two or three Ounces Restharrow or Winter Cherry-Water one Ounce Elixyr of Juniper Berries from similitude of taste call'd Malvaticum six Drams or one Ounce or an Ounce and a half Spirit of putrified Earthworms three-Drams Volatil Spirit of Tartar from half an Ounce to six Drams Syrup of Ground Ivy or Syrup of Fennel from three to six Drams Mix and make a Potion Of which exhibit a spoonful at a time Or Take of Ground Ivy-Water Restharrow-Water and Parsley-Water of each an Ounce Elixyr of Juniper call'd Malvaticum an Ounce and a half Rectify'd Spirit of putrify'd Earthworms three Drams Spirit of Sal-armoniac a Dram and a half Syrup of Ground Ivy one Ounce Mix and make a Potion Dose two three or four Spoonfuls Or add three or four drops of distill'd Oyl of Turpentin or six drops of Oyl of Juniper in the Room of Spirit of Sal-armoniac Or Take of Strawberry-Water two Ounces Tincture of Tartar two Drams Syrup of Ground Ivy half an Ounce Mix and make a Potion Ye may add Essential Salt of Tartar or dulcify'd Spirit of Salt or Quintessence of Urine Amelungius's Nephritic Tincture is a Powerful Diuretic 'T is made of Nitre Tartar Hungarian Antimony and a sort of Flint Stones that are speckl'd with yellow spots The Nitre is first dissolv'd in Simple Water then the other Ingredients are added and after Digestion the Liquor is drawn off by Distillation Michael's Carminative Spirit is likewise an excellent Medicine for this purpose which is drawn from Nitre Tartar and Spirit of Wine Tartaris'd But above all Amber with its Volatil Salt and Distill'd Oyl All the Aromatic Herbs but especially fleabane are good Diuretics Camphyr Turpentin Juniper Human Urine Earthworms and their various Preparations are likewise of the same Family The Juice of the Birch-Tree provokes Urine more effectually than any other Medicine It ferments like Wine and becomes sowr like Vinegar and is an incomparable Medicine for Nephritic Pains Next to it is the Infusion of Spanish flies which I prepare thus Take of the Powder of Spanish flies one Scruple Infuse them in three or four Ounces of the best Rhenish Wine Let them stand in a warm place for several Days and Nights Then strain it out through Paper The Dose ten fifteen or twenty drops to be exhibited in a draught of warm Broth. Sometimes this Medicine causes Ulcers in the Bladder and a Pissing of Blood but a large draught of Milk with a little Salt of Tartar will quickly remove these Symptoms For a Diuretic Decoction Prescribe thus Take of the Leaves of Strawberries and Pellitory of the Wall of each a handful and a half Of the five opening Roots ten Drams Winter Cherries and Juniper-Berries of each six Drams The Seeds of the Ash-Tree and Red Vetches of each three Drams Cream of Tartar two Drams Boyl them in Parsley and Winter-Cherry-Water Strain out a pint and a half in which dissolve Rob of Juniper two Ounces Fernelius's Syrup of Marshmallows one Ounce Spirit of Salt dulcify'd with the Spirit of Straw-Berries as much as sufficeth to give it a grateful sharpness So much for Volatil Diuretics The fix'd Medicines that provoke Urine are all the fix'd Salts of Herbs and the Artificial Compound Salts as Tartar Prepar'd with Vitriol and the Salt call'd Digestivum Hypochondriacum Which is the Caput Mortuum remaining after the Destillation of Salarmoniac with Salt of Tartar Gromwell-Seeds Violet-Seeds and the Emulsions Prepar'd from them belong to this Class The forms of Prescription are these Take of Tartar Prepar'd with Vitriol a Dram and a half Salts of Bean stalks broom and Pigeons dung of each half a Dram. Mix and make a Powder for several Doses to be taken in Wine Ye may add the Distill'd Oyl of Turpentin or of Juniper Berries As Take of the Salt call'd Arcanum Duplicatum half a Dram. Salt of Broom or Pigeons Dung a Scruple Distil'd Oyl of Juniper Berries or of Turpentin four drops Mix and make a Powder for two Doses Cream of Tartar or Crabs Eyes or Nitre or Vitriol of Steel or Volatil Salt of Amber may be added by turns The Natural Spaw Waters provoke Urine plentifully as also the Spirit of Salt and Dulcify'd Spirit of Nitre If the form of a Bolus be desir'd prescribe thus Take Rob of Juniper one Dram. Crabs Eyes Prepar'd fifteen Grains Tartar Prepar'd with Vitriol half a Scruple Mix and make a Bolus Or if an Electuary be more acceptable Take of Conserve of Violets one Ounce Rob of Juniper half an Ounce Crabs Eyes Prepar'd two Drams Arcanum Duplicatum one Dram. With a sufficient quantity of Syrup of Ground Ivy make an Electuary Which sprinkle with a few drops of the Spirit of Salt CHAP. IV. Of the Medicines that procure Sweat THE dissolution of the Blood and its swifter Circulation cause the separation of the serum which is evacuated by the Glandules in the skin The Medicines of this fourth Class are such as produce these effects Some of which are Volatil and others fix'd Of the first sort are the Spirits and Volatil Salts Extracted from Animal and Vegetable Productions such as Spirit of Hartshorn Urine Vipers Human Blood c. And the Spirits Prepar'd from Vegetables by Putrefaction The Distill'd Oyls of Amber Tartar Guajacum and such as are drawn from the Bones and other Parts of Animals All Resinous Aromatic bitter and Attenuating Vegetables and their various Compositions as Venice Triacle Mithridate Diascordium c. They are prescrib'd in these or the like forms Take of Volatil Salarmoniac fifteen Grains Camphyr two Grains Mix and make a Powder Or Take of Fumitory Water one Ounce Spirit of Harts-horn together with its Volatil Salt one Dram. Syrup of Carduus Benedictus two Drams Mix for a Potion Or Take of Elder Flower Water one Ounce Spirit of Elder-Berries one Dram. Spirit of Sal-armoniac from half a Dram to a whole one Camphyr two Grains Syrup of Carduus Benedictus half an Ounce Make a Potion for one Dose Or Take of Carduus Benedictus Water an Ounce and a half Spirit of Sal-armoniac a Dram. Or Volatil Sal-armoniac a Scruple Distill'd Oyl of Cloves two drops Syrup of Fennel or Orange Peel half an Ounce Mix for a daught Take of Viper Grass Water one Ounce Cinnamom-Wated half a Dram. Spirit of Triacle Prepar'd with Camâ—â—â—â— half a Dram. Volaâ—â—â— Salt of Hartshorn twelve 〈◊〉 Volatil Salt of Amber six Grains Syrup of Scor 〈…〉 Ounce Make a â—oâ—ion As for the fix'd Medicines that procure sweat such are all Lixivial Salts well alkalis'd and the fix'd sulphurs of Metals and Minerals Antimony Steel and Nitre joyn'd together make a Powerful Sudorific or the Sulphur of Antimony and Steel The Bezoar stone is an ineffectual Medicine by reason that there is not one of a Thousand that is Genuin The stone cut out of Human Bodies is infinitely better and a Sovereign Antidot in all Pestilential Diseases We prescribe such Medicines in these or the like forms Take of
the Disease In order to solve this difficult knot let us consider in the first place that Nature is forc'd to these Evacuations by the sharpness of the humors which ought to be corrected by temperat Medicines in the next place that if they exceed in quantity they may be safely curb'd or if deficient in quantity may be gently incourag'd If the quality of the matter be faulty that is if such things are evacuated as ought not to be 't is allowable to stop it according to Hipp. Sect. 2. Aph. 2. If both quantity and quality be faultless and the evacuation charg'd with no Crime but that of its being ill tim'd it may nevertheless prove Critical Blood-letting is frequently injoyn'd in Feavers but oft-times it do's more harm than good The general Plea for it is that it ventilats and cools the Blood whereas on the contrary the more space be given to the Blood to boyl in the higher it boyls In intermitting Feavers I positively aver that 't is noxious in malignant Feavers 't is next door to cutting the Patient's Throat And as touching the continual burning Feavers it ought to be very cautiously gone about by reason of a latent malignity that oft-times attends them If the Patient be plethoric young and lusty if a Vomit could not conveniently be exhibited in the beginning of the Feaver if any wonted evacuation of Blood be stop'd and such other circumstances indicate Blood-letting 't is well But however it be 't is never safe after the third or fourth Day As for evacuating Remedies Hippocrates's Aphorism is a standing Rule namely that Concocted not crude humors ought to be evacuated So proper Purgatives are inconvenient till after the height of the distemper Indeed gentle lenitives that do not reach further than the first ways may be mix'd with digestive Salts and exhibited in the beginning or progress avoiding the time of the Crisis Vomits are proper in all kinds of Feavers especially if there be any inclination to Vomit sour Belchings murmuring noise in the Guts Head-ach or Giddiness They ought to be Administred only in the beginning of acute Feavers In the progress of slow Feavers they may likewise be given Clysters are proper for mitigating the Heat and redressing the disorders of the Head and Guts But upon the point of Critical Evacuations or Eruptions they are altogether improper Sweating Medicines are authoris'd by Nature's Example They ought to be frequently repeated and that not only after signs of Concoction but during the whole course of the disease especially if it be malignant Such of 'em as are sharp aromatic rosinous oyly or Hot are to be avoided and those which are temperat as the fix'd absorbents and the thin volatils are only proper for this purpose If sweat do not easily insue add Opiats to them Which are never to be us'd without a sudorific mixture nor about the time of the Crisis nor in the very first beginning of the disease In Feavers Sugar and sweet things ought to be avoided by reason that they promote the Fermentation Thirst generally attends Feavers and proceeds from the deficiency of Spittle and from Alcalin Salts lodg'd in the Palat. 'T is a vulgar Error to derive it from Heat for a few drops of Spirit of Sulphur are more efficatious in quenching it than a whole Gallon of Water or cooling Liquors Wine is likewise of noted efficacy for quenching Thirst corroberating the Stomac and Spirits and promoting Urine But it ought to be of a sharp thin Body for the sweet fat Wines from Spain Florence c. are hurtful Hippocrates was wont to exhibit Wine in all Feavers at least in intermitting and malignant Feavers 't is of soveraign use In continual burning Feavers what disorders it may occasion are presently visible and yield to absorbent Powders for 't is not the hot Spirit but the Acid of the Wine that can do the least harm nor that neither but only in some particular Constitutions Ale or Beer is not agreeable to feaverish Persons because the digestive faculty of the Stomac being languid it corrupts and causes bitter musty Belchings Waters and thin Liquors mix'd with Acids are preferable As Take of the Flowers of red Roses two handfuls extract a Tincture from them with Water sharpen'd with Spirit of Sulphur then add the Syrrup of the Juice of Gitrons or of Barberries or of Rasberries and make a Julep Or Take three Citrons slic'd and throw upon 'em white Sugar Then Boyl them in common Water Take of this Liquor strain'd a Pound and half fresh juice of Citrons three Ounces Flowers of Roses and of red Poppies of each a handful with a small quantity of dulcify'd Spirit of Salt Let them stand in a warm infusion in order to extract a Tincture In continual Feavers let the Patient drink at pleasure But the Liquor must not be cold nor much of it drunk at once In intermitting Feavers these Acid potions ought not to be Administred till after the cold Fit The Spirit of Sulphur with common Water is a proper Liquor both for quenching thirst and promoting sweat Or Take of Whey two Pound Citron Juice three Ounces Dasies and red Poppy Flowers of each an Ounce and a half Boyl in a close Vessel till the Tincture be extracted The Citron Juice depurates the Whey It is useful in all continual Feavers and qualifies Scorbutic or Hypochondriac Salts As for Diet. They ought to avoid Meat Fishes and Summer Fruits In a word let them eat but a little and as their Appetit requires What they eat must be thin and watry but never forc'd upon ' em Broth Panado's a Tost in Wine or at most poach'd Eggs are their proper food Quiet and Rest are good Signs and sleep if it be not preternatural composes the Spirits and procures Sweat CHAP. II. Of Intermitting Feavers A Feaver is styl'd Intermitting when the fermentation and agitation of the Blood and Spirits is interrupted and after a certain interval of time revives again If it return with equal force every Day 't is call'd Quotidian If it return every other Day leaving an interval of one intire Day 't is a Tertian if the interval consist of two Days 't is a Quartan Some return after three Days some after four five c. Some every Week some every Month and some every Year but these are very unfrequent If the fit return twice or thrice in one Day 't is call'd a double or treble Quotidian If two Paroxisms happen every other Day or if the intermitting Days of Tertians have likewise Paroxysms corresponding to one another 't is a double Tertian If two Fits come in the Fir Days and but one in the Intermitting 't is a treble Tertian If the Fits return every Day so as that the first for duration and other Symptoms is parallel to the fourth the second to the fifth third to the sixth c. 't is a treble Quartan If the Feaver intermit only every third Day 't is a double Quartan 'T is
Diseases if the Urine remain crude and the Person is seiz'd with a Deafness it portends Doating If it be accompany'd with the signs of Concoction it signifies the Solution of the Disease If attended by a Perturbation of the Eyes a Heaviness in the Head and a Distention of the lower Belly it bespeaks a Bleeding at the Nose especially if the Patient be apt to rub it A Deafness succeeding to Doating is a better Circumstance than if it went before As for the Cure In acute Diseases it disappears upon the Solution of the Disease or if it continue longer is cur'd by Cupping behind the Ears or smoaking Tobacco or putting into the Ears a little Cotton dip'd in Aqua Anhaltina If it subsist by it self without any dependance upon other Distempers the Cure must be accommodated to the Cause that produces it If it arise from an Obstruction in the Passage occasion'd by the hardening of the Earwax or otherwise 't is cur'd by injecting the Juice or Essence of Wormwood or Child's Urine or the Spirit of Urine unrectify'd If it proceed from other internal Causes a tender regard must be had to the Drum and the hearing Nerve by preserving their due Order with Aromatic and Nervous Medicines In a Catarrhous case give internally what follows Take of the Essence of Rosemary Flowers of Saint John's Wort and of Sassafras of each two Drams mix c. Amber given inwardly or apply'd to the Ear in a little Cotton is an admirable Medicine for old People Mosch or Civet or Balsam of Peru diluted with Spirit of Wine or Origanum Water distill'd with Wine or the Water of Carduus Benedictus rectify'd by frequent Cohobation are all us'd externally the same way If Deafness be attended by a remarkable Heat in the Ears the Water that drops from one end of a piece of Ash-wood while t'other is put into the Fire or the Water of Ants or the Water distill'd from Flies or Magpy Water with Castor or the Juice of Radishes or of Onions mix'd with Oil of Amber and Oil of Bitter Almonds are all applauded Remedies and are to be us'd with Cotton or a Linnen Cloth Above all the penetrating Aromatics as Spirit of Treacle Essence of Wormwood and of Cloves c. are preferable Human Gall or the Galls of other Animals infus'd in Spirit of Wine are much commended Or Take of Ox's Gall and Spanish Wine of each equal Quantities distil from them a Liquor to be drop'd into the Ear or applied in Cotton or a Linnen Cloth Take of the Roots of black Hellebor half a Dram Roots of Aromatic Calamus two Scruples Pulp of Coloquintida a Scruple Bay Berries a Dram Cumin Seeds from two Scruples to two Drams and a half Cut and beat them small and infuse them in four Ounces of Spirit of Wine and use the strain'd Liquor as above or sharpen it with Essence of Amber All Preparations from Ants are of wonderful use in this case As Take of the Eggs of Ants one Ounce and six Galls of Hares beat them up with a double Quantity of Hony and then drop it into the Ear. Or Take twenty of the little white Worms that are found betwixt the Bark and Wood of an Oak-tree Let them boil in two Ounces and a half of the Oil of unripe Olives Then take the Root of Sowbread and cut it hollow Fill the hollow space with the Oil of these Worms and add of prepar'd Pellitory Roots and of the Roots of Aromatic Costus from half a Scruple to a Scruple Oil of Costus or of Rue as much as it can hold Close up the Root and roast it under the Ashes then bruise it in a Mortar and with force express the Juice and pour some Drops of it into the Ear every day for ten ays together Timaeus and Heertodius recommend it for an incomparable Remedy The Fat of Serpents or of Vipers or the Fat that drops from roasted Eels are proper in this case and may be mix'd with the Oil of Amber or Aniseeds Some commend a Fumigation of the Ears from a mixture of Sal Armoniac Oil of Tartar per Deliquium and a double quantity of Quicklime with common Water After the application of these external Remedies the Ear ought always to be stop'd with Cotton and Amber or Musk upon it and the Patient must lie upon the sound Ear that so the Virtue of the Medicines may penetrat the more Besides 't is to be remark'd that oily viscid Medicines are not so mild as those of a thin spirituous Substance and that they ought never to be applied till the Ear be purg'd and wip'd clean All Medicines thus applied must be just luke-warm and two or three Drops may always suffice for one time If Deafness come by Fits or depend upon a Catarrhous Disposition of the Brain just before the Invasion of the Paroxism 't is proper to apply to the Crown of the Head a Cloth dip'd in Apoplectic Spirits or Oils If it be occasion'd by a vehement Noise 't is not amiss to apply hot Bread from the Oven with Juniper and Bay-Berries baken into it Or Take of the Herbs Marjoram Sage Rosemary and the Flowers of red Roses of each half a handful Juniper Berries one Ounce Cumin Seeds half an Ounce chop and beat them small and stitch them into a Bag to be applied hot or wet with a convenient Vehicle A Fumigation receiv'd at the Ear from a Decoction of Filings of Steel with distill'd Vinegar and Cephalic Herbs or from the Flowers of Sulphur is much esteem'd After the Fumigation is over apply to the Ear distill'd Oil of Fennel with Cotton In Chronical or Catarrhous Cases the hot Baths are very proper both for Bathing and Pumping upon the Head An Issue cut in the Arm of the same side with the affected Ear is likewise very useful on this occasion If Deafness be caus'd by a Fall Contusion or external Violence distill'd Soubread Water is a proper Remedy and a Plaister made of equal Quantities of Tacamahac and Cerecloth of Betony may be applied to the Head shav'd Hot Urine taken from a hunted Hare is commended by some If any Obstruction or such like cause give rise to a Deafness 't is probable a Salivation procur'd by Mercury may be useful But 't is a desperate Cure and must be cautiously undertaken Thus I 've dispatch'd the first Branch of the Disorders of the Ear the next is when the Sense of Hearing remains and the Patient is molested with a tingling or noise in his Ears It proceeds from a preternatural Motion of the internal Air contain'd in the Cavity of the Ear which affects the Fibres of the Drum and so represents an imaginary Sound This Motion may be occasion'd by subtil foreign Fumes exhal'd from the Blood in the adjacent Arteries which disturb the Repose of the internal Air or by the Irritation or violent misplacing of the Drum from any internal or external Cause Convulsions of this Membran may be occasion'd by
from the sense of Thirst a proneness to rub and toss the Head and pull up the Hairs When the Inflammation relents it tends to a Gangrene which occasions Convulsions Lethargies and a total inactivity A true Phrensy proceeding from the Inflammation of the Brain is very dangerous If it increase after sleeping if it be serious and fierce if a clammy cold Sweat drop from the Head while the Body is unconcern'd if it be attended by a difficult Respiration immoderat Watching Headaches notable Weakness a ghastly Countenance an invincible Forgetfulness a Hiccough gnashing of the Teeth trembling of the Tongue and Hands and involuntary voiding of Excrements if the Person he speechless apt to gather up or pick the Bed-cloaths or become lethargic if the Nostrils drop and the Urine be not tinctur'd All these Symptoms portend Death A Paraphrenitis proceeding only from the Heat and Effervescency of the Blood and Spirits is more tolerable A Symptornatical Phrensy is a proper Subject of Cure but a Critical one ought not to be meddled with It is follow'd for the most part by bleeding at the Nose and is distinguish'd by the following Symptoms The Urine affords signs of Concoction the Pulse is unequal but strong and large the Eyes sparkle a murmuring Noise disturbs the Ears the Nostrils itch the Face is red and the lower Belly softly distended Sometimes 't is usher'd in by a sudden Headache or the sick Person is young and apt to bleed at the Nose If these Symptoms are wanting the Phrensy is symptomatical and ought to be cur'd by allaying the Heat and Turgency of the Blood and Spirits or removing the Stagnation In the first place let the Physician take care that he be not impos'd upon by drunken Persons whose Phrensies resemble those of Feavers In the next place if the phrentic Person be molested with Head-aches and immoderat Watchings Narcotic Medicines are very proper but ought to be cautiously administred for fear of exalting the Phrensy or converting it into a Lethargy In order to avoid such Consequences let us take notice of the following Cautions 1. That in acute hot Diseases Opiats ought to be prepar'd with Vinegar 2. That they ought not to be administred in the beginning or height of the Distemper but only during its increase 3. That when the Person is very weak they should be omitted 4. They ought still to be mix'd with Bezoardic Diaphoretic Pouders Blood-letting is always convenient unless the Feaver be very malign and ought to be liberally perform'd and in the following manner 1. Let a Vein in the Hams be first open'd then in the Arm and afterwards in the Forehead Incase of a particular Suppression of Blood in the lower Region let the Vein in the Ancle be first open'd Instead of breathing the Vein in the Forehead some recommend the Application of scarify'd Cupping-glasses to the forepart of the Head 2. Let the Surgeon while the Vein is open lay his hand upon the Patient's Head and mind the beating of the Artery in order to adjust the quantity of Blood to be drawn forth and the strength of the Patient 3. Let the Orifice of the Vein be stop'd and open'd by turns by the Surgeon's Finger Thus the stagnating Blood is evacuated without impairing the strength of the Patient in so great a measure as otherwise As for external Applications all strong smelling things except Camphyr ought to be avoided Vinegar must be added but in small quantities because its sharpness hinders sleep A symptomatical Phrensy disappears upon the removal of the principal Disease Cooling and narcotic Medicines are its proper Cure to which Diaphoretic Febrifuga's are join'd according to the Degree and Circumstances of the Feaver Take of the Waters of Male Pimpernel Purslain and white Water-Lillies of each an Ounce and a half Syrup of Water-Lillies and Syrup of Poppies of each six Drams The Acid Mineral Spirits of Vitriol Salt Sulphur dulcify'd Spirit of Nitre and dulcify'd Spirit of Salt are very useful against Phrensies Camphyr has a peculiar pacific Virtue If it be added to Opiats their Dose ought to be proportionably lessen'd As Take of the Conserve of red Poppy-flowers vitriolated half a Dram Langelot's Laudanum Opiatum one Grain Camphyr two Grains Mix c. Sugar of Lead prepar'd with Spirit of Nitre is a powerful Pacific The Decoction of the Flowers of Male Pimpernel in Water whetted with a little Rhenish Wine is of excellent use Take of the four great Cold-seeds of each a Dram and a half white Poppy-seeds three Drams With purslain-Purslain-water make an Emulsion To which add human Scull prepar'd without Fire half a Dram Bezoar Mineral a Scruple Syrup of Purslain half an Ounce Mix for use In a malignant Phrensy let the following Pouder be exhibited viz. Take of Cinnabar of Antimony twelve or fifteen Grains Lunar Bezoar six or eight Grains Laudanum Opiatum a Grain Camphyr two Grains Make a Pouder for two Doses to be exhibited in the Emulsion of white Poppy-seeds made with Pimpernel and Purslain Water Or Take of the Cephalic Specific Pouder a Scruple Sugar of Lead six Grains Camphyr two Grains Laudanum Opiatum a Grain and a half Acid Juleps are likewise very proper and if the Belly be constipated Tamarinds may be boil'd in ' em Externally let Cataplasms of Rue Chamomile Vervain Briony-roots and Soap or of Radishes Salt sharp Vinegar and Yest be applied to the soles of the Feet Or Take of the Juice of Houseleek new drawn six Drams sharp Wine Vinegar an Ounce and a half Nitre two Drams Camphyr half a Dram. Mix and apply to the Stones soles of the Feet and forepart of the Head When the Person sleeps it ought to be taken off the Head A Cataplasm of Houseleek Purslain and Roses may be applied to the Temples and Forehead The Pulp of a Gourd applied to the Head shav'd is commended by Bartholet Some set their Feet into an excavated Gourd and find benefit by it The Juice of live River-Crabs newly express'd is applied to the Forehead with wonderful success Or Take of Rose-water ten Ounces Opium a Dram Saffron half a Scruple Mix them and apply with a doubled Linen Cloth to the Forehead Take of the Water of Frogs Spaun six or eight Ounces fresh Juice of River-Crabs two three or four Ounces Opium dissolv'd in Vinegar half a Dram or two Scruples Camphyr and Saffron of each six eight or ten Grains Mix c. Or Take of the Juice of River-Crabs extracted with the Water of Frogs Spawn six Ounces Vinegar of Roses two Ounces Triacle of Andromachus two Drams Camphyr half a Scruple Saffron six Grains Mix and foment the Head and Temples Let the Liquor be lukewarm or somewhat cold Lindanus attributes much to the antient way of applying live Creatures cut up along the middle as a Dove a Cock c. to the Head shav'd But in the first beginning of a Phrensy they rather enforce it Oftimes the phrentic Persons thro inadvertency neglect to void their
Drams With a sufficient quantity of the Syrup of Curl'd Mint make an Electuar Or Take of the Conserve of Curl'd Mint Conserve of Roman Wormwood of each an Ounce and a half Conserve of Roses or of Rosemary-Flowers an Ounce candy'd Cichory-roots half a Dram Roots of Aromatic Calamus candy'd three Drams Powder of Zedoary six Drams the Magistery of Coral prepar'd with the Juice of Citrons Powder of Cinnamom of each two Drams Ginger Cloves and Tincture of Coral of each a Dram with a sufficient quantity of the Syrup of curl'd Mint make an Electuary upon which pour some drops of the dulcify'd Spirit of Salt Or Take of Conserve of red Roses two Ounces Conserve of Mint one Ounce Ginger candy'd in the Indies six Drams aromatic Calamus candy'd three Drams the Powder of Diatrion Pipereon with Mosch three or four Drams with a sufficient quantity of the Syrup of Clove-gilliflowers make an Electuary When a redundancy of fat and bilious Humours weaken the Appetite Elixir Proprietatis mix'd with bitter Ingredients is a proper Medicine If Narcotics have stupify'd the Stomac we exhibit acid Remedies If at any time the use of Acids disorder the Appetit as it happens frequently in Hypochondriac cases the absorbent Powders of Crabs-Eyes Chalk c. and Elixir proprietatis prepar'd without an acid or with the Spirit of Sal-armoniac may supply their room As for external Topic's Liniments Cataplasms and Fomentations may be us'd and made of Wine and Elixir of Mint Bread and the Aromatic Powders Crato's Oyl and Plaister are not amiss Or Take of express'd Oyl of Mace a Dram and a half distill'd Oyl of Cloves a Scruple the distill'd Oyls of Wormwood Mint and Juniper of each half a Dram. Mix for a Liniment Hartman's Stomachical Plaister or Plaister of Tacamahac mix'd with Balsam of Peru is proper to be laid upon the Stomac I have also seen many good Effects produc'd by the application of a Vultur's Skin to the Stomac CHAP. II. Of the Depravation of the Appetite THE Appetite is deprav'd when it avoids the proper and craves improper Food In the former Case it avoids some particular Object thro' the prevalency of prejudice the Memory of a preceding Surfeit or the confluence of vicious Humours in the Stomac Those who are troubled with a bitter Taste in their Mouth either through the use of Opium or the height of a Fever are averse to Hopp'd Drink by reason of the near resemblance between the taste of the Beer and that which then annoys ' em As the exhibiting of bitter Resinous Purgatives will occasion an Antipathy to Ale Upon this account we take it for a good sign in acute Distempers if the Patient be able to drink Ale Meat also is formidable to feaverish Constitutions by reason that when eaten it is not digested and so melts into a bitter musty Crudity These are the Causes of an acquir'd Aversion to particular Meats or Liquors The Cure is perform'd by the use of Elixir proprietatis Womrwood Mint Quinces Wine and their various Productions together with some Acid Spirits The most remarkable Instances of deprav'd Appetites are what we call Pica and Malacia The former is a Longing for such things as are not fit to be eat as raw Meat Coals Leather Lime c. The latter is a violent and infatiable longing for usual Food as Herrins and such like The Part affected is partly the Orifice of the Stomach where the appetising ferment is naturally seated and partly the Fancy and Animal Spirits For tho the Vellication of the Stomac constitute a general Appetit 't is the Fancy that directs it to a particular Object Besides such things are oft times long'd for as are not Objects of the Stomach as the crackling noise of Cinders the smell of Leather c. which makes it to appear that the Animal Spirits and the Organs of Sense are deprav'd as well as the Stomach That the Sense of Smelling is vitiated is evident from the Pleasure such Persons take in smelling to stinking unsavory Objects That the Sense of Tasting is likewise corrupted may be infer'd from the Depravation of the Spittle occasion'd by its Affinity to the Stomachical ferment and is sufficiently exemplified by their relishing and coveting the taste of such things as at other times they abhor The like may be said of all the Senses The Cause is the Alteration and Depravation of the ferment of the Stomac We see that the various Modification of this ferment in several Animals creates in 'em contrary and distinct Appetites by vertue of this diversity of ferments Men Dogs Cats Geese c. are prompted to covet their peculiar Food The ferment is deprav'd by the corruption of Matter in the Stomac which renders it saltish sharp and in some measure corrosive and consequently apt to overact its part by vellicating the Mouth of the Stomach in an unwonted manner and prompting the fancy to pursue and entertain unusual Objects after the method of Melancholic Hypocondriac Fits to which this Distemper is near ally'd The occasional remote Causes are the Suppression of the Terms which occasion the Stagnation and Corruption of the Blood and by consequence of the Lymph which waters the Coats of the Stomach Ulcers in the Throat distilling corrupt Matter into the Stomac The suppression of the Genital Liquor or any wonted Evacuation and an hereditary Conveyance from Mothers liable to this Disease which is equally compatible to Men and Women Maids and Mothers The things coveted and Long'd for in a Pica are such as are agreeable to the vicious ferment which is so fierce and keen that it digests without any trouble or harm a great many noxious and offensive Objects providing their quantity taken down do not exceed the extent of the Appetit 'T is true indeed that if absurd and uncommon things are frequently eat tho' in the mean time they occasion no visible disturbance yet they amass deprav'd Humours in the Body and so cause Dropsies Cachexies and many dismal Symptoms As for Child-bearing Women who are frequently obnoxious to irregular Appetites if they cannot be dissuaded by rational Motives they must be furnish'd with what they Long for for fear of bad consequences happening to the Child in the Belly The Cure is perform'd by evacuating the Stomach and tempering the ferment Vomits and particularly Mercurius Vitae are very proper if occasional Circumstances do not forbid 'em such as a natural difficulty of Vomiting the first and last Months of a Womans being with Child c. in which case let Purges of Aloe Extract of Hellebor Coloquintida and sweet Mercury be exhibited It will not be improper to mix both the Vomiting and Purging Medicines with the things Long'd for that so the ferment eagerly joyning them may be carried off If the whole Mass of Humours be deprav'd Antimonial Sudorifics are very convenient After Evacuation let the vicious ferment be temper'd by moderat Acids and palatable Stomachics such as the Juices of
ought always to be dissolv'd in a watry Vehicle that so its Rosin may be separated Sometimes we mix Laxatives with Specific Alteratives and continue their use for some time And whet 'em if there be occasion with Coloquintida or Troches Alhandal Raisins Prunes Tamarinds and ripe sweet Apples or their express'd Juice are of great efficacy against Costiveness But Sugar and other sweet things ought to be carefully avoided Rhubarb or Cream of Tartar sharpen'd with Powder of Jalap are recommended to such as are of a juicy Constitution As for the forms of Receipts they are as follows Take of Quercetanus's Pills call'd Melanagogae a Dram and a half Extract of Senna Leaves half a Dram Rosin of Jalap a dram and six grains Tartar vitriolated thirteen grains volatil salt of Amber a scruple the Seeds of Mustard Scurvy-grass and Garden Cresses of each half a dram With some Antiscorbutic Water make Pills This is the Composition of Timaeus his Antiscorbutic Pills of which a scruple or half a dram is a Dose Take of the Pills of Hiera with Agaric twelve grains Gum Ammoniac dissolv'd in Vinegar half a scruple Scammony sulphurated two grains With the Essence of Steel make Pills Take of Quercetanus's Pills of Ammoniac a scruple sweet Mercury fifteen grains Extract of Troches Alhandal two grains the distill'd Oyl of Caraways two drops With the Essence of Gum Ammoniac make Pills The Vitriol of Steel calcin'd white and the Extract of Steel prepar'd with Juice of Apples may be added by Turns The Extract of black Hellebor is also a proper Basis for Pills Take of the Aperitive Crocus of Steel a scruple Scammony sulphurated and Salt of Tartar of each five grains Make a Powder Take of the fresh Leaves of Scurvy-grass Garden Cresses and Rose-mary of each a handful fresh Horse Radish Roots an ounce and a half pick'd Senna Leaves an ounce choice Rhubarb half an ounce Crude black Hellebor three drams Juniper Berries six drams Cinnamon and Galangal of each a dram and a half Salt of Tartar three drams Tye 'em in a Bag to be infus'd in Wormwood Wine of which let the Patient take a draught Morning and Evening Take of Wormwood three handfuls lesser Centory two handfuls black Hellebor Roots three ounces Polypody of the Oak an ounce and a half Bark of the Ash-tree and white Tartar of each half an ounce filings of Steel three drams Sprinkle 'em with nine Drops of the dulcify'd Spirit of Nitre and tye 'em in a Bag to be infus'd in Wine Take of pick'd Senna Leaves two drams Polypody Roots three drams black Hellebor Roots two scruples Ginger half a scruple Salt of Tartar a scruple infuse 'em for the space of a Day in Whey then boyl 'em gently To three ounces of the strain'd Liquor add of the Spirit of Scurvy-grass a scruple Syrup of Apples three drams Mix for one Dose Take of Corants two ounces Bruise and boyl them in Water adding while the Water is yet hot pickt Senna Leaves three drams Violet Flowers three little handfuls Cream of Tartar a dram Let 'em stand for some time in a hot place then strain the Liquor for use Take of the Pulp of Corants three ounces Arcanum Duplicatum a dram purify'd Sal-Armoniac and the Powder call'd Diatrion Pipereon of each two Scruples With the Syrup of Apples make an Electuary for nine or twelve Doses After Purgatives we subjoyn Emollient abstergent Clysters especially those of Carminative Ingredients boyl'd in Childs Urine against Hypochondriac pains in the Belly those of Milk and Turpentine against Nephritic pains and those of Whey or rather of Milk injected every other Day in a confirm'd Scurvy As Take of Cows Milk nine ounces Lenitive Electuary an ounce Electuary of Bay-Berries half an ounce With the yelk of one Egg make a Clyster to be injected at Bed-time and retain'd all Night Some inject the Decoction of Elder Flowers and Henbane Leaves in Milk against Scorbutical Pains The Patient's Body being thus prepar'd we advance to Alteratives Such are Steel and all fix'd Salts or whatever subdues an Acid. To these we joyn either the Aperients Diuretics and bitter Stomachical Aromatics or the Spirituous volatil Salts Thus the filings of Steel all its Aperitive Crocus's the vitriol of Steel calcin'd the solar Liquor of Steel the natural Spaws consisting of Steel dissolv'd in Sulphur the Tincture of the vitriol of Steel the solution of Steel prepar'd with the juice of sweet Apples and mix'd with the Spirit of Scurvy-grass Chalybeat Diaphoretic Antimony Chalybeat Bezoar the Bezoar Stone c. These I say are all of good use But when the Bowels are stuff'd or threaten'd with hard swellings they are improper Besides while Spaw Waters are drunk 't will be requisite to defend the Stomac by some Stomachical Ointment or Plaister Next to Steel are the bitter Plants dedicated to the Stomac and Spleen such are Fumitory lesser Centory Juniper Barries Wormwood Agrimony Cuckow-pint and Elecampane Their Decoctions Essences and above all their fix'd Salts and the Salt taken from the Caput Mortuum of the Spirit of Sal-Armoniac Mynsichtius's Arcanum Duplicatum is of excellent use especially when the Person is lyable to flushings and sudden Inflammations Elixyr Proprietatis prepar'd without an Acid and mix'd with the Spirit of Scurvy-grass and that of Sal-Armoniac is also proper The volatil Salt and Spirit of Tartar the Tincture of Tartar mix'd with the Spirit of Sal-Armoniac and given to forty Drops the Garminative Spirit prepar'd from Tartar Nitre and Spirit of Wine the Spirit distill'd from a Mixture of Quick-lime Spirit of Sal-Armoniac and Spirit of Wine impregnated with Aromatics the Spirit of Sal-Armoniac mix'd with Antiscorbutic Spirits and espepecially the Liquor of the Terra Foliata of Tartar mix'd with Spirit of Sal-Armoniac are very much approv'd both in the Hypocondriac and Scorbutical Distemper especially when the Person is lyable to Heats and Flushings and apt to be offended by the Oily Aromatic Ingredients In which case purify'd or Antimonial Nitre is also useful Nay some are very diffuse in their Encomium's upon a mixture of Nitre and the Powder Diacumini The forms of Alterative Recipe's are such as these following Take of the Conserve of Fumitory an ounce and a half Confection Alchermes a dram and a half Crude Steel pulveris'd three drams Magistery of Coral prepar'd with the Juice of Citrons a dram With the Syrup of Apples make an Electuary Take of the Essence of Gum Ammoniac half an ounce Spirit of Sal-Armoniac mix'd with Oyl of Sassafras two drams Dose fifty drops Take of Elixyr Proprietatis prepar'd without an Acid half an ounce Spirit of Sal-Armoniac mix'd with Oyl of Cloves two drams Spirit of Scurvy-grass a dram and a half Dose forty drops thrice a Day Take of Fumitory Water two ounces Borrage and Bugloss Waters of each an ounce Carminative Spirit de tribus two drams prepar'd red Coral a dram Syrup of red Poppies half an ounce Mix and exhibit a spoonful now and then in
Cure of a Gâ—â—uin Pleurisie it remains to touch briefly at the four Spurious kinds above mention'd The first of which is treated as other external Inflammations in general The second proceeding from a sharp Acid Lymph stagnating in the Pleura requires volatil Salts such as the spirit of Sal-Armoniac c. mix'd with Antipleuritical Specifics and during the increase of the Disease with Opiats If the Urine be muddy and Precipitat a Sediment 't is proper to add Diuretics in order to discharge the Matter by Urine according to Nature's Direction Externally Oily fat things wo' not be so convenient as dry hot Bags or Frictions with a hot Cloth and a Plaister of the volatil Salt of Urine and Turpentin The third sort is also cur'd by volatil Salts and Diaphoretics mix'd with Opiats to which in scorbutical Cases we add Adtiscorbutics And Lastly the spurious Pleurisies that proceed from Worms are admirably accounted for by exhibiting Carduus Benedictus Waterin which Quick-silver is boyl'd and the spirit of Sulphur or dulcify'd Spirit of Vitriol ART 5. Of Inflammations and Vlcers of the Liver and Spleen INflammations of the Liver are frequenty caus'd by the external application of hot Plaisters and Cupping-glasses not to speak of the common Causes of other Inflammations As for Diagnostics 't is needful to observe that when the convex Part of the Liver is inflam'd they 're attended mostly by the Symptoms of a Genuin Pleurisie and when the Concave is chiefly troubled the Symptoms of the Stomac and Guts such as Vomiting Looseness Inappetency Loathing Sighing Hickcup c. are most notorious The Pain of an Inflam'd Liver is always obscure heavy and distending for the shooting Pains that sometimes infest the right Hypocondrium are justly charg'd to the Colon The Feaver heat and such like Symptoms are not so Acute as in other Cases by reason that the Liver enjoys only a small quantity of arterious Blood Oft-times the Midriff shares the Inflammation with the Liver by means of the Ligament which annexes the one to the other and then the Person is sensible of Pain in the Throat as if it were pull'd downward when he breaths he is troubled with a dry ineffectual Cough difficulty of Breathing and a quick unequal Pulse and chooses rather to lye on his Back than on either side Thus the Inflammation of the Liver is distinguish'd from a Pleurisie in the Right-side by the remissness of its Symptoms the absence of a stitch or shooting Pain the dryness and meekness of the Cough the largeness and openness of the Pulse the sense as it were of a weight hanging upon the Right-side of the Thorax and the easiness of Respiration in respect of Inspiration 'T is distinguish'd from the Colic by the Feaver Cough and difficulty of Breathing that the Colic is a stranger to as also from the Inflammation of the Muscles of the Belly by the anxiety of the Breast Comparative invisibility of the Tumor intenseness of its Symptoms and the absence of a beating Pain Sometimes a reddish black line appears in the right Hypocondrium and by its pain discovers the Inflammation of the Liver Sometimes the Liver reaches to the very middle of the Belly and discovers its Tumor in the Centre As touching the Prognostic the Inflammation of the Concave part is more dangerous than that of the Convex especially if attended by a Hiccough if the Feaver be very acute the Belly swoln and the external Parts cold while the Internal burn within or if black greenish Matter be Vomited 't is a desperat Case If the Inflammation and Feaver continue above twenty Days it degenerats into an Ulcer or Schirrus and the purulent Matter is voided mostly by Stool or Urine or at least but very rarely by Vomiting or Spitting If a Copious evacuation of Urine follow the use of Nitre 't is a good Omen The internal Cure is compass'd by Antipleuritical Medicines such as the Sugar of Lead or rather the Crystals of Lead with Spirit of Nitre Antimonial Nitre Diaphoretic Antimony volatil Salt of Vipers and the common Sudorifics mix'd with Laudanum Opiatum and bitter Apperients Externally we apply the spirit of Wine Camphoris'd with Plantan Water or Nitre with Vinegar of Roses and the Juice of Houseleek or what follows Take of the Ointment of Marsh-mallows half an ounce Oyl of Wormwood two drams distill'd Oyl of Dill a scruple Camphyr nine grains Make a Liniment and anoint the Part. Or Take of the Waters of Henbane Plantan and Water Lillies of each an ounce purify'd Nitre half a dram Camphyr dissolv'd in spirit of Wine fifteen grains make an Epithema to be applied Warm Sometimes the Inflammation of the Liver proceeds from excessive Venery and 't is cur'd thus Take a living black Cock and cut out his Liver which bruise in four ounces of Vinegar of Roses till it be quite dissolv'd Then strain the Vinegar and exhibit it warm for a Draught in the mean while let the Patient take every Morning a Draught of the Decoction of Liquorice Cichory Rhubarb Lesser Centory Liverwort and the inner Rinds of Elder adding to Every Draught a scruple of Sperma Ceti If notwithstanding these Precautions the Inflammation come to a head which will appear by the Feaver Heat and Shiverings that attend it and their abatement when 't is over in that Case we exhibit inwardly the Decoction of China Roots Liquorice and Raisins And apply Emollient Cataplasms with Saffron and Wormwood Tops If the swelling be seated in the Convex part it may be open'd with a Knife or a Potential Caustic If it lye in the Concave side we must endeavour by all means to break it and when 't is broken follow the conduct of Nature in promoting the evacuation of the purulent Matter As if it be emptied into the Guts we exhibit Mead for tempering its sharpness and inject Clysters if it be dischar'd by Urine we administer Oxymel with the Decoctions of Smallage Parssey Juniper-berries c. in Mead. If it recoyl into the Stomac and cause Vomiting we forward it with fat Broth Oyl of sweet Almonds c. If it corrode the Membran and cast it self into the Cavity of the Abdomen 't is a very dangerous case in which some choose to open the Abdomen and give vent to it in the mean while we exhibit inwardly the Decoctions of China Sarsaparilla and the Vulnerary Ingredients to which we add Turpentin dissolv'd in the yelk of an Egg or the Balsam of Sulphur prepar'd with Oyl of Turpentin The Inflammations of the Spleen ought to be nicely distinguish'd from those of the adjacent right Kidney as being attended by a beating Pain towards the fore-side of the Abdomen difficulty of Breathing a moderat continual Feaver whereas the Inflammations of the Kidney display themselves mostly in the Back and their Feaver is very high without any sensible Pulsation In Inflammations of the Spleen Bleeding at the left Nostril Fluxes of the Piles a Looseness and Pleutiful evacuations of Urine
the Inflammation of the Blood in a Headach or Feaver and in that case vanish upon bleeding at the Nose Or by a Catarrh or Translation of morbific Matter as in the Declension of Feavers c. If a Tingling in the Ears accompany other Distempers it affords the same Prognostics as Deafness If it subsist by it self it is not very dangerous unless it be inveterat in which case it proves a Forerunner of an Apoplexy If it proceed from frequent Blows it terminates in a total Privation of Hearing The Cure is perform'd by the same Medicines as above-mention'd especially Fumigations and the Application of Aromatic Spirits and Oils Take of the Leaves and Flowers of Chamomil one handful Dill or Sage Marjoram Rosemary of each half a handful Millet Seeds tosted one Ounce drv'd Salt half an Ounce chop them small and make a quilted Bag to be applied warm to the Ear. The Vapor of new Bread from the Oven with Cumin Seeds Fennel Seeds Aniseeds Origanum Mother of Thyme and Bay-Berries fermented and bak'd with it is sometimes useful but not always The Oil of Oak-worms above prescrib'd or express'd Oil of Peach Seeds with Peach Flowers infus'd in it are very proper Or Take of white Hellebor and Castor of each two Drams sweet Costus a Dram and a half Rue two Scruples Euphorbium half a Dram Oil of Bitter Almonds or Peach Seeds one Ounce Boil them gently in a sufficient quantity of Oil of Rue and apply it to the Ear with Cotton Or Take of the Roots of white Hellebor three Drams Bay-leaves and Rue of each half a handful Ash-leaves one handful Boil them in Oil of Bitter Almonds or of Nut's with White or Spanish Wine till the Wine be consum'd Express the Oil and apply it to the Ear. Or infuse the Simples in Spirit of Wine and extract and Essence for the same purpose Fumigation from a Decoction of Mustard-seeds in Wine is commended In a pituitous Constitution apply what follows Take of the Oil of Henbane and of Rue of each half a Dram distil'd Oil of Marjoram half a Scruple Castor six Grains Saffron four Grains Mix c. If it proceed from a Fall Contusion or external Violence take a Spoonful of the Spirit of Scurvy-grass and half a Spoonful of fresh Juice of Onyons and four or five Drops of distill'd Oil of Spike Mix and drop it into the Ear. In Plethoric and young Persons 't is not amiss to breathe a Vein in the Arm and exhibit some mild sneezing Medicines If it come by Fits follow the Course prescrib'd above If it attack Hypochondriac Persons it generally proceeds from the Disorders of the Stomac and lower Belly and is cur'd by Chalybeats Carminatives and volatil urinous Salts together with the usual Specifics CHAP. III. Of the Sense of Feeling and the Disorders 't is obnoxious to THE third Sense is that of Feeling occasion'd by the Influence of external Objects upon the nervous Glandules seated in the Skin 'T is true the nervous Fibres within the Body that are not glandulous are deeply sensible of the lightest touch but their Sense is painful and preternatural whereas that of the Glandules is equal and agreeable to Nature Upon which account Feeling is their peculiar Property and the Liver which has no Nerves or nervous Glandules is destitute of that Sense This Sense is quite extinguish'd in Apoplexies Palsies and stupifying Diseases Of which more in their proper places The most remarkable Depravation of the Sense of Feeling is what we call Pain that is when the Object makes such a sensible Impression upon the Organ as to provoke the Animal Spirits to irregular Motions and disturb the repose of the nervous Fibres which readily impart their Disorder to the Brain It may be call'd a convulsive Motion of the Fibres and Experience teaches us that Convulsions and Pain are reciprocal Causes to one another ART I. Of Pain in general THE remote Causes of Pain are innumerable for every particular Object has a peculiar way of affecting the Nerves The external Causes are manifest The internal Causes are generally the Offspring of vicious Acids which partake of sharp and stiff Parts that are apt to make painful Impressions upon the nervous Fibres This Acid for the most part owes its being to some defect in the Stomac and first Passages and varies the Nature of the Pain according to its changeable Circumstances If a volatil sharp Acid be join'd to a viscid Vehicle it takes deep rooting in the Part and creates immoveable Aches as in Venereal and Colis Pains If the Acid be more gentle and join'd to a thin Vehicle it produces a fluctuating Pain If it proceed from a particular defect in the Part affected 't is apt to recur and cause Relapses According as this Acid is dispos'd the Pain is either continu'd or intermitting it either observes set Periods or attacks indifferently in all Seasons And sometimes it causes Swellings by contracting the Fibres and straitning the Pores of the Part so as to put a stop to the Circulation of the Blood In order to form a distinct Idea of Pain I shall divide it into ten sorts The first is a weighty burdensom Pain arising from a Collection of insipid or viscid Matter lodg'd in a less sensible Part as the Swelling of the Liver 2. A pungent Pain arifing from a sharp pricking Acid in a membranous part as in a Pleurisy 3. A pointed penetrating Pain resembling the Sense of a Hole made by an Aul proceeding from a viscid Matter that partakes of Acidity As in St. Anthony's Fire and Arthritic Pains 4. A beating Pain which generally keeps pace with the Pulse of the Artery It proceeds from a violent Distention of the Fibres which are exasperated by the Incursion of the Blood as in Headaches or when ones Finger is prick'd by a Thorn c. 5. A breaking Pain peculiar to the Periostium resembling the breaking of the Bone 'T is produc'd by a sharp Acid lodg'd in a tenacious Matter as in Venereal Cases 6. A rending or distending Pain The former is peculiar to Hypochondriac Persons and Parts that have no exquisit Sense but are invested with a sensitive Membrane The latter is caus'd by Wilid or any thing that overcharges the Part and stretches the surrounding Membran 7. A tearing Pain peculiar to the Membranes and frequent in scorbutic Cases 8. A burning Pain peculiar to Fibres and Membranes arising from a volatil Acid and the boiling of the Humors within the Part. 9. A stupid chilly Pain And 10. A biting gnawing Pain If Pains be accompany'd by an intermitting Pulse 't is no just Cause of Fear for when the former disappears the latter returns to its wonted Order There are three sorts of Medicines made use of for Pains 1. All Alcali's apt to destroy a prevailing Acid As Wormwood Dill Elder Mint Chamomile Bay-leaves Pellitory of the Wall and the other softening Herbs Fumigations with Amber or the Spirit of Amber both inwardly and outwardly
Salt of Tartar of each a Dram boil them in a sufficient quantity of common Water to nine Ounces of the strain'd Decoction add Electuary of Bay-berries an Ounce distill'd Oil of Amber volatil Salt of Hartshorn or Urine of each a Scruple the Yelk of one Egg Mix them and make a Clyster To such Decoctions you may also add Electuary of Hiera Picra Castor distill'd Oils of Cumin Caraways Amber Juniper-berries Turpentine c. Or instead of distill'd Oils volatil Salts from a Scruple to half a Dram as that of Urine Hartshorn Amber c. Clysters of the Smoak of Tobacco are also approv'd If the Patient is plethorick a Vein may be opened but with due caution Internally in the time of the Fit volatil and oily Salts are to be us'd and in particular such as readily cause sweat to which Opiats may be added Bitter things therefore are in common use such as Set-wall Southernwood Wormwood Lovage Angelica Gentian-root Mint Galangal Penny-royal Fever-few Clary its Decoction and Spirit Roman and common Chamomil Orange Peel wild Carrot-seed Juniper-berries Garlic taken in Wine its Electuary Saffron Rosemary Myrrh Elder and dwarf Elder-berries c. all which by virtue of an oily volatil Salt destroy the vitious Acid. To these we may add Castor Assa foetida the volatil Salts themselves as Spirit of Sal Armoniac Hartshorn volatil Salt of Amber given from five Grains to twelve in Swallow-water with Castor distill'd Oil of Amber volatil Salt of Soot the Tincture of Tartar Tincture of the Dross of the Regulus of Antimony Tincture of Castor prepar'd with Spirit of Wine or otherwise all the several Preparations of the fore-mention'd Simples Crollius's Elixir for the Womb Camphyr the Spirit of human Secundine chiefly that of the first Child the Juice of Courser's Dung express'd with Wine or Ale or its Decoction to all which we join Opium Hysteric Laudanum Mithridate and Triacle of which innumerable Prescriptions might be made up As Take of the Waters of Mint Elder-flowers and Fever-few of each an Ounce Essence of Castor three Drams volatil Salt of Hartshorn twelve Grains that of Amber eight Grains Hysteric Laudanum nine Grains Syrup of Orange Peel six Drams Mix and make a Potion Or Take prepar'd Amber prepar'd Pearls or Crabs-eyes Castor of each a Scruple distill'd Oils of Rue and Amber of each five Drops Mix and make a Pouder 'T is to be noted that Preparations with Castor and such like fat volatil Salts yielding a strong smell agree not with some Patients for whom meagre Salts are more proper as dulcify'd Salt of Nitre c. If sweet Smells or Tasts be offensive we choose Medicines of contrary qualities After the Fit is over if a Relapse is feared it may be prevented by the use of Medicines partaking of Steel As Take Antiscorbutic and Hyssop-water of each an Ounce and a half Solution of Steel in Juice of Apples three Drams Spirit of Scurvy Grass a Dram and a half fermented Laudanum two Grains Syrup for the Scurvy three Drams Mix and make a Potion But if what is above prescrib'd prove ineffectual we may try a strong Snuff and if that has no effect give a Vomit yea Blood-letting has been found sometimes to avail in desperat Cases Hitherto we have prescrib'd what is to be done during the Paroxysm when 't is over we first give Digestives then Vomits and afterwards Anti-hypocondriac and Antiscorbutic Remedies for Digestives I refer you to the hypocondriac and scorbutic Diseases Or Take red Coral prepar'd or Mother of Pearl or Crabs-eyes prepar'd half a Dram Arcanum Duplicatum a Scruple Salt of Wormwood half a Scruple Mix for three Doses For a Vomit take Arcanum Duplicatum or Tachenius's vitriolated Tartar nine Grains Mynsicht's Emetic Tartar two or three Grains Mix and make a Pouder Next to these Aromatics mix'd with mild Laxatives are to be us'd and these almost the same as the internal Specifics prescrib'd in the Fit In short the Method of Cure is the same with that of hypocondriac and scorbutic Disorders So that alterative Bags of carminative Ingredients such as are friendly to the Nerves and Womb infus'd in Wine are of very good use Or whatever partakes of a volatil Alcali or a volatil oily aromatic Salt more or less bitter which destroys Acids or has an anodine Quality as the Roots of Angelica Butter-burr Set-wall Lovage Gentian and the like also Orange-peel and all Aromatics especially Clary and its Decoction also Baum Rosemary Mugwort Sage c. the Carminative Seeds or those call'd hot to which wild Laxatives such as black Hellebor and Briony may be added As for example Take of the Leaves of Baum Fever-few Pennyroyal of each a handful Leaves of Senna Roots of Gentian and black Hellebor of each a Dram prepar'd Spurge and true aromatic Costus of each three Drams Set-wall Salt of Tartar of each half an Ounce Cut bruise and tie them in a Bag to be infus'd in Wine Medicines of Steel are wonderfully helpful as also succinated Spirit of Salt Ammoniac given to thirty Drops at night and mild Laxatives mix'd with Opiats Take Gum Ammoniac dissolv'd in Vinegar half a Scruple Vitriol of Mars five Grains Extract of Castor three or four Grains Extract of Troches Alhandal a Grain or of the Troches themselves three Grains Make Pills with the distill'd Oil of Amber SECT IV. Of the Disorders of Women denying admission to Men. CHAP. I. Of the down-falling of the Womb. SOmetimes the outer Neck of the Womb especially its internal wrinkled Membrane either by hard Labour or the unskilful hand of a Midwife or by an immoderate red or white Flux is so relaxated and extended that it hangs out in form of a Ball having a hole in the middle two Fingers breadth without the Privity and sometimes some part of the internal Membrane is relaxated and hangs out like a blind round Ball by a small Neck In this Case both the Antients and some of the Moderns fancy that the Womb falls down Whereas that Symptom never happens but when an unskilful Midwife pulls it down by force and so kills the Patient outright This Distemper is usher'd in by a stretching Pain of the Parts to which the Womb is fastened sometimes a Feaver and Convulsions supervene and sometimes the prominent Substance becomes the Seat of an Ulcer or Gangrene and must be cut out by the hand of the Surgeon All that Art can do is 1. To restore the Part fallen down to its natural Place 2. To confirm it there either truly by Astringents or palliatively by other means 3. If that can't be compass'd Amputation is the only relief The Patient being conveniently plac'd on her Back let the part be gently put up with ones Fingers cover'd with a soft Cloth wet with the Decoction of mild discussive Aromatics such as Rosemary Sage Wormwood c. boil'd in equal parts of Wine and common Water or Water from the Forge This done Decoctions prepar'd of vulnerary Astringents