Camphire half a drachm Make it into Trochiscs with the aforesaid mucilage which may be given with Sheeps-milk Alex. Benedictus when the Butter is taken out 2. Take of Powder of red Roses Myrtle Bolearmenick Mastick red Coral Dragon's-bloud Shells of rosted Chesnuts each 1 drachm and an half Barley flower 1 pugil Oil of Myrtle unripe Olives and Mastick each one drachm and an half Powder of Myrobalans Citrine Chebuli and Indi each 2 drachms with Turpentine and Bird-lime of Misletoe of the Oak what is sufficient make a Plaster M Aur. Severinus It is admirable to stop and digest the serous matter 3. There was a man cured several with these Trochiscs and I cured a young man with them in four days who had a Diabetes and pissed involuntarily in his bed Take of Roses burnt Ivory each one drachm and an half Seeds of Purslain Coriander Saunders Berberies each 2 drachms Camphire half a drachm Mix them with the Juice of sowre Pomegranates Make Trochiscs every one of which may be of a drachm weight and one may be given morning and evening mixt with Cold water and Syrup of Roses Arnold Vâ—llanovanus It is a good and experienced Remedy for this Disease 4. This Powder is very good Take of Powder of a Hen's gizzard washt in Wine a Hare's head burnt Mastick each half an ounce Nutmeg No. j. Bees 5 drachms Ashes of a burnt Hedg-hog three drachms Mix them Make a Powder Arnold Weikardus The Dose is from half a drachm to a whole one Diarrhoea or A Flux or Loosness The Contents It must not be rashly stopt I. Whether we may purge II. Whether an imperfect Flux may be promoted III. Whether it may be stopped by Letting-bloud IV. We must sometime make provision for the whole body V. Whether it can be stopt without Astringents VI. Whether it can be stopt by the application of cold things VII Whether Narcoticks may be used VIII Whether a Bath stops it IX When it may be stopt X. Whether when the Stools are frothy we must always have respect to the Head XI Whether a Loosness or Vomit come from the Brain XII The Cure of a Mesenterick Loosness XIII In a wasting Flux we must have special respect to the Cause XIV In wasting Fluxes we must not give Purges that leave astriction behind them XV. This Flux must not be cured by Astringents XVI A malignant Flux must be cured otherwise than a common one XVII A Scorbutick one must not be cured by Astringents XVIII The Cure of one complicated with a Cough XIX With the French Pox. XX. We must have a care of Sowre and Sweet things XXI When Venus is proper XXII Whether astringent meats taken first do bind XXIII Medicines I. THe Case which happened to Stimargus his Wife who after the disturbance of her Belly for a few days when she had taken great care to stop it miscarried of a Child at four Months and after she was cured of her Miscarriage she swelled teaches us how great danger there is in stopping a Loosness This Woman must needs have gathered many and bad Excrements in the first months whence it came to pass that in the fourth month following she was taken with a Loosness which much endangered her miscarriage for unless it were stopt there would be danger of abortion from the irritation of the Intestines that are next the womb or from subtraction of nourishment from the child And perhaps for fear of this some Physician endeavoured all he could to stop it and because her body was not purged it thus happened for the excrements were turned to the womb But because there is no less danger if it be not stopt before it go too far we should in every Flux cautiously consider whether we should promote it farther or suffer it to run on And the scopes in this consultation are the Benefit the Ability to bear it and the manner of its running For if with benefit and ability to bear it Vallesâ—us l. 2. Epidem Sect. 2. it run well we may let it alone But if it flow slowly we may promote it If without these things we must stop it II. In a Loosness we sometimes give Purgatives for the discharge of the matter affixt to the Intestines that irritates the expulsive faculty but it is not prescribed for evacuation of the affluent matter but abstain from Medicines offensive to Nature lest the humours be carried from the Centre to the Circumference Saxonia III. Galen 1 ad Glaucon 14. seems to have made a general rule that if a Flux be not so large as it ought we must not meddle saying that those who will doe any thing either let bloud or purge do cast their Patients into greater danger I cannot acquiesce in this Axiome but decide the matter by certain conclusions The first is that a Flux truly symptomatick though imperfect must never be holp That is properly a symptomatick Flux wherein matter is discharged that causes not the disease which is far different from the nature of the Disease but when such things are voided as cause not the Disease they help not the Disease and strength is wasted Hence Galen aphor 47. Excretions which help not the disease are always mortal And because for the most part such Excretions happen in the beginning of Diseases hence it comes to pass that Galen in several places reckons Excretions then made as useless and pernicious neither to be admitted nor promoted But there is an excretion even in the beginnings that is proportionate to the Disease wherein such things are voided as ought this is called symptomatick in respect of time it is not such in respect of the matter voided for such things are voided as ought This therefore if imperfect must be holpen according to Galen Comment 5. 5. in 1 Epidem in which place when he saw Hippocrates washed Meton's Head the fifth day that he might help the bloud which run imperfectly from his nostrils he writes that by this example Hippocrates hath taught us imperfect excretions may be helped even in the beginning which Reason also persuades drawn from Galen 1. aph 23. As quality to quality so quantity must answer to quantity Therefore when such things are voided as ought it must be helped by purging if it be imperfect though in the beginning This is confirmed if in the beginning we may carry off turgent matter that matter is not onely turgent which is moved to the places of excretion and yet is no way carried off but that also which tends to the places of excretion and begins to be voided but not so much as it ought therefore it must surely be helped As for Galen who forbids it I say he forbad it because in his time benign remedies and such as were indued with an astringent faculty were not found which are granted us in this age and may be safely administred The third Conclusion is if the excretion be critical but imperfect or
light and the hope of a living Soul dies with the Big-bellied Woman as the Emperor l. 10. Digest tit 8. speaks By whose fault Whether the Magistrates as without whose consent that Operation cannot be performed Or the Surgeons who are afraid of Vesalius his fortune who when he was cutting open the Breast of one whom he thought had been dead found the Heart then beating For it is necessary that the Section be made almost in the very point when the Mother expires or while the Infant does still stir and leap Nor does it any good to keep the Mothers Mouth open with a Key for it is a vulgar error to think that the Child lives by the Respiration of the Mother The third case is when a live Child is cut out of the Mother alive This is truely a Caesarean Birth but how dangerous this Operation is any one may easily see And though it must be acknowledged there may happen a necessity of making such a Section yet so many and such Circumstances must be observed that in the interim in this hazardous case no Man dares put his Hand to this Operation for fear of the disgrace For it is a thing worth the observation that after Roussetus there was never found an Eye-witness they were all Ear-witnesses only except Doringius who in an Epistle to Hildanus affirms that in his presence the Womb which was slipt into the Groin was cut open and a lively Infant was taken out but that three days after cutting the Mother died Which thing the Excellent Rolfinccius p. 182. Dissert Anat. writes happened to himself who therefore dissuades this Operation in a living Woman But I should earnestly persuade the cutting out of the Child if it could be known by signs that the Infant had broke its Cell and got into the Cavity of the Abdomen Van Horne as Histories do prove Roussetus may boast as he pleases of a Caesarean Birth and may proclaim it secure from danger I once attempted it but was so terrified with the unhappy event Rolfinecius Diss Anat. l. 1. c. 13. for the Woman died within four days taken with Epileptick Convulsions when the Wound that was made did promise well that while I live I shall never advise this Operation for fear that they who are decreed to die should be reported to have died by the Physicians hand But when I went about the work with Hooks and Pliers neatly made I never went away without accomplishing my desire to the admiration of the By-standers III. In difficulty of Travel Angelus Sala gives Mercurius Vitae a very strong Vomit to Big-bellied Women and I have imitated him in the like cases Frid. Hofmannus always with good success IV. Among Causes of a hard Labour this is omitted by all Writers that I have read to wit When the Childs Head just as the Mother is ready to be delivered pitches forward above the Os Pubis This is a thing truly not undeserving the notice for how much stronger the throws of Travel are and the more she labours so much less able will she be to bring out the Child unless the Childs Head be put upwards towards the Mothers Back â—arbette and then be directed downwards besides the Bone by the Midwifes hand V. Riverius his Judgment was That a Caesarean Section must never be practised while the Mother is alive because while she is alive her delivery is never despaired of He proves it by the instance of a Woman at Mompelier who had hard Labour and when she was dead the Child was found dead but yet delivered whence it is evident that the Child may be born at the very last throws when the Mother dies away because of her pains which she has undergone Wherefore no wonder if Hildanus procured sleep and strength to a Woman in Travel who was just ready to beat her last by giving her 1 drachm of Confectio Alkermes in 2 ounces of Syrup of Red Poppy and Water-Lily and Borage Water and most happily relieved her He said also That a great Wound in the Skin cannot be cured without Sewing nor in the Womb which is moister than the Skin and it has no proper Substrate Matter to breed a Callus VI. In a Woman that died after her delivery the Womb was found torn by the coming out of the Child The Midwives said that her Womb had a very narrow mouth a most violent Potion was given her by a certain Matron to force away the Child by which her pains and throws were so increased and the Child forced so violently that making its way by main force but finding the passage too strait it tore the Womb. From whence it is clear that this kind of Remedy must not be used but with great caution and not till we have first considered whether the Womb be fit for it and whether the Child lie right Hildanus cent 1. 64. before the Potion be given VII Sometimes the Mother goes with Twins one of which is dead and that always comes out the first the other alive presently follows Here I shall relate to you something of this nature which perhaps may seem wonderful to you that so you may know how to behave your self in delivering of Twins For once it so happened that in my presence the Mother earnestly contended with the Midwife that the Child was alive which she said she felt to stir on the contrary the Midwife urged that the Child was dead from many outward signs But at length it happened when that Child was delivered which was reckoned dead in the Womb and the Secundine was taken away with it that presently another live Child came out with its Secundine although before we could perceive nothing like it by outward signs Therefore they were both in the right for the Mother when she affirmed she felt the Child stir did not think she had had two in her Belly And the Midwife when she contended that the Child was dead did little think that another must have followed See I pray how variously things happen And let it be a Maxim to you not to use as some are of the mind an Instrument in delivering a Child for nothing is more certain than the Hands nothing more secure and gentle But to return to my former Story When the dead Child was delivered entire alone we searched if by any signs we could find out what had caused the death of the Child whether it was the Mothers fault or it came by some External violence We took the After burthen entire but corrupted extended it with our Hands and held it to the light We thought we saw something livid and contused in the right side of the Chorion such as comes after receiving a blow so that the Veins in that part were altogether corrupt and broken Car. Stephanus l. 3. c. 2. Anat. Then we concâ—uded that the Child was killed by a blow about the Mothers Womb. VIII Although I never used Quick-Silver yet I have
often seen a scruple or halt a drachm of it given by the Midwives of Goritia without any inconvenience It is given alive not killed For that which is killed sticks to the Stomach and Guts and causes cruel Symptomes yet it must be washed first in strong Vinegar mixt with Salt then it must be strained through a piece of Leather For so they that use it do cleanse it Matthiolus IX When delivery is hindred through the Mothers fauâ—t because the Ossa Pubis and Coccygis are not so movable by reason of Age it is good to soften them by degrees with an emollient fomentation which may very well be done two or three weeks before her time For so the Cartilages that knit the said Bones are by degrees soâ—tned and the Bones themselves part more easily For they scarce part asunder but give a little to make the passage for the Child more easie Therefore the steam of Emollient Herbs boiled received in a Perforated Chair will be good Such Fomentations do not only afford Women the foresaid benefit that is to cause the Child to come out with more ease and less trouble but after the use of them Women are not so apt to be lame when they are up again Because then the said Bones do give way with less violence and therefore the softned Cartilages do more easily return to their former state Which when they are left hard and parted by violence and in a manner severed from the Bones they do seldom return to their Pristine state but they leave the knitting of the Bones more lax Sylvius de le Boe. and Women more or less subject to halt X. In hard Labour it is a case that deserves observation Oftentimes the Child is born in a manner dead but before the Navil is tied by pressing the Blood in as if it had received nourishment it is restored to life again which otherwise had died D. G. Horstius told me he was at Rome when the Child was in the Midwife's Hand and the After-burthen remained in the Mothers Womb and she fell into a grievous Swooning so that one while she seemed to expire anon the Child was just dying when immediately the Midwife called out Wine Wine Greek Wine was brought she warmed a little of it and opening the Womans Mouth with a Stick she poured a Glass of it into her Mouth so the Woman came to her self again immediately and was as if she had risen from the dead and at the same moment the Child began to stir finely so that both survived and all was well Therefore in all Swooning we must not use Vinegar or Lavender Water as is done commonly but the best Aromatick Wine Which also Doctor Sittardus judged should be done unless the Swooning be with Vomiting for then it is not amiss not only to give Wine but to hold a Toste of Bread and Vinegar to the Nose â—â—lenander XI We must not only use things that have a virtue to facilitate Birth from an Elementary quality but such as have it from their whole Substance such as the Eagle-Stone which when I had ordered to be tied to the Thigh of a Woman in Travel after it had been there a while a huge monstrous Membrane came away with much ado but as soon as it was come away I ordered the Stone to be taken off for if it should have tarried long on it would have drawn out the Womb by its potent virtue which I found in the Wife of N. to whom being in hard Labour when the Women had tied a great Eagle-Stone to her Thigh and after she was delivered did not take it off her Thigh through carelesness and forgetfulness within a few hours her Womb came out Valleriola lib. 10. obs 10. and killed the poor Woman XII One Cause of hard Labour omitted by most yet often taken notice of by Arantius consists in the bad formation of the Ossa Pubis which are not aptly disposed that is broader than they should be and flat on the outside so that within they are rather gibbous than hollow and come near to the Os Sacrum and Coccyx and are so strait that the Child has no way to get out Then the business must be committed to Nature seeing there is nothing that the Physician can do Ferdinandus XIII Things that promote the Birth do operate as they either comfort Nature wherefore a draught of Malmsey Wine is good and Volatil Cordials â—nd all Spices Or they stimulate and make the motion quicker and they are watry and not altogether void of volatility such as Penny-royal Water Or emollient as Water of White Lilies Or Diuretick as an Emulsion of Gromil Seed and Violet Seed with some appropriate Water Hither belong Oyly things as Oyl of Amber Amber also it self and Saline things chief among which is Venice Borax Or they asswage and comfort the Nervous Kind the painful irritation whereof renders the Labour much more difficult Hither belong Cinnabarines Wedelius XIV But things to facilitate Birth must not be given unless the Child be near and Nature want help To which is requisite not only 1. That the space of nine months or 280 days be fully compleat but also 2. That there be true pains of Travel and 3. Which is chief of all That the Child be near the Birth for unless the Aperture expand it self it is in vain to irritate and solâ—icite Nature when she does not act since thereby she as hitherto acting well is disturbed so that endeavouring to eject the Child unseasonably that is by giving this Provocative she puts it in a bad posture and causes a Preternatural difficult Travel As otherwise the Midwives themselves also do in this very much offend while they encourage the Woman too soon provoke force and set them on a Stool Idem XV. The Midwife cannot foresee much less correct all the vitious postures Indeed it is easily ordered in a Book Change amend the situation of the Child but in so narrow a place it is scare possible to do it quickly and successfully For how can she amend what she does not sâ—e You will say Can she not feel I answer in so narrow a room she may be mistaken in her Judgment How often do Midwives judging only by feeling mistake the Shoulder or the Elbow for the Head Then how can the Midwife help Agrippa's or Children coming with their Feet foremost Ammannus Med. Crit. p. 559. What if the Child come double at the Hips How can she help this ill posture Medicines especially made use of by eminent Physicians 1. Amber given to Women with Child hastens the Birth wonderfully A certain Physician gave 1 scruple of Borax dissolved in a Decoction of Motherwort or Savine to Women in hard Labour Baricellus and he did wonders for quickly the Child came out alive or dead 2. Let the Patient tie the Root of Gourd to her Kidneys and she will presently be delivered After she is
over all a warm Colewort Leaf anointed with Butter or Hogs Grease tying it on with bandage Z. Lusâ—t 6. I have seen many Pleuritical Persons cured with Pigeons Dung taken to half a drachm in some convenient Liquor Dom. Panarol 7. For mitigating the pain and procuring sweat this is admirable Take of the Water of Chamomel Flowers four ounces of Sugar two drachms take this Draught for two or three mornings hot and sleep upon it lying warm Eust Rhod Prurigo Scurf or Mange The Contents A Man cured by a Decoction of Snakes I. Another cured by a Bath of Vrine II. I. A Young Man being troubled with a Scurf could get quit of it by no Remedies At length he was quite cured by a Decoction of Snakes six ounces whereof he took at night three hours after Supper with a little Sugar for forty days together For Snakes Aristot 8. de gen anim cap. 17. calls them Vipers dry absterge cleanse the Skin thrust the superfluous Humour to the External parts Zacut. prax adm obs 2. lib. 1. and bridle the naughty quality thereof II. Of what efficacy a Bath of Urine is for curing Cutaneous Diseases Galen Actius c. shew for it absterges very much A Melancholick young Man was a long time troubled with a Scurf or Mange for thin and branny Scales shell'd off from all his Body leaving many Ulcers behind flowing with virulent Sanies When all other things would do no good he was quite recovered by using only a Bath of Urine Idem obs 3. Praegnantium affectus or the Diseases of Women with Child The Contents It is a difficult thing to Physick Women with Child I. Lâ—t Physicians undertake the cure of them II. Whether Women with Child may be bled in the Foet III. Their Diseases are better mitigated by Bleeding than Purging IV. Whether Remedy is safest Bleeding or Purging V. Whether Purging be convenient VI. Cassia is not to be used VII Clysters are hurtful VIII Pills are rarely to be prescribed IX Diureticks are not to be used X. The use of Acidulae or Mineral Waters is not safe XI There is sometimes place for Sudorificks XII Whether a Bath be profitable XIII How Affections of the Mind are to be allayed XIV Their Diet is to be duly ordered if they be taken with Acute Diseases XV. The use of Butter is hurtful XVI Whether Exercise be convenient XVII Pica or Longing is not to be cured the same way in them as in others XVIII Vomiting does not forbid Bleeding XIX It may be stay'd by Narcoticks XX. It is to be stopt with caution XXI An immoderate Flux of Blood is stanched by provoking the Birth XXII The same stanched upon bringing forth a dead Foetus XXIII How and where we must use Astringents XXIV I. THere is a great difficulty in Women with Child in every respect and I always use to say to my Scholars There are two things in Physick which I am most troubled and solicitous about wherein I am prest with the greatest difficulties and almost falter and stumble namely when I Physick Women with Child and Infants for the Cure of Women with Child is doubtful difficult and full of anxiety Wherefore I think that we should always walk with a Leaden Foot Epiph. Ferd. hist 13. and do all things with premeditation II. Though most Physicians refuse the Care of Women with Child yet they are not to be left destitute yea we mâ—y safâ—ly undertake their Cure when they have a laudable Blood to nourish their Foetus withal but we may not hope so well in the Cacochymical J. Raym. Fortis cons 76. cent 2. who are apt to miscarry upon taking of Physick III. Whether may Women with Child be let Blood in the Foot This Question is founded in Acute Diseases the Epilepsy an Erysipelas of the Womb great pains burning Fevers which depend on the Womb. Women according to Aristotle abound with Blood about their Womb. Therefore there is no doubt but that Blood is to be taken from a Woman with Child when she is ill of an Acute Disease even though it injure and endanger the Foetus because it is better to study and provide for the health and safety of the Mother than of the Foetus seeing its Life depends on the Mothers and Blood is to be let as often as the greatness of the Disease shall require it But the Question consists in this Whether Venesection in the Foot be convenient and safe For if according to Hippocrates a Woman with Child miscarry upon Bleeding much more when she is Bled in the Foot because Food is thereby withdrawn from the Foetus according to Galen in comment For this kind of Remedy is designed for provoking the Terms according to the same Galen and to unload the Womb and to revel from it whatsoever it contains that is troublesom and painful 'T is better therefore to draw as much Blood out of the Arm as is necessary than out of the Foot because through the Circulation all the Blood returns from the lower parts upwards to the Heart And the Blood is contained in greater quantity above the Liver than below by reason of the parts of the Breast and of the Head which receives a great deal Therefore Bleeding in the Arm may equally revel from the Womb because the Liver makes the middle of the Body according to Galen and revulsion ought to be made to a contrary part Besides it empties the parts of the Breast and Head sooner and more commodiously But if the first or second Venesection should be made in the Foot while the Uterine Vessels are yet full it wou d be tolerable but it is not used but when the upper parts are already exhausted and therefore the Blood that is contained about the Womb in the Hypogastrick Vessels is revelled and withdrawn from the Foetus from whence an Abortion may follow if it be defrauded of its nourishment Moreover Venesection in the Foot is nearer to the Womb than that in the Arm and so is apter to cause Abortion And Venesection in the Foot does draw by the Arteries the nearest way from the Womb which that in the Arm does not do Wherefore 't is better in a Woman with Child to open a Vein in the Arm than in the Foot unless the Physician intend to procure Abortion to preserve the Mother from imminent danger of death But if the Woman should be in the greatest danger of her Life and without an intention of causing Abortion should need Bleeding in her Foot her strength holding up it were better to Bleed her therein from the sixth Month inclusively to the ninth though the Foetus be then bigger because by the great providence of Nature Blood is contained as in a Store-house within the substance of the Fungous Womb and in the Placenta that is now thick and large enough for the nourishment of the Foetus for some days But in the other foregoing Months when the Placenta
more than they hurt and Nature joins her self as a Companion with the Medicins against the Morbifick Causes which being banished the Spirits and Faculties are restored XIII Concerning a Bath Avicen thus admonishes But if superfluities be multiplied in them 't is fitting they bathe often But indeed it is naught unless towards the later end of the ninth month for it dejects the Spirits softens and loosens the bands that contain the Foetus breeds Crudities and which is worst provokes the Terms by unlocking the Vessels and fusing the Blood But to sit in a Bath is profitable for those who are near their labour for by it the Womb is dilated the neighbouring parts are softned and an easy passage is granted to the Foetus XIV As often as a Woman with Child is struck with some violent affection of mind a fright anger or sadness whereby there is danger she should fall in Travail before her time first a Vein must be opened in her Arm especially if she be Plethorick and a small quantity of Blood taken that is if her strength and Spirits permit otherwise let her drink a Glass of Wine c. Secondly Let the Spirits and Humours that are disturbed and rossed all the Body over be allayed by Anodynes and Opiates administred prudently sometimes Aromaticks and sometimes Acidish Medicins being added according to the diversity of the Disease Thirdly If any other Disease as Fluxes of the Belly Vomit c. follow let such Remedies be used as are proper for them Sylv. XV. A very thin Diet is not to be prescribed to Women with Child in Acute Diseases lest the Foetus be defrauded of due nourishment and yet we must not pass to that which is very thick lest the Fever be increased thereby Therefore we must keep a mean and a thinner Diet is to be prescribed in the first months and a thicker and somewhat more plentiful in the last months for the necessity of the Foetus If we err any way 't is safer to err in too full than in too spare a Diet for health is to be expected from the strength of tâ—e Mother and Foetus XVI I have more than once obsâ—rved that the use of Butter has been hurtful to Women with Child P Borell obs 26. cent 3. as also to those who are subjâ—ct to Fits of the Mother wherefore I advise them to abstain from it XVII Some disapprove of Exercise because it hâ—ats dissolves the Spirits raises a Fever causes thirst and procures abortion by precipitating the Foetus But these things are to be understâ—od of too much or unseasonable Exercise otherwise that which is moderate discusses the Excrements that are collected by idleness relieves the Faculties that are oppressed by the plenty of retained superfluities diffuses the Blood and Spirits to the Members whereby the whole Body becomes vigorous But let it be omitted in the first month because the Foetus is then contained but by weâ—k bands In the second let it be seldom and slow In the third more brisk In the fifth sixth and beginning of the seventh more frequent In the later end of the seventh the eighth and to the middle of the ninth abate of it Whether it may be granted when her full time is at hand see the Title Partus XVIII Women with Child that labour of a Pica or depraved Appetite are not to have the same things prescribed them which are convenient for others for neither Purgers nor other Medicins that absterge violently are to be used for fear of miscarriage For seeing this symptom happens chiefly in the first months it follows that we must proceed warily especially seeing Hippocrates forbids purging about that time And in the fourth month about which time it would be safer to use Medicins the Malady ceases of its own accord the Matter being either spent by frequent Vomitings or much alter'd by the concoctive faculâ—y seeing such Women eat little because of the loathing that is joined with it the stronger attraction of the Foetus helping which through its growth draws and spends much Blood at that time Therefore this Malady is no otherwise to be remedied but by a convenient Diet ordered for attemperating of the offending Matter by a slight abstersion and gentle provocation to Vomit namely if Nature incline that way not neglecting those things which may serve to strengthen the Stomach inwardly and outwardly Horst probl 6. dec 19. ¶ The Pica of Women with Child admits of neither Purging nor Vomiting but only requires those things that Corroborate the chief of which are the Water or Salt of Cinamon and of Orange or Citron rinds with the magistery of Corals and Perls If the thing they long for cannot be got Hartm prax Chymiatr c. 133. that the Foetus may suffer no prejudice presently give her to drink some of the Water of white Vine or Briony XIX The Vomiting of corrupted Meat and of other Humours cannot hinder Bleeding Johan Raymund Fort. consult 60. centur 4. seeing it self is the Remedy of Vomiting See before Sect. IV. XX. If Nausea and Vomiting be very urgent and be very afflictive to Women with Child so that there be fear lest some greater mischief supervenâ— Opiats and Narcoticks may be used as both tempering the acrimony of the Humours and also bridling their vitious Effervescence likewise dulling all sense and so powerfully restraining and staying over great and troublesom Vomiting and by the help of these they are reduced to a convenient tranquillity and their Stomach and small Gut are strengthned by which means both other altering Remedies and also even Aliments themselves may be taken with the better success For indeed all these things are taken in vain while a violent loathing and vomiting continue Sylv. de le Boe Prax. l. 3. c. 6. which is to be wholly allayed before either Aliments or gently altering Medicins can be retained XXI We must act cautiously and with premeditation in stopping of Vomiting for we must not do that unless in case of evident necessity Fortis cons XXII If a Flux of Blood happen to a Woman with Child that is hastening to the time of her Travail by which she is much enfeebled the mouth of the Womb is to be closed without delay lest the ambient Air draw forth a greater quantity of Blood and the Spirits that are spent are to be recruited that she may be able to bear the pains of her Travail Now her Travail is not to be promoted either by things taken in at the mouth or by Clysters for by these the flux of Blood would be increased but 't is necessary to pull forth the Foetus by force putting your hand up into the Womb. The weakness of the neck of the Womb whose Ligaments are relaxed favour this operation so that the mouth thereof gapes as if often pains had preceded Unless the Waters break forth of their own accord the Membranes that contain the Foetus are to be gently burst by
Funnel whose straiter end was to reach to the Genital parts At the same moment of time she also received the same smâ—ak in at her Nose and Mouth from another Pot which having penetrated the Woman presently cries out I must needs go to Stool which she had hardly spoken but there was heard such a hâ—zzing as when Gun-Poud r contained in some narrow Case or Squib is set on â—irâ—â— which Wind having thus burst forth forthwith in the vâ—ry moment the Woman was freed from her pain Being thus informed by Experience I have sometimes since then in the like case found the same Remedy profitable and beneficial Sâ—â—ander 〈◊〉 â— cons 1â— sect 29. VI. My dear Wife Johanna Spanhemia being always cruelly griped after her delivery which Gripes no art could allay although all things which use to be propounded were tried at length in the month of May 1675. being happily brought to Bâ—d of a Boy and but just laid down in her Bed being very thirsty after the pains of her Travail she extorâ—ed from her Nurse a draught oâ— very â—old Pâ—â—sâ—n whâ—n her Gripes were just a coming which were wholly repressed by this Remedy without any prejudice I had lately the opportunity to try the same with good success in a Cholerick Woman the Wife of a Clock-maker whose name was Morellus her Purgations flowing very well afterward Whether was the Orgasm of the Blood by this means appeased which was making an hasty exit and distending the Vesselâ— being turgent in them or irrâ—tating them by its acrimony Such a Drink may be very profitable in the Cholerick by tempering the heat of the Blood VII Those do amiss who give Child-bed Women potch'd Eggs betimes in the morning and before Meals for seeing Hippocrates 1. de morb mul. sect 2. vers 156. approves of them when the Purgations flow immoderately it is an evident argument that they have a vertue to stop them so that by their use the Purgations may be stopt when they flow as they should do than which nothing can be imagined more hurtful Martianus VIII Old and racy Wine is not safe for Child-bed Women at the beginning because the Pains of Travail are follow'd by a great Perturbation of the Humours in the Body which might be carried up into the Head by the drinking of Wine 'T is also suspected lest some harm might accrew from it to the parts which belong to the Womb or are adjoining from whence an inward Inflammation might arise Idem IX From the weakness of the Muscles of the Abdomen which contribute much to the expulsion of the Excrements Childbed Women are very subject to be Costive and not only from their continual keeping their Bed as is vulgarly supposed For from the preceding Travail the Muscles of the Abdomen are as yet weak In which case Looseners are given in vain from the too great use whereof the Coats of the Stomach become too slippery whence concoction is injur'd Something oâ— Turpentine or Aloes or Rhubarb are more convenient for these Hoefer Herc. med l. 3. c. 5. which both stimulate the Belly and have a friendly stypticity X. Cautious Women that attend upon Women in Travail will not permit them to sleep presently after they are deliver'd lest whilst they sleep too much Blood should flow out without notice Idem l. 7. c. 5. XI Those Physicians are deceived that following the Opinion of some Women think that Womens After-pains are therefore profitable because the flowing of the Lochia is promoted thereby the contrary whereto often happens seeing sometimes they do not flow though these pains be never so violent Add hereto that many Women have no such pains and yet nevertheless their Lochia flow and that indeed far better than when those pains are urgent Those are likewise deceived that follow Women in an Opinion that these pains do seldom or never follow upon a Womans delivery of her first Child but only upon the second and that they become greater and greater every time a Woman lies in For daily Experience shews the falsity hereof at least in these Countreys where yet many are possest with this opinion which is not only erroneouâ— but also hurtful especially the former because by this means the Cure of these pains is neglected and hindred by many esteeming them to be profitable though the neglect of them have so often been the cause of death to many Childbed Women Sylv. prax l. 3. c 9. sect 2 4. XII Wherefore it is of concern to know the true cause of the said Pains Seeing they follow upon the delivery the most frequent cause thereof is deservedly to be derived from those things which use to happen to Child-bearing Women in he time of their Travail Now there are two things which are the most observable the exclusion of the Foetus and the separating of the Secundines from the Womb and their exit out of it In the exclusion of the Foetus that is in the very delivery 't is sufficiently known that pains are caused but such as grow less afterwards and vanish by little and little But the After-pains we are speaking of are quite of another nature beginning a ter the delivery is over As to the separation of the Secundines from the Womb as also their exit out of it Women are sometimes wont to be pained anew thereby because they are often knit pretty straitly and firmly to the Womb and grow so to it that they can hardly or not at all be separated therefrom without the tearing either of themselves or of the Womb. Now none is ignorant how acute pains are felt in excoriated and torn parts especially as oft as any Liquor and chiefly that which is acrimonious and biting approaches them Whence it is no wonder if after the strait connexion of the Secundines with the Womb and the violent pulling off of the same and so Excoriation of the Womb and the afflux and efflux of the Lochia great pains be caused there But it is to be noted that those pains chiefly afflict Women both that are delicate and of an exquisite sense and have their Secundines also straitly knit to the Womb not to be separated therefrom without violence We must observe moreover if the Cure of these pains be neglected that every time a Woman is brought to Bed they are sorer and sorer which perhaps has given rise to that Erroneous Opinion concerning these Pains which was mention'd above Lastly we must observe that Women with Child do either hasten or are hastened too much to their delivery so that before the Foetus is come to its full maturity and the Secundines prepared for an easie separation from the Womb the Birth is precipitated whence both the Foetus is expelled with difficulty and the Secundines separate from the Womb and pass out of it with the like difficulty Add hereto that in these Countreys many Women with Child do too much indulge themselves in the use of Aliments that
which Bonetus and Waltherus quoted ever were or are ever like to be in the English Tongue So that for this very Reason the Translation may deserve a higher Esteem among mere English than the Original among the Learned since these can understand the Principal Authours without an Interpreter the other cannot and so for want of one were it not for this Book might live in Ignorance of many Excellent things The Authour Bonetus is an ancient Dr. of Physick in Geneva a Man of great and succesfull Practice and of infinite Learning as other of his Works but this especially do shew He dedicated this to a Noble Personage of this Land as you may see before And how can we more gratefully acknowledge his kindness than by letting our Countrey-men understand how generous it is to all Men in his publishing so usefull a Work in Latine and in particular to our Countreymen in his dedicating it to a Noble Earl of our Nation Now because the Alphabetical Disposition of the Diseases according to the Latin Tongue will not be serviceable to the English Reader we have made an English Index whereby you may find the Disease which you want in the Book and then run but over the Contents and you will meet with your Case And after all I appeal to the Learned Whether these two Books both of which are valued by such when they are made One be not a Book of the greatest use in Physick that has ever been published in any Tongue and much more in English Farewell A GUIDE TO The Practical Physician BOOK I. Of Diseases beginning with the Letter A. Abortus or Miscarriage The Contents It ought not to be procured for the remedying of any diseases the woman with child is troubled withall I. How a simple voiding of bloud may be distinguish'd from it II. The distinction of its causes according to the times that the woman is gone with child III. The symptoms that use to accompany it require the providence of the Physician IV. How the concomitant Symptoms may be cured V. A prevention of it by frequent bloud-letting VI VII Plasters apâ—ly'd are not to be kept on long VIII When there is occasion for Adstringents and when for Looseners IX An instant Abortion is not always to be hasten'd from the example of one that was prevented X. When it is imminent medicines that are hot must be mixed with Adstringents XI Sometimes Adstringents are onely to be applied to the Loins XII Remedies applied below are safer than those taken in at the mouth XIII Wine to be abstain'd from XIV Medicines I. DAILY Observation shews that Women with child are subject to many and great distempers both Chronical and Acute which are made more dangerous and are harder to cure from their being in that condition especially Acute diseases as Fevers Aphor. 30. lib. 5. Pleurisies c. Hippocrates says that it is deadly for a woman with child to be seiz'd upon by any acute disease And according to Galen there is a double danger one from the Fever 's killing the Child another from the thin diet that is requisite for acute Diseases but is injurious to Women with Child as also from the necessity of the greater remedies such as bleeding and purging But some rash men if they see their Patient in great danger advise the procuring of Abortion Now Abortion is more painfull and dangerous than a natural birth from the violent divulsion of the unripe Foetus whence very many die some escape but not without grievous symptoms And the danger is the greater if the Foetus be pretty big as if the Woman be gone seven or eight months or if the Woman her self be feeble and weak or if she labour under dangerous acute Distempers Even healthfull Women never miscarry without danger some retain the Foetus so pertinaciously that no medicines will make them miscarry Wherefore their advice is pernicious that counsel the procuring of Abortion in acute Diseases 1. Because in many it is not easily done 2. It cannot be done but by dangerous Remedies and those often repeated which aggravate and heighten acute Diseases 3. Nor is it safe seeing Abortion it self is a dangerous and deadly affection as experience shews for by the aphorism above cited it is deadly to a Woman with Child to be taken with an acute Disease from the Fever the thin diet and the danger of Abortion now 't is bad to add affliction to the afflicted the Mother often perishes by destroying the Foetus with such Remedies 4. Even a natural Birth seldom gives any relief to several Diseases much less will Abortion cure any Disease especially such as is acute no it will rather make it worse unless the Foetus be already dead for then indeed 't is necessary to exclude it Yet we must not abstain from necessary helps as bleeding and purging which often prevent Miscarriage and if it sometimes follow upon the use of them 't is not to be imputed to the Remedies being duly administred but to the sharpness of the Distemper that is too hard for all Remedies or to the weakness of the Mother or lastly to the death or debility of the Foetus Hippocrates in his oath promises Primâ—os de vulg err l. 4. c. 53. that he will give no Woman any Medicine to procure Abortion 'T is the part of a Physician not to destroy but to preserve as much as he can II. Midwives ought to be very heedfull for it sometimes happens that a Woman with Child voids by her Womb much bloud and imprudent Midwives think that she has miscarried which yet is not so but onely a Miscarriage is imminent which whilst it is it ought to be prevented by Adstringents but if it be actually made then we must help by Looseners Wherefore Midwives ought to examine diligently the matter that comes forth whether it be bloud or flesh or geniture or the Foetus for by washing what comes forth in water one may easily discern whether there have been truly an Abortion or not Câ—â—ivace â—ract l. 4. c. 8. III. Serapio's opinion is to be noted He thinks if a Miscarriage happen in the first or second month that it is caused by wind or a preposterous agitation of the Mother breaking the slender fibres if it happen in the middle months that slimy humours which loosen the acetabula or saucers of the Womb are the cause of it and lastly if it happen in the last months that it is commonly caused either from want of nourishment or straitness of the Womb. IV. The Wife of N. miscarrying she first voided the Secondines with much bloud which brought her very low and weak the flux of bloud abating the next day she excluded the Foetus that was four months old after this she seem'd to grow better and cleans'd indifferently well onely what came away was very stinking and cadaverous On the seventh day she was taken with a high Fever and voided the placenta or womb liver
and boiling bloud and it must be repeated twice or thrice if it appear after the first bloud-letting that the strength is nothing abated but rather augmented Some in the very fit and when the strength is exceeding low which they say is not wasted but oppressed do open a vein But with great hazard for some have died in very bleeding to the great reproach of the Remedy It is true there is some oppression but then there is wasting of the strength likewise Therefore it is better first to stop its violence Riverius and when the Symptomes are laid to have recourse to bloud-letting II. If a Woman with child be taken with a Vomiting and Loosness in her seventh or eighth month whether may she safely be let bloud If it be suspected in those that are not with child lest the strength tired and wasted by great inanition be wasted and sink more much less may it be done in a Woman with child who hath suffered already a plentifull and immoderate evacuation from her veins Besides it proves abortive while it deprives the Child of its nourishment and the Mother of her Treasure It is dangerous and hazardous thus to cure a Woman with Child For if it be disapproved of by all Practitioners in a Man and in Women that are not with child it must much more be avoided in a Woman gone seven or eight months with child Because to doe it sparingly is useless for what is the emptying one small Bloud-vessel like to doe towards bridling the fury of the humours Riolanus En. hir l. 2. c. 36. or extinguishing the Fever when the bloud comes out but slowly and the purest too drop by drop III. Whether is there any use of Vomits Hippocrates 5. Epid. cured an Athenian of a Vomiting and Loosness by giving him Hellebore but in lib. de affect he would have the cure managed with moistning potions and hot bathes that if there be any thing hurtfull in the Stomach it may more easily be vomited up and more readily be carried downwards because if you evacuate violently i. e. if you will carry off the relicks of the humours by Purging Medicines a violent evacuation both upwards and downwards will follow whereby the weakened Patient will be in danger The contradiction is solved by this distinction When it arises from Surfeiting and Drunkenness as is supposed in the present case because the corrupt food that is the cause of the disease resides in the Stomach and no fault of the whole concurs we must not fly to Purging Medicines which draw the Humours from the whole where there is no fault for so that would be Purged which ought not and a disturbance being made in the humours the conflux of them to the Stomach would be increased weakned by the disease and not a little hurt by taking of Physick But when the disease depends on plenty of bile and other humours which flowing to the belly burst out Symptomatically upwards and downwards then the total purgation of them must quickly be procured and they must be carried off the less dangerous way which is contrary to that way whereout they break naturally with greater violence P. Martianus in v. 12. Sect. 2. lib. de effect In the Athenian he gave a strong Vomit because the humours that fomented the disease were peccant in the whole and were carried more violently downward than upward ¶ When the Intestines are more affected than the Stomach Vomits were better than Purges that both evacuation of the whole body and revulsion from the part principally affected might be made for the thing we most fear in affections of the belly is that the body cannot be purged but by the part affected Vallesius l. 5. Epid. therefore we must avoid it as much as we can and if all parts of the belly be not sick alike we must move by that part which is less sick much more therefore in dysenteries must we use Vomits ¶ Hippocrates gave Hellebore to an Athenian but though I like his method well yet I approve not of his Medicine Mercatus l. 3. Pract. c. 8. there are much safer and more usefull Medicines that Vomit far more mildly ¶ They offend grievously that give Scammony Hellebore and Coloquintida in this disease for a hypercatharsis or over-purging is raised Enchir. Med. Pract. which a Convulsion very familiar to this disease swooning and death doe follow ¶ Add hereto Oribasius his rule l. 7. If corruption of the food appear to you at the first and the Patient void nothing in a manner either by Vomit or stool but if he be squeamish and reach to Vomit then we must give those things that promote Vomit freely such as is Honey with Water which makes a Man both Vomit and Purge ¶ If Vomiting cannot be stopt saith Sylvius de le Boë l. 1. c. 15. by reason of the plenty of humours that are in the body and affect a passage upwards nothing hinders us to give a gentle Vomit those things being also added which may temper the humours and in some measure appease and restrain their too much effervescency as also upon urgent necessity Opiates in a small quantity e.g. Take of Oxysaccharum vomitivum 2 drachms Laudanum opiatum half a grain or a whole one Mint Water what is sufficient Mix them make a draught IV. Things that restrain the violent motion of the Choler Julapium Rosatum mixt with juice of sowre Pomegranates Syrup of Quinces Myrtle-berries Enchir. med pract Roses and the like must not be dissolved in water lest the Coats of the Stomach be made more lax which should after be strengthned and astringed but they must be taken alone in a Spoon V. In diseases of this nature wherewith preternatural evacuations are joined Astriction is often attempted in vain and not without great danger before the abundance of excrement be voided When therefore evacuation seems to have gone far enough and strength is not much wasted for some signs of debility may be born by reason of the Symptoms we must neither stop nor provoke it we may onely obviate other Symptoms But if evacuation seem to have gone beyond the abundance of Excrement in the body or beyond the strength of the faculty we must stop it presently But if the irritation pain and anxiety be greater than the quantity of evacuation and the evacuation less than the quantity of excrements you must Purge that when the abundance is plentifully evacuated you may obviate the Symptome that consists in too much expulsision Vallesius comm in l. 5. Epid. p. 467. And because the Symptome is urgent from the beginning and because the irritation is never quite taken away in this disease we must neither when we purge neglect the Symptome nor when we stop must we be forgetfull of the irritating juice but we must mix something astringent with Purgatives and something Absterging or to take off the sharpness of the humours with Astringents or use them by turns
it is so frequent at Florence that very few children can be found who have not undergone it Having therefore shaven off the Hair behind let an oval oblong Iron answering to the hole behind in the occiput be made red hot and for prevention in children let the cavity be gently touched But for the cure it may be set harder on in the very fit and when the Ulcer has been kept open several days it may be so done twice or thrice Scultetus LVI And that you may know when and how to use this wholsome Remedy Know that it is good for those children who have had an Epileptick fit of any long continuance and when there has preceded a sensible preparation to it Secondly It is convenient without tarrying for the first fit in them that carry a hereditary Character to make an Issue for the urgency of the Disease requires it and when it has contracted a habit the severity of it for afterwards it is cured with difficulty and an Issue does little good and also the tender substance requires it which even from one fit contracts an habit Mercatus LVII But for the right use of this Remedy you must remember that when there is onely some small epileptick affection concerning which it may be a question Whether it be epileptick or arise from Fainting it is not proper to use this Remedy presently and it were a rashness to open the Head immediately 1. Because if there hath been no previous affection in the Head that requires this Remedy it were erroneous to doe it onely for fear of an uncertain event 2. Because Physicians who use this Remedy are bound to keep the place open the greatest part of their Patients lives The reason is Because what expires and is purged by it at that time is either an epileptick Apparatus which we know in three or four years time is wholly purged out a new one breeding like to the sound part of the Head which being bred we may safely close up the Issue But if there be none of this Apparatus in the Head it is evident that that onely can be purged which results from the natural coction of the Brain and because this breeds all ones life time it is necessary that the Issue continue as long If you close this up you may certainly conclude that Epilepsies Apoplexies Convulsions Palsies c. may easily breed or that those excrements may fall upon the Breast Stomach or Heart Idem as we find by certain experience LVIII An Issue must also be made with the hand of a skilfull Artist for I have often observed from an indextrous way of making an Issue in the occiput a thousand mischiefs and death has followed for if the Chirurgeon try to burn all the Skin with the Iron I have often seen a Convulsion follow and the child die of a most cruel death And if that do not follow if the hole be made too wide and deep a fluxion is raised to the back and nervous parts whereby the children grow crooked for he that would use this Remedy with security must consider that it is enough to burn part of the Skin for the cure and prevention of it in children for it is sufficient that the Head be purged by the cutaneous Veins without having any thing to run at the greater and deeper Veins of the Head whereby it is often weakned and made liable to a thousand disasters Besides that when we would close the Issue it may be done without any danger whereas it is quite otherwise Idem when it is made deep LIX Among things that cure several Symptoms in the Epilepsie of children Aniseeds may be reckoned for one For seeing most of their Diseases especially the Epilepsie derives its original from Phlegm Wind and Worms this Seed deserves great commendation because by its aromatick virtue it cuts Phlegm discusses Wind and kills Worms with its Acrimony It may not therefore without benefit be mixt with childrens Powders Grube LX. For they must not be heeded who without distinction commend Powders of mere Astringents Coral burnt Hart's-horn Crabs-eyes Man's-skull c. though these by their astringent virtue strengthen the weak parts in children and so doe much good yet we must have respect to the cause which makes children subject to frequent Catarrhs and Coughs Which things being so I use the following Powder the use whereof I have often experienced giving a few grains according to the Age Take of burnt Hart's-horn 1 scruple and an half Powder of root of Poeony Florentine Iris Aniseeds each half a scruple hoof of an Elk prepared 4 grains Oriental Bezoar-stone 3 grains Magistery of Man's-skull Crabs-eyes each 1 grain a little Sugar Mix them Idem Febris or A Fever LXI I judge that all the time of sucking if bloud must be drawn it must be done onely by Scarifying and no other way till the child be three years old And if the child be weaned before that Age you must rarely cut a Vein unless the child be one of those that Celsus describes for strong ones or if the Disease be a Quinsey Pleurisie or some such dangerous one Mercatus LXII Both the inconvenience of pain from Scarifying and of loss of strength by opening a Vein may be avoided by applying of Leeches But neither do they want danger for besides that according to Walaeus his opinion in sua methodo med they draw arterious rather than venous bloud it is a very hard thing to stop the Bleeding so that Physicians who prescribe them do always order a small quantity of bloud because oftentimes the bleeding exceeds against their will I experienced this in my eldest Son whom I bled with Leeches in a burning Fever when he was about four years old In the morning I set about three to the bending of his Arm. The bloud seemed as if it were stopt But in the night it burst out again in such abundance that he was almost drowned in it which weakned him so much that I gave him up for dead It could scarce be stopt with the mixture of the white of an Egg and Carpenters ruddle which I took up one day as I was walking But by God's blessing the event proved well for the next day his Fever left him but he looked pale for several days LXIII In the months of July August and September a great number of sucking children dies which the Women hold to be ill of Worms But I maintain that their death proceeds from the sharpness of the Nurses milk whereby the Stomach is inflamed for there is coldness of the extreme parts unquenchable thirst great anxiety squeamishness vomiting and loosness Wherefore a Vein must be opened then apply to the region of the Stomach a Cataplasm of Barley-flower boiled in Goat's-milk with a little Juice of Nightshade and Oil of Roses The Nurse must be changed and Mucilage of Seed of Psyllium must be given with Sugar of Roses Chicken-broth altered
do not apply over-hot and discutient things Because hot Topicks may easily draw Bloud to the Breasts which are a fungous part and this being mixt with Phlegm affords matter for tedious and dangerous Tumours And strong Resolvents discuss the more subtile parts and leave the grosser Idem whence come Scirrhi V. Two things must be observed about a true Scirrhus of the Breasts 1. That the thinner parts be not discussed by the excessive use of heating and attenuating things and the thick ones left whence comes a stony and incurable hardness 2. That by the use of moistning and emollient things the matter be not as it were fermented especially if it be mixt and so of a Scirrhus it becomes a Cancer Therefore the emollient things which are here applied must be hot in the second degree and temperate as to the passive qualities so that they must neither be dry nor moist and in this differ from maturaters because they are moist And this caution is more necessary in a Scirrhus arising from melancholy than in one arising from phlegm for a Scirrhus which comes from melancholy easily turns to a Cancer Therefore the advice of the Ancients is the safest that no drying or moistning medicine be used alone but either moistning and emollient things must be used with digestives by turns or Moistners must be mixt with Digestives If it be a Bastard Scirrhus and there be fear that it will turn to a Cancer seeing there is some pain that may cause an afflux of Humours some things must be added to Emollients Idem which may hinder the flux of Humours VI. A Woman of her first Child had a red hard swelling arose in her Breast from too much Milk Mayerne took it away perfectly in two days by anointing the Breasts with warm Honey three or four times strewing on every day some Powder of Cork And with the like success he used in others Oil of Myrtles and powder of Horse-tail but with a different Intention for these repell Velschius obs 33. and the former discuss VII It is not always safe to try to maturate Strumae in the Breasts since it may easily so be that Maturaters may corrupt the matter and the Tumour may turn to a Cancer Women also will rarely endure cutting and besides such Tumours last a great many years without any great inconvenience nor do they in this place appear to the Eye Sennertus as they do in the Throat VIII Women put off opening of an Imposthume in the Breasts as long as they can but it is to their prejudice for 1. The fibres are corroded Frid. Hofmannus 2. The Membrane is too far extended 3. The Bone is corroded whence comes a perpetual Flux IX Ulcers in the Breasts are never happily nor easily cured if the Woman ly-in or give suck before the Milk is dried up and the motion of the bloud to the Breasts is stopt For since no Ulcer unless it be without filth and dry can be cured as long as there is any afflux of humours thither the cure will never succeed aright Sennertus ¶ We must know also that one sore breast can hardly be healed unless the Milk be dried up in the other that is well for the bloud comes out of the veins alike to them both It may be dried up if the Child do not suck and if Linen-clothes wet in water be laid to the Breasts R. à Castro X. Sometimes lying-in Women are troubled with too much Milk which the sat of Serpents anointed on the Breasts does dissipate by a peculiar property Namely not onely repellents do hinder the afflux but attenuants also do make it either quickly run through the Nipple or go back to the Womb within seven days To which end Sir Theodore Mayerne Physician to the Queen of England applied Diachylum Ireatum with Powder of Sage and Oil of Roses and with very good success Some commend Parsly or Pimpernell with the Blew flower Velschius Obs 3. bruised and applied XI Hippocrates 2. Epid. Sect. 3. says That the shoulders and breasts are puffed up after meat and drink In which words he shews the first generation of Milk which is bred of the sweetest juice that the breasts and parts thereabout especially the shoulders draw to themselves out of the Stomach and turn it into Milk And this above all other things may be proved by the sensible testimony of the Nurses who as soon as ever they have either taken meat or drink feel the matter of the Milk manifestly to run into their breasts which farther testifies that this humour comes down from the shoulders by the clavicles to the breast and they say they feel it more evidently while the Child actually sucks Whence it comes to pass that nothing diminishes Nurses Milk more than setting Cupping-glasses to the back which thing is well known to Nurses that they often refuse this sort of remedy Martianus com in cit loc lest they should want Milk ¶ It is the firm opinion of many that bloud does not afford matter to the Milk but that the chylous milky juice affords it which is carried by peculiar Milk-vessels to the Breasts and to their Tubuli And perhaps that remarkable chyliferous duct does contribute much to the carrying of that matter for the breeding of Milk arising from the Pancreas thorow the breast along the Aorta and Vertebrae to the very Neck which inserts some branches into the subclavian and jugular vein XII VVomen that give suck have their breasts often grow hard and painfull with an afflux of Milk which may be cured in one days time if the watry matter be often drawn out by sucking This evacuation being neglected or deferred they grow harder and harder every day yea are inflamed and so in this case Venaesection Barbette Purging Coolers c. are proper XIII Sometimes breeding of Milk fails through some fault in the bloud but especially through some fault in conformation if the vessels which tend to the Breasts be too small and it may be too solid This fault I think must be cured slowly and by degrees in part at least and indeed by frequent and gentle friction of the place by which the Bloud-vessels tend to the Breasts adding emollient Unguents and Oils by means whereof the Coats of the Arteries may be softned and made lax and by degrees made fit for enlargement that being enlarged they may carry more bloud to the Breasts But we must take great care Sylvius de le Boë lest by violent or long rubbing the glands of the Breasts should be broken or hurt and so an occasion given for an Inflammation We must not make haste therefore but we must proceed slowly in the amendment and mutation of the parts especially of the continent from their natural state because it is difficultly and slowly obtained XIV We must take great care that Imposthumes especially in the Breasts may not onely not be bred at all
contracted from Mines of Vitriol Iron Salt and others they corrode all Ulcers in the inner parts for these villanies as Pliny l. 25. c. 3. speaks they ought to be repudiated XIII Among Balsamicks according to Galen Cyprus Turpentine is chief a Medicine fit for many uses and exceeding proper for Inflammations especially where the peccant matter lies in the Loins and about the Kidneys and causes Pain yet it cannot safely be given to such as are inclined to Epilepsies Martini or to other grievous Diseases of the Head XIV Of all the Guts onely the Colon is subject to Exulceration which produces pus which many think does run from an Ulcer in the Mesentery and they unhappily use Purges and Clysters after which the Disease grows worse Riolanus XV. When the first ways are emptied we must cautiously proceed to the opening of Obstructions both with Preparatives and Aperients and with Purges themselves For Aperients and Attenuants that are too strong do not onely prepare the Humours but carry them to the Liver and there is the same Inconvenience in strong Purgatives Fortis Mola or A Mole The Contents Extraction must not be undertaken rashly but Expulsion must rather be tried by Medicines I. Paraeus his way of extracting it by a Griffon's Claw II. Hildanus his way by a toothed Forceps III. Cast out by Purging IV. Medicines I. SInce usually we are not certain of a Mole though there be great suspicion of it yet to set upon the thing with strong Medicines and to endeavour to cast out the Conception by force seeing if it were a true Conception we should destroy it is a very hazardous thing and should not be rashly undertaken but when we make the least doubt of it it should be omitted And it is better then either to leave the business to Nature and wait the event till we be certain of the thing or at least to hinder the growth of it by taking away a little nourishment from it by Bleeding or by giving of Purges to solicit Nature that as she expells other Uncleannesses so perhaps â—â—e would vouchsafe to force away a Burthen that is grievous and strange to her Nor let us fear to give them because if perhaps it were a true Conception there might be an Abortion seeing we have observed that it does not follow in many Women with Child who have often been so evacuated or have had long Diarrhoea's and Nature is not so easily moved to the Excretion of things that are natural as of things that are preternatural and burthensome to her But if we be certain of it by many concurrent signs especially if after the time of Birth is over a swelling and hardness of Belly be found by the touch then that Nature may endeavour Excretion we must excite her by giving and applying and injecting things and we must open and dilate the passages Platerus that it may get out of the Womb. II. If it so happen that a Mole cannot be parted and when it is parted if Nature be not able to expell it the Chirurgeon must set the Woman in the same posture as we said she must be set in extraction of a Child from the Womb Then opening the Pudendum and putting in an extractory Instrument which from its likeness is called a Griffon's Claw And when it is got into the Womb it being opened and dilated take hold of the Mole Nor can it otherwise be taken hold of especially if it be a thick one because of its roundness for it has no handle to take hold by And when it is onely sought for with the Hand it slips away because of its lubricity and runs like a Ball all over the capacity of the Womb. But it may more easily be taken hold of by the Griffon's Claw if the Woman's belly be squeezed this way and that and then the Mole be run into some corner whence it cannot easily slip for so at length being taken hold on it may easily be extracted When the Mole is extracted the same care must be taken as of a Lying-in-woman Petraeus III. In Extraction of a Mole some use sharp Hooks or a Griffon's Claw as they call it but in my opinion not without extreme hazard For if a Hook should miss it might easily tear the Womb. For this reason I have invented a Forceps whose extremities are made in form of a Duck's Bill but deep enough to receive the Hooks In the middle whereof there are three teeth square and very sharp so as that they stand in a right line one against the side of another Therefore when the Forceps is shut not a tooth appears and besides let the Forceps miss never so much Hildanus it can never hurt the Neck of the Womb. IV. There is a manifold difference in Moles and this may be reckoned among the rarer sort which I had the hap to see this present year 16â—1 in the month of March A Noble Woman I am an ocular Witness about thirty two years old who had first been happily brought to bed of a Child thought her self with Child within three months she was sickly all that time having by the Prescription of her Physician taken a Purge she fell into Pains of Travel then abundance of various things came from her Womb bloudy membranous watry things clotted and black bloud and which is the most to be admired at an infinite number of Eggs as big as Pease sticking one to another just as in the Row of a large Pike or a Trout but besides there was an Ovi-form piece on the outside like the Parenchyma of a fat Capon 's Liver the inside full of black clotted bloud All these things were promiscuous and filled a large Bason It is very likely these Eggs were inclosed in the torn Membrane which being thrown into warm water were not dissolved Several such examples are found in Schenckius Medicines especially made use of by eminent Physicians 1. There is not a better Secret than the Powder of a Secundine given in water of Mugwort Mather or Penny-royal Hartman performed the Cure in several successfully with this Grulingius 2. Before Bathing let the Belly be chafed with Malmsey-wine if there be a Child it will be strengthned but if not the Woman will void abundance of bad humours by her Womb. It has been often tried Maroldus Morbilli or The Measles The Contents A bad method of Cure sometimes makes them mortal I. The safe method of Cure II. The mitigation of the Cough which is familiar to them III. The Prevention of them from turning to a Peripneumony IV. The Cure of the Loosness that follows them V. A hot regiment and taking of hot Medicines does harm VI. I. THIS Disease after Shivering and Chilness begins the Tragedy with inequality of Heat and Cold which follow one another by turns at length on the second day it ends in a perfect Fever attended with great Sickness Thirst a White Tongue but not dry a
is little and sticks not firmly to the sides of the Womb that has not as yet acquired a thickness capacious enough to suck up and contain the Blood that is as yet fluid about the Womb in the Hypogastrick Vessels by Bleeding in the Foot it may be recalled as in the Menstrual Purgation and so be withdrawn from the Womb Riolan anthropogr l. 6. in fine and therefore an Abortion would follow IV. The Diseases that seise upon Women not with Child as Vomiting want of Appetite and the like in them need Purging rather than Bleeding because they are caused by a Cacochymie abounding in the Stomach and the whole Body But in Women with Child they need Bleeding more because they are caused by the Blood retained from the very beginning of their being with Child And Experience hath taught that the Vomitings which often afflict Women with Child in the first Months are aggravated by Purgations but are much relieved by Bleeding yea are wholly removed if it be repeated every Month till the symptom wear off River V. According to Hippocrates aph 1. sect 4. one would think that we should reckon Purging to be safer than Bleeding for he there permits Purging in a certain case and time but on the contrary concerning Venesection he writes absolutely 5. aph 10. that it causes Abortion But Purgers do cause a great agiration and generally have a quality that is injurious to the Body and besides provoke the Terms and cause Gripings Whereas on the contrary Bleeding is administred with less perturbation of the Humours nor does it hurt any otherwise but as it deprives the Foetus of its aliment which fear is vain if there be a Plethora And it appears by Experience that Bleeding has better success than Purging when there is present the same reason of Indicants and Permittents Add that many Acute Diseases spring from plenty of Blood for which Bleeding is the properest Remedy VI. Hippocrates aph 1. sect 4. hath defined the use of Purgation in Women with Child Women with Child are to be Physick'd if the Matter be Turgent in the fourth Month and till the seventh but these later more sparingly But we must have a care when the Foetus is very young or when it is full grown Galen in comment says that Foetus are like to the fruits of Trees Now these when they are newly shaped or set have but weak Stalks and therefore they easily fall off when a violent Wind shakes them but afterwards when they are grown somewhat bigger they are not so easily shaken off the Trees and yet when they are come to their full growth and are ripe they fall off of their own accord and without any extrinsick violence In like manner Women suffer Abortion in the first and last Months because in those Months the Foetus is not so firmly knit to the Womb. But in our times Purgers are administred almost in every Month of their being with Child in Diseases which are produced by a predominance of Excrements and a Cacochymie when the Matter is turgent or concocted as often as there impends greater danger on the part of the Cacochymie than from the commotions raised by the Purge Physicians have been made bolder herein upon the account of the gentle and harm ess Medicins that we use now adays as Rhubarâ— Myrobalans Cassia Manna Senna Agarick and the like Yet we must always have regard to Hippocrates's opinion that Purgers may be given more safely in the middle Months but are to be used more waâ—ily in the first and last River ¶ Being with Child hinders Purgation for fear of Abortion and though even Acute Fevers be present and the Matter be Turgent yet the offending Humours may be corrected and evacuated by divers Remedies without strong Purgers For such Medicins are common at this day as prepare the Humours and bring them to the ways of the Ducts without making use of any violent Remedy And we must know that in the Diseases of Women with Child there is sometimes a very great fermentation of the Blood because of some Preternatural ferment raised in the mass of Blood which Purging Medicins as such can no ways bridle and moreover 't is very doubtful as yet whether that fermental Effluvium will follow the guidance of the Purgers See Zacut. M. P. H. l. 3. hist 14. Fr. Hofm m. m. p. 53. Schenkius obs l. 4. p. 554. VII Cassia is not to be given to Women with Child as no more are most Diureticks because through the nearness of the Womb with the Bladder which they provoke to expulsion they may do much harm Besides Cassia by its superfluous moisture relaxeth the Womb and weakens the Cotyledons and 't is also suspected for breeding Wind. Zacutus thinks that it may be so corrected by the addition of Spices and Carminatives as to become harmless but Experience witnesseth that it is not sate to use it VIII And the Evacuation that is made by Clysters is altogether unsafe because it may cause Abortion by compressing the Womb. When therefore there is need of them and Women have been accustomed to this kind of Remedy they ought to be made up in a less quantity and to be made of those things which are endued with a vertue rather to mollify and loosen than to purge strongly IX The use of Pills ought always to be suspected both because they disturb the Body more and also because of the Aloes which for its notable bitterness is offensive to the Foetus and is believed to open the mouths of the Veins But if its use seem necessary at any time in the more grievous Diseases of the Stomach which are often wont to afflict Womâ—n with Child in their first months of being so let it be well washed with Rose-Water that its acrimony may be taken away or let it be mixt with astringents and strengtheners as Mastich and the like X. Diureticks because they are apt to provoke the Terms also ought to be suspected and if the necessity of the Disease do sometimes require them let the more gentle be chosen XI The drinking of Acidulae or Mineral Waters is to be denied viz. the Medicinal drinking not the extraordinary wherein a draught or two is granted for pleasure or to quench thirst First because by opening inciding attenuating and absterging they provoke the Terms whereby Aliment is withdrawn from the Womb Secondly because the Belly is thereby loosened but things provoking to Stool are hurtful aph 34. 5. and 27. 7. Hereby the Foetus is deprived of Aliment the bands whereby it is tied to the Womb are loosened and the Foetus is offended by the frequent stench of the Excrements as they pass by XII Sudorificks if they be of the milder sort may be safely used Experience teaching that they are beneficial to Women with Child that are infected with the Pox or Plague or the like Diseases for when there are vitious Humours in the Body if Nature be not infirm such thâ—ngs help
are taken by the Mouth as Heurnius advises Th. Barth cent 5. obs 39. l. 1. Meth. and Actius bids us abstain from them if the Patient be weak ¶ My Wife from an outward violence miscarried of an Embryo of six weeks an Inch long that had all its Members shaped so as that its Genitals and the Roots of the Hairs of the Head might be discerned the Secundine staying behind The mouth of the Womb being shut did not admit the Midwifes Hand Amongst other Remedies I blew up into her Nose the Pouder of the Flowers of the Lilies of the Valley when she was about to sneeze I presently held her Nose and shut her Mouth and her Breath bursting forth violently the Secundines were expelled and so my Wife was deliver'd from imminent danger of her Life II. Those offend who endeavour to bring down the Secundines by rude and strong Frictions with their Hand They only by this means excoriate the Skin and so increase the Pains and Torments whence there follow afterwards Watchings Fevers and other evils Let it suffice to lay the Hand only strongly upon the Belly especially when the Woman feels pains about the Pecten or bottom of the Belly as Rod. à Castro advises and stroak your Hands gently from the sides towards the middle of her Belly as it were with a trembling Friction Idem as Borgesia admonishes c. 14. obst Gal. III. N. Myrepsus causes Vomiting with Soap a raw Egg and warm Water Borgesia obst c. 14. causes Vomiting by putting the Finger down the Throat As for my self I suspect whether Vomiting be good because it hinders the endeavour or straining of the Childbed Woman and pulls the Womb with the Stomach upward Unless we think with Gordonius p. 7. c. 17. that the expulsive Faculties of the lower parts is excited thereby which being stirred up expels hurtful things I add that the Secundines are stirred thereby and are then more easily expelled out of the Womb. Idem IV. 'T is doubtful whether or no we should stay a good while before we cut the Navel-string in two For on the one side there is fear of a violent retention of the Secundines from an unseasonable cutting of the Navel-string and on the other if it be too long deferred the Foetus will be in danger or will become sickly I say If the Woman be nothing benefited by the Remedies taken within twenty four hours space the Navel-string ought to be cut and we must tie that part of it that still is joined to the Secundines to the Womans Thigh very strongly lest it retire to within the Cavity of the Womb. I deny not but an hasty cutting in two of the Navel-string is sometimes necessary namely when the Umbilical Vessels are filled with a clammy Mucus or Phlegm Zacut. Pr. hist l. 3. c. 19. because these indicate the Foetus to be sickly ¶ Rod. à Castro l. 4. c. 7. defers not the cutting of the Navel-string above six hours No necessity compels us to stay so long because the Midwife taking hold of the Navel-string after it is cut may better draw away the Secundines with her Hand than the weight of the Child could do while the string was whole For when the Navel-string is cut in two both the Midwife may more conveniently search for the Secundines and the Foetus it self is kept more safely and defended from External Injuries Barthol ubi supra V. In all extraction lest some errour be committed and we fail of our desire these necessary Cautions are to be noted 1. We must take care not to pull directly lest we bring forth the Womb also but the Secundine is to be drawn this way and that way obliquely and more and more strongly by degrees 2. We must act with a gentle Hand not with violence or on the sudden for fear of Inflammation lest the Soul and the Secundine be drawn out together Let that Child-bed Woman affright us whom Forestus speaks of l. 28. obs 80. who when the too bold Midwife did hastily pull out the Secundine the Woman falling into a swoon died presently 3. See that the month of the Bladder and the Membranes of the Womb be not hurt with your Nails Idem VI. Sometimes Nature uses to help who when the After-birth is left behind expels it either presently whole or afterwards when it is consumed with putrefaction On the third day it was evacuated by a Woman of Larissa on the same hour of the night in which the Child had been born 5. Epid. hist 13. A certain Woman as Riverius relates cent 2. obs 3. after ten weeks expelled by piecemeal the Secundine now parched It is Hippocrates's opinion 1. de morb mul. that the Secundines do for the most part putrefy yet pass out on the sixth or seventh day or also later This Opinion is abetted by Actius tetr 4. s 4. c. 24. Aegineta l. 6. c. 75. If the Secundine cannot be brought forth we ought not to be disturbed for after a few days it will come out putrefied and dissolved into Sanies Zecchius gives the same Counsel consult 68. But sometimes that hope is deceitful and 't is an uncertain Remedy to commit the business to Nature when it comes not out presently after the Foetus Delay is dangerous nor can we promise to our selves that every ones strength will hold out or assure our selves of the certainty of the desired success Mercatus l. 4. c. 4. Rondelotius c. 65. advise it to be done warily and to inâ—ect betwixt whiles such things as deterge L. à Fonte consult 118. alledges daily Experience that the retention of the Secundines does daily produce the most grievous symptoms in Childbed Women so that the greatest part of them die on the fourth day Therefore it is dangerous to expect Suppuration seeing 't is doubtful what Nature will be abâ—e to do and the symptoms are uncertain By what happens when but a piece of the Secundine is left behind we may make a bad prognostick of what will come to pass when none of it is brought forth for Nature does not overcome even a piece without difficulty There is oft no suppuration but death ensues upon the retention Idem ibid. ¶ Great Caution is to be observed in the use of Suppuraters for the Secundine putrefying causes very grievous symptoms Fevers and those Malignant whereupon death ensues and 't is better to promote the Excretion thereof by all the means we can than to expect Suppuration for even therefore is the staying of the Secundine dangerous because it putrefies and suppurates Salius relates that he saw a Secundine expelled putrefied and yet the Woman was no better which was a sign that there was a Putrefaction grown that ceased not when the Secundine was expelled But if there be no grievous symptom and the Woman be weak Primiros de morb mul. l. 4. c. 9. we must expect Suppuration even whether we will or no but we ought never to promote
Nor are Internals only convenient here but Externals also Ointments c. which have a lenient vertue because of the pains that arise from the Excoriation and consolidate also being anointed upon the lower part of the Abdomen and sometimes also on the region of the Loins With which Medicins as well Internal as External Opiats are profitably mixed as not a little increasing their vertue whence the ulcerated parts of the Womb are then the more happily and sooner consolidated and the Flux stayed with better success Idem XVII A Woman being eight months gone with Child was taken with a continual Fever on the third day she miscarried and after her delivery her Lochia were quite stopt purple Spots appeared all over her Body and her Fever was high I prescribed Bleeding in the Ankle cold opening Julaps Frictions of the lower parts Fomentations and a relaxing Liniment to the Pubes and Perinaeum but all in vain for towards the end of the second day after the Abortion the Fever grew worse with raving and by the changing of her Countenance she seem'd in danger of her Life Then I order'd a Vein to be open'd in her Arm and there came forth a corrupt Blood to ten ounces I repeated Bleeding after four hours and order'd her very cooling Julaps of the decoction of Lettuce Purslain Sorrel with Sal Prunellae she had also a cooling and Emollient Clyster the next day her Fever was very small her Lochia begun to flow and in a few days the recover'd without other Remedies River cent 1. obs 80. XVIII Some naturally have a larger others a more sparing Flux of the Lochia whence you may observe them to flow in some but for two three or four days in others for eight ten or more and that sometimes in a considerable quantity and sometimes but in a small whether that more plentiful or more spare Flux continue longer or cease sooner which is diligently to be observed by Physicians that they be not presently disturbed at the Lochia their flowing more or less plentifully nor endeavour either to stop or promote them without necessity Now those Women who have their Terms or Monthly Purgations flow plentifully have their Lochia or Childbed Purgations flow so also and on the contrary Wherefore as often as Physicians are called to Women in Childbed and especially presently after their delivery and become solicitous about the Flux of the Lochia so often must they enquire concerning the manner and quantity of the Monthly Fluxion whereby they may guess whether the Flux of the Lochia be to be thought natural or more or less swerving therefrom But that that may more appear the Physician must enquire whether the Woman endure any trouble or uneasiness if she endure none he has no reason to endeavour rashly to change the Flux of the Lochia what such soever it be but if she do he must see whether it may and ought to be attributed to a too plentiful or too sparing a Flux of them for she should in vain be toiled with altering the Flux of her Lochia be it what such it will when she suffers no detriment by it Therefore from the two mentioned signs shall the prudent Physician guess whether the Flux of the Lochia what such soever it be be according to Fr. Sylv. Prax. l. 3. c. 10. or against Nature XIX But the Flux of the Lochia is not then to be said to be supprest or to be none at all when the Blood flow'd forth plentifully during the Travail and that is the reason why there flows little or none afterwards because that which according to Nature should have flown forth only after the Birth flow'd forth preternaturally during the Travail Whence if no Flux of the Lochia be observed to follow the Birth unless the Woman suffer some detriment thereby their Expulsion is not to be endeavoured by any Remedy but the strength of the Woman is to be increased by Strengtheners alone Idem ibid. sect 14. 32. XX. But if besides the Efflux of Blood during Travail the Woman took Cold in at her Womb and there be fear lest she should suffer some mischief thereby we must see to give her in time some Aromatick Sudorifick by the help whereof that hurtful Cold may be expelled forth and a greater mischief may be prevented A pain and swelling in the Hypogastrium doth further urge the same thing for this argues the Womb to be amiss In which case besides the Sudorifick ' â—will be good to anoint the lowest part of the Belly with a Liniment and if the Belly be costive to inject a Carminative and Emollient Clyster In this case no letting of Blood is requisite unless there concur or succeed a pretty high Fever which yields not to other Remedies but is troublesom by its great heat Idem sect 33 34 35. Pulmonum Vomica or an Imposthume of the Lungs The Contents The Curatory Method of a burst Tubercle or Imposthume I. An Instance of a successful Cure II. I. IF after the bursting of a Vomica whereof a Man dies for the most part though I have known several that from a Vomica bred insensibly ripened and at last burst have cought up a great deal of stinking Pus and when they have continued to spit such Matter daily for many weeks yea months have at length been entirely recover'd by the help of such Medicinâ— as cleansed and dried up the Ulcer and were proper for the Consumptive and the spitting of Pus begun without declination of the Spirits and Strength there be place given to any Curatory Method The Curatory Indication will be that the Matter of the Abscess be speedily spit up and its sides cleansed and consolidated as much as possible the Preservatory to prevent the conflux of new Matter to that nest or other bordering places of the Lungs whence a Phthisis might be generated And the Vital to cure the Languishings of the Spirits and the collapsed Strength and to restore frustrated Nutrition For the first Indication the Remedies commonly call'd Expectorating are good viz. such of them as being hotter and rougher will cleanse and dry more and especially the Sulphureous seeing a Fever is for the most part wanting in this case 2. The Preservatory Indication that cuts off the Morbifick Matter endeavours the depuration of the Blood and the strengthening of the Lungs for which ends Pargers Vulnerary Decoctions Distilled Waters and Diet-drinks are proper 3. The Vital Indication prescribes Cordial Remedies Anodynes and a fit manner of Diet. The forms of Medicins are almost the same in this case as for an Empyema after Section and let the same Diet be ordered as in a beginning Phthisis Asses Milk is oft profitable also in this case Concerning the Cure of this Disease I have often observed that an Issue made in the Side has greatly profited I remember two ill of this Disease who after the Vomica of their Lungs was burst and they had cough'd up a
reason whereof the Womb is made lax or dried up by application and the Pain be eased and the part made softer that it may with less Pain be reduced to its place without Inflammation Therefore you must first purge the Body and use fomentations and emollient Things then have the Womb reduced by the Midwife's fingers and last of all let her rub her Hands this way and that over all her Belly towards the Navil with Oyl all over the region of the Womb with a gentle compression till you find the Womb separated from the Part to which it sticks and reduced to its former Seat Yet have a care in this Work that the Menstrua be not near nor great store of Humors in the Womb lest something worse grow upon the evil was there before You must have first a care of this and then anoint the Belly with Oyl of Rue white Lillies Orice Chamaemill Bayberies strowing some of the Powders of the same Things c. To accompany with a Man will be good Mercatus whereby the Neck of the Womb is better untwisted VII Fumes are good for such Women as through Cold have little or no Menstrua especially if it be joyned with an aqueous humidity Fumes of Spices saith Hippocrates bring down the Muliebria But Steams are good for them the Mouth of whose Wombs is stopt with Cold so that they cannot receive the Seed Yet all of them have this quality to abate the Cold of the Womb Mercatus that the Seed be not exstinguished VIII Hippocrates lib. de Natur. Mulier § 19. bids us attenuate and give a Medicine that purges downwards and apply to the Womb things that purge it downwards and that cause Flatulencies But you cannot extenuate the Body before you have often purged the Body and Womb by which Purging I suppose all discussing and drying up of the Humor must be understood Nor is this to be slighted and that cause Flatulencies for it must be believed that whatever things do dilate and any way distend the Womb and lay the Passages of it more open which are pressed with Fat and the Cawl are good Medicines for the Womb which without doubt I think is done by such things as cause Flatulencies because they are apt to distend the Part where they are Mercatus IX In cold and moist Women this Electuary will be proper whether the Moisture be in the whole Body or only in the Womb. Take of the conserve of Eryngo and Citron rind each 1 ounce conserve of Rosemary and candied Ginger each 1 ounce and an half ashes of a Bulls pizzle and ashes of a Hare's Womb each half an ounce Pulvis diagalang diamosch dulcis diambr. each 3 drachms Pine and Hazle Nuts each 3 drachms a little Sugar with a sufficient quantity of Syrup of Citron Peel make an Electuary Of which take the quantity of an Hazle Nut a good while after Meat when she goes to sleep This Conserve is most proper for such as are cold and moist all their Body over for if the Womb only were cold and moist it were better to dry it by receiving a Fume through a Tunnel And it may be made of odoriferous Driers and light obstringents The Electuary will be proper for such if the Dose of the Pine and Hazle-Nuts after they have been steeped in Milk and a little Honey mixt together be increased now and and then renewing the Milk that it grow not sowr Such an one will restore the dried Body and breed store of Seed In these Electuaries many other drying Things are used which if they were taken dry by themselves would rather do harm than good but because they are mixt with Syrups and tempered with sweet things are proper as shavings of Ivory Goat's-horn seed of Hartwort pith of Ash seeds they call it Birds tongue and Sparrows-brains may be added but they are better taken with Meat than Mixt with the foresaid Things for they do good because they breed much Seed which they cannot do if they be taken in a small quantity It were better to take the brain of a Pig or a Hog well boyled with some wild Marjoram and after to eat it fryed in a Frying-pan for it nourishes much and increases Seed Electuaries for salacious Women must be made of gentle astringents and things that breed store of Seed not very hot as Take of preserved Myrobalans Emblici and Chebuli each No 2. Citron Peel candied with Sugar the rest with Honey 1 drachm Pine Nuts steeped in Milk seed of Ash so steeped each half an ounce with Syrup of sweet-smelling Apples make an Electuary adding of shavings of Ivory and Goats horn each 2 drachms They that are not propense to Venus may wear Amber or Musk about them and perfumed Gloves and they may lay them at Night especially under their Pillows unless they be subject to Fits of the Mother Rondeletius for then it were better to tye these sweet things to the Hips X. If Sweats be frequently provoked in moist Women because they evacuate the whole Body it will be very good for them Upon which account they may sometime drink a Decoction of Guajacum sparingly after the usual manner Which while a Woman used by my Prescription Platerus she was with Child before she had done taking it XI The use of drying Natural Bathes for a Month's time and above is the last refuge of Barren Women To which they go on that account and sit several hours in them and Sweat Which will be more effectual if they be by Nature also actually hot as those that are Aluminous and Nitrous and smell of Lime called Lead-Bathes which are common Sulphureous Bathes also which because they have a very emollient Faculty are the last Remedy in the natural hardness of the Womb which make sound Women Barren and because they dry they will also be good for others the Salt Water of the Sea also and of Wells heated by Art and used will do good either by themselves Idem or with some convenient decoction XII When the Woman has been prepared by Medicines that she may more easily Conceive several things should be observed First that the time most opportune for Conception is when the Woman is well cleared of her Menstrua that is when they cease for then she more easily receives retains and cherishes it But if the Woman be thin and have little Blood it is better to lye with her before they come or in the time of interval So Aetius must be understood when he writes that a Woman must be laid with when her Menses are at hand Secondly it should be considered concerning Coïtion that it should be after Meat and before Sleep for succeeding Sleep relieves the Weariness and helps retention of the Seed Hippocrates indeed advises to Venus after Sleep Primirosius de m. m. l. 4. c. 1. Labor Meat Sleep Venus all Moderate But he has respect to Health not Conception XIII After the Womb is
by putting a live-coal into the Mortar or successively which latter falls in with the glass of Antimony but the other is more dull and is not so useful for these purposes but more for Eye-salves Idem XLVII Antimonials are corrected and rendred more mild 1. By Infusion for they are of an inexhaustible vertue and that both in watry things which extract but weakly and also with tartish things as Wine which is better whence is Rulandus's aqua benedicta 2. By Precipitation with Salts such as is Mercurius vitae commonly so called though it have not the least smack of Mercury a Vomitory good enough and is nothing else but the Flowers or precipitate rather of Antimony loosed and devoured by Salts and then freed and sweetned by simple water See that you do not exceed in the Dose for it is not to be given to above three Grains unless there be great necessity 3. By impregnation with Tartar which correction is the best and safest of all namely when crocus metallorum rightly prepared without salt of Wormwood or instead thereof also the Flowers of Antimony like the glass of Antimony are boiled with crystals of Tartar and filtrated and the crystals arising thence are given to one two or three Grains And this at this day is the best and most usual Vomitory among the choicer Practitioners and Chymists which never fails if it be rightly prepared wherein there is no small cunning for thus its violence is kill'd as it were and its vertue being unclosed and conjoined with the Tartar is obtain'd in a Compendium as it were whence we have often given the same very safely even to Infants Idem XLVIII The glass of Antimony is prepared divers wayes and so of a different colour but that is deservedly preferred which is prepared of Antimony alone without the addition of any other thing by calcination and then fusion It is both a very good Vomitory and also a Purger by Stool evacuating very well all offending Humours Being ground it is infused for a Night in a convenient Liquor as French Wine Rhenish Canary c. Beer Franc. de le Boe Sylv. m. m. l. 2. c. 10. distilled Water Hydromel Vinegar vinegar and Sugar c. XLIX Of the glass of Antimony is made a vomiting sapa whereof I have very often experienc'd a commendable effect it is a very grateful Medicine to be taken to the bigness of a Pepper-corn or an indifferent large Pease in any Liquor that is acceptable to the Patient As this sapa is prepared of the glass of Antimony with Must or new Wine that has not wrought so with the thickned juice of fragrant Apples Pears Plums Quinces or the like may there be prepared Mivae Syrups Rob and Medicines of other names very fit for bringing forth any Humours by Vomit and withal safe and grateful And this above all others does the glass of Antimony perform which many would more esteem of if they rightly knew what vertues lie hid in it Idem ibid. L. I have more than once prepared a tartish Syrup or rather Miva of Quinces viz. of their juice alone boiled to the consistence of a Syrup by a gentle fire a laudable effect whereof and often very different I have oft admired If you give half a spoonful hereof to Infants or more to the adult it incides glutinous Phlegm and sometimes brings it up out of the Lungs by coughing sometimes out of the Stomach and small Gut by vomiting and sometimes expells it from the same Parts by Stool And which is greatly to be esteemed of it also adds strength to the Patients and happily restores them so that by this one remedy I have recovered many Patients that have loath'd most other Medicines But it is chiefly profitable for evacuating and correcting Phlegm Idem ibid. Uterines or Remedies for the Womb. See of the Diseases of Vterus or Womb in general Book 18. and the suppression of the Menstrua Book 11. The Contents They respect either the Vessels and passages I. Or the Blood II. Or the genus nervosum and substance of the Womb. III. Or the extravasated Humours IV. In what kind of sweet things the Womb delights V. Whether acids are hurtful to it VI. Volatil Pellents are to be avoided in Women with Child VII How we must use Aperients and Astringents VIII How we must astringe in Women with Child IX What sort of Astringents are convenient X. Purgers provoke the Terms XI I. HYstericks respect either 1. the vessels and passages which should lie open for the Blood to pass out by and so hither belong Aperients and such as remove obstructions or stoppages as also Inciders and Cleansers both internal Saline and Sulphureous Medicines and also external as Baths Clysters Suffumigations Pessaries and other Abffergers II. Or 2. the contents of the Vessels or the Blood The motion of the Blood to the Womb is like that of the sea to the shoar and it is Lunar for Women that are in health have their Blood flow hither every month To this littoral or shoar-like motion of the Blood to the Womb have Vterines respect And those are 1. Promovents which procure a fermentation turgescence and motion either by rarefying and attenuating which are particularly called Emmenagogues such as are volatil oleous things endued with a volatil Sulphur as Savin Saffron Angelica Myrrh Camphor c. Saline things the Salt of Mugwort Borax and especially volatil as Scurvigrass the Spirit of sal Armoniack and other Acrimonious things Bitter things as especially Aloes whence Elixir proprietatis is excellent for the Green-sickness Aromaticks which at once Remedy the glutinousness of the Humours free the mouths of the Vessels from what obstructs them and remove the phlegmatick tartareous and mucilaginous Humours that cleave about them and dilate the pores and in a word make the passages free and open and kindly folicit Nature to excretion Where we must note by the way That whatsoever things provoke the Terms the same do also hasten the exit of the foetus and expel a false conception or mole yet stimulaters are not the only things which do this but comforting Balsamicks as the oyl of Amber Cinnabarines Cinnamon and divers preparations of these things Yea hither belong also Purgers themselves which often procure the flux of the Terms on the very day they are taken for even they do both stimulate and drive forwards and also add a new fermentation to the Blood Diaphoreticks also especially the Volatil Or else by absorbing acid sowr styptick Humours abounding and too much fixing and concentrating the Blood such as are fixt Medicines but not all alike for Crabs-eyes or chalk shells corals are not reckoned among provokers of the Terms nor have they place in that case but such as do more intimately sweeten and saturate the said Humours such as are Steel-Remedies above all other So that he who would happily cure the obstructions of the Terms may do it best of all
with Steel-Medicines such as crocus Martis aperitivus vitriolatus saccharinus Quercetan's cachectick powder or his Stomachal mixt with Martials adding for instance the oyl of Cinnamon which does very commendably serve this intention 2. Bridlers and retarders whether the Blood be too serous and Acrimonious or cholerick unlocking and gnawing asunder the mouths of the vessels or whether it issue plentifully through the breach of some vessel or other hurts Now this excessive fermentation and turgescence is restrained both by watry coolers which temper and dilute the volatil saline and sulphureous parts abounding in the Blood and also by earthy and styptick things which precipitate separate bind and hinder the motion of the same as Plantane Shepherds-purse Corals Haematites and other things to be fetcht from astringents likewise acid and sowr things that do infringe and tame the said parts as the Spirit of Vitriol its tincture the tincture of Violets and Roses the styptick antiphthifick tincture of Garmannus which does good in the immoderate flux of the Terms and Opiats themselves All these I say benefit in the immoderate flux of the Terms or Lochia and also partly in the Whites III. Or 3. the genus nervosum and substance it self of the Womb as it is known that it is membranous has a very great consent with the head and is plentifully stored with Nerves Medicines of this sort are the Nervine enumerated under the Cephalick things endued with a volatil Balsamick Sulphur spirituous things pleasant things as Balm Rosemary Sage c. Castor Amber both which are full of an oleous volatil Salt c. and above all others Cinnabarines as it is certain by practical experience that native Hungarian Cinnabar does greatly relieve hysterical distempers and convulsive motions of the Womb likewise preparations of an humane secundine Ivory without fire and preparations of Harts-horn and the like whereby it appears that that Medico-practical rule That all Cephalicks are Uterines or that all Cephalick Herbs in specie do also respect the Womb and on the contrary does hold chiefly in this sense because of the society of substance and agreeableness or analogie of the nervous parts And these especially the comforting Aromaticks are Uterines and profit particularly in the hysterical suffocation and its various degrees and consequently in fainting swooning c. The same are approved in hard travail inasmuch as they either strengthen Nature and the Nerves as Cinnabarines or do withal stimulate as the oyl of Cinnamon of Amber c. Also in the pain of the Womb and fluor albus or Whites inasmuch as the compages of the Blood is too loose therein and the serous ichor outweighing the oily parts of the Blood is cast off through the looseness and weakness of the fibres accompanying whence such Uterines as are strengthening and the oleous Balsamick as Rosemary profit in this case From hence it is clear why Vinegar is called by Hippocrates 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or a Painer of the Womb namely because it is offensive to the Nerves because it fixes the Blood and depresses and subjugates its sulphur and saline volatil parts for otherwise when there is an intention to incide or to tame the Sulphur as in the amor insanus or in the immoderate flux of the Terms 't is very proper if it be not given in too large a dose IV. Or 4. the extravasated Humours stagnating about the Womb and flatus that arise from thence putrid filth c. which case indeed often happens and creates divers cruel Symptoms of this sort of Medicines are 1. Balsamicks resisting putrefaction Bitter Gummous and rosinous things Aloes Myrrh Scordium asa foetida Galbanum the essence of Amber of Myrrh of asa foetida the Uterine Elixir of Crollius c. 2. Resolvers of the cloddiness of the extravasated Blood whether already clodded or but a clodding as Chervil Crabs-Eyes Bezoardicum Martiale Antimonials and other such like do notably dissipate whatever stagnates and take away convulsive and hysterical Symptoms arising thence 3. Discussers Diaphoreticks and the more penetrating Sudorificks as tinctura Bezoardica the Spirit of Tartar mixtura simplex which it self also purges out putrid filth and Diureticks also themselves do notably cleanse the Womb. 4. Carminatives in a special manner for Carminatives are the best Vterines and as Practitioners have experimented the same things that are good for the Colick do also help fits of the Mother as the Carminative seeds Zedoary Galangal essentia carminativa with the Uterine Elixir the Tincture of Tartar Bezoardicum Martiale which are very excellent in the Hysteralgie and pains after travail And these are good in Uterine flatus which I have observed in a cacochymical Woman to be discharged out of the Womb like the flatus of the Belly and also in hysterical suffocations produced thence and from the putrid Blood stagnating there likewise when the flux of the Terms and Lochia are painful with anxieties pains of the back gripings c. V. It is a rule amongst Practitioners That the Womb is demulced by sweet things But it is hardly to be understood of sweet things that are actually such absolutely which indeed where the fermentation of the Blood is to be renewed have a notable use inasmuch as they promote its turgescence also in a fear of Abortion Honey is good outwardly or Bread soak'd in Honey and Sack yet where the Blood is to be bridled as in a too great flux of Blood and in other cases they rather do hurt So things sweetned with Sugar and Honey are naught for the hysterical for they raise disturbances and revoke and exasperate quieted symptoms VI. Acids which follows as a Consectary from what has been said and sweet things are neither alwayes to be abstained from nor to be used promiscuously This chiefly holds of Vinegar for it is but little furnished with Sulphureous Particles But such Acids as are Sulphureous withal as the Cephalick Spirit of Salt Nitre or Vitriol are more friendly to the Womb whence Syrupus Byzantinus Oxymel simple and that of Squils and other acids hurt the Womb but these being moderately Sulphureous may be used upon occasion This appears from Diet for if a Woman that has her Terms flowing eat Salads or other acid things they are stopt thereby namely because they are adverse to the tone of the Womb both as to the turgescence of the Blood and also as to its own Nervous substance VII In Women with Child Volatil Pellents are to be avoided whence if the case be doubtful whether a Woman be with Child or only her Terms are supprest we hardly use to rise higher than Steel Remedies which do not hurt but do withal strengthen Otherwise attemperaters and astringents are proper for them as to the Uterine Vessels and spirituous things as to the vital strength of the foetus VIII When we would open strong Pellents alone are not proper but moisteners withal are to be used where we would bind let not driers be
which stunk extremely and was full of black-bloud whence she recovered by degrees The Lady N. being four months gone with Child miscarried excluding the Foetus with the membranes whence she was thought to be clear of all But afterwards she fell into a high Fever with frequent horrours and swoonings then she voided most fetid matter with clods of bloud and pieces of flesh On the seventh day she excluded the placenta which stunk very much whereupon she grew to be better and recovered These two Histories teach that the purgations of the Womb when they have a cadaverous smell for the most part signifie that some portion of the Secondines is staid behind in the Womb. River obs cent 1. obs 61. V. When after Miscarriage part of the Placenta hath remain'd in the Womb and a continual flux of Bloud for some months hath accompanied it I have observed it successfully expelled and the Patient restored by three ounces of the following Dâ—coction taken twice or thrice a day Take of the Root of Bâ—stort two Drachms Franc. de le Boe Sylv. Prax. Med. l. â— c. 6. sect 119. of the leaves of Marjoram Penniroyal each one Handfull Boyl them in Water and White Wine of each alike as much as is sufficient In twenty ounces of the Decoction clarified dissolve of Syrup of Mugwort two ounces of Cinamon Water half an ounce For by virtue of this a piece of the Placenta as big as ones Fist was voided and all further Flux of Bloud was stopt and cured VI. A Woman having suffered three Miscarriages one after another at different times of her gestation or going with Child being now gone but two months had great pains about her Navel and Loins which threatned an Abortion Two plasters being applied one to her Loins and another to her Navel made of the Plaster for fractures and dislocations she was somewhat helped for a while but afterwards her pains returned I being called observing the Woman to be young and sanguine order her to be let bloud whereupon in a few hours she was freed from her pains and fear of Miscarriage Her bloud was very serous For prevention I give her a drachm of Rhubarb in powder with Broth to be repeated once a week for a month These symptoms had happened just at the time when she us'd to have her Menstrues when she was not with Child Again in her third month the same symptoms return'd and were presently removed by bleeding In like manner in the fourth fifth sixth seventh and eighth months the same symptoms returning we opened a vein each time whereby she was forthwith freed of them The last time she was let bloud was eight days before the beginning of the ninth month with the same effect Idem centur 1. obs 53. and at the end of the ninth month she brought forth a live Son in good plight but a little paâ—eâ— VII That which Hippocrates writes is not every way true That a Woman with Child miscarries if she be let bloud unless perhaps he understand it of such as have but little bloud or are weakly Many plethorick Women that used often to miscarry have come to retain the Foetus even to the ninth month by breathing a Vein If the superfluous bloud be not taken from such Women they either miscarry the mouths of the Vessels being unlocked by the too great abundance of bloud or else the Child grows so big that the Mother cannot be safely deliver'd of it To such repeated bloud-letting is very profitable after the second month or rather from the fourth to the seventh Idem ¶ It is very necessary to examine those things that have happen'd formerly For when one Medicine sometime yields no relief it will be the best way to try others When I once saw a Woman very like to miscarry that was five months gone with Child and had five times miscarried before considering first that adstringent Remedies both internal and topical that had been administred at other times by other Physicians had done her no good and secondly that she was very full of bloud I order'd her to be let bloud in the Arm and not in the Foot D. Panarol Pentec 1. obs 10. lest Abortion should have been caused and in the ninth month she was safely brought to bed of a living and lively Son VIII Concerning the Plasters that use to be apply'd this is to be noted that they must not lie long on at a time but must now and then be removed for otherwise by lying too long on the Loins they heat the Kidneys so that a Dysury or heat of Urine is caused River pract l. 15. c. 17. or Stones and Gravel are bred therein or sometimes piffing of bloud follows IX In a Miscarriage it is chiefly to be observed whether the Foetus be actually expell'd or there is onely fear that it will be For when it is actually excluded we must with Avicen abstain from Adstringents and use Looseners lest which often happens the Membranes or naughty excrements be left and staid in the Womb whence the Woman will certainly perish For this reason Avicen dislikes Adstringents and propounds a fuffumigation of bdellium hyssop origanum and mustard whereby both the exclusion of the foetus is help'd and the excrements are happily purged If the child be not dead nor as yet expell'd but an abortion is imminent and the foetus retreats Capivacc l. 4. c. 8. Heurn dem m. c. 7. then it is very convenient to use adstringents by the help whereof it comes to pass that abortion is prevented and the child preserved X. A woman in the thirteenth week after conception helping to brew and unwarily taking up a full pail had almost miscarried the membranes being broken and the embryo making its way forth A Mountebank being by chance present and casting about how to help this disaster advised to put the foetus up again forthwith into its place by the hand Laying the woman therefore with her thighs high and her head low the midwife very nimbly with her hand thrust in the Embryo that was coming forth and presently after the operation laid the mother in her bed that the foetus being put up again might fix in its former seat yet her lochia flow'd for three days The same Mountebank perswaded the woman to have her husband lie with her that the broken membrane might be generated anew Thom. Barthol cerâ—â— 4. hist 57. Hence the foetus being retain'd was born at its full time and is still alive XI When there is not so very imminent danger of miscarriage binding plasters ought not to be apply'd to the belly lest they intercept the passion of the womb Heurn l. 2. but let them be laid on the loins and Os sacrum XII Have a care to mix some hot things with adstringents and strengtheners Idem lest the womb be enervated add mastick mint wormwood XIII It is observable that those remedies are safer which are administred
Apophlegmatisms will not do The viscia Matter must be drawn out of the nostrils the Patient's Head must be raised and shaked a little to make the matter descend In an Agony when there was ratling and scarce any Breathing hot Pultesses and Sand applied to the throat and breast and a small draught of warm spirit of Wine with Oil of Almonds Ex Miscel curios anâ—â— 1671. obs 159. recovered a man of Seventy If the root of the Tongue and the Wind-pipe have any glutinous stuff baked to them Nitrous liquours and cleaning with a Surgeon's hand are good Alopecia or Falling of the Hair We must proceed gradually in the application of Remedies THree kinds of Remedies ought to be provided Weak ones which are of use in beginnings of Diseases and in slight Ails in hot Countries and tender bodies as of Children Women and Persons of Quality Moderate ones in midling bodies and Strong ones in strong and old Disaffections We have laid down this distinction that it may be carefully observed in the present case that two errours that are frequently committed may be avoided that is Ulceration of the skin by sharp Medicines and Consumption of the innate moiâ—â—ure of the Part by driers which usually cause an incurable Baldness For that reason the place affected should be often look'd on that we may know whether the Medicine applied be too weak or too sharp For a weak Medicine either hath no effect at all or a very slow one upon the body and a strong one acts too violently and hastily upon it Rondeletius Pract. l. 1. c. 1. See Sennert cap. 4. l. 5. Pract. part 3. sect 2. Medicines especially made use of by eminent Physicians 1. For falling of the Hair of long continuance the juice of scorching Fennel Aetius tetrab l. 2. s 2. c. 25. made into a Plaster is a present remedy You need take no further care for the outer skin will fall off and when the Matter is cleansed the Hair will grow of it self 2. Rub the place well then cut an Onion very small and beat it up with juice of Rhadish and a little Honey rub the skin gently then apply this Id. ibid. Take of the seed of Garden Cresses Mouse-dung Pepper white Hellebore each a like quantity Beat them up with Vinegar 3. In falling of the Hair caused by rarity of the skin or defect of the Nutritive faculty it is found by experience that nothing can be devised better for shedding the Hair than Ladanum mixt with Oleum Lentiscinum Id. ibid. or instead of Ol. Lentisc with Oleum Omphacinum drawn out of sowre Olives applied to the Head when shaven 4. Mallow root is good to make the Hair grow thicker if the Head be washed with Lie made of Mallow root Baricellus hort genial p. 139. and then the Hair be smeared with Juice of Mallows The Hair will grow plentifully and speedily 5. Bayrus de med corp hâ—m malis l. 1. c. 2. There is an admirable property in Willow root and Oil to preserve the Hair from falling The Bark of the Root burnt and powdered mixt with Styptick Wine and Oil of Myrtle is very good for Children 6. I have often found by experience when the hair of the Beard and Eyebrows have shed that after Purging they have by the blessing of God been cured who used the following remedy I made a Decoction of Southernwood and with the Ashes of it dried and burnt I then made a Lixivium by putting the said Ashes in the Decoction I rubbed the bare places very well I bathed them with the same warm Lie and washed them often In a short time the Hair grew again 7. Forest l. 8. obs 2. One used a Plaster of Flies bruised made up with Turpentine and yelks of Eggs and the Hair grew in great abundance 8. In falling of the Hair after Sickness this is a singular remedy Take of black Maiden hair true Maiden hair each half an handfull Rose leaves Myrtle Wormwood each one handfull Boil them in sweet oil and red sowre Wine of each 9 ounces till the Wine be consumed Strain them and press them out Then take of this Oil 3 ounces of Ladanum 2 ounces and an half Mastick half an ounce Idem obs 7. Let the Gums be beaten in a Mortar with a hot pestil pouring in the Oil by little and little then strow on and mix well of the Maiden hair 4 scruples 9. Burn Nigella mix it with a little Water and apply it Idem ibid. This is found wonderfull good to bring Hair when you apply it to the Head or Chin but especially to the Eyebrows 10. For Baldness Hatenriffer nosodoch p. 75. The Fat of Moles boiled in water is found to be a most excellent means to produce Hair 11. To make the Hair grow again Take the Leaves of Water Lily boil them well in fresh butter strain them and then beat them well together again Stokori praâ— aureae l. 2. c. 1. Make an Ointment wherewith anoint the place and it will grow wonderfully 12. I have tried in falling of the Hair Arn. villa nov l. 1. breviar c. 22. if the bare places be anointed with the juice of Yarrow and Oil of Bays mixt together the Hair will come thick 13. To make Hair come again on any place where the Hair is shed Take the inner bark of Elm root bruise it boil it well in water gather what swims at the top Shave off what hair there is on the bald place rub it violently with a cloth Idem l. 2. c. 47. till it grow red then anoint with the foresaid liquour If you do this often you will make Hair grow quickly Alvus Adstricta or Costiveness See Lenitives Book XIX The Contents The way of Loosening various according to the diversity of Causes I. The abuse of Looseners hurtfull II. When to be given III. Clysters preferred before Purging IV. The efficacy of drinking Oil of sweet Almonds V. A Stool is caused by putting the feet in an emollient Decoction VI. The use of Tartarum Emeticum VII Crude Mercury taken VIII Straining to be avoided IX For whom Clysters are proper X. We must not purge Phlegm too much XI Pickled Meats good XII Medicines I. IF the Belly be to be loosened respect must be had to the Causes if it be dried up the Physician must neither give Aloes nor Scammony nor any Purgatives according to Hippocrates de m. m. If you would cause a stool saith he drink no Purge but use other things for besides that it will do no good in this case it will draw more to the Intestines If heat be the cause of Costiveness Mucilages of Linseed Quince and Fleawort-seed may be put in the Clysters by this means the thick and corrugated parts are made laxe the hard are softned and the heat of the Intestines passeth away in Steam If the Faculty of the Guts be slow languid and dull they must be involuntarily
Physician a Drying and Sweating Diet he endeavoured to dry his Head with Bags Plasters c. he used Apophlegmatisms Sneezing yea and made an Issue behind in his Head all in vain At that time I was following my Studies at Paris he sent me a Description of his Disease to shew it to some famous Physicians I consulted severally with Monsieur Carolus Buvardus Chief Physician to Lewis XIII with Monsieur Curaeus de la Chambre Physician to the High Chancellour and with Monsieur Hurduynus de S. Jaques Physician to the Hospital of Charity They well considering the Constitution of the Patient declared The Disease was Sympathick arising from Fumes ascending from the Hypochondria affecting the Top of the Chimney i. e. the Gullet and that the tempering and exclusion of Melancholick Humours must be lookt after they prescribed him Spaw Waters the use of Chalybeates an Issue in each Leg and stopt up that in his head they order'd Leeches to the Haemorrhoids and other things to conquer the Melancholick Humours The Patient consented who a little after was rid both of his Melancholy and his Quinsey XXIII In this Controversie I think we must take great notice whether the Body abound with Bloud either naturally or because of the manner of living or of some accustomed Evacuation stopt for then I think we should bleed in the Ham or the Ancle and the same day if the Disease be urgent or the next to Breathe the Jecorary or Cephalick Vein and if the Disease abate not we must proceed to Bleed under the Tongue But if there be no such great plenty of Bloud Septalius Animad vers lib. 6. Sect. 113. I think it better not to meddle with the Veins of the lower parts but presently to open a Vein in the Arm and afterwards to bleed in the upper Veins XXIV But Bloud-letting in the Arm must be repeated not onely because it makes better Revulsion and causeth less weakness but because it is often observed that there is new afflux to the Part affected either from some other Part transfusing Matter Idem Ibid. Sect. 114. that it may ease it self of the burthen wherewith it is oppressed or by the Part affected drawing by reason of its pain and heat XXV And seeing some either in the Working of their Physick or that they naturally abhor it are apt to vomit it up again it is better always to give Potions than Pills or Bolus's for if they should happen to Vomit either a Bolus or Pills when they are suddenly and with great Violence forced to the Passage straitned with the Inflammation Idem Ibid. Sect. 115. there is no small danger of Strangling XXVI Bags that are made up with drying Powders to discuss in Inflammations of other parts must never be made use of in the Quinsey because by thickning the outer Skin Idem Ibid. Sect. 116. they rather hinder the Cure Therefore we must rather work with Moistners Medicines especially made use of by eminent Physicians 1. Aetius Tetrab 2. Sect. 4. c. 47. I have used in an Inward Quinsey a Gargarism of Mustard and have often delivered my Patients from danger 2. If the Swelling in the Neck will not soften J. Agric. Chirur. parv p. 802. burn an Owl in an open Pot to Powder a little of which you may blow into the Throat The Swelling will soften to admiration and break This is a Singular Secret 3. Bartoletus l. 5. part 2. c. 16. Duke Ferdinand's Powder is a great Secret in the Quinsey It is made of Mineral Crystal Cream of Tartar and Sugar For every half ounce of Crystal 1 ounce of Cream of Tartar and 2 ounces of Sugar are taken Tho. Bartholinus cent 4. hist 73. Blockwitius anat Samb Sect. 3. c. 12. 4. A Purple Thread wherewith a Viper hath been strangled is highly commended for the Quinsey 5. Let the Water or Decoction of Elder Flowers wherein is mixt a little Elder Honey and a few Leaves with one or two Jews Ears be Gargled This is recommended by experience Claud. Deodatus 6. Spirit of Nitre with Water of the Anodyne Salt Gargled hot is most excellent to allay the Inflammation Hartman prax chim 7. Take of Houseleek a sufficient quantity bruise it and strain it Take of this Juice 1 pint Sal Ammoniack half an ounce leave it in a moist place till the Salt be dissolved Distill it by an Alembick Wash your Tongue often with this Water 8. Galen Aetius Orobasius and all the Ancients commend Dogs-Turd White poudered and dried mixed with Honey and laid to the Throat Platerus 9. The Juice of Tree-Ivy swallowed gently from 3 drachms to half an ounce doth much good by repelling and digesting Eust Rud. Art Med. l. 1. c. 42. 10. This is an Excellent Remedy Take of Swallow's Nest 3 ounces Sapa 1 ounce Pulp of Cassia newly drawn 1 ounce and an half Mix them and apply it outwardly For it digests and asswages 11. This also is admirable which is made of the crum of a Loaf Milk Flowers of Roses and Chamaemil mixt together and applied after Bloud-letting Idem ibid. by virtue of which Medicine they use to spit plentifully and be much relieved Scultetus Armamen Chir. Obs 32. 12. This Gargarism is highly commended in all dangerous Quinseys especially in the beginning if the enflamed Jaws be often washed therewith Take of Saffron powdered 1 scruple and an half of the sharpest Vinegar 1 ounce Plantain Water 3 ounces white Sugar 2 drachms Mix them and make a Gargarism M. Joh. Wittichius Cons Med. 23. 13. Sennertus commends the Decoction of Berberry wood or of the inner Rind of the Hazle 14. Oil of sweet Almonds new drawn given with Sugar and a little of the Powder of a Boar's Tusk is the most present Remedy for the Quinsey and Pleurisie Anorexia or Want of Appetite The Contents It s Cure must be various according to the variety of Causes I. Food must be actually cold II. Fasting must sometime be injoyned III. It s Cure in Women with Child IV. It s Cure when caused by Choler V. When by Phlegm VI. In Consumptive Persons VII When Cured of its own accord VIII Medicines I. WOmen about sick persons desire nothing more than to remove this fault but they reckon that which is onely a sign of Health to be the Cause For this reason oftentimes the Physician is forced to provoke an Appetite It is lost 1. Because the Powers are weakned and the Bloud is not well concocted 2. Because for the former reason the acid Humour cannot be separated because of the thin Humours that are admitted We see this in them through whose Arteries noxious Humours together with the acid Humour are poured into the Stomach which often deceives Physicians while they ascribe the cause to the Intemperature of the Stomach or because it is corrupted and too thin That the loss of Appetite is to be ascribed to the fault of the
acid Humour appears from this If the Ail be alleviated by taking Acids Melancholick persons who have a good stomach after the use of Acids seldom recover We amend the loss of Appetite that depends upon some fault in the acid Humour with Acids and we see that Acids are good almost for all Diseases but those of the Breast Spirit of Vitriol is qualified by a mixture of Sulphur Vineger is good and Oranges and Lemons but people often take too much and then they fall into gnawing of the Stomach and much spitting a little Sugar qualifies them The season for giving them is in the state of Declination before Dinner not before Supper lest when their Appetite is raised they eat over-much and so be not able to bear the Assault of the Disease which is always more violent toward night nor to digest your Food the Seeds of Citrons and Oranges may both be eaten because of their Cordial Virtue The loss of Appetite which arises from decay of strength is seldom cured unless that Decay come of a cold Cause then hot and Aromatick things are proper In old Men that through weakness have lost their Appetite Valaeus m. m. p. 145. hot things are not so good inwardly as outwardly For taken inwardly in dry Bodies they create greater dryness Outwardly Oil of Mace is good and a Tost of Bread dipt in Malmsey Wine II. Rondeletius Pract. lib. 2. cap. 14. In all Loss of Appetite let the Food be given actually cold and if possible let it be set before the Patient when he is not aware of it Let such use bread well baked or a good while dried in the Air or dry Cakes well fermented and not too close III. When any one complains he never comes to his Meat with an Appetite it is advisable to make him fast till he have a stomach Vallesius 6. Epid. s 4. for starving breeds Appetite So when a Man cannot get sleep if he be forced to wake and nod standing before he be suffered to ly down he usually falls into a long and profound sleep IV. Want of Appetite in Women not with Child is cured better by Purging than Letting of Bloud for it arises of bad humours abounding in the Stomach and the whole Body In Women with Child bloud-letting is the better Cure Riverius for it is caused by retention of bloud while they are first breeding V. Because Choler dejects the Appetite by its heat to cleanse the stomach a Decoction of Tamarinds soure Prunes and Sebesten with syrup of Roses and Rheubarb should be given The morrow following this Medicine two hours before Meal let them drink a draught of cold water Rondeletius l. c. unless weakness of the stomach or something else do hinder Let them use soure Sauces and they may take a Tast of Salt things VI. But if Phlegm be the Cause after Evacuation it is best to give Acids but with detersive and salt things for what sweet things are detersive they satiate and are flatulent wherefore they are not good in this case unless a great deal of Vineger be added Idem so as they may scarce be perceived to be sweet VII For raising the Appetite Sylv. de le Boe Prax. Med. Append Tract 3. Sect. 210. which is often dejected in Consumptive Persons I think there is no better Remedy known as yet than Elixir Proprietatis if 4 or 5 drops of it be taken in Wine or some other convenient Liquor about half an hour before Meal VIII Sometimes I have known the Appetite recover of its own accord But that falls out for the most part either because of an exact Diet which sometime is rightly observed even by chance or of some notable Evacuations or Alterations that are spontaneous For when the noxious humours are conquered and amended or evacuated Idem Prax Med. Appen Tract 10. Sect. 739. the usefull and necessary ones by degrees recover their lost strength and then exert it Medicines especially made use of by eminent Physicians Petr. Fotest l. 18. Obs 8. 1. I steeped for a night some Leaves of Roman Wormwood and a Root or two of Dandelion a little bruised in Rhenish-Wine In the morning I strained out the Wine and gave it my Patient and which is wonderfull he voided a dead Worm and a living one and his stomach increased to a wonder 2. Peaches eaten before Meals get a stomach if it be lost through a hot cause Syrup of Peaches may be thus made Take of the Juice of Peaches scarce ripe 4 Pounds boil half away let the dregs settle then add of Pomegranate juice 6 ounces Sugar and a little red Sanders as much as sufficeth make a Syrup Idem Obs 9. The Dose 2 ounces morning and evening two hours before Meal If you want Peaches you may use Juice of foure Apples Fred. Hofman Meth. Med. p. 319. 3. In the loss of Appetite through weakness of stomach in the declination of a Disease Amber from 1 grain to 5 mixt with Faecula Ari is a specifick Also Ivory calcined without fire is very good 4. The best thing and which raises an Appetite above all others is Antidotus Thespesiana thus described by Galen Take of Smallage-seed 1 ounce and an half Myrrh Anniseed Opium each 6 drachms white Pepper 5 drachms Parsly Spikenard long Pepper each half an ounce Eusta Rud. Art Med. l. 2. c. 12. Castor Flowers of Juncus Odoratus Saffron each 3 drachms Cinnamon 2 drachms Cassia lignea half an ounce Mix them with boiled Honey make an Electuary Take about the quantity of an Hazle nut when you go to bed with 4 ounces of Water River prax Med. l. 9. c. 1. 5. Balsam of Peru is an excellent Remedy for this if some drops of it be given in Hippocras-Wine or some other an hour or two before Meal Diseases of the Anus The Contents The Way of putting it up when fallen I. We must abstain from too much Astringents II. We must spare the Sphincter in Curing the Fistula III. The Cure of the Condylomata by pricking IV. The Cure of the crested Haemorrhoids by Excision V. Medicines I. I Will propose a Way of Cure which at first sight will look ridiculous but what is of great use in the falling out of the Arse-gut Slap the Buttocks of your Patient with your flat hand five or six times or oftner that the Muscles Ani Levatores may immediately draw up the Intestinum rectum into its place Barbette Chirurgiae cap. 9. But before you thus beat your Patient it is requisite you anoint the Intestinum rectum with oil of Roses and Myrtle II. In curing the falling out of the Arse-gut you must abstain from too much Astringents lest by making the Body Costive and therefore causing greater straining Platerus you rather promote than hinder the falling of it out III. Riolanus Anthropogr lib. 2. reprehends almost all modern Surgeons in curing Fistula's which are very often bred in Ano
Fr. Sylâ—â—â— de le BoeÌ„ Tract l. 1. c. 2. than too violently seeing that Sudorificks mend and correct the bad humours though they expell them not And I still prefer liquid and spirituous things before gross ones though Antimonial how dry soever are excellent in this case to wit Antimonium Diaphoreticum Bezoarticum minerale c. IV. Seeing a depraved Appetite differs according to the diversity of the thing craved I will here propound its Cure onely in general which consists in cleansing the Bloud and other humours by amendment whereof the Pica ceases of it self Idem Prix lib. 1. c. 2. I have by experience found that Volatile Salts doe more good than all other Medicines I have yet tried because they provoke the Menses gently and kindly The suppression whereof is often the cause of the Pica V. A Man troubled with the Itch had also the longing Disease for three Months He had the Haemorrhoids and within two days the Disease left him Rhodius Centur. 2. Obs 57. For the matter residing in the Veins affected the Nerves of the Stomach which once removed the party was eased of that trouble Whence it is clear that in this Disease the matter doth not always stick in the Nerves Medicines especially made use of by eminent Physicians for Excess of Appetite 1. Take of Hiera simplex Galeni one Scruple Petr. Forest lib. 18. Obs 8. of Rhubarb well powdered a Scruple and half with Syrup of Roses solutive make it into Pills N o xv I have cured several of this Disease with these Pills onely taken for some time 2. Hartmâ—nnus prax Chymi aâ—r p. 100. The Philosophick Spirit of Vitriol divers times given in Pomegranate-Wine Syrup of Lemons or Tincture of Roses cures most perfectly 3. Senn. de Boul. m. If in a Boulimy one be troubled with Fainting it is good presently to give him Bread sopped in Wine 4. Weikardus Thesaur Phâ—rm l. 1. c. 11. Antiquity found not a more present Remedy for this eating Evil than Bread and the smell thereof For the Appetite depraved 5. I know Hor. Aug. 3. Epist Cons p. 425. that to give a Drachm and half of the Powder of the Seed of Ammi four days one after another doth admirably help a depraved Appetite for the Women are either cured or much better by it 6. Jul Caes Claud. in Empiriâ—â— Rational p. 238. These two things have great Efficacy in the longing Disease 1. Take of Walnut Buds four Ounces Aloe Socotrina one Ounce Juice of Agrimony half an Ounce Frankincense one Drachm Scoinanth two Drachms Mash them together boil them in water till the water be almost boiled away Then strain it and to what is strained out put as much Honey give one Drachm of this every other day 2. Take of Mustard-Seed half a Scruple of Pigeons Bones burnt to ashes one Drachm and a half Seed of Purslane one Drachm Cinnamon two Scruples Juice of Quinces two Ounces White Sugar three Ounces Mix them in a double Vessel over the fire David Herlic de cur gravid c. 16. 7. This is very good Take in the Month of May the first white Buds of the Vine bruise them and distill them by an Alembick Let a Woman with Child drink a little of this for three or four days and it will neither hurt the Child nor give it any Mark though she should not get what she longed for Jacob. Holler Inst Chir. p. 49. 8. A Decoction of the greater Chamaemil that is very like Southernwood will be of great use in this case for it surpasses all other sorts of Remedies Mercurial de morb Mul. p. 3â— 9. If Women labour under a depraved Appetite Aegineta commends the use of old and odoriferous Wine the Water of Shepherd's Rod especially drunk after Meals also Dill infused in Wine Schroderus 10. Sowre Pomegranates are good for the Pica in Women with Child The Leaves of the Vine are also good Troâ—ula de Regimin Praegnant p. 101. 11. If a Woman with Child long give her Beans with Sugar Arthritis Podagra or The running Gout and Gout The Contents The running Gout and Gout differ in their Causes and Cure I. What should especially be observed in the Cure II. Generous and extraordinary Remedies are required to cure the Gout III. A Gouty person cured by nailing his feet to a Block of Wood. IV. By violent knocking of one foot against the other V. The good of Bloud-letting VI. The Hurt of it in an inveterate Gout VII Whether Bleeding in the Foot be proper VIII Why a Vomit is proper IX Whether Purging be proper X. When you must Purge in the beginning of the Gout XI Violent Purgers often taken doe hurt XII For whom Caryocostinum is proper XIII Whether Hermodactyls should be used XIV Cassia is hurtfull XV. Diureticks good in the Scorbutick running Gout XVI Whether a Cure may be performed by Salivation XVII Whether drinking Vrine be proper XVIII After what manner Alteratives given in the Paroxysm do work XIX Whether Sudorificks be proper XX. Whether Milk be good against the Gout XXI What Preparatives should be used for prevention XXII Whether Narcoticks taken inwardly doe good XXIII In what the Virtue of Antipodagricks consists XXIV Whether Medicines outwardly applied doe good XXV The benefit by Application of Narcoticks XXVI Whether the use of cooling things be safe XXVII Whether Strengtheners should be applied XXVIII The nature of Discutients XXIX Whether it be possible to dissolve the Knots in the Gout XXX A thin Diet is proper XXXI Diet doeth more good than Medicines XXXII Exercise when convenient XXXIII Bleeding will doe little good in old Men. XXXIV Purging will doe none XXXV Vsed by Empiricks XXXVI Sweating must not be procured by Art XXXVII Things that help concoction are proper XXXVIII Remedies must be used constantly XXXIX A Milk Diet good if it can be continued in XL. Medicines The sum of William ten Rhyne's M. D. Treatise of the Gout I. HIppocrates l. de Affect Sect. 3. lays down the peculiar signs of the running Gout 1. Pains of the Joints with remarkable heat not in them onely but the whole Body over insomuch that men seem plainly to be in a Fever 2. The nature of the Pains which at the very first invasion are presently acute although sometimes they are more moderate 3. The running of the Pains from one Joint to another The essence of the running Gout consists in these Three things which distinguish it from the Gout for in this the heat is not so evidently perceived at the first as in the running Gout nor till the corrupt Humour in the Veins be transmitted to the out-parts And the reason of this difference arises hence because in the Gout the Disease is in the little Veins and the inner parts in the running Gout it lies outwardly and nearer the skin 2. In the Gout the Pains at least in the beginning are not so sharp and that by reason
otherwise and in perfect strength if he fall into skilfull hands is ever very safe on this condition that the Incision be rather too large than too little when one is not certain of the bigness of the Stone for if it be too little the parts are torn in getting out the Stone Silvaricus cons 59. cent 3. and so an Ulcer arising a Fever sometimes hastens the man's End XVIII I would have Physicians know that the outer extremity of the Neck of the Bladder does not appear in the same place in all Women For it is seen inmost under the Nympha above the outer straits of the neck of the Womb few have it lye inwards in the upper part of the pudendum Therefore there is a necessity to dilate it whenever you would put ought into it And it is worth the while to consider that this passage and the whole neck to the bladder may very well be so stretched by a dilating Instrument as to admit ones Thumb without difficulty Wicâ—â—s obâ—â—rv p. 95. if perchance a Stone should pitch there or that so great dilatation should be requisite on any other necessary occasion XIX It is certain that the Stone grows in Women as well as Men. A certain Nun could not make water for 12 days the passage of her Urine being stopt by a Stone where also there was a confluence of much water Wherefore when this mischief could neither be conquered by the Brass-pipe nor Medicines I bethought my self of a course unusual indeed but very opportune I cast a hook upon the Stone lest it should slip back into the Bladder then with a piece of Iron blunt at the end I struck upon the Stone till at several blows it broke into pieces and then with what care I could not to hurt any thing inwardly Ant. Beniven I drew out both the hook and the Iron upon which both the Urine and the Stones being voided she presently recovered XX. When a small stone forced out of the Bladder into the Vrethra stops the passage of the Urine it may be taken out three ways by a Knife a Hook and Suction Hildanus advises to spare the Knife as much as may be because a hard Scar always remains in the cut place hindring the dilatation of the urinary passage whereby also there will be an interception of the Stone that is bred afterwards which requires a new Incision there or very near it which Wound is often followed by a Fistula But if the Stone stick near the Glans you may cut without fear because in the fleshy end of the Member a less and softer Scar doth succeed than in the middle duct of the Membranes Whither notwithstanding we must proceed unless Diureticks mollient Potions and sitting in a loosening Bath have been ineffectual From the Hook there is danger of scratching the smooth coat of the Vrethra instead whereof you may use the parva terebra of Paraeus l. 17. c. 40. or Hildanus his tenaculum Stones in Tulpius his opinion though never so ragged may most safely be got out by Suction although Hildanus disapprove of it because thus the Bladder's passage is rather contracted than dilated and store of humours and bloud is drawn to the Penis whereby the Evil is increased There is a fourth way invented by the Aegyptians of which Alpinus treats de Med. Aegypt lib. 3. cap. 14. It is the blowing up of a man's yard with ones breath the part next the belly being tied strait so the Vrethra being dilated there is a passage open for the Stone if it be a little one for a great one sticks Sometimes it is got out onely by the help of a Catheter a trial whereof saith Tulpius when a Lithotomist was about to make not long since with it alone he brought a Stone out of the Bladder as big as an Olive Stone more than half way the Vrethra whâ—re when it stuck fast he happily got it out by help of an Incision made underneath XXI The Stone if it be a little one is more difficultly got out of Men than Women Yet no violence must be offered because the Bladder is a sensible part as also are the Privities which when much afflicted raise Convulsions and mortal Inflammations As it happened to Vetius who when he had a Stone pitched in the passage of his yard he got it drawn out with great violence and trouble Hereupon his lacerated Member conceived an Inflammation and Mortification whereof he died This operation may be tried when the Stone is small and will pass with ease if it will not come away so you may proceed to cutting XXII We meet with another way of getting out the Stone The Chirurgeon with his fingers put into the anus drives the Stone to the fore part of the belly then by a hole cut in the Musculus rectus according to the duct of the Fibres above the Os pubis he takes out the Stone by the help of a Pair of Nippers If the operation be performed this way a dribling of Urine need never be feared and besides a larger space is allowed to take out the Stone Barbette Chir. part 1. cap. 26. But in the mean time this operation is in it self dangerous and troublesome for if the Lips of the Wound made in the Bladder be not united to the Muscles of the Abdomen an Exulceration of the Bladder follows which does not onely create notable Pain but is esteemed more incurable than the Stone it self ¶ Roussetus out of one Franc commends Cutting for the Stone in the Groin whence it is called the Franconian Cutting in Children especially Nor is Hildanus averse to it in larger Stones which cannot be brought to the Perinaeum for it is taken out there with less pain and danger of an Haemorrhagy Barthâ—linus cent 4. epist 20. The healing of the Bladder need not fright a Man because it hath carnous Fibres by the benefit whereof its innate Heat is cherished and its Wounds cured There are several examples of a wounded Bladder being happily cured And since the very Stomach and Womb may be wounded and cured without damage what danger there can lye in this Cutting of the Bladder I do not see so that an expert hand undertake it XXIII In very old Men who labour of a most cruel Dysury from a great Stone that cannot be taken out without manifest peril of Life that we may alleviate the miseries of Life we cut the Perinaeum after the same manner as is usual in taking out the Stone and keep open the hole with a little Pipe J. Riolanus Enchirid. Anat. l. 2. c. 3. As long as Life is prolonged the Pipe is stopped with a Cork and a Sponge is applied to receive what drops if there be any thing When they have a great desire to piss they pull out the Cork then put it in again and so the torment of Micturition in persons troubled with the Stone is mitigated J. Jac. Wepferus Misccur anni
painfull corrugations and farther Willis de cephalalgia lest the brain be invaded by the violent motion of the humours to the head and then which happens too frequently sleepy or convulsive diseases be brought on ¶ Some for inveterate Head-aches after once or twice purging fly to Quicksilver wherewith they rub the head and other aking parts These Men Encheir med pr. though sometime they remove the Pain yet they always increase the Cause and cool and moisten the brain more ¶ There are some that commend Empl. de Vigo cum Mercurio because it has been observed Ibid. that it hath put an end to an inveterate Head-ach having evacuated much phlegmatick humours by spitting ¶ Salivation terrifies several that are imployed in inventing dissuasives against it but experience dispels this vain fear Rolfinc meth spec p. 164. One that was sick of a grievous Head-ach and miserably afflicted with it being salivated recovered under our care and there was no sign of the Pox in him ¶ Willis in the place fore-quoted approves of Salivation in the Head-ach arising from the Venereal Disease In other cases he disapproves of it and produces some examples of ill success XXXVI An Oxyrrhodinum may not be applied in every Head-ach Abstain 1. When a Catarrhe is joined with it for the application of cold things increases the distillation and by its driness strains out the humour down to the Breast yet Trallianus allows it when the Head-ach has its original from the violent heat of the head which draws the humours like a Cupping-glass from the whole body this way it does good by taking away the cause 2. When plenty of gross humours or vapours cause the Head-ach in which case Oxyrrhodina doe more harm by obstructing than good by Repulsion 3. If the Head-ach be critical you may reckon it critical if in a Fever it fall upon a critical day if signs of Coction have preceded yet if the Crisis should be by Vomit they may safely be applied otherwise if Bleeding at the Nose were drawing on by driving back you would cause Death 4. They doe harm if bloud or another humour be firmly settled in the head for then Digesters must be made use of as Galen 13 m. m. 6. adviseth 5. In a Head-ach that is malignant or contracted from the Bite or Sting of a venomous Creature the Venom must rather be drawn outwards by Rarefiers XXXVII In the Head-ach caused by heat the juices of Purslane Housleek Kidney-wort and other things of the like nature Hollerius Perioch 2. but these things must be fresh not parched with heat and without juice Vinegar is good in Liquours but it is forbidden to Children and tender Bodies XXXVIII It is known that some Empiricks rashly undertake that they can cure all sorts of Head-aches with their Cephalick waters whereby many have been brought into perpetual tortures in their head I knew a Nobleman then but young who suffering a violent Head-ach from the ebullition of hot bloud through some bodie 's persuasion washed all his head in very strong Aqua vitae but by this unskilfull advice he was almost cast into Madness Oethaeus XXXIX Castor asswages pains in the Head coming from the Womb saith Hippocrates lib. 7. de Epidem and lib. 6. Great pain about the forepart of the Head and what-ever others arise from the Womb. Now indeed that Diseases by Sympathy are removed by curing what is first in fault and that this is the legitimate way of their Cure is very well known But Castor is commended for all Uterine Diseases I say those that are improperly called Uterine such as Fits of the Mother whether they be caused by suppression of bloud or seed or by wind by the joint consent of all Physicians Hippocrates in lib. de morb mulier makes frequent mention of it for the same purpose lib. 2. he prescribes Castor or Fleabane Therefore Castor taken inwardly cures the Head-ach from the Womb but then it cures Diseases of the Womb that are accompanied with the Head-ach i. e. Suppressions of the Menstrua retention of Seed and of the cold juices and wind Nor does it cure all Diseases of the Womb but onely cold ones for it will rather increase Inflammations and the Erysipelas Wherefore since the head-may ake for Inflammations of the Womb it is clear that Castor cures not all Head-aches from the Womb but such onely as come from its cold Diseases Vallesius Epid. p. 865. such as Galen affirms Fits of the Mother to be XL. It may so happen that a Disease of the head or of any one place may increase or grow better with the Disease of another part or place nor yet for all this be affected by Sympathy from that other part for it may chance that matter may flow from the self same fountain to divers parts at once and there may be no pain in the part that sends it nor any thing amiss known or perceived there As Hippocrates observed it happened to Agesius his Daughter 6. Epid. 3.4 who when she had a pain in her hip was oppressed with an Asthma and when her pain was eased she took her breath well Now seeing there is no communication between the Hip and the Breast it was very reasonable to suspect that the humour ran into each part from the same place and was dispersed at the same time The flux might be from the Brain or it might be from the Womb And therefore when two effects happen together a man must diligently observe whether the communication be from the head or from some other place Although Galen in his Comment upon this place says that an Imposthume was broken in her breast and when she had raised the matter her Asthma seased but upon small ground for it is more reasonable to think that in a Woman newly delivered the pain in her Hip came from the Ligaments of the Womb and her Asthma from the Sympathy of her Breast with the Womb and especially when she did not cleanse well which caused both these Ails and both these Accidents ceased when she did clease For the Womb in Lying-in-women is the occasion and root of all their Evils Casper Cald. lilustr Obs Med. 8. l. 2. and there is a great Sympathy between the Genitals and the Breast XLI That it is requisite the outer substance of the Brain and the Cerebellum should be open to the end the most spirituous part of the Bloud may penetrate it and be as it were percolated through it the cold of the Air Water or Snow vehemently affecting the head seems to prove after which not onely a Rheum but a more spare production of Animal Spirits uses to follow But whoever upon taking such a cold do let bloud or think to take away the cause of this evil by purge or vomit they indanger their Patient's life as I have more than once seen it done by men Sylvius de le Boē p. m. 402. that are
several parcels of Brain appeared among the bloud I drest it up with Dossils dipt in Mel rosatum and Spirit of Wine made warm and covered all with a Plegent of Linimentum Arcaei I examined the rest of the Head and found on the other Bregma an Ecchymofis and under it another depression I shaved off the hair from thence also and with the same Rasor excised a piece of the Scalp as big as a shilling which laid bare the depression and fracture which was such as I could not then elevate I filled this with dossils of dry Lint covered with a plegent of Arcaeus Liniment over all laid a Plaster rolled up the Head and laid the Child who endured all with incredible courage to bed his head bolstered as high as he could well lie I gave the Father a dreadfull Prognostick and desired the assistence of Doctor Spenser That evening I gave the Child a Clyster which wrought twice or thrice I gave him something Cephalick and Diaphoretick to comfort the Brain and prevent Coagulation or other mischievous effect of the Contusion The Child slept quiet and sweat well The next morning the Child being brisk and lively the Doctor came a fomentation and all things ready he being taken up and held on a woman's Lap I cut off all the hair close to the head and opened the left wound first where we found a depression with a fracture I could not enter an Elevatory and therefore at that time left it as it was and drest it up as the day before Opening the other wound and taking out the dossils that I had laid in the day before several small portions of the Brain shewed themselves among the grumous bloud and on the dress and a prodigious piece of skull beaten in and wholly separated from the rest and which was a very ill circumstance the outward Table being broken narrower than the innermost made the deepest piece larger than the hole it had made so that at that time we could not get it out So that having cleared the part of Matter I then onely made yesterdays incision into a Cruciate we dressed him as before I rolled up his head upon a Stuphe dry wrung from the fomentation The Clyster was repeated every day for some considerable time his diet was Water grewel and Chicken broth with some proper things boiled in them his drink was sometime small bear with a tost and Nutmeg sometime his Cordial Julep The second night the Child slept indifferently well We again opened the left side and after some attempts in vain to raise the depressed Skull we strewed Cephalick powder on it and dressed it up with dry plegents of Lint as before Upon opening the other we saw again some little owzing of the Brain among the matter we now resolved to extract the piece of Skull After some little time I did it by turning it so that the narrowest part of it might come to the broadest of the Gap when holding it fast with a Crow's bill it easily came forth and left a dreadfull breach The wound on the Membranes we saw plainly with some effusion of the Brain but it happened that it was below the edge of the sound Skull so that it became succored thereby and the Child being young the Membranes more soft and apt to consolidate coalesced the sooner for after four days we saw no Brain We made our dress this time after this manner We had a good guard of hot Stuphes to defend from the air and having cleansed out the Part and smoothed the uneven edge of the Skull we dipt a Syndon that is a piece of fine cloth bigger than the extracted Skull having a thread fastened to the middle to draw it forth by into a mixture of warm Spirit of Wine Honey of Roses and Balsam of Peru and with a Probe thrust the edge of it between the Skull and Dura Mater Upon it was strewed Cephalick Powder covered with dry Lint Then I snipt off the lips of the Cruciat and laying on a plegent armed with Arcaeus Liniment rowled him up This day we ordered Tinctura Ambrae Griseae in his Cordial six or eight drops at a time as there appeared need The next day being the fourth from his hurt we found he had had a good night I shaved the whole head anointed with a Cephalick balsamous liniment and laid on a Plaster of equal parts of Opodeldoch and Empl. de Betonica then dressed the wounds as before and covered them with Plasters made of equal parts of Diapalma and de Betonica The Skull scaled but slowly as is usual in Children therefore towards the end we used more drying Cephalick Powders than ordinary to prevent a fungus and quicken desquammation mixing Guaiacum Bark in Powder The Dura Mater united in four or five days the unition was confirmed so as we used digestives after five more digestion was procured in a week after And in about six weeks from the first dress the Skull scaled the flesh grew up from the Dura Mater and under the scalings of the Skull and became level with the skin it would sometimes be exuberant and soft or spongy before it could be cicatrized a gentle touch of Roman Vitriol and sometimes strewing prepared Lapis Calaminaris thereon shrank it up and cicatrized the lest wound in seven weeks but the right remained three months For it was not onely difficult to make a final deficcation thereof because of the moisture gleeting from within the Cranium but necessary to delay it that the matter might discharge itself as it gradually decreased James Yonge Wounds of the Brain proved curable In performing this last part I used a very desiccative Sparadrap Plaster that is made by dipping cloths in it when relented which being laid double served not onely as a desiccative and a defender from confluxion by its gentle adstringency but by its stubbornness and strength defended the part from hurt by blows falling and such other accidents as Children are liable to IV. The depression of the Skull has been cured in several by setting a Cupping-glass with much flame upon the Depression after once or twice being let Bloud sometimes with incision and much scarification and sometimes without them A certain man was struck with a stone on the left side of the head and was left for dead bloud came out at his mouth and nose he could scarce speak or open his eyes If one pressed the depressed part of his skull a little with ones finger he was troubled with a reaching to vomit I ordered him to be shaved and a large Cupping-glass to be applied with much flame which though it was set on the sound and solid parts put the Patient to much pain After the Cupping-glass was taken off and incision made upon the part affected and the Cupping-glass was applied again he found great ease and his pain was over after which he began to speak D. Des Grand Pres. Observ 3. apud Riverium and knew
in Oil and applied wonderfully eases the pain ¶ Let warm Sheeps-dung be long mixt with Goat's Sewet strow on it Powder of common Pitch Mix them and apply it warm without doubt it has a wonderfull effect ¶ A Clyster made of Dog's-turd boiled in Wine with a few Figs eases the pain of the Colick and Stone Joh. David Rulaâ—dus ¶ Hare's dung dissolved in Wine and drunk cures a desperate Colick 21. I do upon my credit profess that I have in one day cured the Colick coming of phlegm with 2 drachms of Diaphoenicon Saxâ—nia and 2 drachms of Spec-Hierae and presently took away the Pain 22. A Carminative Water made of Chamaemil is of great virtue in the Colick ¶ An Electuary or mixture of Garlick is good in the Colick ¶ A Cataplasm of Chervil is good Schroderus ¶ Ear-wax is a present remedy for the Colick if it be taken in drink Sâ—hwentfield 23. A Lark with her feathers burnt to powder in an earthen pot and three spoonfulls of it be drunk with hot water for two or three days is an incredible remedy for the Colick and all Pains of the Guts 24. Powder of the Huckle-bone of an Hog burnt Solenander given in Wine wherein Seed of Sermountain and Chamaemil-flowers have been steeped I have often tried to be an effectual remedy in this case Varignaâ— 25. A decoction of Coltsfoot in Water or Wine is a most effectual Remedy Welkardus 26. The white part of Hens dung powdered and given in Pansey or Pimpernel-water is a present Remedy especially for children Zimâ—ra 27. Cinquefoil dried and powdered and 2 drachms of it drunk in generous Wine is a present Remedy Colica Hysterica or the Hysterick Colick It s Description and Cure THere is a sort of Hysterick disease that vexeth some Women and is so exactly like a bilious Colick as well in the sharpness of Pain as in situation even then also yellow and green humours being cast up by Vomit that I must treat of it lest it be taken for the bilious Colick Women who are of a lax and crude habit of body do contend with this evil above others and they that have laboured sometime formerly of some hysterick affection or as it often happens they that have scarce escaped after difficult and laborious travel by reason of a large Child which hath too much exhausted the Mothers strength and nature A pain very little milder than in the Colick and Iliack Passion at first seizeth the region of the Stomach and sometimes a little lower which is attended with enormous Vomitings sometime of green matter and sometime of yellow And they accompanied as I have often observed with greater dejection of mind and despair than in any other disease whatever After a day or two the pain ceaseth which nevertheless within a few weeks returns more cruel than the fit before Sometime it is accompanied with a Jaundise conspicuous enough which in a few days vanishes on its own accord All Symptoms ceasing when the Patient thinks her self well enough the least commotion of mind whether it be raised by anger or grief to which in this case Women are very subject commonly recalls the pain the same may be said of walking or any other exercise unseasonably undertaken seeing by such causes Vapours are elevated in a lax and infirm habit of body When I say Vapours whether they be such or Convulsions of particular parts the Phaenomena may equally be solved either way These Vapours or Convulsions when they invade this or that region of the body produce Symptoms accommodate to the part they invade And therefore though they cause one and the same disease every where yet they exactly resemble many wherewith the wretches are tormented Which is clear from this disease that when it possesses the parts adjacent to the Colon is as like a bilious Colick as can be Nor is it less apparent in many other parts of the body affected in the same manner for example Sometimes it affects one of the Kidneys with a most violent pain whereupon follows Vomiting and sometimes also the pain being carried along the duct of the Ureter it resembles the Stone and when it is exasperated by Clysters and other Medicines that are lithontriptick and designed to void the Stone it long afflicts the Patient after one and the same tenour and now and then which is contrary to its custome because of it self it is without all danger brings her to her grave Moreover I have seen Symptoms produced by this disease that were altogether like the Stone in the Bladder It is not long since I was called out of my bed one night to a Countess my neighbour who was taken with a very violent pain in the region of her Bladder and a sudden stoppage of Urine And because I very well knew she was subject to divers hysterick diseases and therefore guessed she was not sick of that disease she took her self to be sick of I would not suffer the Clyster to be given her which her Maid was making ready lest her disease should thereby be increased but instead thereof and of Emollients as Syrup of Marshmallows c. which the Apothecary brought I gave her a Narcotick which presently put a stop to that Symptome Nor indeed is any one part of the body altogether exempt from the assaults of this disease whether internal or external as the Jaws Hips Thighs and Legs in all which it causes intolerable pain and when it departs leaves a certain tenderness that cannot endure to be touched just as if the flesh were sore beaten But as I have by the bye delivered some things pertaining to the history of the Hysterick Colick lest namely it should be mistaken for a bilious one so I shall by the way likewise touch certain things that make for the cure of the Symptome the pain which accompanies it For the radical cure which takes away the disease by taking away its cause is for another Speculation and Place Letting bloud and repeated Purgings which are most plainly indicated in the beginning of a bilious Colick have no place here except in the case hereafter mentioned For experience teacheth that the pain is exasperated and all other Symptoms grow more violent being helped on by the tumult which these things raise And thus I have more than once observed that the repetition of Clysters even of the gentlest has brought on a long train of Symptoms Reason also will second Experience which tells us that this disease is produced rather by some ataxy and inordinate motion of the Spirits than by any fault of the humours to wit if we well consider those circumstances to which for the most part it owes its original Such as are great and undue profusions of bloud violent motions either of mind or body and things of the like nature All which things forbid the use of those remedies whereby a greater perturbation of Spirits may be raised and instead
as we see it falls out in bloud vessels for the proper aliment of every part is indued with a conglutinating faculty because more or less tenacious and viscous Aches arising in the Limbs and especially in the upper part of the Arm that are most troublesome at night after the redundance of the serous humour if there be any is diminished by Hydragogues and Sudorificks also may be taken away by anointing the part affected with the following liniment Take of Vnguentum Martiatum Oil of Worms each half an ounce Oil of Amber 1 scruple Mix them But if the pain be increased either by this liniment or onely with clothing we must use this following Take of Vnguentum Popul Nervinum each 2 drachms Oil of white Lilies 3 drachms Mix them But if the same pains affect the Hip and have so seized the lower part of the Spine especially that the Body can scarce be â—eared upright and moved Balsamus Sulphuris Terebinthinatus is most excellent if the part affected be anointed with a few drops of it with which in one night I have cured several miserable persons Fr. Sylvius VII A Woman lay ill of a violent pain about her Hip caused by a fall anointing with Oils gave her no ease By chance I had some Melilot Plaster ready I ordered it to be spread on a cloth and to be applied about night in the morning she could rise and sit at the Table whereas before she was not in the least able to stir her self I have several times applied the same to people that have got aches by a fall Thonerus Observ and with success VIII When the same woman was troubled with a great pain about her shoulders shooting through her whole right arm caused by a deep scarification the Knife being thrust deeper in than it ought when other things would doe her no good she used this Take of Oil of Earth-worms half an ounce Badger's grease Fox-grease each 2 drachms Mix them Anoint the scarified places And rub the arm with water distilled of Swallows and Castor hot When the same woman was tormented night and day with a violent pain in her right arm beginning at her shoulder and extending it self all over the arm with a swelling and she could not lift it up in a few days the pain and swelling were dissolved by the following means Take of Emplast Diacalcit 1 ounce Melilot half an ounce Mix them Spread then on a cloth A Maid being tormented with a pain in her right arm was cured in one day with a Plaster of Gum Tacamahaca as several others where the cause was not hot M. N. was tormented with an intense pain in her Loins caused by a Defluxion Take the crum of a white loaf steept in Cow's milk then passed through a brass sieve adding Yelks of Eggs and fresh butter and the following Oil Take of Oil of Chamaemil Dill white Lilies each 2 ounces oil of Earth-worms 1 ounce and an half Of which take what is sufficient for once and apply it hot with a cloth She presently sound ease A Widow 70 years of age had a violent pain in her loins Take of Ointment of Marshmallows Anodyn each 2 scruples fat of a Rabbet 1 drachm and an half Oil of Scorpions 2 drachms Mix them The pain presently ceased In Aches of the armes and feet I have often found fresh Cows dung with Oil of Roses doe good A Woman with Child was tormented with a kind of convulsive pain in her thighs Take Oil of Swallows with Castor 1 ounce Treacle water Cephalick water Spirit of Lily Convall each 2 drachms Mix them Chafe it warm She was quickly well A Woman was troubled with a rackinig pain in her right Arm from her Shoulder to her Fingers ends so that she cried out Take Oil of Earth-worms half an ounce Fat of a Man's Skull of a Badger each 2 drachms mix them She was quickly restored A Noble-man was cured of a chronical pain in his right arm by applying Oxycroceum Plaster having used other things to no purpose Two great men who had been long afflicted with a violent pain in their Shoulders were at last cured with this remedy Take Soap dissolve it in Aqua vitae and apply it This cured a Woman of a violent pain in her feet Take of Vnguent Alabastr Anod each half â—n ounce Oil of Worms 2 drachms Camphire 2 grains Idem mix them IX In mitigating and driving away all pains of the nervous parts coming from a cold cause and from Contusions Balsam of Peru seems to have the preheminence because of its amicable and peculiar faculty in strengthening the Nerves and dissolving any inherent matter A woman after a Palsie in her left side was tormented with a very bitter paâ—â— all over her Chine and in the Knee and Toes of her left Leg and had a kind of convulsive motion in them but she was quite rid of her trouble in three or four times anointing A Merchant was troubled with a very grievous Sciatica and when other Ointments were in vain he anointed the place affected with this Balsam hot to his great comfort A Maid had pricked her right hand with a spindle after the Chirurgeon had cured the wound she was much pained and when other Ointments did no good she was cured by anointing with this Balsam When I felt some trouble from a Contusion of my right Hand which lasted above a month Iâ—em it went away at thrice anointing Medicines especially made use of by eminent Physicians 1. Fat and Marrow Pet. Joh. Faber if they be converted chymically into Oil are accounted a present Remedy to ease pains 2. An excellent Oil to allay all pains in children Take Oil of Dill Chamaemil each 6 drachms Rue liquid Styrax each 3 drachms powder of Cummin-seed 1 drachm and an half Let them boil up once Leon. Favellinus Strain it and keep it for use wherewith the pained place may be anointed 3. Sulphur vitrioli Anodynum is an excellent Anodyne Take of Hungarian Vitriol what is sufficient boil it in distilled water for an hour throw in pieces of plated Steel boil it for an hour so an excellent Sulphur will be extracted from the plates brush it off with a brush into hot water it may be repeated to a total extraction Edulcorate this Sulphur with Rose-water and keep it Joh. Pharamunâ— Rheumelius The dose is three or four grains with Syrup of Popies it assuages all pain and causes sleep 4. Take of the second rind of green Elder boughs scraped off with a Knife 1 handfull boil it in sweet Oil with water to the consumption of the water when it is strained add a little Wax to it Observ Riverio communic Make an Ointment It assuages all pain caused by Blisters and is an excellent remedy 5. Lapis Prunellae dissolved in some liquor as in Night-shade water is of great efficacy in assuaging any pains Rolfinck whose true cause is inward or outward
in the Lungs for those that were made purulent by a Catarrh falling on the Lungs when I observed it was odious not onely to the Patients but to the by-standers also and that it was distastefull to most by reason of its too much foetidness whether they used it by anointing outwardly or in Lozenges or Pills inwardly or any way else I have now for some years used Balsam of Peru in its stead to the advantage of my Patients I know Chymists do now correct it and take away the offensiveness of the smell by repeated distillation after washing it But I have found that after washing it is much weakned and does but little good wherefore I think we should rather use Balsam of Peru or the natural Balsam brought from Syria Heer obs 17. till we are taught how to distill an Oil of Amber without stink XXVII A Boy fell into an Epileptick fit once a day for fifteen days together The best Physicians thought it came from some disorder in his Head But the more Medicines they gave the worse the Disease grew so that in twenty four hours he had above one hundred and fifty fits yet they were small ones for he had onely a little commotion of his Head with a buble at his Lips Whereby notwithstanding they knew the Disease was not from any disorder in the head but by consent with the Stomach Trincavella l. 1. cons 25. Wherefore when they left off to trouble him with Physick and strengthened him the Child grew very well XXVIII I observed wonderfull shapes of Worms in an Epileptick Woman as she was athirst she drank greedily and frequently in her journey coming from Italy of any Water she met withall Her Epilepsie was very grievous with a swelling and an ill colour all her body over She was not relieved by Antepilepticks At length upon the repeated use of my Mercurial Pills she voided a great quantity of multiform Worms As soon as they were displaced her Epileptick-fits likewise ceased Bartholinus hist 7. cent 4. He also Cent. 6. Hist 20. produces the example of a young Man often troubled with Convulsions whose cure succeeded much better after his voiding of Ascarides XXIX A Youth about fifteen years old had a pain in his Pubes afterwards as his pain shifted to the left-side his Spleen grew presently ill and from Sympathy with it the Brain for he fell into most violent Fits of the Falling-sickness which came upon him onely by pressing the region of the Spleen with ones finger Among several Remedies nothing was better than Chalybeate-wine or black Hellebore Tulpius observ l. 1. c. 9. upon taking of which he voided so much black Choler that at last he came to himself XXX An Epileptick Maid was cured by the use of Vinegar and Water she took a glass of it every day in the morning and before the time of her Fit pure Vinegar When this disease was cured Riverius Cent. 4. Obs 1. she was troubled with a pain in her Limbs which also was cured by the use of the Bath XXXI I have known some young Men who might easily have been cured of this disease but because they would not abstain from Wine they became incurable All Men know that the Epilepsie affects the Nerves especially And because Wine turns sowre in all who have an infirm Stomach and a weak Brain and Vinegar is an open enemy to the Nerves hence Epileptick persons may easily gather how much they ought to avoid Wine and Venus Besides according to Aristotle and Averroes the Epilepsie is caused like sleep that is by a vapour Heer Obs 24. wherefore all vaporous things especially strong Wines should be avoided XXXII It is disputed by many Whether Apium be hurtfull for Epileptick persons That by Apium Parsly must be understood no Man will question who reads a passage in Pliny l. 20. c. 11. and Galen 2. de alim facult for this is the true garden or domestick Apium of the Ancients and ours is the Paludapium or Apium Palustre Pliny in the cited place says That if a Lying-in-woman eat Parsly the Child that sucks her will have the Falling-sickness Avicenna rejects Parsly especially from among Meats because by an innate property it causes the Falling-sickness And others following their steps forbid it Jacchinus is of another judgment opposing Galen and in a Counsel for an Epileptick Child allows of Parsly But an opinion that is held by so many learned Men must not be esteemed a figment it being without doubt founded on Experience which must be consulted They to whom it did no hurt were either not inclined to an Epilepsie or they used it onely as a Sauce and not as Meat So Galen in his advice allows one to taste it at least as he does Alexanders also by which notwithstanding the head is filled as he writes But the Ancients that are quoted speak of it taken as Meat Sennertus XXXIII In the cure of this Disease we are forced to leave the common method For the prescriptions of the Dogmatists in which they usually endeavour to carry off and totally eradicate the morbifick cause onely by Purges doe little or no good in the Falling-sickness yea they use often to doe harm I have known some eminent Practitioners who totally omitting the train of therapeutick intentions have betaken themselves to certain Empirical Medicines without any provision for the whole This sort of Practice though sometimes it succeeded well yet it would much more certainly have attained the proposed cure if by other Medicines also when the body had been rightly prepared all impediments had been removed Wherefore the Indications about the cure of the Falling-sickness will be either Curatory which respect the fit or Prophylactick which respect the cause of the disease As to the first general Evacuaters are scarce of use But the thing of most importance is to fix the animal Spirits that are too fierce and volatile and to suppress their explosions already begun To which ends two sorts of Remedies especially conduce that is 1. Things that give a check to the animal spirits when they are apt to be unruly and disorderly and that repell them as it were with a smell ingratefull to them and bring them into order which thing Medicines endued with a Volatile and Ammoniack Salt or with a Vitriolick Sulphur effect Such as are Salt and Oil of Amber Spirit of Bloud Hartshorn Soot Tincture of Castor c. for these taken inwards or applied to the nostrils often give relief and are thought to drive away the evil Spirits of this disease just as the fume of a Fishes-gall burnt drave away the Devil in Tobias 2. The Animal Spirits are either diverted or hindred from making their explosions when they are enticed and kept employed in some work familiar to them Wherefore when a fit is violent rubbing all the body over and continued often does good But the most of a Physician 's care lies in preservation that the cause
of Cure by the edge of a Syringotomus and a thread which joins the opinions of Celsus and of the later Chirurgeons XVI Yet Fistulae in ano in old Men deriving their original from some old Fluxion as from the Haemorrhoids of long continuance cannot safely be cured unless before the Wound be healed an Issue be made in the Thigh three or four inches above the Knee for evacuation of the matter daily gathered which used to be evacuated by the old Fistula Sâ—ultetus XVII Penetrating Fistulae are very easily and safely cured without an actual Cautery which some commend to consume the Callus in Fistulae if when the Syringotomus is passed through the Bloud be stopt and Haemorrhagie prevented and the Callus wasted with this Medicine Take of Mercury precipitate half a drachm Honey of Roses half an ounce For the sphincter according to Hippocrates lib. de Haemorrh may safely be cut any way without prejudicing its office if but an eighth part of it be left untouched otherwise an involuntary excretion of the faeces would follow and then most certain Death Idem Medicines especially made use of by eminent Physicians 1. I have seen Fistulae of the Feet often cured with this Remedy First wash them with a Lye of Vine-ashes then use an Unguent made of Sugar Oil-olive Mercury and Wine each equal parts Borelâ—us 2. This wonderfully cures Fistulae if they be often washed and the hollow of them filled with an Arcanum mixt with Tincture of Aristolochia rotunda drawn with Spirit of Wine Faber 3. The Bulb of Cornflag mixt with Starch Vinegar and Foxes grease cures Fistulae and running Sores most effectually Laurembergius 4. This is highly commended by many Authours especially for drying up and healing a Fistula Take of Water of the Vine 2 ounces Malmsey wine 1 ounce Honey of Roses 10 drachms Myrrh root of Peucedanum each 2 drachms Sarcocolla Aloe Epatica each 1 ounce and an half Mix them Let them boil up onely once moderately and let it be injected by a Syringe into the Fistula Pâ—câ—ettius 5. A wonderfull Water for Fistulae Take of green Shells of Wall-nuts let them stand in the shade distill them Take of the distilled Water 7 pounds distill it again add of Honey 2 pounds distill it again and keep it for use Praevotius 6. After Universals are used some commend this Potion Take of Sanicle Mugwort Speedwell Saracene's Consound Winter-green each 1 ounce Savine 1 ounce and an half Horse-tail half a drachm Boil them in White-wine Make a Potion which if you would have more effectual in every Dose mix of prepared Crabs-eyes half a scruple For Savine and Crabs-eyes are very good to expell Bones Pus broken Veins and the like Senner 7. This is a most secret Medicine Take of Tops of lesser Centaury 3 handfulls Roots of greater Plantain fresh 1 pugil Leaves of Germander Scabious each 1 handfull New-wine 3 pounds and an half Boil them to half Let the Herbs and Roots be well pounded and strained out hard then boil them on a gentle Fire to the consistency of Honey and keep it Stokkerus 8. This is an approved Medicine for a Fistula Take of Leaves of red Cabbage and the Seeds of the same Roots of Madder each equal parts Bruise them in some Wine and boil them to a third strain out the Liquour and boil them to the consistency of Honey Give two spoonfulls morning and evening every day ¶ Filipendula and the Grains found at the end of its Root are good for the same Tulpius Fluor Muliebris or Womens Whites The Contents How it may be known from a Gonorrhoea I. The blame must not always be laid upon the Womb. II. Bleeding is sometimes good III. Cured within a month by taking a loosning Ptisan IV. Whether Diureticks be proper V. Whether they be always good VI. Every one must not be cured by a Sudorifick Diet. VII Astringents and Strengthners must be seasonably used VIII Issues in the Legs are good IX Sometimes it is caused by the use of Catharticks and Baths X. Those Women that have a dry Nose are usually subject to it XI The Womb must be strengthned XII A Malignant one imposes upon the Physician XIII Medicines I. SOme Women that are ill of a virulent Gonorrhoea hiding their fault under an innocent name pretend they are ill of the Whites because in both cases abundance of filth is voided But the Chirurgeon may easily distinguish the Whites from a Gonorrhoea and he may satisfie himself a Gonorrhoea will never be cured without Salivation Paraeus II. The cause which continually breeds the corrupt humour is sometimes in the Womb sometimes in other principal parts They are therefore grievously mistaken who ascribe the cause of all that comes from the Womb and of the suppression of the Menses to the Womb alone For in what Women cold Bowels or obstructed or scirrhous have caused Crudities an ill Habit or Dropsie the corrupted humour being poured into several parts of the body often falls upon the Womb and tending that way purges the Body which is done in some others by urine or stool Fernelius III. Seeing the Whites depend upon a Cacochymie and it being drawn to the Veins by Phlebotomy may infect the mass of Bloud there seems no room for Phlebotomy Besides since in this chronical Disease strength decays much and the Body is often brought to a consumption it appears it ought not to be farther wasted by Bleeding and be deprived of its Aliment Yet it is thus determined that if this Flux be not solitary and pure but be mixt with a little bloud and look red then bloud may be let As also if there be any great heat in the Liver or acrimony of the bilious juice joined with this Flux But in other cases especially when the case is grown inveterate it is better to abstain from Bleeding Rivâ—rius IV. A Woman of forty had been long troubled with the Whites after many Medicines tried in vain she was perfectly cured with taking a laxative Ptisan every day for a month The Composition was this Take of cleansed Senna 1 drachm Coriander-seed prepared and scraped Liquorice each 1 drachm and an half Spring-water wherein three drachms of Tamarinds and 1 drachm of Mastich-wood have been boiled one glass Infuse them cold for one night and let her take the colature two hours in the morning before she eat Idem V. There is no small difficulty to tell whether Diureticks be proper for they do not onely provoke urine but the menstrua by heating and attenuating the humours contained in the Veins Yet they are approved by all Authours and by Galen himself who used them in Boëthius his Wife The reason is because Diureticks provoke urine primarily and the menses secondarily and as it were by accident then the Kidneys draw the serous matter continually the Womb onely receives it Wherefore it is likely that
the greatest part of these humours will go to the urinary passages Idem VI. There are some that maintain all manner of Womens Whites may be cured by diuretick Medicines but they are in a manifest errour The causes must be distinguished and according to the various nature of them different methods of cure must be insisted on This Disease comes sometimes from the fault of the whole body and sometimes of the womb When the whole body is full of an ill habit or cacochymie or the Liver is obstructed or the Spleen or Stomach is weak or the Head supplies excrements then the womb may be thus troubled We must consider what humours abound hot or cold and how they are affected For it shews they are hot when this excrement is sharp and scalding so as it eats whatever part it touches and sometimes causes itching and Ulcers or chaps with a sense of heat besides when it is stinking and yellow It will doe well to consider here the temperament natural and acquisititious the preceding causes the habit of the body and season of the year Contrary signs will indicate contrary humours When therefore the flux in the womb comes from these causes when hot and bilious humours abound I most suspect this method of cure by Diureticks For who can think that a hot Disease can be removed by very hot and drying Medicines for suppose that evacuation made by Diureticks may doe some good certainly greater damage will ensue from increase of the quality Indeed it is my custome to reduce such bodies to a good state Universals premised with a Ptisan well prepared adding the greater cold Seeds And I do profess I have often cured with Asses and Goats milk uterine fluxes that have been given over by other Physicians in thin bodies with sharp humours This is my peculiar method The first four days I give a quart of Milk that the whole Body may be well purged and 10 two quarts for fifteen days but boiled and the days following to forty one in which time I generally found they were cured I give Milk chalybeate A most certain and rare Remedy But if the humours be cold and there be obstructions in the Bowels if there be a cold intemperature of the whole or of the principal parts who will deny Diureticks given according to art Does any one doubt but they have a deobstruent heating cutting and cleansing faculty Augenius VII Hippocrates 2. de morb Mul. vers 116. among divers sorts of Uterine fluxes propounds the yellow flux in which what is voided is like a rotten Egg when the white and yelk are mixt together from a mixture of which a yellow colour arises which indicates vitelline Bile Hippocrates cures this Flux thus First he purges upwards with Hellebore and then downwards that the whole body may be rid of the Cacochymie Secondly he orders a moistning and temperate Diet which may cool and qualifie the hot and sharp humours Then he gives astringent Medicines which may stop the flux and he changes the Diet into a contrary course If the Disease do not give way to these things he returns to the former Diet which he orders to be continued so long till the acrimony of the humours abate which the heating of he Ulcers the abating of the Inflammation and what is voided will shew for then he finishes the Cure by Exsiccants and Astringents Let the Moderns consider this method of cure who go the contrary way to work for they order a drying Diet first and give a decoction of the same faculty to drink And after they have by this their way of Cure brought the sharp fretting humours to the height of acrimony they betake them to a contrary method and turn their whole intention to cooling and moistning For they do not observe that by giving Medicines in the beginning which are actually moist and potentially dry they commit a double errour because they increase the humours by actual humidity which should rather be diminished by evacuations and by the drying and hot quality the hot and sharp quality of the same humours is intended and the hot intemperature of the Bowels if there be any is increased and by this means they give assistence to the Disease and its Cause And when as afterwards they betake themselves to coolers and moistners they commit other two faults for by coolers they clog the body full of sharp humours and by moistners they dissolve the humours which had formerly been dried by the preceding exsiccation Martianus câ—m in cit loc whereby they make the Patient every day worse VIII Astringents must-never be used till the antecedent matter be well evacuated and derived otherwise those humours retained run to the more noble parts and cause grievous symptoms As Galen writes it befell Boëthius his Wife whose Belly swelled with the preposterous use of Astringents the serous humours being retained which used before to be evacuated This also must be observed that while we use Astringents the antecedent matter may be diverted another way and the breeding of it hindred Riverius IX They do not advise ill who in the Whites order Issues in the Hips and in the inside of the Legs for so they affirm the Whites are amended while the serous matter is averted to the crural Veins They are good especially if the Disease be inveterate From Galen 5. Aph. 56. it is evident that among the causes which hinder monthly purgation this is not the least when the humours incline some other way than to the womb like as he said that some excretions whether natural or made by Art as Ulcers do make revulsion of and derive the bloud from the womb and transfer it to other parts The same judgment may be given of vitious humours falling upon the womb Do not we also know from Hippocrates that making much water in the night signifies that one goes but little to stool Quâ—ius de Quaesitis X. I have observed in Women that were never before troubled with the Whites they have followed the taking of a Purge when Nature by taking one has been excited to other excretions and that many Women when they have been bathing have contracted this Disease not by Contagion but because by the constant use of the Bath as Nature discharges the excrements by Sweat so also the same by this excretion expells especially what is too thick to be carried off by Sweat Platerus XI The Arteries of the Nose and partly also the Veins discharge their excrementitious humidities into the spongy parts about the Nose and Jaws for these Vessels are divaricated in the flesh of the Nostrils and Jaws like Spiders-webs and sweat out a kind of dew just as water sweats through earthen ware before it is glazed But how comes it to pass that many void little or nothing at the Nose I answer that very few are found who are of so happy a temper as to be void of excrements This Driness of the Nose and
Palate is not so much a sign of a temperate Brain as of a temperament ad justitiam But they that have a foul bloud and are destitute of this evacuation by Nose and Palate are not so without damage but are liable to many inconveniences Francis King of France had a dry Nose but had Ulcers in his Ears I have known Dames who have been deprived of this acceptable benefit of the Arteries carrying Phlegm to the Nose and they have been continually troubled with the Whites â—â—â—ifinceâ—â—nâ— XII Some corroboration and exsiccation must be used to the womb at last for although in the Whites it be not hurt in it self yet in progress of time it contracts so much harm that the Whites come with the Menses Forti and can scarce be distinguished from them XIII If the Whites be malignant and the sharp humour exulcerate be of an ill colour and dangerous sometimes it proceeds from a virulent external and contagious cause And therefore Women must be prudently interrogated about the matter that they may acknowledge the Disease and not impose on the Physician under a pretence of the ordinary flux to their own damage indeed unless they acknowledge their fault or lay it upon the Husband whom we should rather blame if there be some small suspicion than blemish the Woman's Chastity Riolanus Medicines especially made use of by eminent Physicians 1. Twelve Citrull-seeds eaten every morning and then a draught after them â—â—yse Bourgeni is a good Medicine for the Whites 2. The Fume of a Decoction of Shells of Pine-nuts in Vinegar wherein burnt Marcasites are often quenched is good Claudinus 3. This is daily experienced A drachm of green Filipendula root given in Black-wine ¶ A Woman cured several in this manner Take bruised Clary let it putrefie in Butter then boil it a little and keep it With this Ointment she anointed the Woman's belly from the navel to the pubes putting some of it into the vulva and she ate some of the Herb. ¶ The Ashes of Kernels of Wall-nuts with Wine injected into the womb stops this flux wonderfully ¶ They say this is a Secret A Fume of Sage stops immoderate menses and all Womens fluxes Hartman Corbaeus 4. Tincture of Corals taken inwardly is of great virtue and Crocus Martis if 4 or 6 grains be taken in Plantain-water ¶ Mastick-wood-wine made by infusion and gentle ebullition is a singular Remedy for the Whites drank at meals for several days Rod. à Fonseca 5. This is a very good Powder wherewith many Noble Women have been cured Take of the Jaws of a Pike a Capon 's head dryed in an Oven each half an ounce Date-stones 2 drachms Coriander-seed prepared Aniseed tosted each 1 drachm Root of Water-lily half a drachm Sugar of Roses 4 ounces Make a Powder Take some of it in Red-wine Forestus 6. To discuss the reliques and dry an oedematous body Frambesarius nothing is better than a Decoction of Guaiacum drunk every day in the morning 7. I have cured inveterate Whites with a Decoction of 4 or 6 ounces of Oak-leaves with a drachm of Hares-rennet taken for 8 or 10 days Mercurialis 8. The distilled Oil of Daucus creticus anointed on the vulva after bathing Turnheuserus wonderfully cures the Whites and heats it again Fractura or Fractures Of Fractures of the Skull See Book III. The Contents The loosing of the Bandage must not be too late I. Barks of Trees must not be used instead of Ferulae II. In them and in Luxations over drying things doe hurt III. The use of Emplastrum Oxycroceum not always safe IV. The taking of viscid Aliments for breeding a Callus is hurtfull V. The Stone Osteocolla must be prudently given VI. The choice of that Stone VII The Bones are long in knitting in Women with Child VIII When a Callus is confirmed it cannot be broke IX The knitting of the broken whirlebone in the Knee X. Broken Legs must be kept in a convenient Posture XI The Plasters must not be too tenacious XII Nor the Bandage over strait XIII Medicines I. I Have seen many accidents from over-late loosing of the Bandage One in Summer time broke his Arm in the Cubit The Fracture being loosed and the Plaster taken off they found the Arm not onely ulcerated in three places but so stinking that there were Maggots such as are in putrid flesh The Bandage was taken off the thirteenth day A decrepit Man broke his Leg a little above the Anckle by a fall from an Horse The fifth day when the Fracture was unbound many livid Pustules threatning a Gangrene were observed A Countrey Man had broke his Foot so that it separated in the Joint and was wonderfully contracted the Bandage and Medicines through the negligence of them to whom it was committed not being changed an Inflammation and Stench arising the poor Man died I also when I had not been so carefull as I should in loosing a certain Noble-man's Fracture and had not changed the Medicine from the fourteenth till the one and twentieth day so great a Callus was bred that a great deformity in the Leg had followed Hildanus cent 2. obs 91. had I not presently repressed the Callus II. I disapprove of Barks of Trees made use of now instead of Ferulae in Fractures of Bones The Lord N. had a Fracture with a Wound in his Leg by a Fall from his Horse While I was setting of his Leg at the persuasion or command of the Patient instead of ferulae I applied Green-willow-bark When the Swathes were loosed there appeared an impression in the musculous part not far from the Ham which imposed on an Emperick as if there had been another Fracture I knowing the Impression and Pitting was occasioned by the Bark anointed all the Leg and Thigh with Oil of Roses and Myrtles adding a few drops of Vinegar of Roses for Penetration sake that the humours which were fallen down might be repelled I rolled also the Leg from the Foot to the Knee with a roller wet in an astringent Decoction When the rollers were unbound the next day no inequality nor any depression appeared From that time I would never apply Bark of Trees especially green instead of ferulae for when they dry they shrink about the Fracture Idem rent 4. obs 98. and sometimes put the Bones out of their place III. One had the Whirle-bone of his Knee broken a thwart so that the parts of it wore drawn upwards and downwards by the Tendons When the Chirurgeon thought it had been well cured the Patient no sooner stood up and began to walk but it parted again into two pieces For in Luxations and Fractures I have seen Ligaments made shorter and Tendons contracted so that the motion has several ways been hurt Velsâ—hiuâ— IV. Vulgar Chirurgeons in Fractures without distinction do at the very beginning or within a few days usually apply Emplastrum
Oxycroceum to the Fracture which sometimes is done not without great hazzard A young Man having broke his Leg fell into the hands of a Barber-chirurgeon he having set the Bone at the first dressing applied a Plaster of Bole Armenick Barley-flower and the White of an Egg when he had opened the Leg the third day he applied Oxycroceum The same day it itched and then grew very painfull When I was called some days after I found the Leg inflamed full of livid spots and some infected with a Gangrene The use therefore of such a Plaster is dangerous especially in the beginning of Fractures and Dislocations and so much more dangerous by how much more cholerick hot and full of Cacochymie the body is Hereby the part affected is heated and the humours are drawn to it Hildanus cent 4. obs 99. Therefore it might very well be called Diabolicum by Vigo l. 8. c. 16. V. I knew a Man forty years old of a good complexion to whom for a Fracture of his left Leg a Diet was prescribed of viscous things as feet heads and tripes of Cows Sheep c. The Fracture indeed was cured in forty days but by degrees he fell into a Cachexy then he had a Jaundice and pains in his Kidneys and other parts till at last he died of a Dropsie Idem cent 1. obs 92. VI. It is certain that the Stone Osteocolla is endued with a singular virtue of breeding Callus Wherefore I dare give it to all People in Fractures But we must be carefull how we use it in old Men or extenuated persons or such as have their innate heat but weak A Nobleman fourteen years of Age who was lusty and sanguine had both the Bones broken at the Ankle I set the Fracture very well I gave Osteocolla inward and applied it outwardly the third seventh eleventh and fourteenth day when I opened it no excrescence or deformity of a Callus appeared but on the twentieth when I opened it I found a Callus especially upon the ridge of the Tibia so great and high that a perpetual deformity had followed Idem cent 1. obs 90. had I not immediately left off the use of Osteocolla VII That which is found out of the Earth is of no worth but that which is found in the bowels of the Earth is very good though whether you look on the colour or shape you will scarce find any difference And therefore many that are sold about though they be not adulterated yet they are of no virtue As soon as it is digged up it is softer friable and of a brown colour when it has been exposed onely a day or two to the Air Idem cent 3. obs 90. it grows hard and white by degrees VIII A Woman thirty years old seven months gone with Child had her Leg broke in the middle by a Kick of a Horse The Fracture was well set but we had much difficulty to breed a Callus so that in twenty three weeks the Bones were not firm We gave her Osteocolla inwardly a thing so famous for broken Bones and applied it to the Fracture but to no purpose at length between the three and twentieth and the thirtieth week a Callus was bred and the Fracture was knit The reason why Callus breeds so slowly is in my opinion the Child which draws to its nourishment what should go to the breeding of Callus Besides the innate heat being deficient in the part affected Idem cent 5. obs 87. Nature was not able to bring Osteocolla and other Medicines out of power into act IX Some foolishly advise that Fractures which were not well set and are already knit with a Callus should be broken again where the Callus is it being first mollified with Fomentations and Laxatives But if some space of time has past and if it be confirmed and grown hard the Bone near the Callus will break sooner than the Callus it self X. The Knee-pan broken or displaced brings no small inconvenience without the Fastness whereof the Knee flies out like a door when the hinges are broken At least the Knee-pan serves instead of a stay to help one in going up-hill or down-hill of which N. complained being hurt by a fall wherein he broke his Knee-pan and when in several Months it would not knit and he came to me for help I told him there was no other way but to open the Skin and rub the edges of the broken pieces of bone and then to bind them up fast to knit and let them be kept bound a sufficient time Which way of cure I found successfull in N. whose cheeck-bone had been broken by a shot Severinus and had grown on a lump XI Some Chirurgeons commit no small errour in curing broken Legs when they will have a Man keep his Leg upright on his Heel whereby in process of time more pain is felt in the Heel than in the fracture it self and that because of great and nervous tendons which are inserted in the Heel And this pain draws much humours to it which are retained in the joint and among the broken bones and ligaments of the foot And because by this site the Veins and Arteries are compressed and therefore the part affected is in some measure deprived of its heat these humours must of necessity be condensed and grow cool in the joint and spaces between the bones of the Feet Therefore when the fracture is cured the Foot is affected with a new trouble for the joint can scarce be stirred without much difficulty and sometimes other very bad Symptoms do follow When therefore the Leg is rolled up with Rollers Splenia and Stupes and placed in a Capsula or Case fit for the purpose such a posture must be chosen as is least painfull Wherefore the Leg must be laid sometimes this way sometimes that so that the Patient may lay himself sometimes on one side Hildanus cent 1. obs 93. sometimes on the other For so many accidents will be avoided XII We must have a care in the use of Plasters against a Fracture that they be not so tenacious and sticking altogether in Children and Women as in others Certainly upon this score Emplastrum contra Fracturam Wirtzii of Root of Meadow-sweet is very commendable Wedelius XIII But we must have a care in these very strong things lest they or bandage upon them should gird the limb too strait and so bring an universal Gangrene as I have often observed Therefore carefull Chirurgeons advise the leaving some room free in binding of these fractures the reason is that the Vessels Veins and Arteries which could not chuse but be wrested in the contusion may not be straitned together and hereby the way being stopt to the Bloud and Spirits Idem be forced to conspire to the destruction of the part Medicines especially made use of by eminent Physicians 1. Take of Root of Comfrey Leaves of Flixweed bruise them and boil them
continued for four days Lastly an Electuary made of old Treacle extract of Juniper Confectio Hyacinthi and Crocus Martis Nor did G. Harduyinus de S. Jacobo Velschius Obs 67. commend the decoction of the root of Statice it is a kind of Mountain Giliflower for any one intention more than for that of drying V. We must not stop a Gonorrhoea rashly nor presently or at a venture for it has been often seen that they who have endeavoured to stop such Gonorrhoea's unseasonably and violently especially before the Body has been purged of its filth have had Buboes Inflammations of their Stones and have been troubled with pains in their Kidneys and Loins and with a thousand other afflictions Wherefore before we put our helping hand to the part affected we must provide for the whole Body lest some such thing or worse befall us The best way therefore of cure is that which cuts off every Cause Mercatus beginning with the most prevalent VI. Concerning the cure of that which is said to be caused by watry and thin Seed we must carefully observe whether it be true Seed that comes away although it be watry thin and crude or whether as Langius lib. 2. ep 5. takes notice it be corrupt and vitious humours which being gathered in the Body flow to the Genital parts and are voided by the passage whereby Seed is usually cast out as sometimes vitious humours gathered in the Body use to be evacuated by the Womb which they call the Whites In the first case we must use such things as incrassate Seed make it firm and detain it In the second we must not use incrassating and astringent things but evacuaters correcters of Cacochymy and a good Diet Therefore Langius l. c. says I can safely swear Sennertus I have cured several onely by purging and a spare Diet. VII Sometimes it is caused through abundance of Wind gathering of crudities want of sleep or eating windy things If you endeavour to stop this with Medicines that extinguish Seed you will make it much worse because such sort of Medicines are exceeding cold whereby the intemperature which is the cause of the Gonorrhoea Rondeletiue is encreased VIII The Seat of a virulent Gonorrhoea is in the Prostatae and the Vesiculae seminariae which if it be unseasonably stopt the virulence is communicated to the whole Body or it flows back to the Stones and there causes a Tumour or if it extend to the perinaeum unless it be timely repelled it causes an Abscess and erodes the Vrethra It is not safe to let bloud in the Arm if the heat in these parts be gentle and without a Fever Bloud must rather be let in the Foot because the Saphaena arises near the Groin and imparts two branches to these parts and therefore large bloud-letting does make powerfull revulsion when Buboes break out Few or none besides Palmarius and Fallopius let bloud in the Arm which is suspected for fear of the Venereal Disease Riolanuâ— through a reflux of the virulence into the bowels and habit of the Body IX Now a days some reckon the matter must be purged from the whole yea and diverted to the ways of Urine perhaps after Galen's example who a long time after Hydragogues used Diureticks with success and therefore some give Turpentine washed in Mallow water with Powder of Liquorice But in my practice I never found any good from Diureticks Nor do I give Turpentine except in Contractions and Convulsions of the Vessels and the Penis Wherefore I have seen the cure succeed happily by deriving the matter to the Ambit of the Body by Diureticks and Sweats with the help of some proper decoction Fortiâ— X. Immoderate Venus is commended as indeed it has done good to some the venomous infection being poured out with the Seed while it has not as yet penetrated deep into the substance of the similar parts yet because it draws the humours from all places into the parts affected Enchir. Med. Pract. and causes an Inflammation it must be omitted XI If a Woman's Womb by continual coition be full of Seed she does not conceive till the Womb unburthen it self which stagnating there a long time hence sometimes molae arise the Dropsie Wind and Flux of the Womb like Women's Whites which yet it is not Nor is it a Gonorrhoea which if Women once suffer they are ever afterwards barren all remedies proving to no purpose This excretion is known for a cold matter comes away without pain and emaciation of the body Moreover this Flux must not be suppressed Panarolus but rather provoked XII One came to Spaw to get a Remedy for his impotency because he let go his Seed at the first touch of the labia but it was watrish and very like Whey Because this happened in a sound body and I could imagine no other cause I told him I thought he had an Ulcer in his intestinum rectum therefore the vessels necessary for the preparation and ejaculation of Seed being affected with a putrid vapour did breed Seed which was insufficient for a long tension of the Penis and for a brisk coition Then I ordered a suppository onely of Honey and it was drawn out again besmeared with much thick Pus Then a Chirurgeon was called who with his middle Finger found a great and deep Ulcer To whom when Medicines were applied that manifestly did him good Feers Obs Med. 10. he went his way and neglected the cure XIII Things that abate Seed or Antivenereals either diminish the product of Seed not so much by subtracting the quantity of Aliment which indeed makes much for the diminution of Venus as by hindring the gathering of Seed or by constriction wherefore Saturnines inwardly have the first place especially Saccharum Saturni made by Evaporation which by its intense sweetness stimulates the Tongue but in truth by the parts of the distilled Vinegar joined with the metallick ones it does as it were concentre the Serum for in my judgment Seed is the finest cream of the Serum so that it cannot grow turgid or reach to the genital parts but weakly wherefore given in plenty it emasculates and binds And for this reason Tinctura Saturnina vulgarly called Antiphthisica may by better right be called Styptica and Antivenerea And by dissipating and destroying the Seminiform consistency procuring a difflation of the Spirits such especially are Camphorates and bitter things as Absynthiacks and Aloeticks have partly some respect hither so Vitex and leaves of Rue c. Or they take off the Stimulation Orgasm and Acrimony Such especially are watry things Coolers as Water Lily Lettuce Purslain Emulsions c. For as the heat of the Kidneys or of the bloud rather and the vigour of the Serum make much for the separation of the Seed in the Pampiniform passages and Pores so things which dilute and temper the heat breed a less vigorous Seed Therefore Drunkards who drown their Bodies with too much
cast out to the external habit of the body by the strength of Nature neither stand in need of Purging nor Bleeding unless some portion of the Matter or disposition contrary to Nature do still remain in the body Wherefore Hippocrates 1. aph 20. advised well Things that have had a Crisis and that have had a good Crisis we must neither meddle nor make with them either by Purges or by irritating them any other way but we must let them alone And we find these entire excretions of the noxious humour do for the most part happen in such Diseases as arise with an ebullition of the bloud such as a Fever with Buboes an Ephemera the Sweating Sickness St. Anthony's Fire and children's Exanthemata And it is manifest that this ebullition is made in the bloud as in Juices and new Wine by reason of watry and crude or putrid Excrements For since three kinds of Excrements are contained in the Juices of all natural things one Earthy which in Wine is the Lees another Aerial which answers to the flower or top of the Wine the third Watry and crude which fermenting by time and heat causes an ebullition in the humours and juices Thus since Children's bowels are nourished by and concrete of the Mothers bloud which because of Womens idle living and the weakness of their heat is more watry and less concocted than it should Who is there that does not think the tender body of the Child must be infected with the contagion and filth of it and that it must abound with superfluities Which things when they grow hot in the mass of bloud or in the heart with a febrile heat then Nature like working Must throws off these dregs to the external parts of the body where they become Exanthemata Thus also the bloud in the Liver or Veins fermenting with the Putrefaction of either Choler expells its filth to the ambit of the body whence come Buboes in the Groin and Erysipelata Serpigines Carbuncles and Inflammations in other parts And when the Body by a Crisis is perfectly purged of noxious humours which the Urine the Serum of the bloud being made like to healthy peoples urine does indicate then it were needless for us to purge the bloud either by bleeding or a purgative Medicine but the said exanthemata relicks and symptoms might then rather be easily cured by outward remedies or fomentations Like as in that long Plague which raged at Rome in Galen's time In those saith he lib. 5. Meth. who were to escape death black Pustules which they call exanthemata broke out thick all over the body And it was clear to any one that saw it that this was the relicks of the bloud which had putrefied in the Fever which Nature had cast out to the skin like ashes But saith he there was no need of Medicines for such exanthemata because they went away of themselves Thus also I have above an hundred times seen an Itch and oedemata in the Legs that have risen after a Crisis of other Fevers but especially of Quartane-Agues go away of themselves without any help of Medicines But if then either bloud had been let or a Purge given there had been great danger lest by those veins whereby the matter of the disease had been driven out it might have been drawn back again to the inner bowels For a hungry Stomach can fetch back the Aliment trasmitted to the bowels and limbs by the same ways and can draw other humours out of the bowels into its cavity But since this foul asperity of the Skin vulgarly called the Itch does arise of impure cholerick bloud or adust or faeculent mixt with the liquour of salt Phlegm such as the Liver produces through its dyscrafie or often of meats and drinks of a bad juice which Nature does not throw off all at once but by degrees with the Aliment of the body without any ebullition of the bloud to the parts of the body and infects and alters them with its contagion whence it comes to pass that the successive regeneration of it depends not onely upon the dyscrasie of the Liver as upon an internal antecedent cause but oftentimes upon an obstruction of the Spleen whose office it is to purge the bloud and upon the contagion of the Parts Therefore here it is necessary not onely that the bloud be purged by opening a Vein and giving purging Physick frequently but also that the intemperature of the Liver and obstruction of the Spleen be corrected and opened And then after the Body has thus been well purged it will be worth the while to dry the habit of the Body also with Sudorifick Potions of Treacle or Sulphureous Baths or with Ointments made of Mercury and so you may rid the outer parts of the Plague of this infection which they had taken And seeing the Pustules and Itch of a new Pox have commonly a great affinity with other Exanthemata which the remedies common to them both do argue and since beside the external causes of contagion both of them depend upon the internal infection and filth of the corrupt bloud and humours Who I pray even after the Pustules are driven out to the Superficies of the body will deny Langius Ep. 15 16. lib. 1. that evacuation of bloud by Phlebotomy and Purging is of great moment in the cure of either of them XII Angelica N. had been several years troubled with blackness in her fingers with a little corruption and parting of the Nails She was of a cold constitution heavy and dull The blackness was taken away by Tobacco smoak and Ointment thereof Severinus Med. eff p. 159. for that year But when it returned the next it was quite taken away with a fume of Cinnabor so that it never came again XIII Sometimes Sweating of the Feet does miserably torment Women which they endeavour to stop For which Disease I can easily tell them a speedy remedy D. Panarolus Pent. 3. Oâ—s 16. namely if they put some powder of Myrtle in their Linen Socks But let them have a care they do not fall into worse diseases as I have often seen This excretion preserves from many Diseases and should rather be promoted than checked ¶ A Noble German following the Count of the most Serene Prince advised with a Physician about the sweating and stinking of his Feet The Physician orders him to wear Socks dipt in Red-wine wherein Alume was dissolved and prescribes him Pills of Aloes and other things and an Electuary of drying and diaphoretick Medicines which might keep the body safe from putrefaction and superfluous humidity The Socks gave great and present help for the Soles of his Feet were so thick that no sweat could get out afterwards But the Pills and Electuary did not answer the Physician 's end In a few Months some small faintings and unusual giddiness followed The Count of the most Serene Prince came to Geneva in the year 1674 and he desired a remedy of
me for these troublesome and dangerous Symptoms This Noble person was not against such things as might reduce him to his former state Universals premised two Issues were made in his Legs His Feet were washed for a Month in a Lixivium made of detersives and softners He walked much and by these means his former effluvium being recalled his dreadfull Symptoms ceased XIV Vulgar Physicians debar every contumacious pain that afflicts any part of the body without inflammation the help of bleeding because as they say these Diseases come of a cold cause falling from the brain To which cause they subject not onely the said pains but also all Chronical Coughs concerning all which things the Physicians think they have satisfied their enquiring Patients when they have told them that the remedy proposed can by no means be convenient for them but they must onely purge and keep a low diet and such things But that both the Physicians and Patients are deceived the thing it self and examples do shew Mr. de Varennes 75 years old had a continual lingring pain in his neck and shoulders for many Months which the Physicians endeavoured to cure by giving of Purges and applying hot Ointments By which when he found small benefit I told him I thought Bleeding would doe him good He on the contrary objected that he never used to be let bloud that he was old the Winter was beginning that the Disease came of cold humours and wind But he was forced at last by the increase and continuance of his illness to admit of Bloud-letting I ordered 10 ounces of bloud to be taken out of the Arm on the side affected And in a few days a like quantity on the opposite side with great benefit and then again out of the other and so he was cured Yet in the mean time we did not neglect the use of Purgatives and hot and discutient Unguents In such another contumacious pain in the neck with a heaviness of his head when the Physicians endeavoured in vain to cure the Reverend N. by Purging and other remedies I cured him by thrice bleeding him a pound and an half at a time contrary to the expectation and consent of other Physicians Therefore in cold Diseases or such as we think to be cold to abstain from bleeding is not always good but sometimes hurtfull And in contumacious Diseases although they come of cold matter it is not the part of a prudent Physician utterly to abstain or to bleed less than is proper Seeing it is certain that every part of the body is nourished by that matter which is in the veins which the colder and thicker it is the Disease caused by that matter must needs be rendred more grievous and contumacious Which matter we say Botallus l. de curat per S. M. c. 12. ought partly to be abated by bleeding and partly by purging and a thin diet to the end that when the mass of bloud is purged and renewed the Disease may be cured Haemoptysis or Spitting of Bloud The Contents Whether bloud may be let I. In what place it may be let II. We must have a care of bleeding if it come from bile III. The use of Cupping-glasses IV. The place for Issues V. Whether the Menses may be provoked in Women that spit bloud VI. The cure of one complicated with a Pleurisie VII We must be carefull in using things that dissolve clotted bloud VIII The use of them IX When Posca may be given X. Narcoticks may be given wâ—th safety XI We must not insist long upon internal Astringents XII Hot and thin things must be added to them XIII XIV What Medical Waters are proper XV. Eclegmata doe little good XVI Spirituous and thin things doe no good XVII Tincture of Corals is suspected XVIII Scaliger's Powder XIX Whether Nettle Juice be proper XX. The virtue of Linseed-Oil XXI We must not use every sort of Starch XXII Galen's way of cure is methodical XXIII The method of Purging XXIV When the bloud comes out in abundance we must not stop it on a sudden XXV The dissolution of concrete bloud must be promoted or the concretion of it hindred XXVI Even when the Disease is cured we must persist in the use of Medicines XXVII Medicines agreeable to every individual should be sought for XXVIII The Physician must be sagacious in enquiring the causes XXIX The excellency of Revulsion to the most distant parts for Revulsion sake XXX External Astringents are not always proper XXXI A thin and attenuating Diet is hurtfull XXXII What kind of Air is proper XXXIII Medicines I. THis is a dangerous Disease for the possession of life the bloud is wasted Wherefore here is need of a speedy and strong remedy such is Venaesection Galen let bloud in a young Man who having got cold in his Breast spate bloud Aretaeus is of the same judgment If saith he the veins be distended with bloud one must be opened in every profusion of bloud whether the bloud come by breaking or erosion It is good also when rarefaction is the cause lest a Vein be broken with the Abundance Yet if saith he the Patient be lean and scarce of bloud do not open a Vein Trallianus also prudently advises Heurnius l. de morb Pâ—ct c. 6. We must by all means saith he bleed in the Arm But when they spit out bloud hy erosion avoid bleeding for such Mens bodies are dry and inclinable to a consumption II. Galen 5. meth c. 8. opens the inner vein of the Arm and he opens it again the next day Trallianus l. 7. c. 1. says He did more good by bleeding in the Foot than in the Arm because the revulsion is stronger Mesue and Avicenna for prevention open the Saphoena for the cure a vein iâ— the Aâ—m and they doe well For when the matter is fallen upon the Breast and is still plentifully falling so that an inflammation may be feared a vein opened in the Foot brings help too slowly therefore we must bleed in the Arm. If the bloud come from the Liver we must bleed in the right Arm according to Archigenes If from the swollen Spleen in the left Salvatella as also in the same if it come from the Breast and Lungs without violence But in Women we must have respect to the Menstrua the freedom whereof blesses them with many conveniences And here we must use distinction When it comes at the set time it is good and it is scarce raised at another if the Menses be at hand in a haemoptoïck Woman be they suppressed or not bleed in the Saphoena So the Physician Nature's Servant will help her by drawing the bloud to the Womb whither belongs Aphor. 5.32 If the time of the Menstrua be afar off there is need of distinction for if there be signs of bloud being gathered about the Womb and it does not as then fall with violence upon the Breast let bloud in the Foot If it fall with great violence on the Lungs and
had rather prevent all mischief by a frugal Diet Exercise Bleeding and Purging XIII It seems an old Flux should be stopt 1. The Flux is toto genere preternatural 2. Nature is weakned by spending of the spirits 3. The Body is cooled and deprived of its aliment thereby It seems it should not be stopt 1. Upon the Authority of Hippocrates 6. Aphor. 12. 2. For fear of the recourse of the Bloud to the Liver and to the noble parts 3. Divers mischiefs follow the stopping it especially a Quartane-ague and a Jaundice from the Spleen as Joubertus lib. de Quart cap. 9. says For the decision of this case we must observe that this Flux as it is made by the expulsive faculty forced by the superfluous and noxious Bloud in an absolute propriety of speaking is preternatural wherefore in that thing it differs from the menstruous Flux because this is commonly agreeable with sound Constitutions inasmuch as provident Nature hath granted a redundance of good Bloud and will have the same discharged by the Womb that in its proper time it may serve to nourish the Child Therefore the Flux of the Haemorrhoids does not happen to nor should be procured in well and healthy Constitutions as Solenander sect 3. cap. 20. says But to whom it is peculiar and by custome natural in them it must be governed by singular medical prudence that it may neither be suppressed longer than is good for the Body nor void the humour in greater abundance than is consistent with the Rules of Health Therefore Jacchinus in 9. Rhas c. 72. says well Sometimes it must be let alone if it return at periods and be not excessive Sometimes it must be stopt if it hurt the strength so that Concoction is vitiated and a Dropsie may thence follow Yea we must observe here what Salvus Sclanus has Comm. in Art Med. Gal. l. 3. That in many Diseases and Fevers evacuation is made by the haemorrhoid Veins by applying Leeches which must be set not onely to such as use to be opened but to whom this evacuation is not usual if we conjecture that adust Bloud does abound for this evacuation eases the Body of that unprofitable burthen and also drives away all those Diseases to which Melancholy affords matter which Hippocrates lib. 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 reckons up To the Arguments we must say that the affirmative do conclude as to a Flux of laudable Bloud in Natures not used to it coming without any periods That the negative do intend those Haemorrhoids that evacuate peccant Bloud in Natures used to them Horstius Dec. 6. probl qâ— 8. and at certain times in such as are endued with a sort of neutral constitution of Body XIV The Flux of the Haemorrhoids is sometimes so pertinaceous that it is impossible to stop it by revulsion or by astringent Medicines I experienced such a pertinacy in a Noble-man at Venice 26 years old of a sanguine Complexion in Spring-time who was first ill for he had never had them before of the external Haemorrhoids running too much When I was called to him when neither Bloud-letting nor dry Cupping-glasses set to his Back nor Ligatures nor astringent Medicines internal and external did any good and the Patient was then in danger of his Life I propounded according to Hippocrates and Aetius contrary to Aquapendent the Burning of the Veins that bled I confirmed my opinion by Aph. 6. sect 1. and Aph. 6. sect 8. And when the Patient found that Death was not far off he admitted of Chirurgery Wherefore making haste home I furnished my self with pointed or oval Instruments and when I came back gave them to a Servant to bring them to me red hot With which being very hot I touched severally all the little mouths of the haemorrhoidal Veins which poured out the Bloud and brought a crust on them beginning with the highest first lest the Bloud falling from them untouched should quench the hot Irons before the operation was finished Thus the Noble-man recovered his former health If Nature had formerly often opened the Haemorrhoids and had been accustomed to transmit the superfluous Bloud to this part onely I had left one untouched to be stopt by Plasters and Astringents so that it might either be opened of it self or very easily by Art and a passage might be made whereby the Bloud which is gathered daily in the Body and uses to be evacuated at set times might be evacuated to prevent those Diseases Scaltetus Arm. Chir. Tab. 44. which Hippocrates mentions 6. Aph. 12. and 6. Epid. sect 3. text 33 34. XV. In the Cure which is performed by Medicines care must be taken of the Liver and Spleen because the mesaraick Vessels are inserted into these parts especially if they be hot or weak Also obstructions of the Bowels and mesaraick Veins must be opened if they give the original to this Disease And I have sometimes cured this contumacious Flux perfectly with Steel-pills At the same time above all things the fault of the Bloud must be amended with the greatest Care which seems to be the primary cause of this Flux Which if it be sharp and bilious must be corrected by an Infusion of Rheubarb often repeated especially with Tamarinds which according to Mercurialis have an admirable faculty to check both in Decoctions and given in substance instead whereof our tart Prunes may be given frequently eaten before Meals If the Bloud be hot and thin it must be cooled and thickned if watry it must be dried if much there must be a thin Diet. For it is vain to think of stopping the Flux Riverius before the original of it be removed XVI The Pain of the Haemorrhoids proceeds from bad humours transmitted to the sedal Veins and not onely from melancholick ones as Galen seems to believe lib. de atra bile 4. Forti cons 97. cent 2. but sometimes from bilious and pituitous ones according to Avicenna XVII For Haemorrhoids to be prickt that are distended with the afflux of much Bloud is no new thing Massaria is of opinion that they should rather be opened with a Knife than have Leeches applied to them Where the Pen-knife seems too cruel especially in Children Women and in a word the effeminate let alone the Knife and take the hamulous Pericarpium of the Teazle fix a piece of a Leaden Bullet to it that you may drive it the more certainly in so you may strike the part and take away as much of the humour as is requisite Many testifie that this small thing may be done with safety Severinus Med. Esâ— p. â—1 XVIII The haemorrhoid Veins are sometimes prominent outwardly but often are latent within Some bleed others not Pain sometimes precedes excretion of Bloud they often bleed without Pain and they are painfull also when no bleeding follows The Pain may be so violent that the Bladder being ill by Sympathy a stoppage of Urine follows A Man was troubled with the blind and internal
is taken out set it in an hot Oven after the Bread is taken out and keep the Mass for use The excellent Theodorus Zwingerus in his Theses for his degree made Anno 1680. 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 does curiously reprehend this fault of making Pap the common way The Matter saith he of Pap is Flower and Milk nay and often instead of this it is made of Water of which things without Fermentation a Paste is made onely by simple boiling with which they cram children every day as long as they will hold But now it is evident to every Man if not from his own at least from other Mens experience that the strongest stomach is notoriously offended with Bread but a little or not at all levened concoction is disturbed and Acid crudities are gathered If it fare thus with strong Men who can any longer wonder that such Pap is often corrupted and turned into a glutinous Acid Paste in young Children's Stomachs which are far weaker XI One set time for weaning cannot be fixt for all nor again can there be any certain Law and Rule since one body differs from another body and one nature from another nature Moreover all cannot bear weaning alike but according to the solidity of the flesh strength condition and appetite of Milk or otherwise so you may advise weaning sooner or later Many Children that have been weaned before their time have born it so ill that the Physicians have been forced to put them to the Breast again for fear of a Consumption or some future diseases Also when weaning is long deferred it is then a difficult thing to be done and not without danger in which thing we must know that no Child should be weaned before dentition be perfected or a little before it for that is the Law of Nature in craving solid meat Moreover the Child must not be weaned all on a sudden but as his Teeth begin to come so by degrees and by little and little he must be fed with more solid Meat Besides you must not wean him without that firmness concoction of food and alacrity to actions which is sufficient to bear the weaning And the sum of the case is that he crave other food digest sleep in the night and do not at all regard Milk Mercatus for it is a very difficult thing to wean Children that live by sucking XII If it be convenient to give a Child Milk to Purge him At wâ—at time must the Medicine be given to the Woman I answer If the opinion of Galen and his followers were true to wit that Milk is bred of bloud onely the Physick must be given at least a day before because before it pass so many concoctions less time cannot intervene But it is evident from Hippocrates his Doctrine lib. de Natur Pueri v. 250. that the matter of Milk is twofold one indeed plentifull which comes from meat and drink not yet concocted in the Stomach Another little which is bloud ascending from the Womb to the Breasts and this looks rather like an Agent than the Matter For I observed in less than an hours time that Milk became purgative in Mrs. N. who having taken a Purge gave the Breast immediately to a Girl a year old not thinking that the virtue of the Medicine could have come so soon to the Breasts for I had forbid her to doe it which was Purged so violently that we were afraid of a mortal Hypercatharsis but it did not give the Mother one Stool XIII In Children it is always safer to give Purgatives in too little than in too great a quantity because if it do not work in a few hours more of it may be given the Child and so we may try the strength of any Medicine in any body without danger For as it fares with old people so it does with Children all are not purged alike easily quickly and plentifully by every Purge for which reason lest any mischief should be created them by a strong Medicine it is better to give the most gentle Purge at several times and a little at each than all at once For the Physician cannot be too cautious because if ever certainly about Infants we may not make two mistakes Sylvius de le Boë seeing they are delicate and quickly perish XIV It is to be observed that Children are averse to all sorts of Medicines therefore as they are averse to Medicines so we must try all our skill to make them take them I speak of Medicines taken by the mouth because they easily admit of outward things Tne way of forcing Children is shewn by Paulus lib. 4. cap. 55. where he mentions the Instruments that must be used to force Children and they are a Spoon which first is forced between the Teeth to keep them firm together and then a large Pipe which is small at one end and wide at the other This is thrust with the narrow part into the Mouth to the Jaws and Medicines are poured in at the broad end Mercurialis and so whether they will or no they must take the Physick XV. There are two things in Physick which grievously perplex me in which I am greatly straitned am full of difficulties and almost stumble to wit when I have Women with Child and Children under Cure for they cannot express where nor what their pain is nor any thing else And it is very true what Galen 2 de Alimentis speaks out of Plato Ferdinandus That Children are the most intractable of all wild Beasts Ani procidentia or The falling out of the Arse-gut XVI If the falling out of the Arse-gut be with Inflammation in stead of bloud-letting we must use Cupping-glasses and also frictions but if the Child be of any age scarifying may be used Besides the Child must be gently purged But if we give a strong Purge without doubt a greater Inflammation will be raised in the going out of the Excrements In this case therefore we must see to keep the belly a little loose and the body should rather be purged by Urine than by Stool And for a Diuretick I would recommend half a pound of Whey well clarified and an ounce and an half of juice of Melon-seeds For this Medicine will purge especially by Urine and if it give a Stool it will doe it gently Mercurialis and without any griping XVII Powders and Oils keep the Arse-gut from falling as Take of Oil of Myrtle and unripe Oil of Roses let the Anus be anointed herewith then strew on a little of this Powder Take of Ceruss Antimony Galls Alume each three drachms powder them and apply them This Powder is commended by Rhases and I have found it very effectual But we must observe what Aetius admonishes that in Infants and young Children we must not use these Powders especially the Astringent and more efficacious because they greatly exasperate and cause pain wherefore unless the Child be well grown we must not use the foresaid powder
insensible transpiration by Urine or Stool But these are seldom seen in Children for in them the dissipating heat or consuming drought usually waste the humidity that should nourish The external cause is either the aestuating dissipating heat or the violent cold extinguishing the heat or the use of Salt meats XXIX If the heat appear as it were extinct by a cold disease or humour then indeed Children are usually very hungry although sometimes their stomachs are squeamish that is when Phlegm putrefies or becomes mucilaginous and the more they cram the leaner they grow Moreover they are of a white colour and though their body be extenuated their eyes face and feet swell being forerunners of another mischief You cannot heal this disease by change or increase of diet but by such things as waste and concoct the Phlegm and make the heat more brisk In which case it is good for Children when they are weaâ—â—ed to take a very little Wine with Biscoct-bread or in drink so it be much diluted for it concocts phlegm and crude juices corrects the cold intemperature and excites the heat Aromaticks are also good which if they cannot be given a sucking Child you mix them in all the Nurses victuals for they thin the Milk and make it pass easily XXX There is a Disease very frequent in these Countries in which Children that suck and those that are weaned are consumed with an Atrophy to a Skeleton onely the Belly as if there were a soft Parenchyma lying underneath being swelled and so far like the Rickets but that there is not such a tension of the joints and for the rest it comes without any concourse of Worms or of any other cause but onely through some fault in the lacteal ducts and glands For the method and cure of the common Consumption turning to an Ascites of a Tympany and the like Diseases sometimes used in this case has not been sufficient Nor yet afterwards have the remedies usually prescribed in a more accurate method for Schirrhi and abscesses of the mesentery wâ—ich indeed are rather the products of the inveterate Disease Laxatives Purgatives Aperients and Strengthners and external Anointings Bathings c. been found to satisfie expectation or to hinder those that are so held from being carried off at last by an Hectick with a supervening Epilepsie colliquative Flux Lientery and other Symptoms Within these few years a little Daughter of N. was brought to me than whom in all my practice I have not seen one more Consumptive she had taken an infinite number of Medicines Being much intreated and the case being desperate after I had given the Prognostick I happened I know not how upon Tinctura Martis aperitiva Vitriolata and upon Arcanum duplicatum which it may be might go nearer to the root of the Disease than any usual things for all their known energy Therefore we gave for the first week every day and for the next every other day in the morninâ— 2 drops of the Tincture for every year of her age and at 4 a clock in the afternoon likewise for every year of her age 1 grain of the Arcanum And so in a few days she began to be better in plight and in a short time after Nature recollecting her self of her own accord she was perfectly restored and is at this day brisk and corpulent enough After which Observation being farther confirmed by reason I have after that to this very day cured several in the same manner without the help almost of any other Remedies And this Martial Tincture is made of Vitriol of Mars made with Spirit of Wine and of the Acid of Tartar each 4 ounces boiled sufficiently in 3 pounds of Steel water and insensibly exhaled in stirring to the thickness of Honey which by pouring on 3 pounds of Spirit of Wine is dissolved by digesting little sediment if all things have been done as they ought being left And so the liquour is saturated and after little or no abstraction or exhalation is set by for use and it may be farther tinctured if you please with essence of red Popy Dan Ludovâ—â—i Eâ—â—emâ—r Câ—â—â—m aâ— 3. obs 251. You may have Arcanum duplicatum in Schroder Pharmac l. 3. p. 474. and Hofman in Clavi p. 344. XXXI A Boy two years old was brought to me Anno 1567. the Son of Mr. David Merveilleux Counsellour to the most Serene Prince of Longeville my intimate Friend consumed with a great Atrophy together with a Loosness His Breast was diaphanous if it were held to a Candle He was given over by all especially by a City Pastor who practised Physick I believed he was not desperate because he had a liveliness in his eyes And he was recovered by taking Milk in which red-hot Flints had been quenched adding Sugar of Roses and a little terra sigillata Within a month he throve upon it now he is a lusty Man and follows the Wars XXXII Sometimes Childrens Atrophy comes from Worms which are bred under the Skin in fleshy parts of corrupt nutriment This is an approved cure Take 1 ounce or 2 of Bryony-root boil it in Lye of Oakashes till it grow like pap Anoint the Body of the Child with this either in a stove or in some warm place then the Worms put out their heads at the pores and then presently tâ—e Skin must be shaven with a Razour for so the heads are cut off the Worms and the cause of deficieâ—t nutrition is removed And this operation must be performed once and again namely till it be evident that all the worms are gone Then the Children must be bathed often in Bathes of a decoction of a Sheep's-head and Feet Mallow Marsh-mallow Pellitory and Linseed c. XXXIII And there are not wanting some who affirm that Women witches suck children lean In which matter which I leave for others to discuss it is enough to know that they are emaciated because we find children are bewitched because perhaps they are infected with the Touch Sight and Breath of some infected maleficious Body For their tender bodies are easily made worse by any thing But how comes it to pass that a beautifull and healthy child presently grows worse discoloured and lean You must know that such a sudden change may happen in children either because the child by its innate principles is at the very perfection of health according to the indigence of its Age beyond which it cannot go one degree nor continue in the same then it must needs go into a worse state At which time I think we should use no Remedy but it may be hoped that by a good moderation of life and diet he may be brought to the utmost extent of Age which he is able to live while Nature grows stronger and the body arrives at a more solid state by the same action of Nature For so it happens to us all while we commit no errour in our life otherwise that alteration is a fore-runner of some Disease at hand Or again
put in a leaden Pipe and keep it in What I say concerning the urinary passage being stopt the same may be said of the anus And first we must diligently consider whether the anus can be perforated without danger to the sphincter For if it so happen that the whole Muscle be grown together and so Nature have made a way through the vulva it self as I observed in a certain Girl Perforation must not be attempted because most certainly the Muscle would be hurt and one evil would be followed by a worse But if it any way appear that onely a Skin is grown over the Muscle then the place must be marked carefully and a round Iron must be put into it and we must proceed as in other cases with Medicines and Pipes Mercurialis Labiorum Fissurae Tumor or Chapping of the Lips their Swelling LXXVII The Cure of the Fissure of the Lips consists in two things in restoring the continuative moisture and in agglutination or union of the divided parts But because neither the continuative moisture can be restored nor the parts united unless care be taken that no new matter flow to these parts it seems very necessary that the body be kept clean and to accomplish this end it will be very good unless the Skin of the Head be open to open it gently with vitex or Mustard and then to apply Mallow For as Hippocr lib. de Sac. morb says Whenever childrens heads run any moisture at an Ulcer always the Flux is retracted from other parts of the body which of consequence remain safe Idem LXXVIII It often happens in Children and other tender bodies that gentle things which must be moderately astringent and dry without any asperity but with a little viscousness doe no good Such as in a hot cause are unripe Oil of Roses Tragacanth Juice of Gall Pomegranates old Fat of a Hen Calves Marrow c. In a cold cause Mel rosarum Tragacanth Gum-Arabick Mastick c. We must proceed therefore to such things as are drying but yet among them we must have a care of very dry things Aegineta commends Turpentine with Honey and Hogs Lard And if the things proposed doe no good let a little more drying things be added as half an ounce of washt Ceruss or Litharge more or less If the pain be very troublesome a little Opium may be mixt with the Womans Milk LXXIX I have a Son 7 years old who after obstructions of his Bowels and the Swelling of his Belly had his upper Lip much swelled and scabbed When it refused all internal Remedies I ordered two Issues to be made between his Shoulders with the Caustick stone out of which much corruption ran the Swelling of his Lip asswaged and the Scab fell off Anno 1680. Linguae Fraenum or Tongue-tiedness LXXX In cutting the Fraenum of the Tongue the adjoyning parts and the branches of the Veins must be very carefully avoided yea the Salival Ducts in the sixth pair of Nerves are so near to this string that they might very easily be hurt by deep cutting Barbette whence a continual Salivation is raised LXXXI It is almost a common custome either for Midwives to break the Bridle of Childrens Tongues with their finger as soon as they are born or for ignorant Barbers to cut it with a common Lancet for they think according to the opinion confirmed by the authority of very learned Physicians that the speech will not be perfect if this string should remain whole but they are much mistaken Indeed it cannot be denied that sometimes the string of the Tongue wants correction yet I make bold to affirm that the errour of the Midwives especially is intolerable who try to break it in all when I have known many speak well without breaking it but several who have immediately been almost choaked with bloud and a little after died because an Inflammation arose which causing pain hindred sucking If therefore we suspect any such fault in the Tongue it is expedient to defer the Chirurgery till the time of speaking or to have a skilfull administration of it according to Aquapendent's way Scultetus LXXXII In the mean time it behoves the Chirurgeon to know this that among an hundred Children scarce one can be found which wants this Chirurgery and that those Midwives are silly and ignorant who cut all Children as soon as they are born whereby they deprive Children of their Milk and Barbette other accidents following of their lives LXXXIII A Midwife cut a Girls Tongue after her fashion with her finger Pain and Inflammation followed which hindred her taking of the Breast Her Parents thinking that the Midwife had not done it sufficiently called a Chirurgeon who with equal ignorance to mend the matter cut both the ligament and the vessels of the Tongue from whence the bloud fell into the Aspera Arteria and killed the Child in three days When the Child was dead the Nurse began to complain of a Swelling in her Breasts from some Curdled Milk and her right Breast being ill treated degenerated into an exulcerated Cancer ¶ A Girl new-born when her Tongue was cut was not able to suck the Milk for Pain And the Milk curdling in the right Breast she laid the Child to the left for a while A little after she observed in her Daughter the vertebrae of the Back distorted towards the right-side to which distortion that could scarce be amended Scultetus the laying the Child to one Breast gave occasion Maculae Naevi or Marks and Moles LXXXIV I think Spots and Moles contracted in the Mothers Womb may be cured and I reckon those which Children bring into the World with them not altogether incurable unless they be near the eyes But in cutting Tubercles and Spots we must be very carefull that they be all cut out and that nothing of the skin or flesh Hildanus which is coloured remain for they use to grow again LXXXV Georgius Segerus Ephemer German ann 3. obs 198. disapproves of the way of taking off those Spots by anointing with the bloud of the Secundine He says that a Maid had the Back of her left hand almost all of a fiery-red colour by reason of the Mother's apprehending a sudden Burning when she was with Child the fright making an impression on her left hand She by the advice of an old woman had besmeared the discoloured place with the bloud of a Secundine but it was so far from taking off the Spot that it caused a great Inflammation with much swelling and pain which the Chirurgeon had much adoe to stop the Mark remaining notwithstanding LXXXVI The best way of removing the maternal Marks is by Section which is easie if the Tumour can be tied about the root with a thread and such things applied as may commodiously intercept or make revulsion of the affluent humours But we must have a care that no Artery nor any great Vessel especially a Nerve be hurt for if Nature
the bad humours which when the Spleen were taken away could doe the same mischief to another part However in a Scirrhus cutting of it out would be of use because the weight of it is troublesome and often causes a Dropsie Fioravanti tried it who cut the Spleen out of a Woman's Belly which weighed thirty two pounds and so delivered the Woman from a Scirrhus which would have killed her Since Fioravanti none durst venture on the operation in Man though in Animals whose Spleen is less and looser T. Bartholinus cent 4. hist 51. it has succeeded well XXVIII Petrus Asselinaeus when he practised Physick at Castel-franco observed that the Country people there had a strange irrational operation for a Scirrhus of the Spleen whereby nevertheless the Patients acknowledged they found benefit and among the rest a certain Knight of Malta who in his presence suffered the operation to be performed in this manner The Patient lay stretched out on a Table a clean Paper was laid on his Spleen and they set a very keen Ax to it which they hit twice or thrice with all their force The blow put him to much pain but the Paper was untouched and one might feel the Scirrhus cloven into two parts And by this means those that have used it think they hinder the increase of their Spleen Aquapendent mentions this diverberation who thinks it absurd as also do Cardan Massarias Riolanus Velschius and others XXIX The site of the Spleen is sometimes changed when its ligaments being made lax it hangs down or when they being broken it hangs forward in the hypogastrium which I saw four times Then it deceives unwary Physicians in form of a Mole or of a Scirrhous Womb in Women In Man in form of a glandulous Tumour like a Steatoma lying in the Mesentery Sometimes one would think one of the Kidneys were slipt thither But they are easily distinguished A sign of the Kidney being slipt is a round Tumour of the Spleen 's falling an oblong Tumour and a vacuity in the left Hypochondrium But if the Tumour be moveable as it is at the beginning both the Spleen and Kidney is easily restored to its natural place again Otherwise after six months time it sticks so fast to the Peritonaeum forwards to the bottom of the Bladder and the Guts and in Women to the Womb that it must of necessity putrefie there Which it will doe the sooner if you use emollient Medicines you may prolong life if you let bloud often and keep up the Swelling with a Truss Whether if the Spleen be out of its natural place or slip forwards to the Hypogastrium may it be burnt with a red-hot Iron It is a very hazardous case although old Veterinary Authours write that so the Spleen may be wasted in Horses and Slaves those cheap Souls in whom they thought it good and lawfull to experiment this most cruel Remedy Riolanus XXX Take of Mandrake-root a quarter of a pound cut it into pieces and boil it in Oil of Linseed Sesamum or Almonds adding a little Vinegar Bruise them and pass them through a Sieve add to them of Opoponax dissolved in Vinegar of Squills two ounces Stirax Myrrhe Bdellium Seeds of Alkekengi each half an ounce new Wax or Propolis and Turpentine what is sufficient Saffron two drachms Celtick Spike Schoenanth Asarum or Vitex each one drachm Mix them First foment the Spleen and then anoint it It has so emollient a virtue that it will soften Ivory Medicines especially made use of by eminent Physicians For Obstructions 1. Juice of Tamarisk drunk in Wine is highly commended ¶ An Asses Spleen is good against inveterate obstructions ¶ Germander is a good Medicine also Benedictus 2. Tincture of Spleenwort cures all Diseases of the Spleen De Bry 3. A Decoction of Fern is effectual in this case Forestus 4 Gum Ammoniack dissolved in Vinegar does especially dissolve the Spleen Sennertus 5. Deadnettle taken any way is good for a hard and obstructed Spleen Solenander 6. Root of Dwarf-Elder boiled in water till two parts in three be boiled away cures admirably as I have experienced Varignana For a Scirrhus and Hardness 1. For a hardned and obstructed Spleen I had always success according to my desire by giving a decoction of Roman Wormwood to drink in the Morning Baricellus and it succeeded always better if Smith's Water were given after Meat 2. Powder of an Asses Spleen or a Wolf's Liver and the Ashes of a Bat given to two drachms in Wine or in Oxymel or Vinegar of Squills is very efficacious ¶ But the most effectual remedy is drink prepared with Steel and other things Capivaccius 3. Spiritus Vitrioli Tartarisatus is admirable good ¶ Also a Plaster of Juice of Hemlock and of Juice of Mandrake is good if they be mixt with Gum Ammoniack Hartman 4. Juice of Crow-Garlick dried and powdered is admirable good Take of this one scruple Gum Ammoniack dissolved in Vinegar of Squills half a drachm Make a Bolus give it four hours before Meal and drink half an ounce of Oxymel presently after it ¶ Among compound Medicines this is an effectual one Take of Heath-Berries half an ounce White Pepper Syrian Nard Gum Ammoniack Thymiama each two drachms Powder the dry things Dissolve the Gum Ammoniack in Vinegar of Squills Mix them Make Trochiscs of a drachm weight Rudius Give one of them with Oxymel Lienteria or A Lientery The Contents What such the Preparatives ought to be I. Whether we must Purge upwards or downwards II. Astringents applied are not always beneficial III. Whether Milk may be allowed IV. If it proceed from a Dropsie it must not be stept V. Medicines I. THere is a great difficulty about things that prepare the thick matter For on one hand Writers propound Mulsa Honey of Roses and Oxymel but every one of these things incides and loosens the Belly and so they are all suspected Such things therefore must be chosen as both incide and heat dry and astringe These things are commended among the rest Vinegar of Squills Syrup of Mint and of Wormwood But above all the rest Sal Theriacale is commended or Salts made and extracted from hot Stomachick Powders as Salt of Wormwood Mint and Spike And if they are not to be had it is easie to make Lixivia of their Ashes and how available Lixivia are in abstersion and drying Galen 2. de antidot c. 7. shews A Lixivium may be made of Stomachick Ashes by burning Wormwood Mint Coriander Spike Schoenanth Pennyroyal and Calamint One ounce may be given either simple or mixt with Vinegar of Squills or Syrup of Mint or the like After Abstersion the Stomach must be heated adding Astringents among which one drachm of Coriander powdered with Odoriferous Wine is very good Opiates also may be given as Philonium about half a drachm for when sleep is procured the Meat is kept and so it is
ordinary remedies conveniently used they think the Patients are not perfectly cured upon which they cast them into new torments and at length into an Atrophy and Consumption When notwithstanding these Symptoms do usually after a little time disappear or are discussed with easie remedies A certain Nobleman besides Nightly-pains and other Symptoms of the Pox had a Swelling in his Neck bred of Phlegm and Melancholy After anointing all the Symptoms perfectly disappeared except the Swelling of which two third parts were discussed The Patient believed he was not cured yet the Tumour was discussed in a months time onely by applying Emplastrum de Vigo quadruplicato Mercurio Another after Fluxing thought himself not cured because there remained an Ulcer in his Neck about his Windpipe yet this Ulcer was cured with common remedies within a Month without any remedies respecting the Pox One among other Symptoms had a great Pain upon his Shin-bone he was cholerick and had been four times rubbed which made him very lean he used a moistning diet for a Month afterwards he was rubbed with Mercury all over whereby the pain ceased a Ptyalism was raised of yellow thin and stinking humours for a Month and then he voided thick Phlegm for fifteen days At length Incision being made upon the place that was pained before a Caries was found which being taken away by an actual Cautery and a Catagmatick Powder the Patient was perfectly cured A Nobleman being cured after the ordinary method there were great pains remaining in all his limbs so that he could not stir them without crying out Monsieur de Lort thought the pains proceeded not from the Pox but rather from a dry intemperature in the Ligaments D. Pomeret apud Riverium that knit the joints and nervous parts He cured him perfectly with a moist diet and Bathes continued a long time LXIII People talk much of a thin diet in this Disease But because it abates strength much and keeps it low it is good in acute Diseases which because they last not long the strength though brought low can continue to the end But seeing the Pox is a Chronical Disease and the cure is extended to many weeks if the strength be brought low by a spare diet it cannot hold out to the end of the Disease And the reason why Physicians keep their Patients with Bread and Raisins I take to be this Because it is a simple food and affords good juice for since variety may easily breed bad humours and since flesh and fish and such meats are more easily corrupted than Bread and Raisins it is good to forbid variety of Meats and Flesh and to be content onely with Bread and Raisins Sennertus LXIV Many commend Biscoct Bread yea they allow onely it which as we do not disapprove for strong bodies that are moist and abound with Phlegm and excrements inclining to putrefaction rather than with adust ones so we do allow Bread once well baked and not too moist as the best food and most familiar to all natures Yea Biscoct seems to have its inconveniences for it is not easily concocted and most people in the Pox have a weak stomach Besides these people abound with adust humours which are increased by Biscoct Bread on the contrary they are tempered by the common Bread as being moister Idem LXV One had had the Pox sixteen years with Exostoses in both Legs which pained him so that he could not sleep all night I perfectly cured him within a month by bleeding in both the Arms by purging with an Apozeme and by a Sudorifick Diet-drink of a Decoction of Guaicum and Antimony Sweat was procured by burning Spirit of Wine I gave an antivenereal dose once in five days The Exostoses were taken off by applying Blisters twice or thrice when they give over running and grow dry Riverius LXVI Since it is safer to prevent a Disease than to cure it some Physicians among whom are Fallopius Minadous and others do teach what way one may save himself from the Pox though he have to doe with a Pocky Woman But I think such things cannot be taught with a safe conscience as incourage so many Men to Lust when perhaps the very fear of this Disease would have deterred from it Yet Minadous thinks they are deceived that teach thus and he overthrows Fallopius his foundation who thinks the Pox is communicated by small serous corpuscles which if they be wiped off the Pox may be prevented And he shews that the Contagion does not onely enter by the external parts of the Pudenda but by the internal and penetrates the Body and that the infected vapours and spirits pass by the internal porosities and are admitted by the veins and therefore no Man can promise himself safety from washing which onely comes to the external parts of the Pudenda or from outward applications because they cannot take away the inward infection But the safest way is to keep from Whores and to remember Sennertuâ— that Whoremongers God will judge N. B. The Medicines for the Pox have been so amply treated of all along the Title foregoing that I shall forbear to recite any more Lumborum Affectus or Diseases of the Loins The Contents The pain must be cured differently according to the variety of the causes I. The serous distension of them must be cured with Hydragogues II. The pain ceasing by voiding of black Vrine III. The Description and Cure of a Rheumatick Lumbago IV. I. IF we would discourse aright concerning pains in the Loins it is necessary for us to distinguish between the parts constituent of the Loins and the adjoining parts that give the occasion The parts constituent of the Loins and subjects of Pain are the Skin with the fleshy Pannicle the Muscles lying upon the five vertebrated Bones on the outside and inside with the Os Sacrum within the cavities of the Vertebrae the Spinal Marrow with its Membranes and a numerous off-spring of Nerves and the membranous ligaments knitting the Vertebrae one to another The parts adjoyning which may hurt by their vicinity or gravity or by the disposition of the matter are the Mesentery joined to the Loins the lower part of the Gut Colon the two Kidneys contiguous and sticking to the Loins by their fatty membrane the Trunks of the Vena cava and the Aorta lying upon the Loins and the Vessels arising thence which are dispersed into the Muscles of the Loins and the Spine such as the veins and arteries of the Loins and the Haemorrhoid Veins which descend along the Loins to the Podex the Spermatick Vessels also turgid with seminal Humour which in their passage impart branches to the Loins In Women the Womb with its Ligaments and the Testicles may hurt the Loins but most in a Woman with Child because of the weight of the Womb and the Child which may make the veins and Arteries that are dispersed through the Os Sacrum to trouble the Loins The remote parts which
several are voided Wherefore by Mountebanks it is usually vaunted for the best Remedy Idem VII When the virtue included is of a middle order or mixt with others So the Italians have an easie and no contemptible Medicine for the Worms it is Ly mixt with Oil-olive and they give it with good success Idem VIII They must be mixt with sweet things so they are strongly drawn downwards by a Milk Clyster so Medicines may conveniently be given with warm Milk that with this Vehicle they may take the Poison So Wormseed is taken with Bread and Honey that they may be allured in that manner So for the same end Spiritus Vitrioli Philosophicus is mixt with Sugar Idem IX They must be given upon an empty Stomach and another thing must not presently be given after them for when they have any other Food that which is ingratefull and contrary to them is neglected by them And this holds good especially in round Worms and it is not improper in broad ones Idem X. Mercurial Medicines want a Quickner but cannot so safely be given to Children Therefore Glauberus l. c. says That Mercurius Dulcis given to Children for Worms does usually unless they be all the stronger cause a Weakness of the Limbs For at that Age all things are fluxible and lax especially the Bones and Nerves but Mercury is an enemy to these and so easily hurts Idem XI Medicines must sometimes be changed lest the Worms should be used to them especially in a more grievous case where there are abundance of Worms and those Worms come not away Idem XII External things must be applied to the Navel and not to the Stomach unless they come near it Not onely because the Navel is more perspirable but because it is the Centre of the Abdomen and therefore when Worms are in the Guts the virtue of Medicines may more easily be communicated to them but these external things must onely be used for a help Idem XIII Anthelminthicks are not universal Medicines Langius and Haupmannus their hypothesis is sufficiently known concerning verminous putrefaction its being the Cause in a manner of all Diseases Pains and Ails and usually of Death it self concerning which there is extant a Piece called Haupmanni Pathologia animata But as it cannot be denied that Worms are among Causes of Diseases so to extend them to be a Cause of all Diseases is absurd Idem XIV Evacuation is usually made by three sorts of Medicines either by some sweet and lenient things by things which act by their whole substance or by strong Purgatives Sweet Lenitives do not carry off dead Worms Sweet things get Worms out because they are allured and got out with the sweet food which loosens the Belly Things that act by their whole substance carry off the live and dead without distinction And the strongest Purges are bitter so that at one and the same time they can both kill and carry off Therefore things that kill Worms are in vain given before Purgatives Saxonia XV. They are mistaken who to kill the Worms use any slight Medicines which have but a small virtue to kill them for Worms by their expulsive faculty expell bitter things that are but gentle We may observe this when Children are troubled with Worms and with a bilious Diarrhoea at the same time for Bile which is naturally bitter does not kill them Wherefore unless we have recourse to strong Medicines as to Aloes not washt or to a scruple of Mercury made into Pills with a little Aloes and Turpentine Sanctorius we doe nothing XVI To evacuate the matter of which Worms are bred that is Phlegm Species Hierae are reckoned good if it reside onely in the first ducts But if in the whole Agarick not Rheubarb which many use for though by its bitterness it be good to kill Worms yet it does harm as it purges Bile and not Phlegm and when the Phlegm is left Sleepiness Epilepsies Apoplexies and Death follow Agarick therefore is good becaâ—se it purges Phlegm and by its bitterness kills Worms Capivaccius XVII Women commonly give Wormseed in Comfits or the bare Seed mixt with Honey It is an excellent Remedy for Worms being greedy of sweet things devour the Honey and with it the Seed which kills them But because it is very hot it may be tempered if it be infused for two hours in Vinegar and then mixt with Honey boiled up to the form of an Electuary which Amatus commends as the best Medicine for the Worms Riverius XVIII When Worms are voided in acute Diseases as in burning Fevers and other Diseases of old Men and Children we ought not presently to turn all our intention on them as the good women and Physicians that humour such women do which is a reason why Patients die when the Disease is neglected Wherefore the Physician must carefully consider whether the Fever depends on the Worms or whether Worms be voided for some other reason which are always contained in the Belly And if you find the Fever comes from some other cause perhaps it is a quartan tertian or quotidian and if no symptome be very urgent they must be neglected or onely such Medicines given as are proper for the principal Disease and for the Worms â— cletius XIX Though in round Worms it be good to mix Purgatives with things that kill them yet in broad Worms it is better not to mix Purgatives at first with them because the Purgatives do not suffer things that kill the Worms to stay long in the Belly but quickly purge them off But if Medicines be first given to kill them they roll themselves round like a Ball and are so voided and the Party recovers Sennertus as the Authour lib. 4. de Morbis writes XX. The Medical Intentions are to kill the Worms to expell them to hinder a new growth of them and to prevent symptoms But first of all it is convenient to rid the Stomach and Guts of excrements and of food for the Worms by some gentle Purge for we may not give a Vomit lest the Worms should be drawn from the Guts into the Stomach where they might cause more mischief I know indeed it is the common opinion that we must use bitter things but I am quite of another opinion preferring sweet things far before them to withdraw the Worms from gnawing the Stomach and to dispose them for voiding by stool Wherefore I presently give four ounces of Manna in Broth altered with Cinnamon drinking three hours after it a dilute Mulsa made with Barley-water and that the Worms may be drawn downwards and the Guts washt in the evening I order a Clyster of Milk Butter and Sugar Then we must proceed to killing things as Oil of bitter Almonds of Peach Kernels Wine of Infusion of Scordium Spirit of Salt Oil of Sulphur Spirit of Vitriol and the Poison of Worms the distilled water of
advise every practiser of Physick to abstain therefrom 3. When the bloud is too fluid and serous and the vessels also too strait for otherwise if the ways were open enough the bloud would flow forth more abundantly and therefore also in less time the flux of the Terms continuing too long shall be cured by using Medicines that both restore a due consistence to the bloud and also open the passages slowly and gently Those things by degrees increase the consistence of the bloud which lessen the superfluous moisture in it and which do more incrassate it Hydragogues Sudorificks and Diureticks do lessen its superfluous moisture and the same is prevented by using more solid aliment diluted but with a little drink and moderate exercise of body Things a little sowr being taken oft and in a little quantity do incrassate the bloud better than any thing else As to things that gently and leisurely open the passages of the Womb Externals are more convenient than Internals for these latter would be apt to increase the fluidity of the bloud Externals shall be both Inciders and Emollients which shall be used in the form of a fomentation and bath I said that Inciders may be joined with Emollients because most Inciders are also Aromaticks and therefore strengthners of the Womb which Emollients do in some sort weaken Therefore lest while we cure one disease we cause another 't is good to use Medicines that may prevent new mischiefs I added that the foresaid things may be conveniently used in the form of a fomentation or bath and that Emollients may be joined with Inciders because so they will go directly to the Womb the other parts being untoucht at least unhurt and open its vessels leisurely and gently 4. When the vessels of the womb are too open and do not contract themselves again soon enough and so are the cause of a too long continued menstrual flux then are such things to be used as leisurely and gently strengthen and astringe the womb and its vessels especially Externals 5. When the affections of the mind are a great cause then is the mind to be reduced to tranquillity If the bloud be become too acrimonious and fluid through vehement anger it will be temper'd especially by sowr things used oft a little at a time Lastly The womb being much weakened and loosened by some great affection of mind it shall be strengthened by Astringents both such as are somewhat sowr and also Aromatick especially mixt together 6. VVhen the great heat of the Air joined with moisture is the cause of a too long flux then it is cured by changing the Air. 7. VVhen much or over-great motion of the body have preceded Rest is to be prescribed and observed in which case kindly sleep is to be procured both by Emulsions and also Opiates not taking too much at once but often Lastly If the bloud be made too sharp and fluid by Aromatical Sauces or Medicines let it be gently corrected temper'd and thickned especially by sowr and tart things but such as are more mild taking them now and then in a small quantity for these will not onely take away that too great fluidity of the bloud but also gently strengthen and constringe the womb that is too open and gaping To these I would have Aromaticks joined but those that are less Acrimonious as Nutmeg and the like that sowr things may be better temper'd Sylvius de le Boë prax l. 3. c. 3. and the bloud not curdled too much or the womb straitned above measure Mensium suppressio or Suppression of the Terms See Menses moventia BOOK XIX The Contents Whether Bloud must always be let in the Foot I. Some lean Women may be bled II. Whether Bleeding be proper for every Suppression III. When Opening of the Haemorrhoids may be tried IV. Opening of the veins in the Neck of the Womb by Leeches V. Vomits are not good for every one VI. When they stop for the straitness of the Vessels how they may be moved VII Aperient Medicines hurtfull when they are stopt by compression VIII They must not be provoked where there is want of bloud IX Emmenagogues must follow Vniversals X. They must be given in a large Dose XI When they are given in a Bath they operate most successfully XII Some generous Remedies in a pertinacious obstruction XIII For whom Pessaries and Vterine Clysters are proper XIV The excellency of Suffumigations XV. Issues are good XVI We must not make haste in the Cure XVII The cure of their stoppage accompanied with Spitting of Bloud XVIII Sylvius his cure of it from Obstruction XIII The lower parts must be kept hot XIX The Physician must follow Nature's Guidance XX. A provident care must be taken of them in whom they are stopt by reason of their Age. XXI The cure of a Suppression by reason the bloud is translated to the Haemorrhoids XXII How Specificks must be made use of XXIII I. IF the Suppression arise from too great a quantity of Bloud the quantity must be abated by bleeding liberally in the Arm For if the lower veins were first opened the bloud would be drawn more towards the Womb where it would cause a greater obstruction and distension of the vessels with danger of their breaking or of an Inflammation of the Womb. Riverius ¶ A certain Woman a foreigner of a Sanguine Complexion had divers Ails arising chiefly from the suppression of her Menses for which when the Physicians there present had used divers remedies and they appeared contumacious the Advice of the Physicians of Mountpelier was desired And in the relation the ordinary Physicians took especial notice of this which they wondred at and craved a reason for it namely That when a vein was opened in her foot her Terms stopt but when she was let bloud in the Arm they ran more freely Which events seemed contrary to Reason and to the common Tenets of Physicians which hold that the Terms are provoked by opening the Lower veins but that they are stopt by opening the upper To this Query it was answered That these Events were agreeable both to Reason and to Galen's Doctrine For seeing this Woman was Plethorick and that the suppression of her Terms arose from excess of bloud so distending the vessels that they could not well contract themselves when the bloud was drawn to those places by opening of the lower veins the obstruction was increased But when retraction of the Bloud was made by the upper veins from the vessels of the womb and their plenitude and distension was abated then they could with ease contract themselves for natural and ordinary expulsion which is made by the Womb. And this reason is backt by Galen's opinion 10. Method 2. That Obstruction i◠caused not onely by the thickness of Humours but by their abundance Therefore the Physicians there present were advised to abate the Plethora by bleeding plentifully in the Arm and that afterwards they should draw the
bloud downwards by opening the lower veins Idem obs 2. cent 1. especially about the time the Patient used to have her Terms II. It happens sometimes that the stopt Terms being retained in the Veins acquire a bad quality by reason whereof the bloud is rendred less fit to nourish the parts whereupon a Leanness and Extenuation of the body follows though the veins remain full of much but bad bloud Then bleeding with a liberal hand uses to doe much good Which is confirmed by a plain Instance in Galen who 3. 6. Epidem by taking away no small quantity of Bloud from a Woman who had had a suppression of her Terms for eight months and was extreme lean quickly restored her to her proper habit Idem III. By this method See Section XIII which is easie and gentle without all violence I have brought down the Terms in several Maids using no letting or evacuation of bloud for that end unless excess of bloud which is very rare did concur which indeed sometimes is afterwards observed in the suppression of the Terms scarce ever when they are not yet come down nor unless some great errour be committed in Diet about the time when they are first ready to come down For the sake of young Physicians I explain the matter I think that bloud scarce ever abounds in Girls in whom the Terms do not come down of themselves at the time of Pubescence except they have committed some great errour in their diet though they be often suppressed in the elder when they are plethorick For young Girls are more carefully looked to by their Mothers or Governesses and they have not so great a liberty of Diet allowed them as to be able to commit any notable Errour But the case is otherwise in them that are grown who as being better exercised in humane affairs have a greater liberty and opportunity of offending allowed them I said that a Plethora is very rarely observed in Girls about the time of Pubescence because about that time their bodies grow most and in that growth much of the bloud is spent so that abundance of it scarce ever concurs But after the body is grown to a due stature no wonder in a healthy body when the mind is chearfull and their food is of a laudable juice and they eat a sufficient quantity of it if a Plethora and abundance of bloud be produced And when there is a Plethora in those that are grown and are beyond the first years of their Pubescence no wonder also if when they have a suppression of their Terms Venaesection now and then have place not so much to move them again as to diminish the Plethora But if when there is no remarkable disease or fault in the vessels of the Womb the Terms nevertheless do not flow because of a Plethora of the bloud and the motion of it hindred thereby who does not see if bloud be then taken away and the Plethora of it be also abated that its motion is increased and renewed whereupon its motion to the Womb and through the Womb is promoted Nor is it any wonder if in such a case Bleeding in the Arm do as much or more good than Bleeding in the Foot and especially because the bloud comes in greater plenty and violence out of the Arm than out of the Foot and therefore better able to renew and augment its motion For how much more powerfully the bloud is moved through the vessels of the whole body so much more powerfully and easily it makes its way through the Womb which is here required This therefore is the reason why at the time of Pubescence a Plethora scarce ever is observed and why Bleeding is then scarce ever necessary to promote the Terms But when the Menstrua have come at Pubescency and a Plethora is made for the said causes if they then be suppressed bloud may profitably be let And though sometimes it may so be that the Terms come too slow because of a Plethora and therefore they are promoted onely by letting of bloud seasonably yet because for the most part some fault in the vessels of the Womb does concur arising from a bad diet therefore Medicines are usually required to open the obstruction of these vessels whether they alone be sufficient or upon the urgency of a Plethora Bloudletting be joined with them Sylvius de le Boë ¶ When the Terms or Lochia stop in the Womb then they are commodiously evacuated by its neck as well the Internal as External and indeed partly by External remedies partly by Internal Among the Internal Bleeding in the Foot may very well be reckoned since often when the bloud is prepared for its natural flux especially when there is a Plethora and therefore the bloud runs too slow the Terms and Lochia which are stopt by a Plethora are often by means hereof moved and brought to their natural flux But when either of them stops because of an obstruction in the vessels of the Womb and in the orifices of the vessels then unless there be a Plethora Bloudletting does more harm than good because by diminishing laudable bloud not exceeding in Quantity it onely weakens Women and does not at all restore the flux of either Then there is need of such medicines both Internal and External as remove and amend the Harm if any be done to the Womb by the External Cold of the Air Water Snow a Floor c. And such things as incide attenuate and make fluid congealed and obstructing Phlegm and that may move and remove it c. See Section XIII IV. If the Saphoena cannot be opened because the Feet are swollen or if the Patient be against it and bleeding in the Ham and against setting Cupping-glasses to the inside of the Thighs let Leeches at least be set to the Sedal Veins and let a moderate quantity of bloud be taken thence Nor is it any hindrance that by this way derivation is made from the Womb upon which account the operation appears suspicious that is lest the Terms should be hindred for when the thick and feculent bloud is evacuated thereby the bloud that remains will easily be made more fluid and will run to the usual places especially if after this remedy the Womb be fomented and dry Cupping-glasses be set to the Hips But we must take notice that this must not be done Sylvaticus when the Terms are present or at hand V. For the motion of the humours lodged in the Womb Galen 13. Meth. 19. propounds the applying of Cupping-glasses to the Pubes and Groin But a safer and more successfull derivation may be had from a replete Womb by setting of Leeches to the Veins of the Neck of the Womb for a good quantity may be taken away well enough Hieronymus Nigrisolius first began to put this operation in practice Forâ—is VI. In Women and Maids that labour of an obstruction of the Menstrua which arises not from any foulness in the
of Amber eight grains Mix them Let the Patient take a draught of this Apozeme warm early in the morning and being well covered with clothes let her lye to Sweat but if within an hour after it do not come let her promote it by taking broth let her often repeat it and about the usual time of her Terms to the end the bloud also may at last be forced to the Womb. But if the said Phlegm redound not onely in the bloud but in the Head and Guts it will be good and beneficial now and then to abate and evacuate it by Phlegmagogues among which Agarick Turbith Hermodactyls Coloquintida c. are vulgarly commended And among the Chymical ones Sylvius de le Boë all Medicines made of Mercury are chief both praecipitate and sublimate especially Mercurius dulcis Among External Medicines Baths Fomentations and Fumes are deservedly commended from which either the arising Exhalations Vapours Fumes or the Penetrating Liquour do incide and attenuate the Phlegm or other glutinous humours sticking in the Orifices and Vessels of the Womb and causing Obstructions and so make them fluxible and apt to give way to the bloud then or afterwards desiring an exit or to go out with it Baths certainly in which Women use then to sit above the Navel do by their moisture insinuate themselves into the outer Neck of the Womb and then into the inner and do set loose and dissolve every glutinous humour whatever that so frequently sticks in the cavity of the inner Neck and that being within a-while removed thence they penetrate inwards and incide and dissolve and so make fit for efflux the glutinous humour there also that sticks to and in the Orifices of the Vessels of the Womb. But warm Baths are used that so they with more speed ease and efficacy produce their desired effect As to the Liquour of the Bath Water may conveniently be used and at the time of Use a little strong White-wine not Red may be added as also Spirit of Wine and Volatile Salt though this do not augment the Liquour so much as it promotes and intends the virtue of the rest of the things that are decocted As for the things that are to be boiled therein I commend aromatick Plants i. e. strong smelling ones that have a sharp and gratefull taste but especially those they call Hysterick But since drying Baths are observed not always to promote but often to hinder the Flux of the Terms here also Roots of Lilies Seeds of Line and Fenugreek c. will be proper to boil not onely to incide and conveniently to attenuate by the Aromaticks which are often too drying and therefore incrassating but also to mollifie For so the glutinous humours being partly attenuated partly mollified are more easily made fluid nay they are brought to a Flux and Efflux and so the high-way for the stopt bloud is cleared again and laid open But it is good for the Bath not to be over hot lest too much Sweat be caused whereby when the more serous parts of the bloud are exhausted the glutinous humours would be rendred more glutinous Nor must she continue long in the Bath for the same reasons for unless by means of it the Obstruction be removed quickly that benefit will scarce be obtained by tarrying long therein Fomentations are made of the same things with Baths and are applied to the Pudenda and that most fitly with Sponges or woollen Cloths but not with linen for they as well as Sponges soak up more Liquour than linen nor do they so easily let it run away besides they keep the heat of the Liquour longer in them without which Fomentations doe more harm than good Akin to these is the Vapour arising from a Decoction heated and received into the pudenda through an open Chair and so penetrating inwards Thus Exhalations doe good which may commodiously be made of Salt of Tartar or of any other fixt Salt and Sal Ammoniack which because it is most penetrant will doe very much good here and is deservedly preferred before many other things Idem XIV Pessaries and Uterine Clysters ought onely to be prescribed for Women that are married and that lye with Men but for Maids Nascalia Fomentations Insessions and Suffumigations Riverius XV. Suffumigations are approved of above all ways for so the Medicine acts most effectually and a Fume also of Spices brings down Womens Terms Aph. 28. 5. For the virtue of Medicines is abated in their passage when they are given in form of a Powder Potion Pills or Bolus before they get to the Womb which it is not when they are administred in form of a Suffumigation Besides since things that provoke the Terms are hot they often by the way hurt a hot Liver for the Terms are often stopt by the thickness of the bloud which is caused by a hot Liver And this way is preferred before the rest according to Galen because you may meet with some Women who will not endure Clysters or Pessaries who will admit Fumes and they penetrate more The onely hindrance is Weakness of the Head for some Womens Heads are easily disturbed by Aromaticks But in administring of a Suffumigation two things must be observed from Galen 1. That Women be girded 2. That the Fume ascend through a Pipe into the Neck of the Womb Capivaccius for so the Fume does not easily get into the Head XVI In a diminution of the Terms Mercurialis Cons 8. highly commends two Issues below the Knees on the inside And Cons 108. he says that an Issue below the Knees on the inside of each Leg is very effectual XVII I have hitherto observed that we must make no more haste than good speed and that more may be done by gentle Medicines than by strong That therefore the Cure may be safe Sylvius de le Boë we must abstain from all things that have any danger in them XVIII Avicenna orders when Women spit bloud because of a Stoppage of their Terms that they must be provoked by Bleeding Cupping Frictions and other such things yet not by Medicines that move the Terms but near the usual time we may add a spoonfull of distilled Savine Water or five drops of its Oil to a Decoction of white Saunders Guaiacum Box Rhodium root c. And outwardly at this time that is an effectual Remedy Hempen Thread newly boiled and still warm Fortis cent 2. cons 163. applied twice a-day for an hour to the region of the Womb for we may not go higher XIX The lower parts must be kept warm and the upper cold Women offend often herein when they cover the whole body with Bed-clothes and hereupon all the parts draw upwards and downwards Walaeus XX. Medicines must be given at the usual time of their coming For if a Physician should stimulate Nature in the full Moon that was accustomed to her excretion in the new he would then labour in vain unless he used most violent
Medicines wherein there is more harm than benefit Idem XXI A Flux of the Terms which stops of it self by reason of the Woman's Age though they do not require to be brought again yet it is necessary to disburthen Nature by some Evacuation For though this Suppression do not cause the most grievous Diseases yet it frequently breeds tedious ones and such as are difficult to cure Therefore every year till Nature be broken of her custome Mercatus she must be eased by gentle Evacuations XXII If the Bloud come by the Hemorrhoids and be turned from the Womb the Cure will be very difficult for whether you use Attrahents to the lower parts they draw to the Seat Or if you use Astringents they also because of their vicinity repell whatever comes to the Womb. The onely way of Cure therefore to doe any good is this to apply local Medicines to the Womb which may draw the moved humour more to the Womb. Riverius XXIII Specifick Medicines use most conveniently to be given a few days before their usual Flux after Baths and Fomentations wherewith the Vessels of the Womb are heated and opened then after taking of these Medicines it is good to put the Feet into a Decoction of some convenient Plants and then to walk Let the Woman sit up to the Navel in Fomentations and let her hold the boiled Herbs put in a Bag to her Belly After Fomenting the parts near the Womb may be anointed with Oils and Unguents as Vnguentum Martiatum Snake's fat with distilled Oil of Savine Lavender Bayes and White-lilie Outwardly let another Woman's Smock newly bedaubed with her Menstrua be put on which is very well approved from experience for in a manner by Sympathy it excites the Mumial Ferment of the bloud within the Womb. F. Hofmannus Mesenterii Affectus or Diseases of the Mesentery The Contents Handling of the Abdomen does not shew its Diseases I. In opening of Obstructions we must have a care lest Aperients be hurtfull to the Liver and Stomach II. We must not insist over much on Purging III. With what things Preparation must â—e performed IV. We must have a care of too much using of sweet things V. Sometimes a Vomit must be given VI. When Baths are proper VII What such the Diet must be if it come from the straitness of the Vessels VIII We must abstain from violent Openers IX The Cure of its Pain X. When the Mesentery is inflamed Purgatives and Diureticks usually doe harm XI In its Vlcers Mineral Waters must be avoided XII The Virtues of Cypress Turpentine XIII Voiding of Pus often comes from some where else XIV Obstructions must be prudently opened XV. I. IT is a common mistake amongst many who neglect all Anatomical knowledge to take a Tension reaching lengthways on each side of the Abdomen for a Swelling of the Mesentery or Liver when it is indeed a Swelling of the right Muscles Truly it is an inexcusable errour for the Mesentery lies under the Guts and no part of the Mesentery arises above the Guts which can be felt by the Hands in the Abdomen but these right Muscles are not onely above the Guts but above the Omentum and Peritonaeum and above the transverse Muscles of the Abdomen Wherefore no man can by feeling any part of the Abdomen judge any thing for certain concerning the state of the Mesentery for indeed these two parts of the body are too far distant in site and origination This Tension lengthways may be found in a Thousand People that are very well in health And this errour in notion passes into operation for the Patients are ill treated with divers outward Applications II. Medicines that open Obstructions must procure a firmness and strength to the Liver and Stomach For as Avicenna says excellently well lib. 3. Fen. 14. tr 1. c. 1. He that uses a Cure for Diseases of the Mesaraicks without any regard at the same time had to the Liver as to the cause of them is not unlike to him that fences the Feet when they are hurt by something being amiss in the Spina dorsalis but omits the chief of the Cure which resides in the Spine III. Purging must not be plentifull nor constant and continual nor exceeding the bounds of Moderation The condition of the Passages seems to persuade this and Nature also who is very observant of Moderation and Security and the Nature of the Humour that causes the Obstruction Mercatus IV. Preparation with Syrups when the extenuated Humours run to the stopt parts will undoubtedly cause stronger Obstructions Idem ¶ It is better in Winter time to doe it with Electuaries than with Liquours ¶ Viscid and tough Humours are Fernelius according to Galen 15. Meth. 12. corrected with Attenuants and Extersives But the bilious and adust and which tend to Inflammation are made fit for Evacuation by moderate Coolers and Detersives V. Lest Bile should be increased or occasion given to the Liver or Spleen to swell we must as much as may be have a care of Sweet things Mercatus VI. When the Humours are prepared a Vomit is proper But Obstructions must not be opened by a Vomit presently unless there be great store of bilious and sharp matter lest the Inwards should be strained by the violence of the Vomit Martini or the Head should be filled VII Bathing in Sweet waters used with Moderation is good to open the Pores of the Skin and to ampliate and open the passages of the Messentery and to remove the Filth that sticks there But it must be used with this caution that nothing be in the first ways that may in a moment be drawn to the body that there be no great impurity in the Bowels and that the Concoction of the precedent Food be finished Idem VIII If the Disease have its original from a Straitness of the Veins Attenuating Meat according to Aetius his Judgment must be given three or four times a day but in a small quantity IX Diseases of the Mesentery require not violent Openers because of their relation and vicinity to the Heart Spleen and Stomach and communication of Offices and Diseases whereby they quickly affect one another Idem X. For the Pain of the Mesentery if it be violent Laudanum Opiatum is good inwardly dissolved and mixt with Purgatives Fr. Hofmannus which stops the Pain by Purging XI Purgatives and Diureticks in the beginning of an Inflammation can seldom or never be used safely for there is fear according to Galen 14. Meth. 11. lest the Liver and Mesentery be sooner or worse inflamed XII If an Abscess of the Mesentery be brought to Suppuration Reason tells a man that all Waters with a mineral virtue in them must be avoided for though they doe much good to the Bowels designed for Nutrition by attenuating the thickness of the humours yet because by their penetrative and abstersive virtue and by a peculiar faculty
be long before the Abscess be opened the Antecedent Matter sticks in the head when the Conjunct will not make way for it for that without hinders that within Idem IV. When the Abscess is opened we must abstain altogether from evacuating and diverting Medicines and must use only Clysters As also we must insist on Attenuants to wit store of Julepium Acetosum Idem with respect to the febrile heat V. In Parotides that come after other great Diseases I use burning in the very tumor presently without expecting any suppuration For we can no way better prevent the falling back of the swelling than if the Matter be purged out by the Ulcer which is inflicted Vallesius VI. One would scarce believe did not Experience testifie it what virtue there is in Quick-Silver which some reckon cold and moist to dissolve and discuss swellings of the Ears or any other Swellings Therefore it may safely be mixt in Cataplasms for it will not repel the Humour that is the cause of the Parotis inwards Ench. Med. Pract. but will discuss it by insensible Transpiration VII A young Man otherwise of a good Constitution being ill of the Parotides behind his Jaws was taken ill with a Fever Upon which he grew worse because perhaps they began to ripen and the Physicians taking little notice of it he was let Blood in the Arm after which the Swellings immediately went in difficulty of breathing followed his Fever increased much on the sixth day Exanthemata came out Rumlerus obs 56. with great weakness and within a little while after the Patient died VIII The Abscess may be opened with a Knife if the Patient be young his innate Heat brisk and if the Tumor be rather Phlegmonous or mixt with Bile than Oedematous or mixt with Phlegm Nor is the Knife always so safe that is when a Man is old the Native heat weak and the Febrile strong and the Humour the cause of the Swelling enclining to cold for then a Wound may cause a Gangrene for which reason we use a Cautery in stead of a Knife Medicines especially made use of by eminent Physicians 1. Take of old Hogs Lard not salted 3 ounces Butter 1 ounce Wax 2 ounces burnt Oyster Shells powdered 2 ounces Fontanus Make a Plaister It is most effectual to discuss the Parotides 2. This is an admirable Unguent to asswage and dissolve Take of Oyl of Henbane expressed 1 drachm Oyl of Chamaemil distilled half a drachm of Saffron distilled 5 grains Hertod Mix them Partus or Womens Labour The Contents Whether Bleeding in the Foot help a hard Labour I. Where a Child may be cut out of the Mothers Belly II. Strong Emeticks help III. When the Childs Head pitches above the Os Pubis how it may be reduced IV. The Woman must be refreshed V. Violent forcing Potions are dangerous VI. If a Woman go with a live and a dead Child which must be delivered first if they both make way alike VII Quick-Silver given with success VIII How Labour may be made easie when the Bones will scarce part IX How we must help Swooning X. The Eagle-Stone tied to the Thigh must presently be removed after delivery XI Some must be left to Nature XII What way things that promote the Birth do act XIII Facilitaters of the Birth properly so called must not be given till the Child is ready to be born XIV Reduction of a vitious posture not always possible XV. Medicines I. HIppocrates 1. de Morbis Mulierum prescribes a Remedy for hard Labour almost omitted by all it is Bleeding in the Foot But if saith he a Pregnant Woman be kept a long time and cannot bring forth but is in Pains of Travel for several days If she be young and in her full strength and abound with Blood a Vein must be opened in the Foot and Blood taken away respect being had to the strength Although this be never put in practice by Practitioners but is rather dreaded because strength is absolutely necessary in Travel which is much weakned by Blood-letting Yet if difficulty of bringing forth arise from a Plethora which Hippocrates seems to intimate when he says if the Woman be young and in her full strength and abound with Blood no doubt but it may do much good seeing the Veins when they are full of Blood use to make all the inner passages much narrower therefore in the Nephritick Pain the like Bleeding often does wonders Riverius and facilitates the exclusion of Stones contained both in the Kidneys and Ureters ¶ In those that have hard Labour I have let Blood with great benefit Rondeletius ¶ It were better in the sixth or seventh Month to extenuate and lessen the Foetus by a spare Diet and Bleeding especially if the Woman be with Child of a Girl for Girls when they are born are always fatter than Boys Idem II. Many things are commonly disputed about a Caesarean Birth Bauhinus his Opinion to me seems probable who in his Preface to Fr. Roussetus his Book proves by Reasons That by no Art the Child can be cut alive out of the dead Mother And though an Example be brought such as Crato l. 5. f. 371. mentions out of J. C. Arantius he thinks the Mother was wronged before she was dead or it happened by chance that is the Surgeon by chance hit on that very last point of time when the Soul was just going out of the Body Sennertus seems not to be of this Opinion and he says the Child has a Soul which makes its Body to survive the dead Mother And though he seems there to have given an Epitome of Roussetus yet he contradicts not Bauhinus his Reasons nor according to his custom examines them Horstius also in Fab. Hildanus says the Child in the Womb lives not by its own Liâ—e but its Life depends upon the Mother which the Anatomy of an Infant does demonstrate and he gives a further demonstration Laurentius fol. 324. Anat. demonstrates the same where he had proved before That a Child in the Womb neither breaths nor breeds Vital Spirit Hoeferus Herc. Med. l. 7. c. 4. nor do the Heart and Arteries beat of themselves and therefore all parts belonging to these things as also all that belong to the first and second Concoction are idle in the Child and useless but all these things are communicated by the Mother ¶ We must know there are three cases in which we may think of this Chirurgery 1. When the Child is dead and the Mother alive 2. When the Mother is dead and 〈◊〉 Child alive 3. When they are both alive In the first case it is not necessary to expose a Woman who cannot easily be delivered to manifest danger Because if it cannot be got out by Surgery Nature has found other ways by the Anus Navil Groin as Histories do testifie The second case frequently happens That the Embryo is condemned to darkness before it see the
be applied XLII Fomentations are to be used prudently XLIII Emplasticks are not to be added to Liniments XLIV Whether we may use a Bath XLV Whether Sleep be to be kept off XLVI How to distinguish a Pleripneumony from either Pleurisy or Peripneumony XLVII A Pleurisy has its Crisis sometimes by Vrine XLVIII All the Reliques are to be exterminated for fear of a Relapse XLIX How to cure the false Pleurisy of Phthisical Persons L. A Pain like to that of a Pleurisy is induced by divers Causes LI. A Pleurisy resembling the Colick LII A Pleuritical pain arising from Worms is to he cured by such things as kill them LIII A Bastard Pleurisy from a Serous Humour LIV. A Malignant Pleurisy having its seat in the lower Belly LV. The knowledge and Cure of a Bastard Pleurisy proceeding from a salt Humour LVI The Cure of the Pain that attends upon a confirmed Peripncumony an Abscess or Vlcer of the Lungs LVII The Cure of a Pain raised from a Vomica of the Lungs LVIII Medicins I. IT is an Opinion commonly received among Physicians That that continued Fever which joins it self as a Companion to the Pleurisy has its rise from a Phlegmon of the Membrane that lines the Ribs on the inside and is near the Heart and so in respect of the Pleurisy comes under the notion of a Symptom Nor does this Opinion altogether displease me In the mean time I think on the other hand that a Pleurisy comes under the notion of a Symptom in regard to that essential Fever with which the Patient was first taken namely before ever the Pleurisy superven'd but when this comes on the former Fever seems to lay down its genius or rather to be changed into a Pleurisy which now from the aforesaid Phlegmon acquires to it self a new Fever and is attended by it and this later Fever springing thus walks hand in hand with the Pleurisy and stands and falls with it Indeed I think it would be very hard for any upon diligent examination to produce an Instance of a Pleuritical Person who was taken with a Pain in his Side which is so full a sign of this Disease before he was sensible of some attack of a Fever at least a more light one For that Pain sometimes indeed invades sooner sometimes later but as far as I could hitherto observe never but after a Fever and hence in compliance with mine own opinion I number a Pleurisy amongst the accidents that follow a Fever Now I suppose a Pleurisy arises from the precipitation of the Febrile Matter into the Pleura or Intercostal Muscles and that this happens indeed in the very beginning almost of a Fever whilst the Matter is as yet crude and unsubdued by a fit ebullition and so unprepared for a due separation by more convenient places And this mischief is very oft introduc'd by the unseasonable use of hot Medicins as the Countess of Kents Pouder c. and with the intent generally to provoke Sweat in the first invasion of the Fever Because Nature being disturbed by this means is compelled to expel the Humours as yet crude by any way that lies open and so the Febrile Matter is sometimes carried with violence into the Membranes of the Brain whence comes a Phrensy sometimes to the Pleura whence a Pleurisy especially where the Age and Temperament and the Season of the year betwixt Spring and Summer do also concur Therefore for the removal of this Symptom I use this method Forthwith I order if the Case permit it Blood to be let liberally out of the Arm on the same side with the pained side and by and by some fitting Ointment to be applied to the Side I also use Pectorals diversly accommodated according to the Circumstances of the Case But Oil of Sweet Almonds newly drawn is the best amongst these For ordinary Drink I enjoin Beer that is small and not at all sharp or a Ptisan of Barley Lykyrrhize and a few Aniseeds Moreover on the following days repeating Venesection I order to Bleed freely as the Case is Truly I seldom give over Bleeding till I have evacuated forty ounces unless somewhat indicate to the contrary And though one may not without some shew of reason be afraid that so great an emission of Blood should be dangerous yet the Blood it self that is taken away after it has stood a while will make these fears vanish seeing it is very corrupt at least after the first time and almost of the same colour with true Pus Add hereto that you will not find the Patient weakned proportionably to the great loss of Blood But we must admonish that there is need of Cautions that Clysters be not injected through the whole course of the method nor that any thing be added to the Pectoral Medicins which has a loosening vertue for the more bound the Belly is the more safely shall we repeat Phlebotomy on the contrary if you take but half that quantity of Blood I have mention'd and use Clysters and Looseners withal you shall bring the Patient in danger of his Life whether it be because Nature cannot bear both Evacuations in so short a space or upon some other account and this holds not only in this Disease but also perhaps in all others wherein the Cure turns upon this hinge Venesection Indeed in treating this Symptom I have often attempted to establish some way of Cure which might not proceed to so great a loss of Blood namely either by resolving the Humour or evacuating it by promoting Expectoration but I have not yet had the fortune to find any practice so available as the forementioned Sydenham II. Venesection is good in the beginning of a Pleurisy because it keeps the Blood that is somewhere hindred in its Circulation from too great an Effervescence but chiefly because seeing the Vessels are much emptied by this means they receive again whatsoever Humours were thrown off and so the Blood that begun to stagnate in the part affected and make it fluxile Likewise the Remedies that help most at the beginning of this Disease are such as hinder the Coagulation of the Blood or dissolve it whilst it is a Coagulating such as those which do very much abound with a Volatil or Alkalizate salt namely the Spirit of Soot Blood Hartshorn also the Spirit and Salt of Urine the Pouder of the Claws and Eyes of Crabs of a Boars Tooth or the Jaw-Bone of a Pike are of notable use Amongst the Vulgar 't is customary to give an infusion of Horsedung which Medicin indeed I have known often to help in almost deplorable Cases In the mean time all Acids because they coagulate the Blood more and hinder Expectoration do very much hurt in this Disease Willis de febr c. 11. ¶ Seeing Bleeding is the most powerful Remedy it is never to be omitted even in Women with Child or when they lie in while their Lochia or Terms are a flowing for Experience has taught that Women
with Child even in their eighth Month childbed-Childbed-Women or Women that are not with Child whose Terms are flowing yea Infants and Children of seven years old are all very well relieved by opening the Basilica of the side affected Ench. Med. Pract. River III. Though Blood-letting be chiefly profitable in the beginning yet if it were omitted then or were not large enough a Vein may be opened even after the seventh ninth or eleventh day by the Example of Hippocrates who let Anaxion Blood on the eighth day either because he was called no sooner or because in a very Crude Pleurisy which hardly begun to be concocted on the eleventh day the Disease granted truce But when a free and liberal Expectoration begins then we must abstain because it is thereby supprest and the Patient brought into danger of his Liâ—e Lazar. River IV. Hippocrates 2. de rat vict in acut t. 10. hath deliver'd to Posterity an excellent Rule and such as is very profitable in practice to let Blood till it change its colour Namely if at the first or second Bleeding the Blood appear Crude Phlegmatick or Watry the Evacuation is to be continuâ—d every day or twice a day till the Blood that is drawn look red or yellowish But if it come forth red at the beginning Venesection is to be repeated so often as till it appear livid or black for 't is signified that the later Blood flows out from the part affected or the Veins that neighbour upon it which indeed is alter'd by the heat of the inflamed part and of crude is made red or of red is made black or livid by adustion Now though the observation of this Precept do for the most part succeed well in practice yet sometimes that change of colour is not pertinaciously to be expected but we must desist from Bleeding sooner namely when either the Patient is weak or his Spirits low or he is of a rare and very resoluble habit or the Season is very hot Idem V. Some think that Diseases which draw their origin from a suppression of the Terms or Hemorrhoids are only to be cured by opening the Veins in the Leg which I willingly grant ought to be done in Chronical Distempers and such as give truce but in Acute Diseases such as the Pleurisy a Vein is not always to be opened in the Ankle or Foot but a distinction is to be used For if such Evacuations as use to happen at certain stated times be suddenly and wholly supprest and there be manifestly perceived a motion of the Blood to the upper parts and an afflux thereof to the Side the Cure is by all means to be begun by opening the Ham Vein or the like But if the suppression be now of long continuance whereby there is accumulated by little and little a Plethora or some Cacochymie and an abundance of Humours in the upper parts and also it be not near the season of the Terms then the Cure is to be begun by opening a Vein in the Arm for the Acute Disease requireth it nor permits it delay till the Terms or Hemorrhoids be again provoked for it may be whilst we are taking pains to procure the Terms or Hemorrhoids the Patient may die through the violence of the Disease but the suppression of the Terms or Hemorrhoids endure delay and regard may be had thereto afterwards when the Patient is past the danger of the Acute Disease and endeavours may be used to provoke the suppressed Blood Sennertus VI. Nor must we omit to admonish seeing a Pleurisy does oft follow or accompany a Fever and primary Disease which often has a notable malignity joined with it as uses to happen frequently in an Epidemical Pleurisy that diligent regard is then to be had to the Malignity and it is to be considered whether it admit of Venesection Gesner lib. 1. Epistol p. 19. makes mention of a certain Epidemick Malignant and Contagious Pleurisy of which many died and wherein Bleeding in the Arm did no good but Bleeding in the Ankles and Sweating in the beginning by a certain Antidote gave more relief And by all means in such Malignant Pleurisies the Malignity is first to be assailed Sennertus and other things to be done afterwards ¶ The same Gesner Epist 49. says In this Pleurisy I found nothing better than half an ounce or more of Linseed Oil which presently relieves the Breath and very well evacuates the Belly Hence it is that Asclepiades in Coelius Aurelianus testifies that at Athens and Rome he saw the Pleuritical become worse by Venesection but in Parius and the Hellespont that they were relieved by it Wierus in his Observations p. m. 53. mentions a Pestilent Pleurisy which went about in the years 1564 and 1565. in some parts of the lower Germany wherein it was observed that Venesection was very hurtful Those things which are prescribed in other Pleurisies to help Expectoration could do no good through the increase of the Febrile Putrefaction and Pestilent Poison And contrary to the observation of the common Rule they were to be helped by the giving of Acids as the Syrup of the Juice of Sorrel Lemons c. as also by Pectoral Potions prepared with a mixture of bitter Medicins c. I will speak a few things of that which is common in every ones mouth that a Pleurisy is sometimes found so malignant that for those years it cannot admit Phlebotomy at least not so often repeated as this Disease commonly requires Indeed I think that a true and essential Pleurisy which infests indifferently in all Constitutions of every year does every year indifferently indicate Venesection to be repeated alike yet it sometimes happens that the Fever of that year that is properly Epidemick is apt upon any sudden change of the manifest qualities of the Air to deposite the Morbifick Matter in the Pleura or Lungs and the Fever notwithstanding remain altogether the same In this case as Venesection may be granted to relieve this symptom if it rage much yet to speak generally we ought not to draw forth much more Blood upon the account of the symptom than ought to have been drawn forth on the account of the Fever on which that symptom depends For if this be of that nature as to admit of repeated Bleeding it may be repeated in the Pleurisy which is a symptom of it But if the Fever admit not of repeated Venesection the same will not help yea it will do harm in the Pleurisy which will stand or fall with the Fever And this indeed I was therefore bound not to conceal because I think that he wanders in a doubtful Path and is led by an uncertain Thread who in the Cure of Fevers has not presently before his Eyes the Constitution of the year as it enclines to the production of this or the other Disease epidemically and to turn all other Diseases that concur with it into its own likeness and form I thus treated
a Nobleman sick of this Fever He complained of a pain in his Side and of other symptoms of which the rest did that were taken with the same Disease I Bled him no more than once I applied a Blistering Plaster to his Neck I gave him Clysters every day sometimes order'd him cooling Ptisans and Emulsions sometimes Milk and Water sometimes small Beer I advis'd him to rise out of his Bed and sit up every day for some hours by which method he was recovered in a few days and after Purging was quite well Syden obs circa morb acut p. 362. See the sixth Book of a Pleuritical Fever VII 'T is a doubt whether the Blood flowing from the Womb either in Childbed or out of it hinder Venesection when a Pleurisy happens Before the solution of the doubt I suppose that Bleeding is used upon a twofold account in all Inflammations first to revel the violence of the flowing Blood secondly for derivation that is that by one and the same track we may both evacuate and revel If a Woman thereâ—ore be taken with a Pleurisy whilst her Womb flows we must consider whether the original of the Fluxion be from the Womb it self or the Humours flow thither from some other place Moreover we must have regard to the manner of the Fluxion for it is either large and sudden or slow A sudden Evacuation made out of the Womb answering in proportion to the Fluxion upon the Membrane that invests the Ribs indicates that the business is to be committed to Nature and nothing to be innovated But we ought to help a slow Fluxion that by two Evacuations the one Natural the other Artificial we may obtain our desires For if we shall hesiâ—ate in a great and precipitant Dissease we run great dangers In this case we shall let Blood in the Ham or Ankle or we may scarify the Thighs or Legs if we know there is but little Blood remaining and the Woman look white have soft Flesh and slender Veins But whether one or other kind of Remedy be to be used the nature of the Matter will teach especially the greatness of the Disease and the Constitution of the Patient c. But if the original of the Fluxion shall not be in the Womb the Case will not be so easie I use to clear it by distinguishing thus The Womb at that time does either make plentiful and sudden Expurgations or such as are lingring and slow If the first we shall not let Blood but be content with the spontaneous Evacuation for seeing the Womb has great Veins and Arteries which communicate with the whole Body and a very great consent with the Breast we may hope that there will be made a good Revulsion hereby in what part soever the original of the Fluxion be But the case is not the same when from custom or from any other Preternatural Cause the Womb evacuates Blood very slowly For seeing we need some speedy Remedy that the violence of the Fluxion may be restrained whereas this is very sluggish and slow so that we ought by no means to commit the task to it we ought therefore in such case to Bleed What Vein therefore you will say shall we open Truly I would open some one of the upper 1. because the lower are too far distant from the original of the Fluxion nor can they remove the Fluxion but in a long time which will not do our business 2. seeing we ought to attend that which is more urgent and seeing the Pleurisy is more yea most urgent therefore we must endeavour with might and main that the Phlegmon may not be increased which may be done by opening a Vein in the Arm which we judge to be convenient for Revulsion And though there follow that inconvenience hereby as that the Terms come to be stopt which they may chance to be yet that inconvenience is but small and may be amended at some more fitting time even with ease But if we desire a derivation when there has preceded a Revulsion made either by Nature or Art or also when the Disease has not required it I declare this one thing that whether the Womb have flown or no or also whether it have been plentifully purged or not the inner Vein of that Arm which is nearest to the part affected is always then to be opened and Blood to be let till there appear change of colour for nothing ought to hinder us from relieving the Pleurisy presently which is a doubtful and dangerous Disease For if we must have respect to that which is more urgent there is no doubt but we ought to be far more concerned about the Pleurisy than about the Purgations of the Womb especially seeing these may be provoked afterwards Hor. Augen tom 1 l. 11. Epist 3. whereas the prejudice that arises from the omission of Bleeding can by no means be redrest VIII A lean and very Cholerick Woman salling into a Pleurisy desired earnestly to be let Blood but though a Vein was opened timely enough yet the Blood was drawn so strongly towards the Breast through the very violent pain thereof that hardly any would spurt out of the opened Vein But she being bid to endeavour to drive the Blood from the Breast again towards the Arm by strong coughing I observed it to spurt forth freely and the Woman was shortly eased of her pain Wherefore let any one in the same case fly to the same succour let him presently raise a Cough and by that means the Blood will be repelled to the Arm. Tulpius l. 2. c. 3. This invention I have seen to succeed happily with several since that time IX A true Pleurisy will not invade the Phlegmatick and such as are troubled with Acid Belchings yet there often happens a Pleurisy in these Countreys Holland from a watry and thin Phlegm but that is not true and exquisite For in these cold and Phlegmatick Bodies there often arise grievous pains of the Sides from Flatus which may be mitigated by fomentations if you bleed you will kill I once saw a very beautiful Woman who being subject to Flatus and having supt liberally fell into a bitter pain of her Side in the night and died presently upon opening a Vein Heurn com in aph 33. 6. X. It is observable that there sometimes arises a difficulty of breathing from an ill ordered Diet Idem in which case Physicians do ill to Bleed ¶ Their confidence seems pernicious to me who so long as the Patient complains of pain give not over bleeding without any regard to the suppuration which has not only made some progress but is often also perfected within the first seven days by which importune Bleedings repeated even ten times or oftner they cruelly weaken their Patients by exhausting their Vital Spirits with the Blood though their strength be altogether necessary for a perfect Expectoration of the Pus Car. Piso de colluv seros p. 3 4. which oft cannot
be obtained but in several months space XI Let us take heed not to bleed those who are emaciated by a long Tabes when they fall into a pain of their Side For I have seen many such Bodies dissected and observed their Lungs to be preternaturally close grown to the Membrane that covers the Ribs so that when a windy Vapour gets in betwixt this Connexion Heurn lib. de morb pect it pulls off the continuity and so causes the Pain ¶ This Pain is taken away and cured by heating things as by a fomentation of the Flowers of Chamomel and Cummin which hath benefited many They must be put up in a Bag which being dipt in White Wine is applied hot to the pained part Those who are so rashly bold as to Bleed take away so much of their Patients Life as they do of his Blood Dodon obs cap. 22. XII Experience sometimes shews that the saying of Hippocrates apb 31. sect 5. is not always true viz. If a Woman with Child be taken with an Acute Disease it is extream dangerous for sometimes both the Mother and Child escape danger While I was a Printing these things I was called June 27. 1681. to a Woman about Thirty years old the Wife of one Bardot a Tanner that was nine Months gone with Child She was faln into a very grievous Pleurisy on her left Side by travelling in the Sun and drinking of Wine She was Plethorick and her Face was much flusht Premising a lenient and cooling Clyster I order ten ounces of Blood to be taken out of the Arm on the Side affected which came forth putrid with some relief The next day because she was vexed with an Acute Pain and spit Blood I bled her again to seven ounces which looked more corrupt than the former and therefore though her Husband was against it I prescribe a third Phlebotomy on the day following upon which the Pain not yet ceasing and the redness of her Face with signs of a Plethora continuing I advise a fourth Bleeding though both her Husband and the Women were against it upon which fourth Venesection the Blood looking still worse the Pain quite ceased and she coughed up easily On the fifth day of July she had an easie labour of a Girl that was plump and of a good Constitution and her Lochia flowing orderly she not only lived but was freed of both her Pleurisy and Fever c. The Disease was the more grievous because besides that the faculty of breathing was intercepted by the greatness of the Phlegmon and the vehemence of the Fever the foetus kicked and sprawled strongly against her Diaphragm XIII 'T is not necessary to let those Blood who have Fluxions often fail from their Heads through abundance of Crudities presently upon the invasion of the Disease especially if they cough up easily and what they cough up be white or bloody and the Pain light for a Flatuous Substance uses so to distend the Veins of the Pleura that the Pores being rarefied the Blood issues out with pain and is expelled by coughing imitating a Pleurisy wherein if you let Blood you will do as much hurt as if you did so in the weak and Catarrhous who are ill of a light Fever Mercatus ¶ In a Pleurisy that is caused by a defluxion from the Head Venesection has no power to draw back the Rheum that is in motion nor to withdraw that which is setled and therefore it does much harm in increasing the Catarrh by the generation of cold Duretus comm in Coacas and in exciting the same by weakening the retentive faculty XIV Seeing the first indication is by all means to take away as soon as may be the Phlegmon or Obstruction of the Blood in the Pleura for this purpose Bleeding has used to be prescribed as the chief Remedy by all Physicians in all Ages except some Fanaticks and Pseudochymists The reason whereof is altogether the same as in a Peripneumony and many other Diseases that are caused by the stay and collection of the Blood in some place namely that the Blood-Vessels being much emptied may not only cut off the fomes of the Disease but also resorb and carry to another place the Matter which is the Conjunct Cause Wherefore bleed very freely in a Pleurisy if the Patient be strong and his Pulse big And truly 't is far better to bleed largely at first and so every time afterwards so often as 't is necessary to repeat Venesection than to bleed often a little at a time In as much as very many portions of the slimy and viscous Blood are collected about the part affected which unless they be called away from thence by emptying the Vessels very much by a plentiful Bleeding and be suffer'd to flow out the greatest part of them the desired effect will not succeed So that when some Physicians prescribe Blood to be let in a Pleurisy even to fainting away it seems not to be incongruous to Reason though that practice is not to be rashly undertaken because every Evacuation ought to be proportion'd to the tenour and tolerance of the strength which Rule such Phlebotomy exceeds Willis XV. In the year 1679. May 9. I was called to one Vilars a Baker a Man of about forty lean melancholick and who had used to be troubled with a pain in his Spleen This Person had been ill of a Quartan Ague for seven Months having got rid of it a Month before he was taken with a violent Pleurisy of his right Side with a very Acute Fever On the second day of the Disease he had gotten himself let Blood which was very putrid without any remission of his Pain His Water was very high colour'd shining whilst it was hot and depositing a red tartar when it was grown cold Wherefore I order him to be bled again and his Blood was putrid as it was before without any easing of the Pain his Spittle crude which he could hardly bring up and without any remission of the Fever On the sixth day of the Disease he is bled again a corrupt Blood still coming forth and all things abiding in the same state On the seventh day there came a plentiful Sweat which continued to flow to the end of the eighth whereupon the Fever grows more mild the Urine is not so high colour'd and Expectoration proceeds better On the ninth day the Fever grows worse wherefore I order Bleeding again always out of the right Side because his strength held up still and his Pulse was full and strong the Blood was still corrupt On the tenth day the Fever is much milder the Pain in his Side ceases his Urine is concocted and with a laudable sediment On the eleventh day his Fever was quite gone On the twelfth I gave him a Purge upon which he recover'd The first three days he was troubled with a Vomiting which ceased after the second Bleeding whence I thought there had been a Peripneumony for such whose Lungs are
the prescript of Nature If an Acute Disease happen in the middle time two things are to be considered One whether the Morbifick Matter be contained and rivetted in one particular part or be dispersed through the Veinâ— the other whether the Woman have had sufficient Purgation or no. If the Disease be caused by a dispersed Matter as in Fevers and the Woman be not perfâ—ctly cleansed the lower Veins are to be opened because both the Morbifick Matter will be lessened and the natural Flux provoked But if she be sufficiently purged and the Disease be strong and the natural Evacuation be not sufficient for the Disease the lower Veins are likewise to be opened in this case and so much Blood is to be taken as may make both Evacuations amount to as much as the Disease requires as Galen teacheth 9. meth 5. If the Fever be very high and there be a great burning let that be done which we shall by and by advise to be done in a Disease from Matter fixed and putrefying in some particular place In a particular Acute Disease as a Pleurisy Peripneumony Quinsy c. we must note whether the Fluxion be only a beginning so that the Disease is only imminent or beginning and but a very small quantity of Blood is as yet collected in the part For then the lower Veins are to be opened that Revulsion being made to the most distant opposite parts that preposterous motion of the Humours may be restrained But if the Fluxion be already made and the Inflammation bred in a great part and the Inflammation be very high whether the Woman be sufficiently cleansed or no the upper Veins are presently to be opened on the same side with the part affected because such Evacuation draws Blood out from the said part But if the lower Veins should be opened which are neither near to the part affected nor can draw from it both the Faculty will be injured by the Evacuation and the Matter that is fixed in a particular part will not be diminished And so you shall either draw forth almost all the Blood to revel the Morbifick Matter from the part affected or the Woman shall be killed by the Disease before sufficient Revulsion be made Nor must we fear lest by letting Blood in the upper Veins the Blood should be drawn back from the Womb because in those cases the upper parts abound with Blood and though much be evacuated yet the Veins are not so emptied as to be compelled to attract new Blood from some other place Yet for the greater caution it will not be unprofitable before Blood be let to make Frictions in the Thighs and then to make painful Ligatures in their middle which must be kept tied till Blood be let and loosed a little while after and after that apply Cupping-Glasses to the same parts or at least repeat the Frictions hereby we may procure an Evacuation of the offending Matter and a Conservation of the Natural Flux The same is to be done in burning and violent Fevers because though the Matter be dispersed yet the burning is only about the Heart and Viscera so that it cannot be extinguished so well by the opening of a small and remote Vein as of a near and large one such as the Basilica of the Arm is This method of Cure is not only fitted to Childbed Women but may be adapted also to other Women taken with an Acute Disease and having their monthly Purgations If the Disease happen in the end of Childbed the same is to be done as in the middle the same Conditions being observed this being noted that the more the Woman is distant from the beginning the safelier may the upper Veins be opened but the nearer she is thereto even in the middle time we must do it with the greater premeditation and if the Disease be not urgent and her Natural Purgation be plentiful let us abstain wholly But if the Purgation be too little Laz. River lib. 15. c. 24. ex Petr. Sal. Divers de affect part c. 23. we ought to open the lower Veins to make up the due quantity And if the contrary shall happen let that be observed which we said was to be done in an urgent Acute Disease II. The use of Purgation in Childbed Women taken wi h an Acute Disease shall be concluded in the fo lowing Theorems While the Lochia flow naturally Purgation is never to be administred for there is danger lest Nature should be diverted from her work But if her Natural Purgations become preternatural and disorderly we must consider whether they offend in quality or quantity If they offend in quantity and that too little and the Womâ—n be either not at all or not sufficiently purged after that all Remedies that are proper for promoting this sort of Purgations have been used in vain and the Morbifick Matter appear concocted eight ten or twelve days being past from her delivery according to the greater or lesser urgency of the Disease she may be purged wiâ—h some gentle Medicin wholly abstaining from the more violent Iâ— the Lochia offend in quality so that the Fluxion look white or be of some other preternatural colour the Matter being concocted Purgation shall be administred safely towards the â—later end oâ— their lying in But this is always to be observed in general the longer the Ch ldbed Woman is distant from the day of her delivery the safelier may a Purge be administred and on the contrary For Experience has taught that Women who have their Purgations supprest if after the seventh or ninth day they fall into a loosness are generally recovered But if a Diarrhoea happen on the first days viz. the first second River or fourth they generally dye III. In a Fever following the suppression of the Lochia let cooling Alteratives be given let Women praâ—tle what they will which yet must neither be acid nor astringent The Whey of Asses Milk the Juice of Endive or Succory Clarified Fortis tract de morb mul. p. m. 106. the distilled Waters of Endive Succory Borage Maiden-hair IV. Rondelelius taught that the Pouder of the dried Secundine being drunk in a convenient Liquor did presently allay the After-pains And because Brutes use to devour it they are therefore free from those pains as he knew by Experience in his lâ—ttâ—e Bitch from which having taken away the Seâ—undine Pâ—â—erus 〈◊〉 â—om 2. p. m. 524. he said he observed that these pains did also supervene V. A certain Childbed Woman exposing hâ—r self to the Winds and Air too unseasonably fâ—ll into intolerable pains and could not be recovered At length there came an old Midwife who called fâ—r three Nutmegs grosly bruised then she set an Eartâ—en Pot under the sick Woman with live-Coals in it and presently sprinkled the Pouder of the Nâ—â—mâ—gs thereon bâ—dâ—ling the Woman so place the â—or tâ—at was set under her that she might receive into her Womb the smoak or nidour of the Pouder through a
it lest Putrefaction increase VII It we make question of the order of Remedies by a great consent of Authors the Manual Operation recommends it self first of all next Medicins and lastly Suppuration Fabr. Hildanus prefers Manual Operation before Medicins on a double account 1. because they ought to be deduced into act by the benefit of Nature which being weakened by the preceding pains before she can acquire new strength with time the door of the Womb is shut and the Secundine putrefies and by its Putrefaction infects and corrupts the adjacent parts and dejects the strength more and more 2. because most expelling Medicins are hot and do above measure heat the inner parts whence follow a Fever inquietudes watchings and other symptoms and for the most part death it self And the Operation extraction is to be hastened if it be either Summer or the Putrefaction acquire a Malignity for the Women appear to be ready to dye when Putrid Vapours ascend to the Vitals Stomach and Brain Idem VIII D. Animaeus left for a Secret a Plaster to be applied to the Belly of the white of an Egg and red Lead which because it binds much may well be question'd whether it do not rather detain the Secundines within But because it constringes the Muscles of the Belly which through the extension of the Womb and the straining in Travail were before debilitated 't is therefore credible such a Plaster may help for these Muscles being constringed and contracted into themselves by pressing the Womb from above downwards they make it more apt to expel the Secundines even as the action of the same Muscles is not a little necessary for the expulsion of the Excrements of the Belly Hoeferus l. 7. c. 5. IX Seeing Medicins that expel the Secundines do also increase the Flux of the Lochia hence Physicians are put into a quandary wherefore Rondeletius cap. 65. advises to give a drachm of Carabe for it provokes Urine expels the Secundines and retains the flowing Blood The same is confirmed by Platerus pract t. 2. p. 449. X. If all the Placenta be not extracted it is in no wise deadly and the place where it was pluckt off by force does a while appear tumid rough and unequal till all the Womb be drained again and reduced to its Natural Figure all which things are to be diligently marked Riol Enchir. l. 2. c. 36. especially in Childbed Women that are ill XI I have observed the following Apozem taken to three ounces â—wice or thrice a day to profit and recover the Patient when part of the Placenta has remained in the Womb after an Abortion and has been accompanied with a continual Efflux of Blood for some months Take of the Roots of Bistort two drachms of the Leaves of Majoran Penyroyal of each an handful boil them in Water and White Wine of each as much as is sufficient for thirty ounces of strained Liquor to which add three ounces of the Syrup of Mugwort and one ounce of Cinamon Water I have seen a piece of the Placenta as big as ones Fist expelled by the help hereof and the further Flux of the Blood was withal suppressed and cured Fr. Sylvius XII Joh. Th. Schenkius in his Botanick Lectures did once relate how a certain Countess had her Secundine stay three weeks after her delivery without any notable prejudice And then by the persuasion of an old Woman she took a decoction of Roman Chervil and was soon cased of that burthen And indeed I hardly know any Herb of like availableness in hard Travail and the stoppage of the Secundine as Chervil and the greater Sempervivum or House-leek Al. Herm. com misc cur ann 72. obs 117. and I know that every one who makes trial thereof rightly will say the same XIII Concerning sleep we must note that it is wholly to be kept off when the Lochia flow very plentifully for by it many lose their Lives because the heat being drawn inwards makes the Flux the greater And if it be to be allowed at any time some of those who attend ought to be ever and anon observing the Pulse and Respiration of the Patient River Pract. l. 15. c. 21. XIV After the Birth the capacity and thickness of the Womb are lessened by degrees by the effusion of the Lochia which are nothing else but the expression of the Blood that is contained within the spongy Membranes of the Womb. But if that amplitude be not lessened nor the Blood evacuated it will then putrefy and inflame the Womb will remain extended and hard as if it contained the Foetus still and at length a deadly Gangrene ensues Whether is this amplitude and hardness to be cured by Bleeding in the Arm or in the Foot Fernelius does boldly draw Blood out of the Arm Pereda advises us to consider not whence the Blood flows but into what part it hath flow'd and bids us open the nearest Vein 'T is more profitable and secure to let Blood largely in the Foot accordingly as the strength can bear not neglecting cooling Clysters Riolan Enchir l. 2. c. 36. and other things that may irritate the Womb to excretion XV. When the Lochia either flow not at all or they come to be supprest by some External cold they shall be cared by giving presently Medicins that dissolve Phlegm or Blood coagulated in the Orifice of the Womb such as are all Aromaticks and those which are endued with a Volaril salt chiefly those called Uterines which are found to profit by long and manifold Experience and if they be withal sudorifick they will do more and will the sooner and better take away that difficult and dangerous Disease But when through the defect of the Flux of the Lochia a Fever is raised which uses to be continual and is often burning enough we must take diligent heed not to increase the Febrile heat by those Aromaticks and therefore to these Potions Acids are to be added distilled Vinegar the Spirit of Salt of Vitrio c. For observing this Temperament we satisfie both Indications seeing Acids are profitable for the Febrile heat and the same as well as the Aromaticks are good for dissolving the coagulated Phlegm especially when there are added Crabs Eyes Antimon Diaphoret and the like which â—hen may dissolve the Coagulated Blood also Sylv. XVI When the eruption of the Lochia is too large from the surface of the Womb bâ—ing hurt by a violent pulling off of the Secundines it shall be cured by those things which heal Excoriation and restrain the Efflux of Blood As for Example Take of Plantain Water half a pound of the Antepileptick of Amsterdam and distilled Vinegar of each half an ounce of Lapis haematires half a scruple of red Coral one scruple of Laudanum Opiate two grains of the Syrup of Myrtles one ounce mix them give now and then a spoonful of it and by the help hereof both the Flux will be stayed and the Excoration healed
that are Sleepy and in a Feaver than which nothing worse can be given Dodoneus pempt 2. l. 4. c. 7. for they do a great deal of harm and often kill the Patient Sterilitas or Barrenness The Contents The Cure of Barrenness in Women is performed especially by Fomentations and Purges I. What must be the Diet of them that are Barren through Salacity II. There ought not to be only one way of Cure III. For whom Stoves and Baths are good IV. Cured by eating of Polypi V. The reduction of the Mouth of the Womb when turned aside VI. Fumes and Steams are not good for the same Women VII The Cure of Barrenness from Fatness VIII Electuaries may be variously made up IX The efficacy of Sudorificks X. And of Bathes XI Conditions concerning Venus XII What the Virtue of Pessaries should be XIII Medicines I. MUch is written by Hippocrates libro de Sterilibus and in his Aphorisms of the causes of Barrenness and of its manifold Cure But Sect. 5. lib. 2. Epidem all the Cures of these causes are in a manner reduced to these 2 heads Fomentations and Purges The Barren saith he must Foment and Purge for 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which he there uses signifie a purging Medicine when it is used alone and nothing is added to it which may signifie some other sort of Medicine But by the name of Fomentation I would have understood whatever is applyed inwardly or outwardly by way of Cataplasm Irrigation Clysters Pessary or Fumigation as by the name of Purging I would have understood both Vomiting and Purging For every cause of Barrenness is either a fault of Composition or of Temperament or an Ulcer of the Womb or a Cacochymie of the whole Body Among the faults of the Composition of the Womb there is the smallness and grossness of the Womb the straitness and hardness of the mouth of the Womb so that it is not dilated sufficiently or a perversion of the Mouth of the Womb or the wideness of it so that it gapes and does not retain or straitness of the Vessels of the Womb so that for this reason the Menstruous evacuations do not come into it or the laxity of it so that they run too much out In fault of temperament there is too much heat which consumes the Seed or cold which does not concoct it or dryness which consumes the Seed and nourishment of the Fatus or moisture which hinders its retention which also Ulcers of the Womb do hinder Cacochymies when they are poured into the Womb corrupt the Seed when they are not poured they do not hinder Conception yet they make a bad juice for the Foetus and therefore either cause Abortion or a Diseased Foetus Vitiated Compositions if they be contracted from the first generation are usually incurable but if they are caused by other Diseases they may be Cured by curing of these Diseases Cacochymies require Purging All intemperatures of the Womb which are joyned with an Humour or with a Cacochymie of the whole Body and especially Ulcers require Purging and then Fomentations Affusions Insessions and Pessaries And all these things must for heat be cold for cold hot for moisture dry for dryness moist and for Ulcers such as the Cure of Ulcers requires Therefore it is evident that the whole Cure of barren Women consists in Fomentations and Purges Vallesius II. If a Woman Conceive not through Salacity which is caused by the acrimony and heat of Seed she must be fed with gross Diet such as thickens the Blood and the Seed It is good to eat Fruits as Pears Rondeletius Apples and Chesnuts which breed gross Humors and Vapors and retard that violence III. Many Women Conceive not because they have moist and foul Wombs so that they neither eagerly receive Seed nor are able to retain it which disposition indeed is contrary to that wherein they want the Menstrua that the Womb may be open for there is a two fold Cause why newly after the evacuation of the Menstrua Conception is easy in moist Women both because the Mouth of the Womb and the Veins and Arteries which end there having been opened remain so and because when the Womb has been newly evacuated it draws any Moisture more greedily This may easily be known by what comes out for mucous matter frequently comes from such Hippocrates lib. 2. Epid. sect 3. says this is cured by a dry course of Diet. Here by Diet must be understood the whole course of ones Life where in the whole Method of Cure is comprehended Because in this affection the Diet which consists in Meat and Drink is not sufficient The Cure must in this as in other Diseases be contrary to the Affection So that hence it is manifest that there is not only one way of curing barren Women as vulgar Physicians have perswaded themselves but that it is various and manifold according to the cause of Barrenness For it is proper only to moisten some and Heat others Vallesius and to cool and moisten others IV. Moist Women use Stoves and they that have a hard or cold Womb Bathes But they must use them a little before their Menses come Rondeletius V. Hippocrates lib. 2. Epid. sect 6. advises to give a Woman that she may conceive Polypi to eat roasted in the Flame very hot and almost half burnt and to beat Aegyptian Nitre and Coriander and Cummin together and to make Balls of them and apply them to the pudendum But this Cure is not proper for all Barren Women but only for such as are Cold and have but little Seed For the Polypus is a most salacious Animal and goes into a Consumption through too much coïtion and such things must needs increase Seed for they consist of such a juice and are apt to be turned into the same And what he here orders to be given is heating and therefore tentiginous Although I should leave out Cummin Vallesius because it wastes Flatulencies as does Rue VI. Among the faults of Composition it is evident from Hippocrates his Doctrine that the chief and most effectual Cause of Barrenness is the turning aside of the Mouth of the Womb the Causes and Cure whereof he shews lib. de sterilibus de Natura muliebr If the Womb turn on one side says he a Cough takes them the Pain ascends and the Womb lies like a Ball is sore when it is touched like an Vlcer And after many such things he orders to purge Women and to wash in warm Water and to use hot Things And a little after If the Womb be turned aside and the Mouth it self be awry c. When a Woman is so you must give her a Purge and wash with warm Water and foment her The whole therefore of the Cure in this Case consists in the reduction of the Womb to its former place which indeed cannot be done except either the Humors be purged by
exactly purged Pessaries should be made which dilate the inner Mouth of the Womb and things applied that straiten the outer The Womb will be dilated with the following Unguent Take of the grease of Hen Goose and Duck each 1 drachm Oyl of bitter Almonds Chamaemil each 1 ounce Orrice root 2 drachms both the Birth-worts Asarum each 1 drachm Storax 2 drachms Pitch 1 ounce new Wax what is sufficient make an Unguent After the use of it let her use a Pessary of Galls of the Goat or Wolf with Musk Castor and Civet For all these things lax draw the Womb downwards heat and stimulate Venus Outwardly the Part is straitned with fomentations made of Astringent Roots Herbs and Flowers and other odoriferous Things The use whereof is at going into Bed after the Monthly purgation Roâ—deletius and use of other Remedies a little before she lies with a Man Medicines especially made use of by eminent Physicians 1. In Barrenness let the Man and the Woman for some dayes take upon a fasting Stomach the Powder of a Bore's stones dried in the Shade with the Broth of an old Cock truly in a short time they will obtain their desire Jul. Caesar Baricellus as I have more than once tryed in several Barren People whatever the Cause was 2. To help Conception I highly commend both a decoction of Vipers and of the Womb of a Hare with Nutmeg nux Indica shavings of Ivory Cloves Claudinus Cinnamon Bistort first making an Infusion of these 3. They cry up this following for an infallible Medicine Take of root of Eryngo leaves of Mother-wort Avens what is sufficient boyl them in red Wine Corbaeus The Dose is a glass warm Morning and Evening with 1 drachm of Triphera magna without Opium for 9 dayes 4. A most certain Remedy to help Conception Take the stones of a Ram prepared in Wine and dried the Womb of an Hare prepared Mace Cloves seed of Ammi each 2 drachms Saffron 1 drachm and an half the kernells of Hazle and Pistachio Nuts each 6 drachms Bruise them and boyl them in 2 Pounds of Malmsey Wine to the Consumption of a third two ounces must be given for 3 dayes after the Months Grulingius and the fourth let her lye with her Husband and she will Conceive 5. Salt of Satyrion is very good for Women as its Essence is for Men to make them Conceive quickly if half a scruple of it be given frequently in Malmsey Wine or Aqua Vitae after the Flux of the Menses I have cured many Women with this Secret in a short time and Men with the Essence of Ants. J. Hartmannus 6. This Pessary is extremely commended by learned Men namely Beat Garlick with Oyl of Spike wrap it up in a long Rag put it deep into the Womb when it is taken out the Menses will come plentifully and the Womb will find much Pleasure and be cleansed Lud. Mercatus so that this has made way for Conception a long time despaired of 7. Simon Pauli sayes that Speedwell is good for Barren Women Stranguria or the Strangury The Contents Whether Blood may be let I. How we must Purge II. It must sometime be Cured with beating Things III. When it is caused by drinking new Beer it is cured by drinking Wine IV. The efficacy of an Issue in the Leg when it comes from the impotency of the retentive Faculty V. Medicines I. WHether Blood may be let or no in the Strangury upon any occasion where there is no Fever for if there be one no question need be made of it is much controverted Hippocrates teaches 6. aphor 56. and 7. 48. that dropping and difficulty of Vrine may be cured by opening the inner Vein of the Ham. Which shows that Blood may be let and we shall forbear now that the Circulation of the blood is found to go upon Controversie about which Vein should be opened II. If the Strangury arise from sharp Bile or salt Phlegm we must take great care to diminish the Humor to translate it another way to mix and temper it and first of all before any other Remedy to purge the Body with some gentle Physick If salt Phlegm abound whether it fall from the Head as it often does or being bred in the Belly and mixt with bile it become such or if it proceed from putrefaction we must take care by a Vomit once or twice a week to divert it from the usual passages and also to diminish it But if it be bitter Choler you must Purge twice or thrice with an Infusion of Rheubarb in a good quantity of Mallow water But if the Strangury proceed from impotency of the retentive faculty which from a cold and moist intemperature or only a moist being made weak cannot hold the Urine the accustomed time you must purge plentifully at the very first coming of the Disease and afterwards at times and intervals contriving not only to waste the humour but to divert it another way Mercatus III. The causes of the Strangury are by Galen 3 aph 16. reduced to two Heads weakness of the retentive faculty and sharpness of Urine which latter happens frequently Therefore it is queried whether also Aromaticks be proper in such a case The Negative seems probable because fire should not be added to fire If there be heat and acrimony of peccant Humours upon which score the Disease is called Heat of Urine it seems rather to be corrected by emollient and cooling things But although it be frequently caused by the acrimony of Serum yet it does not follow that the antecedent cause to which the cure is directed is always heat because it may yea and frequently does so happen that the grossness of cold Humours serves to gather and retain the Acrimony so that a sharp Urine breeds the Strangury not as such but as its passage out which its sharpness hastens is hindred by reason of the gross parts mixt therewith For as sharp and bilious Humours breed not a dysentery when they cause a looseness unless there be a viscidity withal which makes them stick to the sides of the Guts and exulcerate the same so also the Serum of its own nature possessing a peculiar Acrimony breeds not the Strangury unless some peccant Humours be joyned with it For this reason new Beer causes the Strangury by its thickness and viscidity obstructing the Urinary passages and consequently sharpning the Serum by the Acrimony of the faeces not depurated in which case to give generous Wine does good because it heats attenuates concocts crudities and so corrects the antecedent cause For this reason the use of Aromaticks is often not inconvenient when to wit it depends on such an antecedent cold and obstructing cause notwithstanding that the proximate peccant matter is sharp and perhaps hot for it often happens Horstius Dec. 8. qu. 6. that in a hot Disease a hot Remedy is prescribed not in respect of the Disease but
Passages of her Breath were so much stopt with gross Fumes from the bad Mushromes XI I think it is no absurdity to say that Men sometimes have Fits like to Hysterick ones The Cause whereof proceeds from the small Gut in which through the vitious effervescency of concurrent Humors especially of a too austere pancreatick Juice Wind and Vapors of the same Nature arise And when they rise to the Oesophagus Blasius append ad Vessingii Anat. part § 190. they so straiten it that the Patients apprehend themselves in danger of Choaking XII In the greatest fear of Suffocation in Flatulent and hysterick Fits put the Patient's Feet in warm Water H â—ferus l. 21 c. 2. and you will immediately find him breathe better Suffocatio Affectus hysterici Hysterick Fits or Fits of the Mother The Contents Whether Blood may be let in the Fit I. Cuppping-glasses must not be set above the Navil II. Whether a Vomit be convenient III. Whether Purging IV. All hysterick Women are not benefited with stinking Things nor all offended with odoriferous things V. Whether Titillations and Frictions of the Pudenda be lawful VI. Whether the Mouth and Nose should be stopt VII Whether pouring cold Water upon the Abdomen may be Practised according to Hippocrates his Mind VIII This Disease must not alwayes be resisted by Heaters IX With what Caution Narcoticks may be used X. Sinapisms good to prevent the Fit XI The efficacy of Castor XII Perfumes as Musk and Amber whether alwayes hurtful XIII The efficacy of Musk taken inwardly XIV Remedies must be timerously administred to Women with Child XV. A Relapse must be prevented XVI The efficacy of Antimonium diaphoreticum XVII An hysterick Fit often mistaken for one of the Spleen XVIII Camphire is not good for all XIX Laudanum does Wonders XX. Medicines 1. IN a Fit from the retention of the Menses a Vein may be Breathed Not many days ago I had a Woman in Cure who was taken with a Fit eight times a day and another Physician who was there would not admit of Bleeding yet she was Bled against the Physicians Will and she Recovered immediately Wherefore in such a Case we may Bleed with boldness Capivaccius l. 4. c. 10. otherwise many Women might Perish II. Cupping glasses with much Fire must be set to the Thighs without Scarification and then to the Groin on each side for when they are set to these Parts they draw the Womb down because of the Ligaments But they must not be set above the Navil as some through a great Mistake do for either they will draw the Womb up or keep it up A Castro l. 2. c. 1. when it is so Yet they may be applied between the os pubis and the Navil on each side III. Aetius commends a Vomit but it may be a question whether it be convenient For if the morbifick Cause be lodged in the Womb it is scarce credible that it should be drawn to the Stomach through so many windings and turnings and so be evacuated To evacuate the antecedent Cause by reason it does not as yet cause a Fit will do but little good Besides Vomiting in the Fit draws the Humors upwards and disturbs those in the Womb and so may make the Fit the worse Nevertheless it is certain that a Vomit does good as well in the Fit as out of it for as Sneezing does good by the Motion and Agitation so does a Vomit for in the act of Vomiting not only the morbifick Humors which cause the Mischief are evacuated but also by the straining of the Muscles of the abdomen the Womb is forced downwards and the Vapors arising thence are dissipated And seeing the Womb is easily offended with all manner of things the Cause does not alwayes ly in it but sometimes in other Parts also which provoke the Womb by their cacochymie to inordinate Motions as hysterick Women often complain of ails in their Spleen Primirosius de morb Mul. l. 3. c. 11. If therefore the Cause ly any where else than in the Womb it may be excluded by Vomit and so it will be convenient as well upon account of the conjunct as antecedent Cause IV. I have long since by experience found that such Symptomes as these are much exasperated and increased and others also superadded by sharp and violent Medicines Wherefore it is my Advice Mercatus de indic Med. l. 1. c. 6. that you alwayes use gentle Medicines in them although the Fits be Violent by which Method I have seen several restored to Health beyond expectation Heurnius ¶ That the Womb is grievously affected by the Guts has been my Observation for when a Purge has been given to them that are subject to Fits they are usually most grievously afflicted ¶ If Fits arise from corrupt and poysonous Humors there is no better Remedy then often to purge the Body according to the Condition and Nature of the peccant Humor Here we must consider from what Parts such Excrements flow into the Womb and what they are that we may help so great an Evil. A Vomit seems here peculiarly convenient in my Opinion because when all the Excrements of the first ways are purged revulsion is made from the Womb but not so in other Causes Augenius because neither abundance of Blood nor Seed can be amended by Vomiting unless by Accident ¶ Pilulae faetidae majores though they be purging yet half a drachm of them may be advantageously given in the Fit for they evacuate gently and use not to purge Riverius till the Fit is first over so that you need fear no danger from the Working V. Camerarius in horto suo is the Author that Angelica with Zeodary given in Wine is an excellent Remedy against Fits of the Mother Which as Reason denyes to be good for every Hysterick Woman so Experience will prove that it is good for this and the other individual for some Hysterick Women are refreshed with grateful smells as Balsame Cinnamon Amber and Musk on the contrary some are brought into great danger by assa foetida Castor and the most common and famous Remedies for uterine Symptomes Of which Matter I shall produce two contrary but singular Examples A few years since I was called to a Matron who was taken with exceeding violent hysterick Symptomes To whom when I advised that they should besides a Galbanum Plaster which the Women had applied before I came give her also some Hysterick water and should hang about her Neck a piece of Castor tied in a thin Silk that they should burn some Partridge Feathers or toste some Nutmeg Then she replied with a whispering Voice Must I then who cannot bear the smell of an hysterick Plaister bear moreover these stinking Things Certainly I shall be Killed who use to be refreshed with the smell of a Nutmeg but unburnt Wherefore I carefully enquired of her whether or no she was offended with Spanish or Italian Gloves that smelled of
liquid Amber But she replied that nothing could come more grateful to her I ordered therefore the Galbanum Plaister to be pulled off and to apply in its room another sweeter scented of Tacamahaca and instead of Hysterick waters smelling of Castor I recommended to her Citron Cinnamon water usual in this place in a spoonful or two of which I gave a scruple of faecula Bryoniae and indeed the Symptomes abated till she applied the following Liniment taken up in Cotton to her clitoris Take of black Balsome of Peru Oyl of Jasmin not rank each 2 dramchs the best Civet half a scruple Upon the use whereof her most urgent Symptomes as the Inflation and rumbling of the Hypochondria and of all her Belly Vertigo difficulty of Breathing Swooning c. ceased yea she was free 6 whole Months whereas before now and then she was taken with them and especially when her Menses were at hand The latter History contrary to the former is thus Once when I went into the Country it happened that I turned into the Royal Mannor of Ipstrup and there I found some of my familiar Friends making merry being admitted into the Parlor where the Women were and holding in my left Hand the Herb Monorchis or Orchis odorata moschata Jo. Baubini which smells of Saffron and Musk tied in a Nosegay lo all the rest being silent one of them all on a sudden began to complain of the fragrancy of my Nosegay and desired me to put it away affirming she could not bear it and I readily obeyed her fearing that she being Barren for Barren Women and old Maids it is plain are subject to uterine Symptomes might fall into Fits Therefore they that practise Physick must avoid sweet scents S. Pauli Quadr. Botan class 2. tit Angelica when for the most part the weaker Sex is easily offended with sweet scents but not at all with strong ones VI. Whether it be lawful to use Titillations and Frictions and so to irritate Nature to void the Seed let Divines inquire It is no absurdity to believe it lawful because then the Seed is voided against the Womens will and without their consent and such Seed is not at all prolifick but the poyson of the Body not only an useless but also a noxious excrement as we take away Blood the matter of Seed and all Morbifick matter And the Cure cannot otherwise succeed Why may not it be lawful in the like manner to evacuate Seed when it proves the cause of so dangerous a Symptome A Castro as we do other Morbifick causes VII It is an usual thing also for some to stop the Mouth and Nose and to stop the Breath that so Nature may be excited which is said to have been the opinion of Haly which yet to me seems dangerous for when Breathing is almost abolished it cannot be wholly stopt and intercepted without hazard of the animal Some think this Remedy is not of use in the Paroxysm but just before it comes because by the retention of the Breath the upper Parts force their excrements to the lower as appears in making water and going to stool and in such as have a Rupture for by holding ones Breath they are expelled with more violence It is probable also that the same happens to the Womb. Yet Vallesius approves of it in the Fit so the holding ones Breath be but short gentle and interpolated for so the innate heat being strengthned disperses Hysterick Vapors and drives the Womb to the lower parts But Sylvius is so far from thinking that the Breath should be held that he rather thinks it the best way to blow in ones Nostrils for he sayes that makes the Womb go down immediately Primirosius VIII A certain healthy and corpulent Woman after she had taken a Medicine to make her Conceive was taken with a pain in her Belly and with griping in the Guts and she swelled There was shortness of Breath and perplexity of pain and she swooned five times so that she seemed dead nor did her present pain or difficulty of breathing abate by giving her a Vomit with cold water But about 30 Amphorae of cold water were poured on her Body and truly this only seemed to do her good and afterward Bile came plentifully downwards Hippocr l. 5. Epid. But while the pain lasted she could not go to stool and she lived About 30 Amphorae of cold water were poured on her Body A wonderful thing and which could never have been attempted but by a generous Physician for an Amphora holds eight Congij Vallesius a Congius holds six Sextarii and a Sextarius holds twenty ounces IX Chymists commend Vitriolum Martis for this Disease and they give a grain or two of it with a double quantity of Sugar for many dayes in Wine or some proper Liquor yea it may be given to 12 grains with some proper Conserve Cream of Tartar given frequently is very good to cure this Disease These two Medicines do good not only by opening but by cooling For in this Disease there is often a hot imtemperature fixt to the Womb arising from Blood retained within its Veins and heated As Galen sayes there is an Inflammation of the Hypochondria in Hypochondriack Melancholy from the Blood retained therein by obstructions and over heated Therefore things which may cool the Womb are most proper here such as Semicupes Vinegar and water taken in at the Mouth and by way of Clyster and such like A Cholerick Woman 20 years old when she was oppressed with a Fit and had her Face red was immediately Cured by a Clyster of Vinegar and water A certain Maid was suddenly taken with a most grievous pain which afflicted her Right side and Loyns so cruelly that she was forced to roar out continually Because there was no Fever I believed it was an hysterick affection I therefore immediately gave her a Glass of Oxycrate which within a quarter of an hour she Vomited up again with much Phlegm When her Vomiting was over she drunk another glass of Oxycrate and her pain immediately vanished and she was perfectly cured ¶ Here the History may be added related by Harvey in his tract de partu of a Woman who was long sick of Hysterick Symptomes that would yield to no sort of Remedies who after many years at length recovered her health by the falling out of the Womb Because the Womb being exposed to the external Air was cooled and so its inflammation and hot intemperature was abated X. The following Pills are very good in a very violent fit and use certainly to stop it Riverius Take of Assa foetida 1 scruple Castor 6 grains Laudanum 3 grains Make 3 or 4 Pills let her take them presently ¶ Horstius tom 2. p. 398. advises well that in making up Laudanum opiatum Hoeferus Herc. Med. l. 7. c. 2. part of it be kept without Saffron that it may more safely be given which has often cured sick Women to
a Miracle XI Blisters applied to the Hips are of use to prevent Fits But I have often observed that Sinapisms applied to the Hips 2 or 3 hours before the Fit have diverted it Fortis which is a Remedy of less trouble XII Like as where the said Suffocation is urgent Castor is deservedly preferred before many other things and its Tincture with rectified Spirit of Wine and Spirit of Sal Ammoniack so where Cold is very urgent as well outwardly as inwardly as in a Syncope and Diseases of that nature above all things that I have hitherto yet known I commend the destilled oyl of Cloves which is not ingrateful nor do I disapprove of the oyl of Turpentine which is less grateful seeing mixt with Spirit of Vitriol it raises an effervescency accompanied with great heat Let this mixture serve for an example Take of Water of Penny-royal 2 ounces Theriacalis simplex 6 drachms Tincture of Castor 2 drachms destilled oyl of Mace of Amber each 3 drops Syrup of Fennil half an ounce Give it by spoonfuls it is good also in Hypochondriack Diseases One scruple of Spirit of Sal Ammoniac may be added to this mixture which will make it much stronger or a narrow mouthed Glass containing the said Spirit Sylvius de le Boe. prax l. 1. c. 19. may be held to the Nose for by its sharp smell People are got both out of Fits and the falling sickness XIII I observed in a Matron a most grievous Aphony often returning with Convulsions She had been Barren many years and upon the approach of her Menses was taken with a most grievous Fit of the Mother then with a small Epilepsie at length with partial Convulsions of Hands Feet Back and horrible ones all the Body over She upon using of proper foetid uterine Medicines fell into more grievous Symptomes for which cause we fell to Perfumes Musk to wit and Amber and we gave them in a small quantity with other Cephalick strengthening things with good success Which should also be observed in other Hysterick Women that is in such whose Head and Nervous kind has been weakned in their youth by Epileptick Fits Horstius ◠1. Obs 26. or some other cause XIV A Woman was afflicted with most cruel Symptomes Head-ach Belching contraction of the Body pain in her Groin gnashing of her Teeth sometimes falling to the ground speechless her Mouth shut so that she could not open it and all these things from the fault of her Womb. She having tried many Medicines to no purpose an old Woman coming in gave her 13 grains of Musk and as many of common Dragon's blood in 4 drachms of Orange flower water she was cured and never after had any Fits Solenander Sect. 5. cons 5. §. 10. I have given the same Medicine in the like case and it alwayes did good I have given it several times XV. In the cure of a pregnant Hysterick Woman we must take great care that Remedies be prudently administred and that violent and very foetid things be not given lest abortion be caused And the business must be done more by external than internal things Riverius XVI Aetius well advises that a Woman when she has recovered her health should not wholly be neglected but for preservation sake she should use Medicines at certain intervals especially at suspected times so that the use of them should not wholly be left off but the quantity abated XVII I and Dr. Dobritius had a Woman under Cure of Fits of the Mother who had a very foul Body She was taken about Night especially with a straitness about her Stomach her Heart was oppressed and almost all her Limbs had a tingling in them her Head also aking Various things were tried by us the Humours were prepared evacuated strengthning things were given yet we did no good At length through my perswasion we gave her Antimonium diaphoreticum upon taking of which she began by degrees to amend We continued it for a Fortnight in which time she was so much relieved that because she was better and grew weary of Medicines she had rather commit the rest to Nature than longer insist on Medicines I ascribe her recovery chiefly to the Antimony She indeed is well now but not without complaints of a weariness in her Limbs Doringius XVIII We often meet with Women who think they are ill of the Spleen when they are Hysterick By Hysterick Affections I mean these Symptomes that happen not in the Womb it self but in other Parts which have a Sympathy with the Womb for the Womb has some Sympathy with all the Parts especially with such as are contained in the Abdomen to which it is joyned by its Veins Arteries Nerves Membranes and by its Ligaments from whence because of some vitious Blood Seed or other Humours foul vapours expire into other Parts And there is a very great Sympathy between the Spleen and Womb by the Arteries whence come Hypochondriack Ails rumblings and pains of the Belly And this Sympathy is so frequent and familiar that many say they are only Sick of the Spleen Trimirosius when the Disease is in their Womb. ¶ A Maid of a Melancholick nature had for several years been troubled with violent Fits that returned often Most Physicians thought this mischief came from Malignant Vapors bred in the Spleen and rising to the Diaphragm It so happened that the Patient was held almost a whole Night with so violent a Fit that they thought she would dye every moment I suspecting it to be a Fit of the Mother gave her compound Balm water which is much in use among us I poured 2 or 3 spoonfuls of it into her Mouth she came to her self to a Miracle Thonorus Obs 2. l. 3. p. 185. and all her difficulty of Breathing ceased Whence we knew it was an Hysterick Fit XIX I was called to a Matron who was dangerously ill of Fits I found her lying with her Eyes shut and speechless I immediately prescribed her Aqua matricalis de Melissa Composita instead whereof through the Apothecaries mistake Aqua matricalis camphorata was sent a spoonful of which when I had poured into her Mouth she began to complain as well as she could What do ye do Then all her Head burnt as hot as Fire But when the other de Melissa Composita was brought and given the Sick Woman she immediately recollected her self began to open her Eyes and to speak and was recovered to her former health Now though Camphire in some Hysterick cases be no ignoble Medicine yet you may find many Women to whom it is an Enemy especially such as have a hot Head for by reason of its volatil Spirits it presently flies to the Head Idem Obs 3. This Patient was of a Sanguine Complexion and ruddy Countenance XX. Laudanum is admirable in Vapors that Sympathically annoy the Brain especially in Fits of the Mother mixt with Hystericks Madamoiselle de la Font after
her Labor was tormented almost to death with violent pains in her Belly an irregular motion of her Womb and with foul Vapors that annoyed and got up into her Brain when she had taken many Medicines to no purpose as soon as she came to me she took Laudanum she slept and all things were well Afterwards every Morning she used this Mass Take of faecula Bryoniae half an ounce Castor 2 drachms Myrrhe 1 drachm Assa foetida and Saffron each half a drachm Laudanum 4 scruples and an half Make a Mass of which let her take 25 grains She used an Hysterick Fomentation twice a day When her Fits were quieted she recovered very well ¶ Madame de la Varenne was troubled with Malignant Vapors and a great pain in her Womb with a great Swelling and very painful about her Guts and Mesentery and she was almost in a Consumption At first for every other day afterwards a little longer space between she took Laudanum for the Symptome and Mercury for the cure of her Disease She recovered Theod. de Mayerne tract m. s de Laudans when she had taken the Laudanum She vomitted viscid matter every day It is good in a flatulent Hypochondriack illness Medicines especially made use of by eminent Physicians 1. This is an experiment which never fails Take every Night before Supper Pilulae de Artemisia 2 scruples ¶ Take of Siler Madder Penniroyal Calamus Aromaticus the kernel of Peony Seeds each 6 drachms the best Musk 3 scruples Spikenard 1 drachm Make Pills with juice of Mugwort The Dose from 2 scruples to 4. abstaining nevertheless in Summer and hot Seasons and in Cholerick Constitutions It helps in Inveterate Suffocations especially from the stoppage of the Menses and retention of Seed J. Arculanus after the Pills a Decoction of Motherwort and Mint in Wine must be taken 2. This composition does wonderfully help as I have often tried Fits of the Mother and them whose Limbs are contracted from that cause It has in it of Triphera magna dried Chamomil each half a drachm Al. Benedictus It is given fasting in Wine or with Sugar 3. The fume of Wens that grow on Horses Legs is good against Fits of the Mother Theod. de Bry. ¶ Spirit of Vitriolum Veneris is a present Remedy if 3 drops of it be taken in some proper Liquor 4. Give a drachm of Treacle which also may be dissolved in Oyl of Rue and applied to the Part by which you perceive the Vapours ascend by which means only a noble Matron when no other Remedies did her good Rod. à Castro was cured of a dangerous rising of the Mother 5. Some say this is a never failing experiment They take a head of Garlick cut it in two lay it upon the Coals and lay on it a little Aloe hepatica they take the juice and anoint the Navil Corbaeus Wrists Temples and Nostrils of the Hysterick party 6. In Fits of the Mother this is a singular Remedy Take the Catkins of the Walnut-tree dry them and powder them Give 2 scruples thereof with a drop or two of Oyl of Amber dropt on them Joh. Crato I know nothing better 7. Sal Jovis is a precious Remedy and Secret against Fits of the Mother anointed on the Navil Three grains of it also may be given inwardly with Hysterick water 3 or 4 dayes in the Morning 8. Salt of Vitriol which causes Vomiting and promotes the Menstrua Pet. Joh. Faber is an excellent Remedy in Fits 9. A Galbanum Plaster is Montagnana's Secret We dissolve Galbanum with a little Vinegar spread it on Leather and apply it to the Woman's Navil by which Remedy I have cured several and raised them out of Fits ¶ A certain Woman when she perceived the Fit coming held only a piece of root of Masterwort in her Mouth and chewed it a little and she was freed from the Fit but she drank a little good Wine Vinegar upon it which made her belch and she escaped it alwayes ¶ We received this for an admirable Secret to bring away the after-burthen for the stopt Menses to bring away a Mole or dead Child and it is said to have been tried in them that have kept the afterburthen 14 dayes Take green Leaves of Lovage pound them put Rhenish Wine to them strain out the juice and give a Glass of it to drink In the Winter time bruise the Seed of Lovage and let it boyl a little in Wine then strain it or which is better give it in Beer Forestus 10. This is a great Secret Let a Clyster be made of a Decoction of Ground-Ivy of which take 1 pound add 1 ounce of Mithridate and give it It is proper in coldness of the Womb P. Mich. de Heredia and when the Seed is corrupt 11. Hens dung dissolved in White Wine and mixt with some Cordial has helped many Fr. Hofmannus 12. Only the Seed of Garden Parsnep dried and powdered and half a drachm of it given in Wine or in some Hysterick water is a peculiar Specifick for Fits of the Mother Quercetanus 13. Equal parts of Cows and Deers dung given in warm Wine to a Woman when she goes to sleep presently takes away the pain and Fits ¶ Linnen clothes dipt in Cows piss or in a Dunghil and applied warm to the Navil and Womb J. Dan. Ruland quiets it 14. If the hair of the Patient be burnt and the fume of it received it does wonders on a sudden I have often tried it Varignana Surditas or Deafness See Diseases of the Ears Book I. The Contents Whether we must Purge violently I. Cured by Bleeding II. Whether the Head must always be Purged III. Whether it may be Cured by Fluxing IV. In Childbed Women and such as are recovering from Sickness it requires a peculiar way of Cure V. Whether Deafness and noise should be Cured with dry or moist things VI. The Cure by Sweating and Bathing VII We must be cautious in the use of Oyl of bitter Almonds VIII The efficacy of natural Bathes IX Nothing must be dropt in but topical Medicines must be applied by Tents X. Medicines I. WE must give a Purge of some Medicine that purges the peccant Humour violently for seeing the Humours are gross and impacted they are rather disturbed than carried off by a gentle Medicine wherefore I think for this reason Hippocrates said a disturbed Belly that is one very loose cures Deafness But we may not use such things frequently without danger according to Hippocrates his advice Mercatus we must purge such with that which in a small quantity purges a great deal II. I have observed that Deafness in many arises from abundance of Blood passing by the roots of the Ears Therefore the Remedy of a certain Bathe-keeper of Bavaria seems to me not altogether absurd whereby as I have been told by several he has cured many of thickness of Hearing And it is
If the Small Pox come of hot Humors they must be cured only with cooling and incrassating things for unless the immoderate ebullition and heat of the Blood be stopt the Patients hasten to their end therefore we must then use things that check and moderately cool As will appear from the example following whence likewise it will appear in what cases the Cure must be varied Altarasius his Boy was taken with the Small Pox some of which ran so that in two dayes they left the poor wretches Body all excoriated as I have also seen it happen in other Children Against which I began thus First of all because this matter was too thin I endeavored to thicken it not only by taking it off but the ill quality also of the Liver and inner Parts that no more new might be bred And this I did with cooling Medicines as Syrup of Roses of Cichory simple of Endive and Violets mixing them with the like Waters His Liver was anointed outwardly with Vnguentum Santalinum But his Diet conduced much to it which inclined to cooling and moistning Amat Lufiâ—on cur 18. cent 3. By all which means the Matter was made thick and the Small Pox begin to appear thick and large ¶ In the latter end of Summer 1655. the Small Pox were abroad in our City many Children had them but few died for they were kindly At the same time two Greenland Women were taken with them to whom when several sorts of drink which had done good to others as well for driving out the Small Pox as to cool the febrile Heat were profered them they refused all denying to take so much as boyled Water But by making signs they so earnestly desired cold spring Water Bartholinus cent 3. hist 89. that they signified they should dye if it were denied them and when it was granted them they recovered LVI Lentills are rejected by some Neotericks because they have an astringent Faculty and so hinder the coming out of the Small Pox But the Authority of so many and so great Worthies ought not rashly to be rejected but rather it must be concluded that with the highest reason Lentils either excorticated or a little boyled are added to things that drive out to the Skin inasmuch namely as by their astringent and incrassating faculty they restrain the too great heat of the Humours and hinder their running into some noble part to which end also Tragacanth is added This is taken from Galen who 1. de Alim fac c. 18. holds that Lentils twice boyled strengthen the natural parts and by the astriction wherewith they are endued do stop a Loosness Therefore they may be prescribed or omitted by the Physician who has the cure in hand according as he shall find the necessity to attenuate the Humours and to drive them out to the Skin to be more or less urgent For if the matter be subtil and the ebullition great they may be usefully prescribed for the foresaid intentions But if the matter seem thick and Nature drive it slowly to the Skin then they yea and Tragacanth also must be omitted and other things that are attenuating and diaphoretick must be put in Riverius LVII Having made evacuation of the whole Body unless the Small Pox come plentifully out it will be good to abate in Meat those things that bind and to put in some things which may open as Leaves of Smallage and Parsly Nor indeed do I approve of giving of dry Figs for I condemn it for that very reason for which Physicians commend it They say indeed that Figs drive the matter from within to without but truly their experience fails them for Figs do not this because they drive bad Humours from within but because by over-heating them they give them a kind of ebullition which is usually very grievous and therefore the common People hold that Figs cause the Scab and Itch yet they are good for old Men if they should chance to have this Disease whose Blood naturally is not so hot as in Children And it will not be amiss here to enquire what is the reason that Salt fish are good for them that are sick of the Measles For Aristotle sayes that vulgar report is not alwayes without cause yet there is reason We find by dayly experience that Salt fish causes the Itch because it raises an ebullition in the Blood Now it is found that in every ebullition thick Humours are made thin thin turn into Fumes and Fumes go to the Skin Whence it is made out that without doubt Salt Fish are sometimes proper in these Diseases to wit when Nature goes lazily about the work of expulsion especially when the wayes are narrow and the Humours thick and inept when there is any one or all of these Reason demonstrates that Salt Fish are good When therefore in a body naturally cold the Small Pox come not well out for any of the three aforesaid reasons I think notwithstanding the Febrile heat we may with the People in Portugal with whom this is usual give Salt Fish but otherwise by no means And this must be done with premeditation for the Fish must be steeped a whole day in juice of Sorrel But if it should so happen that Pustules should come within truly you can by no one Medicine more effectually break them purge the Sanies nor dry up the Putrefaction that comes from them And you can by no means sooner give a check that so the Body may take no further corruption and at last you can by no other means preserve the sound Particles safe from being affected with the contagion of the running corruption then by Salt Fish And it will not be amiss whan they come out within to advise first of all to eat dry Figs for ripening of them and then to use Salt Fish But we must remember that we must have a care of using Salt Fish in the Measles rather than in the Small Pox and in such as are of a hot and dry constitution Brudus de victu febricir l. 3. c. 22. 23. LVIII To preserve the Face some wash it with Rose water and other astringent things which I cannot approve of because the greatest share of the impurities is driven to it for its Skin is lax and soft and so fittest to receive excrements Wherefore if those impurities which are sent by Nature to the Face be repelled from it when they are retained within they may do much mischief Riverius and therefore Nature's motion must by no means be hindred LIX I must not omit that several teach that the Small Pox when they are brought to maturity must be prickt with a Golden or Silver pin lest the pus abiding longer there leave Scars in the part Which nevertheless is now in a manner out of use since experience has shown that the Small Pox when prickt are cured more slowly and keep their Scabs longer on by reason of the weakness of the innate heat which is
Wine each what is sufficient Mix them Grembs ¶ Pomegranates also are very good to allay the fury in this case 3. Trochisci de Carabe de Terra Sigillata each 1 drachm Water of Shepherds purse Purslain Plantain each one ounce Mix them Grulingius This immediately does good 4. An Amulet of a Plate of lead or a flat pot of lead with Quick-silver in it Kozak if it be hung to the back is very good in this case 5. This is certainly true I remember a certain young Noble-Man who voided such abundance of pure Blood at his Mouth sometimes without sometimes with Coughing that you would have sworn he would have vomited up his purple Soul This Person at the time of his Fit held fast in his Hand some Shepherds-purse and out of his Fit put some Shepherds-purse to the soles of his Feet and both his Vomiting and Spitting of Blood stopt But I recommended to him as to other Phthisical Persons the fume of the best native Sulphur which he was ordered to receive with his open Mouth by which means he was not only cured of his Vomiting of Blood but he married a Wife Simon Pauli 6. That the Blood may not congeal upon the Stomach two ounces of Simple Oxymel should be given But if it be congealed the best Remedy is 1 ounce of Hares Rennet Rhudius with 3 ounces of Vinegar given in drink 7. This applied to the Breast and Stomach quickly suppresses vomiting of Blood Mart. Rulandus Take of Rye-Bread 3 handfuls Salt 1 handful Vinegar what is sufficient Mix them Make a Plaster Urinae Incontinentia or Incontinence of Vrine The Contents When Blood may be let I. The Cure of it when caused by tearing the Bladder II. I. IF the Menses or Haemorrhoids be stopt then indeed if you can easily bring them down you must bleed in the Foot sparingly and at times as much as may suffice to abate the abundance but if the stopt Blood be crude as it often is you must bleed more sparingly and then Purge and afterwards proceed to things that strengthen the part But if it come from a defluxion of fluid Phlegm which is ever running or of thick Phlegm which having gathered there caused that mischief we must have a care of letting Blood Mercatus unless the Body in like manner abound in Blood II. In the year 1608. I was called to a young Woman of her first Child whose Bladder a foolish Midwife had torn so that she could not keep her Urine one moment Whereupon her Skin of the Labia Pudendi was first excoriated with the continual running then there grew so many Warts but soft ones as I believe no man's two hands could hold them both her Buttocks also were almost eaten away with her Urine I ordered her to be carried to Liege being desirous to cure her As soon as I fell upon the cure I anointed thick that ugly great lump of Warts with the Magma of crude Antimony and Sublimate out of which they distil the Butter of Antimony which being often scraped off the Labia Pudoris did at length on the third day show themselves deep buried and the putrid eaten flesh of her Buttocks gave some hopes of Cure As soon as I could part the Labia and observe the Sphincter of the Bladder I fitted a Silver Pipe to it the shorter end whereof I put into her Bladder and to the longer which stood out four inches I fastned a Pot The Urine in this manner being carried another way and the Ulcers cicatrized she seemed well and the Nineteenth day after she came to Liege she called her Husband to her with whom she had not lain for two years by whom when I had taught her to put off and on her Silver Pipe which was necessary in their embraces she was with Child and was safely delivered But after I had used several things in vain for the stopping of that dropping of her Urine I left her glad of this one thing that though she was troubled with the Pot yet she lived without Pain Afterwards I met her very well and she offered me the Silver Pipe again if I had any occasion for it I was amazed how she could be rid of her incontinence of Urine and she shewed me a Bag hung about her Neck wherein there was the Powder of a Toad which had been burnt alive in a new Pot. A Cingar had taught her this and that she would hold her Water as well as before her Bladder was torn Heer 's Oâ—s 14. Urinae Suppressio or Stoppage of Vrine See Ischuria Book IX Uteri Affectus or Diseases of the Womb. The Contents Vinegar does not alwayes hurt I. It delights in sweet things II. The Haemorrhoids must not be opened III. It throws off its impurities to the Groin IV. Sugar is an Enemy V. In an Abscess of the Womb after the Suppression of the Lochia what Vein must be opened VI. What Vein must be opened in its Inflammation VII Whether we may use Vomits VIII When Flesh may be allowed IX An uterine Fungus taken away by Section X. Whether there be any such thing as the falling out of the Womb XI A Vomit must not be given XII A Semicupe must be used with Caution XIII When Astringents are proper XIV One resembling the Sciatica XV. What such the Candle or Obturamentum should be XVI In an Inflammation Clysters must frequently be given XVII Sudorificks and Narcoticks are proper in it XVIII The Efficacy of Fomentations and the way of applying them XIX A Caution about Fumes XX. The Cure of an abscess upon the alae Pudendi XXI The Cure of Warts of the Vulva XXII A huge swelling in the Pudendum taken away XXIII An easie Cure of inflation of the Womb. XXIV Narcoticks may be given in a Cancer of the Womb. XXV Medicines I. ALthough Hippocrates 4 Acut. says that Vinegar is 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or painful to the Womb and affirms that Women are more hurt by it than Men yet he often uses it in their Diseases which arise from some fault in the Womb for he used it not only applied outwardly and gave it by the Mouth but he also injected it into the Womb in Collutions and Fomentations made of Vinegar as is manifest from Lib. de Morb. Mul. to wit because of the remarkable faculties which Vinegar has of cutting attenuating drying and cooling with tenuity of parts which are not found equal in another Medicine we are often forced to use it though it may do some harm that is when the benefit which results from its foresaid Virtues is greater than the inconvenience that comes from its smell ¶ Riverius orders Clysters of Oxycrate in Fits yea he gives a glass of it by which he says the Fit is presently stopt Martianus Com. in loc the vapors which cause it being repressed and coagulated II. There must always be this caution in things of the Womb the serous Remedies must
never be prescribed without sweetness otherwise they will go to the Kidneys for the Womb delights in sweet things as the Kidneys do in serous For this reason Galen mixed not Honey in the cure of Boethius his Wife when he would avert the course of the humors by Diureticks wherefore we add Orrice to the Honey that it may more greedily be received by the Womb. Heurnius III. In Diseases of the Womb it is clear that it is not necessary to open the Haemorrhoid veins because the redundant Blood in this part may be purged by its own Vessels and much safer For though these Veins may easily be opened yet they are not so easily shut again Walaeus And if the Lochia succeed not they may be voided by proper Uterines IV. As the Men do discharge their Liver and Spleen to the Groin so Women do moreover what is redundant in the Womb And the way whereby this filth runs is reckoned by Anatomists the lower Ligament of the Womb which descends on each side to the inguinal Glands in which sometimes Venereal Tumors appear Therefore Celsus says well l. 4. c. 4. If a Woman when her Menstrua do not pass vomit Blood it is the best way to apply a Cupping-glass to her Groin Would you know the reason you can scarce come to a place nearer the Womb or more effectually avert the outragious violence Tulpius which the uterine Blood offers to the Parts above the Diaphragm V. A Woman whose Lochia stopt was bled in the Foot and had Platerus his Powder for forcing the Lochia given her in Bugloss-water but instead of Sugar Bartholinus an enemy to the Womb I put in the Anthera of white Lilly flowers VI. When an Inflammation turns to an Abscess some letting of Blood must be endeavored Which indeed for Revulsion sake must be let in the upper Veins except the Patient be lying in and therefore be in danger of Fits wherefore it is safer to bleed in the Foot For formerly I saw my Master let a certain Plethoâ—ick young Woman lying in Blood in her Arm Fortis whom when we went to visit her in the Evening we found dead of Fits VII Whether may a Vein be opened in an Inflammation of the Womb The Basilick Vein must be opened for revulsion and evacuation of plenitude For though some open the lower Veins yet because the opening of them draws the Blood to the Part affected therefore we must abstain at least in the beginning lest from a greater Fluxion to the Part the Disease grow worse Nor can revulsion be thus made whatever Fuchsius and others think But when the Fluxion is over a Vein may be opened below for evacuation of the conjunct cause Reason tells us as much for if in the beginning of an Inflammation revulsion must be made from the Womb then the upper Veins must be opened 2. In an Inflammation of the womb the menses must not be provoked therefore the lower Veins must not be opened And though Galen 2 ad Glauc 2. order Bleeding in the Foot yet it must be understood of derivation or of Diseases in the Womb wherein there is no need of revulsion But if there be no plenitude and the Inflammation be small it will not be amiss to begin with the Saphaena But in a Woman with Child it is always dangerous to bleed in the Foot Sennerâ—us VIII Avicenna bids us use Vomits but without doubt it is to make evacuation by a place farthest distant from the part affected But we must take great care for if they be gentle they evacuate almost nothing if strong they make a great disturbance in the Body whence more harm than good follows IX When the Womb is ill of an Erysipelaceous Inflammation the Diet must be of Ptisan both the Cichories Lettuce with Bread abstaining from Eggs and Flesh till they have passed the increase and state For I cannot commend Mercatus and Mercurialis who when the first 3 days are over give Flesh for they do not so soon pass the time of increase and the state Ferdinandus Hist 4. wherefore in the declension we may use them X. Parts full of Glands easily degenerate into fungi the proximate subject of a Carcinoma and if there be any fungus in the Womb the fungus irritates it presently and it pours out the menstrua in no less plenty than if the true Birth were at hand whereby nevertheless since this fixt tumor is not at all expelled it is necessary to have recourse to the Knife and by the help of it to take out by the root what cannot otherwise be extirpated But all the Skill is either to attempt such a Section or rightly to perform it in such an obscure place In which notwithstanding I saw it twice performed with as much security and the fungus of that Part cut out by Bernardus Ollularius without any hurt to the Part Tulpius l. 3. c. 33. and 34. as if he had directed his Knife in the open light and in a place most obvious XI I have this admonition to give concerning the falling out of the Womb that it is scarce yea altogether impossible that the Body of the Womb should hang out of the Vulva and therefore this Disease is not so frequent as is commonly thought But Midwives and most Physicians with them are deceived which Roonbusius confirms in his Observations by the rugous vagina uteri which after a hard Labour or an unskilful Midwife being separated from the Parts about it by the additional afflux of pituitous Humors which we may often observe to happen in the lower Eye-lid is so extended and encreased that the vagina hanging without the Vulva resembles some pyriform vessel For the greater the falling out is so much narrower the root of it is J. Van Horne Barbette And therefore when we are forced to cut it off for a Gangrene it is done with little danger XII Some approve of a Vomit because it makes revulsion of the Humors to the upper Parts And upon that account indeed it were good but that it may be feared on another because it is performed with great straining and forces the Womb as much as sneezing Yea Experience has shown that nothing is more effectual to bring away the Child quickly in a hard Labour than to give a Vomit Riverius XIII Physicians use a Semicupe of a Decoction of Astringents which yet needs caution for there is danger lest the Womb in that posture be turned out of its place especially while the Disease is in the beginning and new but when it has held the Patient a long time and she is guarded by a Truss Idem it may do her good XIV But concerning astringent Medicines as well internal as external we must observe that they must be cautiously used if the Menstrua come at certain Periods lest they should be stopt and great mischief should arise from thence And the time most proper
for such Medicines is Idem when the Menstrua are past XV. A Woman had not been well Purged after her Travel and when other People thought she was ill of the Sciatica the Physician commanded the Midwife to search whether her Womb were not slipt to the Hip which she found was so Therefore there was need of Chirurgery She was set in a hollow Chair and foetid fumes were placed below and sweet ones held to her Nose Afterward the Midwife having anointed her Finger with Oyl of sweet and bitter Almonds Lucillus Philalthaeus separated the Womb from the Hip and placed it right and then she lay a while on her well side XVI In curing the falling out of the Womb we must especially have a care that the wax Candle or Obturamentum be not so thick as by its continual attrition to cause the Whites or Ejaculation of Seed whereby the Body must of necessity be weakned But you cannot with all your Prudence either altogether or always prevent this mischief Wherefore they seem to act with reason who make a hole lengthways in the Candle Barbette to make a fit passage for the Humors XVII â—mollient and Carminative Clysters are proper if an Inflammation arise in the Womb from the suppression of the Lochia and there be Pain with heat and pulsation and they must he given now and then 1. That the Excrements of the Belly may be carried off in time lest by staying there they encrease the Pain and Inflammation 2. That the acid acrimony which is peccant in every Inflammation may be tempered by the steems of the Clysters which penetrate the Womb. And 3. That the Parts distended by the Inflammation Sylvius de le Boë and hitherto in Pain may be asswaged XVIII To this purpose also Sudorificks of Crabs-eyes Antimonium Diaphoreticum and the like will be proper because they especially are good above all things that are yet known both to prevent and cure an Inflammation adding always Opiates which temper every sharp thing Idem and asswage all Pain XIX Fomentations also made of a Decoction of aromatick and emollient Plants are good for this purpose And they ought to be applied with a great sponge or woollen cloth pretty hot to the bottom of the Belly and the Pudendum muliebre that their virtue may the sooner and more successfully penetrate into the Womb it self Such Fomentations also may be applied in an Oxes Bladder half way filled Idem XX. Fumes made of the Stone Pyrites red hot quenched in Vinegar are wonderfully commended by Galen to dissolve all schirrous Tumors Yet we must have a care that the Stone Pyrites be not a Leaden one Riverius for then it would do a great deal of harm XXI Sometimes upon the Alae pudendi muliebris there grows a swelling at first small then vastly encreasing soft all of a colour which may be handled any way without pain And from the forefaid signs and from the matter contained I place it among the oedematous kind Celsus calls it an Abscess but I understand it to be a cystick one or anomalous and not suppuratory for section especially in these lax places need not be deferred for fear of a Fistula A Whore had a Tubercle upon her labium pudendi as big as a small Pine nut hanging by a base lesser than the other extreme which of a little thing had grown to that bigness in one year I tied it hard with a string for one day and the next day I cut it off almost stupefied covered with a very thick skin Severinus almost half an inch thick It was cured as an Ulcer in 30 days XXII Philomenus in Aetius lib. 4. s 4. c. 108. held a stalk of wild Marjoram lighted at a Candle to take away the Warts from his Wife 's Vulva yet not so as to burn them but that they might receive the smoak XXIII In the year 1629. P. de Marchettis cut a scirrhous swelling arising from Phlegm from a Whore as big as a Gourd which grew to the upper part of the Os pubis and covered her whole Privity full of Malignant Pustules ulcerated at the root He stopt the Blood by Cauteries applying Bole Armenick Rhodius Dragon's Blood and the white of an Egg in Cotton XXIV Inflation of the Womb is best known by the Signs proposed by Fernelius And when it is known this experiment is excellent Take a whole Nutmeg not faulty cut it into quarters lay one of them upon coals and let the Woman stradling receive the fume by a Funnel into her Womb. For so if not at the first time certainly at the third or fourth the Wind will burst out with a noise In this manner I cured a young Woman at Biel Hartmannus when all other Remedies had been tried in vain XXV In a Cancer of the Womb if common Anodynes be not sufficient to asswage the most cruel pain which sometimes will give no rest or sleep we are often forced to have recourse to Narcoticks which in this Disease because of the great heat of the Humours are not so hurtful I knew a Woman who had a Cancer in her Breast who every Night for 4 Months took 2 or 3 grains of Laudanum without any harm to her great comfort Riverius Medicines especially made use of by eminent Physicians For a Cancer in the Womb. 1. A Cancer is cured by a stuck Frog which they call Glew of the Water They tie a Frog to a staff and expose it to the rayes of the Moon that so it may be reduced to its first matter Grembâ— in form like a Frog but looking like dissolved Tragacanth 2. Oyl of Eggs much rubbed in a leaden Mortar Mercatus till it grow thick is very good for a Cancer that is not ulcerous 3. Take of Cows dung 4 pounds herb Robert Plantain Housleek Henbane Purslain Lettuce Endive each 1 handful River Crabs N o 12 Mix them all together Destil them in a leaden Alembick Paraeus and make a frequent injection into the Womb. 4. In a Cancer of the Womb this is commended Take of the Powder of Emerauld Sapphire and Bezoar stone each alike aequal parts For 3 days let 3 or 4 grains be given in a little scabious Sennerâ—uâ— or Carduus Benedictus water For a Pain in the Womb. 1. Powder of Harts-horn given in warm wine is very good for a pain in the Womb. De Bry. 2. Nothing is better when it comes from cold than to take 2 scruples of Castor in Rhenish wine Forestus 3. For a pain in the Womb let 4 ounces of oyl of Sweet Almonds and 2 ounces of Sugar be drunk It eases a woman of her Gripes ¶ A certain Woman applied fresh Horsemint heated and be-sprinkled with hot wine to the pained place Gabelchoverus and the sick party grew well 4. Lily root boyled in Oyl of Roses is very good for pains in the Womb as I have
an exact mixture of the lixivious Salt and acid Spirit whereby the acidity is overcome that is always hurtful and is the primary cause of gnawing in convulsions c. For the subtil lixivious Salt of the Baths being in a manner volatiliz'd is the best and perhaps the only thing for coagulating the more subtil acid Spirit Therefore it will be the office of Art to imitate nature and to render the lixivious Salt volatil and fit for coagulating the subtil acid Spirits Fr. Sylvius Pr. l. 2. c. 23. § 236. and withal for curing the distempers arising thence XVII We must abstain from hot Baths whilst obstructions are present in the hypochondres the mesaraick Veins stuffed with tartareous juices and the mass of Blood impregnated with Salts that are as yet with wild acrimonious and acid for by the Bath these might be melted and fused and being so Frid. Hofm m. m. lib. 1. c. 11. might be carried into other parts and more principal viscera and there raise other more grievous Symptomes Caputpurgia or Purgers of the Head Errhines or drawers out of Phlegm by the Nose and Ptarmicks or Sneezing Medicines See Capitis affectus in genere or Diseases of the Head in general Book 3. The Contents The Nose is the Emunctory of the Head I. Ptarmicks and Errhines operate by irritating the Membrane of the Nostrils II. How Ptarmicks and Errhines differ III. Errhines respect especially the private or peculiar fault of the Nostrils IV. Ptarmicks relieve the Head V. When they are chiefly to be used VI. What Distempers they are bad for VII They are owing to the Humours VIII When Errhines are to be used and when Apophlegmatisms IX White Vitriol is an effectual Errhine X. I. WE take it for granted that the Nose is the Emunctory and van as it were of the Brain for whatsoever some have imagin'd to the contrary concerning the publick use of this Sierce which is destin'd for the service of the whole machin yet by the opinions of the Ancients and the experiments of the more sagacious Moderns it is certain that the fountain indeed of Catarrhs is not to be sought for in the Brain but in the inseparable companion of the Blood the Serum for of Blood and Serum as of hot and moist do the elements of life consist or in the abundance of the Lympha separated by the glands into which the Lymphatick Vessels either end or arise therefrom But to affirm that the Brain is altogether free priviledged and exempt in Catarrhs Wedel de s m. fac p. 228. See Willis cer Anat. c. 12. is to deny that it is water'd with Serum which is absurd or that it is not affected in a coryza or other Catarrhs which is against experience II. The reason of the activity and operation of Ptarmicks and Errhines consists in the solicitation irritation and twitching of the sensible Membrane of the Nostrils by an external cause hence whatsoever things do more nearly affect and as it were tickle this Membrane the same do move excretion either simply or with sneezing Thus not only a feather put up the Nose causes sneezing as also even the unequal afflatus of the ambient air the Sun-beams c. but also especially all those things that are communicated to the Nostrils which are endued with a saline quality and acrimony whether fixed as white vitriol or volatil So all acrimonious things and all Purgers are Ptarmicks Idem III. The more the saline goads are left to themselves the more they stimulate the less they are left to themselves or the more obtuse they are the less they stimulate The former are called Ptarmicks that is which stimulate with Sneezing the latter Errhines that melt the Humours without Sneezing Hence that the saline spicula may approach the Membrane of the Nostrils the more intimately Ptarmicks are given in powder or in a dry form for so they operate more and the more finely they are powder'd the more strongly so that they differ not but in degrees The saline spiculum touching the Membrane of the Nostrils on this manner three things follow 1. The irritation it self 2. The fusion and liquation of the Humours Idem 3. The excretion it self IV. Errhines are more used for the private service of the Nostrils Ptarmicks more for that of other Parts Errhines are most useful and profitable in a Coryza Ozoena Polypus for cleansing dissipating and procuring a free passage for the Humours V. Sneezing Medicines ease the Head both in general and also in special when the Body is evacuated and the antecedent fewel taken away for they are not good when the matter is too plentiful and stagnating Whence in a Coryza and Catarrhs they take place rather in the declination and state Idem than in the beginning when all things are crude VI. They are chiefly of use when the faculty is asleep as it were in the Watch-Tower of the Body Hence if they operate not when they are exhibited they often signifie the faculty to be even dead which I have often seen in Child bed Women and others in as much as Nature is no longer sensible of the goad nor actuates which holds good also in others Idem as for instance in Purgers VII When those parts are indisposed that necessarily concur to sneezing Sternutatories are not proper whence they do harm in venereal pains of the head in fractures in luxations of the Ribs Idem Ulcers of the Lungs Spitting of Blood Ruptures c. VIII Ptarmicks are owing to the Humours for the bringing out the Serum that stagnates about the coasts of the Brain and withal discuss whatsoever sticks there Hence they are rather to be used in distempers arising from a positive cause than from a privative and hence also they are not so convenient in too much driness and for the Cholerick and Melancholick but more for the Phlegmatick in whom the Serum is more plentiful the coagulation whereof it is the chief property of these kind of Medicines to hinder Idem IX Few know when Phlegm is to be drawn from the Brain by Errhines and when by Apophlegmatisms or when by both By Errhines and so through the os cribriforme is to be drained away that snivel that is collected in the space betwixt the right and left part of the Brain and is sent into that space from the Cortex of the Brain By Apophlegmatisms and so through the os Sphenoides that must be drawn out which is collected in the Ventricles that are made for this purpose Hofman in Instit ex Riolano and is driven thither from the Medulla of the Brain X. I have found that white vitriol dissolved in simple or some cephalick Water and applyed gently with a feather to the nostrils does in a due quantity liquate Catarrhs according to ones wish and draw them forth so that I have sometimes happily used it even to Infants new born that were hardly able to suck and were
part to which it is prejudicial Merc. de Ind. Med. l. 1. c. 16. XVII It should be none of our least cares to see that the Person who is to have the Issue made be not Cachectick that is be not of a corrupt habit or vitiated viscera moreover that he be not full of ill Humours and unpurged for in such Bodies this Remedy is apt to produce Malignant Ulcers Seâ— Medic. effic p. 256. XVIII Some in England are stifly of opinion that an Issue whether one or more disposes to Barrenness on which account married Women and such as desire Children are strictly forbid the use of this Remedy though it might otherwise conduce never so much to their health for which interdict yet no reason is given but only some stories of certain Barren Women that had Issues are alledged when it were as easie to relate more that have been Barren without them and many fruitful with them And indeed I am wont to retort this argument chiefly against that opinion seeing there is no need to confute it otherwise Willis XIX A Woman having for many years one foot very much ulcerated had an Issue in the other being wearied with the trouble of them she got them healed up upon which presently ensued a difficulty of breathing yet without loss of appetite At length there followed a swelling of the Face and of the whole Body through the Humours stagnating and having no vent and a little after death Horst obs 15. Lib. 9. Being opâ—ned there was found an abscess in the left side hard by the Spleen XX. As luxuriant flesh sometimes grows on dismembred Limbs so also in the cavity of Issues nor must we believe that that mucor or proud flesh as 't is commonly called proceeds from the excrementitious Humour that we would have evacuated but that Humour is turned into such matter which if the part were intire would pass into its nourishment Hoefer Her Medic. lib. 1. cap. 4. And hence some wear Issues without any benefit Sometimes it happens that an Issue like a spring dried up pours forth little or no Humour either because the hole being not deep enough penetrates not through the whole Skin which is easily cured by making it deeper or the Ulcer though deep and large enough yet remains without liquor because the Serum through the too strict compages of the Blood does not easily and plentifully enough separate from its mass and then the only Remedy is to wear in the hole such solid things as irritate much and notably twitch the mouths of the Vessels For which purpose Pills of Ivy or Box or of the Roots of Gentian or Hermodactyls are made and used with good success Willis XXI Where a Cautery is applied to attract the matter creeping upwards as in a sympathick Epilepsie after the falling of the Eschar let a Cupping-glass be often applied River Pract. lib. 1. c 7. XXII Having premised such things as were necessary I applied a Seton and a potential Cautery to a man of sixty that was troubled with an old and great pain in his Head Four dayes after a Phlegmatick tumour rose in his Arm which waxed so that all his Arm swelled from his Shoulder to his Fingers ends like the Legs of Hydropical Persons I used Remedies to prevent the extinction of his natural heat and at length the swelling was quite scattered Twelve dayes after the like tumour seiz'd upon the same Parts which afterwards wasted away in a good part though not wholly Many were of opinion that these things happened by reason of the Cautery's being applied upon some Nerve but it appears by Anatomy that they were mistaken for the Nerves lie deeper there than to be toucht by a Caustick moreover it was not laid upon the tendon of the deltoides Muscle but much higher After three Months his Arm being swelled like the Legs of Persons in a Dropsie he died of a lingring Fever There was no Gangrene lividness or pain except a little lumpishness But I refer the cause of the swelling of the Arm to an hard inveterate immoveable painless and livid Scirrhus that lay hid in his Arm-pit and was fasten'd to the Ribs Cl. Chaphusius ad Fabr. Hild. Cent. 4. obs 73. and not to the application of the Cautery though I doubt not but his death was in some manner hasten'd thereby XXIII In preparing Causticks this one thing is to be noted that those things be made use of that want an astringent vertue such as is quick lime for those Causticks that are made of Vitriol and the like seeing they have an astringent vertue the Eschar that is made by them is longer a falling off Mich. Gavassetius l. de nat cauter c. 12. wherefore we should rather use these where we would stanch the Blood that bursts forth upon the erosion of Vessels XXIV Sometimes there has risen a spontaneous Ulcer in the interstices of the Muscles and in the cavities of other Parts which hath helped and removed some great Distemper of the Body In that place therefore there is to be left an Issue for some time 'T is a thing which I have experienced to be profitable and therefore I advise it Sever. Med. effic p. 235. yea and reason it self also perswades it XXV If the Body be foul and full of Humours an Issue is not to be made till provision be first made against the accidents that use to happen by some general Remedies for grievous things are sometimes raised from a small cause There is a late example at hand In the middle of April 1681. Constantine M. our chief Gardener being about Sixty came to ask my advice I am afraid says he I shall fall into an Apoplexy for I have a heavy pain on the left side of my Head with drowziness yea and my Tongue sometimes faulters and therefore I think I have need of an Issue I consented if necessaries had preceeded lest there should be a hasty irruption of Humours upon the part wherein it should be made He replies that it was not long since he had been purged and so goes outright to a Surgeon The next day a flux of Humour fell upon his Lungs and upon that Arm to which the Caustick had been applied hereto did a Loosness joyn it self with a Fever I being sent for said that the fluor was to be let alone and that there was no thinking of Bleeding which he prest for until his Loosness were stayed yet he slighted my advice and made himself be let Blood in the other Arm which came forth corrupt and putrid altogether like to that which is taken from Peripneumonick and Pleuritick Persons to wit cover'd with a white greenish and thick Mucilage He refused Clysters which I would have had him use to recal the fluor He was let Blood again and the Blood was no better than the former I was afraid his Arm should Gangrene but a third Bleeding averted the danger of that as
expect both the external and internal Hemorrhoids whose Anus or Womb is apt to fall out who Piss in their sleep or from whom the Seed is prone to issue Whether may not these Parts mentioned be easily taken with a Palsie when the Narcotick faculty of the Tabaco hath as it were bid battel to them Yet I deny not though Nardus Antonius Recchius lib. 5. rerum Med. Hisp novae cap. 51. demonstrate Tabaco to be Narcotick not because it is cold but because it is hot of an acrimonious taste dry and hot in the third degree and wonderfully drying up Phlegm I say for all this I do not deny but European Women that are subject to the more grievous Symptoms of the Womb may by the help of the English Clyster asswage such their uterine Symptoms putting it into the neck of their Womb and driving the Tabaco smoak into their Womb it self without making use of that Chair which Neander describes in his Tabacolog And the foresaid Recchius teacheth that the smoak of Tabaco breathed in is not only a Remedy for them that labour under difficulty of breath but that the same is exceeding good also for the Distempers of the Womb and especially for the Suffocations that are wont to happen through its ascent for by the application of this Remedy it is restored into its place in an instant swooning and straitness of the Breast are removed and Death which was in a great measure let into the sick Womans Body is removed c. When therefore 't is every where directed to fumigate the Womb by a Funnel in certain Distempers the English Clyster is most to be recommended for that use Likewise when Hippocrates in the volvulus or twisting of the Guts does therefore commend the use of a Pair of Bellows that simple blowing or wind may distend the Intestins and free them from the hard Excrement S. Pauli Quadripartit Botan p. 461. no Instrument can be found more ingenious than this English one to distend the Intestines by mere wind without any Tabaco smoak VII Laurentius in his Anatomy discusses the question whether a Clyster can nourish and whether any concoctive Faculty is to be granted to the Intestines But we must believe Experience and yield to Reason which also consents for there is the same condition of the Stomach and Guts their neighbourhood and connexion persuade that In Hildanus Obs 30. Cent. 4. a Matron after a Sickness being on the mending-hand for six Weeks was so averse from all Meat and Drink that she could hardly take any thing by her Mouth but by the advice of Auberius Broth of Flesh with the yelks of Eggs was injected in at her Fundament twice every day and by the help of these Clysters she was so nourished that being with Child she carried her foetus to the appointed time and was happily brought to Bed of it In the year 1660. Mr. Bourgeois of Newenburg the Governour of the Alms-house being ill of a Quinzey and swallowing nothing at all was by the same means sustained for eight days till the way for Meat and Drink was opened again VIII In all Clysters 't is useful to consider mens wont inasmuch as some go not once to Stool in two or three days or longer others unless they go once or twice a day their Head and Belly seem to be loaded Wherefore according as one uses to go to Stool or somewhat oftener must Clysters be given unless something hinder as in Children in whom the retentive Faculty is very weak and therefore they endure not Clysters often as neither can Men that have the same Faculty weak Mercatus or the expulsive quick and sensible IX One in a Barber's Shop complains of the fear of an approaching Disease the Barber offers him his help and prepares a Clyster and injects it cold The poor Man tells him that he 's sensible of coldness in his Guts and intreats him that he will give him an hot Clyster instead of it the Barber does confidently tell him that 't was all one whether 't was hot or cold but the event shewed the difference for being oppressed with a great weakness of his Faculties he could not void the Clyster again either of himself nor when provoked by another hot Clyster Barthol Cent. 1. Obs 76. and the next day being overcome with an eternal coldness he died X. Adr. Spigelius boasted that he had found by experience that Inflammations of the Hypochondres in the Intestines may be digested the same way by Clysters as external Tumours and Inflammations by Fomentations XI Vallesius 5. Epid. p. 487. sayes that Eudemus of Larissa had the flux of the Hemorrhoids begin upon Purgations because formerly for other Distempers he had used frequent Purgations or Clysters or Suppositories to let us know that many do deservedly shun their use for fear of the Hemorrhoids XII Laudanum Opiatum used even in Clysters procures Sleep powerfully enough yea more safely than when given by the Mouth River Pract. l. 1. c. 11. XIII Sennertus l. 1. Pract. in the Chapter of the Phrensie advises in the greatest weakness of the faculties to mix Opiats with Clysters when they cannot conveniently be taken in at the Mouth But Correctives are not to be omitted Frid. Hofm m. m. l. 1. c. 10. such as are the Oyls of Dill Chamomel Roses IV. The quantity of the matter of the Clyster is commonly prescribed to fifteen or eighteen ounces which is often too much when the Intestins are filled with faeces or wind or the Patient is short of stature or a little punch-belly for then seven or eight ounces are enough but when we inject them for abstersion as in the Dysentery they may be given in a larger quantity Hemp in Institut XV. Let Clysters be injected actually cold into those that are prone to part with them again presently Claudinus XVI In great weakness of the Intestins let the decoctions for Clysters be of broth XVII Clysters that should work strongly must consist of a little broth and a good quantity of Electuaries Capivaccius for so they are longer kept XVIII If Clysters be too long retained which often happens inject three or four ounces of crude Honey with flesh-broth or one Glass of Urine and it will certainly bring out with it the former Clyster Wolf Gabelchov Cent. 1. cur Annot. 62. ¶ If the Pipe or nozzle of the Syringe by which Clysters are injected be put up the anus and the Air be attracted by drawing out the stopple by this means the wind is not only drawn out but Clysters that have been too long retained are furthered in their excretion Platerus XIX According to Rufus in Oribasius 8. collig the quantity ought alwayes to be larger in Women for Women are dull of slow motion and cold besides they have naturally larger Bellies for the containing of the foetus Pharm Dogm c. 17. XX. Quercetan commands that there should be ready prepared
in the Shops a Carminative oyl of Coloquintida that is Purgative this oyl he says may be kept long the Dose of it is one ounce or two accordingly as there is need of its stronger or weaker working being mixed with fat broth It would be a Soveraign Remedy against all soporiferous Diseases Apoplexy Lethargy c. Of the aforesaid Coloquintida boiled with lenitive oyls as oyl of Earth-worms Linseed Lilies Misletoe-berries and Chamomel one may make a compound lenitive Purgative oyl after the manner of the aforesaid Carminative Purgative oyl which being mixed with the broth of a Sheeps-Head is an excellent Remedy against all pains for the oyl does wonderfully contemperate the acrimonious and poysonous quality of the Coloquintida so that being thus prepared it is not hurtful or prejudicial at all to the Guts to whose coats otherwise though it be the most finely powdered and made up into Troches a little is alwayes wont to stick which inconvenience we prevent by this preparation and the mixture of oyls with its essence and propriety and thus it becomes a Remedy less dangerous than diaphoenicon it self or benedicta laxativa It will be useful in divers sorts of Clysters and will exert notable effects with good success especially in asswaging the intolerable Colick pains that arise for the most part from glassie Phlegm that sticks to the Intestines in which Purging lenitives given alone are found altogether ineffectual and invalid The description of the first mentioned oyl is this Take of the dryed Herbs of Rue Calamint Organy Penny-royal of each an handful of the Seeds of wild Carrot Cummin Fennil Bayberries of each an ounce of oyl Olive two pounds red wine one pound boil them till the wine be consumed Into the oyl thus prepared put two ounces of the pulp of Coloquintida digest them by the fire in Balneo Mariae hot for twelve hours then let them boil two hours until the oyl have drawn out all the vertue of the Coloquintida then press it and strain it XXI In Clysters there are only two Purgers Scammony and Coloquintida other things are added for the more commodious evacuation Oyl Walaeus Meth. Med. that the way may be slippery sal gemmae for the fusion of the excrements Carminatives for wind XXII That Clysters may be substituted for Purging Medicines is clear from Galen 2. s loc where in the pain of the Head or a stroak or blow upon it and in a fluxion upon the Eyes he proposes a strong Purgation whether it be by giving a Purgative by the Mouth or by strong Clysters If two or three ounces of aqua Benedicta be added they purge very powerfully They will become Purgatory also if one dissolve in them two drachms of some Pills XXIII Strong Purgatives as Troches of Agarick Scammony Coloquintida when they are boil'd in Clysters must be tied in a rag lest the thicker matter of them stick to the Intestins and cause griping Mercurials and Antimonials seeing they easily settle and send not forth their thicker parts in boiling Fr. Hofman m. m. p. 128. may be boiled without being so tied XXIV We must note in all flatulent Distempers that Clysters are not to be given all at once but first of all about a third part Idem l. 1. cap. 10. and a while after give the remainder for so the Patient will retain it the better XXV To mix oyl or any fat thing with Clysters that are to purge the Guts as is common is contrary to all reason seeing the vertue of irritating Medicines and the faculty of feeling are both of them dulled by nothing more than by oleous Medicines Wherefore we must abstain from these while we endeavour to excite the sense only unless when both causes concur to Costiveness for then it is necessary to use both mixt together namely such as may soften the excrements and also others that may irritate the faculty But when the faculty is dulled by any viscid Humour and the clearness of sense is lost so that the Patient is not at all sensible of the weight or acrimony of the Humours it will be expedient at such time to use those Clysters first that absterge or cleanse Mercat de Indicat Med. l. 1. c. 3. and afterwards those that irritate that when the impediment is removed the faculty may be rouzed from Sleep as it were and arise to motion XXVI We must know that fat Clysters which are called common made of Mallows Marsh-Mallows Beet Prunes Linseed Fenugreek are not profitable for all though they are found useful to the most for procuring the usual stools for by their nidour Womens Wombs are wont to be disturbed their ill smell also affects some mens Heads and in others the Mouth of their Stomach in some likewise it corrupts the Spirits and Humours Mercat de Praes Med. lib. 1. c. 3. Auger Ferrer castigat cap. 24. hence it came to pass that the Ancients were content with Wine mingled with Honey and with Oyl only that the stench and unprofitable burthen of Medicins might be avoided for a thicker substance is not so fit to wash out the faeces as what is more liquid XXVII Those things that powerfully discuss often cause pains through the wrong using of them for if the flatuous Spirit be dense and thick and the matter much or more dense than can be conquered by Carminative Medicins rather more flatus are generated by them and those that were there before are made more thin and therefore it comes to pass that the distended and pained part is more stretched by the new propagation and attenuation of the flatus Wherefore I think it more adviseable to mix with Carminatives Idem Moebius in Institut Fr. Hofman in Meth. Med. ex Galeno 14. m. m. c. 7. those things which have a vertue to mollifie the pained parts that they may be the easilier distended so that I like not the use of those things at the beginning which are called duscussory until the Disease be increased the matter being become thinner and the flatus dissolved XXVIII Tears are dangerous in Clysters as Sagapenum Rondelet c. because of their clamminess by reason whereof they stick and cannot be repelled XXIX White Sugar or brown which detergeth more is added to the Clysters called common Victor Trincavel l. 1. Comp. Med. c. 20. But this unless it be boiled a little in the broth or decoction being turn'd into flatus causeth gripes XXX Whether is Salt to be put in Clysters In Fevers the use of Salt mixt with an absterging decoction is more fitly omitted especially when Solvents are added for without Salt they stay longer and are reduced better into act in the Intestins for Salt is only good in those that cannot endure a Clyster should stay long or where we would stimulate and irritate the expulsive faculty Zacut. Pr. Hist p. 546. if it be dulled XXXI I have sometimes observed that although Fenugreek-seed be indifferently commended
to either Sex to loosen a costive Belly or to ease gripes being used in Clysters yet some women are offended with its smell and especially those that are subject to fits of the Mother S. Pauli Quadrip Botan class 3. p. 306. wherefore for the most part I refrain from it in prescribing those Clysters that are appointed for that Sex XXXII Mercury is reckoned by some amongst Emollient herbs which Hofman following Marc. Virgilius and Brassavolus thinks it ought not to be but he will have it to be put in the rank of indifferent purgers Lib. 2. de Medic. offic cap. 147. But commonly sayes he 't is put in Emollient Clysters True but that it may be though it be no Emollient but do only help the Emollient action by abstersion For like Beet Colewort and such like it has something nitrous whereby it stimulates the Belly Hence Cartes observes that the leaves of Mercury will do the same thing as the leaves of Senna and hence also it is that Clysters of mel Mercuriale have a notable vertue to provoke to stool S. Pauli Quadr Bot. p. 398. therefore 't is better to use that Honey than the dry leaves XXXIII In making decoctions of Emollient and cooling Herbs we must see that they be newly gathered Two years ago upon taking a Clyster in a Fever whose decoction was made of herbs gathered the day before I had presently a great pain arise at my Stomach which was followed by a swooning Of which I could gather no other reason than the nidour and stench ascending up my Guts that arose from the Herbs that were musty and half rotten XXXIV As to the manner of composition it is to be noted that there is no need of any curious composition seeing the too great variety of Roots Leaves Seeds Flowers and Fruits to which afterwards oyl and other things are added makes the Clysters have a bad smell and so by their nidour they disturb Womens Wombs and affect also Mens heads and the Mouth of their Stomach Seâ—mert Instit l. 5. Part 3. Sect. 3. c. 24. whence at this day we see the most famous Physicians do often profitably prepare Clysters of one Plant or a few Seeds XXXV When Purgers do not their office Practitioners inject a Clyster neither rightly nor safely says Oribasius for the Guts being distended with the Purge and the Humours rushing thither the Remedy is forbid entertainment wherefore by his advice it will be better to put up a suppository made of Honey with half a drachm of Salt Heurn m. m. l. 2. c. 21. or however let the Clyster be but very little in quantity XXXVI It is almost incredible how effectual Clysters made of the oil of sweet Almonds are against the Colick and Paresis Yea when strong and irritating Clysters have been given in vain after the Belly has remained obstructed for five or six days I have often commanded when people have been delirous in the acutest Fevers to administer nine ounces of that oyl alone in a Clyster whereby the hard faeces being softned and evacuated the Belly has sometimes been rendred so quick afterwards as if they had drunk Hellebore or other the strongest Purge yea it has still continued loofe otherwise than it use to do after other Clysters which not being fatty are injected in acute and Malignant Fevers S. Pauli Quadrip Botan p. 14. in all which I think we should abstain from Purgers XXXVII That Tabaco has a vertue to purge upwards and downwards those experience that against their will swallow its smoake If the same smoak be puff'd into a glass full of Beer or Wine it does the same Hence an ingenious person instead of the decoction for Clysters learned to put this smoak up the fundament and happily procured stools in all distempers where a Clyster is needful Let two Pipes be filled with Tabaco after the usual manner then light them and turn the Mouths of their Heads one upon the other then put the smaller end of one up the Fundament and holding the smaller end of the other in your Mouth you may blow the Smoak up into the Guts By which artifice any one may give himself a Clyster and there needs not such a pother with Decoctions seeing by this Smoak Nature seems to be sollicited to excretion happily and readily The Smoaks of other powders also might be injected in this manner according to the necessity of the urgent Diseases in the Guts T. Barthol Cent. 6. Hist 66. where also a more convenient instrument is described A like instrument may be made for the Womb for modest Maids and Women that they may themselves as there is occasion either purge alter or strengthen it Idem ibid. XXXVIII It is to be remembred here that Clysters are not wont to have that good success in old Men they have in young as Sydenham tract de febr has observed on the account that their Nerves being weaker may easily be hurt and resolved by Emollients Wedel de comp med ext p. 90. Yet that holds not universally if we regard also the strengthning of the Nerves and prescribe them not oftner than is fitting XXXIX Medicines fetched from the Class of Minerals do far exceed other Purgers that come into the composition of Clysters whether we would asswage pains raised from cold causes crudities flatus Mucilaginous Tartareous and Gritty Humours or would expel Worms draw forth the stinking filthiness and putrefaction of the Humours or would more strongly purge all Humours but yet without too much heating such as is wont to be caused by Hierae Logadii or Pachii diacolocynthis benedicta laxativa and others of this kind which most use to rouze up their Patients in comatose and sleepy symptoms and affections whereas the exceeding heat of these Medicines rather strengthens the Disease and fills and wearies the Brain with a greater quantity of Vapours rather than lessens them by scattering of them This happens not in those other Remedies which being wholly destitute of those manifest and hurtful qualities do put forth rather formal and spiritual effects than material The Medicine which I speak of is crocus metallorum If any be fearful of these Medicines because he has not tryed them nor understands them and therefore do not approve of giving them by the Mouth yet I think he cannot be so stupid as to be against the giving of them in Clysters especially if he be acquainted with the very notable effects which they perform gently indeed but most soveraignly and in the mean while give no disturbance either by the ingrateful smell of oyls or by any thing else as for the most part happens in the vulgar Clysters Their price is also less for half a drachm or at most a drachm of the before-mentioned Remedy is enough which is to be steeped in four or five ounces of some convenient Water or Wine for a night or longer and so mix the clear infusion with some broth in a sufficient
it If the Serum or Phlegm pituita be not separated from the mass of Blood I think that happens not so much through the fault of the Kidneys as of the mass of Blood it self yea all the fault that is sometimes observable in the Kidneys is for the most part to be deduced from the same mass of Blood seldom from their own primary fault which then is to be deduced chiefly from external cold or heat Now the separation of the Serum and Phlegm from the Blood fails for the most part through a more intimate conjunction and union of the parts of the Blood than was fitting whence there uses to be separated and expelled not only less Urine but less also of the contents that use to be separated and expelled together with the Urine when they abound in the Body and all things are well And that more intimate union of the parts of the Blood through which neither the Serum Francisc de le Boë tract 6. § 263. c. See more there according to his Hypothese◠nor other things to be separated with it can be separated or expelled happens according to my hypotheses through an acid sometimes and more seldom through a more pure salt Lye in the Body whence there is a more intimate conjunction and union of all the parts of the Blood X. Whether ought Diureticks precede the use of Sudorificks We must know that sweat may sometimes be provoked without provoking Urine especially when the Humours are only contained in the extreme Vessels But it is far safer if Diureticks precede first Because the Physician does not certainly know whether the serous Humours are retained in the greater Vessels Frid. Hosm m. m. l. 1. c. 12. or only in the extreme Secondly Because it is easier to provoke Urine than sweat and we must always begin with the easier XI We must note by the way that as sweat does not always presently follow the use of Sudorificks so there does not always presently follow an excretion of much Urine and such as is full of vicious Humours upon the taking of Diureticks The reason whereof is manifest for when the vicious Humours are not apt or disposed for separation and consequently for expulsion there ought to precede such a preparation of them as is requisite to it that is a kindly separation and secretion Francisc de le Boë Meth. Med lib. 2. c. 12. upon the performance whereof there readily follows an expulsion of them Now most Diureticks prepare for excretion and separate the vitious Humours no less than expell them XII Diureticks have a notable faculty to separate from the mass of Blood the vitious Humours that are more intimately mixed therewith and to prepare them for some manner of excretion wherefore amongst Diureticks those are always to be chosen which have moreover a faculty to correct the offending Humour That I may now omit those Medicines which are vulgarly known I here greatly commend the sweet Spirit of Salt and Nitre as the most agreeable for correcting Choler that is more Acrimonious and encreases the burning Idem append tract 10. § 832. as also for glutinous Phlegm and is withal Diuretick XIII Amongst the ways of evacuation Diuresis or purging by Urine is of the greatest profit for by its use and help such Diseases are often cured as neither Purging nor Bleeding nor other evacuation could root out And this is universal and is reckoned among the 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or common evacuations by * Lib. de art Med. c. 99. Galen and though it purge primarily the gibbous or upper side of the Liver the Kidneys Bladder and the Vessels that belong to these and evacuate the watry and serous Humour yet by a certain consequence it may purge the other parts of the Body also and all both Veins and Arteries Nor does it only purge forth that part of the Serum which like a vehicle hath carried the aliment to the parts and having done its office tendeth to the urinary passages and is by them expelled but together with the Serum Tartareous Salt and other Acrimonious Humours Hereby the viscera are freed from many impurities wherewith they abound superfluous Tartareous Humours being incided and attenuated are exhausted the whole mass of Blood is restored to its integrity and the constitution of the Body is rendred firm and temperate so that by this sort of evacuation Frid. Hofman m. m. l. 1. c. 12. what is fitting being premised very many Diseases use to be cured XIV The time of the Disease fittest for the Diuresis is either universal or particular They commonly say that the Humours are first to be prepared and that it is not convenient in the beginning of the Disease nor in the augment when the matter being as yet crude would rather be agitated than evacuated but in the declension rarely in the state But this opinion being understood of Diureticks taken generally and indifferently fails greatly For there are Diureticks that are withal digestives which by strengthning the ferments of the viscera do powerfully resolve the morbous excrements that they meet with in their way do open obstructions attenuate thick Humours drink up acids bridle the ebullition of the Blood and by making the Urine abstersive expel the Tartareous Mucilage such as are D. Mabius's tinctura aperitiva Spiritus Martis striat Arcanum tartari soluti Sal Martis aperitivum diureticum c. These indeed may be given with great benefit and may be born well by the Sick in any term of the Disease especially chronical what is convenient being premised and strengthning Cordials used between whiles But such as are not of this sort but do only plentifully eliquate the Urine and have an attenuating faculty joyned with a watriness especially the stronger hot ones are not convenient till the matter be concocted or digested and the impetus and fury of the morbifick matter allayed But the former may be good even when the matter is as yet crude as Galen himself teaches who before concoction gives a decoction of Smalledge and Dill 1 ad Glauc c. 9. For they concoct the crude Humours and make a separation of them from the mass of Blood and expel them by Urine they cause the morbifick matter to follow Nature and themselves emulate Nature Whence also we see that in Fevers as well continual as intermitting after we have used them the Urine that was crude becomes concocted and the febrile heat and other Symptoms remit Where yet we must note from Galen Meth. Med. c. ult that if there be plentiful matter in the first wayes we may first use Looseners in which case I also am of opinion that 't is best to mix Diureticks and Looseners together Idem ibid. XV. Such Diureticks may be safely given to Infants Children Women that are with Child or are Lying in as consist of an abstersive vertue from an alkali and by their kindly acrimony incide and purge out the filth of the Urinary wayes such
antecedent cause viz. viscid and clammy Humours and so open and respect the ways but also help the rarefaction and fermentation of the Blood so that the flux returns on the very day whereon the Purge is taken And amongst other things Aloes also helps here whence Frid. Hofman relates that he had a Maid whose Terms could be no other ways promoted but by the use of pil Ruffi V. Or they restore and recruit the Blood it self and so make it fluxile whither belong Restoratives and a full Diet for it would be absurd if it fail in quantity to promote its motion Hence as women have a more serous and fluxile Blood namely such as is apter for turgescency and on this very account acquire a serous Plethora so we must also wholly provide for this VI. Emmenagogues are not to be given to women with Child whence they are always warily to be prescribed to those we suspect for whores when they complain of an obstruction of their Terms for though unless when there is a disposition to abortion they often drink the decoction of Savin c. in vain yet in a doubtful case we must not ascend above Steel-Remedies and moderate Aperients Neither are too hot Medicines to be given to Women with Child such as heighten the rarefaction of the Blood for as Women with Child through such preternatural rarefaction and fermentation or being seized upon by burning Fevers use for the most part to have their Terms preternaturally and consequently to suffer abortion so we must much less intend that by Medicines which also is the very reason why Purgers are not so convenient VII Aperients alone or provokers alone are not to be used indifferently Physicians often err egregiously who gives Term-provoking decoctions yea the distilled oyls of Juniper or Savin the Spirit of Sal Armoniack and the like all day long and indifferently thinking these to be Specificks whereas those are chiefly to be esteemed for such which satisfie this or that more special intention VIII 'T is therefore the best to begin with Aperients and to subjoin Provokers or drivers both internal and external Hence for a week or two before the accustomed time are wont to be given Aperients moisteners digestives preparers yea Purgers themselves and Blood-letting upon which the hinge of the matter turns G. W. Wedel de s m. fac p. 189. are not to be made use of at another time for if they be the whole curation will be to no purpose and ineffectual Frictions The Contents Whether they be convenient when a crude juice abounds I. They are suspected in hot and cold Diseases II. Whether they evacuate all the Body III. Scratching supplies the place of Friction IV. I. FRiction or chasing may seem to some to be inconvenient for those in whom is heaped up a plenty of crude juices because * 4. deruend valerud Galen writes that those who have but little good Blood and abundance of crude Humour must neither be bled nor purged nor must they use exercise or bathing and therefore neither friction seeing it also moves the Humours and because he forbids bathing which hath the same vertues as friction seeing both draw towards the Skin Galen also in * â— Meth. c. 4. another place in the cure of Fevers that arise from obstruction forbids to cleanse the Skin before the evacuation of the whole Body lest a crude abstersion draw to the Skin whence there will be a greater obstruction of the pores which same thing will happen upon friction But Galen is indeed of a contrary opinion for in lib. de s m. c. 6. he says thus of this affection that those who are so affected are not to be evacuated by Bleeding but by frictions and indifferently heating unctions c. And 12. meth c. 3. he cures those who fall into a swooning through the abundance of crude Humours by much and strong friction of the whole Body yet he denies bathing to the same persons which though it have the like vertue as friction yet differs there from in that it rather melts the Humours than incides and attenuates them whereas friction does the contrary Hence it comes to pass that bathing causes fluxions those Humours flowing which are melted I say it causes a distribution of crude Humours which friction does not do as attenuating more than melting wherefore where there is need of moistening Galen uses bathing rather and where of opening obstructions friction rather But friction also draws towards the Skin wherefore it will also encrease obstructions I said that friction as it draws does likewise attenuate and seeing it draws less than bathing and extenuates more it is the far more profitable of the two in this affection and besides what is already said if by chance it should cause something of obstruction by extracting the crude Humours that might be amended by anointing with some oyl that is moderately heating and concocting so that friction and unction ought to be used by turns but not bathing at all as also neither Exercise because it causes a distribution of crude Humours from the inmost parts In Fevers that spring from obstruction we abstain from cleansers of the Skin till we have evacuated the whole because in that case the obstruction of the Skin is a great part of the malady and such as ought to be removed before the Fever it self and in the mean time we may use great evacuations but in this affection we speak of the evil is least at the Skin for it has its seat principally in the viscera Swooning hinders great evacuations to be used Valles l. 8. contr c. 7. and therefore we are glad to fly to frictions II. Frictions in hot and acute Diseases such as the Pleurisie have always been suspected by me for 't is certain that the Blood and Humours wax hot thereby are rendred more Acrimonious and therefore rush with the greater violence to the part affected In cold Diseases as Apoplexy Epilepsie Palsie and the like they may seem to have place but because thereby the Blood and Humours wax hot and like a vehicle carry the crude and cold Humours to the part affected we must use them warily Fabr. Hild. Cent. 5. Obs 30. especially in the beginning of the Disease and while the matter is yet in fluxion III. Galen 4. aph 2. teaches plainly that by much friction the whole Body is not diminished nor evacuated Yet it is most true that as to the external parts and such as are next to the Skin the whole is exhausted as far as the vertue of the friction can reach as the same person hath explain'd himself 14. meth c. 7. and Hippocrates himself 6. Epid. where he hath written that friction in a great compass doth heat and dry the Body and thereby empty the Spirits And indeed seeing the Veins and Arteries are heated by it and thereupon an heat is both excited and called out by little and little we must hold that the whole Body is
16. the strength decreases time is lost and there is not always place for purgation afterward IV. I affirm that Purges may be sometimes given without concoction because of urgency but yet not unless there be some signification that the Humour is inclining towards the Belly or at least that it is not very averse from that way seeing Hippocrates requires that in those purgations that are to be made in the beginning and while the Humour is not as yet concocted there should at least be present a rumbling in the Hypochondres I am of opinion that any vergency may serve instead of such rumbling as if the Belly be loose and moist But if besides that there is no sign of concoction the lower evacuations be very much supprest and the Humours snatched some other way the greater the Disease seems the less dare I give a Purge Valles 5. Epid. p. m. 875. because it seems more certainly to happen that the man will die with madness and convulsion or internal Inflammation and the extreme parts cold V. Hippocrates says that crude things are not to be purged but concocted nor in the beginning unless they be turgent Galen in comm explains the word 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and says it is translated from Animals that are excited to venery unto the Humours 't is likely that the Humours are not only turgent or moved up and down the Body but that there is moreover an impulse of irritated Nature Nor are the Humours to be thought then only to be turgent when they are moved this way and that way reciprocally in a wandring manner with fear of rushing into some principal part but also when they incline to a certain more ignoble part that is destin'd for evacuation to wit the Stomach and Guts worshipping upon their Knees as it were implore the Physicians help intimating by a dumb voice either by swelling and elevation of the Body or by the rumbling thereof that she is burthened and pressed with a troublesome load If such things happen in continual and burning Fevers See Valles in comm Rolfinc lib. de febr c. 87. especially in the beginning while there appear as yet no signs of concoction we may purge by the example of Hippocrates 7. Epid. t. 178. ¶ P. Martianus comm in aph 22. 1. does not explain the word orgasmus by a wandring and uncertain motion of the Humours for this reason because upon giving a Purge at that time they are stirred up more with danger that they will rather fall upon some part than be excluded out of the Body Which opinion is the more likely because it is observed by the best Practitioners that such unruly motion of the Humours is rather allayed by Bleeding than purging See the title de Sang. miss above and Pharos medicorum l. 4. § 29. But hear Martian upon the word turgeat Whether you refer it to the Body or the Humours the disposition of the Humours is intimated whereby seeing they are fixed in no part of the Body they yield a signification concerning themselves sometimes in one part and sometimes in another But the name of orgasm is not I think derived as Galen supposes from the Humour 's being often moved to and again through the Body like animals that are incited to copulation because though it be granted that 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is borrowed from animals excited to copulation yet it is not upon the account as they are moved this way and that way but because their pudenda are turgent which Aristotle hath noted l. 6. de histor animal c. 18. which word Theophrastus used 1. de caus plantarum to shew the time when Plants begin to bud saying that ipsis gemmae turgent their Buds grow turgent and yet the Plants are not moved up and down in which sense Hippocrates also used it lib. de fract com 3. t. 18. and lib. de nat pueri n. 20. Yea it hardly seems safe to irritate by a Medicine the Humours when they are in a disturbance in the Body and are moved up and down to this and the other part for Hippocrates 4. de morbis blaming those Physicians for the death of their Patients that gave Purges upon odd days brought this for a reason that on that day the Humour is disturbed in the Body for said he if any do by a Purger yet more disturb the Humour that is already unquiet no wonder that a man dies thereby which danger though at length it be removed yet purging in that case is rendred very doubtful for as often as the Humours are disturbed in the said manner seeing it cannot appear to the Physician to what part they will bend their force when the Purge begins to work he can neither make choice of the way by which according to the precept whither Nature bends evacuation ought to be made nor prescribe a convenient dose of it because 't is requisite the Purge be stronger when the Humours are revelled to a contrary part than while their own inclination is yielded to Wherefore I think the name of turgency rather agrees to them because when the Humours are not fixed in a part they signifie themselves to be somewhere and the Patients feel a certain sense of turgency in that part as if it were truly swelled And this is often observed in practice for when Patients feel that sense they do of their own accord desire a Purge of the Physician From this opinion therefore that Patients have of turgency is this word translated to all those in whom the Humours are not fixed so that they may be easily drawn forth by the Medicine and herein we agree with Galen's interpretation for when there is this facility of purgation though there be present tokens of crudity yet purgation is not hindred but if it seem otherwise necessary it may be attempted The same facility of purgation Hippocrates thought necessary in Women with Child lest the difficulty thereof should become destructive either to the child or mother or both And therefore 4. aph 1. Women with Child are to be Physick'd from the fifth to the seventh month if there be turgency Now if this turgency threatned the aforesaid danger we should purge not only in those months but in others also because when a great danger is imminent 't is better to try an uncertain Remedy than none Lastly 't is necessary there should be a facility of purgation when the greatness of the Disease requires it and the Faculties of the Patient are not altogether firm Therefore Hippocrates 1. de morb mul. v. 232. in the cure of a certain Disease having its rise from the suppression of the Lochia in a Child-bed Woman durst not prescribe purging without turgency for there he says If she have not her purgation her Belly-swells as also her Spleen and Thighs and she has a Fever her pulse is weak and sometimes acute and sometimes it is high and sometimes fails thus it is in the beginning of the
irritation LXV Hippocrates forbids Purging to them that are very much troubled with Pains till the Pain be either allayed or at least abated because there is danger lest the Humours being moved by the Medicine should through the vehemence of the Pain be rather drawn to the pained Part than expelled by Stool by the vertue of the Medicine A Precept that is neglected by most Physicians to the destruction of men yet every where observed inviolably by Hippocrates as we may see l. 1. de m. mul. s 3. v. 148. l. 2. s 3. v. 303. de in t aff s 2. v. 29. and in many other places Martian comm in v. 396. l 4. de vict ac for he first appeases the Pain and then Purges LXVI If a Physician prescribe to a Woman with Child any Medicine that Purges hastily the force of Nature will cause an Abortion Pills are the longest of working next to these Powders then Electuaries but the quickest of all are Potions We must therefore give to Women with Child Pills Walaeus m. m. p. 51. or the more gentle Powders not long before meal LXVII If one intend to Purge a melancholick Person unless he add Looseners he shall not obtain his end A certain Practitioner gave a Purge to a melancholick Person three or four times and yet purg'd him not at all An old Woman coming advised to take a Decoction of Senna with Prunes He that would Purge a Phlegmatick Person will find it necessary to add stimulating Medicines Idem p. 50. ¶ A noble Lady fifty years old wanting a Purge consulted me and tells me that she was not moved even by the strongest Catharticks that another Physician had often try'd to Purge her in vain who had prescrib'd her as she said what would have Purg'd an Horse She was strong and her hair black and curled I advised her to take before Supper six Drachms of Elect. Catholic with half a Drachm of Cream of Tartar in the form of a bolus hereby she went six times to Stool nor did she afterwards make use of any other Cathartick having always the like success with it LXVIII When both Phlegm and Choler have transgrest their natural bounds Choler is never to be Purged strongly neglecting the Phlegm for the Phlegm is warmed by the heat of the Choler I have known some die of an Apoplexy by having the whole Oeconomy of their Body inclining to Phlegm through the long-continued and much use of Rhubarb and Manna for Choler and Phlegm temper and bridle one the other All things in the great World would grow stiff with frost if they were not cherished with the heat of the Sun now what the Sun is in the World Heurn Meth. l. 2. c. 25. the same is Choler in the Body LXIX N. N. minding to Purge his Body when the Spring was drawing on taking a violent Purge there was presently a translation of the Humours made into his right Foot which before was weak by having indured a vehement cold which Humours by their malignity and plenty suffocating the weak heat of the Part brought upon it a sudden Gangrene Hence you may learn that it is dangerous to attempt with churlish Medicines Bodies that are filled with impure Humours and are either weak by Nature Horst l. 9. Obs 25. or have been made so by some external accident ¶ A Minister though in health would needs take a Purge whereby his Humours were presently so disturbed that he died in a few days after for when naughty Humours are wanting Borel obs 45. Cent. 2. these Remedies disturb the good See Aph. 2. 62. and 16. 4. LXX In compounding of Medicines we must see according to Hipâ—ocrates 2. Acut. t. 11. that they be all 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 of a like condition such as may exert their Vertues in an equal space of time with a like distinction of the Faculties and a like force so that one may not make haste and go before and another linger behind for by that means there will be perturbations and tumults in the Belly Humours will be stirred up and produce grievous Sympâ—oms As if for thick Humours you give the Pods of Senna with the Seeds of Anise and wild Carrot and add to the liquor after you have strain'd it Heurn comm 〈◊〉 11. l. 2. c. â—c Syrup of Roses for such Syrup brings forth the Serum and leaves the thicker matter and makes it more stubborn ¶ Hellebore and Myrobalans endure not one anothers company Such things as bring violence upon the Body ought not to be detained long in it Rondelet m. cur l. 1. c. 41. See Valles contr l. 9. c. 4. wherefore they are not to be mixed with astringents but rather with other things that Purge briskly LXXI The Stomach is very much hurt by Hellebore and other violent Purgers especially its attractive Faculty Whence it comes to pass that whereas naturally it ought to attract Aliments being imbued with the evil quality of the Medicine it draws to it self vicious Humours and such as are agreeable to the vertue of the Medicine and is readily filled with them wherefore unless thenceforward he be Purged again by intervals Crato apud Scholtz com 3. this vicious attraction of the Stomach is the cause of many Diseases LXXII Walaeus m. m. p. 40. commands the Body to be moved up and down when we take a Purge for says he all rest or sleep even in the beginning hinders Purging Yet I know that Purgation is hindred in some if they forsake their Bed and that the effect thereof is forthwith intercepted by that means Namely the warmth of the Feather-bed conduces to the fusion and colliquation of the Phlegm and to its exclusion out of the Body LXXIII I do not disallow of warming Purging potions before we drink them for so they seem sooner to begin their Operation and to be reduced into act But yet they may no less conveniently be drunk cold in the Summer time by such as have an hot Stomach For very many Purgers that enter the composition of these Potions do not so well endure boiling and their vertue exhales by a gentle heat at least is dulled in part as appears in Rhubarb which is made more sluggish if it be set on the fire as its Extract teacheth which is made first by infusion that draweth forth its tincture and vertue and afterwards by gentle drying is reduced to the consistence of an Extract for some Drachms that are sufficient for several infusions are hardly enough for one Dose of the Extract because by drying the infusion the Cathartick vertue vanishes also Add that a cold Potion is both more grateful Primiros de vulg err 4. c. 14. and is better retained by the Stomach LXXIV It has been the opinion of some that cold water should presently be drunk after having taken a Purger Bourdelotius a Parisian Physician endeavoured to introduce this Custom in the North because he believed that the vertue of
heating Vertue but also because they are very prone to breed an acid crudity which their acid sweats and other things shew Now bitter things do best of all correct an acid crudity and therefore also resist putrefaction Yet in the mean time it is not to be given rashly to those that labour under a dry intemperature without vitious Humours and have an hot Liver especially the resinous part extracted by the Spirit of Wine for this has a fiery heat as it were it attenuates and dries very much and makes the Blood hotter and does not only not strengthen the bowels appointed for Sanguification Frid. Hofman clav Schrod p. 634. but hurts them by fusing the Blood as it were and by being opposite to their Natural Constitution and opens the Orifices of the Veins IX Turbith and Agarick require Ginger to correct them if thick Phlegm be to be evacuated but they refuse it if thin Phlegm or the excrements of other humours that flow upon the Joints be to be attracted and averted from the Joints X. The Seed of Carthamus does not so much purge as stir up flatus Walaeus m. m. p. 45. XI Cassia does not as most have thought therefore loosen the belly because it is soft and slippery but because it has a peculiar purgative faculty whereby it withdraws both Choler and Melancholy and thick Phlegm not only out of the Guts but also in great plenty out of the whole lower Belly Enchir. med pract p. 233. it is therefore good for the Melancholick to use it often XII Let Meat be taken presently after Cassia lest it pass into nourishment a Sanches Berberies take away its heat b Fontanonus Aniseeds its windiness c Heurnius It is offensive to the Stomach and Guts when they are amiss d Idem It hinders any judgment to be made of the faeces e Dodonaeus It causes a nausea f Idem It hurts the hypochondriacal because it is naught for the Stomach and guts It loosens the acetabula in Women with Child It causes a prefocation of the Womb as does also Manna g Dom. Sala It debilitates the ligaments in the Gouty In vapid Distempers its correction with Citron seeds is not to be relied upon unless the Spec. Diarrhodon Abbatis be added h Provotius It sometimes brings on a Cataphora as do also the compositions it is received into through the fumes wherewith it fills the head i Rondelet XIII Those are not to be imitated that give it in Distempers of the Kidneys and when they are foul or when the Bladder is inflamed for though it be gentle yet it is a diuretick Medicin calling forth the humours that it draws Zacut Pharmac C. 2. to the Kidneys and Bladder XIV Let it not be given to those that have an ulcer in their Reins or Bladder Yet it is good for those who are troubled with the Stone for being used for a continuance it withdraws the focus of the Gravel It is not lightly to be given in the Gout Heurnius m. m. l. 2. c. 22. Merc. l. de Ind. Med. c. 1. l. 6. Saxon. Prael Pract. p. 2. c. 8. for part of it passes into nourishment and so makes the parts loose and liable to fluxions ¶ It is very nought for those that have used too much Venery and thereby abound with crude humours because it is flatuous and griping ¶ Cassia through laxity hurts an inflamed Stomach for when the passages are loosen'd the humours flow thither more easily and in the beginning Repellents are to be used ¶ Horstius L. 4. Obs 34. observed heat of Urine to be caused by it XV. I would have those that betake themselves to the Practice of Physick to observe that the Physicians that undertake to practise Physick all over France yea and the Dutch Netherlands get abundance of Money by those Remedies that draw forth diverse humours by one Channel which they use to the benefit of their Patients for the most part and therefore their whole art almost consists therein Wherefore I advise everyone to endeavour earnestly to have in readiness choice Medicins that are notably endued with this faculty Heurnius m. m. l. 2. c. 25. XVI Coloquintida purges strongly especially the Brain but its Operation is violent and it is very offensive for its great bitterness Both these faults are corrected by infusing it in Urine for by that means it both loses its bitterness becoming almost insipid and also its violence is so much broken that it may be safely given to a Drachm and so it becomes an excellent remedy for all Diseases of the Head arising from a cold cause River l. 1. c. 15. XVII Elder Dwarf-elder and Flower-de-luce are to be excluded out of the List of Purgers for though they do not purge much Walaeus yet that which they do evacuate they do it with very great violence XVIII Always when Hellebore is given in a small quantity we must add to it Diagridium or some other strong Medicin that may drive it forth of the Body Rondelet c. de Paralysi otherwise it will stay too long therein and cause great disturbance and prejudice XIX Black Hellebore is innocent It is good for Quartan Agues and for all stubborn Melancholick and Phlegmatick Diseases A learned Physician gave half an Ounce of it for a Quartan and cured his Patient thereby having first given one and two Drachms in vain and without purging Heurn comm in lib. 2. de vict acut t. 11. It is given in Hydromel or Mead or in a Decoction of Polypody with the Seeds of Anise and Cummin and Lykyrrhize XX. Fernelius describes an Ointment that being daubed on the Belly purges violently but you can hardly make Tryal of it Enchir. Med. Pract. p. 240. See Hild. l. de dysent c. 8. or the like without Censure and loss of Reputation For the Purgative Virtue insinuating it self into the Muscles and Membranes often causes a deadly flux of the Belly XXI Whether are Purgers to be given in Substance or in the Extract Seeing there is but one part of purging Medicins that purges and every Particle thereof has not that Virtue in it it is very advisable by Chymistry to separate the profitable part from the unprofitable the pure from the impure and to extract the purgative part by some convenient Liquor for that part that remains unextracted will not purge at all though you give three or four Ounces of it excepting only Coloquintida A Decoction works less than an Infusion an Extract more for in an Extract there is nothing but the resinous purging part but in an Infusion there is still a good deal of the Liquor This you may experiment by pouring cold Water into an Infusion for the resinous Substance will be precipitated Walaeus m. m. p. 49. and a Liquor of no efficacy will swim over it ¶ Note that in Extracts there is need of a
segregative and a dissolutive Idem p. 48. 50. Lately there was given to a Woman in Child-bed a Drachm of the Rosin of Scammony without purging ¶ In making of purging Potions we had need take heed that we mix not such things as heat and dry much with a few Purgers for whilst they purge but slightly there will be danger through the Subtilty of the remedy lest the humours Heurn meth ad prax l. 1. being agitated and attenuated be imbibed by the Noble parts and sliding throughly into them obstruct the more obstinately XXII Amongst Medicins purely Chymical Luna or Silver is deservedly commended being dissolved by the Spirit of Nitre and then brought into Crystals It is a powerful Hydragogue and an excellent Melanagogue The Dose is to Four Five or Six Grains It is best taken in the form of Pills seeing it is very bitter Sylv. de lâ—â—oe m. m. l. 2. c. 9. §. 20. It is commended not only in the Dropsie but also very much in all Melancholick Distempers XXIII Aetius greatly cries up the Hiera of Ruffus for he affirms that it evacuates naughty matters only without touching the good that it strengthens the Stomach creates an Appetite and discusses Wind. But that I may deliver my Opinion the use of the great Hiera's seems unsafe to me and I affirm this both from Experience and Reason From Experience for when I saw them given in Italy by Physicians that were otherwise Learned I never knew it done without prejudice and trepidation for they bred very grievous Symptoms From Reason for there enters into their composition Coloquintida not duly prepared and whose quality is not rendred mild enough by the addition of the aromata or Spices Heurn de morb c. 15. Therefore I would rather advise to use trochisc Alhandal in its stead XXIV Hydragogue Medicins are almost infinite and full of danger for by a certain Natural filthiness they are adverse to the Liver and Principal parts And therefore they are never given to the benefit of the Patient unless such things be mixed with them as may wash away that filthy injury and add strength to the Noble Viscera For the Liver generally languishes when it is moisten'd with an incursion of Water Wherefore Reason persuadeth and experience teacheth that they are to be given with Mesue's Syrup of Eupatorium or Agrimony c. Those that are more gentle may be given to soft Men and sometimes to Women with Child but not rashly The stronger are neither to be given to Children nor to old Men nor to Women with Child for they provoke the Terms and very often precipitate the foetus Nor are they to be prescribed to the wasted or cholerick nor to those sick of a Fever or an acute Disease nor are they good in very hot weather Heurn meth l. 2. c. 26. For these should be set apart for strong Men that have been long held with cold diseases and that when the Weather is temperate and cool XXV Jalap is to be accounted to be very like to Scammony or is very resinous like it so that those cautions which * 1. de Medic Offic. c. 34. Hofman will have to be observed in the use of Scammony are by no means to be neglected by young Practitioners He says 1. Let not Scammoniate Medicins be given to those whose Stomach I comprehend the Intestins is weak such as are commonly the Hypochondriack 2. Nor to the hot and such as are prone to Fevers for it very much disturbs their Bodies 3. Nor in particular to those that are apt to swooning perhaps by reason of the Mouth of the Stomach 4. Nor let it be given in Substance in Broth. Yea I remember that it has often happen'd to some Individuals that a Scruple of Jalap or but six or Seven Grains of its Rosin have caused a Superpurgation At Copenhagen there is to be sold in the Shops Spec. Diagialapae which other Practitioners commend to their Patients daily with good success and yet that excellent Person N. used this Medicin unhappily which had been approved of for so many years So true is it what Hofman very well observes †Obs 9. de Medic. Offic. c. 34. That all Medicins do not presently betray their Malice For Cantharides for instance do at length put forth their exulcerating faculty in the Kidneys So though Scammony I add Jalap do not very much offend the Throat or Palat yet it offends the Stomach Liver and other inner parts Indeed it has some thin and fiery parts some earthy adust which I use to call Sulphureous and Saline and by these latter it absterges indeed but by the former it very powerfully discusseth opens attenuates and attracts Thus Sennertus * In paralip ad iustit declares that neither Rhubarb nor the Leaves of Senna nor Scammony or other Purgers are so apt to make the Hemorrhoids flow in those that are disposed to them as Aloes that is the malice of Aloes first betrays it self in the Anus or streight Gut So I have been taught by Fabritius that the use of Crocus metallorum is to be avoided by old Men and such as are subject to the falling out of the Anus because it is injurious to the Sphincter thereof Jalap therefore is not so gentle as many persuade themselves And I am more and more confirmed in the Opinion that Jalap and Scammony are of the same nature and temperature which Scammony Mesue says indeed is hot and dry in the third degree but Tabernaement after Dodonaeus hath determin'd it ought to be ranked with the moderately hot and dry Therefore we must by no means subscribe to those that write that Jalap is hot and dry in the Fourth Degree Yet I deny not but that the resinous juice of Jalap newly prest out and as yet not thickned by art is far hotter and more acrimonious than the Roots of Jalap cut into slices and dried which purge out serous humours by their whole substance not as they are hot Thus the expressed juice of our Country Flower-de-luce is very acrimonious and burns the Throat as it were of hydropical Persons which thing is not observed even in the Florentine Flower-de-luce dryed Hence Hofman * 1. De Med. Offic. c. 20. teaches that fresh Flower-de-luce is hot and dry in the Fourth Degree but that being dried it stays at the First Degree or however does not ascend above the Second though others declare it to be hot and dry in the Third Degree What is therefore taught of the hotness of Jalap is to be understood of the fresh and in its native Soil and not of the dried XXVI It ought not to be given when the humours are in motion for then even a Grain or two will cause a superpurgation as if one had taken too large a Dose So a Merchant of Lipsick died of such a superpurgation that had taken a Drachm of Jalap But yet there is not always the same danger Amman Med.
are come out Thus he determins that the same does stop a looseness because it first draws from the lesser Veins to the Cava from which consequently the Blood is let out by Venesection On the contrary nothing is of more constant Practice than when the humours especially the Bloody flow to the internal parts to make a revulsion to the external by opening a Vein 1. In asmuch as the Veins that are emptied draw from those which are fuller and the fuller afford their help and being loaded with plenty do readily deposite their burthen into the empty Veins the fluidness of the humours not a little assisting 2. In an inflammation of the Liver Lungs or Pleura Hippocrates and Galen bid us open a Vein in the Arm to revel from the internal parts to the external 3. And therefore 1. de vict acut that in a Pleurisie Blood is to be let so long till by its colour we can discover that to come which was flown to the part affected 4. How should there often be a strong revulsion if there were always a fresh afflux from the circumference 5. Why does Galen 4. de tu San. C. 5. dissuade bleeding to those in whom crude and vitious humours possess the internal parts For a further clearing of the matter Sylvat contr 37. notes that in letting of Blood it is to be supposed that there is in the Veins a plenty of Blood either convenient or not If there be a greater plenty than is agreeable to Nature when Blood is withdrawn by Venesection there ensues not a vacuum but the Veins subside as we see to happen in a Leathern Bottle or Bladder when part of the Liquor is poured out Hence it is concluded that in Venesection the Blood is compelled to retire to the centre if the Veins that are in that place be deprived of their Natural quantity of Blood either in whole or in part but it will return back again to the circumference either because it flows from the Bulk of the Body out of the neighbouring Spaces into the Veins or because the Veins that are next to it are emptied some part of that which is contained in the Veins succeeding that which is evacuated To the Arguments 't is answered to the first The consequent is denied because when the Blood is diminished the Veins concide of their own accord To the second There is not always a paleness but when there is it happens through too large evacuation fear recourse of the Spirits to the Heart c. To the third An internal Phlegmon is sometimes increased not by reason of the Blood that is let but through a new afflux which would afflict more grievously if a revulsion were neglected To the fourth 'T is granted because the abounding cacochymy in the first ways is first to be taken away that vitious Blood may not be generated afresh To the fifth Avicen's Reasons rather prove the contrary For because Poison is inimicous to Nature therefore at first we must take diligent heed that the Motion of Nature to expel the Poison be not hindred by Venesection But when it is dispersed in the Body it is lessened by even a plentiful bleeding Namely if there be an indicant for Bleeding that so part of the Vitious Blood being taken away that which remains may be the sooner discussed Thus also the expulsion of the small Pox is not to be hindred by another Motion of the Blood Horst Inst med disput 18. q. 7. which Venesection may do as it is likewise granted in a Flux of the Belly XXXIX Those Physicians err who following Galen open a Vein in any Flux of the Belly in an opposite or most remote part for revulsion For I will affirm that when Bloud flows immoderately and Symptomatically to bleed further is besides Hippocrates's intention who for revulsion of the Blood flowing immoderately to the Womb bids us affix Cupping-glasses to each Breast but forbids taking any Blood away 2. de mor. mul. vers 36. And if by such evacuation the sick be observed not to be notably hurt because we take away but a little Blood yet I think they reap little or no profit thereby For what good do we think can the letting forth two or three Ounces of Blood do for revelling the Blood that is rushing into any part Which evacuation hardly makes a motion in the Blood Therefore because the strength will not bear so large a Bleeding as might possibly make a revulsion and a small does no good therefore Hippocrates thought it better to abstain from Bleeding and to flie to other remedies You will object that lib. de steril vers 422. he bids a Woman to be Bled who doth not conceive when the mouth of her Womb gapes and by consequence her Terms flow more plentifully I Answer That is another case for the Terms flow not so plentifully as that it can be called a flux nor is there that weakness as will not admit a moderate Venesection which he commands not for the sake of the menstrual flux but for the cure of Barrenness You will object again that l. de humor and 1. de morb he opens a Vein in them that spit Blood I Answer His intention is not to make a Revulsion of the Blood that is flowing but to take away the Plenitude which may hinder the closing of the broken Vessel and to avert the imminent inflammation of the Ulcer For he opens a Vein in spitting of Blood no less when some Vein being pulled asunder pours forth a little and blackish Blood than when the Blood flows hastily and plentifully out of a bursten Vessel He plainly shews his meaning by adding And let him use a diet that may make him very dry and Bloodlessâ— Martian comm in versic 36. l. 2. de morb mul. Which words make it apparent that he opens not a Vein for Revulsions sake to hinder the course of the flowing Blood XL. Whether can Bleeding be helpful to the too cold of constitution Galen l. de rigor c. says In a disease which requires heating none have dared to Bleed And 5. meth c. 6. But if there be none of these things but it be winter or the climate be naturally cold and the person also himself be of a colder constitution by Bleeding in such a case the whole Body is both greatly cooled and there happen some Symptoms that lead to a dangerous Refrigeration If the coldness of the climate or season hinder Bleeding much more does a cold intemperies seeing the Blood does not only afford nourishment to the Body but the natural heat also is sustained and continued by it Yet 8. meth 4. he bids us Bleed hastily in an Ephemera from obstruction of the skin which the external cold often causes Reason persuades the same because obstruction hinders transpiration from this ariseth a redundance of the multitude of the humours from which proceed obstruction and putrefaction But we must thus distinguish the matter If the distemper we would cure be
answer 1. The impairing of the Faculties is not so slight in those who are unaccustomed to bleeding and in the infirm 2. The more sparing use of Broths Julaps a mouthful of Bread dipt in Wine c. causes no danger of crudity Rolfinc ibid. c. 6. Avicen speaks of an immoderate draught of water LXXXIII It is discussed by some later Physicians how long we must abstain from Meat after bleeding Galen after having bled a Young man sick of a Synochus without Putrefaction gave him some food two hours after Others have said that we may allow Victuals one hour or two after bleeding though not much But this is a thing for the Physician to guess at according to the quantity of the Blood that is let and the strength of the Patient's Faculties For Galen staid two hours because he let Blood very plentifully whereby his strength and spirits were weakened so that he fainâ—ed away wherefore the Stomach was not to be burthened with Meat at that time But we that bleed far more sparingly and do not so diminish the heat spirits and strength have no reason to tarry so long wherefore one hour will be enough when less than a pound of Blood has been taken half an hour when less than half a pound for the Parts are but little drained and but a few Spirits are exhausted and there is made but a small agitation of the Humours The habit of the Body ought also to come into consideration as it more or less abounds with Blood Rubeus and is more or less dense LXXXIV Some avoid giving their Patient any thing to drink after bleeding but Amatus Lusitanus proves that it is not hurtful but wholsom ordering him to drink presently some cold water For by reason of the Veins being emptied it is presently distributed into the Body and cools it more easily quickly and safely LXXXV Some Physicians forbid sleeping after Venesection because they believe that the Blood retires to the Heart which yet is not always true unless perhaps the bleeding have been immoderate or the Patient be in danger of swooning through fearfulness Besides no reason perswades that such retiring of the Blood is pernicious for the Blood uses in sleep to retire to about the Praecordia to the great recruiting of Nature And how great benefit Sleep when it comes does to those Sick Persons that have had restless Nights every one knows for it recruits the faculties and concocts the morbifick Humours whence we are oft put upon using Remedies to procure it If therefore it come a little after bleeding it will be good both as a Sign because it shews that Nature which was oppressed is now relieved and performs the natural Functions and as a Cause because when Sleep succeeds Nature concocts the remainder of the morbifick Humour Indeed Sleep hurts in the Inflammations of the internal viscera in the beginning of Ague-Fits in Pestilential Diseases but why we may not sleep in other Diseases I see no reason Galen writes that Sleep coming on does indicate the firmness of the Crisis for it happens sometimes that the Patient sleeps a whole day after the Crisis if he were long without Sleep before to the great comfort of Nature yea it happens that the Patient sleeps sometimes even in the very Crisis If Sleep therefore help when it comes after other evacuations why should it not do so also after bleeding Yea if a man may safely be let Blood when he is actually asleep Gal. Meth 9. c. 14. what hurt can Sleep do presently after bleeding Galen esteems it as a good sign when the Patient falls fast asleep after bleeding If any say that Sleep is therefore forbid lest the bandage should come loose that is nothing Primiros de vulg error l. 4. c. 26. for by the diligent care of those who wait on the Patient and right tying of the Fillet that may be prevented LXXXVI I my self have seen a simple Decoction of crisped Mint stop the circular motion of the Blood so that not a drop of it would issue out of the Foot though the Surgeon thrust his Lancet deep enough three or four times into the most apparent branches of the Saphana in the Foot for bringing down the Terms in a certain Woman for whom her Maid had prepared a Decoction of Mint instead of common water to hold her feet in Whereupon she was bid to provide simple water into which her Mistress put her feet to above the ankles S. Paul Quadr Botan p. 396. and then the Vein being cut again by the ankle the blood issued forth LXXXVII In the Diseases of Children and Women with Child the Physician consults well for himself and his Patients if himself be present when they are to be bled for those who are intrusted with that operation being too bold do suffer the blood to issue out too largely and if any unfortunate thing happen Phryg comment in aegr 8. Epid. Hippoc pag. 147. 't is presently ascribed to the Physician though it be very evident to sense that the Artist mistook LXXXVIII When a Nerve or Tendon is pricked by the Unskilfulness of the Blood-letter see the Cure thereof under the title of Convulsion lib. 3. LXXXIX A Nobleman having a troublesome Tetter and fixing Leeches in the Morning upon the Part affected when the Blood bursting forth to almost three Pound could be stanched by nothing could be done Prevotius having washed the little holes the Leeches had made with an astringent white Wine Rhodius Cent. 3. Obs 71. caused to be laid upon them with good success Galen's restringent Ointment of bole Armene and Hares wool XC Not only the simple opening of a Vein is profitable but also the cutting of them quite asunder avails to intercept many kinds of Defluxions The cutting asunder of the Vein of the Forehead is the only Remedy to take away malignant Defluxions upon the Nostrils as some have experimented So that I do not wonder that the ancient Physicians in Inflammations of the Eyes bleereyedness c. ordered the cutting asunder of the Forehead and Temple-veins Aëtius cut asunder the Forehead-veins for a continual watriness of the Eyes and pains of the Megrim Haly Abbas cuts those behind the Ears asunder for curing a Vertigo Yea the Excisions of the Veins of other Parts also are profitable for curing at once old and difficult Ulcers of the Legs and Arms c. Now the administration is thus to be order'd first the Vein must be made to appear as in ordinary Venesection then a crooked Steel or Silver Needle being thrust under it the Vein is raised up and then cut in sunder by a Sickle-like or crooked Launcet thrust in as deep as the Needle the Vein being suffer'd to bleed as in common Phlebotomy but for the most part in a slender and thin Skin the Vessel stands so out that it is not necessary to thrust a Needle in but the Administration may be performed by a Launcet alone that is
omitted Hence those Physicians err who in the stoppage of the Terms use only volatil oleous things as the Oyl of Juniper the Spirit of Sal Armoniack the oyl of Savin Borax and other things for hence Whores do often use Savin and the like in vain when they are not disposed to Miscarriage namely we must withal have regard to the Serum which is required as much as the Blood to turgescence Whence I have always done more by moisteners as tinctura Martis tartarisata tinctura Martis pomata uterine Infusions and Decoctions than by other things IX In those who are not with Child we must not bind without revulsion and in those who are not without regard to the foetus As for example If any labour under an immoderate flux of the Terms which often springs from an obstruction of the Vessels which obstruction must be remedied astringents are more profitable when you have first Bled But if a Woman with Child have her Terms flow the weakness of the foetus is alwayes to be regarded X. In the use of astringents also the tone of the Womb is always to be respected both as to the Blood and also as to the loosness of the Fibres Hence in the fluor albus or Whites the common Astringents are not so profitable alone as when Aromaticks are mixed therewith as Rosemary Chervil Ivory Castor the magistery of Crabs Eyes with the oyl of Anise and of Amber G. W. Wedel de f. m. fac p. 117. which is excellent for otherwise there will be no good success Vulneraries The Contents Internal Vulneraries are either of an Alkaline nature I. Or of a Balsamick II. They are not good always and in every case III. They are withal Resolvents and dissolve clodded Blood IV. Externals act diversly V. I. TRaumaticks or Vulneraries are either internal or external both are indicated by solution of unity in general whether they be wounds or bruises especially with the hurt of the inner parts or Ulcers or Ruptures and opened Orifices of the Veins falls from on high spitting of Blood Dysenterie c. in all which they are very good But it being supposed that the Blood is the aliment of all the parts 't is necessary when there is solution of unity that this also should be amiss and therefore we must have regard to this that it may the fitlier dispose the injur'd part to consolidation Now they are chiefly of two kinds either 1. of an Alkaline nature which you may find largely discussed by Helmont For he determins not unfitly that in every Ulcer there arises an acidity that is the token and companion of all putrefaction in the flesh and that Alkali's do easily absorb it into themselves and consume it so that all vulnerary potions contain in them an occult Alkali and that volatil if they be to resist the accidents that spring from the corruption of the acidity inasmuch as every alkali kills every acidity it comes near ¶ Let us apply hither that place of Galen 2. aph 17. concerning the acidity of the Blood where he sayes The same thing that happens in Wines which grow sowr does also happen in the alteration of the Blood Seeing therefore in wounds both the tone of the Blood is altered and that it necessarily concurs to their cure hence Vulneraries are such as absorb the acidity and preserve the tone of the Blood and likewise temper both acrimonious and serous Humours and moderately deterge And such are the Alkalines in a special manner which have been already mentioned as Crabs Eyes which do both help in the foresaid wounds and being boiled in Wine acquire a lixivious taste So likewise Antimonium diaphoreticum is with very good advice taken within the Body in outward Ulcers and thus the very Antihectick of Poterius is good in a phthisis for this reason and the Plants called traumatick that is which either have a nitrous detergent faculty or something that is astringent and earthy do respect the tone of the Blood and greatly resist putrefaction and reduce preternatural ichors into order II. Or 2. they are of a Balsamick nature and vigorate the Blood by their volatil oleous Salt that is both strengthening and astringent Thus Fevre in a Chymical tract relates that a certain Surgeon in all wounds did presently give some Nutmeg in a draught that the Blood might be vigorated by its Balsamick vertue and so all things might be the fitlier disposed for consolidation And though these Internals do not hasten in their substance to the wound that is remote yet they dispose the Blood so as that parts divided may be the more apt to close together again III. It is to be noted that vulnerary potions are less convenient 1. in the beginning whilst the flux lasts lest the Humours be further driven into the part affected 2. They are not so good in Wounds of the Head which do rather require driers outwardly and Nervine absorbers inwardly but are better when the Limbs or other viscera are hurt for through their same vertue they dissolve the clodded Blood and strengthen its tone 3. Respect is also to be had to the Stomach that it be not hurt by them Add 4. that the first region ought not to be foul In the year 1679. in December I had under cure an Inn-keepers Wife of Geneva at the sign of the three Kings This woman having an Ulcer in her Womb by the Womens advice without my consent took two vulnerary potions whereupon she fell into a Fever But she was cured by Injections of decoctions indued with the same vertue IV. 'T is observable that these Traumaticks are most of them withal Resolvers or Dissolvers of clodded Blood of both kinds as Crabs-Eyes Sarcocol Myrrhe Yarrow c. V. These same things of both kinds being applied outwardly and immediately are notably beneficial Thus also Balsamick Sulphurs native Cinnabar the fixt Sulphur of Antimony c. Of the same stamp are also external Traumaticks Sarcoticks which are either 1. moderately drying of an earthy and Saline or Alkaline nature as Ceruss Pompholyx Litharge which do both astringe gently and also strengthen and remove impediments and waste and absorb superfluous moisture and strengthen the lips of the Ulcer and Flesh so that it is made like to that which is sound and is not proud Thus such like absorbing powders do often consolidate Ulcers that are stubborn and hard to close through over much moisture and looseness of the Lips of the Ulcer which I have sometimes observed Whence it may serve as a Rule Whensoever ulcers abound with superfluous moisture there moderate driers and especially strengtheners are good far before oily and emplastick things Thus dry lint alone is useful in the wounds of the nails and other fleshless parts Likewise the powder of Crabs-Eyes being sprinkled on fresh wounds heals them for it presently seasons as it were the flesh and injur'd parts so that they remit nothing of their Balsamick vigour nor conceive pus An incurable
be laborious the night before is troublesom Wherefore hence it may be argued that in computation of nights the preceding must be reckoned to the day following Although Hippocrates have not determined this matter yet it is probable for we are taught in Genesis that the night begins the day when the Author says And the evening and the morning were the first day I judge Critical days should be computed after Hippocrates his way who means natural not artificial ones If you reckon Galen's way the Crisis will fall sometimes on the sixth sometimes on the eighth Therefore they err who follow him and they often kill as it happened to a famous Physician who on the fourteenth day in the morning ordered Cupping-Glasses to be set to the shoulders with Scarification and by that means he stopt a Crisis by Urine which was just coming upon which the Patient died on the one and twentieth day because he checkt the Crisis on the fourteenth ADVERTISEMENT to the READER YOU are desired to take notice that these following Tables are onely of the General Titles calculated according to the Latine because he who understands that Tongue has no need of these for the use of the English Reader Alphabetically in English But both the Learned and Unlearned must take Notice that every Title contains several Diseases which are methodically laid down in the Contents of each Title which we thought needless to repeat in a Voluminous Index because it is so easie to know to what General Title each Disease belongs And therefore we would not charge the Book with any thing unnecessary A TABLE OF The General Heads Contained in the first Eighteen BOOKS A. AChe 126 Aegylops Anchylops 7 Ague in general 164 Asthmatick 183 Cold 181 with the Colick 186 Doating 186 Half Tertian or Shaking 192 Heart-Ague 184 Quartane 223 Quotidian 226 Tertian 231 An Aneurism 10 St. Anthony 's Fire 150 Anus its Diseases 16 Apoplexy 18 Appetite want of it 1â— 319 Too great and depraved 23 Arms their Diseases 43 Asthma 527 B. BArrenness 568 Belching 531 Belly-ach 632 Biting of a Mad Dog 291 Bladder its Diseases 635 Bleeding 269 Bones their Diseases 394 Breast and Lungs their Diseases 478 Pain 481 Wounds 482 Breath its Shortness 527 Bruise 138 Burns 107 C. CAchexy 48 Canker 60 Carbuncle 82 Catalepsis 86 Catarrh 87 Childrens Diseases 319 Child-bed Women 515 Child-bed Purgations 518 Colick 96 Hysterick 106 Consumption 491 Convulsion 109 Corpulency 390 Costiveness 9 Cough 594 Crookedness in the Back 253 D. DEafness 581 Diabetes 119 Dropsie of the Breast 293 in the Flesh 294 in the Belly 296 Drunkenness 137 E. EArs their Diseases 39 Empyema 139 Eyes their Diseases 391 Eye-lids their Diseases 465 F. FAinting 583 Falling-Sickness 142 Feet their Distempers 483 Fever in general 154 Putrid in general 156 Continual Putrid 157 Intermittent in general 164 Symptoms 172 with a St. Anthony's Fire 188 Bleeding and Bloud-spitting ibid. with a Catarrh 185 Colliquating 186 of one Day 187 Dysenterick ibid. Epiala 188 with the Gout 182 in the Head 183 Hectick 190 Leipyria 193 Loose 183 with Inflammation of the Lungs 204 Malignant 195 Pestilential 205 Pleuritical and Peripneumenical 220 Putrid Continent 229 with a Quinsey 182 Rheumatical 227 Scarlet 228 with shortness of Breath 182 Slow 193 Spotted 219 Symptomatick 229 Swooning 228 White 180 of Women in Child-bed 221 Fistula 241 Fits of the Mother 578 Flux 121 Bloudy 128 Fractures 246 G. GAnglion 253 Gangrene 248 of the Cod 564 Gout and Running-Gout 24 Green-Sickness 92 Groin-Rupture 46 Gun-shot Wounds 661 H. HAbit of the Body its Diseases 261 Hair the falling of it 8 Head its Intemperature 64 Head-ache 69 Wounds 75 Swimming 632 Heart its Diseases 112 Palpitation 467 Heart-Burn 84 Hick-up 564 Hoarseness 524 Hypochondriack Disease 307 I. JAundice 314 Imposthume 3 Impotency 545 Inflammation 337 Of the Lungs 487 Inquest upon Dead Bodies 527 Itch 547 Itching 515 K. KIdneys their Diseases 525 King's-Evil 573 L. LAbour of Women 475 Leachery 545 Leprosie of the Arabians 345 Of the Greeks 346 Lethargy 348 Lientery 353 Liver its Diseases 281 Loosness 96 121 Lungs their Imposthume 520 Their Inflammation 486 Lungs and Breast their Diseases 478 M. MAdness 373 Mâ—nge 511 Measles 386 Melancholy 374 Memory lost 378 Meseitery its Diseases 384 Miscarriage 1 Molâ— 385 Moith its Diseases 394 N. NErves their Diseases 389 Nose its Diseases 387 Nourishment want of it 38 Numbness 575 O. OBstructions 390 Over-Purging 306 P. PAin 126 Palpitation of the Heart 466 Palsie 469 Pangs of Death 7 Phrensie 488 Piles 276 Pispot-Dropsie 119 Pleurisie 500 Plague 205 Poysons 616 Pox 355 Pulse Intermitting 521 Putting out of Joynt 368 Q. QVinsey 12 R. RAving 115 Rheumatism 531 Rickets 523 Running of the Reins 254 Rupture 43 46 287 S. SAlivation a morbid one 547 Sciatica 339 Scurf 511 Scurvy 550 Shortness of Breath 527 Sleep preternatural 567 Small Pox and Measles 601 Speech its loss 17 Spitting of Bloud 264 Spleen its Diseases 349 Spots 152 Stomach its Diseases 624 Stone in the Kidneys 51 in the Bladder 56 Stone-Colick 389 Strangling 576 Strangury 570 Stuttering 42 Swallowing hurt 114 Swelling of the Glands in the Groin or Arm-pit 44 Behind the Ears 474 Swimming in the Head 632 Swooning 583 T. TEars involuntary 149 Teeth their Diseases 115 Tenesmus 586 Terms their Flux too large 379 Their Suppression 381 Thirst 566 Thunder 247 Throat-Rupture 43 Thrush 17 Tongue its Diseases 354 Tonsills their Diseases 587 Tumours 588 Tympany 302 Twisting of the Guts 317 V. VEins swollen 599 Venereal Disease 355 Vlcers 637 Vomiting 645 Of Bloud and Corruption 649 Vomiting and Loosness 93 Vrine its sharpness 135 Stoppage 341 651 Incontinence of Urine 651 Uvula its Diseases 259 W. WAking-Lethargy 107 Wen 388 Whites in Women 244 Whitlow 474 Witchcraft 616 Women with Child their Diseases 512 Womens Labour 475 Womens Breasts their Diseases 371 Worms 365 Wounds 654 By Gunshot 661 Y. YArd its Diseases 483 A TABLE To the Nineteenth BOOK concerning Remedies A. ADstringents 676 Alexipharmacks 678 Alteratives 685 Anodynes 690 Aperients 692 Aphrodisiacks 694 Arteriotomy 695 Arthriticks 696 B. BAths 698 Bleeding 802 C. CArdiacks 702 Carminatives 704 Cauteries 705 Cephalicks 712 Clysters 715 Cordials 678 702 Cosmeticks 719 Cupping glasses 719 Cysticks 760 D. DIaphoreticks 678 737 Diet in general 722 Of Febricitants 732 Dissolvers of congeled Bloud 745 Diureticks 738 E. EMmenagogues 743 Errhines 701 Eyes their Medicines 761 F. FOntanels 705 Frictions 744 H. Haemorrhoids their opening 746 Hepaticks 748 Hypnoticks 749 I. INfusion its operation 714 Inustions 705 L. LEnients 758 Ligatures 759 Loosners 758 M. MIlk 756 Milk its Increasers and Lesseners 755 Mineral Waters 673 N. NArcoticks 690 749 Nephriticks 760 O. OPhthalmicks 761 P. PNeumonicks 840 Preparers of the Humours 763 Pumping 832 Purgation 773 Purgers 789 S. SAlivaters 798 Scarification 829 Setons 705 Spleneticks 830 Stomachicks 832 Stone its Medicines 760 Sudorificks 834 Suppositories 745 839 Suppuratives 839 T. TErms Provokers of them 743 Topical Remedies 840 Thoracicks ibid. V. VEsicatories 844 Vomitories 847 Vterines 853 Vulneraries 854 W. WAters 673 Whey 756 The Office of a Physician Book XX. Fol. 853.
Bowels but onely from the obstruction of the veins that come to the Womb Frid. Hofmannus according to Minsicthus his advice Vomits must be avoided VII The Terms being near in some Viragoes and restagnating because of the narrowness of the Vessels do create a great deal of trouble to the ferment both of the first and second digestion so that thence there arises loss of colour in the face and other symptoms representing the green-sickness in Maids especially if over and above there be an Astral Influx that hinders the Terms the said Symptoms do not onely grow worse but the Cure also proves very difficult In the mean time at the beginning violent Expellers which onely disturb the morbifick matter and doe no good must be avoided but they must be moderately moving and also they must help the fermentation of the first and second Concoction Of which rank are Extract of the lesser Centaury Juniper Mugwort Species Dialaur Minsicthi Extract Splen Bov. Elixir proprietatis Paracelsi Vterinum Crollii if instead of Spirit of Wine Spirit of Baum and Sage be used adding toward the latter end a sufficient quantity of Salt of Mugwort for these things moderately provoke the Terms strengthen the concoction of the Bowels resist putrefaction and are good against Worms Frid. Hofmannus if there be any VIII Galen 5. Aphor. 46. says that if the Mouth of the Womb be compressed by a swelling the Terms must not be provoked The reason is because the swelling would increase and the Disease would be inraged by giving things to provoke the Terms Thus they are in errour who when the Vessels of the Womb are compressed either by a swelling or too much Fatness they do open the Saphoena and they do not see that the swellings increase Therefore the Basilick vein must be opened Sanctorius IX If the Terms flow not for want of bloud as after long Fevers great Evacuations and in any notable extenuation of the body they must not be provoked before the body be recruited with convenient restorative food before a sufficient quantity of bloud is bred and before the Disease the cause of extenuation be conquered which when done the Terms usually come of themselves But if it do not so fall out to the end Nature may be recalled to her duty bloud may be taken from the lower Veins according to the measure of the strength But we must take notice that every extenuation does not denote want of bloud but onely that which succeeds consuming Causes Riverius X. We must never use Remedies to provoke the Terms unless universal Evacuations were premised lest the humours being moved in great plenty to the Womb should increase the obstruction or being much attenuated should fall on other parts and produce much mischief So Schenckius reports that a Physician of Venice gave a Woman for the suppression of her Terms a Decoction before he had evacuated the Phlegm which was the cause of her Obstruction upon taking of which she fell into a Palsie Fortis XI But they must be given in a great quantity because much of their virtue is abated by the way from the Stomach to the Womb. Riverius XII If they be given at the going in or out of a Bath they exert their virtue the more powerfully because the Medicine gets into an open and warm body and yet much more effectually if they were given before bleeding in the foot Idem Some generous Remedies in a pertinacious Obstruction XIII Seeing the suppression of the Terms is caused for the most part by the obstruction and stuffing of the Vessels that go to the Womb and through the Womb we shall pursue this sort most And whereas we have shewn that this said obstruction is produced either by a viscid and glutinous Phlegm or by such a bloud it easily appears that inciding and detersion are indicated and required by the tenacity of the humour for its cure and the provoking of the Menstrua And both Acids and Aromaticks and things abounding with a lixivial Salt as well fixt as volatile and therefore fixt and volatile Salts themselves But because Acids serve to produce a glutinosity especially when they incline to Austerity therefore in curing of this Disease Aromaticks are deservedly preferred which Experience also it self testifies to be better than Acids Whether things be bitter or not but of various tasts they must be called Aromaticks And whoever is conversant in the Chymical mutations of things Natural he will find both far more powerfull things and more easie to be used than these things that are commonly used As Volatile Salts made of infinite things of all Bones Horns Hoofs Hair Bloud Urine Flesh and all parts of Animals whatever that is all Volatile Salts are good though I should prefer Oleous ones before the rest because they doe their work more kindly and successfully Whence also it is manifest that fixt Salts are less to be valued because since they are purer they operate the more violently And the said Volatile Salts may be conveniently used at any time and especially when all the bloud is glutinous at Dinner and Supper in a draught of Wine Beer Broth or any other liquour the Patient shall chuse But when the whole mass of bloud is not glutinous and pituitous though the said Volatile Salts may be used at meal-times yet they may be used to greater advantage at another time and especially when the Phlegm first dissolved by the motion of the body heat of the Air c. and carried to the Womb is by and by coagulated there again by the subsequent Cold for then it is good to take Volatile Salts upon an empty Stomach and also to dispose the body it self to a Sweat for so the virtue of the Medicines will the easilier penetrate to the farther end of the vessels and passages And above the rest I recommend Spirit of Sal Ammoniack to all when a stoppage of the Menstrua happens suddenly and lately upon heating and cooling of the body by benefit of which alone I have very well cured several in a short time by giving 3 4 5 or six drops as it is stronger or weaker in a spoonfull of Wine twice or thrice a day And not onely a Volatile Salt it self but all things also abounding with it whether Sudorificks or Diureticks are very proper It will be usefull also in a suppression that comes gradually to add such things to the Deobstruents that are used towards the latter end For Example make the following Apozeme Take of Root of Parsly Lovage each half an ounce shavings of Guajacum three drachms Saffafras half an ounce Juniper Berries two ounces Bay-berries half an ounce Scordium Penni-royal each half an handfull tops of lesser Centaury half an handfull Millet-seed two ounces Boil them in fair Water to 25 ounces of the Colature add of Syrup of Mugwort Carduus Benedictus each one ounce and an half Tincture of Cinnamon and Castor each half an ounce Oil
delivered Bayrus let it be taken off immediately that the Matrix fall not out 3. If a Woman before her Travel drink Oyl Olive it vvill prove easie Borellus and she will not be troubled vvith after-pains They say Water of Adders-Tongue does the same 4. To cause Pain for the more easie delivery Take of vvarm Water 2 ounces Claudinus Honey vvhat is sufficient Mix them Give this Dose at any time vvhen there is occasion 5. This vvas communicated to me for an Infallible Secret Take Nettle-Roots boil them in Wine Corbaeus and in a draught of that Wine put of povvdered Cinnamon 2 drachms Saffron 1 scruple Let her drink it 6. This is an excellent Secret and never fails in hard Travel Take of the Seed of Lavender half a drachm Plantain Endive Simon Paâ—â— of each tvvo scruples Pepper one scruple Make a Povvder Take it in the Water of Endive and Woodbine of each four drachms 7. This has been found to be excellent by long Experience Take of the Bark of Cassia Fistula Asarum of each one drachm Cinnamon Saffron Savine of each halâ— a drachm Make a Powder Eustach Rhudius The Dose is one drachm in Chicken or Pigeon Broth. 8. Ol. ligni Heraclini 16 drops were given to a Woman in Labour and a dead Child with the After-burthen came away within an hour the Mother who had hard Labour being safe Rulandus 9. This Powder has been tried by Experience Take of White Dâ—ttany Amber of each one drachm and an half Sennertus Mâ—ke a Powder Give half of it in White Wine for one Dose Pectoris Pulmonum vitia in genere or Diseases of the Breast and Lungs in general See Thoracicks Book XIX The Contents Blood is not to be let to Swooning I. 'T is profitable to open the Hemorrhoids II. Whether Purgers be hurtful III. Whether Manna be friendly IV. Vomiting is not always hurtful V. Antimony is both the Medicine and Poison of the Lungs VI. Purging Clysters hinder Expectoration VII Things that incide too much do sometimes hinder it VIII Eclegma's or Lambitives sometimes rather hinder than promote it IX They are not good if a Fever be present X. When they are to be prescribed XI The too much use of them hurts the Stomach and Liver XII Sweet things hinder Expectoration in Cholerick Distempers XIII Astringents are profitably added to Expectoraters XIV The excellency of the Decoction of Turnips XV. The efficacy of Suffumigations XVI Whether the Smoak of Tobaco be profitable XVII When Diureticks are proper XVIII Those things which pass into the Lungs by the Wind-Pipe act more effectually than such as are swallow'd XIX Whether sweet or harsh Wine be best XX. Anointings of the Breast are oft hurtful XXI The correction of the Flowers of Sulphur XXII When Sulphureous Waters may be drunk for strengthening the Lungs XXIII Whether the Origin of Fluxions be always from the Head XXIV When Lambitives are hurtful XXV They are unfit to astringe XXVI Simple Flowers of Brimstone are better than the Compound XXVII Acids are to be temper'd with sweet things XXVIII How the Serum when it is too Acrimonious is to be temper'd XXIX The Serum must be thickened that it may be expectorated XXX The Correction of an Humour offending in Acidity XXXI I. THough Galen says 1. Aph. 23. That in great Inflammations and especially burning Fevers Blood is to be let to Swooning away yet it is very dangerous to Bleed to that degree in Diseases of the Spiritual Parts Wherefore though we ought to Bleed plentifully and even almost to fainting away yet we must not proceed so far as till the Patient swoon which the skiâ—ful Physician will understand by feeling the Pulse P. Salius Diversus com in lib. 1. Hip. de Morb. t. 60. Fortis cons 50. cent 2. II. Evacuation out of the Hemorrhoidal Veins has great consent with the Breast III. I do not approve of Evacuations in Pectoral Diseases from a Catarrh and those Physicians who are but indifferently learned and verst in the practice of Physick know the Reasons For what good do Evacuations do as to the Concoction or Evacuation of the Matter out of the Breast What do they do towards derivation seeing they move and roil it the more What do they do as to the strengthning of the Head and Stomach What towards the Correcting of the Temperature of the Liver I know something may be said against me but I have found by Experience that in Pectoral Diseases it is most profitable to abstain from Purging Medicines Thus Crato in Scholtzius cons 4. yet he uses them in difficulty of breathing from a Catarrh ¶ Fortis cons 7. cent 2. writes thus Let strong Purgation follow Lenients and Preparatives for it is not to be queried whether Purgers draw from the Breast or no for besides that they may draw forth Humours by the Vena sine pari whilst the whole Body is purged part after part the Breast it self is also purged for there is one and the same Conflux one Conspiracy all things consenting ¶ Indeed though they be not proper in respect of the Matter that is passed out of the Vessels yet they bring forth the antecedent Matter at least whether it flow from the Brain seeing 't is manifest that the stronger Purgatives draw from thence or through the Pulmonary Artery into the Lungs which has conveyed thither the Cacochymie mixt with the Mass of Blood IV. Their Opinion ought to be rejected who understanding that Manna is friendly to the Breast give it to those who have their Breast loaden with Crudities not seeing that Crude Humours are made more thick and unapt for Concoction when the Serum is discharged I have often observed such to be thrown into a very bad state by the giving of Manna Nature desires that thick Humours should be made fluid but those who give Manna or Scammony separate the Ichors Sanctor method l. 5. c. 10. Martian 4. de acut victâ— or watry part and make the remainders of the Humours thicker Johan Baptista Montanus considering this gives Manna with the Cream of Tartar for the bringing forth of the thicker Humours I lately saw the efficacy of Manna given after that manner in an Asthmatical Woman whose Lungs being turgent with Serum she was cured the same day a great quantity of Serous Humours being carried off V. Vomiting is not good if there be a solution of Continuity in the Lungs but if they be full of thick and Viscid Humours only 't is an excellent Remedy Hence 't is false That Vomiting is hurtful in every Disease of the Breast It often happens that a slimy tough Matter lies a Fingers breadth thick upon the upper side of the Midriff which kills the Patient unless it be taken away by Vomit So died a certain Landâ—grave of Hessen Walaeus m. m. p. 56. in whose dead Body being opened there was found such a Matter ¶ When an Empyema follows a
are of too thick and glutinous a substance from which alike Blood being produced knits the Secundines straiter to the Womb whence seeing the Blood grows more and more glutinous 't is no wonder that the Secundines should stick closer to the Womb every Labour than other Therefore the primary cause of the pains after delivery is the too strait connexion of the Secundines to the Womb and thence the tearing of them from the Womb and so the Excoriation of the Womb But a second cause and which joins it self to the former is the Blood of the Lochia flowing through the torn and excoriated parts of the Womb and biting and gnawing of them And though all Blood whilst it moistens the excoriated and torn parts of the Womb causes pain in them yet the same pain is not a little increased when the Blood is more acrimonious than usual from any cause either through an acrimonious serum mixt with it becoming so by the Bloods stagnating every where and therefore also in the Vessels and Sinous Caverns of the Womb. Other causes may also contribute as cold taken in the time of Labour which stops the Lochia in part or wholly whence the same Blood being made more acrimonious by its stay causes a pain in the Womb whether there succeed an Inflammation or only the Serum flow forth and that little and sharp biting and gnawing violently the inner parts of the Womb. Cruel pains are likewise caused by Flatus distending both the Womb it self and also the thick Guts that border upon it Moreover as a Fever is oft raised from violent pains in the Womb indisposed through hard Labour or by an Inflammation thereof so every Fever produces pains in the Womb that is when it is first indisposed the which we see to happen in any other part The Physician may guess at the true causes of After-pains besides other things from the manner of the pain for if they be rending and return and afflict more grievously by Intervals he shall judge them to arise from acidity and saltness abounding in the Blood and carried to the Womb If they be beating and burning he shâ— l suppose that the Blood stays and stagnates in the Womb and that it inclines to an Inflammation or is already inflamed If they be distending and the lower part of the Abdomen shall be observed to be stretched he shall guess that the pains are produced from Wind. So when the Lochia have been before the pains 't is probable that these spring from the suppression of those at least partly When they flow too plentifully he shall guess that the Vessels or large Orifices of the Womb are torn especially if the Secundines were separated therefrom with difficulty If the Belly be bound and there be rumblings in it suspect Flatus When it is loose and especially when the Patient has many Stools with griping t is probable the Pains have their rise from Acrimonious Humours that are carried not only to the Guts but also to the Womb as also if the privity be withal eroded and excoriated Wherefore as oft as the After-pains have their rise from the tearing and excoriation of the Womb through the violent expulsion of the Secundines so often are such Medicins to be used as lenify and consolidate the Excoriation for which purpose all that are called Vulneraries are deservedly commanded amongst which when there is withal an over large flux of the Lochia those that are somewhat astringent are to be chosen to which both Anodynes and Narcoticks will be profitably joined by the help whereof the vertue of the foregoing is not a little increased and the pain allayed If the Blood of the Lochia be more serous and sharp let it be tempered with Anodynes which are to be used chiefly in the form of Emulsions adding sometimes Opium or Laudanum Opiate after which if the strength can bear it give a gentle Hydragogue and after that a Sudorifick made of such things as astringe gently as Avens Tormentil c. When the same Blood is rendred more acrimonious by its stay then because the acrimony which is then produc'd is acid things that temper the said acrimony are to be used but so as that they increase not the afflux of Blood whence amongst aromata or Spices those are to be chosen which are least acrimonious but are most kindly and withal gently binding If the Lochia be supprest from taking cold and the foresaid pains proceed from hence those Medicins are to be used which cure the suppression of the Lochia If notwithstanding that the Lochia flow yet these pains be produced then Sudorâ—ficks will be profitable such as are not very Aromatick nor much astringent lest the Flux be either increased too much or stopt adding Opiats that ease the pain and increase the vertue of the Sudorificks If an Inflammation of the Womb be begun from a suppression of the Lochia it is to be cured by both inward and outward Remedies Idem Puerperia or Womens Childbed Purgations The Contents The Secundines or After-birth are expelled by Sneezing I. Strong Frictions of the Abdomen do hâ—rt II. Whether it be safe to Vomit III. When to cut â—â—e Navel-String IV. They are to bs drawn forth warily V. Whether a Suppuration of them be to be promoted and expected VI. 'T is better to extract them by the Hand than to expel them by Medicins VII They have been expelled by the application of Astringents to the Belly VIII What is to be done when they are retained and the Lochia flow immoderately IX Though a piece of the Placenta stay behind there is not always danger of Life X. A piece excluded by the help of a decoction XI A Secundine brought out by a decoction of Chervil XII Sleep is to be kept off when the Lochia flow immoderately XIII When they are retained what Vein is to be opened XIV When they are supprest they are to be moved diversly according to the diversity of the Causes XV. When the Flux is too great how it is to be stayed XVI A suppression of them cured by bleeding in the Arm. XVII The same quantity of the Evacuation is not to be expected in all XVIII If they flow plentifully in the Birth it is not to be endeavoured that they should be kept flowing long XIX How to recall them when they are supprest by taking cold in Travail XX. 1. AMongst External Remedies expelling the Secundines Hippocrates gives the chief place to Sternutatories l. 2. Epid. sect 2 and aph 5. 49. Galen gives the reason aph 5. 35. that by their vehement shaking and toffing they partly excite Nature and partly shake off such things as closely adhere to the parts of the Body Namely when the Brain is violently moved all the Viscera are shaken as well as it and the Muscles of the Belly are contracted which contribute notably both to the expulsion of the Foetus and also of the Secundines Yet here is need of caution let Medicins precede that
caused in the part by pricking whereby fouler Scars are left Therefore it is best to leave the matter to Nature Riverius ¶ Avicenna and the greatest part of the Arabians will have the Small Pox when they grow white to be prickt with a Needle that the Ichor and corruption may be got out For which advice they give this reason That if the matter were kept long in any part there would be danger that it would eat the Flesh and the part and so the Ulcers would grow deep Galen seems to favour them 3. lib. de Fract c. 48. where he writes that in Phlyctaenae a sort of blisters it was his custome to prick the Skin and so at several times to get out the water and Ichor that the Skin might remain whole But this to me as well as to many others seems a thing needless and troublesome Toublesome because the Patients at that time are grievously tormented And needless because it is certain they must not be prickt till they are turned white at which time it is clear the Humour has done all the hurt it can for when the whiteness appears the heat and power of eating the Flesh is over Wherefore it is better to abstain from pricking Mercurial◠and especially because as soon as they appear white they also dry and skale off ¶ If the Sanies appear livid watry and indigested and they come from a Pestilential contagion in the Air which they often preceed then by reason of the sharpness and virulence of the Humours I think they should be opened that their Poyson may exhale and they may not eat yet so as that their crust which the Greeks call 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 may not be taken away also But if the Sanies be thick white and well concocted I think it better not to meddle with them for in Breeding of such Sanies I know that Flesh also grows underneath J. Langius wherewith the spaces of the Pustules are filled up LX. There are some who desire of their Physicians that they would get the Pustules quickly dried off to which purpose several outward Remedies are made use of which use to dry them up presently Especially that the Arabians call Salting concerning which two things must be observed 1. That it be not used till the Pustules are white because if they be then red they are violently irritated and the torment encreased 2. That none use Salt alone but some other things with it which may take off its acrimony for example Take of River water 2 pounds Salt half an ounce Barly Lupines each half a pugil Saffron 1 drachm Let them boyl according to Art and then with a Cotton dipt in this water touch the Pustules which if they be so little that they need not so much drying another Decoction may be made Take of leaves of Tamarisk flowers of Roses each 1 handful all the Sanders each 2 ounces Barly 1 Pugil Salt half an ounce Make a Decoction But it is best to be patient and let the tubercles go away of themselves LXI But if they do not ripen fast enough I would have them often touched with a Cotton dipt in a decoction of Figs and Mallows because such a Decoction applied warm Mercurialis does usually both asswage all pain and also hasten maturation LXII A Country Woman told a Matron who desired to know a preservative from much pitting of the Small Pox that it might be hindred if at the first invasion of them the Feet were often held in the Steam of a Decoction of emollient Herbs The Matron desired to know my Judgment of it I told her I could not disapprove of it because revulsion was thereby made of the fermenting Blood to the lower Parts for the Feet and Legs are not only heated by the Vapours Fromanus misc cur an 76. Obs 186. but are also softned and their Vessels and carnous parts dilated therefore because store of Blood is gathered to them a kind of revulsion is made of the ebullient Blood from the upper parts ¶ It is also the custome with some that they may preserve the Face from many Small Pox and derive the same to the Feet to dip the Childrens Feet in warm Cow's Milk when first the Small Pox begin to come out which wants not success though not without notable detriment to the Feet which are then full of the Small Pox Franc. de le Boe Sylvius whereby grievous pains are caused and a long weakness in the Feet does follow but so beauty is preserved LXIII I do nothing at all to the Face to keep it from pitting because Oyls Liniments c. only make the white Scurf longer in coming off one part whereof following another when the Patient rises from his Bed and is indifferent well these foul Scars appears by degrees But the Patient need not much fear them when by reason of a moderate regiment the Pustules not having been much exasperated have contracted no caustck quality Sydenham LXIV The Small Pox hurt Beauty with their marks The cure of this does not consist in this that these Pustules be well ripened but they must be prevented This is done 1. If we stop the motion or fermentation of the Humours that they may not come from the Heart and other internal parts to the habit of the Body I knew a certain Artist a votary to true Medicine who by a certain secret powder can hinder the coming out of the Small Pox by stopping the fermenting motion of the Humours although Spots already appear without any prejudice to health 2. While we apply repellents to the Face but we must have a care they be not too strong and we must see to the coming out of the Small Pox in the rest of the Body Frid. Hofmannus m. m. p. 443. ¶ A beautiful Noble Woman was much disfigured with the Small Pox wherefore she would use some Remedies whereby she might get the marks of them out A certain cold Cataplasm was therefore applied by a Physician but without judgement Pet. Borellus Cent. 1. Obs 64. for the remainders of the Disease were driven in and the Brain was so cooled that she received death instead of her expected Beauty LXV To think to take away Pock-holes by the use of Bathes either inward or outward Hofmannus is a most absurd thing LXVI When the Small Pox have done coming out the ebullition of the Humours must again be laid with such Medicines as have a precipitating virtue and strengthen the Bowels such as Ivory calcined without Fire burnt Coral Crabs Eyes Pearls c. Otherwise if in the beginning we be more solicitous to stop the ebullition of the Humour and asswage the heat than to resist the Malignity it will fare with us as it does with them who labour more to take away what is rained in Idem then to mend the Roof LXVII The malitious Small Pox have oftentimes deceived me for when Children
have been reckoned to have escaped them they have been over fed before the time by the silly Women as if they despised this Disease But the wicked Small Pox growing ill again and burning a new did fiercely assault the little ones and scalding them or rather roasting them with inextinguishable heat did at last kill them And truly edacity in the Small Pox is usually an ill Sign Therefore we must not trust them in the beginning of the declination and melioration But according to Hippocrates his rule Eph. 15.2 The Urine and Ordure must be lookt into which if they be bilious and of a bad colour it is a sign that the Body is yet impure Joseph Medâ— apâ—â— uâ— which by how much more you nourish by so much more you hurt Have a care therefore of a full diet and you may conquer the remainder of the Putrefaction and Cacochymy LXVIII A Boy five years old being ill of the Small Pox was the third day taken with a Bloody Flux and frequent desire of going to Stool he voided pituitous and mucous stuff with a great quantity of Blood the Pustules were small white and flat I prescribed thus Take of red Roses 1 pugâ—â— red Sanders half an ounce scraped Liquorish and stoned Raisins each 1 ounce boyl them in Sheep's head broth In 9 ounces of the Colature dissolve of Confectio de Hyacintho 3 drachms Conserve of Roses passed through a Sieve half an ounce the yolk of an Egg. Mix them Make a Clyster Give it often Take of water of Scabious Carduus Benedictus each 1 ounce and an half Syrup of dried Roses 1 ounce Coral and Pearl prepared each 1 scruple Bezoar stone 3 grains Confectio de Hyacintho half a drachm Make a Julep Give it twice a day Take Oleum Scorpionum Matthioli Anoint the Groins and Armpits often hot After he had taken the Clyster twice and his Julep twice the Bloody Flux quite ceased and the Pustules began to come out more violently and afterwards he underwent the Disease quietly till he was perfectly well Although the Remedies proposed be vulgar ones yet this case deserves observation Riverius Cent. 1. Obs 71. because the event was not vulgar for of all the Children in the Small Pox that I have hitherto seen only this one had the Bloody-Flux LXIX I learned that a Loosness coming upon the Small Pox is not alwayes fatal from my own Daughter Elizabeth who anno 1670 in the Month of September being about 4 years old was upon the 7th day from the coming out of the Small Pox taken with a Loosness which proved critical and salutary first of serous then of thick and variegated Humours which a violent Swooning preceeded I used no astringents to stop it being content with the use of gentle Diaphoreticks because it began on a critical day appetite was good and there was no striking in of the Small Pox This lasted 3 days and a little after she recovered And this was observable that whereas before the coming out of the Small Pox she was impatient of all Clothes so that her Legs and Thighs were exposed to the open Air there and about her Face the Small Pox came out more plentifully than about her Back Arms and Breast which were clothed So that it seems very probable to me that the matter of the Small Pox in the covered parts expired by occult transpiration and that it would have been so in the rest had they been covered LXX It must be observed that in Children sick of the Small Pox a Loosness is often caused by Worms and continues almost all the time of the Disease whereby Life is in imminent danger because the coming out of the Small Pox is abated or hindred And this is easily known by the thickness and sliminess and the gray or white colour of the excrements for then things that kill Worms and sweet Clysters must be given LXXI When watry Pustules came here and there all over a Boys Body but all of them struck in through the ill management of the by-standers the Patient falling into Swoons and coldness in his extream parts lest nothing should be done in so dangerous a case because the Patient could swallow no Medicines I apply four Vesicatories to the inside of the Arms and Thighs following the duct of the greater Veins in hopes that the Poysonous Humour being recalled to the Skin might find a more ready passage out In short the water returned into its cells Olaus Borrichius and though they turned slowly into Pus they made way from certain despair to former health LXXII A Woman was taken with the Measles her whole Body was covered with them and she had a violent Fever She had moreover a most grievous Symptome a thin defluxion upon her Lungs which often made her Cough and put her in fear of choaking with an hoarseness A Vesicatory was applied to the Neck and 2 grains of Laudanum were given in Conserve of Roses the defluxion stopt that whole Night it returned the next day and Laudanum was given again with the same effect whereby the Woman was brought in a few dayes to a convalescence her hoarseness remaining for a long time Riverius LXXIII A young Man about 20 years old of a thin Body and an hot Constitution in the beginning of Spring began to have a Fever the first days grievous Vomitings oppression at his Heart frequent hot and cold Fits by turns pain in his Loins watching c. did trouble him On the third day the Small Pox appearing these Symptomes abated yet the Fever with thirst and heat continued Not only the Decoctions usual in this Disease but the most grateful Juleps were nauseous and troublesome to him Whenever at the hour of Sleep he took Diascordium or any other temperate Cordial to continue transpiration though but in a little quantity he was very restless the Night following and the next Morning bled at his Nose which when the Small Pox indeed were fully come out happening once and again upon this occasion the Patients fafety was highly endangered Wherefore observing his Blood to be apt to ferment immoderately upon any slight irritation I according to the occasion insisted on this method Leaving off all manner of Medicine he drank small Beer and emulsions of Almonds to quench his thirst as much as he pleased Because he refused all Oatmeal and Barly grewel he had for his Diet Apples boyled till they were tender and then seasoned with Sugar and Rose water which he eat several times a day Nature being content with this thin course and seeming to be disturbed with any other happily finished her work so that the Small Pox ripening and then falling off of themselves Willis de feb c. 15. the Patient recovered without any grievous Symptome afterwards LXXIV In the middle of Autumn a young Man who had a sharp Blood and had been often subject to bleed at the Nose was ill of the Small Pox His Blood fermented immoderately