with pain and knawing or ulceration of the flesh Scabies or Scabrities is so called because it makes the skin rough and with a crust and is moist or dry The common moist itch and scab The moist is with Pustles that have sanies and Pus one is called vulgar in which many Pustles called Ephelides do arise from which broken sanies or thin matter cometh if they be a little inflamed and red they impostume and are covered with a dry crust made of the dryed matter which is blew or black or otherwise Colored The itch goeth before this scab which causeth pustles by scratching which break when the skin is broak there is after a cutting pain and if the pustles be inflamed there is burning pain This scab or itch is so frequent that scarse one is freed but in his life time hath it There is Another moist scab less usual then the former The Cruel scab called Agria or Fera in Dutch Herbrolen but worse with little pustles out of which cometh a rough humor like Honey alwaies moist and covering the parts with a thick white green or black scab Some call this Fera or Agria The Germans call it den Herbroten or Harbroten when the part affected is like a toast covered with hairs This is often in Infants heads seldom in aged somtimes it is in the Eye-brows Cheeks and Face very noysome and in other parts There is another kind of scab peculiar in the Head Running Vlcers of the Head called Tinea Achores or scald which with many sinal holes peircing to the Skul out of which come glutinous matter that being dried causeth a crust or scab therefore they are called sordid running Ulcers by the Greeks Achores and because the skin looks like Moath-eaten cloth it is called Tinea a Moth. And the English call it the running scab of the Head and the scald And if the holes be large and the matter like Honey Favus it is called Favus from the likeness it hath to a Honey comb This is perverse and usual in children spoyling the roots of the hairs which are white and thick when the hair is pulled off and after it is cured it leaves many bear places in the Head which is ill favoured to be seen There are other pustles which may be referred to the moist scab which have a dryness at the top and sweat and moisture Some whereof are with greater Imflammation and Ulceration as those called Terminthi because they are as big as Lupines or Pease Terminthus The Germans call them Huntsblatern they are black round and red and inflamed about very burning and quickly dry and when the scurfe is taken off or lifted up matters comes forth They are most usually in the feet and many together Galen desicribes them to be most common in Women and some say they are a kind of Phyma Epinychtis is not unlike this it is as big as a Terminthus Epinychtis blew and very red round about and burns very much at night and turns to an Ulcer and sends forth sâ—ymy matter Also there are waterish pustles called Phlyctaenae that being broken have a scurse and are painful Phlyctaenae they are smal as bubles or greater like bladders which broaken send forth clear water with pain and a crust they may be in any part There is another kind that hath yellow transparent bladders Herpes Phlyctanodes which being whol itch and burne and being open yellow water comes forth with great burning and Inflammation and a running Ulcer it is called Herpes Phlyctanodes The dry scab or Scabrities is so called in distinction from the moist The dry scab which hath dry pustles without matter and makes the skin rough and itcheth much It is of two sorts one is in the extremity of the skin with little pustles dry red and corroding more or less sweating moisture forth with intolerable itch called Prurigo or in Greek Cnismos of some Impetigo and Psora or Scab And Rubrica it is about the Emunctuaries in the Groyns and Arm-pits Prurigo or Cnismos and bending of the Knees and Arms and most usual in the Neek The other kind of dry scab is worse The foul scab called foul and in high Dutch Mager because it makes the body lean and dry by degrees it comes of it self or from a Herpes not cured And is at first greater then Prurigo making the skin rough and dry the Greeks call it Lichen it is chiefly in the Legs and Arms somtimes if the scabs creep and make the skin more rough hard and swollen with chous and being rub'd bran fals off and then the Greeks call it Psora It is not only in the Feet and Arms but in other parts especially the Neck and Face and Head in the Hair like a scurfe of Clay or Chalk from which a dry scale falls and it is horrible to behold If it last long it corrods and makes clefts in the skin and there fals thick scales yellow or blew this is the Greek Leprosy not the Elephantiasis of the Arabians Greek Leprosy though they are taken one for the other but this is more incurable and returns again and is as horrible as Elephantiasis especially if it eat off the Nose We call this the worst Scab Papula or Herpes comes forth with little Pustles Papula or Herpes of the Greeks first with itching and then burning but with Inflammation or Feaver and though the Pustles dry new come about them as if they were begotten of the former Some are like Millium seed called Herpes miliaris which creeps but sooner stayes Herpes miliaris Others are dry little Pustles and are deeper in the skin and break into Ulcers with one Matter and when cured returns with new dry Ulcers broad and high This is called Estheomenus or in high Dutch Den worm from its creeping and corroding if it last long it turns to Impetigo and then into a Psora and after into the Greek Leprosie but not into Elephantiasis When it ulcerates it is like Erysipelas ulcerated and call'd the holy fire or wild fire but Erysipelas comes suddenly with Inflamation Redness Holy or wild Fire Feaver and being ulcerated hath greater Pustles or Bladders and after them a moist Ulcer which is not so in Herpes but dry and without matter The Carbuncle or Anthrax in Greek hath many Pustles Carbuncle Anthrax in Greek or Persian Fire smal like burnings very hot called thence Persian Fire with a black Crust like a Cole and thence called Carbo or live Cole because of the redness round about under which after suppuration there is no matter but a blak Lump of Flesh fastned to the Roots with a Feaver and great weakness Like this is the Anthrax of the back between the shoulders with many Pustles together red which broken there comes matter forth as from a spunge which turns to a hollow Ulcer over all the upper part of the Back with lumps This
Spirits of Wine a deadly Stupidity and also an excessive heat is raised in which case as also in others raised from the like cause we give Natural Milk and Factitious made of Almonds and Guord Seeds also Butter common Oyl and Oyl of Almonds and other Fat and mucilaginous things the which also we said were proper in corroding poysons Also Acid things given as they do quel the heat of Acrid humors and Choler so also the efficacy of Narcoricks which I am wont rather to give as Acid juyces or syrups or Vinegar it self which therefore we have said elsewhere is the most certain Remedy for Drunkenness the other things which do it by a certain propriety shal be explained in the Remedies If a malignant quality The Cure of a sleepiness stupidity from a malignant quality which we cannot rightly explain come from without from the Stroke of a Beast from whence a Sleepiness or stupidity ensues then things antipharmacal resisting these Poysons must be given such as are described in their place but if that such a Malignity be raised up in the body as in Malignant Feavers we have said that then also a Sleepiness and Stupidity doth happen and then applying those things which the malignity of the same method of cureing is to be observed which was mentioned in a Lethargy If a Daemonical Sleep delude Witches as we have said The Cure of Daemonical sleep from an evil Spirit seeing the cause is preternatural it will not be cured by natural Remedies but by prayers and amendment of life but if they refuse to do that they are worthy to be purged by sire The animal spirits being spent in the Brain The Cure of an Apoplexy from the wasting of the animal Spirits if a man become Apoplectical death it self prevents al manner of cure which we ought to foretel to be ready at hand But the Spirits being spent in the Brain by great meditations if sometime they become stupid they easily come to themselves again upon the return of the spirits The Cure of an Epilepsie Catalepsie and Stupidity from the too much profusion of the animal spirit out of the Brain but if that by some vehement affection of the mind the spirits be so carried forth that being taken with a grievous stupidity with Rigor they become Cataleptical then the evil is very pertinacious and that especially if this disease have its original from Melancholly for those thus affected are hardly cured and though they be freed from it yet they continue Stupid and Melancholly And if from Anger also they fall into an Epilepsie they are not free from danger in which species whiles they are in the Fit the same Remedies are likewise applied which are used in the rest of the Epilepical to the quickly taking off of their fits the which ceasing the cause must be turn'd away this being done if the evil do stil return whenas by that we know that the internal cause is yet present which the external did first move then the care must be fitted to the taking away of that which in a Catalepsis they apply to Melancholly in an Epilepsie to the purging of Flegm as shal be said But if that a Convulsion or which seldomer comes to pass a Catalepsis do follow from a Disease of the Nerves drawing the Brain into consent and somtimes affecting of it too the Cause it self must be diligently considered and according to that we must foretell and order the cure which we have said was in that continued Epilepsie as also somtimes in a Catalepsis but seldom hapning a certain malignant melancholly and poysonous humor consisting in the hidden parts of the body of the Veins about the inward parts of the body or also the outward parts and otherwise lurking in the habit of the body or also within the Skul arising from some fault that doth not yet destroy the brain but by course affecting the Nerves but of a milder and Shorter Epilepsie certain evaporations proceeding here and there from the inward bowels from a Causeless persevering and sometimes also Pains or only Troubles when though they have no such great cause in weak Children yet they may produce Epileptical fits but of the rest of Convulsions which are Short we said the internal causes were a poysonous humor also in the Veins in Feavers which these Convulsions do follow or otherwise Acrid Pernicious cholerick or serous humor or blood corrupted or it depends on the taking of things destructive or poysonous or proceeds from grievous pain either from a Wound or the biting of Beasts In all which species since they are all difficult we must not rashly foretel any thing of good although a fit cure and benefit of nature doth somtimes mitigate the Prognostick to wit The long continued Epilepsie so called if it begin before the time of youth and cease not when that time comes viz. when men can eject seed or when women have their courses as also that which first begins after youth is Incurable and desperate which will afflict them to the last day of their lives for a long time unless the cruelty of the symptomes doth make death more speedy but from the Shorter Epilepsie that Convulsion which is called the Worse is deadly and that also which is called the Milder species wants not its danger Which things since that they are thus these Prognosticks being premised the Cure must nevertheless be attempted which we shal not first of al divide according to the Causes seeing they are so various and abstruse but proceeding by the manner of operation we shal explain how by medicines emptying and altering found out partly by Use and partly appropriated to the Cause for some Reason we ought to heal Epilepsies and Convulsions or at leastwise to keep off or mitigate their fits Evacuating Remedies are those which do carry another way the Causes procreating or Fomenting Convulsions whether they be vapors or humors either by revelling and deriving from the part affected or by Repelling and hindring them to come to the part and that either by opening made by Cutting Sucking Burning or by Purgations ordered by divers passages of the body or by other operations outwardly applied Amongst the kinds of Cutting Phlebotomy presents it self for the lessuing of the blood which in a long continued Epilepsie wil take place if the Patient be Plethorick or the Hemthoids which before were accustomary be supprest some general eminent and appearing Vein being made choyce of for this purpose yet many do advise to open the Shoulder-vein called the Cephalick for the heads sake also blood taken from the Veins of the Ham and Ankles is very convenient and so much the more if the Courses be stopt in Women the which also some commend if taken from the Veins of the Forehead and Tongue and if we do conjecture its cause to depend upon malignant blood these detractions of blood must be often repeated whenas we have shewed that in Madness
wild Saffron the leaves of Senna of each three drams Hermodactils one dram Liquorish root half an ounce Raisons forty Figs twenty Annis seed two drams Rosemary flowers one pugil Make a Decoction Infuse in it of Agarick trochiscate one dram and an half Turbith one dram Ginger half a dram Cinnamon one dram Strain it Dissolve in it Honey of Roses laxative half an ounce Make a Potion The Purgers must be repeated by course if the Disease continue especially if there be great plenty of the Humor flowed down as in a more general Palsie and the Body be full which shall be done the Humor being prepared a new and purged again or giving for some time things made of those following for three daies together then interposing a day or two and resting the while or every Month or at the seasons of Spring and Autum The form of Pills is most convenient to receive any thing and especially those Pills of Ground-pine or Ivae so called are commended which Mathiolus holds for a present remedy and Bened. Victor cals a glorious help if one scruple be taken before sleep at night every day or at least twice a week the description of which produced by them both in the same manner we make thus more commodious Take of Coloquintida prepared half a dram Scammony prepared one dram Turbith one dram and an half Agarick two drams Rhubarb one dram and an half the Pouder of simple Hiera half an ounce Ginger one scruple Spicknard Fossil Salt of each half a scruple Lavender French Lavender flowers of each one dram Opopanax half a dram Mastick one scruple Castor half a scruple the Distilled Oyl of Marjoram and Rosemary of each five grains the juyces of Ground-pine newly drawn and boyled like to an extract as much as is sufficient Make a Mass A usual Syrup shall be prepared thus with less labor and cost Take of the roots of the true Acorus half a pound dry Sage one ounce Ground-pine fix drams flowers of French Lavender and Lavender of each half an ounce Caraway seed two drams Make a Decoction and in that strained infuse Agarick one ounce and an half the leaves of Senna four ounces Let them boyl gently Aromative it with Cinnamon two drams Ginger one dram add of Honey a sufficient quantity Make a Syrup boyled to a consistence for your use making trial of at the first giving of an ounce and an half Or one very much compounded shall be made thus Take of the roots of the true Acorus Orrice of each one ounce the roots of Angelica or Master-wort Elecampane Pellitory of Spain Hog Fennel round Birth-wort of each half an ounce Galengal Cyperus Valerian Dyers Madder of each two drams the Herbs Sage Marjoram Betony Balm Penny-roval Poley Hyssop Time wild Time of each one handful Ground-pine one handful and an half flowers of French Lavender Lavender Rose-mary Prim-rose of each one pugil seeds of Carawaies Fennel mountain Hartwart Piony of each two drams Rocket Rue Chast Tree Angelica of each one dram Bay and Juniper-berries of each half an ounce Liquorish root one ounce Figs twenty four Raisons forty wild Saffron seed two ounces leaves of Senna three ounces Turbith half an ounce Agarick six drams Hermodactils three drams the roots of Grass Plantane two drams Mechoacan three drams Make a Decoction according to Art Aromatize that strained with Cinnamon half an ounce Ginger one dram and an half Salt Gem half a dram add of Sugar half a pound Boyl them to the consistance of a Syrup Let him take for one Dose two ounces or more An usual Electuary wil do the same Take of the Electuary Diaphaenicon the greater Jndum tables of Citron solutive of each one ounce tables of Diacarthamum of thy Description six drams the Pouder of Hiera of Coloquintida three drams Mastick Opopanax Sagapen of each half a dram Nutmeg Ginger Cinnamon Cloves of each one dram with syrup of Ground-pine or French Lavender Make an Electuary let him take from two drams to sour Some also attempt Purgations by Vomit giving the very strongest as Stibium by the use of which I have indeed observed twice or thrice that they have become presently Palsied who formerly were not so therefore it ought to be moved rather by giving thogentler unless it succeed of its own accord or be actually provoked in those that are sooner accustomed By sweats often repeated by giving of the Decoction of Guaicum China or others because it cannot be removed by any other way this long continued Disease is often cured which will be made proper if Sage and Ground-pine be boyled in the same and it be Aromatized with Galangal and Nutmeg as thus Take of Sarsaparilla two ounces Guaicum three ounces Orrice root one ounce roots of Elecampane half an ounce Roots of Acorus half an ounce Make a Decoction in Water according to Art for a sweating and ordinary drink But also it will be very convenient to move sweat somtimes by giving of other things as the Rob or Quiddeny of Dwarf-Elder two drams Dissolve it with the water of Ground-pine and Sage and let him drink it The Courses Hemmorrhoids if they be stopt are prositably moved by taking of remedies that provoke them Those things which are graunted them to be necessarily taken for the nourishment and sustinance of the Body ought to be administred sparingly and seldom for to use a sparing Dyet and sometimes to suffer hunger doth very much hinder the product of Humors which will be done if they take meat moderately only twice a day or somtimes forbare their Supper Or their Sweats being continued for some time and other Evacuations in making of their Dyet as they call it they joyn a Detraction of their meat or if otherwise meat be administred to them sparingly The which also if it be of good juyce it will be sufficient and produce fewer Excrements as if he eat Egs and of Birds Threshes Mearles Larks Chassinches birds like Nightingales Sparows or those which most do write do by a peculiar vertue resist this Disease as chiefly wild Pidgeons Turtles Swallows the brain of a Hare which therefore they put also into Compositions which are convenient rosted rather then boyled and moreover they become Medicinal if they be stuck and stuft with Sage Marjoram Time wilde Time and other sweet things and Spices especially with Nutmeg If the seeds of Carawaies or Fennel or Annis or Gith be mixt with the bread when it is baked it will be more convenient and if he somtimes use Aromatical Dyet or ginger bread Sugar'd as they are wont neatly to prepare it or honied which they call the Bread of Life Pine-nuts Pistachoes are very much commended here and are beleeved to strengthen the Nerves Junkets of Mustard seed administered at table instead or sauce are very much approved as also pickeld Capers The Salt with which meats are salted is approved and that made of Treacle and Vipers as this following Take of Salt one ounce and an
yet if a trembling arise from thence we advise the same Remedies especially the Topical mentioned in a Palsie which help the Nerves rather by strengthening and somwhat binding as Rondoletius wil have it than by affecting them with an eminent heat And we wash the trembling parts with the Decoctions before quoted If the trembling arise from Narcoticks and their force causes it how it must be broken hath been said in a Numness but if the Trembling remain the same Topicks shal be tried which by strengthening do heat also not because the Nerves are cooled by Narcoticks as they think but because when they are stupid they are stirred up by heat But if Drunkeness with Wine hath caused a trembling either it ceaseth of its own accord if it be not accustomary but if Drunkenness hath been already a long while continued the Trembling arising thence is hardly any more taken away especially when Drunkards have contracted so perverse a habit that unless they fil themselves again with Wine and are heated by it as hath been said in the Causes they are troubled more with the Trembling yet in the interim they may mend this perverse kind by Temperance and Sobriety of life also the Remedies that strengthen the Nerve wil do good both given and applied In that called a Rigor if it be gentle The Cure of a Rigor from acrid Humors or only a Horror seeing it doth not much trouble or continue long we need not take pains to correct it and also if it be vehement seeing Nature by that in the beginning of Feavers doth endeavor to expel the hurtful matter neither is it then easily to be curbed or Natures Motion to be hindred as neither if it go before a Crisis seeing Hippocrates saith a Rigor coming upon a Burning Feaver it s dissolved But if it so trouble the body together with a troublesome sense of Cold that the sick suffers it with a great deal of trouble and are weakned by it then 't is rather to be mitigated then wholly to be hindered seeing this cannot be done without dammage and the Rigor being wholly taken away the course of the whol Feaver is stopt or is caused that it is not decently so that though those Remedies which suffer not the Rigor to break forth are beleeved to cure a Feaver yet by retarding it they do rather cause that afterwards it follows worse or is changed into more grievous accidents unless perhaps that unprofitable Rigor persist rather from custom than the Morbifick cause which is already taken away for then also it must be wholly prevented as these things have been largely explained in Feavers Also by what means the Fit of the whol Feaver may be hindred with the Rigor hath been likewise taught in Feavers but for Mitigation of it the things following wil suffice If the body be somwhat actually heated for whiles we provide against cold also the Rigor is appeased which is with less hurt done in the Feet heating them with Cloaths or other waies as with warm water in a Brass Vessel or with Stones or Tiles heated and wrapt in a cloth Diverting the matter by Frictions and Ligatures of the extream parts we amend the Rigor That is â—â—fly performed by anoynting the Back-bone with any heating Oyls and proper to the Nerves As Take of Oyl of Chamomel Dill St. Johns wort each half an ounce anoynt it first besprinkling the hands with Aqua vitae Or after this manner Take of the flowers of Chamomel St. Johns wort the Leaves of Southernwood dried poudered each two drams Pellitory of Spain one dram pour as much Oyl of Nuts as to cover them Aqua vitae two drams boyl them strain it and anoynt the Back-bone Or of Juyces and Oyls Take the juyce of Mugwort Southernwood each half an ounce Oyl of Dill Rue each one ounce Aqua vitae two drams Saffron half a scruple boyl them a little make an Oyntment Many mix Treacle with Aqua vitae and Oyls and anoynt the Back-bone others if the Cold be great mix Spices The Oyntment of Spiders explained in Feavers as also other things exprest there do the same also with which also the soals of the feet are rubbed There are some who approve of Baths if the Feaverish heat hinder not and the Rigor lie highly hurtful of the Decoction of Pennyroyal Calamint Rue Southernwood Mugwort and the flowers of Chamomel and Melilot In Reaching and Yawning The Cure of reaching yawning from halituous Vapors seeing these can bring no dammage but rather do good there wil be no need of any Cure there unless in as much as if these together with a Spontaneous weariness do as signs foretel Diseases they do admonish us to apply Remedies that we may prevent them If from Yawning the lower Jaw be easily luxated we advise that they do somwhat repress it and gape not with such a wide mouth as also in reaching because it is uncivil too much to extend the Members we teach them somwhat to restrain their limbs for Civilities sake rather than any benefit CHAP. IV. Of the Defect of Breathing The Kinds IT is called a Defect of Breathing when it is either abolisht or is done with difficulty which may happen both to natural Breathing and to voluntary or vocal breathing forth in utterring the Voice and Speech The Breathing which is continually performed by vertue of the Heart Breathing abolisht in a Syncope naturally by drawing in and sending out of the Breath can no waies perseveringly be wholly abolisht while the man lives but for a time it may altogether cease in a true Syncope and in that which accompanies that which we call strangling of the Womb in which cases as long as the mind faileth in them as they call it or the Life or rather the vital motion so long no breathat all is perceived in them or it is so obscure that we can observe no breathing forth of the Air even with a Feathers laid to the Nostrils or shaddow of motion in a Cup ful of Water laid on their Breast but they lie like dead folks without all motion and sense But Breathing oftentimes proceeds difficultly when they fetch it with great labour and impediment and if this be with high streining so that they are in the beginning of Suffocation it is called Suffocation and strangling the which also wil follow if it did not cease In which danger because they are more conversant when they lie down to turn that away they are forced to breath upright with their Breast raised up and their Neck straight and then they are called Orthopneumatical and because if they move their body they they are more grieved their Breathing being made swifter they are compeld to be quiet but otherwise they Breath with less anguish yet difficultly also and it is simply called a Dispnoea Somtimes labouring more do send forth the Breath somtimes to draw it in at other times both being hindred together But a Dyspnaea or Strangling
shewed in the Sunocation of the Womb. You must put into the womb things that relax and make it slippery and that provoke excretion Of loosning things this Decoction is best Take Marsh-mallow roots one ounce Linseed and Fenugreek of each half an ounce Savin three drams Boyl and strain and add one ounce of common Oyl or Butter or use Oyl of Chamomil or of sweet Almonds by injection or Oyl wherein Fenugreek hath been boyled with Oyl of Flower-de-luce or Cream Or thrust greasie wool into the Womb dipt in Butter Honey Mucilage of Lin-seed and Goos-grease with a little Saffron Also dip wool or Spunge in juyce of Leeks Saffron and Myrrh Or thus Take Galbanum Opopanax dissolved in Vinegar each three drams Myrrh two drams Saffron half a dram with Oyl of Orris make a Pessary If the Child be dead use juyce of Peny-royal lesser Centory Leeks Mercury Or a Pessary of Dittany root or of Madder or Briony green and anonyted with Oyl Or Take Mercury bruised with Parsley as much as will make a Pessary Nigella seeds and Sowbread roots each one dram fil a little bag therewith A stronger Take Agarick two drams Birthwort and Asarum roots each one dram Coloquintida which openeth the Veins very much one scruple Myrrh three drams juyce of Mercury boyled with Honey to a Syrup make Pessaries in Bags We inject things to suppurate the Secundine if it come away that it may come forth like matter and this may be done without hurt to the Womb for Nature separates the corrupt parts from the sound of her self Thus. Take Starch one ounce dissolve it in the Decoction of Mallows and Lin-seed adding two yolks of Eggs and Turpentine dissolved two drams inject often adding Honey also to clense Basilicon dissolved in Milk or Common Oyl is an ordinary ripener Also Aegyptiacum when we know the Secundine is rotten by the matter that comes forth is good with Lie to clense and cause nature to expel it Suppositories help by loosening the belly And pricking nature to increase the Throws because they are neer the Womb especially Clysters they work better than any outward applications Baths are to be used often in the last month to loosen the passages when a Woman is used to have hard Travail made of Wormwood-water or the Decoction of Loosners and let the belly be anoynted with Grease Butter or Oyl If shee sit in such a Bath in the time of her Travail or foment the Privities therewith it will dilate and help If we desire chiefly to loosen make it thus Take Lillies Briony roots green each half a pound Marsh-mallows Mallows Pellitory Coleworts each one handful Linseed and Faenugreek each half an ounce Chamaemel and Melilot each one pugil boyl them for a Bath to sit in or a Fomentation Or take one pint thereof and with Honey juyce of Mercury Hiera make a Clyster If we wil urge forth the Child or Secundine Take fresh roots of Briony half a pound of Dittany and Birthwort each two ounces Pennyroyal Savin Rue Mugwort each one handful Lupines Bay and Juniper berries bruised each two ounces Lavender flowers three pugils boyl them in Water add Wine let it be used as the former Or make a Clyster therewith as the former Clyster It is good to bring forth the Secundine if you dip a Cloth in the Decoction of Birthwort Pennyroyal Savory made in Wine and apply it to the belly If you use no Baths wash the Legs and the Thighes with the former Anoynt after bathing the lower part of the belly and the Privities and the Loyns and Rump A loosning Liniment Take Oyl of Lillies Wall-flowers Dil Butter Goose and Hens grease Mucilage of Lineseed and Faenugreek each one ounce with Saffron half a dram The Resumptive Oyntment wil do the same Provoke the Child with this Take Oyl of Wall-flowers and Rue each two ounces Juyce of Savin and Mugwort each one ounce and an half juyce of Leeks half an ounce boyl them till the Juyces are consumed add Myrrh and Gabanum dissolved in Vinegar each half an ounce liquid Storax one dram roots of Asarum Birthwort Sowbread each one dram Cinamon half a dram Saffron one scruple with Wax make an Oyntment Emplasters work stronger applied to the Navel and Share This is best Green Leeks and Polipody each half an ounce Birthwort one ounce Mugwort Coleworts Organ Tansie Savory Orris leaves each one handful stamp them with one ounce of meal of Lupines apply it like a Cataplasm and renew it when it is dry Also Cupping-Glasses Frictions Ligatures to the Thighs and Feet draw down and hasten the Birth The Vulgar commend Amulets in difficult Travail which though they have no strength yet because they encourage the woman may help A Snakes Skin about her middle is most commended And Saffron about her neck And a Load-stone in her hand Also the Eagle-stone bound to the Thigh or soal of the Foot VVe shall not mention superstitious words and looks and the giving of some things to be chewed by the Husband before they be applied CHAP. X. Of the Defect of Vital Motion The Kinds WE call that Operation by which all the parts of the Body live the Vital motion or Life The Defect of which we cal also the defect of strength and is known in parts that are moved not only in respect of a voluntary motion but when all the Functions Vital and Natural are taken away or diminished in parts movable and immovable This is either general to the whol Body or special to some parts VVe perceive the want of strength in the whol body not only by the want of all the Functions mentioned but by the remission of the motion of the Heart and Arteries which is either weak or ceaseth wholly If the strength fail in general and the motions mentioned are slower General weakness it is called a general weakness which is greater or less sometimes natural from the birth somtimes going before Diseases or in the beginning or end of them In this the whol body acteth dully and with difficulty not as in Impotency of motion when the Members are palsied or their actions hindered but when the Members are faint and bruised more or less as the weakness is Then is the pulse or beating of the Arreries diminished And either the Artery is not so dilated as it ought to be which is called the little pulse Or when it is pressed it presently stoppeth and the pulse is less which is called a faint pulse Or the Artery extended slowly and it is called a slow pulse Or it beats at a great distance and is called a rare pulse Or it stoppeth one or two or more stroaks and is called an intermitting pulse Or it is obscure of two or three sorts of which there are many kinds as the pulse like a Mouse-tail Grasshopper or Worm called Miurus Formicans Vermicularis Likewise the motion of the Heart is weak and then the pulse is remiss slow and Dul. Physitians mention
no other in the Heart for it is sufficient by touching the Arteries to know the vital strength especially in regard the motion of the pulse is answerable to that of the Heart Also the Defect of the Heart is known by the breathing In the pangs of Death there is extream weakness Extream weakness in the hour of death which is more or less longer or shorter In which although the conflict between life and death or Convulsions the Members are moved yet the strength is gone And the pulse intermitteth and ceaseth like the flame of a Candles end that somtimes blazeth with a little refreshment from the grease but goeth out again when that is wanting And the motion of the Heart and Breathing are much stirred up in the Agony before they cease so that the whol breast is shaken and the Nostrils moved the body sweats and farteth which caused the Poets to say the Soul went out And death being at hand the heat leaves the external remote parts as Hands Feet Nose by degrees and the rest while the breast is warm a while til all the breath ceaseth the mouth and Eyes remaining open and the body turned like a clay colour we are certain the Soul hath left the body Sometimes while the man liveth the strength is taken away for a time Syncope or Swooning and all the Functions of the whol body suddenly Pulse and Motion ceasing so that it cannot be felt at least In the Disease called Deliquium Lipothymy or Lipopsychy in Greek if it be great 't is called Syncope And then all breath is gone so that you cannot perceive it by a Feather applied to the Nose or the like which may be stopped in this case only during the Fit while the motion of the heart is staied and hath no need of Breathing without Death But while the the Heart moveth it cannot want Breath because it procureth vital spirits In this Syncope they fall suddenly only with a noise in the Ears or hissing the strength being lost as in an Apoplexy if the Syncope be great but they differ in this that in the Apoplexy the Heart and Arteries beat and they breath though with difficulty and obscurity There is also a cold sweat called Snycoptical or Diaphoretick not from the digested substance of solid things but from the conflict of nature and the dissipation of the Spirits which is so great that not only thin humors but also the Dung and Urin break forth And because then heat vanisheth from the outward parts there is a cold sweat remaining and a paleness all over in those places that should be red by nature shewing it self first in the Lipps Somtimes there is a particular weakness when the internal or external Organs are deprived Particular weakness and it is called the weakness of that part not every weakness that comes from a Disease but as shal be shewed in the causes that which comes from the loss of the flourishing vertue Such as is sometimes in the Stomach Liver Brain Eyes Joynts or Members which shal be spoken of in those accidents which are produced thereby The Causes The Cause of all failing of strength The cause of all want of strength is in the vital spirit in man when it is not nourished with another spirit or moisture or consumed fainting and weakness of particular parts dependeth upon the inbred and inhaerent spirit of the similary parts which makes the spiritual substance of parts as they call it and giveth living vertue or life and strength and heat which is natural This natural spirit or heat being inbred in every substance of parts as in the Heart which though it abound with other yet hath this in it as necessary for life hath need to be continually nourished and renewed by the vital spirit made in the left ventricle of the Heart and communicated to all the parts by the Arteries as to the substance of the Heart by the coronary Arteries called the influent spirit that it might be the matter that sustains the innate spirit and because it easily disperseth it ought to be in great plenty through the body And hence is it that the heart being the shop where that spirit is made alwaies stands in need of Air and Blood whereof it is made Wherefore if they be wanting or but little there is one cause why strength faileth As when for want of breath the heart wants Air then Death follows except its motion were hindered by other causes as shal be shewed in the causes of swooning Because the Heart being dilated by motion often not filled with matter for vital sptrits dieth And this cannot befall it while it moveth not because it may subsist a while with its own spirits as other parts So we shewed in a Syncope wherein they revive after a long stopping of the breath But seeing Blood mixed with Air in the Lungs affordeth fit matter for animal spirits if it be consumed by great want of nourishment or Arrophy or stopped in the Vessels so that it cometh not to the parts there must be weakness But no man living can be so without blood that the Lungs should be so empty which usualhave so much or the Vessels that are so large by which the Blood is carried with Air from the Heart should be so obstructed Only strength fails in this respect that spirits are not made or being made they are suddenly dissipated which causeth the innate spirits to subsist no longer And that either when they altogether vanish and leave the body as in the Agony of Death or they depart for a time from the Heart and return again as in swooning Or when they are fewer then are necessary as in Weakness Also strength must needs fail when there is want of substance making moisture in regard the innate spirit is nourished not only with the infinent spirit but by radical moisture which consumeth dayly And so it is the occasion of Death or Weeknesâ— as it is wanting in the Heart where it is the proper nourishment of the spirit or in any other parts But if the innate spirit caâ—â—ed the spiritual substance of the parts or called the natural heat be extinguished or weakened or any part cold Then if it be in the Heart which hath as I shewed its proper native heat or innate spirit besides the vital which it aboundeth with otherwise there had been no coronal Arteries and be spent Death follows but if it be diminished there is a general faintness of the whol body as a particular weakness of some other member if it be in them But now I shal shew what causeth the dissipation of both the innate spirit called native heat and of the Influent spirit by which it is susteined And how the humor that feeds it is consumed by natural and adventitious courses They who have more innate spirit or natural heat The constipation of radical moisture through age is the cause of weakness and radical moisture are more strong
either the third or fourth day as in double Tertians and triple quartans A double Tertian Triple Quartan Double Quartan but if it be a double quartan the fit is two daies and the intermission one If a Tertian meet with a quartan the fit is three daies together and the intermission one day if it return the same day it is not a new sort but when quotidians come sooner one may come when another departeth And if the later feaver that it fal in with the former in the time of the fit then the fit is longer and may continue eight or ten hours but it is two fits of two Agues the one begins with a new chilness at the end of the other Some return the fifth or sixth day A Quintan or Sextan Feaver but they are but quartans which staied longer away than usually There are divers accidents of intermitting feavers which are troublesome as cold heat thirst Head-ach and change of Excrements Intermitting feavers not only begin but return with a cold fit first as the continual do with yawning shivering and coldness of Hands feet Nose and Ears first then shaking the Germans therefore call it Kaltwee or Frierer from the cold This is greater or less An Ague in High-dutch called Kaltwee or Frierer according as the Ague is Somtimes the body is very cold and the chilness come sooner in a Tertian slower in a quartan the Body shaketh the teeth gnash Both begin somtimes with less cold but then they last longer somtimes the cold is felt inwardly and outwardly also somtimes more within or without And when every part feels cold with heat it is called Epiala But we suppose that this is because intermitting feavers meet in the same day and the cold of one begins before the heat of the other is past Or when intermitting feavers meet with continual as we shewed Semitertians for in the continual there is alwaies heat and when the intermitting comes it begins with cold The heat which follows the cold and shaking or mixeth with it in most vehement Tertians presently kindled dispersed through the body sharp quickly at the highth and quickly declining In others it is gentler nor so general in the whol body but like the burning of green wood as in tertians that have lasted long It is also vehement in quartans but not equal over the body but with mixture of cold and as it were pain of the joynts and bones Thirst is the greatest Symptom in tertians and quartans they call for drink as for life And somtimes in the cold fit especially when the cold is outward and the heat inward they desire drink Somtimes there is Head-ach at first but it ceaseth before the end The change of Functions is seen chiefly in these They somtimes dote in the time of the fit they are unruly and tost when the heat is at the highth And they cannot sleep somtimes Somtimes they sleep too much as in Children They draw much breath the Puls at the first is smal afterwards quick and often and great and more or less uneven There is weakness except the strength be renewed in the time of intermission There is in some a swounding from whence it is denominated A swounding feaver is a sort of intermitting Feaver At the end of the cold fit there are often bitter Vomitings Also after every fit there is plenty of vaporing and hot sweat by which they decrease and by which they are judged Somtimes they void much Urin often and have somtimes the Haemorrhoids or Courses There is alteration of Excrements to be seen by the Urin which is of a yellow or flame color and substance and in Tertians ptesently or in quartans at a little distance they turn white and waterish at first Also a black Urin is not alwaies bad in a quartane if the matter of the disease be thereby purged The stools are cholerick and yellow somtimes black The Causes The first Cause of all Feavers is a Disease A hot distemper is the cause of all Feavers which is an hot distemper or preternatural heat making all the body hotter than it should be The heat which disturbeth the Patient is a symptom First we shal consider the place then the essence of this heat whether it be a Disease or a Symptom The place affected is not one but all parts of the body In all Feavers the whol body is the seat of the hot distemper not only the fleshy parts which are sooner inflamed but the Membranes and bony parts take this preternatural heat The heart grows first hot and then all other parts more or less begin to burn by consent as they are by nature hotter or colder But this is not a Feaver except the heart be also inflamed though the whol body burn with the blood spirits and other principal parts as the Brain Liver and the like Nor can the heat of the heart cause a Feaver if it be little or if it be short though vehement such as comes by Anger or Motion except it be fixed The essence of this preternatural heat in Feavers 〈◊〉 not the same in all and the difference thereof makes different Feavers For this heat is either adventitious and mutable which is called a fiery heat and that is either pure and single which inflameth only the body and causeth pure or not putrid Feavers Or impure and mixed with putrefaction infecting the body and making putrid or impure Feavers Or it is malignant and putrid together or alone and infecteth causing malignant putrid pestilent and venemous feavers Or this heat is fixed and constant or a change of the temper of body into a more hot hence come those called Hecticks How these come whether of pure heat or filthy shal be shewed in these three causes A pure simple heat when it only is a little increased A pure heat is the cause of pure or not putrid Feavers first in the Spirits and Blood Veins and Arteries and so sent to the Heart and fixed to the matter that nourisheth it and so communicated to all parts causeth pure simple and continual feavers when the heat being once kindled goeth not out till it be quenced These are either solitary or without any other disease in their course or accompanied with another disease that went afore or cometh after The cause of this variety is when the cause of the disease is either in the vessels or out of them If Blood is kindled or inflamed in the vessels that is Heat of blood and spirits coming to the heart is thecause of pure continual Feavers Heat remaining in the vessels causeth solitary Feavers in the Veins and Arteries and so the heart set on fire and a feaver produced and it continue to the end without moving into other parts then the feavers are called Solitary or accompanied or symptomatical as they come from or not from the disease If no Disease cause these Feavers but the blood is inflamed in the Vessels then they
are easily the cured A heaviness of Eyes and Lids after sleep such as wrings them and suffers them not to be easily opened foretelleth heaviness of head and aboundance of Vapors and Humors these must be prevented If a false Ophthalmy come from a Flux of blood there is little danger except it turn true But if Inflammation of the Eyes follow the true Ophthalmy is more dangerous especially if a great Tumor cover the black of the Eye That is worst which suppuraâ—â—â— and turns into an Imposthume and so into an Ulcer which if deep there is danger of loosing the Eye also a not suppurated Ophthalmy true or false if long of continuance darkneth the Pupil or leaves a spot and causeth dimness or blindness But the Inflammation made in the outward corner of the Eye in an Aegilops goes somtimes soon away but neglected suppurateth and proveth a lasting and perverse Ulcer which turns to a Fistula and is scarse cured An Epiphora also is very stubborn from a waterish humor and continues many daies or months sometimes a whol Winter and in old Persons all their lives I have known Phlyctaenae or Pearls coming of outward causes that were cleer and not red to go away of themselves and they which are red and painful and break leave excoriation behind them Excoriations and Scabs by reason of the moistness of the part are not soon cured and are worse if they ulcerate if it turn mattery or callous it is stubborn and somtimes incurable piercing the Eye and putting it out or covering it with a Callous or Scar. When a Wound of the Eye pierceth the Cornea or horney Tunicle the humors fall out and the Eye sinks in and is blind An outward or superficial wound turns to an Ulcer hard or easie to be cured A puncture causeth Inflammation if it be not looked unto As for the Cure when any of these Diseases will not away of themselves All kinds of Eye-sores as Itching Puncture Ophthalmy true or false Aegilops Roughness Scabs Ulcers Wounds Fistulae's are cured by taking away the Cause then have at the Causes which either are external as hard bodies that get into the Eye or hairs of the Eye-brows or Air or Light which molesteth Or also from things taken in or from motion extraordinary of mind or body or from filth or tears If any of these Causes procure an Ophthalmy or exulceration or the like or increase them they must be removed or amended or prevented But if an Ophthalmy come from a Defluxion of blood or an Epiphora from a Defluxion of flegmâ— or if the Eyes formerly weak have new Defluxions then we must evacuate by opening a Vein or Artery or cutting or burning of holes or by Cupping by Leeches Frictions or the like or by Stool Nose Mouth by Vomitting Sweat Urin or derive the humor another way and so consume it by things given or applied and stop the flux to the Eyes by outward applications But the cause of the Disease it self must be cured by Topicks to the Eye according to its condition All which shall be done as followeth by the order declared being appropriated to the Causes and to the Disease Things that get into the Eye if they be thin come out again of themselves if they be more solid they get out by the motion of the Eyes and Lids and tears that come from thence to wash them away But if they stick they must be taken out by Art This is done easiest when they are in the corners of the Eyes and may be seen when the Eye is opened or the Eyelids lifted up And then make a tent of Linnen and the like and wipe them out But if they lie out of sight or having been seen return upon touching or the motion of the Eye then they must be taken out with smooth and slippery things put into the Eye and by putting one Eyelid over the other these are best when pouderous as little small Pibbles or precious stones as the Swallow stone which is made of Mamor or the Jasperstone or the Cray-fish stones called Crabs-eyes which seem to be made for that very purpose to be put into the Eye the one side being hollow or concave for the Ball of the Eye the other convex for the Eyelid Rhasis saies this may be better done with a little Pensil anoynted with Turpentine drawn through the Eye under the lid that they may stick unto it and so be brought forth but this way wil presently fail by the watering of the Eye Sneesing or often blowing of the Nose are good to shake out or at least to remove things in the Eye they appear to be strongly driven through the Nose by which the Eyes are moved and the tears provoked to wash them out For which Washing other things are good that provoke tears as of often motion of the Eye when the Eyelids are kept open this drives things out When crooked hair in the Eye-brows prick the Eyes by reason of some fire that singed or dried them or the like they must be cut off and then they will grow better if the pores be not in fault and then if they be they must be constantly cut or pul'd out or the Eyebrows burnt which being not to be done without pain and seeing it is not decent to want hair upon the Eyebrows they may be set right with the infusion of Gum traganth Mastick or the like as some do their Mustachoes to keep them out of their mouth and which some take for an Ornament Hot Air because it is naught for red inflamed Eyes must be tempered or avoided or changed for cold Air which is good in this case but very cold Air especially with Wind is hurtful in all Diseases of the Eyes And Smoaks especially of new quenched Lime which is sharp and pricks the Eyes and very strong scents as Oyl of Spike of stinking things or Jakes all these are to be avoided in sore Eyes Also Brightness from flame especially which cannot be endured or from light at which the Patient is unwilling to look And therefore they ought to have a black Veil before the Eye if other things are not applied to keep away light Meats and Drinks must be avoided that inflame the body and make the Face and Eyes red as strong Wine Onyons Mustard and Radishes And it is good in an Epiphora to keep a slender Diet and abstain from Suppers Also 't is hurtful to sore Eyes to move them much to look too stedfast upon any thing or to read or write much or to move the Head too much or hang down the Head therefore let him stand upright and sleep with his Face upward on the contrary side Also it is naught to rub the Eye from which they hardly abstain Also to watch long or lament to cause crying and shedding tears these all must be abstained from And from things that are apt to get in as dust flies And take heed what midicines are used lest they be too
lived then lean this may be in some parts so that a Deformity and an impediment may arise as when the belly is so fat that it extends it self without measure Great Breasts or when the Papps are too large and cover the whole Breast and would go farther if not restrained and hinder breathing by their weight such are those fat Men who have great breasts and which is more preternaturall those which have breasts grow very large as well as Toats being men not grown or other wise dispto portioned Hitherto may be referred the Sarcomata which are not other but the same Flesh over grown as rank Gums the Caruncles of the Eyes too large which is called Encanthis But because these are like the other Sarcomata they are described in the Chapter of Extuberances A Deformity arising from magnitude diminished hath two kinds as that of magnitude increased The first whereof if when the wholl body is little from the birth and they continue all their lives like pigmyes are maintained in Princes Courts for admiration being unfit for any imployment by reason of the weakness of body The second is when the parts are diminished as when the Head is too little as is seen in fools often Smalness of Bedy and its pens with narrow Orifices when the breast is too straight by which means they are short winded and other parts which from their originall have not a due proportion with the rest if they bring any Deformity or impediment Hitherto is referred the straightness of Orifices Phimosit as of the Womb the Skin of the Yard in that Disease which is called Phimosis when it is too straight so that the Glans cannot be uncovered by reason of the straightness of the praepuce or foreskin The greatness of parts is often made less when some is taken off Lent Parts and the Members are partly lamed which brings the more Deformity by how much it is more visible as in the Nose and Ears and the action is most hindered when it happens in a necessary part as the Fingers which being quite taken off there is a hurt which belongs to those that are in number defective Hitherto belongs the want of Papps in Womens breasts which is not only unseemly Breasts consumed but hindereth their giving suck The consuming of the Gums is under this Head when the Teeth are bare at the Root Gums rotten causing them to be loose and fall out Hitherto may be referred those Teeth which are shorter then the rest in the same rank Short Teeth and Hair and Nayles when shorter then the flesh for then they cannot take up small things Hairs also when they are so thin and short Wool-like Hair as happens when they grow again after fallen off so that they look rather like wool then Hair Beard long growing Or if in those parts where they ought to be thicker and longer in due time as the chin where mans beard should grow hair come forth slowly and make them who are men seem still Children this is a kind of Deformity Want of beard in Eunuchs especially if by reason of Gelding before the beard grew it never come forth and they remain beardless it is uncomely and makes them wrinkled in the face as years increase and as the Comaedian saith look like old Women The second kind of diminished magnitude is Slenderness Slenderness of Body which is opposite to Fatness and Fleshiness and this is seen in those parts which should be fleshy and are not and it happens some times to the whol Body not when it decayeth of which we shall speak in the Chapter of Consumption nor when it is naturally small for then it is not out of order since lean folks as we shewed from Hippocrates are longest lived but when it is so lean that it is ugly to be beheld and causeth weakness especially when the Thighs and Arms are withered Senderness of Limbs the Cheeks fallen the Shouders blades stick out and the Belly shrunk in Hitherro is referred the thinness of Womens breasts which is a Dosormity not when they are little Soft and lank Breasts for that is accounted an ornament but when they are lank and hang down this in young Women especially is accounted unseemly That Deformity which comes from the undecent figure and proportion of parts is manifold The first is when the Figure is altered in number and magnitude chiefly from inequality sometimes from the Birth sometimes by accident As when the Head is too sharp pointed or otherwise deformed The indecent Figure and shape of Parts the Forehead wrinkled the Nose crooked the Mouth and Lipps awry or any other part is disproportioned To describe all these punctually would be very superfluous and ask much labour Hitherto may be referred the over curling of Hair like black Moors Hairs too curled which if a little curled is an ornament and hair hanging straight down is unseemly also Nayles if wrinkled and standing forth are ugly Nayles uneven The second kind of the Figure of parts deformed is when that continuity by which they ought to be united is divided Division of parts which ought to be â—nited or the connexion dissolved This we spake of concerning wounds and ulcers but if after Cure the same Division and separation remain which spoils the Figure and Proportion that may be referred to this Head As also the which comes from the birth The division of the upper Lip or hair lip by nature Among which is the hair Lip when the upper Lip is divided originally called in dutch Hasenscharten from the hare whose Lip seems naturally divided as if cut this deformeth the Mouth by making the Teeth alwaies appear Hitherto may be referred the inequality of Teeth when they are broken and rotten The Rotienness and breaking of Teeth by which Women seem uncomely To this the Poet alludes in his Remedy against love If Teeth shee want then cause her often to laugh This is worst when the teeth are black and when there are only stumps remaining The Nayles having continuity divided bring Desormity The Rottenness roughness clifes and dividing of Nayles especially in the hands because most visible and this is worst if it go not away as the Nayles grow and are cast off Roughness and corrosion is worst when the Nayles are black and blew or too thick to this head may be referred the cleaving or clifts of the Nayles when they are divided long wayes or transverse these are the signs of Elephantiafis French Pox and the like Also the fissure or cleaving of hair in the head or beard is uncomely Fissures of the Hair because it causeth inequality and folding especially if many be so cloven To these are added those deformities which proceed from the scarse Skin separated from the Skin Dandrough not as they cause pain but uncomliness of which we speak concerning excoriation and galling they are called
do suppose themselves with Child There is the same Suspicion of Virgins if this happen to them when the belly swells and the courses stopt because they have no other Disease or accidents which use to accompany the stoppage of the Terms nor a Dropsie nor other Symptoms from want of which signs we easily distinguish this Tumor from that in Diseases For this is distinguished by us from that Swelling of the belly that comes from either 〈◊〉 or false conception if the Woman be past the years 〈◊〉 â—â—â—ception or is not come to them being too young and 〈◊〉 we may be deceived except they be very young or very old but not if she be a Virgin and too that is difficult if she please to conceal her having had copulation with a Man In the mean time because this Tumor is not so gathered together hard and equal as it is in Women with Child and they that have Moles and because their Breasts do not increase nor do they perceive any Motion of the child and in regard there are signs of Plethory or Fulness of a bad constitution by faintness paleness a pressing pain about the Stomach and beating of the Heart and a change of Urin into worse and in regard other accidents happening the belly swells larger and rumbleth by these signs we may gather that this Tumor of Belly comes not from conception and the woman is not with child Also the Symptoms in this case being greater then in a Mole shew it is no Mole as when the time of bringing forth is past there is suspicion and chiefly when after a large Flux of blood the belly either suddenly or by degrees falleth down without any Mole which somtimes is voided before that time of conception somtimes after And if the Effussion of blood be very great it weakneth the Party and leaves mischief behind or else kills her Particular Extuberances are such as are in some places only in the Superficies here and there and in the open cavities as the Eyes Mouth Privities And they are many and of divers sorts and somtimes gathered together or spread abroad And they are distinguished first thus some comming forth in the places mentioned do there remain of these we shall speak first others go in again and of those we will speak last Those Tumors which continue in their places as Tumors spread abroad which cannot return as is said are divers some are softer others harder Soft Tumors which yeeld more or less to the touch as they are more or less extended and being pressed they either rise presently up again or else have an impression remaining are divided into Tumors of the flesh and Tumors of the Skin A carnous Tumor or Tumor of the flesh which resembleth new made flesh covered with skin and full of Veins A Sarcoma or carnous Tumors is called Sarcoma Sarcites or rather Sarcosis hyposarcosis or excrescency of flesh this stretcheth or hangs from the body more or less the Tumor being greater or less round or long or otherwise and it is sometimes burdensom by its weight and hinders Action This may grow in any external part of the Body having skin as the whole body hath of divers formes of which we have seen a baker carry one many years to the end of his life round as big as his Head hanging at his Neck with a narrow Root Also not long since there was a Child brought to me who had a great round Carnosity with red Veins and a narrow Root upon his Loins in the middle of the back Bone After wounds or ulcers are cured there may remain proud flesh where they were Proud Flesh In the Codds there is also such a fleshy Tumor which grows to the Stones called Sarcocele Sarcole or fleshy Rupture all Tumors in the Codds are called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 that is Ruptures and the Germans call this Carnstel from Caro flesh This is easily distinguished from the Rupture or falling down of the guts called Enterocele though they be both in the Codds because it will not yeeld to a compression nor will it be put up into the Belly but growing by degrees not suddenly falling down as in the Rupture of Guts falling called Enterocele it will be fixed and remains united to the Stone somtimes including or covering it all over This tumor somâ—â—â—â—â— grows very great and hangs down filling the 〈…〉 stretching them and is very troublesom with 〈…〉 â—et not painful nor discoloured 〈…〉 an old Tumor very great full of Gristies beside◠〈◊〉 glandulous or spungy flesh cut off by a great Surgeon and after divided into divers parts by my Father of pious Memory Inwardly there are fleshy Tumors in divers parts of divers shapes The Sarcoma or fleshy Tumor of the Nose covered with a Membrane and often in the Nose there is a little rising of flesh called Sarcoma which if it increase and grow forth of the Nostrils or hang by the Jawes is called Polypus because it is round and long like the fish so called Polypus and sticks to the Nostrils by a Nerve root and by Veins which is red also like the inward Skin of the nostrils but without pain by which and by its softness it differs from a canker for if this be in the Nose as we see somtimes it is hard and pricking and grows often very big and ends in a Carcinoma But a Polypus besides the filthiness of it doth onely hinder the voice and breathing by stopping the Nose and is seldom bred without some hurt before going in the Nose contrary to that of a cancer This they say increaseth and decreaseth with the Moon Sometimes there grows a carnosity in Womens Privities The fleshy Tumors of womens Privities and we have seen one called Clitoris between the Lips of the Matrix so great that it was as long and as thick as a Goose neck and hung down like a great pudding which she had all her life time which is the cause as I suppose that many are taken for Hermaphordites because it lookes like a Mans Yard And this Excrescency is often in the Anus of men and women Condyloma with pain and other accidents called a Condyloma as we shewed in pains In the mouth and cheeks especially in the Gums there is also proud flesh The proud flesh of the Teeth when out grows them such as covers the Teeth especially the Grinders and it is called superincarnation of the Teeth there is also in some parts of the Gums about the roots of the Teeth a little Caruncle or piece of flesh which is called Epulis Epulis I had of them at the farther end of the rank of my Teeth which was soft red lank and thick which had but a small root which sometimes was bigger somtimes less and so it continueth still bringing no impediment In the Eyes that little flesh which is Naturally there in the comer grows sometimes larger like a push which besides its
Molestation itcheth which is called Encanthis as the Caruncle of Natural flesh is called The Tumors cutaneous or of the skin which are not hard are so called because they are chiefly in the skin and lift it up with a soft tumor These are in divers parts of the Body as the Feet Codds Neck and they stretch the part Others are only in the scarfe skin others stretch the Veins and Arteries Among those rumors which are in divers parts of the Body Oedema that is most ordinary called Oedema which word though it signifie any tumor yet it is properly used for that which is gathered soft and yeelds to impression and is without pain not discoloured and often it is very great There is another Oedema more spreading The oedematous Tumor of the Feet Arms Hands not so contracted which they call an Oedematous Tumor somtimes swelling the whole Feet and from the Knee to the Anckles and making them twice or thrice as big as they were like the former in other things This we have known divers to have had without other Infirmity all their life time differing from the Dropsie Ascites or Leucophlegmacy not only in the Feet but in the Belly and other parts of which we spake but this is onely in the Feet and goes no farther and is firmer and will not pit The Germans call these Delchenkfel that is oyly Legs because they seem as anointed somtimes the hands and Fingers and the Arms have been so swollen and have continued so long if not alwaies And it may be so in other parts There are some tumors which will rise in divers parts Physodes or windy Tumor in which the skin is more extended and will not pit called Physodeis from the wind that causeth them or if they are between both they are called windy Oedemas and windy Phyctaenae Some tumors are onely in the Feet one whereof like an Oedema The Swelling of the Feet is al over the feet yet softer then that and like the Dropsie And this either comes from an inward cause or in some Diseases of the feet as the Scab Anthonies fire or Oedematous Erysipelas breeds with them and remains after they are gone It coms also somtimes after Diseases especially Feavers and especially about the Ankle and the Foot shewing it self most at Night or after watching and when the Patient is perfectly recovered of the Disease it vanisheth We have seen the like in the Legs in the length extended The Swelling of the Leggs and going no farther at a certain time comming with itching heat and pricking yet without pain and not discolouring in which no pit would remain after impression this as it come so it went away quickly but some have been troubled with it many years at times These tumors also use to be in the Codds besides those which are mentioned in the Ruptures called Enterocele Hydrocele or water Rupture and the tumor Sarcocele of which one is more usual which swells the Codds and makes them heavy as in the Dropsie Ascites which in regard it comes of water filling the Codds as in a Dropsie is called Hydrocele and this we call also the watery tumor of the Codds or the ascites thereof This is distinguished from Enterocele because it yeeld not but is firm from Sarcocele because it is not from flesh but water which is known by the touch and you may perceive by a candle This is not only in men but children There is another tumor by which the Codds are blown up like a Bladder Pneumacele or windy Rupture so that they are transparent if you hold a candle by them which comming from wind and swelling the codds is called Pneumatecele which we may call the windy tumor of the codds or their tympany because they are stretched and being strook sound like a Drum Besides these there is another tumor of the codds The blowing of the Codds usually in great Colicks which being sent downwards make both codds swell in which both Stones are tormented also this happens after strong and long Exercise This comes often and quickly vanisheth of which we have spoken in the colick In Womens Groins there is somtimes a watery tumor The watery Tumor in womens Groins which is like the Hydrocele in Men as that is in the cod this is in the Groine There is also a tumor about the Navel which being watery Hydronphalos raiseth the skin called Hydromphalon this is seldom but in the Ascites and then the Navel is like a Bladder filled with Water In the Head there is a watery Tumor especially in Children Hydrocephalon and it lifts up the thick hairy scalp which is called Hydrocephalon There is a tumor in the Eye-brows like a spreading Oedema The Swelling of the Eye-brows so as they seem blown up round about in the Diseases of the Eyes and when they are sound which continueth sometimes long and sometimes quickly vanisheth This some call thâ— Oedema of the Eyes which may better be called the Swelling of the Eye-brows The Neck hath somtimes a great Swelling in the Throat very large The Hernia of the Throat and stretched out and will sound when stroak upon and being pressed it yeelds like a blown Bladder and riseth again easily distinguished from a struma because not so moveable This tumor because in the throat upon the rough Artery because both are called Bronchi and because it hath the same cause that Hernia or Rupture hath is called Broncocele or throat Rupture And besides the Deformity it makes the voice hoarse and breath short and sometimes threatens Suffocation Sometimes there are Bladders or Bubbles which are watery and transparent in the scarfe skin in divers parts especially Hands and Feet Phlyctenae and somtimes in the Ball of the Eye called Phylectaenae which are insensible of themselves but being broken especially in tender parts or being whole if the Humor contained be sharp cause pain of which we spake in the pains of the Eye There are also many such called Hydroa in the Hands and else where which foreruns or accompany the Itch which the Germans call Shren from the itching which they scratch or open with Needles to let out the water We have seen a clear thin Bladder rise in the Eye by the Juyce of a wild Cowcumber squirting in by chance The bladder in the ball of the Eye that hath gone away the next day without hurt Somtimes there is a tumor in the veins which bring Milk The Swelling of the breasts with milk in the Breasts which makes them swell or stretch or gathers and is hard somtimes with pain somtimes with Redness about which is turned into an Inflammation when the pain is gone Also a tumor may be in the Veins that carry the blood Varix called Varix Cirsos in Dutch Krampffader by which the Vein is extended and swollen as broad as a finger blew or black and knotted and unequal having Swellings
increase of water in the Belly with good Diet and such things as consume Water as we shewed in the weakness of the Stomach And if there be any fault perceived in the Bowels ordained for Sanguification or making of blood you must use things mentioned in a Cachexy And if we perceive by the return of it again speedily that this Swelling comes from the falling down of the Peritonaeum you must keep it up with such Remedies as were mentioned in fleshy Ruptures called Epiplocele and Enterocole and if they prevail not you must use a Truss or Ligature to keep it up first making incision in the Groin as in other Relaxations and Ruptures And because this is dangerous for loss of life or one stone it must not be done but upon great Necessity especially in a Hydrocele which is less troublesom and may be cured by a Puncture The watery Tumor in t he Groin The Cure of the watery Tumor in the Groin in Women being like the Hydrocele in men is cured the same way applying things that consume water The Cure of the Swelling about the Navel called Hydromphalus The Cure of Hydromphalus of the Navel is by external Applications and manual Operation The Hydrocephalus being a tumor of the Head The Cure of Hydrocephalus is hardly cured with outward Applications because the skin is there so thick that the matter cannot de digested but when you have tried the best Medicines mentioned in Oedema and the Dropsie without success you may easily cure it by cutting or burning and the safer because there is no danger of great loss of blood If the Eye-brows be swollen either they fall by actual Heat The Cure of swolen Eye-lidds or by Fomentations the Eyes being shut or discussing oyntments mentioned in the watery Oedema Phlyctaenae or little Bladders full of water either depart of themselves The Cure of Phlyctaenae or by pricking or cutting to let out the water and then the cut may be cured Hydroata or water Pustles are little and many The Cure of Hydroata called Saren in high Dutch If these vex by itching because they argue much salt or cholerick Water he must be purged with things mentioned in the Itch and they must be opened to let out the water to which the itching calls the Nails or they must be pricked with a Needle and afterwards the Scabs are to be cured as we shewed The Cure of Bladders in the Eyes was shewed when we speak of their pains you must cure all windy Tumors as a Tympany of the belly or as the puffing up of the whol body is cured at first And after it be in the Codd called Pneumatocele or in the Throat called Bronchocele or a Physodes you must look to Particulars There are three sorts of Tympanies from divers causes two are more usual the first comes from wind onely in the Guts the other from wind and water in the cavity of the belly the third is very seldom which comes from wind only shut up in the cavity of the belly we will declare what is to be done in all three The first kind of Tympany which comes from wind not gathered into the cavity of the Belly The Cure of the Tympany of the Guts but in the Stomach and Guts which so stretcheth them that the belly swelleth if it come from rouling together of the Guts or from some old Obstruction and if the Guts be made exceeding thin thereby so that they cannot again come to their former condition or be broken as we have known with a little force It is for the most part desparate but if this stretching or stoppage hath not been so old so that it seems rather like a Cholick from wind then a true Tympany then there is Hope of cure And it is thus begun by opening again the Passages of the Guts and that speedily and chiefly with Glysters which by softning and pricking do loosen the Belly and discuss the wind or by purges such as are mentioned in the cholick and in the binding of the belly where we have been so large that we need not repeat them again But in the other kind of Tympany The Cure of the Tympany joyned with ascites when wind and water in the cavity of the belly cause it to swell which is most treated of because most usual because the Tympany and Ascites meet being both dangerous the case is worse The Cure of this differs not much from that of Ascites only you must respect the weakness of the Stomach which causeth wind and whether the wind come from the Stomach or from water turned into wind you must regard both And first you must purge with such Purgers as were mentioned in Cachexy and Leucophlegmacy for to cleanse the belly and Stomach of Excrements and then purge water and wind You may use these following Take of Liqucrish one ounce and an half opening Roots each one ounce Valerian Orris and Elicampane each half an ounce Asarum two drams Mints Bettony Horehound Maiden-hair Germander each one handful Cordial flowers Broom Rosemary and Lavender flowers each one pugil Anise and Fennel seeds each two drams Parsley Sesili Endive Dodder seed each one dram Melon seeds two drams Raisons stoned one ounce Senna and Carthamus seeds each one ounce and an half Epithimum three drams and if you please two drams of Soldanella boil them in water and the third part wine infuse Rhubarb Agarick and Mechoacan each half an ounce Cinnamon Ginger and Sanders each one dram Spike and Schaenanth each half a dram Sugar as much as is sufficient for an Apozeme for three or four doses Or make this wine Take of Succory roots and Fennel roots each one ounce of Orris and Elicampane each half an ounce of Gentian and Valerian each two drams Wormwood Mints Groundpine Ceterach each one handful Topps of Centaury and Rosemary each one pugil Fennel seed half an ounce Caraway seed two drams Senna one ounce and an half Agarick Rhubarb each half an ounce Spike Schaenanth each half a dram infuse them in a sufficient quantity of wine for four or five doses Also the Clysters mentioned in Anasarca and Ascites or this for expelling Wind. Take Orris and Briony roots each one ounce and an half Gentian half an ounce Asarum two drams Bark of Elder roots one ounce Rue Mother-wort Horehound each one handful Flowers of Centaury Chamomil Dill Melilot Elder Lavender and Rosemary each one pugil Juniper and Bay-berries six drams Cummin Caraway or Fennel seeds half an ounce Parsley seed two drams Foenugreek three drams Carthamus seeds half an ounce Agarick three drams Soldanella or Roots of wild Cowcumbers two drams or leaving out the Purgers we add a little Coloquintida boil them in water and the third part wine or weak Lye and in as much of the strained Liquor as is sufficient dissolve two drams of leaven two ounces of Honey three ounces of Oyl of Rue and a little Salt make a
The cutting of the Cod causeth the falling out of the stones And I observed the same in one which was shot with a Bullet and lost half his Codd that his right Stone with the Seed-vessels hung forth bare The Cure The Falling down of the Guts and Cawle which comes from the breaking or stretching of the Rimme of the Belly The Cure of the Falling out of the Guts Cawle in Ruptures causeth the Tumor called Cele if it be in the Groine and be but little causing no great pain it is neglected or it is easily cured if taken in time as also the Omphalocele or Navel-rupture which some have all their lives which will fall in when it is pressed or the like but some Navel-rupture vanisheth of it self as I shewed But if the Tumor descend to the Codd in the Gut-rupture it is harder to cure or dangerous for if it will not return by any means but cause Pain and Costiveness of Body it is deadly and the Excrements are spewed up which declare it Also the Navel-rupture or the like if it cannot be put in and produce the same accidents is deadly And we shewed that the Cawle-rupture killed one when the Tumor in the Cod grew hard In other kinds of Ruptures in the Belly or Codds if the Tumor will yeeld although it be of short continuance yet to take it quite away that it return not and to make a perfect Cure it is difficult especially because the Patient must continue them for their Operation and Rest and be bound which he wil unwillingly undergo But if it be old it is impossible except by manual Operation and that is painful and dangerous of death if by Incision as is usual and the Stone on that side must be left if it be made in the Groine And if the Patient will not adventure that you must labour to hinder those Tumors from increasing which you cannot take away All which shall be declared and the manner how by Medicines both inward and outward first how Medicines may be applied to the cause that is the part fallen then how to the Disease which is the Solution of Continuity in a Rupture or of Contiguity in the relaxing of the Rimm of the Belly We use things to put up the part fallen and to keep it in and hinder it from falling out again if it be Gut or Cawle fallen out of the cavity of the Rimme either causing a Tumor in the Groine or Codd We put up the Tumor in the Groine and Codd with the Hands by degrees or in the Belly by pressing and moving it to the hole whence it fell which we find out with the finger And this is done when the Patient lyeth upon his Back so placed that if it be below that his Feet may be higher then the rest of the Body by which somtimes the Gut goes in of it self so I saved the life of a Countrey-man twice that was broken on both sides when he vomited his Excrements and was in great pain and a while since I cured a Virgin that was bursten which vomited her Excrements by putting up the Gut with my Hand And if this Operation do it not as when the Gut is out it comes to pass often through Distention by the wound and Wrinkling and Hardness that the Gut is so swelled it cannot be reduced by the Passage and then you must have a care least the Passage of the Excrements being hindered they should flie up or an Inflammation should kill the Patient Also you must apply the Anodynes or takers away of pain when there is Pain Heat and Fear of Inflammation mentioned in the Tumor Phlegmon And chiefly this Pultis which openeth the wayes and mollifieth the hard Excrements and expells Wind. Take Marsh-mallow roots two ounces Lilly roots one ounce Mallows Violets Brank-ursine Pellitory each one handful Roses Violets Chamomil and Melilot and Dill flowers Bran each one scruple boyl them in Milk and Water if there be great pain beat and seirse them adding Barley flower and Bean meal each three ounces the Flower of Line-seed and Foenugreek each one ounce and an half Fleabane seeds one ounce Pouder of Earth-worms one dram Oyl of Roses three ounces Ducks or Hens Grease one ounce make a Cataplasm When the Heat is not and we will use Softners and Expellers of Wind add to it Orris roots Briony or wild Cowcumber roots each one ounce Wormwood Calamints or Organ each one handful Elder Rose and Centaury flowers each one pugil Cummin and Caraway seeds each two drams Agnus Castus seeds one dram and without Milk we add Wine and with the Meals or Brans aforesaid or of Orobus and Lupines each one ounce Bay-berries half an ounce with Oyl of Orris and Rue make a Pultis Or when there is much Wind. Take Caraway seeds one ounce Cummin seed half an ounce Oyl of Rue one ounce with Oxymel make a Cataplasm Rue fryed with Oyl and applied is good Fomentations are made of the Decoctions of the which the Cataplasm was made of the first if there be Heat of the last if you must discuss more adding the Oyls there mentioned Also anoint with Oyl of Roses Dill Lillies Chamomil Melilot Orris Elder Rue You may discuss with Baggs of dry Plants and Milium seeds and the other great Seeds and Salt Besides you must use against Wind inwardly and outwardly things to dissipate or discuss and prevent it also As we shewed in the Wind of the Stomach and of the colick You have need of no external Applications when the Cawle comes forth being commonly in the Groine and will go back only with lying down or with the Hand except it be in the Codd as we shewed and then you must foment and plaister the Tumor with Loosners not regarding wind except it be gotten in the same way If the Guts cannot be put up we are constrained to cut that the skin being open and the Guts bare and the hole by which they sell open they may better be put up which is dangerous to do in the Groine if the Guts are gone from thence into the Codds because the Guts sticking to the skin may easily be cut also as we have seen Moreover if the Incision be made with such care the Guts are not hurt yet in regard the naked Entrals are worse to be meddled with for the Cure of the pain of the wound then when they were covered with skin by this Operation in the Groine we either do no good or we give occasion to have cutting to be thought the Cause of his Death which would otherwise have followed while the Guts were forth But we have observed good success by cutting in other parts of the Belly when the Guts get through the Rimme of the Belly being burst and can by no Art be put up again because the Tumor is seldom so great in those parts and the hole of the Rimme may better be found and the Guts better put up without danger being taken