are al of them cold and moist they nourish but little and are soon corrupted such of them as are new and fresh to be eaten before meat those of them that are dryed or boyled do in some sort lose and lay aside al the il quallity that is in them 8. Abrecotes or Apricocks the Ancients caled them Arminian Apples which are reputed better than Peaches and more acceptable to the stomach 9. Prunes the which al of them are cold and moist The sweeter of them mitigate choller are easily concocted and descend through the belly such of them as are white and in cholor like unto wax are the worst and vilest sort of them al those of damascus we cal them damaske plunes and Hungaria are the best sort of them While they be new they have in them an excrementitious moisture and if they be eaten raw they yield a worse kinde of Juice and to speak truth they over much loosen the retentive faculty of the stomach but being dryed they are much the fitter for nutrition or nourishment 10. Cherries which if they be sweet by reason of their abundant humidity they are soon corrupted and so come to generate a sort of smal long worms and putrid feavers if they be sharp and sowre they cool qualifie the heat of the Liver and stomach are easily concocted and pass through the belly stir up the Appetite neither do they afford any il Juice 2. Mulberies which moisten cool nourish but little descend easily through the belly and therefore in regard that if they be long reteyned in the stomach they soon corrupt and putrefie they must only be taken in upon an empty stomach that is free from cholerick humors 12. Grapes which if sweet they are then the hoter and excite thirst if they be tart and sour they are then by so much the colder if ful of a winy Juyce and substance they are then of a mean quallity and temperament betwixt the two tormer If they be new they afford but little nourishment lift and swel up the spleen beget the chollick and if they be detayned in the body beyond the due and convenient time they fiâ— the liver and stomach with Crude humors If they be dryed we cal them raisons of the sun those of them that are only sharp and sowr bind the belly such of them as are sweet afford greater store of nourishment but those of them that are both sweet and austere or somwhat sharp are the more excellent of them al as agreeing with the Liver in their whole substance and exceeding benificial unto the Breast Corans which being without stones ad more strength to the body 13. Olives which being pickled are of excelent use to provoke the appetite and are more easily digested in the stomach Those which are most astringent are used after meals that the mouth of the stomach being thereby strengthened the meat may be the sooner passed downe into the belly 14. Almonds which if they are bitter they exceedingly provoke urine and by their bitterness breed a loathing of meat if they are sweet they are hot and moist yeild plenty of good nourishment and are therefore good for those that are in consumptions and very lean They are not good in chollerick feavers nor in an â—o stomach 15. Chestnuts which are hot and dry hard to digeft yeild good nourishment if wel digested but it is hardly distributed if they are eaten in too great a Quantity they engender wind 16. Walnuts are hot and dry Such as are new because of their moistness are best eaten with salt The drie are eaten after fish the moisture whereof they do with their dryness temper They breed choler and make rough the mouth of the stomach the gullet and the wind pipe 17. Haselnuts and Filberds are colder than walnuts and afford more nourishment are hardly digested and breed an earthy juice To these may be added Mushromes and Toad-stooles which are for the most part cold tastless of a thick and watry nourishment Eaten not without danger both because they are of bad juice and because they are sometimes venemous II. Birds which are mans-meat are either Land or water fowl they afford us their flesh other of their parts and Eggs. I. In respect of Flesh among water-fowles the cheife that afford us meat are 1 The Duck both tame and wild which breed a thick and melancholy juice stop the veins of the mesentery and spleen and are apt to breed Quartan Agues especially such of them as are continually in the dirt and mud 2. The Goose which if it be tame is of Excrementitious juice and apt to putrify but the tame more than the wild The best of those which live and feed alwaies on Land are 1. Poultery because they have temperate flesh of good juice and little excrement Where note 1. That the flesh of their bodies is the best of al other and comprehends the praise of all birds as to feed 2. That Henns are dryer than the rest 3. That the flesh of Cocks is harder and dryer especially that of old Cocks whose broath purges the belly 4. That the Turkey-cock is not inferior to a Capon either in tast or goodness of juice being good for such as are recovering out of sickness the sweetest parts of them are the breast and the belly They are variously crammed fatned and dressed with Oisters spiced with gelly with white-broath boyled roasted fried pressed distilled 2. The Partrich whose flesh is temperate enclineing a little to dryness of easie digestion of excellent juice much nourishment little excrement and which is well given to such as are upon recovery and as are troubled with the whoremasters Pox. 3. The Pheasant which equals a Capon in goodness of flesh and juice 'T is commended in Autumn and Winter being better in the wings than legs A pheasant Chick is sweetest when it is six or eight weeks old 4. The Heath-cock whose flesh is of the same nature with the former And is very sit meat for such as are recovering after sickness 5. Pigeons whose flesh is of a thick melancholick and excrementitious juice nor easily digested nor good in putrid Feavers The Mountaine and wood-pigeons are best The Turtle dove affords little and thin juice the older of them breed Melancholy blood 7. The Lark which engenders excellent juice and is easily digested it is thought by a peculiar faculty to preserve from the Cholick and to cure the same 8. The Black-bird whose flesh is little inferior to that of kids in sweetness easiness of digestion and goodness of juice 9. The Quail which is hot moist hard to digest of evil nourishment much juyce much excrement affording matter for fevers 10. The Thrush which Galen allows such to feed on as are of a leane and thin habit of body Apicius terms their flesh diabolical because it smells strong of Hemlock They are taken very fat when Grapes begin to be ripe 11. The Sparrow which some are delighted with at all times but in
smells strong if it be boyled after the solstice worse if it be roast 6. Lambs flesh which before a yeare compleat is moist slimie after a year it is ful of good juice of a midling consistency and is easily digested in such perions as take paines and is soon discussed 7. Weathers Flesh which is easily digested and breeds good blood if it be of such as are young 8. Roes Flesh which is of good nourishment and excells the flesh of other wild beasts in easy digesture and little excrement yet is it somewhat of a dry nature 9. Rids Flesh which being temperate is easily digested and breeds good humors but more clammy than those arising from veal 'T is flashy and void of tast unless it be roasted 10. Deeres Flesh which is drie and hard to digest breeds melancholly blood if it be of an old Deere and is apt to obstruct the bowells 11. Hearts Flesh which affords melancholick juice but if it be wel digested it is not of ill juice and is thought to such as eat it to have a fresh color II. The Heads of four-footed beasts which serve for food are the Oxe-head Calves-head Hogs-head Wild Boares-head Kids-head Hares-head c. Of which thus much may be said in general that they are hard of digestion of a thick and clammy juice and very nourishing Their principal and most esteemed parts are 1. The Tongue which consists of a flesh by it self loose spungy moist and clammy and therefore it affords a nourishment not solid thick or long-lasting yet in some creatures t is exceeding sweet soft of good juice easy to digest and affording no bad nourishment That end which the beasts are wont to thrust out of their mother is harder than the rest 2. The Eyes which are of no account saving those of a Calves-head which are compassed with much fat and soft flesh and are involved in thin membranes 3. The Eares which because gristley nourish little unless they be eaten with the bordering parts 4. The Cheeks which if they are of young beasts fat and fleshy they are not void of good juice Those of Calves are most tender 5. The Braine which is flegmatick of thick juice passes slowly and is hard to digest It makes the stomach thick and provokes vomiting Varignana saies it is good against poyson perhaps because of its clammyness wherewith the sides of the stomach are daubed 6 The Palate which is commended in an Oxe It is covered over with a certain membranous flesh and is a frequent Ingredient into minst pies Haggests and Puddings 7. The Snowt which Galen counts inferior to the feet in Hogs and better than the Eares III. In the Breast the Heart and Lungs are seated 1. The Heart is hard to digest as I said before The Salernitans are of Opinion that an Hogs Heart encreases pensiveness namely in such as are already troubled with Melancholly 2. The Lunges are of a cold and moist temperament of a flegmatick juice easily digested and distributed by reason of their rarity or thinness of substance and their Lightness some say they pusse up the belly IV. The parts of the Belly are the Liver Spleen Kidneys Stones Matrix Stomach Gutts Mesentery the Flanks Duggs or Vdders 1. The Liver of al beasts is of thick juice hard to digest and which passes slowly That of a Sow is best especially if she have been fed with figgs That of Lambs and kids does more easily pass and is not so thick juiced The Roes Liver is said to bring epileptical convulsions as well as the goats The wild swines liver covered with the Cal is commended 2. The Spleen because it draws thick dreggy and melancholick blood affords suitable nourishment Those of young swine because they are not infected with so bad blood are not of so ill juice 3. The Ridnies are of bad juice ill tast hard to digest those of kids and Calves are commended because they are neither hard nor rank 4. The Testicles because they have a rank tast especially in such creatures as have engendered are hard and ill to digest But Hogs-stones are counted the best and lambs stones are not il thought of 5. The Matrix was by the ancients esteemed a very dainty dish and was reckoned of two sorts viz. that of a sow or other beast with young and that of Virgin female Because it ingenders a cold and crude juice therefore t is hardly digested 6. The Stomach what nourishment it gives may easily be conjectured by its constitution 7. The Smal gutts which the greeks termed chordas the Latines Lactes were anciently a dainty dish witness the Poet Epicharmus in Megaride the thick guts which they called Phuscat were no less esteemed of 8. The Mesentery especially that of a fat sucking calf is a most dainty dish with a little Vinegar 9. Touching the flanks or groins I have nothing to say 10. The Vdder was counted for a dainty dish as may be collected from the Psendolus of Plautus V. The Extremities or feet are by Aristotle accounted to be of a clammy nourishment Mnesitheus the Athenian writes that they and the Head have little nourishing and pure Juyce in them Some have termed them the Sacrifice of Venus Hereunto I refer the Sweet bread and Brawne the sweet bread is a Kernelly Soft Spongy and white substance Plautus commends it in his Curculio That of a Calfe is the sweetest Brawn is swines flesh hardned and was highly esteemed by the ancients VI. Food taken from Animals being no part of them is Milk which also affords the parts whereof it consists Whey Butter and Cheese I. Milk is manyfold 1. Raw which must be taken new milked least it cause Wind. That of Cows or other Creatures which have newly brought forth their young is not approved 'T is corrected with a little Salt or Sugar 2. Boyled which is indeed less windy but because the whey is consumed by boyling it becomes thicker and apt to stop the Veins 3. Cheesie which has much Cheesie substance in it Nourishes much but is not so wholsome 4. Buttery which is more clammy is hardly distributed and causes wind 5. Wheyish which nourishes least of al and quickly passes through the Belly 6. Of leane Cattle which nourishes little 7. Of Fat beasts which is said to be apt to breed convulsion fits 8. Of black beasts which is better than that of such as are white 9. Milkt after the bringing forth of young which is most liquid and thin and grows thick in time 10. The best is luke warm of equal substance put upon the Naile it does not soon run off light rather than heavy not clammy but sweet without smel white and in some sort shining finally which proceeds from an healthy Creature being made in wel constituted Udders 11. Womens milke which is very near the best of al other 12. Cowes milke which is thicker than that of Women fatter and more nourishing It easily obstructs and is in the Stomach hardly digested 13. Sheeps milk
digested and distributed and has no ill nourishment or Juyce 11. The Lamprey is clammy but if it be wel sauced and dressed it affords a pleasing and wel tasted Nutriment Some would have it to be strangled in wine 12. An Eele has soft and sweet flesh but clammy ful of Fat and moisture some say there is somthing in an Eele which not taken out is destructive to the bowels of the Eater Howbeit the Ancients so highly esteemed this fish as to account it the Helena or prime dish at their feasts 13. The Tench is by Ausonius cal'd the poor mans comfort It is thought to be of so bad Juyce that the feeding thereon should cause Feavers 14. The Herring has a white and short flesh of good tast not hard to digest of good Juyce Being salted or hardned in the Smoake it degenerates from it self 15. The Sturgeon has hard flesh Fat and glewish It affords no bad Juyce only t is hard to digest the younger are most pleasant and afford much nourishment III. The other Members of Fishes are 1. The Head which is mans meat in some fish The Mullet was anciently bought only for his Head and Liver At this day the Head of a Salmon of an Umber or Hallibut and of a Carp are accounted dainties 2. The Tongue which in a dolphin is Fat and tender in a carpe if it be roasted t is very fat provokes lust 3. The Eyes which in a Salmon are tender and Fat 4. The Beards which Heliogabalus had served up by whole platters ful instead of smalladge and Water-Cresses and Fenu-Greek 5. The Throates or parts between the brest and Neck being salted are pleasing to the Palate and according to Xenocrates are hardly corrupted 6. The Liver which in stock fishes or Cods is counted better than in other Fishes In the Silurus t is so sweet as to overcome the Stomach That of the Wolfe fish roasted and sauced with Juyce of Orenges is not inferior to a Gooses Liver Upon the Livers of River Lampreyes the revenues of Princedomes have been anciently laid out 7. The Sides of the sturgeon and Lamprey are commended 8. The Bowels without which the Gilthead has no tast and in the Dolphin their sâ—â—l is delightful as also their tast resembling Wâ—â—lets 9. The belly which in the fish they cal Huso tasts like Porke A dish has been invented of the Navils of the thin Fishes cut out of their bellies and barrelled up with Salt Vinegar and Fennel 10. The Roes which in the Pike Huson Scarlet fish and others are commended 11. The belly which is fattest in the Tuny-fishes as Hicesius informes us 12. The Guts which are commended in the Salmon Pike Cod and Conger 13. The Flankes and Groins which Horace commends in a Turbot 14. The Loins which Antiphanes relates to have been among the dainty dishes of Old 15. The Taile which is desired in the Pike or Thym. The Proverbe is The Head of a Carpe the middle of a Scordil the Taile of a Pike are the Gluttons delight 16. The Skin which in a Tench is by French Women preferred before any flesh 17. The Eggs or hard roes of Perches roasted on a Gridiron of Carpes boyled and fried of the Wolfe-fish Salmon Huson and Marde Pickled were a dish of esteeme among the Ancients Those of the Barble Gripe the Belly intollerably those of the Pike make it swel And so much for Fishes IV. Among bloodless Creatures I shal only reckon Oisters Snailes and Crabs I Oisters by the Salt Juyce they have in them do provoke the Belly to stoole they stir up appetite and incite Lust nourish little and make some trouble in the stomach II. Snails are of an hard flesh and difficult to digest but if digested they nourish plentifully if often Eaten They breed thick and black blood That which is said to be good in Consumptions is in the broth of their Flesh especially their hinder parts In which there is a clammy substance like hardned cheese easily melted and soon chewed tender soon digested and very nourishing Those are best which are least white and which are found in Vineyards and Orchards III. Crabs which have no Tailes and Lobsters that have Tailes do not much differ They are hard to digest being digested they nourish much but breed thick Juyce Touching Creeping Creatures and other things used for food in other Nations I shal not speak Point 3. Of Sauces Bread and the time of Eating The third thing to be explained touching Diet is Sawces whose Differences and matters or kinds I shal now reckon up I. As to the Differences of Sawces they are either 1. Simple which are made of the mixture of one only thing with our Meat or Compound which consist of two or more The former are heating cooling Temperate Sharpe Aromatick Bitter Salt Harsh Acid Sweet Fat The latter are wel nigh more in Number viz. Dipping-Sawces Licking-sawces Sugard-sawces Sage-sawces Garlick-Sawces Onion-sawces Tart Sawces Vinegars Sallads not to speak of your black broaths Sawcages Pap-Sawces Bononia Sawcages Westphalia Gammons of which see Apicius and Athenaeus II. The Matter of condiments are things dug out of the ground Plants themselves their Juyces and Honey Of things dug up is Salt which attenuates clammy meats gives tast to those that are tastlss dries such as are moist takes away the strong smel of such as stinke The best is white transparent like cristal thick void of smel which has an even acrimony joyned with a certain sweetness If we beleeve the Mauritanian Physitians it dims the eyes wasts the seed and raises the scab II. From plants there is 1. Peper especially the black Which excellently helpes concoction and is exceeding good for flegmatick natures That is best which is most heavy ful black without wrinkles 2. Ginger whose Heat is thought to last longer than that of peper corects the Crudities of the stomach and provokes Lust 3. Cloves with which neats tongues Cowes-udders c. are pricked and stuck They heat with a kind of Astriction and helpe the stinking of the Breath 5. Cardamoms which are sharpe and bitter in tast 6. Nutmegs which are used to the same intents as the former 7. Saffron which helps the concoction of meat breeds a fresh colour opens the stoppage of the liver and has a narcotick or stupefactive Quallity in it 8. Elder whose first buds pickled in vinegar are kept as a sallet and move the bely to stool 9. Capars which being pickled with salt oyl or oximel provoke appetite void the flegme which is contained in the Belly and ease the obstructions of the spleen Touching Water-Creases Onions Garlick c. see what has been said before III. From the juices of plants there are 1. Sugar which senifies sharpe things blunts the fervor of things biting makes salt things more delicious overcomes harshness gives tast to things insiped but withal produces choler in such as are of an hot Nature and makes black Furrs and soosens the teeth 2. Oyl which if
the nature of the disease if the patient beare it not wel It is bad if it happen before the state nature being provoked by malignity or plenty of matter if it were foreshewen to be such in the Indicatory day howbeit many times it comes suddenly if other things are present contrary to the best kind of Crisis Where observe 1. Oft times in a bad Crisis the patient seems to be better yet presently after he fals into a bad condition because the signs of amendment were not wel grounded 2. Somtimes in deadly sicknesses the patient being strong for one bad and simply deadly Crisis many evil imperfect ones happen in which unstable rudiments of Coction appeare before the patient come to die 3. The Prognostications of the Crisis in reference to death are unstable VI. The times of the suture Crisis are knowen 1. By the signs of Coction and crudity which must necessarily appeare upon some Indicatory or decretory day The crisis wil happen upon the fourth day If a signe therof appear on the first day or on the seventh day if the signe be on the fourth 2. By such signs as the idea magnitude and manners of the disease afford of which we spake before 3 By the signs of the times of diseases for a perfect Crisis happens not before the state but the imperfect Crisis does the deadly crisis happens also in the beginning or augment 4. By the critical signs which you had before Title II. Of The Causes of Diseases Chap. 1. Of the internal Causes in general ANother preternatural disorder which afflicts the Body of man is the cause of a disease and that is external or Internal But seeing the latter is an effect of the former or rather does therewith much conduce to produce the disease I shal therefore only define the internal The internal Cause of a disease is that which being bred and inherent in the Body of Man does preternaturally affect the same Touching which we are to consider its signs Causes and Differences I. The signs of causes are taken in general 1 From their proper tokens viz. tast colour and motion 2. From a concourse of common signs which are taken from the Antecedents and Consequents or evident causes and from the dispositions of the Body and Symptomes II. The Causes of the internal Cause are the things nonnatural Aire Meate Drink Motion and Rest Sleepe and watching Things voided and retained and Passions of the mind as far forth as they have power to disorder the Body And to that end time is requisite as also proportion between the agent and patient Fitness of the Body and Contact III. As for their differences the internal Causes are reduced to the Humors Winds and things totally besides nature Chap. 2. Of the Internal Causes of Diseases in special Article I. Touching Humors Point 1. Concerning Humor 's offending in Quantity or a Plethora so called THe first kind of internal Causes are the Humors and they are wont to offend in Quantity Quality Motion Place and in their whole substance Humors offending in Quantity are termed Plethora which is nothing else but a superabundance of Humors fit to nourish the Body which arise from their Causes Humors nourishing the body of man are contained in the mass of blood viz. Blood Cholor Flegm and Melancholly These being turned into the substance called cambium do nourish such parts as are of kin to themselves and communicate to them as much health as themselves are Masters of The signs of Plethora are wearyness because the blood not being ventilated settles into the lower parts Thick breathing after very smal Labor the Muscles of the Chest being laden with blood Swelling of the veins Distension of the Muscles carnosity of the Bodies habit Deep sleeps ruddyness of the face c. The Causes are good nourishment which affords good juice The Liver hot and moist which makes it Idleness evacuations stopt cutting off of some member Use of unwonted bathings after meate The Differences are I. One is Exquisite when either al the Humors are encreased keeping their due proportion and equality viz so that the blood be in a double proportion to flegm and flegm double to cholor or only blood alone or two or three of the rest exceed blood also not keeping its proportion 'T is knowen by the signs forementioned It arises also from the causes aforesaid Another is bastard when plenty of bad juices is joined with abundance of the natural humors 'T is knowen by the signs of a Plethora joined with those of a cacochimia and it arises from the causes of both II. One is termed ad vasa or in respect of the vessels which does not oppress the strength because it increases equally with the flesh blood but it distends the coates of the vessels by its plenty to which the things aforesaid agree Another ad visis when the Humors so encrease that they cannot be governed nor digested by the feeble strength of the Patient 'T is knowen hereby that the blood is not very good there is heaviness and Inequality of the pulse with signs of crudity and putrefaction beginning Point 2. Of Humors offending in Quality or Cacochymia so called CAcochymia is the presence of il humors in the Body of Man springing from their Causes It s Subject is the Body of Man 1 Both in respect of the Veins Arteries and Nerves as also of things without 2. Also in respect of the Region of the Belly which includes the stomach mesaraick veins hollow-part of the liver the spleen and sweetbread 3. And of the Venous region which containes the convex part of the Liver with the vena cava the greater Artery and al their branches between the Armpits and the Groines Also the Habit of the body which includes the muscles membranes Bones in a word the whol bulk of the body The signs are to be fetcht from the differences which follow Hereunto pertains the motion of certaine daies which is neither critick nor symptomatick but natural which is measured by certain daies and hours and is so punctual that it may contend with the Clocks The Causes the six non natural things of which we spake before 'T is variously dvided I. One sort is from Cholor which is a preternatural humor hot and drie preternatural I say because it is distinguished both from the more hot part of the Mass of Blood which is bred of the hotter and thinner part of chyle as also from natural excrementitious cholor which is collected in the Gal-bladder and colours the dung 'T is knowen by the amplitude of the veins by reason of Heat enwidening the same by depravation of the concoction through superfluity of heate defire of drink more then of meat vehement pulse sleep little or none leane habit yellow colour of the Body by its motion from third day to third day and that about noon It arises from an hot and dry constitution of body youths age watchings anger overgreat exercise of the Body meates
1. By Diet which must yeild very good nourishment 2. By the frequent Evacuation of the prepared Humors 3. By Removing the Contment Cause by Emollients and Discussers either mixed together or used alone one after another interchangably The milder sort in persons tender and soft fleshed and when the Tumor is new The stronger in harder bodies and where the Scirrhus is old Fabricius Hildanus his Plaister of Hemlock mentioned in the 25. Observation of his 3. Century A Cataplasme of Briony Roots Goats-dung and Vrin are very good 4. If it come to suppuration by cleansing away the quittor with the Plaister of Diachylon simplex omitting heaters and section or lancing least it turn to a Cancer It is divided into a true or Legitimate which is void of sense and in which hairs grow upon the part for which there is no Cure and a bastard which is contrarily disposed to the former Article II. Of a Cancer A Cancer is a round Tumor blue or blackish having Veins round about it ful and swelling resembling the feet of a Crab and springing from black Choller The SUBJECT are parts of the Body as wel external as internal especially the moister and upper parts as the Dugs of Women The SIGNS are drawn from the manner of its Rise At first it s hardly so big as a bean in the progress it exceeds a Wal-Nut and an Eg it is hard of a Leaden or livid color or Else blackish with heat pain and pulsation the veins round about swel with black blood and resemble the feet of a Crab. The CAUSE is adust and black Choler hanging in the veins and by its thickness unable to pass along which springs partly from Nutriment affording such an Humor which has not been drawn by the Spleen partly from an hot burning distemper The CURE is difficult in al both because it comes from a stubborne and Malignant Cause and because it lurks in the deep veins It is not to be undertaken if the Cancer be hidden If it be seated in a Cavity of the body in the palate Fundament or womb There is no Cure if it be confirmed and seated in some noble part of the body It is of some Hope if it be smal fresh and stick in the surface of the body How it is to be performed see in the differences As for what concernes the differences 1. One sort is Exulcerated which is easily known and is caused by a matter sharper than ordinary It has the appearance of corrupted flesh with stench filthy matter coming forth an horrid aspect Lips very hard and turned in There is a slow Feaver conjoyned Swowning black or yellow sains or Blood-water running out of blood c. It s Cure is either Palliative by gentle-dryers and coolers or true 1. By Incision to the quick after which the corrupt blood must be pressed forth the Ulcer concocted mundified see Hartmans ponder in his Chapter of a Cancer in the brest or Dug filled with flesh c. 2. By burning either actual or potential if the profounder and greater vessels be thereby occupied Another sort is not Vlcerated which arises from a milder matter Is Cured 1. By Diet Moystening and cooling 2. By Blood-letting 3. By repeated Purgations of the Humor with extract of Hellebore pills of Lapis Lazuli after it has been prepared with Fumitory Hops Juyce of Fragrant Apples c. 4. By Application of External Medicaments in which case gentle Repellers are useful as the compound of Frogs-spawn Discussers which have no biting quality as Pulvis Benedictus of Hartman the Magistery of Crabsshels c. See Agricola also T. 1. Page 145. II. Another springs from Suppression of the Courses Another of the Haemarrhoides The Cure must be applied to those Diseases Chap. 5. Of Tumors springing from Wheyish Salt and Cholerick Humors mingled together Article I. Of Scabbyness TUmors springing fom mixt Humors do arise either from salt Wheyish and Cholerick Humors or from Flegm Melancholy and Choler so that the conjunct cause is no longer an Humor but some other matter bred of Humors Hereunto belong Scabbyness the Grecian Leprosie Phlyctinae Sudamina Sirones Vari Epinyctides Alphus Leuce Impetigo and Gutta rosacea The Scab Is a Tumor arising from corrupted blood vexing the Patient with distemper and Exulceration of the skin The SIGNS are set down in the definition The CAUSE is corrupt blood mixt with black choler and salt Flegm which either comes from suitable Diet especially when the Liver is distempered with Heat or it is corrupted by contagion and being brought unto the skin it sticks therein and causes Exulceration The CURE is accomplished 1. With Diet which requires boyled meates 2. By Contemperation and Evacuation of the Humors and reducing the Liver to its due temper by the Syrup of Coral of Quercetanus It is divided three manner of waies I. One is Symptomatical to which what has been said ought to be applied Another is Critical which breaks forth after acute or long Diseases II. One sort is moist out of which much sains or blood-water Issues It is caused by Salt Flegm T is Cured more easily than the dry Scab and that 1. By Evacuation to which end whey of Goates-Milk and Fumitory are much commeded 2. By provoking Sweat either by half an ounce of Spirit of Dwarf-Elder and two ounces and an half of Fumitory Water or by Spirit of Guaiacum or Antimonium Diaphoreticum if it be more hard to be removed than ordinary 3. By Application of External Medicaments And here bathes of fresh water and brimstone stone bathes are useful Also to apply the Yellow middle bark of Frangula with Vinegar And Sinnertus his Oyntment Book 5. Page 1. Chap. 27. Another Dry in which nothing is voided or a little quantity of thick matter and the Ulcers are Lead colored T is Caused by an adust Humor Cured with difficulty after the same manner as the former having respect to the Causes Another sort is termed Volatica the Running Scab which infects al the skin in one night for the most part In this universal Remedies being premised t is good to wash the Scabs with the blood that comes from a Woman with the after-birth See Agricola T. Pape 280. III. There is another sort termed Malum mortuum which vexes the Patient with a Leaden and black color crusty pustles black Dry without sence or pain cheifly in the Legs It Springs from a Melancholick and Scorbutick Juyce T is Cured after the same manner having respect to the Difference Another sort is the Leprosie of the Greeks which differs only gradually from other Leprosies T is Known hereby because it Eates deeper into the Skin and scales as it were of Fishes fal of whether the Patient scratch or scratch not and the Scabs stink filthily T is Caused by black-Choler oftimes mingled with Salt Flegm Cured by the same kind of things as the Scab but stronger The distmper of the Liver must cheifly be redressed Sweat must be procured with a
Heart-Medicines ibid. Point 2. Of cooling heart-medicaments 32 Article V. Of Stomach Medicaments ibid. Point 1. Of hot Stomach Medicaments ibid. Point 2. Of stomach cooling Medicaments 33 Article VI. Of Epatick Medicaments ib. Point 1. Of hot Liver Medicaments ibid. Article VII Of Splenetick Medicaments ibid. Point 1. Of hot Splenetick Medicaments ibid. Point 2. Of cooling stomach medicaments 34 Article VI. Of Liver-medicaments ibid. Point 1 Of Heating Liver-medicaments ibid. Point 2. Of Liver coolers ibid. Article VII Of Splenetick Medicaments 35 Point 1. Of warming spleen medicaments ibid. Point 3. Of cooling spleen Medicaments ibid. Article VIII Of Nephritick Medicaments ibid. Point 1. Of heating Nephriticks or Kidney-remedies ibid. Point 2. Of cooling Nephriticks 36 Article IX Of Vterine Medicaments ib. Point 1. Of heating Vterine or Womb-Medicaments ibid. Point 2. Of Womb-cooling Medicaments ibid. Chap. VII Of vegetable Medicaments referred to the seven planets 37 BOOK IV. Of the Method of healing in General and in Special TItle I. Of the Method of healing in general 1 Title II. Of the Method of healing in special 2 Chap. I. Of the Additional Method ibid. Chap. II. Of the abstructive Method in generall 3 Chap. III. Of the abstractive Method in special and first of the taking away of Causes 4 Article I. Of the taking away of Causes which offend in Quantity ibid. Article II. Of the Removal of Causes which offend in the Quality 5 Point 1. Of alteration ibid. Point 2. Of Purgation 6 Point 3. Of provocation of Vrine Vomiting and sweating 8 Article III. Of the Removal of Causes offending in Motion 9 Point 1. Of Revulsion and Repulsion ib. Point 2. Of derivation and Interception 10 Article IV. Of the Removal of causes offending in place 11 Point 1. Of Softening and Discussing ib. Point 2 Of Suppuration and Atraction ibid. Article V. Of Expulsion of wind called Carmination ibid. BOOK V. Touching the Removal of Diseases TItle I. Of the Diseases of Similar parts and their Cure 1 Chap. I. Of the Method of knowing and curing distempers without matter ibid. Chap. II Of the diseases of distemper with matter 2 Chap. III Of Diseases springing from Hidden qualities 3 Title II Of Organical Diseases 4 Chap. I Of Diseases of Conformation ib. Article I. Of diseases of Figure ibid. Article II. Of diseases of the Cavities 5 Point 1. Of diseases of the Cavities consisting in Excess ibid. Point 2. Of diseases of the Cavities in defect 6 Article III. Touching Diseases of the Surface ibid. Chap. II. Of diseases of Number ibid. Chap. III. Of diseases of Magnitude 7 Article I. Of Tumors ibid. Point 1. Of an Imposthume 8 Point 2. Of the Hole in an Imposthume 9 Article II. Of diseases consisting in magnitude diminished ibid. Chap. VI. Diseases in Situation 10 Article I. Of Luxation ibid. Title IV. Of Diseases of Unity dossolved 11 Chap. I. Of Vlcers ibid. Chap. II. Of Wounds 13 Chap. III Of Fractures 16 Title II. Touching Symptomes and their Removal 17 A single Chapter Of pain in general ibid. BOOK VI. Treating of External Diseases Title I. Of the several sorts of Tumors 1 Chap. I Of Swellings or Tumors Caused by Blood ibid. Article I Touching over great Corpulency ibid. Article II. Of an Inflamation 2 Article III. Of the Bubo or Inflamation so called 3 Article IV Of the Phygetlon Phyma Furunculus or Felon Tumor so called ibid. Article V. Of the Tumor Parotis 3 Article VI. Of Nail-sores Kibes and Chilblains 4 Article VII Of an Ecchymoma ibid. Article VIII Of a Carbuncle ibid. Chap. II. Of Tumors springing from Choller 5 Article I. Of an Erysipelas or Tumor so called ibid. Article II. Of Herpes or the Shingles 6 Chap. III. Of Tumors springing from Flegm ibid. Article I. Of the Tumor cald Oedema ibid Chap. IIII. Of Tumors proceeding from the Melancholick Humor 7 Article I. Of the Tumor called Scirhus ib. Article II. Of a Cancer ibid. Chap. V. Of sumors springing from Wheyish Salt and Cholerick Humors mingled together 8 Article I. Of Scabyness ibid Article II. Of the Phlyctaenae Sudamina Sirones and Vari Tumor so called 9 Article III. Of the Epinyctides Alphus and Leuce ibid Article IIII. Of the Impetigo and Gutta Rosacea 10 Chap. VI. Of Tumors wherein the Humor is included in a proper Membrane ibid Chap. VII Of Tumors arising from a solid Substance 11 Chap. VIII Of Tumors caused by solid parts falling from their due Situation ibid. Article I. Of Aneurisma Varix and Elephantiasis by the Arabians so called ibid. Chap. IX Of Malignant Tumors 12 A single Article Of the Elephantiasis ibid. Title II. Of Diseases of the Skin 13 Chap. I. Of Lentigines Ephelides Naevi-materni Infantum Maculae ibid Chap. II Of the Maculae Hepaticae itch and bad smels ibid. Title III. Of the Diseases incident to the Hair 14 Chap. I Of falling off of the hair ibid. Chap. II Of the Porriga and Plica 15 Title IV Of Ulcers in Particular ibid. Chap. I Of the Gangraena ibid. Chap. II Of the Sphacelus 16 Chap. III Of Burnings 17 Title V Of Luxations in Particular 18 Chap. I Of Luxations of the Jaw-bone the Clavicula and the Vertebrae ibid. Chap. II Of Luxation of the Humerus Cubitus Radius and the Fingers ibid. Chap. III Of Luxations of the Thigh Knee and Ankle 19 Title VI Of Fractures in Specie 20 Chap. I Of the more usual fractures of the bodies ibid. Chap. II Of less frequent fractures ibid. BOOK VII Touching Feavers TItle I Of Feavers in General 22 Title II Of Unputred Feavers 23 Chap. I Of the feaver Ephemera ibid. Chap. II Of the feaver Sinocha Simplex 24 Title III Of Putrid Feavers in General ib. Chap. I Of continent putrid feavers 26 Article I Of the Synochus putrida ibid Chap. II Of a continual Periodick feaver in General 27 Articke I Of a Primary continual feaver ibid Point 1 Of a continual Tertian feaver ib. Point 2 Of a continual quotidian or every day feaver 28 Point 3 Of a continual quartan feaver 29 Article II Of a continual Symptomatick feaver ibid. Chap. III Of an intermitting feaver or Ague in general 30. Article I Of a tertian intermitting feaver or tertian Ague 31 Article II Of a Quotidian intermittent 32 Article III Of an intermitting feaver or quartan ague 33 Article VI Of compounded feavers particularly the Semitertian 34 Title IV Of the Hectick Feaver 35 Title V Of Malignant Feavers 36 Chap. I Of malignant feavers in general ibid. Chap. II. Of the several sorts of malignant feavers 37 Article I. Of the smal Pox ibid. Article II Of the Measles and such like breakings forth 38 Article III. Of the spotted feaver ibid. Article IV. Of the Hungarian disease 39 Article V. Of the sweating sickness the malignant feaver with Cramping and that with the cough and catarrh ibid. Title VI. Of Pestilential Feavers 40 A single Chapter Of the Pestilence ibid. BOOK VIII Of the Diseases of the Head TItle I. Of the Diseases of the
the Occidental Regions are extream sickly and unhealthful they have thick and muddy waters and the people thereof are of an il color The Meridional or Southerly Regions abound with store of waters somwhat salt sublime and they that inhabit in them are evermore subject to moist heads and obnoxious to a flux or loosness of the Belly The Setentrional or Northern Regions have their waters harsh and cold the people thereof are dry long-liv'd and of a tall stature The Oriental Regions are more healthy than the Occidental as wel because the Sun it its vigor dissolveth those moist vapors that it drew up at the rising thereof as also in regard that it doth not only not dissolve those which al the day it hurrieth along with it self towards the West but likewise that it excites and stirs up many more vapors in the West and so leavs them as also because that there many more vapors drawn up in the occidental than there are in the Oriental part of the World in regard that there are in the West far more and those far greater Seas than in the East Eighthly From the parts of the World Kingdoms and Provinces For it often comes to pass even from the very situation of several places that those which are accounted wholsom and healthful unto one certain place are found to be baneful unto another part So the cold north-east wind is unto the Europeans most serene and clear but in Libian region it is exceeding cloudy and again the south wind is unto those Lybians very hurtful and so is the soâ—th west wind unto the Bascomians very pernitious but on the other side very gratful and welcom unto the Gretians and Italians Ninthly From Cities and houses And hence it was that the Caunians a people in Cavia through the default of the Air there became so wan and pale that there was one heard to say that dead men walked in that country Again the Sun in the summer getting up to a greater heighth entreth not at al those houses that stand to the South but then in the winter season approaching neerer it altogether and wholly shines thorow their windows And therefore dwelling houses ought in a different manner to be erected according to the diversity of the inclinations of the several regions in the world Tenthly From the particular constitution of places Where observe 1. That places standing high enjoy a pure Air as being cleansed and purified by the winds that blow throw it and therefore those places produce and nourish strong lusty and long lived inhabitants by reason of the want and absence of moist excrements 2. That steep down hil places depressed and as it were pend up between other mountaines are in the summer time even suffocated with the reflexed sun-beames and in the winter by reason of the suns absence are annoyed with overmuch moisture and thick clouded vapours 3. Places that are plain if so be they have on al sides every thing fit about them they have then no other property but that which is taken from the observation of the Climates 4. Those places that are rocky and open in the summer have the Air hot but in the winter cold so thin and subtil that almost no vapours can be elevated and drawen up out of rocks 5. Places Mountaineous and high are snowy and therefore healthful by reason of their snows but when these melt away those places becom very much clowded Now if those Mountains are situate to the North east then those places wil be hot by reason of the reflected sunbeams but if to the south and that the winds blow from the North then those places by means of the snows and winds are cold dry and sound unless something else hinder If to the East then they are cold because they ruled and swayed by the East Their Air is thick both in regard they are nigh unto Mountains as also because they lie open unto the Western Winds If they be situate to the West they are therefore healthy in regard that they are then exposed unto the oriential or Eastern winds 6. Those places that are woody are infested with a thick suffocated cloudy and turbid Air among the trees the Nut tree and Oak are more especially hurtful 7. Those places that are neer adjoining unto rivers do moisten overmuch 8. Such places as are fenny and abound with lakes by reason of their filthy noysom vapors are very apt to generate diseases 9. Those places that are nigh unto the sea are thought to be healthful in regard that saltness resists corruption and the winds do evermore throughly purge the Air because likewise that the Sea in the Winter and in a cold Region renders the Aire warmer than ordinary but on the other side in the summer time and in a hot Country it makes the Air exceeding temperate 10. Cardamus hath left it for a Truth unto us that those that are ful of hot Baths do viciate and corrupt the Air of the place howbeit not so far forth that they hurt those bodies that are strong and able which are not hot by reason that they are altogether free from putrifaction But of these see I pray and read next after Hippocrates Renatus Morean learnedly and excellently discoursing of them in his Tract upon Schola Salernitana Article 2. Of Meat Point 1. Of the differences of Meats Meat is a thing not Natural restoring and augmenting the substance of Mans body Concerning it there are these five things to be explained 1. The various differences thereof 2. The kinds of it 3. The Seasonings or sauces thereof 4. Bread it self 5. The time of repast or taking of this meat The differences of Meats are various I. In regard of its substance it is 1. Hard which is not concocted without much difficulty but it is easily corrupted 2. Soft which easily and soon receives a taint 3. Heavy thick and gross and this heaps up a juice that is thick fibrous and earthy 4. Viscid and clammy which is very difficulty distributed into the veins 5. Firm which truly makes a supply of much aliment or nourishent but then it stands in need of great store of heat and strength of Nature for Concoction 6. Infirm which indeed is easily and soon concocted but then it breeds and supplies either very smal nutriment or at the best such as is transient and of short continuance 7. Hard or easy of digestion which accordingly is hardly or with little difficulty overmastered by the heat of the stomach 8. Hardly or easily to be corrupted which accordingly either through its own default or else by reason of some weakness in the stomach or lastly by means of some distemper proceeding from things therewithal mingled is either easily or difficulty corrupted II. In respect of its Quantity it is I. Overmuch Either as it refers unto the capacity of the vessells as it is al of it converted into blood but then by reason of the too great abundance of humors it
winter especially because they are in the summer by reason of their Letchery leaner dryer and hotter than at other times II. The Parts of Birds are 1. The Combs which are proper to poultrey alone Galen reckons them among such meats as no man wil commend or dispraise They are thought to incite such as are slow to generation 2. The Wings which because the superfluous and crude moisture is wasted away by exercise are of good juice and easie to be digested 3. The Rumpe which in such as have short legs is more fleshy and fat than ordinary but sometimes it makes the stomach sick by its over fatness 4. The Brain which in birds than in four footed beasts is dryer and harder in such as feed on mountains it is more delicate than in such as lie in the fields and marshes The sweetest is that of Cocks Partriches and Pheasants That of Sparrows and Pigeons provokes fleshly lust 5. The Neck which is thought to hurt the Eye-sight by reason of blood therein in coagulated 6. The Tongue which the more musculous it is the better it is Bruyerinus writes that the tongue of Geese provokes lust 7. The Heart which is of a fiberous and hard substance is hardly digested and hardly passes Often eaten it breeds melancholly blood 8. The Lungs which because of their thin substance are easily digested and nourish little 9. The Stomach which is for the most part fleshy and hard that of a Goose is the sweetest That of fed Henns is rather fleshy than hard We cal it the Gizzard 10. The Gutts which in some kind of birds is couuted a dainty The Gutts of a larke which are hard and bitter are by some swallowed like pills to loosen the belly but in vain 11. The Liver which by reason of its hot and moist temper is of kin to our natural Heat That of a Goose is most short and tender and most highly prized Anciently they moistened their Goose-meat with milk to make it nourish the more 12. The Spleen because in most birds it is very little is of no account 13. Theâ— Stones are best in cocks if they are nourished with wheyish nourishment They are sought for by delicate and wanton people as incentives to Lust 13. The Feet which because they have little flesh upon them nourish little and because they are nervous and tendinous they are hard to digest 14. The Skin which is sweet in such as are fed up and fatted but of small nourishment and hard to digest that is the sweetest which covers the Loins of Hens The rugged and fat skin of the Neck is better boiled than roasted 14. The Marrow which if it be of the back it is of the same Virtue with the Braines save that is a little harder if that of the bones it is more fat and pleasant but eaten too plentifully it causes stomach sickness 15. Fat which being moderately eaten with salt gives little and bad yet delightful nourishment It takes away the Appetite if wine be drunk down after it because the stomach is smoothed the wrinkles are taken away and the sense of pain by reason of the sucking of the stomach is taken away III. The Egs of Birds consist of the yolk and the white The former by propriety of substance is easily inflamed and turned to sumes The Latter is cold and glewish breeds bad blood and is hardly digested They vary in respect of Substance figure and concoction They are 1. Those of Henns Partriges Pheasants such as are young and fat which excel al others 2. Ducks Geese and Peacocks Egs which are counted worse 3. Such as are Smal long and white which are thought to excel others in goodness of juice 4. Such as are Pale as those of Ducks and Geese which partake more of a watry substance 5. Trembling Soft which are so far thickned by boyling as that they seem to tremble in the shell in the hand of the holder do give much nourishment and excellent juice to the body are easily digested and distributed and breed blood which is most agreeable to the nature of the Heart 6. Supping Eggs which nourish less than the quivering or trembling but they pass more easily and mitigate the roughness of the Jawes 7 Perfectly boyled being thickned which are hardly digested pass slowly down and afford a more thick nourishment 9. Roasted are of thicker substance than boyled because the Heat of the fire consumes their moisture and if they are quite covered with ashes because the fumes are therby kept in they are the more unwholsom it they are laid open upon the embers because they breath out their fumes they are better 10. Boyled they are better than roasted because the moisture of the water hinders them from being dried by the fire 11. Fried which while they are digested in the stomach do evaporate into nidorous fumes and corrupt other meats and breed thick juice 12. Poached Eggs which Galen teaches how to dress are better than boyled or roasted if they are done neither too soft nor too hard III. The third kind of Meats are four-footed beasts Which afford for mans food 1. Their Musculous flesh 2. Their Head 3. Their Breast 4. Their Belly and panch 5. Their Leggs and feet And 6. Such things as are taken from but are not parts of them I. The Musculous flesh is frequently used for meat and is hotter with quickning heat than that of fowls and therefore they grow thrice as big 1. It is Oxe-flesh which if of young beasts not broken with Labor 't is so much the better but seldom used if of old beasts it is thick hard of digestion and passes not easily through the veins yet is it free from roaping and clammyness It breeds a loose nourishment hard to digest and produces thick blood Hippocrates has written that it causes cholera sicca 2. Cow-beefe which is of a thick melancholy juyce 3. Calves-flesh or Veale which is temperate of good juice easie to digest Yet it affords somwhat a thicker juice than Kids flesh Lambs or Weathers flesh 4. Swines-flesh which differs according to the Age that of Sucking pigs is moist of no good juice and which easily putrifies and therefore wine must be drunk upon it That of young shotterels is better and gives good nourishment That of young Hogs especially those of May is best of al nourishes most powerfully and affords firme aliment to Men flourishing in years very convenient and for such as are exercised with hard labors That of Old decrepit Swine is hard tastless causes melancholy diseases must be moistened with wine drunk after The flesh of the Wild boare or Swine is better than that of the tame both because it is not so excrementitious nor breeds clammy juice Out of no other Beast so much fuel is afforded to luxurie for no less than 50. several tasts are thereout produced whereas others have each one single tast 5. Sheeps which is of too unsavory a tast and fit for Country people it
pressed from ful ripe olives it affords nourishment sutable to our Natures and is fit to correct the bad quallities of other meats and of herbs Also it molifies and loosens the Belly it takes away al Asperity it helps such as are bruised and mitigates pain 3. Juice of unripe grapes Citterns Lemmons and of Crabs which the French and Itallians much use doe coole bind and helpe the extravagant longings of women Hereunto belongs Vinegar which is extream cold and pierceing The eagerness thereof is blunted with a peice of toasted bread wine raisons elder flowers roses sugar and such like things T is hurtful for mellancholly persons and women that are subject to mother fits IV. Honey is of an hot nature saving that which is white and seems convenint for healthy people It easily turns to choller and therefore it is neither fit for hot natures nor hot parts otherwise it has a power to clense and resist putrefaction Mead is made hereof IV. In the Fourth place we reckoned BREAD of which in respect of the Matter and waies of making there are sundry differences I. In Respect of Matter I. Such as is necessary 1. It is made of fine flower and which is most nourishing to the Body 2. That which is made of bolted meal and finest flower being taken away and is next in goodness to the former 3. Houshould bread which is made of the finer sort of bran and nourishers less than the former but descends better through the belly because of the branniness 4. Of Courser bran which nourishes least of al but goes soonest through the belly 5. Bread of altogether which nourishes very wel and soone passes through the belly 6. Barley bread which if it be made of the most excellent barly is the less inferior to wheaten bread if of loose and light barly it is like the wheaten bran bread 7. Rye bread which if it be black and heavy it burthens the eater is of sad and thick juice and breeds stones in the kidneys II. In respect of the matter prepared and quallified it is 1. Leavened bread which is lighter and sooner destributed than the unleavened 2. Vnleavened bread which is of a contrary Nature 3. Soure leavened which is also hard to digest and lies heavy upon the stomach 4. Salted bread which is lighter than the unsalted 5. Vnsalted bread which is apt to breed obstructions I shal not speak of Saffron-bread Eye-bread Butterd-bread Cheese-bread Sugard-bread Hereto belong the parts of bread 1. The Crum of which that which has been here said of bread is to be understood 2. The upper crust which drinks up moisture in the body and sharpens the Heat thereof but if it be scorched and burnt it breeds adust humors and black choler 3. The Lower Crust which is of like nature with the former II. In Respect of the preparation bread is 1. Savory in which the leaven and salt are wel mingled 2. Vnsavory or tastless which is contrary wise ordered 3. Wel Kneaded which is neither too littl not too much but moderately wrought 4. Ill kneaded which obstructs pufs up burthens the stomach 5. Baked in an Oven which Because its throughly bak't is the best of al others 6. That which is baked on tiles or in a portable oven which because it is not so wel baked in the bottom is worse than the former 7. That which is back't on a gridiron or on the hearth is bad because the outer parts are scorched and the inner parts are dough-bak'd 8. Bak't under the ashes or embers from which it receives a bad quallity 9. Biscoct or Bisket which is drying and if made of fine flower it affords very little excrement 10. New Bread which if hot causes thirst and breeds winds and suffocations if cold t is wholsom to feel on if it be two or three days old t is hard of digestion because of its dryness 11. Old bread which is hard and moldy breeds a melancholly humor and binds the belly 12. A Great Loafe because the fire has not sufficiently digested the moisture thereof lies heavy upon the stomach and raises wind 13. A Little Loafe because it is more than ordinarily crusty round about produces adust blood as the material cause and makes the Body dry 14. A Loafe of a middling size which is most commended 15. Light and spungy which nourishes lightly and makes no obstructions in the bowels 16. solid and heavy which is worse than the former 17. The best bread therefore is that which is made of fine white wheat meal the wheat being ripe not very new grown in a fat soil not infected with moaths dust cockel darnel or frost not wet with rain or musty with keeping being wel kneaded leavened and salted V. In the first place we are to consider of the TIME OF EATING which varies according to the several Customs of natures The Hebrewes seem to have eaten twice a day Among the Greekes even so long as since Homers daies their times of eating were distinguished into dinner and supper The latter Grecians did eat oftener The Romans had their Breakfast dinner after noones bever their Supper and Rere-supper Our Age followes the Custom of the Romans yet thousands there are that content themselves with a dinner and supper only And so much may suffice to have spoken of meats They that would know more besides Galen of the faculties of meats let them consult Morellus upon Schola Salerni Bruyerinus of Meates Julius Alexandrinus of wholesome diet and Vlisses Aldrovandus de Animalibus Article 3. Of Drink Drink is a thing non-natural restoring the moist substance of Mans Body and quenching his thirst Touching which two things are observable The Necessity thereof to preserve Health and its kinds I. That Drink is necessary for Health is hereby manifest in that it restores the moist substance of our Bodies which daily wasts away it quenches natural thirst it carries the fat and thick moisture through the narrow passages it causes the mixture digestion and liquefaction of meats in the stomach and prohibits the inflamation of that same fat juice which is ordained to nourish the Body II. The kinds of drink are 1. Water 2. Wine 3. Beer and Ale 4. Mead. 5. Liquors made of Apples Peares and such like fruits I. Touching water two things are considerable viz ' its differences and Correction I. In respect of the Differences water is either 1. Raine water which it stormy and cloudy is condemned if it come down with thunder it is exceeding light and thin because the Sun drinks up and draws out the most subtil parts yet is it impure and subject to putrefaction because divers vapors drawen up by the heat are mixed with the Raine 2. Snow and Ice-water which because the most subtile and light parts are dissipated is thick and hurts the stomach and breeds greivous diseases of the joints nerves and bowells 3. Water gathered in Cisterns which has much setlings is slow in passage oftentimes has a strong
by the mediation of other Signs 2. From the Causes which are either present or have preceded 3. From the Bodies Disposition which depends upon Hereditariness Age Sex Kind of Life Dyer and Evacuations omitted 4. From Actions Natural Vital Animal which are hurt abolished diminished depraved and that suddenly or slowly 5. From things voided forth viz. Urine Dung Swear Spittle c. 6. From the Qualities of the Body changed color smel c. which yet do signifie rather the Cause than the Disease II. The Times of the Disease whose knowledg is necessary were it but in respect of the state when if ever the signs of perfect Coction appear and good Crises do happen are known 1. By the Idea of the Disease be it long or short 2. From the time of Year Dyer Countrey Temperament Strength c. Hot things are the Causes of hot and acute Diseases Patients strength in a disease not deadly signifies a short disease it shews 't will last long 3. From the Mutations of the fits in which their Anticipation coming later duration and vehemence are to be observed of which also see Authors 4. From the Symptomes of Diseases which are light at the beginning strong and fiercest in the state 5. By Coction and Crudity which is either proper to one kind of diseases as spittle in the Pleurisie or common to many III. The Parts affected are known 1. From the Causis Things taken in done Retained Excluded and incident from without Some are more apt to one part than another also at some season the Lungs are chiefly insested other whiles the Stomach c. 2 From things Essentially inherent or by propriety of the Part and the diseases inherent in the parts 3. From the Actions hurt unless they be hurt by some external accident especially by pain of which we shal treat hereafter in a peculiar Chapter 4. From things voided forth in which substance quantity quality and Mixture are to be observed 5. From qualities changed IV. The Signs of the first and Essential Differences of Diseases shal be explained in the fift Book in respect of the accidental which we have above propounded Observe I. Touching Diseases by Sympathy 1 That they encrease or decrease with the Primary Disease and are deserted by the Primary 2. That they infest not continually by certain fits unless matter be continually supplied 3. By things helping or hurting applied to the other they are helpt or hurt II. Touching acute Diseases that they from the very beginning and the first three daies are extreamly burdensom to the sick and have grievous symptomes because they proceed from hot sharp thin and movable Humors which vehemently provoke Nature III. Concerning malignant diseases 1. That they arise from Causes both external and internal which are offensive by their whol substance 2. That in them the Patient is frequently unquiet though he cannot tel of any vehement or dangerous symptom that in the beginning the Patient is often held with a deep sleep is not eased by sweats or other Evacuations shivers grows hot bleeds at Nose without any appearing Cause but in other respects they seem troubled with a slow Feaver with signs as it were of Recovery and upon a light occasion faint away They talk continually and their Tongue is black and rough 3. That the same diseases after a light Remission the malignity having spred it self through the Humors are most suddenly and vehemently exasperated 4. That in them the paines which were do remit and abate without either Excretion or Riseing the pulse in respect of the feverish Heate haveing an unwonted parvity with Inequality and Frequency V. All those promiscuously regarding signs are afforded by the differences of Urines and Pulses I. The differences of Vrines are taken from their Consistence Quantity Quality things mixed with and contained therein 1. As for what concerns the Consistence Thin urine argues too much drinking a strong obstruction of the Kidnies and Uriters and want of natural heat proceeding only from distemper Defect of that salt which is wont to be resolved out of the meat Thick argues oppression of the heat by abundance of Humors indifferent shewes vigorous Heat an exquisite digestion of the stomach Liver and veins Cleare and transparent perfect concoction goodness of Humors whence afterwards it makes a sediment Troubled proceeding from the cold of the aire and admitting amendment by the fires Heat in continual Fevers argues a rudiment of Coction Troubled which is made so shewes diseases of the Kidneyes or bladder plenty of crude thick and clammy humors out of which many thick flatulencies being produced they are mixed with the Urine and hinder the matter from descending sudden obstruction of the Liver Spleen Reines c. Solution if it happen suddenly Confused which is in all parts alike and hath no Hypostasis shewes diseases in the veins and properly confusion corruption putrefaction of the Blood and Humors which are in the greater veines and therefore 't is only observed in fevers and those continual and malignant Fatty defilement of the alimentary Humor which flowes into the parts so that it cannot be converted into their substance whereupon dissolution followes II. As for the Quantity much signifies immodreate drink diuretick Medicaments cold distemper and cold pressing and squeezing forth moist diet Heat of the Kidneyes attracting water shut up in some place resolving of the Body into liquor either of its own accord or by force of Heat to which fatness is joyned Little shewes little or hard drink overgreat sweates plentyful stooles obstruction of the Kidnyes Ureters Bladders Neck and Bladder vehemency of feverish heat the drinks turning to the bodies nutriment which sometimes happens to such as are in away of recovery from some disease III. In respect of the smell fragrant Urine intimates the use of Terpentine Musk Benzoin c. For from internal causes such Urines can hardly proceed Stinking Vrine argues eateing of rotten cheese garlick an Ulcer of the Kidnies Privities neck of the bladder putrefaction of humors if it be fresh of the Substance if an old stench IIII. In respect of color white urine if thin and transparent argues plenty and thinness of drink strong obstruction of the Mesentery Liver or kidnies great imbecillity of digestion defect of color and somtimes the ascent thereof to the belly Head or some part in the Habit of the body if thick obscure or like milk it argues abundance of thick flegm Red and withal transparent argues Heat of the Liver or a fever if thick and yellowish it argues the mixture of yellow or vitelline choler a phlegmon of the Liver or an exquisite scirrhus Safron-color'd argues the use of Rhubarb Safron or Fenel obstruction of the Gall-bladder and then Linnen cloathes dipt therin receive a tincture Bloody shewes the weakness and slapness of the Liver an ulcer and contusion of the Kidnies and Loines Wine grape colored shewes adustion of blood and the change thereof into black choler Green argues
verdigreise colored choler Lead-colored argues stripes melancholly and extinction of the natural Heat Black if compounded of green and black argues extream Heat and permission of black choler if of Blew and lead-color extinction of Heat unless it come away in manner of Crisis V. In respect of things mixed the Crown which circles about the surface thereof shewes what kind of blood is in the greater vessels by its whiteness redness and Lead-coloredness 2. The Froth if it come without shaking argues wind 3. Bubbles great and lasting argue gross and clammy humors as also wind Such as easily break thin and smal in the crown of the urine argue paine of the whol Head if they be al over the Crown of half the head if they possess only half thereof sharp paine if Gold-colored mild paine if white long paine if they continue long being like smal seeds seated in the Crown and moveing to and fro they argue distillations descending from the Head into the lower parts 4. Fat like Cobwebs shewes the melting of the fat of the Kidneyes or whole Body 5. Branny contents if they settle argue scabyness of the Bladder if they swim they argue the wasting of the solid sustance of the Body by reason of a burning Heat 6. Little scales with strong smel argue either exulceration of the Bladder or melting of the tunicles in the vessels and of the solid parts by fervent heat 7. Contents like meale signifie the same 8. Caruncles or little bits of flesh proceed from wounds of the Kidnies 9. Strings come from the seminary vessels in women that have the whites or some filthy Issue of the womb 10. Blood from a new ulcer of the Kidnies or of some Bowel 11. Quittor from an old and foule Ulcer either in the Kidnies if it be without any sense of paine and wel mixed with the urine or from the neck of the Bladder if it be with paine aâ—â— not wel mixed but however it alwaies settles to the bottom 12. Gravel if yellow and red comes from the Kidnies if white from the Bladder if clammed with quittor from 〈◊〉 sordid ulcer of the Bladder if they swim on the top and stick to the sides from the Livers heat and Adustion of the Blood 13. Seed argues an hurt of the spermatick vessels and swims on the top VI. In respect of the Contents which in sound persons ought to be white smoothe equal and pyramidal 1. Little comes from weakness of the Alterative faculty distemper multitude or Crassitude of humors and dissipation of the Bodies substance by external Causes 2. Much from suppression of some customary Evacuation if it be at the same time both thick and undigested from strength of the aliments and faculty if it be indifferent in substance and color 3. Thick from plenty of crude matter or the Crisis of some old diseases 4. Thin from Crudity or digestion but newly begun 5. Straw-colored Gold-colored red from redundancy of choler in the veins and from inflammation of the blood 6. Blewish Lead-colored black from extinction of natural heat corruption of blood and melancholy II. There are many differences of Pulses that savor of vaine curiosity and idle subtilty discreet Physitians are content to observe only these three following Equal and unequal Swift and Slow strong and weak The Equal pulse argues strength of Nature The unequal signifies either obstructions and compressions of the vessels or abundance of Humors The Swift use increased strength of the Faculty as yet or at least that it is not much weakned Slow argues the contrary The Strong shewes a strong faculty and sometimes great Provocation The weak either dissipation of spirits or expression of strength Chap. 3. Of the Diseases Event Or Issue THE Issue of a disease intimates four things 1. The Termination hereof 2. The Time of the Termination 3. The manner of the Termination 4. The Knowledg of al these I. A Disease is terminated either by Health or Death Whence the Event is healthful or deadly II. In respect of Time 't is ended soon or late III. The manner of termination is threefold For a disease is terminated either by solution when health returns by little leave by means of Coction and alteration or by Marasmus or pineing when it turns by little and little to death or by Crisis when either the disease is suddenly and perfectly finished or there is a sudden change to the better which is followed with health or the sick patient suddenly dies or the disease is suddenly changed to the worse which mutation is followed by death But touching the nature of the Crisis or the Definition Causes Differences Manners and Daies observe I. That it is nothing else but a sudden mutation which happens in diseases with conturbation and evacuation by excretion or translation upon certain daies tending to Recovery or Death II. That it arises in respect of the Conturbation or that plenty of critical symptomes from the agitation of Humors and the trouble they bring to the Body which proceeds from the influence of stars and from an internal cause which provokes both nature and the matter in respect of the evacuation from the strength of the expulsive faculty which provoked by the plenty or quality of the matter expels that which is of seizure critically by help of the fibres and especially of the spirits and innate Heat III. That it has sundry Differences For it is good when tending to health evil when to death Faithful when no danger of a relapse Faithless when it threatens the same Safe when without dangerous symptomes Dangerous which springs from a principal part Perfect which takes away the whole disease Imperfect which leaves some of it behind Wel-foretold which has tokens preceding and declareing the same some daies next before Unforetold which comes unlooked for IV. That it happens by Excretion by bleeding at Nose Vomit sweat stool Urine Hemorrhoides Courses many places or by Translation of the matter or by coction of the matter which happens in children who digest crude humors while they sleep V. That it has certain daies which are 1. Either simply critical as every seventh day viz. 7.14.20.27.34.40 For whole daies are not reckoned but somwhat shorter 2. Or Indicators by which the future Crisis is foreshewed and they are the middle daies of each week as the 4.11.17.24 3. Or Intercalares or Leapdaies in which the Crisis happens accidentally and against Nature and they are the 3.5.9.13.19 4. Or Vacui called Medicinales in which either there is no Crisis or an imperfect and bad one as are the sixt which is a Tyrant the eight and tenth less dangerous than it Now that such mutations happen on these daies the Cause is 1. The progress of the Moon both to Quadrate and opposite signs as also to the sextile and Triangular ones 2. The Motion and disposition of the humors which is the Cause that the Crisis happens somtimes slower sometimes earlier 3. The Nature of the Body which being assisted
we not over do And we must know that 't is alwaies more safe in a doubtful proportion to fal rather too short than to exceed Touching this matter take these rules 1. Infirmities which have taken deep root need stronger remedies than such as are slight 2. In a mild infirmity we must do al at once and suddenly and so we must in an extream and dangerous sickness because it quickly finishes its course and quickly kils 3. In indifferent and cronick diseases we must endeavour to expel them by little and litle and slowly but we must withal take heed least while we go about to quench a mighty flame with a smal Quantity of water we mâ—ke the fire burn the faster II. The Time respects 1. Seasonableness of which note 1. That we must then act when the Patient can best bear it 2. That the motion of nature must be alwaies furthered unless it be dangerous 3. Turgent humors must be drawn out the self same day 4. About the beginnings and ends of Diseases stronger medicines may be given because then al the symptomes are weaker in the state it is better to rest because then al is at the height 5. The Constitutions of the Heavens that is to say both the Conjunctions Risings and Settings of the Stars as also the great changes of times especially in cronical sicknesses are to be considered c. II. Method or good order in the plurality of things to be done Here observe 1. That disjoyned Diseases do require distinct Remedies so that they may be cured either severally or both together 2. That connex and complicated diseases if they consent may be cured either together or apart and you may begin with which you please and if they dissent we must oppose both with a kind of mediocrity if they partly agree and partly disagree we must begin with that which though the Cure of it do not help yet it hinders not the Cure of the other 3. In al diseases whether they be disjoyned or conjoyned respect must be had above al things both of that which urges and of the Cause or Concomitancy so that we must first cure that which urges most and that upon which the rest depend Under the Motion of Causality or Concomitancy come both al Impediments without the removal whereof no Cure proceeds as also the Foments upon which the other hurts being linked and chained together do depend in their production Now that is said to Vrge which exceeds the other hurts of the body either in magnitude and malignity or in the vehemency and celerity of the the hurt they do III. Touching the Place these things are observable 1. That the inclination of nature and conveniency of the Vessels must be observed 2. That the matter must be voided the nearest way by ignoble parts by a natural channel and by waies cleer and direct But of these things God-willing I wil treat most methodically and accurately in my Syntagona Chap. 3. Of the abstractive Method in Special and first of the taking away of Causes Article I. Of the taking away of Causes which offend in Quantity THe Taking away of Causes respects both Humors offending in Quantity Quality Motion and Place and likewise winds themselves of which notwithstanding they are not so exactly to be considered and by themselves but that they may somtimes be complicated together The taking away of Causes which offend in Quantity is performed by Blood-letting Frictions Fasting Bathing Haemorrhoides Monthly Courses Scarification Cupping-glasses and Horse-leaches I. Touchig Blood-letting these things occur considerable 1. Whether it is to be done or no. I. A Vein is not to be opened 1. If the forces of the body languish as being changed by Fevers long diseases distemper of the ambient air or other things some venemous quality immoderate evacuation of Humors Labour Grievous Pain and passions of the Mind 2. If a Woman be sickly and of a whitish color 3. If it be a child because its heat is apt to dissipate 4. If the Patient be over fearful 5. If the disease be in its highest vigor which attains the Crisis 6. If a crude distemper afflict without fault in the blood and it may otherwise be amended 7. If crude juyces abound in the whol Body especially in the Summer time the stomach being weakned the body soft and a fever be joyned 8. If a crude and cold juyce afflict the mouth of the stomach whence an heart-burning proceeds by reason of the vicinity of the Heart 9. If boyling juyces abound in the whol body which wast the Spirits and being carried into the stomach Cause a deliquium 10. If venemous diseases afflict the body 11. If a critical Evacuation were sufficient II. A vein may be opened 1. If the forces of the body languish being oppressed 2. If the disease be great which afflicts vehemently for a short time with a feverish heat and working of the blood 3. Yea in a person of seventy years of Age provided the pulse be considerable and the nature of the disease and plenty of blood require the same 4. Also in a Woman with child both in the first and last months if shee have an accute disease II. We are to consider at what time a vein is to be opened Touching which observe 1. That such diseases as are caused by a plethora in them a veine must presently be opened at any hour of day or night before it transfer it self into some noble part and the strength of the body come to languish 2. In feavers it must be done in the times of Remission and Intermission 3. If the greatness of the disease require not hast the best time is to open a veine in the morning an houre after the patient has been awake 4. When we would reiterate blood-letting for evacuations sake we must do it the same day III. How much blood is to be taken I. where observe I. Blood may be more freely taken away 1. When the Forces of the patients Body are lively 2. From Persons of a rosey-color of a thick and yellow habit of body haveing large veines and being formerly accustomed co blood-letting 3. In a vehement and great disease when the forces are vigorous we may let blood til the patient swoun howbeit we are not ordinarily to stay so long but when the color of the patient changes and his pulse growes weaker and when the blood runs with a lesser streame than before unless fat or some other gross matter hinder it then we must cause it to be stopped II. It is more sparingly to be diminished 1. In an impure plethora 2. In a melancholick plethora because it is not so hot as to require cooling 3. In a flegmatick plethora because the humor being exceeding cold is made more crude by blood-letting 4. In children and old people specially in the Summer 5. When the forces are discomfited and the disease is urgent for then it must be taken away by peecemeal at sundry times II. Frictions
Sweats and Baths do lessen the quantity of humors because they raise that which dissipates and dissolves the substance of our body III. Tasting does the same because nothing is rest ored in the Room of what is dissipated through restraint of food Because it equally evacuates the whol body it ought to be used in an universal cacochymia Because it operates too slowly it is unuseful for a sudden evacuation Also old persons can better beare it then children Cholerick and leane persons cannot endure it long IV. External Hemerohoides or a portion of the hemorrhoidal veines are used to diminish plenitude and for the diseases of the kidnyes womb back and hip They must be opened by frictions Leeches Fig-leaves rough cloaths juyce of Onions Centaury c. The internal are opened by clysters and sharp suppositories to cure hypochondriacal distempers of the Liver spleen and Mesentery V. The Courses are to be moved then when naturally they use to flow IV. Cupping-glasses are applied when blood is not very plentiful in the Body Their greatest use is in Revulsion They are conveniently fastened to the Armes of women with child If their use respect the whol body they must be applied to the inferior parts if they respect any part they must be applied to the same part VII Scarification if it supply the place of blood-letting it is practised cheifly upon the thighes yet sometimes upon the Arms and Back and so it revells from the Head If it be used upon its own account it is to avoid a malignant and sharp matter which is practised in the Gangren and in Callosities or Calous disorders VIII Leeches if they are applied to evacuate the whol body they must be applied to the great and prominent veins which are in the Armes and thighs In women with child they are applied only to the Arms. Article 1. Of the Removal of Causes which offend in the Quality Point 1. Of alteration The Removal of the Causes offending in Quality consists in Alteration Purgation Vomiting Urining and sweating Alteration is the contemperation of Causes offending in quality by convenient remedies And it is so many fold as there are causes or humors And therefore I. Choler because it offends in Heat and drouth needs cooling and moistning and if it be withal thick it needs it cision and attenuation if thin incrassation or thickening See the Medicaments before Now for their more convenient use we must observe 1. That Infusions are best in the water so that the decoction be made til a third part of the liquor only remaine 2. If a flux happen to rise we must forbear the use of sharp medicaments least they bite and vâ—x the Guâ—ts yet may we use syrup of red Corants Barberies II. Flegm because it is cold and moist requires hearing and drying and if it be withal thick and clammy it needs cutting and attenuation The Medicaments we formerly recited Touching their use observe these rules 1. Abstaine from such as are very hot at the beginning least the matter being melted should swel with greater motion and the thin parts being consumed the thick should remaine behind And therefore they ought to be put green into decoctions in their defefect cold things ought to be mingled with the dry ones 2. Stong openers ought to be avoided in a woman with child 3. Because where flegm is troublesome there the stomach languishes to those that are not accustomed we must give them their drinks actually hot 4. If you would have the remedies penetrate the most distant parts of the body and carry their virtues with them they must be given boiled or beaten in broath of Guajacum with a great Quantity of Liquor III. Melancholy in which we must abstaine from immoderate use of Vinegar especially if the matter be more fervent than ordinary For black humors do ferment and swel by the admixture of vinegar And therfore if we are to use it we must give Oxymel with a decoction of Citron peels or some such thing IV. If divers Humors are mixed together we must cheifly set our selves against those which are most active not quite neglecting the rest whether within or without the body Which shal be done when the veins are free from obstruction al the passages of the body open the humors not far from a temperature and the noble bowels free from obstruction In opening syrups Heurnius observes this order 1. First syrup of vinegar is given then syrup of the two roots without vinegar then the said syrup with vinegar after that syrup of the five opening roots then Syrups of Byzantinus so called without vinegar and lastly the said syrup with vinegar Point 2. Of Purgation Purgation is a convenient â—â—awing out of Humors offending in quality but yet prepared out of the Body by medicaments which purge by way of stoole I. Those Humors are either smal in quantity or plentyful and either they cause a fever which is vehement or weak or they cause no fever or they wander through the whole body with vehemency of symptomes or not II. By Coction in this subject we do neither understand that which is called pepsis and is a changing of the thing to be concocted into the nature of the Concocter nor is it that coction which is opposed to crudity which is the indigestion of aliment in the stomach liver and veins or humors having passed the mediocrity of Coction as in yellow and black choler nor the redundancy of cold humors but that kind of Coction which is called Pepasmos and is nothing but the reduction of humors disagreeing in substance and qualities corrupt and putrid unto a similitude and the separation of the corrupted from the uncorrupted which is performed by the Efficacy of the Natural Heat separating the profitable from the unprofitable Yet is it not necessary that al humors be concocted For there are humors which are not in a capacity of concoction being severed from the concoction of the blood as in Catarrhs the Colick Flegm Hydropical water and such as offend by some hidden Quality III. Preparation of Humors is twofold 1. To Coction which is performed by removal of all impediments by diminishing the Humors augmenting the natural Heat and repairing the forces of the body 2. To evacuation which is done when the Humors are made fit for expulsion such as are clammy being cut and the thick attenuated the waies being made free and open with clysters emollient broaths and the like IV. Touching Medicaments these things are to be observed 1. That they are either moderate which reach only the inferior parts or vehement which penetrate beyond the liver and into the habit of the body that they are either catholick or universal by which al humors are purged together or such as draw some particular humors and they Choler purges Flegm purges Melancholy purges Water purges 2. That they ought to be addicted and accommodated to the part to be purged And truly Agrick is appropriated to the Head Cassia to the
Serpentary root Centory Fig-Ashes Unguentum Apostolorum Agyptiacum By opening the Fistula which being done the Callus must be taken off with a pen-knife or with a red hot iron the part being guarded with a defensative III. By Consolidation the filth being cleansed away by Centory pimpinel c. As for what concerns the differences 1. Some have divers holes or Cavities and then more quittor flows out than can be contained in one Cavity 2. Others have divers orificies and then if the liquor squirted in by the syring flow back through al and if the humidity be of the same coler t is but one Fistula 3. Another terminates upon flesh then that which we touch with the probe is soft and the quittor that comes forth is white 4. Another reaches to the nerve then pain is felt when we search it 5. Another bottoms at the bone and then that which we touch with the probe is hard 6. Another ends upon a Vein and Arterie and then if they be gnawen asunder blood breaks forth if not a certain matter like lees or dregs comes out Chap. 2. Of Wounds A Wound is the solution of Vnity in a soft part made by somewhat sharp and cuting either by way of a prick or stab or by way of a slash or gash The Subject is a soft part and that either external or internal c. There need no Signs The Cause is expressed in the definition The Cure is none if the Heart be wounded so that the vital spirits be dissipated if there be a vessel in the Lunges out of which blood being shed overwhelms the Heart If some great internal vessel be so hurt that it cannot be shut up whereupon blood being plentifully shed the spirits are dissipated Doubtful if the weapon were poisoned if the wounded person be weak and ful of bad humors if an inflamation happen in the inner more nervous parts and such as have more exquisite sence which is followed by an afflux of humors and sometimes by a Gangreen 'T is difficult if it be joined with a Cachexy and dropsy because overmuch moisture hurts the cure If it be purged out with difficulty If it be complicated with other diseases If it be in a part apt to receive a Conflux of humors If it have in it some extraneous thing which cannot at first be drawen forth If on the Critical daies to which wounds are so far subject inasmuch as they have in them some matter requiring Concoction there is no change to the worse If the wound be oblique or circular If convulsion happen or contusion be also present 'T is performed I. By exemption of superfluous things Where note 1. Clotters of blood must be taken away only at the third binding because by stopping the Orifice of the veins they hinder a flux of blood 2. Those broken bones are only to be taken forth which are perfectly free 3. The weapon must be pulled forth if the patient may live when that is done 4. That the weapon may be taken out either by thrusting them along if the passage be short and neither bone nerve nor veine prohibit or by extraction and both waies are performed either with section or without the same those things which cannot otherwise be removed must be brought out with drawing medicaments nor must they be by any meanes left to Nature II. By conjunction of the Lips of the Wound where respect must be had to the manner of binding up and to which belongs swathing placing of bolsters slipping and the right placing of the part tied up III. By Digestion that the blood which flows out of the smallest veins in the part wounded and sticks in the pores of the part may as soon as possibly be changed into quittor Where observe 1. That in moist bodies vulgar moisteners must warily be used least putrifaction being induced the wound should turne to a sordid ulcer 2. In dryer bodies they are more profitable to correct the dryness 3. That Digestives must be corrected with sarcoticks and that we must not trust to one medicament See the Medicaments which move quittor in the Institutions This is the best Red clear terpentine and Gum Elemi of each one ounce and an half Weathers grease two ounces old Hogs-grease one ounce Melt al over the fire and make a Liniment 4. By Conglutination of the Parts which is performed either by a medium of the same kind in the soft and fleshy parts in which plenty of blood by strong heat is more easily changed into flesh or by a Callus in the bones or by a scar in the skin Which is furnished by sarcotick medicaments of which in another place also by vulnerary potions concerning which observe That they are not to be used at the beginning nor when external medicaments may serve the turn and when there is a fever and Inflammation those things must alwaies be used which are appropriated to the parts Hereunto appertain The Vulnerary Balsom of Hartmannus in his chymiatria the glutinatory pouder of Crabs Balsam of Eare wax and Rulandus his balsam of sulphur 5. By averting the fluction where we are to use 1. Blood-letting if the body be plethorick If the blood did not issue out two much before If the wound be great and there be no inflammation caused by pain 2. Purgation if the body be ful of bad humors if the humors be thin hot and cholerick least they make the blood apt to stir If it be used at the beginning If there be no fever withal The Differences of wounds are sundry 1. One is of the Vessels and that either of a Veine and then the blood Issues more violently and it is thicker blacker and less hot or of an Artery and then the blood is yellow hot and thin the patients strength is much spent by reason of loss of spirits t is hardly cured by reason of the hardness of the Arteries their perpetual motion and the force of the blood in them contained The Cure calls for the stoppage of blood which is performed 1. By joining together the Lips of the wounded vessel either with a mans fingers or a swat he by which means nevertheless the blood wil hardly be stopped By stopping the Orifice of the Vessel either by application of ones finger or by medicaments which stop blood The external medicaments are Crepitus Lupi a kind of puckfist or toadstool so called vitriol poudered and put in a cloath the pouder of Agricola consisting of two drams of Sugar of Lead White franckincense red myrrh one dram of Saffron and Camphire poudered wet with Frogs-spawn water dried at a gentle fire put into the wound Internal medicaments see in the Chapter of bleeding at the nose 3. By Revulsion with blood-letting divers times administred or by Cupping glasses if the patient be weak 4. By Interception with intercepting medicaments which ought to be applied to the vessels by which the blood flows 5. By dissolution of the blood after it is congealed and clottered
speak somwhat thereof in general in this place A single Chapter Of Pain in general PAin is a sad and troublesome disposition arifing from a sudden and vehement alteration in the sence of feeling The Subject are the nervous parts especially the thicker membranes which bring vehement pains SIGNS are needless the sence it self shews it The CAUSE is whatsoever eminently and suddenly alters the part or dssolves the Continuity thereof The CURE must be hastened least a fluxion be raised especially in a vehement one the Disease also must be set aside if there be no other Remedy 'T is performed I. By intigation with Anodynes and Narcoticks Among the former oyl of Lillies Earth-wormes Chamomel a Cataplasme of bread Crums milk and Safron boiled together a pultis of Marsh-mallow roots boyled in Milk Grulingus his Unguentum Jovis Among the latter are the extract of Thorn apple seeds the Narcotick trochisks of Fernelius Quandanum opiatum II. By removal of the Causes both by internal and external remedies The Differences are taken either from the Causes or from the parts affected I. One kind of pain comes from an eminent and sudden alteration of quality which is taken away by the remedies of a contrary quality And it comes either from heat and dryness then the causes have preceded the pained part is red we must go to work with things cold and moist Or from cold dryness the suitable Causes have preceded The skin is white or growes black and blew by binding 'T is eased with things hot and moist Another springs from Solution of Continuity which is caused either by many humors which stretch sharp ones which fret in which cases bleeding and purgations are useful Or from winds which teare as it were in sunder in which case having premised Carminatives we must deale with universals Or from external Causes beating cutting burning where the Cure must be directed to each particular Cause II. One fâ—â—rt is pricking in the Membrans which compass the ribs and subcostal Muscles Another is beating proper to the Arteries the sign of a great inflamation Another is a dul paine and mâ—â—medness which happens in the fleshy membrane which is spred out beneath the skin which happens from Refrigeration external Contusion or compression Another is a pain as of some heavy thing which burthens which is commonly felt in the kidnies sometimes in the Liver and spleen Another is a stretching paine according to the longitude of the part proper to the Nerves which extends it self into both parts of the Nerves Another is stretching according to the latitude proper to the membranes which cover the muscles Another is wandring which arises for the most part from winds in the larger Cavities of the Belly womb c. Another is a boring pain in the Guts it arises from cold humors fastned into their Coats Another is a leaping paine which happens in the coats of the brain where rising as it were from a root it suddenly leaps into the Circumjacent parts Another is Vlcerative or soreish which commonly happens in the skin and parts beneath the same also in the Gutts from the Acrimony of Humors and worms is common to the dysentery Another is deep which happens in the periostium presents it self to the senses as if the bones themselves did ake or the marrow in the bones And so much for the first differences of Diseases THE SIXTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of External Diseases Title I. Of the Several sorts of Tumors SO much may suffice to have spoken of Diseases in general and of their cure Diseases considered in their several sorts are either External or Internal The former are Tumor or Sewllings Diseases of the Skin Diseases of the Hair Vlcers Dislocations or Disjointing and Fractures and therefore there wil be likwise just so many Titles in this Book Chap. 1. Of Swellings or Tumors Caused by Blood Article I. Touching over-great Corpulency SOme Tumors spring from Blood others from Choller Flegm Melancholly from Watry and wheyish Humors and some from a Mixture of these one with another Those which spring from Blood are Over-great Corpulency Inflamations Bubo's Phygetlon Phyma Furunculus Parotis Paronychia Perniona's Ecchymofis Carbunculus Corpulentia nimia is an over-great increase of the Bodies Bulk caused by too much plenty of Flesh and Fat Signes are needless The Consequences thereof are an Hindrance of the Motions and Operations of the body shortness of breath by reason of the passages being stopt somtimes suddain Death in such as grow Fat when they are young Barrenness because of the seeds watrishness The CAUSE is the Increase of Flesh and Fat The CURE varies according to the variety of the Differences The DIFFERENCES are taken from the Causes I. One sort springs from Encrease of Flesh which is Caused through plenty of good Blood made by a temperate Liver out of meates of good Juyce the hot and moist temper of the Musculous pâ—rts of the Body assisting thereunto It is Cured 1. By Evacuation through Blood letting Cupping Fasting Eriction 2. By Consuming the Flesh with such things as strongly dry and moderately heat II. Another from the encrease of Fat caused by the Oyliness and fattyness of the Blood falling out of the Veins into the Membranous parts and there congealed by the moderate heat and Efficacy of the said parts T is Cured 1. By Evacuation but it must be sparing because such persons are apt to fal into cold Diseases 2. By Consumption of the Fat effected by things hot bitter diuretick yet so as care be had that by over much heating another Disease be not Caused Article II. Of an Inflamation An Inflamation is a Preternatural swelling of the fleshy parts springing from blood which besides the intent of Nature flows into the said parts The SIGNES are Heat which is caused partly by reason of the Blood partly by the stoppage of the pores springing from plenty and thickness of blood which stoppage wil not suffer the Fuliginous Vapors to exhale and partly by the bloods putrefaction Pain both by reason of the distemper and the solution of continuity caused by plenty of blood filling and distending the part Redness the blood communicating its color to the part affected Tension or Stretching because of the abundance of blood distending the whol substance of the Part. Renitency or Tightness from the same Cause Pulsation by reason of the distention of the inflamed parts caused by the heaving of the Artery which wants freedom of roome to move it self The CAUSE is the plenty of blood or its sharpness by reason of Chollerick Humors which because they provoke Nature they are by her thrust out she using the blood as her Vehicle or Chariot to ride in which flowes plentifully to the part by reason of its pain The Manner of its Breeding is this An Hot Fluxion causing the blood to fal into the Muscles first the great Veins then the lesser then the least of al are distended And when
are the Glandules or kernels in the Neck Dugs Arm-pits and groins They are known by the sight especially among the inhabitants of the Alpes They Arise from a Flegmatick Melancholick mixt Humor which proceeds from the crudity of Diet or from a gross Juyce nourishing those parts mixed therewith which is shut up in a peculiar Membrane made by the formative faculty See the Cure in Book 5. in a peculiar Chapter T is divided into simple of which now and Cancerated which are mixed with a Cancer by reason of Black-choler 2. Into Free which are Joyned to no Vessel and Intangeld or Intaild which are Joyned with some remarkable Artery Vein or Nerve II. Ganglion Which is a Tumor scituate upon a Bone by reason of a Preternatural twisting or wreathing of a Nerve which is grown together into one body The Subject are parts which are covered not with much flesh but skin only It is known both by its situation and that it is void of pain and of the bigness of an Eg may be stretched to the sides and being pressed it makes the body feel the pressure It arises by occasion of a blow reaching or labour which stretches and as it were breakes a Nerve or tendon Whereupon the excrement of the Nervous part sweats out and sticks about the Fibres and Nervous parts and by their formative faculty is changed into this substance T is Cured by Emollients as Emplastrum de Ammoniaca and digesters and if they suffice not with suppuraters and by Section concerning which see the Authors III. Those kind of Tumors which spring indeed from the same cause viz. A Flegmatick Humor or Alimentary Juyce only they are distinguished by the matter contained in the bladder and from thence take their respective Names For it is named Meliceris if the matter included be like Honey the Tumor rounder than ordinary and giving way when it is touched Atheroma when it is like Water-gruel or Hasty-pudding and hard to the Touch. Steatoma when it is like to suet Chap. VII Of Tumors arising from a solid Substance TO such kind of Tumors these three sorts following are to be referred I. Verrucae Warts being Tumors standing upon the skin like Hittocks They are known very easily They arise from either a thick Melancholick and Flegmatick matter or from such Juyce as is ordained to â—ourish the Skin and Scarf-skin They are Cured either by Application of appropriate Medicaments such as are the Juyce of Willow-leaves and Cichorium Verrucarium or Wart-cichory water which Stands on the stumps of felled Oaks Spurge Milk an Onion bruised with salt They are divided into Hanging warts which the Greeks term Acrochordones being broad on the top and smal at the bottom where they are fastened to the skin as it were by a stalk Thymia which are colored like time are likwise smal at the skin broad hard and rough on the top being smaller than the hanging-warts and Sessiles which the Greeks term Myrmecioe lower than the Thymia scarse bigger than Lupines hard broad-bottom'd deep rooted and causing pain II. Clavi cornes which are wont to breed on the Toes and Soles of the Feet by the pressure and wringing of shoes which somtimes of their own accord prove very painful and are alwaies troublesome to the goer They must be Noynted with the blood of an Ele and Oyl of Mercury and when they are softened with Oyl of Snailes When they are cut smeare them with the Urin of a dog and lay on a Plaster of red Wax III. Callus Brawnyness is an hardness bread in the surface of the skin in the palms of the Hands and the lowest parts of the soles of the Feet It has no deep Root and is void of al pain It may be pared of after frequent washimgs and soaking in water Chap. VIII Of Tumors caused by solid parts falling from their due Situation Article I. Of Aneurisma Varix and Elephantiasis by the Arabians so called TUmors proceeding from solid parts falling down into or lying upon any part are many we shal here speak only of the Aneurisma Varix and Elephantiasis of the Arabick Physitians so called the rest we shal treat of in their proper places I. Aneurisma is a Tumor arising from a breach in the inner coat and a widening of the outer coat of an Artery T is known because it is a soft Tumor beating with the pulse and for the most part yeilding to the finger and if it yeild not to the finger nor pulse which may fal out in a great one yet a noise as it were of boyling water is perceived because of the passage of spirits through narrow waies and so it is distinguished from an Ecchymoma It arises through default of the Artery which in respect of its inner coat which is hard and thick is opened in respect of its external coat which is thin soft and rare it is widened It is wont to happen either by the Violent Motion of the flood or by some external force most frequenly when either an Artery is opened instead of a Vein or an Artery together with a Vein is hurt For then the external coate as being soft and of kin to the coats of the Veins growing together and the inner remaining open the blood and spirit Issues through the hole and distends the external coat T is Cured with Difficulty if smal if new Is in a manner incurable if old and great and if Section be made danger of death is incurred The Cure is undertaken 1. By Application of Repellers and astringents where Emplastrum Contrarupturam is useful c. 2. By Section or cutting touching which see Authors II. Varix is the Dilatation of a Vein It happens Cheifly in the Thighes under the Navil and somtimes in the temples It befals men principally yet hardly before they come to Age. T is known by the swelling of the Veins and the part being Lead-colored or black It arises from thick Melancholick blood which fals into the place either through its own weight or being thrust thither by some violent Cause Varices ought not to be Cured if they be critical and free the patients from other Diseases as they are wont to do from madness If they are to be Cured they are hardly Curable by Section but best of al by extraction of which see Aquaependens III. Elephantiasis of the Arabians is a Tumor of the Feet springing from Melancholick Flegmatick blood and the Varices Herein the Thighes are swelled of a Leaden-color black and ful of Ulcers It can hardly be Cured without a continual and long Course of Phyfick Chap. IX Of Malignant Tumors A single Article Of the Elephantiasis MAlignant Tumors are sundry Viz. Buboes Carbuncles Smal Pocks Meazels Elephantiasis Of the rest I have spoke or shal speak elsewhere I shal here treat only of the Elephantiasis T is called also Leontiasis Satyriasis and Lepra Being a Cancerous Tumor of the whole Body springing from black choler infected with a Venemous quality and shed
into the whole habit of the Body ' causing many Symptomes I do not mean the Elephantiasis by the Arabian Physitians so called nor the Leprosie of the Jews The SIGNS are either of the Diseases beginning as frequent spots in the Body roughness of the skin with risings like a Goose with the Feathers of with many scales and chinks especially in the Face Hands and Feet falling off of the hairs Or coming to the height as a Tetter upon the tops of the fingers and the Chin and the Eye-brows which are thick and hanging over hoarsness of the voice sweat easily turned into salt which wil not melt in water the blood being washed leaves grains and Sands in the bottom of the water See the Trial of this Disease in Horstius his Medicinal Epistles S. 4. Tim. 1. The CAUSE is a Melancholy Humor and black Choler which arises either from external Canses dry constitution of the Aire and Diet suitable or from internal viz. An hot and dry distmper of the Liver Also it contracts a Venemous and Contagious quality whence the Disease comes to infect others The CURE is None when the Disease is confirmed t is Difficult when it is newly begun T is Performed 1. By Diet where Viper Wine is good and the flesh of Vipers boyled their Head and Taile being cut off Cider Chickens fed with the flesh of Vipers or Snakes 2. By Preparation of Humors by the Herba Kunigundis an Herb so called with Fumitory boy led in whey Straw-berry water Dodder-water Decoction of Tamarisk 3. By Evacuation both by Blood-letting which must be Practised in the spring viz. In both Arms and on the Ankle and by Purgation where extract of Blood-Hellebore and whey with Epithymum boyled therein are good likwise by the Hemorrhoides 4. By use of Bathes of fresh water and of brimstone waters c. 5. By giving appropriate Medicaments viz. Hares-blood hot salts Theriacal Treacle Bezoarticum Ammale or Bezar-stone 6. By Mitigation of the Symptomes of which in their peculiar places 7. By burning of which see Authors As for the Diffierences there are four sorts thereof I. Alopecia in which is an obscure redness swelling of the Face redness of Eyes bleeding at the Nose It springs from blood and is more gentle than the rest II. Tyria so called from the scaly Serpent Tyrus which casts of his Skin in the spring In this there is whitness Seales dandruffe It springs from Flegm III. Leonina so termed from the Ruggedness of the Lyons for-head In which are prickings bitings Tetters It arises from Choller and comes speedily to the Augment IIII. Elephantiasis peculiarly so called being greater than the rest and slower in its Augmentation has its original from Melancholy and is known by a cloudy blackness knots and stupidity of the Patient These sorts are seldom separated and most frequently Joyned together Title II. Of Diseases of the Skin Chap. 1 Of Lentigines Ephelides Naevi-materni Infantum Maculae ANother kind of external Diseases are the disorders of the Skin under which are comprehended Lentigines Ephelides Naevi Materni Maculae Infantum Maculae Hepaticae Pruritus and Malus Odor I. Lentigines Freckles Are smal specks of a yellowish brown color for the most part seated somtimes in the Face somtimes on the breast somtimes on the hands They are known by the description and because they are subject to ruddy people and such as are yellow-hair'd They arise from blood adust either by inward causes or the Suns heat Occupying the Scarf-skin especially of the forhead because being there thicker than ordinary it retaines the Vapours longer They are Cured by the waters of Elder-flowers Bean-flowers and Scrofularia By Goats and Cowes-milk mingled with pouder of Glass With Cherry-tree-Gum dissolved in strong Vinegar with a little Oaten-meal With these they must be washed or anoynted II. Ephelides are brown spots on Women with Child which quarter upon their Foreheads cheifly their temples or Cheekes as large many times as an hand-breadth They are known by the presence of such Symptomes as are wont to afflict Women with child especially loathing of wine and meat frequent spittings and gnawings in the stomach They arise from suppression of courses in Virgins somtimes from eating of Beetes A Pap made of the pouder of Bay-berries and Toad-stool-water is commended being smeared on in a Bath III. Naevi Materni are spots and markâ—s imprinted upon the Child in the womb by the Mothers Imagination They are abliterated either by the After-birth while t is hot or the blood thereof more easily if privately as the common people imagine or the distilled water of Caryophyltata-Montana if the infant be washed therewith or with the meâ—nstrual blood IIII. Maculae Infantium Volaticae which Nurses cal the Red-come are red and purple spots which creep up and down the bodies of young Infants And if they touch any Orifice of the body as the Mouth Nostrils Eyes eares t is counted a deadly sign For Prevention the Orifices must be wet with Rose-water tinctured with a litle Saffron Chap. 2. Of the Maculae Hepaticae Itch and bad smels MAculae Hepaticae or Liver-spots are brown spots somtimes appearing and then vanishing with a slight roughness of the skin and falling of scales They are known by the description Arise from a thick blood which seeing it cannot be assimilated it sends forth what is Excrementitious into the skin if they continue long they are accompanyed with quartan Agues They are Cured with Diet and after universal Medicaments with bathes before which Treacle must be taken and afterward they must be nointed with green Mustard-seed reduced with water into the form of Pap which must presently be washed off so soon as it raises heat Also mans-Mans-blood destilled with Brest-milke is good II. Itch is a pain which stirs up a desire of scraching without any roughness or Exulceration of the SKIN The SUBJECT is somtimes the whol Body but especially the soles of the Feet because they are covered with a great and broad Tendon and with an hard Skin so that the Humors have not egress T is KNOWN by the sense It ariseth either from Choller or thin salt Flegm so as it may insinuate it self between the smallest particles but clammy and roaping that it may stick faster to the parts which is bred of salt Meats and Hot through fault of an hot and Dry Liver The CURE is seldom performed upon decrepit persons None at al in such as have the Consumption if it follow after Costiveness T is performed 1. Ey Attemperation of Humors by Goats-Milk Whey and Syrup of Fumitory 2. By Evacuation of the antecedent Cause by Jalap and Syrup of Peach-flowers By Hemorrhoides and courses provoked if their stoppage have been the Cause 3. By Mitigation with fresh-waler bathes into which Mortar is to be cast and the Oyntment of Hartmannus 4. By Discussion with the said Baths wherein Pelitory of the Wal Mallows sharp-pointed Dock Alum Sulfur Vitriol c. must be put III. Bad smel
Choler and putrified matter is inflamed about those parts or when matter swelling and fermenting in the Veins rushes violently and settles it self thereabouts 8. Head-ach want of Sleep Apileptick Convulsions c. Of which in their places Title II. Of Vnputrid Feavers Chap. 1 Of the Feaver Ephemera UNputrid Feavers are either the Ephemera or the Synocha simplex The Feaver Ephemera is a feaver which arises from the Inflamation of the Vital spirits in the heart and continues the space of one day 'T is termed Ephemera because it transcends not the natural day as the Beast Ephemeron and Colchicum Ephemeron a plant so called The SIGNS are A sudden heat arises in the Body no loathing of meat or wearyness without cause deep sleep or frequent Yawning having preceeded with none or very slight shivering unless the Body be ful of bad juyce diffusing much and biting expiration which by reason of the colds stopping the skin or the closing up of the secret passages being suppressed smites the Nerves The Vrin in color substance and sediment is little or nothing differing from the natural unless the Cause which brought in the Feaver have raised some extraordinary mutation in the blood The pulse is more quick and frequent than ordinary but yet even ordinate great and strong Inspiration is greater and quicker than expiration The CAUSES are procatarctick of which in the differences The CURE is easie unless it change into a Synocha imputrid in a youthful and ful body or into a putrid the fourth or fift day in a body Cacochymical or into an hectick in an Hot Dry thin body 'T is Absolved 1. By Alteration through cooling and moistening things given inwardly and applied outwardly to the Region of the Heart the pulse and forehead 2. By Evacuation or opening a Vein if there be a plethora or by gentle Purgation if it arise from a redundancy of evil Humors and some light obstruction 3. By strengthening the Stomach Regard being had to the Humor and Symptomes The Differences of the Feaver Ephemera are taken from the causes I. One sort comes from Cold Air striatning the skin Then the beginning is without shivering The Urine and pulse are little changed the Heat is more moderate in the state T is Cured by removing the Cause II. Another springs from Buboes which is known by the presence of Buboes by a swift and great pulse by much heat by a ruddy Face 'T is Cured by blood-letting by which if blood be sufficiently taken away the Bubo appearing a little vanishes away by the use of repellers or relaxers if not it must by fomentations be brought to suppuration Vide B. 2. de Bubone III. Another from straitness of the skin which is known by the hardness and compactness of the Patients skin other things being as in other persons healthy It arises from plenty of blood cold binding or dryness 'T is Cured 1. By Blood-letting if the blood offend in quantity 2. By Purgation cutters being premised where there is plenty of thick Humors and swear is wont to follow 3. By relaxation with hot and moist things temperate baths moderate frictions frequent washing if it proceed from cold IIII. From Crudity and that nidorous which is known by the presence of such signs as attend a Diseased Stomach 'T is Cured 1. By Vomit if stomach sicknes and Aptitude to Vomit be present 2. By Purgation if there be danger in Vomiting 3. By Corroboration with Medicaments whose quality is opposite to the peccant Humor V. Another springs from Heat of weather Anger Sad Pensiveness Watchings Wearyness c. Of al which consult with Practitioners Chap. 2. Of the Feaver Sinocha Simplex THe feaver Synocha simple or the Ephemera of many daies is a Feaver without putrefaction arising of the Boyling and working of the spirits and blood without remission lasting three four or more daies 'T is termed also Inflativa or Puff-up because when the blood works and boyles the Vessels are distended and a wearyness of the body is perceived Its SIGNS are wearyness which comes of it self without any exercise of the Body Heaviness about the temples and forehead A certain Itch of the Nostrils a gentle Heat Moistness of the skin with distention of the Members A pulse great ful frequent quick Difficulty in fetching breath Urine thicker and more red than ordinary The CAUSE is the working and boyling of thin blood which arise from the hinderance of Transpiration in a plethorick body which sends forth many hot Vapours The CURE is not very hard because it seizes for the most part strong bodies or temperate ones or such as are hot or moist of middle Age of a fleshy square Alderman-like constitution unless it degenerate into another sort 'T is allayed and terminated somtimes by sweat or by plentyful Nose-bleeding within the fourth or at most the seventh day unless through some very great Error of the Patient the Physitian or the Assistants of the sick it turn to a putrid feaver or a greivous Disease which is wont to spring from fullness 'T is performed 1. By Blood-letting by which the Patient is cooled and the encrease of Vapors is diminished but it must be speedy little in quantity and divers times celebrated 2. By Evacuation of the first Region least more fumes be added to the store Tamarinds Rhubarb Syrupe of Roses solutive Cream of Tartar are good 3. By Alteration which ought to be performed by cooling potions the spirit of salt and vitriol being mixed therewith Clysters Oxyrrhodines Epithemes Bathes for such as are accustomed to them but not before the Rigor of the Feaver be over 4. By Corroberation with Manus Christi perled Diamargaritum Frigidum Conserve of Roses Vitriolated of Wood-sorrel c. 5. By a cooling and Moistening Diet. Title III. Of Putrid Feavers in General A Putrid Feaver is Generally or Specially considered A Putrid Feaver in general is a Feaver which arises from hot Vapors raised out of the Putrefaction of humors which affect the heart with a praeternatural heat SIGNS thereof are Invation with shivering and shaking no antecedent Cause having preceded No nor no procatarctick unless the body be so disposed that a smal matter affects it Accessions and Paroxysmes or fits which yet agrees not with al. The heat at the beginning is not biting by reason of suffocation biting in the augment by reason of a Fuliginous excrement The Vrine is crude or obscurely digested The Pulse is at first smal the contraction swifter then the dilatation by reason of plenty of sooty excrement It abates upon sweat or some other Evacuation The Causes immediate are putred vapors sharp biting plentiful so as they cannot be discussed The Mediate is the putrefaction of humors whose cause 1. In the first assault of the Fever is either their bad nature contracted from meats of bad juyce which soon putrifie from il preperation and use of diet and the faults of the Parts which serve concoction or an External agent where hindrance of
Transpiration has place or from the straitness of the pores of the skin for hot things in an hot place if they have not freedom of aâ—â—e doe suddenly putrifie or from the obstruction of the Vessels and Passages in the Body A Feaver Ephemera especially in hot Natures Heat arising from the Nonnatural things Nearness of putrified humors 2. In the Continuance is the fault of the parts ordained for Concoction Inquination or Defilement remaining after the Paroxysme which inserts the humors herein The Cure for the most part does not oppose the Feaver so as to neglect the Cause especially if the Remedies for the Feaver doe encrease the Cause unless the Feaver be very great Yet sometimes we may resist the Feaver and neglect the Cause namely when it is remiss The safest way is so to direct the Cure to the one as not to neglect the other It is performed 1. By Blood-letting which must be practised 1. For evacuation to put the blood in motion and to cool the same 2. In continual Feavers on the third day in intermitting Feavers after the third day in all having first given a gentle Lenitive if any thing reside in the first waies and when the disease is most remiss 3. When the evil humors are not in the first passages but are mingled with the blood in Vena Cava 4. When there is plenitude It must be repeated the same day if it be done for Evacuation sometime after if for Revulsion II. By Vomiting rightly instituted with Aqua Benedict a Rulandi Asarum Roots c. III. By Purgation then Lenitives ought to precede by reason of the stomachs weakness and plenty of humors in the Mesaraick Veins and stoppage of the Belly at the beginning either by Clisters or Potions Stronger Medicaments ought to follow 1. There having preceded both Coction which must be observed in Feavers especially such as are continual and acute according to the precept of Hippocrates by which Nature assisted with art makes separation of putrid humors mingled with the blood Praeparation which opens the passages and waies by opening Medicaments here Cichories Endives and Sorrels have place and impediments in the humors are removed where syrupe of Vinegar of the Juice of Citrons have place and a dram of Spirit of Tartar compound which must be given with caution in cholerick natures by reason of the Treacle water 2. Which must be omitted if the Humors are not in the first passages but mixed with the blood in the Veins If the Humors are turgent that is either move to some determinate part or are so disposed that they may run violently into some part For the feverish matrer is wont at the beginning though little because like Leven it corrupts the rest of the humors to be moved by nature and either to be thrown out of the body or to be thrust into the more ignoble parts of the body IV. By sweating provoked by Sudorifick medicaments and that not very hot least the Fever be increased yet sufficient least the matter should be only stirred administered after other evacuations least Transpiration should be more hindered Yet is it allowable in the beginning sometimes to give strong sudorificks that the said ferment may be dissipated to dispose the patients body to sweat through the whol disease that the body may freely transpire To repeat it as often as need shal be that the matter may be accustomed to expulsion Salt of Wormwod of Centory of Carduus benedictus Spirit and Rob or quiddinie of dwarf-elder of Elder Magistery of Mother of Perle of Crabs-Eyes Antimonium diaphoreticum c. are commended V. Diet in which are principally considerable 1. Meat which ought to be of good juice easie of digestion of small excrement so that great respect be had to the patients strength the disease and morbifick Cause The times of the disease it self must be observed least the patients strength be overwhelmed The Quantity Quality and manner of the use ought to be weighed Howbeit a more liberal diet may be used the strength of the Patient being diminished by Evacuation A thin when it is weak by suffoeation that plenitude may be diminished and nature the better betake her self to the Concoction of Humors A very nourishing one to preserve the strength Medicamental to drive away the Disease and its cause At any time when the strength is decayed by Evacuation and fasting In the declination or intermission the Patients strength being suffocated by the vehemence of the Disease 2. Drink which ought to be nourishing in the Patients weakness And Medicinal in reference to the Disease and its Cause Such is a Decoction of Barley Oxymel Whey corrected with Annis-seed Fennel-seed and Cumin-seed Cooling Juleps In the first daies of continual Feavers little afterwards more plentifully In Agues when the fit is near none at al least the separation and exclusion of the putrifying Humor should be hindred when sweat is ready to break forth hot to further the same The Wine in Agues must be austere and hard because such Wine moistens further excretions and is more easily distributed into the body in continual Feavers about the beginning of Coction little in quartans before in the Progress of the Disease more In the Declination if there be weakness The feaverish heat be not intense Crudity of the matter prohibit not Head-ach and like disorders be absent Chap. 1. Of Continent putrid Feavers Article I. Of the Synochus Putrida Putrid Feavers specially considered are either Continent as Synochus putrida Causus or Continuae Periodicae or Intermittents Synochus putrida is a feaver arising from blood putrified in the vena cava without any periodical Remission and Intention afflicting alike from the begining to the End It is also termed Pur Fire because of its very great Heat Assodes because it makes the Patient very unrestible Taraxodes because it vexes the Sick with imaginary Apparitions And Pericaes Puretos the burning fever because of the Excess of burning Heat The Pathognomonick or peculiar Signs are extream thirst and burning Heat howbeit the thirst is allaied by coughing which causes an Afflux of humors To these signes are added great tumblings and tossings of the Body by reason of great heat and the acrimony of thin vapours which in every part vex the body The Vrin is little in quantity through plenty of sweat and heat which consume the same somtimes t is crude and troubled which by the settling of the adventitious parts and evaporation of the turbulent spirits doth afterwartd waxe cleare somtimes t is thin very cholorick and flame-colored The stooles unless the dung be scorched and hardened by the feavers Heat are liquid and saffron-colored choler being shed into the belly and making the dung thin The pulse is quick frequent and unequal swifter in the Contraction because the Arteries by suddain compression indeavour to expel those sooty vapours which greiviously afflict the heart Breathing is laboursome and expiration is quicker than drawing-in of the air
by reason of the extraordinary necessity of sending forth the fiery exhalations The Mouth is bitter because choler is soakt into the inner Coat of the stomach which is common to it and the mouth The Tongue is dry and furr'd and black because the burning heat consumes the moisture of the tongue and lodges its sooty vapours therein Raving by reason of the mounting of choler into the head which if it follow trembling t is a signe that the cholerick humor is transferred out of the veins into the Nerves out of the nerves into the Brain Sleep is somtimes profound especially when the fever is not exquisite but bastard because thick vapours carried into the Brain do stop the passages thereof The CAUSE is Blood putrifying through a peculiar propriety of the liver occasioned by meates of an over heating faculty or from crude cooling meats apt to be corrupted c. Which blood is either Cholerick and then the symptomes specified in the definition are more vehement and the feaver is termed Causus exquisitus an exquisit burning feaver or Flegmatick then the fymptoms are milder the fever is termed nothus a bastard burning feaver The CURE requires that we regard the Feaver Its cause and the patients strength The feaver is terminated by sundry excressions especially when the patient happens to shake upon a critical day the signes of Coction appearing and that not by reason of the shaking but because of the Excretion whose forerunner is the shaking fit T is performed 1. By blood-letting that the burning heat of the Blood may be repressed the plenty thereof diminished and its faltiness corrected It must be done at the beginning while the patient is yet pretty strong and because the violent motion of the Disease shews we must take time while we may It must not be done at al it the Feaver have its Rise from Evacuation fasting journeying in heat of Summer drying of the Veins and consumption of the Blood-water Also when Age Sex or some other thing prohibits Then Scarrifications Cupping-glasses c. must supply its place 2. By Purgation with cooling choler purges or temperate ones as pulp of Cassia syrupe of damask Roses 3. By Vomiting if there be Stomach-sickness and the stomach be vexed with Cholerick Humors which is known by the Mouths Bitterness 4. By Alteration and preparation with cooling Medicaments where note that there is then need of External Medicaments when the feaverish burning is abated with internal coolers and the putrefying Humor is for the most part drawn forth 5. By Corroboration of the Patients strength with Electuaries Lozenges c. 6. By Mitigation of Symptomes of which see in the proper Chapter 7. By Diet of which see what was said before Chap. 2. Of a continual Periodick Feaver in general A Continual Feaver keeping its Periods or Courses is Generally or Specially considered Generally considered it is a Feaver arising from Excrementitious Humors putrefying in those Veins which are of a middle size betwixt the greatest and the smallest Capillary or Third Veins abating at certain Periods of time without any Total Intermission Its Signs are that it remits of its Violence and then grows again Exorbitant at certain Periods of time but never intermits so as to leave the Patient free from Feaverish distemper more or less Its Exacerbations or Exorbitancies are not usher'd in by any cold shivering or shaking nor does any sweat follow its Remissions or Abatements It is exasperated at certain set Periods of time both by the arrival of Morbifick matter to the Heart by uneven quantities because of distance of place if it do not exactly keep its times and also by communication of new matter from the Members subservient to the second Digestion if it hold punctually its times The Causes are Excrementitious Humors which are bred in the Spleen and Liver either by their fault or the fault of the Chylus yet they may be bred in the Meseraick Veins and brought to the Liver They are not only jumbled together with the blood but also perfectly mixed therewith Their place is the Veins not the greater for so it should be a Continent Feaver nor the lesser for then it should be an Intermittent Feaver or Ague but of a middle size betwixt the great Veins and the Capillary which are smal as the Hairs of ones Head See the Method of Cure in the Sorts Article I. Of a Primary Continual Feaver Point 1. Of a Continual Tertian Feaver A continual Feaver specially considered is either Primary or Symptomatical The Primary is that which has no other Disease preceding as the occasion thereof and it is either Tertian Quotidian or Quartan A Continual Tertian is a Feaver springing from Cholorick Blood putrefying in the Branches of Vena Cava which holds continually but afflicts the Patient most every third day Its Signs are the Symptomes of continual and burning Feavers its being exasperated every third day by reason of the Nature of Choler which is so moved The Cause of its Abatement is both the distance of the place where the offensive Vapors are bred and likewise their smal quantity by which means they are all dissipated before any more can be bred to succeed in their place It s Cause is Cholerick Blood and whatsoever is apt to encrease Cholerick bad Humors in the Veins and to make them putrefie when so encreased The Cure is performed 1 By Blood-letting a Clyster being premised because the Humor is mingled with Blood 2 By Alteration Lenitives being first used in which case a little Vinegar must alwaies be added to Syrup of Roses solutive that it may pierce more easily into the Veins and not be turned by the Stomachs heat into Vapors which will cause thirst Give them fasting that Concoction may not be disturbed With Moderation lest they cause Crudities Spirit of Nitre of Salt c. are commended Topicks must be applied unto the Heart which is chiefly affected but not before the state Not cold lest the Heat driven inward and gathering Head should burn more fiercely 3. By Evacuation downwards and that in the beginning if the matter provoke if it be plentirul and the Patient strong It must be performed by gentle Medicines and let Rhubarb and Myrobalans be given in their Infusions with cooling Waters rather than in substance After Concoction if Nature be lazy 4. By Sweating and provoking Vrin 5. By Dyet which must be contrary to the Disease and its Cause Such as are upon the mending hand if the Feaver be terminated with a perfect Critical Evacuation let them never eat to satiety Often and a little Let them abstain from al Evacuations save by stool Let them use the Electuary Diarrhodon Abbatis to strengthen their Bellies If by an Imperfect so that some reliques remain let them purge the said Reliques especially by Urine Let them keep a thin Dyet The Differences are taken from the Causes One sort is Cholerick from Cholerick blood pure and exquisite which the Liver being
peculiarly affected produces This sort afflicts with sharper Heat Thirst and Watchings They are subject to it who abound with choler The pulse is vehement swift hard The Urine flame-colord and thin 'T is finished in the compass of seven or of fourteen Exasperations It is not deadly unless either some remarkable Error be committed or some malignity attend the same Another is Flegmatick or Melancholick when Flegmatick or Melancholick blood is mixed with Cholerick where together with coolers things gently warming and cutting are to be mixed 'T is termed Notha or a bastard Continual Tertian Point 2. Of a Continual quotidian or every day Feaver A continual quotidian is a Feaver raised by the Phlegmatick Humor putrifying in the Branches of Vena Cava which is exasperated every day It s SIGN is a daily Exasperation which happens towards the Evening because of the natural motion of flegm about that time with heat which is at first feeling mild but afterwards more vehement by reason of the slow and uneven kindling thereof caused by the variety of the parts of Flegm With a light coldness of the extream parts of the Body which nevertheless is not found in al these Feavers The CAUSE is the Humor of Flegm putrifying which is proper to old Men because of their coldness to Children through their greedy eating It Causes so pertinacious and stubborne a Feaver that it lasts somtimes three score daies its beginning reaching to the twentieth day it vehemently weakens the Stomach whence arises a Cachexy and Dropsie The CURE ought to be thus mannaged 1. The first passages must be evacuated with Clysters or Lenitive Medicaments in which case Honey of Roses is effectual or the Stomach must be purged with Vomit 2. Let a Vein be opened if Nature be oppressed with overgreat plenty of Humors and the Urins be thicker and redder than ordinary 3. Purge by stool when signes of coction appear premising attenuators that heat not much first with a gentle then with a stronger Medicament Agarick trochisked Hicra picra Pils of Fumitory are good in this case 4. Procure Sweatings after the matter is lessened with Salt of Wormwood and of Carduus Benedictus and a little Treacle 5. Let strengtheners be given viz. Trochisks of Rhubarb of Wormwood and of Agrimony c. 6. Let the Diet be sparing for three daies if there be Crudities in the Stomach and in the first waies At first give Hydromel or smal Metheglin to drink instead of wine or beer and let no fish be Eaten in the whole course of the Disease This Feaver is divided three manner of waies I. One sort is Simple and Exquisite which arises only from flegm and has fits eighteen hours long Another is bastard when flegm is joyned with other Humors II. Another is termed Epiala in which in the smallest particles of the body understand to the sense both heat and cold are felt at one and the same time It arises either from flegm mingled with Choler or from Glassie flegm which in that part that is putrified is hot in that which is not putrified is cold T is Cured in the same manner that other putrid Feavers are but we must observe 1. That Blood-letting is hurtful 2. That spirit of Nitre in Juniper water is excellent to cut flegm 3. That vomiting must not be neglected which may be procured by six ounces of Juniper water distilled per Descensum 4. Care must be had of the Stomach which nine drops of Oyl of Vitriol with three spoonfuls of the best Canary wil strengthen and cut the flegm or two ounces of Aquae Vitae stilled out of Juniper berries by way of Descent III. Another is called Syncopalis by reason of the swoning fits which is either Minuta so called springing from a thin Humor little in quantity but venemous and corrupt or Humorous proceeding from plenty of Flegmatick and crude humors with weakness of the stomachs Mouth frequent faintings away The best way to proceed in the Cure is 1. By Rubbings in such whose skin is more than ordinarily hard 2. By loosing the belly with Manna and Cream of Tartar 3. By Digestion and Evacuation of Humors giving such things as are necessary for the Syncope 4. By a thin Diet in which wine may likewise have place Point 3. Of a continual Quartan Feaver A continual Quartan Feaver is a Feaver arising from Melancholy blood putrifying in the branches of Vena Cava whose heat alwaies endures but is Exasperated and Augmented every fourth day Its SIGNS are obtuse Heat but sharp and pricking by reason of the Density and dryness of the putrified Humor which causes the Feaver The Pulse at first smal slow and buryed as it were under the skin afterwards great ful and swifter than in an Ague Somtimes the Patient Spawles much which argues either the overgreat moisture of the Stomach or the Spleens fault in not separating the Melancholy Humor It s CAUSE is Melancholy blood putrefying in the middle sort of Veins and springing from its proper causes The CURE is altogether hard both because it lasts to the fortieth day and further unless peradventure it be a Summer Quartan and likewise because seeing that Humor is hard to putrifie it argues there is a great cause 'T is Performed 1. By opening the inner Vein of the left Arme. 2. Cy Preparation of the Humor which must tend much to moistening 3. by Purgation with Melanagogues frequently repeated as also the use of sweaters and piss-drivers 4. by strengthening the Patient with borrage bugloss Citron juyce c. 5. by Diet which ought to be cutting moistening and cooling c. Article 2. Of a continual Symptomatick Feaver Symptomatick Feavers are such as follow upon other Diseases which being removed the said Feavers Cease Their Signs Causes and Cures are to be drawn from those Disease which they wait upon Their Differences are sundry I. One sort is That which follows the Inflamation of some inward partespecially and which is neare the heart or has a consent and sympathy therewith the Vapors which arise out of the blood shed into the part inflamed and putrifying there being communicated to the heart and heating the same It is as many-fold as the Inflamation is The Cure respects the Inflamation II. Another sort there is termed Lipyrias in which during the whole course of the Disease the inner parts are as it were burning up with Heat and the outer parts meane while cold It arises from a vehement inflamation or Erysipelas of some internal part especially the Stomach the blood and spirits having recourse to the part inflamed Either the Cure is not to be undertaken or if it be undertaken resistance must be made inwardly against the putrefaction and extream heat external after the parts have been rubbed heaters and openers of the pores must be applied In which case Oyl of Dill and Oyl of Orice Root with oyl of Vitriol and strong spirit of Juniper berries are good III. Another is slow which is hereby
knowen in that it afflicts with a gentle heat with which appear the notes of putrefaction in in the Urine and Pulse It is not burthensome to the Patient by any grevious symtome The Patient can hardly stir on his Legs for weakness The bodie pines away by little and little 'T is protracted beyond the fortieth day 'T is exasperated by the use of Purgers It keeps no order It arises from putrefaction of matter shed forth of the Vessels into the substance of some bowel or at least fast fixed in the Capillary Veins which are dispersed through the substance of the bowels and by its putrefaction corrupting the said substance From whence Vapors cannot be carried towards the heart in such great plenty as in other Feavers T is Cured by aperitives attenuatâ—rs and detergents appropriate to each part We must also use gentle Purging c. IV. Another sort there is Which arises from the Putrefaction and Corruption of some Bowel From whence putrid Vapors are communicated by the Veins inserted into the heart and heat the same It is somtimes more gentle otherwhiles more Vehement It happens for the most part in Putrefaction of the Lungs in Fistula's that peirce deep into the Cal Nesentery Womb c. The Cure is to be directed to the Ulcers and Fistula's of the internal parts V. Another springs either from Corrupt Milk as often betides Infants or from Blood somwhere Putrifying without the Vessels or from worms or from Crudity familiar to infants because of their greedy feeding with swelling and inflamation of the Hypochondria putrid Vapors being communicated to the heart In the Cure respect is to be had to the Causes and parts affected Chap. 3. Of an intermitting Feaver or Ague in general AN intermittent Feaver commonly called an Ague is a Feaver arising from Vapors which proceed from Humors bred in the Mesaraich Veins Putrifying and ever and a non entring the Vena Cava invading the sick person at certain set times and ending with excretions or Evacuations It 's SIGNS are to come at certain set times with shaking shivering or cold the sensitive parts being vexed and nipped as it were with a sharp Vapor To end by sweating Urine or passage of the Vapors through the pucrepores of the skin by scabbyness if the thicker part of the Humor be thrust forth into the skin Now necessary it is that it should come at certain seasons and then remit and come again For there remains a defilement in that part which is the seat of the putrefaction with a weakness also in the said part Wherupon the affluent Humor though it be good is defiled by the impurity of the part as it were with Leven and through the weakness of the parts it is corrupted Now this return of the Feaver or Ague is caused 1. Partly by the diversity of Humors seeing it alwaies agrees to them nor ever varies into whatsoever body it happen partly because of a peculiar Quality they have which ought either to be ascribed to celestial Causes or it arises from a peculiar corruption 2 It comes either just at one and the same time or by reason of some external causes which move the Humors it anticipates or the Humors being diminished it comes later Also the fits are either short if the matter be little or thin the bodies constitution not close compact the Patients strength Vigorous or long if the premises be contrarily disposed The next Cause is a putrid Vapor arising from an Humor and assailing the Heart Touching the humor three things are to be observed 1. That it is a Putrid Humor which appears by the Urine which has in it signs of putrefaction Nevertheless it does not All putrifie at once in the first Paroxysme but only a Part which is disposed to putrifaction the rest in the following fits til al be consumed 2. That the Hearth and Tinder as it were and place of the said Humor as wel out of the fit as in it is the Mesarick Veins Which appeares both by the stomach sickness Vomiting stretching and pain of the Hypochondria c. With which the Patient is troubled and also by the frequent Vomitings of Choler in very great quantity at the beginning of these feavers which could not be evacuated in such a manner from the remote Veins likewise because the approach of the fit is collected by the compression of the pulses at the beginning of the fit which the Greeks terme Episemasia and the matter is purged out by Urine 3. That the said Humor is ever and anon transferred into the Vena Cava and the Artery The truth is Crudity and Coction are observed in Agues or intermitting feavers as wel as in the continual At first the Humors are moved from the Circumference unto the Center And seeing the branches of Vena Porta are inserted into the substance of the Liver and their mouths communion with the Vena Cava and the Arteries proceeding from the heart are in the Stomach Guts Spleen and elsewhere joyned to the mesaraick Vessels the waies by which these Humors may be carryed thither are evident enough The CURE of intermitting feavers or Agues is Performed 1. By Removing the Debility consisting in the part by altering Medicines 2. By Withdrawing the Putrid Defilement with Purges Blood-letting if blood abound in Vena Cava and be corrupted by Vitious Humors By Sudorificks which are of greatest force in this Cure Precipitating Medicaments are commended at first as Crollius his pouder of snails shels pouder of mother of pearle calcined four scruples and the Magistery of Crabs eyes Externally are applied Cobwebs and Populeon Ointment the fish we cal a Tench bound to the soles of the feet c. Article I. Of a tertian Intermitting feaver or tertian Ague An Intermittent feaver specially considered is either a Tertian or a Quotidian or a Quartan Howbeit there are Quintans Septans Octans Nonans But those modes of Agueâ—â— are seldom seen and are but certain sortes of the simpler Modes aforesaid only a fit Two or three happen to be omitted So a Qintan is a sort of tertian in which the third day is without accession An Intermiting tertian Feaver or tertian Ague is a feaver springing from excrementitious cholor putrifting in the mesaraick veins afflicting every third day with a cold shaking fit which is followed with a hot fit and other symptoms Its SIGNES are Paroxysme or fit which seazes the patient every other day with a shaking cold The shaking cold being over much Heat arises the pulse is at the first begining of the fit smal slow afterward frequent The Vrin reddish c. The CAUSE is a Cholerick filth in the mesaraick veins either alone or mixed with other humors and putrifting Springing from meats apt to be corrupted or others fit to generate the same and sending putrid vapours to the Heart The CURE is performed 1. By Evacuation of the first waies with lenitive medicaments or clysters 2. By Vomit if the matter tend to the stomach and
soon after grow cold Another in which the Putrefaction is remiss and the Malignity Vehement Then the Feaver is gentle and the Heart exceedingly hurt It kils the Patient while the Patient and Physician are secure of any danger III. One sort is beleeved to be an Ephemera another Humoral another Hectick But because the spirits are not only heated but also corrupted because the heart is not only affected in its temper but vitiated in its substance no Pestilential Feavers can be either Ephemera's or Hectick Howbeit because some difference appeares among them and now the heart it self at another time the spirits and another while the Humors are most affected by reason of the similitude it has with others properly so called it may receive such a Denomination A Single Chapter Of the Pestilence THe Pestilence is a Contagious Disease of the Heart bred of a Venemous and Contagious matter Suddainly and mortally afflicting al the Actions of the Heart with an Heap of al kind of Symptomes It is a Disease and that 1. Epidemick because of the common Cause and of the infection 2. Joyned with Putrefaction so as not to be judged of cheifly thereby for so a Pothists shal be more pestilent in putrid Feavers there should not be more heat than in the Venemous sort Antidotes were needless nor does it alwaies cause a feaver as appears by many instances 3. Venemous because it oppresses al the vital faculties and suddenly kils The SIGNES are either of it when coming as ' its being in neighboring places the proceding of such things as may infect the air such as filchy vapors issuing from the earth corruption of fruits Effectes of the aire enclining to corruption as are great abundance of toad-stools withering of plants multitude of Insects frighting of the Cattle mustiness and clamines of bread exposed to the nights Air soon stinking of flesh plenty of smal poxe and measels c. Or present a suspition whereof is when very many that are taken sick die if it creep from one sick person to another If the patients be suddenly extreamly weakned If Bubo's and carbuncles appear in a place the aire being infected If the spots called plage tokens be seen upon the dead bodies The CAUSE of the pestilence is a venemous contagious matter This proceeds I. From the Aire which is sometimes prepared to receive the pestelence by mutation of the first Qualities somtimes 't is corrupted without any mutation either by permission of sundry exhalations breaking forth of the earth and waters especially when Saturn passes through the signes of Aries Capricorn and sagitrius being after an accute manner and totally adverse to the Heart or by some hidden aspect or Influxe of the stars II. From Bad Diet where the saltiness of the Humors the sooner shewes it selfe if som occasion happen from the Aire III. From the witchcrafts of Necromancers living and infecting and of dead witches which are laide in their graves before their Heads are seperatted from their shoulders IV. From imagination and Terror which agitate the humors in the body stir up the pestilential seminary and plant it deep in the heart Touching the Contagion we have spoke in the first Book The Physitions Care respects three things Preservation cure and Removal of Symptoms As for the point of preservation I. The Causes which infer the pestilence must be removed II. The Bodies must be made less apt to receive the pestilence Let therefore the body be purged thrice a week with pil ruffi a scruple Let not the body be weakened by Blood-letting Let Meat be used of excellent Juyce sawsed with antidotes An Yssue may sometimes be made to give the Humors scope The Air must be kept pure with fier and perfumes Let the nostrils be nostrils be smeared with vinegar oyl of scorpions c. Leâ— Amulets be hanged about the neck of quick silver inclosed in a out-shel Arsnick c. Nor let any thing be mingled with the Arsnick to abate ' its Vertue Nor let these amulets be heated by motion least they penetrate through the pores into the Body Amongst Antidotes Treackle is comended Electuary de Ono Elixir proprietatis Bezoar stone Salt of vine branches and of Millefoile Extractum Junipernium c. Let Hot medicaments be tempered and first macerated in vinegar The CURE is absolved I. By Blood-letting which must be perforemed after the taking of an antidot if there be so much plenty of blood that a putrid feaver is feared in any side if there be no piane if there be on the Arme of that side where the pain is unless a Carbuncle shal cause great paine and inflamation in the space of twenty soure Houers II. By purgation after an antidote has bin given if il humors give suspition of a seaver to follow if the pestilence have risen from an inward corruption of Humors III By giving Sudorificks and Alexipharmaca among simples the Hereinian Vnicorne is commended The blood of a Rhinocerote five drops given in sorrel water A bit of his hide boyled in water of sorrel in which red hot-gold must be quenched The juyce of the Pap of the Brasiliah fruit called Muracujao Hasu The Berry of Molâ—â—â—â— poudered to the quantity of five graines in rose or sorel water The juyce of Galega or Ruta Capraria the quantity of three ounces c. Of compounds the syrup Melissa Fernelii Septalius his syrup or succo Galegae Quidiny of elder berries with Treakel Vinegar Crollius his Elixir pestilential Diascordium three drams especially in women with child and in children Pouder of smaragd stone prepared Bezar stone of each eight grains Hiacinth praepared three grains see Sennertus of Feavers towards the End In the Vse of these things observe Hot antidotes like treacle must be tempered with such as are of a colder nature That treacle and Methridate and other stronger medicaments must not be given to women with child nor to children Such as have weakness in their stomach and Head must abstaine from Camphorat Medicaments Some Medicament is to be given or other thrice every four and twenty houers At first the medicaments must be very often changed least nature growing accustomed come not to be moved thereby Waters Spirits and such other things as wil most easily penetrate must be given principally The patient must abstaine from sleep til he or shee have under gone two sweats While the sweating lasts refresh the Patient with the Juyce of Citrons Carduus water c. The sweat being finished cold Air must be avoided and the sick refreshed with meat Symptomes of the Pestilence are the Bubo the Carbuncle the Burning Feaver The Bubo imports less dnager if it be great and eminent if it breaks out at first and in the groins It is more deadly if it be lead colored and black If it lie lurking under the Skin If it breaks forth beneath the Neck or under the armpits on the third or fourth day Most dangeour if it vanish and leave the Patient weak When it
new wine commonly called musty which even as it were Suffocate and Choak the sick person And then in this case the patients are to be exposed into a free and wholsom Air. The vapours are to be discussed with aqua vitae mingled with treacle and then a vomit or sternutation is to be excited Or else by the Compression of the Skul from some blow And then in this case the standers by and the Patient himself are to be advised withal The brain is to be elevated or lifted up as we shal shew further when we come to treat of a fracture Or else it may proceed from the compression or defect of the Sutures which can no way be corrected or lastly it may have its rise from the Humors and Vapors by their Obstruction which said Humors c. are to be discussed by Fomentations II. Another difference ariseth from Internal Causes to wit I. From Blood either poured forth without their Vessels and so obstructing the Meander-like winding passages thereof or otherwise so distending the Vessels that of necessity the passages must be compressed And then for the most part a Plethory is present and joyned therewithal and the blood oftentimes breaks forth by the Mouth and Nostrils unless this be done it hasteneth on an inflamation c. by its putrefaction and rottenness It is to be Evacuated and drawn back by blood-letting and Cupping-Glasses and then it is to be derived by opening the forehead or the Tongue Vein II. From Flegm that is clammy and thick elther compressing the basis of the Brain or else obstructing the original of the nerves so shutting up and imprisoning the Animal spirits Then some Causes generating Flegm heaviness of the Head dimness or darkness of the Eyes the suppression of the wonted Evacuation of â—legm by the Nostrils and Jaws went before unless this be timely and speedily Evacuated it causeth unavoidably the Palsy c. The Cure is to be begun and proceeded in after the same manner that we shewed before in the Pituitous or Flegmatick distemper III. From Vapors that proceed either from more than ordinary food taken in or else such as is excessively vaporous and windy from which the sick person must now carefully abstain or otherwise from Humors that stick fast in the lower parts which are to be Evacuated Or else in the beginning of Feavers where there is special regard to be had unto the quality and Nature of them and then accordingly the said Humors are to be drawn back and depressed IV. From a Tumor which is hardly ever discovered while the sick person is alive neither is it by any means curable Chap. 4. Of the Commotion of the Brain THe commotion of the Brain is a removal of the same from its natural place by reason of some External and violent causes The Subject of this distemper is the brain but more especially according unto the superior parts thereof The Signs hereof are a sudden Consternation of the sick insomuch that they become as it were altogether dumb speechless and like wise altogether deprived of motion only they open their Eyes The CAUSE is either some violent blow or dangerous fal or the extream and over-long noise of Guns and Thunder-Claps which either only disturb the spirits for the present or else they cause a fracture of the skul The CURE is accomplished I. both by the Revulsion of the Blood by opening a Vein that so it may no longer too abundantly flow thereunto as also by Repulsion or driving of it back again evermore avoiding such things as are dry astringent lest that the pores should be obstructed and the very breathing intercepted II. by Evacuation of the blood if any of it be shed forth by opening a Vein as wel that we cal Puppis that is above the Lambdoid suture as that other which is under the Tongue III. by Discussion and that at the first joyned together with Repulsion but afterward used alone by those Medicaments that heat and moisten It is divided into that which more Moderate and gentle and that that is more grievous The Lighter and gentler of it is that in which the Animal vertue is only with violence drawn back into the brain there followeth no rupture of the Vessels And then there happeneth only a kind of drowsiness or sleepiness and this likewise not over profound The more grievous Species hereof is that in which also the parts of the brain are removed from their Natural Scituation the passages are smitten and the vessels broken Then there chanceth an Aphony or loss of speech Elood is plentifully poured forth by the mouth and Nostrils Vomits like wise by the consent of the Stomach infest and exceedingly afflict the Patient And after this the matter becoming putrid and rotten there ariseth a Feaver a dotage a Sphacelus of the brain c. And the matter being thrust down unto the Nerves other dangerous Symptomes follow thereupon Chap. 5. Of the Inflamation of the Brain THe Inflamation of the brain is a swelling thereof proceeding from blood poured forth out of the Vessels into the void spaces of that part and there putrefying The SIGNS are an acute and continual Feaver which from third day to third day is exasperated a perpetual doting which began sensibly or gradually and by little and little a red kind of color and deformity of the Face and Eyes the Membranes being dryed up by the burning heat Salt and sharp tears the Excrementitious moisture flowing downward as it were of its owns accord by reason of the weakness of the part a swift and quick Pulse c. The CAUSE is blood falling out the Vessels and there putrefying the transpiration there of being intercepted It is Poured or emptyed forth either by reason of its store and over great abundance or else by reason of its thinness and acrimony those things likewise helping forward and furthering the same which either carry the blood to the Head or else at leastwise violently move and stir the same and such are the heat of the Air pain striking a wound wrath c. There is but very little or rather No hope at al of the Cure hereof if a Convulsion follow upon it if the Urin be white and extraordinary clear because then the choler is forcibly drawn up into the Head if a doting being at the first present there follow thereupon gnashing and grating together of the Teeth by reason of the Convulsion of the Muscles in the temples and Jaws if it tend to a suppuration in regard that the Pus or filthy Corrupt matter cannot possibly be evacuated within or betwixt the Skul and the Membrane There may be some hopes if on the critical day store of blood flow forth at the Nostrils if there be much and that hot sweat from the Head and if after the heighth of the disease there be an Evacuation of abundance of yellow choler by the belly There is but smal hope of a Cure if many of the
Functions be hurt and empaired if there be a trembling of the Tongue if a kind of cold stiffness infest and invade the Patient after he hath voided downwards white Excrements if there appear to fal from the Nostrils a black drop and that such is sincere or bright in regard that it proceeds from a very vehement adustion and lastly if they scrape together Straws c. It is Performed if at al I. by Revulsion or drawing back of that Humor that floweth in either by opening of the Cephalick Vein or else 1. Of al the Median or middle Vein if there be present great store of the Humor but yet not unto fainting or swooning away or otherwise by Cupping-Glasses with a profound and deep Scarification in the parts both above and beneath or else by some other kinds of Revulsions 2. By Repulsion or driving back by the frequent use of Repellers unless the matter tend towards and as far as the skin of the Head or else by the applying unto the head being close shaven Remedies a little warm tempered and qualified with Vinegar that is not over strong if there be not present either an internal or an External heat or if there be any such heat then by Medicaments that are cold 3. by Interception by the rolling of swath bands about the Neck 4. by a gentle Purgation II. by Evacuation of the Humor that is already flown in and this must be performed by opening the Veins of the Head those of the Nostrils those under the Tongue and the Aplication of Vesicatories and a Cupping-Glass unto the fore part of the Head By Discussion through the use of Medicaments made up of discussives the Alabastrine unguent III. by a Diet in the which emptiness and over long fasting must be avoyded as pernitions and extream hurtful c. It is divided after a Threefold manner I. The first species in the division is that which Precedes a Feaver in which we are allowed to purge while the feaver is absent more especially if there be present an extraordinary cacochimy cupping-glasses are to be imposed applyed unto the very top of the crown with scarification following therupon Another kind thereof followeth the Feaver in which likewise we may purge with those Medicaments that are gentle and moderate especially if the turgency or heightening of the Matter require it II. Another sort thereof ariseth rather from blood than Cholor in which a greater quantity and portion of the blood is to draw forth by opening of a Vein but then there is likewise another which proceedeth from Choler rather than from blood in which we ought rather to purge than use any other means III. Another is an Inflamation of the Membranes of the Brian unto which the signs before alleadged do very fitly agree Another there is of the substance of the Brain it self in which there is at the first a pain seizing the Head which by the hinder part thereof penetrates even unto the very nook of the Neck In this distemper the sick persons do not dote but yet notwithstanding they lose both their external and internal senses they likewise speak very little or not at al c. Chap. 6. Of the Tumor Hydrocephalus in the Head HYdrocephalus is a swelling of the Head arising from the collection of some serous or wheyish Humor in some one part or other of the Members that constitute the Head There is in this distemper no need at al of SIGNS for the disease may be sufficiently known by the very sight of the party It is rather the disease of Infants than of persons of years and strength The CAUSE is a Humor that is waterish wheyie and somtime dreggy yea moreover also bloody The CURE is exceeding doubtful as wel because the distemper is in a Noble part as likewise because the subject part is very tender as also in regard that an Apoplexy or a Lethargy do easily soon seize upon the party But the cure if there be any is to be Performed I. By drawing forth the Water with Hydragogues sweats Urine Medicaments that insensibly discuss and dry and by opening the part affected II. By Reducing of the Brain unto its pristine temperament by hot Cephalick Remedies The Difference is taken from the Scituatiof the Humor For one kind hereof is from a water sticking between the Skin and the Pericranium and then the Tumor is soft transparent by candle light or the light of the Sun as also it being void of pain yieldeth unto the touch and immediatly ariseth up again being pressed together it exhibites a motion of a fluctuating water It yeeldeth more easily unto the Medicaments that are prescribed and may be wholly taken away be the alone opening and cutting thereof There is another Species or kind thereof proceeding from a water as aforesaid consisting and residing between the Pericranium and the Cranium or Skul Then a pain affecteth the party and in this case a two-fold Section or cutting part affected is to be administred Another kind hereof there is from a water as above said gathered together betwixt the Cranium or Skul and the Membranes Then the swelling is not so soft as usually but the pain is far greater and the forehead is born out forward more than usually and likewise also the Disease is almost 〈◊〉 not altogether incurable Chap. 7. Of the Contusion or Bruising of the Head A Contusion of the Head is a smiting or knocking together of the same the external part thereof mean while for the most part appearing sound and entire by somthing that is weighty hard obtuse and blunt The SIGNS are manifested by those things that went before the blood is poured forth out of the Veins and there is an excited soft Tumor or swelling black and blewish and yet without any great or much pain The CAUSE is expressed in the definition The Skin being for the greatest part whol and unhurt there are notwithstanding smal Veins opened under the same The CURE is in such manner to be instituted that I. The great afflux or flowing to of the Humors may be prohibited and that by blood-letting if the Contusion be greater than ordinary as also by laying to and applying repellers and astringents which are often to be removed and changed lest that they become overhot The hair of the Head being close shaved off the place is then to be anointed with the Oyl of Roses about the time of the pains mitigation II. Let the Blood that is poured forth under the skin be Evacuated by the insensible Application of a betony plaister the Cerot or searcloth of Vigo that of simple or red Lead or de minio de Matris ilva de quatia dei c. III. The Suppuration if it may not be impeded is to be helped on furthered by Triapharmacon which is compounded of one part of sweet Oyl two parts of common water wheaten Meal as much as wil suffice unto al which the Yolk of an Egg is to be added
IV. The matter being converted into Pus or matter a Section being made in a sloping place is so to be extracted drawn forth It is divided in a Threefold manner I. One is wth a wound of the skin of which we shal speak further in the following Chapter Another is without any such wound of which we now speak in this place II. Another is in which the Muscles of the Temples are bruised together Then doting a Palsie Convulsion fits and death follow thereupon A Section or opening ought to be instituted in some neer place that so the â—uscles moving the Head may escape unhurt Another difference there is in which the aforesaid Muscles are not Confused or bruised together III. There is one Species or kind thereof in men grown and of perfect Age of which those things that have been before spoken are to be taken and understood Another there is of Children and such as are young and tender in which 1. The Head being shaven or at least Polled with a pair of Sizers a Linnen cloth throughly wetted in the white of an Egg Vinegar and Rose water is to be imposed and laid on and then binding it about for the space of one whol natural day the outward linnen cloth is to be moystened as abovesaid 2. The day following the Cataplasme called Benedictum is to be applied and so to be continued on until the ninth day 3. After the eleventh day the Emplaster Diapalma Galeni which is likewise to be shifted and changed the third day 4. After the twentyeth day the Emplaster called Barbarum 5. If it proceed from Child bearing the Emplaster Diaphaenicinum made of Roses c. doth excellently discuss Chap 8. Of the Wounds of the Head Article I. Of the Wound of the Skin and the Pericranium THe Wounds of the Head are in a threefold difference For either they reach unto the Skin alone and the Pericranium the Cranium or Skul Remayning untouched or else they reach the Skul without touching the Membranes or else lastly they attain unto and reach even the very Membranes themselves The Wound of the Skin the Cranium mean while remayning unhurt is to wit when the Skin alone the fleshy pannicle the Muscles or even also the Pericranium is wounded As for what concerneth the SIGNS the wound is either apparent unto the very view and sight or at least it may easily be discovered with the Chirurgeons instrument termed the probe The CAUSE in regard that it is evident and manifest there is no need that we should speak any thing more thereof The CURE is various according to the variety of the differences of the distemper It is divided into a wound with a Contusion and without a Contusion In a Wound with a Contusion or bruising together 1. It is to be moystened and mollifyed in such a manner that the natural heat of the part debilitated and weakened by the contusion the external Air by medicaments may be together cherished 2. In the very beginning we must act and operate with Ripe Oyl of Roses mingled wel together with the Yolk of an Egg in bodies soft and fluid but in bodies hard to be wrought upon with the Rosin of the Larix or Larch tree 3. Turpentine is very excellent and sovereign for al wounds especially of the Nervous or sinewy parts 4. About the seventh day the Pus or filthy purulent matter doth more apparently shew it self 5. If it be from the biting of a wilde beast then the Lips of the wound ought to be scarified and the rotten nasty corruption must be drawn away by blood-suckers or leeches and then the ulcer is to be throughly washed with appropriate Medicaments In a wound without contusion 1. the internal cause viz. The hot and painful dyscrasy of the part is to be removed by anointing the same with unguent of Allabaster roses c. 2. If the gaping lips of the wound cannot be close Joyned together with binding only then the suture whether bloody or dry must be brought unto the touch but some kinde of digestive medicament is to be imposed upon the wound neither is this notwithstanding very easily done and that by reason of the pericranium which within adheres closly unto the Cranium or skul and by the sutures is knit and joyned together with the internal membranes 3. The skul being made bare and naked by shaving which is done that so a fit matter for the generating of flesh may be supplied neither yet is without much difficulty to be effected there are no unguents or oyntments to be laid on but medicaments both actually and vertually dry together with drying liniments and of a bone-like temperament are to be applied But see more of this in the practical Physitians Article II. Of the wound or fracture of the Cranium or skul The wound or fracture of the skull is a continual solution in the same caused by some external violence and force and yet such as reacheth not neither attaineth unto the membranes of the brain The SIGNS are taken as wel from the concourse of the symptoms that follow it as for instance a vomiting of Choller a flux of blood by the nostrils and ears a fal a noise of a broken bone c. as from the nature and condition of the blow where regard is to be had unto the striker or that which giveth the blow unto the condition of the head receiveing the blowor stroke and the disposition of the instrument as also it is discovered by the chyrurgions probe which ought to be neither too sharp nor over thick by ink and by shaving thereof c. The CAUSES are evident dissolving and loosening continuity in the Cranium or skul The CURE is not to be hoped for for Cure there is none if after the seventh day a caver come to appear because it is a certain signe and token of putrefaction and rottenness in the brain or if the wound become withered dry purulent and black The cure is very doubtful if instantly the patients strength and spirits fail him especially if the Party be old because then his heat is by much weaker and the blood serous or wheyish if the head be prone and subject unto distillations and the tumors called Erisipelas if the symptoms that soon began to appear and shew themselves on the fourth or seventh day stil continue and rather increase than otherwise The Cure is a work of great pains and difficulty if it be to be attempted in the summer time in regard of a fear we are to have of an inflamation iminent and very nigh at hand if it be in a moist Climate or country because the brain is very easily offended by cold and moist things if it happen at the ful of the moon by reason of the abundance of humors more at that time than other if the wound be very nigh unto the brain if it be in the fore part of the head and the middle of the brain because that the brain being a
in this case Venesection is not reputed to have any place at al. Another there is from internals to wit either an hereditary constitution which indeed ought not over hastily and rashly to be tampered withal or else from either a cold and dry or a hot and dry constitution and disposition of the Liver and spleen in the which upon the cessation of the burning Cause the heat likewise ceaseth to be and the thicker parts that are cold and dry are left to remain behind And then either it is with blood from whence proceeds a doting with laughter or else with flegm from whence happeneth a dul sloathfulness and oblivion or with yellow choller from whence procedeth anger c. In the Cure a regard is likwise to be had unto the nature quality and condition of the Causes III. Another is of the Heart when the vital spirits that are bred by reason of a cold and dry distemper are cold dry and of an impure nature The Cure differeth nothing from the former IIII. Another is Hypocondriacal when a melancholly humor that is sometimes cold and serous or wheyish or else oftentimes that which is adust and burnt in the branches of the Porta vein is gathered together in the hypochondria and so from time to time by those black melancholly vapours that are continually sent forth poluteth and defileth the Animal Spirits in the Brain It is known by this that it seizeth the party by intervals and at some certain seasons and most commonly in its access and approach it surpriseth the party suddenly and without any notice given but sometimes again and that likwise very frequently it first of al couseth ructures windy belchings together with a pain diffending and streatching forth the stomach and then by and by it introduceth great anxiety of mind difficulty of breathing the palpitation of the heart the immovableness of the tongue and at length a mist and darkness before the Eyes a tingling and as it were ringing noise in the Ears and lastly a stupidity and benummedness in either or both of the Arms. It ariseth from a feculent and dreggy Vapor that being collected and gotten together in the Hypochondria from a Melancholy humor flowing from the Antipraxy as we so term it or renitency of the Spleen Liver and Stomach and then tending upwards toward the superior parts and forcibly rushing in upon the members it produceth and brings in the aforesaid Symptomes and being transmitted and sent into the brain either by the Orifice of the stomach or else by the branches of the Vena Cava or hollow vein it there cloudeth and darkeneth the spirits For the Cure hereof see more in the Hypochondriacal affection V. Another is that we cal Vterine from the Womb which is easily Discovered by this that the sick complain of a pain in their left side and a manifest pulse and beating in the back parts neer about the Diaphragm It ariseth also from a Vapor proceeding either from the suppression of the Courses or else from some putridness in the seed For the Cure see in its proper place VI. Another is that we term Erotick as proceeding from love which is either contracted from Philtres or Love potions and then there must be given 1. Vomitories of the Root of Asarum together with Bezoarticks Aqua Benedicta Rulandi 2. Sudorificks as for instance Treacle water Diaphoriticum in acute distempers the Appropriate remedy is the Secundine powder touching which see more in Hartman Or else from a Venereal lustful appetite an over great abundance of the seed then in this case we are to deal with those things that allay and qualifie the Veneral heat and extinguish or at least diminish the seed See more of this Nature in Ferrandus in his peculiar tract VI. Another is that we cal Errabunda which most an end useth to infest the Patient in the Month of February In this case the sick persons abound are even overspread with Ulcers in their thighs neither can they possibly for an hour together take their rest in any one place Article V. Of madness Madness is a continual motion of the mind with an unwonted boldness and Fierceness yet without a feaver arising from a fiery heat of the Spirits The part affected is the Brain the memory for the most part being stil preserved and kept intire and the Heart which is as it were collected and straightened by the over vehement passions and affections and a dayly and perpetual enduring of the winters cold the heart too copiously diffusing the natural heat The SIGNES are Fierceness and so it is distinguished from melancholy the want of a Symptomatically feaver in regard that there is here no putrefaction and by this it is distinguished from a Phrensie Unto the signs aforesaid there are likewise often-times added extream and over watchings for want of rest and divers other signes that are likewise common to a deliry or dotage The CAUSE is the exceeding great and boyling heat of the Spirits unto the which it is apparent that of necessity there ought to be conjoyned an occult secret and more potent cause from the enormity and long continuance of the symptoms But now from whence this extraordinary heat hath its original shal be discovered when we come to speak of the differences The CURE is difficult because that the affect is of a long continuance as wel by reason of the cause which is most pertinacious and hath in it as it were the nature and quality of Leven as also in regard of the sick persons who wil by no means yeild obedience unto what is enjoyned But there is good hope of a cure if the courses and hemorroides flow forth if the Belly be loose and solluble if the symptoms be gentle and moderate if there be a plentiful flux of the blood out of the nostrils out of the greater crooked and wreathed veins of the hips thighs c. the Practitioners term them varices and out of the womb if there sweats present and lastly if the distemper be turned into a kind of silent decipience or as we say playing the simple one It is to be performed 1. by an opposite diet in which the Patient must carefully avoid the drinking of wine but by al means sleep is to be procured and the sick calmed and delighted with musick 2. By the removal of their causes that induce and generate the excessive heat of which we shal speak further in the differences 3 by a mitigation of the symptoms and more especially the extream and over long watchings The differences are taken from the Causes that introduce excessive heat into the spirits I. One is from Causes external as for instance the extraordinary heat of the dog-days vehement and exorbitant wrathfulness drinking of hot and strong wines Night-shade the brains of a cat and of a weasel wine turned by lightening Philters or love potions the eating of dogs and wolves the curing of fistulaes and old ulcers al which may be
sufficiently known from the relation both of the Patient and the by-standers Another from Causes internal of which more in the second difference II. Another is from adust or burnt blood which is known by the signs and tokens of Plethory rednes of the eyes by playing or toying singing and excessve dancing c. It ariseth sometimes from a hot distemper of the liver and sometimes from the suppression of the courses and of the hemorrohides The Cure is to be accomplished by venesection or opening of a vein in the mean time not neglecting those distempers and diseases by which it is caused Another is from black choler accompanyed and attended with a certain accuce and secret property which is known by this in that it is perpetual if it be once lodged and hath taken up its residence in al the veins or else at least in those that are next unto the principal members if the dorage be accompanied with raging if the strength of the sick be extreamly impayred and weakened and in a manner dissolved by long continued watchings if there be withal present a raging and mad desire and endeavour to bite and tear c. It ariseth sometimes from an exâ—ream hot spleen yeilding and pouring forth abundance of black choller It is to be cured 1. by letting blood as wel by the opening of the left arme vein and likewise thesalvatella vein this letting out of the blood must be in the greater quanity if the blood be blacker than ordinary but then it ought to be more sparing if it be of somewhat a reddish hiew as by the opening of the hemorrhoid and those obtorted and wreathed veins called Varices if at least they apear but the forehead vein if the mallady be refractory and obstinate 2. By preparing the peccant humor by coolling and moistening cephalicks For this end and purpose there is much commended the oyl of champhire one ounce the oyl of musk in weight one dram and mingled wel together and so administred the quantity of halfe a dram at once for a dose the decoction of that pimpernel that hath a purple flower 3. by the eduction or drawing forth of the said humor by melanagogues we are to understand hereby medicaments having in them a vertue and property to draw forth blak choler or melancholly more especially the stone called Lapis lazuli and honey helleborat of which last Petraeus hath written at large in his Nosology or treatise of diseales 4 By strengthening the heart and brain with the confection Alkermes and de hyacintho 5. By the use of topical remedies in the classiâ— and number of which Cauteries applied unto the coronal suture have their due and proper place opening of the cranium on skul with the trepan a Lee made with Laurel berries and roots of the true black Hellebor with which while it is yet a little warme the head ought to be washed c. Those remedies that are specifical are Liquor of mans blood with the extract of Lapis Lazuli Saturaine Crystal administred with the greatest caution that may be the blood of an asse taken out of the veins behind the Ears of which Hartman hath written sufficiently c. see Likewise hereof Rulandus in his medicinal Cures III. Another is that which is such Essentially unto the which al those things before mentioned may be atributed IIII. Another is by Consent especially of the womb from whence that kind of fury that we cal utrine hath its original and denomination of which more in its proper place Article VI. Of Rabies or raging Madness Raging madness is a deliry or doting produced from some certain peculiar poyson bread in any living creature and communicated unto a man with a strong and vehement abhorring of al things that are liquid but more especially water The Animals or living Creatuers aforesaid that communicate this poyson unto man are the wolfe the cat and the dog and cheifly this last The SIGNES are in the begining thereof anger soon moved and a continual inclynation thereunto a complaning of the Air as if it were Southerly and moist little or no desire to drink a great desire to have candles lighted up in the day time and lastly a vertigo lightness giddiness or swimming of the head The signs of this distemper confirmed are these a distension of the members but this is not continual foaming or froathing at the mouth frowning fierce looks spitting and spawling upon those that are nigh a barking like as of dogs an abhorring of and flying from water by reason of a singular and peculiar antipathy and dislike from whence this affect is termed and that not improperly the Hydrophoby The CAUSE is poyson that is generated in a living creature from som peculiar inclination it hath and then comunicated unto man by breathing upon him kissing spitland biting In some it is generated if we may beleive Donatus from an extream terror and in others from touching the dog-tree which they cal Cornus or by the touch of bloodwort or else the Sorb or service tree But now this deliry is produced in some persons sooner within twenty dayes at the utmost but in others more slowly yea even the twelfhth year after And this commeth to pass either by reason of the variety of the part that is bitten for some of them are more noble others againe are less noble or else by means of the diet that is used which possibly may much weaken and abate the strength of the poyson or by reason of the diversity of patients or else last of al from the difference and Dissimilitude of Countries times and seasons There may be some good hope of a CURE if the wound or hurt reacheth not unto any nerve vein or Arterie and if it be not very deep But there is smal or no hope if there be present a fear of water and if sighing or sobbing happen thereupon But if there be any cure it then consisteth I. in preservation lest that the poyson penetrate into the body and there occure and take place 1. A Ligature upon the part afflicted but if the part wil not wel endure it then a laying upon it those things that have in them either an intercepting or astringent quallity 2. Cupping-glasses with good store of flame and with scarification if the wound be little but without if the hurt be great and the wound large 3. Enlarging and widening the part if the wound be over narrow that so the poyson may the better flow from the part affected 4. Attraction by Medicaments that are vehemently attractive and drawing or else by actual Cauteries II. The Cure consisteth in that way and Method of Curing that is properly so called where those Remedies that have their place are 1. Purgation by Hellebor 2. Appropriate Sudorificks but cheifly the simple or single Mixture 3. The strongest sort of Vesicatories we mean here by al such Remedies as raise and cause Blysters 4. Antidotes and these are to be administred and given in a
II. Another is from Replexion which dilateth the breadth of the Nerves and diminisheth the Longitude thereof It is known by the foregoing of the Causes a sudden invasion and surprisal without any evident and manifest Cause and exhasting together with a Flegmatick habit and temperament It ariseth I. From the Afflux of a Pituitous and Flegmatick humor into the Nerves according to their Tunicles or little Cotes and as they are essential constituting parts of the Muscles and instruments of the motive operaation Then there went before it such a like kind of Diet and the monthly Courses Hemorrhoides or other wonted Evacuations are suppressed In the Cure 1. We must attenuate and Cut the peccant matter by a timely administring of a Clyster In the next place those things that are highly commended and approved of are the Treacle of Andramachus the Water or the spirit of Juniper and the Balsam of Quercetan 2. We ought to Evacuate oftentimes with the milder and gentler sort of Medicaments the stronger sort of them pour out and quite expel the matter 3. A Revulsion must be made by frictions Gargarisms Cupping-Glasses c. 4. A Discussion of the offending matter must be wrought with the Oyl of Castor of Euphorbium Turpentine distilled the Oyl of Nutmeggs and the Hot Baths of Sulphur 5. In the Diet that is used there must be no kind of Wine drunk II. It proceedeth from an Inflamation of the Nervous parts and then there is present a Plethory a fal or a blow or something else that was violent long continued and acute pains in the Nervous parts vehement anger and passions of the mind c. had their precedence The afflux of blood hotter than ordinary is in great part the Cause hereof The Cure is to be directed and to look towards the Inflamation III. From extream windinesses and then the Causes thereof went before and it soon passeth away is gone To Discuss Vervein and Mother-wort imposed upon the Neck are very available 4. It happeneth from the wounding or pricking of a Nerve whether the said wound and hurt be simple or poysonous but of this kind of spasm we have treated before in the second Book Another is from Inanition or extream emptiness in which the Nerves are rendered and made shorter by reason of the exsiccation and sudden drying up of the Native Rudical Humidity It is known from hence that it maketh its approach sensibly and by degrees with a diminution of the member It ariseth from Causes that do either excessively evacuate such as are frequent and much bleeding at the Nose sweats and purgations with Hellebore or else they vehemently heat and dry up the radical Moysture and such are Inflamations watchings hard labor and over working the drinking of much wine immoderate and excessive venery a long lasting pain the Hectick Feaver and lastly Cauteries or Vesicatories over frequently applied unto the Nervous parts It is to be Cured 1. By a moystening Diet. 2. By Medicaments that are Analeptical or restorative and moystening and such are the unguents de Ansere Cata assatis that is to say of a Goose and a Cattrosted and baths made of Oyl the fattening water of Ferdinand in his third Book and the Chapter touching an Hectick Feaver made of swines Blood Morsels of the Flesh of the Tortoise or of Craw-fish The Magisterial of Hyacinth is specifical Another is that we cal Phusodes which hath its original from a gross and thick spirit or Vapor excited by Crudities that filleth out the spaces of the Muscles and distendeth them with a grievons pain It endureth so long as until the Muscle be relaxed it is quite removed and taken away by frictions and rubbing and chasing of the parts affected or else by annoynting it with Treacle or Juniper water Another is Illegitimate as we term it which proceedeth from the exstimulation goading as I may so say and pricking forward of the Nervous parts by some painful affect but yet without a perpetual extension and stretching forth of the said parts for the most part it happeneth by consent of the Orifice of the Stomach or of the Womb. The aforesaid grievous and painful affect is either from some distemper or else from the solution of continuity Chap 7. Of those Symptomes that hurt the Internal senses the Reason and Motion together with the External Senses Article I. Of Incubus or the Night-Hag and Catalepsis THe Symptoms that hurt the Internal senses the Reason and motion together with the senses External are Incubus or the Night-Mare as we usually term it Catalepsis we commonly cal it a Taking the Epilepsie or falling sickness Carus and the Apoplexy Incubus the Night-haggs is an interception of the motion especially that of breathing and the Voice with a false and Erroneous dream of some heavy and weighty thing lying along upon the Breast and thereby causing a suffocation as it were and choaking of the Party by means of the impeding and hindering the free penetration of the spirit the Passages being obstructed and stopt unto the Nerves The part affected is the Brain espeacially in the hinder part thereof by which the passage reacheth and attaineth unto the beginning of the spinal Marrow The Diaphragm is likewise compressed and kept down The SIGNS are a heaviness and immovableness of the body and cheifly the Chest or Breast a slow and dul sense and imagination and conceit of a suffocation especially in the first beginning of sleep the party lying upon the back and as it were an oppression and keeping down by somwhat lying heavy upon it insomuch that the Patient can by no means distinctly cal and cry out but only make a confused and unintelligible Noise The alone interception of breathing and the voice is brought and offered unto the imagination in regard that the motion of the breast alone is mainly and principally necessary in the time of sleep The CAUSE is an interception of the Animal spirits arising from a light Obstruction of the Ventricles of the brain and more especially of the beginning of the spinal Marrow That that Causeth this obstruction is a Gross and thick Vapor that is oftentimes cold yea even Narcotick and hence it cometh to pass that the party thus affected is so hardly awakened That which proceedeth from a gross and thick Flegm or from a Melancholy Humor sticking fast in the Hypochondria and neer about the Precordia this in these persons from Gluttony furfetting and drunkenness the stomach being thereby sur-charged from Crudities or other such like Causes being swoln and puffed up and then moved exhaleth and compresseth the Diaphragm and the Lungs rusheth violently into the beginning and enterance of the Nerves and so creeping as it were and insinuating it self into the very seat of the Imagination there intermingleth it self with the spirits The CURE is the less to be hoped for if from an internal cause it fieze upon those that are wel in yeers if it be of long continuance and
Shal be thought fit and sufficient the Trochisques of Poppy of Mynsichtus If the humor be salt then Spike is to be added and in those that are Asthmatical al sorts of Odoriferous suffumigacions and perfumes are to be shunned So soon as they awake in the morning that that hath flown down into the Breast is to be Evacuated Another is Suffocative and choking which with great violence floweth to the Lungs and Heart Unto this we must with al possible speed apply a Remedy by Revulsion by Clysters Frictions Applications of Emplasters the hair being first cut short or shaven that have in them a power to suspend and keep off the Catarrh inunctions and often anoyntings of the Nostrils with the balsam of yellow Amber Suffumigations c. In this case likewise there is not known a more present Remedy than a Vomit in regard that it also driveth and casteth forth whatsoever is stuffed and impacted into the Lappets of the Lungs III. Another is from a Matter that is gotten together in the brain through some default of the said brain Another is a certain matter that is communicated unto the brain either from a colder stomach and a Hotter Liver or else from some other Bowels In the Cure of this the parts commanding are especially to be heeded and due provision is to be made for them And those that find themselves subject and liable unto more frequent Catarrhs these ought every month a little before the new of the Moon gently to purge the Body and more especially if their belly be dry and costive The Wine of Pope Adrian which is so extreamly commended against Catarrhs is Composed of the Rinds of al the Myrobalans together with ther Kernels first of al dryed of each two drams and an half Cinnamom one dram Cloves Galangal Cubebs Cardamon's Grains of paradise of each half a scruple Red Roses dry one dram and half the flowers of Rosemary or Anthos and of Lavender of each half a dram wel beaten together and then mingled with seaven measures of Wine Title III. Of the Diseases of the Eyes Chap. 1. Of the Affects of the Eye-Lids WE have thus finished the Affects of the Brain the Diseases of the Eyes either they affect the parts encompassing about the Globe of the Eye or the constituting the same or else they touch and affect the whol globe it self of the eye Those parts that surround and encompass the Eye are the Eye-Lids the Eye-brows and the angular flesh at the corners thereof The Maladies and affects of the Eye-Lids are I. That we cal Trachoma or a certain roughness of the internal part of the Eye-Lids It is known by the redness thereof the itching and as it were the sticking out of Millet grains It ariseth from an adust humors that is Salt sharp and biting and oftentimes likewise from over sharp Collyries It is Cured by the Evacuation of the body by the averting and turning away of the matter by Repercussives by the application of Topical first those that we cal Emollient or mollitying and qualifying the Acrimony of the peccant humor and then by and by such Topicks as cleanse as for instance Aloes dissolved in Rose Water and Myrrh dissolved in a Womans Breast Milk which ought now and then to be intermitted lest that they over forcibly make an impression of their strength upon the Eyes and by rubbing of the Eye-Lid inverted and turned the inside outward with Sugar Candy even until the blood follow It is divided in a two-fold manner I. Into that we cal Dasutes in which the Eye-Lids are only red rough and itching Sycosis in the which there are sticking out as it were the smal grains or seeds of Figgs Tylosis in which the part being exulcerated contracteth to it self a scissure and callosity or an insensible hard and thick Skin and that we term Psorophthalmia or a scab of the Eye which affecteth the whol Eye-Lid and specially toward the corners of the Eyes and this is Cured Universal and general Remedies being first premised by a Liniment of Roses and adding thereto a very little of Tuty prepared II. It is divided into that which hath its original from the blood in which the itching is not so great as in the former from yellow Choler in which there are smal pustules or pushes from Salt Flegm out of which there passeth forth more of the serous or wheyish humor and lastly from black Choler or Melancholy in the which that which cometh forth is discoloured Black and Blewish II. The second Malady and affect of the Eye-Lids is that we cal Emphysema a Tumor or swelling of the Eye-Lids which happeneth either from external Causes to wit the spiders touch the stinging of the wasp the Bee or the Nettle and then a Bee bruised and beaten to pieces is to be imposed upon the place Treacle and the Juyce Of Plantaine are to be spread and the place anoynted therewith Or else from Causes internal to wit a Hot humor where the Ophthalmick of Rhasis hath its place and is of singular use A Waterish and Wheyish humor in Feavers of long continuance watchings and in the Cachexy and here Fomentations of a Decoction that Mollifyeth and scattereth are rightly and fitly administred III. The third Affect is termed Coalitus when either the Eye-lids grow together one to the other or else with the white or the horny or both those Tunicles of the eye It is not to be Cured without much difficulty if the Eye-Lids wholly grow together but seldom or never if they grow together with the Cornea or horney Tunicles but more easily if it stick only unto the eye in the extremity thereof and if it be only as it were agglutinated or glewed together unto the Adnata Tunicle It ariseth either from an Vlcer negligently and unskilfully Cured in the which whatever in the healing thereof might have been drawn forth hath been agglurinated and here in this case opening of the part affected taketh place or else it hath its Original from a Flegmatick and Viscid or clammy matter flowing unto the eye-lids and here we are to make use of Revulsion by Vesicatories and likewise Repulsion or driving back of the aforesaid matter IV. The Cancer whether exulcerated or not of which we have sufficiently spoken before in the second Book V. Inversion which we may likewise cal Ectropium to wit the turning inside outward of the lower Eye-Lid arising 1. from a Resolution or Palsie of which see elsewhere 2. From the Increasing of the flesh in the internal part which is either to be consumed by Medicaments or else wholly to be taken away by section and cutting thereof 3. From the ill curing of the wound or Vlcer where likewise incision hath its fit and proper place Or else it is that which we term Lagophthalmos to wit of the superior eye-Lids proceeding from the undue conformation or ill frame thereof which in regard of its composure wil hardly admit of any Cure 2. From the custom
This Affect needeth no SIGNS since that it is evidently exposed unto the view It is discerned from the Lachrymal flesh by its white shining brightness The CAUSE is Blood mingled together with thick viscid and clammy Humors flowing down from those parts that are contained betwixt the Skul and the Skin and bringing upon the place a certain kind of Scabbiness or scurfiness which while the nutritive faculty endevouereth to render and make equal it produceth an increase of the membrance beyond the ordinary course of nature The CURE Requireth I. The Premising of the general and universal remedies II. the extertion and extirpation of the nail after it hath been for a while fomented either with a decoction or some temperate distilled water Among the several sorts of medicaments there is commended the pouder that is made and prepared of Egg-shels and then cast upon the eyes the Medicinal stone of Crollius in the water of roses and Eye bright the specifick of â—artman of the fish Lucius we cal it the Luce or Pike the same Hartmans water of the whits of Eggs and other such like remedies which if they be sharp and piercing ought to be quallified and corrected with Tragacanth and the like and exceeding great Caution must be had that the tunicle Cornea be not touched III. It requireth Chyrurgery of which you may see further if you consult Authors upon this very subject IV. A Diet in which there ought to be an abstinence from wine and meats that generate store of vapours It is many wayes Divided I. One is that we cal Albicans or tending to whiteness Another there is that tendeth to a blackness which is not to be removed by any remedies whatsoever II. Another Recent or new which may soone and very easily be dispersed and quite taken away Another is Inveterated and old unto which if a thickness chance to accrew and be added thereto it ought then to be cut out yet sometimes notwithstanding it sticketh so close and pertinaciously unto the Adnata tunicle that it cannot be taken away thence no not by the Chirurgeon himselfe without manifest hazard and danger of hurting the eye III. Another is that which is produced only unto the Cornea tunicle and no further Another that is extended along even unto the very pupilla or Eye-bal and this if it be taken away it indeed wholly freeth the eye from fluxions but if a Cicatrix or star be left remaining it very much hindereth the sight of the eye IV. Another is Cancerous and Putrid which admitteth of no Cure at al Another that is not as the former II. The Pin or web of the Eye is a certain red substance like unto a smal piece of cloath arising from the exuberancy and over great abounding of blood in the Exterior veins of the Eye There is here no need of SIGNS There appeareth especially in the superficies of the tunicle Adnata as it were a fleshy web with an itching a pain an offending of the eyes by the light the sight obscured or quite and clean taken away The CAUSE is a blood derived unto the eyes either simple and alone or mixed either by the way of fluxion or of congestion and this either by the external vessels and then the forehead swelleth a little or otherwise by the internal vessels and then there is a certain pain extending it self even unto the very roots of the Eves The CURE is performed I. By the Vse of Vniversals or remedyes in general II. By Abstertion by those things above mentioned III. By Chirurgery touching which those Authors that are extant upon this Subject III. The Hyposphagm or Sugillation as they cal it is a blemish or spot reddish or black and blew arising from blood poured forth of the veins being opened and common to the tunicle Cornea There is no need of SIGNS forasmuch as the malady or Evil is easily discovered by the very beholding of it The CAUSE is whatsoever may open the veins whether it be External or internal as shal be further shewn in the differences The CURE is Easie in the beginning It is performed Universal or general remedies having gon before if the afflux be greater than is usual by discussives at first such as are more gentle and corrected by astringents but afterward those that are stronger and more forcible and yet withal such as are void of acrimony and tartness lest that there should more of the blood be enticed and drawn forth unto the part affected It is Divided three manner of waies I. One is from Causes External a blow clamour and sounding of trumpets in which we must presently have recourse unto Topical remedies to wit the decoction of the flowers of Melilote and of Roses Fenugreek seed Colliry composed of the blood of Pigeons taken out of their wings two drams thereof the breast milk of a temperate Woman half an ounce and frankincence one scruple Another is from internal Causes to wit either great store of blood where Venesection must by no means be ommitted or else from the extraordinary great heat thereof and then the spot or blemish tendeth unto a Citrine colour We must withstand and oppose the inflamation by the white of an Egg wel shaken together if there present any Pus or filthy purulent matter the same is to be lessened by a Collyry composed of the Muciluge of fenngreek with fennel water and honey of Roses II. Another is Recent and new beginning in which the blemish is of a red colour Besides the Topical rememdies above mentioned the tops of hissop boy led in ordinary and common water tyed up in a little bage and so applied is of singular use and bennifit in discussing the peccant matter Another is inveterate and of long standing in the which the spot or blemish is black and blew And for this we usually prescribe as most proper and convenient a Colliry composed of the Juyce of the greater Selandine and Carduus Benidictus of each halfe an ounce of the fat of the bird they cal Quoestula or Queist liquified and dissolved two drams and of mirrh half a scruple as also the Root of sigillum Solomonis or Solomons Seal well shaken together c. III. Another is When blood is cast forth either into the Adnata or the Cornea Tunicle And another When it is cast forth into both these Tunicles at once and together and then all the Objects that the Sick person looketh upon seem to be of a color tending to Redness Chap. 5. Of the Diseases of the Tunicle Cornea Article I. Of Crassities Nebula and Albugo THe Diseases of the Tunicle Cornea are Crassities or a certain kind of thickness Nebula or a little Cloud Albugo or a white spot in the Eye Pustules or Pushes Vlcers Wounds and Pain I. Crassities or thickness Is an extream drying of the substance thereof and therewithal there Joyned a certain Corrugation or winkling It is known by this that as it were in the superficies thereof there appeareth a little
compounded and made of Crocus Martis beaten into a most smal pouder and Crâ—cus Veneris of each two ounces these wel mingled together with the oyl commonly known by the name of Oleum Vici Pomarum Symplicium the water of the sperm of Frogs with a little Champhyre and sugar of Saturn put round about the neck Argilla furnaceâ— that is to say Clay baked in an Oven and wel mingled together with strong vinegar like unto a pultise and applied after the same manner Asses dung or swines dung dissolved in Rose vinegar and then put up into the nostrils the shavings or Fragments of Fungus Betulinus the mushrom or toad stool of the Beech tree the Root of white Succory dig'd up about St. James tide at noon day when the sun is at ful south and chawed betwixt the teeth As for the Magnetical Curing hereof by Vitriol see further in Beccerus in his Medicus Mycrocosmus in the Chap. of the blood c. The Hemorrhage is divided in a threefold manner from the Causes from the blood and from the places from whence the said proceedeth I. One is from that we cal Anastomosis or an opening of the orifices of the veins which either is caused by the abundance of blood and then the face is red the veins strut and are distended and a ful feeding went before and here venesection hath its place the head is by no means to be washed or so much as wet with cold water lest that the blood being there deteined something that is worse follow upon it neither is there any linen cloth to be wet in cold water and at the first begining of it to be cast about the neck lest that the ways and pasges between the brain and the heart should by this means be shut up or else it is caused by the acrimony of the blood and the thinness thereof and then there ready at hand signs of a Cacochymy and in this case we are to do the work with those things that incrassate and thicken as Bole armonick Dragons blood in the shops termed Sanguis draconis and such like Orelse it is caused by the irritation of the facculty and then the very same things as before are present and ready at hand or else by the weakness of the said faculty and then there is blood issuing forth by intervals but it is not much and some disease weakening the liver went before and therfore the Cure ought likwise to be prosecuted with special regard had unto the same Another is from a diairesis as we term it or a division of the veins by some sharp corroding humor and like by other means and then the blood issueth forth in a far greater abundance or there went before some violent Cause or else lastly there are present certain signs of a Cholerick Cacochymy Another is from that we cal diapedesis or as we may to term it a passing through by leaping and then the blood that issueth forth is but very little c. See more hereof in the first Book II. One is of the Arterial blood which is hot somwhat red subtile leaping forth with a froth and with violence Another is of the vein blood and this is Thicker and Blacker III. One is of blood issuing and passing forth out of the veins of the Brain and then there went before a pain of the head and the flux is not easily stanched Another is of the same blood leaping or starting out of the nostril veins and then the contrary of what was said touching the former happeneth and appeareth Chap. 3. Of the Hindering and Hurting of the Smel Gravedo or Stuffing and Sternutition Or Sneezing THe principal burt of the sence of smelling is the abolition or the diminution thereof which differ only in degrees and in the greatness of their Causes And this is caused 1. Either from a distemper of the brain which either possesseth the fore part thereof and then the Tast likewise by reason of the branches of the third pair of nerves of the brain Forming the tongue is abolished the voice is loud and shril and no way to be found fault with the Cure here is to have an especial regard unto the distemper or else it possesseth and resideth in the process of those nerves that constitute and frame the organ of the smelling and then there is no hurt at al to be perceived in the brain or in the other senses Or else it is caused by the narrowness and streightness and that too either of the Brain and then there is present and sensibly to be felt a heaviness in the head and here we may operate by errhines and yet not toomany of them neither and here likewise sternutatories are exceeding useful and profitable or otherwise of the Processes of the brain or of the nose within and the Ethmoid Bone and then the voice and respiration are vitiated and the wonted excrements restrained and kept in The smelling is somtimes totally abolished if the Phlegm by heat be baked and hardened at the holes and enterances of the aforesaid bone which chanceth unto such as being troubled with the pose or distillation called coriza heedlesly and without any consideration go into baths In these cases that that cheifly deserveth commendation is the Root of Gentian fitly put up into the â—osâ—ils Castoreum wel soaked in vinegar and afterwards sweetned the Oyl of Nightshade the Errhin of Zacutus in his seventh Book 15. Chap. P. 517. c. touching which we have before spoken in the Chapter of Cactarrhs II. Gravedo or Coryza is a defluxion of the Excrements of the Brain being crude and thin like water unto the nostrils which is accompanied and attended with a frequent sternutation or sneezing This Malady is wel enough known and by it self discovered It ariseth from the distemper of the brain either hot or cold concerning which enough above III. Sternutation is a violent and involuntary expulsion by the nostrills of the flatulent windy spirits and sharp vapours offending the Brain It is done with a Loude voice as wel because the Windy spirit breaketh forth altogether at once as by reason that it forceth its passage through the streight narrow holes of the nostrils It ariseth either from external causes and then the nostrils are to be supled and gently stroked with the oyl of roses or milk or else from internal humors and vapours brought thither touching which see further in their proper Chapters but is wont for the most part and too commonly to be neglected by the Physitians unless in Plethorical bodies it happen to be accompanied with a distillation in the very first beginning of the disease The little veins in the greater angle of the eyes and that is nighest unto the nostrils being forcibly pressed together do forthwith stay and stop the frequency thereof Title VII Of the diseases of the Tongue and the Symptoms thereof THe Affects of the Tongue are a Tumor or swelling Ranula a blackness a Palsy a stammering an Aphony
Tooth be wholly pulled out by the Roots in regard that their little risings albeit they may be broken they wil yet grow up again a new so that the Ulcers cannot by any means be shut But now that the tooth may the better be drawn forth it may be wel rubbed with the Fat of Green Frogs living in trees or else those same little pellets formed of the Juyce of Tithimal or Milk-Thistle and Ammoniacum may fitly be put into the cavity or hollow thereof or else it may be anoynted with the dissolved unguent of Gum Ammoniack and the seed of henbain But here observe 1. That the neere neighbouring teeth ought to be wel guarded and fenced lest that otherwise they be touched by the aforesaid medicament 2. That the mouth is to be kept open that so the Spittle may the better flow forth 3. That nothing is to be swallowed down Article II. Of the Loosness or Movableness of the Teeth The Mobillity of the Teeth is the weak and infirm standing of them proceeding from the proper Causes thereof upon which said vacillation or infirmness the falling forth of them doth oftentimes ensue The Teeth are the Subject but especially those that we cal Insicorii or the Cutters which are fastned with one root only The tooth it self if touched wil furnish us with a SIGNE The CAUSES are either External or internal External to wit a blow or a fal and then we are to deal by astringent medicaments but cheifly with the remedy that is compounded of Acorus one dram burnt Alum Gals the Juice of Aaccia of each half a dram red rose leaves half a handful decocted with a pint of red wine until it be fallen a thumbs breadth in the boyling and then strained with which the teeth ought dayly to be washed The internal are I. an il depraved Juyce corroding and eating through the gums or the roots of the teeth and then sharp distillations had their precedence and the teeth their pain in this case the pouder that is made of red coral prepared and mastick is very available if this happen in the venerial disease for the Cure we must have reccurse unto the said disease II. Overmuch humidity loosening the roots of the teeth and then the mouth aboundeth with spittle and the gums are soft In the Cure we are to make use of astringents of the decoction of Sea-fern Capars Mirtle leaves with the oyl of Sulfur Pomgrannet rindes Pomgranet flowers and vitriol in regard that they make the teeth black are carefully to be avoided if it chance from the scurvy we must then have respect unto it in the cure of the distemper in hand III. A deffect of aliment which happeneth in old people and in such as are in the way of recovery out of a disease from whence it is that the holes of the teeth are the more widened and enlarged It is not possibly to be cured but yet notwithstanding ye are to make use of those things that are moderately astringent I have already said that somtimes there followeth a falling forth of them touching the which observe I. That in infants in case the roots remain in which the only hope of their shooting forth again consisteth they then of their own accord spring up and grow again II. That the Molar appendix as they term it seldom or never falleth forth in regard that it is so closely conjoyned with the teeth that the boney part of them may be seen III. That the Gemini or twin teeth if they fal out they scarcely ever return and grow forth again IV. that the vacant places of them may be filled up with artificial teeth made of ivory and put fast unto their places alwaies provided that due care be taken lest that from the Compression there should chance to follow an inflamation of the Gums or of the Nerves Chap. 2. Of the Symptoms of the teeth Article I. Of the Odontalgia or pain of the Teeth The Symptoms of the Teeth are Odontalgia Stupor Stridor and Nigredo Odontalgia is a sad and greivious sence of pain in the teeth proceeding from the Solution of Continuity in them by reason of humors I cal it an afflicting and greivous sence of pain for both the teeth and likewise the soft and tender nerves of the Brain proceeding from the fifth and sixth Conjugation are partakers hereof and the little membranes that encompass about the internal Cavity have likwise a little nerve implanted at the very root of the tooth The Teeth and especially the Grinders are the Subject Yet notwithstanding that pain is different and to be distinguished from the pain in Children while they are breeding teeth which is greatest and att he height when the dogteeth as they are commonly called break forth the which said pain ariseth also from the hardness and thickness of the Gums and soon vanisheth away if the aking tooth be anoynted with the far of a hen or the milk of a Bitch There is no need of SIGNS and yet notwithstanding it is dilligently to be discerned and differenced from the pain of the Gums that are sometimes inflamed swel and putrefie and which is not at al removed or so much as mitigated although the toâ—ch be drawn and taken forth The CAUSE is a humor dissolving continuity touching which more in the Differences There is Good hope of a Cure if there be a kind of pus or purulent matter gathered together in the Ear and if the swelling arising in the Gums or in the Cheeks not first appearing the matter be transmitted and thrust forth from the inward unto the exterior and outward parts But there is but very smal hopes if there happen withal a burning feaver and an unusual grating of the teeth in regard that this last especially when it invadeth the patient by reason of the convulsion of the temple musles seeing that it denotâ—th the touching and hurting of the brain it therefore first of al threateneth a deâ—iry or dotage and soon after in regard that it betokeneth the confirmation of the mallady it menacheth and portendeth even deach it self It is performed I. By the mitigation of the pain if it be externaly urgent and intollerable by narcotick medicaments That that is here profitable expedient is two grains of opium with an equal part of Saffron wrapt up in silk and put into or betwixt the pained teeth the washing of the mouth with vinegar and Opium Pils formed of Opium and the Treacle of Andromacus touching which see beckerus in his medicus microcosmus The pain being once asswaged let the mouth be forth with wel washed with the decoction of sage and Rosmary II. By the evaccuation of the peccant humor by bloodletting and here when it is for Revulsion the blood must be drawn our of the greater vein but when for derivation from the lipps of the ears or else from under the tongue neither are we to forget or neglect the use of vesicatories behind the ears III. By the repulsion and
the Eyes somewhat black and thick and lastly if there appear froth about the Mouth in regard that it signifieth an exteam streightning of the heart The Cure is to be ordered according to the rule and method in other inflamations which are notwithstanding there come these few peculiar things to be observed Touching Venesection is to be noted 1. If it be doubtful whether side thereof be the more afflicted since that the Liver is the part transmitting the blood ought then to be drawn forth of the right arm 2. Where there is not so great a difficulty of brathing the blood may be drawn forth the more freely and plentifully but when the difficulty of breathing is great there ought to be the less blood taken away and that at several times and the intervall of four or five hours betwixt 3. That if Cuppinglasses be forthwith applyed unto that part that is nighest unto the place affected then there wil be excited in that sayd part the Greater Conflux and therefore they ought to be put upon the Reines and not upon either the Arm or Neck Purgation is forthwith in the very beginning to be ordayned Repellers ought inwardly to be administred unto the Jaws and this especially indeed in the form of Gargarismes Mouth-washings termed Collusions and Luctures And here there is commended Lapis prunella The Composition of Mulberries Must or new Wine and Nutshels in regard that it hath in it an extraordinary astringent quality and power those Medicaments that are formed of Sengreen Plantane and Purslane c. On the third or fourth day Digestives are to be mingled together with Repellers In the Declination of the Disease the Ashes of burnt Crevises or Crabs is to be wel mingled with Honey or the White Excrements of a Dog or that of a Hen or that that is taken out of the Swallows Nest poudered and siersed Among the Maturatives or Ripeners there is the pith or pulp of Cassia kept a while in the Mouth Gargarisms of blood warm milk with Sugar The Emplaster that is formed of Marsh-mallows and the Common Mallows of each one handful Camomile Flowers Melilote Flowers Linseed Fenugreek Seed of each half a dram ful and fat figs in Number ten wheaten meal two Pugils or little handfuls For the breaking thereof excellent good is the Cataplasm of the Cream of the new and fresh roots of the flower-de-luce with butter and the Oyl of Violets Among the Specifical remedies are the Mushrom or the Elder Tree boyled and drunk the Pouder of Swallows if after they have had Salt cast upon them they together with their feathers be burnt in an Earthen Vessel and the Ashes mixed with Honey spread and anoynted upon the place affected one scruple of the Shavings of the Bores tooth if it be mingled with half an ounce of the Oyl of sweet Almonds and sweetned with white Sugar Candy and lastly the secret of Guntzmannus mentioned by Hartman In the Patients diet we are to come at length unto Nutritive Clysters It is divided in a twofold manner 1. Into four species or kinds Cynanche c. Of which more below Number 4. 2. Into that that is from Pure blood in which there is a greater distension of the Neck and the color of the Face is somwhat Red and into that which proceedeth from a Flegmatick blood in the which al the Symptoms are more mild and Gentle II. One is from the Relaxation of the Vertebrae of the Neck and then either a fal or a blow went before it as its efficient Cause or else some Humor or other hath preternaturally loosened the Joynts and Ligaments of the Vertebra or otherwise hath dislodged them from their proper seat there appeareth here none of those signs that in the others are manifestly discovered The Neck is hollowed behind and is not to be turned about the Oesophagus without much ado and pain withal The pain is felt if the part affected be but externally touched the Tongue falleth forth from its proper place The Cure is to be sought for in its own due place that is to say from its sourses spring and Fountain III. One is from a Pituitous or Phlegmatick defluxion residing upon the Joynts and the Muscles of the Neck and then the pain is not great and violent but dul and heavy the swelling is somewhat broader but then it hath in it very little or no redness there is present no fever or if any it is but moderate The voice waxeth hoarse there is great store of spittle the sick Persons alwaies gape with open mouth and drawing Air there is likewise some difficulty in swallowing but yet without any great hazard of suffocation The Cure is to be ordered according to that of a Catarrh IV. That which ariseth from an inflamation one is called Cynauche which lyeth hid in the internal Muscles of the Larynx or the Throat and then whether inwardly in the Jaws or outwardly in the Neck appeareth there any redness or swelling at al but the Jaws are so vehemently pained together with great danger and peril of suffocation that the diseased persons are enforced to take in the Air and to breath with their neck erected strait and upright and with open mouth The fever that accompanyeth it is most acute and the disease strangleth the party within four days at the utmost but very usually within eighteen hours time That which in this case much profiteth is Cupping glasses applyed unto the veins under the tongue touching which see further in Zacutus Lufitanus in his eigth book Chap. 2. Another is that we cal Paracynauche which sticketh and hath its residence in the external Muscles and then there is to be found within a certain swelâ—â—ng and redness the mouth being drawn aside and writhed after a strange manner and the tongue depressed and kept down if it vanish away at any time when there is no crisis to be expected and a little swelling or rising appear but yet such as is altogether void of pain which cannot be suppurated either by the Vigor of Nature or the help and benefit of Art it then threateneth Death and a return of its red color the former in regard that the thick matter being left al without the more thin and hotter part thereof is converted unto the throat the latter by Reason that there is likewise by some accident a hotter kind of matter driven inwardly Another Synanche which is conteined in the interior space or Cavity of the Jaws and then it likewise extendeth it self unto the Root of the Tongue and comprehendeth the Neck it self there is then also apparently to be discerned a swelling and a redness in the outward parts together with pain and heat the which said swelling if it have recourse unto the more internal parts without any manifest cause it then suddenly vanisheth away upon thi translation of the matter the Symptomes ares here never a whit more milde and gentle than in the other sorts but yet notwithstanding there is here
extendeth it self and reacheth even unto the spina or Backbone where the membrains that touch upon the Pleura are fastened and upheld and this pain is more remiss and moderate unless the membrain be together inflamed but if it be then the pain withal becometh extreamly pricking There is likewise a difficulty of Breathing and indeed greater than that in a Pleurisie so as that the sick person is with extream hazard and peril of suffocation enforced in a strait upright posture to draw his breath the brest or Thorax in that kind of situation being the more easily dilated forasmuch as in those that ly along in their beds it falleth down because that the parts of the Thorax or breast decline and rest themselves upon the spina or backbone which being erected the Thorax is likewise together born out and so is no longer heavy and burthensom unto it self The aforesaid Respiration is sublime so that in it the very top of the Thorax is moved even unto the very covering of the shoulder-blades it is also frequent and often in the begining and likewise it is greater than ordinary which in a short time by reason of the weakness and decay of the natural vigour and the instruments of breathing is chainged into that which is far less and is increased by the frequency thereof The Breathing is hot and because that by the expulsion of the sooty and misty vapours the Heart is lightened they are therefore the more eased and lightened the more they breath forth the aforesaid offensive and oppressing sumes The sharpness of it in a feaver is greater than in the pleurisie in regard of the neer neighborhood of the heart and hereupon there exhale hot vapours unto the Head which hurrying the blood along together with them make an impression upon the cheeks where the skin is but thin and so cause the face â—o become red the eyes and the Temple veins swel the cough is very troublesom by reason of the affect of the Lungs It is conjoined and accompanyed with spitle that is tenâ— forth at first with a kind of thinner putrefied and rotten matter and by and by dyed with blood and likewise otherwhile otherwise colorea and somtimes it is spit forth ful of froth The CAUSE is blood which is poured forth of the right angle or comor of the Heart into that vein that we cal Arteriosa and so filleth not only the veins and Arteries of the lungs but likewise also the whol body It is raysed and stirred up from external causes as a cold Air and especially the cold northern Air immediatly following upon the southerly the drinking of generous and strong wines a violent and more vehement motion after long rest and quietness and this upon a ful stomach the body being likewise ful and wanting Evacuation Anger and other the passions of the mind c. There is some hopes of a CURE if the Spitle being of a mingled red and yellowish color give out and intimate any sign of concoction in the Lungs affected and if the impostumations be thrust forth either unto the Ears or unto the inferior seats of the Thorax and so they either pass and turn into a fistula and so may be evacuated or else they are derived unto the Thighs It is somthing doubtful if there be want of spittle by reason of the contumacy or unpliablness of the matter and the imbicility of the natural powers if there issue forth and appear with much and thick urine those sweats that at first did arise about the neck and the head because those aforesaid sweats are thought to preceed from a forcible constraint suffocation and violence As for al other things in the cure if foloweth the method of other inflamations If it succeed any otherdisease and the blood be already evacuated then Cupping-Glasses with scarification ought to be applyed unto the Arms and the Thorax or Chest let the Expectorations be of the stronger sort and so likewise the Topical Remedyes The difference is taken from the subject and the causes I. One is of the whole lungs which if together with the heart it be inflamed to that it proceed exceed it self unto the side it then produceth in the sick person a resolution or palsie For the blood flowing abundantly into the great Artery so that the intercostal Arteries are thereby filled and so that also those little branches that penetrate throw the holes of the vertebra of the Thorax into the spinal marrow do swel the Nerves there passing sorth from the spinal are compressed and being thus pressed together they cause a resolution and Palsy Another there is of the one side or other of the Luâ—gs and not in the whole and then there is a pain and heaviness self sensibly and perceived in the one or the other part thereof if the upper wing be disaffected and suffer then the Affect extendeth it self even to the Channel bones of the throat but if the lower then it reacheth unto the diaphragm The vein on that side wherein the inflamation is ought to be opened II. One is from pure blood from whence there ariseth a Phlegmone It is known by this that there is produced a bloody spittle unless haply the disease be extremely Crude a streightness of the pracoerdia and of the whol Breast oppresseth the party an extraordinary great intence heaviness contracteth the stern to wit that part of the Breast where the ribbs meet and the Back the Patient is not much afflicted with any acute Fever But now that blood sometimes in the Angina or quinsy breaketh forth violently out of the Jaws and then they die within seven daies if they escape these then they become purulent And because that in those that are in the midst betwixt old age and the vigorous flourishing estate of those of ful and perfect growth the expulsive faculty is more Languid and weak than in yonger persons they are therefore not to be cured but with much difficultty Sometimes it is derived thither from the Pleurisy and yet not by the vessells because that there is no convayence for them but by the membrane that investeth al the parts of the Thorax and then in this case likewise in regard there is a translation of the matter from the outward parts unto the inward that is to say from the less noble unto the more noble parts and such as are nigher unto the Heart the Malady is therefore the more dangerous Another from Chollerick blood from whence it is that the Quinsey is frequently turned into the Peripneumonia and the Luugs being of a spungy substance doth easily admit of a Cholerick and the thinner sort of matter and drink eth it in more deep than other It is known by this that the cough rayseth a yellow spittle and that that is not mingled with much blood the streightness of the Chest and the sence of weight and the veins is less than in the former differences and lastly it is known by this that the
patient in his fever is even scorched with a more ehement and intence burning heat Chap. 3. Of the streightness or narrowness of the Lungs The streightness of the Lunges is the interception of the vessels thereof by reason of obstruction Compression or exsiccation producing a Cough oppression and a difficulty of breathing As for the Signs Causes and Cure thereof let them be al sought our from the differences The differences are taken from the Causes and the parts affected I. One is of the rough Arteries touching which let the Reader advise himself further and satisfy himself fully from the following differences the which proceedeth from an obstruction c. Another is of the smooth Arteries which is known from the breathing which is with much difficulty yet not only in the beginning but likewise in the increase thereof from the pulse being altogether various unequal intermitting great swift slow rare frequent vehement by reason of the Combare betwixt nature and the Morbifique cause she being not able to expell the fuliginous or sooty fumes by reason of the streightness and narrowness of the Arteries from the palpitation or beathing of the heart it being now very much oppressed and from fainting and swooning It aâ—iseth either from thick Visced or clammy and flegmatick humors and then the pulse is by the extension it differeth much from it self but yet it is for the greatest part more equal in it self and this is not very hard to be cured especially if it newly begun the cure remameth to be spoken of below Or else it ariseth from a little riseing or swelling and then the pulse is hard by extension and dryness its inequality is uniform by reason that the Cause is more fixed Touching the Cure we shal speak more anon II. One is understand this of the Rough Arteries from an obstruction by blood a humor c. Touching which more below Another from Compression and almost from the very same causes as in the dropsy Another from Exsiccation very frequent and incident unto such as work in Metalls and this for its cure requireth almond milk III. One is from blood obstructing or compressing the rough Arteries expelled and driven forth thither either from the Lungs or from else where which is to be driven back and evacuated And lastly if it become Clotted by Oximel scillitick and a posset that is a mixture of water and vinegar six ounces thereof in weight so that it be pleasant to drink and likewise so that by reason of the vinegar it provoke not to Cough and this to be administred blood warm three or four times in a day it is to be dissolved Another from a Humor and especially that that is Phlegmatick which is plentifull and abounding and then if by distilling it flow forth only into the Membrane that surroundeth and grindeth in the throat it obscureth the voice and causeth a hoarsness if this humor fal into the hollow the channel of the throat it produceth a little sheeps cough as we cal it with a certain sence and feeling of an acrimony that continually provoketh to Coughing or else the sayd humor is thick and viscid or clamy but this is very rarely generated in the Lungs in regard that they are nourished by a thin and pure blood it almost alwaies ariseth from Catarrhs falling down from the head the which in tract of time by the force of the heat is changed into a Glassy or Plasterlike Phlegm which being by the many distillations returning in a round as it were and circuit stored up in great abundance causeth the Asthma The same likewise exceedingly afflicteth the Patient with a kind of dry Cough by the which there is hardly any thing expelled and brought away it rendereth the breathing difficult and causeth in the taking in and puting forth of the breath a snorting or wheezing as we term it in regard that it is impacted and pertinaciously stuffed into the Lappets of the Lungs it hath signs and tokens foregoing of a distillation either from the head brain or from the neighboring parts In the Cure whilest the matter is in preparing with Colts foot Horehound and other attenuateing and cutting Medicaments let Borrage Liquorish and Raysons be mingled together The purgation is wel performed with Agrick Another is from the Pus or purulent Matter that is powred forth out of some Apostume and then expectorating Remedies have their place IV. One is from Causes that in their whol kind are preternatural amongst which are I. Little Substance some of them very hard and solid others of the consistence of old Cheese all of them included in their own proper Cisterns and Bladders and producing the Asthma II. Little Risings or Swellings which have their Original from a matter collected in one part and thence strutting and standing forth without any token or sign at al of any distillation preceding and these said swellings adhere and stick close unto the Aspera Arteria or great rough Artery They are divided into those that are Crude or raw which are very hardly known and they are never suppurated neither have they any Feaver joyned with them and such as are Suppurated in the which the Pus or filthy corrupt matter is so strictly and closely shut up in its little Membrane and proper bladder that hardly can there any noysom and stinking smell expire and breath forth of it into the Body Then the sick persons are of a black blew or leaden color their Tongue is replenished with a certain kind of Clamminess especially when they have abstained long from Food the Urine is dyed and hath a tincture either from the vehement motion and stirring of the Body or else from meat and drink that is hotter than ordinary after an extream and violent motion there are little pils and smal round bals or pellets like unto a smal Pease included and wrapped up in a little Membrane ejected and cast forth of the Lungs There is then likewise a troublesom Cough and a difficulty of breathing excited A pain there is that continually affecteth sick persons but then chiefly when they are moved with a more vehement and violent morion The Patient recovereth not to be well of these unless 1. The Suppuration be speedily wrought 2. Unless the Suppuration when it is made suddenly break forth 3. Unless it tend upwards and be cast forth by Coughing 4. Unless al the Pus and the whol filth be evacuated and emptied forth 5. Unless the belly that is that Cavity in which the Pus or purulent matter was contained be perfectly agglutinated and united as formerly Chap. 4. Of the Wounds of the Lungs THe Wounds of the lungs are wel known by the difficulty of breathing by reason of the hurt the organs have received by the casting out of froath and blood by the mouth with a cough by the spitting up of a red and froathy blood out of the chest without any pain at al by the swelling and strutting of the neck veins and lastly
by the various color of the faceone while red and as soon again pale and wane Now these wounds are Caused in a twofold manner For Somtimes it so chanseth nhat the fleshy substance of tee lungs may be hurt and then in regard that the blood destilled inthe Cavity of the Thorax and that neither a spitting of blood nor any Cough whatsoever urgeth the party the breathing thereupon is not without much difficulty ther appearreth a virlssitude or interchange of heat and cold by reason of the exhalations and fumes from out of the heart Sometimes the veins of the Lungs are affected and then there floweth forth in great abundance a blood somwhat red black and frothy the Cough likewise is perpetual unless perhaps there be present a prostration and decay of the Natural strenghth and vigour or an oppression of the Lungs from the blood They are Cured I. If the profuse flux of blood be stanched and the inflamation unto which the Lungs by this means becometh obnoxious be prevented and hindered by venesetion II. If the blood in him where it was poured forth into the Cavity subsist and abide there III. If when the sayd blood cannot flow forth by reason of the narrowness of the wound the said wound be widened with a penknife Among those Medicaments that stanch and stop the blood there are these viz. The Strawbery bush Betony Scabious the herb Ladies mantle sanicle Comfry c. without these are altogether void of any biting quality viz. Bole armeniack Frankincense c. Read more of this subject in the guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London dispensatory al the last Editions englished by me Chap. 5. Of the Ulcer of the Lungs or Phthisis PHthisis is an Exulceration of the Lungs from a sharp corroding matter with a gentle Fever a Ccough and a spittle that is both bloody and purulent by the which the whol body is sensibly and by little and little consumed and extenuated The Subject of this exulceration is the Lungs together with the parts thereof towit the fleshy substance the lappets the vessells and the Membranes in those especially that have their heads easily and soon filled and where the head sendeth many distillations unto the organs of breathing in those that from their very nativity have their Lungs of a vicious substance that is such as is tender soft and easily wasted as being most subject to corruption And hence it is that such as are descended of a tabid stock that is to say those that issue from parents affected as beforesayd do all of them at the length as it were by a right of inheritance necessarily wast away and consume in the aforesaid manner in those that naturally have a streightness and narrowness of the Chest and likwise a depression of the same a streight neck or narrow throat a lean and spare body and their shoulder blades sticking out behind them like as if they were wings The Signs are a Gentle and moderate Fever proceeding from vapors elevated and arising out of the Lungs and assaulting the heart by their sudeen and violent irruption therunto with which there are also joyned other feavers that are otherwise sometimes Erratick and fleeting and sometimes again invading the patient after the maner of a Tertian whilest that the humors within the veins by that heat as were kindled and set on fire corrupt and putrefy and this the truth is being by its continuance and without any the least intermission turned into the Hectick immediately after meales and in the night time like as do others increaseth and groweth more prevalent 2. A frequent Cough like unto that of foxes without any great pain which cheifly afflicteth and troubleth the party in the night time and it hath its existence from a matter that is sharp by reason of the irritation of the Lungs 3. A bloody and purulent spittle but this is not in al. Some there have been found who after their retching and the spitting up of a liquid and yellow humor being soon after seazed upon by a light and gentle fever have thereupon begun to fal away and wast and after som time have cast forth by retching a certain smal quantity of blood together with a kind of Pus or corrupt matter and many have been by sensible degrees taken away in whom throughout the whol course of their lives there appeared nothing at al of this bloody and purulent spittle But I must tel you that this Phthisis is incident unto those that are young rather than unto aged persons in regard that young persons most commonly abound with blood and consequently are affected with the heat and acrimony thereof with the laxity or loosness of the vessels and likewise the hardness of the same and in regard likewise that these excercise themselves in a more violent manner and have little regard to their diet This hath one thing singular as propperly and peculiarly belonging thereunto towit that it proceed from the very substance of the Lungs it is then frothy and if it be put into the fire it stinketh and is very offensive to the scent 4. The extenuation of the body which is from the aforesaid continual but gentle fever the which by its fiery heat dispersed throughout the whol body dissolving the Arterial blood the mingling whereof together with that of the Veins is altogether necessary unto Nutrition hindereth the Concoction of the Aliment in the whole body and by its preternatural heat wasteth and consumeth that which is Concocted and stored up The CAUSE is a sharp corroding matter fallen down thither of which we shall speak further in the differences The CURE is not to be despaired of no not though it be attended with an Ulcer already appearing For Galen sendeth such to Tabae a City in Cilicia and prescribeth milk for their Diet. Yet notwithstanding it is something Difficult as wel in regard that the filth and purulent matter sticking in that soft and Spungy flesh cannot without a Cough be purged forth by which the Lungs are from day to day more hurt and prejudiced as because that in this dayly motion of respiration or breathing unto which there is moreover added and adjoyned a violent cough there cannot possibly be any Consolidation made and also in the third place because that Medicaments in their ful strength and Virtue cannot penetrate so far and lastly because that Feavers require moistening Remedies which are altogethet hurtful to an Ulcer The Cure hath cheifly respect unto these six things in Particular I. The removal and taking away of the Catarrhe touching which more below in the Difference II. The Cure of the ulcer here there is commended Flores Sulphuris or the flower of Brimstone as we commonly cal it with a soft and rere egg syrup de Erysimo or water Cresses of Lobelius of the Juyce of Ground Ivy with the Flower of Brimstone of Marsh-Mallows of Fernelius of the Juyce of Mouse
blood warm unless it be in the summer time and the Breast therewith anoynted II. The Tumors or swellings of the Diaphragm are of two sorts Some of them are Cold which are known by the difficulty of Breathing the stretching out of the hypochondria yet no swelling appearing in them upon the touch and no deliry or dotage accompanying it They arise from a matter that is crude and thin penetratting into the thickness of the diaphragme either from the compression or wounding thereof They are hardly Cured if they be of long standing in regard they bring the sick person to a consumption but more easily if they be Recent and newly begun but not at al if there follow a deliry or doting First then we are to administer those medicaments that evacuate the prepared matter among which those we term Hydragoga or water purgers are especially commended and afterward with those things that mollify and digest and cheifly Sarsaparilla unless the humor hath begun to be hardened Others are hot which are known in their first rising by a feaver that is both continual and accute a pain the breathing little but often the extension of the Praecordia a palpitation or panting neer unto the diaphragm and somtimes a kind of leaping in that place in the Progress by the doting that attendeth it the unequal respiration or breathing being sometimes smal and sometimes great swift and as soon again altogether as slow and rare They arise from a blood hot and cholerick The Cure is difficult in regard of the extream peril therein It likewise resembleth the inflamation of the Lungs Chap 2. Of the Pluresy THe Pleurifie is an inflamation of the Pleura Membrane and the adjacent muscles arising from the influx or flowing of a hot humor with a pricking pain of the side a Cough difficult breathing a continual acute Feaver a hard pulse unequal and frequent The SIGNS Pathognomick as we cal them are an extream pricking pain because the aforesaid membran which we cal pleura being of a most exquisite sence is extended by a sharp matter A Puls that is hard unequal and bearing a kind of resemblance with a Saw in regard that the part that is inflamed is Nervous A Cough by reason of irritation and transudation to use the terms of practitinors which in the beginning is dry but in the progress adjoined with and attended by a spittle that is bloody and purulent A Breathing frequent and but very weak and smal in regard that the muscles by reason of the extream pricking pain cannot be sufficiently dilated An acut feaver in regard that the inflamation is so neerly neighboring unto the Heart And al these signs ought to conspire and meet al together and not to be present in a scattering manner one after another The CAUSE is an extream hot matter or blood either pure or impure which floweth forth especially out of the vena cava or great hollow vein adjoyning to the heart by the Branch that is termed Azugos into the little thin stems and sprigs thereof which being opened broken or the pors therof dilated it â—unneth violently into the plura membran and somtimes it likewise rusheth thereunto through the upper intercostal membran but more rarely through the thoracical and that we term mamaria The Supply of the aforesaid blood is from a Plethory Cacochymy and the overgreat heat of the Sanguifying bowels It is promoted and furthered by various external Causes and cheifly a sudden chilling and cooling cold northern blast after the great and warm south wind over much and violent exercise c. There is good hope of a CURE if the spittle receive a mature and speedy concoction and be easily and fitly cast forth and if on the foruth day the sick person spit forth that that is white light equal and this by coughing three or four times be terminated on the seventh day and if on the seventh that then it be not extended beyond the leventh or foreteenth day at the furthest if on the crittical day there happen a flux of blood out of the nostrils the Hemorrhoids or the womb with signs of Concoction if which is indeed very rare there chance a Metastasis or translation of the matter unto the joynts and the members of less account It is doubtful if there be spit forth only thin Ichores which are a sort of little ulcers if yellow choller very much mingled with spittle appear long after the beginning in regard that hereby is signified that nature attempteth nothing against the disease If the Spittle be yellow sincere and mingled with much watterishness if the said spittle be Glutinous and Clammy because this clammy quality is contracted from a burning and scorching heat if it be ful of a green â—ustiness and very frothy if it be black because hereby is signified the pravity of the humor and the extinction of the native heat if striving much by reaching doth not stay the Cough and facilitate the Breathing because hereby is manifested either the Malignity of the matter or the weakness of the expulsive faculty if after fourteen dayes it turne into the Empyema if it degenerate into the Peripneumonia or inflamation of the Lungs if it befal aged persons because that through the want of heat the matter is not concocted if it happen to those that have thick bodies and that are accustomed to excercise al things else being thereunto answerable No hopes at al if in it there be nothing spit forth if the pulse be hard little and by reason of heat very thick and most frequent if there happen in the begining thereof a flux of blood without any alleviation or ease in regard that in this case the patient most usually dyeth on the fourth day if the pleuresy be so great that the liver and the stomach be likewise drawn into a consent and fellow suffering and that also the flux diarhoea follow upon it if the pleuresie invade a Cachectical Body after some other long continued disease if from the spittle there arise a noise and much ratteling in the breast and that the continuance be dejected and the eyes veyled and blind with mists and darkness or as many times it is with the yellow Jaundis The Cure when we set upon it hath respect I. Unto the humors already flown in and likwise to those that are like to succeed and follow which are to be drawn back II. Those that are at present flowing which are not to be intercepted neither driven back but derived III. Those that are impacted and stuffed up in the part affected which are to be dispersed and scattered or removed by any manner of means IV. The Pain which is to be mitigated V. The Feaver which is to be kept under and moderated VI. And lastly the natural vigour and powers of the Body which are to be Corroborated Touching al these let what followeth be wel observed 1. That Venesection is with al speed to be administred on the opposite side for repulsion if
which issueth forth be somwhat bloody and il savored if upon the same occasion Pus or filth or else a water flow forth generally and in a great quantity if in them the searching instrument or probe be colored by the Pus and filth like as by the fire It respecteth I. The Concoction of the suppuration II. The breaking of the Impostume which is effected by the eating of salt meats by frequent retchings and spittings c. III. The Evacuation of the Pus or matter where we are to have eye upon natures motion and which way she tendeth to wit whether upwards or downwards unto the intestines or the bladder The spittle may be notably procured by the oyl of Sulphur and the spirit of Turpentine pectoral decoctions being therewith wel mingled There is likewise much commended the juice of ground ivy of Hore hound made up into a â—ohock with Myrrh Frankincense diapenid Touching the decoction of Ebony and the syrup of shel Crabs see more in Zacutus his 8. Book Chap. XI If these prevayl nothing we ought then to proceed unto Section or lancing and also to burning touching which consult those Authors that have written upon this subject As concerning the differences one is from a rupture of some proceeding Apostem as of the quinsey the Plurisy the peripneumony whenas they are terminated by suppuration Another when out of a vein opened broken or gnawen asunder a portion of the blood issuing forth into some particle of the Lungs is converted into Pus or corrupt filth in the top thereof formeth and frameth for â—â—t self a bladder of which we have spoken suffciently above in its proper place Another from a distilation fallen down from the Head unto the Breast and in fourteen dayes time not purged from thence by spitting Chap. IV. Of the Consumption or wasting and the Worms of the Back THe Consumption of Back is when the Back withereth pineth and wasteth away There are four species or kinds thereof I. From Excessive venery and immoderate use of women and then it seemeth to the party as if Emmers from the superior parts and out of the head fel into the Spina or Backbone the seed passeth forth both by day and by night there is no fever there at the first but within a very short time there is a fever attending it II. When the natural inbred heat of the Spinal Marrow is in a manner overwhelmed by an abundant store of blood and thereby wel nigh extinguished III. When it is overmuch dried those passages being altogether shut up throw which the Nutriment is carried and conveyed unto the same IV. When there is a depraved baneful distillation continually incumbent and lying thereon For this see Salius Diversus and others II. The Worms of the Back called Crinonis most commonly infest and trouble Children and infants They are knowen by this That these infants eate indeed but are never a whit nourished thereby yea they wear and wast away because that in regard of that most troublesom perpetual itching that followeth them and there being now and then lanced they can never be quiet but are alwaies restless and by this likewise these may be knowen to have worms when being brought into the Bath and there forcibly rubbed there bud forth out of the Skin certain small hayres resembling ashes or else of a blackish color They arise from a viscous and Clammy matter shut up under the skin in the Capillary veins They are taken away if the infants be anointed on their backs with a Liniment formed of wheaten flower and hony and the little heads that these smal worms in a short time thrust forth be cut off with a Razor c. Title VI. Of the Symptoms of the Lungs and the Thorax or Breast Chap. 1. Of the vices or things amiss in the Breathing The Symptoms of the Lunges and the Thorax are the fault in breathing the Asthma the Cough and the Hemoptysis or spitting of blood Unto the faults of Respiration or Breathing there belong I. Macropnoea or a great Respiration exceedingly distending the Breast and drawing unto it abundance of Air which happeneth by the violence and strength of fevers in which the heat of the heart is inflamed so that thereupon there is a great want and indigency of refrigiration and drawing forth of fuliginous sooty fumes II. Tachypnoe a or a Respiration greater and more frequent what is agreeable to the course of nature its use being augmented by the heat sooty fumes It ariseth either from the distemper of the heart the Lungs the Breast or else from the abundance of hot vapors and exhaltations especially when the faculty is weaker than that it can suffice for the Just and right dilating of the Thorax III. Dispnoea or the difficulty of breathing arising from the default of the organs themselves which is easily known for it manifesteth it self unto the sence of its own accord It ariseth 1. either from things external to wit the fume of quicksilver the smoke of coals Calcarth or vitriol lime anoynting with Mercury and other such like or else from internals that produce the streightness and narrowness of the vessels either by obstruction or by compression of both which we have spoken before It is wont likewise to fail by Reason of extream driness although this very rarely happen when the Substance of the Lungs by an Ulcer is so consumed or dryed away that it can now no longer be dilated and this somtimes chanceth unto those that are Phthisical before they dye II. Another is Essentially such and unto this what hath hitherto been spoken doth properly belong Another by the Consent and greement 1. Of the Thorax whose motion is hindered by the fault either of the Spirits or of the Muscles 2. Of the Diaphragm whose motion is hindered either because the Nerves inserted and implanted therein are hurt or else because the Vapors exhaling from the inferior parts reside and settle neer about the said Diaphragm or else lastly because that a Waterish humor presseth it down 3. Of the Liver Spleen and Stomach which somtimes are distended and swoln III. One is Lighter or less in which the breathing is thicker and more frequent yet without any noise or panting and of this must be understood what hath been already said Another is more sad and Grievous which we cal Asthma touching which more anon IV. Apnoea or the taking away of al sensible Respiration accompanyed with an extream great danger of Suffocation It ariseth partly from the very same Causes peccant in the highest degree and partly from the Contrary to wit Necessity deminished or the use taken away It happeneth somtimes after the eating of Mushroms and somtimes in the most sad and grievous suffocation of the womb and likewise in the Syncope or swooning fits The Cure is to be ordered according to the Causes and the Diseases touching which elsewhere Chap. 2. Of Asthma ASthma is a frequent thick and short Respiration or fetching of the
Breasts or Paps Wax hard and that the swelling so add hereunto the Thorax or Chest that without extream peril it may not be thence removed Another by Resolution in which the thinner part is dryed up by preposterous Medicaments and which Galen Cured by an Evaporation of the sharpest and sourest Vinegar poured forth upon the Pyrites stone we cal it the fire stone Red hot but this was after the use of liquid and moystening Medicaments In the Curing of them al we must be sure that we have a special regard unto the Spleen and the suppressed Courses and that Emollients and Resolvers succeed one the other and be interchangably applied 2. The Scirrhus not Exquisite is known by this that the swelling is bigger than in a Cancer of the color of Ashes with an hardness and the Veins thereof somwhat black and blewish in the outward parts and that it somtimes vexeth the Party especially upon the neer approching of the Menstrua or Courses It ariseth from Black Choler mingled together with Melancholly especially in such as are barren or such which soon ceased their Child-bearing or else lastly those that have altogether a suppression of their Termes or monthly Courses In the Curing hereof among the Repellers without astriction there is commended the Unguent of Frogs of which see further in Castrensis his first Book of the Diseases of Women Chapter 21. See likewise touching the Manual Operation in the Same Author IV. A Windy Tumor which is known by this that the pain is very acute especially in the left breast with an Excruciating and torture of the Arm the whol side the Ribs and the Shoulder blades It ariseth from an Exhalation that is thick and drawn up from the Menstrua or the Seed suppressed or else from some other Excrements and so extending the said Paps In the Cure hereof take notice that a Linnen Cloath soaked in Soapsuds or else wet in Water and then dryed is commended for dissipation and when there is occasion to disperse and Scatter and that the Pain is wel mitigated with bread taken hot out of the Oven and then moystened with the Oyl of Nard the shops cal it Oleum Nardinum and of Rue Article II. Of the Cancer and Greatness of the Paps I. The signs of the Cancer in the Breasts as also the Causes and the Cure may be known and sufficiently understood by what hath been already said in the Second Book touching a Cancer Let it suffice here only to add I. That the Cancer that is not Exulcerated may be rendered and made more milde and gentle if the Courses being recalled return to their pristine state and condition either by the Course and Vigor of Nature or else by the assistance of Art and the help of Medicaments or else if the Body be preserved free from a Cacochymy either by a good order of Diet or else by Medicaments There may likewise be applied unto it that Unguent that it compounded of Lithargyrum two ounces thereof in a Marble Mortar drawn about with a Leaden Pestle and incorporated with Rose-water and the Oyl of Roses of each three ounces II. For the Cure of the Cancer Exulcerated see in Hartman who writeth that the said Cancer may be perfectly Cured with Aqua Fuliginis that hath in it a clensing Faculty and with the Oyl of Arsenick fixed and wel tempered in Plantane Water II. The Magnitude of the Paps unseemly as it is is exposed unto the sight It ariseth from the often handling and stroaking of them and especially from the great abundance of Flatulency and windiness the Retention of the Courses c. The Cure hereof ought therefore to be Endeavored because that by how much the greater and bigger they grow but so much the more easily they may be affected with the Cancer It is performed 1. By Meats that are Astringent but little or not at all flatulent or Windy 2. By Driving back the blood or other the Humors flowing unto them and here the Juyce of Hemlock and the Partridg Eggs anoynted upon the place are much approved of 3. By the Discussion of that that is already gotten unto the part affected for which purpose that Unguent that is compounded of the Dirt or Clay that is to be found in Barbers Mils two ounces thereof the Oyl of Myrtle one ounce and Vinegar half an ounce is much commended 4. By the Compression of them by Artificial ones of Lead anoynted on the inside with the Oyl of the Seed of Henbane c. Chap. 2. Of the Symptomes of the Breasts Article I. Of the want of Milk too great abundance thereof and its Coagulation or Curdling THe Symptomes of the Breasts are the Defect Redundence and Coagulation of the Milk I. The Defect of Milk according to the Nature of the Causes is twofold For one is from a Fauâ—â— in the Blood which faileth by reason of Disâ—â—â— that over dry the body from a distemper in the Liver from much rasting and spareness of Diet and lastly from extraordinary Evacuations of al which there must be care taken in the Cure Now to generate and breed Milk these things following are experimentally found to be good Namely Crystal prepared the leaves Roots and Seed of Fennel while they are fresh and green the ponder of Earth-worms prepared and taken in Wine the Electuary of Zacuthus in the Ninth Book of his Pract. Hist and last Chapter Another is from somthing amiss in the Lactificall or Milk breeding Faculty when it is so weak that it can neither attract the blood nor contract it either by reason of External refrigerating Causes and such as are likewise Astringent or else by reason of other Diseases unto which we ought to have due respect in the Cure II. The Redundance or over great store of Milk proceedeth from the abundance of blood and a strong Lactifical Faculty In the Cure the Luxury and prodigality of Nature in the breeding of Milk is to be restrained and the Milk that exceedeth and is over and above ought to be dissipated and dryed up For this purpose venesection in the first place is approved of and then driving back by Medicaments which ought to be put upon the Paps towards the Arms And also those Medicaments that wast away and lessen the Milk such as that they cal Muria a kind of brinish Liquor or Pickle with the pouder of Cummin and Hemlock Boyled in Chervil Water and Vinegar c. III. The Coagulation or Curdling of the Milk is then Caused when the more thin and subtile parts do by little little exhale the thicker remain behind from whence the Glandules or Kernels wax hard and swellings yea and also impostumes arise In this Case the Infant ought not to be suckled out of the Breasts affected and yet notwithstanding the Milk is to be suckt out lest that which is bred anew should be Curdled by that Milk that is already become as it were Cheese and that part of the Curdled Milk that begins
extinction of the native heat If with it there be other matter which from the corruption in the body hath contracted blackness it being by nature not black it relates to I. The urgent symptome it self which is to be stopped 1. By revellers whether they be strong and sharp Clysters or hot things applyed to the extream parts 2. By things that compress the motion of the expulsive faculty and strengthen the Stomach Inwardly are commended Zacutus his Pills lib. 9. hist prax cap. 1. num 4. Lignum aloes poudered and given with the syrup of the sharp juice of Citrons The crude juice of quinces taken a spooneful laudanum opiate a vomit Outwardly a plaister of treacle Zacutus his cataplasme an epithem of the decoction of wormwood mint made in smiths water The differences are taken chiefly from the causes I. One is from external causes as are meats either taken into great quantity or offensive by their hurtful qualities vomiting medicines then are comended new treacle spirits of wine imoderate drinking and drunkenness vehement motions after meat unaccustomed going to Sea violent coughing the phansie and beholding of things loathsom blows on the body a wound of the skul poyson taken c. Another is from internal causes either diseases or humors of which shal be treated in the following difference II. Another is from diseases infesting the stomach as are Vlcers tumors straitness and smallness the stoppage of the lower orifice which must be considerd in the cure Another is from humors which are either bred there and then there was some fault in the dyet with a continual nauseousness or flow from some other part and then there must be respect had to those parts or they lie in the cavity of the stomach and then they are cast up with a little straining there is a distension and anxiety after meat and vomitings when they have taken no meat or they adhere to the coats and then they vomit not unless upon taking of meat nauseousness is very troublesome These humors are 1. The Chyle which must be suddenly remedied lest an atrophy steale upon us this happens in an ulcer of the Stomach 2. Excrements which are cast upwards in the Iliaca passio as also Glysters 3. Blood which is cast up either by reason of the cutting of some member or after the suppression of some evacuation of blood where it must be dissolved lest it putrefy with oxymel in which a dane-wort root hath been boyled afterwards it must be emptied at last it must be stopped with two ounces of the water of the greater nettle spirit of vitriol as much as is sufficient for a gratful sharpness w th the essence of crocus Martis gelly of Quinces with the old conserve of roses given with gum tragacanth Or by reason of the opening of the vessels where the same means must be used Syrup of purslane with terra sigillata is powerful in astriction 4. Cholor sometimes comes theither if the channel of choler be inserted into the Stomach and then the nature of the humor cast up must be considered vomiting troubles them most when they are fasting 't is somtimes happily stayed by opening the Salvatella if we may credit Zacutus 5. Flegm melancholly matter worms stones c. which are best of all discovered by their proper signs Article X. Of Choler Choler whether it come apotes choles that is from yellow choler from which it most frequently ariseth or apo ton cholodon that is from the gutts is twofold moist and dry I. Moist choler which also is the true is a continuall and imoderate casting off of an evil humor with great perturbation and violence both through the upper and lower parts arising from the violent irritation of the expulsive faculty The signs are often voiding of cholerick humors a great paine in the belly and bowels paine at the heart thirst a pulse smal and frequent to which do oftentimes succeed faintings and coldness in the extreame parts The Cause is a sharp and corrupt matter whether arising from meats bad in themselves as the eggs of the barbel fish mushrums melons cowcumbers plums fat things herbs leeks onions c. or bred elsewhere and sent to the stomach as shal be said in the differences The cure must be bastend by reason of the acuteness of the disease yet there are some in whom this cholerick passion a lask at certain periods doth empty al the superfluities of their bodies It respects 1. The furthering of either of the evacuations if one be too much the other to little 2. Atempring of the humors 3. Astrengthning of the part 4. A restoring of the strength and spirits too which end wine is good if there be no feaver 5. A mitigation of the Symptomes of which in the differences As for the differences There is one when the matter that irritates is conteined in the Stomach which is known by this that there is present nauseousness a straitness knawing and pain of the stomach It ariseth from strong purging medicines Concerning the Cure observe 1. That the flux must not be stopped if the evacuation be plentiful and the strength be not impaired 2. Where the irritation is great and the evacuation smal vomiting must be furthered by gentle vomiters and purging by benigne purgers and laxatives 3. Where the evacuation is great and irritation smal we must use astringents and strengtheners together 4. If vomiting be excessive we must move by stoole if a loosness be too much we must act with vomits composed of whey with syrup of roses 5. Inwardly crocus martis rightly prepared doth stop it best of al. The decoction of Cloves Mastich and Red Roses made in red wine Laudanum opiate the spunge that is wont to grow on sawallows given four grains weight in red wine Outwardly a Sea spunge boy led strongly in vinegar and laid upon the stomach Another is when the matter flows from elsewhere as from the liver pancreas gutts mesentery into the stomach 'T is known by this that for the most part there is present a malignant feaver and convulsins trouble them the matter offending then is Choler like yolks of eggs yellow adust or salt nitrous and corrupt In the Cure 1. The course of the matter flowing thither is not presently to be stopped 2. If it flow too much it must be diverted by medicines either to the skin or to the passages of urine or it must be called to the outward parts by frictions ligatures and the like 3. It must be qualified and the parts strengthened Inwardly Christal is good given half a dram weight Outwardly epithems made of the juice of Endive Purslane with barly flower In course of diet bread dipt in the juice pomegranates is good c. II. Dry choler which also is the bastard is a voiding of a flatulent spirit through the upper and lower parts with a puffing up of the belly with noise and a pain of the loynes sides The SIGNS and immediate cause
in that a beating pain doth precede neer the affected place and there is neither biting nor looseness c. The CAUSES are sharp Humors corroding the Guts and peculiarly offensive to them conteining I know not what Antimonial Helleborine or somwhat like unto the Sea Lungs offensive to the Lungs and like to Cantharides inimicous to the bladder These infected by a Dysenterical Contagion peircing into the Veins and arteries do cause a Fermentation and imprint a disposition like unto it self by a stain on the whol mass of blood and stir it up with the other Humors as purgers do they fix also an evil disposition on the Guts so that the chyle passing by is changed into a vitious Humor and the Excrements of the Belly receive not a natural Elaboration and quality Somtimes in human bodies they are rendred such by the occult influences of the stars hence sucking children who never came into the open aire and were only nourisht with their Mothers Milk are somtimes taken with a Dysentery But they have their Original from Waters carried through Leaden and Old condites from the spring Aire rainy and southerly after a dry and northerly winter both by reason that the drying up of the Humors is hindred and by the strong puttefying power in moisture from a hot and dry Aire thence at the begining of the autum and end of the Summer this Disease is raised and Reigns cheifly in the hottest Countries From evil and unaccustomary Meats hence in Aegypt and India 't is common because they feed on the flesh of beasts which are nourisht by Cassia Fistula From autum Fruits both because they easily putrefie and because by their astriction they retaine those which are putrefied The use of Grapes and new Wine because they make a Fermentation and are easily tainted with foulness Blasting dews The CURE is Difficult in women by reason of their tenderness and weakness in Children by reason their Guts are moister and therefore subject to Putrefaction in Old people by reason of the greatness of the cause that is the acrimony of the humors in a body indisposed and Feebleness of strength 'T is doubtful if the stools be sincere that is mixt with no waterish moisture If the effusion of pure blood be joyned with it for it shews that the greater veins are corroded If loathing of meat afflict with a feaver because the stomach being drawn into consent the concoction is weakened there is some ulcerous putrefaction in the guts If cholerick vomitings seize at the begining because it argues a great power of boyling choler which troubles the upper and lower belly If the stools be continual or that stopping a new dilute flux bloody like to an hepatick flux or a filty diarrhy do follow If it invade with a feaver or with divers colored stools or an inflamation of the liver If it happen to a woman great with child and bate not after the delivery of the child and voiding of the secundine Of some hopes if the excrements be changed unless the change be to worse if belching or farting succeed because it is a signe that nature doth begin to concoct If it befal the splenitick because the melancholly humors are carried away where we must wel distinguish between the melancholy blood concrete in the guts and black choller If it follow madness because it betokens that the matter is translated from the head to the lower parts Of little hopes if black choller be voided of its own accord no feaver going before nor good concoction appearing because it differs nothing from an ulcerated cancer If convulsions and ravings Succeed because they shew the matter is carried to the head and nerves If peices of flesh be voided because the substance of the guts cannot be regenerated nor a scarre be drawn over so great an exuleration If any one releeved from an acute disease be taken with it because his strength is not able to undergoe it If in process of the disease the hickops follow if a black pustle like to a vetch appear behind the left ear with a great thirst because it signifies death on the twentieth day The Cure is accomplisht 1. By revulsion and derivation of the humors rushing to the guts where Bleeding takes place if there be plenty of blood if it rush violently with the humors to the guts if there be an inflamation or if it be feared If the Feaver be continual If a hot liver minister matter Yet note it must be emptyed by little and little timely and at the first dayes least the strength be dejected the median or liver vaine must be opened with a smal orifice the vein of the ancle if some accustomary evaccuation be stopt 2. By emptying the corroding humors so that the stronger be avoided because they move the humors to the guts Let the purging be at the begining before there folow too great exulceration and that very often that the humor may be taken away The syrup made of the infusion of damaske Roses is commended Myrobalans Tamarinds the infusion of Rhubarb first of al not torrefied afterwards torrified if we would binde a little Mechoacan by whose frequent use the belly is dryed The decoction of myrobalans which see in Sennertus 3. By the abstersion of the same humors by glysters made of barly the yelks of egs honey of roses Sugar and other things according as the exulceration is greater or less 4. By mitigation of the pain for which serve cows milk so that the body be purged and if there be a Feaver Let it be mixt with plantane water or let it be boyled with flints with yelks of egs and the mucilage of quince seeds and cast in by glister Mulein goats suit mixt with the same a clyster described by Sennertus of a weathers head 5. By stopping of the flux by the medicines rehearsed in a diarrhy to which ad raw services if the flux be most desperate a Nutmeg rosted in the embers if there be no feaver the decoction of the clay of the furnace in steeled milke new treacle if there be no inflammation the pouder of a dogs-turd fed three dayes with bones drank with goats milke Laudanum opiate but these ought so to be administred that sometimes hot sometimes cold things be given To cooling things let hot things be mixt that helpe concoction al in a smal quantity least the flux be stopt suddenly and let them be given often because they stay not long in the guts 6. By the use of mundefiers and things that fil up the hollow ulcer c. in which observe that when as the pain is exasperated by the use of detersivnes the glyster being voided another must be given made of milk 7. By the application of topicks concerning which note that astringents are of force rather in lean bodies than in fat when as in these they cannot penetrate Things very cold neither vertually nor actually must not be chosen vinegar or thin white wine must be mixed with them Cataplasmes
are of no force in a dysentery from sharpe choller when as they leave a biting quality behind them 8. By dyet in which biskit bread milk of sweet almond sthe flower of sugar c. take place The Differences of a Dysentery are Divers I. One is in making when the exulceration begins onely in the superficies of the guts and there from them suffering an inflamatory disposition their temper being destroyed Another is already made when the corrosion peirces deeper and either fibres and smal skins of the inward coat are voided with blood or peices of the fleshy substance cut off from the proper substance of the guts are voided with membranous shavings and much blood and purulency which is the utmost degree of malignity II Another is of the smal guts in which the pain is most acute by reason that they are membranous the stool is longer after the torments the blood is exquisitely mixt with the excrement by reason of the longer passage the blood is blacker Purging medicines must be given by the mouth 't is almost incurable Another of the great guts in which the paine is less by reason of their fleshiness t is cheifly perceived about the navel by reason of their situation the stools are quickly after the torments the blood purulent matter swims upon the excrements of the belly Note that for the most part the great guts are tainted and being tainted medicines are best administred by glisters Somtimes the stomach and neighboring parts are drawn into consent somtimes the belly over against the ulcer and hole is perforated by reason of the putrefaction communicated to it III. Another is from things external viz. either from poysons whose cure is performed by vomits by things that dul them whiles they teare as milk rice fat broths by antidotes cheifly six grains of an emrald prepared but they must abstain ten hours from meat and sweat Or by purging medicines that are very strong and then if you consider the cure after abstersives 't is good to drinke warme milke new treacle c. Another is from things internal of which hereafter IIII. Another is epidemical and malignant in which we must act with things alexipharmacal amongst which are harts-horn terra sigilata Corals saphyres water germander pulvis Bezoardicus aureus The same may be mixt with purgers Another is simple to which those things above may be applied V. One is from Yellow choler from which for the most part it begins the which sometimes is generated in the stomach somtimes in the guts sometimes is cast from the bladder of gall the meseraick veins the whole body Another from Black choler which if it be voided by reason of a crisis in feaverish diseases it may be cured It ought not to be purged before it be tempered and then with Lenitives Another is from Choler of a leek color and the rust of Brass which though by Nature collecting it self it may be cast off yet not presently Another is from Salt Flegm which somtimes is produced in the head from a great heat somtimes in the stomach being carried to the Guts and by its clamminess sticking long to them it troubles them and at length Exulcerates 'T is hardly Cured 'T is wel rooted out with Agarick and Mechoacan Point 4. Of the Bloody and Hepatick flux I. The bloody Flux is known both by the sight and by this that it is voided without pain and exulceration It ariseth 1 By reason of plenty of Blood proceeding either from a hot distemper of the Liver and then there wil be signs of fulness 'T is voided without pain and wasting of the Body the Urin is thin of a Goldish color Thirst oppresseth both by reason of the wasting of the moist substance and the heat of the Liver In the Cure the diet must be abated the Liver must be corrected by succories and other proper coolers steeled milk c. If Choler be mixt with it it must be emptyed Or from the cutting off of some member and then blood must be let according to Course Or from the suppression of some accust omary Evacuation and then we must act by frictions the stoppage must be opened 2. by reason of a vein broke or opened which is known by this that it is cast up also by vomiting Some vehement fal hath happened before Fainting is Caused by reason of the putrefaction in the stomach The cure is difficult II. An Hepatick flux is either Exquisite which is known by this that that which is voided doth look thinly red as the washing of the flesh of a beast newly kild doth not clod together doth flow more frequently yet not so often as in a dysentery without any knawing but yet not without a Heavy pain the Eye-lids are swelled and the Feet the excrements are crude It ariseth from a weakness of the Liver and the defect of natural heat in it from causes that do dissipate or choak it up The Cure must be hastened because this Disease Leads to an ill habit of Body a dropsie and Consumption 'T is hard when t is beginning and in young men Almost incurable when its inveterate and in old men and in them also whose spittle is bloody somwhat pale or clearly cholerick It excludes Purgers and is perfected only with altering strengthning medicines mixt with the meats Hens Livers Chickens and Geese stones are commended Or Spurious in which the blood is either acrid by the mixture of Choler or thick by its long stay in the Liver or elsewhere or faeculent by reason of the foulness of the Liver because the Spleen doth not attract the feculent parts Title IV. Of the Affects of the right Gut Chap. 1. Of the Diseases of the right Gut THe Diseases of the right Gut are Inflamation warts Clefts and Fistulaes I. Inflamation comes either from violent Causes or from Medicines and corroding cauteries It is known by the sharp Launcing pain fixt in one and the same place by a vain desire of going to stool in which by reason of the greatness of the Tumor obstructing nothing or very little is voided The cure is difficult both because the part is endewed with an acute sense and because the Excrements of the Belly hinder Applications and because by reason of the heat and moisture of the place the Disease degenerates into Ulcers II. Warts are either Condylomata or swellings of the Skin of the Anus viz. Hard and callous bunchings growing out from a Melancholy humor more troublesom than painful Or Thymi or the rougher warts having a narrow basis and large superficies which do easily pour forth blood into the same which if they grow out much are called Ficus If they bleed they are worst of al especially if a disposition to a Cancer draw neer Or Crista or excerescences of flesh arising from preposterous Venery They are taken away either with the Ashes of Mouse dung boyled with Wine and applied or with the oblong shels of Fishes found by the Sea side
the Epigastrical branch of the Vena Cava and are disseminated to the external parts of the right Gut viz. The Muscles of the Anus but they are two having an Artery joyned with them from the Hypogastrical Artery Yet they seem al to have communion one with another It is known by the sight and because 't is greater 't is also more dangerous In the Cure external things have a convenient Application II. One is by default of the blood which either is too much and then there are signs of fulness we must revel by bleeding in the Arme or if strength wil not bear it by fixing Cupping-Glasses to the Loyns or Hypochondries Or sharp and thin and then it happens most to Southern people especially to men that are Sanguine Serous Humors if strength wil bear it ought to be emptyed if not we must use coolers and things that thicken the blood amongst which Purslane Trochiskes of burnt Ivory and Amber do excel Or it flows from the Liver and then 't is like to Water in which flesh new kill'd is washt The Syrup of corals is good Or from the upper Parts and then the blood is black and burnt Or from the Mesentery and then 't is little somwhat white Serous Or from the Guts and then 't is mixt with the Excrements Another is by default of the Veins which either are opened in which Cause we must use Agglutinatives as the Mushrum which is called the Wolfes Fart c. Burning and cutting the which are dangerous especially in those that are inveterate and of long continuance Or Eaten through and broke and this Evacuation Casts a man into a Dropsie and other Diseases II. The Suppression of the Hemerhoids is an interception of the blood endeavouring to get forth through the Veins of the Anus from whence they are raised up into a Tumor with pain The Signs are a tumor and bunchings out in the heads of the veins of the Anus sometimes hard like unto warts somtimes soft caled like to mulberries somtimes of a purple colour and like to grape stones the pricking paine is somtimes milder somtimes more greivous the Veins being distended whose Mouths hangs as it were out of their heads and the membrane which covers the orifices of the Veins stretcht and prest The CAUSE is Faeculent and thick blood desiring to get forth The CURE must be hastened both because it threatens a dropsie if the blood run back to the liver and because unless it be seasonably remedied by reason of the great attraction and flux of humors it causeth inflamation impostumation or a fistula It is performed 1. By mitigation of the pain which is asswaged by the crum of Barly bread steeped in womans milk adding the yolk of eggs and saffron 'T is taken away with laudanum dissolved in womens milke applied with honey but most of al with Butter Sugar or anima Saturâ—â— with flies of sheeps dung boyled in oyl of flax to the consumption of the creatures with the ashes of corke burnt and boyled with capons grease with the oyntment of road-flax concerning which see Hartman 2. By opening them universals premised by application of leeches or before that be done by an ointment of the Pulp of Coloqintida and oyl of sweet almonds by the juice of onions mixt with aloes applied rubbing first the part with a course cloth Sharp glisters do hurt the guts more then they provoke the hemorrhoids Unless they swel very much and be very painful they ought to be left to nature In the differences of the internal end external veins we must have a care The suppression of those is perceived by the squeezing of the Anus and thrusting up a probe Of these is obvious to the sight Title V. Of the affects of the Mesentery Chap. 1. Of the distemper and obstruction of the Mesentery THe affects of the mesentary are distemper obstruction inflamation impostumation and pain I. The distemper of the Mesentery for the most part is hot and dry which ariseth from the like matter which either is collected there of sent thither from some other part It is collected either in its veins and arteries and then because the breast hath the greatest consent with the hemorrhoidal artery because the trunke from whence the artery ariseth descending from the heart presently at its first rise doth propagate the intercostal branches there are continuall pains felt in the breast or also in its glandules by their laxness easily drinking up the matter The cure must not be neglected because 't is wont to fore-run a dry dropsy But it hath nothing singular except this that by those arteries not onely the first passages but also the whol body might be purged whether you give purging medicines or inject glysters and this perhaps is the cause that purging medicines layd to the navil do move to stool II. The obstruction of the mesentery is twofold one when the milky veins are obstructed which is knowen by this that a chylous and white flux of the belly doth molest and a consumption follows the matter necessary for the nourishment of the body being denyed That ariseth either from a thick crude clammy viscous chyle generated of the like meats or from a tumor of the glandules compressing them Another is when the mesaraick veins are stopt which is known by this that the matter restrained causeth a sence of distension and heaviness beatings of the arteries about the back are troublsome after taking of meat the evil grows more fierce and the stomach is comprest c. That ariseth either from vaporous and thick winds or from sharp humors and then the paine is more vehement sometimes while the evaporation lasteth the evil possesseth the whol cavity of the breast that somwhat is at hand like unto a suffocation somtimes there is a tumor raised about the mouth of the stomach and vaine belchings are produced those things being supprest that should be voided by the lower parts The cure is perfected 1. By openers and those indeedgentle That give strength to the liver and Stomach penetrating incisive drying lesning putrefaction and a little while astringent not by sweet things but bitter reduced into the forme of electuaries or pills but that liquor be drunk after them By tartarous things unless the saltness or sharpness of the humors do hinder by things that savour of Oxymel 2. By purgers unless windiness do hinder and those gentle not constant after the same manner given by little and little liquid 3. By vomiters but not violent Platerus his essence of broom is commended 4. By diuriticks that make thick humors fluid c. the liver is strengthened by Leonius his pills of the refuce of Iron By Mercatus his antidote of steele By Penotus his arcanum of vitriol sulphur and sallows c. Chap. 2. Of the inflammation and impostumations of the mesentery AN inflammation of the mesentery is a tumor of the same arising from humors poured forth with the nourishing blood into its
it It respects the same things as a schirrus of the liver Amongst things that disgest in wardly are commended the root of ferne the pouder of dead nettle in meats the wood of tamariske boyled in steel water to a third part The composition of ferne rootes one ounce dodder of vetches two drams boyled in eight ounces of strong wine to the consumption of a third part Outwarly amongst emollient things Fabricius unguent is of force compounded of Gum ammoniacum one ounce oyle of sweet almonds white lillies bens grease each two ounces the juice of hemlock foure ounces vinegar of squils two ounces The Differences are the same as of a schirrus of the liver I. One is new come which afflicts with pain extending it self to the very throat Another inveterate which is void of al paine neither doth it easily kil a man unless the liver be drawne into consent II. One affects the spleen only according to its substance which also is bounded with the figure of the spleen though this do sometimes according to its longitude appear as round sometimes according to its latitude somtimes swels according to al its dimentions Another is poured forth into other neighbouring parts also that for the most part it comprehends al the left region of the belly Article III. Of an Vlcer and wound of the spleen Concerning an Vlcer there is nothing to be observed but that it followes inflamations and tumors and casts forth its matter somtimes by urine vomiting or stool It must be purged cleansed headed A wound is either in its superficies which is less deadly or in its substance which by reason of the effusion of blood is deadly wheresoever it is it pours forth black blood for the most part also it affects the stomach causeth thirst and paine to the throat the matter somtimes is voided by the urine carried through the caeliacal artery to the trunk of the great artery and hence to the emulgents 'T is cured also with vulnerary potions Chap. 2. Of the Symptomes of the spleen Article I. Of the paine of the spleen and black Jaundice The Symptomes of the spleen are a pain of the Spleen The black Jaundice the hypochondriacal affection and the scurvy I. The pain of the Spleen ariseth from the solution of its continuity and distension of its membrane This is caused both from things external as blows fals c. and internal viz. â—â—â—ammation inflation tumors ulcers c. But it must diligently be distinguished both from those pains which are felt in the left side especially after meat or riding which proceed either from wind or from serous humors which flowing into the spaces of the peritoneum that sticks close to the coates in that place do distend them from the muscles and from the paine of the muscles which is felt if they be prest a little The Cure requires no narcoticks for when as it is cloathed only with a thin coate the paine is not exquisite II The black Jaundice is a change of the skin of the whol body into black 'T is known by the color it self It ariseth from the same causes as the yellow Jaundice doth except that there the liver here the spleen is in fault But t is harder to cure because if it be by default of the bladder of gal there is a greater corruption of choler if by default of the spleen the humor is more stubborn and there is a fear of a dropsy Medicines of steele are commodious in it and also a dry bath after which the body must be clensed with an emulsion of hemp seed the face with beane flower water mixt with wine Article 2. Of the Hypochondriacal affection The Hypochondriacal affection is a filth of vitious humors collected in the branches of the vena porta caeliacal Mesenterical arteries by reason of the hurt of the spleens concoction without putrefaction and by sending forth of vapors causing many Symptoms 'T is called Hypochondriacal by reason of the place of both Hypochondries by which is understood that part of the body which under the bastard ribbs reaches as far as the loyns on both sides and comprehends with the muscles the bowells themselves 'T is called also the windy passion by Diocles and Aetius for the familiarity of winds conteined in the left hypochondry and it obtains the name of Melancholly when as the brain is affected by consent As was said before The Signs are fetcht from the symptoms of the natural vital and animal faculties there is 1. A crudity of the Stomach by reason that it is ill nourisht by the vena porta from the Spleen which is followed with a continual spitting Flegme filling the mouth with moisture vomiting up of the thicker parts of the humor either generated in the stomach or sent from the spleen and somtimes so sowr that the teeth are on edg there goes before it an ebullition of the same in the stomach wind distending the neighbouring parts that somtimes the patient falls into swouning fitts a discussion of the thinner parts of the humor by insensible perspiration somtimes with a Feaverish shaking which a certaine heat Follows presently vanishing in sweat 2. Pains in the stomach which reach even to the back returne upon taking of meat when 't is concocted or cast forth they cease they draw the kidneys into consent by communion of membranes 3. Costiveness of body both by reason of the dryness of the vessels in both sides and because the meat is changed into a flegmatick viscous humor and so 't is not moved forward by the gutts and pertinaciously adhering to them is the cause of astringency 4. An inflammatory heat as it were of the Hypochondry which by motion meat drink hot things grows more fierce which is attended somtimes with a redness of the cheeks and whole face by reason of vapors ascending a diary Feaver vanishing in sweat by reason of the dispersing of them through the whol body by large drinking 5. A Vrine sometimes thin by reason of the passages obstructed and the retention of wind from whence the fit begins sometimes troubled and thick by the admistion of humors with a sediment somtimes of red sand in which the tartarous parts of the blood are coagulated 6. A Flatulency and waving especially in the left hypochondry the wind being imprisoned in the cavity under the midriffe arising from the connexion of the stomach caule cholick gut and bowels 7. Anxiety both because the meat half concocted is resolved into wind and causeth a straitness and because being carried to the neghbouring vessels affected with a hot distemper it boyls as it were with that Fiery heat and distends the hypochondries and so causeth a straitness in those parts which have nerves from the sixth conjugation 8. A Palpitation of the heart either by consent of the stomach or by the contention of the part it self against the malignity of the vapors which is more frequent with some at the increase of the Moon by reason of
the greater plenty of serum than boyling in the mass of blood 9. A pulsation in the left Hypochondry which either the celiacal branch causeth especially after anger and motion or the compression of the arteries in the mesentery by the glandules the great one especially which is in the center 10. A driness of the Palate mouth and tongue by reason of the ascent of resolved vapors through the gullet and rough artery 11. Difficulty of breathing both by reason of the affection of the nerves dedicated to the muscles of the breast and of the effusion of the evil matter into the spaces of the muscles 12. A perturbation of the brain for the vapors resolved if they be acrid cause an epilepsy if obscure they darken the spirits and cause melancholy dotages if many they are authors of a vertigo if dry they cause watchings which are wont to molest most men after midnight because the chyle distributed and carried to the second concoction the spleen and the neighbouring vessels doth stir up the humors lurking in them and raiseth up vapors from them Which are carried towards the brain if into the gullet the muscles of the larynx and rough artery they cause a fear of strangling by reason of the destension of that and the contraction of these if into the nerves of the tongue the armes according to the tract of the nerves they cause a stupidity and a formicant pulse somtimes in one somtimes in the other hand And these are the symptomes yet they do not invade al. The Cause is the flegmatick cholerick and melancholy humors yet melancholy cheifly not only by their first and second quallities as they are adust viscous fixt but also according to their highest powers and strength viz. hurting by their bitterness saltness sharpness and acidity They are collected if you respect the place in the branches of the vena porta the caeliacal and mesenterical arteries the greater especially and which do wash along the left hypochondry neither the vas breve nor the arterial nor venal vessels excepted nor the caul which hath large veins from the vena porta If the cause they are gathered 1 by reason of the concoction of the spleen hurt and truely either by a hot distemper by which it attracts crude juice the watery first afterwards the thicker which stopping in the veins being destitute of a vehicle is thickened and burnt and yeelds matter for the generation of winde or by dryness hardness and scirrosity its heat debating by which the chyle not attracted subsides and the excrements remaine not being cast off as happens in a sedentery life hence about the thirtieth yeare of our age the disease for the most part invades or by an external error when the chile is not concocted either by default of the meats or of the stomach or passions of the minde which while the meat is concocting doe cal away the heat to other parts mixe choler stirred up by anger with the meats trouble the spleene in its action which abounds with many arteries 2. By reason of the fault of the glandules which underprop the vessels of the mesentery whiles they either compresse them by a tumor or being comprest in a sedentary life they render them more streight The CURE is difficult by reason of the heape of symptoms The easier if it be begining if it fal neither upon a fulage nor declining if the hemrods swelling of the veins courses come upon it If it affect men rather than women the fat and faire than the swarfie If a bleeding of the left nostril happen If blackish urines be pist freely without a feaver It respects 1. Chyrurgery by vertue of which blood must be let where note a veine of the arme may be opened if a great part of the matter is communicated to the vena cava and any inflamation afflict about the liver that the external hemrod veins may very wel be opened because being inserted to the same right gut their mouths doe communicate with the internal 2. Physick by vertue of which 1. The corrupt humor sticking in the first region of the body must be brought forth Where glysters take place and womits especially if there be much in the stomach 2. The passages must be opened and the humor prepared by things incessive and attenuating where note that al things are rather to be used in a liquid forme but if in a sollid a drauft of liquor must be dranke afterwards we must begin with the gentler and end with the stronger Amongst those things are of symples the roots of scorzonera male fern the herbs of fumitory spleenwort the flowers of burrage buglos Apples Burstorfian Of compounds the syrup of sweet smelling apples of fumitory the pouders of diacurcuma the essence of fumitory gremander c. of which formerly in the obstructions of the spleen and liver After these acid waters baths steele must be given spring and autumn which premising the evaccuation of the first passages may be given in conserve of burrage from too scruples to one dram and half upon an empty stomach first of al every third day til the twentieth before they are accustomed to it afterwards a drauft of wine must be added and walking up and down for two hours if they be able four hours after taking of it let them eate their dinner if they voide not black excrements we must forbear but if they be wholy supprest we must move the belly 3. The humor prepared must be emptied by benigne purging medicines corrected with moisteners by little and little given about the last quarter of the moon interposing baths and moistening Fomentations myrobalanes and cassia excluded In a nidorous crudity things purging choler are best in an acid purgers of flegme and melancholly taking meat two hours after that the medicine ascend not beyond the liver 4. The vapors fuming up must be diverted from the head and the heart by frictions glysters cupping-glasses causticks and other medicines as elixer proprietatis conserve of roses with spirits of sulphur and vitriol 5. The Parts which it offends must be strengthened and the simptoms taken away of which in their places The Differences are taken from the parts I. One is essentiall which we have hitherto explained Another by consent of other parts and this II. One is stomachical which is known by often spitting after feeding by sower belchings and savoring somwhat rusty by pricking of the mouth and jawes with which those so affected desire cold drink by vehement pains of the stomach which in some proceed even to the back the meate being concocted they cease by and by upon the taking in of more they returne c. It is cured by emptying by diversion by bleeding and cupping-Glasses If greate paine afflict by abstersives dryers strengtheners Another hepatical which is known by the pain of the right hipochondry loathing of meats a slow and erratick feaver the extension of the pain to the shoulders and cannel bones c. in the Cure which
with a fit and that going away it ceaseth 'T is cured with water-cresses which grows in clear waters XIII A Palpitation of the heart and swouning Concerning which we must know that it serves for the most part when the patients rise in their bed the humors being stirred somtimes 't is so great that they dye suddainly 'T is a certain sign of the scurvy if it afflict in a disease that is smal to the sense It ought to be opposed by medicines given six or eight times a day with things antiscorbutical XIV Vomiting which is rather a vaine endeavouring 1. To vomit that hath no heaviness or pain of the stomach going before it is not taken away by medicines that strengthen the stomach 't is rather quieted with milky things that do lenify the humors XV. Too much spitting which ariseth partly from vapors raised up to the mouth from the bordering places of the stomach partly from meats corrupted in the stomach and carried up to the mouth along the course of the membrane lining the gullet partly from a serous humor poured forth from the spleen into the stomach through the Vas breve 'T is prevented by avoiding of sharp and hot medicines which diffuse the matter XVI A Flux of the belly both diurnal and nocturnal which brings forth compacted excrements but exceeding the meat in quantity sometimes of a green somtimes of an ash color It ariseth either because the nourishment not attracted by the weakness of the liver is corrupted or because the serous humor flows back from the spleen to the gutts or because the serum which might have been dissipated thorough the habit of the body in forme of a vapor by cold condensing the pores is driven back to the guts or the vessels especially in the morning time when the body is open with heat being bound up by cold 't is thrust back towards the greater vessels and carries with it to the guts whatsoever it findes in the way and then in the cure things astringent are most hurtful A dry dyet must be used wormwood wine diluted with the decoction of succory is good or because whiles the serous humor grows hot with the Feaverish heat and cannot be exhaled it is turned thither and then syrup of Roses solutive and things of succory are good 'T is somtimes bloody but without paine and with other signs of the scurvy It ariseth from Feculent blood abounding in the veins and poured forth into the guts through the ends of them XVII Feavers which differ far from other Feavers For the sence of cold extends it selfe to six or seaven hours the pulse is slow weak unequal in the declination great and hard in the vigour the urine is as we have said formerly Somtimes they trouble thrice somtimes four times a day most commonly they are mixt of the type of a continual and tertian The continual if they be exasperated by purging medicines or hot potions do kil XVIII A dropsy which afflicts both with a harder manifest tumor and distension of the spleen liver or belly and with a greater difficulty of breathing than otherwise which after the use of purgers doth most of al torment and because it proceeds from thick vapors they being discust it ceaseth XIX An Erysipelas Which somtimes molests every week somtimes every month it proceeds from ichorus humors corrupted after a peculiarmanner In the cure the water of elder flowers with Carduus water is good XX. Vlcers which are dry and yeild no matter or filth they trouble those most that are of a cholerick temperament They possess not only the thighs but other parts also somtimes they become so gangrenous so that they feel not iron inflicted on them they ought to be cured without any biting or pain brooklime alone boyled in drink layd on them twice a day doth much good and also the ointment of diapompholygos in great putrefaction some Mercury precipitate or spirits of vitriol must be mixed with it XXI Hard bunchings in the whol body great tumors which stick in the groin the glandulous parts of the body like unto muscles they are without paine while the patients are quiet with paine when they walk If they break forth suddainly and by and by vanish they presage a palsey A cataplasme of the root of the greater comfry of bryony wormwood the crum of white bread boyled in milk is commended in the cure XXII An Atrophy which proceeds at first because the faculty is disapointed by reason of vitious nourishment in process it ariseth by reason of a vitious disposition imprinted on the parts by the defluxion of humors For the cure is commended goats milk if the goat be nourisht with things antiscorbutical I omit the rest See concerning this disease Sennartus Horstius and others Title 8. Of the affects of the Kidneys Chap. 1. Of the diseases of the kidneys Article 1. Of the Straitness of the Ridneys THe diseases of the kidneys are straitness inflamation the stone wounds and ulcers The straitness is an obstruction or compression of the vessels in the kidneys induced by its causes The Signs of it are the retention or paucity of urine and from thence a sence of distension and heviness about the loines in one or both sides c. The Causes shal be explained in the differences the continent is put in the definition The Cure varies according to the nature of the differences The differences are taken from the causes inferring the obstruction or compression I. One is from a tumor Phlegmon Scirrus compressing them too much dryness whiles the substance is wrinkled and contracted which wil discover themselves by their signes although the last is very hardly known II. Another from humors viscous thick clammy which is known by their redundance the absence of pain and a Feaver 'T is cured 1. By emptying by stool or by vomit 2. By things detersive incisive and diuretick The waters of parsly rest-barrow with Fernelius his syrup of radish are commended The spirits of salt tartar vitriolate with a Julep of violets c. III. Another is from clotted blood which hath fallen out of its vessels and concreted there 'T is known from hence that pissing of blood went before and causes enducing it as blows falls c. 'T is dissolved with chervil water dyers madder with the seed of cresses spermaceti and mummy made into a pouder IV. Another is from matter which is generated there or flows from some other part It is known by the signs of an ulcer or impostumation in the kidnies and the urine somtimes purulent 'T is cured by abstersives V. Another from the stone of which shal be treated hereafter in the meane while observe that gravil doth sometimes do it which either is produced in the proper substance of the kidnies which is known from hence that 't is hard and red and thence rapt with the violence of the urine running is carried into its hollow part afterwards is thrust down to the bladder and when the
from the cava It ariseth from an impurer blood flowing to the testicles and cod by degrees dropping from the membranes of the vessels and changed by nature that is never idle into a substance like unto flesh 'T is cured 1. By repression with repellers and dryers the pouder of the root of Rest-harrow is commended 2. By cutting of which see Authors 'T is divided into a scirrous one in which there is neither pain nor heat and a malignant one in which there is felt a pricking pain IV. Another is various or a Cirsocele in which the vessels nourishing the stones are dilated like to varices 'T is known by this that the veins are sweld and wreathed and rounded like shootes of vines the tumor is oblique and rowled up like a grape spring and autum the the guts being distended with wind or the feet cooled a pain accompanies it It ariseth from a thick melancholy humor poured into the vessels 'T is hardly cured things drying and hanging the stones in a truss are good Cutting can scarce be used without hutting of the stone Article 3. Of the diseases of the Yard The diseases of the yard are various I. A distortion which befalls those who indulge too much to venery and have their genitals along while distended for then the spirit concluded in the ligaments acting violence upon some part of another ligament doth relax it and makes it bunch forth like a beane or glandule by which means it comes to pass that how much is added to the accustomary latitude of the part so much is bated of its longitude 'T is cured by abstinence from venery and by those things which serve for the cure of a rupture See Arantius II. Inflation and inflamation of which that doth somtimes arise from lying with a woman whose womb is uncleane and repleat with sharp humors we meet with nothing singular concerning them III. Warts and excrescencies which either are upon the top of the nut which degenerate into a canorous Sponginess or they bunch out about the flesh of the nut and under the foreskin it self and they are soft spongy alwaies moist smel il and are dayly increased and are familiar with them that are troubled with the French Pox. They require Chirurgery IV. Vlcers which are divers 1. Some are external which are apparent to the sight yet somtimes when they are about the nut and foreskin they cannot be seen by reason of the swelling of the part If the region of the nut be exulcerated all medicines ought to be drying Others internal sticking in the urinary passage which are known by the pain caused by the urine passing by and the matter coming forth before the urine the yard swelled and distended They arise either from an impostumation following an inflamation or from sharp urine or from rough stones and rough things hurting in their passage They are cured as others be 2. Some penetrate that both external and internal parts be exulcerated and the ulcer pierceth even to the urinary passage Others not so 3. Some are old sordid and rotten which are wel washt with hydromel and wine Others are virulent as those that happen in the French Pox in which we must use precipitate mixt with a convenient linement til that which is callous be wasted away If a gangrene or mortification follow it must be cut Chap. 2. Of the Symptoms of the genital parts in men Article 5. Of the generation of seed hurt and the erection of the yard THe symptomes of the genital parts in men are the generation of seed hurt the erection of the yard hurt Lechery a Priapisme a Satyryiasis and the runing of the Reins The generation of seed hurt is when either it is not generated or not such as may serve for procreation 'T is twofold therefore one is when the seed is not geneted which comes to pass either by defect of matter or by the things â—on natural as hunger watchings or by things preternatural drying up and wasting it especially the diseases of the heart or by reason of the attraction of the same by other parts which comes to pass both in children and fat follâ— in whom al the nourishment is changed into the substance of the body Or by reason of a fault of the faculty of the genital Parts whether it be innate or acquired as a defect of the Vessels generating or carrying the Seed bewitchings inchantments c. Another is when 't is not generated fruitful which comes to pass either by reason the matter is not commodious too hot moist or dry Or by reason of a cold distemper of the genital Parts which somtimes is contracted by too much lust in youth by applying mercurial Oyntments to the genitals c. There is no need of Signs The cure must be directed against the Causes But the Seed is increased by the greater Root of Dogs stones cubebs the Yelk of a new laid Eg with Wine and a little Oyl of sweet Almonds Crollius his essence of Satyrion Mynsichtu his Confectio Magnanimitatis and de Succulata Inda II. The erection of the Yard hurt or a viril impotency is when that by no endeavors can be erected or extended There is no need to treat of the Signs The Causes and Cure are expounded in the Differences The Differences are taken from the Causes For there is one viril impotency from the defect of Seed either because it is not or because it is but little or crude and doth not stimulate of which we have spoke formerly Another is from the defect of vital spirits either because they are few by reason of the coldness and dryness of the heart or because they are called another way which happens in medications fear bashfulness c. Or because they are not received by the substance of the Yard either by reason of a stupidity of the Member or by inchantments Another is from a resolution of the Yard effected by those Causes which we mentioned in a Palsie See Medicines serving for this Disease in Stockerus l. 1. c. 55. Where he makes mention of Satyrion five ounces which ought to be mixt with the blood of Sparrows ten ounces and be held under the Arms. Some say that lust is wonderfully provoked if the great Toe of the right Foot be anoynted with Oyl in which Cantharides have been dissolved And also a simple washing of the Privâ—ties with the Decoction of Columbines which must be followed with a Fumigation of a dead mans Tooth poudered and cast upon the coales Article II. Of Lechery a Priapisme and Satyriasis Lechery is too great a proneness to Venery by default of the Seed somtimes also so great that 't is turned into madness The fault of the Seed consists 1. In the plenty of it either from the abundance of blood or from the heat of the Vessels dedicated to the generation of Seed by whose means more is attracted In the Cure we must act with things that consume the Seed amongst which Mint and Sugar
the same concerning which things see the chapter of the hemrods of the anus Article IV. Of the ulcers of the neck of the wombe There is no need to define what the ulcers of the neck of the womb are Their Signs are a pain and perpetual biting in the same place which by little is increased especially if any thing abstersive be cast in a flowing forth of sanious humors and matter by intervals somtimes with blood if the ulcer be great or the courses flow A pissing often and hot if the otifice of the bladder be drawn into consent a paine in the forepart of the head extending it selfe to the roots of the eyes if the head A smal seaver which in process of time growes slowe with often horrors c. The CAUSES are al external and internal things which by their acrimony can dissolve the continuity in that part of which in the differences The CURE is difficult because it is in a place of exquisite sence moist and which hath a consent with many parts 'T is Ordered the same manner was spoke in general in the first book To inhibit the paine Steeled milk cast in doth good For drying baths The Differences are various I. Some are from external causes as medicines hard labor violent copulation And others from internal as are the secundine corrupted the flux of blood retained the flux of the womb a virulent gonorrhaea the french pox Inflamation Humors flowing thither either from the whole or a part or generated there al which must be attended in the cure II. Some are superficial from which little matter flows and medicins may be layed upon them Others profound which are in a contrary way and the medicines ought to be injected III. Some are Milde with little matter thick not stinking in which both the gentler abstersives as honey of roses with barly water whey with sugar or the decoction of lentils and the more benigne astringents take place Others sordid with plenty of matter and flowing forth with paine in which we must act with stronger things The mundifyer of smallage in Castro l. 2. c. 29. is here commended Others are eating with a colored matter green livid stinking flowing forth with paine in which aloes and wormwood amongst mundifers are the cheife IV. Some are called Phagades which are smal and longe ulcers eating the skin of the necke of the womb They are known both by the paine and blood caused in copulation and by sight if the neck be looked into and they are like unto them which in winter time are wont to rise in our hands They arise many waies 1. Externally from a painful labour violent copulation and then we must use an astringent glyster 2. Internally from an inflamation condylomata an afflux of sharpe humors which must first be taken away by purgers before we come to topick medicines There is commended for them the fatt which distils from wooden spoones used to boyl in kitchins if they be a little moved to the fire and burnt and also the oyntment pomada Others which leave behinde them a Fystula which is voide of paine unless it come to a nervous part sometimes it passes to the bladder and right gut and the excrements are cast forth through it If it be ancient it ought to be left to a palliative cure in which at fit seasons the body is purged but the callus which is alwaies joyn'd with it if that be curable after drying of the part being molefied by vulnerary potions must be wasted either by cutting or burning Of a cancer and gangrene I meet with nothing singular That is generated by menstruous blood adust and when scirrous tumors continue long This in this place ariseth from an inflamation cancer and ulcers there il cured For while these parts are moist and abound with excrements they are easily corupted and perish Chap. 2. Of the diseases of the womb Article 1. Of the distemper of the womb The diseases of the womb are distemper straitness of the vessels inflation inflamatition a scirrhus dropsy falling down of the womb wounds and ulcers The distemper of the womb is a swarving of the same from its natural temper to a preternatural distemper arising from external and internal causes 'T is divided twofold I. One is hot which is known by a proness to venery by the scarceness yellowness blackness adustion acrimony of the courses and by their difficult and inordinate flux whence in process of yeares they become hypochondriacal by the early growing of hair in the privities redness of the face and dryness of lips often pains of the head and abundance of cholerick humors in the body It ariseth either from the birth from whence are viragos and barrenness or after the birth from external causes amongst which are the use of hot thing too much venery medicines which do move the heat and blood to the womb 'T is cured 1. By the contrary diet 2. By cooling medicines both internal and external which are applyed to the loins and back but they must be moderate least the heat necessary for conception be weakned the cold substance of the womb because it is membranous be violated the vessels which ought to be open for flux of the courses be condensed and the nerves which are in the loins and back be hurt 3. By emptiers viz. Rhubarb syrup of roses solutive manna c. The flowers of Vitriol of Venus Mars from three grains to six grains given in some syrup is an appropriate purger for the womb Another is cold more frequent than the hot which is known from a less desire to venery and the little pleasure in it by the stopping mucosity flegmatickness of the courses and their inordinate flux by reason of the plenty of the like humors collected in the womb from whence is obstruction by the plenty of wind in the womb by the crudity and watrishness of the seed from whence it flows without any pleasure by the pale color of the face and other things opposite to the former It ariseth also from causes contrary to them 'T is cured 1. By a contrary dyet 2. By hot medicines applyed to the womb amongst which do excel inwardly the Roots of Birthwort avens angelica eringoes the Leaves of Mercury balme dittander of Candy pennyroyal Sage Rosemary mugwort The Flowers of wal Flower Marigold Sage Rosemary burrage Spices Nutmeggs Cubebs Saffron Cinnamon Of Compounds Oyl of Mace Amber Myrrh Cinnamon Fecula bryone Aqua vitae Mulierum The extract of Zedoary Outwardly the same things reduced into their formes Another is moist which for the most part is joined with a cold It is known by the plenty thinness and watrishness of the courses the moisture of the privities by reason of the humidity of the excrements and the passion of the Flux of the womb even when the seed is voided no delight in venery and an aptness to miscarry when the young one grows bigg It ariseth from the same causes as yet which
may be distended though it be thick as in conception and be retained there as in a mola and because the altering and retentive faculties being never idle do change the diseased seed into wind Another when 't is in the coats of the same and then the mouth of the womb may be open by reason that the winde is concluded in a narrow place the sound goes forth and the pains are greater and extended further the evil is more difficult to cure than that in the cavity Article IV. Of an inflamation of the womb An inflamation of the womb is a tumor of the same from the putrefaction of blood fallen into its substance troublesom with many symptomes and somtimes turning to a scirrbus somtimes to an impostumation The signs are various the tumor it self appears in the region of the womb with a heat and pain a shutting up of the womb drawing of it towards the inward parts but the whol neck of it appeares ruddy little veins swelling every where with blood like to a spiders webb There is a difficulty of breathing which shew a pleuresy because the outward coat of the womb being extended which ariseth from the peritoneum and is fastened to it those parts also to which it coheres are distended The excrements of the belly and bladder by reason of the heat and dryness of the belly and compression of the passages are detained The bulk of the belly somtimes appeares empty and the belly is filled with water and the navil strutts forth and the mouth is slender and of a suddain a few and evil courses follow A continual and burning Feaver afflicts by reason of the consent of the womb with the heart by arteries and great vessels somtimes a lypirias by the motion of the humors towards the inward parts There is a pain of the breasts with an inflation of them by reason of the consent of the groins the hipps the midrife the cannel bones the forepart of the head which is extended to the roots of the eyes and it ariseth from vapors of blood putrefying carried up to the head by the arteries which run through the neck from both parts of that called the infundibulum into the fore part of the head The cause is blood which somtimes is pure somtimes mixt with choler somtimes dyed with black choler It slides thither or slides forth for common causes viz. the detaining of it in the time of the courses or after a delivery by the occursion of the cold air 'T is attracted by heat or pain which is caused either by abortion hard labor violent drawing forth of the secundine long walking when the courses are at hand or by a troublesom carrying if the young one be either great or ill placed The cure is difficult especially if the whol womb be possest or suppurated for a sordid ulcer arising from thence doth at length kil the patient with a slow Feaver None at al if there be an erysipelas because the young one it self dies by reason of the exceeding heat whence follows abortion which kils the mother If it turne to a deadly gangreen 'T is cured as in other inflamations where note that for revulsion we must not open a veine in the leggs when as these veins draw the blood to the womb but in the arme when as the blood flows from the liver and the veins adjacent to it For derivation a veine in the ham may be opened unless the patient be great with child least abortion be caused Topicks ought to be applyed cooling and moistning without any astriction 'T is thought that the decoction of mother of time prepared with steeled water and outwardly applyed with sponges doth stop it by a certain propriety The Differences are taken from the part it self I. One is of the whol womb in which the symptomes afore mentiond do evidently afflict and few indeed do scape Another is of the other side in which the heat passes to the hipp by reason of the ligaments of the womb which are carried thither the legg of the same side is hardly moved the groins of that place are inflamed II. One is of the hinder part in which the belly is bound the paine doth more afflict the loins and backbone Another of the fore part in which because it coheres to the bladder the urine is stoppt or made with difficulty the pain goes more towards the pubes Another of its bottom in which the lower part of the belly is so pained that it cannot endure to be touched and the pain is extended more to the navel III. There is one which turns to a scirrhus in which al things become milder a weight and heaviness is felt in the neighboring parts the evil is of long continuance and is often terminated in a dropsy of the womb Another to an imposthumation in which al things are increased til suppuration is made horrors without order invade them for the most part about the evening the impostumation being broke but it breaks either into the cavity of the womb which is safer or 't is poured Forth into other parts somtimes the urine somtimes the belly is stopt with a swelling of the pubes and the sense of somthing waving Article 5. Of a scirrhus of the womb Ascirrhus of the womb is a hard swelling of the same and resisting without pain produced from a thick earthy and faeculent humor The SIGNS are besides other general ones to wit the Courses at the beginning are supprest or flow too little the evil increasing there is a great flux of blood by intervals either the Mouths of the Veins being opened more than is fit or the Womb not being able either to receive or retain the accustomary quantity of blood 'T is distinguisht from a Mola because in this if the Courses flow they flow disorderly and the Breasts also swel with Milk which in a Scirrus are extenuated c. The CAUSE is an earthy and feculent humor to wit a thick blood somtimes flegmatick somtimes Melancholical which happens in the declining Age and troubles them which have been sick of a Pica Malacia or bulimus oftentimes from an inflamation ill cured by reason of the too much use either of coolers or discussives The CURE is difficult both because things dryed a long time cannot be mollefied and because the Native heat is exhausted in parts affected with a Scirrus and because while the Humor is mollefied it may easily turn to a Cancer by taking putrefaction The proceedings of the cure differs not from others 'T is divided in respect to the part affected One is in the substance it self in which the Womb lies upon the Hip and Back and there Causeth a pain Another in the Neck which is discovered by the touch of the finger 't is easier cured than the former If it be in the upper part of the Neck the Woman is hurt in Copulation and the bladder is prest by the Tumor if it be in the lower part the
is thought incurable especially if it happen from a perversion of the neck of the womb for then the woman swouneth and vomits flegme the parts of the belly and pecten are pained the back bone and a feaver happens The excrements of the belly and bladder are supprest a weariness possesses the whole body by reason of the diffusion of the blood retained through the whole it most of al detains the thighs and hips by reason of the consent of the veins of these parts with the veins of the womb 'T is of good success if it be emptied through other places so it be not through the bladder because the blood doth clot most of al in that It respects 1. Bleeding for the blood which stops every month is heaped up in the body and sticking in the veins it must be recalled to the wombe Concerning this note a vein must be opened in the ancle because so both the quantity of the blood is diminisht and its motion to the wombe is procured If it must be repeated one day blood must be taken from one leg the next from the other That which is ordered from emptying ought to be opened at the beginning that which is opened in the ham or ancle after purging must be done three four or five dayes before the time of the accustomary evacuation Cupping-glasses which are deputies of bleeding must first of al be applied to the remoter places viz. the thighs then to the neerer to wit the hips Hither belong ligatures frictions the time of the courses being at hand after emptying of the whole body 2. The preparation of the matter and for this serves in flegmatick bodies the decoction of guajacum with ditander of caudy without provoking of sweat 3. Emptying which must be ordered at times that the matter may be emptyed by little and little Amongst evacuating medicines are commended agarick Galens hiera with castor aloes with the juice of savin Pils made of aloe socotorina three drams the best myrrh one scruple extract of callamus aromaticus carduus benedictus saffron of each three grains of thâ— rootes of gentian dittander each five grainâ— with syrup of bay berries and given one scrâ—ple weight in the evening before supper 4. Opening obstructions by those things that move the courses the cheife are inwardly given the decoction of rosemary with the flower of wal flower in wine Zacutus his chalybeat wine i. 9. c. 10. his water in the same place Pennyroial water twice distiled with cinnamon water The extract of Zedoary angelica castor The faecula of bryony the earth which is found in iron mines given in the same quantity order and forme as steel is The spirit of tartar Hartmans lozinges of Crocus martis Outwardly Zacutus his oyntment of steel l. 3. histor p. 52. the fat of an eele of a snake with the distilled oyl of savin A suffumigation of the refuse of Regulus antimonii of which in Hartman 5. A discussion of the remainders by sweaters viz. with a drauft either of Qercetans milium solis in his pharmaco restituta Or with a chalybeate decoction with spirit of tartar the juice of elder c. The Differences are fetcht from the Causes I. One is from the obstruction of the veins of the womb which is caused by cold and thick blood viscous and thick humors mixt with the blood proceeding either from a hot distemper of the womb which dissipates the subtil and sharp humors leaves the thick and earthy parts or from a cold constitution of the liver and spleen or from the like nourishments especially if in the time of the menstruous flux they be dissipated when the force of the blood is greater and then the time of the purgation being at hand pains are felt in the loins and neighboring parts if any thing flows forth 't is mucous somwhat white and somwhat black there is a dulness in the whole body with a white colour a rare pulse and crude urines Let the Cure be fetcht from what hath been said before Another from compression which is either from external causes as the northern air staying in cold water and then the relation of the patient wil unfould it The blood must be drawne to the lower parts by frictions bandages baths Or from internal causes to wit the fat of the womb or tumors of the neighboring parts and then the tumor must be taken away with convenient remedies Things that move the courses have no place here Another is from a constipation whiles the substance of the womb it self is hard which is either from the first birth and then 't is not easily taken away or after the birth from a cold and dry distemper of which formerly Another from a growing together which is caused 1. By a skar left after an ulcer 2. By flesh or a membrain growing over the vessels of the womb 3. By often abortion after which those veins to which the secundine adheres doe so grow together that afterwards they cannot be opened II. One is from a defect of blood which either is not generated either by reason of external causes viz. hunger too much evacuation issues c. or of internal as a cold constution of the principal parts old age feavers Or 't is converted to other uses as before ripe age into the augmentation of the body in women with childe to the nourishment of the young one in those that give suck into milk in fat folkes into fat Or 't is wasted either by reason of external causes to wit exercise too much labour frights sadness baths hot houses which by provoking plentious sweats do both carry the blood to the circumference of the body and wast its serous part which gives fluxibility to it or internal as are hot and dry diseases too great evacuations made by other parts c. Another from the dryness of the blood which is caused by adustion when in the winter time women put light coales under their lower belly to drive away the cold and then we must act with coolers and moistners Article IV. Of a dropping and difficulty of the courses The dropping of the courses is a breaking forth of the menstruous blood either for many dayes or continually yet made by drops There is no need of Signs when the fault is made known by the relation of the woman The Cause consists either in thing external or in the blood or in the vessels The Cure follows the Nature of the Causes The Difference is taken from the causes One is from external causes exercise hot medicines and other things that diffuse the blood and open the passages and then there is a greater pouring forth of blood Another is from the faeculency of the blood the waies not beng open enough and then it happens with pain in the cure opening a vein in the arm takes place Purging by little and little ought to be urged Another is from the weakness of the retentive faculty there comming together a plenty of blood a
thinness and serosity and then no pain urges We must act with medicines that strengthen the womb with astriction and dryness II. A difficulty of the courses is a flowing of them with pain and trouble and greivous symptomes by the default of the veins or blood The signs are taken from the relation of the patient those pains are of the head stomach loyns and lower belly The flux is either altogether or only by the way of dropping and somtimes when the courses are at hand somtimes when they flow the symptoms happen and they do more afflict virgins and the barren because the veins of their wombes are less open than those that have brought forth because their veins after breeding are dilated We shal treat of the causes in the differences The cure respects 1. The Symptoms which must be mitigated 2. The causes which must be taken away The difference is taken from the causes One is from the straitness of the veins of which we have sayd enough in the suppression of the courses Another from the faults of the blood that is 1. From the thickness and feculency of it and then the blood whiles it is emptyed grows into clots the pains grow feircer a long time before the evacuation by reason of the endeavors of the expulsive Faculty The cure premising universals is perfected by things attenuating and that have power to diffuse it 2. From the acrimony proceeding from the mixture of sharp humors and then the genital parts do iâ—ch the nature of the bloâ—d voided and manner of the pain discovers the disease We must act with things that qualify the acrimony as are the Four greater seeds violets the flowers of water lillies 3. From the flatulency and then the pain returns by intervalls and of a suddain grows sharper wanders up and down wind being voided it ceases It is cured by emptying of the matter and discussing of wind Article 5. Of the discoloring of the courses The discolouring of the courses is a declining of them when as they ought to be ruddy to a palness whiteness greeness yellowness or lividness by default of blood The signs are afforded from beholding the blood it self there is added a stinkingness an inordinate evacuation and oftentimes erratick Feavers accute horror loathing of meat pains of the stomach c. concerning which see Hippocrates The cause is layd upon the falt of the blood concerning which as also of its causes see in the differences The cure attends the causes therefore according to the nature of them it varies 'T is divided twofold I. One is when the blood contracts a fault either by reason of a distemper of the whol body or of some principal part respect to which must be had in the cure Another when the blood is in fault either because 't is supprest and retaind and then a stoppage of the courses went before pains are felt in the breast and strong pulsations if the habit be better the courses break forth and the blood flows forth and a strong smelling matter about the eight or ninth day Or because 't is polluted by the womb abounding with excrements and then there are signs of a polluted womb Another when the blood is polluted by the mixture of excrementitious humors and then if you consider the cure we must prepare them but so that when as thick humors do want attenuation and things too much attenuating do melt the serous humors and move them to the womb we must absteine from the stronger and beware of vinegar we must empty c. II. One is when the courses decline to a whiteness which ariseth either from flegm of which howsoever it be there are signs of a weak stomach or from matter and then either ulcers are raised in the womb and barrenness follows or the courses flow forth for seven or eight days and the woman is freed or the same break forth at the parts above the groin without a tumor and about the hypochondries they come forth and the woman seldom survives Or after some daies a great tumor riseth upon the groin ruddy without a head because there the flesh is filled up and 't is hardly opened Another is when it declines to yellowness or greenness which proceeds from choler Another when to a lividness which ariseth from melancholy Article 6. Of an inordinate flux of the courses An inordinate flux of the courses includes two things to wit an anticipation of the courses before the due time and their continuance beyond the accustomary time The anticipation of the courses is divided according to the nature of the causes One is from external causes viz. a fal a blow and other things that open the veins See the cure below Another from the irritation of the expulsive faculty of the womb 1. By the plenty of blood which is known by this that the blood is sent from the whol body to the womb 't is fluid and natural there are signs of a plentitude 'T is cured by bleeding if the plenty be great by dyet and often exercise if it be less 2. By the thinness and acrimony of the blood which is known by this that the temper of the whol body is hot a course of dyet generating such blood went before the blood it self is dilute discolored yellowish 'T is cured by emptyers rhubarb especially by qualefyers of which formerly Another from the weak retentive faculty of the womb which is known by this that the vessels of the womb are loose the habit of the body also is lax and moist The cure forbids things too much astringent Acid waters and baths that have the vertue of iron are commended II. The continuance of the courses beyond the accustomary time is divided also according to the nature of the causes One is which proceeds from the disappointment of the expulsive faculty which is caused 1. By the scearcity of blood which is known by this that the woman finds no trouble by the protraction of her courses that too much excercise or slender dyet went before 2. By the thickness of the blood which is known by this that there are signs of a cacochyme the blood is whitish and viscous In the cure we must purge before much blood be gathered together attenuate when the menstruous purgation is over calamint and mercury beare the palme some days before the monthly purgation we must open scarification of the ankels takes place here Another which ariseth from the weakness of the expulsive faculty which is induced 1. By a cold distemper of the womb of which formerly 2. By a stupidity of the same which is known by this that there are present disease causing stupidity or too great use of coolers went before after the due time of purgation though there be present abundance of blood no heaviness is perceived by the woman In the cure we must have respect to the disease and its causes Article 7. Of too much flowing of the courses The too much flowing of the courses is
either a too plentiful or more continued purgation of them than is convenient arising either from the fault of the blood or of the womb or of the veins There is not much need of signs especially if there follow a want of appitite crudety an evil color of the face a swelling of the feet and the rest of the body an atrophy cachexy c. The cause we have layd on the blood the womb or the veins but whence these are in fault shal be explained in the differences The cure is difficult if it be of long continuance None at al if it happen to a woman growing old It reqiures 1. A restraint of them by revulsion interception thickning of the blood stopping up the vessels by astringent means and other things Yet it must be stopt by degrees if there be a great plenty of blood and it happen by way of crisis the which falls out seldom Here take place Heurnius his pouder of the seed of white henbane white poppy each one dram of the bloodstone red coral each half a dram camphure half a scruple given half a dram weight The pouder of amber sanguis draconis the bloodstone red corral purslane seeds each one dram pomegranate flowers two scruples easterne bole armenick two drams given from one dram in three ounces of plantane water Asses milk with steel Ferdinandus his aqua mirabilis histor 33. The trochisks de carabe the benes of a man strongly calcined Zacutus his pills l. 9. prax histor p. 185. His plaister there The plaister of saxonia made of the sut of a chimney volatil floure c. a pessary made of heggs and asses dung with the juice of plantane and the mucilage of quinse seeds Specificks are inwardly Forestus his pouder of a turtil l. 28. obs 10. The salt of the ashes of the same the thin skin of geese feet dryed and given from one dram to two scrupels Outwardly a girdle of the leaves of bastard black hellebore bruised Of which Renealmus obser 21. The differences are divers which do cheifly respect the causes 1. One is from blood which 1. either is derived from the bottom of the womb in which the blood is blacker and for the most part clotted Or from the neck which is more ruddy and fluid 2. 'T is either plentiful or sharp or serous Of which in the following difference Another from the moistness of the womb of which see formerly Another from the fault of the Veins concerning which consult with the third difference One is from plenty of blood which is known by this that either the vessels are opened or broke in women especially whose courses have stopt a long while and afterwards do breake forth more plentifully There are signs of a plentitude the blood which comes forth doth easily concrete into clots In the Cure we must respect 1. Bleeding which if it be ordered for evacuation it concernes a vein in the arme the liver veine cheifly If the strength be feeble 't is ordered in the salvatella of each hand if it be for revulsion it must be done at several times because being repeated it revells more powerfully 2. Cupping-glasses which for evacuation may be applied to any part if you except the lower as to the back shoulders and that with scarification for revulsion they ought to be set to the breasts without scarification and upon a difficulty of breathing ensuing they must be removed 3. Ligatures frictions of the armes c. Another from sharp blood which is known by this that there is a corrosion of the vessels joyned with it there are signs of choler The blood is detained and corrupted in the womb it slides forth in greater quantity In the Cure let purging be administred by syrup of roses solutive and leaves of senny See things that thicken it above mentioned Another from serous and watery blood which is known by this that either the liver is faulty by its weakness or the kidnies by reason of their weakness do not attract the serum The blood flowes forth in lesse quantity and is not easily clotted that which is flowed forth if it be received on a linnin cloath and dryed in the shade discovers it self by the colour The Cure attends the diseases themselves III. One is from an Anastomosis in the cure of which observe that hot things ought to be mixt with cold least the veins be obstructed the ventilation of heat be prohibited and a feaver induced that pessaries may be applied if the opening be in the vessels of the neck where oake leaves and unguentum Commitissae are good that baths must not be used unless they be somwhat cold or whose astringent power overcomes their heat Another is from a Diapedisâ—s which happens very rare it presently requires astringent topicks Another from a Breaking which happens either from a plenitude or from causes that stir the blood especially from hard labor and premising the opening of a vein if ther be need 't is cured by conglutinating medicines Another from a corrosion which is known from hence that little blood flowes somtimes purulent somtimes serous It ariseth from a sharp and corrupt blood somtimes also from sharp medicines amongst Astringents is commended the root of dropwort or ' its decoction Article VIII Of the Womans flux and gonorrhaea The womans flux which otherwise is exprest by the name of the whites is an inordinate voiding from the womb of an excrementitious humor by its whole nature differing from blood collected by the fault either of the whole or of some part 'T is called the womans because it affects women and truly virgins also when as the causes take place in them and there are examples of it Yet more commonly those of riper age especially if they be indewed with a moist and cold constitution do lead a delicate and idle life and feed upon cold and moist nourishments old women also and that unto death by reason of the plenty of flegm and the weakness of the concocting faculty There is no need to enquire the Signs the affect is made known by the relation of the patient her self It differs from a gonorrhaea because in that the matter of the seed flows forth whiter thicker and at longer intervals and 't is voided in less quantity From a nocturnal polution because this is joyned with a phansie of a venereal business and happens only in the sleep From the discolored courses because they observe their periods though not alwaies exactly they do not happen to women with child and those troubled with the suppression of the courses they shew a red colour From matter out of the ulcers of the womb because then the signs of an ulcer stand forth the matter it self is thicker and whiter It it be sanious 't is besmeared with blood and voided with pain We have laid the Cause upon an Excrementitious Humor which Somtimes is raised by purging Medicines Nature being stirred up by their use to attempt excretions somtimes by Baths Nature casting off
by this way those Excrements which could not be driven forth by sweat The cure must be hastened for it makes women Barren for the most Part unless perhap it be emptyed through the Vessels of the Neck of the womb it casts the same into an Atrophy consumption Melancholy Dropsie Falling down of the womb swounings and Convulsions Hence though at the beginning 't is scarce Cured yet afterwards 't is more difficult For the whol body accustomes it self to cast off the Excrements through that way and the womb being rendered weaker collects Excrements It varies according to the nature of the Causes The Differences are taken from the part that sends them and the colour of the blood I. One is from the whol which is known by this that there are signs of a Cacochymy in the whol body the flux is more plentiful In the Cure 1. Bleeding must be shunned both because the Humors ought not to be recalled into the Veins to pollute the blood and because the strength is dejected by the long continuance of this affect and the body wasted 2. Discussion is very wel performed by Decoctions of Guajacum China and lentisk wood c. 3. For drying the Root of dropwort is very much commended For binding the pouder of mans bones the ashes of Capons dung in rain water Zacutus his Plaister l. 9. c. 11. Prax. History which ought to be applyed to the Kidneys 4. Sleeping on the back must be avoided least by the heat of the Loyns the humors be carried towards the womb 5. Frictions of the upper parts are good for aversion Another is from some part besides the womb and then there are signs of the part affected in the cure we must have regard unto it II. One is from the womb which is known by this that there are signs of the womb affected the flux is not so plentiful It ariseth from the distemper of it of which in the Cure we must have a regard Suffumigations of Frankincense Labdanum Mastick Saunders are wel applyed but from what Cause soever it ariseth baths do most good Concerning a Gonorrhaea if any thing ought to be known let it be sought from those things which are said concerning a mans gonorrhaea Chap. 2. Of the Symptomes more familiar to those that live out of Wedlock Article I. Of the Virgins Disease THe Symptoms more familiar to those that live unmarried are the Virgins disease the suffocation of the womb the madness of the womb and the melancholy of women The Virgins disease otherwise the white the Virgins the Pale the Lovers Feaver is a change of the natural color in the Face into a greenish and pale proceeding from the abundance of crude Humors 'T is called the Virgins because it appertains most of al to Virgins and truly to the Fairer endued with a white colour thence the Tincture from crude Humors is the easier The Face it self wil afford us the Signs to which add other Symptomes as the pain of the Head somtimes madness the Humors and Vapors being carried thither and mixt with Melancholy a difficulty of breathing with a palpitation of the heart if they stir with a smal and frequent pulse of the Arteries in the Neck back and Temples by Reason of the lifting up of Vapors from the heating of the thick blood inordinate and erratick Feavers by reason of the Putrefaction of the Humors manifold affects of the Stomach amongst which loathing of meat by reason of the unhappy distribution of the Chyle A Pica from the abundance of evil humors in the coats of the stomach Vomiting from the great plenty of crude Humors both a distension of the Hypochondries from the reflux of the Menstruous blood to the greater Vessels and a rumbling from the tumultuation of wind A swelling as wel of the whol body with a laxness and softness from the plenty of the Humor as either of the Eye-lids especially in the morning after sleep when in the night the heat hath raised more Vapors and serour Humors than could be discussed or of the Legs and Feet especially about the Ankles from the abundance of serous Humors The CAUSE is the crudity and plenty of Humors arising either from the suppression of the Courses or from the Native straitness of the Vessels or from that acquired by eating of wheat Loom Chalk earth Nut-Meg drinking of Vineger c. Or from the obstruction of other bowels For the Menstruous blood the Passages not being open doth regurgitate to the greater Veins and Bowels obstructs the Vessels and over whelms the heat Hence ariseth evil concoction in the Bowels and the Humors are carried to the habit of the body The CURE is accomplisht 1. by bleeding especially in the Ankle if the malady be new and the blood is not turnd into another humor If it ariseth from the Evacuation of blood supprest 2. By Purging premising Preparatives 3. By opening obstructions in which we must have respect to al the bowels the suppression of the Courses must most of al be minded There are commended Steel prepared Scorzonera Root Bezoar stone Oyl of Crystals c. In the diet Vineger must be voided Article II. Of the Suffocation of the womb The Suffocation of the womb is a heap of Symptomes opposing somtimes the natural actions somtimes the Animal somtimes and more often the vital by periods joyned with a coldness of the whol Body proceeding from a malignant Vapor raised from the womb 'T is called also the Suffocation of women the strangling from the womb the Hysterical passion c. The SIGNS are either of that at hand a wearinness of the whol body with a weakness of the Legs a paleness of the Face with a sad look a nauseousness which is seldome succeeded with vomiting oftentimes a certain wearisomness and loathing of meat and that somtimes with a murmuring and rumbling of the belly somtimes without these Or of that present in which a Vapor raised up to the heart and stopping the vital spirits a smal fainting away is Caused the Pulse is changed a little the body grows cold the spirits recurring to the heart fear and desperation moves the patients the same thrust to the Head and Jaws somtimes the Jaws are bound up and the Patient seems to be suffocated The motion of the breast and Midriffe is hindered the Animal spirits being stopt and breathing is almost intercepted the sick living in the mean while by Transpiration somtimes a madness of the womb is added with prating and fury somtimes other kinds of madness arise Somtimes sleep and a drowsie Disease is induced in which the woman falling as astonisht lies without motion without sense with such smal breathing that she seems dead Or of the fit declining and then a certain Humor flows forth from the Privities the Guts murmur by and by the Eyes are lift up the Cheeks grow red sence and motion return Somtimes a coldness at the time slides from the Head by the Neck into the shoulder and Arme which
because the blood it self partly by its unaccustomedness and the narrowness of its own accord flow thither In the cure 1. bleeding beares the palme that the nourishment of the mola may be withdrawn and it must be larger if the woman be plethorick more sparingly it not so in the ankle or ham 2. Strong and often repeated purging 3. Opening of the courses 4. Chyrurgery of which see Authors Prevention requires 1. That Copulation be not too often especially in bodies not strong enough by reason of the generation of weak seed 2. That it happen not when the courses are at hand or flowing or when the womb labors of a distemper See the Differences in physical observations for this mass is not only without bones and bowels but somtimes 't is more membranous viscous fast together not yeelding to iron Somtimes it presents a long forme rhomboidal c. somtimes 't is destitute of all life somtimes it lives the life of a plant Somtimes 't is voided with a child without one after one and somtimes a dysentery goes before the voiding of it Article 2. Of the Symptoms of women with child The symptoms of women with child are in a threefold Difference Some happen at the first time of their bearing in the belly and they are 1. A cramp troubling especially the leggs which is taken away by anointing them by the fire with oyl of bays putting on afterwards hot rowlers 2. The pain of the Sciatica with oyl of Venice turpentine anointed on drives away 3. Loathing of meat which ariseth from the suppression of the courses the better part of the blood going to the young one the worse remaining in the veins from whence by agitation vapors are sent to the mouth of the stomach with the humors a vitious quality is imprinted on it and which ceases of its own accord when the young one is grown greater 4. A Pica or a desire to absurd meats for taking away of which serves the water distilled in the month of May from vine leaves 5. A nauseousness and vomiting which if it be easy ought not to be stopt if difficult 't is not free from danger 6. Torments and pains of the belly which are raised by the wind from the humors about the womb and somtimes do cast women into swouning fitts 7. A loosness which must be timely remedied least abortion follow 8. A pain in the teeth from part of the sharper humor carried thither 9. A pain of the head and vertigo from the vapors sent forth distending and troubling it Others trouble in the middle months of their bearing and are I. A cough from a sharp vapor or the veins of the breast which by reason of the concussion of the muscles of the belly watchings pain of the head is dangerous 2. A palpitation of the heart and faintings which if it arise from plenty of blood is a forerunner of abortion and is cured by bleeding 3. Pains of the loyns and hipps either from the blood supprest falling upon the vessels of those places or from the child growing bigg 4. A flux of blood from the womb nose hemrods which is caused 1. From a rupture of the vessels of the womb by evident causes which are known from the relation of the patient 2. From plenty of blood and then the woman is endued with a good color she beares the flux wel there is less danger if so be the flux be not too much 3. From the weakness of the young one not attracting the blood and then for the most part either the birth is protracted beyond the due time or is difficult or abortion follows there are signs of the weakness of the child that is 1. Either the woman is troubled with a looseness of body by which the nourishment is withdrawn from the young or her courses flow often when she is with child or the mother is often or long sick whence ariseth a fault of the nourishment or the breasts which were swelled ful before are extenuated for want of nourishment in the common veins of the womb and breasts or the young one which already had began to move or ought to move either is not moved or moves weakly 4. From evil humors goading the expulsive Faculty and then sharp things coloured stinking flow forth with pain there are signs of a cacochymy Others happen in the last months as is 1. A stoppage of the urine which ariseth from a compression of the neck of the bladder by the womb it happens cheifly when they stand 2. A hardness and slowness of the belly which ariseth either from a compression of the gutts made by the young one it self or by an extraction of the moisture caused by the same in women that have a hot and dry liver and spleen 't is dangerous because by a violent straining to evacuate al the parts in the belly being ful some dammage may easily ensue 3. A tumor and inflation of the veins either in the leggs by reason of the weakness of the liver of which in its place or by the suppression of the more serous blood and then the women with child for the most part bring forth girles We must forbeare from the cure because the humor is emptyed with the after purgation after the delivery unless walking be hindered or in the hipps that they become as it were varicous which proceeds from the same cause 4. clefts of the skin of the belly by reason of the distension especially at the first birth which are prevented with the anointing of laxative liniments as are marrowes oyles 5. The effusion of water which in the time of bearing is collected between the membranes that involve the young one which wants not danger because both the young one perceives some trouble from thence and a hard labor follows for want of moisture Article 3. Of the symptomes about the delivery The symptomes that happen about the delivery are also not a few I. An untimely flux of blood before the birth whence is a weakness of strength and swounings In the cure of which emptyers must be shunned the aire forbidden cordialls and strengthners must be given when the mouth of the womb opens it self the membrane must be broken and the infant brought forth II. Abortion when the child is born before the lawful time of bringing forth which is feared if the breasts be extenuated because it is a sign that either the blood does fail in the veins common to the womb and breasts or that by the violence of the young one or rupture of some vessels it doth rush to the womb If plenty of milk flow from them If the great bellyed woman have often pains about the belly and loins which end towards the pubes os sacrum with a certain endeavor to cast forth of her womb If after them blood either pure or ichorous or warer flow forth It ariseth in general from the fault of the expulsive faculty of the womb which is irritated either by the young one
see the medicines above II. Others are of the Tendons which cause pain but not very great They are less dangerous They are cured as those of the Nerves Or the whol tendon is cut asunder in the mids and then the motion is taken away but if nor the motion is only weakned III. Another is of the Nerves which are knowen from the writings of Anatomists by their vehement pain to which convulsion and inflamation are wont to succeed They are cured with difficulty by reason of following symptomes especially if there be no tumors If appeareing they suddenly vanish If the Nerve have conceived putrifaction and that be communicated to the near and remote parts In the Cure 1. Paine and Inflamation are to be removed by blood-letting and purging 2. The wound must be kept open that it may vomit out its Excrements 3. Temperate and drying Medicaments of thin parts must be applied mostly hot respect being had to the Constitution of the body and affluxe of Humors 4. The intermediate parts must be fomenred with oyl of white lillies c. If you consider the differences I. Some are caused by way of pricking and then the kind of the weapon and the wound agree together The Symptoms aforesaid follow The Cure is hard because the disease is dangerous Especially if it betide an impure body and if the tumor ariseing do vanish and raveing follow It respects 1. The purging of the body from vitious humors 2. The asswagement of the pain by anodyne Oyls or Cataplasmes 3. The drawing forth of sanies or corrupt moisture either by drawing medicaments or by section Cross-wise or by tents yet so as that they touch not the nerves 4. Application of thin medicaments moderately heating and drying as balsam of Peru St. Johns wort oyl 5. Diet in which cold aire wind passions of the Mind and venery are prohibited II. Others come by Cutting which happens I. Either according to longitude and then the paine is not so great nor is there so great fear of Convulsion seeing the fibres are not so affected In the Cure the Lipps of the wound are to be closed together with a swath band The corrupt liquor must be suffered to have its egress which is like sometimes to milk water whey whites of Egs. The foresaid Medicaments must be put in The wound must be covered with a plaister of Diapalma or some other 2. Or athwart the Member and then it is either cut quite in sunder and then motion and sence are abolished without pain or it is not cut in sunder and then the pain is not so great there are al the symptoms which may be in a prick In the Cure stitching must be used but so as not to hurt the nerve IV. Others are of the Joints which happen in the Cubit knee and Joints of the fingers They are 1. Either without Luxation in which case the Cure is Difficult because the Joints easily receive fluxions and are apt to be pained especially if they happen in the inner part where the vessels are greater It is performed 1. By drawing the Lips together so that an issue may be left for the quittor 2. By preventing the affluxe of humors by evacuation Interception a right situation of the Member 3. By repulse of cold aire by Cataplasmes and other things II. Of with luxation or disjointing where there is greater danger because of tearing asunder the nervous parts Halting followes In the Cure the joint must not be restored for death would then follow With the wound you must proceed as with other wounds the binding up only excepted The fluxions must be prevented cheifly by purgations and Sudorificks V. Others are with Bruising when a weapon is blunt or heavy or a man is beaten against somewhat In the Cure you must have regard to I. The Contusion where 1. Afflux of humors must be prevented by revulsions defensatives and repellers 2. The blood which is flowed in must be changed into quittor by medicaments not too moist and Cataplasmes must be applied round about where the part is bruised II. The Wound which 1. Must be cured with digestives of rosin terpentine and yolkes of Egs. 2. When quittor is bred we must use abstersion and consolidation 3. If it wil not be suppurated and there is danger of a Gangreen we must Scarrify c. The Differences are taken from the parts I. Either it is of the Nerves and Tendons where the part must be fomented with discussing Oyls made hot If the skin be withal bruised the paine is first to be asswaged with the white of an Eg mingled with Rosewater then a while after the part must be fomented with astringent wine luke-warme finally Cataplasms must be laid on of Elme leaves boiled in oyl or the Ashes of vine spray with Hens-grease If hardness remain Emollients and Digestives must be applied II. Or it is of the Ligaments where we must deal with heating and drying medicaments c. VI. Others are by Gun-shot which are knowen by the very sight The Cure is hard if the Body be cacochymical If the the bones be withal broken If they are made with a poisoned buller 'T is perfected 1. By drawing out the bullet with fit Instruments 2. By changing into quittor what is bruised with Quercetanes Ointment P. 145. The balsam of Pareus recorded by Sennertus lib. 5. Of Wounds made by Gun-shot so as to prevent a Gangreen 3. By abstersion with detergents either stronger if there be much quittor or milder See Quercetanus Dispensatory p. 146. 4. By breeding of new Flesh by Medicaments which may be seen in the forenamed Author and others See besides Ludovicus Botallus and others Quercetanus his Treatise of Gunshot-wounds VII Others are poysoned either by an infected venemous arrow or other weapon or by the biting of some beast and then in the wounded place there is greater sense of pain and pricking and grievous symptomes happen In the Cure we must thus proceed as 1. To stop the passage of the poyson to the inner parts of the Body to draw it out by cupping-glasses or other medicaments by moderate binding of the part above the wound by cutting of the Flesh unless it contain Nervs by washing the wound with Wine and Treacle mingled together with Causticks c. By fortifying the Heart with external and internal Antidotes 2. To cure the wound it self Chap. 3. Of Fractures A Fracture is the division of a Bone by an external Cause violently assaulting The SIGNS are want of due motion in the member bitter pain before the bones are composed shortness of the member by reason of the broken bone The Causes are external yet aptness to break does proceed somtimes from the natural Constitution somtimes from acquired rottenness from the french pox or some other Cause The CURE respects I. The Inflamation if there be any which must be in the first place removed respect being had to the part with repellers lest the Humors should flow in II. The Fracture it self