluidity is hindred And Fourthly We must obviate by fit Remedies those Symptoms that are very pressing viz. the Feaver Cough Watchings and difficulty of Breathing But if notwithstanding all this the other Indication must be pursued we must add to the Remedies before mentioned such as they commonly call Maturating and Expectorating Medicines 1. To satisfy the First and Second Intentions together Blooding is requisite almost in every Peripneumonia nay sometimes it ought to be often repeated For the Vessels being emptied of Blood they do not only withdraw the matter which maintains the Disease but likewise drink up again what was forc'd into the part affected Wherefore if the strength holds and the Pulse be of a sufficient vigour its good to bleed freely at the very beginning but otherwise you must do it in a moderate quantity and repeat it now and then as occasion requires In this Distemper the Vein should always be open'd with a large Orifice and the Blood should not only Issue forth in a full stream but its running should be continued for otherwise if in the midst of bleeding whilst the vitiated Blood flows forth the Orifice be stop'd with the Finger as some are wont to do to prevent fainting when it s open'd again a pretty good Blood will Issue forth next the vitiated Blood if any such be remaining being fallen back and not presently returning to the Orifice Besides Bleeding many other Remedies are here to be us'd viz. such as repress the turgid motion of the Blood and empty its Ductus's whereby the Morbifick matter may be drank up again Wherefore a very thin Diet is prescrib'd consisting almost meerly of Barley and Oat-meats And though Catharticks are wholly forbidden because they strongly exagitate the Blood and force it more violently into the part affected Nevertheless Glysters ought to be daily Administred which gently ease the Belly and draw the dreggy Excrements of the Blood downwards Moreover qualifying Julapes and Apozemes which allay the fervour of the Blood and pleasantly lead off its superfluous Serosities and likewise gently open the passages of the Brest are taken with good effect The Third Intention of Curing which has regard to the takeing away of the obstructing clamminess or viscous nature of the Blood it perform'd wholly by those Remedies which loosen its over-close Texture and dissolve the Combinations of its Salts And truly those Remedies which Reason and Analogy might dictate in this respect are us'd even at this time after a long expeperience For Powders of Shells the Tusk of a Boar the Jaw-bone or a Pike and other things endow'd with an Alkalisate Salt also Sal Prunella are prescrib'd by all Practitioners both Ancient and modern I have known Spirit of Sal Armoniack and of Hartshorn to have done great good in this Disease And for the same Reason it is viz. Because of the good effect of the Volatile Salt that an Infusion of Horse-dung though a vulgar Remedy has often given great relief Fourthly As to the Symptoms and their Cures a great many Remedies appropriated to these are Coincident with the former For the same Julapes and Apozemes which appease the fervour of the Blood and also restore the Animal Spirits are in most common use against the Feaver To which also in respect of the Cough and the diffculty of Breathing temperate Pectorals are joyn'd The greatest difficulty is what must be given against want of sleep it at any time the Person be very much molested by it For Opiats adding to the prejudice of Respiration which is under some stress from the beginning of this Disease may scarce be taken with safety nay sometimes they become pernicious Wherefore Laudanum's and the stronger preparatious of Opium must be utterly avoided in a Peripneumonia though in the mean time Anodines and the more gentle Hypnoticks as especially the Water and Syrup of red Poppies are not only allow'd but accounted Specificks in this Disease and in the Pleurisy Moreover we may sometimes use Diacodiats so the strength holds and the Pulse be strong and in a good temper For the pain of the Brest if at any time it proves troublesome its proper to use sometimes Oyntments Fomentations and Cataplasms The Secondary Therapeutick Indication whereof the Intentions are to Concoct and to discharge by Spittle the matter sticking in the Lungs since it cannot be discust or drank up again requires Medicines commonly call'd Maturatives and Expectoratives but they must both be temperate to wit such as rather appease than exasperate the Thirst and Feaverish heat We have given you before in the Chapter of the Cough the kinds of these Medicines which are properly call'd Pectorals We shall now set down the choicest Prescripts and most proper for this affect Prescripts of Medicines 1.2 Medicines Conducing to the First and Second Intention are prescrib'd according to the Forms following TAke Water of Ladies Thistle ten Ounces of red Poppies three Ounces Syrup of the same an Ounce Pearl prepar'd a Dram Make a Julape the Dose is six spoonfuls every fourth hour Take the Waters of Black-Cherries Carduus Benedictus
into the Cavity of the Thorax and then a little silver Pipe being put in let the matter within contain'd be let forth some at one time and some at another but so that as far as the strength will bear the evacuation of the whole humour be as quick as may be for a portion of it being left within upon frequent admission of air to it will stinch most horridly within a few days to prevent which evil or suddenly to remove it let a vulnerary and adstersive Liquor be injected with a Syringe twice or thrice a day After the Incision is duly perform'd with what else belongs to it well known to skilful Chirurgions there will not be much more left for a Physician to do He must prescribe a proper Diet frequent Glisters to loosen the Belly as often as occasion requires and likewise vulnerary Medicines commonly so call'd which hinder the dissolution of the Blood and its running into Serosities prejudicial to the Brest But if the Signs of this Disease are not certain and as it usually happens when a Peripneumonia or an Impostume of the Lungs precede it are wholly doubtful you must not proceed to an Incision too hastily or inconsiderately For I have known some Spitting forth a purulent matter nay a faetid Pus to whom an Incision of the Thorax has prov'd of no good effect and not without some prejudice Therefore till it shall appear by infallible Signs that it is an absolute Empyema you may use for a while expectorating Medicines such as before prescrib'd for Curing a Peripneumonia and also things gently moving an Evacuation by Urine and Sweat But these at length availing nothing and the Empyema still continuing or encreas'd since it is better so there be strength to try a doubtful Remedy than none you may proceed to the Incision As to Forms of Medicines requisite for Curing an Empyema before the Incision the same Remedies are proper which are prescrib'd for a Peripneumonia but the incision being over the following will be of particular use Against Faintings and Swoonings which happen during that Operation or after it Let the following Julape be always in a readiness to be taken now and then to four or five spoonfuls Take the Waters of Bawm and of Black Cherries of each six Ounces Aqua Mirabilis an Ounce Pearl powdred a Dram Syrup of Clove Gilly-flowers an Ounce Mingle them make a Julape Let the following Decoction be taken three or four times a day TAke Leaves of Harts Tongue Speedwel Agrimony Colts-foot Mous-ear Sanicle of each a handful Roots of Madder and Chervil of each an Ounce Barley half an Ounce red Ciches half an Ounce Raisins of the Sun an Ounce and a half Boil them in four pounds of fountain water till half be consum'd when it is taken let it be sweeten'd at pleasure with Clarified Honey or with Syrup of Mous-ear If there be no Feaver let the following Pills be taken at Night and early in the Morning to a Scruple or half a Dram. Take Powder of Crabs Eyes two Drams Flowers of Sulphur a Dram Sal Prunella half a Dram Species of Diarrhodon Abbatis a Scruple Venice Turpentine wash'd what suffices Make a Mass and form it into Pills or the Turpentine being omitted let the same Medicine be taken in the Form of a Powder from half a Dram to two Scruples twice a day CHAP. VI. Instructions and Prescripts for Curing the Impostume of the Lungs THe Morbifick matter of this Vomica or Impostume of the Lungs is always a meer Pus which nevertheless is there engendred tacitely and as it were unawares without a Feaver or Inflammation and lyes so private that it scarce presents any signs of it self but a little Cough which at first is dry then turns moist which continuing some time the Breath is drawn with some difficulty the Spirits faint and the Body wears away by little and little though in the mean time the Spittle has no Pus or Blood mixt with it But if the Impostume unexpectedly breaks it commonly kills the Patient If after the Impostume is broken and the Purulent Spittle beginning to come away with ease and the strength holding firm there be room for any method of Cure The Primary Indications according to the common custom in most Diseases must be these three viz. Curatory Preservatory and Vital The First directs that the matter of the Impostume be with speed evacuated by Spitting and that the sides of it be cleans'd and made sound again as much as possible The Second provides against a confluence of new matter to the Receptacle and other neithbouring parts of the Lungs whence a Consumption would be engendred The Third relieves the faintings of the Spirits and restores lost strength and the Nutrition which was frustrated In respect of the First Indication expectorating Medicines commonly so call'd and of the hottest and smartest nature which cleanse and dry most and especially since for the most part here is no Feaver Sulphureous things are proper which also are prescrib'd according to the Forms following Take Tincture of Sulphur three Drams give from seven drops to twenty going to Bed and early in the Morning in a spoonful of Syrup of the Juice of ground Ivy Or Take Syrup of our Diasulphur six Ounces give a spoonful at the same hours Take dry'd Leaves of ground Ivy Germander Maiden-hair Coltsfoot Hyssop white Hore-hound Savory of each a handful the Roots of Elecampane Florentine Orris Chervil of each an Ounce Anniseeds half an Ounce Boil them in six pounds of fountain water to three pounds and a half add towards the end White-wine six Ounces the best Clarified Honey three Ounces Let the straining be Clarified and kept for use The Dose is six Ounces thrice a day warm Or Take Water of quick Lime six pounds Put it in a large mouth'd Glass with the following Bag. Take dry'd Leaves of Germander ground Ivy white Hore-hound of each a handful Roots of Elecampane and Florentine Orris slic'd of each an Ounce and a half Annisecds bruis'd two Ounces Licorice an Ounce and a half Raisins ston'd three Ounces Let them stand cold and close cover'd pour it out as you use it still leaving the Bag behind Take Lohoch Sanum three Ounces Species Diaireos two Drams and a half Flowers of Sulphur a Dram and a half Oxymel simple two Ounces Make a Linctus to be taken with a stick of Licorice Take Powder of the Leaves of Hedg-musiard and of ground Ivy of each half an Ounce Flowers of Sulphur a Dram and a half Syrup of Diasulphur or of the Juice of Ivy what suffices Make a soft Lâ—hech Take fine Myrrh and white Amber of each half an Ounce Sulphur vivum Auripigment of each two Drams shells of Fistick Nuts a Dram and a half Make a Powder for Fumigation let it be us'd with a Paper Funnel Morning and Evening The Second Indication which is for preservation cutting off the Mortinck matter and providing against the Consumption which is apt
to ensue undertakes the purifying of the Blood and the strengthening of the Lungs for which eads Purges Vulnerary Decoctions distill'd Waters and Physick Drinks are proper Take Gereon's Decoction of Sena with Agarick a Dram and a half three Ounces and a half Purging Syrup of Apples an Ounce Aqua Mirabilis two Drams Make a Potion to be taken once a week with governance Let the Form of the vulnerary Decoction be the same which is prescrib'd for the Empyema after the Incision or because there is no Feaver you may give that Decoction of the shops to four or six Ounces thrice a day Take Fir tops six handfuls fresh Leaves of ground Ivy Hyssop Savory Rocket Hedge-mustard Winter Cress of each four handfuls Sun-flower Seeds six Ounces sweet Fennel-seeds two Ounces Roots of Elecampane and Florentine Orris of each three Ounces being slic'd and bruis'd pour to them of Brunswick or Spruce Beer eight pounds distil it with common Organs Let the Liquor be all mixt and when it s us'd let it be sweeten'd at pleasure with Syrup of the Juice of ground Ivy The Dose is three or four Ounces thrice a day Take Roots of Sarzaparilla six Ounces China Roots two Ounces all the Saunders of each six Drams shavings of Ivory and Hartshorn of each half an Ounce Mastick-wood an Ounce being slic'd and bruis'd let them Infuse according to art and boil in twelve pounds of fountain water till half be consum'd adding of Licorice an Ounce Raisins of the Sun four Ounces let the straining be us'd for ordinary drink The Third and Vital Indication prescribes Cordial and Anodine Remedies and a fit Diet The same Forms of Medicines in a manner that are prescrib'd for an Empyema after Incision are proper here Also the same Diet which is ordered in a beginning Consumption and Asses Milk often does good in this case Concerning the Cure of this Disease I have obferv'd that an Issue made in the side has often a very good effect A Gentleman of a middle Age having been always strong and healthy found himself ill without any manifest cause and in a short time fell into a languishing condition losing his appetite sleeping with difficulty was thirsty and had a heat about his Praecordia He was a long time under the hands of some Physicians for the Scurvy and of others as Hectical and after various methods of Cure had been try'd in vain the Disease at length openly discover'd it self For whilst one Night being more restless than usual he toss'd himself very much in his Bed the Impostume within his Lungs breaking on a sudden he threw up by Coughing a vast quantity of Pus which stunk most horribly so that within four or five hours he had thrown up about two pounds Moreover the Cough continuing for above two Months afterwards he daily voided by Spittle of that Purulent thick and mighty stinking matter till his Flesh being consum'd and his strength wholly spent he was decay'd and fallen away to nothing After the Impostume was thus broken we carefully gave him Medicines to cleanse and heal the place where it gather'd and to mundify the Blood and the Lungs and free them from the imminent Consumption Our Tincture and Syrup of Diasulphur together with Pectoral and Vulnerary Decoctions and Distillations also Linctus's and Balsamick Pills were taken day after day in a constant method With these Glisters also gentle Catharticks and Diureticks were interchangeably given Vaporations first then Suffumigations both Sulphureous and Arsenical were also us'd Mornings and Evenings After these things had been carefully followed a long time without any good we concluded to open his Thorax and were soon directed to a place proper for it for on the left side of his Sternum betwixt the fifth and sixth Vertebrae a tumour appear'd Instead of a Cautery I apply'd thereto a Suppurating Plaister and within three days the top of that Swelling became red and soft out of which being open'd the next day after first issued a thin Ichor and a little after a yellow and well concocted Pus and afterwards it continued daily to run in a more plentiful manner and then the stinking Spittle began to abate and within a Fortnight wholly ceas'd the Morbisick matter finding both an easie and more apt passage through that Orifice which at length was chang'd into an Issue and a Pea or a Pill of Wood being daily put into it there came forth continually for a year and a half a plentiful Ichor and in the mean time the Gentleman having wholly got rid of any corruption in his Brest and recovering his strong and fleshy habit of Body became sound in all respects Lastly That Issue being remoy'd to the Arm he has nothing of that Distemper about his Brest nor minds longer any fence against it Shortly after this Cure I was call'd to a Lady of Quality who having been troubled with a Cough and a heat of the Praecordia for many years on a certain day sensibly perceiv'd somewhat broken in her Lungs whilst she was Coughing and presently voided by Spittle a great quantity of meer and stinking Pus after that that Spittle with the Cough notwithstanding any use of Remedies continuing for a Week seem'd rather increas'd than diminish'd I advised that she would permit an Issue to be cut in her side near the place whence she perceiv'd the Pus to arise which she readily giving way to within three days meer Pus such as she Spit forth by her Cough began to run from the open Orifice and afterwards the Morbifick matter finding a sufficient vent by that passage both the Cough and the Spitting of Pus entirely ceas'd and within six Weeks the Patient grew perfectly well After this I was call'd to a robust man a great Drinker who being also affected with an Impostume of the Lungs did Spit forth a great quantity of mighty stinking Pus He would not permit any Issue to be made in his side yet being very free to take all sorts of Medicines he got free at length of that Disease by a long use of them The Medicines which chiefly did him good were preparations of Sulphur wherefore our Syrup and Tincture were given him often every day To these we gave for Vehicles sometimes a Pectoral Decoction sometimes a Pectoral Hydromel sometimes Lime water with the Infusion of Pectoral and Vulnerary Ingredients Moreover Fumigations especially of Sulphureous and Arsenical things gave great Relief CHAP. VII Instructions and Prescripts for the Cure of the Asthma AN Asthma is a difficult short thick and pursy Breathing with a great Agitation of the Brest and for the most part without a Feaver And it s either meerly Pneumonick proceeding from some stoppage in the Vessels that convey the Air or meerly Convulsive arising from some fault in the Organs of motion or mixt when both parts are joyntly faulty As to its Cure there are two Primary Indications or rather so many distinct methods of proceeding viz. the one Curatory the other
prescrib'd as follows Take Spirit of Gum Ammoniacum distill'd with Sal Armoniack three Drams Let him take from fifteen drops to twenty in a spoonful of the following Julape drinking after it five spoonfuls let it be repeated every sixth hour Take the waters of Elder Flowers Cammomil and Penny-royal of each four Ounces Snail water two Ounces Sugar an Ounce mix them Between whiles he took a Dose of the following Powder with the same Julape or Pectoral Decoction Take Powder of Crabs Eyes two Drams Sal Prunella a Dram and a half Salt of Amber half a Dram max them Divide it into eight parts for as many Doses Large Vesicatories were apply'd in the inside of his Arms near his Armpits Glisters were daily administred and frequent Frictions By the use of these things he received a sudden and unexpected ease and within a few days got wholly free of that Fit and afterwards as often as he perceiv'd a little touch of the said Distemper coming he presently took a large Dose of that Spirit with the same Julape thrice or four times a day By which Remedy being frequently taken sometimes for preservation and sometimes for Cure he has now past above two years without any great and terrible fit of his Asthma which before was habitual though he has now and then undergone some light touches of it but easily blown off An Honourable old Gentleman upon taking cold as 't is judged found himself ill for he complain'd of a pain in the middle of his Brest by his Sternum which at Night as soon as he was warm in his Bed growing worse disturb'd his sleep and was very troublesome to him for the most part of the Night Nevertheless without any straintness of Breath or evident sign of an Asthma To take away this pain he was both Purg'd and Blooded Pectorals and Antiscorbuticks were daily given him Oyntments and Fomentations were apply'd to the place pain'd yet without any great good or ease For the change that happen'd after was rather for the worse for the pain being a little abated he was seiz'd with a laborious and troubled Respiration so that after his first sleep or as he began to slumber he was taken with a fit of the Asthma and being out of Breath and opprest about the Praecordia was forc'd to sit upright in his Bed Moreover this painful Breathing and Convulsive agitation of the parts for Respiration did not only return every Night but daily grew more violent and continued longer upon him Insomuch that one Night awaking from his first sleep he was seiz'd with a most violent fit of the Asthma which lasted for many hours and brought him as near death as a Man might be and live No Physician being present a Barber then let him Blood which gave him some relief in the Morning upon a consultation of Physicians he was ordered for that day a thin Diet and a loosning Glister At Night and the Morning following he took twelve drops of Spirit of Gum Ammoniacum distill'd with Sal Armoniack in a Vehicle proper in that case and continued its use afterwards for many days Vesicatories were apply'd to the insides of his Arms near his Arm-pits Moreover Julapes and Pectoral Decoctions Lohoch's Glisters nay and sometimes gentle Purges had their truns Bleeding also was repeated after two days Whereas before he was wont to drink for his Mornings draught about a pint of Beer with Wormwood and Scruvygrass Instead of this he took about eight of the Clock fifteen drops of Elixir Proprietatis tartariz'd in a draught of Coffee prepar'd with a Decoction of Sage By these Remedies the Asthmatick Fits presently abated of their wonted fierceness insomuch that the beginning and end of every Night were quiet enough though about the middle of it some uneasiness about the Praecordia kept him waking and made him sit upright in his Bed for an hour or two at length growing weary of Physick he took only now and then some of the Medicines above mentioned But in the mean time though his Asthmatick Fits troubled him little or not at all by Night as before yet by reason of his Lungs being very much stuffed and a Serous humour falling into his Feet he could not walk fast or go up any steep Ascent without a great difficulty of Breathing and danger of being choak'd and at present an Asthma or Phthisick is not so much fear'd as a Dropsie CHAP. VIII Instructions and Prescripts for Curing the Dropsie of the Breast IF at any time the affect of the Dropsie or Anasarca being general has taken possession every where or in most places of the Flesh and Cavities of the Viscera It s no wonder if that filthy Mass of Waters gets possession also of the Breast but besides this it sometimes happens that the Region of the Thorax is either originally or alone overwhelm'd with waters the other parts in the mean time being every where sound enough or injur'd only Secondarily That Serous humour causing the Dropsie of the Breast arises there either in the Form of a Vapour which exhaling from the Praecordia and Sides of the Thorax is readily condens'd into Water or Secondly the Serum is there depos'd in its proper Form as it distils into that Cavity from the Mouths of the Vessels viz. of the Arteries there open'd Or Thirdly the Lymphaeducts or sometimes though rarely the Chyle Vessels somewhere opening themselves or being broken may produce that affect A young Man of a healthy and strong constitution who had long us'd himself to violent exercises both by riding and other ways perceiv'd at length a fulness or as it were a certain windy rising in his Thorax insomuch that the left side of his Lungs seem'd to swell and his Heart to be thrust forth of its place towards the right side for in that part it was perceiv'd to beat most After he had continued in this condition some time he perciv'd on a certain day a Rupture as it were of some Vessel within the Cavity of his Thorax and after it for half an hours space he could not only perceive in that Region a dropping of humour as it were from the top to the bottom of his Brest but it could also be head by the standers by Notwithstanding this finding himself otherwise well dispos'd he slighted Physick but afterward upon motion stooping or any stirring of his Body he perceiv'd in his left side a floating of waters inwardly gathered together Nay and the motion and sound of it was most manifestly perceiv'd of others both by handling and by the ear Hence as it was plain that this Person had a Dropsie of the Breast so it seemed most probable that this Disease took its rise from this that the Lymphaeducts appertaining to the left side of the Lungs being first obstructed near their Insertions into the Ductus Chyliferus had swollen up to a vast bigness and afterwards being broken distill'd forth their humour into the Cavity of the Thorax This Gentleman not perceiving
himself in danger and having try'd some Medicines without any good effect was advised upon a consultation of Physicians to have his Side open'd Wherefore provision for the whole being made a Chyrurgion apply'd a Cautery betwixt the sixth and seventh Vertebrae and the day following he put a Pipe into the Orifice cut into the Cavity of his Brest upon which presently a thick Liquor whitish like Chyle and as it were Milky issued forth There were only about six Ounces taken from him the first time and the day following as much On the third day somewhat a larger quantity being let forth he was presently seiz'd with a great fainting and afterwards being Feaverish he was ill for a day or two Wherefore till he recovered his due temper and strength it was thought fit to stop the egress of that matter and afterwards a small evacuation only of the same being daily made the Cavity of his Brest was in a manner wholly emptied though he still carries the Pipe in the Orifice with a Tap which being drawn forth once in twenty four hours a little gleeting of humour still issues out In the mean time being well dispos'd as to his Stomack Countenance and Strength he Walks and Rides abroad and performs other exercises which he had been formerly us'd to with vigour enough He us'd not much Physick nor did he need it After the Incision we prescrib'd him temperate Cordials viz. Powder of Pearl Julapes and sometimes Hypnoticks and afterwards a vulnerary Decoction to be taken twice every day By this Method and Form of Medicines continued for some time the Person seem'd to recover his due temper strength and habit of Body nay and to be sound in his Breast yet he still carried the Silver Pipe in the Orifice of his Side out of which an Ichor continually issued And when after some Months this being taken forth that Issue was clos'd up there was a gathering again of the same humour within the hollow of the Breast as was perceivable by the sound and floating of it But afterwards as upon the return of the Disease the same Remedy presented it self and consequently the opening of the Side was ordered Nature as it fell out performing the Office of a Chyrurgion it happened of its own accord and gave way for the matter which was ready to break forth and now he is fain to keep that Orifice constantly open as a sink to prevent that gathering of nastiness in his Brest As to the Cure of the Dropsie of the Brest the Primary Indications as usually in Curing most other Diseases are three viz. Curatory Preservatory and Vital The First endeavours that the Waters gathered in the Cavity of the Breast be some way or other evacuated The Second prevents the gathering of new matter The Third takes care to restore strength and speedily to remove the Symptoms that injure it To satisfy the First Indication there are only two ways or manners of evacuation by which that filthy Mass of Waters may be clear'd forth viz. either that the Vessels of the Breast and Ductus's of the humours being emptied drink up again that Lympha when Rarifyed and then convy it forth either by the way of the Blood or of the Breath or Secondly that the water be all let forth in its proper Species by an Incision of the Side The former way though seldom yet sometimes to my knowledge succeeds For the Texture of the Lungs being spongy within and outwardly very Porous whilst upon every Diastole it is dip'd in the waters lying under it it sometimes imbibes them being converted into vapour and so either returns them to the Blood or exhales them with the Air continually breath'd forth at the Mough that this effect may more readily happen for Curing this Disease Physical Aids are here us'd Therefore for that intent the passates of the Blood Air and humours ought to be emptied as much as may be and to be kept open and free For this end let gentle Purges Diureticks and Diaphoreticks be methodically given by turns also Thoracical and Expectorating Remedies must be us'd Let the Diet be thin and heating and let such a method be ordered in all things which may promote the exhalation of the Blood and cause all the superfluous humours to evaporate I shall set down some Forms of Medicines proper for these purposes Take Roots of Chervil Butchers-broom Polypody of the Oak of each an Ounce Leaves of Agrimony Maiden-hair Oak of Hierusalem ground Ivy of each a handful Carthamus-seeds an Ounce Roots of Florentine Orris half an Ounce Boil them in four pounds of fountain water till a third part be consum'd then add to the straining Sena Leaves an Ounce and a half Agarick two Drams Mechoacan Turbith of each half an Ounce yellow Saunders a Dram and a half Roots of the lesser Galingal a Dram Boil them close cover'd for two hours then strain it add of the best Honey two Ounces and Clarify it with the white of an Egg Make a Purging Hydromel the Dose is from six Ounces to eight in the Morning twice or thrice a Week Or Take Calamelanos a Scruple Rosin of Jalap half a Scruple Balsam of Peru what suffices Make four Pills let them be taken in the Morning repeating the Dose within five or six days Take Tincture of Sulphur three Drams give from seven drops to ten going to Bed and early in the Morning in a spoonful of the following Mixture drinking after it three spoonfuls Take the waters of Snails Earth-worms and Compound Radish water of each four Ounces water of the Juice of Elder-berries fermented a pound Syrup of the Juice of ground Ivy two Ounces Mix them make a Julape Or Take Tincture of Gum Ammoniacum or of Galbanum Give to twenty drops at Night and early in the Morning with the same Mixture Or Take Millepedes prepar'd two Drams Flowers of Sulphur two Scruples Flowers of Benzoin a Scruple Powder of wild Carrot and Burdock-seeds of each half a Dram Venice Turpentine what suffices Make a Mass form it into little Pills take four at Night and early in the Morning drinking after it a little draught of the same Julape At nine a Clock in the Morning and five in the Afternon drink a draught of the water of Quick-lime Compound to four Ounces by it self or with some other appropriate Medicine For ordinary drink take the following Bochete Take Roots of Sarsaparilla six Ounces China two Ounces the Woods of white and yellow Saunders of each six Drams shavings of Ivory and Hartshorn of each three Drams Roots of Calamus Aromaticus half an Ounce Raisins ston'd half a pound Licorice three Drams Let it infuse according to Art and boil it in twelve pounds of fountain water to six pounds strain it I was call'd to a young Scholar at Oxford who had been ill for three Weeks of a pain of his Thorax and of a great difficulty of Breathing that constantly followed him in the Evening which also upon a
Choice Rhubarb two Drams Agarick Trochiscated half a Dram Cinnamon half a Scruple Ginger half a Scruple Make an Infusion in Whitewine and Succory water of each three Ounces being close cover'd and kept warm for three hours In the straining dissolve Syrup of Rhubarb an Ounce water of Earth-worms two Drams Take Rhubarb powdred from half a Dram to a Dram Salt of Wormwood a Scruple Make a Powder Take Pilulae Ruffi a Scruple Extractum Rudii half a Scruple Make four Pills let them be taken in the Morning with governance repeating them within four or five days In the Third place follow Deopilatives and these are Diureticks or Diaphoreticks of which also some are accounted Specificks for their Similitude of substance these sorts of Medicines both promote the separation of the Choler from the Blood and being separated force its way through the straitest passages and Pores in the Liver Moreover at the same time by fusing the Blood they cause its Serosities and Bilous Excrements to be sent forth in some measure by Sweat and Urine Take Elixir Proprietatis an Ounce give twenty drops in the Morning and at five in the Afternoon with a fit Vehicle After the same manner the Tincture of Antimony or of Salt of Tartar are often given with success also Mixtura Simplex in a greater Dose For Vehicles also for the same Intention of Curing Apozemes distill'd waters and Julapes are proper Take Roots of the greater Celandine stinging Nettles Madder of each an Ounce tops of Sea Wormwood white Horehound dry'd Agrimony Germander of each a handful Worm-seeds two Drams shavings of Ivory and Hartshorn of each two Drams yellow Saunders a Dram and a half Coriander-seeds two Drams boil them in three pounds of fountain water to two pounds add of Whitewine four Ounces and strain it add Syrup of Cichory with Rhubarb two Ounces Water of Earth-worms an Ounce and a half Make an Apozeme the Dose is from four Ounces to six twice a day Take Leaves of white Horehound dry'd of the lesser Centory of each a handful Roots of Gentian and Turmerick of each three Drams Cinnamon a Dram Saffron half a Dram being slic'd let them be put into a Glass with White or Rhenish Wine two pounds Make a close Infusion the Dose is three Ounces To this place belongs the famous Anti-Icterick of Gesner Take Roots of the greater Nettle a pound Saffron a Scruple Bruise them well and extract a Tincture with Whitewine the Dose is three Ounces in the Morning for four or five days Like to the former is that of Fr. Joel Take Roots of the greater Celandine slic'd two handfuls Juniper Berries a handful being bruis'd pour to them of Rhenish Wine a pound and extract the Juice The Dose is four Ounces twice a day The Juice of white Horehound is mightily commended by Dioscorides for the Cure of the Jaundise and its Syrup by Forestus Instead of the Elixir and other Chymical Liquors which are ordered to be taken in a very small quantity to avoid nauseousness You may give more successfully Electuaries Powders and Pills to others of a strong Constitution Take Conserve of Sea Wormwood the outward yellow Coats of Oranges and Limons of each two Ounces Species Diacurcumae an Ounce and a half Powder of Ivory yellow Saunders the Lignum Aloes of each half a Dram Troches of Capers a Dram Troches of Rhubarb half a Dram Salt of Wormwood two Drams with a sufficient quantity of Syrup of Cichory with Rhubarb make an Electuary the Dose is the quantity of a Chesnut twice a day drinking after it of the following Julape three Ounces Take Waters of the greater Celandine Fumitory Wormwood simple and of Elder Flowers of each five Ounces Magisterial water of Snails Water of Earth-worms Compound of each two Ounces Sugar half an Ounce Mix them make a Julape Or Take Roots of the greater Nettle Angelica Gentian of each four Ounces the greater Celandine entire six handfuls Wormwood Tansie both Southernwoods of each four handfuls the outward Coats of twelve Oranges and of four Limons Earth-worms prepar'd Snails of each a pound Cloves bruis'd two Ounces being slic'd and bruis'd pour to them of Whitewine eight pounds distil it with common Organs Let the whole Liquor be mixt Or Take Filings of Steel a pound fresh Strawberries six pounds put them in a glazed Pot and stir them together and let them stand for a day then add of the Roots of English Rhubarb slic'd a pound the Rinds of four Oranges being slic'd pour to them of Whitewine six pounds and distil them according to art Let the whole Liquor be mixt The Dose of this and the former is three Ounces twice a day after the Electuary or other Medicine Take Powder of the Roots of Turmerick and Rhubarb of each a Dram and a half Rinds of Caper Roots Asarum Roots of each half a Dram Extract of Gentian and Centory of each a Dram and a half Salt of Wormwood four Scruples Seeds of Water-cresses half a Dram of Rocket half a Scruple Elixir Proprietatis a Dram Gum Ammoniacum dissolv'd in a sufficient quantity of Water of Earth-worms Make a Mass Form it into little Pills the Dose is half a Dram Evenings and Mornings drinking after it of the distill'd Water three Ounces Sylvius highly commends for the Cure of the Jaundise a Decoction of Hemp-seeds in Milk and a Solution of Soap The Second Indication having regard to the altering or due tempering of the Blood that it engender Choler only in a moderate quantity and duly separate it requires those kinds of Medicines which depress the Sulphur and fixt Salt when too much exalted For these ends I know not by what chance or guidance Medicines endow'd with a Volatile Salt as Earth-worms Snails Millepedes nay Lice the Dungs of Fourfooted Beasts and of Fowl being introduc'd into Practise for Curing the Jaundise are usually given not only by Empyricks but likewise prescrib'd by Physicians of the best account These sometimes by themselves but oftner joyn'd with Evacuatives and Deopilatives enter the chief compositions of Anti-ictericks Fonseca prescribes Goslings Dung gathered in the Spring time and dry'd and also the white Dung of Chickens the Powder of both which is given from half a Dram to a Dram in a fit Vehicle Take Powder of Earth-worms prepar'd Goose dung of each three Drams Ivory yellow Saunders powdred of each half a Dram Saffron a Scruple Make a Powder divide it into six parts for so many Morning Doses with some Liquor fit for the purpose To the Anti-icterick Apozem and Tincture above prescrib'd Earth-worms also Goose-dung and Sheeps-dung are usefully added Take of fresh and live Millepedes in number from fifty to a hundred Saffron half a Scruple Nutmegs a Scruple being bruis'd together pour to them of Celandine water four Ounces water of Earth-worms two Ounces wring it forth hard and drink it After this manner let it be taken first once afterwards twice a day for a Week It s a vulgar and
Though there are various kinds of the Spurges and all of them work violently by Vomit or Siege by reason of their mighty Irritation of the Viscera and consequently evacuate Serous humours in a plentiful manner yet because of the excessive strength of most of them The lesser or wild Spurge is now in a manner only in use And it s most approved preparations are the Powder of the Rinds of its Roots and its Extract We also add its Tincture which is not Inferiour to the rest Take the lesser Spurge with the Roots cleans'd four handfuls Lignum Aloes Cloves of each a Dram being bruis'd boil them in four pounds of fountain water till half be consum'd ' let the straining Clarifie by settling in an oblong Glass then let the clear Liquor Evaporate by a Bath-heat to the consistency of an Extract The Dose is a Scruple Take of this Extract half an Ounce pour to it in a Matras six Ounces of the Tincture of Salt of Tartar digest them in a Sand Bath till the Tincture be Extracted The Dose is from twenty to thirty Drops with a fit Vehicle Take Powder of the Roots of the lesser Spurge from seven Grains to ten Cinnamon half a Scruple Salt of Tartar eight Grains bruise them together in a Glass Mortar give it by it self or with the Addition of some fit Conserve or Syrup Make a Bolus or Pills 3. Praecipitatum Mercurii cum Sole or Hercules Bovii For as much as by its Acrimony it mightily irritates the Fibres of the Stomack and fuses the Blood by reason of its Mercurial and Saline Particles it raises a violent Vomiting and so forces a discharge of the Serous humours which are violently drawn into the Cavities of the Viscera Pilulae Lunares in like manner by reason of the Vitriolick Particles of the Silver being sharpen'd with other Saline Menstruums produce the like effect viz. by much corrugating the Fibres of the Viscera they strongly force the Serous humours into their Ductus's and causes them to be evacuated A Solution of Silver being made in Aqua Stygia and well purified is redud'd by a gentle evaporation into clear Crystals which by themselves or with the addition of Sal Nitre to repress the force of the Lunar Vitriol are made into Pills with the Crum of Bread The Dose is sometimes a single Pill sometimes two or three according as they work and as the strength will bear these sorts of Medicines are sometimes given with success in a strong Constitution and where the Viscera are sound and of a good habit but scarce ever have a good effect in tender and Cachectical Bodies and are seldom taken by such persons without doing them hurt Hydragogue Medicines which work meerly or chiefly by Seige are either mild as Elder Dwarfe Elder Sea Bindweed and the Juice of English Orris which are rarely given by themselves but want to be quicken'd by such as are smarter and for return they qualify the vehemency of the other or they are strong as Hedg-Hyssop Jalap and Elaterium The Seeds of Elder and Dwarfe Elder being dry'd and powdred and taken to a Dram gently evacuate Serous humours by Seige a Water and Spirit are distill'd from the Juice of both their Berries fermented and Robs and Syrups are made of it which with many other preparations of those Vegetables are highly extoll'd for all Hydropical Distemper Sea Bindweed and Hedg-Hyssop are now rarely us'd by themselves but often enter the Compositions of other Hydragogues and chiefly in Apozemes The Juice of English Orris is a good Medicine and the more to be esteem'd because easie to be had for poor people It s given from six Drams to an Ounce and a half or two Ounces either by it self in a fit Vehicle or with other proper ingredients Jalap is a well known and vulgar Medicine against all sorts of Dropsies Every ordinary Man that has that Disease presently takes a Pennyworth of the Powder of Jalap with a little Ginger in Whitewine and this Medicine taken a pretty many times seldom fails of success Elaterium is justly accounted a most powerful Hydragogue in regard that most powerfully irritating the Fibres of the Viscera and at the same time fusing the Blood and humours by a sort of corrosive vertue as it were it forces whatsoever Serosities the Tunicles of the Viscera Membranes and Vessels also those that the Glands and Fleth contain within them to discharge themselves into the Cavities of the Stomack and Intestines Which Medicine working well sometimes the swelling of the Belly fall This indeed is the chief Instrument of the Empyricks Arsenal against an Ascites though using it in all cases they oftner give if to the prejudice of the Patient than to his advantage The Dose is from three Grains to ten or fifteen It s taken either by it self only with the Addition of Aromatical Correctives or it s given with other Hydragogues in the Form of a Powder Pills or of an Electuary Its Tincture and Essence are Extracted with Spirit of Wine or with Tiacture of Salt of Tartar These are the chief simple Hydragogues of which being duly prepar'd with the Addition of other things divers sorts of Compounds are made some common in Shops others Magisterially prescrib'd and are every where in use and a great many more may be ordered ex tempore on occasion We shall here set down some few Select Forms of them and especially such as are taken in the Form of a Potion Powder Electuary and pills Take Roots of Dwarfe Elder and English Orris of each an Ounced and a half Leaves of Sea Bindweed and Hedge Hyssop of each a handful Roots of Asarabacca and wild Cucumbers of each two Ounces Roots of the lesser Galingal six Drams choice Jalap half an Ounce Elaterium three Drams Cubebs two Drams being slie'd and bruis d pour to them of small Spirit of Wine Tartariz'd three pounds let them digest close luted in a sand Furnace for two days strain off the clear which being purified by settling give from two spoonfuls to three with a fit Vehicle Take Elaterium Sea Bindweed Ginger of each a Scruple Galingal Cloves Cinnamon of each half a Scruple Salt of Tartar fifteen Grains Make a Powder for two Doses Take Powder of the Roots of the best Jalap a Dram Giner a Scruple Cream of Tartar fifteen Granins Make a Powder give it in a draught of Whitewine Take Rhubarb powdred a Scruple Elaterium five Grains Tartar vitriolated half a Scruple Spike three Grains with Syrup of Buckthorn Make four Pills Take Pilulae Aloephanginae half a Dram Elaterium half a Scruple Oyl of Cloves three drops Make four Pills Let the Hydropick Pills of Bontius be given from half a Scruple to half a Dram They are made after this manner Take of the best Aloes two Drams and a half Gummi Gutta prepar'd a Dram and a half Diagredium corrected a Dram Gum. Ammoniacum dissolv'd a Dram and a half Tartar vitriolated half a Dram
Dropsie I say that in an Anasarca the Morbifick matter which is a Lympha resieds partly in the Mass of Blood and partly in the habit of the Body within the Pores and empty Spaces lying betwixt the Vessells Wherefore a strong Cathartick being given it presently Exagitates the Mass of Blood fuses it and moves it to an Excretion of any supersluous or heterogeneous thing And at the same time irritates the Mouths of the Arteries which lye open towards the Cavityes of the Intestines that the water cast out of the Blood may find a way forth rather by these Emissaries Hence in the fust place the waters floating within the Mass of Blood are clear'd forth in a plentifull manner and then the Vessells being drain'd soon drink up the waters betwixt the Flesh and the Skin and presently send them forth partly by seigh and partly by Urine or Sweat There is no fear in the mean time lest as in an Ascites the Morbifick matter being Exagitated and put in Fusion by the Medicine be driven from the Blood into the places affected whence it cannot easily get out again or lest as in a Tympany the Viscera by reason of the Fibres of the Ventricle and Intestines being too much irritated are mov'd into Convulsive Extensions for whilst the Viscera are sound and in a good state the Particles of the Medicament do them no hurt but being carryed thence into the Blood do not only fetch waters from it but by Exagitating its Mass raise up its Active Particles before opprest and dispose them for recovering their power of Fermentation Secondly I have also set down before the Hydragogues operating by Urine both simple and compound and have given you Forms of Medicines prepar'd of both and the ways of giveing them Wherefore I shall not repeat them here But because all Medicines of this kind do not good alike in all affects we must here observe that Lixivials as I have often found by experience far exceed the rest of Diureticks in Curing the Anasarca And now it 's a much us'd and common Remedy for any one who has his Members swell'd to Purge first and then to take twice or thrice a Day six or eight Ounces of a Lixivium made of White-wine with the Ashes of Wormwood or of Broom and to continue its use for some Days This Medicine as I have observ'd in many powerfully provok's Urine nay sometimes in such Abundance that the Patients within the space of twenty four hours making above a Gallon and a half of water have presently recover'd almost to a miracle The reason why Medicines containing a fixt and lixivial Sal expell Urine more in an Anasarca than such as are endow'd with an Acid or Alchalisate or Volatile Salt is that in this Disease the watery Homours which upon failing of the Fermentation of the Blood and of its sanguifying Vertue are gathered together as well within its Mass as in the habit of the Body upon stagnating there some time are turn'd somewhat sharp Wherefore the Lixivial Particles of the Medicine entering the Blood presently grow in a heat with the Acids of the waters which as they exagitate and ferment they cause a mighty Fermentation in the whole Mass of the Blood and a following excretion Take of the Ashes of Broom or of Wormwood or of the Prunings of Vines calcin'd to a whiteness and sifted four Ounces put them in a Glass-bottle with two Pounds of White-wine let there be a close and warm Digestion for three or four hours then strain it the Dose is from six Ounces to eight twice a Day Take white Tartar calcin'd with Nitre and after melted in a crucible till it look blew three Ounces small Spirit of Wine a pound and half water of Snails and Earth-worms of each four Ounces let them digest close luted in a sand-furnace for two Days the Dose of the clear Liquor is two or three Ounces with four Ounces of the Decoction of the Roots of Butchers Broom and Burdocks made in Ale For Ordinary Drink TAke white Ashes of Broom cleans'd two Pounds put them in a Bag with Raspings of Sassafras three Ounces Roots of the lesser Galingal an Ounce Juniper berryer and wild Carrot Seeds of each an Ounce and a half make a Bag for four Gallons of Ase after seven or eight Days begin to draw it Diaphoreticks often do excellently well in a Leucophlegmatia which begins or concludes an Anasarca and they usually agree better in this Disease when confirm'd than in other kinds of the Dropsie And though at the beginning they are not able to move Sweat because the habit of the Body is invested with a deal of waters however by exagitating the Blood they are a means that the active Particles implanted in it which were dull'd before and almost overwhelm'd are rais'd up again and dispos'd to a Fermentation and that all the dreggy Excrements especially such as are Aqueous are put in Motion so that presently breaking forth of their Receptacles in a plentiful manner they readily pass off by Seige or Urin and often in some measure by transpiration But after that the waters being well clear'd by Purging the Morbifick matter is so far diminisht that the bulk of the Body and the swelling of the Members begin to abate the remainder of the Humour is excellently consum'd by moderate Sweats and by a constant perspiration We have given you before a List and Forms of Hydroticks but as to our present purpose for the Cure of an Anasarca those things are most proper which are given in somwhat a large Dose for as to such as are prescrib'd in a small quantity their active Particles being immerg'd in the waters are overwhelm'd before they can be diffus'd in the Blood so as to exert their force wherefore Spirits whether Armoniack or Vinous also Tinctures and Elixirs nay and Powders seldom come in use against this Disease because in a small Dose they do little and if it be made very large they often offend the bowels by their excess in operation therefore let those things rather be made choice of which being taken in a full Draught and warm may be able to pass the whole Blood uncorrupted as chiefly the Decoctions of Woods and Roots whose Particles agreeing well enough with the Blood but being not to be mastered by it pass through its whole Mass and exert an Elastick force putting all the Humours in a Commotion Take Raspings of Guaiacum six Ounces Sassafras two Ounces all the Saunders of each six Drams shavings of Ivory and Harts-horn of each three Drams let them infuse according to Art and boyl in eight Pounds of fountain water till half be consum'd addïng Roots of Calamus Aromaticus the lesser Galingal Burdocks and Butter-burr of each an Ounce Leaves of Woodsage and Germander dryed of each two handfulls let the straining be kept for use the Dose is from eight Ounces to ten twice a Day warm to each Dose may be added Spirit of Sal Armoniack
and so will continually Distill forth till all the swelling be gone from the place prickt Then the next time after somtimes twelve somtimes eighteen somtimes twenty four hours prick again in some other part either of the same Leg or of the other and so continue to make such Vents for the waters once or twice a Day in this Member or that one alone or two or at the same time in many For after this manner the Hydropical Corruption may be drayn'd more freely and safely than by any other exteriour operation whatsoever and if in the mean time its flesh supply be provided against by inward Physick Physick the Disease will be the more easily Cur'd Moreover in a desperate Dropsie that Administration serves very well to prolong Life because the waters being continually emptied forth by those outward Vents the inward and vital Inundation is the longer delay'd A Man of late seventy years of Age plung'd in a Dropsie over his whole Body has continued in Life and kept his head above the waters for these many Months beyond the expectation of all Men by the means of this only Remedy So far of the kinds and forms of Remedies prompted to us by the first that is the Curative Indication As for the Preservative Indication which takes care to restore the Crasis and fermenting or Sanguifying Vertue of the Blood it suggests to us those Medicines with being endowed with hot and elastick Particles raise up the active or deprest Principles of the Mass of Blood or repair them being wasted for which ends the vulgarly call'd Altering Remedies are wont to be prescrib'd in the Form of an Electuary Powder Pills Distill'd waters Julapes Apozemes and Dyets to which also Spirits Tinctures Elixirs are somtimes added for the greater Efficacy I shall give you an example or two of each of these 1. Take Conserves of Sea-Wormood Scurvy-grass and the yellow Coats of Oranges of each two Ounces Winters-Bark two Drams Species Diacurcumae a Dram and a half Steel prepared with Sulphur three Drams Salt of Wormwood two Drams Syrup of Citron Pills what suffices make an Electuary The Dose is two Drams in the Morning and at five in the Afternoon drinking after it a Draught of Julape or of the Distill'd water to three or four Ounces Chalybeats very often do great good in this Disease as in the Green-sickness Insomuch that the whole or at the least the chief scope of Curing Falls frequently on this Remedy But we must note that these kinds of Medicines do not all equally agree in these cases For those that are chiefly in use viz. Salt of Steel or Vitriol of Mars and others prepar'd with Acids and wholly depriv'd of Sulphur do no good at all because they do not promote the Fermentation of the Blood but on the contrary rather fix it when too Exorbitant or Elastick But for an Anasarca and any other oedematous Cachexia in the habit of the Body let those Chalybeats be given in which the Sulphury Particles are left and are Praedominant as especially in the Filings of Iron and in its Scales reduc't into a fine Powder and in-Steel melted with Sulphur and Powdred these Powders being taken are presently dissolv'd by the Acid Salts within our Body upon which the Sulphureous Metallick Particles being set free and convey'd into the Blood ferment its whole Mass raise up the Symbolous Particles there before lying dormant and being joyn'd with them give a vigour to the Blood and renew its fermenting or sanguifying power before deprest Wherefore we find after a little use of these Chalybeats the pallid colour in the Green-sickness goes off and turns to a Florid Aspect 2. Take compound Powder of Aron Roots and Winters-bark of each three Drams Roots of the lesser Galingal Cubebs of each a Dram and a half Steel prepar'd with Sulphur half an Ounce Sugar of Rosemary Flowers six Drams make a Powder divide it into twenty parts the Dose is one part every Morning and at five in the Afternoon with a Draught of the Sudorifick Decoction prescrib'd before 3. Take of the Gummous extract remaining after the Distillation of the Elixir Vitae of Quercetan half an Ounce powder of Earth-worms prepar'd two Drams Roots of the lesser Galingal Winters-bark of each a Dram and a half Salt of Wormwood two Drams Iron Rust two Drams and a half Balsam of Peru a Dram Tincture of Salt of Tartar two Drams Balsamum Capivii what suffices make a Mass form it into little Pills the Dose is half a Dram at Night and early in the Morning Drinking after it of the Julape or distill'd water following three Ounces 4. Take Elder Flower water and the Fermented Juice of its Berryes of each a Pound Magisteriall water of Earth-worms Raddish water compound Aqua Mirabilis of each two Ounces Syrup of the Juice of Elderberryes two Ounces mix them make a Julape 5. Take Leaves of Garden Scurvygrass Rochet Pepperwort of each six handfulls Roots of Calamus Armaticus the lesser Galingal Zedoary Florentine Orris Elder Aron of each six Ounces Wintersbarke Jamaica Pepper of each three Ounces Juniper Berryes four Ounces Cloves Ginger Nutmeggs of each an Ounce Being slic'd and bruis'd pour to them of old Rhenish-wine eight Pounds distill it in common Organs let the whole Liquor be mixt 6. 7. An Antihydropick Decoction is Prescrib'd before amongst Diaphoreticks A Dyet-drink to be taken instead of Beer may be made according to the Form following Take Raspings of Guaiacum and Sassafras of each four Ounces Roots of Florentine Orris Calamus Aromaticus the lesser Galingal Elecampane of each an Ounce and a half Juniper and Lawrell berryes of each two Ounces Seeds of Anise Caraway sweet Fennell Coriander Dill of each an Ounce long Pepper Cubebs of each an Ounce and a half Cloves Nutmeggs Ginger of each half an Ounce Jamainca Pepper two Ounces dry'd Leaves of Salvia Acuta Wood-sage Calamint Agrimony of each a handful Licorice four Ounces being slic'd and bruis'd Let them boyl in four Gallons of fountain water to half when the straining is cold let it be put up in Glass-bottles for use I have known many persons almost given over in an Anasarce who by the constant use of this Drink have perfectly recover'd Of many examples of persons Cur'd of Dropsies I shall now give you one A certain Robust Man of a middle Age after having gotten an Epidemical Quartan Ague and being ill manag'd at first had lain under it above a year and in the mean time had us'd an ill Dyet fell into an Anasarca which afterward upon his indulging himself to Drink very freely for quenching his Thirst which was exceeding great grew in a short time to a vast height so that all his Members from the Head to the Foot and his Belly likewise being swollen he was not able to turn himself from on t side to the other in his Bed without the assistance of Servants As I first visited him and despairing of Cure I plainly
intimated before As to others that are not so weak we say thus those whose Blood has not an easy Transpiration by reason of the Constipation of the Pores and upon its being put in a stronger Motion by the heat of the Bed is dispos'd to greater Turgescencies and to Eruptions it will be good for them not only to stay out of Bed while Bleeding but likewise sometimes to be cool'd by outward Applications in the whole habit of the Body or at leastwise in most of its Members Wherefore Fabritius Hildanus relates how he presently Cur'd one of a violent Bleeding at Nose after many ordinary Remedies try'd in vain by putting him into a Vessel of cold water with the like success also Riverius having ordered another affected in like manner to be taken forth of his Bed and laid on a Woolen Rugg in the Floor fomented his whole Body with Linnen-cloaths wetted in an Oxicrate Yet this method is not generally proper for all Persons and at all times But on the contrary those whose Blood being of a free Transpirable disposition and enjoying open Pores readily evaporates and is wont upon any moderate ambient heat to be resolv'd into Sweat and consequently to become more calm it 's good for such to continue in Bed not only whilst Bleeding but as long as that Eruption is in danger of returning in a short time after For this reason it is that many Persons subject to violent Eruptions of Blood live free from that Distemper during the Summer whilst they have a free Transpiration but when the cold of the Winter presses them their Pores being stopt they undergo more frequent and dreadful Fits of it 3. The third Indication being for Preservation which regarding the removal of the cause of the Distemper either hinders the Eruptions of Blood or renders them less frequent or less considerable suggests to us these two chief intents of Curing viz. First that the Blood being restor'd to its due Temperament and Mixture be quietly circulated within its Vessels without Turgescencies and Eruptions And Secondly that the Blood Vessels be kept in their due State as to their Conformations of their little Months and the Tones of their Muscular Fibres so that those Vessels neither cause those disorderly Sallyes of the Blood to the Head or give way to its Eruption from the Nostrils For both these ends in the first placelet the Redundancy of the Blood and its great foulness be provided against by a seasonable Administration of Phlebotomy and Purgation and then forprocuring and preserving its right Temperament let the following Alteratives be given in fit seasons for Physick Take Conserve of red Roses and of the wild Rose of each three Ounces Powder of all the Saunders of each half a Dram of Coral prepar'd a Dram of the reddest Crocus of Mars two Drams Sal Prunella four Scruples With a sufficient quantity of Syrup of Coral make an Electuary take early in the Morning and going to Bed the quentity of a Chesnut either by it self or Drinking after it of the following distill'd water three Ounces Take of the tops of Cypress and Tamarisk of each eight handfuls tops of St. John ' s-wort and of Horse-tayl of each four handfuls all the Saunders bruis'd of each an Ounce Pith of White-bread two Pounds being slic't very small pour to them of New-milk eight Pounds distill it with common Organs Sweeten each Dose as you take it with a sufficient quantity of the Syrup of the Juice of Plantain Take Leaves of Plantain Brooklimes and stinging Nettles of each four handfuls being bruis'd pour to them of the foregoing water half a Pound small Cinnamon water two Ounces express it strongly the Dose is three or four Ounces in the Morning at nine of the clock and at five in the Afternoon Let Medicines of this kind be taken Spring and Fall for twenty or thirty Days giving sometimes a gentle Purge between whiles But in the Summer let Mineral Chalybeat waters be Drunk for a Month than which there is not a more excellent Remedy in this case I shall now give you an example of one Cured of an Eruption of Blood whose case was somewhat particular I was lately sent to for advice for a Gentleman living far off who had been troubled a good while with frequent and violent Eruptions of Blood sometimes from the Nostrils sometimes from the Heamorrhoids this person had been often let Blood by the advice of his friends but found no good thereby nay most commonly after opening a Vein falling into cold Sweats and Swounding Fits and still as liable to Eruptions of Blood he was wont to be much worse To this Person not having seen him I prescrib'd Julapes and cooling Decoctions and Anodyns also Juicy expressions of Herbs and other things to cool the Blood but these things also as though all yet were far from the makr had nothing a better success at length being call'd into the country to see him I found the affect with which he was seiz'd to be meerly or chiefly Convulsive for the Blood breaking forth daily his Pulse was weak his Extream parts cold and all the Vessels were fallen as though too much emptied Moreover the Patient was troubled with a continual Giddiness and a Trembling of the Heart and was taken now and then with Swounding Fits or with the apprehension of it Truly it was so far from it that the Blood should break forth of the Vessels by reason of any Redundancy or Turgescency that rather on the contrary its Current was so extreamly low and small that it seem'd scarce able to maintain the Stream of Circulation But the thing was that often in a Day he sensibly pervceiv'd somewhat on a sudden to pass privately sometimes up and sometimes down his Body like a wind and for the most part an Eruption of Blood from the Nostrils or Haemorrhoids followed the Tendency of that Motion So that it was easy hence to conclude that the moving Fibres of the Blood Vessels by which they are contracted being seiz'd with Convulsions drew suddenly every way in a disorderly manner the Stream of the Blood as small and low as it was and forc't it now and then to an Eruption Which also was the easier done because the Lax and Gaping Mouths of the Vessels permitted the Blood driven to them to flow forth without any due stay A Method of Cure ordered pursuant to this Aetiology confirm'd it by its good success For Bleeding and the use of Blood-stopping Medicines being thenceforwards omitted I prescrib'd the use of the following Powder whereof he took a Dose every sixth hour with a proper Julape Take Powder of the Roots of Male Peony red Coral and Pearl of each a Dram Ivory Crabbs Eyes Blood-stone of each half a Dram Sal Prunella a Dram make a Powder the Dose is half a Dram. Take black Cherry water eight Ounces Balm water and small Cinnamon water of each two Ounces Treacle water an Ounce Syrup of Coral an Ounce and
from the Skin when the ferment is Purg'd do not regurgitate into the Blood and Nervous Liquour and cause not only Discrasies in them but likewise as it often falls out bring great damage to the Brain and Praecordia Secondly it must be endeavour'd that the infectious Taint of the Humours and Noble parts contracted from the Scabby Matter be eradicated at the same time that the Nasty Distemper of the Skin is Cur'd All these intentions of Curing ought to be complicated or at leastwise to be interchangeably prosecuted by Remedies both inward and outward us'd together to the end that the Morbifick matter being chased from its private Receptacles may not any where retire and lie hid in any lurking places but being persued by Medicines in all parts both within and without may be wholly remov'd therefore Purges ought always to begin and end this Method of Cure whatsoever Helmont says to the contrary and I dare affirm that this Disease is scarce ever Cur'd easily and never with safety without that Medicine Moreover open a Vein one of the First things you do unless somewhat indicates the contrary besides these let alteratives have their turns such as purify the Blood and strenthen the Viscera and fortify them against the Ineursions of the Scabby Matter And in the mean time let Liniments or Baths or Topical Remedies of other kinds and appropriated to the Skin be apply'd for without them not only Catharticks and Bleeding but even Diaphoreticks Diureticks nay any kind of Medicines whatsoever evacuating or altering the Blood and Humours prove of no effect We shall set down some select Forms of the Medicines of each kind before mention'd And First for due Purging give a Purging Medicine or a Vomit the first thing you do Also after Bleeding if it be necessary let the person use a Purging Apozeme or Ale for seven or eight Days Take the Electuary Diacarthamum three Drams Species of Diaturbith with Rhubarb a Dram Cream of Tartar Salt of Wormwood of each half a Scruple Purging Syrup of Apples what suffices make a Bolus to be taken with Governance Or Take Sulphur of Antimony seven Grains Scammony Sulphurated eight Grains Cream of Tartar half a Scruple make a Powder Take Roots of Polypody of the Oak and of sharpe pointed Dock prepar'd of each an Ounce Leaves of Sena ten Drams Turbith Agarick Epithimum of each an Ounce Carthamus Seeds half an Ounce yellow Saunders two Drams Seeds of Annise and Caraway of each two Drams being slic'd and bruis'd digest them close luted and warm in four Pounds of White-wine for twentyfour hours pour off the clear Liquor without expression the Dose is six Ounces by it self or with a spoonful of Syrup of Epithimum Or Take the foresaid Ingredients and boyl them in six Pounds of fountain water to half then add of White-wine a Pound and strain it presently make an Apozeme give it after the same manner Or Take Roots of Polypody of the Oak and of sharpe pointed Dock of each three Ounces the best Sena four Ounces Epithimum Turbith Mechoacan of each two Ounces yellow Saunders an Ounce Coriander Seeds six Drams let them be prepar'd according to Art make a Bagg for four Gallons of Ale after five or six Days drink it and take to twelve Ounces more or less every Morning for eight or ten Days For ordinary Drink let a little Vessel of four Gallons be full'd with small Ale into which put the following Bag. Take tops of Tamarisk Fumitory dryed of each four handfuls Roots of sharpe pointed Dock dry'd six Ounces Rinds of Bitter-sweet two Ounces being slic't and bruis'd mix them or let a Bouchet of the Decoction of Sarsaparilla Saunders with the Shavings of Ivory Harts-horn Licorice c. be taken As to altering Remedies besides the Physick Ale for ordinary Drink there seems not need of many others only that a good Dyet be observ'd by avoiding Salt and Peppered Meats Shell-fish and others which have been laid in Brine Also let them forbear Wine strong Waters strong Beer and all Liquors apt to trouble the Blood too much and to ferment it In an obstinate Scab seizing a Cacochymical Body it 's proper to give the following Electuary with the distill'd water twice a Day Take Conserve of Fumitory of the Roots of sharpe pointed Dock of each three Ounces Troches of Rhubarb Species Diatrion Santalon of each a Dram and a half Salt of Wormwood a Dram Vitriol of Mars four Scruples with a sufficient quantity of Syrup of Cichory with Rhubarb make an Electuary the Dose is from a Dram to two Drams twice a Day drinking after it of the following distill'd Water three Ounces Take Firr Tops seven handfuls Leaves of Fumitory Agrimony Female Fluellin Liver-wort Brook-limes of each four handfuls Roots of sharpe pointed Dock two Pounds Rinds of Elder two handfuls the outward Rinds of six Oranges being slic'd and bruis'd pour to them Whey made with midling Ale eight Pounds distil it in common Organs let the whole Liquor be mixt Ointments to be anointed on the Skin are prescrib'd most frequently and that very effectually for Curing the Itch Though those that are us'd to many other Tumours and Sores do no good here But Sulphur and preparations of it seem to have a certain Specifick Vertue in this Disease so that they are ingredients in almost all Ointments for the Itch and are the basis of the whole Composition This is a very common receipt with the vulgar Take of the Powder or Flowers of Sulphur half an Ounce Butter without Salt four Ounces Ginger powdred half a Dram make a Liniment Somewhat a neater prescript though not much more Efficacious is after this manner Take Vngentum Rosatum four Ounces Sulphur-vive powdred half an Ounce Oyl of Tartar per Deliquium what suffices make a Liniment to which add Oyl of Rhodium a Scruple to give it a scent When you will strengthen or raise the Energy of the Sulphur by the addition of other things Take of the Ointment of Elecampane without Mercury four Ounces Power of Sulphur half an Ounce Oyl of Tartar per Deliquium what suffices For the same purpose an Ointment is made of the Roots of sharp pointed Dock boyl'd in Butter or Oyl with White-wine till the Wine be consum'd and with Sulphur and Oyl of Tartar Moreover those Ointments are sometimes us'd by themselves by curious persons abhorring the ill odour of the Sulphur The Third kind of Liniment against the Itch is made of Mercury needing no assistance from Sulphur or Vegetables nay this being more than enough efficacious of it self is not wont to be apply'd to the whole Body but only to the Joints of the Arms and Leggs or being put in a Girdle is to be worn about the Loins for so it seldom fails of Curing the Itch Nevertheless there is danger lest this Practice as it often happens causes ill and pernicious Symptoms Frequently after the Mercury Ointment a Salivation sometimes also a Scotomia or
yet known to me either from my own experience or that of others I shall try haply some time what our artificial Mineral waters viz. impregnated both with Iron and Antimony being taken for many Days in a great quantity will be able to effect towards the Cure of the Falling-sickness CHAP. II. Instructions and Prescripts for Curing the other kinds of Convulsions and in the first place of the Convulsive motions of Children IT happens that Infants and Children are so generally and frequently troubled with Convulsive affects that this may be accounted as the chief and almost only kind of Convulsions for those kinds of Symptoms in Adult persons are denoted by other Names and are wont to be refer'd to the Epilepsy Hysterick Hypochondriack or Colick passions or also to the Scurvy but in Children as it were by way of excellency they are call'd Convulsive motions Concerning these we may observe that Children are found to be very subject to Convulsions chiefly at two times viz. within the first Month after they are Born and about the time of the eruption of Teeth Though Fits of this Disease happen also often at other times and for certain other causes For in those in whom the Seeds of a Convulsive Disposition are rooted these Seeds sometimes display themselves and come to a Morbid Matureness either presently after the persons are Born as is said before or lying hid for a while sometimes precede in them the Eruption of Teeth sometimes follow it at a great distance of time after and at length in an uncertain course break forth in act for other evident causes viz. either inward or outward such as are an unhealthy or pregnant Nurse Milk coagulating in the Ventricle or degenerating into an acid or bitter Corruption a Feverish Distemper of the Head and Ulcers of other parts breakings forth suddenly disappearing changes of the Air Conjunctions or Opposite Aspects of the Sun and Moon and the like These Convulsions in Children are wont to infest three Regions of the Body viz. the parts of the Head and Face the Members and outward Limbs and the Praecordia and Viscera And we observe that sometimes these sometimes the others sometimes two of them or all the Regions together are troubled with the Morbifick cause according as the same is fixt either about the Origines or extremities of the Nerves And when the first of these happens according as the superiour middle or lower spinal part of the Medulla Oblongata to wit one of them alone or more of them together are set upon by the Morbifick cause In Children obnoxious to Convulsions hereditarily the Convulsive Fits are excellently provided against if presently after a Child is Born an Issue be made in the Nucha and Blood be drawn from the Jugular Veins by Leeches for by the former the Corruptions of the Nervous Juice are convey'd away and by the latter the impure Efflorescencies of the Blood are withdrawn from the Head A person whose Children dyed all of Convuisions within three Months time at length to prevent the like fatal Accident in a Child fresh Born sought for Remedies Being call'd after some Days after the Birth I advis'd that in the first place an Issue should be made in the Nucha and then the next Day after that a Leech being apply'd to the Jugular of both sides Blood should be drawn to the quantity of two Ounces moreover that near each of the Conjunctions and Opposite Aspects of the Sun and Moon about five Grains of the following Powder should be given in a spoonful of Julape for three Days Mornings and Evenings Take Mans Scull prepar'd Roots of Male Peony of each a Dram Pearl powdred half a Dram double refin'd Sugar a Dram mix them make a subtile Powder Take black Cherry water three Ounces Langius's Antiepileptical water an Ounce Syrup of the Flowers of Male Peony six Drams mix them I ordered also that the Nurse at the same Physical hours should take a draught of Whey in which Seeds and Roots of the Male Peony and Leaves of the Lilly of the valley were boil'd The Infant continued well for about four Months but then began to be troubled with Convulsive affects At which time the same Remedies were given in a greater Dose both to the Infant and to the Nurse Vesicatories were also applyed behind his Ears and Blood was drawn by Leeches from both Jugular Veins and within two or three Days the Child grew well afterward when within four or five Months the Convulsions return'd at times still by the use of the same Remedies he was Cur'd After a year and a half the Convulsive affects wholly ceast but about the lower part of the Back-bone a Tumour without Pain grew up whence some Crookedness of the Vertebrae and a weakness of the Leggs and at length a Palsy were caus'd It seems in this case that the Convulsive matter which was wont to assail the Origines of the Nerves at length entering the Spinal Marrow and being thrown down into its lower part wholly stopt the Mouths of the Arteries belonging to it to wit because to the explosive Particles other narcotick and grosser Particles had joyn'd themselves The Therapeutick Method against Convulsive affects in Children IN Infants and Children we must take care either to prevent imminent Convulsions or being already begun to Cure them For if former Children Born of the same Parent have been found obnoxious to Convulsions that evil ought to be prevented in the rest of the Children Born afterward by a seasonable use of Remedies For this end it is usual to pour into the Mouth of an Infant newly Born assoon as it begins to Breath some Anticonvulsive Medicine Hence some are wont to give it some drops of most pure Honey others a spoonful of Canary sweetn'd with Sugar and others Oyl of sweet Almonds fresh drawn By some persons a drop of Oyl of Amber or half a spoonful of Epileptical water is put into its Mouth Besides these first things given Children which truly seem to be of some moment certain other remedies and ways of Administration ought to be us'd viz. let a spoonful of a Liquour appropriated to this affect be drank twice a Day For Example Take water of black Cherries and of Rue of each an Ounce and a half the Antiepileptick water of Langius an Ounce Syrup of Corral six Drams Pearl prepar'd fifteen Grains mix them in a Glass On the third or fourth Day after it is Born let an Issue be made in the Nucha then if it has a Florid Countenance let a little Blood to an Ounce and a half or two Ounces be drawn from the Jugular Veins by Leeches care being taken lest he Bleed too much when he Sleeps Let the Temples and Neck be gently rub'd with such a Liniment Take Oyl of Nutmeggs by expression two Drams Oleum Capivii three Drams Oyl of Amber a Scruple let a Periapt of the Roots and Seeds of the greater Peony with a little addition of Elks-hoof
to half add of White-wine a Pound let it be strain'd into a Matrass to which put Leaves of choice Sena an Ounce Rhubarb six Drams Gummous Turbith half an Ounce Epithimum yellow Saunders of each two Drams Salt of Worm-wood and of Scurvy-grass of each a Dram the outward yellow Coats of Oranges two Drams let them digest close luted in a Sand heat for twelve hours let the straining be kept for use Let it be sweetned if need be with a sufficient quantity of Syrupus Augustanus or with Syrup of Cichory with Rhubarb the Dose is six Ounces once or twice in a week Each day in which Purging is omitted let Remedies be given for strengthning the Brain and for garding the Animal Spirits from incurring Heterogeneous Combinations or from entring upon Explosions Of which nevertheless let a certain choice be made according to the Temperament Habit of Body and Constitution of the Diseas'd For to such as have a thin habit of Body and a hot Blood Medicines must be given which are not hot and which do not stir the Blood too much On the contrary to phlegmatick and gross Bodies whose Urine is thin and watery and whose Blood circulates but dully let hot Remedies be ordered and such as are apt notably to ferment the Humours In the former case you may prescribe after this manner Take Conserve of the Flowers of Betony Tamarisk and Male Peony of each two Ounces Species Diamargariti Frigidi a Dram and a half Powder of the Roots of Peony and of the Seeds of the same of each a Dram red Coral prepar'd two Drams Vitriol of Mars two Scruples Salt of Worm-wood two Drams with a sufficient quantity of Juice of Oranges make an Electuary Let it be taked twice or thrice a day drinking after it a little draught of the Julape beneath prescrib'd Take of red Coral ground with the Juice of Oranges on a Marble or in a Glass-mortar and dryed half an Ounce Powder of Mistletow of the Oak and of the Roots of Male Peony of each two Drams Sugar of Pearl three Drams make a Powder the Dose is from a Scruple to half a Dram twice or thrice a day Take Species Diamargariti Frigidi two Drams Salt of Worm-wood three Drams Aron Roots powdred a Dram mix them make a Powder let it be divided into twenty parts and let a Dose be taken in the Morning and at four of the Clock Take Powder of the Roots of Butter Bur an Ounce the Dose is from half a Dram to a Dram twice a day Take Leaves of the Bur-dock and of Aron of each six handfuls being slic't and mixt together let them be distil'd The Dose is from two Drams to three twice or thrice a day after a Dose of the Electuary or Powder Take of this distill'd Water two Pounds of our Steel prepar'd two Drams mix them in a Glass let them be taken after the same manner Take Water of Wallnuts simple and of black Cherries of each half a Pound of Snails four Ounces Syrup of Flowers of the Male Peony two Ounces the Dose is from an Ounce and a half to two Ounces after the same manner Take Shavings of Ivory and Harts-horn of each three Drams Roots of Chervil Bur-dock Valerian of each half an Ounce Leaves of Betony Ground-pine Scolopendrium tops of Tamarisk of each a handful Barks of Tamarisk and of Bitter-sweet of each half an Ounce let them boil in four Pounds of fountain-Fountain-water to the consumption of a third part add of White-wine eight Ounces strain it into a Flaggon to which put Leaves of Brook-limes and of Cuckow-flower of each a handful make a warm and close Infusion for four hours let the straining be kept in Glasses close stopt The Dose is six Ounces twice a day after a Dose of a solid Medicine Sometimes in such an Apozeme let two Drams of our Steel be infus'd and taken after the same manner In the Summer time the use of Mineral Waters is proper for want of them let our Artificial Waters be given in their stead But if for the reasons above cited hot Medicines are indicated we may proceed after the following method Take Conserve of Rosemary-flowers and of the yellow Coats of Oranges and Limons of each two Ounces Wallnuts and Mirobalans condited of each in number two Lignum Aloes yellow Saunders Roots of Serpentaria Contrayerva Angelica and Aron of each a Dram Vitriol of Mars or prepar'd Steel four Scruples Salt of Worm-wood and of Scurvy-grass of each a Dram with a sufficient quantity of Preserve of Wallnuts make an Electuary Let the quantity of a Nutmeg be taken twice a day drinking after it a Dose of an appropriated Liquour Take Roots of Male Peony Angelica red Coral prepar'd of each two Drams Sugar dissolv'd in water of Snails boil'd to a consistency for Tablets six Ounces Oyl of Amber highly rectified half a Dram make Tablets according to Art each weighing about half a Dram let one or two be taken twice or thrice a day drinking after it a Dose of an appropriated Liquour Take Roots of Virginia Serpentary Contrayerva Valerian of each two Drams red Coral prepar'd Pearls of each a Dram Winters-bark Roots of bastard Ditany of each a Dram Vitriol of Mars Salt of Worm-wood of each a Dram and a half Extract of Centory two Drams Ammoniacum dissolv'd in Hysterick-water what suffices make a Mass for Pills Let four Pills be taken in the Morning and at four in the Afternoon Take Spirit of Harts-horn or of Soot or of Mans Blood or of Sal Armoniack what suffices take from ten to twelve Drops Morning and Evening in a Spoonful of the Julape drinking after it a little draught of the same Take Leaves of Betony Vervain Sage Cuckow-flowers Aron Bur-dock of each two handfuls green Wallnuts in number twenty the Coats of six Oranges and four Limons Cardamoms Cubebs of each an OUnce being slic't and bruis'd pour to them Whey made with Cider or White-wine six Pounds let it distil according to Art The Dose is two or three OUnces twice a day after a Dose of a solid Medicine To two Pounds of this add of our Steel two Drams Take Water of Earth-worms and of Snails of each six Ounces of Wallnuts simple four Ounces raddish-Raddish-water compound two Ounces double refin'd Sugar two Ounces make a Julape The Dose is four or six Spoonfuls twice a day after a Dose of a solid Medicine Take Millepedes cleans'd a Pound Cloves slic't half an Ounce pour on them of White-wine two Pounds let them distil in a Gourd-glass the Dose is from an Ounce to an Ounce and a half twice a day We may prescribe for poor People Remedies more easie to be had after this manner Take Conserve of the Leaves of Rue made with an equal part of Sugar six Ounces Let the quantity of a Nutmeg be taken twice a day drinking after it a Decoction of the Seeds and Roots of Bur-dock made in Whey prepar'd of White-wine Or let a
Rising from her Bed at ten a Clock in the Morning she was well and carryed her self so well in her countenance walking and discourse that no man would have suspected that any thing ail'd her At eleven a Clock she began to complain of a Plenitude and as it were Inflation in the Brain and a Deadness of the Spirits with a light Scotomia by and by she felt in the left Hypocondre a mighty beating and Springing as it were of a live Animal I plainly felt this Motion by applying my hand to her side then a Retching and great Crying followed whereupon she was presently led to Bed and given to be held by a maid servant sitting on the Bolster This person clapping her Arms about the middle of the diseas'd held her very hard in her Lap during the Fit Moreover servants were at hand and relations standing about her who sometimes held her Hands and Arms sometimes prest down her Belly and Hypocondres which rise to a mighty Bulk still forcing upwards The chief Symptoms of the disease which being rais'd by turns divided in a manner the whole Fit were these two viz. Sometimes violent Convulsions of the Viscera infested her so that the Abdomen rising to a mighty Bulk withstood the hands of standers by prest against it that it could not be kept down and withal the Praecordia being drawn upward the Motion of the Heart and Blood was in a manner stop't For which space of time the Virgin hanging down her head with a weaken'd and no Pulse as it were lay Speechless and almost insensible After two or three minutes of an hour these Fits ceast And then the Sick raising her self look't round her chearfully and for some time converted the Impetus of the disease into Discourses and Songs both which she uttered most Pleasantly and Elegantly above her Natural disposition she past such Sayings and Scoffs on all persons about her that there is nothing in any Comedy to be met with more facetious then she would Sing most Sweet and Pleasant Tunes of Harmony such as neither any person else could Sing or herself at another time After the she had thus past about six or seven Minutes of an hour in Jesting and Singing she fell again into the Convulsions of the Viscera and Hypochondres and the loss of Speech as before And these remitting in a short time and the Impetus of the Spirits flying back from the inferiour Nerves to the Brain she gave her self again to the pleasantryes of Talking and Singing When at any time she discourst with the standers by if any thing that was Sharp or Ignominious were replyed by them she fell into more Violent and Lasting Convulsions of the Bowels After this manner she uses to be troubled with an alternate affect of the Viscera and Brain for about the space of an hour Then the Fit drawing toward an end the Convulsions of the Bowels becoming more gentle return'd three or four times with very little intermission Afterward these wholly ceasing the Impetus of the disease passes into the outward Members whence presently it wholly vanishes For the Arms and Legs undergo contractions and twitchings for a minute of an hour and presently after the diseased rising up comes off from her Bed and is free from all Convulsion till a new Fit returns nay and having an indifferent good strength walks up and down the house and during the interval of the affect cheerfully performs the usual Offices of Life still excepting that her Stomach being weak loaths food during the day time in the evening after the second Fit of the disease she eats a little supper About the beginning of this sickness of the Convulsions of the Bowels were much more violent and she lay Senseless with them and during their intervals she would talk absurdly Sing Songs out of tune and fall out a Laughing or Crying without any ground of reason But at length the Animal Spirits being forc't into lasting explosions perform'd them so regularly sometimes this way sometimes that as it was most proper that they seem'd to be done in some sort by the moderation and command of the will After I had been again to see this Lady having lain under these periodical Fits for many weeks I ordered that three hours before the second Fit ten Ounces of Blood should be drawn from the Vein of her foot whereupon the Fit expected in the Evening wholly left her nor did it ever return afterward But the other Fit obsrving its ancient course return'd daily till upon Bleeding a little before its coming the Patient was free of it that day which nevertheless returning the next day after followed her for many months according to the same form In the mean while because the winter cold was very fevere she delai'd for some time the use of Remedies But as the Spring came on the noble Lady being brought to Oxford was cur'd by the following Method In the first place I gave her this Purge and took care for it to be repeated every sixth or seventh day Take Sulphur of Antimony six Grains Mercurius Dulcis a Scruple Rosin of Jalap four Grains Ginger six Grains Let them be bruis'd together on a Marble then adding Conserve of Violets a Dram make a Bolus It was wont to make her Womit twice or thrice and to give her three or four Stools Her Menses constantly flowed from her at set time in a plentiful manner Wherefore her Blood seeming to be in great plenty and hot in the middle time betwixt the monthly periods I ordered Bleeding twice or thrice Moreover on all those days that she did not Purge she took four Pills of the following Mass Drinking after it a little Draught of the Julap beneath prescribed Take Roots of Male Peony half an Ounce of Virginia Serpentary Contrayerva and Bastard Dittany of each two Drams Mans Scult prepar'd a Dram and a half Elks Hoof a Dram red Coral prepar'd Pearl Powdred of each a Dram Salt of Wormwood two Drams Salt of Coral a Dram with a sufficient quantity of Syrupe of Male Peony flowers make a Mass Take the Waters of Male Peony Flowers Black Cherries and Wallnuts of each four Ounces the Antiepileptical Water of Langius two Ounces Syrup of Peony Flowers an Ounce and a half Castoreum tyed in a knot and hung in hte Glass a Dram mix them make a Julap When she began to loath the Pills omitting them she took twice a day viz. early in the morning and late at night about a Scruple of the following Powder in a spoonful of the Julap Drinking after it four or five spoonfuls of the same Take Bezoar Stone of both kinds White Amber Pearl prepar'd Red Coral of each a Scruple Mans Scull two Scruples Roots of Virginia Serpentary Seeds of Rue of each half a Dram mix them make a Powder let her take a Scruple Morning and Evening with a Dose of the Julap above prescribed Afterward when this also began to nauseate her she us'd Pills or
Rusticks and poor people this Medicine of a very easie preparation is commended by many Take Leaves of Water-cresses three handfuls of the lesser Sorrel two handfuls being slic't let them be macerated in six Pounds of Milk and let them boil to a consumption of a third part let it be taken twice a day from four Ounces to eight The Decoction of Worm-wood is commended by Eugalenus and others I have often tryed the following Medicine with good success Take Broom tops three handfuls being slic't small let them boil in three Pounds of strong Beer to a half let it be given from two Ounces to three twice a day 2. Infusions AN Infusion added to a Decoction makes a very profitable Medicine Take Roots of Scorzonera and Chervil of each an Ounce Leaves of Agrimony and Ground-pine of each half a handful burnt Harts-horn two Drams Raisins half a handful set them boil in three Pounds of fountain-Fountain-water till a third part be consumed Add of Rhenish-wine half a Pound and presently let it be strain'd into a glass Vessel to which put Leaves of Scurvy-grass and Brook-limes bruis'd of each half a handful Orange Pills preserv'd and slic't small half an Ounce make a close and warm Infusion for six hours let the straining be kept in stopt Vessels The Dose is six Ounces twice a day after a solid Medicine Take Whey made with White-wine or Cider a Pound and a half in this boil Roots of Bur-dock and candied Eringo's of each six Drams Juniper-berries preserv'd half an Ounce Let the Liquour being boil'd away to the consumption of a third part be strain'd into a Flagon to which put Leaves of Scurvy-grass and Brook-limes of each a handful make a warm and close Infusion for six hours The Dose is half a Pound twice a day after a solid Medicine Infusions also made by themselves are sometimes of excellent use Take Leaves of Scurvy-grass a handful Raspings of the Root of Horse-raddish half a handful Winters-bark bruis'd two Drams let them be put in a Glass with White-wine or Cider and water of Scurvy-grass of each a Pound let them infuse in a Cellar for two or three days The Dose is from six Ounces to eight twice a day as above 3. Juices and Expressions THE most commendable use of Antiscorbutick Herbs and Fruits is that their Juices and Expressions be taken by themselves or with other appropriated Liquours twice or thrice a day For so the entire and pure Vertue of the Remedy is presum'd to be given Take Leaves of Scurvy-grass Water-cresses Brook-limes of each three handfuls being bruis'd let the Juice be prest forth and be kept in a Glass well stopt The Dose is from an Ounce and a half to three Ounces twice a day in a little draught of Beer Wine or distil'd Water Take Leaves of Scurvy-grass four handfuls of Wood-sorrel two handfuls being bruis'd let the Juice be exprest which being put in a Glass and well stopt will soon become clear for the Acidity of the Wood-sorrel precipitates the grosser parts of the Scurvy-grass The same thing comes to pass if the Juice of Oranges be mixt with the Juice of Scurvy-grass The Dose is two or three Ounces twice a day Takes Leaves of Scurvy-grass four handfuls of Brook-limes and Garden-cresses of each two handfuls long Pepper three Drams Raspings of Horse-raddish two Ounces being all bruis'd together let them be put in a Glaz'd Pot with two Pounds of Rhenish-wine or of Sack if it be thought better The Orifice being well stopt let them stand in a cold Cellar for two days then express it strongly the Dose is three Ounces twice a day after a solid Medicine Take Leaves of Scurvy-grass three handfuls of Brook-limes Garden-cress and Wood-sorrel of each a handful being bruis'd pour to them Water of Snails and of Earth-worms of each six Ounces make a strong Expression and keep it in a Glass well stopt The Dose is two Ounces twice a day 4. Syrups FOR the same reason as Decoctions Syrups also are disapprov'd of in the Scurvy viz. in as much as the vertue of the most efficacious Simples evaporates in boyling Yet because sometimes there seems need of such a Medicine for sweetning appropriated Medicines for some persons we shall here propose our preparation the Vertues of the Ingredients being preserv'd as much as may be Therefore take Leaves of Garden Scurvy-grass six handfuls the Coats of four Oranges and of two Limons thinly par'd off the Raspings of Raddish-roots half a handful long Pepper powdred three Drams all of them being bruis'd together let the Juice be exprest which presently being put in a Glass and well stopt let it be set in a cold Cellar till it becomes clear by subsiding Then let the clear Liquour be pour'd off into another Glass by inclination and being stopt let it be kept in the heat of a Balneum Mariae Mean while for each Ounce of it take of Sugar an Ounce and a half and let its whole quantity dissolv'd with a little Water of Earth-worms be boil'd to a consistency for Tablets to which presently let the foresaid Liquour whilst warm be pour'd by little and little and let it be stir'd with a Spatula assoon as it is incorporated let the composition be taken from the Fire and being cold let it be put into a Glass Let this Nodulus be hung in the Glass Take Cinnamon bruis'd a Dram and a half Seeds of Garden-cress and of Rocket powdred of each an Ounce mix them 5. Distil'd Waters DIstil'd Waters because they are a neat and pleasant Remedy are in a manner all in all amongst Antiscorbutick prescripts some very profitable and neat Dispensations of these are contained in our Dispensatory as are Radish-water compound the Magistral Waters of Snails and of Earth-worms Moreover there are famous Prescripts of these kinds of Waters delivered by Quercetan Dorncrelius Sennertus Doringius and other Authors It 's also easie for every Physitian to prescribe such appropriated to the condition of each Patient as occasion requires For Antiscorbutick Ingredients and likewise such as regard certain Accidents and particular Affects are taken to which being slic't and bruis'd a fit Liquour viz. White-wine Cider or Whey prepar'd of either is pour'd Then the whole mixture is distil'd in a Cucurbit or in a Rose-still I shall here give you a form or two of such as we commonly use Take Leaves of both Scurvy-grasses Brook-limes Water-cresses tops of Broom of each four handfuls Leaves of Germander and Ground-pine of each two handfuls Roots of Horse-raddish half a Pound of Aron Angelica Master-wort of each four Ounces the outward Coats of four Oranges and of as many Limons Roots of Calamus Aromaticus an Ounce Cinnamon Cloves of each half an Ounce being slic't and bruis'd pour to them of the best Cider eight Pounds let them digest for two days in a Glaz'd Pot close luted Afterward distil them in a common Distillatory let the Waters first and last drawn be mixt In the Winter season
when green Herbs are scarce we may prescribe after this manner Take Leaves of Scurvy-grass four handfuls tops of Broom of the Pine-tree and of Juniper of each three handfuls the Middle-bark of Elder and Ash of each four Ounces Roots of Horse-raddish and of Polipody of the Oak of each three Ounces the Rinds of four Oranges and of as many Limons Winters-bark four Ounces being slic't and bruis'd pour to them of White-wine or of Cider or of Whey made with either of them eight Pounds let them be distil'd The simple Water of the Leaves of Aron distil'd in the Spring time is an efficacious Remedy against the Scurvy if three or four Ounces are given twice a day with another Medicine The simple Water of Scurvy-grass pour'd again on fresh Leaves bruis'd and distil'd and so iterated by frequent Cohobations becomes an efficacious Remedy Moreover a hot Spirit of Scurvy-grass is prepar'd after this manner Take Leaves of Scurvy-grass what suffices being bruis'd let it be made into Balls such as are made of Woad for Dying Then let those Balls be kept in a Glaz'd Pot for three or four days very close stopt in a cold place either Water of Scurvy-grass or Wine of the same being pour'd to them and covering them over above four fingers deep Then an Alembick being put on let the whole matter be distill'd Let the distill'd Water being put into a Cucurbit be rectified the hot Spirit will come off first whereof let fifteen or twenty drops be taken in a fit Vehicle 6. Antiscorbutick Wines and Beers I Use to prepare a simple Antiscorbutick Wine of excellent use after this manner In the Spring or Summer-season Take Leaves of Scurvy-Grass gathered in clear and dry Weather what you think good being bruised let the Juice be prest forth and let a Vessel containing three or four Gallons be fill'd a spoonful or two of Yest being put to it let it ferment for two Days then the Vessel being close stopt let it be plac't in a Wine-Cellar for six Months and then let the clear Liquor which will be of an Amber colour like Spanish Wine be drawn out into Bottles and be kept for use it continues good many years The Dose is three or four Ounces twice a Day Physick Wines whereof a Glass or two may be daily taken at Physical Hours or also at Dinner may be prepar'd after this manner Take Leaves of Scurvy-Grass four handfuls Raspings of Horse-radish four Ounces Winters-bark bruised half an Ounce the outward Coats of four Oranges and of so many Limons Let them be put in a Glass with twelve Pounds of White Wine or Rhenish or small Spanish Wine The Vessel being stopt let it be kept in a cold place Let the Wine be pour'd off clear as often as you use it It 's more usual to prescribe a Physick Ale or Beer to Scorbutical persons to be drank constantly for their ordinary Drink Let Beer be prepar'd to fill a Vessel of four Gallons instead of Hops let three Handfuls of Pine or Fir-tops be boiled in it After it has wrought in the Vessel put into it Leaves of Scurvy Grass three Handfuls Roots of sharp pointed Dock prepared four Ounces the Rinds of four Oranges After it has stood a Week to clear let it be expos'd to Drink These kinds of Physick Drinks with other Ingredients may be variously prepar'd according to the Temperament and Affect of the Patient by which kind of Remedy in regard the Physical Particles altering the Dyscrasy of the Blood are forthwith convey'd into its Mass together with those of the Food often much good is done in removing the Cause of the Scurvy But since we have shewn the cause of this as also the Nature of the Disease to be twofold and since the Medicines hitherto proposed regard in a manner only the Salino-sulphureous Distemper of the Blood we must next direct Medicines which are proper in the other viz. the Sulphureo-saline Dyscrasy of the Blood CHAP. III. Of Medicines of each kind of the foregoing forms which have regard to the Scurvy raised in a hot Constitution and in a Sulphureo-Saline Dyscrasy of the Blood IN certain Scorbutical persons the use of Scurvy-grass Horse-Radish Winters-bark and of other smart things and such as are greatly endow'd with a volatile Salt is found to be very offensive wherefore in those kinds of cases where the Morbifick Cause consists in a hot Dyscrasy of the Blood resembling over-fretted Wine temperate Medicines and such as do not exagitate the Particles of the Humours which are apt to boil too much of them selves are indicated Wherefore we shall set down Forms after the same order and running as it were parallel with those before and in the first place we shall give you solid Medicines Electuaries Take Conserve of Brooklimes and Cuckow-Flower made with an equal part of Sugar of each three Ounces Species Diatrion Santalon Diarrhodon Abbatis of each a Dram and a half Ivory powdered a Dram Pearl half a Dram Salt of Wormwood and of Tamarisk of each a Dram with a sufficient quantity of syrup of Coral make an Electuary Take Conserve of Wood-sorrel and of Hips of each three Ounces or Conserve of the Roots of sharp pointed Dock and of the Roots of Cichory of each three Ounces Troches of Rhubarb two Drams Species Diamargariti Frigidi a Dram and a half Bark of Tamerisk a Dram Sal Prunella a Dram and a half Myrobalanes condited in number two with a sufficient quantity of the syrup of the Confiture of Mirobalanes make an Electuary For poor people I use to prescribe this easy prepar'd Electuary Take Leaves of Brooklimes six Ounces of Wood-sorrel two Ounces double refined Sugar eight Ounces let them be pounded adding Powder of sweet Fennel-seeds half an Ounce Ivory powdered two Drams Sal Prunella a Dram and a half with a sufficient quantity of Syrup of the Juice of Brooklimes make an Electuary Confections TAke Powder of the Roots of China and of the Male Peony of each a Dram white and yellow Saunders of each three Drams Ivory a Dram and a half Pearl half a Dram Crabs-eyes a Dram Coral moistened with Juice of Oranges and ground on a Marble two Drams white Tartar a Dram and a half double refined Sugar dissolved in a sufficient quantity of compound Scordium Water six Ounces Make a Confection Take Roots of Eringo and Scorzonera preserv'd of each three Ounces Powder of Aron-roots compound half an Ounce Species Diatrion Santalon two Drams Sal Prunella a Dram and a half with a sufficient quantity of syrup of Clove-Gilli-flowers Make a Confection Powders TAke Powder of the Leaves of Ground-Pine of Aron-roots Compound of each an Ounce and a half Ivory powdered red Coral prepared with Juice of Oranges of each two Drams Tablets of Oranges two Ounces mix them Make a Powder The Dose is a Spoonful twice a day Pills TAke Species Diatrion Santalon and Diamargariti Frigidi of each two Drams Seeds of Citrons and of Carduus
above prescrib'd Let Decoctions and Physick-Beers be prepar'd such as above written Antihydropick Ingredients being added to them Of the Crackling of the Bones THere remains yet a symptom which happens sometimes upon the Scurvey though rarely viz. the crackling of the Bones into the Nature and Cure of which it seems to concern us to enquire I have known some though scarce above three or four who being long Sick of the Scurvy found themselves afflicted by it not only in the Humours and the Carneous Parts but at length in the very Bones For as often as they mov'd any Member any way the ends of the Bones as though they were bare rubbing against each other made a mighty noise Moreover when they lay in their Bed and there turned themselves from one side to the other a mighty Crackling was heard as it were of a Scelleton forcibly shaken terrifying even the persons affected The conjunct cause of this haply may seem to be That the soft Interstice of the Bones viz. the Fat Membranes and Ligaments being greatly consumed their Joints as Mill-stones when bare without any Corn by reason of their mutual rubbing against each other make a noise But the thing appears to be otherwise because neither persons mightily consumed have this Cracking of the Bones nor do persons troubled with this Affect always waste away wherefore we say rather that the immediate Cause of this Symptom is the driness of the Bones or the defect of the Marrow properly so called which ought to be contain'd within the Cavities of the Bones and especially within their Joynts for since all Bones include a Marrow or unctuous Humour either in the great Cavities or in the Pores and small Passages every where made in them we conclude the use of this to be both that the Bones irrigated with the same may become less brittle and likewise that that Humour distilling from the Joynts of the Bones may make slippery all the Joints as the Joynts of a Machine besmear'd with Grease and may so facilitate the motions of them wherefore the ends of the Bones destitute of this Marrow make a noise just as the Wheels of a Cart seldom greased If you ask why that unctuous substance of the Joints fails I say this seems chiefly to happen because the Pores and Passages of the Bones are so much obstructed by a certain extraneous Matter haply of a Slimy or Tartarous Nature brought to them from the Blood that they do not sufficiently receive the Balsam design'd for them nor distil it forth for moistning their Joints but it will not be easie the thing being wholly in the dark to search out the particular Reasons of this Affect Nor are we less at a loss when we proceed to the Cure of this Disease for though the Primary Indication viz. the moistning of the Bones or of the Joints be obvious enough yet it does not so plainly appear after what Manner and by what Remedies it is perform'd For in this case I have known a great many kinds of Medicines and various ways of Administrations tryed wholly in vain A certain Ingenious Man extreamly troubled with this Disease for many years tryed the Advice of many and those Famous Physicians Besides the usual Remedies against the Scurvy together with frequent Bleedings and Purgings from which he found not the least Relief he try'd moreover various and great Courses of Physick without any success For after a method us'd by one Physician for some Months without Effect he presently betook himself to another and so afterwards to many mean while by each always a new way of Curing untryed by the former is prescribed Fomentations Liniments and Frictions are applied daily to each of his Joints he us'd for some time the hot Baths of Bathe afterward Spaw-waters of various kinds sometimes these sometimes others are drank Which giving no help a Chalybeat course at another time a Decoction of temperate Woods sometimes a Milk Diet and at all time Electuaries distil'd Waters Apozems and other Remedies prepar'd of Antiscorbuticks are taken And when he had liv'd after this manner above three years almost constantly Medicè miserè there was not made the least progress towards the Cure of the fore-mentioned Affect yet in the mean time he was pretty well as to his Strength and Stomach married a Wife and as to the other more common Symptoms of the Scurvy he was better So that it hence appears how stubborn a Disease and unconquerable by almost any Medicines the crackling of the Bones is which I have known confirmed also in others troubled with this Affect and wholly cluding the endeavours of a Physician CHAP. V. Of the Vital Indication in which are included Cordial Medicines Opiats and the Diet requisit in the Scurvy HItherto we have set forth at large the Indications both Preservatory and Curatory which belong to the Method of Curing the Scurvy there remains yet to speak of the Vital Indication to wit that it may be declar'd by what Method and with what Remedies the powers of the Diseas'd which either being too apt to faint may be upheld or being weakn'd or dejected may be restor'd For these ends Cordials and Opiats according to the Exigencies of the Diseas'd are prescrib'd to be taken and moreover let a right Form of Diet if at any time it be needful Resumptive and always Antiscorbutick be prescrib'd As to Cordial Medicines viz. such a exagitate the Blood stagnating in the Heart renew its flame half extinct restore the opprest or distracted Animal Spirits to their liberty and due irradiation it is obvious that many Remedies which are properly call'd Antiscorbuticks perform these intents of which kind are Raddish-water compound the Magistral Water of Snails and of Earth-worms Spirit of Harts-horn of Soot Powders of Shells with many other things which may be taken with good effect not only at certain hours and according to a set Method but likewise as occasion presents as often as a Swooning or any failings of the Spirits happen But besides those who are found to be very obnoxious to Passions of the Hearts frequent Faintings a Nauseousness Vomiting Trembling Vertigo and other terrible Symptoms may also have in a readiness Medicines of another kind more properly Cordial with hich all failings of the Spirits are immediately reliev'd In this case Quercetan's great Elixir of Life does excellently well the second Water in the distillation of the same Elixir being sweetned may be given to a spoonfull also Aqua Mirabilis Aqua Bezoartica Gilberts temperate Water treacle-Treacle-water cinnamon-Cinnamon-water to each of which or to a Composition of them let the Confection of Alkermes the Confection of Hyacinth Powder of Pearl or Magistery of Coral Syrup of Clove-gilliflowers or of Coral of Citron-pills of Cinnamon be added Of these and others of this kind various forms of Medicines are wont to be prescrib'd For example Take treacle-Treacle-water and Aqua Mirabilis of each three Ounces bawm-Bawm-water four Ounces Syrup of Clove-gilliflowers an Ounce
and a half Confection of Alkermes a Dram mix them The Dose is three or four Spoonfuls Or Take Aqua Mirabilis six Ounces Water of Snails and of Wallnuts of each two Ounces Pearl powdred a Scruple Confection of Hyacinth a Dram Syrup of Clove-gilliflowers an Ounce mix them When Scorbutick Women are wont to be troubled with Hysterick Fits and Men with Convulsions Take Water of Bawm and Pennyroyal of each three Ounces compound briony-Briony-water four Ounces Tincture of Castoremn half an Ounce Tincture of Saffron a Dram Syrup of Clove-gilliflowers a Dram and a half Castoreum tyed in a Nodulus and hung in the Glass a Dram. The Dose is three or four Spoonfuls For those who desire rather to have Cordial Medicines in a solid form let Electuaries or Tablets be prescrib'd Take Conserve of Clove-gilliflowers three Ounces Confection of Alkermes half an Ounce Pearl powdred a Dram with a sufficient quantity of Syrup of Coral make an Electuary Take Species Diamargariti Frigidi and Diarrhodon Abbatis of each a Dram and a half Pearl powdred a Dram double refin'd Sugar dissolv'd in treacle-Treacle-water and boil'd to a consistency for Tablets four Ounces Oyl of Cinnamon six drops make Tablets according to Art As to Opiats and Anodine Medicines in some certain affects of Scorbutick persons I had rather be without any kind of Medicine besides than the use of them For not only against obstinate Pains and Watchings but in Asthmatick Fits in Vomitings a Diarrhaea and also in a Vertigo and Convulsive Passions as often as nature being irritated above measure falls into extream irregularities I have found no Remedy more excellent than to procure sleep by giving a safe Narcotick Mean while there is need of a very great caution that they be not taken if at any time something in the Constitution of the Diseas'd or in the nature or time of the Disease forbids the giving of such a Medicine Besides the Hypnoticks usual in Apothecaries Shops viz. Laudanum Opiatum Nepenthe the Philonia Diacodium and Syrup of red Poppies two other preparations of Opium are known to me which I use to give in the form of a Tincture or of a liquid Extract from ten drops to twelve with some other appropriate Liquour The Diet or Form of Living to be observ'd in Scorbutical persons is of no small importance in the Method of Cure for that being neglected or ill ordered the other Prescripts of Physick do little or nothing towards Health The Rule of Diet being extended to various things is chiefly concerning the Air and Situation of the Habitation Meat and Drink and the motion or rest of the Body As to the first what kind of habitations and places of Residence in respect of the Heavens and the Earth cause the Scurvy and consequently ought to be shun'd it is sufficiently manifested by what we have said before Those that endeavour to prevent or cure this Disease ought to take care to choose an Air moderately hot and dry and which also is subtle and pure and sufficiently expos'd to the Winds Such Food only is proper which has a good Juice and is easie of Concoction let such as is gross viscous and dryed in the Smoak mouldy and rank also such as is unfermented or greatly compounded all manner of Pulse Milk-meats and unripe Fruits be shun'd I so much disapprove things preserv'd or very much season'd with Sugar that I judge the invention of it and its immoderate use to have very much contributed to the vast increase of the Scurvy in this late Age For that Concret consists of a very sharp and corrosive Salt though mitigated with a Sulphur as it plainly appears from its Chymical Analysis For Sugar distil'd by it self yields a Liquour scarce inferior to Aqua Stygia And if you distil it in a Vefica with a great deal of Fountain-water pour'd to it though the fixt Salt will not so ascend nevertheless a Liquour will come from it like the Hottest Aqua Vitae burning and very pungent when therefore Sugar mixt almost with any sorts of Food is taken by us in so great a plenty how probable is it that the Blood and Humours are rendred salt and sharp and consequently Scorbutical by its daily use A certain famous Author has laid the cause of the English Consumption on the immoderate use of Sugar amongst our Countrymen I know not whether the cause of the spreading Scurvy may not also be rather hence deriv'd Let the Drink be midling Ale mild and clear and also let it be altered with Antiscorbutick Ingredients without an ungrateful favour Let it not be thick and sweet nor also too old and turning sharp Let this be taken in a moderate quantity and in a manner only at the set hours of Dinner and Supper The custom which has prevail'd with many viz. that assoon as they are out of their Beds they presently indulge themselves to drink a large Mornings Draught as they call it seems very pernicious For by this means the Blood Vessels are too much fill'd a store of new Chyle being almost continually sent into them and Crudities and Filthy Morbifick Dregs are engendred in the Blood and the office of Sanguification is greatly debilitated Truly it is better for most Men unless it be those whose Ventricle as long as it is empty is wont to be plainfully contracted and corrugated to keep themselves fasting till Dinner time Nor is that vulgar custom less contrary to Health to swill themselves with much Drink presently after Meat Wines and Ciders so they are mellow pure and not adulterated being taken in a moderate quantity do not offend But the same being counterfeit musty austere or turning sharp there is nothing more hurtful or injurious to our Health Exercises and Labour are so notably conducing both to the cure and prevention of the Scurvy that many by this sole Remedy either preserve or recover an entire Health For the Blood and Nervous Liquour of persons that lead an idle and sedentary Life like Stagnating Waters contract a clamminess and mouldiness But upon the assiduous and much motion of the Body the Humours and Spirits become clear and get a vigour the Excrementitious and Heterogeneous Particles evaporate the stuffings of the Bowels are purg'd and their Tone is corroborated CHAP. VI. Some Stories and rare Cases of Persons troubled with the Scurvy A Woman of Renown tall and graceful about the twenty fifth year of her Age had contracted a Scorbutick Taint by reason of various errours committed in Diet. The signs of which were a Spontaneous Lassitude a difficult Breathing Pains and Spots in the Legs and her Gums likewise swoll'n and full of Blood in the Spring time after an Abortion falling into a Tertian Ague she soon became in a languishing and weak condition from which Disease nevertheless first being Methodically proceeded with in Physick she had soon recovered but that indulging her self to eat Flesh and other improper things she soon had a Relaps and then being a weary
the first scope of Curing which we must first and chiefly have respect to we say that the matter or Humours that are wont to be heap'd together about the parts of the Head predispos'd for a Head-ach and to raise the fits of the Disease are the Blood or its Serum or the nutritive or nervous juice Moreover with all these vapours and effluvia also excrements sometimes bilous sometimes melancholick sometimes acid salt sulphureous and others of various kinds being receiv'd into the Blood from the Viscera sometimes these sometimes others are convey'd along with it to the Head against the salleys and incursions of all which let Physical defensatives be ordered 1. And first if the Procatarxis or disposition for pains being plac'd about the Membranes of the Head the Blood as being hot and apt for turgescencies rushes now and then all of a sudden into the Membranes of the Head and upon it s not easily passing them stretches the Vessels above measure and severs from each other the nervous Fibres and so raises fits of this disease a sign of which are a sanguine temperament heat and a suffusion of redness in the Head about the Face also a high and vibrating Pulse with Veins stroutting with Blood we must presently endeavour both that the Blood being rendred more calm be not so readily put upon turgescencies and also that when stirr'd and boyling it be not carried with a greater salley to the Head than to other Parts nor be not forc'd there to stagnate by reason of the Sinus's of the Meninges being too much fill'd Wherefore if the fit continues long let the Person be blooded in the Arm or in the Jugular Vein out of the Fits it is sometimes proper to draw Blood from the Vessels of the Fundament by Leeches to wit that by this means the Blood haply boyling may be drawn downward towards that place whither it often tends of its own accord Let Oxyrhodinums or other Epithems be applied to the Head moreover let Juleps Emulsions or Decoctions which allay the fervour or fury of the Blood be taken Let the Belly be cooled and kept soluble by the use of Clysters Morever for prevention Whey or the use of Spaw-waters is convenient also drinking of Water a thin and cooling dyet do good You must order a forbearance of Wine Spices Bathing Venery any violent motion of the Body or Mind and all hot things Moreover for fixing the Blood and preventing its effervescencies let distilled Waters expressions of Heerbs or Decoctions Electuaries Powders and especially Crystal Mineral be frequently us'd It will not be needful to subjoyn here a method or particular forms of Medicines because in this case almost every Person that is ill being taught by frequent experience from things that do him good or hurt is wont to be his own Physician 2. It is seldom that the Blood is in the fault alone or only by it self Other Humours oftner being carried to the Head by the conveyance of the Blood and there depos'd cause the Evil If at any time therefore a filthy glut of Serum breaking forth in abundance from the Blood causes frequent Head-achs the signs whereof are Catarrhs at the same time infesting the other parts viz. the Nostrils Mouth or Trachaea then abstinence and rest being commanded and the Belly being emptied by a Clyster let the fluxion of the Serum be permitted to appease it self and the matter discharg'd on the Membranes of the Head to evaporate Which if they do not follow of their own accord and in a short time in a hot constitution Bleeding often is proper viz. inasmuch as the Vessels being emptied of Blood suck in again the extravasated Serum But in cold Persons Vesicatories applied to the Neck or behind the Ears are of excellent use Then after that the Belly is emptied by a Clyster let the fluxion be appeas'd by the use of an Anodyne or gentle Opiat and that being appeas'd it is proper to give a gentle Cathartick and then Medicines that operate by Urine or Sweat or together by both and so gently evacuate the superfluous Serosities Medicines fit for these ends are every where to be found in Books which nevertheless may not be us'd rashly and indifferently by Empiricks but they ought to be chosen compounded or altered nay and sometimes to be prepared Extempore as occasion requires according to the judgement and discretion of a prudent Physician respect being always had to the Constitution Temperament Idiocrasis and other accidents and circumstances of the Patient Wherefore in regard it would be superfluous to heap together here a great many Receipts I have rather thought fit to rpopose here only a form or two of the Medicines of each kind viz. of such as regard the chief Intents Take Pills of Amber half a dram Rosin of Jalap four grains Balsam of Peru what suffices make four Pills let three be taken going to Bed and the next morning if the former do not work enough Or Take Scammony sulphurated half a Scruple Ceruse of Antimony fifteen grains Cream of Tartar eight grains make a Powder let it be taken in a spoonful of Panada early in the morning Take Sulphur of Antimony four grains Rosin of Jalap five grains Cream of Tartar six grains let them be bruis'd together and with a sufficient quantity of Conserve of Violets make a Bolus to be taken early in the morning with Governance Take roots of Butchers-broom the great Bur-dock Chervill Avens of each an ounce preserv'd Eringo's an ounce and a half Florentine Orris three drachms the lesser Galingal a drachm and a half Bur-dock-seeds three drachms dryed leaves of Betony Sage Vervain Fluellin of each half a handful Raisins ston'd two ounces boyl them in four pounds of Fountain Water will a third part of it be consum'd then add of White-wine half a pound strain it let it be sweeten'd if need be with Syrup of the five roots two ounces let six ounces be taken warm twice or thrice a day a good while after meat For such as have a Cold and Flegmatick constitution let a Decoction be prepar'd of the Wood Guiacum Sassafras Sarzapar With the addition of the foresaid Ingredients make an Apozeme whereof let six or eight ounces be taken twice or thrice a day warm For Poor People and often to the Rich I use to prescribe with good Success a Decoction of the dryed Leaves sometimes of Sage sometimes of Betony Vervain or of Rosemary made in fountain Water and then impregnated with the Tincture of the Powder of Coffee-berries to be taken twice a day warm to six or eight Ounces 3. But if with the abounding Serum Particles also saline acid bilous or otherwise infesting are violently carried into the Membrances of the Head either wholly from the Mass of Blood or by the Mediation of this as receiv'd from the Viscera and there being fix'd cause more acute and lasting Pains then it will be proper sometimes to repeat a spare Bleeding and also a gentle
through their own fault in as much as being spent or affected with a stupefactive force they are congeal'd as it were or because their Paths or tracts are obstructed in the outward part of the Brain and are possess'd by a strange guest so that they have not a space granted them fit for their expanson The chief Symptoms of this Disease are Sleep and Forgetfulness a cessation of every other knowing or spontaneous function an uneven and slow respiration a Fever and often the affect growing worse Cramps leapings of the Tendons and lastly universal and mortal Convulsions The prognostick of the Lethargy is included in very narrow bounds for the Fit of the Disease being for the most part acute is soon terminated in Death or a Recovery and most commonly is wont to give more cause of fear than hope If it happens upon a Fever that is malignant or of a difficult determinations or if upon other cephalick or convulsive Diseases as the Head-ach Frensy Mania Epilepsy or also if on a long continued or severe Cholick or Gout the Physician can prognostick nothing but ill nor is it less to be fear'd if it happens in a cacochymical Body or in one long subject to sickness and in old age In like manner it is an ill Omen if the Diseas'd being presently overwhelm'd with a great deadness and becoming almost Apoplectical cannot be awak'd if he breaths unevenly and flowly or with great snoarings Moreover if the Disease growing worse and worse the sick Person be affected with Tremblings Cramps leapings of the Tendons and lastly with convulsive motions he is to be look'd upon as in a desperate condition But if the affect without any great Procatarxis be rais'd by an evident Cause alone as from over-eating drunkenness the use of Narcoticks or from a stroak or wound of the Head that are not very dangerous we may expect a less fatal event Moreover if the affect arising on such an occasion happens to a Body which was sound and robust before if at the first invasion it does not wholly take away the Sense and Memory and after a little time the symptoms begin to remit we may not despair of such a sick Person In any Lethargy if the cause of the Disease seems somewhat to be shaken and mov'd so as plentiful and laudable evacuations by Sweat Urine or Seige happen by the help of Medicines or by the instinct of Nature and give ease if upon the application of Vesicatories a great glut of filthy Waters flows forth if inflamed swellings or great pushes arise behind the Ears or in the Neck if a great sneezing with a dropping at the Eyes or Nose shall happen we may thence conceive some hope of recovery And sometimes an Empyema hapning upon a Lethargy puts an end to it viz. inasmuch as the morbifick matter which was fix'd in the Head and first caus'd the Lethargy being afterward drank up again by the Blood and depos'd in the Breast produces the Empyema In the description of the Epidemical sleepy Fever which reign'd An. 1661. we have observed that this hapned to many Concerning the Cure of this Disease since it allows no truce we must not be long deliberating After the injection of a smart clyster presently let a Vein be open'd for the Vessels being emptied of Blood more readily drink up again the Serum or other humours depos'd in the Brain Moreover I advise in this case the Jugular Vein to be open'd rather than a Vein of the Arm because by this means the Blood very much heap'd together and haply stagnating within the Sinus's of the Head will be more easily reduc'd to an even circulation After Bleeding other Remedies of every kind are presently to be applied to use let large Visicatories be applied to the Neck and Legs the Faces and Temples are to be anointed with Oyl of Amber or Cephalick Balsams let Cataplasms of Rue Pepperwort or Crowfoot well pounded together with black Soap and Sea-Salt be applyed all over the Feet let smart frictions be us'd to the Limbs let Salt of Vrine or Spirit of Sal Armoniack be frequently held to the Nostrils In the mean while let Cephalick Remedies be now and then taken Take Water of Peony Flowers Black Cherries Rue Walnuts simple of each three ounces compound Peony Water two ounces Castoreum tyed in a Nodulus and hung in the Glass two drams Sugar three drams mix them make a Julep let four or five spoonfuls be taken every third or fourth hour moreover to each dose of this add from twelve to fifteen drops of Spirit of Harts-horn Amber or Sal Armoniack or a paper of the following Powder Take Powder of Male Peony Roots Mans Scull Roots of Virginia Serpentary Contrayerva of each a dram Bezoar Pearl of each half a dram Coral prepar'd a dram make a Powder divide it into twelve parts Moreover it is here to be considered whether a purging by Vomit or Seige ought not to be ordered just at the beginning I know that this is variously controverted amongst Authors and I have known it us'd in practice with a various success which being considered and compared betwixt themselves I shall briefly declare what is my opinion If a Lethargy has arose from a fresh over-eating or being drunk or if from taking improper and narcotick things presently let a vomit be raised Wherefore let Salt of Vitriol be given with Wine and oximel of Squils or in robust Persons an infusion of Crocus Methallorum or Mercurius Vitae with Black-Cherry Water and afterward unless it works of its own accord let a Vomit be provoked by thrusting a Quill into the Throat But if the invasion of the Disease happens upon a Feaver or other Cephalick affects or if it be raised primairly or per se by reason of a Procatarxis first laid in the Blood or in the Brain Vomits and Purges given presently at the beginning whilst the matter is flowing are wont oftner to do more hurt than good to wit inasmuch as whilst the humours are in motion those Medicines more exagitate them and since they are not yet able to subdue them and lead them forth they drive them into the part affected On the second day if the dead sleepiness be not yet remitted let bleeding in case the Pulse indicates it be repeated or in its stead let Blood be taken away in the Shoulder-blades by Cupping-glasses after Scarification Then a little afterward let an Emetick Medicine if nothing prohibits it or a Cathartick be given Take Sulphur of Antimony five grains Scammony sulphurated eight grains Cream of Tartar six grains mix them make a Powder let it be given in a spoonful of the Julep prescribed Or Take Scammony sulphurated twelve grains Cream of Tartar fifteen grains Castoreum three grains make a Powder give it after the same manner Mean while let the same or the like altering or deriving Remedies be still continued On the third day and afterward those things which at the beginning of the Disease were
of the Brain they raise a thousand and often horrible Fantasms with which Sleep is kept off or directing farther their Tendency into the Genus Nervosum they raise there great disorders which continually drive away and break off Sleep tho seeming never so much to be stealing on or to be at hand As for the former of these I have often observed some troubled with watching who dreaded to begin Sleep tho it came on according to desire for as soon as being about to sleep they closed their Eyes presently starting up again they cryed out that a confused multitude of Fantasms made them mad so that they found themselves necessitated to abstain from Sleep Secondly when the Spirits being become exhorbitant are called from the circumference of the Brain towards the inward parts in order to Sleep sometimes they convert their Sallies into the Genus Nervosum and then either rushing in a tumultuous manner into the Nerves that go to the Precordia or Viscera they cause disorders in the respective Parts hence to such as are so affected as often as closing their Eyes they invite Sleep either Tremblings Leapings and Constrictions of the Heart with Failings of the Spirits and a letted Respiration happen or inflations and Swellings of the Viscera a Sense of Suffocation and other Symptoms vulgarly accounted for hysterical or secondly the Spirits being called from their Watchings and converted to the Genus Nervosum sometimes transfer their Sallies into the spinal Marrow and thence into the Nerves that pass into all the outward Members wherefore to some when being a Bed they betake themselves to sleep presently in the Arms and Leggs Leapings and Contractions of the Tendons and so great a Restlessness and Tossings of their Members ensue that the diseased are no more able to sleep than if they were in a Place of the greatest Torture Sometime since I was advised with for a Lady of Quality who in the day time was wont to be afflicted with a Cardialgia and a Vomiting and in the Night was hindred from Sleep by reason of those spasmodick affects which came upon her as now and then she was upon the point of rest nor indeed was she able to sleep all Night unless she took first a pretty good dose of Laudanum Wherefore of this Medicine which at first was allowed her only twice a Week she took afterward daily for about three Months receiving no injury thereby either in the Brain or about any other function and when in the mean while by the use of other Remedies the discrasies of the Blood and Nervous Juice being corrected the animal Spirits became more benign and mild she afterward leaving off wholly the Opium was able to sleep indifferently well As to the cure of the VVatching-evil which we even now describ'd because it cannot be long endured therefore those things are chiefly to be given which give a present relief for this end those things are proper which sooth the Spirits and gently appease their Disorders as the vulgarly called Anodines viz. distilled waters Decoctons Syrups and Conserves of Flowers of Nymphea Cowslips Mallows Violets Knapweed the Leaves of Lettice Purslan the Willow also Emalsions or juicy Expressions And if the restles Spirits will not be mitigated by fair means we must force them to be quiet by imposing Fetters as it were and using Severity their stores ought to be diminish'd and withall the spaces in which they may freely and without tumult expand themselves ought to be dilated and cleared from the stuffings of other humours viz. of Blood and Serum for which ends opening a Vein sometimes is proper Vesicatories in a manner always have place moreover let Diacodium and Laudanum in case they agree well be frequently taken and mean while that the Opats give truce from the violence of the Disease let the cause of it be eradicated by the use of other Remedies as much as may be Wherefore day after day at Physical hours let things be given that take away the sharpness of the Blood and Nervous Juice and restore them to sweetness In which rank we account Testaceous Powders Apozemes and altering distilled Waters of temperate Antiscorbuticks gentle preparations of Steel spirit of Harts-horn of Soot and above all things tincture of Antimony There remains another kind of Watching-evil whose cause consists for some part if not mostly in the almost continual opening or too great gaping of the Pores or Passages in the cortical part of the Brain for besides that the animal Spirits being sharp and somewhat exhorbitant refuse to lye down of their own accord and to yeild to rest and that they are not kept down or subjugated by the Nervous Liquor entring the Pores of the Brain but being free and exempt from all imposed Burthen they are expanded also within the outward spaces of the Brain which are every where open for them for which cause those that have the watching evil perceive no drowsiness or heaviness of the Sinciput no appulse or desire of Sleep I have known some affected after this manner who when they had past many Nights one after the other wholly without Sleep yet being still chearful and brisk having a good Stomack and ready at business seemed not as yet to have wanted Sleep The cause of this doubtless is a burnt and melancholy Blood which supplies the outward part of the Brain with a Nervous Juice not mild and benign but too much scorcht and filled with adust Particles which consequently is neither apt to flay long within the Pores of the Brain nor kindly to receive and contain the Animal Spirits Moreover the Spirits themselves ingendred from it become too elastick and restless in their Nature so that they are neither easily appeased nor inclin'd for Sleep of their own accord Nevertheless being of a fixt Nature they do not readily fly away nor are soon tired so as to flag but last a long time and continue vigorous without any great refreshment Concerning this sleepless Disposition of the animal Spirits since it is the same as in Persons troubled with melancholy we shall have a fit place of speaking somewhat more largely of it in the sequele We may observe that Coffee also on the same account keeps Persons from Sleep for that Drink insinuates its adust Particles with which we find it to abound both by the tast and smell first into the Blood and then into the Nervous Juice which thereupon by their Agility and Restlessness both keep the Pores of the Brain still open and add spurs and a certain rage to the Spirits all other Combination and Stupefaction being deposed by which they are stirred up to a longer execution of their Functions Again as to what regards the prophylactick cure of this Watching-evil or the removal of the morbifick cause we shall give it you in the Sequel where we shall treat of Melancholy mean while for the immediate removal of that Symptome as often as it sorely presses we observe that Opiats will not do
is either in fieri or in its disposition or in facto or in its habit both require a peculiar way of Cure Of the former there are two chief cases in both of which the Therapeutick method regarding only the Procatarctick causes is ordered after the like manner to wit whether any Person be in danger of being seiz'd with the Palsey or recovering from it be in hazard of a relapse we must insist in a manner on the same Medicines Therefore the Intentious of Curing must be first that the functions of Chylification and Sanguification being duly perform'd a laudable matter for the generation of Animal Spirits be sent to the Brain in a sufficient plenty and then secondly that the Brain being still firm and of a due conformation admits into it and duly exalts into Animal Spirits all apt particles excluding such as are heterogeneous for these ends we have thought good to propose the following method which ought to be varied according to the various constitutions of the Diseased Spring and Fall let solemn courses of Physick be entred upon nay and the whole year besides let some Remedies be constantly used Bleeding is not generally proper for all Persons and if we forbid this it is not for the same reason with the Ancients supposing the Palsey to be a cold Disease but because the Animal Spirits are both engendred from the Blood and become elastick within the moving Fibres by reason of a sanguineous combination therefore if the store of this be lessened too much they will fail and flag Which truly I have observed in many and that for the most part in the Arm from which the Blood was drawn languishings and tremblings have begun Nevertheless a spare and moderate Bleeding sometimes agrees with some that are endued with a Blood that is hot and sharp and apt to too great effervescencies tho they are disposed to the Palsey About the Equinoxes purging ought to be ordered and to be repeated by due Intervals three or four times but in the first place let a Vomit if nothing indicates the contrary be given of Salt of Vitriol Sulphur of Antimony or an Infusion of crocus metallorum or Mercurius vitae afterward let Pillulae de succino or Aloephanginae be taken by themselves or with Rosm of Jalap every seventh or eighth day At other times let Cephalick Remedies such as we have prescribed for the sleepy affects viz Electuaries Powders Spirits and volatile Salts Tinctures Elixirs with distill'd Waters or Apozemes viz. sometimes these sometimes those or others be frequently used Let Issues be burnt in the Arm or Leg nay in gross and cachectical Persons together in both or near the Shoulder-blades Let a Physick-drink of Sage Betony Stoechas the wood Sassafras Winters bark c. be drank the whole year Wine and Venus ought either to be forbidden or to be allowed only sparingly But if the Palsey after a previous disposition in the whole or in one side or in certain members throughly seises and notwithstanding the first encounter of Physick comes on again for its cure a long and complicated method which is alwayes requisite often times does not suffice for not only the Disease or its conjunct or procatarctick Cause severally but all together must be assaulted for which ends blooding for the most part being forbidden only a gentle purge and that but now and then is proper Again and indeed chiefly against the Procatarxis of the Disease Cephaliâ—â— and Antiscorbutick Medicines are wont to do good but not all of these kinds agree with all Persons but as we have observed in the Scurvey according to the various Constitutions of the Diseas'd the Remedies also must be of a differing kind and vertue for with bilous paralyticks in whose sharp and hot blood there is much Salt and Sulphur and very little Serum hot Medicines and such as are endowed with very active Particles do not agree nay often prove offensive to them which nevertheless prove greatly beneficial to phlegmatick persons whose blood is colder and contains a great deal of Serum and a few active Elements Wherefore according to this two-fold state of the Diseased it seems fit for us to propose here a double method of Cure and two Classes of Medicines whereof this will do well to be given to cold paralyticks and the other to such as are hot In the former case for the removal of the procatarctick Cause after a Vomit and a Purge duely ordered I advise to be prescribed according to the following forms Take Conserve of the leaves of Garden Scurvy-grass and of Rochet made with an equal part of Sugar of each three ounces Ginger condited in the Indies an ounce the yellow coats of Oranges and Limons preserv'd of each six drams powder of the Claws and Eyes of Crabs of each four Scruples species diambroe two drams winters-bark a dram and a half roots of Zedoary the lesser Galingal Cubebs the seeds of Garden-cresses rochet of each a dram Spirit of Scurvy-grass and of Lavender of each two drams Syrup of the conditure of Ginger what suffices make an Electuary Let the quantity of a Walnut be taken at eight a clock in the Morning and at five in the Afternoon drinking after it a pound of the following decoction or six ounces of the Tincture of Coffee with the Leaves of Sage boyled in it or three ounces of Viper-wine Take Raspings of Guaiacum six ounces Sarzaparilla Sassafras of each four ounces red and yellow Saunders shavings of Ivory and Harts-horn of each half an ounce infuse them according to art and boyle them in sixteen pounds of fountain-Water to a half adding Crude Antimony powdred and tyed in a Nodulus four ounces roots of Calamus Aromaticus the lesser Galingal of each half an ounce Florentine Orris an ounce Cardamum six drams Coriander seeds half an ounce six Dates make a Decoction and let it be used for ordinary drink Going to Bed and early in the Morning let a dose be taken either of the Spirit of Soot or of Harts-horn of Sal Armoniack succinated of Blood c. with three ounces of the following distilled Water Take of the Leaves or Roots of Aron a pound Leaves of Garden Scurvy-grass the greater Rochet Rosemary Sage Savory Time four handfuls Flowers of Lavender three handfuls the outward rinds of ten Oranges and six Limons Winters bark three Ounces Roots of the lesser Galingal Calamus Aromaticus Florentine Orris of each two ounces Cubebs Cloves Nutmegs of each an ounce all being slic'd and bridsed pour to them of White-wine and Brunswick Beer of each four pounds let them be distilled with common Organs and let the whole Liquour be mixt Sometimes instead of the Electuary for fifteen or twenty dayes let a dose of the Tincture of Sulphur terebinthinated or the Tincture of Antimony or of Amber sometimes also let the Elixir Proprietatis or of Peony be taken in a spoonful of the distilled Water drinking after it three ounces of the same Sometimes also let the
sometimes it being often needful Wherefore we must take a great care lest whilst we go about to eradicate the Discase by Purging and frequent Bleeding we on a sudden weaken the Vital function if this begins to waver neglecting the Frensy and allowing a more nourishable Food we must cheifly use Cardiacks Take Tincture of Coral half an ounce let twenty grains be taken twice or thrice a day with a dose of a Cephalick or cordial Julep or let the milkly solution of Coral made with the Juice of Oranges be given to a spoonful often in a day Take Rob or Conserve of Rasberryes and Barberryes an ounce Pearl prepared Magistery of Coral of each a dram Confection of Hyacinth two drams Syrup of the Juice of Kermes what suffises make a Confection let the quantity of a Nutmeg be taken three or four times a day drinking after of the following Julep three ounces Take Waters of the Flowers of Nymphaea red Roses and of the Leaves of Medow-sweet of each three ounces Syrup of Coral two ounces Aqua Cordialis Saxoniae a dram mix them Take Conserve of the Flowers of Nymphaea of Violets of each an ounce Lettice Stems condited half an ounce Powder of red Coral ground on a Marble with the Juice of Oranges and dryed two drams Species Diamargariti frigidi a dram white Poppey Seeds a dram and a half with a sufficient quantity of Syrup of the Juice of Wood-sorrel make an Electuary let the quantity of a Nutmeg be taken often in a day In the Phrensy not only the Belly but likewise the Bladder when unmindful of its Office ought frequently to be moved or irritated to it Wherefore the diseased are to be admonisht and a Chamber-pot being presented to be entreated to make water which if they do not obey Let the Region of the Share be fomented with a Decoctionof Pellitory of the Wall Elder Flowers the Seeds of Parsly and wild Carrots with a Spunge and after the Fomentation let it be anointed with Oyle of Scorpions and Vnguentum Dialthaea in a long Suppression of Vrine you must put a wax Candle into the Vrethra So many and so various Cases and Stories of Persons troubled with the Frensy are written by Hippocrates in lib. Epidem that it may seem to little purpose to add others here especially because it would be a thing of an immense Labour and Tediousness to relate the various Conditions and Gestures of Franticks mean while as to the event of the Disease no great diversity occurs For for the most part either the Fever being determined the Frensy ceases by degrees or that having no Crisis or an ill one either death or a long raving ensues Nevertheless for the Illustration of our Hypothesis concerning the Inflammation of the Spirits I shall here set before you one rare instance Soime time since I was called to cure a robust Maid servant who being in a Fever and very much distracted was continually kept bound in her Bed to this Person I ordered Blood to be drawn in a plentiful manner and afterward the blooding to be repeated the Belly to be frequently loosned by a Clyster and all other Administrations usual in this case to be performed in order mean while I gave her Emuslions Juleps Hypnoticks but these doing little or no good she continued still for seven or eight dayes without Sleep and extreamly raving howling and crying out contintually for cold Drink wherefore it being allowed her to drink her fill of cold Water she became not at all the more appeased or less dry Therefore it being Summer I ordered that in the midst of the night being taken up by Women and led forth she should be put into a Boat then her Cloaths being taken off and the Cords with which she was bound being untyed she should be dipt in the deepest part of the River only a Cord being bound about her middle to keep her from drowning but there was no need of that support for she swam of her own accord almost as well as a man that had well learned after the third or fourth part of an hour she was taken out of the Water sound and sober then being put to bed she slept and sweated freely and afterward grew well without any other Remedy This Cure hapned so suddenly and successfully in as much as the excesses both of the vital and animal flame being increased to a vast height together were taken away by the proper Remedy of an intense Fire viz. a Humectation and Infrigidation CHAP. X. Instructions and Prescripts for the curing of Melancholy AS the Frensie arises from the burning of the animal Spirits or from the inflammation of their Substance so other affects of raving proceed from their Substance being altered after other manners and its being changed from its genuine disposition viz. spirituo-saline into an acetous or sharp nature resembling aqua stygia or into a flatness or deadness which therefore are either Melancholly or a Mania or Madness or a Morosis or fatuity of which we shall now speak ion order and in the first place of Melancholy Melancholy is commonly defined a Raving without a Fever or Fury joyn'd with fear and sadness whence it follows to be a complicated affect of the Brain and Heart for that melancholick Persons rave it proceeds from the fault of the Brain and the disorder of the animal Spirits residing in it but that they are sad and timorous this is attributed to the Passion of the Heart There are various and sundry kinds of the Imagination'sbeing depraved in Melancholly concerning which we may observe in general that the affected either rave concerning all things or at leaswise concerning most so that they pass a right judgment in a manner concerning no subject or they imagine amiss only in one or two particular cases but of most others form notions not altogether absurd First we shall enquire concerning this affect as it is more Universal how the Imagination is prevaricated concerning most things to wit for what Causes and with what difference of Symptoms this is wont to be done afterward we shall speak of the particular raving Tho the delirous affect of universal Melancholy contains manifold symptoms yet they consist chiefly in these three things first that the affected are almost continually occupied in thinking so that their Fancy is scarce ever idle and at rest Secondly in thinking they comprehend fewer things in their mind than they were wont before so that they often roul in their mind the same Object day and night being nothing follicitous of other things which sometimes are of far greater moment Thirdly the Ideas of Objects or Conceptions appear often deform'd and like frightful Apparitions as it were and they are alwayes represented in a greater Species so that every small thing seems to them great and most difficult and by reason of this horrid and unusual appearance the Image once conceived is not easily nor soon let go The Indisposition of the animal Spirits in this
manner in any sorts of Distractions the reason of this partly consists herein that the viscous load of the Ventricle which as we have shewn elsewhere greatly oppresses the mind being cleans'd forth the Spirits thereupon being more free expand themselves more vigorously and cheerfully Moreover in as much as vomiting compresses and evacuates the neighbouring Receptacles of the Humours to wit the Gall-bladder the Ductus of the Pancreas and the Glands of the Mesentery it keeps their Contents from being conveyed to the Head Vomits Take Oxymel of Squills an ounce and a half wine of Squils an ounce Syrup of Tobacco two drams mix them make a Vomitory if it works not at all or slowly let a Vomit be rais'd by a free drinking of Posset-drink having the leaves of Carduus boyl'd in it Take of the decoction of the middle bark of Elder four ounces Salt of Vitriol from one scruple to two scruples Oxymel simple three drams mix them let it be taken after the same manner To strong and well set People give the Infusion of Crocus Metallorum or Mercurius vitae also the Emetick Tartar of Mynsicht or Sulphur of Antimony Take roots of Polypody of the Oak half an ounce Epithymum three drams Senna half an ounce Tamarinds six drams Coriander-seeds three drams yellow Saunders two drams let them boyl in fourteen ounces of fountain-Fountain-water to ten ounces adding Agarick two drams Rhubarb a dram and a half to the clarified straining add of the purging Syrup of Apples two ounces let six ounces be taken repeating it within three or four dayes Take choice Senna three drams Epithymum Rhubarb of each a dram and a half yellow Saunders half a dram Corinader-seeds two scruples Salt of Wormwood half a dram Celtick Spike a scruple let there be a close Infusion for a Night in White-wine and water of Apples of each four ounces to five ounces of the clear straining add Syrup of Epithymum six drams Aqua mirabilis two drams mix them make a potion In Bodyes hard to be wrought on let there be added to these fibres of black Hellebore macerated in Vinegar a dram or two Those who like better Pills Powders Bolus's or Syrups may use the following Take Quercitan's Pills of Tartar or Crato's Pills of Amber half a dram Rosin of Jalap or Scamony six or eight grains Tartar vitriolate half a scruple Ammoniacum dissolved in Aqua mirabilis what suffices make pills let four be taken going to bed and unless they work first one the next morning Take Calomelanos extract of black Hellebore of each a scruple Resin of Jalap six grains Ammoniacum dissolved what suffices make four Pills let them be taken with governance The Powder call'd Haly is greatly commended by Valescus de Tarenta Pereda and others And indeed in rustick or robust Bodies this seems a pretty fit Cathartick Take Epithymum half an ounce Agarick Lapis Lazuli of each three drams Scammony a dram Cloves in number thirty make a Powder the dese is from half a dram to a dram Take Pulvis Diacennae Diaturbith with Rhubarb of each half a dram make a powder let it be taken in a draught of posset-drink or in a single decoction of Epithymum to four or five scruples Take choice Senna two ounces roots of Polipody of the Oak two ounces Epithymum an ounce and a half yellow Saunders half an ounce Tamarinds an ounce Coriander-seeds six drams let them boyl in four pounds of barnet-Barnet-water to an half strain it and let it evaporate by a bath heat to the consistency of a Syrup adding towards the end pure Manna double refin'd Sugar of each four ounces make a Syrup the dose is stwo or three spoonfuls in three ounces of a convenient distill'd water or in any other Liuqor Or Take of the same Liquor evaporated to the consistency of Honey six ounces fresh Cassia four ounces pulp of Corinths two ounces Cream of Tartar Salt of Wormwood of each a dram and a half pulvis Diasennae two drams yellow Saunders powdred three drams mix them make an Electuary the dose is from three drams to half an ounce Catharticks must not be used without intermission nro too frequently but let it suffice to give them within six or seven dayes and at other times let the belly if it be bound be loosened by Clysters as to what regards other Medicines which do not evacuate tho the Ancients plac'd the least we put the greatnest stress of the Cure in them for they with whom also many Moderns accord concluded that there was nothing more to be done for curing Melancholy than to purge forth the atrabilarious Humour Wherefore making purging the thing of chiefest moment they ordered the rest of Pharmacy called by them preparatory only for the sake of this directing thus their intentions that as soon as the Humour was brought to a fit consistency by altering Medicines and the wayes made open enough for its excretion then to carry it forth by Catharticks which kind of hypothesis seems not to agree with Reason or Physical Experience to wit in as much as melancholy Persons after a frequent purging how methodically soever ordered receive rather an injury than a relief Therefore we placing the cause of this Disease in the dyscrasies of the Blood and Spirits and in the weakness or ill conformation of the Brain or Viscera put alteratives and corroboratives in the first rank of Medicines and sometimes interlace Catharticks only for the sake of these Purging therefore being prescribed for the due removal of Impediments and at due intervals of time as to the rest you may proceed after this manner Take Conserve of Clove-gilliflowers and Borage flowers of each two ounces and a half myrobalan rinds condited six drams Coral prepar'd Pearl of each a dram and a half Ivory Crabs-eyes of each a dram Confection of Hyacinth two drams Syrup of Coral or red poppyes what suffices make an Electuary let two drams be taken morning and evening drinking after it three ounces of the following Julep or distill'd water Take water of Cowslip-flowers and of Black-cherries of each six ounces of Bawm four ounces Dr. Stevens's Water two ounces Sugar six drams mix them make a Julep Take leaves of Bawm Borage Bugloss Fumitory Water-cresses Brooklimes of each four handfuls Clove-gilliflowers flowers of Marigolds Borage Cowslips of each three handfuls the outward coats of six Oranges ' and four Lemmons being all sliced and bruis'd pour to them of Whey made with Cyder eight pounds distill them with common Organs let the whole Liquor be mixt Take powder of Pearl Ivory Coral prepar'd of each two drams Species loetificantis Diarrhod Abbatis of each a dram Oyl of Citron-pills half a scruple double refin'd Sugar dissolv'd and boyl'd to a consistency for Tablets in a sufficient quantity of Bawm-water six ounces make Tablets according to art weighing a dram let two or three be taken in the morning and at five of the clock in the afternoon drinking after it a draught of the distilled water
given craftily and the Person not knowing of it let it be put in a crust of white Bread to be taken in Broath or Milk let this vomitory be frequently repeated viz. once within four dayes Take Mercurius Vitae six or seven grains make a Powder let it be given after the same manner The Emetick Tartar of Mynsicht Hercules Bovii and other various preparations of Mercury may begiven after the sme manner Aurum Vitae or the Solar and also the Lunar precipitate are accounted by Chymists specifick Remedies against against Madness and indeed Mercurial Medicines in as much as they work by Vomit and Seige and often also by Sweat Vrine or Salivation prove egregiously beneficial a copious Spitting and of long continuance has perfectly cru'd some mad persons Strong Pruges where the strength and constitution will bear them in as much as they depress the exorbitances of the Blood and spirits and much evacuate the emunctories for receiving the recrements of the Rlood and Nervous juice often give relief also in this Disease For this use preparations of black Hellebore as especially its extract and the Wine of the infusion of its Fibres or the pap of an Apple boyled with the Roots of it sticking in it are very much commended Take extract of black Hellebore Calamelanos of each a scruple make a Bolus Take Calamelanos a scruple Diagridium from twelve grains to fifteen make a Powder Take Confectio Hamec or the Electuary of the Juice of Roses from half an ounce to six drams let it be given in Broth. Take Gereons Decoction of Senna or the Decoction of Epithymum with two drams of the roots of Black Hellebore six ounces make a draught The Pulvis Diasennae two drams let it be taken in Whey In the mean while that these things are done let the preservatory Indication take care of the Cause of the Disease Wherefore with these frequent Purges and Bloodings let alterig Remedies be interlac'd for tempering the Blood and nervous Juice and for reducing them to their due Crases if haply the diseased being obsequious and tractable do not refuse to take such things methodically Take crystal Mineral or Nitre excellently purified two ounces Pearl powdred two drams Sugar-Candy two drams and a half Camphire half a Scruple let them all be ground into a subtle Powder let two drams of this be put in a Glass-bottle holding a quart with fountain-Fountain-water or small or mild Beer for ordinary Drink wich may be given at pleasure Let boyling Whey be poured to the Flowers of Violets or Nymphea after an infusion for two hours let it be drank off plentifully Spaw-waters also drank regularly and in a plentiful manner are proper for mad Persons Take fresh and tender tops of Borrage and Bugloss of each four handfuls three mash'd Apples Sal Prunella two drams Sugar half an ounce being bruised together pour to them three pounds of rountain-Rountain-water express it strongly let half a pound be taken thrice a day or oftner Take Conserve of the Flowers of Borrage and Violets of each three drams Confection of Hyacinth Alchermes of each two drams Coral prepared a dram and a half Pearl powdred a dram Salt of Coral a dram Syrup of red Poppyes what suffices make an Electuary wherefore let two drams be taken twice or thrice a day drinking after it of the following Liquour four ounces Take Water of Nymphea Borrage Bugloss black Cherryes of each four ounces of red Poppyes six ounces red rose-Rose-water two ounces Camphire tyed in a Nodulus and hung in a Glass half a dram Syrup of Coral an ounce and a half mix them make a Julep Take the yellow Flowers of a Willow what suffises distill them with common Organs repeat the distillation pouring the Water on fresh Flowers by three Cohobations let it be given to four ounces twice or thrice a day sweetning it with Syrup of Nymphaea Take leaves of the Willow Meadow-sweet Burnet Borrage Baum of each six handfuls Flowers of Nymphaea tops of St. Johns Wort of each four handfuls Camphire powdred three drams all being slic'd together pour to them of fresh Milk eight pounds distill it with common Organs Let Sheeps Brains be distilled with milk and let the Water be given to three or four ounces thrice a day Moreover let specifick Remedies be applyed to use of which kind the Decoction of Pimpernell with a purple Flower is famous also the tops of St. Johns Wort and other Decoctions Opiats and powders against Madness well known by all famous Empiricks As to the cure of Madness caused by the biting of venemous or mad Animals since it is in a manner only Empirial and vulgarly known there is no need for us to discourse of it in this place we having also propos'd our Conjectures concerning it elsewhere Again the Decoction or infusion of Apples either crude or boyled in fountain Water the Liquour Tea Emulsions with many other things forms of which we have given in the cure of Melancholy are proper in this case Moreover many other helps besides Blooding are wont to be afforded from Cbirurgery for curing this Disease Cupping-glasses with a Scarification often do good Vesicatories Cauteries both actual and potential are commended by many Some commend Arteriotomy others trepanning and others Salivation But these kinds of administrations besides that they are of a doubtful effect cannot easily and searce with safety come in practice by reason of the intractable disposition of the Diseased Wherefore it would be superfluous here to enquire into the reasons of the relief or Cure to be expected from those things It is good sometimes the Head being shav'd to apply the warm Lungs of a Lamb or Sheep and other fomentations to the Sinciput and now and then to change them But these Epithemes also in regard they cannot be methodically applied and repeated to the Diseased who admit them with reluctancy often do more hury than good 30. The Vital Indication directs how mad persons ought to be handled as to their Government Diet and Sleep In this Disease otherwise than in many others there is no need of restoring for neither ought the strength to be restor'd with Resumptives nor the Spirits with Cordials but on the contrary a suppression or as it were a certain extlnction is to be us'd to both being too exorbitant of themselves resembling a flame as it were burning above measure Therefore let the Dyet be thin and not delicate the cloathing course the lodging hard the dealing with them severe and rigid But Sleep because it is very necessary if it be wholly wanting ought sometimes to be caus'd by giving Remedies for which end the Hypnotick Medicines prescribed before for Melancholy are proper also in this disease those who have an inveterate habitual Madness are seldom put to a Physical cure but being committed to Hospitals for mad Persons by the ordinary discipline of that Place either return at length to themselves or are kept there from doing hurt to themselves or others It
beginnings of the Disease the reason of the difference seems chiefly to lye in this viz. that in some gouty Persons who are yet firm in the Constitution and Tone of the Humours and the containing Vessels and whose Joynts are not yet weakned as often as the Blood and Nervous Liquour are troubled by a medicine their Superfluities and Recrements are not presently precipitated into the Minera of the Disease but yielding to the Medicine irritating and stirring them they are drawn from the Mouths of the Arteries into the Cavities of the Intestines and mean while the emptied Vessels withdraw or drink up again a part of the morbifick matter but on the contrary in tender and weakned constitutions upon the gentlest commotion of a Medicine the Recrements of both humours fall into the Place troubled with the Gout To those therefore with whom purging agrees it ought to be ordered with a strong and exagitating Medicine for this purpose are vulgarly famous the Electuary Caryocostinum Syrup of Buckthorn compound Powder of Hermodacts Pilul ex duobus Pil. Rhasis which if we may believe the Authour will make such as are not able to goe presently to walk about Take of the best Aloes half an ounce red Roses two Scruples Hermodacts pill'd a dram and a half Diagridium a dram Honey of Roses what suffises make Pills Rodericus a Fonseca wonderfully extolls the roots of black Hellebore and amongst other things an Apple with the Fibres of it stuck in it to half a dram rosted under the Embers and eaten Take Calomelanos a Scruple Rosm of Jalap three grains or of Scammony three grains Oyle of Cloves a drop Balsam of Peru what suffises make three or four Pills for one dose In purging what Solenander prescribes happily may be of some moment viz. by putting a Plaister or some other defensive Medicine on the place to hinder the falling of the humour to it Vomiting with those with whom it uses to be safe and easie does well also in this Disease for which end the Emetick Tartar of Mynsicht Sulphur of Antimony its Flowers Mercurius Vitae Vinum Emeticum Gutta Gamba may be given Moreover in a Fit of the Gout Powder of Stones Bones and Shells and also of smart Vegetables do good which being said to be the Antidotes of this Disease subdue all Particles and fermenting with them mortifie them as it were and at length being subjugated send them forth by Urine or sweat Take compound Powder of Crabs Claws two drams Ivory Roots of bastard Dittany Roots of male Peony of each a dram Lignum Aloes yellow Saunders of each half a dram make a Powder let it be taken from half a dram to a dram either by it self in a Spoonful of red Poppey water drinking after it six Spoonfuls of the same or let it be made into a Bolus or Pills with Venice Treacle or Venice Turpentine what suffises the dose is a dram twice a day drinking after it of the distilled water beneath prescribed two or three ounces Or Take of the same Powder six drams conserve of Clove-gilliflowers and Betony Flowers of each an ounce and a half Diascordium two drams Syrup of Maeconium what suffises make an Electuary the dose is a dram to two drams Evening and Morning Mean while that these things are done for withdrawing elsewhere the morbifick Matter which would flow into the places affected or for sending it forth let altering and qualifying Medicines likewise have their turns which may appease the Turgescencies of the Blood and Nervous Juice and stop the fluxions of the Recrements falling from them for this end a thin diet and a drinking of Water if it be proper being ordered let Emulsions Juleps Apozemes of mild things and Anodines be prescribed As to what concerns the other Scopes of curing viz. the discussion of the Minera sticking in the Parts and the mitigating the excandescencies of the Fibres and Spirits we must insist first on this latter without the performance of which we cannot answer the other intent for this end therefore it is expedient to use both outward things viz. Topicks of various kinds and inward things viz. Hypnoticks There being a vast number of Topicks they either being only Anodines have regard to the Pain it self or levelling at this together with the Tumour they are either Repercussives or Resolvents and Discussers there are various Forms and Wayes of Administrations of every kind of these but those of cheifest use are wont to be Fomentations Cataplasms and Plaisters we shall set down some of the most noted of these and first Anodyne Applications which moderate the Fibres and appease the Spirits by a certain soothing for this use a Cataplasm of Milk and Crum of Bread or of those things with the poúndings of the Leaves and Roots of Mallows and Althea and the like are every where in common Practice with the Vulgar Others commend a Cataplasm of fresh Cow-dung applyed warm Take Water of Night-shade or of the Spawn of Frogs of each six ounces Saccharum Saturni a dram mix them let linnen Cloaths dipt in this be applyed warm Take of red Lead three ounces distilled Vinegar two pounds digest them for many dayes let either this Liquour by it self or a Water drawn from it by distillation be used for a Fomentation Also a distilled water made of the Tincture of Verdigrease distilled in Vinegar often appeases Pains I was told by a Gentleman often troubled with a severe Gout that he in the cruel Tortures of that Disease had always present ease from a Fomentation with a Water distilled from the contents of a Bullocks paunch newly killed Against extream Tortures of the Gout outward Narcoticks sometimes ought to be used Take Leaves of Henbane and Hemlock of each three Handfuls let them be put into boyling Water and as soon as they grow tender let them be taken forth to which being bruised add Powder of the Flowers of Cammomil about two drams the yolk of one Egg make a Cataplasm Or Take Tincture of Saffron made in Spirit of Wine four ounces Camphire and Opium of each a dram let there be a close and warm digestion till they are dissolved let the part that pains be anointed with this Liquour there are innumerable Medicines of this kind every where to be found in Books of Physick and are every where wont to be prescribed by every vulgar Person which likewise may suffice for fulfilling the other intent to wit the repercussion of the Humours if at any time it seems to be indicated As to what regards resolvent and discussing Topicks such are not required which only open the Pores that the Serum may evaporate and the Blood may be restored to Circulation as in a Phlegmon or Aedema but whose saline Particles being destinated for strongly assaulting the saline Particles of the Arthritick Minera may either draw them forth by laying hold of them or by precipitating them keep them from their Pain causing Effervescencies wherefore in this Disease when Fomentations or
be given for I have diligently observ'd that an over-hasty eating of Flesh or of a rich Food has oftentimes brought these Fevers For Women in Child-bed ought to be managed not only as Persons sorely woulded but as having gotten a feverish Indisposition from a troubled Crasis and Distemperature of the Blood for in them the Blood being for a long time too much exalted and inspired with an impure Miasm presently upon the Access of any sulphureous Fuel takes a light Flame The second Care after Diet must be that the Pores be not clos'd or the Lochia stopt upon the unwary Admission of an outward Cold for upon the lightest occasion the way of the Transpiration being chang'd the Blood before fermenting falls into Disorders also the Womb being touch'd with the breath of the Air contracts it self and closes the Mouths of the Vessels that the Lochia do not flow wherefore in any wise Women ought to be kept in Bed five days after Child-bearing I know its the vulgar way to take Women out of Bed the third day but I have known many to have fall'n into Fevers thereby and in truth if we will have Child-bearing Women secure from danger the safest way will be to keep them in Bed longer There remains a third Scope concerning Preservation that in Women in Child-bed by giving somewhat gently to stir the Blood we continue a flowing of the Lochia for this end Midwives are wont if at any time after a difficult Child-birth that Evil be fear'd to give Sperma coeti Powder of Irish Slate or Saffron steep'd with White-wine moreover to prepare Broths that they may fuse the Blood more of Water mixed with White or Rhenish Wine in which or also in Whey they boyl Mary gold-flowers Penny Royal or Mugwort There are a great many other kinds of Administrations in use for Women in Child-bed which I willingly pass by as being valgarly known The Cure of the Fever following Child-birth far differs from the Method used in Putrids for in that it is not to be expected that the Blood being struck with a Febrile Burning should burn on by degrees and then should subdue the adust Recrements heap'd together by degrees in its Bosom and should separate the same by a Crisis but rather as is best done in a malignant assoon as the Blood boyls immoderately it is good to exagitate it and to send forth its haeterogeneous and impure Mixtures by Remedies gently promoting Sweat wherefore it is usual among the Vulgar and that not amiss to give presently Sudorificks to Women in Child-bed that are feverish by this means the Blood being eventilated its Effervescence is appeased also by reason of its Agitation the Lochia apt to be restrained are stimulated to a flowing It is much disputed among Authors whence the Beginnings of these kinds of Fevers ought to be computed to wit Whether from the Birth it self or from the first Sense of the Feverishness but it little matters whether it be concluded this way or that for since this Fever does not justly observe the wonted Stages of Putrids nor is to have a Crisis nor at all admits the use of a Cathartick Remedy there is no cause for us to be any ways sollicitous concerning its Period or Mensuration as to days but it will be only useful for us to distinguish concerning its curative Indications of what things are to be done in the Beginning Encrease and End of this Disease what also we ought to attempt while the Strength holds somewhat good and what in the same being depressed and greatly dejected When therefore any Woman brought to Bed is first affected with this Fever whose Invasion is distinguished from the Lacteal because it begins for the most part with a cold Shivering presently we must endeavour that the Fewel be plentifully withdrawn from the burning Blood and as I have advised above let the Flesh of Animals or Broths made of the same be wholly forbidden for these fix the Blood and constipate it too much and hinder its purging which is very necessary both by the Lochia and by cutaneous Transpiration and rather tho the Fever be pressing let Decoctions Powders and Confections be given of moderately hot things of this kind as I said before are the Decoctions or distilled Waters of the Flowers of Marygolds of the Leaves of Penny-royal of Mugwort of the Roots of Scorzonera also bezoartick Powders Spirit of Harts-horn the fixed Salts of Herbs c. If the Lochia are stopt we must try all ways to move them to flow again for promoting these Frictions conduce and Ligatures about the Thighs and Legs also in the Soles of the Feet sometimes cupping Glasses or Vesicatories about the Thighs or Hips also in the Soles of the Feet sometimes also Blooding in the Ancle is good mean while let a Fomentation of an hysterick Decoction be applyed about the Share or let a Weathers Caul taken forth warm be laid on the lower Part of the Belly it has been found by Experience that Pessaries and uterine Injections have sometime done good if the Belly be costive let it be gently loos'ned by the Violet Suppository or an emollient Clyster We must beware of a too strong Irritation because it is known that in Child-bed the Strength is suddenly cast down with a Swooning by a copious Purging even as in a Malignant Fever If at any time with a Suppression of the Lochia there be a mighty Perturbation of the Blood with a Vomiting a Thirst and Watchings I have often known Laudanum mix'd with Saffron given with good Success Instead of a cooling Julep this kind of Mixture may be proper viz. Take Water of Penny-royal and of Bawm of each three ounces histerick-Histerick-water two ounces Syrup of Mugwort an ounce and a half Tincture of Saffron two drams Castoreum tyed in a Rag and hung in the Glass a Scruple Mix them Let three or four Spoonfuls of this be taken divers times in a day 2. If notwithstanding the use of these kinds of Remedies the Fever still grows worse and is increased by degrees with a worse Apparatus of Symptoms so that besides the Disorders of the Blood the Brain and nervous Parts begin to be affected Medicines tho a great many of them of every kind are tryed oftentimes can do nothing nay in this ease the Indications are in a manner coincident with those that are to be made use of in the Plague it self for the Lochia being a good while supprest they cannot easily or searce at all be brought again in a great Confusion of the Blood and Humours therefore it is good quickly to raise a Sweat to wit That the Corruptions made in the Blood and nervous Juice and restagnating from the Womb may in some sort be sent forth by Sweat and insensible Transpiration wherefore here Bezoartck Powders and Confections Spirit of Harts-horn or of Soot Tinctures of Coral or of Pearl conduce I have sometimes seen that by the help of these kinds of Medicines in a desperate
an Ounce make a Potion 3. Strong Potions Take of the decoction of Sena Gerionis with the addition of the strings of black Hellebore and Agarick of each a Dram and a half six Ounces Syrup of Roses Solutive or of the flowers of Peaches an Ounce Aqua Mirabilis two Drams Or Take of the best Sena half an Ounce strings of black Hellebore Turbith of each two Drams yellow Saunders a Dram Coriander-seeds a Dram and a half Salt of Tartar half a Dram let it infuse close all Night in eight Ounces of White-wine made warm to five Ounces of the Cleer straining add of the Electuary of the Juice of Roses three Drams Syrup of Buck-thorn six Drams Cinnamon water two Drams make a Potion Potions of easie preparation for the Poor Take of Flaxweed a handful sweet Fennel-seeds two Drams boil them in a sufficient quantity of Spring-water till it comes to six Ounces add to it of White-wine two Ounces make a Potion After the same manner you may make a Purging Potion of the Flowers of Damask Roses also of Peach Leaves and so of the Roots of Eupatorium Avicennae PILLS First of a gentle Operation Take of Stomach Pills with Gums from a Scruple to half a Dram Tartar vitriolated two Grains Balsam of Peru what will suffice make thereof three or four Pills After the same manner may be made Pills of the mass of Pilul Ruffi of Pilul Mastichin of Pilul de Succino and of our extract Solutive the description of which you may find in our Tract of the Scurvy 2. Mean Pills Take of Stomach Pills with Gumms half a Dram Rosin of Julap from four Grains to ten Tartar vitriolated six Grains Ammoniacum dissolv'd as much as will suffice make four Pills After the same manner may be made Pills of the mass of Pilulae de Succino Tartari Quercitani Also instead of Rosin of Jluap you may put Scammony Sulphurated from six Grains to twelve or Rosin of Scammony from eight Grains to fourteen Or Take Stomach Pills with Gumms a Scruple Rosin of Julap from six Grains to twelve Balsam of Peru as much as will suffice make four Pills 3. Strong Pills Take Pilulae Rudii half a Dram Rosin of Julap from eight Grains to twelve Balsam of Peru what will suffice make four Pills to be taken cum Regimine After the like manner Pills may be made of the mass of Pilulae Cochiae de Sagapeno Take of Pilulae ex duobus from a Scruple to half a Dram Calamelanos a Scruple make four Pills to be taken Cum Regimine 4. Pills easily prepar'd and cheaper Take Powder of the best Jalap two Drams Diagridium a Dram Cloves Ginger of each a Scruple Ammoniacum dissolv'd as much as will suffice make a mass the Dose is half a Dram. Take of Pilulae Cochiae from half a Dram to two Scruples let four Pills be made POWDERS First such as are gentle Take of Rhubarb Powdred half a Dram Salt of Wormwood half a Scruple Cloves two Grains make a Powder give it in a spoonful of small Cinnamon-water or in a little Broath Take of the greater Compound Powder of Sena from half a Dram to a Dram in a little draught of Posset-drink Take Powder of the Leaves of Sena a Scruple Calamelanos seventeen Grains yellow Saunders half a Scruple make a Powder give it in a spoonful of Panada 2. Mean Powders Take Powder of Diasena a Dram Cream of Tartar a Scruple make a Powder give it in a little draught of Broath Take Rosin of Jalap ten Grains Calamelanos a Scruple Cloves six Grains make a Powder and take it after the same manner Take Species of Diaturbith with Rhubarb from half a Dram to a Dram Cream of Tartar from a Scruple to half a Dram. 3. Strong Powders Take Turbith Hermodacts of each three Drams Diagridium a Dram Ginger a Scruple make a Powder the Dose is from half a Dram to a Dram. Take Pulvis Cornachini a Dram after the same manner may be given the Compound Powder of Hermodacts also the Hydrotick Powder of Riverius 4. Cheap Powders and easie to be got Take Powder of the Roots of the best Jalap a Dram Ginger a Scruple give it in a little draught of White-wine so you may give Powder of the Roots of Mechoachan also of the Leaves of Sena in any Liquor BOLUS's and ELECTUARIES First such as work gently Take of the Lenitive Electuary half an Ounce Cream of Tartar half a Dram Syrup of Roses what suffices make a Bolus Take fresh Cassia half an Ounce Powder of Rhubarb half a Dram Cream of Tartar a Scruple Syrup of Roses as much as suffices make a Bolus 2. Mean Take of the Lenitive Electuary half an Ounce Cream of Tartar half a Dram Rosin of Julap six Grains Syrup of Roses what suffices make a Bolus Take of the Electuary Diaphaenicon half an Ounce of the Compound Powder of Hermodacts half a Dram Syrup of Elder what suffices make a Bolus 3. Strong Workers Take of the Electuary of the Juice of Roses half an Ounce Rosin of Julap ten Grains Cream of Tartar half a Dram Syrup of Elder what suffices make a Bolus Electuaries are Compounded of the same things made up in a greater quantity by adding Conserves of Damask Roses or of the Flowers of Peaches the Dose is the quantity of a Chesnut to be taken betimes every Morning or twice or thrice a Week 4. Bolus's and Electuaries easily prepar'd Take Powder of the Roots of Julap an Ounce of Mechoachan half an Ounce of Ginger two Drams of Cloves a Dram Cream of Tartar three Drams Salt of Wormwood a Dram Sugar two Ounces Syrup of Roses Solutive what suffices make an Electuary the Dose is the quantity of a Wallnut Confectio Solutiva Passulae Laxantes the Diapranum of Sylvius in the 30. Page of his Practice of Physick 5. Morsells or Tablets of a mean operation Take Powder of Mechoacan Gummous Turbith of each half an Ounce Scammony sulphurated two Drams Rosin of Jalap a Dram yellow Saunders a Dram Cream of Tartar two Drams Conserve of Violets an Ounce Sugar dissolv'd in rose-Rose-water and boil'd up to a fit consistency a Pound Make Tablets according to Art each weighing a Dram the Dose is one or two The Purging Tablets of Sylvius Page the 28. of his Practice of Physick 6. Physical or Purging Wines and Ales of a mean operation Take Leaves of Sena an Ounce and a half Turbith Mechoacan of each six Drams strings of black Hellebore three Drams Cubebs Galingal Roots choice Cinnamon of each two Drams Put all in a large Glass with four Pounds of Rhenish-wine adding to it Salt of Tartar a Dram and a half let it stand cold and close cover'd for six days add to it Sugar-Candy three Ounces strain it through Hippocrates Sleeve the Dose is three or four Ounces Take Leaves of Sena three Ounces Roots of Polypody of the Oak and of sharp Pointed Dock prepar'd of each two
and the Roots of Scorzonera c. boil'd in it About the Autumnal Equinox in the Year 1671. a desperate Bloody Flux seiz'd on many persons in this City from the first seizing they voided Blood by seige in abundance and that frequently and for the most part it was attended with a Belly-ach and Gripes continual watchings also with a Feaver and a mighty thirst usually troubled them nevertheless their strength held commonly pretty well for some considerable time and if the Flux were stopt sooner than it ought it rendred the Patients conditions worse The method of Cure with the Remedies which I found to give Relief in many persons was according to the following manner Take Venice-Treacle a Dram Liquid Laudanum Cydoniated twenty Grains make a Bolus to be taken going to rest Take Conserve of red Roses vitriolated two Ounces Venice-Treacle an Ounce Powders of the Roots of Tormentil Contrayerva Pearl Coral prepar'd of each a Dram Syrup of dry'd Roses what suffices make an Electuary to be taken every fourth or fifth hour and let the person drink after it of the following Julap three Ounces Take the Waters of Mint Baum Cinnamon hordeated of each four Ounces treacle-Treacle-water Plague-water of each two Ounces Pearl a Dram Sugar an Ounce mingle them and make a Julap After a day or two give a Purging Potion which leaves an Astringency Take Rhubarb slic'd two Drams yellow Mirobalans slic'd a Dram and a half red Saunders Cinnamon of each a Scruple let them infuse all Night in the Waters of Plantain and Cinnamon hordeated of each two Ounces and a half wring it forth hard then add of strong cinnamon-Cinnamon-water a Dram and a half make a Draught Every Evening and also in certain cases in the Day-time I was wont to give a pretty large Dose of Laudanum nor have I ever known this Medicine to have done any prejudice to a person troubled with the Flux which happen's either because the Narcotick force of the Medicine is subdued or made more gentle by the Acid Juice of the Stomach or rather that its Particles which are transmitted to the Blood are thence presently cast forth again with the Bloody Stools so that they do not affect the Brain If the above-mention'd Electuary be found nauseous to any person or disagrees with him the following Powder may be given in its stead Take Pulvis Pannonici Rubri a Dram Roots of Contrayerva half a Dram make a Powder divide it into three parts and give one part in any Liquor Take Bole Armenick alexiteriated that is impregnated with the Juices of the Leaves of Tormentil Bistort red Roses c. and dry'd in the Sun Roots of Contrayerva of each a Dram Pearl red Coral white amber of each half a Dram make a Powder the Dose is from two Scruples to a Dram. Take the Roots of Avens and Scorzonera of each an Ounce of Tormentil Bistort and Contrayerva of each two Drams and a half burnt Harts-horn three Drams shavings of Ivory and Hartshorn of each two Drams Cochinele half a Dram red Rose-leaves two Drams boil all in a sufficient quantity of Spring Water till it comes to two Pounds towards the end of the boiling add conserve of red Roses three Ounces to the Cleer straining add plague-Plague-water four Ounces the Dose is three Ounces To appease the Gripes and fretting of the Bowels Glysters are commonly prescrib'd Take the decoction of the Tops of St. John's-wort in which Sheeps Trotters or their Mesentery has boil'd eight or twelve Ounces Venice-Treacle two Drams Oyl of St. John's-wort an Ounce and a half make a Glister The Therapeutick Indications into which the method before exprest of curing the Bloody Flux may be resolv'd are chiefly four c. two regard the Blood and as many the Viscera First as to the Blood it s recrementitious and depraved dreggs which tend inwards must be driven forth into the habit of the body that they may exhale by perspiration and its coagulations must be dissolv'd and its Crasis restor'd as soon as may be Secondly as to what regards the Viscera the irksome sensation of the Nervous Fibres and the irritation of the Carnous Fibres to excretory Convulsions must be appeas'd and the Mouths of the Vessels must be shut to keep them from discharging the blood and humours into the Intestines The first of these is usually perform'd with Opiats and the other with Stiptick or Astringent Remedies Besides these we must have regard to urging Symptoms and ill affects usually attending this Disease the chief of which are a Feaver with a Thirst and Wakings Gripings of the Guts and sometimes their fretting Inflammation and Ulcers We must not proceed upon those four chief Indications severally and successively but we must take them altogether and set upon them at once wherefore the Prescripts ought to comprehend Remedies of divers kinds to wit Alexipharmicks Stypticks Diaphoreticks and Opiats And because it is not an easie thing to put these into a set method and under set Rules which may be generally apply'd I have rather chosen to give you here some Examples of Cures performed by me in the Bloody Flux in the year 1671. To a Gentleman 25 years of Age to whom I was call'd the third day after he was seiz'd I prescrib'd the following Bolus Take Venice Treacle a Dram Liquid Laudanum Cydoniated a Scruple mix them let him drink after it a little draught of the following Julap Take waters of Tormentil Mints and Cinnamon hordeated of each four Ounces Treacle water and Plague water of each two Ounces Pearl a Dram Sugar an Ounce make a Julap He took besides of the following Electuary about a Dram and a half every third hour with the said Julap Take Conserve of Red Roses two Ounces Venice Treacle an Ounce Powder of the Roots of Tormentil Contrayerva Pearl Coral prepar'd of each half a Dram Syrup of Red Poppies what suffices By the use of these Remedies the rigour of the Disease soon abated so that he had not above six or seven stools in the space of twenty four hours and those also were not very Bloody as before but appear'd full of little flakes of Flesh and of fragments as it were of Membranes Every Evening he took an Opiate with Laudanum The Fifth day of his illness he took the following Potion Take Rhubarb slic'd two Drams yellow Mirobalanes a Dram and a half yellow Saunders half a Dram Powder of Cinnamon a Scruple Salt of Wormwood half a Scruple let them infuse all night in the waters of Plantain and Cinnamon hordeated of each two Ounces and a half to the straining add strong Cinnamon water two Drams It purg'd him three or four times and gave him ease and the next day the Feaver being abated he was better so that seeming to grow well he eat flesh But shortly upon it fell into a Relapse so that the Flux returning with the Feaver it presently became more violent than it was at first Then because the former Medicines
to be found amongst Authors Moreover Tinctures of Vegetables which are of very great effect in a small Dose are made after this manner Take Roots of Contrayerva a pound being bruis'd and put into a Matrass pour to them Spirit of Wine three Pounds Let them digest to draw forth a Tincture then strain it and draw it off in Balneo to the consistency of Honey Keep the Spirit first drawn off apart from the rest pour it again to what stays behind and draw the Tincture again The Dose of which is from half a Dram to a Dram in a fit Vehicle 5. Diets whose foundations are decoctions of Woods design'd for the Cure of the French Pox and other Cronick Affects deeply rooted in the Blood and humours For indeed a very intense and frequent Sweating viz. continued for a long time day by day is requir'd for the Cure of some Diseases to wit that not only the Impurities and Corruptions of the Viscera and humours may be purg'd forth but ev'n the Morbifick Taints deeply Imprinted in them may be wholly abolish'd or as it were eradicated To effect this it will not be enough to give a Sudorifick Powder or Bolus now and then at times but an entire Diet must be ordered for this purpose Wherefore let all the drink the Person takes be a Diaphoretick Decoction after a Dose of which taken each Morning let a copious Sweat be promoted by adding to it the heat of a Bath or of a Hot-house and after that by this means the Pores of the Skin are open'd and Nature is inclin'd to Seeat let the Recrements of the Blood and Nervous Juice for that whole day evaporate by perspiration which must be still maintained by the use of the said Drink By this method not only the French Pox is most safely and for the most part most certainly Cur'd but also some other most difficult Diseases are sometimes easily overcome Take the Raspings of Guaiacum four Ounces Sarsaparilla six Ounces Chinna two Ounces all the Saunders of each an Ounce Shavings of Ivory and Hartshorn of each half an Ounnce Antimony powdred and tied in a rag six Ounces Let them Infuse and Boil according to Art in sixteen pounds of founntain water till half be consum'd and strain it to the remaining Magma add the like quantity of water let them infuse and boil till a third part be consum'd adding to it Raisins a pound Licorice an Ounce Let the straining be kept for a common drink In case of a Bilous Temperament and a sharp and hot Blood leave out the Guaiacum and augment the quanntities of the China and Sarsa Diaphoreticks which consist of the Integral parts of the whole mixt and are easie to be gotten for poor people may be prescrib'd according to the following forms In Malignant Fevers Take Conserve of Wood Sorrel a Dram Mithridate two Scruples and a half mix them Let it be taken drinking after it a draught of Posset-drink that has the Leaves of Carduus Scordium or of Camomil Flowers or Marigolds boil'd in it Take Powder of the Roots of Virginia Serpentary from half a Dram to a Dram Give it with a fit Vehicle or give Powder of the Root of Butter-burr a Dram after the same manner In ordinary cases give the Decoction of Gromwel of the Roots of Butter-burr or Virginia Serpentary or of the Roots and Seeds of the great Burr-dock In the French Pox a Decoction of Soap-wort or of the Raspings of Box and the like may supply the place of the Decoction of Woods which are of greater price 2. Sweating Medicines prepar'd from the Elementary parts of a mixt have for their Basis either a Spirit or a Salt sometimes simple sometimes combin'd with another Salt or with Sulphur Let Spirituous things be prescrib'd according to the following forms 1. Let the Spirit of Treacle Camphorated be given from half a Dram to a Dram or a Dram and a half in a fit Vehicle After the same manner many other Spirits distill'd from the Juices of Vegetables maturated by fermentation and appropriated to certain Distempers may be given to provoke Sweat when it is Indicated Of which kind are the Spirits of Black-cherries of the Berries of Elder Ivy and Juniper with many others the Spirits of Hartshorn Soot Blood and the like ought rather to be numbred in the rank of Salts 2. Diaphoreticks whose Basis are Spirits with other Elementary Particles combin'd may be prescrib'd after this manner Take of the simple mixture a Dram give it in a convenient Vehicle To this place also may be referr'd those things that consist of a Spirit fixt Salt or a Sulphur combin'd Of which kind are the Tincture of Salt of Tartar and Antimony The Dose of which are from a Scruple to two Scruples in some other Liquor Moreover distill'd waters in which the Spirituous Particles are diluted with watry ones are often given to provoke Sweat with good success Take Roots of Butter-burr and Valerian of each two Ounces of Zedoary Contrayerva Virginia Serpentary of each an Ounce and a half Flowers of Butter-burr four handfuls Saffron two Drams being slic'd and bruis'd pour to them four pounds of Sherry Sack distil it according to Art Let the whole Liquor be mixt the Dose is from two Ounces and a half to three Ounces Or take Roots of Angelica and Master-wort of each four Ounces of Zedoary Ele-Campane Swallow-wort low-wort Gentian the lesser Galingal of each an Ounce Tops of Carduus Rue Angelica of each three handfuls the middle Bark of the Ash six Ounces being slic'd and bruis'd add Mithridate Venice Treacle of each two Ounces Mix them and pour to them of Canary six pounds distill'd Vinegar two pounds distil it according to Art The Dose is three Ounces The Doses of the aforesaid Waters may be actuated by the addition of Chymical Liquors or Salts These sorts of Medicines endow'd with a Vinous Spirit are proper chiefly and in a manner only for old people and such as are of a cold temperament and are subject to the Plasy and Dropsy But in a hot constitution and when there is a fervent heat of the Bowels and a Feverish boiling of the Blood by scorching those and enflaming this too much they usually rather do hurt than good Diaphoreticks whose Basis is Saline as they are of a various nature viz. according as the Salt is volatile fixt Acid or Nitrous so they are of a different use and operation and hence in certain cases these and in others those and those are most propper to be given as we have before observ'd in Diureticks 1. Fixt and volatile Salt is most propper for those whose Blood very much abounds with a serous humour Moreover when at any time the Juice which Irrigates the Viscera and the Genus Nervosum begins to turn sharp as it usually happens in Hydropical and Cacochymical persons and in such as are subject to Convulsive Distempers those Medicines are most effectually give to cause a Sweat because that whilst they
is apt continually to be fus'd and precipitated into Serosities The Pores of the Body in the mean time being open and free for an Evacuation by Sweat Now the Blood is so apt to fusions and flowings for the most part from a predominancy of a Fluid or Acid Salt in it and sometimes the Nervous Juice growing sharp empties its Acid superfluities into the Blood and so precipitates its Mass into Serosities This excessive Sweating does not only arise from the vitiated Crasis and Fermentation of the Blood but sometimes from its depraved Accension and through an excess of Sulphur in it as sometimes through a deficiency of it In order to the Cure of this Over-Sweating the Therapeutick intentions must be chiefly these three First To take away or correct the ill habit or weakness of the humours Secondly gently to close the Pores of the Skin which are too open Thirdly To derive the Serum of the Blood and the watry superfluities to the Reins 1. The first of these is perform'd by those Remedies which destroy the predominancy of the Acid Salt in the Blood or Nervous Juice and which promote the Exaltation of the Sulphur if haply it grows weak for which ends Anti-scorbuticks Chalybeats Also medicines endow'd with a Volatile Nitrous or Alchalisate Salt most commonly prove effectual I shall set down certain forms of each of these Take Conserve of the Flowers of Cichory and Fumitory of each two Ounces Powder of Ivory Hartshorn Coral prepar'd of each a Dram Pearl half a Dram Species of Diarrhodon Abbatis a Dram Lignum Aloes Saunders both red and yellow of each half a Dram Sal Prunella four Scruples with a sufficient quantity of Syrup of Fumitory make an Electuary Give the quantity of a Wallnut in the Evening and the next Morning drinking after it either of the following Julap or distill'd water three Ounces Take the Waters of Fumitory and Wallnuts simple of each six Ounces the Waters of Snails and Earth-worms of each an Ounce Sugar six Drams Mix them make a Julap Take tops of Firr Tamarisk Cypres of each four handfuls of Myrtle two handfuls Leaves of Watercresses Brooklimes Agrimony St. Johnswort Harts-Tongue Fluellen or Speedwel of each three handfuls the outward Coats of twelve Oranges Being slic'd and bruis'd pour to them of Brumswick Beer eight pounds distill it in common Organs Let the whole Liquor be mixt and sweeten it at pleasure the Dose three Ounces twice a day Take Leaves of Dandelion Watercresses Plantain Brooklimes of each three handfuls being bruis'd pour to them of the distill'd water above written a pound wring it forth hard The Dose is from three to four Ounces in the Morning at Nine of the Clock and at Five in the Afternoon According to this method I use to prescribe in a failing of strength and Night-sweats after long Agues and if these remedies do no good we must come to Chalybeates Take Syrup of Steel six Ounces let a spoonful be taken in the Morning and at five in the Afternoon with three Ounces of the Water above prescrib'd Take Powder of Ivory of Coral prepar'd of each two Drams Crocus Martis Salt of Steel of each a Dram and a half Make a Powder the Dose is half a Dram twice a day with three Ounces of the same distill'd water Take Tincture of Salt of Tartar an Ounce The Dose is from twenty to thirty Drops twice a day with the distill'd water After the same manner may be given the Tincture of Coral and Tinctures prepar'd out of Gums and Balsams Moreover in these cases the Spirits of Hartshorn Vrine and Se et are given given with success The second intention for the Cure of excessive Sweating consisting in a due state of the Pores is perform'd in a manner only by outward Administrations For which end let the whole Body be anointed with Oyl of Date-kernels with an Oyntment of Orange Flowers and the like and let Linnen done over a little with the same be worn sometimes Bathing in cold Water or in a River sometimes change of Air may do well It seems here proper to speak a little of a certain troublesome Distemper relating to Sweating or at least to an excessive perspiration I often observe that some Persons have their Bodies so disposed that if upon any occasion the least Breath of Wind or Air comes upon them their Spirits are presently in a mighty trouble all their Powers are in a Consternation and their whole Body is discompos'd This extream tenderness in some Persons more than in others to take cold or to be offended with it happens either through the fault of the Animal Spirits or of the Blood or of the Pores of the Body to wit of one of them or of more of them together 1. First The Animal Spirits are sometimes in fault because being very weak they are not able to endure any thing harsh or rough outwardly pressing upon them but presently upon the appulse of the bare Air are put to flights and distractions And sometimes this Indisposition happens through their fault for that being degenerated and become of an eager restless and uneasie disposition they are put into disorder upon every such pressure of Air. Wherefore those who by reason of the Spirits so dispos'd become Hypochondriacal being also subject to the Affect before mention'd on every little occasion are troubled with Cold. 2. The Blood disposes to a habit of depraved Perspiration in a two-fold manner viz. both in respect of its temperament and of its mixture As to this latter oftentimes the Texture of the Blood is so loose and open that upon every light accident and espccially upon the appulse of a cold moist Air it 's presently stirr'd to fluxions and precipitations of Serosities insomuch that Persons who have such Blood dare not step forth of doors nay scarce look forth Again the Mass of Blood being often hot in its temper and very full of vapours Breaths forth Effluvia's very sharp and penetrative by which the Pores of the Skin being too much loosned and laid wide open the Spirits and the Vital Flame are expos'd to the injuries of the naked Air and the Winds more than they ought 3. The ill constitution of the Pores gotten either by sickness or other ways or being natural from our Birth very much inclines to that habit of depraved Sweating For in regard those passages being too wide do always in a manner gape the Blood and Spirits in the whole Body or in certain parts of it are not sufficiently guarded against the encounter of the outward Air. The Intentions for Curing this Distemper are chiefly these three ' viz. first to help the weaknesses or dejections or depauperations of the Blood and Spirits Secondly To take away their Dyscrasies if they have any Thirdly To procure a due Confirmation of the Pores The chief stress of this business consists in the first intention which regards the strengthning of the Animal Spirits and the inlargement of the whole sensitive Soul for
Tablet Sugar an Ounce and a half Juice of Licorice diluted and strain'd what suffices Make a Mass for Troches 7. Tablets TAke Species Diatragacanthi frigidi three Drams Powder of red Poppy Flowers Lac Sulphuris of each half a Dram Sugar dissolv'd in Poppy water and boil'd to a consistency for Tablets four Ounces Make Tablets weighing half a Dram. Take Species Diaireos and of Fox Lungs of each three Drams Flowers of Sulphur Elecampane Roots of each half a Dram White Benzoin a Dram Make a fine Powder and Oyl of Anniseeds a Scruple Sugar dissolv'd and boil'd to a consistency for Tablets eight Ounces Make Tablets weighing half a Dram. 8. Powders THese though seldom yet sometimes are given in a Cough and affects of the Lungs with good success Take of the Reddish tops of ground Ivy what suffices being bruis'd let them be made into a Cake and presently dry'd in the Sun then reduce it into a fine Powder and keep it in a Glass this Plant retains its vertue with its smell and colour excellently well for a long time beyond all Conserves and Syrups and is of wonderful efficacy in a great and obstinate Cough Give from half a Dram to a Dram twice a day with a distill'd water or Pectoral Decoction After the same manner Powders are prepar'd of other Pectoral Plants and are given with good success Take Cup-moss three Drams Lac Sulphuris a Dram Sugar-candy half a Dram Make a Powder the Dose is from a Scruple to half a Dram twice a day This Powder is proper for those that are troubled with a Convulsive or Chin-Cough Take Flowers of Sulphur Olibanum Ceruse of Antimony of each two Drams divide it into twelve parts Give one Mornings and Evenings in a spoonful of some fit Vehicle 9. Pills TAke Aloes Rosat or rather Pilul Ruffi Flowers of Sulphur of each a Dram and a half Flowers of Benzoin a Scruple Juice of Licorice diluted with water of Snails what suffices Make a Mass form it into little Pills let four of them be taken at Night repeating the Dose every Night or every other Night Take Powder of Elecampane Roots Licorice and Flowers of Sulphur of each a Dram Flowers of Benzoin half a Dram Tar what suffices Make a Mass and form it into small Pills the Dose is three or four at Night and early in the Morning Take Millipedes prepar'd two Drams Powder of the Seeds of Nettles and Burdock-seeds of each half a Dram Oyl of Nutmegs drawn by distillation a Scruple Salt of Amber half a Dram Juice of Licorice what suffices Make small Pills let three of them be taken at Night and in the Morning 10. Decoctions THese are taken either by themselves or with Milk added to them Among those of the first kind the Pectoral Decoction according to the London Dispensatory first presents it self which is to be taken twice a day from four Ounces to six or eight Take Leaves of ground Ivy Maiden-hair Harts-Tongue Coltsfoot Agrimony of each a handful Roots of Chervil Butchers-broom of each an Ounce Seeds of Carthamus and sweet Fennel of each half an Ounce boil them in six Pounds of fountain water till half be consum'd adding towards the end either of Licorice three Drams Raisins ston'd two Ounces and six Jujubes or of the best Honey three Ounces Make an Apozeme Scumming off the Froth and Clarifying it with the white of an Egg. The Dose is six Ounces warm twice or thrice a day Decoctions to be taken with Milk are us'd Mornings and Evenings instead of a Breakfast and a Supper according to the manner following Take great Daisie Flowers a handful Snails cleans'd in number three Candied Eringo Roots half an Ounce Barley three Drams boil them in a Pound and a half of fountain water to a Pound Take from six Ounces to eight warm adding as much of Milk and afterwards let the quantity of this be encreased by degrees After the same manner let Cup-moss also the Leaves of ground Ivy St. John's-wort and of other Pectorals be boild and taken with Milk Decoctions of Woods frequently conduce very much to the Cure of an obstinate Cough especially being taken constantly for some time instead of Beer as an ordinary Drink Take Roots of Sarzaparilla four Ounces of China two Ounces red and white Saunders of each half an Ounce shavings of Ivory and Hartshorn of each three Drams Let them infuse according to Art and boil in eight Pounds of fountain water to four Pounds adding to it of Licorice six Drams Raisins ston'd an Ounce and a half In a Phlegmatick or cold Constitution add Raspings of Guaiacum 11. Distill'd Waters EVery Man may make many and different Forms of these as occasion requires and according to the Constitution of the Patient they may choose sometimes Milk alone sometimes Milk with some part of Wine sometimes Ale or Brunswick Beer I shall give you a Specimen of these as follows Take Leaves of ground Ivy Hyssop Pennyroyal of each four handfulls Snails half boil'd in their shells two Pounds Nutmegs slic'd in number six All of them being small shred together pour to them of new Milk eight Pounds Distil them in common Organs the Dose is three Ounces twice or thrice a day by it self or with some other Medicine When it s taken let each Dose be sweeten'd with Sugar-Candy or with Syrup of the Juice of ground Ivy. In a Constitution that is not hot especially if there be no fervent heat of the Blood or Praecordia to six or seven Pounds of Milk add of Canary Wine a Pound or two and in a Phlegmatick or Aged Body instead of Milk let the Menstruum be Ale or Brunswick Beer Moreover in the Winter when Snails are not easily or scarce at all to be gotten the Lungs of a Lamb or of a Weather may properly enough supply their place and sometimes also those of a Calf half boil'd and slic'd very small and let them be distill'd with the foresaid Ingredients and added to a fit Menstruum in common Organs or a Rose-still In this Classis where it s treated of a Cough not yet arrived to a Phthisick we may aptly range the Convulsive or suffocating Cough of Children commonly called the Chin-Cough This Disease chiefly assaults Children and Infants and at certain times viz. in the Spring especially and Fall it s usually Epidemical The Diseased have frequent and very cruel fits of Coughing in which the Organs of Respiration do not only greatly labour but likewise being affected with Convulsions variously interrupt suspend or pervert their Actions But for the most part the Diaphragm being seiz'd with Convulsions by it self or by the impuise of other parts obstinately so continues for a very long space sometimes its Contraction and sometimes its Dilatation that Inspiration or Expiration being hindred for a time the Vital Breath can scarce be drawn at all so that the Coughers cry out as though they were strangled and their Countenance turns black through the Stagnation of
which answering the Secondary Indication prescribes ripening and expectorating Medicines the Forms following are proper Take Linseed Oyl fresh drawn three Ounces Syrup of Violets two Ounces Hyssop water half a pound Mix them in a Glass take two or three Ounces thrice a day shaking the Glass first Take Olibanum powdred a Dram put it in an Apple made hollow and let it Roast in hot Embers Let it be eaten going to Bed and let the person do this three or four times Take Oyl of sweet Almonds fresh drawn Syrup of Maiden-hair of each an Ounce and a half Sugar Candy two Drams Bruise them in a Glass Mortar till they are throughly mixt Make a Linctus and take of it often with a stick of Licorice Take also a spoonful of it thrice a day in a draught of Posset-drink As to the rest the Remedies prescrib'd in a beginning Phthisick are good also here I shall now give you an example or two of Persons affected with a Peripneumonia Whilst I was writing these things I was call'd to one very ill of a Peripneumonia This Person being about Fifty Years of Age of a lean Body and a Bilious temperament upon taking Cold fell into a Feaver with a Cough a pain in his Brest and a difficulty of Breathing Having so lain ill four days without any Remedy or Physical Administration I found him in a high Feaver with a Thirst and mighty Inflammation of his Praecordia and fetching Breath with great Pain and difficulty his Thorax much labouring and being troubled with a wheezing in the Wind-pipe so that he seem'd manifestly in the very Agony of Death His Pulse though quick and troubled yet being strong enough I presently ordered eight or ten Ounces of Blood to be taken from him By which finding some ease after three hours intermission a Glyster being first Administred I ordered him to Bleed again to twelve Ounces Moreover I directed him to take twelve drops of Spirit of Hartshorn every sixth Hour with a proper Julape and betwixt whiles a Dose of the following Powder Take Powder of Crabs Eyes and Sal Prunella of each a Dram and a half Pearl a Dram Sugar Candy two Scruples Make a Powder divide it into eight parts He took also a Draught of a Pectoral Apozeme often at pleasure by the use of these things all the Symptoms began to abate within three days and the night following he sweated and slept a little The Day after he was Blooded again and afterwards the same Medicines being continued he perfectly recovered within four or five days The Blood taken from him was always in its surface viscous and ill coloured A Gentleman of a Sanguine Complexion and a strong habit of Body after immoderate drinking of Wine fell into a Feaver with a dangerous Peripneumonia so that thirst and heat very much pressing him and sitting upright always in his Bed or in his Chair and almost continually panting he had very much ado to draw in Air enough to support Life He being not able to lose much Blood at a time I drew Blood twice or thrice from him one day after another frequent Glysters were Administred Moreover Apozemes Julapes also Spirit of Sal Armoniack and Powders of Shells were given him by turns Within four or five days the Feaver abated somewhat and he began to breath better and to take now and then short sleeps though he complain'd still of a mighty heaviness upon his Breast and an intolerable oppression of his Lungs Wherefore bleeding being no longer safe I apply'd large Vesicatories to his Arms and Legs The Blisters in his Arms dry'd up in a short time but those on his Legs did not only continue open but ran mightily after five or six days and so for near a Month daily discharg'd a vast quantity of a most sharp humour In the mean time his Lungs grew better by little and little and at length were wholly freed of their incumberance Lastly The Blisters rais'd by the Vesicatories could very hardly be throughly Cur'd and not without frequent Purging CHAP. IV. Instructions and Prescripts for the Cure of the Pleurisie THe Pleurisie is an Inflammation of the Pleura caus'd by a boiling Blood flowing into it through the Vertebral Arteries and there growing clammy with a continual and acute Feaver a pricking pain of the side a Cough and a difficulty of breathing When a Pleurisie commencing passes into a Peripneumonia or an Empyema or inclines to a Phthisick there is a proper method of Cure particularly set down in each of those Diseases for it But as to what concerns our present purpose Three Indications present themselves for a primary and simple Pleurisie viz. a Curatory Preservatory and Vital one The First Indication takes care that the Inflammation or Obstruction of the Blood in the Lungs be remov'd by all possible means as soon as may be Wherefore in a Pleurisie let a Vein be open'd and so the strength holds and the Pulse be strong let the Person bleed freely and truly it is much better to take a large quantity of Blood at first and every time after as often as there is need to repeat it than to Bleed often and to draw a a little at a time because a great many portions of the Blood grown clammy and degenerated into a viscous nature are gathered together about the part affected which unless withdrawn from thence upon a great emptying of the Vessels by a large emission of Blood so that the greatest part of them flow forth the bleeding will be frustrated of its desired affect It s all one in which Arm the Vein be open'd though it s now commonly done on the side affected But if by reason of the weakness of the Pulse and the failing of the Animal faculty you ought neither to Bleed at First nor to repeat it though the pain be very urgent then Cupping-Glasses with a Scarification being apply'd to the place griev'd may very well supply its place Moreover to take away the Inflammation of the Pleura besides an Evacuation of Blood by breathing a Vein freely or by Scarification its Serous and other Excrementitious humours must also be set upon and be gently purg'd forth of its Mass and from the Bowels by Siege Urine and Sweat Strong Purges are justly forbidden because they trouble the Blood and force it farther into the Places affected and Antimonial Vomits though approved by some are neither safe nor grounded upon reason Let Glysters be frequently or rather daily Administred nay and sometimes gentle Purges may be allow'd so the Feaver be not very great qualifying Julapes and Decoctions and things gently moving Sweat or Urine such as before prescrib'd for the Peripneumonia are also proper here Let all hot things of a sharp or smart nature whether they are Spices or things containing a Vinous Spirit be carefully avoided The Second Indication being for preservation and directed against the clamminess and effervescency of the Blood prescribes those Medicines which consisting of a Volatile
quick motion of his Body or his going up a steep Ascent tormented him above measure he could not rest long on either side but was forc'd to lye always on his Back and with his Head raised And if he try'd to lye on either side presently a pain followed the Position of his Body and if haply he rolled himself from one side to the other the pain also being presently remov'd he felt as it were waters floating from one place to another So if he let his Body hang downwards over the Bedside he presently felt waters falling towards his Clavicular Bones Moreover if at any time his Body was heated more than ordinary by motion the heat of a Bed or of a Fire presently he felt in his Brest a boiling as it were of waters on the Fire and at the same time complained of a Giddiness and of a little fainting of his Spirits Being well satisfied by a due consideration of these things that he had a Dropsie of the Brest I prescrib'd the Method and Medicines following with success Take Calamelanos fifteen Grains Rosin of Jalap half a Scruple Syrup of Roses solutive what suffices make three Pills He took them early in the Morning and had twelve Stools which gave him great ease Then again on the third day he had only four Stools by the same Medicine though with greater relief to him than before He took afterwards for many days of a Diuretick and Pectoral Apozeme six Ounces And Lastly the same Purge being repeated he grew perfectly ivell SECT 2. Of Medicines regarding the Region of the Belly CHAP. I. Instructions and Prescripts for the Cure of the Jaundise AS to the method of Curing this Disease there are three Primary Indications all which since we are in a manner always at a loss which of them is the chiefest and first to be put in Practise must be prosecuted together Therefore the Intentions of Curing must be First That the obstructions of the Ductus's must be open'd if haply there are any either in the Porus Biliarius or Meatus Cysticus or elsewhere about the Liver or Vessels that convey the Choler Secondly That the Blood be reduc'd to its due temper and Crasis lest it engender Choler in too great a plenty or render it unapt for separation Thirdly That the strength be upheld and that the Symptoms chiefly prejucicing it be provided against 1. To satisfy the First Incication Cathartick evacuations both by Vomit and Seige are greatly conducing with which the descent of the Choler towards the Intestines is Irritated and the obstructed Vessels being by this means mightily agitated are freed from their stoppages Secondly We must give Medicines that are smart bitter and salt and others endow'd with a certain instigating vertue which may sharply stir up the motion of the Gall gathered together in the Liver and there stagnating In this place also we must range such Medicines as are thought to be good against the Jaundise by a similitude of substance and as it were by a Signature viz. as being endow'd with a yellow Juice though many of these because they move Urine or Sweat may aptly enough be plac'd in the same rank with the former viz. amongst evacuative Medicines The Second Indication requires altering Medicines altogether viz. such as may depress the exaltations or wild efforts of the Sulphur and fixt Salt and help to the restitution of the Volatile Salt which was depress'd before For these purposes Medicines containing an Acid or Volatile Salt and likewise Chalybeats will do excellently well Hence Spirit of Salt of Vitriol Juice of Limons also Spirit of Hartshorn and Sheeps dung Goose dung Crocus Martis and other preparations of it of divers kinds are often prescrib'd in the Jaundise with good success The Third Incication being for the support of the strength and for removing Symptoms that prejudice it suggests to us many and diversifyed manners of Curing but to avoid tediousness I shall only set down certain general Rules concerning Diet and some Cordial and Anodine Remedies peculiarly proper in this case The Therapeutick Indications being thus laid before you it remains for us now to adjust Select Medicines viz. both simple and compound to each of those Intentions before propos'd and to explicate the manners and ways of operating of those Remedies which are accounted of most note in this Disesse First therefore we shall set before you the Forms of Evacuating Medicines appropriated to the Jaundise 1. Vomits EMetick Medicines most commonly are of good effect in a new Jaundise whilst the tone and strength of the Viscera hold good forasmuch as they both ease the Ventricle of its offensive load of viscous Phlegm with which its in a manner always opprest in this Disease and likewise by irritating the Vessels which convey the Choler and strongly shaking the Ductus's of the Liver they clear them of their stoppages and bring the Choler to pass by the ways it formerly was wont Take of the Infusion of Crocus Metallorum from half an Ounce to six Drams Vinegar of Squills an Ounce Oxymel simple half an Ounce Make a Vomit to be taken with governance Sometimes it is proper to give the Evening before the following Mixtrue as a preparation to facilitate the Vomiting Take Powder of the Roots of Asarabacca Faecula of Aron Roots of each a Scruple Tartar vitriolated half a Scruple Oxymel simple an Ounce Mix them Take Sulphur of Antimony seven Grains Scammony sulphurated eight Grains Cream of Tartar half a Scruple Make a Powder give it in a spoonful of Panada Take Nine Leaves of Asarabacca being slic'd and bruis'd pour to them of Whitewine three Ounces press forth the Juice give it in the Morning with governance Take Cambogia prepar'd eight Grains Tartar vitriolated seven Grains Make a Powder Catharticks PUrging Medicines have place in this Disease whether it be new or inveterate viz. both that the plentiful supply of Excrements be now and then clear'd from the first passages and that the Vessels that convey the Choler be stirr'd up to excretion Take Electuary of the Juice of Roses three Drams Rhubarb a Dram Salt of Wormwood Cream of Tartar of each half a Scruple Syrup of Rhubarb what suffices Make a Bolus Take Roots of sharp pointed Dock prepar'd an Ounce tops of Sea Wormwood and of the lesser Centory of each two pugils Roots of Gentian and Turmerick of each two Drams yellow Saunders a Dram boil them in a pound and a half of fountain water to a pound towards the end add of the best Sena six Drams of the best Rhubarb three Drams Agarick a Dram and a half Coriander-seeds two Drams Whitewine two Ounces let them boil close covered for two hours then strain it and let it settle till it be clear The Dose is from four Ounces to six with Syrup of Rhubarb an Ounce water of Earth-worms three Drams Make a Potion to be taken for three or four days together or every other day In a weaker Constitution TAke
with common Organs Let all the Liquor be mixt the Dose is three Ounces sweeten it with Sugar or some proper Syrup If a Form of Pills be more grateful the following Ecphractick Extract as the Shops call it seems good Take white and clear Tartar and fresh Filings of Iron of each four Ounces let them be bruis'd together into a Powder then boil it in four pounds of fountain waâ—â—â— to two pounds some use White-wine to the straining add tops of Centory Sea Wormwood and Carduus of each a handful Gentian Roots half an Ounce Species Diacurcumae a Dram and a half let them boil close cover'd for three or four hours then strain it and let the straining evaporate by a gentle Bath heat to a consistency for Pills adding if you please Troches of Rhubarb or Species of Hiera Picra two Drams The Dose is from a Scruple to half a Dram made into Pills in the Evening with a fit Vehicle For the same intent viz. to prevent or remove obstructions of the Liver a Purging Physick Ale to be taken Spring and Fall for many days is highly extoll'd by some and diligently us'd by certain Persons every year during their Lives Take Roots of sharp pointed Dock prepar'd and of Polypody of the Oak of each three Ounces Madder two Ounces English Rhubarb two Ounces Leaves of Sena four Ounces Epithymum two Ounces yellow Saunders an Ounce Seeds of Carthamus and Coriander of each an Ounce and a half being slic'd and bruis'd Make a Bag according to art for four Gallons of Ale after six days take to twelve Ounces more or less in the Morning by which you may expect four or five Stools Sine Regimine CHAP. III. Instructions and Prescripts for Curing the Dropsie call'd Ascites THe Dropsie call'd Ascites is a tumour of the Belly caus'd by a Watery Humour contain'd within its Cavity which Humour probably is the Serum of the dissolv'd Blood distilling forth of the Caeliack and Mesenterick Arteries into the Cavity of the Abdomen and especially if it happens that Scirrhous Tumours Glands little Swellings or other praeternatural Concretions are rais'd about the Mesentery Liver Spleen Womb or other Viscera of the Belly for the Circulation of the Blood being stopt in those places the Serous part of it is forc'd from the rest and falls into that Cavity and commonly the Nutritive Juice goes with it wherefore when this Region swells the Members are usually extenuated Nevertheless the Blood is not always dissolv'd in an Ascites as it is in an Anasarca but is sometimes too compact in its Crasis yet so that its forc'd by reason of the Obstructions of the Viscera to depose within the Abdomen its Salt Serum which it could not evacuate by the Pores of the Skin and the Urinary passages It s also likely that the Lacteous or Lymphatick Vessels being sometimes broken or opened fill the Abdomen with a Mass of Water or Chyle I conceive also that this Inundation of the Belly may sometimes arise from the Nervous Liquor distilling gently and insensibly from the Fibres and Membranes And likewise from vapours condens'd within the Cavity of the Body Concerning the Cure of Ascites we must consider by how many possible ways and manners waters gathered together within the Abdomen may be evacuated And we find that the Remedies which according to the ordinary practice of Physick are accounted Hydroticks work that end by Purging by Evacuation by Urine by Sweating and by insensible transpiration and with some Persons you must proceed this way and with others that or the other and if neither of these seem possible or succeed well you must timely think of an Incision I shall now consider each of these ways First therefore Catharticks seasonably given often abate the Tumour of an Ascites and sometimes wholly take it away for asmuch as their Particles irritating the Ventricle and Intestines discuss the Contents and Flatus's of those Viscera and likewise the humours sticking in their Tunicles and Glands and heap'd together in the Vessels and Ductus's of their neighbouring parts and force them partly into to Ductus's of the Intestines and partly send them into the Mass of Blood But it does not succeed thus if at any time this Disease proceeds from a Lympha floating within the Cavity of the Abdomen or from an Inflation or Tympanitical extention of the Membranes because Hydragogues carry forth little or nothing of those waters and if they are strong exasperate and increase the Flatulent Distemper Catharticks accounted Hydragogues are either Emeticks or Purgers 1. The Hydragogue Emeticks of chiefest note are Gum Gutta Esula or Cataputia and diversified preparations of them Also Hercules Bovii Pilulae Lunares 2. The Purgers are Elder and Dwarf Elder Sea Bindweed Hedge Hyssop Juice of Orris Elaterium I shall briefly set down certain Forms and manners of prescribing compounding and giving each of these 1. Gum Gutta is highly extoll'd for Purging Serous humours but in regard being given by it self it mightily disturbs the Stomack and often weakens it therefore to repress a little its excessive and violently Emetick force various ways are contriv'd for preparing it but it s best of all corrected with an Acid Spirit or with an Alchalisate Salt or by throughly tempering and compounding it with Aromaticks Adrian Mynsicht commends its Magistery which is made by dissolving it with Spirit of Wine and then by drawing it off and preciptiating it with fountain water also by dissolving it with Spirit of Wine Vitriolated and Ting'd with Roses and red Saunders and then by evaporating it others prepare it with the fume of Sulphur after the manner of Scammony Sulphurated Others grind it on a Marble moistning it with Oyl of Cinnamon or of Cloves or other Chymical Aromaticks I use most its Solution made with the Tincture of Salt of Tartar The Dos of which is from fifteen Drops to twenty or thirty Take Gummi Gutta six Grains Mercurius Dulcis fifteen Grains Conserve of Violets a Dram and a half Mix them make a Bolus Take Gummi Gutta twelve Grains Salt of Wormwood six Grains Oyl of Mace a Drop Conserve of Damask Roses a Dram Make a Bolus And its wont to be given with Tartar Vitriolated or Cream of Tartar and powdre of Rhubarb Take Gum Gutta sulphurated or vitriolated fifteen Grains Croam of Tartar half a Scruple Extract of Rhubarb a Scruple Oyl of Cinnamon two Drops Make four Pills A Woman of late being ill of a dangerous Ascites and as it seem'd to me in a desperated condition by taking the following Medicines for six days successively grew much better and in a short time after perfectly recovered Take Gum Gutta powdred twelve Grains Oyl of Cinnamon a Drop Syrup of Buckthorn what suffices Make a Bolus let the Dose be encreas'd every day by rising from twelve Grains to twenty Take of our Tincture of Gum Gutta a Scruple water of Earth-worms an Ounce Syrup of Rhubarb half an Ounce Mix them give it Cum Regimine
Make a Mass and form it into Pills Certain Hydragogue Electuaries are now every wher much in use amongst Practitioners and especially one given us by tye famous Sylvius and another by Zwelfer This that follows likes us well Take Rosin of Jalap two Drams Tartar vitriolated a Dram Extract of Rhubarb two Drams of Esula a Drm and a half Roots of the lesser Galingal a Dram bruise them very well And lastly add Conserve of English Orris Flowers four Ounces and with a sufficient quantity of Syrup of Peach Rlowers Make an Electuary the Dose is from half a Dram to a Dram and a half or two Drams I might here give you many other Purging Hydragogues but Catharticks do not always Cure the Ascites nay they often make it worse and if you insist too long upon them render it Incurable Therefore now let us enquire whether Diureticks will do good in this case or not And truly any Man might easily be induc'd to believe that Medicines provoking Urine contribute very much towards the Evacuation of Waters from any part or Cavity of the Body In reality its manifest by frequent experiments that they often Cure the Anasarca and give relief in it before all other Remedies Let us see therefore what they can do for draining the Cavity of the Abdomen As to this its manifest in the first place that there is no immediate passage open from the Ascitical Mass of Waters to the Reins how near soever they lye to them but whatsoever waters are conveyed from that Mass to the Reins must of necessity be first of all drank up again into the Blood and be thence discharg'd into that receptacle of the Urine Now little is it that the small Mouths of the Veins if haply any of them are open can receive And this is that only thing which Diureticks are able to perforem viz. By fusing the Blood and driving its Serosities to the Reins in a plentiful manner to make it draw to it self being so drein'd the Waters floating in the Belly In the mean time there is no less danger lest Diureticks unseasonably given whilst they fuse the Blood too much drive the Serum which is forc'd to part from it into the watery Mass of the Ascites more than into the Reins and so rather to increase than remove that deluge of the Belly And truly I have frequently observ'd that this sometimes happens and 't is for this reason tha the Ancients always mixt Astringents and Corroboratives in their Medicines for the Dropsie not that such as is vulgarly said strengthen the tone of the Liver but preserve the Crasis or Mixture of the Blood from being wholly dissolv'd by too much fusion Therefore in an Ascites which happens chiefly or in part by reason that the Serous humour stuffs and mightily swells the Compages of the Viscera and Vessels and especially the Tunicles Glands and Fibres themselves and the spaces betwixt them even as Cathartieks are proper so are also Diureticks and are often taken with success for as much as by the use of these the Mass of Blood is drein'd the Serum being deriv'd to the Reins in a plentiful manner and readily receives into it self those waters every where stagnating about the Mouths of the Vessels and conveys them to the Urinary Common-shore But on the contrary in a true Ascites where the Textures of the Viscera being free from such stuffings with Serum the filthy Mass of Waters fills the Cavity of the Belly Diureticks are given either to no purpose or with prejudice because they fetch out nothing of the water stagnating in the Belly and very often by fusing the Blood drive the waters more violently thither being apt to distil into it of their own accord In an Ascites all Diureticks of every kind are not equally proper nor ought to be indifferently give for it is to be observ'd that Persons troubl'd with this Disease make little Urine which is also reddish and resembling as it were a Lixivium which is a sign that the Crasis of their Blood is so close bound by reason of the fixt Salt and Sulphur being exalted and combin'd together in it and consequently that its Serum is not duly separted within the Reins which nevertheless is thrown off in the Involutions of the Obstructed Viscera and so is depos'd in the Cavity of the Belly Wherefore in this case we must give only those things to move Urine which so restore and corredct the Constitution of the Blood that the Irregularities of the fixt Salt and Sulphur being taken away the Serous part may be separated within the Reins and sent forth in a more plentiful manner For which end not Acid or Lixivial things but such as are endow'd with a Volatile Salt are proper for I have often observ'd in such Patients that when Spirit of Salt and other Acid distill'd Liquors of Minerals and when the Deliqia or Solutions of Salt of Tartar of Broom and of other things have rather done hurt than good the Juice of Plantain of Brooklimes and of other Herbs abounding with a Volatile Salt also the expressions of Millepedes have given relief For the same reason Sal Nitre throughly purified or Crystal Mineral has often a mighty good effect You may find Forms of Medicines proper for this use in our preceding Tract where we have set down Examples of Diureticks in which both Volatile and Nitrous Salts are the Basis Moreover to this place belongs that notable Experiment with which Johannes Anglus says he often Cur'd an Ascites from a hot Caus which Medicine also the most experienc'd Physician Dr. Theodore Mayern usually prescrib'd in the like Case and was wont to extol It is as follows Take Juice of Plantain and Liverwort and fill an earthen Pot with it to the Brim then stop it very close and put it in a hot Oven as soon as the Bread is drawn and make a gentle Fire round the sides of the Pot to continue the heat of the Oven after it is boild strain the Liquor and being sweeten'd with Sugar let it be drank Mornings and Evenings and it Cures In Imitation of this I have often prescrib'd with success after the following manner Take green Plantain Leaves four handfuls Liverwort and Brooklimes of each two handfuls being bruis'd together pour to them of small Compound Raddish water or of some other Magisterial water half a pound wring it forth hard The Dose is three Ounces thrice a day Diaphoreticks though most efficacious in an Anasarca yet are of little or no use in an Ascites for being unseasonably given they often cause a great prejudice to the Patient without doing him the least good because by heating the Blood they make the waters floating in the Cavity of the Belly to grow fervid and to boil as it were so that the Spirits and Humours are mightily troubled by the Vapours thence rais'd and so a disorder of all the functions follows and the Viscera themselves being sodden as it were are very much
injur ' Moreover when a Sweat is thus unduly rais'd the Blood being forc'd to a fusion and precipitation of Serum discharges more yet into the watery Mass of the Ascites therefore when some prescribe Fomentations and Liniments to be apply'd to the swollen Paunch and order Bathing for the most part it falls out for the worse to the Patients for besides Feverishness a Head-ach Vertigo faintings of the Spirits and other ill Symptoms of the Heart and Brain most frequently caus'd by such means the Belly also swells the more by it because the Blood being agitated and dissolv'd deposes the Serum there in a larger measure Nay and the Mouths of the Vessels are thereby made more loose and open so that they distil forth waters faster they being now dispos'd to part from the Mass of Blood The Remedies which are wont to be Administred with most success when we will not proceed to an Incision are Glisters and Plaisters The former draw the Serum out of the Vessels and Glands of the Intestines and Mesentery without fusing the whole Mass of Blood which strong Catharticks will do which being so emptyed receive into them some of the extravasted Lympha For this end the following Glister usually prescrib'd by us in the like case is mighty proper in regard at the same time it irritates the Fibres of the Intestines and draws the Serum imbib'd by the Blood or before contain'd in it to the Reins Take Vrine of a sound Man that drinks Wine one pound Venice Turpentine dissolv'd with the Yolk of an Egg an Ounce and a half Sal Prunella a Dram and a half Make a Glister repeat it daily Plaisters sometimes do good in an Ascites but let them be such as strengthen the Viscera by some restringent and comforting vertue and help to close the Mouths of the Vessels that they do not dicharge the Serosities in too great a plenty For this end I usually apply Emplastrum Diasaponis to the swollen Belly with good success Or Take Emplastrum de minio and Paracelsi of each what suffices Make a Plaister to be apply'd to the Belly If at any time this Disease be complicated with a Tympany other sorts of Epithems are proper as we shall decalre hereafter The great and most present Remedy for an Ascites is to make an Inision and draw forth the water tho this practice as often Kills the Patient as Cures the Disease wherefore there is need of great caution in what Persons and in what time of the Disease this ought to be attempted In Cachectical Persons and such as have been long ill in whom the Conformation and temperament of the Viscera are generally vitiated it cannot prove of any good effect to let forth the waters by piercing of the Belly for presently upon it the Spirits faint the strength is dissolv'd nay and a fresh inundation of the Morbifick humour soon succeeds it But those who before having a good constitution of the Viscera and being sound enough as to all other parts fall into an Ascites upon some great evident cause as they need not presently at first attenmpt an Incision so they ought not to defer it long if it be judg'd requisite For upon a long delay the Viscera which are immerg'd in the waters and as it were sodden in them become incorrigibly vitiated It s besides my purpose to describe here the Administration of this Incision whether it be perform'd the ordinary way or according to the way of Sylvius with a Perforated Needle As physicians seldom prescribe this operation they looking upon it as dangerous so Quacks and Empiricks never consulting them attempt it very often inconsierately and uprosperously For conclusion I shall here give you a relation of a true and terrible Ascites lately Cur'd without an Incision A young Woman tall and slender an Merchants Wife giving Suck to her Child drank both by day and by night to increase her Mild an immoderate quantity of Ale sometimes plain and sometimes made into Posset-drink after having us'd this ill way of Diet for six Weeks she feel suddenly into a cruel Ascites the beginnings of which she never had minded for her Abdomen being full of waters floatig within it swell'd mightily and its Bulk when she turn'd her self from one side to the other fell without the Ilia and the borders of the rest of her Body in the mean time the Flesh of all her Members was mightily consum'd and she seem'd not less Consumptive than Hydropical The Child being wean'd and better Diet ordered she entred upon Physick and in the first place took gently Hydragogues both Purging by Siege and Urine but without any benefit nay after all Purging she was worse Afterwards being Committed to our care and almost in a desperate condition I proceeded with her after the following method Having wholly forbidden her the use of Ale and all other drinks but what were Physical I prescrib'd these things Take Leaves of Plantain Brooklimes Clivers of each four handfuls being bruis'd together pour to them water of Earth-worms and Radish-water Compound of each three Ounces wring ti forth she took it twice a day viz. at eight of the Clock in the Morning and at five in the Afternoon she continued the use of this Medicine a long time but altered now and then the Composition changing sometimes the Herbs sometimes the Liquor to be poured to them Take of the reddest Tincture of Salt of Tartar an Ounce and a half she took twenty Drops going to Bed and early in the Morning in two spoonfuls of the following Julape drinking after it seven spoonfuls Take of the reddest Tincture of Salt of Tartar an Ounce an da half she took twenty Drops going to Bed and early in the Morning in two spoonfuls of the following Julape drinking after it seven spoonfuls Take water of the Flowers of Elder and of Saxifrage of each six Ounces the waters of Snails Earth-worms and Radish Compound of each two Ounces On her Belly she wore a Plaister made of Empl. de Minio Oxycroceo The following Glyster was given her first every day afterward every other or third day Take Vrine of a sound Man a pound Turpentine dissolv'd with the Yolk of an Egg an Ounce and a half Sugar an Ounce Sal Prunella a Dram Make a Glister By the constant use of these things in six Weeks time the swelling of her Belly came down but her flesh daily falling away a Consumption was fear'd Wherefore to prevent it she went into the Country and drank Asses Milk and by the benefit of this nourishment and of the fresh Air taking continually the above mention'd Medicines she recover'd perfectly within three Weeks or a Month and lives still and is in good health CHAP. IV. Instructions and Prescripts for Curing the Tympany A Tympany may be thus defin'd or at least describ'd viz. that it is a fixt and continued tumour of the Abdomen equal hard stiff yielding a sound upon striking taking its rise from a sort of
Convulsive Inflation of the Membranous Parts and Viscera by reason of the Animal Spirits being driven into those Fibres in too great a plenty and there hindred from a Recess through the fault of the Nervous Juice obstructing it To which affect a gathering of Winds in the empty places is consequently added for compleating it That we may have timely notice of its beginning we must understand that there are some previous affects which dispose to it as especially a Hypochondriack Colick Hysterick and sometimes an Asthmatick disposition And if after frequent returns of Fits in any of these Distempers a tumour of the Abdomen follows though never so small at first a Tympany is presently to be fear'd A Tympany seldom kills of it self but after it has continued a long time to make more sure work it joyns to it self at length an Ascites as a forerunner of death In order to the Cure of a Tympany as in most other Diseases there are three primary Indications whereof the first and always the most pressing being Curatory endeavours to remove the tumour of the Abdomen by recalling the Animal Spirits from that Convulsive extention and reducing them to order The Second being preservatory keeps those Spirits or others from inordinate excursions into the Nervous Fibres of the Belly and at the same time corrects the faults of the Nervous Liquor accompanying them as to its Crasis or Motion The Third is Vital and by removing the Symptoms that are most pressing relives and upholds as much as may be all the functions that are opprest or weakned The First Indication is always of chiefest moment the whole stress of the Cure consisting in it but it s very difficult to be perform'd For it does not readily occur to us with what remedies or ways of Administration it ought to be attempted Bleeding has no place here but in a manner always is shun'd as hurtful also Catharticks for as much as they irritate the affected Fibres and trouble the Spirits and drive them more violently into those Fibres do rather increase than diminish or Cure the tumour of the Belly So likewise Diaphoreticks force the Spirits together with the Morbifick Particles deeper into those Fibres from which they ought to be summon'd forth and withdrawn The chief means of Cure seems to be plac'd in the use of Diureticks and Glisters and great things are likewise expected from Topicks because they are apply'd more immediately and by contact to the Disease it self and because we see they excellently dissolve or discuss tumours in other places but all dissolvents are not proper here even though in other tumours they are very Medicinable For those that are hot being accounted discussors most commonly rather do hurt than good in a Tympany whether they are us'd as a Fomentation or Liniment or apply'd in the Form of a Cataplasme or Plaister For they both open and dilate the Ductus's of the Fibres so that they lye more open to the Inroads of the Spirits and at the same time rarify the Particles sticking in them so that they coming to occupy a greater space the Inflation and Swelling of the Belly is augmented Lastly as to Alteratives even of those which do good against other affects of the Genus Nervosum only some few are proper in a Tympany for where the Morbifick matter sticking within the strait Ductus's cannot be driven forwards or quite through Elastick Medicines by fastning the matter deeper render the obstruction still greater or more fixt Wherefore the Spirits of Harts-horn Soot Sal Armoniack and so Tinctures Elixirs and other Medicines endowed with a Volatile Salt or Particles otherwise active do not only cause a very troublesome heat and drought in persons troubled with a Tympany but also make the Abdomen swell more because they trouble the Spirits and fuse the Blood and Nervous Juice so that the Particles deposed by each of these are forc'd into the parts affected Nowwithstanding Physick can do so little against this Disease we must not cease to move every stone in order to Cure or give ease to the Patient Therefore in the First place because it is the Custom to begin with Evacuatives though strong Catharticks always do hurt and the more gentle are scarce ever able to carry off the Conjunct Cause yet these latter for as much as they withdraw somewhat of that which feeds the Disease and prepare the way for other Medicines to exert their Energies more freely ought to have their turns in the Practice of Physick viz. once in six or seven days and at other times let Glisters the use of which is much better he frequently Administred Hydroticks being forbidden let moderate Diureticks be diligently plyed to which at the same time let such things be joyn'd which regard the altering and reducing of the Spirits and Humours which truly make up the chiefest part of Pharmacy for a Tympany Moreover in the mean time let not the use of Topicks be neglected We shall set down certain Select Forms of Medicines appropriated to each of these ends For a Medicine gently loosening use the Laxative Wine prescrib'd for a Tympany by the famous Greg. Horstius in the Fourth Book of his Observations Chap. 30. or instread of it let the following be prescrib'd in a shorter Form Take Flowers of Peaches and of Damask Roses of each two Pugils of Broom Elder and the lesser Centory of each a Pugil Leaves of Agrimony and Sea Wormwood of each a handful of the best Sena an Ounce Rhubarb six Drams Carthamus-seeds half an Ounce of Dwarf-elder two Drams yellow Saunders three Drams Galingal Roots two Drams being slic'd and bruis'd sew them up in a Silken Bag and put it in a Glass with two pounds of Whitewine Saxifrage water a pound Salt of Tartar a Dram and a half let them stand for forty eight hours then let the Patient begin to drink it taking about four or six Ounces every third or fourth day In a hotter constitution let the following Form be given which I have sometimes try'd with good success Take of Purging Mineral waters eight pounds Salt of Wormwood two Drams let it evaporate with a gentle Bath-heat to two pounds To this I use to add of water distill'd from Purgers with Wine four Ounces The Dose is from four Ounces to six Or to that Liquor evaporated to two pounds add of the Roots of Mechoacan and Turbith of each half an Ounce Rhubarb six Drams yellow Saunders two Drams Cloves a Dram Let there be a close and warm digestion for two hours filter it warm through lawn paper the Dose is three or four Ounces Glisters are of frequent use in this Disease because they loosen the Belly without any great irritation of the Fibres Take water of the Infusion of Stone-Horse-dung with Cammomile Flowers a pound Honey of Herb Mercury two Ounces After the same manner also let Decoctions or Infusions be prepar'd of Dogs-turd with Carminatives Take of the Emollient Decoction a pound Sal
parts most expos'd to the Sun and Air because their Skin being of a subtle Texture transmits the Humour rarified by the heat of the Sun so far till it be stopt by a thick Scarf-skin near the places where it should break forth This affect as to the State of Health does not foreshow or threaten any ill These Spots differ little or nothing from those they call Lenticular Spots There are other large Spots about the breadth of the Palm of the Hand which defile the Skin in many places but especially about the Brest and Back with Stains sometimes of a dun colour sometimes wan or blackish These being wont to rise and go away at certain times and as I have observ'd in many in certain parts are commonly call'd Liver-marks though not properly for these Stains happen on this account that the Filthy Dreggs and Refuse of the Blood when not sufficiently receiv'd by the Vessels of separation are carried to the Skin together with the Serum with which they are diluted and there being thrown off by the Blood and left by the Serous Latex which evaporates they stick fast to the outward Pores and little Orifices as a Mossy down does to the narrow passages of a River Those Spots appear chiefly in the Summer and most upon the Back and Brest viz. at that time and in those places that Men are most apt to Sweat in that is to say that Serous Latex which has carried those Filthy Dreggs from the Mass of Blood to the narrow Pores of the Skin leaves them there as being unmeet to pass forth by Evaporation This affect has no evil joyned with it nor is it the Symptom of any present Disease nor does it portend any shortly to ensue and in regard for the most part coming in places out of sight it causes no deformity or trouble there seems little or no need of its Cure But because an opinion is spread amongst the vulgar that the Liver is much in danger by reason of those Spots and that it necessarily requires help therefore to fatisfy some importunately desiring Physick besides outward Consmeticks we are wont to prescribe inward Hepatick Remedies the use of which though not very necessary yet because thereby the Blood is purified and the Obstructions of the Bowels are open'd they are not altogether in vain The inward Medicines useful for this purpose are set down before amongst Hepatick Remedies The very same outward Remedies or Topicks are proper in this as in all other kinds of Spots of which we shall give you some choice Forms Having treated elsewhere professedly concerning Spots of the Plague and Scurvy I need not repeat them here especially because the Method for these is quite dissering from that of the other For in one kind of Spots in a manner only outward Medicines are wont to be administred without any that regard the Heart or the Viscera of the Belly and in the other only inward things are given without applying any thing to the Skin Therefore as to the Summer Spots Lentiginous Spots and the vulgarly call'd Liver Spots the Art of Beautifying properly takes care of them and for removing these Blemishes from the Skin only Cosmetick Remedies are prescrib'd without any Method of Cure there is an infinite store of these amongst curious Ladys and others that are nice in keeping the Skin fair but all of them having regard only to two intentions of Curing may be reduc't to these two heads viz. either by opening the Pores of the Skin and Scarf-skin and sometimes by excoriating this they endeavour to draw the Humour outward and wholly to evaporate it or on the contrary they are administred and that with no less success to strike back the Impure Matter which makes the Spots and to drive it inward I shall here set down some ordinary Forms of Topicks of both kinds which have been rationally invented and often us'd suceessfully enough since I may not without offence to great Persons unvail the more secret Mysteries of the Cosmetick Art and prostitute them to the vulgar First therefore to cleanse the Skin and to draw the Matter of the Spots outward Take of a small Lixivium of Salt of Tartar four Ounces Oyl of bitter Almonds made by expression what suffices let it be mixt in such a proportion that the whole Liquour presently turn white and so let it stand Let the parts affected be anointed and gently rubb'd Mornings and Evenings with this mixture Take fresh Roots of Aron Briony and Solomons-seale of each an Ounce Powder of Fenugreek Seeds a Dram Camphire half a Dram being bruis'd together pour to them Oyl of Tartar per Deliquium three Ounces express it let it bapply'd with a Ragg dipt in it twice a Day Take Sulphur-vive powdred an Ounce black Soap two Ounces bind it in a Ragg let it hang in a Pound of Vinegar for nine Days then apply it to use washing and rubbing the places affected with it twice a Day Secondly for the other intention viz. for discussing the Spots from the Skin and repelling the matter and driving it inwards Lac Virginis was a famous Medicine amongst the Ancients and is still commended and us'd by many The preparation of this is well known viz. a Solution of Litharge made in distill'd Vinegar by the affusion of Oyl of Tartar per Deliquium is precipitated into a Liquour as white as Milk With which let the Face and Hands be washt and gently rubb'd twice a Day A Medicine like this or the same at leastwise of the same Vertue is prepar'd of a Solution of Minium or Ceruse made in the same Menstruum and preclpitated with water of Allom or Sal Gemm Or Take Camphire slic'd two Drams bruise it in a Glass-mortar pouring on it by little and little the Juice of one Limon then add to it of White-wine a Pound strain it and let the Camphire remaining behind be tyed in a Ragg and hung in a Glass Take Verdigrease four Ounces pour to it of White-wine two Pounds being put into a Gourd-glass let it be distill'd in Sand let the Phlegm first coming off be kept for use wherewith let the Face be anointed twice a Day For this purpose also the Dew or Phlegm of Vitriol distill'd by it self does excellently well some are content with the water of Bean-flowers or the simple distill'd water of Fumitory or with the water which Bleeds from the Sprout of a Vine cut in the Sprin But the more curious Women and Pretenders to the mosi exquisite knowledge in the Cosmetick Art are scarce satisfied with any Remedies for the Skin but Mercurial Wherefore the following water is highly recommended and sold by Empiricks at a great rate for all Blemishes of the Face Take Mercury sublimate an Ounce being reduc't to a Powder let it be put in a Tin-vessel with three Pounds of fountain water let it stand for twentyfour hours stirring it now and then with a Woodden Spatula till the whole Liquor grows black which nevertheless being
Disease For the corrupted Taints of the Blood after that upon long continuance they are become wholly Heterogeneous and unsubdueable gather to themselves at length the Saline Particles with which growing together in that Tartarous Concretion and driven to the Skin they produce Eruptions of the running Scab Concerning the Crue of the running Scab there are two primary Indications viz. the Preservatory which regards the cause of the Disease and the Curatory which has regard to the Symptom viz. the breaking forth of Pushes The Vital has seldom place in this case unless grown altogether desperate where there is a deficiency of Sleep and Strength The Method of Cure ought always to begin with the Preservatory Indication which removes the causes of the Disease by inward Remedies for otherwise outward things are scarce ever administred to any purpose as in the Itch but the roots of the Disease being cut off within the Blood the Cutaneous Pushes soon dye away Though for removing them we must proceed one way when the running Scab begins of it self and somewhat a differing way when it comes after an inveterate Scurvy or the French-pox ill or not Cur'd We shall consider each of these cases severally and distinctly by themselves When therefore this Disease is simple and primary and fresh coming let the evident and external cuases be remov'd let the ill Diet and the Unwholesomeness of the Air be corrected therefore let persons who have been long and too much us'd to feed on Salt Meats Pork or Fish betake themselves to a Diet of good Juice and easy of Concoction Moreover if they live by the Sea side or in Marshy places let them remove to a more dry and clear Air and withal let them be as careful of their Drink avoiding thick and dreggy Beer and thin and acid Wines which are too much fill'd with Tartar Finally let them take care that their Drink or Food be not prepar'd of Mineral waters apt to petrify 2. In respect of the Conjunct and Procatarctick cause viz. a Saturation of the Blod with Saline Particles of a differing Disposition and Nature there are two chief intents of Curing to wit that the Blood and Humours be forthwith cleans'd of their impurities and that the Acido-saline Discrasies of the Blood and Nervous Liquour be altered for the better to keep them from engendring a Tartarous matter For which ends both evacuating Remedies of divers kinds and altertives are wont to be prescrib'd Nevertheless because not all but in a manner only great Remedies are here proper therefore those that are chiefly in use and found to do most good are Catharticks Bleeding Whey Mineral waters coming from Iron Juicy expressions of Herbs Decoctions of Woods Chalybeat Medicines and Salivation We shall set down certain Forms of each of these and the manners of ussing them In the Frist place therefore a general Purge and Bleeding as in the Cure of the Itch being premitted let the following Cathartick Infusion or Tincture be prescrib'd whose Dose is from six Ounces to eight to be repeated whithin six or seven Days Take Roots of sharp pointed Dock dryed of Polypody of the Oak of each half an Ounce Sena ten Drams Epithymum six Drams Rhubaru Mechoacan of each half an Ounce yellow Saunders two Drams Celtick Spike half a Dram Salt of Tartar a Dram and a half put them in a Glass with three Pounds of White-wine and a Pound of Elder-flower water let them stand close covered in a cold place for three Days then use it pouring forth daily a sufficient quantity of the clear Liquour Secondly to sweeten the Blood and cleanse ti from its Salts drink every Morning to two or three Pounds of Whey by it self or with Fumitory preparations of Cichory and with sharp pointed Dock infus'd in it and let this Drink be continued for twenty or thirty Days if it agrees with the Stomack and withal in the Evening and early in the Morning let a Dose or the following Electuary be taken Take Conserve of the Roots of sharp pointed Dock six Ounces Crabbs Eyes Coral prepard of each two Drams Ivory a Dram Powder of Lignum Aloes yellow Saunders of each a Dram and a half Sal Prunella two Drams Vitriol of Mars a Dram and a half Syrup of the Juice of Wood-sorrel what suffices make an Electurary the Dose if two Drams Thirdly for the same reason as Whey also Mineral waters coming from Iron are prescrib'd against this Disease and often do great good For when all other Medicines have prov'd of no effect I have sometimes Cur'd a great and almost Leaprous running Scab with this alone Moreover to add to their efficacy we may fitly joyn the use of Sal Prunella or of Vitriol of Mars or of the Electuary before written Fourthly in some persons having much Serun and a Watery Constitution where drinking of Whey or Mineral waters is not proper it is good for them to take constantly a Decoction of Woods at Physical hours and likewise for their ordinary Drink Take Raspings of Willow-wood half a Pound Roots of Sarsaparilla eight Ounces white Saunders Wood of the Mastick-tree of each two Ounces Shavings of Ivory and Harts-horn of each six Drams Shavings of Tin crude Antimony of each four Ounces both tyed in a Rag Licorice an Ounce let them infuse according to Art and boil in sixteen Pounds of fountain water of half keep the straining for use Fisthly Chalybeat Medicines because generally accounted of among the more excellent Remedies are seldom omitted in this Disease though they as seldom prove successful For a gret many preparatious of Iron in which the Sulphurous Particles predo minate for as much as they ferment the Blood and put it upon Excretory Effervescencies encrease rather than diminish the Eruptions of the running Scab Nevertheless Vitriolick Salts Syrups Tinctures and Infusions in regard they fix the Blood and somewhat restrain the Exorbitant excesses of the Salts answer aptly enough to the intention of Curing now propos'd but being too weak cnnot master so Herculean a Disease Wherefore Sixthly these and a great many other Remedies doing no good many reommend Salivation as the stoutest Champion and only fit to contend with so potent an Enemy Yet the event does not always answer this mighty expectation for I must own to have try'd this Remedy my self in four persons afflicted with a greivous running Scab not yielding to other Medicines but without any benefit some of these were put in a very high Salivation by a Mercury Unction others by Pills of the Solar Praecipitate which Salivation they lay under for about twenty Days after which time all the Scaly breakings forth and clusters of Pushes vanisht Nevertheless for perfecting the Cure a Diet Drinkd ordered of the Decoction of Sarza with frequent Sweating under a Cradle and deu Puring betwixt while was continued for a Month Yet this course being ended when no footsteps of the running Scab seem'd to be left behind within the second Month a
sound enough she liv'd also daily us'd to hard labour about the fourteenth year of her Age she began to be seiz'd with Fits of the Epilepsy whereof she underwent many they chiefly following her according to the greater changes of the Moon Being entreated to endeavour her recovery I gave her a Vomit of the Solar Praecipitate and advis'd her to repeat the same three Days before every new and full Moon and likewise that every time for four Days after the Vomit taken she should take twice a Day a Dram of Powder of the Roots of Male Peony with a draught of black Cherry water By these Remedies the Fits intermitted so long that the Disease seem'd to be Cur'd When afterward they return'd again she was again recovered by the use of the same Medicines And then her Menses hapning to flow and keeping their due course she continued for the time to come free from that Disease The Therapeutick Method IN the Cure of the Epilepsy I judge we must begin by Purging and if the Diseas'd easily bears Vomiting let him take a Vomit in the first place and let it be repeated for many Months four Days before the full Moon To Infants and Children let Wine of Squills mixt with fresh Oyl of sweet Almonds be given or also Salt of Vitriol from half a Scruple to a Scruple To Adult persons and such as are of a robust Constitution let the folowing Forms of Medicines be prescrib'd Vomits TAke Crocus Metallorum or Mercurius Vitae from four Grains to six Mercurius Dulcis from sixteen Grains to a Scruple let them be ground together on a Marble mix it with the Pap of a boil'd Apple or with a Dram of Conserve of Borrage make a Bolus Or give from half an Ounce to an Ounce and a half of the Infusion of Crocus Metallorum or Mercurius Vitae made in Sack Or take Mynsicht's Emetick Tartar from four Grains to six Those that are of a more tender Constitution may take Salt of Vitriol from a Scruple to half a Dram and after half an hour let them drink upon it many pints of Ale-Posset-drink then a Quill or the Finger being put into the Throat let Vomiting be provok't and let it be sometimes repeated The Day after the Vomit unless somewhat indicates the contrary let Blood be taken from the Arm or from the Haemorrhoid Veins by Leeches Then the next Day after let a Purging Medicine be taken and let this afterwards constantly be repeated four Days before the new Moon Purges TAke Rosin of Jalap half a Scruple Mercurius Dulcis a Scruple Castoreum three Grains Conserve of Peony-flowers a Dram make a Bolus Take the greater Pilulae Faetidae two Scruples Rosin of Jalap five Grains Ammoniacum dissolv'd in Aqua Hysterica what suffices make five Pills Take Threads of black Hellebore macerated in Vinegar dried and powdred half a Dram Ginger half a Scruple Salt of Wormwood twelve Grains Oyl of Amber two Drops make a Powder give it in the Pap of a boil'd Apple Take Compound Powder of Hermodacts a Dram Mans Scull prepar'd six Grains make a Powder give it in a draught of the Decoction of Hyssop or Sage In the Days in which he does not Purge especially about the times of the Moons changes let Specifick Remedies be given Morning and Evening which are said to Cure this Disease by a certain Secret and innate Vertue There is an immense number of these and they are prescrib'd according to various Forms of Compositions Specificks THE most simple Medicines and which experience has prov'd to be very efficacious are the Roots of the Male Peony and its Seed Take Roots of the Male Peony dryed and powdred from a Dram to two or three Drams let it be given twice a Day in the following Tincture Take Leaves of Mistletow of the Oak two Drams Peony Roots slic't half an Ounce Castoreum a Dram let them be put in a close Vessel with Betony water or simple Peony water and White-wine of each a Pound Salt of Mistletow of the Oak or of common Mistletow two Drams let them digest in a close Vessel by a Sand heat for two Days let him take three Ounces with a Dose of the Powder before prescrib'd Let poor people take the said Powder in a Decoction of Hyssop or Castoreum made in fountain water or White-wine At the same time let the Root of Peony cut in slices and run through with a Thread be hung about the Neck Let the Roots also fryed in a Frying-pan or boil'd till they are tender be daily taken with his Food Take Roots and Seeds of the Male Peony of each two Drams Mistletow of the Oak Elks-hoof of each a Dram being slic't and bruis'd let them be sown up in very fine Linnen make a Bag to be worn on the Pit of the Stomack Amongst Specificks this Powder is greatly commended by some Authors Take Castoreum Opoponax Sanguis Draconis Antimony Peony Seeds of each a like quantity Make a Powder let it be taken from half a Dram to a Dram every Morning with Wine or an appropriated Decoction or with black Cherry water Take Mans Scull prepar'd an Ounce Mistletow of the Oak factitious Cinnaber Elks-hoof of each half an Ounce mix them the Dose is from half a Scruple to a Scruple If the Form of a Powder be ungrateful to any Person or if it 's long continued use makes it loathsome Electuaries Pills Troches Spirits and Elixirs each of them consisting of Specifick Medicines are wont to be prescrib'd Electuaries TAke Conserve of Male Peony-flowers of Lillies of the valley of each three Ounces Seeds and Roots of the Male Peony powdred of each two Drams Coral prepar'd a Dram Pearl powdred Mans Scull prepar'd of each two Scruples Salt of Mistletow of the Oak a Dram and a half with a sufficient quantity of Syrup of Coral make an Electuary let him take Morning and Evening the quantity of a Nutmeg Take Roots of Male Peony powdred an Ounce Seeds of the same half an Ounce Mistletow of the Oak Elks-hoof Mans Scull prepar'd of each two Drams Roots of Angelica Contrayerva Virginia Serpentary of each a Dram white Amber Coral calcin'd of each a Dram Salt of common Mistletow two Drams Sugar-candy dissolv'd in a sufficient quantity of the Antiepileptick water of Langius eight Ounces make a Confection let him take twice a Day the quantity of a Nutmeg Pills LET those Powders Salt of Amber and of Harts-horn being added to them be made into a Mass for Pills with a sufficient quantity of Balsamum Capivii whereof let three or four Pills be taken in the Morning and Evening drinking after it a draught of an appropriated Liquour Or let an Elixir of this kind be prepar'd whereof let eight or ten drops be taken twice a Day in a spoonful of an appropriated Julape drinking after it a little of the same Elixirs TAke Hungarian Vitriol six Pounds let it be distill'd in a Glass Retort by a Sand heat for twentyfour
hours then let the same Retort luted with a large receiver be put in a Reverberatory Furnace that the Acid Spirits may be forc't so long by a strong Fire till they go forth Let the whole Liquour distill'd be drawn off in a less Glass Retort by a Sand heat and in a Matrass let there be pour'd to it Roots of Male Peony cut in slices and dry'd four Ounces Seeds of the same an Ounce Mans Scull prepar'd Elks-hoof red Coral of each half an Ounce Mistletow of the Oak two Drams let it digest with a gentle heat for many Days till the Tincture be extracted let the Liquour being decanted be drawn off in a Glass retort till only a third part of it remains let that which is distill'd be kept apart by it self To the remainder pour a like quantity of Spirit of Wine highly rectified and impregnated with the Infusion of the same Ingredients and let them digest for six Days in Horse-dung Make an Elixir whose Dose is from half a Scruple to a Scruple Let the distill'd Liquour be given from half a spoonful to a whole one for the same intentions Or let an Oyl be prepar'd of Salt of Venus according to the prescript of Henricus ab Heer 's and let it be given as before Empirical Remedies AMongst Specifick Remedies which in case those before do no good may also be try'd we may account the Liver of Froggs the Bladder of a Boar dryed with the Urine the Powder of Briony Roots the Powders of a Cuckow or of Crows the Rennet and Lungs of a Hare the Liver of a Wolf Stones taken out of Swallows the Liver of a Kite Crows Eggs daily to be taken amongst your Food and Medicines with many other things a famous Catalogue of which you may find in Henricus a Bra a Physician of Zutphen and out of which prescripts for the poor may be taken as being easy to be had and of a small price Whilst these kinds of Medicines are inwardly taken according to the foresaid Method some Administrations outwardly apply'd contribute help and are justly taken in as a part of the Cure Wherefore always in this Disease let Issues to wit one or two be made in fit places also let Vesicatories be often apply'd Periapts hung about the Neck or worn on the Pit of the Stomack are judg'd to be of use Let fresh Peony Roots cut into bits and run through with a Thread be made into Bracelets to be worn all round the Neck Assoon as they are withered let new ones be put in their place and let those be made into Powder to be taken inwardly Take Roots and Seeds of Peony of each two Drams Elks-hoof Mans Scull prepar'd of each a Dram Mistletow of the Oak half a Dram being grosly powdred let them be sewen in red Silk and make a Bag to be hung about the Neck An Amulet of a young Shoat of Elder found growing on a Willow is greatly commended Plaisters IT is proper for some to have their Hair shav'd off and to have a Plaister applyed to the Sinciput Take Roots and Seeds of Peony Castoreum Mistletow of the Oak Mans Scull very finely powdred of each a Dram Betony Plaister two Ounces Caranna Tacamahacca of each two Drams Balsamum Capivii what suffices make a Mass spread it on Leather make a Plaister for the Sutures of the Head Let the Temples and Nostrils often be anointed with Oyl of Amber by it self or mixt with Oleum Capivii Let Sneezing Powders and Apophlegmatisms be constantly us'd Mornings Take white Hellebore a Dram Castoreum Euphorbum of each half a Dram sweet Marjoram Leaves of-Rue of each two Drams make a Powder Let a Decoction of Hyssop or Sage with the Confection of Mustard-seed dissolv'd in it be gargal'd in the Mouth and Throat Let Glysters sometimes be given according as need requires In regard Solid Medicines ought sometimes to be diluted with Liquids or these to be drank after those let distill'd waters Julapes Decoctions or Tinctures that are endowed with some Specifick Vertue against this Disease be in a readiness for this purpose Take Hungarian Vitriol four Pounds fresh Mans Scull powdred four Ounces Peony Roots slic't six Ounces being bruis'd together in a Mortar pour to them of Sack or small White-wine or Wine of the Juice of black Cherries fermented in a Vessel two Pounds let them be distill'd in a Glass Retort by a Sand heat Take Raspings of Box Hungarian Vitriol of each two Pounds Leaves of Mistletow three handfuls Leaves of Rue two handfuls being bruis'd together pour to them of Sack four Pounds let them be distill'd in a Gourd-glass by a Sand heat Take common Vitriol six Pounds Roots of Male Peony six Ounces Mistletow of the Oak an Ounce green Walnuts eight Ounces being slic't and bruis'd let them distill in a Glazed Pot with a Glass Alembick set over it by a Sand heat Take of this Liquour a Pound water of black Cherries and of Lime-tree Flowers of each half a Pound double refin'd Sugar four Ounces mix them make a Julape The Dose is two or three Ounces twice or thrice a Day Oxymel of Squils also Hydromel with Hyssop boil'd in it are very much commended by the Ancients Or let this kind of Apozeme be prepar'd whereof you may give from four Ounces to six or eight twice a Day Take Roots of Male Peony Angelica Master-wort Valerian of each six Drams Leaves of Betony Sage Lillies of the valley Penny-royal of each a handful Seeds of Rue Gith of each three Drams of Peony half an Ounce Raisins three Ounces Licorice half an Ounce being slic't and bruis'd let them boil in six Pounds of Fountain water to a consumption of the third part Towards the end add Wine of black Cherries half a Pound or ten Ounces strain it and let it be kept in Vessels close stopt the Dose is from six Ounces to eight twice a Day after the Remedies above prescrib'd Or let the foresaid Ingredients the Licorice and Raisins excepted be boil'd in six Pounds of Hydromel to a consumption of the third part the Dose is from four Ounces to six But if the foresaid Method consisting in the use of Catharticks and Specificks being tryed for some time proves wholly without effect we must come to Remedies of another kind and especially to those which are call'd great In this rank we place Diaphoreticks Salivation hot Baths and Mineral waters Alphonsus Ferrius says he has Cur'd a great many Epileptical persons by a simple Decoction of Guaiacum being prescrib'd twice a Day from six Ounces to eight and a second Decoction of it being taken instead of ordinary Drink as is usual in the French-pox If to such a Decoction the Roots of Peony and other Specificks be added haply it will be more efficacious It seems probable that a Salivation powerfully rais'd by Mercury and afterwards followed by a Sweating Diet Drink will infallibly Cure this Disease What hot Baths or Mineral waters will do is not
be hung about the Neck Moreover let Anticonvulsive Medicines be daily given the Nurse Let her take Morning and Evening a draught of Whey in which the Roots and Seeds of Male Peony and the Seeds of sweet Fennel are boil'd Take Conserve of the Flowers of Betony Male Peony and Rosemary of each two Ounes Powder of the Roots and Flowers of the Male Peony of each two Drams red Coral prepar'd white Amber of each a Dram Roots of Angelica Zedoary prepar'd of each half a Dram with a sufficient quantity of Syrup of Peony make an Electuary Let ber take the quantity of a Nutmegg Morning and Evening Take Powder of the Roots of Male Peony two Drams Seeds of the same a Dram make a Powder double refin'd Sugar dissolv'd in the water of Lime-tree Flowers and boil'd to a consistency for Tablets three Ounces Oyl of Amber a Scruple Let Tablets be made according to Art each Weighing half a Dram let her eat one every sixth hour and let her keep an exact Form of Diet. In case any Infant be actually affected with Convulsions because an Issue works but little and slowly it is proper to apply a Vesicatory to the Nucha and behind each Ear and unless a cold Temperament forbids it let Blood be drawn from the Jugular Veins by Leeches Let Liniments be applyed about the Temples Nostrils and Neck and Plaisters to the Soles of the Feet Let Clysters be daily injected which plentifully empty the Belly Moreover Let Specifick Remedies be taken inwardly often in a Day to wit every sixth or eighth hour Take Oleum Capivii and Oyl of Castoreum of each two Drams Oyl of Amber half a Dram make a Liniment Take of the Emplaster Oxycroceum two parts Galbanum dissolv'd one part Oyl of Amber a Scruple make a Plaister for the Soles of the Feet Let the Powder of Gutteta according to the description of Riverius be given twice or four times a day Take Mans Scull prepar'd Peony-seeds Elks-hoof Pearl prepar'd of each half a Dram Amber-greice six Grains make a Powder the Dose is six Grains in a Spoonful of the Liquour beneath written three or four times a day Or Take Mans Scull prepar'd Pearl of each half a Dram Salt of Amber a Scruple Sugar of Pearl a Dram the Dose is half a Scruple Or Take Spirit of Harts-horn three Drops let it be given every sixth or eight hour in a Spoonful of the Julape beneath prescrib'd To poor peoples Children let Powder of the Root of wild Valerian be given from half a Scruple to a Scruple let it be given twice a day in a Spoonful of Milk or of an Appropriated Liquour Vntzerus greatly commends the Gall of a Sucking Whelp viz. that all the Juice of the Gall-bladder be taken forth and given to the Child with a little Water of Lime-tree-flowers A Learned Physitian lately told me that he had known many Cur'd with this Remedy Moreover Empiricks after the Gall is drank are went also to give to greater Children to eat the Liver roasted Julapes distill'd Waters and other Appropriated Liquours may be prepar'd according to the Forma following Take black Cherry-water three Ounces antiepileptical-Antiepileptical-water of Langius an Ounce Sugar of Pearl two Drams mix them Take fresh Roots of Male Peony cut into slices six Ounces Hungarian Vitriol eight Ounces Mans Scull two Ounces Antiepileptical Water of Langius half a Pound mix them and let them distill in a Glass Retort by a Sand heat The Dose is from a Spoonful to two Spoonfuls Take fresh Roots of Male Peony slic'd four Ounces being bruis'd in a Marble Mortar pour to them of Spanish Wine a Pound express it strongly add Manus Christi perlated half an Ounce let it be kept in a Glass close stopt the Dose is a Spoonful or two twice a day When Convulsions happen by reason of a difficult breeding of Teeth this Symptome is look't upon as secondary and not dangerous and therefore in the Method of Cure it is not always the first or chief thing which requires help but sometimes we are rather sollicitous of appeasing the pain and removing the feverish Distemper wherefore both the Patient and Nurse ought to use a thin and cooling Diet when the Teeth are upon eruption let the passage be made open for them either by a rubbing or Section of the Gums And also let Anodines be applyed to those parts when swollen and full of pain Clysters and Bleeding often have place here We must procure sleep and allay the fervour of the Blood Mean while let Anticonvulsive Remedies be us'd but of the more moderate kind and such as little trouble the Blood and Humours Vesicatories in regard they evacuate the Serum which is too apt to be discharg'd on the Head often give relief When Children are troubled with Convulsions and that neither presently upon their Birth nor by reason of an Eruption of Teeth but through other occasions and accidents the cause of such an affect for the most part lyes either in the head or somewhere about the Viscera of Concoction When there is a suspicion of the former as it is wont to appear by signs which shew that a Mass of Serous Filth is gathered together within the head the above-cited Remedies ought to be given in a little larger Dose moreover in those who bear Purging well sometimes a Vomit and a gentle Purge may be order'd them Wine and Oxymel of Squills also Mercurius Dulcis Rhubarb and Rosin of Jalap are of excellent use As often as the cause of the Convulsive Affect appears to be in the Bowels either Worms or sharp Humours causing Gripes in the Belly are found to be in the fault Against Worms a Purge of Rhubarb or of Mercurius Dulcis with the addition of Rosin of Jalap is ordered Formerly to a Child miserably troubled with Convulsions so that he seem'd even a Dying I gave a Dose of Mercurius Dulcis with Rosin of Jalap With his Stools whereof he had four he voided twelve Worms and presently grew well Take Roots of Virginia Serpentary powdred a Dram Coral caloin'd to a whiteness half a Dram make a Powder the Dose is from half a Scruple to a Scruple twice a day for three days one after the other drinking after it a Decoction of Grass Roots Take Species of Hiera a Dram and a half Venice-treacle two Drams make a Plaister for the Belly or let a Plaister of Galbanum be applyed to the Navel If the Convulsive motions are thought to proceed from the Irritation of the Ventricle and the Intestines caus'd by sharp Humours a gentle Purge either by Vomit or Seige or of both the one after the other ought to be ordered For this purpose let gentle Emeticks of Wine of Squills or of Salt of Vitriol be taken to wit if at any time the Diseas'd be of their own accord seis'd with a straining to Vomit but if the Evacuation seems rather fit to be attempted downwards an Infusion of Rhubarb or its Powder Syrup
about the thirty fifth year of his Age the Disease growing worse he began to get Sleep with difficulty or very seldom by night and so in the day time to be troubled with a Fervency and Inconstancy of thoughts to be suspicious of all things and persons and to be Scar'd at every thing that came in his way the Praecordia seem'd to be very much Constring'd and Straitn'd and to fall in as though the Heart it self were deprest into the Belly which Symptom pressing him he became very sad and dejected in mind Yet afterward those affects of the mind remitting he plainly felt at once both the heart to be a little rais'd and the Praecordia to be Relax't and Dilated Moreover he had very frequently Pains and Contractions variously rais'd about the Muscles of the Viscera and Membranes and passing from one place to another He us'd a great many Remedies and Physical Administrations a long time for the Cure of this Affect but without any great good at length being somewhat relieved by the use of Mineral Waters and afterwards growing better by degrees he became free from those severe Symptoms tho' he still continues obnoxious to the Hypochondriacal Affect The Therapeutick Method to be us'd against Hypochondriacal Affects requires chiefly these four general Indications viz. First that the Impediments of the Cure be remov'd which intention chiefly regards the cleansing and keeping of the first Passages Secondly We must endeavour to correct the Obstructions or other disorders of the Spleen Thirdly we must see that the excrementitious Dregs of the Mass of Blood be Purg'd forth and that its due Crasis be restored Fourthly that the Irregularities of the Brain and Genus Nervosum and also of the Humour and Spirits residing in them contracted through the fault of the Blood and Spleen be amended or abolish't Since we must drive at many of these Intents together or at all of them let fit Seasons be chosen in which we may satisfie each of these purposes without any prejudice to or neglect of the Rest 1. As so the first Indication since a great Mass of crude or adust matter is wont to be heapt together in the first passages and since the Tone of the Stomack uses to be weaken'd and its Ferment to be variously perverted let us seasonably obviate these Evils of each kind with fit Remedies therefore mild and gentle Evacuations both by Vomit if it comes easily and by Seige ought to be given I advise those whose Stomack easily discharges its Contents upwards that once in a Month by taking the Liquor of Squills or Salt of Vitriol and drinking good store of Posset-drink or warm Water they cause themselves to Vomit several times In the interval of time let a gentle Purge and only lenitive be often given For this end the Pilul Tartareae Bontii or Stomac cum Gummis or our Solutive Pills may be used Take of the best Senna an Ounce Rhubarb six Drams Epithymum three Drams Yellow-Saunders two Drams Salt of Wormwood two Drams Celtick-spike a Dram being sliced and bruised let them digest in White-wine and fumitory-Fumitory-water of each ten Ounces for twenty four hours let the clear straining evaporate by a gentle Bath-heat to the consistency of an Extract adding toward the end Powder of Senna Rhubarb and Cream of Tartar of each two Drams let them be bruised together in a Glass Mortar and reduced to a Consistency for Pills The Dose is from half a Dram to two Scruples or a Dram. The Remedies that regard the Tone and Ferment of the Stomach since they are manifold and of divers kinds let such as are most proper for the Constitution of each Stomach be chosen for with one Person bitter things with another Salt with others sharp or haply smart things best agree Of the number of these Medicines which are vulgarly called Digestives are Elixir Proprietatis Tinctura Sacra the Compound Powder of Aron Roots Salt of Wormwood Cream of Tartar Tartar Vitriolate Vitriol of Mars with many others Besides these inward Remedies outward applications also often give help For to a Stomach ill dispos'd a fomentation of White Wine with Wormwood Centory and other bitter Plants boil'd in it also Liniments or Plaisters often give relief of which it will not be needful to discourse particularly and to prescribe forms of those Medicines 2. The Indication that undertakes to amend the Faults of the Spleen whether the same be an Obstruction or a Tumour or Pain or a simple Dyscrasy is wont to be perform'd or at leastwise attempted by Remedies both inward and outward those that are of the former kind are coincident with those that are indicated in the third place to wit with which the purifying of the Blood is intended for since the chief or in a manner all of that which is brought into or carried out of the Spleen is by the conveyance of the Blood the Irregularities both of the blood 's Latex and of that Entral ought to be cured by an associated Operation the vertues of the Medicines being joyn'd together and we shall presently shew after what manner meanwhile some outward applications in the form of a Plaister or Liniment or Fomentation have a more near and immediate regard to the body of the Spleen and often give a mighty relief viz. in as much as they discuss the Tumours restore to Circulation the melancholy Filth there stagnating nay and appease and restrain the Corrugatious and Convulsive Affects of the Fibres There is a mighty store of these outward Medicaments to be found every where amongst Authors the choice of which in regard it ought to be ordered according to the various passions of the Spleen and the differing Constitutions of Patients it will not be expedient in this place to deliver particular forms of them 3. The Remedies indicated in the third place viz. such as take away the Dyscrasies of the Blood contracted by the Spleen and withal cleanse the primary taint of the Spleen are manifold and of a differing kind and condition the choice of which ought to be made according to the various taint of this and of the other Of these some are more compounded to be prepared according to the prescript of a Physician as Electuaries Powders Apozems Tinctures Infusions and the like others are more simple as Whey Asses Milk Spaws and hot Bath Waters There are two chief Cases of sick persons in which Magisterial Remedies ought to be accommodated according to their strength and qualities viz. either the Blood is thick coldish and earthy with an Obstruction of the Spleen which requires hot fermenting and especially chalybeat Medicines or the Blood being manifestly adust and intensely hot ferments above measure and withal the Hypochondres are in a great trouble and the Blood and Vapours boyl in them in which state only temperate Remedies are indicated for appensing the fervency and immoderate Fermentation of the humours where Chalybeats are altogether to be shun'd When therefore to a cold
Stomach cold Dyscrasies also of the Blood and Spleen are joyn'd I use to prescribe according to the following forms Take Troches of Rhubarb Powder of Aron Roots Winters bark of each two Drams Roots of Virginia Serpentary Contrayerva Diatrion Santalon Crabs-eyes of each a Dram Extract of Gentian and Centory of each a Dram and a half Ammoniacum dissolved in Water of Earth-worms what suffices make a Mass for Pills let four Pills be taken in the Morning and at four a Clock in the Afternoon drinking after it a little Draught of Wormwood or Chalybeat Wine with a moderate Exercise Take Conserve of the Yellow Coats of Oranges and Lemons of each three Ounces Myrobalanes Condited in number two Species Aromatici Rosats Winters bark of each two Drams Salt of Wormwood two Drams Vitriol of Mars a Dram or Steel prepar'd three Drams with a sufficient quantity of the Juice of Citron-Pills make an Electuary let it be taken twice a day drinking after it a Draught of Wormwood-wine or of Wine in which the Bark or Flowers of Tamarisk are infus'd To those that like none but nice Medicines and in a small quantity you may properly give the Tinctures of Antimony of Coral also of Steel prepar'd with Spirit of Wine the Body being first open'd by fit Menstruums and brought to a Calx nay and I have known that Spirit of Soot also of Blood or of Harts-horn taken twice a day to twelve drops more or less in an appropriated Liquor have proved mighty beneficial above any other Medicines Again the assiduous drinking of Coffee and of Tea has done some very much good But if a Fervency and over-great Fermentation of the Blood be joyn'd to the Hypochondriacal Affect with a fervent heat of the Spleen and a restlesness of mind Take Conserve of Hips six Ounces or of Flowers of Tamarisk and Leaves of Wood-sorrel of each three Ounces Species Diarrhodon Abbatis the Confection of Alkermes of each a Dram Ivory Powdered a Dram and a half Pearl half a Dram Salt of Tamarisk and of Wormwood of each a Dram with a sufficient quantity of Syrup of the Juice of Citrons or of Clove Gilliflowers Make an Opiate let the quantity of a Nutmeg be taken twice a day Take Ivory Powdered two Drams Pearl powdered a Dram Species Diarrhodon Abbatis and Diamargariti frigidi of each a Dram and a half make a subtle Powder add of double refined Sugar dissolved in Baulm Water and boiled to a Consistency for Tablets six Ounces Make Tablets according to Art Take from a Dram and a half to two Drams twice a day Or to other Medicines of the like kind let the use of spaw-Spaw-waters be joyn'd which indeed in either nay in any cases of Hypochondriack Melancholy are in a manner always taken with good Success For waâ— of these Waters let our Artificial Spaw Waters be taken in thâ—â— stead nay and let Whey and if there be a considerable Atrophia let Asses Milk be daily taken Besides these inward Remedies and the other outward Applications above mentioned let Bleeding or Drawing of Blood from the Vessels of the Fundament by Leeches be frequently used nay and it is proper sometimes according to the Prescripts of the Antients to open the Salvatella Vein Moreover Cauteries and Issues which continually derive forth the Recrements of the adust Blood and discharge them by little and little are wont to do good to all 4. The Fourth Indication having regard to the Affects or Convulsive Symptoms of the Brain and Genus Nervosum which ensue upon the former is seldom put in practice by it self and apart from the others but the Remedies appointed for this end are complicated with those above written Liquors endowed with a volatile or Armoniack Salt as Spirit of Harts-horn of Soot are very proper for this intent and often likewise for the others even now mentioned Wherefore let such Remedies unless somewhat indicates the contrary be daily given at a seasonable hour Moreover when the Spaw Waters are Drunk let Tablets or Pills such as are above prescrib'd for Convulsive Affects be taken at least twice a day In a frequent giddiness and Scotomia also in Passions of the Heart Faintings of the Spirits with a fear and a dread as it were of present Death I have known a mighty Cure often performed by the use of Chalybeat Medicines Of Chalybeate Medicines SInce mention is here made of Chalybeate Medicines it seems expedient to enquire into the various Preparations of them and consequently into the divers sorts of Affects which they are wont to produce in the Body of Man that hence it may appear by what means and on what accounts these or other Preparations of Iron mightily benefit some Hypochondriacal persons and very much injure others Steel or Iron consists chiefly of Salt Sulphur and Earth it has very little of Spirit and Water and the Particles of the former Elements especially the Sulphureous and Saline in the mixt combin'd together with the Earth remain wholly fixt and without Action but being loosed and divided from each other they have a very efficacious Energy The foresaid Particles are dissolv'd and set at Liberty for Action two ways viz. either by Art when Medicines are prepared or by Nature after they are inwardly taken We shall consider both 1. The Filing of Iron inwardly taken is dissolved by the Ferment of the Stomach as by an acid Menstruum and upon the Iron 's being dissolved within the Viscera of Concoction the active Particles both Sulphureous and Saline plentifully display themselves and mixing with the nutritive Juice are carried into the Blood and as they are of a differing virtue often both of them as it were by joint Forces conspire for the good of the Diseased The Sulphureous Corpuscles passing into the Blood furnish it with a new and more plentiful stock of Sulphur so that its Mass if it were before depauperated and effaete ferments more sprightly within its Vessels and being more kindled in the Heart acquires a Heat more intense and a deeper colour Thus many troubled with a Leucophlegmatia and the longing Disease whose Countenance is pale and whose Blood is cold and watery after the use of Steel soon become of a more florid Aspect the Blood being given a more intense Tincture and Heat Again upon the Filing of Iron being dissolved in the Stomach the Saline Particles also are displayed and often produce good effects both in the solid parts and the Humours for being of a vitriolick and stiptick nature they astringe and corroborate the over Lax and weaken'd Fibres of the Viscera and so restore their broken Tone Moreover they stop the Impetus of the Blood repress it s over boiling and rising to a Froth and keep it in an even Circulation And again which is their greatest Virtue they straiten and close the over lax open and gaping Mouths of the Arteries so that neither the Serum nor bloody Latex may distil forth or break off the thread of Circulation
Vomit and for above a week afterward he was without any impediment in his Thorax But then a like fit of the Asthma returning treated him a little more mildly and afterward he was wont to be troubled with a like assault of the Asthma upon great changes of the Air especially when an intense Cold and Snow were at hand Moreover we judge that sometimes this Convulsive straitness of Breath is rais'd by reason of the Bronchia of the Trachea being too much straitn'd and often wholly clos'd by the Constriction of the Nerves and stocks of Nervous Fibres which every where compass about the Ramifications of the Aspera Arteria that Constriction happening when those Nerves are forced to frequent Convulsions from a Morbifick matter besetting them A fine young Virgin of a soft and tender Constitution and of a florid Countenance was scarce turn'd of eight years of age but began to be sorely troubled with Asthmatick Fits and she lived at least four years obnoxious to them before she was committed to my care sometimes she continues two or three Months free from any Invasion of this Disease yet oftentimes by reason of errors committed in Dyet or upon great changes of the Year or of the Air she falls into cruel Fits of straitness of Breath so that the Lungs being blown up and raised towards the Throat and there held by an almost continual dilatation the Diseased can scarce breath at all mean while the Diaphragm and Muscles of the Breast are laboriously occupied in thick repeated efforts of motion in order to draw the Breath by one means or other this access within seven or eight hours remitting by degrees ceases a while but now and then within a Week or two it is wont to return either of its own accord or on any light occasion being offer'd after the violence of the Disease is past its matter being spent in many such Fits the young Lady continues well enough for many Weeks nay sometimes Months and being free from any Distemper of the Thorax she Breaths freely I order'd her Spring and Fall the following Method of Cure and now she has been without any Fit of the foresaid Affect above two Years Take our Sulphur of Antimony six Grains Cream of Tartar six Grains mix them Let it be given in the Pap of a boiled Apple After taking this Medicine she is wont to Vomit four or five times After four days she takes this Purge which also she is wont to repeat twice allowing six or seven days betwixt whiles Take Calomelanos twelve Grains Rosin of Jalap five Grains Castoreum four Grains with a sufficient quantity of Ammoniacum dissolved make three Pills She takes besides every day Morning and Evening twelve Grains of Tincture of Antimony in a Spoonful of the following Julape drinking after it six or seven Spoonfuls of the same Take Water of Snails six Ounces of Earth-worms four Ounces Water of Pennyroyal and Rue of each four Ounces Hysterick Water three Ounces Castoreum tyed in a Nodulus and hung in a Glass half a Dram double refined Sugar an Ounce Mix them in a Glass make a Julape About Autumn the last Year another young Girl of Quality being ill after the like manner viz. with a Periodical Asthma was brought to me to be cured who using the foresaid Reme dies in a little less Dose and repeating the same the last Spring found a mighty Relief As to the Remedies and Method of Cure that ought to be us'd if at any time to a Cough or straitness of Breath first raised through a fault in the Lungs Convulsive Symptoms also supervene by reason of an injury communicated to the Brain let care be taken that Anticonvulsive Medicines be aptly complicated with such as have regard to any intents whatsoever of the Thorax and also sometimes That one while these another while the others being given apart the times of Curing be interchangeably observed It will be needless to give here Bechick or Pneumonick Medicines and their forms whereof there is a vast store every where to be found amongst Physical Authors it will be more to our purpose to set down a method of Physick and some select Remedies that are proper in a Cough and Asthma which are meerly Convulsive As to the former Affect which is chiefly familiar to Children and for the most part is not Cured but with difficulty and after a long time the chief Indications will be both to purge the serous and sharp Humours from the Blood and Viscera for preventing their Incursion and discharge on the Brain and sometimes haply on the Breast and to strengthen these parts that they do not easily admit into them the Superfluities of the boiling Serum for these ends Vomits and gentle Purges in a manner always are conducing and ought by some means to be repeated Vesicatories are often beneficial and if the Disease be obstinate let Issues be made in the Nape of the Neck or in the Arm or about the Arm-pits Let Drink and Liquid Food be taken in a less quantity than usual instead of Drink let a Bochet of Sarsa China the Saunders Shavings of Ivory and Harts-horn with Diuretick and Anticonvulsive Ingredients be used In this case certain specifick Remedies as it were are greatly commended of which kind are Cup Moss given in Powder or boil'd in Milk and so given frequently every day the Decoction or Syrup of Castoreum and Saffron the Decoctions of Peony-Root Misteltow of the Oak also of Hyssop have helpt many Water of Black-Cherries of Saxifrage Water of Snails distilled with Whey and appropriated Ingredients are often given with success 2. I have shewn you before by what method and with what Bemedies I have Cured a Periodical Asthma in some but besides the famous Riverius has observ'd that Vomits do most good to many affected with this Disease for that Medicine greatly shaking and irritating the Emunctories that are seated about the first Passages strongly expresses and draws away from the same the filthy Dregs of the Blood and Nervous Juice which were apt to be forc'd into or to stagnate in the Brain and Genus Nervosum Zacutus Lusitanus greatly extols and not without reason Cauteries burnt sometimes in the Bregma sometimes in the Nape of the Neck or about the Arm-pits Preparations of Millepedes viz. in the form of a dry Powder or of a Distill'd Liquor seldom want success for such withdraw the superfluities of the Serum or Genus Nervosum from the Head and convey them to the Urinary Passages For the same reason gentle Purges and such as evacuate per Epicrasin are frequently used for this purpose the Decoction of an old Cock with altering and gently Purging Medicines sown up in the Belly of it is commended by many Besides the Remedies hitherto mentioned some are said to be appropriated to and as it were Specificks for the Asthma such as are Balsam of Sulphur Teribinthinated also Spirit of Harts-horn or of Soot impregnated with the same Syrup of Tobacco of Ammoniacum
or tender Constitution may take Wine of Squills or Gilla Theophrasti which being given in a small Dose let them drink a great quantity of Whey after it and then the Ventricle being filled to a nauseousness let a gentle Vomit be raised by putting the Finger or a Feather into the Throat and let it be sometimes repeated as the person sees good By this manner of Vomiting the meer Contents of the Stomach are cleans'd from its folds and purg'd forth neither are painful or Convulsive Twitchings caused in other adjacent Viscera or Membranes with a Swooning as it usually happens after Stybiate Medicines To those whose Stomach by reason of an ill Digestion soon gathers together a heap of Phlegm or of other degenerate matter I have ordered that they procure once a Month such a Vomit as being safe and wholsom Where Vomiting has no place you must begin with Purging at least some days being allowed betwixt whiles let this evacuation succeed the other What has been formerly inculcated by Authors concerning the preparation of the Humours I judge either to be superfluous or wholly erroneous the Circulation of the Blood being not then understood but instead of that intention let Medicines restoring the Ferments of the Viscera and altering the Crasis of the Blood be substituted Mean while for clearing away the Filth of the first passages and the Excrementitious superfluities of the Blood and Nervous Liquour first let a mild and gentle Purge be ordered and afterward according as the Patient bears it let it be repeated either once within a week or oftner or seldomer and let the strength of the Medicine be proportion'd according to the success of the first Dose For this end Pills Potions Apozemes Electuaries Powders and many other forms of Medicines are wont to be prescrib'd If the Constitution of the Diseas'd be hot and the Scurvy seems to be founded in the Adust viz. the Sulphureo-saline Dyscrasie of the Blood let all Medicines of Aloes and Diagridium be avoided and let only the more temperate be given of Sena Rhubarb and other things that do not exagitate the Blood Take Leaves of Sena an Ounce Rhubarb six Drams Epithimum three Drams Roots of Polipody of the Oak and of English Rhubarb dryed of each half an Ounce yellow Saunders two Drams Celtick-spike half a Dram Salt of wormwoed two Drams being slic't and bruis'd let them digest in a Matrace by a Sand heat with White-wine and fumitory-Fumitory-water of each a Pound or with our Magistral Antiscorbutick-water two Pounds for two days let the clear Straining evaporate by a gentle Bath heat to the consistency of Hony then add Powder of the Leaves of Sena and Rhubarb of each a Dram and a half Species Diatrion Santalon a Dram Cream of Tartar a Dram and a half make a Mass for Pills the Dose is from half a Dram to a Dram. Or let such an Infusion be prepar'd which let evaporate by a gentle heat to the consistency of a Syrup adding towards the end Manna pass'd through a Searce and double refin'd Sugar of each two Ounces make a Syrup the Dose is from a Spoonful to two with a fit Vehicle Or let four or six Ounces of such like Tincture be given for a Dose adding Cream of Tartar half a Dram and if there be need of Sweetning Syrup of Apples three Drams Or to the Tincture prescrib'd let six Ounces of cleans'd Corinths be put and let there be a warm Digestion till the Corinths swell which being taken forth let the Liquour evaporate to the consistency of a Syrup adding Sugar and Manna past through a Searce of each a Dram and a half then the Corinths being put in again let the Medicine be kept in a Glaz'd Vessel well stopt the Dose is from a Spoonful to two Or to the Tincture prescrib'd evaporated to a half add fresh Cassia Pulp of Tamarinds extracted with Antiscorbutick-water of each three Ounces Conserve of Violets and of Damask Roses of each two Ounces the greater Compound Powder of Sena a Dram Rhubarb powdred half an Ounce Cream of Tartar Species Diatrion Santalon of each two Drams let them be bruis'd together in a Stone-mortar till they are brought to the form of an Electuary The Dose is the quantity of a Wallnut more or less according to the operation For those whose quaint Stomach will not receive any Medicines but in a small quantity and nicely prescrib'd Take Rosin of Scammony from four Grains to eight Cream of Tartar half a Scruple Celtick-spike six Grains mix them make a Powder let it be given in a Spoonful of Panada or let it be made into Pills To those that are troubled with the Scurvy and are of a cold Constitution and the Disease seems to be founded in a Nitro-sulphureous Disposition of the Blood resembling ropy Wine let smart Catharticks and such as are endow'd with hot Particles be given Take Pil. Stomac cum Gum. two Drams Rosm of Jalap twenty Grains Tartar vitriolated sixteen Grains Oyl of Juniper half a Scruple with a sufficient quantity of Ammoniacum dissolv'd in Water of Earth-worms make sixteen Pills let four be taken at a time once a week Take Bontius's Pills of Tartar a Dram and a half Rosin of Jalap twelve Grains Salt of Tartar half a Scruple with a sufficient quantity of Syrupus Angustanus make twelve Pills Take Extract of Pil Ruffi a Dram Extract of black Hellebore a Scruple Salt of Tartar half a Dram with a sufficient quantity of Ammoniacum dissolv'd make nine Pills let three be taken at a Dose Take Leaves of Sena an Ounce Rhubarb six Drams Mechoacan Gummous Turbith of each half an Ounce Threads of black Hellebore three Drams Salt of Tartar two Ounces yellow Saunders a Dram and a half Winters-bark two Drams being slic't and bruis'd let them digest in two Pounds of White-wine for two days strain it off clear without pressing it let it be taken either by it self from five Ounces to six or let it be made into an Extract or Syrup or Electuary as the Tincture above prescrib'd adding Pulvis Arthriticus or Diasena what suffices c. Or Let a Tincture of this kind be prepar'd which may be given to robust Men to the quantity of a Spoonful or of a Spoonful and a half Take Salt of Tartar an Ounce small Spirit of Wine a Pound and a half let them digest till it turns yellow To this being pour'd of the Faeces by inclination infuse Leaves of black Hellebore macerated in Vinegar an Ounce yellow Saunders a Dram the yellow Coats of Oranges a Dram and a half make a warm and close Digestion for three days Let the clear Straining be distil'd in Balneo to a half let the remaining Liquour be kept for use Take Roots of sharp pointed Dock Polipody of the Oak stinging Nettles Chervil of each six Drams Leaves of Agrimony Speedwel of each a handful white and yellow Saunders of each a Dram and a half bastard Saffron an Ounce Tartar of
White-wine half an Ounce let them boil in two Pounds and a half of fountain-Fountain-water till a half be wasted add of Rhenish-Wine a Pound and strain it presently into which put of the best Sena half an Ounce Rhubarb six Drams Leaves of black Hellebore half an Ounce the yellow Coats of Oranges two Drams make a close and warm Infusion for twelve hours let the Straining be kept in a stopt Glass the Dose is from five Drams to six It were easie to set down here many other forms of Catharticks but there is no great variety requir'd in these But of the foregoing let these or the others be given as they best agree and now and then let them be repeated within five or six days as occasion requires An over frequent and violent Purging casts down the powers of the Body greatly impairs the strength of the Viscera and in the mean time does not take away the Disease After a Purge or two if Bleeding be indicated let Blood be drawn from the Arm or from the Vessels of the Fundament by Leeches It matters not much which Vein be open'd nor is the opening of the Salvatella Vein of as much moment as it is said As to the large Discourses made by Authors concerning the opening of the Liver or Cephalick Veins rather than any others in the Scurvy since the Circulation of the Blood has been known it comes to nothing Phlebotomy is indicated by a plenty and vitiousness of the Blood which it is better to let forth at several times in a small quantity than at once in a great For when the Liquour of the Blood is become very impure it is corrected by no kind of Remedy more certainly than by a frequent and spare letting of it forth for the old corrupted Blood as often as it is drawn forth is succeeded by a better and clearer fresh Blood mean while there is need of caution that it be not drawn away at once in too great a quantity for its store being much drain'd together Sanguification fails so that a Dropsy or Cachexia ensues Besides Purging and if need be opening a Vein many Remedies of another kind no less necessary are requir'd in the Scurvy And that they may be prescrib'd in order we must forthwith consider whether only Preservatory Indications have place here and whether certain Curatory Indications viz. such as have regard to some severely pressing Symptoms ought not to be interchangeably pursued with them And if you are to imploy the whole work of the Cure against the cause of the Discase you may proceed after the following method We shall shew you hereafter what sort of Cure is to be apply'd to Symptoms if haply occasion requires it Therefore if nothing hinders but you are to imploy the chiefest stress of Physick in rooting out the cause of the Disease principally and by it self for this purpose let Digestives likewise and Specificks or Antiscorbuticks as we hinted before be us'd at all times unless on the days of Purging To which sometimes if it be needful let Diaphoreticks or Diureticks be added Manifold forms and prescripts of Medicines and of various kinds for performing these intents are every where to be found amongst Authors I shall here set down some of the more choice of them which I here thought good to distribute into two ranks according to the twofold nature of the Scorbutick Cause viz. the Sulphureo-saline and Salino-sulphureous Dyscrasies of the Blood And first I shall deliver such as are proper in this latter kind of affect viz. where there is need of Medicines endow'd with a certain instigating vertue and such as are very much fill'd with a Volatile Salt Let Digestive Medicines that restore the Ferment of the Stomach and help the Functions of that and of other of the Viscera which serve for Chylification and Anti-Scorbuticks or Specificks which take away the Dyscrasy of the Blood either be joined in the same Composition or at leastwise let them be taken the same day one after the other Among digestive Remedies are justly counted the Cream Crystals Salt and Tincture of Tartar Tartar Vitriolated and Chalybeated Elixir Proprietatis the simple mixture The use of each of these given twice a day oftentimes does good Moreover you may easily make Magistral Tinctures and Elixirs of various kinds both digestive and appropriated to the Scurvy with the two following Menstruums Take rectified Spirit of Vitriol Six Ounces Spirit of Wine Alcholized sixteen Ounces mix them and Distill them in a Glass retort with three Cohobations keep it for use in a Glass well stopt Elixir Proprietatis is more easily and better prepar'd with this Compound Menstruum than the vulgar way Take Winters-bark Lignum Aloes Roots of the lesser Galingal of each two Drams Cinnamon Cloves Cubebs of each a Dram Seeds of Bishops-weed and Watercresses of each half a Dram being bruised pour to them of the foresaid Menstruum enough to cover them three Fingers over let them digest in a Matrace in a Sand Furnace for six days let the straining be kept in a Glass close stopt The Dose is twenty Drops more or less in a Spoonfull of Canary or of an appropriated Liquor Let it be given twice a day Take white Amber Gum of Ivy Caranna Tacamahaca of each a Dram Saffron half a Dram Cloves Nutmegs of each two Scruples being bruised pour to them the aforesaid Menstruum and let a Tincture be extracted according to Art The Dose is twenty Drops as above Take blew Salt of Tartar four Ounces let it digest in a Matrace with a Pound of Spirit of Wine Alcholized till a Tincture be extracted Let this be another Menstruum with which you may prepare Elixirs out of Gums Spices c. after the same manner as with the former Menstruum While these kinds of Medicines are given in a small Dose in the Evening and early in the Morning at Physical hours viz. at eight a Clock in the Forenoon and at four in the Afternoon let the Antiscorbutick Medicines of the other kind be taken which for the most part we are wont to prescribe in a twofold form viz. in a solid form and a liquid to be taken all under one so that the solid Medicine being taken first the liquid is drank after it there are various kinds and ways of Composition of both viz. in a solid form Electuaries Confections Powders Pills and Tablets in a liquid form are Decoctions Infusions Expressions Distill'd Waters Physick Wines and Ales. We shall give you some of the more select Medicines of each of these kinds Electuaries TAke Conserve of Scurvy-grass Roman Wormwood Fumitory of each two Ounces Powder of Winters-bark Roots of Angelica and Aron of each two Drams Species Diatrion Santalon a Dram and a half Powder of Crabs-eyes a Dram Salt of Wormwood two Drams with a sufficient quantity of Syrup of the Juice of Citrons make an Electuary Take Conserve of the Leaves of Scurvy-grass and Brooklimes made with an equal quantity of
Sugar of each three Ounces Troches of Capers and of Rhubarb of each two Drams Salt of Wormwood and of Scurvy-grass of each a Dram Ivory Powdered Coral Calcined of each a Dram with a sufficient quantity of syrup of the Juice of Scurvy-grass Make an Electuary I use to prescribe the Conserves of the outward Coats of Limons and Oranges also of the purple Flowers of the Ash-tree of the Leaves and Flowers of Lady-smocks of the Roots of sharp pointed Docks and of English Rhubarb to be prepared with an equal quantity of Sugar which being mixt between themselves or with other Conserves and Species enter these kinds of Electuaries Take Conserves of the Yellow-coats of Oranges and Limons of Flowers of the Ash of each two Ounces Powder of the Roots of Contrayerva a Dram and a half of the lesser Galingal half a Dram Roots of Aron two Drams Species of Aromaticum Rosatum a Dram Salt of Wormwood two Drams with a sufficient quantity of Syrupe of the Confiture of Nutmegs make an Electuary The Dose of these kinds of Medicines is the quantity of a Nutmeg drinking after it an appropriated Liquor To Rusticks and poor People by whom Medicines easily prepar'd and cheaper are desir'd I prescribe after this manner Take Leaves of Scurvy-grass and Brooklimes of each four Ounces double refin'd Sugar eight Ounces let them be bruis'd together in a Mortar adding Powder of Winters Bark half an Ounce Tartar Calcin'd with Nitre three Drams with a sufficient quantity of Spanish Wine let them be made into an Electuary The Dose is the quantity of a Nutmeg twice a day drinking after it an appropriated Liquor Take Leaves of Scurvy-grass a pound Raisins ston'd double refin'd Sugar of each half a pound Faecula of the Roots of Horse-raddish two Ounces let them be bruis'd together in a Mortar and made into the Form of an Electuary The Dose is the quantity of a Wall-nut twice or thrice a day Confections TAke Powder of Aron Roots compound an Ounce Winters-bark Powdred half an Ounce Species Diatrion Santalon Troches of Capers of each two Drams Salt of Wormwood and of Scurvy-grass of each a Dram and a half the Yellow Coats of Oranges preserv'd three Ounces let them be bruised together in a Mortar then add of double refin'd Sugar dissolv'd in a sufficient quantity of Water of Earth-worms three Ounces make a Confection according to Art Take Roots of Eringo and Scorzonera preserv'd of each two Drams Wallnuts preserv'd and Mirobalanes Condited of each in number two the Electuary of Sassaphras six Drams Powder of Cubebs and Cardamoms of each two Drams Powder of the Roots of Zedoaria and Angelica of each a Dram and a half Salt of Woormwood two Drams with a sufficient quantity of Syrup of the Confiture of Wallnuts make a Confection Take Powder of China Roots of the Wood Sassaphras of each half an Ounce Yellow and White Saunders of each two Drams Seeds of Rocket Cubebs Garden-cresses Grains of Paradise of each a Dram and a half Species of Dialacca Cinnamon Orrice the lesser Galingal of each a Dram Salt of Wormwood two Drams Conserve of the Yellow Coats of Oranges and Sugar of Rosemary Flowers dissolv'd in a sufficient quantity of Water of Snails of each three Ounces make a Confection according to art the Dose is the quantity of a Nutmeg twice a day drinking after it an appropriated Liquor In some cases of the Scurvy where the use of Steel is indicated either let three Drams of Steel prepar'd with Sulphur or two Drams of Vitriol of Mars be added to each of the prescripts either to the Confection or to the Electuary and after the taking of the Medicines once or twice a day let the body be exercis'd according as the strength will bear Powders TAke Powder of Aron Compound an Ounce and a half Winters Bark half an Ounce Cubebs Grains of Paradise Cardamoms of each two Drams Salt of Wormwood three Drams Tablets of Oranges three Ounces make a Powder the Dose is a Dram in an appropriated Liquor To the foresaid Powder add Kernels of the Indian Chocholate Nut half a Pound let them be brought into a Mass or Paste in a warm Mortar The Dose is two Drams after the manner that the confection of Chocolate is taken viz. in Fountain Water with the leaves of Rosemary or of Betony or the Root of Scorzonera or also the shaving of Ivory or of Harts-horn boyl'd in it Pills FOr those to whom a Medicine in a less Dose and in a form of Pills is more pleasing Take Roots of Virginia Serpentary of Contrayerva of each two Drams Winters Bark Cubebs Rocket Seeds of each three Drams Salt of Wormwood and of Scurvy-Grass of each a Dram and a half Extract or Rob of Juniper half an Ounce with a sufficient quantity of Syrupe of the Confiture of Nutmegs make a Mass The Dose is four Pills twice a day drinking after it an appropriated Liquor Tablets FOr nice persons let Tablets or Tragaea's be prescrib'd after this manner Take Powder of Winters Bark of Crabs eyes of each a Dram and a half Pearl powdred half a Dram double refin'd Sugar dissolv'd in a sufficient quantity of water of Earth-worms and Boyl'd to a Consistency for Tablets Six Ounces Spirit of Scurvy-grass two Drams make Tablets according to Art each weighing half a Dram. Let about half a Dram be taken twice a day drinking after it an appropriated Liquor Tablets of Oranges which are to be sold by the Oxford Apothecaries TAke Rinds of Oranges Limons Citrons preserv'd of each an Ounce preserv'd Eringoes half an Ounce Pine-Nut Kernels Fistick Nuts of each twenty Sweet Almonds blancht in number ten Annise Seed Powdred half an Ounce Ginger Candied two Ounces Species of Aromaticum Rosatum Nutmegs of each a Dram and a half Roots of Galingal a Dram Cloves in number ten Ambergreice four Grains Musk Civet of each two Grains double refin'd Sugar dissolv'd in rose-Rose-water and Boyl'd to a Consistency for Tablets a Pound and a half make Tablets according to Art So much of Medicines which are wont to be given to Scorbutical Persons in a solid form or in a gross substance and that their vertue may be convey'd the better into the Mass of Blood and with more benefit Liquids are prescrib'd for the most part to be drank after them Though there be a great variety of these and a diversifyed way of their composition yet the chief and most usual are such as we have hinted before and of each of which we shall now give you forms Decoctions THough Decoctions are a very familiar kind of Liquid Medicines yet they are seldom us'd in the Scurvy because the Simples which chiefly do good in this Disease lose their vertues which they have from the volatile Salt by Boyling Nevertheless because remedies are easily and soon prepar'd after this manner they ought sometimes to be admitted nay and experience has shewn that some of them are efficacious For
bruised of each a Dram and a half Roots of Bastard-Dittany and of Male-Peony of each a Dram and a half Salt of Tamerisk two Drams with a sufficient quantity of the Gelly of Harts-horn or of the cast skins of Snakes Make a Mass Tablets TAke Species Diatrion Santalon and Diamargariti Frigidi of each a Dram and a half Pearl powdered red Coral prepar'd Ivory powdered of each a Dram Sugar dissolved in Scordium-water and boiled to a Consistency for Tablets six Ounces Make Tablets according to Art But if with those kinds of temperate Antiscorbuticks the use of Steel be indicated to the Electuary or to the Confection or also to the Mass of Pills let two Drams of Mynsicht's Magistery of Mars or of Extract of Steel of our preparation be added In some cases about two Drams and a half or three Drams of Crocus Martis may be added to such a Composition though it is often better to make the Liquors which are drank after solid Medicines Chalybeate than the foresaid Compositions It remains for us now to prescribe forms of Liquors Decoctions IN a Scurvy raised after a long Fever these kinds of Decoctions which purifie the Blood and plentifully move Urine are given with good effect Take Roots of Chervil Scorzonera Sorrel Stone-Parsley of each an Ounce Leaves of Agrimony and Harts-tongue of each a Handful burnt Harts-horn two Drams Parings of three Apples Corinths two Ounces Liquorice three Drams Let them boil in four Pounds of Fountain Water till a third part be consumed add Sal Prunella two or three Drams The Dose is four Ounces twice or thrice a day Take Eringo Roots preserv'd six Drams of Grass two Drams Leaves of Clivers two handfuls Agrimony and Liverwort of each a handful Raisins two Ounces white Saunders a Dram Liquorice two Drams let them boil in four Pounds of Fountain Water till a third part be consumed The Dose is six Drams after a solid Medicine To Rusticks and poor People lest after a Fever they fall into the Scurvy I use to prescribe That twice a day they take the following Draught viz. That they boil a handful and a half of the Roots and Leaves of Dandelion in a Pound and a half of Posset-Drink till a third part be consumed Strain it for two Doses Or take Roots of Dandelion half a handful Seeds of Citrons and of Carduus of each a Dram let them boil in Posset-drink made with Apples or a Pound and a half of Cyder till a third part be consum'd Infusions The Apozems even now prescrib'd will become more excellent against the Scurvy if being prepar'd without Licorice they are strain'd into a Flaggon into which are put Leaves of Brook-limes and of Water-cresses or Cuckow-flowers of each a handful then make a warm and close Infusion for six hours the Liquour being strain'd again let it be kept in stopt Vessels The Dose is six Ounces twice or thrice a day Also let Whey with the Roots of Dandelion and the Leaves of Fumitory boil'd in it be strain'd into a Vessel wherein are Leaves of Brook-limes and of small Celandine of each a handful make an Infusion c. Chalibeat Infusions are wont to be frequently in use viz. the Salt Magristery or Extract of Steel are infus'd in some Decoction or distil'd Water Moreover as natural Spaw-waters so also Artificial ones of our preparation of Steel dissolv'd in Fountain-water and impregnated with the Infusion of Antiscorbuticks are drank with great benefit Juices and Expressions TAke Leaves of Brook-limes and Water-cresses of each four handfuls of Wood-sorrel two handfuls being bruis'd let the Juice be prest forth being stopt in a Glass it will soon become clear by subsiding The Dose is from an Ounce and a half to two Ounces with a fit Vehicle Take Leaves of Brook-limes four handfuls stalks of English-rhubarb two handfuls being bruis'd let the Juice be prest forth Take Leaves of Brook-limes Garden-cress Cuckow-flower the lesser Celandine Wood-sorrel of each two handfuls being bruis'd let the Juice be prest forth add Juice of Oranges a fourth part let it be kept in a Glass Syrups AS often as a Syrup is requir'd to be added to any other Composition we use either Syrup of the Juice of Wood-sorrel or of Fumitory or of Coral compound Or also a Magistral Syrup may be prepar'd of the Juice of Brook-limes after the same manner as is prescrib'd above concerning the Juice of Scurvy-grass Distil'd Waters TEmperate Distil'd Waters are prepar'd by changing either the Ingredients or the Menstruum or both of them together As to the former we proceed after this mnner Take Leaves of Brook-limes Garden-cress Fumitory Harts-tongue Liver-wort Bawm tops of Tamarisk and of Cypress of each three handfuls all the Saunders bruis'd of each half an Ounce Roots of sharp pointed Dock of Polipody of the Oak of each two Ounces the outward Coats of four Oranges Snails cleans'd two Pounds being slic't and bruis'd pour to them Whey made with Cider six Pounds let them be distil'd in a common Still 2. When the Menstruum is weak let the Ingredients be moderately hot Take Leaves of Scurvy-grass Brook-limes Cuckow-flower Garden-cress of each three handfuls Rinds of four Oranges Snails a Pound being slic't small pour to them common Whey or fresh Milk six Pounds distill them after the vulgar manner 3. In a Scorbutick Atrophia and Consumptive Disposition where nothing hot that may stir the Blood and Humours and Spirits ought to be admitted let both the Ingredients and Menstruum be temperate and lenifiers of the Blood Take Leaves of Brook-limes Cuckow-flower Harts-tongue Maiden-hair Liver-wort Speedwel Agrimony of each two handfuls Snails cleans'd a Pound and a half or the Pulp of a Capon or of a Sheeps-heart slic't all being half boil'd and slic't pour to them of fresh Milk or Water of Fumitory six Pounds let them be distil'd the common way Physick-wines and Beers Though the use of Wines may not seem proper in a Scurvy rais'd by reason of a hot or Sulphureo-saline Dyscrasie of the Blood nevertheless if at any time the Stomach either being weak or a long accustomance require the drinking of Wine at leastwise being diluted with Water a Eiquour of that kind being both temperate and in some measure Physical may be prepar'd For especially small Wines diluted with Water and impregnated with the Infusion of Bawm Borrage or of Burnet or other things ought to be allow'd Moreover let Wines be prepar'd of the Juice of English Corinths Cherries and other horary Fruits which when they are brought to a ripeness by Fermentation are very grateful to the Stomach and purifie the Blood Again Cider the familiar and genuine Wine as it were of our Country so it be clean mellow and pleasant without any sharpness does very much good in the Scurvy Moreover in this Liquour drawn from the Lees and put in small Vessels Ingredients of various kinds may be infus'd Of which kind are tops of the Pine-tree or of Fir
Flowers of Tamarisk also shavings of Harts-horn or of Ivory which sweeten the Liquour and preserve it from turning four viz. in as much as the Particles of the fluid Salt which abound in the Cider and are apt to make it sharp are taken up in dissolving the foresaid Ingredients Temperate Physick Drinks may be prescrib'd after this manner viz. let a small Ale be prepar'd to fill a Vessel of five or six Gallons into which instead of Hops let tops of the Pine-tree of Firr or Tamarisk or the Raspings of either of their Woods be put them after it has wrought let the Roots of sharp pointed Dock dryed be put into the Vessel than which certainly there is no Remedy more excellent in the Scurvy To these sometimes let the Leaves of Brook-limes Water-cresses Winter-cresses c. be added Also Pomecitrons or Oranges cut in slices Leaves of Harts-tongue put into a little Vessel of midling Ale after it has wrought gives it a grateful savour and odour CHAP. IV. Of the Curatory Indication of the Scurvy whereby we obviate the Disease it self and the Symptoms that are most pressing HItherto we have shewn concerning the Cure of the Scurvy what regards the Preservatory Indication to wit the removal of the Morbifick Cause viz. both the intentions of Curing and the Remedies indicated Which kind of method being seasonably begun and duly prosecuted often does the whole work viz. in as much as the Cause of the Disease or the Root of it being cut off the affects depending of it dye of their own accord Nevertheless we must not go on with this course of Physick always directly but turning aside several ways For sometimes severe Accidents and Symptoms happen which require a peculiar and as it were extraordinary Physical help to which we must Immediately attend and often interrupting the general Cure Concerning these we must observe that as affects which happen upon the Scurvy require Appropriated Remedies according to the Nature of each of them and to the disposition of the Patient yet Antiscorbuticks ought always to be mixt with them I will not be needful to order a Method of Cure against all diseases and affects with which the Scurvy is wont to be attended for so the whole Practice of Pyhsick would be here transcrib'd but we shall have regard only to the Symptoms that are chiefly pressing by which either the life of the Patient is endanger'd or the principal Cure Obstructed after what manner and by what Medicines such are Cur'd I shall now shew Of Curing a difficult Breathing and Asthmatick Fits A Difficult Breathing with a straitness of the Brest and Asthmatick Fits ought presently to be removed by appropriated Remedies to be prescrib'd besides the general Method for other wise the diseased is soon brought in danger of life Since these sorts of evils arise in Scorbutical persons for the most part either through the fault of the Blood stagnating in the Heart or by reason of the Nerves of the Lungs being hindred in their Function therefore they are Gur'd either by Cordial or Anticonvulsive Medicines Spirit of Harts-horn of Soot of Blood of Mans Scull also the Tincture of Castoreum of Antimony or of Sulphur Flowers of Sal Armoniack Flowers of Benzoin also Elixir Proprietatis are often of excellent use in these Cases which kind of Medicines may be frequently given with a Dose of some Antiscorbutick Liquors appropriated also against the foresaid afects For the appeasing of a sudden difficulty of Breathing which is meerly Convulsive if at any time it very sorely presses I have found no more present remedy then our Tincture of Laudanum with Opium given to ten or twelve drops in a convenient Liquour For Sleep Stealing on the Spirits remit of their disorders and in the mean while being refresh't they resume afterwards their accustom'd offices after a due manner Take Roots of the great Bur Dock of Butter-Burr and Chervil of each an Ounce Leaves of Maiden-hair and Germander of each a handful Seeds of the Great Bur Dock of Bastard Saffron of each three Drams Raisins two Ounces being slic't and bruis'd let them Boyl in three pounds of Fountain water till the third part be Consum'd add of White-wine four Ounces strain it into a Flagon into which put leaves of Scurvy-grass slic't a handful Roots of Elecampane preserv'd and small slic't half an Ounce make a close and warm Infusion for three hours the Dose is six Ounces twice or thrice a day Of Affects of the Stomach which are wont to happen in the Scurvy SCorbutical persons are wont sometimes to be troubled with a great Oppletion and Pain of the Stomach also with a Nauseousness and Belching and sometimes also with a frequent and violent Vomiting which kind of distempers sometimes arise from the Chyle there degenerated into a Mass of Corruption but oftner from the Morbifick Matter brought thither either by the conveyance of the Blood or also of the nervous Juice and either depos'd within the Cavity of the Stomach or fixt in the Plexus's of the Nerves and in the Membranes In these kinds of Cases if a Viscous Stinking or otherwise Offensive Matter be cast up by Vomit and there be a suspicion that the cause lyes within the Cavity of the Stomach its proper to give a gentle Vomit of Wine of Squills or of Salt of Vitriol Or let the offending Humours be Purg'd off by Stool either by Extract of Rhubarb or by its infusion with the addition of Salt or Cream of Tartar But if the Matter sticks deeply within the Membranes or the Plexus's of the Nerves Diaphoreticks or things that moderate the effervescencies of the Salts do better Let Elixir Proprietatis or Flowers of Sal Armoniack or Spirit of Soot be frequently taken with Raddish Water Compound water of Earthworms or some other Antiscorbutick Liquour Mean while once or twice a day let Fomentations of Wormwood Centory Flowers of Cammomil Roots of Gentian and other things Boyl'd in White-wine be applyed to the Region of the Stomach with Wollen Cloths dip't into it warm and wrung forth The use of Glysters is proper and Opiats often give great help Of the Belly Ach and the Scorbutick Collick SCarce any affect requires a more speedy Physical help than the Colick and gripes in the Belly which frequently happen in the Scurvy Against these evils Glysters of various kinds Fomentations Liniments and Cataplasms are administred The use of Opiates is found to be very necessary here Certainly in this Case that Praescript of Riverius chiefly has place viz. that Purging Pills be given with Landanum mixt with them for a plentiful Evacuation by seige and Sleep being caus'd the Fit often is taken away Moreover Powders of Shells by which the sharp Salts are Imbib'd or fixt conduce very much to the removal of the Morbifick cause for example Take Crabs Eyes and Egge Shells of each a Dram and a half Pearl a Dram make a Powder divide it into twelve Doses whereof let one be taken
every sixth hour with a Scorbutick Water or with the Decoction of the Roots and Seeds of the great Burr Dock as it is above describ'd or also with Posset-Drink having the Roots and Seeds of the great Bur Dock and the Leaves of sweet Marjoram and Saxifrage Boyl'd in it and the leaves of Scurvy-grass infus'd In the Scorbutick Colick also in the affects of the Stomack even now describ'd the use of Purging Spaw Waters such as we have at Epsom and Barnet often proves of an excellent effect Of the Diarrhaea or Loosness and Dysenterical Affects AN inveterate Loosness such as frequently happens to Scorbutical Persons ought by no means to be stopt with astringent Medicines nor is it easily cured by altering Medicines or by Antiscorbuticks Spaw-waters impregnated with Iron or Vitriol are the best Remedy for this Affect Next these are Artificial Spaws or Chalybeate Medicines which are wont to give a mighty relief Crocus Martis duely prepared is justly preferr'd before all others I have often used the following Method with good Success In the first place Let a Purge be ordered of the Powder or Infusion of Rhubarb with the addition of Aromatick Astringents and now and then let it be repeated viz. within the space of three or four days on the other days let a Dose of the following Electuary to the quantity of a Nutmeg be taken in the Morning and at four of the Clock Take Conserve of Common Wormwood made with an equal part of Sugar six Ounces in a hot Constitution instead of this let Conserve of Red Roses be taken Species Diarrhodon Abbatis two Drams white and red Saunders powdered of each a dram the best Crocus Martis half an Ounce with a sufficient quantity of Syrup of Steel make an Electuary In Dysenterical Affects and the Tenesmus you must proceed after the like method especially let spaw-Spaw-waters be drank if it may be Moreover let Glysters prepar'd of vulnerary Decoctions be frequently used I lately Cured a certain person troubled with a long continued and dangerous Bloody Flux who had daily voided many Ounces of Blood by Siege for a long time with this Remedy Take of the best Rhubarb powdered an Ounce red Saunders powdered two Drams Cinamon a Dram Crocus Martis three Drams Lucatellus Balsom what suffices make a Mass for Pills He took four Pills sometimes every day sometimes every other day for a Fortnight and was perfectly cured To this person also I prescrib'd a Physick Beer of the Infusion of the Roots of sharp pointed Dock and the Leaves of Brooklimes to be constantly taken Of Giddines and Swooning and other Affects usually joyned with it in the Scorbutick Affect A Giddiness often happens upon an inveterate Scurvy to which also a frequent Swooning and almost a continual danger of it and likewise a numness in the Members and a sense of Formication running sometimes in one place and sometimes in another are wont to be joyned which kind of Affects proceed from the failings of the Animal Spirits in their Origine it self and sometimes from the failings of the same with the Nerves both belonging to the Heart and to the Members that serve for motion and in regard thy depend on the Brain and the Genus Nervosum their being very much over-charged with a Scorbutick Salt they are not easily cured Cephalick Remedies such as are proper in a Giddiness and Paralytick Affects raised by themselves ought to be given with Antiscorbuticks mixt with them therefore in the first place a Provision being made for the whole by fit Catharticks and such as are proper in the Scurvy you may proceed after this manner with appropriated Remedies against the foresaid Affects About the beginning of the Cure let Blood be drawn from the Vessels of the Fundament by Leeches and unless somewhat indicates the contrary let it be frequently repeated afterward Take Powder of the Root of Male-Peony half an Ounce red Coral prepar'd two Drams mans Scull Elks-hoof of each a Dram Take double refined Sugar dissolved in peony-Peony-water Compound or in the Water of Horse-raddish and boyled to a Consistency for Tablets eight Ounces Oyl of Amber excellently rectified half a Dram Make Tablets according to Art Take to a Dram and a half or two Drams Morning and Evening drinking after it a Draught of the following distill'd Water Take Leaves of Scurvy-grass Brooklimes Water-cresses Lillies of the Valley Sage Rosemary Betony of each three handfulls green Wallnuts a Pound the Rinds of six Oranges and four Lemons fresh Roots of Male-Peony a Pound and a half being sliced and bruised pour to them of the Phlegm of Vitriol a Pound Whey made with Cyder five Pounds let them the distill'd after the common way let the whole Liquour be mixt together The Dose is from three Ounces to four Of Haemorrhagies Haemorrhagies often threaten a mighty danger in the Scorbutick butick Affect the Diseased being thereby thrown headlong as it were into the Jaws of Death whil'st the Blood breaks froth almost to a Swooning sometimes from the Nostrils sometimes by the Menses or Haemorrhoids Moreover being sometimes cast up from the Lungs or Stomach it gives us a Suspicion of an Ulcer or at leastwise of a great weakness lying hid in the part affected Wherefore excretions of Blood if they are either immoderate or happen in an improper place ought to be stopt for the present and prevented for the future For stopping Blood when it breaks forth immoderately the method is vulgarly enough known and there remains nothing more or peculiar to be done when happening in this Affect by reason of the Scurvy than on other Occasions But yet to prevent Haemorrhagies let Remedies be administred which take away the Acrimony of the Blood and constringe the over-lax and gaping Mouths of the Vessels both intents are excellently perform'd by Chalybeate Medicines the use of Vitriolick Spaw-waters is very proper for this purpose Moreover Infusions Extracts Salts and the like Preparations of Steel which contain chiefly the saline or vitriolick part of the Iron are always very profitable against Haemorrhagies We have shewn before by what means Iron and its preparations produce these effects and divers others in Human Bodies Take Conserves of Red Roses and of the Wild Rose of each three Ounces Species Diarrhodon Abbatis and Diatrion Santalon of each a Dram and a half Salt of Steel a Dram Crocus Martis excellently prepar'd two Drams Red Coral prepar'd a Dram and a half with a sufficient quantity of Syrupe of Steel make an Electuary let the quantity of a Nutmeg be taken thrice a day drinking after it a draught of an Appropriated Liquor To poor people I use to prescribe thus Take tops of Cypress and of stinging Nettles of each four Ounces Brooklimes two Ounces let them be bruised in a Mortar with ten Ounces of double refined Sugar then add Scales of Iron very finely powdered an Ounce Powder of white and red Saunders of each two Drams with a sufficient quantity of the Syrup of
the Juice of nettles make an Electuary The Dose is the quantity of a Wallnut twice a day Take of Distill'd Water or of a temperate Antiscorbutick Decoction two Pounds our Steel prepar'd two Drams mix them in a Glass The Dose is three or four Ounces Take tops of stinging Nettles Leaves of Brooklimes of each Four Handfuls being bruised let the Juice be prest sorth keep it in a Glass The Dose is two or three Ounces twice a day with an Antiscorbutick distill'd Water Of the Distempers of the Mouth happening by reason of the Scurvy ASsoon as the Scorbutick Taint seizes the parts of the Mouth that the Gums swell and their flesh becomes Spongy presently let Remedies be carefully administred which may keep them from Putresaction Amongst these washings of the Mouth and Liniments are of chiefest use both when the Disease is beginning about those parts and when it is come to a greater height there though as they regard various intents so they ought to be diversly prepar'd viz. the flesh of the Gums when first it swells ought to be freed from the incursions of the Blood or of the salt and corrupted Serum and to be dried afterward the flesh of the same grown flaccid and faln from the Teeth ought to be freed from Putrefaction and also to be constring'd that it might hold the Teeth the faster For these and haply other intents let Gargarisms or Washings of the Mouth be ordered of divers kinds of all which in a manner the chief ingredients are Vegetables boiled and Minerals infused The Herbs or Roots which are boiled in a fit Liquor viz. in Water or Wine for the most part are smart or bitter or stiptick and then those Decoctions are impregnated either with a volatile lixivial vitriolate Chalybeate or aluminous Salt I shall here set down certain forms of each kind 1. When therefore the flesh of the Gums first swells and becomes spongy by reason of the Influx of the salt and corrupted Blood and Serum Take the middle Bark of Elder and of Elm of each half a Handful Leaves of Savory Sage wild Mustard Garden-cresses of each a Handful Roots of Pelitory of Spain two Drams being sliced and bruised let them boyl in three Pounds of Water of Lime till a third part be consumed if sweetning be required add Honey of Roses two Ounces make a Gargarism Or take Vitriol Camphorated an Ounce vulgarly with us it 's called by the name of Captain Green's Power fountain-Fountain-water two Pounds mix them in a Glass shake it and then when the Liquor is grown clear by setling let it be used Or prepare a Lixivium of the Ashes of Broom or of Rosemary or of Tartar and Nitre Calcin'd In three Pounds of this boyl Leaves of Savory Time Sage and Rosemary of each a Handful let the straining be poured on two Handfuls of Scurvy-grass make a warm and close Infusion for three hours Let it be strained again and kept for Washing the Mouth several times in a day For the same Intent let Liniments also be applied betwixt whiles and espectally in the Night that their Virtue may be conveyed to the Diseased even when they are asleep Amongst Authors a common famous and long tryed Medicine is found Take the Powder of the Leaves of Columbines the Curl'd Mint Sage Nutmegs Myrrh which last nevertheless may be sometimes omitted of each two Drams Burnt Allom half an Ounce Virgin-Honey four Ounces or what suffices make a Liniment according to Art 2. If at any time the Flesh of the Gums growing Flaccid falls from the Roots of the Teeth let a Gentle Scarrification be often us'd and also let the mouth be wash't with this Decoction Take tops of Brambles and Cypress Leaves of Sanicle and Cuckow Flowers of each a handful Boyl them in three pounds of Water in which Iron has been quencht till a third part be consum'd to the straining ad Hony of Roses two Ounces mix them Let a Liniment of this kind be applyed Take Powder of the Roots of Florentine Orris Leaves of Sage and St. Johns Wort of each two Drams Bole Armeniack Sal Prunella of each a Dram warm Virgin Honey what suffices let them be incorporated by stirring them 3. When the Gums Putrifie and are Corrupted and withal the Teeth being Rotten grow loose and emit a Stinking Smell let stronger Medicines and such as greatly resist putrefaction be used an infusion of Vitriol Camphorated also of the Lapis Medicamentosus have chiefly place here Or Take Roots of Gentian and of Round Birth-wort slic't of each half an Ounce Leaves of the Lesser Centory Pontick Wormwood Savory Columbines of each a handful let them boyl in three pounds of Lime Water or of a Lixivial Water also sometimes in Water in which Iron has been quencht sometimes in Alum Water till a third part be consum'd to the straining add Crude Hony two or three Ounces mix them 4. If the falling out of the Teeth be chiefly fear'd Take Barks of the Roots of the Sloe Tree an Ounce Tormentil and whole Bistort of each a handful Pomgranate Rinds and Balaustia of each half an Ounce Boyl them in three pounds of Fountain Water to the Straining ad Alum two or three Drams of the best Hony two Ounces mix them Take Vitriol Complorated Burnt Harts-horn of each a Dram Nutmegs half a Dram of the best Hony what suffices make a Liniment Or Take Powder of the Roots of Bistort Pomgranate-rinds Bole Armoniack Burnt Allum of each a Dram Hony of Roses what suffices add Spirst of Vitriol a Scruple make a Liniment 5. If at any time putrid and profoun'd Ulcers as it sometimes happens infests the Gums or other parts of the Mouth let the forementioned stronger Medicines be often administred Moreover let a Cloth dipt in Vnguentum Egyptiacum dissolv'd in Spirit of Wine or in an infusion of the Lapis Medicamentosus or of Sublimate be now and then applyed to the place affected In these Cases let the Cure be committed to to a skilful Chirurgeon Of Pains that are wont to trouble the Legs and sometimes the other Limbs and that chiefly by Night AGainst these Pains in regard that sometimes they are very vehement besides the general method of Curing the Scurvy special Remedies and such as obviate that symptom are Indicated therefore in such a case a course of purging being well ordered also the Person being Blooded if need be we ought to set upon the Disease both with inward Physick and outward Topicks As to the former such things as promote Sweat and also an evacuation by Urine often give help in as much as they draw another way the lixivial and sharpish Recrements of the Blood and nervous Juice that are wont to be gather'd together in the Part affected but especially let those things be given which free both Humours from their evil Disposition viz. both saline and sharpish Powders of Shells Crabs Eyes the Jaw-bone of a Pike also the Spirit and Flowers of Sal Armoniack
Against the Marasmus caus'd through the fault of the Blood degenerated from its Crasis Asses or Cows Milk diluted with Barley Water or a proper distill'd Water often give help Snail Broaths or Milk Drinks with Snals boyl'd in them moreover Waters distill'd of Milk or Whey with Snails and temperate Antiscorbutick Herbs are greatly conducing in this case For this end also Decoctions of vulnerary Herbs and Antiscorbutick Herbs infus'd in them are taken with good success Mean while let frictions be daily us'd to the outward parts with Cloaths moistned and made Warm with Vnguenticum Resumptivum or fresh oyl of Almonds When an Atrophia arises through the fault of the Blood being affected and consequently perverting the nutritive Juice it has for the most part a Feaver of irregular returns joyned with it with Night-sweats viz. in as much as the Mass of Blood is forc't to irregular and inconstant Effervescencies from that degenerated Juice and the matter so offending is cast forth by Night-sweats in this case a thin Dyet being ordered let Decoctions and Distill'd Waters that fuse and purifie the Blood be frequently taken with Antiscorbuticks mixt with them Take shavings of Ivory and Harts-horn of each two Drams and a half candied Eringo Roots six Drams Roots of Chervil and Dandelion of each half an Ounce Leaves of Harts tongue and Liverwort of each a handful one Apple slic't Raisins a handful Let them boil in four Pounds of fountain-Fountain-water till a third part be consumed let the straining be poured on Leaves of Brooklimes bruised two handfuls Sal Prunella a Dram and half or fixt Nitre a Dram make a close and warm Infusion for three Hours Let four or six Ounces be taken thrice a Day Take Leaves of Brooklimes four Pounds Roots and Leaves of Sorrel and Dandelion of each two Handfuls Snails cleansed a Pound and a half the Rinds of two Oranges being sliced and bruised pour to them of new Milk or of Whey made with Cider or fresh Juice of Apples six pounds let them be Distill'd after the vulgar way Let three Ounces be taken twice or thrice a day Of the Rheumatism WE conclude that this Affect proceeds from the congress and mutual effervescency of Salts that are of a different origine and Nature viz. of the fixt Salt coming from the Blood and of the acid Salt coming from the nervous Liquor The Subjects of both Salts are superfluous Dregs depos'd from the foresaid Humours forc'd into certain Turgescencies and discharg'd sometimes on these Parts sometimes on those Wherefore that the Disease may be Cur'd both let the Turgescencies of the Humours be appeas'd and their superfluous Dregs be purg'd forth and let the Salts degenerating both ways be reduc'd to a State of volatility For the two first intents a gentle Purge and Bleeding are chiefly requir'd and now and then as the strength will bear they ought to be repeated and also let Diureticks and Diaphoreticks be now and then given which any way convey forth the Saline Serosities And that these Evacuations proceeding calmly and with a well-bearing and Nature assisting may succeed the better let Opiats frequently be us'd For the other Intent in which the chief stress of the Cure consists Alteratives and especially such as are endow'd with a volatile Salt greatly conduce Wherefore in this case its a vulgar but no contemptible Medicine to give twice or thrice a day to four or six ounces of the Infusion of a Stone-horse Dung made in a small Wine or Ale or in an appropriate Distill'd Water and a Medicine somewhat more grateful and no less efficacious may be prepar'd if a Water be distill'd from that Dung with Antiscorbutick Ingredients infused in White-wine or Cider which may be given to three or four Ounces twice a day I have often prescribed Spirit of Harts-horn and of Blood in this case with a mighty benefit to the Diseased Of the Dropsie WHereas we conclude the Dropsie which is wont to happen upon the Scurvy to be twofold viz. habitual and occasional Concerning the Cure of the first for the most part all labour is lost for no Remedies are able to restore the Liver and the Lungs and sometimes other Viscera wholly vitiated and the Crasis of the Blood utterly subverted In such a case if any thing seems fit to be done the Scope of Physick is very narrow for there is no room left for Catharticks nor Diaphoreticks nor for a strong Evacuation of any other kind We must insist chiefly and in a manner only on Diureticks and Cordials For these ends let Elixirs Tinctures Electuaries Powders Infusions Decoctions distill'd Waters c. which consist partly of Antihydropicks partly of Antiscorbuticks be given the forms of which I have nevertheless thought good to omit as signifying little or nothing The Scorbutick Dropsie raised on a sudden from an evident cause or on some accident often admits of Cure for the more easie performance of which the tumults of Nature ought in the first place to be appeased and its disorders composed Wherefore if Watchings continue very offensive let sleep be procured by the use of Opiats and now and then as often as it seems very necessary let it be procured again As soon as strength will give leave for Purging let the following Powder be taken and let it be now and then repeated at due intervals of time mean while let the Belly be kept soluble by the frequent use of Clysters Take Mercurius Dulcis a Scruple Rosin of Julape from five Grains to ten Cloves half a Scruples mix them let it be given in a Spoonful of Panada at other times let Diureticks and sometimes Diaphoreticks be carefully taken Take Tincture of Salt of Tartar impregnated with the Infusion of Millepedes as much as you think good let it be given from a Scruple to two Scruples twice a day with an appropriated Liquor Take Spirit of Sal Armoniack what you think good the Dose is from half a Scruple to fifteen drops after the same manner Take Millepedes prepar'd three Drams Salt of Tartar two Drams Nutmegs a Dram mix them make a Powder The Dose is half a Dram twice a day with an appropriated Liquour Or Take Bees dryed and powdered two Drams Seeds of Bishops-weed powdered a Dram Oyle of Juniper a Scruple Turpentine what suffices make a Mass of Pills The Dose is from a Scruple to half a Dram twice a day drinking after it an appropriated Liquor Take Leaves of both Scurvy-grasses Watercresses Dittander Arsmart of each three handfuls Roots of Aron Briony Florentine Orrice of each four Ounces the middle Bark of Elder two Handfuls Winters-bark two Ounces the outward Coats of four Oranges and of three Lemons fresh Juniper-berries four Ounces being slic't and bruised pour to them of Rhenish-wine three Pounds Wine of the Juice of Elder-berries two Pounds Distill them the vulgar way let all the Water be mix't The Dose is from three Ounces to four twice a day after a Dose of some one of the Medicines
Purging to apply Anodyne and mitigating Epithemes to the Places affected and also often to give gentle Hypnoticks by frequent changes Apozemes also and Juices and Expressions of Herbs that allay the Fervour of the Choler and gently carry it off by Seige and Urine are of excellent use but in the mean time let smart or strong Medicines whether they operate by Seige Urine or Sweat in regard they too much fuse and exagitate the Blood and Humours be carefully avoided I have often observ'd in Persons troubled with an acute and obstinate Pain of the Head that the Serum swimming on the Blood when let forth have been ting'd with a Yellowness or with bilous excrements incocated in it and that also in this Case a spare and frequent Bleeding and afterward a free drinking of Whey and Spaw-Waters have given a notable Relief and beyond other Remedies 4. Moreover if the Parts of the Head suster through the Fault of some one of the Viscera as of the Stomach Liver Spleen Womb or any other by reason of the Transmission of the ill Ferment then in the Cure of the Disease let such Remedies as regard the Viscera be administred together with Cephalicks hence to certain Persons troubled with the Head-ach whose Stomach also is in a Fault Elixir Proprietatis Mynsichts Elixir of Vitrol Tinctura sacra Vitriolum martis the compound powder of Aron Roots and other things vulgarly accounted for Stomachals often do good to others whose Heads participate of the evils of the Spleen Chalybeats often give help Some Women sometime find ease of their Head-ach by hysterick Remedies in like manner when the Faults of other Parts contribute to the Head-ach let the coindicated things taken from those Parts be joyned with the first things indicated 5. Sometimes the nutritive Juice is the Cause of a periodical Head-ach viz. in as much as being mix'd with the Blood and not duely assimilated it causes a Turgescency in it by reason of its disagreeing Particles so that the Blood boyling to the Head throws off its Refuse in its Meninges or certain Parts of them predispos'd for it and so irritates the Fibres to painful Convulsions For this Reason I have known many to have been obnoxious to a daily Head-ach after the Measles Small-Pox and other Fevers or Sicknesses with which the Mass of Blood is wont to be vitiated viz. so many Hours after Meals sometimes sooner sometimes later first a flushing of Blood in the Face then a Plentiude and Pain in the Head infested them moreover after drinking of Wine or eating of turgid Food they were more severely punish'd The Access of the Distemper is wont to happen sooner or later after they have eat or drunk according as the Chyle begins to grow turgid either a little after its first entrance into the Blood or after it has stay'd some while in it This affect is free from Danger and for the most part is easily enough cur'd After a Provision being made for the whole a gentle Purge and sometimes blooding being ordered Remedies which restore the Crasis of the Blood such as are chiefly antiscorbuticks and Chalybeats prove mighty beneficial Take Conserve of Fumitory Tansey Wood Sorrel of each two Ounces compound Powder of Aron Roots three Drams Ivoy Crabs Eyes Coral prepar'd of each a Dram and a half powder of yellow Saunders Lignum Aloes of each half a Dram Vitriol of Mars a Dram salt of Wormwood a Dram and a half syrup of the five Roots what suffices make an Electuary let the Quantity of a Chesnut be taken in the Morning and at five a Clock in the Afternoon drinking after it three ounces of the following Liquor Take Water of the Leaves of Aron Vervain and of the Flowers of Elder of each six Ounces magistral Water of Snails and Earth-worms of each two Ounces Sugar on Ounce mix them Various Medicines wont to be us'd against the scorbutick Diseases of the Blood may be rang'd here and giv'n with good Success for Head-aches which are so familiar in the Scurvy oftentimes proceed from the Fault of the Blood perverting the nutritive Humour and discharging its Recrements in the Membranes of the Head wherefore the Remedies mention'd by me elsewhere against that affect claim a place also here 6. There remains yet another Humour to wit the nervous Liquor which being carried into the Fibres of the Meninges and other parts of the Head sometimes becomes disproportionate to the Fibres by its own disagreeing nature as it is sharp or otherwise degenerate sometimes twitches the containing Parts and irritates them into Convulsions or painful Distentions as it strongly ferments with some other humour viz. the nutritious or serous Humour flowing thither The nervous Humour where it is thus morbifick either being vitiated in its whole Mass brings a very great Injury on the Brain predispos'd for it or being faultless of it self is perverted within the Fibres affected and so becomes morbifick secondarily the Cure of which then depends on the Restitution of the containing Parts viz. If the Weaknesses of the Fibres or their injur'd Conformations be amended the Humour irrigating them will presently be free from Fault With what Remedies the Defaults of the Parts predisposed for Head-achs are remov'd we shall presently acquaint you Mean while if the nervous Humour being degenerate in its whole Mass causes a great Offence to the Head predispos'd for Pain let those kinds of Medicines and that method be us'd with which being reduc'd to its due Crasis and gently passing through those Fibres it may irritate them little or not at all for which end neither strong Purging nor large or frequent Blooding are proper in regard they exagitate the Blood and Humours and impair the Strength and consequently give a greater Acrimony and Rage to the nervous Humour which was faulty before But gentle Loosners and a spare Bleeding will now and then be of use whereby the Viscera may be cleans'd and the Mass of Blood be somewhat purg'd and a way be prepar'd for other Medicines which will succeed the better afterwards Now the Medicines that render the nervous Liquor more friendly and benign to the Membranes of the Head which are wont to be offended by it are those which are vulgarly call'd Cephalicks viz. whose Particles being active enough and withall fine and subtle pass the Blood without any Turgescency or Tumult and then insinuating themselves into the nervous Liquor gently actuate it and cause the Ductus's of the Nerves so to open themselves that thereby the animal Spirits more freely irradiate all Bodies both sensible and motive and inspire them without Swoonings Convulsions or anomalous Distentions These kinds of Remedies tho not always efficacious nevertheless often remove some Head-achs that are not very inveterate and in others tho never so obstinate they frequently do good moreover those things that are prescribed against Pains of the Head are also given against Affects of the Brain and Genus Nervosum and on the contrary the things
that are prescrib'd in these are also given with good Success against those viz. the Vertue of them being display'd within the Brain does good against the Apoplexy Palsie Lethargy and other Diseases allied to them also within are moving Fibres against Cramps and Convulsive Motions and likewise exerting their Forces within the sensible Fibres they often relieve Pains Great stores of these Medicines are vulgarly set forth in Physical Books but so that their Plenty has brought either a Poorness or Confusion to the method of healing those things which would do most good often lying hid or being concealed amon gst that confus'd heap of Remedies even as Wheat is with more difficulty separated from much Chaff than it is first gotten clean from the Ear. Therefore in this Case Provision being made for the whole and then those things being given both by Dyet and Physick which put a stop to or presently appease the Turgecencies of the Blood let the Medicines call'd Cephalicks or such as remove the Disorders of the nervous Juice be prescribed to be carefully taken I shall set down some few Forms of these Take Conserve of Flowers of Betony and Clovegillyflowers of each three ounces Powder of male Peony Roots half an ounce bastard Dittany a dram lignum Aloes yellow Saunders of each a dram red Coral prepared Pearl Ivory of each an ounce and a half Salt of Vervain a dram and a half syrup of Peony flowers what suffices make an Opiate let the quantity of a Chesnut be taken drinking after it of the following Julep three ounces Take Water of Black-Cherries Wallnuts simple Vervain of each four ounces Water of Cowslip-flowers three ounces compound Water of Peony three ounces Sugar six drams Or Take Leaves of Vervain Mistletow growing on Apple-trees of each ten handfuls male Peony Roots two pounds Mace Nutmegs of each half an ounce Coriander Seeds an ounce being slic'd and bruised pour to them of fresh Milk eight pounds or of Milk seven pounds Malaga Wine one pound distill them with common Organs let the whole Liquor be mixt Let three Ounces be taken at a time Take Powder of male Peony Roots half an ounce red Coral prepared two drams Ivory Pearl prepared of each a dram make a fine Powder of them all add of Sugar dissolv'd and boyl'd to a Consistency for Tablets in a sufficient quantity of Black-cherry Water six ounces Tincture of Cotal a dram make Tablets according to Art weighing half a dram let three or four be eaten in the Morning and at five a clock in the Afternoon drinking after it a little draught of Tea Or Take Tincture of Coral an ounce take from fifteen drops to twenty twice a day in a little Draught of the Julep or distill'd Water Those that are of a cold or flegmatick Temperament may take twice a day a Dose either of the Tincture of Antimony or of Spirit of Armoniack impregnated with Amber or Coral or of Spirit of Harts-horn or of Soot in an appropriated Vehicle The use of Millepedes ought not here to be omitted or set lightly by in regard that their express'd Juice distill'd Water and also the Powder prepar'd of them often contribute egregiously to the Cure of ancient and obstinate Head-achs I might here propose many other Medicines of various kinds nay transfer hither the forms in a manner of all those which I have formerly heap'd together against convulsive Affects But the most difficult thing of all concerning the Cure of the Head-ach yet remains viz. How the Conjunct and fixt Cause of this Disease consisting in the Weakness or injured Conformation of the Fibres may be heal'd or remov'd Now this though it will be sometimes incurable as when a schirrous or callous or some other ancient and fix'd tumour has possest the Meninges nevertheless since the Diagnostick of this is uncertain and the Procatarxis of a Disease how unconquerable soever it may seem sometimes by a continued method of Cure is overcome therefore in every kind of Head-ach as long as the Patient will admit of Remedies let not a Physician be backward in prescribing those things that shall seem most proper Therefore in the first place as we hinted even now we must diligently endeavour that the Fuel of the Disease being out off and intercepted the frequent Accesses of the Fits be stopt for so the indisposed Fibres whilst they are no longer molested sometimes recover their sound state Nature alone effecting the Cure The helps of the Art of Physick indicated in this Case are taken from Chirurgery rather than from Pharmacy for whatsoever is taken by the Mouth passing through long Circuits spends all its Virtue before it reaches the Membranes of the Head Amonst Chirurgical things first Topical Remedies occur and of those Plaisters are of most advantagious use and often prove very beneficial Let not these be extreamly hot which may draw the Humours more to the place affected but moderately discussing and corroborative I use to prescribe Emplastrum de Minio or Diasaponis with a half quantity of Paracelsus's Plaister to be applyed to the Place grieved after it is shaved and to be worn for some time As to the Ancients frequent use of Phenigms and Sinapisms and to the present Practice of applying Vesicatories against violent Head-aches sometimes to the whole hinder part of the Head sometimes to the Sinciput if at any time ease has ensued these not Topicks it was for this reason Because by those Administrations a mighty store of sharp Serum was voided from the Part affected Liniments of Oyls and Unguents tho freuently us'd do little because as I gess in case they penetrate deep they render more lax the Tones of the Fibres whereby they lye more readily open to the Incursions of the morbifick Matter moreover they stuff the Pores of the Skin that the Effluvia do not evaporate for the same Reason in a manner it is that warm Fomentations prepar'd of Aromatick or other cephalick Decoctions oftner do Hurt than Good because they draw Humours towards the Parts affected and withall open the Pores and Passages whereby they are more readily admitted and therefore also it is that bathing of the Head by pumping Water on it in hot Baths is used to Persons troubled with the Head-ach with no better Success whereas on the contrary it would be good for many to wash their Temples Fore-head and Sinciput every Morning and Evening with cold Water nay to bath their Heads every Morning by pumping cold Water on it or at leastwise to dip it in a deep Vessel or Well Another Chirurgical help cryed up for the Head-ach especially if violent and inveterate is wont to be a burning or cutting of Issues in several parts of the Body It 's a thing without doubt that these being made in the Arms or Leggs are both less troublesome and prove somewhat beneficial viz. inasmuch as they withdraw the fuel from the Part and lead it far away from the place affected Moreover an Issue in the
following Powders or Tablets have their turns in the course of Phyfick Take powder of Vipers Flesh prepar'd at Montpellier an ounce Hearts and Livers of the same half an ounce Species Diambroe two ounces make a Powder let a dram be taken twice a day with three ounces of the distilled Water or with Viper Wine with a decoction of the Leaves of Sage of the Roots and Seeds of the great Bur-dock and Eringo roots condited made in a sufficient quantity of Fountain-Water to a half to the quantity of six or eight ounces warm in the morning expecting a sweat Take Solar Mineral Bezoar half an ounce Cloves powdred two drams mix them make a powder to be divided into twelve parts let one part be taken twice a day after the same manner with the use of these kinds of Remedies let gentle Catharticks be pretty ften interlac'd Take powder of choice Roots of Zedoary and the lesser Galingal of each a dram and a half Species Diambror a dram powder of the Seeds of Mustard Rochet Scurvy-grass Water-cresses of each half a dram make a subtle powder of all add pure Oyle of Amber half a dram with six ounces of white Sugar dissolved in compound Peony Water and boyled to a Consistency for Tablets make Tablets according to Art each weighing half a dram let three or four be eaten twice a day drinking after it a dose of some one of the Liquors even now mentioned Take powder of the roots of Virginia Serpentary two drams of the lesser Galingal a dram of the Gummous extract from the residency of the distillation of Quercitans Elixir of Life a dram Flowers of Sal Armoniack or of pure volatile salt of Soot or of Harts-horn a dram Balsam of Peru a scruple Balsamum Capivi what suffises make a Mass let it be made into little Pills rowling them in species Diambrae the dose is half a dram evening and morning or Take Rosin or Gum of Guaiacum three drams species Diambrae a dram Chymical Oyle of Guaiacum excellently rectified a dram and a half liquid Amber what suffices make a mass let it be formed into Pills to be taken after the same manner But if a Palsey hapning in a bilous Temperament or in young Persons admits only mild Medicines being wont to be exaspirated by any that are hot and elastick the following forms will be of use for removing its Procatarxis Take Conserve of the Flowers of Betony Fumitory Primrose Flowers of each two ounces species Diambrae a dram Ivory Crabs Eyes Crabs Claws of each four scruples Powder of Peony Flowers two drams Lignum Aloes yellow Saunders of each a dram Salt of Wormwood a dram and a half with a sufficient quantity of Syrup of Peony Flowers make an Electuary the dose is two drams a day drinking after it either of the simple Water of the Leaves of Aron or of the following compound Water three ounces or of a Decoction of Sage with the Leaves of Tea infused in it four or six Ounces Take Rots of Aron male Peony Angelica Masterwort of each half a pound Leaves of Sage Rosemary Marjoram Booklimes Water-cresses of each four handfuls the Flowers of Primroses Cowslips Marygolds of each three handfuls the yellow coats of six Oranges and four Limons all being slic'd and bruised pour to them of new Milk six pounds Malaga-wine two pounds distill them with common Organs let the whole Liquour be mixt Instead of the Electuary sometimes for fourteen or fifteen dayes let the use of the Syrup of Steel be interlaced wherefore let a spoonful be taken in three ounces of the distilled Water it may be made after this manner Take double refined Sugar dissolved in black Cherry Water and boyled to a Consistency for Tablets eight ounces adding of our Steel powdred three drams let them be stirred together on the Fire and then pour to them by degrees Rosemary Water warmed twelve ounces let them seeth gently for a quarter of an hour taking off the froth and pour it out warm through a hair Strainer Chalybeat Tablets also may be made after this manner viz. To the Sugar sufficiently boyled with the Steel add Oyle of Amber or Chymical Oyle of Rosemary half a dram and presently pour it forth that it may run abroad into a Consistency for Tablets the dose is two drams twice a day drinking after it of the distilled Water or of the following Apozome six ounces Take China Roots an ounce shavings of Ivory and Harts-horn of each half an ounce white and yellow Saunders Mastick-wood of each half an ounce let there be a warm and close infusion for a Night in six pounds of fountain-Fountain-water in the Morning add Roots of Chervil Avens Butchers-broom stone-Parsley of each an ounce and a half dryed Leaves of Ground-Ivy Sage Germander Betony of each a handful Coriander Seeds three drams let them boyle to a half then add of White-wine half a pound and strain it into a Bottle on two handfuls of Leaves of Water-cresses bruised make a warm and close infusion for two hours strain it again and keep it in a stopt Vessel In a scorbutick Palsey Juices and Expressions of Herbs often give an excellent relief Take fresh Leaves of Brooklimes Water-cresses Plantain of each four handfuls being bruised together pour to them of the distilled Water even now described eight ounces express it strongly keeping it in a Glass and let three or four ounces be given twice or thrice a day At the earliest and latest physical Hours viz. in the Evening and early in the Morning let the following Pills be taken Take Millepedes prepared three drams and a half Pearl a dram and a half Roots of bastard Dittany a dram Venice Turpentine what suffises make a mass form it into small Pills the dose is half a dram drinking after it a little draught of the distilled water For ordinary drink let either a Bochet be prescribed of Sarsa China yellow Saunders c. or small Ale with the dryed Leaves of Ground-Ivy boyled in it and of Sage with the wood Sassafras infused While these things are done for removing the Procatarxis of the Disease no less a curatory endeavour is required for its conjunct Cause viz. that any places obstructed being again opened may admit and give a free passage to the animal Spirits freed from stupefaction There are two chief kinds of Remedies which conduce much for these ends viz. the one particular and special to be applied to the Places affected to wit that by Fomentations Liniments Plaisters and other outward Applications the stupified Spirits may be raised up again and their Ductus's be opened the other universal to wit that the Blood and Spirits and the other humours and the active particles abounding in the whole Body being very much agitated and put in a more rapid Motion making as it were a swift current may force from before them and remove damms or Obstacles any where sticking by which the Spirits are obstructed The Administrations to be used to the outward
appropriate Electuary such as above-described with a Cephalick Julep Within two months he was m uch better and afterward came to himself by degrees Whilst I was writing these things a young man of Quality lately returned from travelling beyond the Seas and being become sickly committed himself to our care This Person being formerly of a sanguine and chearful temperament of a gay behaviour also of an acute wit and a clear disposition as he travelled through Foreign Countries and being in a certain Summer in Spain he felt in himself a great alteration from the intense heats of that place For first he became obnoxious to frequent effervescencies of the Blood with sudden flushings of heat in the palms of his Hands and the soles of his Feet and to prickings often wont to arise in his whole Body and presently to go away again Afterward finding himself worse as to his Appetite and Sleep and likewise growing dull and somewhat sad he began to affect less and sometimes to shun any business or delights nay and conversation with his friends At length this indisposition daily growing worse without any manifest cause or real trouble of mind he became Melancholick so that always being thoughtful fearful and sad he took delight in nothing For Studies Exercises Travelling Conversation with learned men and all other things which before he delighted in were then wont to be a trouble or terrour to him Being affected after this manner for two years he was so much changed from himself as tho he were another man In order to a Cure he consulted the most skilful Physicians of Spain France Holland and of late in England and tryed various methods of Curing tho scarce with any benefit To wit that melancholy Discrasy of the Blood first contracted by the distemper of the Air continuing still caused Spirits of an acetous nature as it were to be supplied to the Animal oeconomy In the first place I thought good to commend to this Person the following Remedies Take Gerion's decoction of Senna with Tamarinds half an ounce four ounces Purging Syrup of Apples an ounce Aqua mirabilis two drams mix them let him take it with governance repeating it within nine days afer Purging let Bood be drawn with Leeches to three ounces Take of our Syrup of Steel six ounces let a Spoonfull be taken in the morning and atfive of the Clock in three ounces of the following Liquor walking upon it for an hour or two Take leaves of Baum Borrage Buglosse Burnet Meadow-sweet Harts-tongue Water-cresses of each four handfuls roots of Borrage half a pound Clove-gilliflowers Marygold flowers of each three handfuls the outward rinds of eight Oranges and four Lemmons Mace half an ounce being sliced and bruis'd pour to them of Whey made with Cyder eight pounds distill it with common Organs Take Conserve of Clove-gilliflowers the flowers of Betony and Borrage of each one ounce and half Pearl powdred two drams red Coral prepared a dram and a half Species of the Confection of Hyacinth two drams Syrup of Coral and red Poppyes of each what suffizes make an opiat let the quantity of a Chesnut be taken every Evening drinking after it two or three ounces of the water of Cowslip flowers After sixteen or twenty dayes the method of alteratives being changed instead of these let him take the following Take powder of Ivory Pearl red Coral prepared of each two drams Roots of male Peony a dram and a half Lignum Aloes half a dram Orange Tablets four ounces a solution of Tragacanth made in baum-Baum-water what suffises make Tablets weighing half a dram let four be eaten in the Morning and at five of the Clock drinking after it a draught of Tea Take of the same Powder without Tablets half an ounce Flowers of Sal Armoniack Salt of Coral of each a dram with Chios Turpentine six drams make amass let half a dram be taken Morning and Evening drinking after it three ounces of the distilled Water Let him feed only on Food of a good Juice and of an easie Concoction let him drink small Ale with the Leaves of Harts-tongue infused in it he may sip a little now and then of Wine with Water in it or of Cyder Let him lead his Life continually occupied sometimes in easie Employs sometimes in moderate Exercises or Recreations of various kinds So far of universal Melancholy in which the diseased are in a manner indifferently affected by any Object so that in every place by any Accidents and Circumstances they are continually perplext with a multitude of Thoughts with a Raving Fear and Sadness A Melancholy is said to be Special when the diseased have regard to some particular thing or to some certain kind of things of which they in a manner alwayes think and by reason of all the Powers of the Soul being continually spent in this one thing they live always pensive and sad Moreover they have absurd and incongruous Notions not only concerning that Object but also concerning many other Accidents and Subjects In this affect the corporeal soul being altered from its proper Species assumes a certain new one and being not conformable to the rational Soul or to the Body or to it self it undergoes a certain Metamorphosis There are two kinds of occasions from which a particular Melancholy chiefly and most frequently arises viz. first if at any time some severe pressure of an Evil present or at hand whether it be true or imaginary lyes upon the Soul or secondly if the privation of a good before obtained or the despair of that which is desired happen In these opposite Cases the corporeal Soul either being allur'd outwardly omits all domestick care of it self or of the Body or of the rational Soul or being inwardly compress'd it leaves or perverts the offices both of the Reason and of the Vital and Animal Function It were a thing of an immense Labour to enumerate the various Cases and wayes of affecting in both kinds among the mighty store of them those which being of greatest moment seem chiefly to require a physical help are a furious Love Jealousie Superstition despair of eternal Salvation the imaginary Metamorphosis of the Body or of its Parts or the fantastical Goods or Evils of Fortune we shall speak briefly of each of these It is a vulgar and most common observation that if any one once being taken with the Aspect and Conversation of a Woman begins inwardly to be love-sick for her and to desire her earnestly and for his most devoted affection gets nothing but denials and Contempt unless he be upheld by a very strong Reason or being seized by other affections be turned another way as it were there is great danger lest he fall into a Love-melancholy with which Passion if he happen to be affected presently he seems transformed from himself into a living Statue as it were he thinks or speaks of nothing but his Mistris he seeks to put himself upon any of the greatest dangers of Life and Fortune
let a gentle purge sometimes and letting blood in a small quantity if the strength will bear it frequently be used for the same pursose and likewise for deriving Faeculencies from the Brain Issues are proper in the Arm or in the Leg or together in both in gross Bodies and such as have a moist Brain it is good sometimes to cut two by the Shoulder blades Moreover it is on this account that some mightily extoll trepanning to wit whereby the Brain may transpire and evaporate the more freely let the diet belight and attenuating the Habitation in a free and dry Air the Sleep moderate After that these things have been used for some time and in a solemn manner if there be found no change it will be in vain to waste any more physical Oyle and Labour but if after the use of those things signs of benefit or some hope appear sometimes it seems proper to add altering Remedies to be taken daily at Physical hours for a long time Forms of these may be taken from our curatory part of Physick before delivered for removing the Procatarxes of most Cephalick Diseases Moreover I have thought good to add here besides some Magistral Receipts which particularly regard this case Take Spirit of Armoniack succinated six drams give from fifteen drops to twenty in the Evening and early in the Morning in three spoonfuls of the following distilled water drinking after it seven spoonfuls of the same Take fresh leaves of mistletoe growing on Apple-trees six handfuls Sage Rosemary Savory Wild-time Calamint Penny-royal Marjoyam the greater Rochet of each four handfuls roots of Angelica Master-wort of each six ounces Zedoary the lesser Galingal Calamus Aromaticus Winters bark of each two ounces Cloves Nutinegs Mace Cinnamon Ginger of each an ounce Cubebs Cardamums Grains of Paradise of each six drams all being slic'd small and bruised pour to them of the best Canary wine twelve pounds let them digest cold and in a close Vessel for three dayes then distill them according to Art let the whole Liquor be mixt and sweeten it with Sugar as you use it the Dose is two or three ounces After the use of Spirit of Armoniack for fifteen or twenty dayes let other Medicines have their turns for about the same space of time such as are the Spirits of Soot Harts-horn mans skull the tincture of Coral Antimony Castoreum Amber Quercitan's Elixir of Life Elixir Proprietatis Spirit of Lavender c. Or Take Conserve of the flowers of Lillies of the Valley six ounces roots of Aromatick-reed preserv'd six drams Ginger condited in the Indies Nutmegs condited of each half an ounce Species Diambrae two drams Lignum Aloes yellow Saunders roots of choice Zedoary Cubebs Jamaica Pepper of each a dram and half Coral prepar'd two drams Syrup of the Preserve of Ginger what suffices make an Electuary the Dose is two drams morning and evening drinking after it three ounces of the distill'd Water Let those whose Brains abound with too much moisture drink every morning a draught of Coffee with the leaves of Sage first boyled in it to those whose animal Spirits are effaete and depauperated the drink of Chocolate such as before describ'd seems profitable For ordinary drink prepare small Ale or Beer and in a Vessel of three or four Gallons let the following Bag be put after it has wrought Take leaves of Salvia acuta dried four handfuls Cubebs an ounce Cloves Nutmegs being slic'd and bruis'd mix them according to art Outward Applications have place here or which kind are a Cucupha or Cap Plaisters and Liniments and sometimes let these sometimes those or the others be us'd Take Flowers of Lillies of the Valley Rofemary and Staechas of each a handful Celtick spike two drams Roots of Cyperus the lesser Galingal Florentine orris of each three drams Labdanum Benzoin Balsam of Tolu Amber of each two drams Nutmegs Colves Mace Cinnamon of each a dram and a half make of all a jubtle powder and sew it into a cap interlacing it with Cotton Take of the Plaister call'd Flos Vnguentorum two ounces Tachamahacha Ceranna Balsam of Tolu of each three drams powder of Amber and Myrrhe of each two drams Cloves Nutmegs Mace of each a dram being melted together let them be made into a mass of which let a Plaister be made to be spread on Leather and to be apply'd to the Head shav'd Take Oyle of Palm half an ounce oleum Capivii three drams Balsam of Peru a dram oyl of Nutmegs by expression two drams oyl of Amber half a dram make a liniment for the Head I could add here many other Medicines and wayes of Administrations but let these suffice in a Case almost desperate where most commonly no Remedies do good and the Cure is never perfected CHAP. XIII Instructions and Prescripts for curing the Gout AMong the Diseases of the Head and Genus nervosum we justly rank also certain Affects which are wont chiefly to infest the Feet and Belly to wit the Gout and Colick For we may conclude from the primary symptom viz. Pain that the Seats of both are in the nervous parts I shall speak in the first place of the for mer. The Gout most commonly is wont to arise about the Internodia of the Bones of the Feet tho often it happens in the Joynts of the Hip Knee Elbow Shoulder Wrist Ancle and of other Parts The Fits of this Affect which in a manner is always intermittent either seize at random or periodically which ending sometimes sooner sometimes later good lucid Intervals ensue presently upon the first invasion Pains for the most part arise without any swelling tho afterward about the height of the Disease the Part affected often swells the Pains about the beinning scarce yield to any Remedies but are wont to be very much exasperated by Catharticks and not presently to be driven away or asswag'd by Topicks the Fits most commonly seize on a sudden and without a precious affect tho sometimes it has a fore-running effervescence in the Blood or a little Fever The Disposition to this Disease sometimes is Hereditary sometimes acquir'd through an ill Diet the Occasions or Causes which being wont to actuate the Disposition raise the Arthritick Pains are some violent alterations or Passions inflicted on the Humours and Spirits Hence Surfeiting immoderate drinking especially of acid and thin Wines Transpiration letted Anger immoderate Venery Sadness also the Revolutions and great changes of the Year and Air every where bring Fits of this Disease those that are obnoxious to this are also in danger of being sometimes troubled with the Stone or Gravel in the Kidneys and on the contrary moreover the Gout increasing gathers together every where about its chief Seats to wit the Joynts a calculous matter and there raises a tophous mass The Parts affected upon the twitching of whose Fibres the Pains are raised for the most part are the Periostia or the Membranes covering the heads of the Bones also the Tendons and
Cataplasms of Chammomil Mallows Marshmallows Linseed and Faenugreek seeds do little or no good nay often much offend the nervous parts by relaxing them the Dissolutions or Stillatitious Liquours of Sal Armoniack Sea-salt Nitre Vitriol quick Lime and the like which in other Humours and Pains are always offensive are wont to prove very beneficial Of these kinds of Liquours to be applyed to the part pained in Fits of the Gout several are prescribed by Quercitan Crollius Hartman and other Chymists which since other famous Physicians upon frequent tryals have approved off we conclude them to have given relief for the foresaid reason I need not repeat here the forms of these as I could suggest many other Preparations of the same sort I shall here only add one or two Take Salt of Tartar and Armoniack powdred of each two ounces dissolve them in four pounds of rain-Rain-water or Fountain-water let it be used luke-warm with Linnen-Cloaths dipt in them Take spirit of Vitriol not rectified a pound Sea-salt calcin'd and powdred a pound mix them and distill them in a Glass Retort with a sand heat there will come forth a pure spirit of Salt to wit which being driven from its seat by the distilled Liquor of the Vitriol and leaving to it its possession will easily dscend to the Caput mortuum pour Spirit of Wine two pounds make a close and warm digestion adding of Camphire two drams let it be applyed warm to the part grieved with Linnen Cloaths Take filings of Iron Flowers of Sal Armoniack of each six ounces mix them by boyling them together let it be distilled in a Glass Retort till the Flowers are sublimed to the caput mortuum bruis'd pour spirit of Wine digest and keep it for use I have heard that some for appeasing Pains of the Gout put the foot affected in a bag fill'd with Sea-salt calcin'd and powdred from which they still expect a certain and quick relief In the declination of the Fit to strengthen the part and to discuss the remainder of the morbifick matter Plaisters are usefully applyed which nevertheless do not all agree indifferently with all Persons but with these more hot with othérs less hot tho with most those are wont to be most efficacious in which are red Lead Litharge Mercury and other mineral or saline things we use chiefly a Plaister of red Lead Cerusse and Soap boyled with Oyle or take the red Lead Plaister two parts Paracelsus's Playster one part mix them and spread them on Leather Inward Remedies to be used against Pains of the Gout are in a manner only Narcoticks which ought to be given in a cruel and long continued Pain Of these we most commend Preparations of Opium with Salt of Tartar or its Tincture Moreover for this use Paracelsus's or the London Laudanum Pilul de Styrace de Cynoglosso Syrup of Meconium Venice Treacle and Diascordium are wont to prove beneficial The second indication called preservatory has respect to the removal of the Procatarctick Causes of the Gout so that the Fits of the Gout may molest with invasions more seldom and less or not at all For this end evacuating altering and corroborating Remedies together with an exact sorm of Dyet are prescribed to be used out of the Fits 1. Therefore Gouty persons ought to Purge solemnly Spring and Fall and it will be convenient then to give a Vomit if nothing indicates the contrary and afterward to repeat it sometimes by intervals Those who have a strong Stomach and Praecordia may take Mineral Emeticks prepar'd of Antimony and Mercury Those who are of a more tender constitution after having eaten slippery food may take Wine of Squills or Salt of Vitriol with Whey Afterward the Stomach being filled with warm Water or plain Posset-drink or with the leaves of Carduus boyled in it let a Vomiting be raised twice or thrice or oftner For Purging to be used also frequently at fit intervals of time the forms of Purges above prescribed may be proper enough Or Take threads of black Hellebore cleansed an ounce lignum aloes Cloves of each two drams being bruised pour to them of Spirit of Wine not rectified two pounds let there by a close and warm digestion for many days the dose is two or three spoonfuls in the morning twice or thrice a week and let Vomiting and Purging always be begun before the Equinoxes lest haply the fit hapning first may prevent the course of Physick Blooding or opening of the hemorrhoid Vessels are sometimes proper Spring and Fall to Persons of a hot temperament and a sharp Blood Cauteries made in the Arms and near the Shoulder-blades are useful in a manner to all that are obnoxious to this Disease Moreover altering Remedies call'd by the Ancients the Antidotes of the Gout are of excellent use and being taken sor a long time together with an exact governance as to the six nonnatural things often give great relief In this rank Medicines endow'd with a Volatile Salt or a Balsamick Sulphur to wit inasmuch as these exalt the fixt Salt and those reduce the acetous are accounted the chief again bitter and astringent things as the Herbs Germander Groundpine Centory Roots of Gentian and Birthwort c. since they are approv'd of by experience in this Disease seem to be profitable for this reason that they help the offices of Concoction and Chylification and keep the saline faeculencies from being carried into the Blood Let us set down certain forms of each of these Take Powder of Groundpine six dram Crabs-eyes two drams Venice Turpentine what suffices make small Pills let three or four be taken in the evening and morning for thirty or firty days drinking after it of the following distill'd Water two or three ounces Take leaves of Cypress Firr Misteltoe growing on Apple-trees of each six handfuls Roots of Avens the great Burr-dock of each a pound the outward rinds of ten Oranges and six Limons Nutmegs Mace of each an ounce being all slic'd and bruis'd pour to them of fresh Milk seven pounds Malaga Sack a pound let them be distilled according to art let the whole liquor be mixt Or let a plain Water be prepared of the leaves of the great Burr-dock cohobating it twice or thrice on fresh leaves Take Powder of the Seeds of the great Burr-dock six drams Crabs-eyes two drams Nutmegs half a dram Balsamum Capivii what suffices make a mass and let it be made into little Pills let four be taken in the evening and morning for many dayes Take Tincture of Antimony an ounce the Dose is twenty drops to twenty five in the evening and early in the morning with three ounces of the water even now describ'd To poor People I use to prescribe after this manner Take powder of the leaves of Sage half a pound Crabs-eyes Saccharum Crystallinum of each two ounces mix them let it be kept in a glass let a spoonful be taken twice a day with a draught of the decoction of the leaves of
Remedies all these things are to be done methodically we shall deliver The cure of the Pain of the Colick is begun most commonly and proper enough by a Clyster let this in the first place be only lenifying and emollient by which as by an inward Fomentation the corrugations of the Fibres may be mitigated and the raging of the Spirits be appeased for this end warm Milk with Sugar or Molossus or Syrup of Violets also emollient Decoctions of Mallows Marsh-mallows Herb Mercury and the Flowers of Melilot Elder with Oyle of Almonds or of Olives also a Decoction of a Sheeps-head or Calves Feet are proper sometimes a Clyster of meer Oyle of Olives or of Linseeds are wont to give help before all others But in case mild Clysters do not easily come away or not loosen the Belly let such be used as irritate more and press and draw out by force as it were the Humours from the little Mouths of the Arteries for this end let carminative or better Decoctions be prepared in which let the Electuary Diaphaenicon Diacatholicon or e baccis Lauri or Species Hierae be dissolved Also to those Liquors it is usual to add three or four ounces of the infusion of Crocus Metallorum or to a pound of an emollient Decoction add of Venice Turpentine dissolved with the yolk of an Egg an ounce or an ounce and a half or take Vrine of a sound man a pound Venice Turpentine dissolved an ounce and a half Molossus an ounce mix them make a Clyster I have known this often to have given a great relief the reason of which seems to be that the balsamick Particles of the Turpentine comfort the intestines and like wise being received by the Venous Blood and circulated with it through the whole Body they move Urine so that a copious making of water often follows such a Clyster and it always carries a smell of Violets haply also the Particles of the Turpentine diftus'd every where move the morbifick or stagnating matter or incline that which is acetous or otherwise degenerate to a better Crasis Whilst the Intestines are so washt with Clysters and fomented as it were inwardly let outward Epithems also be applyed to the Abdomen Take leaves of both Mallows herb Mercury Wallwort of each four handfuls flowers of Elder Camomill Melilot of each two handfuls a Calves-head cloven Let them boyl in a sufficient quantity of Fountain-water Let the straining be used for a fomentation with linnen Cloaths dipt into it as warm as may be suffered and wrung forth and applied by turns repeating it as often as the pains press violently In the Intervals of the fomentation let a Cataplasm or Liniment be used To the magma of the Herbs bruised add Outmeal what suffices make a Cataplasm and let it be sewn in rows in two bags of a square figure for covering the Abdomen Let one of these be warmed at a time in a Platter on hot Coals with Oyl of Earth-worms or of Froggs let it be put on warm changing it assoon as it begins to grow cold Or Take Oyl of Earth-worms or of Froggs what suffices let the Part paining be anointed after the fomentation and let cap Paper moistened be applied and worn The Cawl of a Lamb or the Lungs or other warm Viscera of Brutes laid on the Belly and often changed sometimes wonderfully appease pains I have observed in some constitutions and temperaments that Epithems of hot thins or applied hot have rather encreast pains than mittigated them Wherefore in these cases it seems necessary to order fomentations of the Solutions of Nitre or Sal Armoniack or of other Chymical Liquors as in pains of the Gout sometimes as Septalius relates of meet cold Water But if the Gripes of the Belly do not remit by the use of these things we must use hypnoticks viz. which being given in a set dose often give great truce Mean while for refreshing the strength and failing Spirits and to order yet a greater Apparatus against the Disease Take liquid Laudanum tartarized from sixteen drops to twenty give it going to rest in a spoonful of the water of Camomil-flowers drinking after it of the same six spoonfuls let it be repeated every other or third night if the pains are very pressing In a hot constitution Take water of Camomil-flowers three ounces Syrup of Meconium half an ounce Aqua Mirabilis two drams make a draught to be taken going to rest Mean while that these things are done for appeasing pains and either for discussing or at leastwise loosning this matter sticking in the morbid fears let evacuating Remedies have their turns to wit both for wholly extirpating the Minera of the Colick and for cutting off the supplies or fuel of it that it grow no further For these ends a Vomit where it agrees and a gentle Purge and also in a hot temperament where a Fever presses or is feared Blooding ought to be used Take Sulphur of Antimony from five Grains to seven or eight conserve of Borage a dram give it in the Morning with Governance In this case according to the Judgment of a Physician present either an infusion of Crocus Metallorum or of Mercurius Vitae the Emetick Tartar of Mynsicht an expression of the Leaves of asarum and in tender Constitutions Salt of Vitriol and Wine and Oximel of Squills may be given Let Purges lest they nauseate the Stomack which is distempered be given only in a very small Dose and in a meet Form Take Rosin of Jalap and of Scammony of each five grains Cream of Tartar a Scruple Cinnamon powdred four Grains make a Powder or let it be made into Pills or a Bolus with conserve of the Flowers of Borrage or of Damask Roses Take Scammony sulphured half a Scruple Cream of Tartar fifteen Grains Diaphoretick Antimony a Scruple make a Powder let it be given after the same manner If a Fever does not press give a dose of Stomak Pills with Gums or of Amber either by themselves or with Rosin of Jalap Take Pilulae Rudii from twenty Grains to half a dram Laudanum one Grain make four Pills let them be taken going to rest these first bring sleep and purge in the morning Or. Take Calomelanos a Scruple Rosin of Jalap six Grains Scammony four Grains Ammoniacum what suffises make four Pills let them be taken going to rest In a long continued Colick when all other Remedies have done little or no good I have often known this Medicine given once or twice to have raised a Salivation to the great relief of the Diseased for if at any time the morbifick Matter plentifully gathered together in the Nervous Plexus's and other places about the Abdomen and there firmly sticking is not able to be moved by other Medicines the Mercurial Particles displaying themselves every way easily dissolve it and divide it into minute parts and drive them variously this way and that and at length wholly dissipate them Wherefore in a long continued and obstinate
to the Head or Feet they cause the Vertigo or Gout as it frequently comes to pass Take our Tincture of Steel an ounce give from fifteen drops to twenty twice a day in seven spoonfuls of the following Julep Take water of the Leaves of Aron of the great bur-dock each half a pound of magistral Water of Earth-worms of Gentian compound and of Paeony compound os each two ounces Sugar half an ounce mix them After the same manner Tincture of Antimony and of Amber nay and many other altering Remedies above prescribed for Cephalick Affects also in the Preservation from the Colick in regard its Procatarxis proceeds from the Brain have justly place here Being sometime since entreated to take care of the Health of a Reverend Old Man who had been very sorely obnoxious to the Colick for many years I used the Method and Remedies which are now described by the careful use of which after a Month or two he was better and within a Year and a half he seemed perfectly cured that afterward he lived wholly free from fits of Pains But the Colick Disposition had not long ceas'd and he omitted the usual course of Physick but about the Throat in the Muscles serving for Deglutition he had a Resolution which frequently troubled him that oftentimes by Aliments and especially Liquids there sticking he incurr'd the Danger of Suffocation Receiving help against this evil by Antiparalitick Remedies for the six or seven Years following he enjoyed an indifferent health and at last as was travelling being then first seized with an Apoplexy he died It is obvious enough in this case that the Recrements of the Nervous Liquor wont to be depos'd about the Nervous Plexus's of the Abdomen first raised the Colick afterward that the same being excluded from that part and betaking themselves to another seat about the Nervous Plexus's Ganglioformes of the Throat brought the Resolution or short Palsey of the Aesophagus and at last by reason of the same matter restagnating in too great a plenty in the Meditullia of the Brain the mortal Speechlessness ensued A certain cunning and subtle Lawyer fifty years of Age having been wont to be troubled for many years with a periodical Head-ach a deadness of his Senses and a mighty heaviness of his Head About the midst of the Summer being mighty ill of the foresaid Affects upon the Application of Topick Remedies on a sudden found ease but a little after he had a first seizure of a violent Colick the Invasion whereof was so fierce that his strength failing on a sudden he fell into frequent Faintings with a cold Seat which Fit nevertheless within twenty four Hours vanisht by degrees without any eruption of Flatus's or Purging But from thence forward being obnoxious to this Disease he had frequent accesses of it all which as I carefully observed were preceded by a Pain of the Head with a Vertigo and a Stupor fo that he was wont to foretell hence that the Pains of the Colick were to follow soon after in a certain Fit which continued for twelve dayes with a mighty fierceness the diseased himself observed and told me that the affect of the Abdomen coming upon him he had found no illness in his Head but that as the colick Passion remitted presently the Vertigo with the Head-ach returned from which reciprocal Metastasis of those Symptoms from the Head to the Belly and on the contrary we may argue that the same morbifick matter abounding in the Ductus's of the Nerves sometimes falling downward brought the Colick Passion sometimes restagnating above caused those Cephalick Affects Not long since a renowned young Man studious and using a sedentary Life began to complain of a great deadness and dulness of his Senses also of a heaviness of his Head and almost a continual Sleepiness Moreover his Stomack was become so slow and dulled that it was wholly destitute of all appetite whilst a cure is ordered against this evil Disposition by Remedies which rouse up the Spirits and shake off the burthen lying on them the Person falls into a most violent Colick to which he had never before been obnoxious by which a violent and as it were piercing Pain possest the middle of the Abdomen the Navel being drawn inwards and notwithstanding the daily use of Remedies of all kinds it continued with a mighty Violence for three Weeks so that during that while he could neither sleep but by taking Narcoticks nor receive any ease from his Pain but by a very hot Fomentation Certainly in this case it is obvious to any man to observe that these Impurities of the nervous Liquor gathered together to a certain fulness were the immediate or conjunct cause of all the illness which matter first subsisting in the Head caused the mighty dulness of the Brain and the oppression of the animal Function and afterward being fallen by the conveyance of the Nerves into the Nervous Plexus's of the Abdomen caused the violent and long continued Colick THE PRACTISE OF PHYSICK CONTAINED In Dr. Willis 's Tract of Fevers CHAP. I. The Anatomy of the Blood its Resolution into five Principles its Comparison with VVine and Milk A Fever is only a fermentation or an immoderate effervescence brought on the Blood and Spirits now that this feverish effervescence may be explicated as it ought these three things are to be considered First what that Liquor is which Ferments whether it be only the Blood or other Humours besides Secondly of what principles and of what proportion of the same that Liquor consists in its mixture Thirdly and lastly with what kind of motion and turgescency of these Parts or Particles of which the Blood is compos'd the Feverish effervescence is raised 1. That the Blood boyles violently and makes an effort in a Fever it is evident enough and we may Conjecture that that Juice with which the Brain and Nervous Parts are irrigated is often also in the sault for since this Liquor is carried by a constant motion and a certain circulation from the Blood into the Genus Nervosum and thence by the Lymphick Vessels into the Blood it s probable if by reason of a Taint contracted by the Blood that Humour is deprav'd in its Crasis or is perverted from its regular motion that thence the shivering and the pain the convulsions delirium frenzy and many other symptoms of the Genus nervosum usual in Fevers arise After the Blood and Nervous juyce there are two other Liquors which are to be considered as being apt to ferment viz. the Chime or Nutritive juyce alwayes coming to the Blood and the Serous Latex perpetually parting from it which tho first and last are Liquors sever'd from the Blood and distinct from it yet whilst mixt with it they ought to be lookt upon as Parts received into it or belonging to its Accomplishment and as long as both these are circulated with the Blood in the Vessels they participate of the Effervescencies of the primogenious Cruor and
supprest To the tenth day after her Delivery being only gently feverish and the Purgings of the Womb still flowing she liv'd free from any severe Symptom but then tho very feverish she seemed more chearful than usual and more confident of her doing well in the night she slept little or scarce at all the morning following at which time I first visited her she was manifestly delirous the Lochia were stopt and the whole Body was in a Shivering the Tendons in the Wrists were convulsed so that her Pulse was scarce to be distinguished which in the mean while was weak uneven and very quick I declar'd That this Person unless the Hand of God unexpectedly delivered her must dye in a short time however six Grains of Oriental Bezoar being given in a Spoonful of a Cordial Julep and causing a copious Sweat with a better Pulse and afterward other Cordials given at due Intervals gave some hope of doing well tho doubtful and not to be relyed on After four Hours after I came being in a languishing Condition she had a very large Stool then presently her Strength wholly fell and within an hour and a half she died A Woman of Quality scarce exceeding twenty Years of Age of a florid Countenance and a thin Body the Lochia flowing immoderately after Child-birth used certain astringent Remedies by the Advice of the Attendants whereby they were wholly stopt but a Loosness followed which increasing for three days the Women gave her other Remedies to stop the Loosness nor were they frustrated of Success mean while they brought a dangerous Fever and Affects as it were hysterical in the place of the former for the unfortunate Woman in Child-bed was affected with a Thirst and a Heat with Watchings afterward with a frequent Swooning and cold Sweats Being called at this time I ordered Cordial Remedies and things to promote uterine Purgations to be drank and likewise a Clyster to be injected the Loosness of the Belly being again procur'd the Lochia also came down and the Diseas'd being freed from the foresaid Symptoms and the more severe Disease viz. the Nurses Remedies soon recovered from her Fever Here let it be observed by the By that it 's very dangerous either to stop or to alter or to thwart any Motion raised by Nature tho anomalous A Woman of Note about twenty years of Age of a full and well-flesh'd Habit of Body aborted twice within a Years space when afterward she had conceived with Child by her Physician 's Order once a Month drinking plentifully of Whey she raised a Vomiting whereby she was wont to cast up a great deal of thick and clammy Flegm also during the time of her being with Child she was let Bood five times The time of Child-bearing being over she brought forth a Boy with great Difficulty the Secundine came away entirely and she purged egregiously On the second day as she raised her self on her Feet in her Bed that the Cloaths might be put in order she took Cold and thenceforward the bloody Lochia were wholly stopt and only a little serous Water flowed forth On the third day she began to complain of an acute Pain in the right-side the Women present applyed to it Bags of Camomile made warm with Bricks nevertheless the Affect was very much increast with a bloody Spittle On the fourth day after Delivery a most acute Pain with a most difficult and very painful Breathing seised her By the Order of a Physician then coming from the Neighbourhood six ounces of Blood were drawn from the Basilica and she suddenly found Relief and was better for ten Hours At Midnight a pricking Pain returned with the wonted fierceness at other Physicians being called to consult they all concluded that it was necessary to bleed again in the Arm of the Side affected Blood being drawn to four ounces the Pain remitted and the Diseased breathed better afterward Diaphoreticks being giv'n she fell into a copious Sweat with a quiet Sleep but the Pulse became more quick and weaker also Contractions of the Tendons appear'd in the Wrists Presently afterward she talked light-headed and within twenty four Hours after Blood was drawn the last time she died That this Lady upon the Lochia being supprest together with a Fever fell into a pleurisie the Cause in some measure seems to be the Bleeding so often used during the time of her going with Child for by this means the Blood accustomed to be breathed by the Arm afterward fermenting leaving the Womb ran towards the wonted way of being let forth where not finding a Passage it fixed it self in the neighbouring side as in the next seat of Extravasation Moreover besides the usual state of a Pleurisie no small Malignity was added to this Disease for the Blood being freed from Extravasation presently began to be corrupted in its Crasis and on the third Day of the Fever was so far deprav'd that it was not able to ferment longer in the Heart and so to continue Life Not long since the Wife of a certain Smith was brought to Bed at the time that her Children were sick of the Small Pox in the same House and her self as it seems took the Contagion of the Disease for on the second day after Delivery Pushes began to break forth with a feverish Incalescence and a Pain in the Loins which for three days the Lochia flowing moderately rise up as they ought to good Wheals and tho a uterine Purgation happened copiously at this time she had the Small Pox very thick in her whole Body nor were they only on the Surface of the Skin but they likewise so filled the Cavity of the Mouth and Throat that she was scarce able to speak or to swallow On the sixth day after being delivered the Lochia flow'd immoderately whereby presently the Small Pox falling a Swooning frequent Convulsions and other Symptoms of an ill nature assail'd the Diseased which threatned Death in a short time Being called I prescribed half a dram of this Powder to be taken constantly every three Hours in a Spoonful of the following Julep viz. Take Roots of Tormentil powdred two drams the best Bole-armoniack one dram Species of Hyacynth half a dram make a Powder Take Water of Scordium compound of Dragonwort of Meadow sweet of each three ounces Acetum Theriacale an ounce Syrup of Corals two ounces burnt Harts-horn half a dram make a Julep Moreover I ordered that in her Broth and in all things she drank the Roots of Tormentil should be boyled by these Remedies the uterine Purgation was wholly stopt and the Small Pox without any severe Symptom being ripened by degrees fell away This Case was really difficult and was managed with a great deal of Danger viz It was dangerous either for the Lochia or Small Pox to be kept in and nevertheless the full Eruption of either hindred the Motion of the other as long as both proceeded moderately the Busmess being left to the Guidance of Nature went on indifferently well
succinated or of Soot from twenty to twenty five Drops Or Tincture of Salt of Tartar from half a Dram to a Dram. So much of Hydragogue Medicines to be taken inwardly which cause waters to be evacuated either by drawing them inwardly towards the Intestines or by driving them out to the Reins or to the Pores of the Skin Moreover there are certain outward Administrations us'd by which waters gather'd together within the habit of the Body are put in motion and so dispos'd either generally to pass off by Sweat or Urine or particularly are presently let forth a Vent being made in some peculiar places In the first rank we place Frictions Liniments Fomentations Baths both dry and moist And particular things to evacuate waters are Vesicatories Escharoticks and prickings by a Needle I shall speak of each of these or at least of the chief of them as far as they regard this Disease Frictions prove often of good effect in a Leucophlegmatia and an Anasarca For as the habit of the Body is not only so charg'd with a Glut of filthy waters there heapt together that nothing can breath through them but even the outward parts grow cold upon the Blood 's being hindred of an access to them frequent and strong Frictions give a motion to the stagnating waters and in some measure dissipate them from thence and by opening the passages call again the Blood into those parts whence it was banisht wherefore it is good not only to rubb the swollen Member but even the whole Body once or twice a Day with a course Cloath or with a little brush now commonly made for that purpose In rubbing or after it Liniments and Fomentations are somtimes proper They are prepar'd either of Salts and other Minerals dissolv'd or of hot and discussing Vegetables boil'd with Lees of Wine in water and being apply'd hot open the Pores give a farther motion to the accumulated Waters and discuss them and enlarge the compass of the Blood 's circuit the watery Mass being in some measure dissipated The Liniments consist of Sulphur and Salts of divers kinds or of Quick-lime and other Minerals which being powdred and mixt with the Mucilaginous extracts of Smart Herbs are made into an Ointment To which for their better consistency let a fit quantity of Oyl of Scorpions be added Nay this Oyl apply'd by it self so it be right gives often great relief I knew a Boy swollen very much with an Universal Anasarca who was Cur'd by this only Remedy For his Mother I know not how advis'd anointed his whole Body Mornings and Evenings with Oyl of Scorpions chafing well the parts with her warm hand Upon which within three Days he began to make a vast quantity of water and having continued to make water so for some Days the swelling vanishing by degrees he grew well Baths are scarce proper for any Dropsie but an Anasarca nor for this but in the first Disposition to it or as it goes off For since by the heat of Baths encompassing the whole Body the Blood being made very hot and instigated puts the waters every where in motion which were stagnating before and drinking them into it self conveys them sundry ways there is danger lest as it frequently happens receiving them from the habit of the Body into its Mass it presently deposes them in the Praecordia or the Brain for there is nothing more usual than that the affects of those parts viz. an Asthma or Apoplexy happen to Hydropical persons after bathing But when the conjunct cause of the Disease viz. the swelling is moderate or not very great a Bath of water impregnated with Salts and Sulphur or also a hot-house promoting a gentle Sweat are often us'd with good effect Instead of a hot-house it 's better that the Patients be plac't in some convenient Cells in a Salt-house near the Furnaces in which the Mineral water is boil'd into Salt which often proves of mighty benefit to them Vesicatories let forth the waters betwixt the Flesh and the Skin in a plentiful manner and somtimes too profusely these are to be apply'd to Hydropical persons with very great caution for such an Epispastick apply'd to swollen places makes a vent too wide upon the opening of which the water first breaking forth often draws after it from the whole Neighbourhood a great Glut of it whence presently follows a great Consternation of the Spirits Moreover somtimes the place so drain'd on a sudden being depriv'd of Heat and Spirits in a short time becomes mortifyed Wherefore this Medicine is seldom apply'd to the Leggs or Feet of hydropical persons where the neat is weak and the swelling very great but somtimes to the Thighs and Arms with security when need requires Escharoticks are apply'd somwhat more safely to the swollen Places than Vesicatories because the Flux of waters out of this Vent is not so violent and in such Abundance presently at first But beginning moderately it grows after by little and little to a great Current which nature after being accustom'd to it by degrees bears better Moreover there is less danger of a Gangrene after an Escharotick than after a Vesicatory because in that Application the part whose Union is dissolv'd is fortify'd by the Eschar against the loss of heat I knew an illiterate Empyrick who often by an Echarotick successfully evacuated the Members of Hydropical peasons though never so much swollen after the following manner viz. First he fomented their Leggs Morning and Evening with a Decoction of Dwarfe-elder Wormwood Camomill and other hot Herbs the Lees of Wine or Ale being added to them and betwixt the times of fomenting he apply'd a Cataplasm made of the Faeces of that Decoction with Bran After these things had been us'd three Days he covered both Leggs and Feet with a Plaister of Burgundy-Pitch leaving only a small hole on each Calf to the bigness of a small Nut in which places he put an Escharotick of the Ashes of Ashen Bark to the naked Skin which being remov'd after twelve hours a small Eschar was left out of whose Pores the Matter first Sweated gently then daily distill'd forth somwhat more freely and at length the Eschar falling off it flow'd forth in a plentifull Stream as from an open Source till it was drawn from the whose Legg both above and beneath There remains yet another way of drawing forth waters from betwixt the Flesh and the Skin not inferior to the former though less in use viz. by the pricking of a Needle Which also much be done very cautiously and by little and little lest a head-strong and excessive Flux of waters be rais'd by it Take an ordinary Needle such as Taylors use and prick the Skin over with it in the place most swell'd but let it not enter so far as to draw Blood and so make six or seven little holes at a time about an inch distant the one from the other The water will Issue by drops forth of each little hole
of the Oak of each a handful Seeds of both the Wild Carrots of each three Drams Raisins a handful let them Boyl in four Pounds of Fountain Water till half be Consum'd add of Whitewine two Pound and a half Strain it Let it be kept in Vessels close stopt The Dose is three or four Ounces twice a day Take Seeds of Wild Carrots bruis'd two Ounces Castoreum an Ounce put them in a Glass with two Pounds of White-wine The Dose is two Ounces twice a day 3. As to the third intent which putting a stop to the disorders of the Womb advances the Cure of the Hysterick affect I say in the first place that what was formerly believ'd concerning the Cause of the Disease and the Scope of Curing it viz. That the Womb did Ascend and therefore that it ought to be restor'd to its due place is altogether Fictitious as we have shewn elsewhere The descent or falling forth of the Womb often happens but this seldom or never produces Hysterical affects Moreover a Dislocation of the Womb sometimes happens to Child-bearing Women presently after Child-birth viz. When the body of the Womb being enlarged and newly emptied does not settle in a right place within its Cavity but leans high sometimes to the right side of it sometimes to the left and there being Constring'd like a Purse is folded up in a great Lump which Lump lying a long time in the side of the Inguen is wont to Cause suspicion of another Foetus or of the after Birth being left behind or also of a Scirrhous Tumour there Growing but afterward when upon the Lochia's passing away freely the Womb is reduc't to its due magnitude that Tumour vanishes by degrees And whilst it continues there unless haply the Lochia are thereby stop't it does not cause Hysterick Passions For the quick reducing of this part to its due position Fomentations Liniments and Plaisters contribute much But very often that Symptom passes away of its own accord without any further offence We have shewn elsewhere ex professo to what affects else the Womb is obnoxious after Child-birth and with what methods of Physick we must obviate them As to the other Distempers of this part which happen to other Women viz. to such as do not Bear Children we observe those chiefly to be either a Disease of the Womb caus'd by a Solution of continuity which is either a Tumour or an Ulcer or to be a Stoppage of some usual Excretion viz. either of the Sanguis Menstruus or of the Fluor albus or of the Seminal Humour by reason of the Menses retain'd the Heterogeneous particles being often discharged on the Head Cause Convulsive Passions In like manner when the White Humour is stop't the Excrementitious Matter being drank in again by the Blood is delivered to the Brain and Genus Nervosum Moreover when a wonted evacuation of the Seed is stop't the superfluities of the Nervous Humour Regurgitate into the Brain and infect the Spirits in it with a Morbifick and Explosive Tincture It will not be necessary for us to discourse particularly and at large on these particular affects of the Womb but to Complicate Medicines and Physical Administrations appropriated to Womens Diseases with Anticonvulsive Remedies CHAP. IX Of Affects vulgarly call'd Hypochondriacal which are shewn to be for the greatest part Convulsive and by the by of Chalybeate Medicines AS we have shewn before that the Passions vulgarly call'd Hysterical do not always proceed from the Womb but oftner from the Head 's being affected So though it has been vulgarly held that the affects call'd Hypochondriacal are caus'd for the most part by Vapours arising from the Spleen and running hither and thither yet in truth those distempers are for the greatest part Convulsions and Contractions of the Nervous parts which may better appear after we have considered the Symptoms As to the affects therefore which are vulgarly call'd Hypochondriacal it is to be observed that they chiefly happen to persons of a Melancholick Constitution with a wan aspect and a thin habit of body It is seldom that Disease troubles persons who are well in flesh and have a florid or also an over Phlegmatick countenance About the time that persons come to a set age it discovers itself with manifest signs Men are found to be more frequently obnoxious to this than Women in both being become habitual it is cur'd with great difficulty or searce at all in Women by reason of their weaker Constitution it is attended with far more Convulsive affects Wherefore it is commonly said in this Sex that the Hysterick affect is joyn'd to the Hypochondriacal The Symptoms which are accounted as belonging to this Disease are commonly very many and of a differing Nature nor have they in all a like Origine or the same mutual dependance on each other For we see that in these the Viscera of the Belly in those the Praecordia in others the Confines of the Brain are most affected in a great many but not in all the Stomach much Labours as to appetite it has often too much of it but is presently opprest by what is taken into it and when the food through slowness of Concoction tarries a long time in it the Saline particles of it being rais'd to a state of flowing pervert the whole mass of the Chyle into a Pap sometimes Acid or Austere sometimes Salt or Tart Hence a Cardialgia a mighty store of Flatus's a Rumbling and a frequent Vomiting ensue and because through a defect of a Pneumatosis the Chyme is not volatilis'd throughout and carryed forth but a Mass of Viscous Matter sticking to the Coats of the Stomach is left behind an almost continual Spitting molests them a distention in the left Hypochondre and often there and under the Ventricle a violent beating is felt and there pains every where arise which shoot here and there at random and miserably torture the person with a certain pungent Pain for many hours Mean while from the Contractions of the Membranes and the Fluctuation of the Flatus's thence rais'd Croakings and Rumblings are produc't So in the Thorax there is often a great Straitness and Constriction so that the Breathing becomes difficult and painful upon any motion nay farther in some very terrible Astmatick Fits supervene Moreover the diseas'd are wont to complain of a Trembling and palpitation of the heart with a mighty oppression of the same also frequent Failings of the Spirits and danger of Swooning come upon them that the diseased always think Death at hand In this Region about the Membranes and especially the Mediastinum an acute Pain which one while is determin'd in one part another while is extended to the Shoulder is a familiar Symptom of this Disease But in the Head an Iliad of Evils for the most part troubles Hypochondriacal persons to wit most violent Pains Periodically returning arise also Scotomia's frequent Giddiness Obstinate Watchings a Fervency and a most troublesome Fluctuation of thoughts