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A86032 A treatise of the rickets being a diseas common to children. Wherin (among many other things) is shewed, 1. The essence 2. The causes 3. The signs 4. The remedies of the diseas. Published in Latin by Francis Glisson, George Bate, and Ahasuerus Regemorter; doctors in physick, and fellows of the Colledg of Physitians at London. Translated into English by Phil. Armin.; De rachitide, sive, Morbo puerili. English. Glisson, Francis, 1597-1677.; Bate, George, 1608-1669.; Regemorter, Assuerus, 1614-1650. 1651 (1651) Wing G860; Thomason E1267_1; ESTC R210557 205,329 373

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either an unfruitful deed or such as is propense to this Diseas somtimes those parts are infested with a virulent vicious or waterish Gonorrhea and they excern a Seed not sufficiently elaborated the same must be said of the white and red Fluxes of Women Again some things outwardly applied to those parts have reference hither as Ointments of Hemlock and other Narcotical things especially if they be often anointed with them in like manner Oyntments that are incorporated with white or red Lead Chalk of Lead Litharge Sugar of Saturn and the like dayly and for a long time adhibited to those parts For such as these blunt the activity of the inherent Spirits in those Parts and introduce a certain dulness in them which being communicated to the Seed prepared in them disposeth the progeny to this affect At length we have finished our intended enumeration if not of all yet at least of all the most principal causes which happen before Conception about the Generation of the prolificative Seed and have any concurrence to produce this Diseas or to dispose to the production therof Now follow the faults and errors of the Mother in the time she beareth the Embryon in her Womb which also must be reputed among the causes of this Diseas before the Birth First There hapneth a cold and moist distemper of the Womb it self which as were we silent is easily manifest to every one may most readily be communicated to the Embryon by the perpetual contact of the Womb. In the Second place All those things offer themselves which suppeditate to the Embryon crude and impure Juyces converted by excrementions and corrupt humors instead of laudable aliment Hitherto principally belongeth the unwholsom and preposterous diet of Women with Child especially inclining to moisture coldness and the heaping together of crudities The same things also happen by the imperfection and defect of the first or second Concoction especially when they are not excerned by vomit or some other evacuation of the Crudities from thence proceeding but are at length transmitted with the Mothers Blood for the aliment of the Embryon Besides if a moist and cold Diseas as a cold and moist distemper with the matter an ill digestion a Cachexia or Dropsy c. do invade a woman with Child after Conception it may thereupon easily happen that the impure aliment also which nourisheth and cherisheth the Seeds of this Diseas be dispensed to the Embryon In the third place are to be reckoned al those things that defraud the Embryon of du aliment as any excessive evacuation especially a lashing flux of Blood in any part also a rash opening of a Vein or Phlebotomy that exceeds in quantity The suckling of another child may also divert the afflux of sufficient aliment from the Womb towards the Breasts Hitherto likewise belongeth inordinate fasting or any indigestion in the Mother any inappetency after meat or defect of concoction Moreover an acute Feaver hapning to a woman with Child besides other inconveniences may also defraud the Child of du aliment so also an Hectick Feaver All these things do not only infer to the Embryon a dejection of Vital Spirits and a defective nourishment but also they cause a want of natural Spirits For the Naturall Spirits are wasted and dissipated without due nourishment and are also destitute and disappointed of necessary reparation Seing therfore that a part of the Essence of this Diseas consisteth in the defect of Natural Spirits som disposition to this affect must need be bequeathed to the off-spring from the causes aforesaid 4ly lastly excessive sleepines of women with child slothfulness eas any vehement labor and exercise after Conception do also contribute their share For although violent motions and actions of any kind are forbidden to women in such causes yet moderate labors watchings and exercises which offer no violence to the womb or provoke to abortiveness do not only conduce to the health of the Mother but in som degree they drive away that dulness from the Embryon and augment the heat vigor and activity of it And thus we put an end to the first Chapter of the causes of this Diseas before the Birth Those which happen after the birth shall be the subject of our next examination CHAP. XVI The Causes of this Diseas incident to Children after their birth WE have noted in the precedent Chapter that Infants from their first Origin are seldom afflicted with this Diseas but by reason of the Causes there rehearsed that they are frequently affected with a natural disposedness and propension to the same We shal now prosecute those causes which are apt to actuate that Natural disposition after the birth or newly and fully to produce this Diseas For it must be known that the same causes which may actuat that predisposedness to this Diseas may produce this Diseas a new if they be sufficiently intensive in their degree And therfore we confess that those children which are prone to this Diseas from their Nativity are easily affected but that other which are free from al Natural corruption fall not into the same but upon more potent causes and yet those causes are the same for their kind and differ only in the degree We therfore thought it needless to speak of these things distinctly and apart it may suffice that we have spoken of them indescriminately and together At the very entrance a Question there is which importunes a Resolution namely Whether Contagion may be numbred among the causes of this Diseas and therfore whether this Diseas in a proper and right understanding be a contagious Diseas indeed he that considereth this Diseas unknown to the Ancients how it first invaded the Western Parts of England and in few years hath been since dispersed all England over will at the first thought easily judg it to be contagious and to have been spread so far and wide by the infection of it But the matter will seem to be otherwise to him that will consider it more intentively For although this Diseas may in some manner endeavor to imprint an affection like unto it self in other Bodies yet it scarce advanceth so far that it can totally produce a Diseas of the same kind For perhaps it may in one some slight inclination in another Body yea somtimes perhaps it may accelerate or hasten the invasion of an affect in a Body highly predisposed unto it yet it cannot therfore deserve the Name of a Diseas properly contagious For all Diseases conspire to change and assimilate those Bodies which are neerest to themselves yet that is not sufficient to denominate Diseases contagious For to constitute a contagious Diseas properly so called it is further required that out of it self it propagate a certain Seminal fermentation of it self which secretly insinuating it self into other Bodies may by degrees introduce into those Bodies a Diseas of the same Species But this Diseas containeth no such fermentation in its essence neither is it secretly propagated
two Nurses the one holding it by a Hand the other by a Foot The two last motions seem to contribute somwhat to the erection of the crooked or bended Back-bone especially if the Hand which is laid upon the depressed Shoulder and the Foot which is belonging to the elevated Hip be drawn with more strength and vehemence than the other hand or foot To the same end also tendeth the lifting up of the Child taking him by his Feet only so that the trunk of his Body and his Head may for a time hang down in an inverted posture although indeed this action may also seem in some manner to relate unto the growing to of the Liver if any such at that time be as also that convolution of the Body whereby the Head being lowermost the Feet are lifted up and then again the Head being lifted up the whol Body is inverted Hitherto also may be referred that rouling of the Child which som use upon a Bed or Table the Body being laterally declined which we more approve if it be not rouled quite round about but only backwards and forwards laying a little hard Cushion underneath wheron the gibbous part may rest sustain the weight of the Body This exercise being rightly practised doth help much to straighten the Body Fourthly Sedentery Games and pastimes are the least profitable among all exercises for Children that have the Rachites and indeed they are only allowable to still and quiet them But the more beneficial wil be to tempt them to a frequent use of their Feet by playing some little Ball or Cat before them that they may be often kicking them But if the Body of the Child be crooked such sports must be invented as may allure him to move his Body to the contrary side When therfore one Shoulder is higher than another hold up som Gewgaw or Rattle before the Child that he may stretch out the Hand belonging to the lowest Shoulder to reach after the offered object But a thousand such like inventions may be found out and we leave them to the Nurses industry The Masculine Exercises of greater note we reduce to these three Titles 1 To Going 2 To an Artificial hanging of the Body 3 To Friction rubbing and contrectation of the Hypocondries and the Abdomen First Ostentation or waking may be numbred amongst the more noble Exercises For Children that are big and strong and used to run up and down every day do by walking and stirring about the more easily rid away this Diseas But this kind of Exercise must be refused unto them whose Joynts are not knit and confirmed and whose Ankles Knees Back are so weak that they cannot sustain the Body For when Children by the negligence of their Nurses are too soon committed to their Feet it easily coms to pass that they suffer those Joynts to be bended either inwards or outwards backwards or forwards and consequently they are the occasion of that deformity which befalleth the Bodies of most men and women Moreover those Children which have already contracted such a bending in their joynts either by the natural weakness and loosness of the Ligaments or by the bad usage or indiligence of their Nurses must be trusted to exercise their Legs till some splents or other instruments be provided which may be able to erect the bended Joynts and to keep them in an erected posture The driving of Children up and down in their Coaches or Chariots is much to the same purpose provided that they be so contrived that there be no danger of stumbling or overthrowing Secondly The artificial suspension of the Body is performed by the help of an Instrument cunningly made with swathing Bands first crossing the Breast and coming under the Armpits then about the Head and under the Chin and then receiving the hands by two handles so that it is a pleasure to see the Child hanging pendulous in the Air and moved to and fro by the Spectators This kind of Exercise is thought to be many waies conducible in this Affect for it helpeth to restore the crooked Bones to erect the bended Joynts and to lengthen the short Stature of the Body Moreover it exciteth the vital Heat and withal allureth a plentiful distribution of the Nourishment to the external and first affected parts and in the mean time it is rather a pleasure than a trouble to the Child Some that the parts may the more be stretched hang Leaden Shoos upon the Feet and fasten weights to the Body that the parts may the more easily be extended to an equal length But this exercise is only proper for those that are strong Thirdly Friction or rubbing may in some manner be likewise referred to Masculine Exercises nor indeed in respect of any active motion in the Child requisite to the administration therof for it is performed by an action of the Nurs rather than of the Child but in respect of a like force and efficacy which it hath in the curing of this Affect Now Friction seemeth to be twofold as partly belonging to the kind of Exercise and partly to those things which are outwardly to be applied for which caus we have reserved it unto this place that it might be the last in the number of the Exercises and immediately precede the external applications This must be done at least in the Winter time by a warm fire the Child being in all respects well fortified from the injuries of the weather and the violences of the cold Ayr. Some Nurses administer this Friction with a hot hand others with Linnen Cloathes dried and heated others with woolen Cloathes and others again with a little Brush and indeed some do most commend the Brush and prefer it before the other waies but becaus there seemeth to be so little difference in all the waies we approve them all and leave the choice to the Nurses wisdom But let them begin this Friction at the Back Bone the Child being laid upon his Belly and let them stir their Hands now upwards now downwards now on each side then to the Thighs Hips Legs Ankles the Soals of the Feet and all the parts of the Body those excepted where there is a sticking out of the Bones and there let them rub the hollow part of them This action must not be continued beyond a moderate ruddiness raised in the parts lest the Natural heat should be scattred rather than cherished This kind of exercise is most agreable to weak Children and such as are scarce able to stand or go For it supplieth the defect of running up and down exciteth the Natural heat summoneth the Vital and attracteth the Nourishment to the affected parts Yet we grant that Friction doth not so powerfully summon the heat and nourishment to the Flesh of the Muscles although perhaps it doth more to the Skin as exercise doth properly so called and consequently that it must yield in dignity and nature to true exercises To Friction also belongeth that contrectation of the