because 't is on every side guarded with bones 2. If it be wounded 't is known by the Situation pain and matter that flows forth 3. That it may be cured as appears by the Caesarean birth but 't is dangerous by reason of the conâ—â—â—t of the part with other members 4. Or it happens on the bottome of the womb and then that pain is less and easier Cured or on the Neck and then the pain is greater and harder to be Cured because that is more membranous and continually abounds with moisture III. Concerning Vlcers we meet with nothing of worth which hath not been touched on formerly unless perhaps we may add that it doth somtimes so Putrefie that it must be cut out and fals away the woman surviving For consolidation do serve the Balsam of sulphur and the Plaister of the same concerning which see Hartmans Chymiatry in the Chapter of a Consumption Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title XII Of the Symptomes of the Womb. Chap. 1. Of the Common symptomes Article I. Of the weakness of the womb THe Symptomes of the Womb are either common to Women in al states or are either more familiar to those that live out of wedlock or proper to the married Those common are a weakness of the womb Pain a stoppage of the Courses a dropping of them too great a flux a difficulty of them a discolouring an inordinate flux a womans flux a gonorrhea A weakness of the womb is a sluggishness or defect of the same in performing its actions induced by the fault of a distemper occult qualities and the native heat The SIGNS are a languishing desire of venery an inordinate flux of the Courses when they are at hand a pain in the loyns and pecten little or no pleasure in copulation often abortions a breaking forth of wind from the womb For the actions of the womb are a desire of Venery a voiding of menstruous blood at due times the ejection of seed in the act of Venery and the retaining of that received from the man a keeping of the young one conceived to the due time and the exclusion of it when 't is perfect into the world The Nature of the Causes shal be explained in the Differences The Cure must be directed against the Causes of which there The Differences are taken from the Causes One is from the distemper of the womb which if it be Cold the womb cannot perfect a mean quantity of nourishment therefore it heaps not up many Excrements If moist neither the blood nor seed nor young one are rightly conteined See the Cure above Another is from occult qualities which the womb hath is apparent from hence because it hath a singular Sympathy and antipathy with divers things desires mans seed is delighted with sweet things c. And then the affect riseth from no evident Cause There is found no excess of moisture or coldness In the cure Medicines must be applyed that are proper by their whol substance Another is from the innate heat either choaked or dissipated and then the affect is dangerous because the heat is difficulty renewed In the Cure we must act with restauratives as are Cinnamon Nut-Megs the Species Diaxyloaloes Aromaticum Rosatum c. Article II. Of the Pain of the womb A Pain of the womb is a sad sense of the same proceeding from a solution of continuity induced by its Causes There is no need of Signs when the Woman her self makes known the pain It affects both Women that are free and great with Child and past labour It torments as pains of the collick do in the lower belly whenas the ligaments of the Womb are carried to the Hips and Loynes so far also it extends it self The Cause is whatsoever can dissolve continuity The Cure respect 1. The mitigation of pain by anodynes 2. The removal of the Cause of which in the Differences The Differences are taken from the Causes I. One is from corrosion which cheifly happens in Ulcers the Womans flux vitious Courses c. It offends most of al the Neck of the Womb. The Cure must be directed against those affects Another from distention which is caused 1. By a clot of Blood sticking in the Cavity of the Womb and then a plentiful flux of Blood preceded from the womb the pain is fixt and is perceived most of al about the Orifice of the womb when as Nature by the continual endeavoring to expel it doth draw the right Gut and bladder into consent 't is joyned with a tenasmus and often pissing In the Cure we must respect the dissolving of the clot for which Treacle with Wine is commended and the emptying of it and if hath stayed long there the Malignity of it 2. By Menstruous blood when either the Vessels are not wide enough or that is too thick which also may happen from cold drink especially if the woman were hot after exercise and then the Causes went before which occasioned it there are signs of the Courses supprest or not flowing rightly The cure must be directed to the same 3. By vitious Humors sticking in the Cavity or Vessels of the womb and then we must act with emptyers and preparatives 4. By wind which ariseth from the boyling of the vitious Humors Which somtimes copulation causeth And then emptying must be ordered we must act with things that discuss wind of which in the Chollick 5. by an inflamation of the womb of which formerly 6. By seed retained and corrupted and then we must look to the suffocation of the womb Article III. Of the suppression of the Courses A suppression of the Courses is a retention of the menstruous blood by reason of the streitness of the passages or the fault of the blood The SIGNS are afforded from the relation of the woman her self but if they wil not confess In Virgins 't is known by this that the blood stopt doth wander up and down in the Veins and cause obstructions changes the colour of the body induceth a Feaver c. In women that 't is carried to the womb and infers Diseases of the womb 'T is distinguisht from the retention in childing because they with Child are little changed in the affections of their mind they retaine the Native color of their body they find the Symptomes dayly more mild they perceive the motion and situation of the infant the third month They have the mouth of their womb shut up and hard The CAUSES are a streightness of the veins and the fault of the blood of which in the differences shal be treated more at large The Cure must be hastened because that suppression doth produce many diseases as a feaver a leucophlegmatick a dropsie vomiting of blood c. 'T is difficult if it be of long continuance if it hath exceeded the sixth month for the most part 't
either a too plentiful or more continued purgation of them than is convenient arising either from the fault of the blood or of the womb or of the veins There is not much need of signs especially if there follow a want of appitite crudety an evil color of the face a swelling of the feet and the rest of the body an atrophy cachexy c. The cause we have layd on the blood the womb or the veins but whence these are in fault shal be explained in the differences The cure is difficult if it be of long continuance None at al if it happen to a woman growing old It reqiures 1. A restraint of them by revulsion interception thickning of the blood stopping up the vessels by astringent means and other things Yet it must be stopt by degrees if there be a great plenty of blood and it happen by way of crisis the which falls out seldom Here take place Heurnius his pouder of the seed of white henbane white poppy each one dram of the bloodstone red coral each half a dram camphure half a scruple given half a dram weight The pouder of amber sanguis draconis the bloodstone red corral purslane seeds each one dram pomegranate flowers two scruples easterne bole armenick two drams given from one dram in three ounces of plantane water Asses milk with steel Ferdinandus his aqua mirabilis histor 33. The trochisks de carabe the benes of a man strongly calcined Zacutus his pills l. 9. prax histor p. 185. His plaister there The plaister of saxonia made of the sut of a chimney volatil floure c. a pessary made of heggs and asses dung with the juice of plantane and the mucilage of quinse seeds Specificks are inwardly Forestus his pouder of a turtil l. 28. obs 10. The salt of the ashes of the same the thin skin of geese feet dryed and given from one dram to two scrupels Outwardly a girdle of the leaves of bastard black hellebore bruised Of which Renealmus obser 21. The differences are divers which do cheifly respect the causes 1. One is from blood which 1. either is derived from the bottom of the womb in which the blood is blacker and for the most part clotted Or from the neck which is more ruddy and fluid 2. 'T is either plentiful or sharp or serous Of which in the following difference Another from the moistness of the womb of which see formerly Another from the fault of the Veins concerning which consult with the third difference One is from plenty of blood which is known by this that either the vessels are opened or broke in women especially whose courses have stopt a long while and afterwards do breake forth more plentifully There are signs of a plentitude the blood which comes forth doth easily concrete into clots In the Cure we must respect 1. Bleeding which if it be ordered for evacuation it concernes a vein in the arme the liver veine cheifly If the strength be feeble 't is ordered in the salvatella of each hand if it be for revulsion it must be done at several times because being repeated it revells more powerfully 2. Cupping-glasses which for evacuation may be applied to any part if you except the lower as to the back shoulders and that with scarification for revulsion they ought to be set to the breasts without scarification and upon a difficulty of breathing ensuing they must be removed 3. Ligatures frictions of the armes c. Another from sharp blood which is known by this that there is a corrosion of the vessels joyned with it there are signs of choler The blood is detained and corrupted in the womb it slides forth in greater quantity In the Cure let purging be administred by syrup of roses solutive and leaves of senny See things that thicken it above mentioned Another from serous and watery blood which is known by this that either the liver is faulty by its weakness or the kidnies by reason of their weakness do not attract the serum The blood flowes forth in lesse quantity and is not easily clotted that which is flowed forth if it be received on a linnin cloath and dryed in the shade discovers it self by the colour The Cure attends the diseases themselves III. One is from an Anastomosis in the cure of which observe that hot things ought to be mixt with cold least the veins be obstructed the ventilation of heat be prohibited and a feaver induced that pessaries may be applied if the opening be in the vessels of the neck where oake leaves and unguentum Commitissae are good that baths must not be used unless they be somwhat cold or whose astringent power overcomes their heat Another is from a Diapedisâ—s which happens very rare it presently requires astringent topicks Another from a Breaking which happens either from a plenitude or from causes that stir the blood especially from hard labor and premising the opening of a vein if ther be need 't is cured by conglutinating medicines Another from a corrosion which is known from hence that little blood flowes somtimes purulent somtimes serous It ariseth from a sharp and corrupt blood somtimes also from sharp medicines amongst Astringents is commended the root of dropwort or ' its decoction Article VIII Of the Womans flux and gonorrhaea The womans flux which otherwise is exprest by the name of the whites is an inordinate voiding from the womb of an excrementitious humor by its whole nature differing from blood collected by the fault either of the whole or of some part 'T is called the womans because it affects women and truly virgins also when as the causes take place in them and there are examples of it Yet more commonly those of riper age especially if they be indewed with a moist and cold constitution do lead a delicate and idle life and feed upon cold and moist nourishments old women also and that unto death by reason of the plenty of flegm and the weakness of the concocting faculty There is no need to enquire the Signs the affect is made known by the relation of the patient her self It differs from a gonorrhaea because in that the matter of the seed flows forth whiter thicker and at longer intervals and 't is voided in less quantity From a nocturnal polution because this is joyned with a phansie of a venereal business and happens only in the sleep From the discolored courses because they observe their periods though not alwaies exactly they do not happen to women with child and those troubled with the suppression of the courses they shew a red colour From matter out of the ulcers of the womb because then the signs of an ulcer stand forth the matter it self is thicker and whiter It it be sanious 't is besmeared with blood and voided with pain We have laid the Cause upon an Excrementitious Humor which Somtimes is raised by purging Medicines Nature being stirred up by their use to attempt excretions somtimes by Baths Nature casting off
hot blood do urge it 't is to be admitted commonly in the Arme if the Courses be not stopt if otherwise in the Ankle some daies before the flux it is to be urged sparingly if the evil be far gone 2. Preparation by those things which alter the Melancholly Humor and rejoyce the heart as are the Confection de Hyacintho and Alkermes 3. Emptying by things that Purge Melancholly with which things proper for the womb must alwaies be mixt Chap. 3. Of the Symptomes proper to married women Article I. Of the Symptomes about conception Point 1. Of Barrenness THe Symptomes proper to married women do respect Conception going with Child and the delivery The Symptomes about conception that meet us are barrenness and a mola Barrenness is an impotency to conceive proceeding from the fault either of the Genitals or of the Seed or of the Womb or of the menstruous blood There is no need of Signs the Cause and Cure vary according to the Nature of the differences The Differences are taken from the Causes and Parts I. One is by fault of the genital parts whether it be a Closure of the Womb from the birth which may be artificially cleft or a tender Constitution either by reason of the Age or structure for which a mans Yard is not admitted or Tumors Ulcers and excrescencies in the Neck to which the Cure must be directed and this is not properly called barrenness Another by the fault of the Seed of which shal be treated in the following Difference Another by the fault of the womb of which we wil treat in the third Difference Another by the fault of menstruous Blood when either that is wanting which happens either the womb being covered with a star or the blood turning into Fat or 't is too Copious that the Seed is overwhelmed and suffocated II. One is from the defect and unfruitfulness of the Seed which ariseth 1. By reason of tender Age or too old 2. by reason of the distemper of the Vessels dedicated to generate and contein the seed and then the Woman in Copulation perceives none or little and short Pleasure There are Signs of the womb affected or the whol body or some member hath a Vitious Constitution The Cure must be turned against the distemper of the womb 3. By reason of the Evil Conformation of the same Vessels Another is from want of a Proportion between the mans and womans Seed which consists between manifest and occult qualities but cheifly it ariseth 1. From medicines that extingnish Seed as are a Goats commodity Mint Rue Camphure which either the patient or standers by wil make known 2. From Inchantments and then the man cannot Copulate with his own wife he can with others he hath a desire to couple with his own and if he do couple with her he cannot send forth his Seed In the Cure is commended a drauft of cold water fallen from the mouth of a stone Horse drinking in a Current and suddainly received in a Vessel III. One is when the womb doth not attract the Seed that is cast in and that either by reason of a cold and moist distemper of which formerly or by reason of some Organical diseases and solution of Vnity Where note that very often too much Fat especially of the Caul doth compress the mouth of the womb that barrenness from Ulcers is hardly Cured nay though a great Ulcer were Cured yet that would remain by reason of the Skar left for which the blood can neither adhere to the womb nor flow thither Another is when the womb doth not retain the Seed cast in and that 1. Either by reason of a moist distemper which is known by this that the Fibres of the womb are Relaxt that it cannot contract it self the Seed by reason of iâ—s Mucousness cannot adhere to it 'T is retained for some few daies then cast forth The Cure must be turned against the distemper 2. Or by reason of the thickness of the womb for then the blood doth not slide thither from which the Seed ought to be joyned to the womb and take its increase The Cure requires extenuation by a slender diet exercise purging Sweating and others 3. Or by reason of its Slipperiness and then a womans Flux or virulent Gonorrhea hath happened the Seed conceived is extinguisht and Rapt away The cure must be fetcht from their places 4. Or by reason of the gaping of its Orifice and then either hard labor or abortion went before The Fibers are so relaxt that they cannot contract themselves In the Cure amongst astringents a Fomentation of the Leaves of Lentisk Mirtle c. takes place 5. Or by reason of a Cough Sneezing which happens after Copulation c. By which the Seed is shaked forth Another is when the womb doth not alter the Seed injected and that either by reason of a distemper when the womb by an immoderate coldness grow thicker the Orifices of the Vessels belonging to them are very streit and narrow whence neither the Secundine can be knitted to the Mouths of the Vessels neither doth the blood flow in sufficient quantity which is Serous too or by reason of organical diseases as Tumors Ulcers c. Point 2. Of a Mola A Mola is a mass without bones and bowels from an imperfect conception generated by the fault both of the mans and womans seed instead of a Young one The SIGNS before the fourth month are not so exact that it can be certainly known in process of time 't is discovered by four signs 1. By motion for that is trembling and panting rival to a constriction and dilatation and it fals down like a stone with an eminent sence of a weight upon that side the woman turnes 2. By the figure and bulk of the womb For in that the Belly is lift up according to al dimensions when in a true young one 't is principally raised towards the Navel and is gently stretched towards both sides 3. By want of milk for in a mola the breasts swel indeâ—d but there is produced in them only a certain crude matter from the courses supprest tending to the breasts which in process of time vanisheth when in those with child milk begins to be generated about the fourth month 4. By the Symptoms which are diverse as difficulty of breaching pains of the back and groines c. The cause is the fault of the seed both of the Males and Females jointly when the formative faculty is weak either of it self or because 't is overwhelmed with blood Whence molae are wont to be made if there be copulation when the courses are at hand or flowing or not wholy stopt And of the womans seed severally joined with blood and then there are molae altogether rude and which being long exposed to the aire being melted are dissolved into a watry substance In virgins such a thing cannot happen both because their weak seed wil not attract blood necessary to its conformation and
because the blood it self partly by its unaccustomedness and the narrowness of its own accord flow thither In the cure 1. bleeding beares the palme that the nourishment of the mola may be withdrawn and it must be larger if the woman be plethorick more sparingly it not so in the ankle or ham 2. Strong and often repeated purging 3. Opening of the courses 4. Chyrurgery of which see Authors Prevention requires 1. That Copulation be not too often especially in bodies not strong enough by reason of the generation of weak seed 2. That it happen not when the courses are at hand or flowing or when the womb labors of a distemper See the Differences in physical observations for this mass is not only without bones and bowels but somtimes 't is more membranous viscous fast together not yeelding to iron Somtimes it presents a long forme rhomboidal c. somtimes 't is destitute of all life somtimes it lives the life of a plant Somtimes 't is voided with a child without one after one and somtimes a dysentery goes before the voiding of it Article 2. Of the Symptoms of women with child The symptoms of women with child are in a threefold Difference Some happen at the first time of their bearing in the belly and they are 1. A cramp troubling especially the leggs which is taken away by anointing them by the fire with oyl of bays putting on afterwards hot rowlers 2. The pain of the Sciatica with oyl of Venice turpentine anointed on drives away 3. Loathing of meat which ariseth from the suppression of the courses the better part of the blood going to the young one the worse remaining in the veins from whence by agitation vapors are sent to the mouth of the stomach with the humors a vitious quality is imprinted on it and which ceases of its own accord when the young one is grown greater 4. A Pica or a desire to absurd meats for taking away of which serves the water distilled in the month of May from vine leaves 5. A nauseousness and vomiting which if it be easy ought not to be stopt if difficult 't is not free from danger 6. Torments and pains of the belly which are raised by the wind from the humors about the womb and somtimes do cast women into swouning fitts 7. A loosness which must be timely remedied least abortion follow 8. A pain in the teeth from part of the sharper humor carried thither 9. A pain of the head and vertigo from the vapors sent forth distending and troubling it Others trouble in the middle months of their bearing and are I. A cough from a sharp vapor or the veins of the breast which by reason of the concussion of the muscles of the belly watchings pain of the head is dangerous 2. A palpitation of the heart and faintings which if it arise from plenty of blood is a forerunner of abortion and is cured by bleeding 3. Pains of the loyns and hipps either from the blood supprest falling upon the vessels of those places or from the child growing bigg 4. A flux of blood from the womb nose hemrods which is caused 1. From a rupture of the vessels of the womb by evident causes which are known from the relation of the patient 2. From plenty of blood and then the woman is endued with a good color she beares the flux wel there is less danger if so be the flux be not too much 3. From the weakness of the young one not attracting the blood and then for the most part either the birth is protracted beyond the due time or is difficult or abortion follows there are signs of the weakness of the child that is 1. Either the woman is troubled with a looseness of body by which the nourishment is withdrawn from the young or her courses flow often when she is with child or the mother is often or long sick whence ariseth a fault of the nourishment or the breasts which were swelled ful before are extenuated for want of nourishment in the common veins of the womb and breasts or the young one which already had began to move or ought to move either is not moved or moves weakly 4. From evil humors goading the expulsive Faculty and then sharp things coloured stinking flow forth with pain there are signs of a cacochymy Others happen in the last months as is 1. A stoppage of the urine which ariseth from a compression of the neck of the bladder by the womb it happens cheifly when they stand 2. A hardness and slowness of the belly which ariseth either from a compression of the gutts made by the young one it self or by an extraction of the moisture caused by the same in women that have a hot and dry liver and spleen 't is dangerous because by a violent straining to evacuate al the parts in the belly being ful some dammage may easily ensue 3. A tumor and inflation of the veins either in the leggs by reason of the weakness of the liver of which in its place or by the suppression of the more serous blood and then the women with child for the most part bring forth girles We must forbeare from the cure because the humor is emptyed with the after purgation after the delivery unless walking be hindered or in the hipps that they become as it were varicous which proceeds from the same cause 4. clefts of the skin of the belly by reason of the distension especially at the first birth which are prevented with the anointing of laxative liniments as are marrowes oyles 5. The effusion of water which in the time of bearing is collected between the membranes that involve the young one which wants not danger because both the young one perceives some trouble from thence and a hard labor follows for want of moisture Article 3. Of the symptomes about the delivery The symptomes that happen about the delivery are also not a few I. An untimely flux of blood before the birth whence is a weakness of strength and swounings In the cure of which emptyers must be shunned the aire forbidden cordialls and strengthners must be given when the mouth of the womb opens it self the membrane must be broken and the infant brought forth II. Abortion when the child is born before the lawful time of bringing forth which is feared if the breasts be extenuated because it is a sign that either the blood does fail in the veins common to the womb and breasts or that by the violence of the young one or rupture of some vessels it doth rush to the womb If plenty of milk flow from them If the great bellyed woman have often pains about the belly and loins which end towards the pubes os sacrum with a certain endeavor to cast forth of her womb If after them blood either pure or ichorous or warer flow forth It ariseth in general from the fault of the expulsive faculty of the womb which is irritated either by the young one
Quick-silver precipitate Sublimate Oyl of vitriol sulphur c. VI. Putrifiers do melt hard flesh Such are Arsenick Orpment Chrysocolla dryopteris Pityocampe aconitum Sandarach VII Hair-grubbers are such medicines as pluck up by the Roots the Haires of the Body so as to make the part where they are applied bald and smooth such as are strong lie quick-lime ants-egs sandarach arsenick orpment c. VIII Milke-wasters do either incrassate and thicken the blood by overcooleing it or they dry up and digest the same or finally they do by their whole substance destroy the Milke Such are Mints Sage Calamint Coriander Henbane Oyl of unripe Olives Vinigar Camphire IX Seed confounders do either coole thicken or discuss the same or consume it by an hidden property Such are Mint Rue Agnus Castus Dil Seeds of Hempe Fleawort Lettuce Purslaine Champhire c. Article V. Of Medicaments which take somewhat away Point 1. Of Purgeing Medicaments Medicaments which take something from the Body are 1. Purgers 2. Vomiters 3. Diureticks 4. Sweaters 5. Transpirers 6. Braine-purgers 7. Expectorators Purgers are such Medicaments as drive out by stool such humors as preternaturally nestle themselves in mans body And they are 1. Choler-purgers 2. Phlegm-purgers 3. Melancholly-purgers 4. Water-purgers 5. Purgers of all humors together 1. Choller-purgers are medicaments which drive out preternatural choler And they are 1. Mild as among simples Cassia fistularis which because it is hurtful to a moist slippery belly and to the stomach and is windy it is corrected with a graine or two of peper aniseed or Cinamon and is given in a bole commonly from sixe drams to two ounces to children two drams may be given Tamarins or Indian dates convenient for hot Constitutions which because of their coldness are corrected with Cinnamon and Mace and by reason of their lazyness they are quickned with whey of Goates-milk They are given in Pulpe from an ounce to two ounces or three and in the Infusion to five ounces Manna Calabrina which is safe in al cases excepting burning fevers t is quickned with syrup of Roses solutive It is taken in Prune-broath or the Broath of a Cock or Hen to the Quantity of three or four ounces Aloe Soccotrina which taken in too greate a Quantity inflames the Liver because it opens the orifices of the Veines t is not safe for women with child Nor is it good for hot and dry natures 'T is nourished or impredgnated with juice of damaske Roses 'T is corrected with mastich because of its Acrimonie It is given from halfe a dram to a dram more see thereof Solenander sect 3. Counsel 29. Rhubarb the soule of the Liver which must not be given alone because it is apt to fume and easily exhales but with endive water or syrup of Roses solutive it must not be given to such as are troubled with the strangury nor those that are subject to the Hemorrhoides 'T is corrected with Cinnamon Spicknard Schenanth 'T is given from one dram to two drams Damaskroses musked fragrant bitter and detergent Their Virtue is encreased if two ounces of whey be mixed with an ounce of their juyce a little spike and Cinnamon being added Violets which are of like vertue with roses exceeding good in diseases of the Brest and Head-ache Terpentine especially pistick which with pouder of Lycoris and Sugar is made into Boles and given to clense the kidnies Lemnius commends it in a potion Among compounds are Syrup of roses solutive hurtful for women with child because it opens the veines of the wombe from two ounces to four Rose-leaves must be gathered while the morning dew is upon them Their strength lasts hardly beyond six monthes Syrup of the flowers of Acacia de Manna Laxativus Horstius his syrupe of tamarinds with senna Pilulae Angelicae Benedicta Bejeri Hiera mellita from a dram to four drams II. The stronger are amonge simples Asarum which being long boiled loses its strength very wel beaten it moves vomit It is given with whey wine and honey sod together Scammonie which must never be given to such as are inclined to vomit feverish weak persons in the summer in broaths alone because its acrimonie disturbes the body inflames the spirits hurts the principal parts 'T is corrected with juice of Quinces mucilage of Gum Tragant spirit of sulphur or vitriol Being corrected t is called Diagrydium 'T is given from five graines to fifteen Of compounds are Pilulae Rhudji to a scruple Aureae which are most in use Extract of Scamonie The Magisterie thereof which see in Mynsichtus and Grulingius II. Phlegme-purging Medicaments are such as draw excrementitious flegm out of the Body And they are 1. More gentle among simples Myrobalans Chebulan and Emblican which are to be avoided in obstructions of the Gutts or Bowels they are steeped in Chick-broath to an ounce or boiled therein with muscadine Cnicus or Carthamus seeds which purge water and crude flegme and raise wind because they provoke vomit they are corrected with Anise Ginger and Mastich Mechoacan which is of subtile parts mingled with Earthy Of exquisite tertian Agues it makes double ones It works most happily in the forme of a pouder or if it be steeped a night in wine or broath and drunke in the Morning Amonge compounds are spices of Hiera picra simple Lozenges of Mechoacan described by Horstius II. Vehement Flegme-purgers are among simples Agarick which by a peculiar Faculty frees the Lungs from clammy thick and putrid humors 'T is â—afer in the Infusion than in the substance Jalop which is most proper where choler is mixt with flegme The Dose is from a scruple to two scruples with cream of Tartar ... It has in it somwhat of Acrimony Turpetum gummie and white which because it hurts the Stomach provokes Vomit is corrected with Ginger Pepper and Cinnamon By its dryness it brings the bodies of those that over use it into a Consumption It works best in a decoction Coliquintida which purges thick and clammy Humors from the remote parts and because it sticks to the fibres of the stomach it provokes vomiting It must not be corrected by astringents for they detain it being a violent medicine too long in the Body Hermodactyls which purge thick humors from the Joynts and are corrected by atenuaters Euphorbium which is hot and dry in the fourth degree because it inflames the Jaws and Throat vexes the Stomach and Liver raises cold sweat 't is corrected with cordials and Stomach strengtheners but best of al with Oyl of Roses It must not be used inwardy before it be a year old Sagapenum which brings out clammy and thick Humors Of compounds are Pils of Sagapena of Horstius and Camillus Syrup of Coloquintida and Lozenges of Jalap c. III. Melancholy purgers are such as drive excrementitious melancholy out of the Body And they are 1. Gentle Among simples Indian Myrobalans which are principally given in quartan Agues and purge adust choler Epithymum which by a
signes and tokens of a distempered and affected stomach In the cure we may safely and successfuly have recourse unto vommits c. Another is from worms which are easily discovered by their signes Unto scolecobrotick Medicaments there ought to be added and therewith mingled Antepileptical remedies Another is from the womb which is known by this that there is then some affect or other of the Womb present to wit the suppression of the courses the retention of the Seed or the Secundines a dead childe in the womb c. The Cure is to be directed and to look toward the Affects in the which the root of round aristolochy is much commended Note here that the water of swallowes distiled with Castoreum Galbanum and vinegar is most proper and convenient that for a woman great with child there ought not upon any termes sweet smelling odoriferous things be applied or laid neer unto her wombe yea likewise that al odoriferous medicaments since they offend the Head and make it heavy are wel removed from it Another is from the External parts either wounded or ulcerated or else hurt by biting which is exactly and diligently to be examined and inquired into left that otherwise it should be mistaken for that which proceedeth from the Womb. It is to be Cured according to the Nature and quality of the Causes VI. Another is of such as are grown up and have attained to maturity of yeers unto whom al that hath hitherto been spoken upon this subject is to be applied as most suting and agreeing unto them Another is of Infants in the Cure of which if they be yet sucking at the Breast in the Paroxysm we must then proceed so as is above declared only there must be special Care and regard had unto the tenderness of their Age. Out of the Paroxysm the Nurse ought as far as necessity requireth to have appropriate Medicaments given her to drink and withal the Infant is to be Evacuated and emptyed with Syrup de Tribus as the shops cal it and then his brain is to be strengthened and the impostums if any there be that break out are by no means to be hindered in their flux but on the contrary they are by al means possible to be furthered There are some that in this case do very much commend the anoynting of the whol Body with Butter unwashed unsalted and Mingled with Rue bruised and beaten in a Mortar An approved Remedy to preserve from this sad and fearful affect is the preserving power of Hartman the Aqua Vitae that is usually Exhibited and given unto Women with Child Oyl of sweet Almonds with Sugar given to Childeren new born In that Difference that is by consent there is to be highly commended the Emplaster of White Amber of Frankincense and of Mastick of each one dram and an half of Galbanum Opoponax of each one scruple of Birdlime of the Oak two drams Amber six grains Musk three grains Male Peony seed half a dram Ladanum a dram and half of the Oyl of Nutmeg a smal quantity al these aforesaid being strewed over with the pouder of Cubebs the emplaster must be spread upon leather and so imposed upon the Abdomen or lower belly But if in Women it happen as many times it doth from the Curdling of the Milk then that which is of singular use is a Cataplasme formed of Elm-leaves three parts boyled in the Vrine of a Child with two ounces of butter new and fresh and then applied unto the Region of the stomach The Cure of Children that are weaned differeth not much from those before mentioned Article III. Of Carus Carus is a deep and profound sleep with the hurt of the sense and motion the breathing only excepted and likewise the Imagination arising from the impeded motion of the Animal spirits The SIGNS are sleep with the Eyes alwaies shut so profound that the sick person being asked never so many questions yet answereth nothing at al and so it is distinguished from a Catalepsie and a Lethargy a retraction or drawing back of the Member if it be pricked which is not done in the Apoplexy a free respiration and breathing unless the vehemency of the Cause be most extream and intense The CAUSE is the prohibition and hindering of the influence and exercise of the Animal spirits upon the senses and the Motion of which the divers and different Causes shal be declared in the subsequent differences CURE there is None if it chance in the declining of continual Feavers the strength and powers of the body being extreamly weakened It is of much difficulty if the breathing be hurt if it be Joyned together with the heaviness of the Head because that a humor not over gross and thick penetrating into the substance of the Nerves and extending them immediatly a Convulsion followeth and lastly if it befal the party after some great Evacuation It is Accomplished according to the quality and condition of the Causes It is divided five manner of waies I. One is When there are no Animal spirits generated which happeneth when either the Arteries Carotides that earry the Animal spirits unto the brain are hurt or else when the Muscles of the Temples having a very notable and singular agreement and consent with the brain by the intercourse of some eminent Nerves are Compressed or bruised II. Another is when the Animal spirits are dissipated which cometh to pass either from some extraordinary and excessive Evacuation or else from some exquisite pain proceeding from either an external or an internal Cause or else issuing from the Defatigation wearying and tiring of the Brain by reason of an over-great and extream shaking thereof which cometh to pass in that heavy deep sleep that hapneth in the Close and conclusion of the Epileptical Paroxysm III. Another is When the Animal Spirits are stupefied and made as it were drowsie And this is done either externally and that 1. From the fume of coals kindled in some close room or Parlour of which we have likewise spoken above 2. From the use of Narcotick Medicaments Opium Hen-bane c. Where Castoreum with Oxymel or Cassia Lignea have their place 3. From Poysons either taken inwardly or else outwardly applied where Treacle ought to be administred Or else internally 1. From Vapors sent forth in Feavers and 2. From the same Vapors elevated by Worms touching which their proper places are to be consulted The Cure may be fought out and found in the following Member of the Difference IV. Another is When the spirits cannot penetrate unto the Members And this is done I. From the Compression of the skul and brain of which above II. From the Obstruction of the Passages and then there wil be present signs of Flegm In the Cure a regard being had unto the whol body Revulsions head-purgers c. are to be administred and then we may see what is further to be done in the Cure of the Apoplexy V. Another is when the spirits are
makes motion difficult but presently 't is discust Yet al these Signs do not happen in al. There have been those who were troubled with continual laughing the Vapor insinuating it self into the Membranes of the Breast there have been those who seemed to frame the hissing of Serpents the croking of Crows c. According to the proportion of the passages and breath breaking forth It differs from an Epilepsie because in this the Convulsive motions are more universal they have no remembrance of those things after the fits which happened to them in the fits the Pulse is greater than before a foam flows about their Mouth From an Apoplexy because in this the fit is suddain without any notice a singular snoaring afflicts them in breathing there is so great a resolution of the Parts that though they be prickt yet they do not feel From a Syncope because there are no presages in this of the fit to come the pulse failes to the sence cold sweats afflict it vanisheth in a short time when as the Hysterical passion lasts somtimes a day or two From the dead they are distinguisht by Sneezing Caused by Sneezers and other means The CAUSE is a malignant Vapor thin and spirituous in one moment penetrating the whol body and raised from the matter corrupted after a peculiar manner in the womb and stirred either of it self or by external things as things sweet-smelling fear Anger and ascending upwards not only by the Veins and Arteries but also by occult passages But what that is shal be said in the Differences The CURE is somtimes of doubtful hopes If it long afflict old women because it infers an impeachment of the strength and shews a plenty of humors If it happen to breeding women a hard labour or abortion going before if it assaile great bellied women because it strikes a feare of abortion of better hopes if breathing be not hurt too much if the fits do not return often It respects 1. The time of the fit where care must be had 1. To intercept it by binding of the belly about the navel with a girdle made of the skin of a hart kild in the act of copulation with the doe 2. To raise her by ligatures and painful Frictions by pulling off the hairs especially of the priveties by suffumigations made of partridg feathers horses hoofs and Eel skin By applying of assa faetida oyl of tartar to the nose c. 3. To reveal by ligatures frictions of the lower parts glysters discussing wind cupping-glasses without scarrification applyed with much flegm first to the ancles and thighes by and by to the groines by putting up sweet things into the privities as are oyl of Civit half a scruple with oyl of nutmeg by expression one scruple 5. To discuss and that outwardly by oyl of white amber with the pouder of walnut flowers By extract of castor of liver-wort Mynsichtus his specificum diajovis The same Authors Theriaca mulierum Hartmans essence granorum Chamaeactes in pennyroyal water Treacle water others that are appropriate Outwardly by putting into the navel oleum Jovis the salt of the same described by Crollius By plaisters made of the fat of a black cow fed with utrine plants clary boyld in butter adding gum tacamahach carama 2. The time out of the fit in which 1. We must empty by Grulingius his extract of bryony of which in his cures by Agricola his flores virtioli Veneris et martis 2. The womb must be strengthened by things internal and external that do resist the malignity also The faecula of briony is commended Castor c. 3. That diet in which odoriferous and sweet things are which are wont to move the womb must be shunned For preservation see Zacutus his Hysterical Pils Prax. Hist l. 9. c. 12. The Difference is taken from the causes One is from the seed corrupted by the fault of the parts or humors mixt with it and sending forth such a vapor which is known by this that the courses are right in the patient Al the Symptoms are more vehement the fit declining a humor like to seed flows forth of the privites 'T is Cured universals premised by emptying of the seed by glysters and utrine pessaries by prohibition of the same by medicines diminishing the seed or by slender diet Another from menstruous blood stopping and therefore corrupt which is known by this that the menstruous blood is joyned with vitious humors especially a melancholly one The symptoms are milder with the signs of a suppression The Cure must be turned against the suppression of the courâ—es Another from vitious humors concerning which consult with the chapter of the distemper of the womb Article III. Of the madness of the womb and Melancholly of Women The Madness of the womb is an immoderate desire of Venery almost making women stark mad arising from the plenty of seed acrimony and peculiar quallity of it The subject of this affect are either wel flesht virgins black and having adust blood or the youthful flourishing widows or married women that are barren by the impotency of the husband The Signs are various some wast away in sadness and silence suppressing their desire others reason being overcome do prate are lascivious break into anger laughter weeping wanton and baudy discourses Some freely prostitute themselves to men The Cause is the plenty heat and accrimony of the seed which ariseth if you consider the internal causes from the heat of the womb the distemper of the stones especially and spermatick vessels hence many labor of an inflamation of the womb and itching which are not affected with this madness If the external from a diet generating plenty and accrimony of blood by a drauft of hippocras in which there was some Borrax c. dissolved The Cure is accomplisht 1. By bleeding if blood do abound 2. By purging if hot and adust humors be mixt with it 3. By alteration by coolers as are Letice Purslan water-lilies Ladies navil by things that act by an occult quallity as are the chast tree rue hemp Camphire hemlock which are rather to be used in Nunneries The Melancholly of Women is a dotage with sadness anxiety weeping or laughing by intervals invading without a feaver arising from a melancholly vapor darkning the animal spirits The SIGNS are various the women are sad complaine of a grief at heart yet are not able to express the cause of it The Arteries about the Spleen and back do beat more vehemently than usual a pain of the left side against the heart afflicts somtimes seazing on the left breast the Vapors from the intercostal Arteries being poured forth into those places and pulling and distending the Membranes of the Breast a dryness of the Jaws somtimes troubles them with a suffocation But these symptomes affect by intervals because the Vapor is dispersed and the stirring of the blood in the Arteries ceaseth The CURE respects 1. Bleeding which must be ordered at the beginning if
Brain 1 Chap. I. Of the Distemper of the Brain without Matter ibid Chap II. Of the Distemper of the Brain with Matter 3 Chap III. Of the streightness or narrowness of the passages of the Brain 6 Chap. IIII. Of the Commotion of the Brain 7 Chap. V. Of the Inflamation of the Brain 8 Chap. VI. Of the Tumor Hydrocephalus in the head 9 Chap. VII Of the contusion or Bruising of the Head ibid. Chap. VIII Of the Wounds of the Head 10 Article I. Of the Wound of the skin and the Piricranium ibid. Article II. Of the wound or fracture of the Cranium or skul 11 Article III. Of the Fracture of the Skul together with the hurting of the Meninges 12 Title II. Of the Symptomes of the Brain ib. Chap. I. Of the Symptomes of the external Sences ibid. A single Article Of the distemper Cephalalgia or the pain of the Head so called ibid. Chap. II. Touching the symptomes of the common sence 14 Article I. Of over great and extraordinary watchings ibid. Article II. Of the sleepy and drowsie Coma or Cataphora 15 Chap. III. Of the Symptomes of the Imagination 16 A single Article Of the vertigo or turning round of the Head ibid. Chap. IV. Of the symptomes of the Imagination and the Ratiocination when they are hurt 18 Article I Of the hurt of the Memory ibid. Article II. Delirium or dotage 19 Article III. Of a Phrensie 20 Article IV Of Melancholly ibid. Article V. Of Madness 22 Article VI. Of Rabies or raging Madness 24 Chap. V. Of the symptomes of more of the internal sences ibid. Article I. Of the Waking Coma ibid. Article II. Of a Lethargy 25 Chap. VI. Of the symptomes of the animal Motion 26 Article I. Of Lassitude or Litherness ibid. Article II Of Restlessness or Vnquietness 27 Article III. Of Rigor or an extreamstifness 28 Article IV. Of Tremor or Trembling 29 Article V. Of the Palsie 30 Article VI. Of a Spasm or convulsion 31 Chap. VII Of those Symptomes that hurt the Internal senses the Reason and motion together with the External Senses 33 Article I. Of Incubus or the Night-hag and Catalepsis ibid. Article II. Of the Epilepsie or Falling-sickness 34 Article III Of Carus 37 Article IV. Of the Apoplexy 38 Chap. VIII Of the Symptomes of the Excrements of the Head 39 A single Article Of a Catarrh ibid. Title III. Of the Diseases of the Eyes 41 Chap. I. Of the Affects of the Eye-lids ibid. Chap. II. Of the affects or things that are amiss in the Eye brows 43 Chap. III. Of the affects and what is amiss in the Flesh that is in tha Corners of the Eyes ibid. Chap. IV. Of the Diseases of the Adnata Tunicle 44 Article I. Of the Ophthalmy ibid Article II. Of the Nail or little wing the Web and the Hyposphagm of the Eye 45 Chap. V. Of the Diseases of the Tunicle Cornea 47 Article I. Of Crassities Nebula and Albugo ibid. Article II. Of the Pustules and Vlcers of the Tunicle Cornea ibid. Article III. Of the wounds of the Cornea Tunicle and the pain of the Eyes 48 Chap. VI. Of the diseases of the Vvea ibid. Article I. Of the falling forth of the Uvea and the Dilatation widness and Narrowness of the Pupilla Viz. The Bal or Apple of the Eye ibid. Article II. Of a Suffusion 49 Chap. VII Of what is amiss in the Humors of the Eyes 50 Chap. VIII Of those diseases that infest and annoy the Globe of the Eye 51 Title IV. Of the Diseases of the Ears 52 Title V. Of the Symptomes of the Ears 53 Chap. I. Of Pain and deafness ibid. Chap. II. Of the Noise or Ringing of the Ears and thickness of Hearing 54 Title VI. Of the Diseases and Symptomes of the Nostrils 55 Chap. I. Of the Vlcers of the Nostrils as also of Ozena and Polypus ibid. Chap. II. Of the Hemorrhage or bleeding of the Nostrils 56 Chap. III. Of the Hindering and Hunting of the smel Gravedo or Stuffing and Sternutition Or Sneezing 58 Title VII Of the Diseases of the Tongue and the Symptomes thereof 59 Title VIII Of the Diseases and Symptomes of the Lips 60 Title IX Of the Diseases and Symptomes of the Face 61 Chap. I. Of the Opening of the Mouth Gaping and Yawning ibid. Chap. II. Of the Writhing of the Mouth 62 Chap. III. Of the Ptyalisme 63 Title X. Of the Affects of the Mouth 64 Chap. I. Of the Aphthae or Exulcerations of the Mouth ibid. Chap. II. Of the Stinking of the Mouth ibid. Title XI Of the Diseases and Symtomes of the Teeth 65 Chap. I. Of the Diseases of the Teeth ibid. Article I. Of the Corrosion of the Teeth ibid. Article II. Of the Loosness or Movableness of the Teeth 66 Chap. II. Of the Symptoms of the Teeth ibid. Article I. Of the Odontalgia or pain of the Teeth ibid. Article II. Of Stupor Stridor and Nigredo in the Teeth 68 Title XII Of the Affects of the Gums ib. Title XIII Of the Affects of the Jaw-bone 69 Title XIV Of the Affects of the Wind-pipe or Wesand 70 Title XV. Of the Affects of the Tonsils ibid. BOOK IX Of the Diseases of the middle Belly Venter or Region TItle I. Of the Diseases of the Jaws or Angina that is Squinancy 1 Title II. Of the Diseases of the Throat 4 A Single Chapter Of those Kernels we cal Strumae and of Bronchocele a swelling in the Throat ibid. Title III. Of the Diseases of the Aspera Arteria or the great rough Artery 5 Title IV. Of the Diseases of the Lungs ibid. Chap. I. Of the Distemper of the Lungs ibid. Chap. II Of Peripneumonia 6 Chap. III Of the streightness or narrowness of the Lungs 8 Chap. IV. Of the wounds of the Lungs 9 Chap. V. Of the Vlcer of the Lungs or Phthisis 10 Title V. Of the Diseases of the Thorax or Breast 12 Chap. I. Of the Infiamation of the Mediastine or the Transverse Muscle and the Tumors of the Diaphragm ibid. Chap. II. Of the Pluresie 13 Chap. III. Of Empyema 15 Chap. IV. Of the Consumption or wasting and the Worms of the Back 16 Title VI. Of the Symtomes of the Lungs and the Thorax or Breast ibid. Chap. I. Of the Vices or things amiss in the Breathing ibid. Chap. II. Of Asthma 17 Chap. III. Of the Cough 18 Chap. IV. Of Haemoptysis or spitting of Blood 20 Title VII Of the Affects of the Heart ibid. Chap. I. Of the Palpitation of the Heart ibid. Chap. II. Of Fainting or Swouning 22 Title VIII Of the Affects of the Paps or breasts in Women ibid. Chap. I. Of the Diseases of the Papps ibid. Article I. Of the Tumors or Swellings of the Paps ibid. Article II. Of the Cancer and Greatness of the Paps ibid. Chap. II. Of the Symptomes of the Breasts ibid. Article I. Of the want of Milk too great abundance thereof and t is Coagulation or Curdling 26 BOOK X. Concerning the Diseases of the lower Belly TItle I. Of
the Affects of the Gullet 1 Chap. I. Of the Diseases of the Gullet ib. Article I. Of the Distemper and Tumor of the Gullet ibid. Article II. Of the Straitness wounds and Vlcers of the Gullet 2 Chap. II. Of the Symptoms of the Gullet ibid. Title II. Of the affects of the Stomach ibid. Chap. I. Of the diseases of the stomach ibid. Article I. Of the distemper of the stomach in general 3 Article II. Of the distemper of the stomach without matter ibid. Article III. Of the distemper of the stomach with matter 4 Article IV. Of the Tumors of the stomach ibid. Article V. Of the Wounds and Vlcers of the stomach 5 Chap. II. Of the Symptomes of the Stomach 6 Article I. Of the Pain and heat of the stomach ibid. Article II. Of the want of Appetite 7 Article III. Of the too great Appetite 8 Article IV. Of a depraved Appetite or Pica ibid. Article V. Of too great Thirst 9 Article VI. Of the hurt of Concoction or Chylification ibid. Article VII Of the Hickopps 10 Article VIII Of belching and rumbling 11 Article IX Of naâ—seousness and Vomiting ibid. Article X. Of Choler 13 Title III Of the Affects of the Guts 14 Chap. I Of the Diseases of the Guts ibid. Article I Of the Inflamation of the Guts ib. Article II Of the Straitness of the Guts ibid. Article III Of Worms 15 Article IV. Of the Rupture of the Guts 18 Article V Of the falling down of the Fundament and of the wounds and Vlcers of the Guts 17 Chap. II Of the Symptomes of the Guts ibid. Article I Of the Illiack Passion ibid. Article II Of the Chollick 18 Article III. Of Costiveness of body 20 Article IV Of a Loosness 21 Point 1. Of a Lientery and Coeliaca ibid. Point 2. Of the Diarrhy 22 Point III. Of a disentery 24 Point IIII. Of the Bloody and Hepatick flux 26 Title IV. Of the affects of the right guts 27 Chap. I. Of the diseases of the right gut ib. Chap. II. Of the symptomes of the right Gut 28 Article I. Of Itching and the Tenesmus ibid Article II. Of the Flux and stopageof the Hemorrhoide ibid Title V. Of the affects of the mesentery 29 Chap. I. Of the distemper and obstruction of the Mesentery ibid. Chap. II. Of the inflamation and impostumations of the mesentery 30 Chap. III. Of the Pain of the Mesentery and the affects of the Caul and pancreas 31 Title VI. Of the affects of the Liver 32 Chap. I. Of the diseases of the Liver ibid Article I. Of the Distemper of the Liver ibid. Article II. Of the obstruction of the Liver 33 Article III. Of an inflamation of the Liver 34 Article IV. Of a Shcirrus of the Liver 36 Article V. Of the Wounds and ulcers of the Liver ibid. Chap. IIII. Of the Symtomes of the Liver 37 Title I. Of the weakness of the Liver ibid. Article II. Of a Cachexy 38 Article III. Of the dropsie in general ibid. Article IIII. Of an Ascites 39 Article V. Of a Tympanny and Anasarca 40 Article VI. Of the Jaundice 41 Article VII Of an Atrophy 42 Title V. Of the Affectes of the spleen 43 Chap. I. Of the diseases of the spleen ibid. Artcle I. Of the obstructions of the spleen ib. Article II. Of an inflamation of the spleen and schirrus 44 Article III. Of an Vlcer and wound of the spleen 45 Chap. II. Of the Symptomes of the spleen ib. Article I. Of the pain of the spleen and black Jaundice ibid Article II. Of the Hypochondriacal affection ib. Article III. Of the Scurvy 47 Title VIII Of the affects of the kidnies 51 Chap. I. Of the diseases of the kidnies ibid. Article I. Of the straightness of the Kidnies ibid. Article II. Of an inflamation of the Kidneys 52 Article III. Of the stone of the Kidnies 53 Article IV. Of an Vlcer and Wound of the Kidneis 54 Chap. II. Of the Symptomes of the Kidneys ibid. Title IX Of the affectes of the bladder 55 Chap. I. Of the Diseases of the Bladder ibid. Article I. Of the stone of the bladder ibid. Article II. Of an inflamation scab ulcer and fistula of the bladder 56 Article III. Of the straitness of the Vrinary Passage ibid. Chap. II. Of the symptomes of the bladder 57 Article I. Of the incontinency of the urine ibid. Article II. Diabites ibid. Article III. Of an Ischury 58 Article IV. Of a strangury 59 Article V. Of a disury 60 Article VI. Of Pissing of blood matter and Hairs ibid. Title X. Of the affects of the Genital Parts in Men 61 Chap. I. Of their diseases ibid. Article I. Of the diseases of the stones ibid. Article II. Of the diseases of the cod 62 Article III. Of the diseases of the yard 63 Chap. II. Of the symptomes of the Genital parts in men ibid. Article I. Of the generation of seed hurt and the erection of the yard ibid. Article II. Of Lechery a Priapisme and Satyriasis 64 Article III. Of a running of the Reins ib. Title XI Of the diseases of the genital parts in Women 69 Chap. I. Of the diseases of the Neck of the womb ib. Article I. Of a Tentigo and Canda ibid. Article II. Of the straightness of the Neck of the womb 66 Article III. Of the pustles Condilomata and Hemorrhoids of the womb ibid. Article IV. Of the ulcers of the neck of the Wombe 70 Chap. II. Of the diseases of the womb 68 Article I. Of the distemper of the womb ibid. Article II. Of the straitness of the Vessels of the womb 69 Article III. Of an inflation of the Womb. 67 Article IV. Of an inflamation of the womb 68 Article V. Of a scirrbus of the womb ibid. Article VI. Of a Dropsie of the womb 72 Article VII Of the falling down of the womb ibid. Article VIII Of the ascent of the womb its wounds and Vlcers 73 Title XII Of the Symtomes of the Womb. 74 Chap. I. Of the common Symptomes ibid. Article I. Of the weakness of the womb ib. Article II. Of the pain of the womb ibid. Article III. Of the suppression of the Courses 75 Article IV. Of a dropping and difficulty of the Courses 76 Article V. Of the discoloring of the courses 77 Article VI. Of an inordinate flux of the Courses 78 Article VII Of too much flowing of the Courses ibid. Article VIII Of the womans flux and Gonorrbaea 79 Chap. II. Of the Symptomes more familiar to those that live out of Wed-lock 80 Article I. Of the Virgins Disease ibid. Article II. Of the Suffocation of the womb 81 Chap. III. Of the Symptomes proper to married women 83 Article I. Of the Symptomes about Conception ibid. Point 1. Of Barrenness ibid. Point 2. Of a Mola 84 Article II. Of the Symptomes of women with Child ibid. Article III. Of the Symptomes about the dilivery 85 Title XIII Of the Affect of the Belly 87 A single Chapter Of the Rupture of the Navel and Inflamation of the Muscles of the
and more windy 8. Rostock beer which quenches thirst expells the Urine nourishes little and is good in the summer time 9. Servestan beer which hangs long in the hypochondria and sometimes causes sharpness of Urine 10. Newburg beer in Thuringia which is wel boyled and nourishes if it be taken too plentifully it causes dimness of sight some have grown blind by too much use thereof 11. Erfurt beer which conduces very much to health 12. Torgave beer which breeds good blood and by its aromatical tast strengthens the principle members 13. Wittenberg beer which is like the Rheue beer being ill-boyled 14. Rauschenburge beer which is commended against the stone 15. Paderborn beer which breeds thick blood 16. Beer of Brabant Gelder and Zutphen which breeds the scurvy 17. Flanders-beer which is very commendable especially their double beer 18. English beer which makes the drinkers fat 19. The Rhemsh beer which is for the most part base and hurtful 20. Colen beer which is better than that of Brabant I pass over the differences taken from the vessels which also change the faculties They are kept sometimes in pitched sometimes in unpitched vessells Mead and Metheglin do for the most part Heat more than wine especially if spices be added thereunto But it easily turns to choler because of the Honey Chap. 2. Of non-natural things done by a Man NOn-natural things which are done are passions of the Mind Motion and rest of the Body sleepe and waking which are of great moment towards the preservation or violation of Health Touching affections of the Mind and their Action upon the Body these things are cheifly to be observed 1. That Moderate affections preserve health and make no change in the Body 2. Such as pass their bounds oft times disorder the body and sometimes bring sudden Death 3. If you consider the good Affections or passions 1. Love if it exceed because it vehemently inflames the spirits in the Heart endeavouring to draw the thing beloved to it self and therfore sending the spirits forth to meet it does often times cause palpitation of the Heart sometimes madness fainting c. 2. Cheerfulness if it be moderate recreates the Heart and vital spirits if it be sudden and in too great a quantity it so dissipates the spirits which the Heart therein sends into the outward members because of its over great dilatation that it oftentimes brings death 3. In Evil Affections or Passions 1. Sadness by little and little dissolves the spirits cooles and dries the body spoiles digestion causes watching and breeds melancholy diseases 2. Fear dissolves the strength of the Body by reason of the sudden recourse of the Heat Blood and spirits into the outward parts causes a smal pulse with refrigeration of the external parts and is sometimes the cause of sudden gray haires even in young Men. 3. Anger in which the Spirits and Blood do as it were boile in the Heart and are violently moved from the inner to the outward parts it agitates the spirits and Humors Heats the whol body and breeds Fevers Tremblings of the joints and Palpitations of the Heart do often invade angery persons Also women are thereby brought into danger of Abortion Anger hardly ever kild any body because the Spirits are therein freely and forcibly moved if any died upon occasion of anger of necessity there was some other natural disorder in the body II. That Motion is necessary for Health is hence apparent in that by encreasing natural Heat it furthers Nutrition by moving and agitateing the Spirits it discusses vapors and excrements it makes the body after a sort hardy by adding solidity to the parts by their mutual Attrition Now according to its Differences it works diversly upon the Body of Man The best is that which exercises al parts of the body alike The next to that is whereby al parts are moved but not equally the lightest of al is that which exercises one only part I. Two much Motion exhausts the spirits and solid parts cooles the whole body dissolves the strength of the Muscles Nerves and Ligaments and hurts the Eye-sight II. Swift motion renders the body thin and compacted III. Slow motion rarifies and encreases the Flesh IV. Vehement motion makes the body hard lively but leane withal V. Continued and equable Motion because the members are weakened thereby as being much it wearies the more VI. Vnequal motion because it is parted with spaces of rest wearies less VII Distinguished and ordinate motion brings less wearyness since Interruption brings rest and the rest is cause of less wearyness VIII In hot places it burns more in moist places it moistens because the bodies being rarified by exercise are most readily disposed to receive al the qualitie of the Air and Places IX Among motions caused by a mans self I. Leaping without Intermission stirs up natural heat but hurts the Head by concussion and the Breast by compression while the back is bowed Leaping on high is good for the Hips but bad for the breast Downwards to leap clenses the Head from superfluities and strengthens the things With Springing it is good for old Diseases of the Head and brings matter which tends upwards downe into the lower parts 2. Running if it be Vehement is good for Fat and moist bodies but it is bad for such as are troubled with any kind of Head-ach If Running be moderate it excellently warms the Body excites appetite and though at first it move defluxions yet it afterwards in tract of time stops them A long course fore right by little and little performed diffuses the flesh but renders the bodies thicker Backward if it be gentle it is good for the Head Eyes stomach Loins A Circular motion distends the flesh and belly and very much offends the Head uphil t is bad for the Breast and thighs Downhil it very much affects the head it shakes the bowels troubles weake hips upon plain ground it does al that has been said The body being covered by moving sweat it moystens and heats the flesh but it makes the bodys il colored because the pure air does not come at them to clense the same The body being naked it draws out great plenty of sweat it brings away the humors in invisible exhalations and does more burne the body 3. To excercise ungirt by hurling a weight by reason of the vehement straining to throw the same the vehemency of the motion and bending of the muscles does make limbes to grow firme and purges them from excrements but this excercise must not be used by such as have weake Breasts and Kidneys 4. Darting is useful to get a good habit of Body and therefore Aesculapius and Apollo were thought to be the first Masters of darting 5. Moderate walking abroad continued without resting makes the body pure it helps defluxions and suppression of the courses Swift walking does heat much and abates the greatness of the flesh Slow walking is convenient for ancient and weake people because it
verdigreise colored choler Lead-colored argues stripes melancholly and extinction of the natural Heat Black if compounded of green and black argues extream Heat and permission of black choler if of Blew and lead-color extinction of Heat unless it come away in manner of Crisis V. In respect of things mixed the Crown which circles about the surface thereof shewes what kind of blood is in the greater vessels by its whiteness redness and Lead-coloredness 2. The Froth if it come without shaking argues wind 3. Bubbles great and lasting argue gross and clammy humors as also wind Such as easily break thin and smal in the crown of the urine argue paine of the whol Head if they be al over the Crown of half the head if they possess only half thereof sharp paine if Gold-colored mild paine if white long paine if they continue long being like smal seeds seated in the Crown and moveing to and fro they argue distillations descending from the Head into the lower parts 4. Fat like Cobwebs shewes the melting of the fat of the Kidneyes or whole Body 5. Branny contents if they settle argue scabyness of the Bladder if they swim they argue the wasting of the solid sustance of the Body by reason of a burning Heat 6. Little scales with strong smel argue either exulceration of the Bladder or melting of the tunicles in the vessels and of the solid parts by fervent heat 7. Contents like meale signifie the same 8. Caruncles or little bits of flesh proceed from wounds of the Kidnies 9. Strings come from the seminary vessels in women that have the whites or some filthy Issue of the womb 10. Blood from a new ulcer of the Kidnies or of some Bowel 11. Quittor from an old and foule Ulcer either in the Kidnies if it be without any sense of paine and wel mixed with the urine or from the neck of the Bladder if it be with paine aâ—â— not wel mixed but however it alwaies settles to the bottom 12. Gravel if yellow and red comes from the Kidnies if white from the Bladder if clammed with quittor from 〈◊〉 sordid ulcer of the Bladder if they swim on the top and stick to the sides from the Livers heat and Adustion of the Blood 13. Seed argues an hurt of the spermatick vessels and swims on the top VI. In respect of the Contents which in sound persons ought to be white smoothe equal and pyramidal 1. Little comes from weakness of the Alterative faculty distemper multitude or Crassitude of humors and dissipation of the Bodies substance by external Causes 2. Much from suppression of some customary Evacuation if it be at the same time both thick and undigested from strength of the aliments and faculty if it be indifferent in substance and color 3. Thick from plenty of crude matter or the Crisis of some old diseases 4. Thin from Crudity or digestion but newly begun 5. Straw-colored Gold-colored red from redundancy of choler in the veins and from inflammation of the blood 6. Blewish Lead-colored black from extinction of natural heat corruption of blood and melancholy II. There are many differences of Pulses that savor of vaine curiosity and idle subtilty discreet Physitians are content to observe only these three following Equal and unequal Swift and Slow strong and weak The Equal pulse argues strength of Nature The unequal signifies either obstructions and compressions of the vessels or abundance of Humors The Swift use increased strength of the Faculty as yet or at least that it is not much weakned Slow argues the contrary The Strong shewes a strong faculty and sometimes great Provocation The weak either dissipation of spirits or expression of strength Chap. 3. Of the Diseases Event Or Issue THE Issue of a disease intimates four things 1. The Termination hereof 2. The Time of the Termination 3. The manner of the Termination 4. The Knowledg of al these I. A Disease is terminated either by Health or Death Whence the Event is healthful or deadly II. In respect of Time 't is ended soon or late III. The manner of termination is threefold For a disease is terminated either by solution when health returns by little leave by means of Coction and alteration or by Marasmus or pineing when it turns by little and little to death or by Crisis when either the disease is suddenly and perfectly finished or there is a sudden change to the better which is followed with health or the sick patient suddenly dies or the disease is suddenly changed to the worse which mutation is followed by death But touching the nature of the Crisis or the Definition Causes Differences Manners and Daies observe I. That it is nothing else but a sudden mutation which happens in diseases with conturbation and evacuation by excretion or translation upon certain daies tending to Recovery or Death II. That it arises in respect of the Conturbation or that plenty of critical symptomes from the agitation of Humors and the trouble they bring to the Body which proceeds from the influence of stars and from an internal cause which provokes both nature and the matter in respect of the evacuation from the strength of the expulsive faculty which provoked by the plenty or quality of the matter expels that which is of seizure critically by help of the fibres and especially of the spirits and innate Heat III. That it has sundry Differences For it is good when tending to health evil when to death Faithful when no danger of a relapse Faithless when it threatens the same Safe when without dangerous symptomes Dangerous which springs from a principal part Perfect which takes away the whole disease Imperfect which leaves some of it behind Wel-foretold which has tokens preceding and declareing the same some daies next before Unforetold which comes unlooked for IV. That it happens by Excretion by bleeding at Nose Vomit sweat stool Urine Hemorrhoides Courses many places or by Translation of the matter or by coction of the matter which happens in children who digest crude humors while they sleep V. That it has certain daies which are 1. Either simply critical as every seventh day viz. 7.14.20.27.34.40 For whole daies are not reckoned but somwhat shorter 2. Or Indicators by which the future Crisis is foreshewed and they are the middle daies of each week as the 4.11.17.24 3. Or Intercalares or Leapdaies in which the Crisis happens accidentally and against Nature and they are the 3.5.9.13.19 4. Or Vacui called Medicinales in which either there is no Crisis or an imperfect and bad one as are the sixt which is a Tyrant the eight and tenth less dangerous than it Now that such mutations happen on these daies the Cause is 1. The progress of the Moon both to Quadrate and opposite signs as also to the sextile and Triangular ones 2. The Motion and disposition of the humors which is the Cause that the Crisis happens somtimes slower sometimes earlier 3. The Nature of the Body which being assisted
we not over do And we must know that 't is alwaies more safe in a doubtful proportion to fal rather too short than to exceed Touching this matter take these rules 1. Infirmities which have taken deep root need stronger remedies than such as are slight 2. In a mild infirmity we must do al at once and suddenly and so we must in an extream and dangerous sickness because it quickly finishes its course and quickly kils 3. In indifferent and cronick diseases we must endeavour to expel them by little and litle and slowly but we must withal take heed least while we go about to quench a mighty flame with a smal Quantity of water we mâ—ke the fire burn the faster II. The Time respects 1. Seasonableness of which note 1. That we must then act when the Patient can best bear it 2. That the motion of nature must be alwaies furthered unless it be dangerous 3. Turgent humors must be drawn out the self same day 4. About the beginnings and ends of Diseases stronger medicines may be given because then al the symptomes are weaker in the state it is better to rest because then al is at the height 5. The Constitutions of the Heavens that is to say both the Conjunctions Risings and Settings of the Stars as also the great changes of times especially in cronical sicknesses are to be considered c. II. Method or good order in the plurality of things to be done Here observe 1. That disjoyned Diseases do require distinct Remedies so that they may be cured either severally or both together 2. That connex and complicated diseases if they consent may be cured either together or apart and you may begin with which you please and if they dissent we must oppose both with a kind of mediocrity if they partly agree and partly disagree we must begin with that which though the Cure of it do not help yet it hinders not the Cure of the other 3. In al diseases whether they be disjoyned or conjoyned respect must be had above al things both of that which urges and of the Cause or Concomitancy so that we must first cure that which urges most and that upon which the rest depend Under the Motion of Causality or Concomitancy come both al Impediments without the removal whereof no Cure proceeds as also the Foments upon which the other hurts being linked and chained together do depend in their production Now that is said to Vrge which exceeds the other hurts of the body either in magnitude and malignity or in the vehemency and celerity of the the hurt they do III. Touching the Place these things are observable 1. That the inclination of nature and conveniency of the Vessels must be observed 2. That the matter must be voided the nearest way by ignoble parts by a natural channel and by waies cleer and direct But of these things God-willing I wil treat most methodically and accurately in my Syntagona Chap. 3. Of the abstractive Method in Special and first of the taking away of Causes Article I. Of the taking away of Causes which offend in Quantity THe Taking away of Causes respects both Humors offending in Quantity Quality Motion and Place and likewise winds themselves of which notwithstanding they are not so exactly to be considered and by themselves but that they may somtimes be complicated together The taking away of Causes which offend in Quantity is performed by Blood-letting Frictions Fasting Bathing Haemorrhoides Monthly Courses Scarification Cupping-glasses and Horse-leaches I. Touchig Blood-letting these things occur considerable 1. Whether it is to be done or no. I. A Vein is not to be opened 1. If the forces of the body languish as being changed by Fevers long diseases distemper of the ambient air or other things some venemous quality immoderate evacuation of Humors Labour Grievous Pain and passions of the Mind 2. If a Woman be sickly and of a whitish color 3. If it be a child because its heat is apt to dissipate 4. If the Patient be over fearful 5. If the disease be in its highest vigor which attains the Crisis 6. If a crude distemper afflict without fault in the blood and it may otherwise be amended 7. If crude juyces abound in the whol Body especially in the Summer time the stomach being weakned the body soft and a fever be joyned 8. If a crude and cold juyce afflict the mouth of the stomach whence an heart-burning proceeds by reason of the vicinity of the Heart 9. If boyling juyces abound in the whol body which wast the Spirits and being carried into the stomach Cause a deliquium 10. If venemous diseases afflict the body 11. If a critical Evacuation were sufficient II. A vein may be opened 1. If the forces of the body languish being oppressed 2. If the disease be great which afflicts vehemently for a short time with a feverish heat and working of the blood 3. Yea in a person of seventy years of Age provided the pulse be considerable and the nature of the disease and plenty of blood require the same 4. Also in a Woman with child both in the first and last months if shee have an accute disease II. We are to consider at what time a vein is to be opened Touching which observe 1. That such diseases as are caused by a plethora in them a veine must presently be opened at any hour of day or night before it transfer it self into some noble part and the strength of the body come to languish 2. In feavers it must be done in the times of Remission and Intermission 3. If the greatness of the disease require not hast the best time is to open a veine in the morning an houre after the patient has been awake 4. When we would reiterate blood-letting for evacuations sake we must do it the same day III. How much blood is to be taken I. where observe I. Blood may be more freely taken away 1. When the Forces of the patients Body are lively 2. From Persons of a rosey-color of a thick and yellow habit of body haveing large veines and being formerly accustomed co blood-letting 3. In a vehement and great disease when the forces are vigorous we may let blood til the patient swoun howbeit we are not ordinarily to stay so long but when the color of the patient changes and his pulse growes weaker and when the blood runs with a lesser streame than before unless fat or some other gross matter hinder it then we must cause it to be stopped II. It is more sparingly to be diminished 1. In an impure plethora 2. In a melancholick plethora because it is not so hot as to require cooling 3. In a flegmatick plethora because the humor being exceeding cold is made more crude by blood-letting 4. In children and old people specially in the Summer 5. When the forces are discomfited and the disease is urgent for then it must be taken away by peecemeal at sundry times II. Frictions
Sweats and Baths do lessen the quantity of humors because they raise that which dissipates and dissolves the substance of our body III. Tasting does the same because nothing is rest ored in the Room of what is dissipated through restraint of food Because it equally evacuates the whol body it ought to be used in an universal cacochymia Because it operates too slowly it is unuseful for a sudden evacuation Also old persons can better beare it then children Cholerick and leane persons cannot endure it long IV. External Hemerohoides or a portion of the hemorrhoidal veines are used to diminish plenitude and for the diseases of the kidnyes womb back and hip They must be opened by frictions Leeches Fig-leaves rough cloaths juyce of Onions Centaury c. The internal are opened by clysters and sharp suppositories to cure hypochondriacal distempers of the Liver spleen and Mesentery V. The Courses are to be moved then when naturally they use to flow IV. Cupping-glasses are applied when blood is not very plentiful in the Body Their greatest use is in Revulsion They are conveniently fastened to the Armes of women with child If their use respect the whol body they must be applied to the inferior parts if they respect any part they must be applied to the same part VII Scarification if it supply the place of blood-letting it is practised cheifly upon the thighes yet sometimes upon the Arms and Back and so it revells from the Head If it be used upon its own account it is to avoid a malignant and sharp matter which is practised in the Gangren and in Callosities or Calous disorders VIII Leeches if they are applied to evacuate the whol body they must be applied to the great and prominent veins which are in the Armes and thighs In women with child they are applied only to the Arms. Article 1. Of the Removal of Causes which offend in the Quality Point 1. Of alteration The Removal of the Causes offending in Quality consists in Alteration Purgation Vomiting Urining and sweating Alteration is the contemperation of Causes offending in quality by convenient remedies And it is so many fold as there are causes or humors And therefore I. Choler because it offends in Heat and drouth needs cooling and moistning and if it be withal thick it needs it cision and attenuation if thin incrassation or thickening See the Medicaments before Now for their more convenient use we must observe 1. That Infusions are best in the water so that the decoction be made til a third part of the liquor only remaine 2. If a flux happen to rise we must forbear the use of sharp medicaments least they bite and vâ—x the Guâ—ts yet may we use syrup of red Corants Barberies II. Flegm because it is cold and moist requires hearing and drying and if it be withal thick and clammy it needs cutting and attenuation The Medicaments we formerly recited Touching their use observe these rules 1. Abstaine from such as are very hot at the beginning least the matter being melted should swel with greater motion and the thin parts being consumed the thick should remaine behind And therefore they ought to be put green into decoctions in their defefect cold things ought to be mingled with the dry ones 2. Stong openers ought to be avoided in a woman with child 3. Because where flegm is troublesome there the stomach languishes to those that are not accustomed we must give them their drinks actually hot 4. If you would have the remedies penetrate the most distant parts of the body and carry their virtues with them they must be given boiled or beaten in broath of Guajacum with a great Quantity of Liquor III. Melancholy in which we must abstaine from immoderate use of Vinegar especially if the matter be more fervent than ordinary For black humors do ferment and swel by the admixture of vinegar And therfore if we are to use it we must give Oxymel with a decoction of Citron peels or some such thing IV. If divers Humors are mixed together we must cheifly set our selves against those which are most active not quite neglecting the rest whether within or without the body Which shal be done when the veins are free from obstruction al the passages of the body open the humors not far from a temperature and the noble bowels free from obstruction In opening syrups Heurnius observes this order 1. First syrup of vinegar is given then syrup of the two roots without vinegar then the said syrup with vinegar after that syrup of the five opening roots then Syrups of Byzantinus so called without vinegar and lastly the said syrup with vinegar Point 2. Of Purgation Purgation is a convenient â—â—awing out of Humors offending in quality but yet prepared out of the Body by medicaments which purge by way of stoole I. Those Humors are either smal in quantity or plentyful and either they cause a fever which is vehement or weak or they cause no fever or they wander through the whole body with vehemency of symptomes or not II. By Coction in this subject we do neither understand that which is called pepsis and is a changing of the thing to be concocted into the nature of the Concocter nor is it that coction which is opposed to crudity which is the indigestion of aliment in the stomach liver and veins or humors having passed the mediocrity of Coction as in yellow and black choler nor the redundancy of cold humors but that kind of Coction which is called Pepasmos and is nothing but the reduction of humors disagreeing in substance and qualities corrupt and putrid unto a similitude and the separation of the corrupted from the uncorrupted which is performed by the Efficacy of the Natural Heat separating the profitable from the unprofitable Yet is it not necessary that al humors be concocted For there are humors which are not in a capacity of concoction being severed from the concoction of the blood as in Catarrhs the Colick Flegm Hydropical water and such as offend by some hidden Quality III. Preparation of Humors is twofold 1. To Coction which is performed by removal of all impediments by diminishing the Humors augmenting the natural Heat and repairing the forces of the body 2. To evacuation which is done when the Humors are made fit for expulsion such as are clammy being cut and the thick attenuated the waies being made free and open with clysters emollient broaths and the like IV. Touching Medicaments these things are to be observed 1. That they are either moderate which reach only the inferior parts or vehement which penetrate beyond the liver and into the habit of the body that they are either catholick or universal by which al humors are purged together or such as draw some particular humors and they Choler purges Flegm purges Melancholy purges Water purges 2. That they ought to be addicted and accommodated to the part to be purged And truly Agrick is appropriated to the Head Cassia to the
the stomach 9. In the summer purges are to be given with coole things For the summer Heat calls the juices abroad which the Medicine presently draws away 10. Winters cold because it wil hardly let the humors go the habit of the body being compacted declares that preparatives are to be premised and cutters mingled therewith 11. The Aire of the patients chamber if it be too hot it stops the operation of purging physick by drawing the Humors into the circumference of the Body 12. A Lenitive or gentle medicine must be taken a little before or after meat least nature abuse the same by turning it into Nutriment 12. After a purge is taken the Patient must rest that nature may embrace the medicament and then a little motion wil do wel to melt the humors and that the expulsive faculty may be provoked Some Physitians bid their patients sleep a little after a strong medicament but not so after a weak one 13. When you give a strong medicament let the patient eat three houres after the Physick begin to work when you give the strongest purges of al let the patient pass over the time of its operation without dinenig for such medicaments need no spur 14. If the patient cannot hold out but dureing the purgation be so hungry as to seem weakned thereby let him drink presently after the taking his medicament a draught of broath or bread moistened in wine But thirst declares that the purgation is finished by reason of some Consumption of the roral moisture provided it be not provoked with a light Catarrh or the stomach be not naturally inflamed and there be no suspician of any inflamation from the Medicament 15. When the evacuation is ended the Broath of a pullet may be given with sugar to wash the Gutts Point III. Of provocation of Vrine Vomiting and Sweating Diuresis or Vrination is the drawing of Humors out of the Body by diuretick or urine forceing medicaments duly administred You shal duly administer them 1. If you give them in such diseases as are evacuated by little and little 2. If you give diuritick medicines properly so called in thick humors those improperly so called in thick and adust ones which by that meanes are made more fluid taking heed of dry diseases such as the Consumption Madness c. 3. If you give them not in bodies ful of humors til the humors have been first abated by purgation least by their thickness and plenty while they rush headlong into the narrow passages they come to obstruct them 4. If you give not sweet medicines to women least they be drawen to the womb 5. If the passages be neither inflamed nor exulcerated II. Vomition is the ejection of Humors upwards by vomitory Medicaments conveniently given and applied Those Humors are all cholerick flegmatick and melanchollick humors but those especially which either reside in the Capacity of the Belly or are contained in the spleen hollow side of the Liver or the Pancreas Sweet bread such as are thin and chollerick and of their own accord tend upwards which is perceived by bitter belchings paine biting and heaviness of the Midrif Also some vomitings empty the whol body Vomitory Medicaments procure vomiting either because they have an inclination upwards or because they do as it were float upon the stomach and oppress the same or because they loosen the upper orifice of the Stomach The Conveniency of preparation and application Requires 1. That they be given to persons leane by constitution and habit but not by sickness provided they vomit easily namely that they have a large breast firme Head and use not to spit blood nor are in a Consumption nor are subject to suffusions in their Eyes or to frowning or fainting fits 2. That you be not hasty to give them to old people 3. That you give them in the Summer because then the Humors are carried upwards 4. That the Vomit be so much the lighter by how much the Disease is more vehement and so much the stronger by how much the part to be cleansed is far scituate in the body 5. That no oyl be used in Feavers because of the Relaxation of the stomach whose strength ought to be preserved in Feavers 6. That you give them before meat in thin and cholerick persons after meat in flegmatick people because flegm sticks fast in the body Observe more particularly concerning Helebore That the body be free from al feaverishness That the Patient be accustomed as it were to vomit for three yea for twenty daies before that he may not vomit to purpose til the morbifick matter be digested That the Hiccupping which is wont to arise in the middle of the vomitings with Hellebore be stopped by giving the patient Mul-sack with Rue boiled in it That it be given in a convenient Quantity For a lesser dose than is fit agitates the juyces and disturbs nature to no purpose III. Sweating is an Expulsion of Humors by the pores of the Skin al the body over caused by sudorifick Medicaments conveniently administred Touching the Medicaments observe That they have a greater tenuity or subtilty of parts than Diureticks have That they cause sweat by turning the Humors into vapors and thrusting them into the outer parts of the Body That cold sudorificks work by an occult Quality Their convenient exhibition is regulated by these precepts 1. That cholerick persons sweat not without trouble and inconveniency because of the overgreat dissipation of their natural Heat 2. Humors cannot be conveniently forced out of the Cavities of the stomach Guts Wombe and the like into the habit of the body 3. The forces of the body being weak are more impaired by sweating 4. In old and cold diseases as distillations Palsies Sciatica Pains of the Joynts Sudorificks are exceeding good 5. They are to be given after universal purging in the declination of a disease 6. They are most of use in pestilential Diseases nor is there then so much need to observe either the time of the disease or the strength of the Patient 7. The Humor to be evacuated must either be thin of it self or it must be made so 8. Plenty of morbifick matter must not be assailed by sweaters least being carried unto the Skin it shut up the smal pores thereof and either breed or encrease putrefaction Article 3. Of the Removal of Causes offending in Motion Point 1. Of Revulsion and Repulsion The taking away of causes offending in Motion contains under it Revulsion Repulsion Derivation and Interception I. Revulsion is the convenient aversion or turning away of matter flowing into some part into a part quite contrary 1. This Aversion is caused either by Reason of Vacuum by blood-letting cupping-glasses and Horse-leaches or by reason of Heat and pain by dolorifick ligatures strong frictions of the opposite parts Clisters Suppositories hot washing and vesicatories When I say that Aversion ought to be made to the contrary part Observe I. That it must be made to remote parts to
1. By Diet which must yeild very good nourishment 2. By the frequent Evacuation of the prepared Humors 3. By Removing the Contment Cause by Emollients and Discussers either mixed together or used alone one after another interchangably The milder sort in persons tender and soft fleshed and when the Tumor is new The stronger in harder bodies and where the Scirrhus is old Fabricius Hildanus his Plaister of Hemlock mentioned in the 25. Observation of his 3. Century A Cataplasme of Briony Roots Goats-dung and Vrin are very good 4. If it come to suppuration by cleansing away the quittor with the Plaister of Diachylon simplex omitting heaters and section or lancing least it turn to a Cancer It is divided into a true or Legitimate which is void of sense and in which hairs grow upon the part for which there is no Cure and a bastard which is contrarily disposed to the former Article II. Of a Cancer A Cancer is a round Tumor blue or blackish having Veins round about it ful and swelling resembling the feet of a Crab and springing from black Choller The SUBJECT are parts of the Body as wel external as internal especially the moister and upper parts as the Dugs of Women The SIGNS are drawn from the manner of its Rise At first it s hardly so big as a bean in the progress it exceeds a Wal-Nut and an Eg it is hard of a Leaden or livid color or Else blackish with heat pain and pulsation the veins round about swel with black blood and resemble the feet of a Crab. The CAUSE is adust and black Choler hanging in the veins and by its thickness unable to pass along which springs partly from Nutriment affording such an Humor which has not been drawn by the Spleen partly from an hot burning distemper The CURE is difficult in al both because it comes from a stubborne and Malignant Cause and because it lurks in the deep veins It is not to be undertaken if the Cancer be hidden If it be seated in a Cavity of the body in the palate Fundament or womb There is no Cure if it be confirmed and seated in some noble part of the body It is of some Hope if it be smal fresh and stick in the surface of the body How it is to be performed see in the differences As for what concernes the differences 1. One sort is Exulcerated which is easily known and is caused by a matter sharper than ordinary It has the appearance of corrupted flesh with stench filthy matter coming forth an horrid aspect Lips very hard and turned in There is a slow Feaver conjoyned Swowning black or yellow sains or Blood-water running out of blood c. It s Cure is either Palliative by gentle-dryers and coolers or true 1. By Incision to the quick after which the corrupt blood must be pressed forth the Ulcer concocted mundified see Hartmans ponder in his Chapter of a Cancer in the brest or Dug filled with flesh c. 2. By burning either actual or potential if the profounder and greater vessels be thereby occupied Another sort is not Vlcerated which arises from a milder matter Is Cured 1. By Diet Moystening and cooling 2. By Blood-letting 3. By repeated Purgations of the Humor with extract of Hellebore pills of Lapis Lazuli after it has been prepared with Fumitory Hops Juyce of Fragrant Apples c. 4. By Application of External Medicaments in which case gentle Repellers are useful as the compound of Frogs-spawn Discussers which have no biting quality as Pulvis Benedictus of Hartman the Magistery of Crabsshels c. See Agricola also T. 1. Page 145. II. Another springs from Suppression of the Courses Another of the Haemarrhoides The Cure must be applied to those Diseases Chap. 5. Of Tumors springing from Wheyish Salt and Cholerick Humors mingled together Article I. Of Scabbyness TUmors springing fom mixt Humors do arise either from salt Wheyish and Cholerick Humors or from Flegm Melancholy and Choler so that the conjunct cause is no longer an Humor but some other matter bred of Humors Hereunto belong Scabbyness the Grecian Leprosie Phlyctinae Sudamina Sirones Vari Epinyctides Alphus Leuce Impetigo and Gutta rosacea The Scab Is a Tumor arising from corrupted blood vexing the Patient with distemper and Exulceration of the skin The SIGNS are set down in the definition The CAUSE is corrupt blood mixt with black choler and salt Flegm which either comes from suitable Diet especially when the Liver is distempered with Heat or it is corrupted by contagion and being brought unto the skin it sticks therein and causes Exulceration The CURE is accomplished 1. With Diet which requires boyled meates 2. By Contemperation and Evacuation of the Humors and reducing the Liver to its due temper by the Syrup of Coral of Quercetanus It is divided three manner of waies I. One is Symptomatical to which what has been said ought to be applied Another is Critical which breaks forth after acute or long Diseases II. One sort is moist out of which much sains or blood-water Issues It is caused by Salt Flegm T is Cured more easily than the dry Scab and that 1. By Evacuation to which end whey of Goates-Milk and Fumitory are much commeded 2. By provoking Sweat either by half an ounce of Spirit of Dwarf-Elder and two ounces and an half of Fumitory Water or by Spirit of Guaiacum or Antimonium Diaphoreticum if it be more hard to be removed than ordinary 3. By Application of External Medicaments And here bathes of fresh water and brimstone stone bathes are useful Also to apply the Yellow middle bark of Frangula with Vinegar And Sinnertus his Oyntment Book 5. Page 1. Chap. 27. Another Dry in which nothing is voided or a little quantity of thick matter and the Ulcers are Lead colored T is Caused by an adust Humor Cured with difficulty after the same manner as the former having respect to the Causes Another sort is termed Volatica the Running Scab which infects al the skin in one night for the most part In this universal Remedies being premised t is good to wash the Scabs with the blood that comes from a Woman with the after-birth See Agricola T. Pape 280. III. There is another sort termed Malum mortuum which vexes the Patient with a Leaden and black color crusty pustles black Dry without sence or pain cheifly in the Legs It Springs from a Melancholick and Scorbutick Juyce T is Cured after the same manner having respect to the Difference Another sort is the Leprosie of the Greeks which differs only gradually from other Leprosies T is Known hereby because it Eates deeper into the Skin and scales as it were of Fishes fal of whether the Patient scratch or scratch not and the Scabs stink filthily T is Caused by black-Choler oftimes mingled with Salt Flegm Cured by the same kind of things as the Scab but stronger The distmper of the Liver must cheifly be redressed Sweat must be procured with a
Decoction of Salsaparilia Guajacum and China Article II. Of the Phlyctaenae Sudamina Sirones and Vari Tumor so called Phlyctenoe or wild fire are little blisters or Bladders raised in the skin by exceeding sharp Humors They are known hereby because they are like such as proceed from scalding and when they are broken a yellowish Humor breaks forth Spring from a Chllerick wheyish Humor which is thrust out into the skin either by Nature or some external cause Are Cured by a Decoction of Duck-weed universal Remedies being premised if need require an Epitheme of strong Lie made of Beech Ashes mixt up with Lin-seed Oyl and walnut Oyl of each a like quantity and frequently applied 2. By Breaking a drying Cataplasme being presently applied II. Sudamina are pushes like milet seed which Vlcerate and ruff the skin They are known most easily They arise from plenty of sweat restrained within the skin especially in an hot and moist stomach after an hot Diet. Are Cured by washing with Oaken-water to which a grain or two of Camphire may be added III. Sirones or Chriones are Pustles in the Palms of the Hands or soles of the Feet which have little worms in them The worms must be Dug forth then the place must be washed with a Decoction of Oake-leaves with Alum or of Sulphar with Oyl of Tartar IIII. Vari are little hard Tumors on the skin of the Face curdled up of an hard thick Juyce They are known easily They are of the bigness of Hemp-seeds and they infest young people that are inclined to Venery and fruitfull but chast withal and continent They arise from an alimentary Humor for the most part which insinuates it self into the pores of the Skin and somtimes has Cholerick blood mingled therewith and then they shed forth an ichor and turn to ulcers They are Cured with Difficulty if there be a deep redness in the Face with pustles If the same be joyned with a bloat Face and Hoarsnese of thâ—â—â—ice The Cure is wrought by Discussers and Emollients premising such things as purifie the blood Commendations are given to Oyl of Vitriol Sulfur or Tartar smeared on in the evening and washed of again in the morning with warm water wherein bean-flower has been steeped Article III. Of the Epinyctides Alphus and Leuce Epinyctides are smal Vlcers which break out of their own accord especially in the night in the eminent parts of the Body resembling Bladders which being broke in sunder blood-waterish matter runs forrh They are known by their leadenish color or blackish vehement inflamation pain enerasing in 〈◊〉 night by reason of the motion of black-Meâ—â—choly and the nights cold stopping the pores of the skin They arise from a wheyish and Melanchollick Humor like the Cause of a Carbuncle in al things save Malignity and greatness of the Tumor The Cure consists in Evacuation and Topicks that bridle and temper the churlishness of the Humor offending II. Alphus The Morphew are great Blots or spots upon the skin changing the color thereof which are spread up and down here and there with a certain roughness They arise from blood badly nourishing and they trouble Men more than women or Children They are either Black springing from Melancholy blood through default of the Spleen which are Cured after universal Remedies by good Diet bathings anointing with Mustard-seed pouder mingled with water or White but not exactly agreeing with the whitness of the skin which spring from Flegmatick blood cheifly through default of the Liver The skin is by them made white but not the Hairs and if it be pricked blood follows They are Cured more easily than the black one They require not blood-letting by reason of the coldness of the blood II. Leuce is a continued blot changing the color and substance both of skin and flesh T is known both from what is set down in the Description and because it makes the hairs fal of and others grow in their place like down The skin is flatter than in other places If prickt with a pin a watry and white liquor comes forth It springs from Flegmatick blood with which the flesh being nourished first becomes of a middle nature between that of Animals that have blood and that of bloodless Live-wights and afterâ—â—rd when it cannot change it into the form of â—ed-flesh it becomes like the flesh of Oysters and Locusts The Cure is Desperate if after rubbing it look not red If prickt no blood follow if the blot continualy encrease Difficult if it be smal if rub'd it shew some redness or be upon the hand or foot T is Performed 1. By Preparation of Humors by heaters and cutters 2. By Evacuation with Flegmagogues 3. By external Applications the parts being first rubbed with a Course Cloath Article IIII. Of the Impetigo and Gutta Rosacea Impetiâ—â—â— Or Licheu a Tetter or Kingworm are hard pustles upon the Skin which spread themselves into the bordering parts with dryness roughness and great itching T is known by what is in the definition expressed It arises from a thin sharp wheyish Juyce mingled with an earthy Humor which comes from a suitable Diet and somtimes in the Spring and somtimes in the fal it enclines to the outward parts and breakes forth T is Cured 1. By good Diet which must be neither salt nor biting 2. By Alteration and Evacuation of the Humors if they too much offend 3. By Application of Topicks Vnguentum Citrinum with Oyl of Egs live Brimstone Oyl of wax of Cloves and Camphire are commended after a somentation of Mallows Mullein and Fumitory Also Oyl of Tartar per Deliquium with a like quantity of Oyl of Wax mingled T is Divided into a Gentle sort which being anointed with fasting Spittle or with the Roots of the sharp-pointed Dock beaten with Vinegar is somtimes cured and a Feirce or Angry sort in which besides the former Medicaments a water distilled out of Oyl of Tartar with crude Mercury is good the Mercury being in a quadruple proportion to the Oyl of Tartar Joil his Experiment of the rust of Iron Book 10. Of his Practice S. 3. II. Gutta Rosacea is a Pustulous and somtimes Tuberous redness of the Face Representing Rose-colored spots T is known by the sight It s Original is from thick blood and fervent bred through default of the Liver originally or by bad Diet and carryed up into the Face and there sticking by reason of its thickness T is Cured 1. By reducing the heated Liver to its right temper with Syrupe of Cichory Straw-berryes and Coral 2. By opening the stoppages thereof 3. By Topicks as the menstrual blood of a Virgin dissolved in hot water Oyl of Toades c. See Hartman of redness and Pustles in the Face Chap. VI. Of Tumors wherein the Humor is included in a proper Membrane TO such kind of Tumors there are three sorts referred 1. Strumae or Scrofulae which are a Scirrhous Tumors of the Glandules contained in a peculiar Membrane Their Subject
Vapors somtimes from the whole Body somtime from its parts as the Arm-pits Privities Feet From the whole Body either because of some propriety of temper or by reason of the blood and seed being corrupted in the Womb or through some accident during the time of a Womans Belly-bearing From the Parts by afflux of Excrementitious Humors in moist bodies which being thrust thither because they cannot freely exhale they conceive putrefaction and stench In the Cure regard is to be had of universal Remedies Let the Diet encline to dryness and resist Putrefaction Let also the foresaid parts be often washed with a Decoction of Scabious Mirrh Guaiacum and anoynted with an Oyntment of Orice-Roots Lignum-Aloes Ballom of Citrons and Nutmeg compounded together or let them be sprinkled with Pouders Title III. Of the Diseases incident to the Hair Chap. 1. Of falling off of the Hair THe third kind of external Diseases are those of the Hair under which are comprehended Shedding of the Hair Graynes of Hair Dandruff and the Plica Shedding of the Hairs is when they do for certain Causes fal from the Body It is divided into certain sorts viz. Defluvium Calvities Area and Tinea 1. Defluvium is such a falling of the Hairs that either all or most of the Hairs fal of here and there in several places It is known most easily It arises from divers Causes 1. From defect of nourishment as is seen in persons having the Consumption and such as are sick of a Malignant Feaver In the Consumption there is no Remedy In other sorts the Head must be frequently rubbed that the nourishment may be brought thither The Head must be washed with a Decoction of Capillary Herbs 2. From the Pravity of Humors which Eate and corrode the Roots of the Hairs In which case universal Remedies being premised things moderately Discussing are to be used Ladanum is to be mixed with Oyntments 3. From the Rarity of the Skin Then such things as thicken the Skin as Ladanum Oyl of Mastich and Myrtles a Decoction of the Roots of Burdock made in Lie II. Calvities Baldness is when the Hairs fal wholly of from the fore part of the Head T is known by the Eye-sight It Arises from defect of Aliment dryness of the Brain either through Age or some violent cause as too much use of carnal Embracements There is no Cure of baldness yet it may be preveted and deferred 1. By good Diet in which biting salt and astringent things strong Wine too much venery ought to be avoided 2. By supplying nutriment to the Hairs by such things as correct the dryness of the Brain 3. By drawing Aliment to the Roots of the Hair In which case Moderate frictions are good and drawers joyned with things moderately astringent Ladanum dissolved in Oyl of Mastich Washing the Head with a Decoction of Faenugreek c. III. Area is the falling off of the Hair from certain parts of the Head so as to leave bare bald patches here and there arising from a bad and corrupt Humor fretting the Roots of the Hairs It is known by the sight and by the differences of which anon It arises from the Humor named in the description especially from Flegm Salt adust and putrified through fault of the Brain and an hot Liver and corrupt meates as toad stooles c. The Cure is easie if the Disease be fresh If the place being rubbed quickly grows red If the Extremities of the bald patches which border upon the hairy parts begin to shoot forth Hair afresh Hard if the Skin be thick fattish and wholly void of Hair If the Disease be old None if the place being rub'd grows not red T is Performed 1. By Evacuation of the Vitious Humor by purges and Apophlegmaiismes 2. By driving back the said Humor while it is in Flux 3. By digesting the same when it is fastened into the Skin by Medicines hot and of thin parts not very dry least the Aliment be Discussed First the Weaker sort as Southern-wood reed-Roots burnt afterward the stronger Mustard Water-Cresses white-Lilly Roots which ought at first to be more Liquid and left so long on til some alteration be perceived in the Skin Beares-Grease helps by a secret Propriety of which with the Hairs of a Bear burnt Oyl of Mastich-tree and other things before recited an Oyntment may be made T is divided two manner of waies 1. Into Alopecia which keeps in its spreading any kind of Fignre and happens in the beard and hair of the Head in any Age And Ophiosis which begins on the hind part of the Head exceeds not the length of two fingers creeps towards the eares with two heads and in some as far as to the Fore-head til the two Heads meet before It cheifly haunts Infants Herein also the Skin is superficially Excoriated the Color thereof changed and if it be pricked Wheyish blood Issues forth 2. Into that which springs from the Whoremasters Pox that which comes from the Leprosie which is incurable and that which comes from other gentler Causes IIII. Tinea when the Hairs fal off one by one being Eaten and consumed by certain Worms T is known because the Hairs are shorter one than another and uneven Smal worms thick in their ends The color of the Hair becomes like that of Ashes It arises from Excrementitious Humors penetrating into the Hairs with their nourishment and therein by Heat changed into worms T is Cured Universal Remedies being premised by Abstersion with docoction of great Nettle smal Centory c. Chap. 2. Of the Porriga and Plica POrrigo Dandruff is when a man scratches or Comes his Head and there fals somwhat out like Bran. It arises from serous Cholerick and Flegmatick Humors which are carried to the Head with the nourishment of the Hairs the more thin parts being Discussed the thicker stick about the Hairs and go into dandruff They are attracted by an over-bot brain The Cure is by Evacuation of the peccant matter By Discussion and Abstersion with some astringents A Decoction of Vetches and Mallows is good in this Case II. Plica is a tangling and folding of the Hairs into Elfe-locks or thickly thrummed and matted bunches arising from plenty of matter profitable to nourish the Hairs but unprofitable for nutriment of the Body and causing divers Symptomes It is known by bunchings and complications of the Hair pains vexing the Joynts and bones convulsions plenty of Lice The Nailes of the great Toes are rough and scaly black like a Goat-Bucks-Horn The Cause cannot sufficiently be explained T is thought to be a Matter affording plenty of nourishment to the Hairs but such as is hurtful to the Body as familiar to the Hairs as in the running Gout Wheyish matter is to the joynts or Polygonon and bone-glew to the Bones whereupon if the Haires be shaven they shed blood It arises from a peculiar corruption of the place Aire and water T is carryed thither with the Blood somtimes Witchcraft may be joyned The
Pils so much used by Solanander and Mathiolus 4. by exciting and provoking of sweats with the Hidrotick of Quercetan and the sudorifick of St. Ambrose unto which there must be added Guajacum china Treacle Bezoardicum Lunare together with other apropriate remedies al which are to be followed and attended with frictions of the neck or the spina dorsi with onions and the new fresh root of the flowerdeluce 5. by a particular evacuation of the brain by errhines Apophlegmatisms c. 6. by the application of Topical remedies where have their place frictions rubbings and chaifings with the water leaves infused in Malmesey Bathes with formicetes Rubifications or rubbing the part til it become red with green Nettels and other suchlike inunctions with the unguent of vipers the unguent likewise of the several sorts of pepper the Unguent of Castor the grease of the wild Cat mans fat c. Natural or Artificial hot baths touching which se further in Heurnius his method 7. by a diet that is hot and dry concerning which consult the Practitioners in Physick Another is from the straightness or narrowness of the Nerves which is caused 1. By an obstruction proceeding from a pituitous flegmy humor and other things that are subservient hereunto and conducing unto the purpose aforesaid Then the cure hath regard unto the Cause touching which we have spoken sufficiently above 2. a Constipation from some tumor or swelling that hath its first rise in the substance of the spinal marrow or of some nerve 3. Compression and that either from some external cause or else from a Tumor c. III. Another is from those Causes that dissolve or make a solution of unity in the nerves in the number of which there is 1. a Contusion fal or blow And then a vein is to be opened lest there should happen an afflux unto the contused or bruised part Astringents together with discussives are likewise to be applied and layed upon the part affected unless haply there be present an inflamation 2. a dissection and for this there is no remedy at al to be had 3. a relaxation or loosening of the vertebrae of the Back suddenly caused of the which sufficient hath been spoken in the second Book Another is from things narcotick as for examples a touching of the sea fish Torpido quick-silver and the immoderate unseasonable drinking of wine which rendereth the spirits extreamly stupid and dul and here in the cure whereof there ought to be a special regard had unto the nature and quallity of the Cause IIII. Another is Colical when a humor from the intestines is moved not so much unto the begining of the orifice or first enterance of the nerves as unto the very muscles and tendons The Cause hereof is a thin humor that is both chollerick and wheyish In the Cure we must deal cheifly and principaly by clisters that so the perverse motion of nature may be inverted A vein is to be opened if there be present a Plethory and orver great abundance of pure and good blood We ought then to purge with gentle purgers as we terme it by an Epicrasis or an often reiterated evacuation and drawing forth of the peccaut matter leisurely and by degrees some now some then and not al at once Let sudorificks then follow administred in primrose water and the water of Lilleyes of the vally The spirit of Niter is also of excellent use in this case Another is that which we terme Scorbutick touching which see more in the Scurvy Another is that we cal Hysterical of which also we may see more in its own proper place Article VI. Of a spasm or convulsion A Spasm is an involuntary perpetual and painful Retraction or drawing back of the Muscles towards the place of their original and first beginning arising from the abbreviation and shortening of the nervous or sinewy parts which is evermore attended and followed with a Rigor or Extream stifness and a depravation of the figure shape and symmetry of the foresaid parts The part affected is a Muscle and especially a Tendon The SIGNES are apparent of themselves the Muscles are in such manner drawn back that the parties are altogether immovable toward and unto the contrary The CAUSE is either a certain matter pulling and twinging the expulsive facculty of the parts or else some disease voilently stretching out the nervous parts and this sticketh fast either in the beginning and sourse of the nerves to wit the Brain or in the Spinal marrow of else in some one peculiar nerve There is hardly any CURE to be had or hoped for if it be from hellebore if it arise and appear after a Phrensy if it proceed from a wound especially in the brain by reason of a filthy stinking and corrupt matter pulling and twinging the nerves The Cure is very difficult although not altogether without hopes if those parts that are situate neer unto the brain be affected and suffer if it happen primarily by the consent of some nerve in regard that then the sick person cannot possibly hold out and endure by reason of the vehemency of the Symptoms if it arise from an abundant flux of blood if it follow upon the monthly Courses in women if it attend and follow upon feavers or if it chance to be accompanyed with vehement and accute pains about the bowels or intrals It is more easie if those parts only are surprized and siezed upon that are more remote from the brain and consequently the less noble and considerable if it be by the consent of the Brain unless the affect that the brain lyeth and laboureth under be pertinatious obstinate and unyielding The Cure ought therefore to be Instituted according to the Nature and disposition of the Causes of which more fully in the Differences The Differences of a Spasm are very many and Various I. One is Vniversal which affecteth the whol body The Cause whereof either It is in the Brain and then together with the body the Muscles likewise of the Face are also drawn and pulled together and suffer a Convulsion or else it is in the Original and beginning of the Spinal Marrow from whence it happeneth that the Muscles that move the Head and the spinal Marrow are retracted and drawn back And then either the body with the Neck and Head is drawn to the inner parts from whence ariseth that we term Emprosthotonos or else the twelve Mulcles that extend the Head being affected the aforesaid parts are drawn backward from whence is that we cal Opisthotonos or otherwise the Muscles and Nerves as wel the anterior as the posterior being al of them affected the whol body remayneth altogether inflexible and unmoveable from whence ariseth that we cal Tetanos with the which whosoever are affected either they die within four daies or else if they pass and out-live these they then escape and recover Another is Particular of the Eye Mouth c. Of which we shal see further in the proper place
the sound and noise that it maketh wil soon discover Chap. 4. Of the Diseases of the Adnata Tunicle Article I. Of the Ophthalmie THe Parts Constituting the Eye either they are the Tunicles Viz. Adnata Cornea Vvea and Aranea or else they are the Humors thereof The Diseases of the Adnata are the Ophthalmy Pterygium Panniculus and Hyposphasma of the which two latter this is common to the Cornea Tunicle that unto the Eye-Lids The Ophthalmy is an inflamation of the Adnata Tunicle arising from a sharp blood distending the smal Veins thereof The SIGNS are redness of the Eyes a flowing forth of tears a pain c. The CAUSE is Blood which either alone or else castigated by other Humors sliding forth unto the part affected either by an afflux or else by congestion is dispersed thorow the Veins and so distendeth them The CURE is Difficult if it arise in cold Regions and in a cold time because then the Members are more than at other times streightened and confined if it infest and annoy little Children because that it continually followeth from a tender and weak Head if the pain presevere and long abide because it argueth a matter either corroding or vehemently distending or suppurating if it be by consent from the Membranes of the Brain and the parts contained within the Skin if there appear in the Eye smal grains of filth because these signifie a slowness of Maturation It is more easie if it be by Consent from the external parts if the tears be more abundant and more smarting because it cometh the sooner to an end if the belly be quick in regard that the loosness of the belly freeth the party from it It is to be accomplished according to the Method of other Inflamations It is to be noted in this that somtimes by Venesection the greatest Opthalmies are wholly taken away within the space of an hour 2. That Vesicatories applied behind the Ears do very wel draw back For this purpose there is much commended by Hartman the meat of the Herb Rocket in a quilted bag 3. Errhines and those not overstrong and violent are to be administred if the sick person hath bin wont to evacuate the excrements of the head by the Nostrils 4. Topicks are to be applied but yet not until the end of three whole days and these are to be actually some that warme without any the least mordacity or Carroding quality wel cleansed and purified and corrected by such repellers as are in their own propriety helpeful neither must they be too cool nor too astringent neither over dry and those may presently be put unto the forehead and the neck and they are to be followed with Anodynes which if there be any fear of a greater afflux are very fitly applied to the eye from the very beginning 2. the womens milk is every hour to be changed lest that after long continuance it contract a certain kind of acrimony from the heat of the eye 3. Opium and opiate medicaments are by no means to be adminiâ—tred without great and urgent necessity 4. Great caution must be had lest that there should be any suppuration in the inward parts 5. In the diet wine and the use of baths in the declination of the disease may very wel and without danger be allowed and permitted unto the sick person A Cataplasme of the Crumbs of wheat bread and a rosted apple with the brest-milk of a woman together with a little saffron and sugar of saturn is exceedingly commended And so likewise is the water that is made of the juicy substance of Craw-fish distilled two pints thereof of Rose water one pint and Crocus metalorum half an ounce infused altogether as also of the waters of the eyebright and Fennel of each alike five ounces with metalorum one dram unto which there may be added a fit proportion of rosewater Among the discussives Sarcocol wel washed and the true Tutty of the Arabians which drieth without any kind of biting obtain their place and use The Differences of the ophthalmy is threfold I. One is that we cal Taraxis or a perturbation which is known by this that the eyes only appear to be hotter with a certain redness in them and without any great abundance of tears It ariseth from external Causes to wit 1. the heat of the Sun or the fire and then the Cataplasme before mentioned may very siâ—ly be applied 2. from a pain of the head contracted from the suns scorching heat and then likewise the aforesaid Cataplasme hath its place unless happly general and Universal remedies ought altogether to preceed and take the the first place 3. from wind smoake and dust and the eyes are to be washed with milk luke warme and fleep to be taken thereupon 4. from a blow or a fal and then blood ought immediatly to be drawn forth by opening a vein 5. from the stinging of a Bee Wasp or Hornet and then Repellers of the white of an Egge the breast milk of a woman c. are to be imposed Another is the true and genuine ophthalmy which proceedeth either from hot or from cold causes and to this al that hath been before spoken doth properly and cheifly belong Another is that we cal Chemosis whenas the eye lids are as it were inverted and â—urned the inside outward neither can they be closed and then there appeareth a swelling of something that is white above the black of the eye and this needeth and requireth the stronger sort of remedies II. Another is Periodical which kepeth its intervals it is familiar unto hot moist heads at length it casteth the eyes into a consumption Another is that that keepeth not its periods Another is Contagious III. Another is Moist 〈◊〉 â—hich we have now most cheifly treated Another dry in the which there is but a very smal flux of tears and in the night-time the Eye-Lids contract an hardness It hath its original from a humor that is not much in quantity but very salt and nitrous And it is either with an itching attending it which if tears gently flow forth it is then called Psorophthalmia but if there be no tears at al and that the eyes are only red without any swelling it is then called Xerophthalmia or else without an itching and with a certain hardness of the Eye-lid and then it is-termed Sclerophthalmia The Cure hereof followeth the method of that before mentioned Article II. Of the Nail or little wing the web and the Hyposphagm of the Eye I. The Nail or little wing as they terme it of the eye or as some cal it the arrow is a little membrane that is nervous sibrous and somwhat white which proceedeth forth from the corners of the eyes the greater of them especially and cleaveth fast unto the Adnata tunicle and is somtimes drawn forth in length even unto the Cornea tunicle and very often if it so much increase covereth and over spreadeth the Pupilla or Bal of the Eye
This Affect needeth no SIGNS since that it is evidently exposed unto the view It is discerned from the Lachrymal flesh by its white shining brightness The CAUSE is Blood mingled together with thick viscid and clammy Humors flowing down from those parts that are contained betwixt the Skul and the Skin and bringing upon the place a certain kind of Scabbiness or scurfiness which while the nutritive faculty endevouereth to render and make equal it produceth an increase of the membrance beyond the ordinary course of nature The CURE Requireth I. The Premising of the general and universal remedies II. the extertion and extirpation of the nail after it hath been for a while fomented either with a decoction or some temperate distilled water Among the several sorts of medicaments there is commended the pouder that is made and prepared of Egg-shels and then cast upon the eyes the Medicinal stone of Crollius in the water of roses and Eye bright the specifick of â—artman of the fish Lucius we cal it the Luce or Pike the same Hartmans water of the whits of Eggs and other such like remedies which if they be sharp and piercing ought to be quallified and corrected with Tragacanth and the like and exceeding great Caution must be had that the tunicle Cornea be not touched III. It requireth Chyrurgery of which you may see further if you consult Authors upon this very subject IV. A Diet in which there ought to be an abstinence from wine and meats that generate store of vapours It is many wayes Divided I. One is that we cal Albicans or tending to whiteness Another there is that tendeth to a blackness which is not to be removed by any remedies whatsoever II. Another Recent or new which may soone and very easily be dispersed and quite taken away Another is Inveterated and old unto which if a thickness chance to accrew and be added thereto it ought then to be cut out yet sometimes notwithstanding it sticketh so close and pertinaciously unto the Adnata tunicle that it cannot be taken away thence no not by the Chirurgeon himselfe without manifest hazard and danger of hurting the eye III. Another is that which is produced only unto the Cornea tunicle and no further Another that is extended along even unto the very pupilla or Eye-bal and this if it be taken away it indeed wholly freeth the eye from fluxions but if a Cicatrix or star be left remaining it very much hindereth the sight of the eye IV. Another is Cancerous and Putrid which admitteth of no Cure at al Another that is not as the former II. The Pin or web of the Eye is a certain red substance like unto a smal piece of cloath arising from the exuberancy and over great abounding of blood in the Exterior veins of the Eye There is here no need of SIGNS There appeareth especially in the superficies of the tunicle Adnata as it were a fleshy web with an itching a pain an offending of the eyes by the light the sight obscured or quite and clean taken away The CAUSE is a blood derived unto the eyes either simple and alone or mixed either by the way of fluxion or of congestion and this either by the external vessels and then the forehead swelleth a little or otherwise by the internal vessels and then there is a certain pain extending it self even unto the very roots of the Eves The CURE is performed I. By the Vse of Vniversals or remedyes in general II. By Abstertion by those things above mentioned III. By Chirurgery touching which those Authors that are extant upon this Subject III. The Hyposphagm or Sugillation as they cal it is a blemish or spot reddish or black and blew arising from blood poured forth of the veins being opened and common to the tunicle Cornea There is no need of SIGNS forasmuch as the malady or Evil is easily discovered by the very beholding of it The CAUSE is whatsoever may open the veins whether it be External or internal as shal be further shewn in the differences The CURE is Easie in the beginning It is performed Universal or general remedies having gon before if the afflux be greater than is usual by discussives at first such as are more gentle and corrected by astringents but afterward those that are stronger and more forcible and yet withal such as are void of acrimony and tartness lest that there should more of the blood be enticed and drawn forth unto the part affected It is Divided three manner of waies I. One is from Causes External a blow clamour and sounding of trumpets in which we must presently have recourse unto Topical remedies to wit the decoction of the flowers of Melilote and of Roses Fenugreek seed Colliry composed of the blood of Pigeons taken out of their wings two drams thereof the breast milk of a temperate Woman half an ounce and frankincence one scruple Another is from internal Causes to wit either great store of blood where Venesection must by no means be ommitted or else from the extraordinary great heat thereof and then the spot or blemish tendeth unto a Citrine colour We must withstand and oppose the inflamation by the white of an Egg wel shaken together if there present any Pus or filthy purulent matter the same is to be lessened by a Collyry composed of the Muciluge of fenngreek with fennel water and honey of Roses II. Another is Recent and new beginning in which the blemish is of a red colour Besides the Topical rememdies above mentioned the tops of hissop boy led in ordinary and common water tyed up in a little bage and so applied is of singular use and bennifit in discussing the peccant matter Another is inveterate and of long standing in the which the spot or blemish is black and blew And for this we usually prescribe as most proper and convenient a Colliry composed of the Juyce of the greater Selandine and Carduus Benidictus of each halfe an ounce of the fat of the bird they cal Quoestula or Queist liquified and dissolved two drams and of mirrh half a scruple as also the Root of sigillum Solomonis or Solomons Seal well shaken together c. III. Another is When blood is cast forth either into the Adnata or the Cornea Tunicle And another When it is cast forth into both these Tunicles at once and together and then all the Objects that the Sick person looketh upon seem to be of a color tending to Redness Chap. 5. Of the Diseases of the Tunicle Cornea Article I. Of Crassities Nebula and Albugo THe Diseases of the Tunicle Cornea are Crassities or a certain kind of thickness Nebula or a little Cloud Albugo or a white spot in the Eye Pustules or Pushes Vlcers Wounds and Pain I. Crassities or thickness Is an extream drying of the substance thereof and therewithal there Joyned a certain Corrugation or winkling It is known by this that as it were in the superficies thereof there appeareth a little
of the incision knife For the Differences see further in Aeginâ—la II. The Dilatation of the Pupilla called Mydriasis and Platucoria is when the Pupilla is inlarged above and besides the ordinary course of nature toward the it is or particoloured circie of the eye It is known by this that the sick persons either by reason of too much of the External light breaking in upon the eyes or else in regard that because of the falling of the Sun beames in an oblique manner upon them these oblique wayes being weaker than those that are perpendicular they are not able to see and discerne so clearly and acutly when they would look upon any object they then a little close their eyes and the one of them being shut the pupilla of the other cannot be dilated It ariseth from the Extension and stretching out of the Vvea of which this said Pupilla is the hole or inlet either by reason of external or else internal causes For the Cure hereof it must be sought for in the differences It is divided in a threefould manner I. One is native and such as is contracted from the very birth Another Adventitious and happening accidentally II. Another is from external Causes as a blow or a fal from on high c. whichâ—â—â— it be altogether without any inflamation is easily and soon cured but not so if it be accompanied with a rupture of the Vvea Another from Causes internal which are particularly expressed in the following difference III. Another is from siccity or drynes extending the Vvea like as we see in skins or hides that are perforated and this is not to be cured without some difficulty The best remedy in this case is Goats milk if the eye be wel washed therewith and as it were drenched therein Another from humidity the cure whereof is so much the more easie if it chance not after an extream and Vehement pain of the Head It is performed universal and general Remedies being first premized by the drawing forth of blood out of the Temple Veins and the Veins in the corners of the Eyes and by the applying of Cupping-Glasses in the hinder part of the Head and Leeches behind the Eares and likewise by the Use of Resolving Medicaments among which salted Water is much commended that have in them but little of astriction Another from blasts blowings which happeneth unto Trumpeters these flaculencies or windinesses are to be discussed scattered as aforesaid in affects of the like Nature III. The straightness or narrowness of the Pupilla which they term Myosis is when it is rendered and made narrower than naturally it ought to be It is known by this that al objects whatsoever that the sick persons look upon seem bigger than indeed they are that the visible species being conveied in through a straight and narrow inlet may be and are dilated in that broader space neer unto the Crystaline humor It ariseth from the contraction of the Vvea It is Cured according to the Nature and quality of the differences It is Divided according to the diversity of the Causes One is from overmuch humidity contracting the Vvea from the Circumference towards the Center For the which those Medicaments that are exsiccating and drying such are Rew and Selandine are a very fit and propper Remedy Another is from a defect of the watery humor and then the Patient wil see and discerne better in the room that is obscure and dark because that the visible species are more aptly and speedily Conveyed unto the Crystaline humor In this case an aliment and supply is to be attracted and drawn unto the part by applying of milk and sweet water unto the head Another is from a more scant and spare afflux of the visive spirits unto the said Pupilla Article II. Of a Suffusion A Suffusion otherwise termed Hypochyma is an obstruction of the Pupilla bindering the sight and caused by a humor consisting in the eye and residing in that part thereof The SIGNS are divers according to the quality and Condition of the rise and original of the augmentation and of the perfection or Period thereof and they shal severally and apart be explained in the differences The CAUSE is a humor either sincere and single or else mingled whether it be there collected or transmitted thiâ—her by the veines of the tunicles the Vvea tunicle or the Nerves It is collected most especially in those eyes that are great and sticking out we term them Goggle eyes in regard that the visive virtue when it is diffused in a wide space is the more infirm and weak and the laxity of the waies or passages affordeth a very facile and easie entrance The CURE is difficult if it chiefly happen from a feave or some extraordinary vehement pain of the head if it chance unto yong childeren or old aged people and none at al if the suffusion be black if the sick person discern not the light It is wrought if at al I. By the drawing forth of the obstructing matter by purging Phlegmagogues and especially hiera and the electuary that they cal diacarthamus but before these we may premise and administer preparatives II. By revulsion of the same matter by Cupping-Glasses Vesicatories c. III By a discussion of the said matter by Topicks mingled with Emollints or mollifiers and the clearing and cleansing of the eyes And here for this purpose there is commended the water called aqua Joelis the remmedy of Bovius formed of the gal of a Cock half an ounce the blood of a mouce three drams and a half and so made up like unto a Colliry with the breast-milke of a woman or else water of mans dung known by the name of aqua stercoris humani Elambicata with the gal of a Weasel and likewise of a hare saccharo caudi rosato and margarites prepared IV. By Chirurgical operation of which we are for further satisfaction in this point to consult those Authors that have treated at large uppon this subject The Differences of a Suffusion are Various I. In regard of its Situation 1. One is in the Center of the Pupilla which Representeth the Objects as though they came and passed through the Windows and this ought not by any means to be attempted by the needles point lest that the whol Pupilla be filled with the peccant Humor flowing thereunto 2. Another resideth between the Vvea and the Cornea Tunicle and then the Pupilla is evidently seen to be extreamly obscured and darkned and the Pupilla is of necessity dilated by Reason of the Humor that distendeth it 3. Another resideth betwixt the Vvea and the Crystalline humor and then the opposite unto the former do manifestly appear 4 Another is seated in a deeper place and then the Pupilla is very narrow and much streightned Another is situate in a place less profound and deep and then the said Pupilla is larger and wider II. They differ in regard of the degrees for One
Arteria They infest wanton lustful Women from the dryness of their Womb by Reason of the common Tunicle and they produce Clefts without any heat at al or itching or much hardness neither are they very deep or frequent In the Cure regard must be had unto the parts transmitting In al of them the Lip is to be turned inward and then the mastication or chewing of Mastick being premised it is to be moistened with the Tongue II. Touching the Vlcers of the Lips these things are wel to be noted I. That al of them do proceed from Humors that are sharp Cholerick and Serous or Wheyish either from adustion and putridness or else from their admixture II. That somtimes they are covered over with a cruftiness and somtimes running III. That somtimes they are Critically thrust forth in Malignant and likewise in other Feavers and these are easily Cured of themselves and they design the end of the Feaver if they be together with the Natural strength and Vigor much impayred they then threaten death and somtimes they are thrust forth Symptomatically and that either by Reason of a Contusion of the Lip or by reason of Poysons or by Reason of Humors as in the French Pox. In the Cure Medicaments are most fitly and best of al administred about the time of the Patients sleeping Al sharp meats ought carefully to be avoyded III. The Trembling of the Lips proceedeth either from External Causes to wit 1. Cold with a gracing of the Teeth 2. Wrath or Fear the spirits being thereby either dissipated or made to retire into the more inward parts Or else from an Internal Cause as from the weakenning of the Nerves in some extraordinary great affect of the brain in the Nauseousness of the Stomach and propension to vomit from a sharp Humor pulling and twinging or else from the agitation and disturbance of the Stomach by the consent and agreement of the Membrains thereof in case of Worms The Cure must be ordered according to the Causes IV. The Perversion of the Lips proceedeth from the affect of the Nerves of the third pair there being then a Convulsion of the Muscles and this either of it self from dryness or else from the Event or when the neer allyed and conjoyned Muscles that together and at once lift up or press down some one of the Members are drawn together and suffer a Convulsion or else when the Muscles Antagonistae are resolved It is deadly the strength and powers of the body being extreamly weakned in Continual Feavers and when there is a peculiar defect of the Organs It is voyd of al danger if the powers of the body be strong and vigorous the actions thereof constant and Uniform and when the Metastasis as they tearm it or transferring of the Critical Matter unto the Head be accomplished Title IX Of the Diseases and Symptomes of the Face Chap. 1. Of the Opening of the Mouth Gaping and Yawning THere belong unto the Affects of the Face the opening of the Mouth Gaping Yawning the Writhing thereof and that we cal the Ptyalism or frequent spitting I. The Opening of the Mouth is when that bone that by Nature ought to have been shut is yet not shut This cometh to pass I. When the lower Jaw-bone Joyneth and groweth unto the Head which very rarely happeneth II. When tumors arise neer about the Conjuncture of the Jaw bones in the inflamations of the Jaws and the Tensils III. When the Roof of the Mouth in the which the Cheek is turned and moved waxeth stiff and the Mouth becometh so close shut together that even in windy ructures or belchings it cannot be widened and enlarged there being gotten in and deeply inserted into that Juncture and the bonds thereof a most filthy and nasty humor IV. When the Neck is distended by Reason of a wound in the Nerves because that then the Jaws wax stiff like unto the bones II. The Gaping of the Mouth is then when the Mâ—â—th that by Nature one Lip falling doâ—â— and resting upon the other ought to have been shut Gapeth If ariseth 1. From an il Custom 2. From the Relaxation of the Nether Jaw-bone 3. From the Obstruction of the Nostrils that so more store of Air may be attracted 4. From the ascending up of extream hot Vapors in Feavers and then if there be pains of the Jaws without any swelling that albeit they be but smal yet seem as though they would suffocate and strangle the party then the mindes disturbance and alienation is portended and threatened 5. From the Hurting of the Memory in the Lethargy III. Oscitation or Yawning is a vehement distention of the Mouth by Halituous and windy Vapors gathered together in the spaces of the Muscles of the nether Jaw-bone and of the Cheeks and Exstimulating or provoking the Excretive faculty to do its office by Excretion Touching the Signs we need take no great pains to find them out but indeed in regard that the Passage of the Ear at that time doth not sufficiently admit of and give a meet entrance unto the Air and likewise that the Auditory Nerve is compressed it hath therefore Joyned with it an hardness or thickness of hearing The Cause is expressed in the Definition The Cure is scarcely to be Hoped for or expected if it happen in Child-bearing It is somwhat Doubtful if it Relax and loosen the lower Jaw-bone But otherwise if it happen without a more frequent occasion if the matter being widened the Air be abundantly and greedily drawn in and then instantly excluded and thrust forth again with a loud noise it presageth Diseases and it is in very deed the Preludium of Feavers by Reason of the ascent of Vapors from the matter collected together in the lower parts and there puttefying It is to be effected and wrought I. By excluding the matter that fomenteth and supplieth the Vapors II. By the Discussion or Revulsion of the Vapors themselves Chap. 2. Of the Writhing of the Mouth THe Writhing of the Mouth is a distention thereof proceeding from this to wit when either the Muscles of the Face or the Nerves of the third and fifth Conjugation or those that descend from the first and principal Vertebrae of the Neck The SIGNS are that one of the Eyes can never be rightly shut and that the Patient being bid to spit forth doth it on the one side only and if there were no other signes yet this there wil be that the Party being commanded to laugh or to pronounce the letter O can by no means stir or move one side of the Mouth The CAUSE is expressed in the defini-nition The CURE is so much the easier if this unseemly affect hath no consent or agreement with any other part of the body But more difficult if it be lengthened out and protracted beyond the sixth month How the cure is to be performed shal be further shown in the differences Now it is divided in a two-fould manner according to the nature and condition of the
Juyce the skin is to be condused and made thicker with the oyl of the mirtle tree and with the oyl of Mastick or else it is from the thinness of those things that are to be retained and therefore here those meats that are not over fluid and easily dissipated have their place as being most fit and proper 2. By Evacuations that are sensible as wel of the blood as of other humors where Note that these Evacuations are to be stopped that the body ought not to be besprinkled with those things that are cold that in a large and abundant sweat only such things as close and bind the skin are to have any place or use 3. By diseases as overmuch want of rest and sleep of which enough before a vehement pain the gnawing or pain of the stomach the Colick pain the Nephritick or pain of the stone in the kidneyes or blader the pain of the Teeth c. a sudden breaking of an impostume in which there may a restauration be made by restorative meats sweet smels and rest 4. By such things as are evedent and apparent as namely extream hunger the immoderate use of venus too much and over violent exercise c. III. Another from the alteration and corruption of the spirits which is caused by a malignant matter whether external or internal as for instance the rottenness of humors poyson drunk and taken down the bitting of venemous Creatures and then the Cure is to be sought for in its peculiar and proper place IV. Another from the suffocation of the spirits which is caused 1. By overmuch blood and then there are present and appear signs of a plethory and in this case the opening of the Basilick vein helpeth much 2. A humor that is Crude and thick very much abounding about the heart and the veins and arteries thereof the capsula or purse of the heart and the neer neighboring members and this is either there cellected or else transmitted either from the head and other parts and then the habit of the body is Hydropical neither can the patient undergoe and bear either the opening of a vein or purgation Frictions or rubbings downwards anoyntings with oyls that open and loosen the use of Oximel with the decoction of other things that cut and divide and fasting unless the pulse be suddenly changed and discover an extraordinary weakness al these help and conduce much to a Recovery 3. By fuligenous vapours gathered together in great abundance about the Heart and the Members adjacent by which the respiration or breathing is hurt these are soonest and best taken away by discussives 4. By a Sudden Terror and Fear for which Evacuation is most convenient lest that from the afflux of Blood some obstruction in the Vessels or else an Inflamation should be excited For what remaineth see further to the Treatises of the Practical Physitians Title VIII Of the Affects of the Paps or breasts in Women Chap. 1. Of the Diseases of the Papps Article I. Of the Tumors or Swellings of the Paps THe Affects of the Paps or Dugs are either Diseases or Symptoms unto the former of these there belong Tumors the Cancer and the Magnitude The Tumors of the Paps are four I. An Inflamation which is a hard swelling It is known by the redness the pain the pulse or beating and the heat thereof by which it differeth from that we cal the Clotting or Curdling of the Milk and the overgreat abundance thereof It ariseth from the great store of Blood that is attracted transmitted or suppressed It is Cured 1. By a Diet that is thin and spare cooling and moistening 2. By Diversion which is performed by letting blood in the Ankle if the Causes be suppressed 3. By Evacuation by opening the internal Vein of the same side and so letting out the Blood as also by a gentle Purgation 4. By the Application of Topical Remedys in the Inflamation of such as thereunto accustomed And here we are to take Notice that the Repellers ought to be temperate lest that the Heart be overmuch cooled that in the Augmentation thereof there is commended beer and butter wel warmed and so applied that the extream Hardness may most properly and succesfully be prevented and removed by the Medicament that is formed and made of the Marrow of a Calves Thigh two ounces thereof of Oesipus or the moisture of greasie sheeps Wool one ounce of Saffron four scruples of Cummin wel bruised two scruples that when it is Suppurated in regard that the Breasts or Paps are Spungy and ful of hollow Caveties it is most commonly to be opened in divers places thereof that the Pap affected is very rarely cured and healed unless the Milk of the other that is sound be dryed up in regard that the blood equally floweth unto both and lastly that the Pain is to be moderated and mitigated if it be in Summer most fitly with the Leaves of Henbane if it be in the Winter then with the Roots of the said Henbane roasted under the Embers and then wel beaten together with Hogs Grease II. Oedema which is somtimes diffused and spread abroad throughout the whol Paps or Breasts so that they wholly and equally swel It is known by this that it is soft and that by intervals and at certain times to wit in the time that the Courses flow the swelling and the pain is exasperated but yet notwithstanding that there is evermore some of the swelling remayning The Original and the Cure hereof are to be sought for out of that which is spoken in the general touching these Tumors And here it is only to be Observed 1. That in the retention of the Courses those meats that are Tosted and Roasted are not so fit and convenient 2. That the stronger sort of Maturatives are to be made choice of in regard that here the matter is tenacious and very loth to yield 3. That a due regard is likewise to be had of the Stomach that is the Receptacle of the Flegm III. The Scirrhus of the Paps is either Exquisite or not Exquisite 1. The Exquisite is various I. One is that which is but newly begun or but now beginning which upon the touching thereof is a little painful and in this regard it is distinguished from a Cancer that is likewise but now beginning and it is very hardly Cured Another Old and Inveterate which is hard without pain incurable by Medicaments especially if it resemble the color of Capers or if haires grow therein it is somtimes Cured by Manual operation II. Another is by the Congestion or heaping up of a Humor that is in it self thick in the Curing of which we are not to use Vinegar either in the beginning or long at any time lest that either the residue thereof should be hardened and become like unto a stone or else that the substance of the part being overdryed should wast and consume away neither ought we to attempt any thing by Manual operation if the whol
the Epigastrical branch of the Vena Cava and are disseminated to the external parts of the right Gut viz. The Muscles of the Anus but they are two having an Artery joyned with them from the Hypogastrical Artery Yet they seem al to have communion one with another It is known by the sight and because 't is greater 't is also more dangerous In the Cure external things have a convenient Application II. One is by default of the blood which either is too much and then there are signs of fulness we must revel by bleeding in the Arme or if strength wil not bear it by fixing Cupping-Glasses to the Loyns or Hypochondries Or sharp and thin and then it happens most to Southern people especially to men that are Sanguine Serous Humors if strength wil bear it ought to be emptyed if not we must use coolers and things that thicken the blood amongst which Purslane Trochiskes of burnt Ivory and Amber do excel Or it flows from the Liver and then 't is like to Water in which flesh new kill'd is washt The Syrup of corals is good Or from the upper Parts and then the blood is black and burnt Or from the Mesentery and then 't is little somwhat white Serous Or from the Guts and then 't is mixt with the Excrements Another is by default of the Veins which either are opened in which Cause we must use Agglutinatives as the Mushrum which is called the Wolfes Fart c. Burning and cutting the which are dangerous especially in those that are inveterate and of long continuance Or Eaten through and broke and this Evacuation Casts a man into a Dropsie and other Diseases II. The Suppression of the Hemerhoids is an interception of the blood endeavouring to get forth through the Veins of the Anus from whence they are raised up into a Tumor with pain The Signs are a tumor and bunchings out in the heads of the veins of the Anus sometimes hard like unto warts somtimes soft caled like to mulberries somtimes of a purple colour and like to grape stones the pricking paine is somtimes milder somtimes more greivous the Veins being distended whose Mouths hangs as it were out of their heads and the membrane which covers the orifices of the Veins stretcht and prest The CAUSE is Faeculent and thick blood desiring to get forth The CURE must be hastened both because it threatens a dropsie if the blood run back to the liver and because unless it be seasonably remedied by reason of the great attraction and flux of humors it causeth inflamation impostumation or a fistula It is performed 1. By mitigation of the pain which is asswaged by the crum of Barly bread steeped in womans milk adding the yolk of eggs and saffron 'T is taken away with laudanum dissolved in womens milke applied with honey but most of al with Butter Sugar or anima Saturâ—â— with flies of sheeps dung boyled in oyl of flax to the consumption of the creatures with the ashes of corke burnt and boyled with capons grease with the oyntment of road-flax concerning which see Hartman 2. By opening them universals premised by application of leeches or before that be done by an ointment of the Pulp of Coloqintida and oyl of sweet almonds by the juice of onions mixt with aloes applied rubbing first the part with a course cloth Sharp glisters do hurt the guts more then they provoke the hemorrhoids Unless they swel very much and be very painful they ought to be left to nature In the differences of the internal end external veins we must have a care The suppression of those is perceived by the squeezing of the Anus and thrusting up a probe Of these is obvious to the sight Title V. Of the affects of the Mesentery Chap. 1. Of the distemper and obstruction of the Mesentery THe affects of the mesentary are distemper obstruction inflamation impostumation and pain I. The distemper of the Mesentery for the most part is hot and dry which ariseth from the like matter which either is collected there of sent thither from some other part It is collected either in its veins and arteries and then because the breast hath the greatest consent with the hemorrhoidal artery because the trunke from whence the artery ariseth descending from the heart presently at its first rise doth propagate the intercostal branches there are continuall pains felt in the breast or also in its glandules by their laxness easily drinking up the matter The cure must not be neglected because 't is wont to fore-run a dry dropsy But it hath nothing singular except this that by those arteries not onely the first passages but also the whol body might be purged whether you give purging medicines or inject glysters and this perhaps is the cause that purging medicines layd to the navil do move to stool II. The obstruction of the mesentery is twofold one when the milky veins are obstructed which is knowen by this that a chylous and white flux of the belly doth molest and a consumption follows the matter necessary for the nourishment of the body being denyed That ariseth either from a thick crude clammy viscous chyle generated of the like meats or from a tumor of the glandules compressing them Another is when the mesaraick veins are stopt which is known by this that the matter restrained causeth a sence of distension and heaviness beatings of the arteries about the back are troublsome after taking of meat the evil grows more fierce and the stomach is comprest c. That ariseth either from vaporous and thick winds or from sharp humors and then the paine is more vehement sometimes while the evaporation lasteth the evil possesseth the whol cavity of the breast that somwhat is at hand like unto a suffocation somtimes there is a tumor raised about the mouth of the stomach and vaine belchings are produced those things being supprest that should be voided by the lower parts The cure is perfected 1. By openers and those indeedgentle That give strength to the liver and Stomach penetrating incisive drying lesning putrefaction and a little while astringent not by sweet things but bitter reduced into the forme of electuaries or pills but that liquor be drunk after them By tartarous things unless the saltness or sharpness of the humors do hinder by things that savour of Oxymel 2. By purgers unless windiness do hinder and those gentle not constant after the same manner given by little and little liquid 3. By vomiters but not violent Platerus his essence of broom is commended 4. By diuriticks that make thick humors fluid c. the liver is strengthened by Leonius his pills of the refuce of Iron By Mercatus his antidote of steele By Penotus his arcanum of vitriol sulphur and sallows c. Chap. 2. Of the inflammation and impostumations of the mesentery AN inflammation of the mesentery is a tumor of the same arising from humors poured forth with the nourishing blood into its
from the cava It ariseth from an impurer blood flowing to the testicles and cod by degrees dropping from the membranes of the vessels and changed by nature that is never idle into a substance like unto flesh 'T is cured 1. By repression with repellers and dryers the pouder of the root of Rest-harrow is commended 2. By cutting of which see Authors 'T is divided into a scirrous one in which there is neither pain nor heat and a malignant one in which there is felt a pricking pain IV. Another is various or a Cirsocele in which the vessels nourishing the stones are dilated like to varices 'T is known by this that the veins are sweld and wreathed and rounded like shootes of vines the tumor is oblique and rowled up like a grape spring and autum the the guts being distended with wind or the feet cooled a pain accompanies it It ariseth from a thick melancholy humor poured into the vessels 'T is hardly cured things drying and hanging the stones in a truss are good Cutting can scarce be used without hutting of the stone Article 3. Of the diseases of the Yard The diseases of the yard are various I. A distortion which befalls those who indulge too much to venery and have their genitals along while distended for then the spirit concluded in the ligaments acting violence upon some part of another ligament doth relax it and makes it bunch forth like a beane or glandule by which means it comes to pass that how much is added to the accustomary latitude of the part so much is bated of its longitude 'T is cured by abstinence from venery and by those things which serve for the cure of a rupture See Arantius II. Inflation and inflamation of which that doth somtimes arise from lying with a woman whose womb is uncleane and repleat with sharp humors we meet with nothing singular concerning them III. Warts and excrescencies which either are upon the top of the nut which degenerate into a canorous Sponginess or they bunch out about the flesh of the nut and under the foreskin it self and they are soft spongy alwaies moist smel il and are dayly increased and are familiar with them that are troubled with the French Pox. They require Chirurgery IV. Vlcers which are divers 1. Some are external which are apparent to the sight yet somtimes when they are about the nut and foreskin they cannot be seen by reason of the swelling of the part If the region of the nut be exulcerated all medicines ought to be drying Others internal sticking in the urinary passage which are known by the pain caused by the urine passing by and the matter coming forth before the urine the yard swelled and distended They arise either from an impostumation following an inflamation or from sharp urine or from rough stones and rough things hurting in their passage They are cured as others be 2. Some penetrate that both external and internal parts be exulcerated and the ulcer pierceth even to the urinary passage Others not so 3. Some are old sordid and rotten which are wel washt with hydromel and wine Others are virulent as those that happen in the French Pox in which we must use precipitate mixt with a convenient linement til that which is callous be wasted away If a gangrene or mortification follow it must be cut Chap. 2. Of the Symptoms of the genital parts in men Article 5. Of the generation of seed hurt and the erection of the yard THe symptomes of the genital parts in men are the generation of seed hurt the erection of the yard hurt Lechery a Priapisme a Satyryiasis and the runing of the Reins The generation of seed hurt is when either it is not generated or not such as may serve for procreation 'T is twofold therefore one is when the seed is not geneted which comes to pass either by defect of matter or by the things â—on natural as hunger watchings or by things preternatural drying up and wasting it especially the diseases of the heart or by reason of the attraction of the same by other parts which comes to pass both in children and fat follâ— in whom al the nourishment is changed into the substance of the body Or by reason of a fault of the faculty of the genital Parts whether it be innate or acquired as a defect of the Vessels generating or carrying the Seed bewitchings inchantments c. Another is when 't is not generated fruitful which comes to pass either by reason the matter is not commodious too hot moist or dry Or by reason of a cold distemper of the genital Parts which somtimes is contracted by too much lust in youth by applying mercurial Oyntments to the genitals c. There is no need of Signs The cure must be directed against the Causes But the Seed is increased by the greater Root of Dogs stones cubebs the Yelk of a new laid Eg with Wine and a little Oyl of sweet Almonds Crollius his essence of Satyrion Mynsichtu his Confectio Magnanimitatis and de Succulata Inda II. The erection of the Yard hurt or a viril impotency is when that by no endeavors can be erected or extended There is no need to treat of the Signs The Causes and Cure are expounded in the Differences The Differences are taken from the Causes For there is one viril impotency from the defect of Seed either because it is not or because it is but little or crude and doth not stimulate of which we have spoke formerly Another is from the defect of vital spirits either because they are few by reason of the coldness and dryness of the heart or because they are called another way which happens in medications fear bashfulness c. Or because they are not received by the substance of the Yard either by reason of a stupidity of the Member or by inchantments Another is from a resolution of the Yard effected by those Causes which we mentioned in a Palsie See Medicines serving for this Disease in Stockerus l. 1. c. 55. Where he makes mention of Satyrion five ounces which ought to be mixt with the blood of Sparrows ten ounces and be held under the Arms. Some say that lust is wonderfully provoked if the great Toe of the right Foot be anoynted with Oyl in which Cantharides have been dissolved And also a simple washing of the Privâ—ties with the Decoction of Columbines which must be followed with a Fumigation of a dead mans Tooth poudered and cast upon the coales Article II. Of Lechery a Priapisme and Satyriasis Lechery is too great a proneness to Venery by default of the Seed somtimes also so great that 't is turned into madness The fault of the Seed consists 1. In the plenty of it either from the abundance of blood or from the heat of the Vessels dedicated to the generation of Seed by whose means more is attracted In the Cure we must act with things that consume the Seed amongst which Mint and Sugar
of Saturn excel But a Vein must be opened also and the Patient Purged 2. In its Acrimony contracted from hot meats Medicines and sharp things which must be opposed 3. In its Commotion whiles seeking a Passage it causeth an itching II. A Priapisme is an erection of the Yard without any desire of Venery arising from a windy Spirit filling up the hollow Nerve of the part That Vaporous spirits ariseth either in the Nerve it self from a cold distemper or in the Yard and Vessels from a thick and crude Humor by an unproportionate heat and here the distilled Oyl of Rue takes place For the most part 't is by Reason of the mouths of the Arteries are too open and dilated pouring forth plenty of Spirits because perhaps the Loyns and Kidneys being heated they grow hot and are filled with much spirits which happens to those that abound with much blood In the Cure universals premised Water Lillies the Seed of the Chaiste Tree and other coolers ought to be applied A Satyriasis is a Palpitation of the Yard following an inflamatory disposition of the spermatick Vessels with a distension It happens rather to young men than to other Ages the Cure must be hastened least they fal into a resoultion or Convulsion of the Seminary Vessels We must have a Care of Purges in it unless Perhaps we can make an aversion by Vomits and from things that move Urin. Article III. Of a running of the Reins A Gonorrhea is a too great and involuntary shedding of the Seed arising from its own fault and the fault of the Spermatick parts The SIGNS are evident the seed is shed a gainst their wils without lust and dreams of lust without any stifness of the Yard with no sense of delight or very little from whence is caused a slenderness of the whol Body about the Loyns especially with a paleness and hollowness of the Eyes The CAUSE and CURE shal be explained in the Differences The Flux is stopt by the magistral of the bone of the fish Sepia given from six grains to half a scruple with old conserve of Roses By fixt Antimony with Plantan Water The Difference is taken from the Causes One is by default of the Spermatick Parts 1. Of a cold and moist distemper which either ariseth from external Causes endewed with such a vertue and weakens their retentive faculty as too much Venery or from an afflux of Humors in which Case emptying and binding with heaters mixt takes place It is the easier Cured so it be new the pouder of Turpentine given with milk for fifteen daies does good 2. by default of their Laxness when their Bladders conteining the seed and the Vessels that carry it are too much enlarged and Relaxt Another is by the fault of the Seed it self which is 1. Plentiful by forbearing from Venery and by using meats that nourish wel and then bleeding Fasting exercises do good 2. Sharp and hot stimulating the expulsive faculty which proceeds from the like blood by reason of the heat of the liver and Kidneys and then a priapism for the most part is joyned with it external Causes went before The Cure must be ordered by emptying of Choler by anointing the back bone and Loyns with cooling Oyntments 3. Crude watrish and thin and that either by reason of the coldness of the stones or of things taken or the like distemper of the Liver and then the Seed comes froth even at the touch of a Woman there are present the signs of crudity In the Cure we must act with driers and strengthners The essence of Turpentine is commended given one dram weight in Syrup of Agrimony Or by reason of the abundance of Vitious Humors in the body which are sent to the spermatick Vessels and then we must act with emptiers and good Diet. 4. Virulent and Malignant as is concracted in the French Pox which is known from hence that at first a white Poyson or somwhat Yellowish fals from the spermatick Vessels insensibly as wel when they wake as sleep which in time putrefies and gets an Acrimony eats and exulcerates the Passage of the Yard from whence ariseth a pain which also when 't is stiff does stretch a string as it were under the Yard and in pissing does goad sharper as it were in a dysury that is somtimes hollowed so deep that it breaks outwardly at the upper Skin of the Yard It ariseth from a weakness of the Spermatick Vessels and stones contracted by that poysonous Evil which causeth that whatsoever is collected in these Vessels turns to a filthy Poyson which by contagion Pollutes any other body As concerning the Cure 't is difficult in old Men in al if it be stopt without reason For there is collected for the most part an impostumation within somtimes about the stones in the Epididymis somtimes in the Perinaeum which the Skin breaking pours forth the matter We must abstain from things astringent least it being retained doth corrode the Parts Dryers and things that resist Putrefaction as are Sorrel Treacle Mithridate and those things which are dedicated to the French Pox do good Titile XI Of the Diseases of the genital parts in Women Chap. 1. Of the Diseases of the Neck of the womb Article 1. Of a Tentigo and Cauda THe Diseases of the Womb are either of the Privities or Neck of the Womb or of the womb it self To those belong Tentigo Cauda Straitness pustles condylomato Hemorrboids and Vlcers I. A Tentigo or great bit and the womans Prick is the growing of the Clitoris into too great a bulk The Subject is the Clitoris or that Nervous flesh hard which in the Neck of the Womb the Joynt wings of the Privities do embrace and at the Top of which that is the which swels in desires of Venery This manifest affect needs no SIGNS somtimes the bulk is so great that it hangs forth through the cleft of the Privity as thick as a goose Neck and resembles a mans Yard they have too great desire of Copulation The CAUSE is too great an Afflux either of an Humor or nourishment by reason of its Laxness which is induced by often touching and 't is wont to cause lust at the least rubbing of the Cloathes The CURE respects 1. The abatement of blood and the bringing forth of other Humors for which ends serve a most slender and cooling Diet and discussives especially the leaves of the lentisk and Olive 2. The taking away of the same Excrescency where first must be applyed the gentler causticks As Alum Vnguentum Aegyptiacum the lie of which Soap is wont to be made boyled with Roman Vitriol adding towards the end a little Opium and make Trochiskes of them with which pouder the flesh must be strowed over at last the flesh must be cut off either by Ligature or Section having a care of an Inflamation II. A Cauda is a certain fleshy substance arising from the Mouth of the Womb which fils up the womens Privity and somtimes
hangs forth like a Taile The SIGNS and CAUSES are the same as in a Tentigo only that Women fear Copulation The CURE is also the same if it must be cut off it must be done either with a Horse Hair or a silken thred dipt in sublimate water or by Iron Article II. Of the straitness of the Neck of the womb The straitness of the Neck of the womb is either a stopping of the same or of the Orifice of the womb either by compression or a growing together The SIGNS are the Flux of the Courses denied in them in whom they were wont to flow through the Neck a sense of pain with a weight The CAUSE is either natural when it affects from the birth or accidental of which in the Differences The CURE varies according to the Nature of the Differences The Differences are taken from the Part and the Causes I. One is of the outward Orifice which is called of the Pudendum in which the Courses which flow both by the neck and by the womb are disappointed there can be neither Copulation nor Conception because neither the seed nor the man is received Another of the inward which is called the Orifice of the Womb in which the seed received presently flows forth again conception can in on wise be II. One is by way of Compression which is Caused 1. By a Fat Caule lying on the mouth of the womb 2. By a stradling of the Thighs 3. By a stone in the bladder 4. By a Tumor in the right Gut of which in their place Another is by way of growing which is caused 1. Either from the birth and then either flesh stops it which is red to sight soft to touch or a Membrane which is white to sight hard to the touch In the Cure 1. The Part being moistned with warm Fomentations it must be cut streight up taking Care that the Neck of the Bladder be not hurt 2. The humor must be drawn forth and a tenâ—must be applyed dipt in a suppurating Medicine 3. And astringent pouder must be had in readiness for fear of a Flux of blood 4. The following daies the place must be washt with honey water and we must act with things that Cicatrize 2. Or after the birth cheifly from an Vlcer and then either the sides of the Neck are grown together in which case we must use incision but very warily or there is a Callous substance which first must be cut off with a Pen Knife or a Spongy and Luxuriant flesh in which first of al we must use dryers and discussives as brithwort Frankincense Myrrh Mastick afterwards we must apply corrosives without pain at last we must cut it Article III. Of the pustles Condylomata and Hemorrhoids of the womb Pustles of the womb are little bunchings arising in the neck of the womb which by their Acrimony do Cause itching and pain The SIGNS are Itching Pain a folling down of Scales like flower to which we must add a Speculum Matricis that the affect may be the better discovered The Cause is cholerick sharp adust and thick humors which emptied into moist and loose places do insinuate and immerse themselves in them The CURE respects the causes universals being premised where amongst preparatives prevaile syrup of Fumitory of succory with the decoction of hops topicks discussing and mitigating the humor especially baths and halfe baths which must be followed with washing the part with wine and niter But these must be often repeated They are divided into benigne and malligne or venereal which are stuborn and contagious they ought to be washt with the water made of aloes the quantity of one vetch flower of brass the quantity of half a vetch flower of brass the quantity of half a vetch pouder'd and mixt with white wine one ounce plantane water and of rose heads each one ounce and kept in a wide mouthed glass II. Condylomata are swellings of wrinkles in the necke of the womb with heate and paine There is no need of Signes because they appeare to the eyes oftentimes if there be many they resemble a smal bunch of grapes The wrinkles hang forth like knobbs which appear in the fist clutched But they swel more when the courses flow The CAUSE is Thick and Adust humors The Cure in general respects the taking away of the causes and repercussion and drying As concerning the Differences Some are with an inflamation in which the pain and heat is greater the condylona is hard In the Cure we must act with anodyne half baths and perfusions Others without an inflamation which if they be new we must repel and dry if cold and inveterate we must first mollefie then disgest and dry Here take place the pouder of egg-shels burnt the oyntment of trochisks of steele one dram redeuced into pouder and mixt with oyl of roses and wax adding halfe an ounce of the juice of mulein The oyntment of the mad apple concerning which see a Castro l. 2. c. 25. de Morb. Mulier If the condiloma yeild not to these medecines it must be cut off by an instrument and astringent pouder strewed on III. The hemrods of the wombe are smal swellings like unto the hemrods of the anus raised in the necke of the wombe by an afflux of Feculent Blood The Subject is the neck of the womb for there they are where the veins doe end as in the hemrods of the anus and these are lift up by an afflux The Signs are manifest for they are discovered by the sight if a speculum matricis be applied the women looke pale and are troubled with a weariness The Cause is Feculent blood which when sometimes it flows to these veins not at its due time there stopping it becomes thicker that it cannot penetrate the orifices The Cure is order'd 1. By revulsion by opening a vein in the arme 2. By derivation by opening another in the ankle They are divided twofould I. Some are painful which by the paine it selfe are distinguisht from the courses and are cured by things that mitigate the same especially half baths and the Cataplasme of a Castro l. 2. c. 26. de Morb. Mulier And also with opium which notwithstanding is safer in the hemrods of the anus Other without pains to which what is and shal be said ought to be applied II. Some are open which flow either moderately and then the business ought to be comitted to nature Or too much so that the strength is dejected and there is feare least an evil habit of body be induced and then for revulsion blood must be taken from a vein of the arme at several times For purging myrobalanes tamarinds and rhubarb serve At last we must act with things that stop blood Others are blind from which no blood at al flowes forth The Cure is perfected by emptying of blood by emollition and fomentation of the part with mollefiers and things opening the mouthes of the veins and discussing the matter By artificially opening
is cold and happens to them cheifly who lead an idle and sedentary life 'T is cured as the former yet observe that the fume of the shaving of Ivory and Sage boyled in wine and water conveighed through a pipe before supper is commended Sulphurous baths beare the palme away in outward things we must have a care of astringent means least they detain the excrementitious humors Another is dry which is known by the scarceness of the seed and courses slowness to venery dryness of the mouth of the womb the color of the lower lip a blackish red with continual clefts It ariseth somtimes from the very birth whence the patient hath a dry temper and slender constitution of body Somtimes by reason of age whence they cease to breed Somtimes from diseases themselves viz. an inflamation c. somtimes from defect of blood which ought to moisten it either because 't is not emptyed by it by reason of the straitness and obstruction of the veins or because being emptyed through the neck it comes not to the bottom 'T is cured 1. By a contrary dyet in which too much labor watchings fasting sadness are very much to be eschewed 2. By the use of moistners amongst which do excel burrage bugloss mercury Marsh-mallows violets amongst externals baths of sweet water and anointings with oyl of sweet almonds white lillies hens grease the marrow of calves leggs c. The cure is difficult if the dryness be of long continuance and hectical II. One is simple to which belongs what hath been said before Another compound most commonly cold and moist which is known by the former things compared amongst themselves It ariseth from flegmatick humors whether derived from the whol or produced by the whol It is cured 1. By preparation of the matter by hot hysterical means 2. By emptying and that universal of the whol body by things that purge flegme By particular of the womb it self of which we must have the greatest care if nothing proceed neither from the whol nor the parts And here pessaries do much also sulphurous and drying baths by sweaters which are here very much commended viz. with the decoction of Guajacum china sarsaparilla lentisk wood c. 3. By a contrary dyet Article 2. Of the straitness of the vessels of the womb The straitness of the vessels of the womb is an interception of the same from its causes The signs are both a retention of the courses that they cannot flow and an hindrance of conception by reason the falling down of blood is intercepted The cause and cure shal be expounded in the differences 'T is divided twofold I. One is from external causes as medicines and astringent baths which is known by the relation of the sick 'T is easily cured and we must act with moistneâ—s and mollefyers Another from internal of which in the following difference II. One is from a Skarre flesh or membrane growing on the orifices of the vessels or from a growing together of the mouths of the veins after a violent drawing forth of the secundine which is almost incurable yet some tryal may be made with things mollefying Another from obstruction which thick viscous and plenty of humors do cause whether they flow thither from the rest of the body the heat not being able to attenuate them or be heaped up in the womb it self by reason of the weakness of heat in that It is known by this that there are present the signs of a cold distemper a moisture like snivel somtimes flows forth from the womb It is cured as other obstructions Revulsion hath its place if the matter flow thither Amongst openers of obstructions are commended sharp and bitter medicines that move the courses steeled wine baths corrected with mollefyers and openers Another from compression which is caused either by a tumor and scirrus consisting in the womb or without it and then the signs of a tumor are present The evil is almost incurable or by the too much fatt of the neighboring parts and then that is wholy manifest to the sence we must act with things that do extenuate Article 3. Of an inflation of the Womb. An inflation of the womb is a distension of the same by wind produced out of a cold flegmatick and flatulent matter by default of a weak heat 'T is called also a windy Mola by reason of the false hopes of a conception The signs are a distension of the womb consisting in the region of the belly which is somtimes increased somtimes diminisht somtimes 't is extended to the sides somtimes to the navil loins and midriffe It is distinguisht from a dropsy by its lesser bulk want of thirst by the increasing and decreasing of the tumor by a less wasting of the upper parts From a dropsy of the womb by the foregoing of causes generating wind by a noise less heaviness greater distension by feeling an extensive and pricking pain in the neighboring parts From an inflamation of the guts because here neither are pains nor costiveness of body because the courses are stopt the feet and hollow of the eyes do swel and color of the body is changed because the woman pants is greived and when she wakes out of her sleep breaths with her neck upright From a mola by the want of heaviness and hardness in the belly with a weight moving it self from side to side when they move From a conception by the sound and increase and decrease of the tumor by wanting of motion like to the moving of the infant for if the belly be prest strongly the wind being driven to the neighboring parts a certaine beating motion is felt in the whol belly The cause is exprest in the definition the matter it self is either generated in the womb it self Either by reason of the suppression of the courses or by interception of the purgation after a delivery or proceeds from elsewhere either by the veins or by the feed vessels But the weakness of heat ariseth for the most part from the external aire stopping by its coldness those impurities in women lying in which seek a passage forth from hard labor abortion stoppage of the courses c. The cure if you consider the method differs not from the cure of other inflamations so we have respect to the part Observe that amongst purgers Species hierae and diaphenicon with castor are commended For suffumigation Nutmeg of which Hartman in his chymiatry for plaisters the plaister of bay berries with treacle for drinks nutmeg bruised boyled with the roots of feverfew and drank with six ounces of wine two drams of Sugar The Differences are taken from the part it self One is when the wind is in the cavity and then the mouth of the womb is so closedup that none of it can get forth when either the woman is moved or her belly perâ—t with the hand a sound and noise is perceived But that it may be conteined in the cavity is certain both because the womb
right Gut is offended Article VI. Of a Dropsie of the Womb. A Dropsie of the Womb is an impotency of the same from water collected in it either by its own fault or the fault of other Parts The SIGNS are a loose swelling of the lower part of the belly extended according to the figure of the Womb a scarceness and evilness of the Courses because they are like to the washings of flesh their failing before the time the thinness and moisture of the mouth of the Womb softness of the Breasts and want of milk a rigour and oftentimes a Faver 'T is distinguisht from an Inflamation by want of a Feaver and by its softness by other Symptomes of which formerly From an inflation by defect of distension and noise From a Mola because in this a greater weight is felt in the bottom of the belly the breasts at the time of the birth approaching do swel From a Conception because in a Dropsie the Tumor of the Womb is extended according to the largeness of the womb and belly inconception 't is pointed In women with Child the Courses do not flow here a certain bloody Humor evil flows forth observing no order and is quickly stopt From a Dropsie of the Belly by the Patients color in the Face unless the Liver be affected by want of thirst by the ascent of the Tumor from the lower part to the upper The CAUSE is the water there either by the fault of the Spleen or Liver of which consult with their proper Chapters or by the weakness of the Womb it self by reason of which it doth neither concoct wel nor wel expel its Excrements the which is either from often abortions and hard labour Or from too great a Flux of the Courses dissipating its heat Or from the suppression of them choaking up the same heat The CURE requires the bringing forth of the water and strengthing of the Womb having respect to the Causes Hartman commends Antimonial Pills The Difference is taken from the Part. One is when the water is collected in its Cavity in which the Orifice of the womb if it be touched is found shut up the Tumor is great and a certain waving is perceived if it follow conception that yellowish and stinking water within two months for the most part kils the Young one which is then cast forth with it Another is when the water resides in its substance and little bladders growing to it in which its Orifice being handled it appears contracted Greater pains arise the Cure becomes more difficult Article VII Of the falling down of the womb The falling down of the womb is a hanging forth of the same out of the belly proceeding from a solution of the unity of its ligaments The general Signs are a pain of the Loyns of the lower part of the belly of the Privities of the Os Sacrum to which the Womb is fastened and this at the beginning In process of time the pain is mitigated it being accustomary and there is a troublesome sence only of a weight and a hindrance in walking The special Signs vary according to the nature of a greater or lesser falling down In that the Womb descends to the middle of the Hips and Knees presents a Tumor like a Goose Egg in whose lower part there appears a hollowness in this a Tumor is perceived as it were of a skin retcht and as it were a weight of a great Egg about the Privities The CAUSE is whatsoever can dissolve the unity of the ligaments see in that which follows The CURE is difficult if it be great if it afflict those of ful Age if a Feaver convulsion or other Symptomes happen Nay if it be 't is deadly in those that lie in and somtimes by the alteration of the ambient Air or violent repelling of it 't is corrupted and taken with a gangreen It consists 1. In replacing of the Womb it self where note first of al the Inflamation must be stopt if there be any If a Tumor imprest by the cold Air on the Womb do urge the part must first be fomented with a Decoction of Mallows Marsh-mallows chamemel flowers Bay berries c. If there be wind or Excrements in the Guts we must premise a Clyster Before it is replaced it must be fomented sprinkled anoynted with things Agglutinative and astringent A suffumigation of the Skin of a Salt Eele dryed in the Smoak and poudered is commended Seek for an astringent bath out of Guilielmus Rondeletius his Cures The manner of putting it up see in Authors 2. In retaining of it and then the Woman must be placed in her bed bending downward with her Thighes extended so that one lie upon the other the belly must be kept neither slow to stool least in casting forth the ordure the Womb be forced down nor loose least the Membranes binding the Womb be relaxt Agglutinative and astringent Medicines must be applyed To this end serve Pessaries Fomentations injections by a Syringe and other things But have a care you stop not the Courses with them The Differences are taken from the Causes I. One is by reason of the Laxness of the ligaments of which it hath four which is known by this that 't is generated by degrees and afflicts with less pain It ariseth either from hard labor burthensome carrying of the young or from the afflux of a Flegmatick matter 'T is Cured by emptying of the Humors by the use of things astringent strengthning as are the Decoction of Oake moss Harts horn Bay Leaves an astringent Plaister A Loadstone prepared and applyed Another is from the breaking of the Ligaments which is known by this that the evil ariseth of a suddain afflicts with greater pain somtimes is followed with a flux of blood It ariseth either from the Heavy carriage of the young one or from hard labor or from abortion or from a violent drawing forth of the Secundine Another from the Corrosion of the ligaments and then there are signs of an Ulcer some matter flows out Article VIII Of the ascent of the womb its wounds and Vlcers That the womb may ascend out of its place towards the upper Parts as high as the stomach is the Opinion of some but false For. 1. 'T is so tied with four ligaments that it cannot be moved upwards at al. 2. Although it have a natural motion by fibres yet because 't is tied to the right Gut and Privites if it had an Animal motion those parts also must necessarily be distended 3. Although it swel with wind as was said formerly yet it follows not from thence that 't is moved upwards But that Women somtimes do feel a body and a Globe as it were running about the Region of the Navel we must say 't is rather the Testicles and that blind Vessel than the Womb it self The Cause of this shal be explained in the suffocation of the Womb. II. Concerning wounds of the womb note 1. That the Womb is hardly wounded
is thought incurable especially if it happen from a perversion of the neck of the womb for then the woman swouneth and vomits flegme the parts of the belly and pecten are pained the back bone and a feaver happens The excrements of the belly and bladder are supprest a weariness possesses the whole body by reason of the diffusion of the blood retained through the whole it most of al detains the thighs and hips by reason of the consent of the veins of these parts with the veins of the womb 'T is of good success if it be emptied through other places so it be not through the bladder because the blood doth clot most of al in that It respects 1. Bleeding for the blood which stops every month is heaped up in the body and sticking in the veins it must be recalled to the wombe Concerning this note a vein must be opened in the ancle because so both the quantity of the blood is diminisht and its motion to the wombe is procured If it must be repeated one day blood must be taken from one leg the next from the other That which is ordered from emptying ought to be opened at the beginning that which is opened in the ham or ancle after purging must be done three four or five dayes before the time of the accustomary evacuation Cupping-glasses which are deputies of bleeding must first of al be applied to the remoter places viz. the thighs then to the neerer to wit the hips Hither belong ligatures frictions the time of the courses being at hand after emptying of the whole body 2. The preparation of the matter and for this serves in flegmatick bodies the decoction of guajacum with ditander of caudy without provoking of sweat 3. Emptying which must be ordered at times that the matter may be emptyed by little and little Amongst evacuating medicines are commended agarick Galens hiera with castor aloes with the juice of savin Pils made of aloe socotorina three drams the best myrrh one scruple extract of callamus aromaticus carduus benedictus saffron of each three grains of thâ— rootes of gentian dittander each five grainâ— with syrup of bay berries and given one scrâ—ple weight in the evening before supper 4. Opening obstructions by those things that move the courses the cheife are inwardly given the decoction of rosemary with the flower of wal flower in wine Zacutus his chalybeat wine i. 9. c. 10. his water in the same place Pennyroial water twice distiled with cinnamon water The extract of Zedoary angelica castor The faecula of bryony the earth which is found in iron mines given in the same quantity order and forme as steel is The spirit of tartar Hartmans lozinges of Crocus martis Outwardly Zacutus his oyntment of steel l. 3. histor p. 52. the fat of an eele of a snake with the distilled oyl of savin A suffumigation of the refuse of Regulus antimonii of which in Hartman 5. A discussion of the remainders by sweaters viz. with a drauft either of Qercetans milium solis in his pharmaco restituta Or with a chalybeate decoction with spirit of tartar the juice of elder c. The Differences are fetcht from the Causes I. One is from the obstruction of the veins of the womb which is caused by cold and thick blood viscous and thick humors mixt with the blood proceeding either from a hot distemper of the womb which dissipates the subtil and sharp humors leaves the thick and earthy parts or from a cold constitution of the liver and spleen or from the like nourishments especially if in the time of the menstruous flux they be dissipated when the force of the blood is greater and then the time of the purgation being at hand pains are felt in the loins and neighboring parts if any thing flows forth 't is mucous somwhat white and somwhat black there is a dulness in the whole body with a white colour a rare pulse and crude urines Let the Cure be fetcht from what hath been said before Another from compression which is either from external causes as the northern air staying in cold water and then the relation of the patient wil unfould it The blood must be drawne to the lower parts by frictions bandages baths Or from internal causes to wit the fat of the womb or tumors of the neighboring parts and then the tumor must be taken away with convenient remedies Things that move the courses have no place here Another is from a constipation whiles the substance of the womb it self is hard which is either from the first birth and then 't is not easily taken away or after the birth from a cold and dry distemper of which formerly Another from a growing together which is caused 1. By a skar left after an ulcer 2. By flesh or a membrain growing over the vessels of the womb 3. By often abortion after which those veins to which the secundine adheres doe so grow together that afterwards they cannot be opened II. One is from a defect of blood which either is not generated either by reason of external causes viz. hunger too much evacuation issues c. or of internal as a cold constution of the principal parts old age feavers Or 't is converted to other uses as before ripe age into the augmentation of the body in women with childe to the nourishment of the young one in those that give suck into milk in fat folkes into fat Or 't is wasted either by reason of external causes to wit exercise too much labour frights sadness baths hot houses which by provoking plentious sweats do both carry the blood to the circumference of the body and wast its serous part which gives fluxibility to it or internal as are hot and dry diseases too great evacuations made by other parts c. Another from the dryness of the blood which is caused by adustion when in the winter time women put light coales under their lower belly to drive away the cold and then we must act with coolers and moistners Article IV. Of a dropping and difficulty of the courses The dropping of the courses is a breaking forth of the menstruous blood either for many dayes or continually yet made by drops There is no need of Signs when the fault is made known by the relation of the woman The Cause consists either in thing external or in the blood or in the vessels The Cure follows the Nature of the Causes The Difference is taken from the causes One is from external causes exercise hot medicines and other things that diffuse the blood and open the passages and then there is a greater pouring forth of blood Another is from the faeculency of the blood the waies not beng open enough and then it happens with pain in the cure opening a vein in the arm takes place Purging by little and little ought to be urged Another is from the weakness of the retentive faculty there comming together a plenty of blood a
thinness and serosity and then no pain urges We must act with medicines that strengthen the womb with astriction and dryness II. A difficulty of the courses is a flowing of them with pain and trouble and greivous symptomes by the default of the veins or blood The signs are taken from the relation of the patient those pains are of the head stomach loyns and lower belly The flux is either altogether or only by the way of dropping and somtimes when the courses are at hand somtimes when they flow the symptoms happen and they do more afflict virgins and the barren because the veins of their wombes are less open than those that have brought forth because their veins after breeding are dilated We shal treat of the causes in the differences The cure respects 1. The Symptoms which must be mitigated 2. The causes which must be taken away The difference is taken from the causes One is from the straitness of the veins of which we have sayd enough in the suppression of the courses Another from the faults of the blood that is 1. From the thickness and feculency of it and then the blood whiles it is emptyed grows into clots the pains grow feircer a long time before the evacuation by reason of the endeavors of the expulsive Faculty The cure premising universals is perfected by things attenuating and that have power to diffuse it 2. From the acrimony proceeding from the mixture of sharp humors and then the genital parts do iâ—ch the nature of the bloâ—d voided and manner of the pain discovers the disease We must act with things that qualify the acrimony as are the Four greater seeds violets the flowers of water lillies 3. From the flatulency and then the pain returns by intervalls and of a suddain grows sharper wanders up and down wind being voided it ceases It is cured by emptying of the matter and discussing of wind Article 5. Of the discoloring of the courses The discolouring of the courses is a declining of them when as they ought to be ruddy to a palness whiteness greeness yellowness or lividness by default of blood The signs are afforded from beholding the blood it self there is added a stinkingness an inordinate evacuation and oftentimes erratick Feavers accute horror loathing of meat pains of the stomach c. concerning which see Hippocrates The cause is layd upon the falt of the blood concerning which as also of its causes see in the differences The cure attends the causes therefore according to the nature of them it varies 'T is divided twofold I. One is when the blood contracts a fault either by reason of a distemper of the whol body or of some principal part respect to which must be had in the cure Another when the blood is in fault either because 't is supprest and retaind and then a stoppage of the courses went before pains are felt in the breast and strong pulsations if the habit be better the courses break forth and the blood flows forth and a strong smelling matter about the eight or ninth day Or because 't is polluted by the womb abounding with excrements and then there are signs of a polluted womb Another when the blood is polluted by the mixture of excrementitious humors and then if you consider the cure we must prepare them but so that when as thick humors do want attenuation and things too much attenuating do melt the serous humors and move them to the womb we must absteine from the stronger and beware of vinegar we must empty c. II. One is when the courses decline to a whiteness which ariseth either from flegm of which howsoever it be there are signs of a weak stomach or from matter and then either ulcers are raised in the womb and barrenness follows or the courses flow forth for seven or eight days and the woman is freed or the same break forth at the parts above the groin without a tumor and about the hypochondries they come forth and the woman seldom survives Or after some daies a great tumor riseth upon the groin ruddy without a head because there the flesh is filled up and 't is hardly opened Another is when it declines to yellowness or greenness which proceeds from choler Another when to a lividness which ariseth from melancholy Article 6. Of an inordinate flux of the courses An inordinate flux of the courses includes two things to wit an anticipation of the courses before the due time and their continuance beyond the accustomary time The anticipation of the courses is divided according to the nature of the causes One is from external causes viz. a fal a blow and other things that open the veins See the cure below Another from the irritation of the expulsive faculty of the womb 1. By the plenty of blood which is known by this that the blood is sent from the whol body to the womb 't is fluid and natural there are signs of a plentitude 'T is cured by bleeding if the plenty be great by dyet and often exercise if it be less 2. By the thinness and acrimony of the blood which is known by this that the temper of the whol body is hot a course of dyet generating such blood went before the blood it self is dilute discolored yellowish 'T is cured by emptyers rhubarb especially by qualefyers of which formerly Another from the weak retentive faculty of the womb which is known by this that the vessels of the womb are loose the habit of the body also is lax and moist The cure forbids things too much astringent Acid waters and baths that have the vertue of iron are commended II. The continuance of the courses beyond the accustomary time is divided also according to the nature of the causes One is which proceeds from the disappointment of the expulsive faculty which is caused 1. By the scearcity of blood which is known by this that the woman finds no trouble by the protraction of her courses that too much excercise or slender dyet went before 2. By the thickness of the blood which is known by this that there are signs of a cacochyme the blood is whitish and viscous In the cure we must purge before much blood be gathered together attenuate when the menstruous purgation is over calamint and mercury beare the palme some days before the monthly purgation we must open scarification of the ankels takes place here Another which ariseth from the weakness of the expulsive faculty which is induced 1. By a cold distemper of the womb of which formerly 2. By a stupidity of the same which is known by this that there are present disease causing stupidity or too great use of coolers went before after the due time of purgation though there be present abundance of blood no heaviness is perceived by the woman In the cure we must have respect to the disease and its causes Article 7. Of too much flowing of the courses The too much flowing of the courses is
by this way those Excrements which could not be driven forth by sweat The cure must be hastened for it makes women Barren for the most Part unless perhap it be emptyed through the Vessels of the Neck of the womb it casts the same into an Atrophy consumption Melancholy Dropsie Falling down of the womb swounings and Convulsions Hence though at the beginning 't is scarce Cured yet afterwards 't is more difficult For the whol body accustomes it self to cast off the Excrements through that way and the womb being rendered weaker collects Excrements It varies according to the nature of the Causes The Differences are taken from the part that sends them and the colour of the blood I. One is from the whol which is known by this that there are signs of a Cacochymy in the whol body the flux is more plentiful In the Cure 1. Bleeding must be shunned both because the Humors ought not to be recalled into the Veins to pollute the blood and because the strength is dejected by the long continuance of this affect and the body wasted 2. Discussion is very wel performed by Decoctions of Guajacum China and lentisk wood c. 3. For drying the Root of dropwort is very much commended For binding the pouder of mans bones the ashes of Capons dung in rain water Zacutus his Plaister l. 9. c. 11. Prax. History which ought to be applyed to the Kidneys 4. Sleeping on the back must be avoided least by the heat of the Loyns the humors be carried towards the womb 5. Frictions of the upper parts are good for aversion Another is from some part besides the womb and then there are signs of the part affected in the cure we must have regard unto it II. One is from the womb which is known by this that there are signs of the womb affected the flux is not so plentiful It ariseth from the distemper of it of which in the Cure we must have a regard Suffumigations of Frankincense Labdanum Mastick Saunders are wel applyed but from what Cause soever it ariseth baths do most good Concerning a Gonorrhaea if any thing ought to be known let it be sought from those things which are said concerning a mans gonorrhaea Chap. 2. Of the Symptomes more familiar to those that live out of Wedlock Article I. Of the Virgins Disease THe Symptoms more familiar to those that live unmarried are the Virgins disease the suffocation of the womb the madness of the womb and the melancholy of women The Virgins disease otherwise the white the Virgins the Pale the Lovers Feaver is a change of the natural color in the Face into a greenish and pale proceeding from the abundance of crude Humors 'T is called the Virgins because it appertains most of al to Virgins and truly to the Fairer endued with a white colour thence the Tincture from crude Humors is the easier The Face it self wil afford us the Signs to which add other Symptomes as the pain of the Head somtimes madness the Humors and Vapors being carried thither and mixt with Melancholy a difficulty of breathing with a palpitation of the heart if they stir with a smal and frequent pulse of the Arteries in the Neck back and Temples by Reason of the lifting up of Vapors from the heating of the thick blood inordinate and erratick Feavers by reason of the Putrefaction of the Humors manifold affects of the Stomach amongst which loathing of meat by reason of the unhappy distribution of the Chyle A Pica from the abundance of evil humors in the coats of the stomach Vomiting from the great plenty of crude Humors both a distension of the Hypochondries from the reflux of the Menstruous blood to the greater Vessels and a rumbling from the tumultuation of wind A swelling as wel of the whol body with a laxness and softness from the plenty of the Humor as either of the Eye-lids especially in the morning after sleep when in the night the heat hath raised more Vapors and serour Humors than could be discussed or of the Legs and Feet especially about the Ankles from the abundance of serous Humors The CAUSE is the crudity and plenty of Humors arising either from the suppression of the Courses or from the Native straitness of the Vessels or from that acquired by eating of wheat Loom Chalk earth Nut-Meg drinking of Vineger c. Or from the obstruction of other bowels For the Menstruous blood the Passages not being open doth regurgitate to the greater Veins and Bowels obstructs the Vessels and over whelms the heat Hence ariseth evil concoction in the Bowels and the Humors are carried to the habit of the body The CURE is accomplisht 1. by bleeding especially in the Ankle if the malady be new and the blood is not turnd into another humor If it ariseth from the Evacuation of blood supprest 2. By Purging premising Preparatives 3. By opening obstructions in which we must have respect to al the bowels the suppression of the Courses must most of al be minded There are commended Steel prepared Scorzonera Root Bezoar stone Oyl of Crystals c. In the diet Vineger must be voided Article II. Of the Suffocation of the womb The Suffocation of the womb is a heap of Symptomes opposing somtimes the natural actions somtimes the Animal somtimes and more often the vital by periods joyned with a coldness of the whol Body proceeding from a malignant Vapor raised from the womb 'T is called also the Suffocation of women the strangling from the womb the Hysterical passion c. The SIGNS are either of that at hand a wearinness of the whol body with a weakness of the Legs a paleness of the Face with a sad look a nauseousness which is seldome succeeded with vomiting oftentimes a certain wearisomness and loathing of meat and that somtimes with a murmuring and rumbling of the belly somtimes without these Or of that present in which a Vapor raised up to the heart and stopping the vital spirits a smal fainting away is Caused the Pulse is changed a little the body grows cold the spirits recurring to the heart fear and desperation moves the patients the same thrust to the Head and Jaws somtimes the Jaws are bound up and the Patient seems to be suffocated The motion of the breast and Midriffe is hindered the Animal spirits being stopt and breathing is almost intercepted the sick living in the mean while by Transpiration somtimes a madness of the womb is added with prating and fury somtimes other kinds of madness arise Somtimes sleep and a drowsie Disease is induced in which the woman falling as astonisht lies without motion without sense with such smal breathing that she seems dead Or of the fit declining and then a certain Humor flows forth from the Privities the Guts murmur by and by the Eyes are lift up the Cheeks grow red sence and motion return Somtimes a coldness at the time slides from the Head by the Neck into the shoulder and Arme which
may be distended though it be thick as in conception and be retained there as in a mola and because the altering and retentive faculties being never idle do change the diseased seed into wind Another when 't is in the coats of the same and then the mouth of the womb may be open by reason that the winde is concluded in a narrow place the sound goes forth and the pains are greater and extended further the evil is more difficult to cure than that in the cavity Article IV. Of an inflamation of the womb An inflamation of the womb is a tumor of the same from the putrefaction of blood fallen into its substance troublesom with many symptomes and somtimes turning to a scirrbus somtimes to an impostumation The signs are various the tumor it self appears in the region of the womb with a heat and pain a shutting up of the womb drawing of it towards the inward parts but the whol neck of it appeares ruddy little veins swelling every where with blood like to a spiders webb There is a difficulty of breathing which shew a pleuresy because the outward coat of the womb being extended which ariseth from the peritoneum and is fastened to it those parts also to which it coheres are distended The excrements of the belly and bladder by reason of the heat and dryness of the belly and compression of the passages are detained The bulk of the belly somtimes appeares empty and the belly is filled with water and the navil strutts forth and the mouth is slender and of a suddain a few and evil courses follow A continual and burning Feaver afflicts by reason of the consent of the womb with the heart by arteries and great vessels somtimes a lypirias by the motion of the humors towards the inward parts There is a pain of the breasts with an inflation of them by reason of the consent of the groins the hipps the midrife the cannel bones the forepart of the head which is extended to the roots of the eyes and it ariseth from vapors of blood putrefying carried up to the head by the arteries which run through the neck from both parts of that called the infundibulum into the fore part of the head The cause is blood which somtimes is pure somtimes mixt with choler somtimes dyed with black choler It slides thither or slides forth for common causes viz. the detaining of it in the time of the courses or after a delivery by the occursion of the cold air 'T is attracted by heat or pain which is caused either by abortion hard labor violent drawing forth of the secundine long walking when the courses are at hand or by a troublesom carrying if the young one be either great or ill placed The cure is difficult especially if the whol womb be possest or suppurated for a sordid ulcer arising from thence doth at length kil the patient with a slow Feaver None at al if there be an erysipelas because the young one it self dies by reason of the exceeding heat whence follows abortion which kils the mother If it turne to a deadly gangreen 'T is cured as in other inflamations where note that for revulsion we must not open a veine in the leggs when as these veins draw the blood to the womb but in the arme when as the blood flows from the liver and the veins adjacent to it For derivation a veine in the ham may be opened unless the patient be great with child least abortion be caused Topicks ought to be applyed cooling and moistning without any astriction 'T is thought that the decoction of mother of time prepared with steeled water and outwardly applyed with sponges doth stop it by a certain propriety The Differences are taken from the part it self I. One is of the whol womb in which the symptomes afore mentiond do evidently afflict and few indeed do scape Another is of the other side in which the heat passes to the hipp by reason of the ligaments of the womb which are carried thither the legg of the same side is hardly moved the groins of that place are inflamed II. One is of the hinder part in which the belly is bound the paine doth more afflict the loins and backbone Another of the fore part in which because it coheres to the bladder the urine is stoppt or made with difficulty the pain goes more towards the pubes Another of its bottom in which the lower part of the belly is so pained that it cannot endure to be touched and the pain is extended more to the navel III. There is one which turns to a scirrhus in which al things become milder a weight and heaviness is felt in the neighboring parts the evil is of long continuance and is often terminated in a dropsy of the womb Another to an imposthumation in which al things are increased til suppuration is made horrors without order invade them for the most part about the evening the impostumation being broke but it breaks either into the cavity of the womb which is safer or 't is poured Forth into other parts somtimes the urine somtimes the belly is stopt with a swelling of the pubes and the sense of somthing waving Article 5. Of a scirrhus of the womb Ascirrhus of the womb is a hard swelling of the same and resisting without pain produced from a thick earthy and faeculent humor The SIGNS are besides other general ones to wit the Courses at the beginning are supprest or flow too little the evil increasing there is a great flux of blood by intervals either the Mouths of the Veins being opened more than is fit or the Womb not being able either to receive or retain the accustomary quantity of blood 'T is distinguisht from a Mola because in this if the Courses flow they flow disorderly and the Breasts also swel with Milk which in a Scirrus are extenuated c. The CAUSE is an earthy and feculent humor to wit a thick blood somtimes flegmatick somtimes Melancholical which happens in the declining Age and troubles them which have been sick of a Pica Malacia or bulimus oftentimes from an inflamation ill cured by reason of the too much use either of coolers or discussives The CURE is difficult both because things dryed a long time cannot be mollefied and because the Native heat is exhausted in parts affected with a Scirrus and because while the Humor is mollefied it may easily turn to a Cancer by taking putrefaction The proceedings of the cure differs not from others 'T is divided in respect to the part affected One is in the substance it self in which the Womb lies upon the Hip and Back and there Causeth a pain Another in the Neck which is discovered by the touch of the finger 't is easier cured than the former If it be in the upper part of the Neck the Woman is hurt in Copulation and the bladder is prest by the Tumor if it be in the lower part the