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A46235 The idea of practical physick in twelve books ... / written in Latin by John Johnston ... ; and Englished by Nich. Culpeper, Gent. ... and W.R.; Idea universal medicinae practicae libris XII absoluta. English Jonstonus, Joannes, 1603-1675.; Culpeper, Nicholas, 1616-1654.; W. R. 1657 (1657) Wing J1018; ESTC R8913 546,688 377

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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 i●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 inde●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
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 na●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
that it cannot afterwards contract it self And in case the Reins do not draw unto themselves the Wheyish moisture remains mixed with the bood and being spread al over the Body it affords matter for the Dropsie and Cachexy III. Seed unseasonably retained causes heavyness of the whol body and if it be corrupted it Causes most greivous accidents being voided in too great a Quantity it dissipates the natural heat weekens the whole Body heaps up crudities hurts the Nerves brings the Palsie and weakness of the mind Title II. Of the Method of preserving Health Chap. I. Of preservation of Health in general THe Method of preserving Health is a Doctrine which prescribes rules how to use the Non-Natural things in such manner as to preserve the body in health The End thereof is therefore the Conservation of Health which consists in Preservation of the temper of the whol body and a I its parts and of their specifical proprieties and occult qualities and of the due shape of the Organick parts and of that unity which is common to hoth Those Precepts are either most General General or Special I. The most General are as it were common principles by which convenient diet is governed and they are these following I. That whatever is according to Nature must be preserved II. That we must alwaies aime at a Mediocrity For too much of any thing is an Enemy to nature which Phocylides excellently expressed Eate and drink and discourse with moderation Moderation is the best thing in the world and Excess is destructive III. That sudden changes are to be avoided For much at once or suddenly to empty or fil to heat or cool or any other waies to alter the body is dangerous as Hippocrates has it in his second book Aphorisme 51. IV. We must not lightly alter Custom For Custom is a new nature and things to which we have been long time accustomed though bad are not so troublesome as those to which we have not been used as Hippocrates in his 50. Aphorisme of the second Book instructs us Now after what manner Custome is a new Nature and what power it has over our actions natural vital and animal and over the parts of our bodies see in Renatus Moreau upon the 15. Chapter of Schola Salerni p. 215. and Senertus in his Paralipomena page 48. V. Bodies perfectly in health must be cherished with things like such as recede from the exact state of Health ought by little and little modrately to be reduced to a contrary condition VI. We must so far be careful to preserve occult proprieties as that the temper of the body may not be hurt VII The inbred Heat of al the parts must be preserved with things moderately hot and moderately astringent II. The General precepts concerning the nonnatural things wil be delivered best according to their order in which we reckoned them in the foregoing Title I. The Aire therefore 1. Must be chosen temperate pure not stinking free as being most healthful and that aire must be avoided which is ful of corrupt exhalations 2. We must by al means avoid●●●hopping out of an hot aire into a cold or 〈◊〉 ●f a cold into an hot 3. A cold aire must be altered by a fire by hangings by a stove an hot with cold water powred out of one vessel into another or sprinkled upon the floore by strewing of roses water lillyes boughs of willow and Agnus Castus A moist with a bright fire and perfumes a drie by sprinkling of water and with moistning herbs a pestilential with burning aromatick woods and franckincense 4. Those that have leisure must walk out into the fields to enjoy the open aire 5. In the the morning 't is good to walk about the mountaines in the evening about the fountaines and rivers both because the Aire is in those parts more pure and bright and about the fountaines and rivers 't is lightened and clarified by the fetting Sun also because in the morning we are not very hot by reason of the foregoing night in the Evening in regard of the heat of the Midday sun we may be delighted with the coole aire of the waters II. Touching meat we must observe some things in general and some in special I. In general observe 1. That we must choose such meats as are most temperate and familiar to our Natures such as wel bak't bread flesh of beasts and such things as they afford for food fishes c. Of bread the best is that which is wel leavened ful of eyes wel kneaded and wel baked in an oven not too hot seasned indifferently with salt and made of the best wheate 2. Also we must use a most simple diet and of several sorts to avoid satiety provided that it be not at the same meale of different substances and different qualities but of the same nature that it may be digested with the same heat in one and the same space of time and that we eat not over much 3. We must have a special Eye to custom by the power whereof some have fed on poyson without hurt 4. The worser but more pleasing meat and drink is to be preferred before that which is better and not so delightful For the Stomach greedily artracts straitly embraces and happily digests such kind of meats II. Particularly we must have an Eye to the Quantity Choyce Sawces Time and Order of which I shal treat when I handle the diet of persons of a middle Age. III. Of the rest there is nothing to be said in general only this may be added that we must according to the advice of Celsus take heed lest in health we consume that which should assist us in sickness It is better daily to use moderate exercise to prevent the collection of superfluours excrements than to use purgations or other medicaments 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 Chap. 2. Of preservation of Health in Special and first of the good Habit. Article 1. Of preserving the Health of wel habited persons Point 1. Of preserving the Health of Infants Children and youths SO much shal suffice to have said of preservation of Health in general let us now see how health is to be preserved in several sorts of people And this preservation is either of wel constituted or Intemperate persons Wel habited or wel constituted persons are either Infants both such as are in the womb and such as are born or Children or Youth or Men of Middle Age or Old Men. I. Children in the Womb wil fare wel if the woman with child shal do some things and avoid other some Among things to be avoided are 1. Aire which is moist and southern the stink of candles put out and which arises from Castoreum brimstone and such like things 2. Also the smell of strong herbs as rue penneroial Mint and of sweet smelling
things if the woman be subject to mother fits 3. The sight of things horrible and fearful 4. Sharp bitter and salt meates which open the mouthes of the veins such as are Garlick Onions Mustard Parsly c. as also such as cause wind to which ad strange things and hardly to be obtained 5. Motion which is violent either of body or mind especially in the first months also vacancy of motion which collects humors in the body 6. The use of venery at the begining of conception least the child prove abortive 7. The use of Bathes least the ligaments of the womb should be loosned 8. Too much laughter or imagination 9. Costiveness of the belly which may be cured by the use of broaths and of Manna Among things to be used and done are 1. Temperate Aire drie rather than moist 2. Meat of good juice and plentyful in the last months Apples Quinces which are thought to strengthen the child also the eating of toasted Figs every day before meales is commended when a womans time draws nigh because 't is thought that the secondine is hereby more easily separated and brought forth Also saffron and Cinnamon are commended after meales 3. Moderate use of good wine or cleare beer 4. Motion somewhat strong in the last month to dilate the parts 5. Moderate use of venery about the same time 6. A Bath of luke warme water which opens the Genital parts and prepares them to the birth 7. More sleep than watching 8. The use of such things as comfort the child among which are Balsamus Embryones and sweet almonds with Malmesey as most excellent II. Infants new borne for the first septenarie are thus to be ordered 1. As soon as they are borne the dung must be avoided by giving them sugar penids with oile of sweet almonds or honey to prevent the Falling-sickness They must not be put to a nurse unless the mother be weak subject to sickness or bad manners 3. For two years or eighteen months it must be nourished with milk as that it be in the meane while inured to other meats Pap made of wheat meale and milk usual amongst us which because it breeds gripings and obstructions either the wheat flower must be dried in an Oven or white bread crums moistened with Hens broath must be used in stead thereof 4. It s diet for the first three yeares must encline to moisture 5. Being new borne it must be washed every day after the third month to the seventh every other day from the seventh month til it is weined twice every week 6. About the End of the first seven years it must be seldom bathed and not soon after meat or drink least crude juice be drawn into the body 7. Wine must be avoided til the one and twenteth year according to Plato's precept 8. The more it grows the more it must be exercised but so as care be taken that no member be distorted or untimely dried 9. As it encreases in growth it must by lit●●●●d little abate of its sleep III. Ch●●●● require 1. More solid meats but moderately drie lest their moisture be suddenly diminished 2. Stronger exercise yet somewhat less than their strength can wel beare IV. To such as are ripe must be given 1. In general such kind of diet to begin with as they are to hold al their life that they may inure themselves thereto 2. Meats which in little Quantity do nourish much 3. Stronger Labours that their bodies may be fitted for al kind of exercises al sorts of weathers 4. They must avoide Venery which does too soon dissipate natural Heat and cooles the body Particularly Studients ought to have a Care of their animal spirits that they may plentiful neat and pure Such are bred by subtile and pure aire Thin diet and of good juice due evacuation of excrements avoidance of unseasonable studying by which crudities are multiplied and the body made sickly Point 2. Of preserving the Health of middle-aged persons Wee cal that Middle-Age which taking its beginning from the third septenary runs through the four sextenaries following and is finished in the fifteenth yeare so as to comprehend Adolescence Youth Virility and ripe Age. We shal preserve the Health of this Age if we shal observe some things touching Meat Drink Affections Motions Sleep Bathes and Excretions and if any error be committed we must mend that the following day I. In Meat respect is to be had 1. Of Quantity touching which observe 1. That it must be so much as is requisite to restore the strength of the body not to burthen the same which may be gathered by the sence of hunger six or ●even hours after eating by belching absence of Heaviness and smel quiet sleep absence of watchings and bad tast in the Mouth and if the Head be not heavy at Sun rise and a man be fit for any business 2. We must cheifly have respect to three things 1. The nature of the Aliment in which respect Meats hardly digested taken in overgreat Quantity are more hurtful than those easily digested so taken Plenty is pernicious when it has a bad quality joined with it unless it be some waies diminished by the sweetness thereof Those who have a cold stomach ought to eat less because such a stomach desires more than it can digest the hot stomach may have more because it digests more those whose stomach is temperate may make their appetite the measure of their eating not eating before they feel themselves hungry 'T is better that the Heat of the stomach exceed the meat than that the meats should exceed the Heat of the Stomach 2. The kind of Body and course of life and the Labours of a man in respect to which those that are idle must eat less because they digest less paines-takers must eat more because their Heat is augmented by exercise 3. The time of yeare and Constitution of the Heavens in respect of which we must eat more in the winter and spring because then our stomaches and Inwards are naturally hottest And the contrary must take place in Summer 3. We must by Fasting spare diet sleep quiet and Vomiting correct any error committed either through bad custome or allurement of eating Oft times nature being by the takeing of some good food invited to digestion has set upon some Crudity which before she could not master II. Of Choyce where note first that the flesh of beasts is more familiar to our Nature than any other food 2. Of Fouls we commend a duck of a yeare old in the winter and therein the Pulp of the breast the Liver and the after-parts of a wild foul the wing from September to Januarie A Goose of a yeare old in the winter and therein the breast Liver and after parts Goslings of a month old in the spring and summer A Capon of a yeare old from October to April and therein the wings the rumpe and the flesh along the breast bone A Quail in Agust September
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 a●● 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
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 ●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
brest Aloes to the stomach and Gutts Rhubarb to the liver Sena to the spleen Hermodactyls to the joints 3. That they ought to be of equal pace in operation that one do not prevent and out-●un another and that they must be mixed with odoriferous medicaments of thin parts least they overthrow the stomach and that wind may be dispelled yet must not these odoriferous ingredients be in so great quantity as to move urine 4. Alwaies to abate somewhat of their strength 5. That they act by help of the expulsive faculty so as to disturbe and jumble the whole mass of Blood then to sparate the humors whether any part of their substance be drawn into the veines or they act only by a vapour sent forth V. The Conveniences of Purgaton viz. Whether or no How much When After what manner I. As for whether or no observe I. That you must not purge 1. If there be paucity of Humors 2. If the Body be sound and of a good temper 3. If the patients purge only by the smel of the Physick 4. If the forces of the Body are weake by way of dissolution and then the Artery pressed with three fingers does not fly up or one finger being removed it is not felt by the next or there are more little than great pulses more languid than vehement more slow than swift 5. If the stomach be weak in which case a Clyster is convenient 6. If there be plenty of crude humors because gripings are raised and little to speak of evacuated 7. If there be an Impostume in the Gutts 8. If the midrif be stretched raised burning inflamed and the Urine fiery 9. If the Member from whence you intend to purge be troubled with some raging pain 10. If the Belly be bound no clyster given II. You must purge 1. If there be gripings without a fever heaviness of the knees and paine in the Loins 2. If the matter conceived in the member be moveable 3. If the sick be hard to vomit and moderately fleshy 4. If nature do not incline to a Crisis 5. If the foregoing conditions are absent III. You must warily purge such as are of an healthy and pure body idle apt suddenly to faint away such as are frampold and hard to please Children old Men women such as easily vomit such as are leane and of a thin body and those that are of a cold and moist constitution II. As for how much observe 1. That you must alwaies purge rather with a little than a great dose 2. That the parts in the Region of the Belly require lenitives in the venous or veine-region moderate purgatives those in the habit of the body vehement ones 3. Strong forces of the Body with great abundance of Humors does prohibit a medicine which purges plentifully and tumultuously least the spirits be dissipated but when the humors are not so plentiful a strong medicament may be given 4. That the Bodies forces being weak by repletion do require smaller purgations the remaining Humor being drained out by gentel repeated Lenitives 5. That the forces languishing through resolution of the Body do only require gentle and partial or repeated purgations 6. Women with child in the seventh month must be gently purged least the child being heavy come by strong agitation of the medicament to be cast downward 7. Old persons because with tract of yeares their benigne juyces are exhausted cannot bear strong purgers 8. Nor yet children because they grow and their humidities do easily evaporate 9. Men of rare or thin texture of Body if they be strongly purged they suffer detriment thereby 10. Leane persons because they have large veines are easily purged 11. Long-legged persons are easily purged 12. Such as live hardly as labouring Country-people are not moved with a gentle purge 13. Melanchollick persons whether they be so by nature diet or sickness because they are for the most part of good strength without danger of weakness and have their bodies solid and ful of juice must be strongly purged 14. But stammerers must be gently purged because they are liable to a loosness 15. When only the stomach is out of frame gentler purgations must be used least more il humors be drawen to the stomach 16. Great plenty of Humors profoundly situate in the body do need more plentiful purgations either jointly or severally 17. Where we need more evacuations we must begin with the most gentle 18. We must then use strong purgations when gentle wil not do the deed III. Touching the quando or when you must purge take these Rules 1. That women with child ought not sooner to be purged then when the child begins to stir that when the Humors work Women in childbed must not be purged til their month be over 2. In Peracute diseases If the matter be unruly and in motion you may purge the very same day by reason of the tenuity and fluxibility of the matter 3. In the firs of intermitting diseases you must abstaine from purging in the time of Remission and Intermission you must purge 4. In long-lasting diseases we must not purge before the matter be atte●uated and made fluent and the passages opened 5. In the Summer time before day in the winter give your purges in the day 6. The juyces which are in motion or wil shortly be in motion must be purged to prevent the Encrease of the disease and that the part may not be marred by over abundance of the juyces 7. In the Dog-days and immediatly before you must not purge For the bowels Heated by the violence of the Season do easily entertaine a fever IV. As for the question after what manner take these following ●ules 1. To every Humor you must apply its proper purgative 2. To near parts and in Melancholy cases liquid Medicines are good in remote parts you must use solid ones which stick long in a place and spread their virtue more effectually 3. Vomiting which is wont sometimes to arise after the taking of a purge is stated by stomach-strengtheners or cupping glasses applied to the navel or with juice of pomegranates in such as are of a weak stomach and hot liver it is prevented by holding an Eg to the throat or putting toasted bread to the nostrils 4. Loathing of the stomach is taken away by a linnen cloath wet in Vinegar put upon the Cup or by washing the mouth with juyce of pomgranates before the potion is taken 5. A purge which causes griping is mitigated by a clyster lenitive or a potion of the decoction of Mastich or with lukewarm water 6. In persons abounding with melancholy Catharticks ought to be mingled with lenitives and moistners 7. Purgers if they be given with barly water do work little or nothing by reason of the abstersive faculty therof 8. Super purgation is stopped with new or old treacle a grain or two of opium mingled with three ounces of wine Also with a crust of bread steeped in vinegar and laid upon
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
into the whole habit of the Body ' causing many Symptomes I do not mean the Elephantiasis by the Arabian Physitians so called nor the Leprosie of the Jews The SIGNS are either of the Diseases beginning as frequent spots in the Body roughness of the skin with risings like a Goose with the Feathers of with many scales and chinks especially in the Face Hands and Feet falling off of the hairs Or coming to the height as a Tetter upon the tops of the fingers and the Chin and the Eye-brows which are thick and hanging over hoarsness of the voice sweat easily turned into salt which wil not melt in water the blood being washed leaves grains and Sands in the bottom of the water See the Trial of this Disease in Horstius his Medicinal Epistles S. 4. Tim. 1. The CAUSE is a Melancholy Humor and black Choler which arises either from external Canses dry constitution of the Aire and Diet suitable or from internal viz. An hot and dry distmper of the Liver Also it contracts a Venemous and Contagious quality whence the Disease comes to infect others The CURE is None when the Disease is confirmed t is Difficult when it is newly begun T is Performed 1. By Diet where Viper Wine is good and the flesh of Vipers boyled their Head and Taile being cut off Cider Chickens fed with the flesh of Vipers or Snakes 2. By Preparation of Humors by the Herba Kunigundis an Herb so called with Fumitory boy led in whey Straw-berry water Dodder-water Decoction of Tamarisk 3. By Evacuation both by Blood-letting which must be Practised in the spring viz. In both Arms and on the Ankle and by Purgation where extract of Blood-Hellebore and whey with Epithymum boyled therein are good likwise by the Hemorrhoides 4. By use of Bathes of fresh water and of brimstone waters c. 5. By giving appropriate Medicaments viz. Hares-blood hot salts Theriacal Treacle Bezoarticum Ammale or Bezar-stone 6. By Mitigation of the Symptomes of which in their peculiar places 7. By burning of which see Authors As for the Diffierences there are four sorts thereof I. Alopecia in which is an obscure redness swelling of the Face redness of Eyes bleeding at the Nose It springs from blood and is more gentle than the rest II. Tyria so called from the scaly Serpent Tyrus which casts of his Skin in the spring In this there is whitness Seales dandruffe It springs from Flegm III. Leonina so termed from the Ruggedness of the Lyons for-head In which are prickings bitings Tetters It arises from Choller and comes speedily to the Augment IIII. Elephantiasis peculiarly so called being greater than the rest and slower in its Augmentation has its original from Melancholy and is known by a cloudy blackness knots and stupidity of the Patient These sorts are seldom separated and most frequently Joyned together Title II. Of Diseases of the Skin Chap. 1 Of Lentigines Ephelides Naevi-materni Infantum Maculae ANother kind of external Diseases are the disorders of the Skin under which are comprehended Lentigines Ephelides Naevi Materni Maculae Infantum Maculae Hepaticae Pruritus and Malus Odor I. Lentigines Freckles Are smal specks of a yellowish brown color for the most part seated somtimes in the Face somtimes on the breast somtimes on the hands They are known by the description and because they are subject to ruddy people and such as are yellow-hair'd They arise from blood adust either by inward causes or the Suns heat Occupying the Scarf-skin especially of the forhead because being there thicker than ordinary it retaines the Vapours longer They are Cured by the waters of Elder-flowers Bean-flowers and Scrofularia By Goats and Cowes-milk mingled with pouder of Glass With Cherry-tree-Gum dissolved in strong Vinegar with a little Oaten-meal With these they must be washed or anoynted II. Ephelides are brown spots on Women with Child which quarter upon their Foreheads cheifly their temples or Cheekes as large many times as an hand-breadth They are known by the presence of such Symptomes as are wont to afflict Women with child especially loathing of wine and meat frequent spittings and gnawings in the stomach They arise from suppression of courses in Virgins somtimes from eating of Beetes A Pap made of the pouder of Bay-berries and Toad-stool-water is commended being smeared on in a Bath III. Naevi Materni are spots and mark●s imprinted upon the Child in the womb by the Mothers Imagination They are abliterated either by the After-birth while t is hot or the blood thereof more easily if privately as the common people imagine or the distilled water of Caryophyltata-Montana if the infant be washed therewith or with the me●nstrual blood IIII. Maculae Infantium Volaticae which Nurses cal the Red-come are red and purple spots which creep up and down the bodies of young Infants And if they touch any Orifice of the body as the Mouth Nostrils Eyes eares t is counted a deadly sign For Prevention the Orifices must be wet with Rose-water tinctured with a litle Saffron Chap. 2. Of the Maculae Hepaticae Itch and bad smels MAculae Hepaticae or Liver-spots are brown spots somtimes appearing and then vanishing with a slight roughness of the skin and falling of scales They are known by the description Arise from a thick blood which seeing it cannot be assimilated it sends forth what is Excrementitious into the skin if they continue long they are accompanyed with quartan Agues They are Cured with Diet and after universal Medicaments with bathes before which Treacle must be taken and afterward they must be nointed with green Mustard-seed reduced with water into the form of Pap which must presently be washed off so soon as it raises heat Also Mans-blood destilled with Brest-milke is good II. Itch is a pain which stirs up a desire of scraching without any roughness or Exulceration of the SKIN The SUBJECT is somtimes the whol Body but especially the soles of the Feet because they are covered with a great and broad Tendon and with an hard Skin so that the Humors have not egress T is KNOWN by the sense It ariseth either from Choller or thin salt Flegm so as it may insinuate it self between the smallest particles but clammy and roaping that it may stick faster to the parts which is bred of salt Meats and Hot through fault of an hot and Dry Liver The CURE is seldom performed upon decrepit persons None at al in such as have the Consumption if it follow after Costiveness T is performed 1. Ey Attemperation of Humors by Goats-Milk Whey and Syrup of Fumitory 2. By Evacuation of the antecedent Cause by Jalap and Syrup of Peach-flowers By Hemorrhoides and courses provoked if their stoppage have been the Cause 3. By Mitigation with fresh-waler bathes into which Mortar is to be cast and the Oyntment of Hartmannus 4. By Discussion with the said Baths wherein Pelitory of the Wal Mallows sharp-pointed Dock Alum Sulfur Vitriol c. must be put III. Bad smel
Strike in it must be called forth either by fixing a Cupping Glass or with a 0734 0 pultis of Radish Root and Scrophulary the great with a little of Salt Vinegar When it comes far out it must be drawn to the more ignoble parts from the Neck to the hollow of the hand from the Groins to the soles of the Feet To this purpose there is an useful Cataplasme made of two ounces of the greater Scrophulary Root Radishes one ounce beaten and with one ounce and half of the strongest Leaven and boyled in Wine Vinegar and so made into a pultis and applied to the Palm or hollow of the Hand or the Sole of the Foot or that side on which the bubo is It must be renewed three or four times in a night Being Fixed 1. it must be often drawn with a Cupping-Glass and store of flame without Scarrificatian 2. The Cupping-Glass being removed let it be covered with a ripening Cataplasme and drawing made of the Roots of Scrophularia Salt Black Sope and strong Leaven boyled in Vinegar 3. After six hours let a Cupping-Glass be again set on and let the Skin be cut with a Lancet or smal Knife 4. Let a Cataplasme ripening and drawing made either of a great Onion hollowed filled with Treacle and roasted in the Embers til it be soft or of the middle rind of Elder boyled in Cream and mixed with Leaven be laid on at Night and often renewed 5. Let the Tumor the following day be either cut or brok and the Blood water squeezed forth and let a mundifying or clensing plaster of Turpentine wash't in Scordium water and honey of Roses mixed therewith be applied Touching the Carbuncle and Feaver which is also entertained by certain symptomes see in their proper places See concerning the Plague Peter Salius Diversus Joel Tom. 5. Sect. 3. Septaliws in a peculiar Treatise and Valerius Martini And so much cancerning Feavers THE EIGHTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Of the Diseases of the Head Title I. Of the Diseases of the Brain Chap. 1. Of the Distemper of the Brain without Matter HItherto we have treated of Diseases in the general the Particular now follow and these are either such as are not Venemous or such as are Venemous Unto those belong the Diseases of the Head the middle and the lowermost belly commonly called the three Regions The Diseases of the Head are either those of the Brain or of the Eyes or Ears or of the Nostrils or of the Tongue or of the Lips or of the Face or of the Mouth or of the Teeth or of the Gums or of the Cheeks or of the Wesand or Windpipe or lastly of the Jaws and Tonsils Unto the Diseases of the Brain are referred as thereunto belonging a distemper which the Latins cal Intemperies the straightness or stoppage of its passages Commotion Inflamation Hydrocephalius being a cold Disease thereof proceeding from water and Flegm Contusion wounds and Fractures The distemper or Intemperies either is without matter or else with matter The Distemper of the Brain without matter is the declining thereof from its due and right temper through some external causes For the Signs and Causes see of them in the differences The CURE is performed by Alteration and Purgation lest that the Body if it be either Plethorical or Cacochymical should attract more Vapors It is divided into four species or kinds I. the first of them is hot when the Brain declines unto an immoderate or overgreat heat It is dscerned and known by the beating of the Temples the agitation within the Cranium or Skul by the sleep which is either none at al or else very short and by the instability and mutabillity of the Imagination It ariseth from external hot causes to wit Aire meat drink exorbitant affections c. It is to be cured 1. By alteration and that by cooling mediacments as wel internal as external and these not over strong especiallly in children and women having in them a mean and indifferent astrictive quallity left that the humors should be either attracted or dissipated not too frequently applied and made use of lest that they should introduce and cause a kind of sencelessness or stupidity and then lastly they are to be mingled with dissolvers when the distemper is in 't is declination The cheif and principal of them are the leaves of Lettice and Purslan the flowers of Roses Waterlily white and Red Popy and Saunders wood together with those medicaments that are pre-prepared and made out of those such as are fomentations which are to be corrected with such things as penetrate by reason of the thinness of their substance as doth Vinegar c. These remedies are to be applied to the forehead Temples and Sutures So soon as they begin to wax hot they are to be changed neither are they to be tyed on or covered with thick clouts or linnen often doubled For Embrochations and washings of the Feet are most in request the Leaves of Sengreen vine Leaves and the Leaves of the Willow Tree The flowers aforesaide as also of the Elder Tree and the root Rhodia a cataplasm made of willow Leaves and Vine buds 2. By Evacuation for the cause before alledged 3. by a diet inclineing to coolness more than ordinary II. The second is Cold when the Braine declineth unto an excessive or over great coldness And this is known by the swelling of the eyes the palness of the face the heaviness of the head propension to sleep slothfulness and slugiggishness It proceedeth from things external that either are cold in themselves or at leastwise induce and cause cold It is cured 1. By Evacuation if the body be Cacochymical 2. by Alteration which is effected by the use of things External and internal that are hot and these must be taken after meat and never before The cheif of them are the Roots of Piony taken out of the earth at the waning of the Moon the root of round Aristolochia Castorium The flowers of staechas or cotten weed primrose pealings of the bark of the linden or tyle tree of flowers of lillyes of the vally of Rosemary Bettony Marjoram Black chery water the water of swallows Treackle water The Quintesence of Rue of Rosemary of Succinum or yellow amber Of condites the Indian met nutmeg treacle Mithredate the restorative Confection called Anacardina and Alpermes Distilled Oyls as of the Wood Guajacum and of sassafras taken either in waters or else in smal morsels The leaves of Rue Wild bettony and the right Verveyn Balsams of Lavender Rosemary yellow amber Cloves nutmeg c. 3. by a diet somewhat inclining to warmth where likewise suffumigations have their use and place III. The third is Moist when the brain inclineth unto an overgreat humidity or moistness It is known by the humidity that appeareth in the nostrils and the eyes by the Catarrhs that follow upon it and the propension unto sleep It ariseth from some external causes
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
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 M●●th that by Nature one Lip falling do●● 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
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 ●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 foll● 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 Priv●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 ten●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 moistne●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 per●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
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 con●●●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 Diapedis●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
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
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 cour●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
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