Medicines and Purging unless very gentle have very rarely any place here Cataplasms of Rue Chamomel Vervine Bryony Roots red Poppies with Sope may be laid all over the Feet or instead of them may be applied Pigeons or Chickens cut up and laid warm In the mean time as you see occasion there ought to be prescribed Iuleps Apozems Powders and Confections by which the rage of the Blood and the burning of the Animal Spirits may be allayed Take of Pipin Water Black Cherry Water and Cowslip Water each four ounces Water of the whole Citrons two ounces of Pearl powder'd one dram of Syrup of the juice of Citron one ounce mingle them and make a Iulep let three ounces be taken three or four times in a day Take of Grass Roots of the Leaves of Wood-Sorrel and Pimpernel each one handful of Barly half an ounce of Apples cut of Currans or Strawberries or Rasberries one handful let them be boiled in four pints of spring-spring-water till a third part be consumed clarifie it and strain it then add to it of the Syrup of Violets one ounce and of Sal Prunella a dram and a half Take of the Leaves of Borage fresh gathered and young four handfuls of Wood-Sorrel two handfuls two Apples sliced of Sal Prunella two drams the pulp of one Orange of white Sugar one ounce let them be bruised together and pour to them of spring-spring-water two or three pints let them be strongly squeezed forth and kept in a Glass and cleared from its setling let six or seven ounces be taken of this often in a day when they will For the quenching of thirst let the excellent drink of Palmerus viz. spring-Spring-water with Sugar and the juice of Lemons or Water or Posset-drink with Elm leaves or Pimpernel infused or boiled in it be drunk Emulsions of the Decoction of the roots and flowers of Water-Lilies with Melon-seeds or else Spring-water distilled with the pulp of boiled Apples dissolved in it Hypnoticks or Medicines causing rest are often very necessary in this Disease but yet the stronger are not convenient in the beginning nor let them be frequently used because sleep caused by Opiates carries more morbific matter to the Brain and fixes it more deeply there Take of the Water of Cowslip flowers four ounces of the Syrup of Poppies half an ounce of Pearl one scruple make a drink to be taken at night late Take of the Seeds of white Poppy two drams of Sugar-Candy a dram and a half bruise them together and pour to them of white Poppy Water six ounces make an expression to be taken after the same manner Narcoticks or Stupefying Medicines which are made of things meerly cold are cautiously to be exhibited because they agree not with some who have the Fibres of their Stomach very tender and sensible I have often observed these kind of Hypnoticks to have stirred up a great oppression in the Ventricle and then presently an Inflation or blowing of it up and a little after distractions and inordinations of Spirits use to follow in the Brain yea in the whole Body so that there was not only a frustration of sleep but great disquietness was stirred up Take of liquid Luadanum prepared with the Salt of Tartar or the juice of Quinces Let a Dose of it be taken in a convenient liquor Things inviting Sleep as Epithems or moist Medicines applied to the Temples and Forehead are often used with success of which sort are Rose-cakes dipt in Vinegar Rose-water and grated Nutmeg and Embrocation or washing with Water or Milk Oyntments of Oyl of Nutmeg by expression Oyntment of Poplar to which sometimes may be added of Opium five or six grains or a Cake of Poppy flowers with Vinegar and Nutmeg c. Further for this end rather than for the taking away the inflammation of the Meninges the hot Lungs of a Lamb or Weather as also Pigeons or Chickins slit in two do often give notable help Also for this use Housleek bruised and mixt with a Womans Milk and applied to the hinder part of the Head being shaved is wonderfully praised Also the Epithem of Penotus of twelve grains of Nutmeg of Camphir half a scruple and the Tincture of Rose-water impregnated with red Sanders twenty ounces is commended by some Further they are wont to apply Epithens not only to the Head but also to the Heart Liver and other parts A little bag of silk may be applied to the Praecordia with Cardiac Species being sewed or quilted in it with silk and sprinkled with Rose-water or Vinegar of Roses also rags wet in Rose Vinegar may be laid to the Testicles The Feet way be hathed with a Decoction of Willow leaves Lettice or the heads of white Poppy But these kind of cooling Topicks only and cherishers are to be used in the beginning of the Disease but in its height resolves and softners are to be added as the Flowers of Chamomel Melilot Elder c. also the leaves of Mallows Orage Marjoram Hysop and such like In the declining of the Disease resolvers only and those sparingly are to be administred In the mean time there ought to be great means used for keeping up of strenght for that too much failing all hopes of Cure is lost For strength is quickly worn out by reason of great watchings the perpetual agitations both of the body and mind a thin Dyet and Phlebotomy sometimes often requisite Wherefore great care must be had lest whilst we endeavour to root out the Disease by Purging or frequent letting of Blood we should suddenly debilitate the Vital Function If this begins to fail the Phrensie being let alone a better dyet may be granted and especially Cordialls are to be used Take of the Tincture of Coral half an ounce take of it twenty drops twice or thrice in a day with a Dose of a Cephalick or a Cordial Iulep or let it be given with Coral dissolved in Milk made with the juice of Oranges one spoonful often in a day Take of the Rob or Conserves of Rasberries and Barberies one ounce of prepared Pearl of Magistery of Coral each one dram of Confection of Hyacinthae two drams Syrup of the juice of Alchermes what will suffice make a Confection and let the quantity of a Nutmeg be taken three or four times a day drinking after it of the following Iulep three ounces Take of the Water of the Flowers of Water-Lilies red Roses and of Elm leaves each three ounces of the Syrup of Coral two ounces of the Cordial Water of Saxony one dram mingle them Take of the Conserves of the Flowers of Water-Lilies and of Violets each one ounce the Stalks of Lettice candied or preserved half an ounce of the Powder of red Coral bruised in a morter with the juice of Orange and dryed two drams of the Species of Diamarg frigid one dram of white Poppy seeds one dram and a half with what will suffice of the Syrup of the
in a proper Broth. Take of the Syrup of Steel four ounces take of it one spoonful twice in a day in a proper Vehicle Take of the Extract of Steel of our Steel prepared with a proper Decoction three drams of the Powder of Ivory of yellow Saunders of Lignum Aloes each half a dram of the Salt of Tartar two scruples of Ammoniacum dissolved in the Water of Worms what will suffice to make a mass let it be made into small Pills let three or four be taken every Evening drinking after it three ounces of the water of Apples or of Cowslip flowers Whey if it agrees with the stomach being drunk very plentifully for many days for the same reason as Spaw-waters viz. by washing out the Salt and Sulphureous particles of the Melancholick blood is often given with success Whey with Epithimum infused in it or boiled in it is highly praised by some Let Broths be made of a boiled Pullet with the roots of Polypodium Chervil Fenil Butchers Broom and the leaves of Ceterach Harts Tongue Scolopendria c. take a draught of it in the Morning and at five of the Clock in the Afternoon in which dissolve of the Vitriol of Steel six grains to ten of the Salt of Wormwood and of the Cream of Tartar each a scruple The Iuices of Herbs and their expressions bring sometimes notable help to the taking away the Discrasâ—e of the Blood Take of the leaves of Borage of Water-Cresses each six handfuls two Apples pared the Pulp of two Oranges and of white Sugar one ounce let them be all bruised together and pour to them of the best Cyder a pint and an half make an expression very strongly and let it be kept in a glass The Dose is four ounces twice or thrice in a day In the summer time a Bath of sweet water for that it wipes away the filth impacted in the Pores of the skin and moves transpiration insensibly is very profitable to some Because Melancholick persons sleep but badly and from long and frequent waking become worse therefore Anodynes and sometimes the more gentle Hypnoticks when there is need may be prescribed to be taken late at night for this end are convenient a Decoction of Cowslip flowers or of the leaves of Lettice or the water of red Poppies or the Syrup of the same Further Emulsions of the Seeds of the white Poppy of the Syrup de Meconio and others that are only agreeable and cherishing of the Spirits As there is an infinite Company of Melancholicks as well as of Fools therefore we shall illustrate our Hypothesis with two Examples only in one of which the Disease begins from the sensitive part of the Soul or the Animal Spirits and the other from its Vital part to wit from the Blood Sometime since a noted person about forty years of Age of a florid countenance chearful and nimble about any business being afflicted in his mind by reason of a certain affair and very much dejected he became thereupon very sad Melancholick and with a dark and cast down countenance When I went first to visit him he complained of a manifold hurry and distraction of thoughts which were so many that he was busâ—ed in his Phantasie almost night and day continually he lived without any sleep Nor were these cares concerning the commonweal or the proper business of his Family nor about the health of his Soul or of his Body was he at all solicitous but was rather troubled perpetually about small matters and of no moment He was so fearful of all things that he presaged loss or death immediately to happen to him upon every small accident And lastly he was so sad as if he would contend in weeâ—â—â—â— with Heraclitus Further he laboured with such a straitness of Heart and so gâ—â—â—â— a constriction that he seemed to feel all his Praecordia to be drawn together like a Purse and he thought that there still lay there an immense burthen and mighty weight under which he imagined he could not go unless stopping towards the Earth Whilst he talked and discoursed with his Friends this constriction of the Praecordia and the weight did somewhat remit but then again they were wont to be repeated more vehemently shaking for fear at any unaccustomed object Nor did he labour only in his Praecordia but with a certain constriction in his whole Body besides and as if a certain burthen lay on the region of his Loins and also on his shoulders and arms The reasons of these Symptoms are clear enough from our Hyphothesis As to the Cure after various Medicines being given without any success I at last perswaded because it was then Summer time that she should drink of our Artificial Spaw Waters for a fortnight Therefore first two quarts of Spring-water being poured upon half a dram of our prepared Steel for a night and afterwards as much in four quarts of water the sick man every morning drunk the clear liquor and within four or five hours he rendered the greatest part of it by Urine He took besides going to sleep and early in the morning a Dose of an appropriate Electuary such as is above described with a Cephalick Iulep within two months he became much better and afterwards by degrees returned to himself Whilst I was writing these a young Noble man being lately returned from his Travels beyond Sea and becoming unhealthy put himself upon our care This person being formerly indued with a Sanguine and chearful temperament splendid in his appearance as also with an acute wit and of a ready ingenuity whilst he travelled in the Countries abroad but one Summer living in Spain he felt a great alteration in himself from the great heats in that place for first of all from the frequent heatings of his Blood he became obnoxious to an heat arising in the palms of his hands and in the bottoms of his feet with prickings over all his body which in a short time vanished Then he found him self very bad as to his Appetite and Sleep moreover being dull and sad he began not to mind yea sometimes to avoid any pleasant business or the converse of his Friends At length his indisposition daily increasing without any evident cause or real trouble of mind he became Melancholick so that being ever thoughtful fearful and sad nothing could delight him for his studies exercises travelling conversation with learned men or any other thing which he before delighted in now became to him a trouble and a terror After this manner being distemper'd for two years he was so changed from himself as if he were another Man For his Cure he had consulted the most skilful Physicians in Spain France and Holland and lastly in England and had tryed several methods of healing almost without any benefit The Melancholick distemper of his blood at first contracted by the intemperature of the Air still remaining and afforded to the Animal regiment Spirits
much more profitably to be given by which when the Blood is poured forth and its serosities plentifully precipitated the nourishment of the Disease is cut off and the bloody Mass being emptied receives part of the Morbific matter so that its reliques are more easily shaken off For this end Take of the best Spirit of Tartar rectified half an ounce let half a dram be given twice or thrice in a day in a spoonful or two of the following Iulep drinking after it five spoonfuls of the same Take of the Water of the leaves of Burdock or of Aron or of Arsmart one pint of the Water of the flowers of Elder and of Chamomil each four ounces of the compound water of Gentian of the compound Water of Raddishes each two ounces of Sugar six drams mix them together After the same manner as the Spirit of Tartar may be given in a just Dose sometimes the Tincture of the Salt of Tartar sometimes the simple mixture or the Spirit of Sal Armoniack succinated or impregnated with Amber Take of Millepedes prepared two drams of the flowers of Sal Armoniack Tartarized one dram of the Oyl of Nutmegs half a scruple of Turpentine what will suffice make a Mass and let it be made into Pilâ—s take three or four once or twice in a day drinking after it a Dose of the Iulep or of the following distilled water five or six spoonfuls Take of fresh Millepedes or Hog-Lice cleansed one pint and a half the outer rind of six Oranges and of four Lemons six Nutmegs let them be cut small and add to them one pound of the crumbs of stale white Bread all being bruised together and well mixed pour to them four pints of new Milk and of Sack one quart let them be distilled according to art and the whole liquor mixed together you may sweeten it with Sugar or the Syrup of Violets as you please In a long and pertinacious Colick to those who are of a more cold temperament and Viscera Purging Spaw Waters or Whey with the Syrup of Violets are wont to be given oftentimes with great help for both liquors where they are agreeable being plentifully drunk refrigerate the stomach and the hot Intestines and presently loosen and help them in their painful Cramps and wrinklings or from the Convulsive winds or blasts that extend them besides they chiefly help as I suppose for that they tame and subdue the Saline Particles of another nature insinuating themselves into the Morbific Mine and other Saline and irritative Particles inhabiting it and oftentimes carry them forth by Purging In this Disease as all things are not convenient for all men yea neither the same thing always for the same person there is dayly need of the careful observation of a prudent Physician that by the co-indications from things taken that hurt or help a right method of healing may be instituted and varied as occasion serves 2. The Vital Indication ought to be joyned to the Curatory and that between whiles For when the sick being afflicted with torture watching Vomiting and abstinence almost continual often fall into languishment and sometimes in danger of their lives Remedies which sustain strength refresh the Spirits and procure some truces against the fierceness of the Disease to wit Cardiacks or Cordials and Hypnoticks or such as cause rest have here their turns Take of the Water of the flowers of Chamomil and of Elder each four ounces of Barlyed Cinnamon and of the whole Citron each two ounces of Pearl powdered one dram of Sugar three drams make a Iulep take of it five or six spoonfuls Take of the Powder of Pearl and of Crabs Eyes each one dram let it be divided into four parts let one part be given twice or thrice in a day with the Iulep or with a Decoction of the roots of Contrayerva Take of the Conserve of Clove-Gilliflowers one ounce of the Confection de Hyacintho of Alchermes each two drams of Pearl powdered half a dram of the Syrup of the juice of Citrons what will suffice make a Confection give of it the quantity of a Nutmeg three or four times in a day with the Iulep In less hot Constitutions Spirits of Harts-horn of Sut of Sal Armoniack impregnated with Amber also the Tincture of Antimony or of Coral do oftentimes give notable help Opiates are of necessary use in the Disease of the Colick without which the sick cannot live nor the Physicians nor those who attend them be at quiet or have any leasure time Take of the water of Cowslip flowers three ounces of the Syrup of Poppies half an ounce of Aqua Mirabilis two drams mix them and make a draught to be given going to sleep If the pains be very strong and yield to no such Remedy prepared Opium and its compositions ought to be given The Laudanum of Paracelsus or the London Laudanum Pills of Styrax or of Hounds-tongue are convenient a Solution of Tartarisated Opium from sixteen to twenty grains is much used by me Which Medicine indeed I have given with very good success to some that for a long time have been miserably vexed with this Disease sometimes a great while every night or every other night 3. The Preservatory Indication hath only place in the intervals of the fits and endeavours the taking away the present foregoing cause of the Disease and hindring it for the future so that the fits of the pains may seldom or never afterwards return For which end the Blood and the nervous liquor ought to be purified leâ—t they should beget the morbific matter and conserved in its due temper and the Brain and the nervous Infoldings of the Abdomen corroborated leâ—t they should too readily receive it For these ends a strict dyet being ordered let them enter into a course of Physick Spring and Fall such as we prescribed for the prevention of the Gout Vomiting in this case is never to be omitted if it be agreeable to wit by which the Emunctories of the Viscera being emptied the Recrements of the Blood and the nervous Liquor which otherwise would augment the morbific matter may be received more plentifully besides the nervous Infoldings and all the parts are so shaken that nothing of that which is about to go into the Mine of the Disease is suffered to stagnate or to be heaped up there Let Purging for three or four times with due intervals and also in a hot Constitution Phlebotomy be celebrated moreover let altering Remedies and especially Chalybeats or such as are made out of Steel when they do not Purge be daily taken at medical hours But before all other Remedies whatsoever the drinking of Mineral Waters such as come from Iron for a month in the Summer time is wont to give the greatest help But when these are drunk you must take heed that they be rendred well and quickly by Urine or Stool lest if they should chance to stay long in the body
in the fault more often other humors being carried by its passage to the Head and there disposed cause the hurt Therefore when ever the Serous Colluvies or heap goes out from the Blood as was shown but now it causes Headaches frequently the signs of which are Catarrhs about other parts viz. the Nose Mouth or Throat being infested with them then abstinency and rest is to be ordered and that the belly be emptied by a Clyster for the allaying the flux of the Serum and that the matter be suffered to evaporate from the Membranes of the Head if these do not succeed and that the Headach ceases not quickly and of its own accord oftentimes in a more hot Constitution Phlebotomy is convenient to wit because the Vessels being emptied of Blood sup up the extravasated Serum But in frigid tempers Vesicatories or Blisters are of notable use applied to the hinder-part of the Head or nigh the Ears Then after the Belly is emptied by a Clyster the Flux may be allayed by the use of Anodynes or more gentle opiats that being allayed it may be convenient to exhibit a gentle Purge then Medicines which either move by Urine or Sweat or by both together that so they may gently evacuate the superfluous Serosities Medicines fit for this purpose may be every where found in Books which notwithstanding are not to be made use of by Empericks rashly and without distinction but ought to be designed according to the judgment and skill of a prudent Physician always having a respect to the Constitution the temperament and proper disposition of the Patient and to other accidents and circumstances and to be compounded or altered according as the matter requires yea sometimes to be prescribed extempore Wherefore since it will be altogether needless here to heap up many Receipts and a great pile of Medicines it shall be sufficient to propose in this place one or two forms only of every sort of Medicines respecting the chief intentions Take Pills of Amber half a dram Resine of Ialap four grains of Peruvian Balsam what will suffice to make four Pills let three be taken when the Patient goes to sleep and the other in the morning if they work not enough Or Take of sulphurated Scammony half a scruple of the Ceruse of Antimony fifteen grains of the Cream of Tartar eight grains make a Powder to be taken in a spoonful of Grewel early in the morning Take of the Sulphur of Antimony four grains of the Refine of Ialap five grains of the Cream of Tartar six grains bruise them together and with what will suffice of the Conserve of Violets make a Bolus to be taken early in the morning with care or by government Take of the Roots of Butchers-Broom Burdocks Cherefoil Avens each one ounce of preserv'd Eryngo an ounce and an half of the Florentine Iris three drams of the lesser Galangal a dram and an half of the Seeds of Burdock three drams of the dryed leaves of Betony Sage Vervine female Betony each half an handful of Raisins of the Sun stoned two ounces boil these in four pints of fair water till a third part be consumed then add to it of white Wine half a pound strain it and sweeten it if need be with syrup of the Five Roots two ounces take of this six ounces warm twice or thrice in a day a good while after meals For such as are indued with a more Cold and Phlegmatick Constitution the like Decoction of the Wood of Guaicum Sasafrass Sarsaparilla with the addition of the aforesaid Ingredients make an Apozem of which take six or eight Ounces twice or thrice in a day warm For the poor and oftentimes with good success for the rich I was wont to prescribe a Decoction of the dry'd leaves sometimes of Sage or Betony Vervine or Rosemary made of spring-Spring-water and impregnated with the tincture of the Powder of the Berries of Coffee taken warm twice a day about six or eight Ounces 3. If that with the running out Serum Saline Acid Bilous or otherways Infestous particles received either wholely from the Mass of Blood or by its means from the Viscera are carried into the Membranes of the Head and being there fixed bring forth great acute and continual pains then it will be convenient to iterate spareingly the taking away of Blood yea and sometime a gentle Purge to apply cooling Medicines Anodynes and sweetners to the distemper'd places so oftentimes also to exhibite more gentle Hypnoticks or Medicines causing sleep at every turn also Apozems and the Juices of Herbs pressed forth which allay the fervour of Choler carry it forth gently by Stool or Urine and are of known use but in the mean time more sharp Medicines or the more strong whether they be purgative working by Sweat or Urine helping it for that they too much fuse and shake the Blood and Humors are carefully to be shunned I have frequently observed in those labouring with an acute and pertinacious pain in the Head the Serum swimming in the Blood being let forth to be dyed with a yellowness or Bilous Recrements being boiled in it also in this case let Phlebotomy be sparingly but often celebrated and the drinking Whey or Spaw-waters plentifully have helped before any thing else 4. Further by the fault of any Inward as the Stomach Liver Spleen or Womb or of any other by reason of the transmission of an evil Ferment the parts of the Head suffer then in the Cure of the Disease Remedies for the Spleen are to be given with Cephalicks or such as are proper to the Head Hence the Stomach being also in the fault these often times are helpful to such as are troubled with Headaches Elixir Proprietatis the Elixir of Vitriol of Mynsich the sacred Tincture Vitriol of Steel the Powder of Aron Compound and others ordinarily had for the Stomach for others whose heads partake of the evils of the Spleen Chalybeats or Medicines made of Steel often yield help Some Women troubled with Headaches have felt ease from Hysterical Remedies In like manner when the vices of other parts contribute to the Head-ach let there be joyned with the former shown you things to be taken for those parts 5. Sometimes the nourishing Juice as we showed already is the cause of the periodical Headach viz. forasmuch as this being poured on the Blood and not rightly assimilated by reason of disagreeing particles causes a swelling up in it so that the Blood boiling up into the Head carries its leavings or superfluities into the Meninges or into some of their predisposed parts and by this means stir up the Fibres into painful Convulsions I have known many for this cause to have been obnoxious to dayly Headaches whose Mass of Blood hath been vitiated after the Small Pox Measels and other Feavours and sicknesses viz. so many hours after eating sometimes sooner and sometimes later first a flushing of redness in the
Nature they either pursue their functions or the nervous Fibres every where erect themselves and put forth their utmost endeavours that they might drive forward the Blood flowing in them and Circulate it with a rapid motion I once visited an illustrious Lady who for some time had been miserably afflicted with Colick and Convulsive distempers and quite worn out and at length fell suddenly into a deadly Lethargy When I perceived her Pulse to beat strongly I prescribed that four ounces of Blood should be taken out of the jugular Vein which immediately leap'd from the opened Vessel with such force that I believe if it had been suffered the whole Mass of Blood would have flowed thence for the next day after her dead body being opened I found scarce four ounces more of Blood in her whole Body and yet she dyed thus in a Feavour The reason of the Lethargick Feavour is wholely the same which is seen to arise only from the Vital Organs being very much incited by labouring Nature and therefore vehemently driving about the Blood The prognostick of the Lethargy is shut within a strait limit for the fit of the Disease being for the most part acute is soon terminated either in Death or health and for the most part it is wont to give more of fear than of hope If it comes upon a malignant Feavour or hard to be cured or if it comes upon other Cephalick or Convulsive Diseases as the Headach Phrensie Madness Epilepsie or also upon a long and grievous Colick or Gout the Physician can predict nothing but evil nor is it less to be feared if it happen in a Body full of evil Humors or one long sick or in an old Man In like manner it is an evil omen if the sick being presently overwhelmed with a great Torpor or stupidness and almost Apoplectick cannot be awakened and if he breaths unequally and slowly or with a great snorting then the Disease increasing and the sick troubled with tremblings Cramps leapings of the Tendons and at length with Convulsive Motions it is to be esteemed desperate or without hope But if the Distemper be excited without any great foregoing Cause with an only Evident Cause as a Surfeit Drunkenness or by the use of Narcoticks a blow on the Head or some not deadly stroke we may expect the event to be less deadly or mortal Then if the Distemper arising from such occasions happens to a Body before whole and strong if it does not wholly take away the Sense and Memory at the first assault and after a short time the symptoms begin to remit a little of such a sick person you ought not to despair In every Lethargy if any Cause of the Disease is seen to be cut off and removed so that if by the help of Medicines or the instinct of Nature copious and helpful evacuations by Sweat Urine or by Stool do follow with ease or help or if by applying of Blistering Plasters a great deal of water flows forth if a swelling or great whelks or pustles break out behind the Ears or in the Neck if frequent sneezing happens or water flow from the Eyes or Nose thence a certain hope of health may be expected Hippocrates l. Coac c. 145. mentions a Cure of the Lethargy to be often made by the distemper of the Thorax saying That many Lethargicks that are stuffed with Phlegm have recovered Which words are wonderfully wrested by Interpreters Mercurialis understands by suppuration the putrified matter of the Disease to be evacuated by the Ears and Nostrils Prosper Martianus will have Hippocrates to be understood in the word Lethargy not the disease of the Head but of the Breast But wherefore are all these subterfuges when it often happens that the Morbific matter at first fixed in the Head and stirring up a continual sleepiness or Lethargy the same being thence supped up by the Blood and deposited in the breast doth produce an Empyema or a spitting like those whose Lungs are wasted In the description of a Soporiferous Epidemical Feavour which raged in the year 1661. we noted the same to have happened to many Concerning the Cure of this Disease for that it has no respite or truces it is not to be deliberated on after a sharp Clyster being given let a Vein be opened presently for the Vessels being emptied of Blood they are more apt to sup up the Serum or other Humors deposited in the Brain Further in this case I advise rather to open the Vein in the Neck than that in the Arm. Because by this means the Blood being very much heaped up within the bosoms of the Head and perhaps standing still is more easily reduced to an equal Circulation Letting blood being performed immediately other remedies of every kind are to be made use of Let Vesicatories or blistering Plasters be applied largely to the Neck and Legs anoint the Temples and Face with Oyl of Amber or Cephalick Balsoms lay over all the Feet a Cataplasm or Poultis made of Rue Crowfoot and Pepperwort with black Sope and Bay-salt use hard frictions or rubbings to the Members frequently apply to the Nostrils Salt of Urine or Spirits of Sal Armoniac Then let there be administred Cephalick Remedies Take of the Water of Poeony Flowers of black Cherries Rue and of Walnuts simple each three ounces of the Water of Poeony Compound two ounces of Castor tyed up in a rag and hung in the glass two drams of Sugar three drams mix them and make a Iulep let it be given about four or five sponfuls every three or four hours also with every Dose of this give twelve or fifteen drops of the Spirits of Amber or of Sal Armoniac or a paper of the following Powder Take of the Powder of the Root of Poeony the male of a Mans Skull of the Root of Virginian Serpentworth or Snakeweed of Contrayerva each one dram Bezoar and of Pearl each half a dram of Coral prepared one dram make a Powder and divide it into twelve parts Further here it is to be considered whether an evacuation either by Vomit or Stool should not be made I know that this is variously controverted among Authors and I have also known it performed with various success which being weighed and laid together I shall briefly propose my opinion If the Lethargy should arise upon a Surfeit or a late Drinking or if from taking some disagreeable things or Narcoticks presently let a Vomit be given wherefore you may give Salt of Vitriol with Wine and Oxymel of Squills or in strong bodies an Infusion of Crocus Metallorum or of Mercurius Vitae with black Cherry water Let it be given and if it doth not work of it self provoke Vomiting with a Feather thrust down the Throat But if the fit of the Disease comes upon a Feavour or any other Cephalick Distempers or if it be raised up primarily or of
or shuts up their passages Hence it follows that preternatural Waking or that which is immoderate depends upon these two either on one or both together for either they being grown too outragious and as it were struck with a fury will not lye down of themselves or the nervous Liquor doth not so fill and stop up the Pores of the outward part of the Brain that from thence the Spirits may be compelled inward to rest Examples of both of these are ordinarily to be met withal And first of all we shall take notice that the Animal Spirits sometimes becoming outrageous and so Elastick or shooting forth or otherways enormous that they will not only not lye down and be quieted but scarce be contained within the proper sphere of their emanation wherefore being spread abroad in continual waking so fill the Brain and keep it extended that the nervous Juice though it lyes heaped up at their doors cannot be admitted but if it enters of it self and the Spirits are called back inwards from the Cortex of the Brain presently they being forced thither or tumultuating within the middle part of the Brain raise up many and often most horrid phantasies whereby sleep is driven away or directing thence their declination further into the nervous Stock there stir up great disorders which continually drive away and break off Sleep though it seems ready to creep upon them As to the former of these I have often observed that some being disturbed with waking were afraid to sleep though desiredly coming upon them for as soon as they shut their eyes to sleep presently leaping up they would cry out they should grow mad with a multitude of confused phantasms so that they were necessitated to abstain from sleep Secondly whilst the Spirits become more outrageous and are for sleep sake recalled towards the interior compass of the Brain sometimes they convert their rage into the nervous Stock and then tumultuarily rushing in upon the Nerves destinated for the Precordia or the Inwards raise up inordinations in the respective parts hence in those thus distemper'd as often as they shut their eyes to invite sleep either tremblings leapings and binding up of the heart with loss of Spirits and breathing stopped or inflations and rising up of the Bowels with a sense of choaking and other symptoms commonly called or taken to be Hysterical follow or else secondly the Spirits being recalled from their watches and turning on the nervous Stock transfer their rage sometimes on the spinal Marrow and the Nerves reaching from thence into all the exterior Members Wherefore in some whilst they would indulge sleep in their beds immediately follow leapings up of the Tendons in their Arms and Legs with Cramps and such unquietness and flying about of their members that the sick can no more sleep than those on the Rack Once I was consulted with for a noble Woman who was in the day-time cruelly tormented with the pain about the heart and Vomiting but in the night she was hindred from sleep though it seemed to approach by reason of these kind of Convulsive Distempers invading her with it nor indeed could she sleep all the night unless she had before taken a large Dose of Laudanum wherefore this Medicine at first being permitted her only twice a week afterwards she took it daily for three whole months contracting by it no hurt either in her Brain or about any other function and when in the mean time by the use of other Remedies the Dyscrasies of the Blood and the nervous Juice were amended and the Animal Spirits were made more benign and gentle she having after that wholly left off her Opium could sleep indifferently well These kind of sleep-destroying Distempers stirred up either within the middle part of the Brain or within the nervous Stock either more inward or more outward do depend wholly on the evil constitution of the Animal Spirits for those who ought to be gentle clear and bright and to actuate gently the containing bodies and to influence them with a benign influence become sharp and fierce and like Effluvia's sent from Stygian Waters unable to be restrained do distend them too much and refuse to be governed by the command of the will and to be quieted by sleep yea being restrained in one place they immediately grow tumultuous in another Such a constitution of the Animal Spirits proceeds from the acid and oftentimes as it were Vitriolick Dyscrasies of the Blood begetting it and of the nervous Juice cherishing and increasing it as shall be more fully shewed hereafter when we speak of madness In the mean time as to what belongs to the Cure of thorow or long waking which we but now described because it cannot be long tolerated therefore those things which may bring present ease ought first to be administred for this end those things which sooth the Spirits and gently moderate their disorders are convenient as those commonly called Anodynes viz. Distilled Waters Decoctions Syrups and Conserves of the Flowers of Water-Lilies Cowslips Mallows Violets Hearts-ease of the leaves of Willow Lettice Purslain also Emulsions or Juicy expressions If that the unquiet Spirits will not be allayed by gentle flatteries you must compel them into quietness as it were with bonds and strokes plenty of them ought to be diminished and the places also to be inlarged in which they may expand themselves in freedom and without tumult and quitted from the intanglements of other Humors to wit of the Blood and Serum For which ends sometimes the opening of a Vein is convenient and Blisterings are always to be made use of also Diacodium and Laudanum if it be convenient are frequently given and in the mean time whilst that Opiates give some truce to the Disease the cause of it ought carefully to be rooted out by the use of other Remedies as much as may be wherefore such as take away the sharpness of the Blood and nervous Juice and render a sweetness to them are to be administred day after day in Physical hours In which rank are shelly Powders Apozems and Distilled Waters Alterers made out of temperate Antiscorbuticks the more gentle prepared Chalybeats Spirits of Harts-horn and of Sut and almost before all other things the Tincture of Antimony is much esteemed There remains another sort of thorow or long Waking the cause of which in some if not in the greatest part consists in almost a continual openness or too much gaping of the Pores or passages in the Cortex of the Brain For besides that the Animal Spirits becoming sharp and somewhat outragious refuse to lye down of their own accord and to indulge rest moreover no stop or yoke is imposed upon them from the nervous Liquor entring into the Pores of the Brain but being free and quitted of all burthens they are also expanded within the exterior spaces of the Brain every where open wherefore for this cause those troubled with long Waking
become also Elastick in the motional Fibres by reason of the bloody Copula therefore if plenty of this be taken away they grow weak and deficient Which thing indeed I have observed in many and for the most part languishings and tremblings to have been begun in the Arm out of which the blood had been taken However in some indued with a sharp and hot blood and apt to flame forth too much though disposed to the Palsie it is sometimes convenient to let blood a little and sparingly About the Aequinox a Purge ought to be instituted and after due times between to be iterated three or four times But first if nothing oppose let a Vomit be given of the Salt of Vitriol Sulphur of Antimony or an Infusion of Crocus Metallorum or of Mercurius Vitae then let there be taken Pills of Amber or of Aloephanginae by it self or with the Resine of Ialap every seventh or eighth day At other times we prescribe Cephalick Remedies such as in the sleepy Diseases viz. Electuaries Powders Spirits and Volatile Salts Tinctures Elixirs with distilled Waters and Apozems sometimes these sometimes those or others Let Issues be made in the Arm or Leg yea in fat people and such as are full of ill humors in both together or between the shoulders Let them drink all the year medicated Beer of Sage Betony Stechades Sassafrass Wood and Winterines Bark Wine and Women ought to be forbidden or but moderately to be used If that the Palsie be excited after a previous disposition either of one side or in some members and that it still continues notwithstanding the first attempt of Medicine a long and complicated method is always requisite and oftentimes doth not suffice for not only the Disease or its conjunct cause or its foregoing severally but all together ought to be opposed for which ends Phlebotomy being for the most part interdicted only a gentle Purge and rarely is convenient Besides some chief Cephalick Medicines and Antiscorbuticks are wont to help against the foregoing cause of this Disease But all of this sort are not convenient to all yea as we have observed in the Scurvey according to the various Constitutions of the Sick there are also Remedies of a diverse kind and virtue For to Cholerick Paralyticks to wit in whose sharp and hot Blood there is much of Salt and Sulphur and very little of Serum the more hot Medicines and indued with very active Particles are not agreeable yea are often hurtful which things notwithstanding are very profitable to Phlegmatick persons whose Blood is colder and contains much of Serum and but few active Elements Wherefore for this twofold state or condition of sick persons it seems convenenient that we institute here a double Method of Cure and two classes of Medicines of which these may be given to cold Parlyticks and those to the hot In the former case for the taking away the Procatartick cause after Vomiting and Purging being rightly instituted I was wont to prescribe according to these following forms Take of the Conserves of the leaves of the Garden Scurvy-grass of Rocket made with an equal part of Sugar each three ounces of Ginger Candied in India half an ounce of the rinds of Oranges and Lemons Candied each six drams of the Powder of the Claws and Eyes of Crabs each four scruples of the Species of Diambre two drams of Winterens Bark one dram and a half of the Roots of Zedoary the lesser Galingal of Cubebs the Seeds of Water-Cresses Rocket each one dram of the Spirits of Scurvy-grass Laevender each two drams of the Syrup of Candied Ginger what will suffice to make an Electuary Take of it about the quantity of a Walnut at eight of the Clock in the Morning and at five in the Afternoon drinking after it a pint of the following Decoction warm or Coffee with the leaves of Sage boiled in it six ounces of or â—per Wine three ounces Take of the shavings of Lignum Sanctum six ounces of Sarsaparilla and of Sassaphras each four ounces of white and yellow Sanders of the shavings of Ivory of Harts-horn each half an ounce infuse them according to art and boil them in sixteen pints of Spring water till half be consumed adding of Crude Antimony in Powder and tyed in a rag four ounces of the Root of the Aromatick Reed of the lesser Galingal each half an ounce of the Florentine Iris one ounce of Cardamums six drams of Coriander Seeds half an ounce six Dates make a Decoction to be used for ordinary drink Going to sleep and first in the morning let a Dose of the Spirits of Sut or Harts-horn or of Armoniacal Amber or of Blood c. be taken with three ounces of the following distilled water Take of the leaves or roots of Aron one pound of the leaves of Garden Scurvey-grass of the greater Rocket of Rosemary Sage Savory Thyme four handfuls of the Flowers of Lavender three handfuls the outer rinds of ten Oranges and six Lemons of Winterans Bark three ounces of the roots of the lesser Galingal of Calamus Aromaticus the Florentine Iris each two ounces of Cubebs Cloves Nutmegs each two ounces all being cut and bruised pour to them of white Wine and of Brunswick Beer or Mum each four pints distil it in common Stills and let all the liquor be mixed together Sometimes in the place of the Electuary may be taken for fifteen or twenty days a Dose of the Tincture of Sulphur Turpentined of the Tincture of Antimony or of Amber Also sometimes Elixir Proprietatis or of Poeony let them be taken in a spoonful of distilled Water drinking after it three ounces of the same Also sometimes the following Powders or Lozenges may be taken by turns in the medical course Take of the Powder of Vipers flesh of Monpillier prepared one ounce of the hearts and livers of the same half an ounce of Species Diambre two ounces make a Powder take one dram once or twice a day with the distilled Water three ounces or with Viper Wine with a Decoction of the leaves of Sage of the root and seeds of the Burdock and the Candied roots of Eringo made of spring-Spring-water what will suffice and boiled to one moiety six or eight ounces in the Morning warm expecting to sweat after it Take of Bezoartick Mineral Solar half an ounce of Cloves powdered two drams mingle them make a Powder and divide it into twelve parts let one be taken after the same manner twice in a day between these kind of Remedies gentle purging may be often used Take of the Powder of the picked roots of Zedoary the lesser Galingal each half a dram of Species Diambre one dram of the Powder of the seeds of Mustard Rocket Scurvygrass Water-Cresses each half a dram make of them all a fine Powder add to it of the Oyl of the purest Amber half a dram and with white Sugar dissolved
build Houses plant and order Gardens Orchards or Till the Ground For the mind being busied with necessary cares or duties puts aside and at last deserts more easily vain and mad cogitations Melancholy persons are seldom to be lest alone for that then they indulge their airy phantasies and speculations and suffer them to continue longer The Soul sinks down inwardly and leaving the body enters into a certain Metamorphosis and puts on a new shape and oftentimes different from humane manners Wherefore the Distemper'd ought to be disturbed almost always with the discourses of their familiar Friends to wit that the Animal Spirits being called outwards may be solicited from their diversions into their former and accustomed tracts But if the sick be seduced with phantastical illusions and imagine some prodigious things of themselves and firmly believe them their mind is to be drawn from them by artificial inventions very many causes and examples of this sort of Cure are to be found in Books and a discreet Physician may institute the like as occasion serves Although a fresh Melancholy may be cured sometimes by the mere discipline and institution of the mind and Animal Spirits yet in a long or inveterate where the Spirits have contracted an acetous nature and the Blood an Atrabilary or Melancholick disposition and that the Brain is hurt as to its Pores and passages other Indications called Preservatory are required for the taking away of the Procatartick causes Concerning this thing the Medical intentions are first that the Blood be reduced to a better temper and genuine to wit a spirituous saline then to enliven the Brain and to render it bright and clear its Pores being unlocked and also to corroborate the Animal Spirits and to excite them into a lively flowing forth For which ends the following method I think good to propose which notwithstanding ought to be varied according to the various constitutions of the sick The taking away of Blood has place almost in all Melancholicks and sometimes it is often to be iterated For the adust and liveless Blood being at times drawn away a new and more spirituous comes in its place Concerning the quantity place and manner of celebrating this Remedy Authors have various opinions but the motion and the affections of the Blood being truly weighed it will at first suffice to take a moderate quantity out of the Arm and afterwards if need be a lesser or to draw it from the Sedal Veins by Leeches How the Salvatella Veins being opened as is said should bring such notable help to Melancholicks I confess I cannot understand perhaps it may help them if the Melancholick persons be firmly perswaded that this Phlebotomy will cure them before any others the frequent opening the Hemorrhoidal Veins invites Nature to an endeavouring afterwards for that evacuation which succeeding of its own accord as Hippocrates says does not seldom Cure this Disease Purging for that it draws back the nourishment of the Disease from the firsts ways and removes the impediments of other Remedies ought to be celebrated at the beginning and repeated at intervals But that some think for the sooner rooting out of this Disease Hellebore or Elateriums are chiefly to be used and cite Hippocrates for their Author we apprehend if the success be minded those things do not ordinarily agree with yea more often do hurt to the sick For indeed more strong Purgers do not take away the cause of the Disease to wit the Dyscrasie of the Blood but rather encrease it besides they more debilitate and strike down the Animal Spirits before dejected But Hellebore was so often prescribed by Hippocrates because in his Age other Catharticks were scarcely known or at least they were not in frequent use But now it is thought much better gently to draw forth the receptacles of the humors by more gentle and easie Purgers and to cleanse only the Viscera and the first ways without any great commotions of the Blood and Spirits Vomiting Medicines as in most Cephalick Diseases free from a Feavour are wont to help after a peculiar manner in all mad Distempers The reason of this partly consists in this because the viscous load of the Ventricle which as we have elsewhere shewn doth very much burthen the Soul being purged forth the Spirits by that means being more free expand themselves more lively and chearfully Further forasmuch as Vomiting presses together and evacuates the neighbouring receptacles of the humors to wit the Gall Bag the passage of the Pancreas and the Glandulas of the Mesentery procures that their contents be not transferred into the Head Take Oxymel of Squills one ounce and a half of Wine of Squills one ounce of the Syrup de Peto two drams mix them and make a Vomit if it doth not work or but slowly provoke Vomiting with a great deal of Carduus Posset-drink Take of the Decoction of the middle bark of Elder four ounces of the Salt of Vitriol one scruple to two scruples of Oxymel simple three drams mix them and take it after the same manner To robust and well-set persons may be given of the Infusion of Crocus Metallorum or of Mercurius Vitae also the Emetick Tartar of Mynsicht or the Sulphur of Antimony Take of the Root of Polypodium of the Oak half an ounce of Epithimum three drams of Sena half an ounce of Tamarinds six drams of the seeds of Coriander three drams of yellow Saunders two drams let them be boiled in fourteen ounces of spring-Spring-water till it comes to ten ounces adding to the Colature or when it is strained of Agarick two drams of Rhubarb one dram and a half being clarified add of the Syrup of purging Apples two ounces let six ounces be taken and repeated within three or four days Take of the best Sena three drams Epithym Rhubarb each one dram and a half of Yellow Saunders half a dram of Coriander seed two scruples of the Salt of Wormwood half a dram of Celtick Spike a scruple put these into white Wine and the Water of Pipins of each four ounces kept close all night to the liquor being strained five ounces add of the Syrup of Epithimum six drams of Aqua Mirabilis two drams mix them and make a Potion In strong bodies or hard to work on may be added to these of the strings of black Hellebore macerated in Vinegar one dram or two For those who had rather make use of Pills Boluses Powders or Syrups take the following Take of the Pil. Tartar of Quercitan or of Amber of Crato half a dram of the Resine of Ialap or of Scammony six or eight grains or Tartar vitriolated half a scruple of Ammoniacum dissolved in Aqua Mirabilis what will suffice to make a Pill let four be taken going to sleep and unless they work first one in the morning following Take of Calamelanos of the extract of black Hellebore each one scruple of the Resine of Ialap six grains of
Ammoniacum solut what will suffice make four Pills let them be taken with Government The Powder of Haly the Powder of Valesco de Tarenta of Peveda and others are very much commended And indeed in Country bodies or robust this Cathartick may seem convenient Take of Epithimum half an ounce of Agarick Lapis Lazuli each three drams Scammony one dram Cloves thirty make a Powder the Dose is from half a dram to a dram Take of the Powder Diasenna of Diaturbith with Rhubarb each half a dram make a Powder let it be taken in a draught of Posset-drink in a Decoction of Epithimum simple four or five scruples Take of the best Senna two ounces of the Roots of Polypodia of the Oak two ounces of Epithimum one ounce and a half of yellow Citrons half an ounce of Tamarinds one ounce of Coriander seeds six drams boil them in Barnet water four pints till half be consumed strain it and let it be evaporated in a warm Bath to the consistence of a Syrup adding towards the end of pure Manna and of white Sugar each four ounces make a Syrup the Dose is two spoonfuls or three in three ounces of some convenient distilled water or in any other liquor Or Take of the same liquor evaporated to the consistence of Honey six ounces of fresh Cassie four ounces of the jelly of Currans two ounces of Cream of Tartar of the Salt of Wormwood each one dram and a half of the Powder of Diasen two drams of yellow Sanders powder'd two drams mix them and make an Electuary Dose three drams to half an ounce Purging is not to be used continually nor too frequently yea it suffices that it be administred within six or seven days space and at other times let the belly be taken down by Clysters if it be bound As to other Medicines which are not evacuators though the Ancients relied not much upon them we put our greatest confidence of Cure in them For they to whom also many moderns consent thought there was nothing more to be done for the curing of Melancholy than to Purge forth the Melancholick humor wherefore making Purges their chiefest business they instituted the other Medicines called Preparatory only for the sake of this to wit making it their scope that as soon as the humor being reduced to a fit consistency by altering Medicines and that the ways for its excretion were open enough then that it should be carried forth of doors by Purgers Which kind of Hypothesis seems not agreeable neither to reason nor to Medical experience because Melancholick people rather receive hurt than help by often Purging how methodically soever it be instituted Therefore we placing the cause of this Disease in the Dyscrasie of the Blood and Spirits and in the weakness or evil conformation of the Viscera and the Brain esteem altering and corroborating Medicines to be in the first rank for Remedies and for the sake of these that Purgers may be used sometimes between whiles Therefore Purging being rightly prescribed at due intervals for the removing impediments as to the rest you may proceed according to these forms Take of the Conserves of the flowers of Gilliflowers and of Brage each two ounces and a half of the rinds of Myrobalans preserved six drams of Coral prepared and of Pearl each one dram and a half of Ivory and Crabs Eyes each one dram of Confection de Hyacintho two drams of the Syrup of Coral and red Poppy what will suffice make an Electuary take two drams Morning and Evening drinking after it three ounces of the following Iulep or the distilled Water Take of the water of the Flowers of Cowslips and of black Cherries each six ounces of Balm four ounces of Dr. Stephens his Water two ounces of Sugar six drams mingle it and make a Iulep Take of the leaves of Balm Borrage Bugloss Fumitory Water-Cresses and Brooklime each four handfuls of the flowers of Pinks Marigolds Borrage and Cowslips each three handfuls the outer rinds of six Oranges and six Lemons being all cut and bruised pour to them Whey made of Cyder eight pints distil it in a common Still and mix all the liquor together Take of the Powder of Pearl of Ivory of Coral prepared each two drams of the Species Laetificant or making merry of Diarrhod Abbatis each one dram of the Oyl of the rind of Citrons half a scruple of white Sugar dissolved and boiled to the consistence of Lozenges in what will suffice of Balm Water six ounces make Lozenges according to art weighing a dram take two or three at nine of the Clock in the Morning and at five in the Afternoon drinking after it a draught of the distilled Water or of Tea Or Take of the Roots of Chervil of Polypodium of the Oak each one ounce and a half of the leaves of Harts Tongue Ceterach Scolopendria Germander each one handul of Tamarisk half a handful of the bark of the same half an ounce of Raisins of the Sun stoned two ounces one Apple cut let them be cut and bruised and boiled in four pints of spring-Spring-water to the consumption of a third part about the end add of the leaves of Water Cresses one handful let it be strained and clarified take of it six ounces twice or thrice in a day sweteen it with Syrup of Fuâ—itory spaw- Spaw-Waters coming from Iron are wont oftentimes to give great benefit for the Curing of Melancholicks to wit because they being plentifully drunk wash out salino-sulphureous Tincture of the Blood and destroy its evil ferment Moreover they wipe clean the silthiness of the Viscera unlock obstructions and what is of great benefit they corroborate by their astriction both the weak and too loose Viscera and also shut up the little mouths of the gaping Vessels of the Brain by which a passage lay open into it for the extraneous matter together with the nervous juice And for this reason to wit by corroborating the Viscera and by locking up the passages of the Head Vitriolickâ— prepared of Iron are wont to be given profitably in Melancholy and also in the Vertigo Take of our Steel prepared three drams put it into a quart of the Water above described take of it three or four ounces twice in a day by it self or with any other solid Medicine Take of the filings of Iron one ounce put it into a glass with the juice of Oranges two ounces let it stand for a day shaking it sometimes then pour to it of the Water of Pipins and of White Wine each one pint or of the more thin and sweet Cyder one quart take of it three ounces twice in a day after the same manner Take of the Vitriol of Steel of the Cream of Tartar of Crabs Eyes each one dram mix them make a Powder and let it be divided into nine parts Take one part every Morning in a draught of the distilled Water or the Decoction or
Mercurial Medicines for that they operate not only by Vomit and Stool but oftentimes by Sweat Urine or Salivation do notably help A long and plentiful spitting or flux at the mouth hath perfectly cured some Mad people 3. The more strong Purging Medicines where strength and the constitution may bear them because they depress the raging of the Spirits and of the Blood and very much evacuate the Emunctories that are for the receiving the recrements of the Blood and nervous Juice do often bring help in this Disease For this use preparations of black Hellebore as chiefly its extract and Wine of the Infusion of its strings or the pulp of an Apple with the roots of it boiled together are much praised Take of the Extract of black Hellebore of Calamelanos of each one scruple make a Bolus Take Calamelanos one scruple of Diagridium from twelve to fifteen grains make a Powder Take of Confectio Hamech or of the Electuary of the juice of Roses half an ounce to six drams let it be given in broth Take of the Decoction of Senna Gereonis or of Epithimum with the roots of black Hellebore two drams six ounces make a draught Take of the Powder of Diasennae two drams let it be taken in Posset-drink In the mean time whilst these things are doing let the Preservatory Indication respect the cause of this Disease Wherefore with these frequent purgings and letting of Blood between whiles let altering Medicines or Remedies be used which may attemper the Blood and nervous juice and reduce them to their due temper if that the sick be tractable and orderly enough they will not refuse to take such things methodically Take of Crystal Mineral or of the best purified Nitre two ounces of Pearls powdered two drams of Sugar Candy two drams and a half of Camphor half a scruple let them be all beaten together to a moist fine Powder let two drams of this be put into a glass vessel that will hold two quarts of spring-Spring-water or of clear small Ale or Beer and â—â—ld let it be given for ordinary drink at pleasure Put to Whey being made hot the flowers of Violets or Water-Lilies and after they have infused for two hours let them drink it plentifully also the Spaw Waters are convenient for Mad people to drink orderly and plentifully Take of the tops of green and the tenderest Borrage and Bugloss each four handfuls three Apples pared of Sal Prunella two drams of Sugar half an ounce let them be bruised together and pour to them of spring-Spring-water three pints make a strong Expression take half a pint thrice in a day or oftner Take of the Conserves of Borrage flowers and of Violets each three drams Confectio de Hyacintho of Alchermis each two drams of Coral prepared a dram and an half of the Powder of Pearls one dram of the Salt of Coral one dram of the Syrup of red Poppies what will suffice make an Electuary of which take two drams twice or thrice in a day drinking after it of the following liquor four ounces Take of the waters of the flowers of the Water-Lilie Borrage Bugloss and of black Cherries each four ounces of red Poppies six ounces of red rose-Rose-water two ounces of Camphor tyed in a rag and hang'd in the glass half a dram of the Syrup of Coral one ounce and a half mix them and make a Iulep Take of the yellow flowers of the Willow-tree what will suffice let them be distilled in a common Still and let the Distillation be repeated by putting to it fresh flowers for three times Give of it four ounces twice or thrice in a day sweetning it with the Syrup of Water-Lilies Take of the leaves of the Willow Meadowsweet Pimpernel Borrage Balm each six handfuls of the flowers of the Water-Lilie of the tops of St. Iohns-wort each four handfuls of Camphor powdered three drams all being bruised together pour to them eight pints of new Milk let them be distilled in common Stills Let the brains of Weathers be distilled with Milk and give of the water three or four ounces thrice in a day Further there are to be used Specifick Remedies so called of which is famous a Decoction of Pimpernel with the purple flower also the tops of Hypericon or St. Iohns-wort and other Decoctions Opiates and Powders of Antilyssâ— are frequently noted among all the famous Empericks Concerning the cure of Madness excited from the biting of venomous or mad Animals for that it is almost only Emperical and commonly known we shall not discourse of it in this place and since we have elsewhere proposed our conjectures concerning it But a Decoction or an Infusion of Apples either raw or boil'd in Spring-water the liquor of Tea Emulsions with many other things whose forms we have shewn in the Cure of Melancholy are convenient in this case Moreover from Chirurgical Remedies besides opening of a Vein many other helps are wont to be had for the curing of this Disease Cupping-glasses with Scarification often help Blisterings Cauteries both actual and potential are praised of many Others commend cutting an Artery others Trepaning or opening the Skull others Salivation But these kind of administrations besides that their effects are uncertain can hardly be performed or not at all safely by reason of the intractability of the sick wherefore it were here superfluous to inquire into the reasons of help or cure to be expected from them The hair being shaven off sometimes it is expedient to apply to the forepart of the Head the hot Lungs of a Lamb or Weather and other Fomentations and so to change them But these sorts of Remedies also are hardly to be applied and repeated methodically because of the reluctancy of the sick and so often afford more hurt than help 3. The vital Indication institutes how mad people ought to be handled concerning their government dyet and sleep In this Disease there is no need of keeping up the flesh as in most other Diseases For the spirits ought not to be refreshed with Cordials nor strength to be restored with Medicines but on the contrary both being too raging of themselves things are to be administer'd as it were for the suppression or extinction of a flame raging above measure Therefore let the diet be slender and not delicate their cloathing course their beds hard and their handling severe and rigid But sleep for that it is very necessary ought to be caused sometimes by Anodynes for which end Hypnotick Remedies or Medicines above prescribed for Melancholy are also convenient in this Disease In inveterate and habitual Madness the sick seldom submit to any Medical Cure but such being placed in Bedlam or an Hospital for Mad people by the ordinary discipline of the place either at length return to themselves or else they are there kept from doing hurt either to themselves or to others There is no need to illustrate the nature of
cherished notwithstanding the frequent and almost continual troubles of the Disease 1. The first Indication to wit the allaying of the pains contains these two chief intentions to wit that the breach of the unity be taken away and in the mean time that the irritation or the growing hot of the Fibres or of the Spirits flowing in them may be quieted or appeased 1. For the taking away of the breach of the unity in the distemper'd places both the flowings of the humors which are apt to tend thither ought to be hindred and the Mine already impacted to be dissipated and shaken off and its Particles suppressed from their mutual effervescencies or growing hot For these ends are destinated evacuating and altering Remedies and of either both internal and external We shall here add some forms of these and the more select ways of administration in their order Phlebotomy or letting of Blood in a fresh Gout or not very inveterate and especially in a more hot constitution being used about the beginning of the Disease doth often bring help but in an habitual Disease and in a frigid temperament and old age it is wont to be more hurtful than profitable because it depresses the vigor of the Blood and of the Spirits not too much raging without a lessening of the Morbific matter The business is very much controverted concerning Purging about the beginning of the Disease whilst some Physicians most strictly abstain from all Purging before the declination or end of the fit others on the contrary constantly give strong Purges about the beginning of the Disease and oftentimes with good success The reason of the difference seems to be placed chiefly in this to wit because some Gouty persons are yet firm in the constitution and tone of the humors and the Vessels containing them and being not yet weakned in their joints as often as the Blood and nervous Liquor are disturbed by Medicines their superfluities and recrements are not presently precipitated into the Mine of this Disease yea these being provoked by the Medicine and also obeying the incitement are drawn forth by the moâ—ths of the Arteries into the cavities of the Intestines and in the mean time the Vessels being emptied they draw or sup back a certain part of the Morbific Matter But it is otherwise in tender and weak Constitutions for from the least commotion of the Medicine the purgings of either humor fall down into the Gouty place Therefore to whom Purging is convenient it ought to be instituted with the more strong Medicines and Elaterium For this matter these are of known use The Electuary Caryacostinum The Purging Syrup de Ramno Pills of Hermodâ—ctyls The Compounded Pill ex Duobus The Pill of Rhasis which if we may believe the Author will quickly make the sick to walk Take of the best Aloes half an ounce of red Roses two scruples of Hermodâ—ctils barkt one dram and a half of Diagridium one dram of Honey of Roses what will suffice make a Pill Roderick of Fonseca wonderfully crys up the root of black Hellebore and among other things an Apple with its small strings put into it to about half a dram roasted under the ashes and so eaten Take of Calowelâ—nos one scruple of the Resine of Ialap three grains or of Scammony three grains of the Oyl of Cloves one grain of the Baâ—som of Peru what will suffice make thâ—re or four Pills for one Dose In the time of Purging it will be of some moment perhaps as Solenander advises to restrain the falling down of the humors into those places by a Plaster or other defensive Medicine laid upon the distemper'd places Vomiting to whom it is wont to be safe and easie may be also convenient in this Disease for which end the Emetick Tartar of Mynsicht the Sulphur of Antimony or its Flowers Mercurious Vitae Vinum Emeticum Gambogia may be administer'd But in the Goutish fit the Powders of Stones Bones and Shells as also of sharp Vegetables do help which being called the Alexiteria of this Disease subjugate all the Particles and by growing hot with them do as it were mortifie them and at last they being overcome they carry them forth either by Urine or Sweat Take of the Powder of Crabs claws compounded two drams of Ivory of the Root of Cretick Dittany of the Root of male Poeony each one dram of the Wood of Aloes of yellow Saunders each half a dram make a Powder let it be taken half a dram or a dram either by it self in a spoonful of red Poppy Water drinking after it six spoonfuls of the same or let it be reduced into a Bolus or Pills with Andromach Treacle or Venice Turpentine what will suffice the Dose one dram twice a day drinking after it of the distalled Water afterwards described two or three ounces Or Take of the same Powder six drams of the Conserves of Gilliflowers and of Betony each one ounce and a half of Diascordium one dram of the Syrup of Poppies what will suffice make an Electuary the Dose one dram to two Evening and Morning In the mean time while these things are doing besides altering Medicines and allaying have their turns for the calling away to some other place the flowing of the Morbific matter into the places distemper'd or for the carrying it forth such as may allay the swelling up of the Blood and the nervous Juice and stop the Fluxions of the Recrements falling from them for this end a slender diet and spoon meat if it be convenienâ— being ordered let Emulsions Iulepâ— and Apozems made of gentle things and Anodynes be prescribed As to what belongs to the other intentions of healing viz. the Discussion of the impacted Mine and for the â—llaying the burning or growing hot of the Fibres and the Spirits this latter must be endeavoured without which being performed the other intention will not satisfie for this end therefore it is expedient to give both external Medicines viz. Topicks of a various kind as also internal viz. Hypnoticks For that there are an immense company of Topicks these are only Anodynes which respect only the pain by it self or are such as aim at this together and the tumor or they are repelling or resolving and discussing There are various Formula's of every one of these and ways of administrations But the chief in use are Fomentations Pultesses and Plasters of these we shall shew the most celebrious and first of all Anodyne Applications which please the Fibres with a certain delight For this use the most common practice with the vulgar are 〈◊〉 or Pultesses of Milk and 〈◊〉 of Bread or of those with a Muccage or jelly of the leaves and of the roots of Mallows and Marsh-mallowes and such like Others praise a Pultesse of the fresh dung of a Cow applied warm Take of the Water of Nightshade and of the Sperm of Frogs each six ounces mingle them Lint
Face then a fullness in the Head and a pain would infest them and especially after drinking of Wine or eating of Meats apt to swell up they would be more vexed The coming of the Disease is wont to keep its distance according as Meats are taken more or less as the Chyme begins to swell up either a little after its first entring into the Blood or after a little stay in it This Distemper is free from danger and for the most part is easily enough Cured After a provision of the whole a gentle Purge and sometimes Blood-letting being ordered Remedies profit most which restore the Complexion of the Blood such chiefly are Antiscorbuticks and Chalybeates Take of the Conserve of Fumitory of Tansie and Wood-Sorrel each two ounces of the Powder of Aron Compound three drams of Ivory Crabs-Eyes Coral prepared each one dram Powder of yellow Saunders and Lignum Aloes each half a dram of the Vitriol of Steel one dram of the Salt of Wormwood a dram and a half of the Syrup of the Five Roots what will suffice to make an Electuary Take of it in the morning and at five a clock in the afternoon the quantity of a Chesnut drinking after it three ounces of the following liquor Taâ—e of the water of the leaves of Aron of Vervine of Elderflowers each six ounces of the Water of Snails and the Magisterial of Earth-worms each two ounces of Sugar one ounce Mingle them Hither may be brought various Remedies that are wont to be made use of against the Scorbutick Dyscrasie or evil disposition of the Blood and may be given with good success For Headaches which are so familiar in the Scurvy oftentimes proceed from the vice of the Blood perverting the nutritious Humor and carrying its Recrements to the Membranes of the Head Wherefore Remedies against that Distemper in another place noted by me may be used here 6. There yet remains another humor to wit the nervous Liquor which being heaped up within the Fibres of the Meninges and of other parts of the Head sometimes becomes improportionate by its proper incongruity to the Fibres because sharp or otherways degenerate sometimes pulls the containing parts and provokes them into painful Convulsions or Distentions because it grows hot with some other Humor flowing thither to wit the Nutritious or the Serous The Nervous Humor when it is so Morbific or faulty in its whole Mass carries its evil to the predisposed Head or if of it self innocent is perverted within the distemper'd Fibres and so secondarily becomes Morbific or Diseased then the Cure of it depends upon the restitution of the containing parts to wit if the Debilities or the hurt Conformation of the Fibres may be mended presently the Humor watering them will be free from fault We shall tell you by and by by what Remedies the vices of the parts predisposed to Headaches may be taken away In the mean time if the nervous humor being degenerate in the whole Mass imparts its evil to the Head prepared for pain those kind of Medicines and method are to be made use of by which it being reduced to its due Constitution passing thorow those Fibres it little or nothing provokes them For which end neither letting of Blood nor yet strong Purges are at all convenient because those things which shake the Blood and Humors and lessen strength impress by that means a greater sharpness and rage to the faulty Nerve But gentle Solutives and a sparing taking of Blood sometimes may be useful whereby the Inwards may be cleansed and the bloody Mass somewhat purged and a way made for other Medicines that may better succeed But Medicines which render the nervous Liquor more friendly and benigne to the Membranes of the Head that are wont to be troubled by it are of that sort commonly called Cephalicks whose particles being active thin and subtil pass thorow the Blood without trouble or tumult then insinuating themselves with the nervous Liquor gently move it and so cause the nervous passages to be unfolded so that the Animal Spirits more freely beam forth thorow all the Bodies both sensible and motive and inspire them without any lessening Convulsions or irregular distentions These kind of Remedies although they are not always effectual yet they oftentimes take away some Headaches not much inveterate and in some help sometimes how pertinacious soever they be Further the same which are prescribed with good success for the pains of the Head are also for the distempers of the Brain and Nervous Stock and so on the contrary what are used for these also for those to wit the virtues of those being unfolded within the Head against the Apoplexy Palsie Lethargy and other Diseases a-kin to them help also within the moving Fibres against Convulsions and Convulsive Motions besides putting forth their virtues within the sensible Fibres they often give help to pains A very large field of these Medicines are opened in physical Books yet so that the poorness of them and their abundance bring confusion to the Method of healing for oftentimes among so many various and different Remedies heaped up together lye hid or obscured what may be of great use but even as Wheat among Chaff harder to be separated than that to be thorowly sifted out from the husks Therefore in this case a provision of the whole being made and applyed and things given which by Dyet or Medicine restrain the Inordinations of the Blood and immediately allay them Medicines called Cephalicks or such as take away the disorders of the nervous Juice are prescribed to be carefully taken I shall add some few forms of these Take of the Conserve of the Flowers of Betony of Clove-gilliflowers each three ounces of the Powder of the Root of the male Poeony half an ounce of Cretick Dittanny one dram of the wood Aloes and yellow Sanders each one dram of red Coral prepared of Pearl of Ivory each one dram and a half of the Salt of Vervine one dram and a half of the Syrup of the Flowers of Poeony what will suffice make an Opiat take of it to the quantity of a Chesnut drinking after it of the following Iulep three ounces Take of simple black Cherry water and of Walnuts and of Vervine each four ounces of Cowslip Flowers three ounces of Poeony Compound two ounces of Sugar-Candy six drams Take of the Flowers of Vervine Misleto Berries each ten handfuls of the male Poeony Roots two pound of Mace and Nutmegs each half an ounce of Coriander Seeds one ounce cut and bruise them and put to them eight pints of new-milk or else seven pints of Milk and one pint of Malago Distil them in a common Still and mix all the liquor together Take of it three ounces at a time Take of the Powder of the Root of the male Poeony half an ounce of red Coral prepared two drams of Ivory and Pearls prepared
each one dram make of them all a very fine Powder add to it of Sugar what will suffice boil them to the consistence of Tablets with six ounces of black cherry-Cherry-water of the Tincture of Coral one dram make of them Tablets according to Art to the weight of half a dram Eat three or four in the Morning and at five of the Clock in the Afternoon drinking after them a draught of Tea Or Take of the Tincture of Coral one ounce take of it from fifteen to twenty drops twice in a day in a little draught of Iulep or of the distilled water They who are of a Phlegmatick or more Cold temper may take a Dose twice a day either of the Tincture of Antimony or of the Spirits of Armoniac impregnated with Amber of Coral or of Spirits of Harts horn or of Sut in a proper Vehicle We ought not to omit or postpone the use of Millepedes or Woodlice for that the Juice of them wrung forth with the distilled Water also a Powder of them prepared oftentimes bring notable help for the Curing of old and pertinacious Head-aches I might here propose divers other kinds of Medicines yea all those which I have formerly heaped up against Convulsive Distempers may be brought hither But yet the most difficult knot of the Cure of the Headach remains to be untied to wit how the conjunct Cause of this Disease and fixed consisting in the weakness or hurt Conformation of the Fibres may be healed or taken away Although this is sometimes incurable to wit when as a Scirrhous or Callous Tumor or some other old and fixed swelling has possest the Meninges yet for that the knowledge of this is uncertain and that the leading Cause how cruel soever it seems is sometimes overcome by a long course of Physick therefore in every Head-ach so long as the Patient will admit of Remedies let it not seem troublesome to the Physician to prescribe those things which seem most convenient Therefore first of all which we hinted before you must carefully endeavour that the nest or feeding of the Disease be cut off or intercepted and that the frequent coming of the fits be hindred for so the indisposed Fibres so long as they are no more affected only by the means of Nature will recover health In this case the helps of the Medical Art are rather to be sought from the Chirurgical part than from Physick for whatsoever is taken at the mouth going about by long turnings and windings spends all the vertue before it comes to the Membranes of the Head Among Chirurgical Remedies first Topicks are met with and among these Plasters are of most profitable use and oftentimes give the greatest benefit Let not these be very hot which may rather draw the humors to the distemper'd place but moderately discussing and strengthening I was wont to prescribe Plasters of Red-Lead and of Sope with double of the proportion of the Plaster of Paracelsus to be applied to the part it being first shaven and to be let remain there for some time The Antients frequently administred Plasters made of Mustard and such as raised wheals or whelks over the parts and it is a daily practice to apply sometimes to all the hinder part of the Head and sometimes to the former Vesicatories or blistering Plasters against most cruel Headaches when ease is got from these more hot Topicks it is because by these administrations plenty of the more sharp Serum is drawn away from the disaffected part Liniments of Oyls and Oyntments though often made use of effect little because as I think if they should penetrate deeply into the tones of the Fibres they would loosen them more so that they would more easily lye open to the Incursions of the Morbifick matter Further they stop up the Pores of the skin whereby the Effluvia's do less evaporate Almost for the same reason as hot stupes or Fomentations made of boiled Spices or other Cephalicks oftner hurt than profit forasmuch as they draw the humors towards the distemper'd parts and also open the Pores and passages whereby they are more readily admitted it is that a Bathing of the Head or an Embrocation or washing of the Head at the pumps in hot Baths is used with no better success for Headaches When on the contrary it hath been beneficial to many to pour cold water every Morning and Evening on the temples forehead and forepart of the Head yea to wash or pump the whole Head every Morning with cold water or at least to dip it into a Bucket or Pit of water Another Chirurgical help especially for an inveterate and cruel Headach and much cry'd up is wont to be the burning or cutting of Issues in several parts of the Body It is without doubt that these being made in the Arms or Legs are both less troublesome and do bring something of help because they draw away the feeding of the Disease in part and call it away far from the distemper'd part Besides Issues in the nape of the Neck and a Seaton in the hinder part of the Neck behind the Ear or near it also a piece of the root of wild Hellebore being put into an hole made in the Ear because they evacuate much serosity and draw it to other Emunctuaries to wit the Glandulas are oftentimes administred with benefit But indeed there hath been a talk and much expectation from Cauteries made on the grieved place or near it and so large Issues have been made on the top of the Head or nigh to the joyning of the Sutures If we should measure this practice by the fruit or success it will appear to be rarely beneficial but more often unlucky For I never knew any healed but many troubled with Headaches to be much the worse for it And truly reason plainly tells us that where a Fontinel is made thither the Serous Humor flows from the whole bloody Mass and by consequence from the whole body and oftentimes is there heaped up more copiously than can constantly be put forth by that Emissary wherefore there ordinarily arise about Issues a red swelling pustles and various humors Why should I not then believe that a Cautery made nigh to the grieved part of the Head should rather cause the Morbific matter to be there heaped up There is yet another Chirurgical operation cry'd up by many for a pertinacious Headach but by none that I know of yet attempted to wit an opening of the Skull near the grieved place with a Trypaning Iron This our most ingenious Harvey endeavoured to persuade a Noble Lady labouring with a most grievous and inveterate Headach promising a Cure from thence but neither she nor any other would admit that administration Indeed it did not appear to me that there could be any thing of certainly expected from the opening of the Skull where it was pained if an Imposthum lay hid there this had been the only way of Cure
from the Head being carefully administred profited nothing so that death soon followed His Skull being opened the Vessels leading to the Meninges were full of Blood and very much distended as if the whole Mass of Blood had flowed thither so that the bosoms being dissected and opened the Blood presently rushing forth flow'd to the weight of several ounces above half a pint Further the Membranes themselves being distemper'd thorow the whole with a fiery Tumor appeared discoloured These coverings being taken away all the infoldings of the Brain and of its Ventricle were full of a clear water and its substance being too much watred was wet and not firm Without doubt in this case the incursion of the heated blood into the Meninges and the heaping of it up there exciting the Phlgemon or fiery swelling was the cause of the Headach and of the following Delirium Then the Blood being accumulated there when it could not circulate flung from it self plenty of Serum by which the whole inward part of the Head was over-flowed so that the Disease at first perhaps curable by Phlebotomy from thence afterwards became mortal I remember another Academick who after a long Headach under the temporal Suture tormenting him perpetually for three weeks together immediately fell into a deadly Apoplexie His Head being opened a fiery swelling had grown in the Meninges near the place where the pain was from which being ripened and broke the filthy bloody matter falling on the Brain had distemper'd its substance with a rottenness and blackness Besides these invincible causes detected by Anatomy I observed more chances after the same manner as of other sick people by which we may conclude its Aetiology to be the same or very near of kin with the signs and symptoms of the like nature and but now described But although a continual Headach especially if it be without intermissions for many weeks is not without danger yet we ought not therefore to despair of its Cure because the cause of this how fixed and immoveable soever it seem oftentimes by the long use of Medicines and sometimes without them is helped by Nature and time however in a case almost desperate there is need of some Medicines lest the present Distemper should pass into a worse to wit a Soporiferous or Convulsive Thus much for a Continual Headach it now remains that we should propose some more rare examples and instances of the Intermitting Therefore that we may let alone here the Headaches whose fits being wandring and uncertain proceed from the Blood or Serum rushing on the distemper'd places as cases very well known and commonly seen we shall now shew you now some select Observations of this Disease either periodical or caused by the consent of some Inward As to the first we have shown the periodical fits of the pains of the Head to be produced by the nutritious Humor or by the nervous Juice we shall now shew you Examples of either A venerable Matron of about forty five years of Age of a lean habit of Body and indued with a Cholerick Temper after she had lived for a long time obnoxious to Headaches wont to be caused occasionally she began about the beginning of Autumn to be troubled with a periodical pain of the Head This Distemper invading her about four of the Clock in the Afternoon was wont to continue till midnight when being wearied with pain and watching she was compelled to sleep then afterwards awaking out of a profound sleep she found her self well again She being sick after this manner for three weeks suffered the daily fits of this Disease and forbore to take any Medicine which she greatly abhorr'd but at length her Appetite being lost and her strength worn out being forced to seek for Cure after letting blood and a gentle Purge she took twice a day for a week or two the quantity of a Chestnut of the following Electuary and grew perfectly well Take of the Conserve of the Flowers of Succory and Fumitory each three ounces of the Powder of the Root of Aron Compound two drams and a half of Ivory one dram and a half of yellow Sanders and of Lignum Aloes each half a dram of the Salt of Wormwood one dram and a half of Vitrial of Steel one dram of the Syrup of the Five Roots what will suffice to make an Electuary In this Case that after a disposition to the Headach the fits of the Disease became at length periodical after the manner of intermitting Feavours the cause without doubt was the assimilation of the Chyme or nourishing Humor into Blood being hindred because when its provision being received into the Mass of Blood could not be overcome it was wont after a little stay to disagree and with its particles to grow hot therefore presently the Blood swelling up that it might shake off the incongruous mixture laid aside its recrements as in other parts so especially and with a greater sense of trouble into the before weak Fibres of the Meninges or hurt in their conformation This Matter being poured on the Head or rushing of it self thorow the sensible Fibres or growing hot with the Juice watering them raised up the fit of the pain but now described which continued until the heterogeneous particles growing hot with their mutual coming together were either subdued or exhaled A very comely Woman tall and slender being for a long time grievously obnoxious to distempers of the Head was wont sometimes to be troubled for many days yea weeks every day as soon as she awaked in the Morning with a most Cruel Head-ach afflicting her for three or four hours and in the mean time she was vexed with a weight of her whole Head a numness of her sences and a dulness of mind which kind of Distemper together with the pain like discussed Clouds vanished before noon and left her quiet and calm Then again the next morning it possessed her Head like a dark Cloud For the Curing of it I prescribed the use of Purging Pills Phlebotomy sparingly besides a Blistering and Spirits of Harts-horn or of Sut with Cephalic Juleps or Waters That in this Lady otherways than in the other sick Lady the pains of the Head rather followed after sleep than were healed by it the reason seems to be because in this morning Headach the Morbific Matter resided in the nervous Juice whose more notable crudity and fuller aggestion about the Head happen immediately after sleep as we have elsewhere shown at large But the other Evening fits of this Disease depended upon the fulness and swelling up of the nourishing Liquor within the bloody Mass and therefore happening so many hours after dinner was not allayed but by sleep which quiets the disorders of the Blood It doth no less clearly appear that the fits of the Headach do arise sometimes by consent from other parts viz. the Womb Spleen Stomach c. and though the complaints and
own accord many have been of the opinion that the cause of this Disease most commonly lyes hid in the stomach but it is much otherways and as we have elsewhere shewed Vomiting frequently follows upon the Spirits being disturbed in the Brain But that Vomits help much in this Disease the reason is because this kind of Physick causes a great revulsion of the humors from the Brain and very much restrains the Spirits tumultuating in it When the Membranes and Fibres of the Ventricle and Viscera planted nigh them are pulled various humors viz. the nervous serous watery pancratick and cholerick are drawn into those parts and so squeesed forth so that the Head being freed from their flowing to it doth easily shake off from it many impacted there before then as to the Animal Spirits we have shewed somewhere that there is a most intimate commerce and agreement between those inhabiting the stomach and those dwelling in the Brain to wit that therefore the grateful or ingrateful affection of the Ventricle from things taken into it might bring rejoycing or dejection to the Spirits dwelling in the Brain Opiates whilst they lye in the stomach cause sleep in like manner it doth not a little help in the Vertigo and other Cephalick Diseases whereby the Spirits of the Brain wandring up and down and agitated enormously may be repressed and returned into order if their Companions or Kindred be striken down by the working of the Medicine because whilst many are called forth from the Brain to their assistance the others remaining remitting their disorders resume their wonted offices or functions without doubt it is for this reason chiefly Emeticks bring so often help in the Distemper of madness so that Empericks do almost only use them 2. But to return from our digression let us consider what is to be done for the Curing of an inveterate and almost continual Vertigo out of the fit Therefore first a method being instituted concerning bleeding and purging according to the constitution and strength of the Patient and after rest to be repeated let a Vomit also by my advice be taken once a month if nothing to the contrary hinders it for which end let there be given to the weaker after the stomach is filled with slippery Meats Wine and Oxymel of Squils to about two or three ounces and after it let a great quantity of Posset-drink be drunk with Carduus boiled in it that the Patient may vomit of himself or by provocation To others may be given an Emetick of the Salt of Vitriol or the Sulphur of Antimony or of the infusion of Crocus Metallorum as concerning Issues Blisterings the bleeding at the Hemorrhoidal Veins Plasters or quilted Caps to be worn upon the Head or other Topicks to be applied to the soals of the Feet or to the wrists for revulsion or derivation sake let the Physician deliberate Take of the Conserve of the Flowers â—f the male Poeony fix ounces of the Powder of its Root one ounce of the Seeds of Poeony powder'd two drams of Amber Coral Pearls powder'd of each two drams and a half of the Salt of Coral one dram of the Syrup of Coral what will suffice to make an Electuary the Dose is one dram and an half or two drams Evening and Morning drinking after it of the following distilled water three ounces Take of the fresh leaves of Misleto six handfuls of the root of the male Poeony and of Angellico each one pound and an half of the whitest dung of the Peacock two pound of Cardamoms bruised two ounces of Castâ—r three drams all being cut small and mixt together pour to them eight pints either of White Wine or Whey made of it Let them be distilled in fit Stills and the whole liquor mixed together Take of the Powder of the Root of the male Poeony half an ounce of red Coral prepared of Species Diambrae each one dram and a half of the Powder of the Flowers of the male Poeony fresh bruised and dryed in the Sun one dram make a Powder to which add of the whitest Sugar dissolved in the water of Poeony and boiled to the consistence of Tablets ten ounces of this make Lozenges according to art each weighing half a dram eat one or two of them often in a day Because all things are not convenient to all Men and that the Physician ought to try diverse Medicines and institute various methods and to try now this now that therefore we shall here add some other forms of another kind Take of our Syrup of Steel six ounces and drink a spoonful of it in the Morning and at five in the Evening with the distilled water but now described or any other Cephalick to the quantity of three ounces or take of our Tincture of Steel from fifteen to twenty drops in a draught of the same distilled water twice in a day I have known this to have given notable help to many Let there be given daily after the same manner Doses sometimes of the Spirit of Sut Harts-born or of Sal Armoniack impregnated with Coral Amber or the Skull of a Man or of the Tincture of Antimony Amber or Coral Take of the Powder of the Root of the male Poeony one ounce and an half of the Seeds of Poeony Coral prepared and of the whitest Amber each three drams of Pearls prepared of the Powder of the Flowers of the male Poeony fresh bruised and dryed in the Sun of each two drams of Sugar-Candy one ounce make a Powder and take one dram twice in a day with a draught of Tea or Coffee or a Decoction of Sage or Rosemary For poor people may be prescribed Powder of the leaves of the Apple-tree Misleto dryed in the Sun and powder'd to the quantity of a dram to be taken twice in a day Or take of the whitest Peacocks dung six ounces of the Powder of the Flowers of the male Poeony one ounce of Sugar two ounces make a Powder of which let them take a spoonful twice in a day in some convenient liquor Let those troubled with the Vertigo drink for their ordinary drink small Ale with leaves of the Orchard Misleto boiled in it instead of Hops and in the Vessel holding about four gallons let a little bag be hanged in which put half a pint of Peacocks dung and three drams of Cloves bruised Examples of those labouring with the Vertigo are so frequently met withal and almost daily that there seems no need to add here any but however that the image or type of this Disease may be known I shall only mention some few and more rare cases A Divine about sixty years of age after he had been troubled for about three months with a light Vertigo or as it were a frequent coruscation or brandishing of the Spirits in the fore part of the Head at length the Disease growing worse he became ready to fall and with a darkness before his eyes
blood being too hot or swelling up is wont sometimes to bring in the Morbific cause or at least to increase it and the same sinking down and becoming more setled sometimes carries it away therefore in the first place you ought to deliberate concerning the moderating its course And hâ—re a question arises concerning the placing of the Patient to wit whether he ought presently to be put to bed or to be detained out of it for some time some religiously observe the latter and that not without reason to wit because in Bed there is a greater propensity to sleep and the blood growing hot and flaming forth more plentifully by reason of the heat of the Bed-cloaths pours forth still more recrementitious matter into the distemper'd Brain on the contrary whilst the sick is thinly cloathed and placed in a Chair the blood flows more slowly and the sinking Vessels seem more apt rather to sup back the humors out of the Head than to send them thither Wherefore if the Patient be strong enough it will be expedient perhaps to let him stay out of bed for six or eight hours till the fâ—ux of the Morbific Matter passes over and the course of the Blood be made more quiet by Phlebotomy and other Remedies carefully administred but the weak and who are of a tender constitution let them be put to bed as soon as they are smitten But let not the sick whether in bed or up lye upon his back but with his head somewhat upright and inclining either to one side or the other Phlebotomy necessary almost in all Apoplectical persons is not to be deferred but the Blood is copiously drawn back by a strong Clyster In the Clyster may be dissolved the Species of Hierae Diacolycinthia and a troubled Infusion of Crocus Metallorum Let a large Blistering Plaster be applied to the hinder part of the Head and other drawing Cataplasms to the Legs and Feet Let the Temples and Nostrils be anointed with proper Oyls and Balâ—oms and let painful rubbings be used almost to the whole Body In the mean time let things that stir up the Animal Spirits and help them out of their bonds be given them viz. Spirits of Harts-horn Sut and the like with a Cephalick Iulep After this the sick being placed in the bed if he be able and doth easily Vomit let an Emetick be given him of the Salt of Vitriol Oxymel of Squills or an Infusion of Crocus Metallorum and then with a Feather put down the throat provoke vomiting four or five times drinking between whiles Posset-drink Vomiting being over let there be given Comforters as the Elixir Vitae of Quercitan Spirits of Lavender or Camphorated Treacle Tincture of Poeony or of Amber or of Coral with Apoplectical Water or other appropriate Waters in a convenient Dose and repeated as the business requires On the second day the same Remedies being still continued let dry Cupping-Glasses or with Scarification be applied between the shoulders or to the hinder part of the Neck or if more blood ought to be taken away let the jugular Vein be opened the Clyster repeated apply to the Nose Spirit of Sal Armoniack or a fume of Galbanum boiled in strong Vinegar Besides let Errhines or Sneezing Powders and things to chew in the mouth to draw away Rheum be used Then in the Evening let a Purge be ordered of Pil. Rudii or a Solutive Electuary of Roses dissolved in some liquor None of these things helping though there be small or no hope the top of the Head being shaven let glowing Iron be held over it or a large Blister made upon it and let the other part especially the Forehead and forepart of the Head be bathed with Bezâ—ardick Vinegar let Leeches be set to the Temples or behind the Ears let also a large Dose of Spirits of Harts-horn or of Sut be often poured down the throat these and other the like administrations are to be used till you see death at hand which as Celsus faith these sort of Remedies only defer but some times hasten life The Prophylactick or preventive Method respects both those who have been troubled with one or more fits and also those who are seen to be prone to it as those who are born of Apoplectick Parents or are frequently obnoxious to the Vertigo the Incubus or Swooning away also such who have short and brawny Necks Let Purging and Bleeding be ordered Spring and Fall where it is convenient as to the former those who are easie to vomit let them first take an Emetick of the infusion of Crocus Metallorum with the Salt of Vitriol or of the Sulphur of Antimony and then after three or four days let there be given a Dose of Pil. Rudii or of Amber and after a due distance between let it be repeated three or four times Let two large Issues be made between the shoulders or if that place doth not please some let them be made in one of the Arms and in the opposite Leg. On other days free from purging let altering and Cephalick Medicines be taken twice a day Take of the Conserves of the Flowers of the Lilies of the valley or of the male Poeony six ounces of the Powder of the Root of the male Poeony half an ounce of humane Skull prepared three drams of the Seeds and the Flowers of the male Poeony powdered each two drams of red Coral prepared of Pearls and of the whitest Amber each one dram of the Salt of Coral four scruples of the Syrup of the Flowers of the male Poeony what will suffice to make an Electuary The Dose two drams morning and evening drinking after it two or three ounces of the following Water Take of the Roots of the male Poeony of Imperatorian Angelica each half a pound of the Root of Zedoary of the lesser Galangal each one ounce of the leaves of the Orchard Mifleto of Rue Sage and Betony each four handfuls of the outer rind of ten Orenges and eight Lemons of Cardomums Cloves Nutmegs each half an ounce all being cut and bruised pour to them of white Wine in which two pints of the dung of the Peacok hath been infused for a day ten pints let them infuse close shut for three days then distil it according to art and let the whole liquor be mixed together Take of the Species of Diambrae two drams of the Powder of the Root of the male Poeony of Zedoary picked each one dram and a half of Pearl one dram of the Oyl of the purest Amber half a dram of the whitest Sugar half a dram being dissolved in six ounces of the water of Poeony and boiled up to a consistence make Lozenges according to art each weighing half a dram Let the Patient eat one or two often in a day at his pleasure Within the fifteenth or twentieth day that the Remedies may not be irksome and may profit the better let them be
in the compounded Poeony water and boiled up to the consistency of Lozenges six ounces make Lozenges according to art weighing each half a dram Eat of them three or four twice in a day drinking after every Dose of the liquors before mentioned Take of the Powder of Virginian Snakeweed two drams of the lesseâ— Galingal one dram of the gummed extracts of the remains of the distillation of the Elixir Vitae of Quercitan two drams of the Flowers of Sal Armoniack or the most pure Volatile Salt of Sut or Harts-horn one dram of the Balsom of Peru one scruple of the Balsom of Capivus what will suffice to make a mass let it be made into small Pills involved in the Species Diambre The Dose is half a dram evening or morning Take of the Resine or Gum of Guaicum three drams of the Species Diambre one dram of the Chymical Oyl of Guaicum rightly rectified one dram and a half of liquid Amber what will suffice to make a mass let it be formed into Pills to be taken after the same manner If that the Palsie happens in a Cholerick temper or to a young Man it admits only of milder Medicines and all the more hot things and Elastick do but imbitter the Disease The following forms are in use for the taking away of its foregoing cause Take of the Conserves of the Flowers of Betony of Fumitory of Primroses each two ounces of the Species Diambre one dram of Ivory Crabs Eyes and Claws each four scruples of the Powder of the Flowers of Poeony two drams of Lignum Aloes of yellow Sanders each one dram of the Salt of Wormwood one dram and a half and with the Syrup of the Flowers of Poeony what will suffice make an Electuary The Dose is two drams twice in a day drinking after it either the simple water of the Flowers of Aron or of the following Compounded Water three ounces or of the Decoction of Sage with the leaves of Tea infused in it four or six ounces Take of the Roots of Aron or Cuckopint of the male Poeony Angelica Imperatoria each half a pound of the Flowers of Sage Rosemary Marjoram Brooklime Water-Cresses each four handfuls of the rinds of six Oranges and four Lemons of Primroses Cowslips Marigold flowers each three handfuls let them be all bruised and cut and pour to them of new Milk six pints of Malaga Wine one quart distil them in common Stils and let the whole liquor be mixed together Sometimes instead of the Electuary may be taken between whiles for fourteen or fifteen days of the Syrup of Steel of which let one spoonful be taken in three ounces of the distilled Water It may be made after this manner Take of the whitest Sugar dissolved in black Cherry Water and boil'd up to a consistency eight ounces adding to it of our Steel in Powder three drams let them be stirred together over the fire and then by degrees pour to it of the Water of Rosemary warm twelve ounces let it boil gently for a quarter of an hour scumming it and pouring it forth warm thorow an hair sieve or strainer There may be also made steeled Lozenges after this manner to wit with Sugar sufficiently boiled with Steel adding of the Chymical Oyl of Amber or of Rosemary half a dram and presently let it be poured forth that it may flow into a consistency of Lozenges The Dose is two drams twice in a day drinking after it of distilled Water or of the following Apozem six ounces Take of China Root one ounce of the shavings of Ivory Harts-born each half an ounce of white and yellow Sanders of the Wood of the Mastick-tree each half an ounce let them be infused in warm water and close stopt for a whole night six pints in the morning add to them of the Roots of Chervil of sweet smelling Avens of Broom and Parsley each one ounce and a half of the dryed leaves of ground Ivy Sage Germander Betony each one handful of Coriander seeds three drams let them be boiled till half is consumed then add to it of white Wine half a pint and strain it into a jugg upon the leaves of Water-Cresses bruised two handful Let it infuse warm and close shut for two hours strain it again and keep it in a close Vessel well stopt In the Scorbutick Palsie the Juices and expressions of Herbs do often bring notable help Take of the leaves of Brooklime Water-Cresses and Plantan fresh gathered each four handfuls bruise them together and pour to them of the distilled Water but now described eight ounces squeese the juice strongly forth and keep it in a glass and take of it twice or thrice in a day three or four ounces At the extream Physical hours viz. Morning and Evening may be taken these following Pills Take of Millipedes prepared three drams and a half of Pearls one dram and a half of the Root of the Cretick Dittany one dram Venice Turpentine what will suffice to make a mass let it be formed into small Pills the Dose is half a dram drinking after it a draught of the distilled Water For ordinary drink let there be prescribed either a Bochet of Sarse China yellow Sanders c. or small Ale with the dryed leaves of ground Ivy boiled in it and of Sage with the Wood of Sassafras infused therein 2. Whilst these things are doing for the taking away the foregoing cause of the Disease there is no less a curatory care required for its conjunct cause to wit that all obstructed places being opened they might admit the Animal Spirits free from stupefaction and that they may pass freely thorow There are two chief kinds of Remedies which conduce to those ends viz. one particular and private to be applied to the distemper'd places to wit that by Fomentations Oyntments Plasters and such like outward applications the sleepy Spirits might be awakned and their passages opened the other universal to wit that the Blood and Spirits and the other humors and the active Particles flowing in the whole Body being very much agitated and put into a rapit motion like a torrent they might cast down and remove all impacted heaps or stays by which the Spirits are obstructed The administrations used to the distempered parts are so ordinarily and commonly known that it were superfluous to insist here on the describing them more largely First Liniments made out of Oyls Oyntments and Balsoms are to be applied according to the temper of the Patient more or less hot and with frictions or strong rubbing twice a day Sometimes before these are made use of Fomentations made of Cephalick Herbs or spices boiled in Spring Water adding to it sometimes Strong Waters Wine or Bear or their Lees. Further oftentimes it is convenient to make about the distemper'd places Blisters and to use Cupping-glasses and Medicines to take away the hairs and to raise pimples Little Bags and Plasters often help Moreover
as it were acetous that is such as we but now described To this Noble man at the beginning we thought good to recommend these following Remedies Take of the Decoction of Senna Gerionis with Tamarinds half an ounce four ounces of the Syrup of purging Apples one ounce of Aqua Mirabilis two drams mix them and take it with government repeating it within nine days After Purging let Blood be taken away with Leeches about four ounces Take of our Syrup of Steel six drams take a spoonful in the morning and at five of the Clock in the Afternoon in the following liquor three ounces walking after it for an hour or two Take of the leaves of Balm Borrage Bugloss Pimpernel Elm-tree Harts Tongue Water-Cresses each four handfuls of the Roots of Borrage half a pound of Pinks and Marigold flowers each three handfuls the outer peels of eight Oranges and four Lemons of Mace half an ounce these being cut and bruised pour to them of Whey made of Cyder eight pints let them be distilled in common Stills Take of the Conserves of Gilliflowers Betony Borrage each one ounce and a half of Pearl powdered two drams of red Coral prepared one dram and a half of the Species Confect de Hyacintho two drams of the Syrup of Coral and red Poppies each what will suffice make an Opiate to be taken going to sleep every night the quantity of a Chesnut drinking after it of Cowslip flower water two or three ounces After sixteen or twenty days changing the method of altering Medicines the following things were used in their places Take of the Powder of Ivory Pearls red Coral prepared each two drams of male Poeony roots one dram and a half of the Wood-Aloes half a dram Lozenges made out of Oranges four ounces of the solution of Tragacanth made of Balm Water what will suffice make Troches weighing half a dram let him eat four in the Morning and at five in the Afternoon drinking after them a draught of Tea Take of the same Powder without the Lozenges half an ounce of the flowers of Sal Armoniack and of Salt of Coral each one dram with Turpentine of Chio six drams make a Mass take half a dram Evening and Morning drinking after it of the distilled water three ounces His food was only good and easily digested meats he drank small Ale with the leaves of Harts-tongue infused in it He tasted sometimes a little Water and Wine or Cyder and he was almost continually employed sometimes in some easie affairs sometimes in moderate exercises or in several sorts of recreations Thus much concerning universal Melancholy by which the sick are affected almost indifferently by any object so that they are intangled in every place and by any accidents and circumstances with a multitude of thoughts continually with raving fear and sadness We have largely enough handled the symptoms of this Disease being manifold and the reasons of them partly in this Chapter and partly in another Tract It is called special Melancholy when the sick respect a certain particular thing or some kinds of things of which they think almost without ceasing and by reason all the powers and affections of the soul being continually imployed about this one thing they live still careful and sad moreover they have absurd and incongruous notions not only about that object but also concerning many other accidents and subjects In this Distemper the Corporeal Soul bending from its proper kind assumes a certain new one but not being conformable either to the Rational Soul or to the Body or to it self it enters into a certain Metamorphosis This kind of Distemper is produced by many ways and on various occasions for vehement passions desire fear anger pleasure yea all other passions both of the concupiscible and irascible Appetite being long continued and carried forth to the height are wont to excite the same But there are two general occasions from which special Melancholy chiefly and most frequently doth arise to wit first when there lyes a most heavy pressure on the mind of some present evil or an evil just at hand whether it be true or imaginary or secondly if the loss or privation of some good before obtained or desparing of something wished for or desired happen In these opposite cases the Corporeal Soul being either drawn forth outwardly omits all domestick care either of it self or of the Body or of the Rational Soul or being pressed inwardly it relinquishes or perverts the offices of Reason and of both the Vital and Animal Functions It would be an huge work to enumerate the various cases in either kind and their ways of affecting out of the great plenty which being of the greatest moment seem to require the care of a Physician are chiefly furious Love Iealousie Superstition despair of Eternal Salvation and lastly the imaginary Metamorphosis of the Body or its parts and the good and evil phantasticks of fortune of these severally we shall speak briefly Concerning the power of Love saying nothing here of some most noble Lord or Heroick actions which appear chiefly on the stage of the Theatre and on that of humane life it is a most common observation that if any one being taken with the aspect and conversation of any Woman begins to desire her and to grow mad for her inwardly and for his most devoted affection has nothing but loss and contempt allotted him unless he be very much supported by a firm reason or is averted as it were by other cross affections there is great danger lest he falls into Melancholy Stupidity or Love-Madness with which passion if by chance he be distemper'd he forth with seems transformed from himself as it were into an animated statue he thinks on nor speaks of any thing but his Love he endeavours to get into her favour with the danger of both the loss of his Life and Fortune in the mean time he not only neglects the care of his houshold affairs or of the publick yea his own health but becoming desperate of his desires he oftentimes lays violent hands of himself But if he be content to live yet growing lean or withering away both in Soul and Body he almost puts off man for the right use of reason being lost omitting food and sleep and the necessary offices of Nature he sets himself wholly to sighing and groaning and gets a mournful habit and carriage of body If we should inquire into the reason of this Distemper it easily appears that the Corporeal Soul of Man being obnoxious to violent affections when it is wholly carried into the object most dear unto it self viz. the beloved Woman and cannot obtain and embrace her there is nothing besides that can quiet or delight it yea being refractory it grows wholly deaf to the Rational Soul and hears not its dictates but carrying only tragical notions to the Imagination darkens the sight of the intellect Further forasmuch as the Praecordia the more
being dipt in this let it be applied warm Take of red Lead three ounces of distilled Vinegar one quart let them digest for several days and use this liquor by it self or else the water drawn of by distillation Also a Water distilled made of a Tincture of Verdigriese distilled in Vinegar often times allays the pains I had from a Gentleman oftentimes heavily obnoxious to the Gout that he in the most cruel torments of this Disease had always present ease from a Fomentation of the water distilled from the contents in the stomach of an Ox fresh killed For the extream torments of the Gout outward Narcoticks ought sometimes to be applied Take of the leaves of Henbane and of Hemlock each three handfuls let them be put into boiling water and as soon as they grow tender let them be taken out These being bruised add to them of the Powder of Chamomel flowers about two drams and the yoalk of one Egg make a Poultesse Or take of the Tincture of Saffron made in the Spirit of Wine four ounces of Camphor of Opium each one dram let them digest close shut and warm till they are dissolved anoint the pained part with this liquor There are to be found other innumerable Medicines of this sort in Medical Books and are every where ordinary and wont to be prescribed almost by every vulgar person which also suffices for the fulfilling of the other Intention to wit the repercussion of the Humors when it is seen necessary As to what respects Resolving and Discussing Topicks they are not required to be of the same kind which open only the Pores and evaporate the Serum and make the Blood circulate as in an Inflammation or a white hard swelling but whos 's Saline Particles being destinated for the opposing those Salts of the Goutish Mine may either by embracing them carry them sorth of doors or by precipitating them may suppress them from their painful heats Wherefore in this Disease when Fomentations or Pultesses of Chaâ—â—mel Mallows Marsh-mallows Line and Fenegreek seeds bring little or no help yea by loosning the nervous parts do oftentimes much hurt the Salt of Armoniack or Sea Salt or Nitre or of Vitriol quick Lime and dissolutions of the like or distilled Liquors always troublesome to other humors or pains are wont to give the greatest help These kind of Liquors in the Goutish Fits to be applied to the grieved part are variously prescribed by Quercitan Crollius Hartman and other Chymists and as other famous Physicians have often â—ound them by experience good and approved of them we may conclude that they are helpful for the aforesaid reason There will be no need here to repeat the forms of these though I could easily set down many other preparations of this sort yet I shall here give you one or two of them only Take of Sal Tartari and Armoniac powdered each two ounces put them into rain or spring water two quarts and with a linnen cloth dipt in it warm apply it Take of the Spirits of Vitriol not rectified one pint of Sea Salt calcined and powdered one pound distil them in a Glass retort in sand a very pure Spirit of Salt will come forth which being expulsed from its lodging by a Vitriolick Stagma leaving the possession easly ascends To the dead head pour two pints of the Spirit of Wine digest it close and warm adding of Camphor two drams let it be applied warm to the grieved part with linnen rags Take of the Filings of Iron of the Flowers of Sal Armoniack each six ounces mingle them well by pounding them together let it be distilled in a Glass retort till the Flowers are sublimated to the Caput Mortuum being pounded pour the Spirits of Wine digest it and keep it for use I have heard of some that for the allaying of the pains of the Gout have inclosed the distempered foot in a little Bay filled with Sea Salt calcined and powdered from which they have still expected a certain and sudden help In the declination of the Fit for the strengthening the part and for the shaking off the relignes of the Morbific matter Plasters are profitably applied which however are not all convenient to all but for some more for others less hot But the most efficacious to most people are those in which are Red Lead Ceruse and Soap boiled with Oyl Or Take of the Plaster of Red Lead two parts of Paracelsus one part wax them and spread them upon Leather 2. Internal Remedies for the pains of the Gout that are made use of are only Narcoticks or such as stupefie which ought to be administer'd in cruel and long torments Of these we shall chiefly commend Preparations of Opium with Salt of Tartar or its Tincture Further for this use the Laudanum of Paracelsus or that of London Pills of Styrax and Cynogloss or Dogs Tongue Syrup de Maeconie or of Poppies Treacle Andromach and Diascordium are wont to be helpful or give ease The Indication Preservatory or so called respects the taking away of the foregoing causes of the Gout wherefore that the fits of pains may more rarely or less or not at all infest them For this end Evacuating Altering and Corroborating Remedies together with an exact dyet are prescribed to be given out of the Fits 1. Gouty people therefore ought constantly to be purged Spring and Fall and then also it will be expedient to Vomit if nothing gainsays it and sometimes afterwards at intervals to repeat them Let those who are indued with a more strong stomach and Praecordia take Emetick Minerals prepared out of Antimony or Mercury Those who are of a more tender constitution may take after the eating of slippery meats Wine of Squills or the Salt of Vitriol with Posset drink and then the stomach being filled with warm water or simple Posset-drink or with the leaves of Carduus boiled in it let Vomiting be twice or thrice or oftner provoked For Purging to be often celebrated also at convenient times between the forms of purging Medicines already prescribed are convenient enough Or Take of the strings of black Hellebore cleansed one ounce of Lignum Aloes and of Cloves each two drams bruise them and pour to them of the Spirits of Wine not rectified one quart let them digest warm and close shut for several days The Dose two or three spoonfuls in the morning twice or thrice in a week and let Vomiting and Purging be always begun before the Aequinoxes lest perhaps the Fit being first begun should pervert the course of the Medicine Letting of Blood or the opening of the Hemorrhoidal Vessels are sometimes convenient Spring or Fall in an hot temperament and for such as are indued with a more sharp Blood Cauteries made in the Arms and between the shoulders are profitable to every one almost obnoxious to this Disease But besides altering Medicines Antidotes so called by the Ancients against the Gout are of known
use and in a long time together with an exact method or Government concerning the fix non-naturals often bring great help in this rank the chief are Medidicines indued with a Volatile Salt and Balsamick Sulphur forasmuch as these exalt the fixed Salt and reduce what is Acetous besides bitter and astringent things as these Herbs Chamaepitys Centaury Germander the Roots of Gentian and Aristolochia or Birthwort c. as by experience has been approved of in this Disease for this reason seem to be profitable because they help the offices of Concoction and Chylification or making of Chyle and restrain the Saline fixed feculencies or dregs that they may not be carried into the Blood We shall here set down some forms of each of them Take of the Powder of Chamaepitys six drams of Crabs Eyes two drams of Venice Turpentine what will suffice make small Pills take three or four Morning and Evening for thirty or forty days drinking after them of the following distilled water two or three ounces Take of the leaves of Cypress Tree of the Ash and of Misleto of the Apple tree each six handfuls of the roots of sweet smelling Avens Burdock each one pound the outer rinds of ten Oranges and of six Lemons of Nutmegs and Mace each one ounce let them be all cut and bruised and pour to them seven pints of new Milk and of Malaga one pint let them be distilled according to art and the whole liquor mixed together Or let there be a simple Water prepared of the leaves of Burdock by pouring it twice or thrice upon fresh leaves Take of the Powder of the Seeds of Burdock six drams of Crabs Eyes two drams of Nutmeg half a dram of Capive Balsom what will suffice to make a Mass which form into small Pills let four be taken Evening and Morning for many days Take of the Tincture of Antimony one ounce the Dose twenty drops to twenty five Evening and Morning with three ounces of the water but now described For poor people I was wont to prescribe after this manner Take of the Powder of the leaves of Sage half a pound of Crabs Eyes and of the Sugar of Crystal each two ounces mix them let it be kept in a Glass and take one spoonful twice in a day with a draught of a Decoction of the leaves of Sage or of the roots of the Burdock Or of the Powder of Dorncrellius prescribed to be taken after the same manner Take of the Powder of the leaves of Germander of Gout Ivy of the lesser Centaury of Marjoram of Sage of Betony of the roots of Gentian and of round Birthwort each one ounce of Sugar one pound mix them and make a Powder Or of the Powder of John Anglicus called by himself Saracenick Take of the Powder of the leaves of Chamaepitys one ounce the bones of a Mans foot burnt two drams of Liquorish three drams mix them For ordinary drink let there be prepared a Bochet of Sarsaparilla of Saunders wood of Rhodium shavings of Ivory Harts-horn c. or let there be prepared small Ale in a Vessel holding about four gallons instead of Hops let their be boiled the leaves of Germander and Chamaepitys and after it has work'd put into it of the leaves of dry Sage four handfuls of Sassaphras two ounces of the roots of sweet smelling Avens eight ounces Among Altering Medicines a Milk dyet has not the last place that the Patient should use for three or four Months no other food let him drink Morning and Evening new Milk from the Cow about noon and at other times let him eat white Bread boiled in Barly or Water-gruel of Oatmeal I have known some by this kind of dyet to have received notable help but others to have received much hurt or to grow worse by the use of Milk and the Gout being nothing cured to have contracted great obstructions of the Viscera and a Cachochimical disposition or fulness of evil humors Therefore this method is not rashly to be entered upon without the counsel of a prudent Physician and by a sedulous observation whether it be convenient or not Of late it has been a common custom for people having the Gout to drink every Morning their own Urine which I know has been beneficial to some The reason of which help seems to be because the Saline Latex of the Vrine passing thorow the Blood doth carry with it to the Reins the Saline fixed Particles that were before wont to be carried into the joints Wherefore this method when it is helpful to the distemper of the Gout for the most part encreases the Stone which I think sufficiently appears from the following History A very Learned and Pious Man of this Nation and also the glory of Learned Men Dr. H. H. after he had lived for many years grievously obnoxious to freqent fits of pains of Vomiting and a making of bloody Urine at length by the constant use of the following Remedies he lived above seven years almost free from the Stone and without any grievous Fit The method of Cure which had been taught him by a certain Gentleman was after this manner without any Physick or medicine abstaining from Wine and Cyder he drank for his ordinary drink small Ale made of Oaten Malt further once in a week in the Morning he took a draught of the same Ale to about a pint with the Powder of small old rotten Bones three spoonfuls dissolved in it By the use of these within a few months he seemed to be in health and freed from the Stone but shortly after he began to be sick of the Gout and was infested with most grievous Fits of it all the time he was free from the Stone and at length upon every light occasion was become so obnoxious to them that presently after feeding if he exercised either his body or mind by walking or study he most certainly expected the Fits of his pains The reason of which was because the Blood being filled to a plenitude with Saline fixed Particles and the nervous Liquor still with Acetous when being incited and also poured forth on the fresh nutritious juice they grew turgid presently they deposed their superfluities viz. the Morbific matter of either kind into the very weak Joints This venerable person therefore being tyred out with so frequent and almost continual torture by the counsel of a certain Friend drank every morning of his own Urine by the use of which within a month or two he was less tormented with the goutish Fits but with an evil turn the Distemper of the Stone began to grow again upon him for he was from thence troubled with a pain about his Loins with Vomiting and a pain in making water and a little after a total suppression of Urine followed which being not to be helped by any Remedies in about a fortnights time this Reverend Gentleman dyed The Carcase being opened all the Viscera except the
let there be prepared Carminative Decoctions or such as expel wind or bitter Decoctions in which are dissolved Electuary Diacatholicon Diaphoenicon or of Laurel berries or Species Hierae Also to these Liquors it is usual to add the Infusion of Crocus Metallorum three or four ounces or of the Emollient Decoction one pint add of Venice Treacle dissolved with the yolk of an Egg one ounce or an ounce and a half or Take of sound Vrine one pint of Venice Turpentine dissolved one ounce and a half of Molossus one ounce mix them and make a Clyster I have known this oftentimes to bring great help the reason of which seems to be for that the Balsamick Particles of the Turpentine comfort the Intestines and besides being received by the Blood in the Veins and with it circulated thorow the whole Body moves the Urine so that by such a Clyster plenty of water follows and always is rendred with a smell like Violets Perhaps also the Particles of the Turpentine being every where diffused either move the stagnating Morbific matter or incline the acetous or otherways degenerate to a better disposition Whilst the Intestines are thus washed with Clysters and are cherished within Fomentations are likewise to be applied to the outer parts of the Belly Take of the leaves of both the Mallows of Mercury of Pellitory each four handfuls of the Flowers of Elder Chamomil and Melilot each two handfuls the head of a Sheep cut in pieces Let them be boiled in as much Spring-water as will suffice strain it and use it for a Fomentation with hot linnen stuphes dipt in it and wrung forth and shifting them apply them by turns Repeating them as often as the more strong pains do come upon them In the intervals Pultesses or Oyntments may be administer'd Make a Pultess of bruised Herbs adding to it of oaten meal what will suffice which may be laid to the belly covering it with little square bags made for that purpose Let one of these at a time be made hot in a pan set over hot coals with the Oyl of Earth-worms or of Frogs lay them on warm shifting them as soon as one grows cold Or Take of the Oyl of Earth-worms or of Frogs what will suffice and anoint the pained part after the Fomentation and lay upon it a thin sheet of fine brown paper dipt in it The Caul of a Lamb or the Lungs or the Inwards of any other Beast being laid warm to the Belly and so shifted sometimes wonderfully eases the pain I have observed in some Constitutions and temperaments that Fomentations or Bathings made of hot things and applied hot have rather made the pains worse than eased them wherefore in these cases it will seem good to prescribe Fomentations of the solutions of Nitre or of Sal Armoniack or other Chymical Liquors as in the pains of the Gout and sometimes as Septalius says of pure cold water But if the torments of the Belly do not remit by the use of these Hypnoticks must be used which being given in a just Dose oftentimes give great truces In the mean time that the tired Spirits may be refreshed and strength preserved there must be yet instituted a farther provision against the Disease Take of liquid Landanum Tartarisated from sixteen drops to twenty let it be given going to sleep in a spoonful of the water of Chamomil flowers drinking after it six spoonfuls of the same water Let it be repeated every other or every third night if the pains be very great In a more hot Constitution Take of the water of Chamomil flowers three ounces of the Syrup of Poppies half an ounce of Aqua mirabilis two drams make a draught to be taken at the hour of Sleep In the mean time whilst these things are doing for the allaying the pains evacuating Remedies have their turns for the discussing or at least for the loosning the matter impacted in the morbid nests to wit that both the Colick Mine may be wholly extirpated and also that the supplements or its cherishment be cut off that they may not more increase For these ends a Vomit where it is convenient and a gentle purging ought to be ordered and also in an hot temperament where there is a Feavour or where it is feared letting of Blood Take of the Sulphur of Antimony from five grains to seven or eight of the Conserves of Borrage one Dram let it be given in the Morning with government In this case may be given according to the judgment of the Physician present either an Infusion of Crocus Metallorum or of Mercurius Vitae The Emerick Tartar of Mynsicht the expression of the leaves of Asarum and in more tender Constitutions Salt of Vitriol and Wine and Oxymel of Squills Purges must be given only in a small Dose and such as are choice lest they move a nauseousness in the stomach of the sick Take of the Resine of Ialap of Scammony each five grains of the Cream of Tartar one scruple of Cinnamon powdered four grains make a Powder or let it be reduced into Pills or into a Bolus with the Conserves of the Flowers of Borrage or Damask Roses Take of Scammony sulphurated half a scruple of the Cream of Tartar fifteen grains of Diaphoretick Antimony one scruple make a Powder and let it be given after the same manner If there be not a Feavour a Dose of Stomach Pills cum Gummi may be given or of Amber by it self or with the Resine of Ialap Take of Pill Rudii twenty five Grains or half a dram of Laudamon one grain make four Pills let them be taken at the hour of rest These at first cause sleep and Purge in the morning Or Take of Calomelanos one scruple of the Resine of Ialap six grains of Scammony four grains of Ammoniacum what will suffice make four Pills to be taken going to rest In a long and tedious Colick when all other Remedies help little or nothing I have often known this Medicine being once or twice given to have moved Salivation with the greatest ease to the sick For when the morbific matter being heaped together and thorowly impacted in the nervous Infoldings and other places about the Abdomen could not be moved by any other Medicines the Mercurial Particles every way unfolding themselves easily dissolve it and divide it into small bits and drive it up and down hither and thither and at length wholly dissipate it Wherefore in a long and pertinacious Colick a gentle Salivation sometimes may be very happily administer'd Baths and Sweating Medicines are ordinarily wont to be prescribed in the pains of the Colick but as to our observation very rarely with success For that these by shaking the Blood and nervous humor cause them to lay up still more matter into the Colick Mine yea and that matter there deposited to grow more hot and raging and very rarely wholly shake it off Diureticks are wont
by running into the Head or Feet as they often do they should cause a Vertigo or the Gout Take of our Tincture of Steel one ounce and let fifteen to twenty drops be taken twice in a day in seven spoonfuls of the following Iulep Take of the Waters of the leaves of Aron and of Burdock each half a pound of the Magisterial of Earth Worms of Gentian compound of Poeony compound each two ounces of Sugar half an ounce mix them After the same manner here deservedly have place the Tincture of Antimony and of Amber yea and many other altering Remedies above prescribed for the Distempers of the Head may also be used for the preservation from the Colick whose foregoing cause proceeds from the Brain As to Charles Piso's Observation by which he endeavours to prove that the cause of the pain of the Colick remains wholly in the Brain because he had found a Serous deluge in the Head of a certain person dead of that Disease I say that this Serum being heaped up in the head was the remote and antecedent cause of this Disease and not the conjunct cause But indeed it is probable that from this first spring a certain portion of this superfluous and sharp Serum did descend by the nervous passage into the nervous Infoldings of the Abdomen and there constitute the Mines of the Colick Distemper Further although the Morbific matter there sliden down because of the tenuity of the parts and the smallness of the nests can rarely be seen with the eyes yet I have plainly seen and handled such a Mine of this Disease become inveterate and very cruel not long since in the Mesentery opening the dead body of a certain Gentlewoman of whom I have elsewhere made mention Being sometimes since consulted with concerning the curing of a Reverend old Man grievously obnoxious for many years to the Disease of the Colick I administer'd to him the same method of healing and the Remedies I but now described by the use of which he found himself much better after a month or two and within half a year he seem'd to be perfectly well so that he lived afterwards wholly freed from any fits of the pains But the Colick disposition had not long ceased and he had omitted the usual course of Medicine but he suffer'd about his throat a resolution or loosning in the Muscles serving for swallowing which troubled him oftentimes so that he was in danger to be choaked by Food and chiefly by liquid things sticking in that place Against this evil receiving help by Antiparalytick Remedies he continued from thence six or seven years in moderate health at last being taken the first time in the midst of a journey with an Apoplexy he dyed It is obvious enough in this case that the Recrements of the nervous liquor that were wont to be deposed about the nervous Infoldings of the Abdomen did at first stir up the Distemper of the Colick then the same being shut forth from that part getting another nest for themselves about the Ganglioform nervous Infoldings of the Throat brought in the resolution or short Palsie of the Oesophagus and lastly by reason of the same matter restagnating in too great a plenty in the middle part of the Brain that deadly senslesness followed A certain cunning and crafty little Lawyer about fifty years of Age was wont to be troubled for many years with a periodical Headach and with a stupor or numness of his Senses and a great weight of his head about the middle of Summer labouring very much with the aforesaid Distempers he perceived a sudden ease from the applying of Topical Remedies but a little after he was taken with a very cruel Colick then being the first time whose fit fell upon him with so much cruelty that his strength suddenly failing he fell into frequent swooning fits with a cold sweat which fit notwithstanding by leasure vanished within twenty four hours without any breaking of wind or going to Stool But after that he suffer'd frequent fits and became obnoxious to the Disease all which as I was carefully informed for the most part were usher'd in with a pain of the Head with a Vertigo and amazedness or stupidity and from hence he was wont to presage the pains of the Colick would very suddenly follow In a certain fit which lasted for twelve days with great cruelty the sick person himself observed and told me that whilst the distemper troubled him in his Belly he felt no trouble in his head but the Colick pains remitting presently the Vertigo returned with the Headach from which reciprocal translation of these Symptoms from the Head into the Belly and so on the contrary from the Belly to the Head we may lawfully argue that the same Morbific matter flowing in the nervous Passages falling down sometimes below brought in the Colick Passion and sometimes above and restagnating caused those distempers of the Head Hither may be referred what Charles Piso hath accurately observed concerning himself being wont to be affected with Cephaâ—ick distempers and the Colick pains by turns and with a mutual dependency Sect. 4. C. 2. p. 355. Not long since a certain studious young Gentleman and living a sedentary life began to complain of a great stupidity of his senses and a dulness as also of a great weight of his Head and almost continual sleepiness further his Ventricle or Stomach was become so slothful and stupid that he wanted all manner of Appetite whilst a Cure was instituted against this evil disposition by Remedies which roused up the Spirits and shook off their burthens this Gentleman fell into a most cruel Colick Passion which he was never obnoxious to before from which a most cruel pain like the boreing of an Auger possessed the middle of the Abdomen his Navil being drawn inwards and notwithstanding the daily use of all kind of Remedies it continued for three weeks with great cruelty that in the time he could take no rest but what he received from Narcoticks nor could he receive any ease from his pains unless by an hot fomentation Certainly in this case it is plain enough to every one that the impurities of the nervous liquor being gathered to a certain fullness was the immediate or conjunct cause of the whole sickness which matter subsisting first in the Head brought in the notable stupidity of the Brain and the oppression of the Animal Function then being fallen down by the passage of the Nerves into the nervous Infoldings of the Abdomen caused that cruel and daily Colick FINIS A TABLE A. AFfections how wont to be iterated and how allayed or obliterated 49. they are more than eleven 54. the two primary affections or gestures of the Soul are pleasure and grief 48 Altering Medicines are of the greatest moment in the cure of melancholy Diseases and not purging Medicines as the Antients thought 196 Anatomy of an Oyster 9. of a Lobster 11 Anger its