ulcer lyeth hid in the Reins Bladder or otherwise through which the Vrine passeth or when from the superiour parts as the Brests or Lungs nature evacutates matter through the Vrinary passages Small pustles of flesh called Caruncles in the Vrine of exulcerated Reins are aprts of the substance Of Caruncles Of slimy Ecrements Slimy thick and tough flegm like the snot of the nose if it be made with the Urine and be voided with pain for the most part it is a token of the Stone in the Bladder but that which is made without pain Fernelius saith doth proceed from a crude ulcer of the Reins or parts thereabout or from an imposthume and truely for the most part such matter being present in the bladder as it is the beginning so it is a sign of the Stone of the Bladder and moreover being sent out it coagulates into a lapidious hardness but sometimes flegm which is cast forth in great plenty is the off-spring of crude matter and ill digestion in the parts beyond the Reins Worms if they appear in the Urine proceed from corrupt and sordid matter Of worms as in other parts Small strings and little bodies like hairs Of fibres and hairs and cobwebs if they are put forth with the Urine have their original from a thick humour either in the veins or in the reins or dryed in the ureters and reduced into this form by the longitude of the vessel Bubbles and froth are generated from wind included in viscous matter Of bubbles and froth which when it cannot exhale extends the matter into a tumor and those bubbles may be of divers colours according to the nature of the humour in which the inclosed wind stirs them up A Crown shews what kind of humors are contained in the greater vessels Of a crown and according to the diversity of humors hath divers colours and is seated in the upper part of the Urine and in that circle many things are obvious to our eyes which cannot be discerned in the rest of the humors because the light in the superficies of the liquor is otherwise divided and received then in the middle Lastly Of fat if fat swim upon the top of the Vrine it proceeds from melting of the grease but this proceeds from heat therefore if the fat continually swim in Urine like cobwebs it shews consumption and melting of the body yet Fernelius writes that he would advise you of Oyl taken inwardly least any small bodies of Oyl swim in the Urine by that means CHAP. X. Of the causes of changes in Vrines BUt Urines vary also in those that are sound Causes of changing of Vrines in regard of temperaments sex age time of the year sleep watching exercises passions of the mind and such like which are called the causes of variations of Urines As for the temperaments Vrine of those that are hot and cold hot temperaments have higher coloured Urines and thinner and less sediment or in stead of a sediment a cloud or Nubecula but colder have Urines paler coloured and few Contents also unless raw juice which proceeds from weaker concoction be mingled with the Urine In respect of age Of Boyes Youths Old men Of middle age Boyes have white Urines thicker with a plentiful sediment youths thinner with few Contents but higher coloured old men have white Urines but thin and without Contents unless many excrements meet together which if they are mingled with the Urines it happens that the Urine is made thick and full of Contents those that are of a middle age have indifferet Urines In regard of the Sex the Urines of men are far higher Of men or deeper coloured then the Urines of women thinner and have fewer Contents but the Urines of women are paler and by reason of crude humors thicker with more plentiful sediment yet nevertheless the Urines of men and women do not so vary that they can be known by certain signs whether it be a mans or womans water Of women great for reasons may be given also in men which produce such Urines as otherwise are familiar to women although as in such as are great with child there may be some change of Urine when the Menstruous blood is retained in them and from thence no small change is made in the body yet that change doth not afford a certain sign whether a woman be great when the same causes of change may be shewen in other women which are not great but in some which are more lively there is little change of Urine As for the time of the year Change of Vrine according to the time of the year the Urines of every kind in the middle of the spring are moderate as also in the middle of autumn but by how much the more the year goes on towards Summer by so much the more the colour of Vrine is encreased and the thickness and Contents are diminuished in the Summer also the Vrines are higher coloured thinner and have less sediments in autumn the colour of Vrines and tenuity are lessened the Urines in the Winter come neerest the best state In hot Regions According to the Region and degrees of Heaven To exercise and rest and under the hotter degrees of Heaven Urines are made deeper coloured thinner and of little sediment In colder Climates they are neerer to the best state Those which exercise and labour moderately make well concocted Urines and in colour substance and contents moderate but those that exercise and labour immoderately in those first the colour is encreased and the thickness and contents diminuished but if the exercise continue long the colour and tenuity is lessened when the streng this weakned but those that live idly make Vrines not much coloured and moreover thick and with many sediments In immoderate watchings first the colour is encreased According to sleeping and waking but if they continue long 't is abated sleep if it be moderate causeth Vrine to be good in all but if it be immoderate it encreaseth the colour of the Vrine but abateth the contents and substance but if it be protracted longer it becomes crude The passions of the mind since some encrease the heat Passions of the mind some diminish it according to the calidity and frigidity which they bring upon the body they alter the Vrines Lastly Meat Drink and Medicines Meats Drinks and Medicines change the Vrine and Meat taken moderately causeth a moderate sediment more plentifully a more plentiful thin causeth none Meats also Drinks and Medicines have a power of changing colour and smel lof Vrines CHAP. XI VVhat is to be observed in the Inspection of Vrines SInce all these things are spoken of Vrines for that end that from thence diseases the causes of diseases maybe known and the events foretold that this may be rightly done we are to admonish you what things are to be observed in the Inspection of Vrine First the time in
the Vital Spirits should be carried from the heart of the Child to the exterior parts thereof namely the Secondines and the Urine-passage which is carried from the bottom of the bladder unto the Navel The time from the conception to the bringing forth Physitians divide into two parts the first is called the time of formation from the conception till the time when first the Child begins to move the second the time of adorning which is the time from its motion till its coming forth Of adorning Hippocrates in his book of the Nativity of a Child makes the time of Females formation to be two and fourty dayes but males thirty dayes which is to be conceived from their more imperfect formation but afterwards nature more elaborately frames the parts which are not framed in males till three months nor in females till the fourth month When all the members are framed and rendred more firm the Infant begins to spring and kick in males in the third in females in â—e fourth month as t is commonly reported so that the time of â—rmation being doubled is the time of quickning The time of motion the time of moâ—â—on being trebled is the time of bringing forth Yet one quickning 〈◊〉 more obscure another more manifest which about the middle of time of a Womans going with Child as all Women commonly perswade themselves is first perceived The time that Women go with Child although it be uncertain and various yet for the most part The time of birth it is nine months end or the beginning of the tenth month that a natural birth happens for the most part such Children as live come into the World at that time and that time for humane birth is most natural But before half a years time experience tells us that a Child can hardly be brought forth and live and if it so happen that before the scaventh month be ended a Child be borne and live it is a great rarity and very strange But in the seaventh month because the perfection is finished of all the parts the Child may live and especially which as Hippocrates in his book of beginnings says is of two hundred and ten dayes that is about the end of the seaventh month brought forth But Hippocrates says that a Child borne in the eighth month cannot live Yet others say that some that are borne in the eighth month may live After the tenth month the Child being great wants nourishment and roome to be in although we read some are delivered after the tenth month yet that is seldome The time of legitimate birth For a legitimate birth according to the Law of Nature is then when there is not roome enough for the Child to live and move in nor aliment enough to satisfy him for then 't is time to shake off his shackles those tunicles and indeavour to make away for its own birth and the Mother finds paines and the womb strives to put out that bagg and by its expulsive faculty sends forth the young which thing the Voluntary endeavour of the mother much helpeth which is done by her contracting her Spirits and depression of her Midriff and squeesing the muscles of the paunch CHAP. XI Of the Vital Faculty THE Vital faculty which Physitians call the second faculty although some would refer it to the Animal The Vital faculty differs from the other faculries some to the Natural faculty and others think it to be mixed of them both Yet since it differs not only from those actions which are performed by the natural and Animal faculties but also goes forth by its own organs nor doth it move hither and thither by the assistance of the Animal Spirits but by its own proper Spirits which from thence are called Vital Spirits it is deservedly to be esteemed a peculiar faculty diâ—â—inct from the Vegetable and Animal faculties There are three sorts of Vital faculties Its actions are three and so many motions of the heart wherein they relide The first is the generation of the Vital Spirit and heat The second is the Pulse The third is the Irascible faculty The first to wit Generation of Vital Spirits A Pulse It s definition Of Dilating Of Contracting is the generation of the Vital Spirits and influent heat The second without the which the first cannot perform its office is the Pulse namely the motion of the heart and of the Arteries consisting in dilating and contracting that so the Vital Spirits may be generated and distributed and the natural heat may be preserved in its natural harmony By Dilatation the heart is filled and attracts to its self air with blood from the right Ventricle by the Venous Artery which goes from thence to the heart and attracts from the lungs air and blood by help of the Arterial Vein into the left Ventricle of the heart for the generation and refreshing and restauration of the Vital Spirits and heat By the Systole or Contraction of the Heart it distributeth the Vital Spirits and Arterious blood through and by the help of the great Artery into the whole body and sends the fuliginous excrements to the Lungs by the Arterial Vein In like manner the Dilatation of the Artery through its little Orifices terminating in the skin attracts to it self ambient air to form and cool its heat the Orifices that are terminated neer the Heart draw from it the hottest and thinnest blood full of Vital Spirit But as the mouths of the Arteries with the Orifices of the Veins do draw the purest and finest Spirits to fostet and cherish their heat but by Contraction they expâ—l fuliginous excrements which action is called a steaming through or transpiration which is made through the hidden Pores of the skin and by the Latines is called Transpiratio In the third place the Irascible faculty belongeth to the Vital faculty The Irascible faculty from whence Anger Joy Fear Sadness and terrour and other passions of the mind arise And that its residence is in the Heart is most evident because the motion of the Heart and the Pulse of the Arteries are most evidently changed in the passions of the mind Respiration is also added to the Vital faculty as principally necessary to further its action Breathing and hath the same end and purpose as the Pulse hath and is instituted for the benefit of the Heart It is performed principally by the Lungs and the Lungs are as it were the fan or bedows of the Heart and are the primary Instruments of breathing and are indued with a peculiar power of moving themselves even as the Heart is differing only from the Animal faculty Nor are the Lungs moved only by the motion of the breast but by their proper force and power The motion fo the Lungs And although the motion of the Lungs and Breasts are made together yet neither are the cause of the others motion but they therefore move together because they conspire to bring one
to be ejected by the panch that being closed 't is cast out of the mouth with the meat For the other publike concoction Symptomes of Sanguification which is made in the Liver Sanguification is either abolished when for the most part there is no change of the Chyle and in stead of good blood serous and Petuitous is generated or else it is diminished when halfe raw blood is elaborated or it is depraved when hot and adust blood is generated The Symptomes which belong to the evacuation of the excrements of the second concoction Symptomes about making Water Iscury Dusury A Strangury Incontinency of Urin. Diabetes Bad milk are an Iscury or suppression of Urine or stopping of Water or a Dusury or difficulty in making Water a Strangury or dropping of Urine when it comes away drop by drop and that there is a continual irritation to expel Urine Incontinence of Urine is when it goeth from us against our wills Diabetes or plentiful making Water is when whatsoever is drunk cometh away by Urine not changed at all or altered very little Hitherto belong the Symptomes which belong to the generation of milk when too much or none or not enough is generated or it proves scurvey and is coagulated and curdled Hitherto we refer the Symptomes Gonorhaea Flux of Months which belong to the other concoctions as the running of the Reins suppressions of Courses diminishing dropping flowing in too great plenty the Flux of the Womb. Increasing is hindered when either the whole body Symptomes of encreasing or some part is not encreased enough and ceaseth to encrease before it comes to its just magnitude or it encreaseth too much and grows to too great a bigness Lastly there are some hurts of the generative faculty Symptomes of generation for generation is either taken away when no Children are generated or diminished when few and weak ones are begotten or depraved when Monsters or a Cripple or any way an imperfect thing is begotten and because to the generation of mankind there is required male and female joyned hitherto belongs impotency in men extinction of lust in women barrennesse and other Symptomes of this kind CHAP. V. Of the Symptomes of the vital faculty FOr the Symptomes of the vital faculty there is a palpitation of the heart a Lypothymy Palpitation of heart or an absence of Spirits for a short time or an Aphyxy or no Pulse Palpitation of the heart is when there is a depraved motion of it swifter then it ought to be when the heart leaps and strives to fly from that which troubles it A Lypothymy A Lypothymy or want of vital spirits is when the Pulse beats swift on a sudden and then ceaseth to beat at all or is suddenly taken away with a small slow and weak Pulse to which some add an Eclusie or absense of the vital soule A Syncope again is a motion depraved A swooning Absence of Pulse when the Pulse is much lesser slower and weaker then a Lypothymy An Asphuxy is a total absence as it were of the Pulse and the highest degree of swooning and neerest to death of the other preternatural differences of Pulses we will speak in another place Respiration which is caused by the heart Respiration hurt Taken away Depraved Shortbreathing Shorter Shortest either is wholly taken away Which Symptome the Greeks call Apnoia or is depraved which they call Dyspnoia besides these the respiration is either too great or too small too often or too seldome too swift or too slow equal or unequal And lasty of swift and slow breathings there are some differences according to more and lesse for the first degree is a Dusopme the second is an Asthma the third is an Orthopnie when the sick are forced to fit upright to breath Of the Symptomes of the external senses FOr as much as belongs to the external senses Symptomes of sight first of the sight that either is wholly lost as in blindness the Disease called Amagrosis or it is diminished in the disease which is called Ambluopia and dimnesse of sight or Muopia which is to see as Mice do that is to discern objects which are neer us and seeming lesse to us then they are Depravation of sight Nutolopea is when any one sees well by day but very bad in the evening and not by night or the sight is depraved When these things which are white seem red or yellow those things which are strait crooked those things which are whole seem halfe and perforated those things which are single double when Cobwebs appear before the eyes and Flyes and Gnats when shinings and glistnings appear which the Greeks call Marmarugase The hearing is either taken away Symptomes of hearing which disease is called Deafness when the diseased can neither hear a great nor smal sound or it is diminished when loud sounds are heard but with difficulty small sounds not at all which disease is called hardnesse of hearing the Greek name Barucoia Ducecoia Hypocophosis or it is depraved when there is a hiding in the ears which disease the Greeks call Ecos and Sorigmos i. c. a hiding a whistling a hissing The smel is hurt when it is abolished Symptomes of smelling diminished or depraved when things seem to stink have in them no ill smell Moreover the taste is either plainly taken away or else diminished or depraved Of tasting when a thing seems to taste otherwise then it doth The touch is either wholly lost and can feel nothing or is diminished Of feeling which is called Numness or 't is depraved as in pain or itching hitherto also belongs want of sense in the teeth CHAP. VII Of the Symptomes of the Internal senses THe Symptomes of the Internal senses are watchings and sleepings when either of them are contrary to nature Symptomes of the common sense Too much watching Too much sleep as likewise dreams the error in watchings are when men either sleep not at all for a long time or if they do they sleep too little Sleep is opposite to watching if it be too much which comes to passe when it is natural but not absolutely such but longer either from the repletion of the head by vapours and exhalations as in drunkenness or by the consuming of the heat and spirits through too much labour But preternatural sleep is such as doth proceed from a morbifique cause which is a Cataphora or a Coâ—na that is a diminution of the action of the common sense which as it were a wreathing neither suffers the Animal Spirits to be diffused into the external senses nor being entertained by them doth know and judge aright of other objects A Coma is two-fold Coma two-fold Somnolent Vigilant somnolent and vigilant somnolent is that which is oftentimes called an absolute Coma with which disease those that are affected the eyes being shut do sleep sound and too much but a vigil is when the sick have a
it go from him That happens by a certain imbecility of the Sphincter of the Bladder Yet there concurs a more deep sleep and a certain negligence of the superiour faculty as also custome It is not easie to explain from what cause a Diabetes doth proceed To this obscure matter I say Diabetes It seems probable that the immediate cause is the hurting of the retentive faculty of the Reines by too great plenty of Urine which when the Reines cannot endure they suffer it to flow into the bladder This plenty of Urine seems to be occasioned by the heat of the bowels liver and spleen and the veins drawing drink very powerfully and melting of the humours in the veins to which for the most part there happens imbecility and relaxation of those parts which carry the watry humour from the Stomack to the Liver and Spleen by reason whereof the drink is suddenly carried to the Reins The causes of those Symptomes which are deservedly joyned to these The cause of defect of milk and belong to the generation of milk seed and courses of women milk either is wanting or corrupt it is wanting either when it is generated in too small quantity or through some distemper of the Paps or some disease or straitnesse of passages by reason whereof they cannot draw and elaborate suffitient quantity of blood Vitious and corrupt milk is generated either through the pravity of the matter Vitious and fault of the blood or by some distemper of the bâ—ests Lastly Coagulated Milk grows thick and coagulates whilest either it is burnt by too much heat or if it abound in quantity and is retained 100 long in the brests or if any vitious humour be mingled the ewith which hath a power to coagulate A Gonorliaea Gonorhaea or emission of Sperm against ones will happens without erection of the Yaâ—d and desire of Venery 't is occasioned either by the hurting of the retentive faculty or some exrernal error the faculty is weakned through distemper principally moist rendring the spermatick vessels more loose whether it proceed from too great a flux of flegmatick humours or too much coition or other causes But from external hurt or fault of the seed whether it be too cold watry thin or crude sometimes also a Gonorhaea happens by convulsion as in such as have the falling sicknesse The cause of Nocturnal pollution is too great plenty of seed Of nocturnal polution heat and sharpnesse stimulating the expulsiye faculty and therefore this infirmity principally happens to those whose Reins and parts adjacent are very hot and to those who have sharp humour flowing to the spermatick vessels and then especialiy when nature in venereal dreams is irritated to ejaculate seed or their loyns are become hot by lying on their backs But the cause of a Venereal Gonorhaea is poysonous seed A Vencreal Gouorhaeâ— corrupt sharp and foul stirring up and stimalating the expulsive faculty The cause of suppression of Courses The cause of suppressions of Courses is the narrownesse of the veines belonging to the Womb and the foulnesse of the Blood as for the straitnefle of the veins they are most frequently the cause of suppression of Menstrues by reason of thick blood and dull humours sometimes they grow together with the vessels after abortion or compression of the same by some Tumours of the parts neer the cunto or from condensation contraction and driness of the â—â—â—tance of the Womb but by default of the blond the Courses are supprest whilest that is thick viscid and unapt to move The same cause Causes of diminishing of Courses The dropling of Courses but more gently occasâ—oneth small evacuation of Couâ—ses viz. They eithâ— flow in lesse quantity or else more slowly The comming down of Courses when they come out drep by drop and with pain is occasioned through default of the blood when there is too much and is thick viscid biting and sharp and flowing down to the Womb with too great violence some way obstructs the passages and extends them and stirs up pain or else through default of the passages or veins about the Womb and in the Womb when they are become narrower then they ought Too much slowing of the monthly Terms Of too much flowing aâ—iseth when the vessels are opened either by an Anastomasis when the mouths of the veins are opened or a Diairâ—sis when they are divided or when the blood being hotter thinner more moveable sharp and troublesome to narure stimulates the expulsive faculty to expel Now for the Causes of encreasing vitiated Terms Causes of encreasing vittated 't is manifest what things shew the causes of diminution thereof from what is spoken of want of nourishment But the cause of too much encrease is too great plenty of blood from too plentiful use of meat and drink full of nourishment an idle life much sleep too frequent use of baths of fair water and manly strength which converts the blood into the substance of the parts And these are the causes of the Symptomes of the natural faculty so far The causes of generation hurt as they belong to the preservation of individuals Now follows the causes of Generation hurt and that either tâ—ken away or depraved there is no generation made and bartennesle happens either in respect of the Man or of the Woman In regard of the Man In respect of the man it is hurt either through default of the seed or by vitious ejaculation of the same unfruitful seed or not sufficient is generated or the faculty is hurt through some distemper of the Stones especially cold and moist whence unripened thin and lesse spirituous is generated or else some hot whence too sharp seed proceeds or through default of matter whilest the blood and spirits necessary for the generation of seed or by old age or some disease drying the body or its principal parts or by fasting are defective or when the vessels which are necessary for generating and carrying of the seed be wanting or when the nutriment turns into fat or when the blood is vitious The emission of the seed into the Womans Womb is vitiated by the Yard either shorter whether by nature or by a disease or crowded through the shortnesse of the ligament The action is hurt by default of the Woman In respect of the Woman either when no seed or unfruitful seed is generated and emitted for the reasons lately mentioned Secondly if she do not draw and receive the mans seed by reason of her cold and moist distemper of the Womb or by reason of a Tumor Ulcer or Straitnesse of the neck of the Womb. Thirdly if she cannot retain the seed received because of the moist distemper of the Womb an Ulcer opening of the mouth of the Womb a flux of Courses and other humours Fourthly if the Seed be not well tempered by the womb or being some other way affected is not rightly cherished Fifthly if the
infusion or decoction but when you would bind and corrobarate t is best in the substance there is also an extract prepared hereof but such a one which scarce purgeth stronger then when it is taken in the substance t is given in the substance t is given in the substance to two drachms in infusion to halfe an ounce Turpentine moves not only the belly Turpentine but the bowells and especially cleanseth the reines t is given with the powder of Rhubarbe or Licorish and Sugar made into a Bolus or with the yolke of an egg and some convenient water therewith wrought in a Morter and reduced into a milky liquor t is given from halfe an Ounce to six drachms Aloes is hot in the second degree Aloes and dry in the third exceeding bitter it opens the mouths of the veines and therefore is hurtfull to such as are apt to a Flux of blood or such as are with child and Hecticks and no way safe for those that are hot and dry extenuated t is most conveniently taken prepared and extracted and Rosated as they call it by reason of the bitternesse of it it is not easily given in drinke but in pills most properly it is given from halfe a drachm to three drachms Fleabane Fleawort or Flea-wort the seed of it is cold and dry in the second degree t is given in infusion rather then in the substance from a drachm to three drachms Stronger Purgers of Choler SCammony is hot and dry in the third degree Scamony it primarily drawes choler next Phlegmaticks humours and unlesse it be well corrected it frets the guts by its Acrimony causeth gripings opens the Orifices of the vessells and causeth a Flux of blood it hurts the stomack Liver and Heart inflames the Spirits and stirs up feavers and therefore we seldome use it alone and least that it should offend fat things are to be added Tragacanth Bdellium Oyle of sweet Almonds seed of Fleabane Cinamon Spike Galangale Fennell seed Quinces Mastick the juice of Violets and Roses t is commonly corrected by boyling it in the substance of a Quince and so prepared t is called Diagrydium there is also prepared of it an extract or Rosin it is scarcely fit to be given to those that are weake although it be corrected the dose of Dyagridium is given from five to fifteen graines some give a scruple Asarabecca purges choller by the Paunch Asarabecca yet it rather stirs up vomit it attenuates opens obstructions and provokes sweats and therefore is profitable for Hydropick and Icterick persons and such as are troubled with the Spleen and Quartan Agues t is given in the substance from halfe a Drachme to two Scruples or a Drachme in infusion from two Drachmes to halfe an ounce The milder purgers of Phlegme MYrobolans Mirobolanes Chebula Emblica Bellirick Chebulae which principally are good for the Braine and Liver according to some evacuate also black choller emblick which are appointed for the heart Spleen and Liver as also Bellirick are cold in the first and dry in the second degree and bind and therfore are not safely given in obstructions nor when Phleagme tenaciously cleaves to the guts but in fluctuations and in a loosenesse and when there is need of astriction and corroborating they are prepared according as we have shewed before of the Citron Myrobalams there is also the same Dose to be given Agarick purges onely thin and aqueous Phlegme Agarick but not viscide and principally evacuates the excrements of the Braine and Lungs opens obstructions of the bowells yet is not so commodious for the stomack and therefore the third part of Cloves Nutmegs Galingale Sal gemmae Ginger are to be added t is given in the substance to two Drachmes in in infusion from two Drachmes to halfe an ounce Mechoacan also purges Phlegme Mecoacan but principally serous and aqueous humors and therefore is excellent in Dropsies t is corrected with the third part of Cinamon Anniseed Mastick t is given from a drachme to two drachmes in the substance in infusion to halfe an ounce The stronger Purger of Phlegme TVrbith is hot in the third Turbith and dry in the second degree and drawes out thick and viscide Phlegme even from the remotest parts t is hurtfull to the stomack and causeth loathing and Vomit and is not to be given to children old men nor Women with child and when t is exhibited it is to be corrected with Ginger Mastick Pepper Cinamon Fennel Galingale nor must you eat fish after you have used it the Dose is from 2. scruples to 4. scruples in the substance in infusion or decoction from 2. Drachmes to 3. Drachms to 6. Drachms The seed of wild Saffron Seeed of Carthamus purgeth Fleagme and Water by Vomit and Stoole and is very good for the breast and such as have Asthmaes but it is an enemy to the stomack and therefore it is used with the third part of Cinamon Galingale Mastick or Anniseed t is given in decoction from three Drachmes to six Drachmes Coloquintida Coloquintida which is hot and dry in the third degree drawes out Flegme from the most profound and more remote parts Turbith cannot evacuate but is a most vehement medicine and offends the stomack and Guts when there is a Feaver and moreover it useth to be sod being bound up in a skin t is seldome used alone but instead thereof Troches made thereof which they call Alhandals are wont to be used t is corrected with Cinamon Tragacanth Mastick Bdellium and other Cordiacks Hepaticks and Stomaticks t is given to 15. graines or a Scruple Hermodactiles purge thick Phlegme especially from the joynts Hermodactiles and therefore is good for the Gout t is corrected with Cinamon Ginger Mints t is given in the substance from 2. scruples to a Drachme and halfe in infusion or decoction to 3. Drachmes Euphorbium is hot and drying the fourth degree Euphorbium it drawes away thick and tough Phlegme but more powerfully aqueous humours it is a violent medicine and t is reckoned by some rather among poysons then purgers t is corrected by cordials and stomaticks Oyle of sweet Almonds Saffron Mastick by the sowernesse of a Lynion or Cytron the highest Dose of it is 10. Graines Opopanax heates in the third Opopanax and dries in the second it drawes away thick and viscide Phlegme from the more remote parts and joynts t is corrected with the third part of Ginger Spike Cinamon or Mastick t is given from halfe a Drachme to a Drachme Sagapenum is hot in the third Sagapenum and dry in the second degree and purges clammy and thick humours from the Bowels Braine and more remote parts especially of old men hurts the stomack and Liver it is corrected as opopanax the Dose is from halfe a Drachme to a Drachme The milder Purgers of Melancholy and black humours INdian myrobolans are of the same nature with the rest of them
onely that these purge melancholy Indian Mirobolanes Polipodie evacuates adust choler as also Phlegme t is profitable in diseases of the splcene and Hypocondries Polipodie the Dose is from a Drachme to three Drachmes in infusion to an Ounce and above Epithymum purges a dust choller Epithymum and Melancholy without trouble and is profitable in Diseases proceeding from hence yet because t is hot and dry in the third degree t is safer to be used in Winter then in Summer t is given in the substance from two Drachmes to three Drachmes in infusion from halfe an ounce to an ounce Sena is as it were the middle betwixt the stronger and weaker hot in the second dry in the first Sena t is a very usefull medicine which not onely evacuates adust humours but also choler and Phlegme cleanseth all the bowels and is convenient for all ages when t is more dry t is not inconveniently corrected with the flowers of Violets and Burrage Ginger or Cinamon or the fourth part of Galingale is added to it the powder is given from a Drachme to two Drachmes in infusion from halfe an ounce to an ounce The stronger purgers of Melancholy and adust humors LApis Armenius purges dull thick melancholy humours Lapis Armenius yet more gently then Hellebore it is corrected by washing in Cordiall waters t is given from halfe a Drachme to a Drachme or sometimes to a Drachme and halfe Lapis Lazuli hath the same vertue but is something weaker t is corrected with Cordialls the Dose is the same Lapis Lasuli Black Hellebore is not usually to be given to children Black Hellebore women that are great nor to weake bodies and indeed it is more safely given in decoction then in the substance t is corrected with Cordialls and stomaticks t is given in the substance from a scruple to two nay to a Drachme in infusion or decoction from a Drachme to halfe an ounce Hydragogues and such as evacuate aqueous humours THe juice of the root of Flowerdeluce is hot and dry in the third Root of Orice opens drawes out thin Choller and water but for women with Child t is not so safe because it provokes the months t is corrected with a little Wine and Cinamon and Manna or honey of Roses is added or decoction of reysins of the Sun t is given from halfe an Ounce to an Ounce and halfe or two Ounces Gratiola or hedge Hyssop purges by stoole and vomit Hedge Hysop but troubles not a little the body t is corrected with Cinamon Anniseed Liquorish t is given in the substance to a Drachme in decoction from halfe an Ounce to an Ounce Elaterium or the juice of wild Cucumbers drawes water and choller out of the Bowels Elaterium and happily drawes forth the water of hydropick persons but it provokes vomit also gripes the bowels opens the mouthes of the Veines and unlesse it be cautiously exhibited doth mischiefe t is corrected with Tragacanth Fleawort Bdellium and Cinamon in the Dose you must not easily exceed six Graines The rine and juice of the root spurge Spurge purgeth and gnaweth powerfully and therefore is corrected with Bdellium Tragacanth Mucilage of Fleawort Cinamon Spike the Dose of the Barke of the Root is from six graines to fifteene graines but of the milke or juice from three graines to eight graines Mezereon whose force is fiery Mezereum exceeding sharpe exulcerating biting kindling Feavers dissolving the strength of the heart and noble parts and purging choller violently and Bilous serosities t is corrected with Sorrel with the juice of Pomegranates or of Quinces of Purslan Mucelage of the seed of Fleabane the Dose in the substance is from six grains to ten graines in the decoction from halfe a Drachme to a Drachme Dwarfe elder Elder Dwarfe or Dane wort and elder the seed and middle barke and juice of the root and leaves draw out water they are corrected with Cinamon the Dose of the berries is given to a Drachme of the barks to two drachms of the juice from halfe an ounce to six drachmes Soldanella or sea Colewort are the best remedy to draw out water but t is an enemy to the stomack Soldanella t is corrected with Cinamon and Ginger the Dose is from a drachme to 2. drachmes of the juice to halfe an ounce Gummigote purgeth choller and water Gummigote and oftentimes causeth vomit which is prohibited by the addition of the spirit of salt or Mace the Dose is from five graines to eight graines The root of Ialap powerfully and with violence purgeth serous and black humors t is given from a scruple to 2. scruples Ialap Although each of these do purge single humors yet some of them do purge other humors also secondarily Rhubarbe Aloes Cassia Agarick Scammony evacuate choller with Phleagme Myrobolanes Chebulae Lapis Armenius Lapis Lazuli Phlegme and black choller Sena Epithymum Polipodie black Hellebore purge choler Phleame and Melancholy the latter Physitians have drawne other medicines into use unknown to the Ancients prepared of Venus Mercury and Mars CHAP. XII Of Medicines that cause vomits SEcondly amongst evacuating medicines are such as cause vomitings Things causing vomits which indeed evacuate the stomack immediatly yet if they are too strong they draw the neighbouring Bowels and the greater veines they performe that for the most part by a peculiar propriety by reason of which they have an inclination upwards yet some of them for a manifest cause namely because they swim in the stomack and oppresse it and loosen the Orifice of the superior ventricle such are all fat and oily substances But some are gentle others indifferent strong others very strong The gentle are simple water or Barley water luke warme The most gentle especially with a little honey and salt dranke by little and little at one draught common oyle luke warme foure ounces or six ounces Hydromell largely taken Hydreles to ten ounces Figgs newly eaten and cold water dranked after The middle sort are the Flowers of Dill The middle sort as also the Seed of Orach and of Raddish they are given from two drachmes to halfe an ounce the root of Asarabecca and Orach are given in the substance to foure scruples Bittony the middle barke of a Walnut to a drachme in infusion to halfe an ounce the greene pill that cover the walnut shell dryed in an Oven from halfe a a drachm to a drachm the juice of Raddish to two ounces the tops of green Elder or the berries The strongest are the Rootes The strongest of Spurge of Sow-bread to a drachm in infusion from a drachm to two drachms the Rootes of white Hellebore in infusion from halfe a drachm to a drachm adding cardiacks Flowers of Danewort Barkes or Roote Flowers of broome seed of broome from two drachms to halfe an ounce the seed of spurge the husks being taken of ten in number
the differences of them may be seene in Oribasius de Laqueis Of fit placing of a member that is bound THe convenient placing of a part that is bound consists in this that it may have that position which may preserve its naturall figure and may be without paine and may be convenient for the cure of a disease A member shall be so placed if all its parts bones muscles nerves veines and arteries may enjoy that position whereby they neither are distended nor pressed if the member be set or placed softly and equally if the orifice in a hallow ulcer or wound tend downeward as much as may be that the quitture may be purged out lastly if moderation be observed in ordering of the binding so that it be neither too straight nor too loose But collocation is made either by putting in or by suspending a member is fitly restored when t is underpropt with certaine stayes with feathers wooll or soft rags that it may be quiet and leaning or resting on somewhat it should lye allwayes even and soft least it either should be shaken by motion or extended by reason of flux or least the sanies and thin matter should be retained in it the member is suspended either when the sick keepes his bed or newly begins to walke and especially the hand and the arme are to be kept in a Swath which Celsus calls Mitellam CHAP III. Of Coaptation of broken bones Synthesis which joynes together seperated parts is either of bones Setting how manyfold or of fleshy and soft parts setting together bones is either a fitting those that are broken or a restoring those which were out of joynt The putting together of broken bones is performed by two operations Of broken bones whereof the one is called Catastasis Antitasis or extension the other is called Diorthosis conformation or t is called reposition of the bones into their owne places extension is either equall or unequall equall is that wherein the member is equally extended from either side of the broken bone but that is said to be unequall when the member is more extended on one side that side ought to be more extended wherein the broken bone is contained but no man can rightly performe those operations Extension unlesse he knoweth the nature and differences of bones and fractures for when a muscle is drawn back to its head and so carries with it that part of the member which is joyned to it first there is need of extending which the Greekes call Antitasis which ought to be done as neere as may be with little or no paine and that is performed by one worke or more and that either with the hands only or raynes as it were swathings or instruments according as the bone is more or lesse broken Diorthosis or conformation Strengthning is a restitution of a broken bone into its place and a right fitting of the extremities of the broken bone which is performed if after the member be so much extended that in putting it back the bones cannot touch one another the Chyrurgeon is to take hold of the member on both sides with both his hands and that which is slid into the right part he should thrust into the left and the contrary and what ever hangs out of the bones he should put back into their owne cavities untill the extremities of the bone are rightly united and thrust back into their places and the member hath recovered its naturall figure The cure of a fracture with a wound But if the extremities of the broken bones breake through the skin that they hang out some convenient instrument of Iron like a barr is to be used to force the broken bones into their place but if any particle of a bone so hang out that it cannot easily be put into its place it is to be cut off with a sharp paire of cissars or to be filed off with a file that it may be shorter neither let it any more hinder the reposition in such a fracture which is joyned with a wound if any thing stick betwixt the broken bones which may impede their glutination whither particles of a bone or any thing whatsoever it is to be taken away without violence when the bones are rightly placed the extension is to be remitted by degrees and with convenient binding and placing of the member and so to be performed that the bones united and rightly framed may remaine so Yet before swathing-bands are put about a broken member some medicines used to be applyed to hinder the Flux of humours and inflamation and to farther the generation of brawny flesh of which read the Institutions The deligation is to be performed Manner of swathing or deligation neither too straight nor too loose with two swathing-bands whereof the first is to begin above the fracture and to be bound about it twice or thrice upwards the other being longer by halfe is to be rolled about the contrary way and is to be put on first upon the fracture and beginning from thence to be rolled about something downeward and againe is to be carried above the fracture and lastly towards the superior sound part but in fractures of great bones that the deligation may be the more stable and the bones firmely put into their places may remaine so Bolsters or crosse folded cloathes and splentors and Plates are also to be used moreover the member is rightly to be placed gently equally and inclining upwards so that the part may obtaine its naturall position to which purpose both a hollow Pipe and Cane or Plate or such like are sometimes to be applyed the deligation being well performed is to be loosned the third day the fracture to be cleansed and bound up againe and this is to be continued untill hard flesh be grown and the fracture healed but if a fracture be joyned with a wound after the extension is abated and there is convenient conformation of the broken bones the lips of the wound are to be drawne together and being drawn to be kept together yet so that the swath-bands be not too straight bound which ought to be flacker and to be extended on both sides beyond the lips of the wound least paine should be stirred up but in the following deligations a hole or vent may be cut above the wound both through the Plaisters and swathing bands that it may be perfectly cured CHAP IV. Of restoring of bones that are out of joynt Synthesis which puts bones slid out of their places into them again calle this Arthrembla this is performed three wayes either with the hands of the Chyrurgeon which is convenient in tender bodyes and when the hurt is newly done or with certaine common instruments as by the helpe of raynes swathing-bands Laqueorum scalarum sedilium forium bifidarum and it is convenient for children Women and those whose muscles are grown stronger and luxations have been longer or by instruments certaine Engines peculiar for that purpose is