often in a day But if the foresaid Remedies will not do the business and if the Tooth near the Ulcer be rotten it must be drawn out and the Ulcer will be soon cured otherwise it will be incurable CHAP. L. Of Blood flowing from the Gums BLOOD sometimes flows in a great quantity from the Gums either Critically or Symptomatically But though a Critical Hemorrhage seldom happens by the Gums yet that it does so sometimes Experience and the Observations from Authors show It flows Symptomatically from the Gums by reason of its Acrimony and of the vitious Constitution of the Spleen and also the Scurvy It also sometimes flows plentifully after the drawing of a Tooth the little Artery being torn which was inserted into the Root of the Tooth upon which account sometimes so much Blood flows as kills the Patient The Cure of a Symptomatick Flux is performed by Bleeding and Purging and other Remedies that correct the Disorders of the Bowels afterwards Topicks must be used that are of an Astringent Nature in the form of a Gargarism Lotion Powder Liniment or Opiate If a great quantity of Blood flows upon drawing a Tooth Revulsion first must be made by Bleeding and Cupping-glasses and Astringent Medicines must be applied to the part as a Cataplasm made of Bole-armenick Dragons Blood sealed Earth and other Astringents mixed with the white of an Egg. If these things do not do the Patient must apply his Finger to the part from whence the Blood flows and must be kept there so long till the Blood coagulated upon the Orifice of the Artery stops the Flux If the Blood cannot be stopt by these gentle means stronger must be used Chalcitis burnt and applied stops Blood wonderfully Gum-arabick powder'd and the Cavity fill'd with it is also of use So is also the Powder called Thuraloes applied with the white of an Egg and Hares Down CHAP. LI. Of Vlcers of the Mouth and Jaws SMALL and Superficial Ulcers of the Mouth are called Aphthae and when they are large they go under the common name of Ulcers as those are that happen to Pocky People These Ulcers are wont to be generated by Acrid Humours or Vapors translated from various parts of the Body to the Jaws So in Malignant Feavers such Ulcers frequently happen and to those which are of a hot Constitution and are subject to an Intemperies of the Parts and to others that abound with corrupted Humours upon which Account Children are frequently troubled with Aphthae These Ulcers are various not only for that some are small some greater and because some trouble Children and some grown People but also because an Inflammation accompanies some of them and others it do's not These various Degrees happen according to the variety of Humours from whence they are generated for either they proceed from Blood Choler Flegm or Melancholy or rather from black Choler which is of a burning and malignant Quality But these Differences may be known by their proper Signs for red Ulcers proceed from Blood yellow from Choler white from Flegm livid from black Choler a stinking Ulcer signifies Putrefaction As to the Prognostick Aphthae properly so called are easily cured but deep Ulcers or such as are putrid are difficultly cured and they are most dangerous in Children both because they spread more by reason of the Softness of their Flesh and also because they cannot bear strong Medicines upon which account Children sometimes die of them if they are accompanied with Putrefaction and Malignity And with respect to the Cause from whence they proceed they are more or less Dangerous if they proceed from Flegm there is little Danger if from Blood or Choler there is more if from black Choler most of all Black and crusty Ulcers are deadly especially in Children Ulcers of the Jaws accompanied with a Feaver are dangerous As to the Cure a cooling and drying Diet must be ordered to hinder the Generation of the Antecedent Cause wherefore if in Children the Disease arises from a Fault in the Milk either the Nurse must be changed or her Milk must be corrected by proper Meats and Drinks and by Bleeding and purging if there be Occasion But you must be sure to prescribe a cooling and astringent Diet to the Nurse as Quinces Pears Medlars Lettice and Purslain The same must be prescribed for grown People and they must avoid acrid salt and peppered Meats Moreover with respect to the antecedent Cause universal Evacuations must be prescribed according to the Age of the Sick and first Bleeding makes a powerful Revulsion of Humours flowing to the Part and attemperates their Acrimony and cools the whole Body Afterwards Cupping-glasses with Scarification must be applied Leeches behind the Ears and under the Chin and a Blister must be applied to the Neck The next Day after Bleeding Purging must be ordered suitable to the peccant Humour and the Age At the same time viz. From the very beginning of the Cure Topicks must be applied but such as are gentle must be first used as Gargarisms or Lotions made with the Waters of Plantain or Honey-suckle and sweetned with Syrup of dried Roses or of Mulberries or of a Decoction of Plantain Leaves Bramble-tops knot-grass Balaustins red Sanders and the like with the foresaid Syrups And if there be an Inflammation it is proper to add the Juice of Night-shade House-leek or of Purslain and Sal Prunella in such Quantity as may not sharpen it too much or instead of them a small Quantity of Crude Allum may be mixed with it If there be no Inflammation Spirit of Vitriol or Sulphur is the only Remedy which may be used by it self to grown People The Ulcer being touched with a Stick wrapped round the top with a Rag dipt in it and so simple Aphthae will be cured immediately But for Children the Spirit must be mixed with Honey of Roses to mitigate the Sharpness and must be used with a Stick as above directed If the Ulcers are very painful and accompanied with Inflammation the Mouth must be often gargled with Milk or with an Emulsion of the cold Seeds or with a Mucilage of the Seeds of Fleabean and of Quinces extracted with Plantain and Rose-water Lastly If the pain be so very obstinate that it cannot be appeased by the Revulsions and Topicks proposed but by Reason of the Violence of it sharp Humours are continually attracted and long Watchings occasioned and a Wasting of the whole Body whereby the Life is much endangered the last Remedy are Narcoticks which ease the Pain and hinders the Influx of the Humours they are to be dosed according to the Age and Strength of the Patient I cured a Boy says Riverius of four Years of Age when he was just dying by giving him a grain of Laudanum His Jaws and Tongue were full of deep Ulcers and the Inflammation so great that he cou'd not bear Topick Remedies and the Flux of Humours so much that they flowed perpetually out of his Mouth like a Stream and the
of Allum and Galls made into a Plaister with Pitch are very effectual Riverius chief Physician to Henry the Great kept the following Plaister as a great Secret Take of Pine-nuts and red Roses of the Seeds of Cresses torrified of Mastich and seal'd Earth each one dram and an half infuse them in Rose Vinegar twenty four Hours afterwards dry them and add of Opium dissolved in Aqua Vitae three ounces of Ship Pitch and Colophony each one Ounce of Yellow Wax melted in the Oyls of Henbane and white Poppies by Expression a sufficient quantity make a Plaister which must be applied to the Arteries and pained Part. Medicines also are put into the Ears for Pain in the Teeth because the Arteries which nourish the Teeth do pass by the Ears upon that account Oyl of bitter Almonds is put into the Ear next to the Tooth affected also a Suffumigation of Vinegar in which Penyroyal or wild Marjoram hath been boiled is often used Vinegar is also dropt into the Ear by which the Fluxion is powerfully stopped and it is most effectual in a hot Fluxion But in a hot Fluxion Juice of Garlick mixed with Venice Treacle and dropt warm into the Ear mitigates the Pain powerfully Also the Root of Garlick the Bark being taken off and made in the form of a Suppository and put into the Ear produces the same Effect Astringents are also applied in the beginning of the Fluxion and they ought to be cold if the Matter be hot but if it be cold hot Medicines mixed with those that are repelling are to be used in whatever Cause if the Pain be violent Anodyns are to be mixed with Discutients To which Purpose the following Medicine may be prescribed Take of the Roots of Cinquefoil Bistort Tormentill each one dram of the Leaves of Vervain Plantain and Mullein each one handful Cypress-nuts Galls and Cups of Acrons each two drams of red Sanders a dram and an half of red Roses and Balaustines each one pugil boil them in astringent Wine and Vinegar fomeriâ— the pained Part with this Decoction frequently This Decoction may be used in the beginning of a hot Fluxion in a cold one you may add the Roots of Cyperus the Bark of Box-wood Ivy-leaves and the like A more Simple Medicine may be prepared of Plantain and Rose Water with a little Vinegar after the manner of an Oxycrat Or the Teeth must be washed with a Decoction of Galls in Vinegar Or Take of Cinquefoil-roots half an ounce of Willow-leaves half an handful boil them in astringent Wine and wash the Mouth with the Decoction This Decoction stops the Fluxion and eases Pain After that these Remedies have been used which mitigate the Pain and discuss the Cause of it of which there are a great Number proposed by Authors and also by the common People We shall in the next Place propose those that are more effectual of the which such Choice is to be made that these which not only resolve and discuss but also stop the Flux being mixed with astringents in the beginning and increase of the Disease those which only discuss in the Height and Declination Take of the Juice of House-leek and Night-shade each two ounces of Cow or Sheeps-milk eight ounces Oyl of Roses Omphacin one ounce and an half of OpiUm and Saffron each three grains mix them and apply a Rag dipt in the Liquor warm often to the Jaws where the pained Tooth is Or Take of the Pap of sweet Apples boiled two ounces of Braâ— infused in Vinegar three ounces Oyl of Roses Omphacin one Dram Saffron half a scruple of Opium two grains mix them and make a Cataplasm to be applied to the part affected Or Take of wheaten and Bean-flower each three ounces of Oyl of Roses compleat and of sweet Almonds each half an ounce of the Juice of the greater House-leek an ounce and an half of Milk a sufficient quantity make a Cataplasm to be often applied warm to the Part affected Or Take the Whites of two Eggs beat them with Rose-water with Rags whereon two drams of Pepper powdered has been sprinkled apply them over the whole Cheek affected Nevertheless it is carefully to be noted that Astringents be not applied to the Jaws if they be tumified least the Humour be repelled back and should suffocate the Patient Cotton dipt in Oyl of Cloves and put into the Hollow Tooth is frequently used to ease the Pain Oyl of Box also does the same But if the Pain be so violent that it cannot be quelled with the foresaid Remedies we must use Narcoticks which may be applied to the pained Tooth but they most certainly give Ease being taken inwardly you may give three or four grains of the London Laudanum it gives ease and stops the Fluxion Take of Opium Mirrh and Labdanum each one Dram powder them and boil them in Whitewine to the Consistance of a Liniment mix Cotton with it and stop the Hollow Tooth If Worms are in the Teeth they must be killed by bitter things Take of Aloes one Dram of Champhor ten Grains of Aqua Vitae half a dram mingle them and apply them to the Teeth with Cotton It is to be noted that there is seldom a Pain in the Teeth unless they are Hollow and untill they are eaten through to the Nerve wherefore that the Pain may be taken off the Nerve must be burnt either with an actual Cautery or with Aqua fortis or Oyl of vitriol put into the Cavity But if notwithstanding all these means the Pain continues the Tooth must be drawn but care must be taken that the Tooth be not drawn when the Fluxion rushes violently upon it or when the Headach accompanies it or the Gums are swelled and when the Pain is violent and the Tooth-drawer must be admonished that he does not pluck it out violently at once least a concussion of the Brain shou'd follow or the breaking of the Jaw-bone upon which violent Bleeding a Feaver and sometimes Death comes As soon as the Tooth is drawn the Part from whence it is taken must be pressed on every side that it may be restored to its natural State afterwards let the Sick wash his Mouth with warm Oxycrat and let him be careful least he catch cold whereby a new Fluxion may fall upon other Teeth But if Blood flow so much as that it can scarce be stopt which sometimes happens though the Jaw be not broken by reason of a Vein or Artery torn This Flux of Blood is most commonly stopt by applying Lint rolled up hard and pressing it hard down an hour or two with the Fingers But if this does not succeed burnt Vitriol must be applyed and a Rag dipt in Vinegar over it which also must be pressed down with the Finger till it be crusted The last Remedy is an actual Cautery which presently stops the Blood But if any timerous Person cannot bare the drawing of a Tooth but desires to have it extracted by Remedies Those things are to
of this Consumption beginning are Faintness and want of Appetite without any notable Feaver Cough or short Breath though in progress of the Disease when the habit of the Body is wasted some difficulty of Breathing as is usual in all that are Faint may be perceived This Disease is very difficultly cured if the Physician be not made use of at first it ends in an Hydropical and Oedematous Tumour of the Body especially of the lower parts and then the Disease is past all hope The main of the business must be performed by Stomachick Medicines and such as strengthen the Nerves such are Chalybeats Antiscorbuticks and Cephalicks and bitter things of every kind For Instance Let the Sick take if his Body be bound four Ounces of the bitter Decoction with Senna and every fourth night two Ounces of Tinctura Sacra or of the Tinctura of Hiera Picra made in the Waters of Rue Black Cherries Compound Peony In his ordinary Drink hang a Bag of Cephalicks and Antiscorbuticks an hour before Dinner let him take half a Dram of Elixir Proprietatis in a Draught of Whitewine wherein Wormwood has been infused Apply to the Region of the Stomach the Magisterial Stomachick Plaister with a few drops of the Chymical Oyl of Cinnamon and Wormwood or foment the Stomach daily with Aromatick Bags made of the Leaves of Mint and Wormwood Cinnamon Mace Zedoary Galingal Cyperus and Sweet-smelling Flag and boil'd in Claret If it be Summer-time let him drink Chalybeat Waters if Winter Syrup of Steel or the Wine of it made by quenching Filings of Steel in good Whitewine three or four times then by infusing in it Zedoary Galingal Nutmegs sharp Cinnamon Mace Cubebs and Cloves grosly beaten But amongst Chalybeats Mynsichts extract is thought the best which must be given in the form of a Bole or of Pills for the space of twenty or thirty days For Instance Take of the Extract of Mynsicht half a scruple Balsam of Gilead seven drops of Haly's Powder six grains of the Compound Powder of Wake-Robin four grains of the Powder of Liquorish a sufficient quantity make Pills of an ordinary size repeat them every day once Opobalsamum by it self as also Spirit of Harts-horn and Spirit of Sal-armoniack are very effectual in this case because they are agreeable to the Nerves For Instance Let the Sick take eight or ten drops of Opobalsam or of Spirit of Harts-horn in a sufficient quantity of Sugar-candy Let him endeavour to make himself Chearful by Exercise and Company for this Disease most commonly proceeds from Care and Sorrow and let him live in a good and open Air And because the Stomach is chiefly affected in this Disease he must eat a delicate sort of Meat and not be too long accustomed to any one The Consumption that proceeds from Innanition is next to be discoursed of and first Of that which proceeds from an Hemorrhage whither by the Nostrils or from the Lungs by Coughing or from the Jaws by Hawking or from the Stomach by Vomit or from the Reins by Urine or from the Hemorrhoidal or Uterin Vessels in the customary monthly Purgation or from hard Labour or lastly from Wounds when there has been a great and long Flux of Blood In this case the Hemorrhage must be first stopt by thickning Remedies and by binding hard the extream parts and if there be occasion and the Sick have Strength Bleeding must be used frequently but sparingly you must apply if the part will admit of it Galen's Stiptick Plaister the Royal Stiptick Water Oxycrat cold Ink Ashes of Hair a little burnt in a Retort and with Vinegar made up in the form of a Cataplasm true Bole Dragons blood and the like and they must be often renewed Let the Sick take inwardly three or four times a day twenty or thirty drops or more of the Royal Stiptick-water in a Draught of the Milk-water and five or six Spoonfuls of the clarified Juices of Plantane and Nettles or let him take frequently in a Spoon the following Linctus Take of Syrup of Purslain three ounces of true Bole Dragons blood of the Troches of Spodium and of sealed Earth each two scruples of Japan Earth one dram of Gum-Tragacanth a sufficient quantity dissolved in plantane-Plantane-water mingle them make a Linctus Or let him take thrice a day the quantity of a Nutmeg of the following Electuary Take of the Conserve of red Roses one ounce of the Troches of Ambar three drams of true Bole and of Dragons blood each half a dram with Syrup of Myrtles make an Electuary Let him take also every night at Bed-time five or six Spoonfuls of the following Julep shaking the Viol when he uses it Take of Plantane-water six ounces of Cinnamon-water hordeated three ounces of distilled Vinegar half an ounce of true Bole and of Dragons blood each half a dram of London Laudanum three grains of Syrup of Myrtles one ounce and an half make a Julep The Flux of Blood being stopt we must endeavour by all means to raise the weak Blood with new and good Chyle and to extinguish the Febrile Flame if it be begun least a Consumption should follow wherefore the Sick must be frequently nourished with good Broths and variety of Meats that are full of Nourishment and of easie Digestion and pleasant to the Stomach but he must be sure to abstain from Wine and from things salted and spiced and because this sort of Sick and all other that are inclining to a Consumption are subject to Anger Sorrow Oppressions of the Hypochonders Hysterick Passions and want of Appetite upon which account they can neither eat plentifully nor digest well They must endeavour to recreate themselves and to take the Benefit of a wholsome and free Air which most commonly does more good than Medicines But if the Sick be Hectick the Peruvian bark given freely is of admirable Vertue and if there be occasion the Sick must use a Milk Diet or Chalybeat Waters but you must by no means Loosen the Body A Consumption also often arises from a simple Gonorrhaea and the Whites also from Imposthumes and large Ulcers and also from giving Suck from a Loosness and Dysentery from a Diabetes from Salivation a Dropsie violent Sweating and the like But a Consumption of the Lungs is the chief The Cause in general of it is an ill Disposition of the whole Mass of Blood and of the Nervous Spirit contracted by degrees by the various Procatarctick Causes whereby the Acrid and Malignant Serum of the Blood separated by the soft and glandulous Paranchyma of the Lungs stuffs and inflames them and at last causes Ulcers which is indeed the containing Cause of this Disease The Procatarctick Causes are first a Suppression of the usual and necessary Evacuations as of the Courses the Lochia of old Ulcers of Issues of Sweat by the Soles of the Feet and other parts of the Body and the like without correcting and removing the Causes on which they depend whereby the Blood
Sick cannot take a Vomit he must be purged by stool but the Humour must be first prepared by things that incide and cleanse Afterwards these things that follow are convenient Cupping-glasses must be applied opposite to the Region of the Stomach and to the Stomach The Stomach must be bound with a Swath-band that it may not be so much dilated Ligatures of the Extremities must be used Let him eat Anniseeds which is thought to Cure the Hickops peculiarly Frequently Glisters must be injected to draw away the Noxious Humours from the Stomach Young Animals must be applied to the Stomach Vinegar of Squills may be taken by Spoonfuls Sneezing casts off the Matter impacted in the Coats of the Stomach As the Physician Chrysimacus cured Aristophanes of a Hickop by provoking Sneezing when he could not do it by stopping of the Spirits and Gargling with cold Water Pills made of one dram of Aloes and three grains of London Laudanum are good Platerus in his Observations says That he cured a Boy of ten Years of Age that had the Hickops for eight Days and Nights continually with the Water of green Nuts distilled with Radishes infused first in Vinegar which he gave him to provoke Vomiting and though he did not Vomit at all yet he was cured But to conclude Narcoticks wiil do the Business when nothing else will CHAP. LXVI Of Vomiting of Blood THe conjunct cause is the Quantity or Quality of the Blood exceeding The external causes are Wounds and Bruises and violent Heat or immoderate Cold or unaccustomed Labour and Excercise or Hollowing If the Blood flow from the Stomach there will be almost always a continual Pain and Weight there and the quantity of it will not be much because the Veins of the Stomach are small and Nauseousness will accompany it and 〈◊〉 Blood will be mixed sometimes with Meat sometimes with Choler and sometimes with Flegm If it flow from the Head there will be a Tickling perceived about the Jaws and Pallate and Blood will flow sometimes from the Nostrils mixed with Snot and a Pain or Heaviness of the Head precedes If Vomiting of Blood proceeds from a Suppression of the Courses it will be Periodical As to the Prognostick Vomiting of Blood from what Cause soever it arises is dangerous for if too great a quantity be evacuated there is Danger of Death if it coagulate in the Stomach and corrupt there it occasions Fainting But a Vomiting of Blood from Suppression of Courses is least dangerous They which fall into a Dropsie by Vomiting of Blood die It must be cured by Medicines that cause a Revulsion of the Blood from the Stomach and by such as attemperate it and stop the Apertion of the Veins And First Because an orderly Diet is of great use in this Case the common Diet ought to be astringent and Emplastick and also cooling as Barley Broths Almond and Rice Diet Water-gruel and Jellies and especially Starch boiled in Milk whereunto may be added Pomegranate Juice or a little Rose-vinegar hard Eggs may be also used dipt in Vinegar Also Bread dipt in Water Chicken Broth with Wood-sorrel Purslain and Plantane boiled in it but at the beginning of eating some Astringent thing should be taken as a Quince baked under Ashes Medlars or the like Let the Sick abstain from all acrid salt peppered and fried Meats and also from such things as yield a great deal of Nourishment unless the Weakness of the Sick requires that they should be taken sparingly He must drink but little and when he does he must drink Water wherein Iron has been quenched with a little Juice of Pomegranates in it The Air must be somewhat Cold but he must not expose himself to the Winds nor to the Rays of the Sun or Moon He must sleep moderately and his Body must be kept open and his Mind free from Passion Bleeding must be used sparingly and it must be repeated Frictions and Ligatures must be used and cleansing Glisters must be injected Apply Cupping-glasses to the Buttocks Legs Loins and Hypochondres Let two Spoonfuls of Oxycrat be given if there be a Suspicion of coagulated Blood for by the use of it it may be easily dissolved and driven from the Veins of the Stomach and they will be stopt thereby foment the Region of the Stomach also with it cold and if the Sick does not Vomit the following Mixture may be used to stop the Veins Take the White of one Egg of Rose-water and Vinegar each one dram and an half shake them well and add to them two drams of Starch mix them and let the Sick take it by Spoonfuls Or Take of prepared Coral sealed Earth Bole-armonick Blood-stone Troches of Ambar each one dram of plantane-Plantane-water and Syrup of Mirtles each two ounces mingle them let the Sick take it as before Or Let the Sick take Morning and Evening four ounces of the Juice of Plantane cold Galen says That nothing is better than this Juice to stop any Flux of Blood The Juice of Purslain and Knot-grass is also good for the same Purpose Take of the Waters of Plantane and Purslain each one ounce and an half of Syrup of Mirtles half an ounce of Syrup of Poppies one ounce mingle them make a Julep to be repeated often Take of old conserve of Roses and of Comfrey-roots each one ounce of Marmalad of Quinces half an ounce one Mirobalan candied Troches of Ambar and of Lemnian Earth each two drams of Coral prepared and of Saffron of Mars each one dram with Syrup of dried Roses make an Opiat to be used frequently Troches of Ambar do not only bind but also dissolve concreted Blood and therefore are frequently to be used Tincture of Coral made with Juice of Lemons is also very good But when the Blood is evacuated violently and cannot be stopt by the forementioned Medicines Narcoticks must be taken inwardly and injected by Glisters and the Region of the Stomach must be anointed with Oyl of Roses and of Mirtles washed in Vinegar and after you have anointed it sprinkle on Powder of Coral Bole-armonick and sealed Earth or anoint the Stomach with the following Ointment Take of the Juices of Plantane and Knot-grass each one ounce and an half Rose-vinegar one ounce of Omphacin Oyl six ounces boil them to the Consumption of the Juices then add of Dragons-blood Mastich Pomegranate peels and Mirtles each two drams of Camphor one scruple with a sufficient quantity of red Wax make an Ointment Let him drink Water wherein hot Iron hath been quenched with Syrup of Quinces and Spirit of Vitriol in it and let his Broths be made of the same Water Let his Loins and Hypochondres be fomented with a Decoction made of Plantane and Purslain in Oxycrat and let it be used when it is almost cold and let him put his Hands into cold Water Afterwards let the foresaid Parts be anointed with Galen's cooling Ointment washed in Vinegar Bleeding being sufficiently used gentle and frequent Purging must be ordered
frigid one dram make a Julep for three Doses to be taken twice a day To these may be added restorative Opiats Narcoticks and the like all which are to be varied according to the Judgment and Discretion of the Physician Turpentine washed in Wormwood-water taken twice or thrice resolves and ripens Imposthumes of the Stomach The following Fomentation may be applyed outwardly in the beginning Take of the Roots of Sorrel two ounces of the Leaves of Endive Succory and Mallows each one handful of the Seeds of Lettice and of white Poppies each three drams of white and red Sanders each half a dram of the Flowers of Violets and of Water-lillies each one Pugil make a Decoction add to it a little Rose-vinegar foment the Region of the Stomach with it warm After the Fomentation anoint the part with Oyl of Roses and Oyl of Violets mixed Cataplasms are not convenient in the beginning because they oppress the part by their Weight and by retaining the Heat increase the Inflammation If the Disease come to a Declination and if the Tumour should be resolved which is most to be wished for a resolving Fomentation may be applied made in the following manner Take of the Roots of Florentine-orris two ounces of the Leaves of Mint Marjoram Penny-royal and of Roman Wormwood each one Handful of the Seeds of Fâ—enugreek and of Annise each two drams of the grains of Kermes one dram of the Flowers of Staechas Rosemary and Camomil each one Pugil adding towards the the end a little White-wine make a Decoction wherewith foment the Region of the Stomach After the Fomentation anoint the Part with Oyl of Nutmeg Wormwood Nard and the like to which Wax and the Powder of Florentine-orris and of Cinnamon being added an Oyntment may be made but Plaisters and Cataplasms are not convenient because they oppress the Part. But if the Tumour seem to tend to Suppuration foment the part with a Decoction of the Flowers of Camomil and red Roses and afterwards apply the following Cataplasm Take of the Roots of Marsh-mallows two ounces of the Leaves of Bears-breech and of Roses each one handful boil them well and then add of the Flower of Barley and of Linseeds and Faenugreek-seeds and of the Powder of Camomil each half an ounce of white and red Sanders each two drams with Oyl of Roses and of Camomil and with a little Hens-grease make a Cataplasm to be renewed often The Abscess being broken cleanse the Ulcer by drinking Hydromel to which must be added sometimes according to Galen's order Manna of Frankincense or Barly-water with Sugar of Roses in the beginning in a hot Constitution When the Ulcer grows old from what cause soever it prooceeds Broths are proper altered with cooling and moderately astringent Herbs Barly-broths sweetned with Sugar of Roses new Milk sweetned with Sugar and a little Honey Steel-waters for the ordinary drink or Water wherein some Bole-armonick or sealed Earth has been infused to which may be added a little red rough Wine if there be but little Heat in the Part afterward the following Apozem may be used Take of whole Barley one Pugil of the Leaves of Scabious Agrimony Burnet and of Maiden-hair each half an handful of the seeds of Melons two drams of red Roses dried one Pugil make a Decoction to one Pint wherein dissolve three ounces of Syrup of dried Roses make an Apozem for four doses to be frequently repeated For internal Ulcers a Decoction of China is also very good when there is no Feaver for being taken for twenty Days or more it gently provokes Sweat and dries the Ulcer by degrees But if there be danger of a Consumption the foresaid Root must be boiled in Chicken-broth with the foresaid Herbs and with cleansed Barley When the Ulcer has continued long Chalybeat or Purging Waters drank for a Month do good and gentle Catharticks as Rubarb and Tamarinds Myrobalans Syrup of Roses are to be used once a Week Lastly The following things are to be used Take of Bole-armenick sealed Earth red Coral Blood-stone well washed in rose-Rose-water each one dram of Dragons-blood Gum-arabick and Tragacanth each half a dram of the Seeds of white Poppies gently bruised and roasted of Hypocistis Sarcoco and Frankincense each one Scruple of Sugar of Roses one ounce make a Powder whereof let him take a dram in Plantane-water or with Conserve of Roses daily Or of the same Powder may be made an Opiat with Conserve of Comfry and Roses and with Syrup of Quinces or of Myrtles or Troches may be made of it with the Mucilages of the Seeds of Psyllium or of Tragacanth of all which the Sick may take by turns least his Stomach turn by taking of one Medicine a long while And outwardly to heal the Ulcer may be applied to the Region of the Stomach a Fomentation made of Wormwood Roses Pomegranate-peel Galls Balaustins Myrtles Frankincense Mastich and the like And afterwards the part must be anointed with some Astringent Oyntment and an Astringent Plaister must be applied over CHAP. LXX Of the Chollick IT takes its name from the Gut Colon which is the part affected which is long and winding and designed by Nature to receive the Excrements of almost all the Body and when those Excrements are retained too long they are wont to occasion Pains of this kind Therefore the Causes of the Chollick is all Excrementitious Matter that occasions a Solution of the Continuum either by distending pricking or corroding and is either Wind or Humours Wlnd generated by Crudities or from a cold Intemperies of the Stomach or Bowels if it cannot be seasonably excluded by reason the Feces are very hard or by reason the Intestines are obstructed it is heap'd up in a great quantity in the great Guts especially in the Colon and occasions violent Pain Thick Cold and Flegmatick Humours stufft into the Tunicks of the Guts may occasion such Pains by corroding them if they are indued with Acrimony or by chilling them which consequently occasions Costiveness and Convulsions as Galen says of himself that he having a violent Chollick evacuated glassy Flegm which was actually cold Wind which is easily elevated by a weak and gentle Heat from gross and clammy Humours may also occasion this Pain Cholerick and Acrid Humours and also Melancholly and Acid may occasion these Pains by vellicating and pricking the Intestines But in the Action of these Causes it may be asked how the Chollick Pain should have Exacerbations and Remissions the same Matter remaining in the Bowels which as long as it is there should always bite and distend them To which I answer that that Matter does sometimes remain quiet and then it occasions little or no Pain but sometimes is moved and excited by various Fermentations that happen to the Humours as is wont to happen to the Falling-sickness Hysterick Fits and in Fits of Feavers But we must take notice that the Wind or Humours do not only reside in the Cavity of the Intestines for then
often repeated they say this Disease has been cured But it is to be noted that Vomiting must be only used in those that vomit easily for violent Vomiting irritates the Ulcer After due Evacuations and Revulsions we must come to the use of such things as cleanse the chief of which are Whey drank in a great quantity in the Morning and small Mead whereof also six or eight ounces may be taken in a Morning and it may be used for the ordinary Drink A Decoction of Barley with Liquorish and Sugar may be used in the same manner If Mead be thought too hot the greater cold Seeds or the Roots of Liquorish and the Tops of Mallows may be boiled in it Asses-milk also does not only cleanse but it also consolidates but it must not be given when there is a Feaver or the following Decoction may be used Take of the Roots of Marsh-mallows half an ounce of the Leaves of Plantane Agrimony Maiden-hair and the Tops of Mallows each one handful of the Seeds of Mallows and of Mellons with the Barks bruised each half an ounce of the grains of Alkakengi six drams of Liquorish rasped one ounce of whole Barley one pugil boil them to a quart in the strained Liquor dissolve of Honey of Roses three ounces of Sugar-candy two ounces make a Julep whereof take eight ounces in a Morning for ten Days Those things which are given for Diseases of the Reins and Bladder must be prescribed in a large quantity for otherwise their Vertues will not reach the Parts affected But instead of all Barnet or Epsom-water or Tunbridge-waters may be used for by the long use of them the hot Intemperies will be corrected and the Ulcers cleansed and cured Some commend to dry up the Ichor and to cleanse and heal internal Ulcers especially in Patients of a Flegmatick Constitution and for such as have been at any Time infected with the French Pox and when there is no Feaver nor Flux of Blood a sudorifick Decoction made of China Sarsa-parilla Sassafras or of Guajacum to be taken for thirty Days or more and that the second Decoction should be used for ordinary Drink with a thin and drying Diet. In the mean time least the Bowels should be too much inflamed by the use of this Decoction they may be qualified by cooling Broths given about the Evening and by anointing the Reins with cooling Oyntments But the following Decoction is safer and more successful in every case Take of the Roots of Sarsaparilla three ounces of Lignum Lentiscinum two ounces of Sassafras one ounce of the Raspings of Ivory and Harts-horn each six ounces of Jujubes and Sebestines each half an ounce of Nephritick Wood four ounces of Barley cleansed two ounces infuse them twelve Hours in five pints of Fountain-water boil it to three for six Doses to be taken twice a Day Aromatise them with two drams of Cinnamon When the Ulcer is sufficiently cleansed which may be known for that the Matter is voided with the Urine in a lesser quantity and is white and does not stink at all Astringent things and such as heal must be given Take of Bole-Armenick of sealed Earth and of red Coral each three drams of Gum-Arabick and Tragacanth each half an ounce make Troches with agrimony-Agrimony-Water weighing each two drams one of them must be taken Morning and Evening with a Decoction of Comfry But Dr. Gordon's Troches are better than all the rest to cleanse and heal Ulcers of the Reins and Bladder and at the same time ease the Pain and take off the Heat of Urine two drams of them may be taken at a time in Mead or a Decoction of Barley when you design most to cleanse and in Goats or rather Sheeps Milk when you chiefly design to heal Consolidating Juleps may be made in the following manner Take of the Roots of Comfry two ounces of the Leaves of Plantane and Mouse-ear each one handful of the Tops of Mallows and Maiden-hair each half a handful of Liquorish rasped half an ounce of White-starch Gum-arabick Tragacanth and Bole-armenick each one dram of the Seeds of Lettice Purslain each one dram of the seeds of red Roses one pugil make a Decoction in Rain-water to one Pint and an half in the strained Liquor dissolve four ounces of Sugar and two ounces of Penids make a Julep whereof let him take eight ounces in a Morning for ten or twelve Days The following Pills are also very good Take of the Roots of Marsh-mallows and of Comfry dried of Gum-arabick and of the Gum of the Cherry-tree and Prune each one dram of Olybanum and Mirrh each four scruples of the Seeds of white Poppies and of Alkakengi each one dram and an half of Camphor two scruples powder them finely or with a third part of the Weight of all of Ceruss of Antimony and with a suffici-quantity of Venice Turpentine make a Mass for Pills whereof let him take a dram Morning and Evening If the Turpentine should cause Pain the Juice of Liquorish may be used instead of it but new Cows-milk is the best of all a quarter of a pint of it being taken with half a dram of Bole-armenick every Morning In inveterate Ulcers a Decoction of round Birth-wort in White-wine sweetned with Sugar is very beneficial The following Oyntment may be used outwardly to consolidate the Ulcer Take of the Juice of Plantane and Night-shade each four ounces of Oyl of Roses Omphacine three ounces of Vinegar one ounce of Letharge finely powdered one ounce and an half of Ceruss washed half an ounce of Tutty finely powdered two drams of Dragons-blood one dram reduce them all to the Form of an Oyntment Injections are peculiarly proper for an Ulcer of the Bladder they must be used twice a Day First Such as cleanse made of Hydromel of Whey or a Decoction of Barley with a littie Honey of Roses but afterwards astringent and consolidating Injections must be used wherein the Roots of Comfry Mirrh Allum Sarcocoll and Tragacanth have been boiled Dr. Gordon's Troches dissolved in Milk are of excellent use Fabritius Hildanus cured a great Ulcer of the Bladder with the following Injection and with some other Remedies See his 69 Observation Cent. 3. Take of the Roots of Comfry one ounce of whole Barley one handful of the Leaves of Agrimony Speedwell Scordium Ladies-mantle Sanicle each half a handful boil them to a Pint in the strained Liquor dissolve of Honey of Roses two drams mingle them make an Injection It is to be noted that these Injections are not to be squirted in with a Syringe because they do not penetrate into the Cavity of the Bladder the Sphincter Muscle hindering but a Catheter being put into the Bladder you must syringe through it and so the Injection will reach the Part affected But because these Ulcers are commonly painful all the course of the Cure you must endeavour to mitigate the Pain with Anodynes taken inwardly and used outwardly Syrup of Poppies London Laudanum and the
plenty of Excrements heap'd together in the first Region and distending the Belly or it vitiates the Blood in the whole Body rendring it unfit to nourish the Child or it fills the Vessels of the Womb which retain the Child with a slymy moisture Bleeding may be also used for this Cacochymy in a small quantity but the chiefest way of Cure is by frequent Purging that the superfluous Excrements of the Body may be evacuated and betwixt Purge and Purge such things must be used as asswage the Intemperies of the Bowels and the Acrimony of the Humors if there be any and thicken the said Humors in case they be too thin and if flegmatick Humors abound they must be discussed with Sudorificks and Diureticks and other Remedies howbeit we must diligently observe that whatever ill Humors abound Issues are very proper to prevent Abortion of which Zacutus Lusitanus gives a special note in these words By most happy Experiments I have observed That frequent Abortion caused by corrupted Humors which flow from the whole Body to the Womb and by their evil disposition or abundance kill the Child is hereby as by a most present help prevented many Women have miscarried on this account among whom some having oftentimes brought a Child of seven Months or four Months growth torn and putrified cou'd by no other means be freed from so great a Calamity save by Issues made in their Arms and Thighs which were always made at the beginning of the Fluxion by which means they went out their time and brought forth Children healthy and not defiled with any Infection The peculiar Diseases of the Womb as over-great Moisture Swellings Ulcers and such like must be cured by their proper Remedies If these Diseases happen when a Woman is with Child the difficulty is greater because big-bellied Women cannot so easily bear all kind of Remedies yet lest being destitute of all help they should remain in extream danger of Miscarriage and Death some kind of Remedies are to be used In case therefore the Patient be too full of Blood she must have a Vein opened tho' she be with Child especially in the first Months and so twice or thrice if need be always remembring that there never be much Blood taken away at a time And when there is abundance of some ill Humors gentle Purging must be repeated especially in the middle Months and if a moist and flatulent or slymy Intemperies annoy the Patient we may sometimes proceed to a Sudorifick Diet at least a gentle one in the strongest sort of Women In the mean while these astringent and strengthening Medicines are to be used all the time the Woman is with Child that are proper to hinder Abortion Take of Kermes-berries and Tormentil-roots each three ounces of Mastich one drachm and an half make a Powder of which give now and then half a drachm or as much as will lie on the point of a Knife Or Take of red Coral two drachms Kermes-berries Date-stones each one drachm shavings of Ivory half a drachm of Pearls not bor'd one scruple make a Powder Or let her take every day in the morning some grains of Mastich Our ordinary Women use frequently Plantain-seed which they take in the morning to the quantity of half a drachm with Wine and Water or in an Egg or Broath or by it self almost every day all the while they are with Child and with good success To the same purpose very effectual Electuaries are compounded according to the following Example Take of Conserve of Roses two ounces of Citron-peel candied six drachms of Myrabolans candied of the pulp of Dates each half an ounce of Coral prepared Pearl prepared and shavings of Hartshorn each one drachm with syrup of Quinces make an Electuary of which let the Patient take often the quantity of a Nutmeg If a Liquor be more pleasing a Decoction of Tormentil-roots sweet'ned with Conserve of Roses may be given successfully The following Lozenges are very good for they strengthen and by little and little free the Body from Excrements though they do not sensibly purge sometimes Take of Mace of the three sorts of Sanders Rhubarb Sena Coral Pearl each one scruple of Sugar dissolved in Rose-water four ounces make all into Lozenges weighing three drachms apiece Let her take one twice a week by it self or dissolved in a little Broath Ointments and Plasters are to be applied outwardly Take of Ship-pitch half an ounce of Frankincense one ounce Mastich half an ounce Dragons blood and red Roses each two drachms make a Cerecloath Or Take of Oil of Myrtles and Mastich each one ounce of red and yellow Sanders Hypocistis and Acacia each half an ounce of Spodium and red Roses each two drachms of Bole-armonick seal'd Earth Ivory each two scruples of Turpentine washed in plantain-Plantain-water one ounce with a sufficient quantity of Wax make a Cereloath spread it on Cloath and apply it to the Reins Or Take of the Plaster for the Matrix three ounces of Bistort-roots Acacia Hypocistis Pomgranat-peels each half an ounce of Labdanum six drachms soften them with the juice of Quinces and make a Plaster for the use aforesaid As to Plasters it is to be noted That they must not be worn long together but taken off now and then otherwise if they stick too long upon the Back they do so heat the Kidnies that sometimes they occasion an heat of Urine and the voiding by Urine Sand Stones yea Blood it self Nor are those things to be omitted which are accounted Specificks for retaining the Child in the Womb as the Eagle's stone worn about the Neck a Load-stone applied to the Navel Corals Jaspers Smaragds Bones found in the Hearts of Stags and such like worn under the Arm-pits or hanged about the Neck But that the success of these Medicines may be good the Patient must be ordered to rest and to keep her self as quiet as possibly she can both in Body and Mind and to abstain from Coition which does much disquiet the Womb for whilst the Womb opens it self to receive the Semen with which it is much delighted it drops out the tender Fetus not yet well setled in the Womb. But if notwithstanding the Medicines aforesaid by reason of the vehemency of the Cause whether it be external or internal the Patient be ready to miscarry we must do the best we can with these following Remedies And in the first place so soon as Pains and Throws shall be perceived to be in the lower parts of the Belly towards the Pubis in the Loins and about the Os sacrum we must seek to allay and stop them both by Medicines taken inwardly and outwardly applied according to the variety of the Causes for if Abortion be caused by Crudities and Wind which is most usual when it begins from an internal Cause a Powder must be given made of Aromaticum Rosatum and Coriander-seeds and we may give of the Aqua Imperialis if Phlegm and Wind abound At the same time let