of the Stone My Wife swallow'd a small Needle that carried an ordinary Thred which in three days came from her again with her Urine August 8. 1665. Nâ—…r did the Needle put her to any pain while it lay in her Body Iulius Alexandrinus has observ'd little pieces of the Roots of Parsly as big as a farthing swallow'd the day before discharg'd again with the Urine Nicholas Florentine reports that a Person who had eat Mushrooms not exactly concocted piss'd out again remarkable Bits of 'em with his Urine Plutarch relates the Story of a Man who after a long difficulty of his Urine at length voided a knotted Barly-stalk George Ierome Velschius Observat. 60. relates another Story of one that was wont to void Grape-stones bits of Lettice and Meat together with his Urine And of another that when he drank the hot bath-Bath-waters frequently voided with his Urine whole pieces of melon-Melon-seeds which he was us'd to eat Pigraeus and Hildan tell ye of some that have piss'd out Aniseeds and Alkekengi All which things it is both said and believ'd by most hitherto do pass through the narrow streights of the Kidneys where the blood cannot make its way How then will the adapted disposition and structure of the Pores aforesaid suffice I hardly believe it For that such hard and large Bodies passing the milkie Vessels should first pass the Vena Cava and â—…igh the Cavity of the Heart thence through the narrow and scarcely visible passages of the Lungs to the left side insensibly without any pain or prejudice and then be conveyed through the Aorta and Emulgent Arteries to the Kidneys and be strain'd through their Urinary Fibres and Papillary Pores and that no blood should go along with 'em surpasses both Belief and Reason nor can be prov'd by any Experience seeing that no Physician or Anatomist ever found Needles Seeds Straws or any such like things swallowed either in the Vena Cava the Ventricles of the Heart the Lungs the Aorta or the Kidneys XXXI These things when formerly I seriously consider'd with my self and withal bethought my self that they who in great quantity drink the Spaw Waters and other sharp and diuretic Waters in half an hours time evacuate forth again three four or more pound of Serum without any alteration of the Heart and that it is very unlikely that so great a quantity of crude and uncoloured Serum should so suddainly pass through the Heart Lungs and Kidneys without any prejudice I began to think that of necessity besides the Veins there must be some other Passages through which the more copious Serum and those hard Substances already mention'd come to the Bladder XXXII And these ways or passages I suspected to be certain milkie Vessels which are carried to the Bladder through occult and hitherto unknown ways and tho' not in all yet in some men are so open toward the Bladder that they are sufficient to transmit the milkie Chylus and plentiful Serum but also solid hard and long Substances And this Conjecture of mine the Observations of Physicians seem to confirm who have sometimes seen the Chylous milkie Matter evacuated with the Urine Nicholas Florentine Serm. 5. Tract 10. c. 21. reports that he knew a young Man about thirty years of Age who every day voided besides a great quantity of Urine without any pain about half a Urinal full of Milk Capellus the Physician by the Testimony of Bauhinus saw a Woman that evacuated half a Cup full of Milk out of her Bladder Andrew Lawrentius has observed several Child-bearing Women to have voided a great Quantity of Milk out of their Wombs and Bladders Whence it is manifestly apparent that some milkie Vessels run forth not only to the Womb but to the Bladder and may discharge themselves into those parts if there be no Obstruction that is if those Vessels are not obstructed compressed or stop'd up by some other means as they seem to be in most men which is thought to be the reason that the milkie Chylus so rarely flows to the Bladder But in regard these Passages are short and not so winding as many others are it may easily happen that other solid Substances besides the Chylus may pass through 'em as Seeds Needles Straws c. But much more easily may a great part of the crude Serum increas'd by much drinking flow through these Passages and be evacuated through the Bladder in regard so large a quantity of blood cannot be so suddainly run through other Vessels and circulate through the Heart And hence it is that such Urine proves of a watery Colour differing much in Colour and Consistence from that Urine which is concocted with the blood which follows well colour'd after the Evacuation of much copious crude Serum and manifestly shews that it pass'd through other parts than the other crude Serum that is through the Lungs Heart and Kidneys and there obtain'd a larger Concoction I also conjectur'd that those Liquors which we drink and whose colour and smell remains in the Urine are carried the same way for should they pass through the Heart they would lose both Actuarius l. 2. de Iud. Urin. c. 20. relates the History of a sick Person to whom he had given a black Medicin who soon after made black water without any prejudice And many times Midwives by the colour and smell of the Excrements that flow from Child-bearing Women know what the Woman with Child has been eating before Saffron being given in drink to a Woman in Labour in a quarter of an hour dy'd the Birth of a yellow Colour and yet the Saffron could not pass through the Heart in so short a time nor from thence be sent to the Womb much less preserve its Colour entire in passing through so many several Chanels Iohn Ferdinand Hertodius fed a Bitch for some days before she whelp'd with Meat dy'd with Saffron and after he had open'd her found the Dissolution or Liquation among the Membranes and the Puppies dy'd of a yellow Colour and yet the Chylus was white in the milkie Vessels not tinctur'd with any other Colour I my self have seen those who have eaten the fat growing to the Kidneys of Lambs rosted and in a short time voided it all again with their Urine Oyl of Turpentine immediately imparts its smell to the Urine And Asparagus provokes Urine crude muddy and retaining their own smell Whereas if such Juices should make a long Circuit through the Heart and other Bowels they could never come to the Bladder so suddainly so raw and yet retaining their own smell Which are certain Indications that there are certain milkie Vessels occult and taking another Course than the rest which extend themselves some to the Womb and some to the Piss-bladder and that Liquors of this nature and other solid Substances may sometimes through those more open Chanels reach those parts Which Vessels tho' hitherto they were never conspicuous to the sight nor demonstrated by
sorts of it The one says he is that the Skin is exasperated by the smallest Pustles and is red and slightly corrodes in the middle somewhat lighter and creeps slowly it begins round and dilates in a Circle The other which the Greeks call 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the wild Itch is that by which the Skin becâ—…mes more rough is exculcerated and vehemently corroded looks red and sometimes fetches the Hair off which is less round and more difficultly cured As for the Cause of the Disease Galen Aetius Aegmeta affirm it to be generated out of certain mix'd Humors that is to say serous thin and sharp mix'd with thick Humors But in my Judgment Galen writes better and more perspicuously that this Distemper is generated out of a salt Flegm and yellow Choler which is the reason that as in earthen Vessels corroded by Pickles the Scales fall off the Skin Now these Humors being transmitted to the Skin putrifie it as Avicen says To which I add that this Corruption afterwards is intermixed with the good Humors carried to the Skin for its Nourishment and so the Mischief becomes diuternal Thus also Mercurialis writes that the Skin only having acquir'd a deprav'd Habit corrupts all its Nourishment and converts it into increase of Impurities And in the same manner discoursing of such a kind of scabby Patient In the whole Circuit of the Body there is a vitious and itchy Humor implanted by vertue of which whatever good Nourishment is carried to it is presently converted into a nasty salt corroding Humor which occasions that continual Itching together with those little Ulcers and the roughness of the Skin Now these Humors corrupting the Skin must of necessity be hot and salt from which proceeds that Heat and Itching of those Scales This Distemper however is not so dangerous as it is troblesome which if it continue long gets that deep footing that it is a very difficult thing to extirpate it and sometimes it hardens into a dry Mange and Leprosie The gentler sort is cur'd at the beginning with gentler Medicaments as Fasting-Spitle tosted Butter Oyl of Eggs of Tartar or Juniper boyled Honey liquid Pitch or Juice of Citron But that which is of longer continuance and wild requires stronger Remedies as Sulphur Minium Lytharge Ceruse Vitriol Pit-salt Rust of Brass Limeallum Niter white Hellebore c. To which we may add Quick-silver Sublimate and precipitate Mercury having a peculiar occult yet apparent Quality to kill the Malignity that accompanies this Distemper Thus Peter Pachetus in his Observations communicated to Riverius when no other Remedies could tame a wild Itch cur'd it with this Oyntment â„ž Unguent Rosaceum Ê’ iij. White Precipitate Ê’ iij. Mix them for an Oyntment OBSERVATION XIII A Mortification of the Legs and Thighs by Cold. MAny times severe Mischiefs attend the Imprudence of Persons given to drink which a certain lusty young Man sufficiently made known by his own woful Example For he in a most terrible Winter when it freez'd vehemently hard coming home about Midnight well Cup-shot without any body to help him to Bed went into his Chamber where falling all along upon the Floor he fell asleep and neither remembring himself nor his Bed slept till Morning But when he awak'd he could feel neither Feet nor Legs Presently a Physitian was sent for But there was no feeling either in his Legs or Feet though scarified very deep Hot Fomentations were apply'd of hot Herbs boil'd in Wine adding thereto Spirit of Wine but to little purpose For half his Feet and half his Legs below the Calves were mortified the innate Heat being almost extinguished by the Vehemency of the intense Cold. The Fomentations were continued for three days Upon the fourth day the mortified Parts began to look black and stink like a dead Carcass Therefore for the Preservation of the Patient there was a necessity of having recourse to the last Extremity namely Amputation and so upon the sixth day both his Legs were cut off a little below the Calves in the quick part by which means the Patient escaped without his Feet from imminent Death and afterwards learn'd a new way to walk upon his Knees ANNOTATIONS AN Example of the same Nature we saw at Nimeghen in the Year 1636. of a Danish Souldier who having slept Drunk as he was upon a Form in a bitter frosty Night when he walk'd in the Morning could not feel his Feet But by heating Fomentations the native Heat at most extinguished by the Cold after two days so menting was restored to his Feet tho his Toes could never be brought to their natural Constitution but remaining mortified and beginning to putrifie were all cut off by the Chyrurgeon And therefore I would advise all hard Drinkers not to take their Naps too imprudently in the Winter unless they have first laid themselves in a warm Place and well fortified themselves against the Injuries of the Air least their being buried in Wine bring them to be buried in Earth OBSERVATION XIV Obstruction of the Spleen KAtharine N. a Woman of forty four years of Age had been troubled a whole year with an Obstruction of her Spleen much Wind rumbled in the Region of her Spleen she was tormented with terrible Pains of the same Side by reason of the Distention of the Bowels and the neighbouring parts so that she went altogether bow'd toward the Side affected till at length grown as lean as a Skeleton with continual Torments she could go no longer You might also perceive by laying your Hands upon the Place that the Spleen was very much swell'd and more than all this her Stomach was quite gone In March being call'd to the Cure of this Distemper I first purg'd her Body with a gentle Purge upon which when she found but very little Relief I prescribed the following Apozeme for two days to open the obstructed Passages and prepare the Morbific Matter and withal to keep her Body open â„ž Roots of Polypody of the Oak Dandelyon an â„¥ j. Roots of Fennel Elecampane Stone Parsly Peeling of Capery roots Tamarisc an â„¥ s. Baum Fumary Water Trefoil Tops of Hops an Handful j. Centaury the less half a Handful Fennel seed Ê’ij Damask Prunes â—… o xi Currants â„¥ ij Boil thâ—…m in common Water q. s. In the straining macerate all night of Spoonwort Winter Nasturtium an Handful j. Leaves of Senna cleansed â„¥ ij anise-Anise-seed Ê’vi Make an Apozeme for two Pints After she had drank two Mornings a Draught of this Decoction she went to Stool twice or thrice a day but the Ease which was expected did not follow Wherefore after she had drank up her Apozeme I gave her a purging Medicine somewhat stronger which I thus prescribed â„ž Leaves of Senna cleansed â„¥ s. White Agaric Ê’j Roots of Black Helleâ—…ore Ê’s Rhenish Tartar Anise-seed an Ê’j Fumary VVater q. s. Make an Infusion all night and add to the straining Elect. of Hiera Picra Diaphoenicon an Ê’ij for a Draught
abated and much of the watry Corruption run out of the Wound Within two days after the Swelling of his Leg palpably fell and returned to its natural Colour and threw out the Corruption well concocted and so being dressed as it ought to be the Cure was easily compleated ANNOTATIONS THings put into a Wound that ought not to be are utter Enemies to Nature endeavouring Consolidation especially if they compress any nervous Body Membrane or Tendon or the Periosteum Hence terrible Pains Tumors Inflammations and other Mischiefs proceed and therefore all such things as are foreign to Nature are to be taken away as Paraeus Pigius and other Chyrurgeons tell us Thus hard and thick Tents which inwardly offend and distend the Wound or else stop it quite up or compress the Nerves Membranes or Periostea are not to be thrust into Wounds as being those things that hinder the Operation of Nature Suppuration Erection of the Matter and Consolidation and beget Pains Inflammations and other Mischiefs Thus we have seen by the Ignorance of Chyrurgeons some Men tormented with Pains others thrown into Fevers Syncope Convulsions Mortifications and Gangrenes As it had like to have befallen our Patient who beside other ill Simptoms was very near a Gangrene and had it not been in time prevented upon the Approach of the Mortification he had hazarded the loss of his Limbs or his Life Hence Felix Wirtius in Wounds of the Hands and Joynts rejects the Use of Tents which Opinion Hildan refutes who says that Tents are necessary in the nervous Parts to keep the upper Lips of the Wound open and give passage for the Corruption By which Doctrine it appears that he praises those Tents which do not offend the inner Part of the Wound but only keep the upper Parts open But the Chyrurgeon as to our Patient had committed a great Error in this very Particular for he had distended the inner Parts of the Wound with a thick and hard Tent and had compress'd the Periosteum and prevented the Concoction and Efflux of the Corruption OBSERVATION XVI Suppression of Urine THE Wife of Gerrard Anthony a Taylor had layn in in May and in three days after she was brought to Bed had not made Water which was an extraordinary Pain to her and had brought her so low that she could hardly speak The Mid-wife declared that she was very well laid but that presently after her Evacuations were stopp'd that something hard was to be felt on the other side in the lower part of her Belly Hence I guessed that there was some Superfoetation or Mole which remain'd behind For the Cure of which and to provoke her Urine and Purgations withal I prescribed this Apozeme â„ž The Roots of Stone Parsly Masterwort Valerian Sea-holly Cammock an â„¥ s. Round Birthwort sliced Licorice an Ê’ij Leaves of black Ribs Mâ—…gwort Peny-Royal Water-Nasturtium an one Handful Water-Parsly with the Whose two Handfuls Savine Flowers of Camomil an half a Handful White-wine q. s. Boil them for an Apozeme to a Pint and a half â„ž Of the said Apozeme Ê’iij Oyl of Amber distilled by descent Drops xx Make a Draught This she took hot the first time This she took after three hours again upon which several Motions of Child-bearing supervening she brought forth a round Mole about the bigness of a Childs Head which had the perfect Eyes of a Man This being thus luckily expell'd her Urine and Purgations followed and she was presently delivered from the imminent danger she was in ANNOTATIONS MOles are of different kinds some within others without the Birth some very dangerous and troublesome to the Woman others less hazardous some without any Form others resembling some Shape or other some having Life others without Life Sometimes they presage something of Good for though they do not hinder the Birth yet they are very prejudicial both to the Birth and the Mother Which our Patient confirmed by her own Example who had certainly dy'd had not the Mole expell'd by Medicaments made way for her Urine and Purgations OBSERVATION XVII A Dysentery GErard Vossius our Neighbour had been troubled with a Dysentery for some days he was miserably tormented with cruel Pains in the Guts and many times he voided Excrements that were all bloody and mix'd with a tenacious Slime he slept not at all his Stomac was gone he was very thirsty and he had a Fever which though not vehement yet was continual Though the young an were not above thirty years of Age and very strong yet he was brought so low by these Mischiefs that in a few days he was reduced to an extream Imbecility The sixth of February I gave him the following Purge which brought away much Choleric Matter â„ž The best Rhubarb somewhat burnt Ê’ij Mirobans Indian Citrine an Ê’j Leaves of Senna cleansed Ê’iij Aniâ—…eseed Ê’j White Poppy Ê’ij Plantain Water q. s. Let them boil for half an hour Add to the Straining Elect. Diaphanicon Ê’j s. Mix them for a Draught In the Evening after his Purging I gave him this Bolus â„ž Terra Sigillata Nicholas's rest an ℈ j. Mithridate Damoc. ℈ ij Mix them for a Bolus The next day the following Apozeme was prepared of which he took three times a day and once at mid-night â„ž Barley cleansed â„¥ j. Roots of Snake-weed Tormentil Pomegranate Rinds an â„¥ s. Leaves of Oak Plantane Sanicle Pimpernel Great Sanicle Snake-weed an one Handful Seed of small Roses Ê’vj Heads of white Poppies noiij Raisins with the Stones â„¥ v. Common Water 〈◊〉 iiij Boil them to the Consumption of the half for an Apozeme In the Hours intervening he took often in a day a small quantity of this Electuary â„ž Nutmegs Trochischs of Terra Sigillata an Ê’s Harts-horn burnt red Coral prepar'd Lapis Hematitis Mastich an ℈ j. To these being pulverized add Conserve of Red Roses â„¥ j. s. Miv. ciâ—…on Rob. Acaciae an Ê’iij Nicholas's Rest Ê’j s. Syrrup of sower Pomegranates q. s. Mix them for a Conditement I ordered him to bear with his Thirst as much as he could which he the more ready yielded to in regard that after drinking especially of Ale he found himself most cruelly griped and therefore instead of Ale I prescribed him this Amygdalate for his usual Drink â„ž Barly cleansed â„¥ j. s. Seed of the smallest Roses â„¥ j. Of white 〈◊〉 Plantain and Lettice an â„¥ s. Common Water 〈◊〉 iij. boil them to the Consumption of the Half â„ž The Straining aforesaid sweet Almonds blanâ—…h'd â„¥ v. white Poppy Seed Ê’iij The four greater Colt-seeds Ê’j s. Make an Amygdalate according to Art to which add Syrup of Poppies â„¥ j. Of Red Roses Ê’j s. The ninth of February I gave him ℈ iiij of Rhubarb a little burnt and powdered in a little Ale the tenth and thirteenth I repeated the Apozeme and the twelfth the Conditement And thus by the use of these Medicines the Flux ceasing the Patient regain'd his Health by degrees and by the help of convenient
the Head hence this Melancholy is not particular to any Part but Sympathetic and therefore from the Name of the Place where the Nourishment of the Distemper lyes is called Hypochondriac V. This Melancholly Delirium is hard to be cured and not void of danger 1. Because the Causes of it are mischievous and remote in regard they occasion the Generation and Accumulation of that feculent Melancholly Matter in the Hypochondriums 2. Because that feculent Matter is obstinate and not easily tam'd by Medicaments and infects the Animal Spirits with a peculiar evil Temper 3. Because the Cure requiring a longer time the question is whether the Patient will take so much Physic or no. 4. Because the continued ascent of the Melancholly humor to the Brain the Distemper instead of being Sympathetic may turn to be the peculiar Passion of that Part. 5. Because those Melancholly Humors are troublesom to the Membranes of the Brain and Nerves through their occult and manifest Qualities their acrimony and sourness c. whence the fear is least their copious afflux to the Brain should cause Convulsions Epilepses c. 6. Because this Delirium is not accompanied with Laughter but with a sad and serious Musing Yet while there is strength and a willingness to take Physic there is some hopes of Cure VI. In the Method of Cure the containing Cause is first to be discussed and the ill temper of the Animal Spirit to be removed as also that the Antecedent Cause or Melancholly Humor in the Hypocondriums be atteuated digested and evacuated and a new Generation and Accumulation of it prevented that Obstructions be removed and that the Brain Spleen and other Bowels be corroborated VII Milder Medicaments not very hot will be most convenient least the Matter being agitated by stronger and very hot Medicines be carried in too great a quantity to the Heart and Brain VIII First loosen the Belly with this Glyster â„ž Emollient Decoction â„¥ x. choice Hiera Pâ—…cra Diacatholicon an â„¥ j. s. Oyl of Camomile â„¥ j. s. Salt Ê’ j. mix them for a Glyster The next day but one or the third day give him this Purge â„ž Leaves of Senna â„¥ s. white Agaric Anise-seed an Ê’ j. Ginger ℈ j. Decoction of Barly q. s. make an Infusion then add to the straining Confect Hamech Ê’ ij Hiera Picra Ê’ j. For a Potion IX Now because People thus affected have their Veins swelled with a Palpitation of the Heart sometimes and that their strength is in good Condition after Purging Blood-letting will not be amiss in the Arm or if the Hemorhoid Veins appear Leeches may be properly applied X. This done let the Patient drink three or four times a day a draught of this Apozem â„ž Root of Polipody of the Oak â„¥ j. Eringos Cammoch Rind of the Roots of Capers Tamarisch an â„¥ s. Herbs Borage Roman-Wormwood Strawberry-leaves all the Dandelions Ceterach Germander water Trefoile an M. j. March Violet leaves and Baum an M. s. Citron and Orange-Peels an â„¥ s. Damask Prunes vij Currants â„¥ ij Steel ty'd in a little knot â„¥ j. anise-Anise-seed Ê’ iij. common Water q. s. Make an Apozem of lb j. s. XI After he has used this Apozem four days let him take the Puâ—…ge aforesaid again and then return to his Apozem and so continue this method for some time and if he be bound while he takes his Glister let him be loosened with the foregoing Glister now and then the Apozem may be made Purging by adding â„ž Leaves of Senna â„¥ ij Root of black-Hellebore Ê’ ij Indian Mirobalans Ê’ vj. Anise-seed â„¥ s. and let him drink â„¥ iiij every Morning If he find himself nauseous and inclining to Vomit this Vomitory may be given him â„ž Conserve of Leaves of Asarabacca Ê’ x. Decoction of Radishes â„¥ iij. Oxymel Scyllitic with Agric â„¥ s. Vomitious Wine Ê’ iij. XII In the mean time that he takes these things let him also for the strengthening of his Head and Bowels take of these Tablets several times in the Day â„ž Specier Diambrae Ê’j Dianthos Aromatic Rosatum an ℈ j. Powder of the Yellow of Citron-rina ℈ j. s. Sugar dissolved in Betony-water â„¥ ij For Tablets Or let him sometimes take a small quantity of this Conditement â„ž Specier Diambrae Ê’ j. Conserve of Borage Baum Rosemary-flowers pale Roses an Ê’ iij. Syrup of Citron rind q. s. XIII Let him keep in a good and pleasant Air and avoid Loanliness converse with merry Company and be merry himself Let him abstain from all Meats of hard Digestion and ill Nourishment especially salted and smoaked food Let him avoid bottled and windy Drink and let his Salads and Sauces be such as attenuate and open and promote Concoction but not very hot HISTORY V. Of Madness A Young Gentlewoman about twenty eight Years of Age lusty perspicacious melancholy musing and thoughtful but using an ill Diet and sometimes liable to obstructions in her Hypochondriums finding her self to be slighted by her Parents a long time concealed her greif and publickly shewed her self chearful but spent the Nights without sleep in Morosness Tears and Sighs At length she was taken with a pain in her Head accompany'd with a slight Fever disorderly but continual within a few days her pain leaving her she appeared to be light Headed for she that was before reserved of her Speech grew to be very talkative of a suddain so that at length she began to talk not only all day but all night long However for the first two or three days though she talked much yet what she said was all sence and rational enough but after that she fell to raving and non-sence then her Fever ceased but still she never slept this Delirium within a few days increased to that degree that she grew sullen angry run about the Chamber made a noise and grew so out-ragious that she laid violent hands upon all that came near her talked obscenely and tore her Cloaths so that she was forced to be held down in her Bed nevertheless she was strong had her Evacuations duly and an indifferent good Stomach nor was she very thirsty neither was she much sensible of the bitter Cold Frosty Winter-Season though she had hardly any Cloaths upon her but was always warm I. THAT the Brain of this Woman was terribly affected appears by her continued Madness accompanied with want of sleep boldness immodesty and anger and that her Heart and the rest of her Body suffered was plain from her extraordinary heat II. This Delirium is called Madness and is a continued Commotion of the Mind with an enraged Boldness arising from the heat of the Spirits III. The chiefest of all the evident Causes was her grief to be so slighted by her Parents which though she dissemblingly suppressed at first nevertheless in a young Person Melancholy of her self and by reason of her disorderly Diet abounding with Choleric and Melancholy humors and so liable to Diseases it might easily produce a raging Delirium For
Molestation of the Animal Actions with a cold Rhuminess of the whole Body in which Distemper the Patient keeps that Posture of Body wherein they were when first taken III. The Brain of this Woman was affected not the whole but in that Part where the common Sense lies and that by a vitious Humor or Vapor translated thither from the Womb. IV. The Antecedent Cause is a vitious and viscous Humor or thick Vapor generated or collected in the Womb and thence conveighed to the Head through blind Channels which adhering to the common Sensory and Parts adjoyning and involving them of a sudden hinders the determination of the Spirits from the common Sensory and so constitutes the containing Cause of this Catalepsis V. Now because the whole Brain is not affected but that sufficient Spirits are generated therein whose Influx into the Nerves is not hindred by any Compression or Obstruction of the beginning of the Nerves hence it comes to pass that those Spirits flowing into the Parts designed when the common Sensory is already possessed of a sudden by that vitious Humor or thick Vapor are not determined to other Parts but copiously flow to those Parts to which they were determined just before the Catalepsis Which is the reason that the several Parts remain in that Posture wherein they were before the Fit and that the Eyes Arms and Thighs remain as it were fixed VI. Now the reason why the Patient stands being set upon her Legs and why her Members being moved this way or that remain in the same Situation is this because the Situation of the Muscles being changed the Influx of the Spirits is also changed and the Pores before open through which the Spirits flowed are shut but others which were shut before are opened so that the Spirits which copiously flowed before into these the Situation being altered flows into those Muscles into which they still also flow till the Situation be altered VII Respiration is performed after the same manner as in those that sleep and remains unhurt partly because of the remarkable largeness and broadness of the Pores and the mainly necessary use of the Respiratory Nerves partly because of the Customary and continual Determination to the Respiratory Nerves VIII The Fit ceases upon the discussing or dissipation of that Humor or Vapor which possesses the common Sensory And the Fit returns when any Vapor or Humor of the same Nature suddenly takes possession again of the same common Sensory IX This Distemper is very dangerous because the most noble Part is affected and because those vitious Humors or Vapors are not easily dispiers'd But in this Patient there was great hopes of Cure in regard the Malady was not generated in the Brain but arose from another Place Besides that the Fits being short we thence judge the common Sensory to be seized not so much by a tough and viscous Humor as by a thick Vapor which is more easily attenuated and dispelled However in regard this thick Vapor may condense into a tough Humor to the hazard of a more durable Catalepsis and loss of Life it self therefore the Cure is not to be delay'd X. The Method of Curing is 1. To discuss that thick Humor or Vapor possessing the common Sensory 2. To purge the Womb and remove the Obstructions of it and prevent a new Generation of that depraved Humor 3. To prevent the assent of that Humor or Vapor to the Head 4. To strengthen the Head that it may no more admit of those Humors or Vapors but may be able forthwith to dissipaâ—… and expel them XI In the Fit let this Sternutory be blown up into the Nostrils that the Expulsive Faculty being provoked the Vapor or Humor may thereby be violently removed â„ž Root of white Hellebore ℈ j. s. Pellitory Leaves of Marjoram Flowers af Lilly of the Valley an ℈ s. Black Pepper Corns n o vii Castoreum gr iiij Then anoint the Nostrils Temples and Top of the Head with this Liniment and put a little Cotton dipped in it into the Ears â„ž Oil of Thyme Rosemary Sage Caroways Castoreum Amber an ℈ s. Martiate Oyntment Ê’j Then let this little Bag be hung about the Neck â„ž Castor Assa Fetida Camphor an ℈ j. s. Sow them into a thin silk Bag. And in the mean time omit not the giving of a strong Glister XII If after all this the Fit remain apply Cupping glasses with and without Scarrification to the Necks Scapulas and Shoulders with dolorific Ligatures and painful Frictions of the Thighs and Feet Then leÌ„t this little Bag boil a little while in Wine and then squeez'd be laid warm upon the top of the Head â„ž Flowers of Rosemary Marjoram Thyme Calamint Flowers of Camomil and Stoechas an M. s. Seeds of Cummin Caroways Lovage an Ê’j s. Lawrel-berry Nutmegs an Ê’j For a little Bag. XIII The Fit being gone off give this purging Draught â„ž Leaves of Senna â„¥ s. White Agaric Ê’j Seed of Lovage ℈ ij Decoction of Barley q. s. infuse them and add to the Straining Elect. Hiera Picra Ê’ij XIV The Body being thus purged open a Vein in the Ancle and take away six or eight ounces of Blood XV. Then let the Patient drink three or four times a day a Draught of this Apozem â„ž Roots of Fennel Valerian Dittany Aromatic Reed Male Pyony an â„¥ s. Herbs Marjoram Nipp Calamint Rue Peniroyal Water Trefoil Baum an M. j. Flowers of Camomil Melilot Stoechas an M. s. Seeds of Lovage and wild Carrots an Ê’ij Iuniper Berries Ê’vj Water q. s. For an Apozem of lbj. s. XVI These Medicaments are to be often repeated as occasion requires And as for the regular Course of living let the Air be temperate and pure perfumed sometimes with Rosemary Baum Thyme Rue Lovage Castor and the like The Diet of good Juice and easie Digestion as such as corroborates the Brain and Womb. The Drink small and without Setling Sleep and Exercise moderate and let all the Patients Evacuations be regular and in due time either spontaneous or procured by Art HISTORY X. Of Giddiness A Woman of thirty years of age fat and lusty of a flegmatic Constitution having many times been troubled so soon as Winter was over with a heavy Pain in her Head and Noise in her Ears at length in the Spring time was taken with a Giddiness that often went and came first more mild then more vehement at what time she thought all things turned round so that sometimes she could hardly stand upright but fell down unable to rise till the Giddiness ceased which presently returned if she looked upon Wheels that ran round Flame or Smoak ascending upward upon any rapid Stream or from any Precipice Her Appetite and Digestion were good her Evacuations were regular and in Season and all the Bowels of the middle and lower Belly seemed to be in a good Condition I. CErtain it is that the Seat of this Affection was in the Brain in regard that Annoyance
Liniment â„ž Oyl of Lawrel Camomil Matiate Oyntment an â„¥ s. Oyl of Nutmegs pressed Ê’ j. s. XVIII If these things avail not in three or four the most swelled places of the Head make a small Perforation in the Skin with a little Lance no wider then is usual in Blood-letting that the Serum may distill by degrees through those little holes which is to be dried up with warm Rags till it ceases to flow then lay the afore mentioned Quilt XIX These Children must have drier Diet then ordinary as Biscuit masticated Little bits of White-bread moistened in the Decoction of Raisins or Hen-broath and sweetened with a little Cinnamon or Sugar Let him have thin Broths made with Wheat-flowre and Decoction of Raisins to which add a little Wine Let him often drink Almond-Milk with a little cinnamon-Cinnamon-water Let him abstain from Sowre Milk Whey Ale Fruit unless now and then a Baked Apple or Pear Let him sleep moderately and keep his Body soluble and regular in his Evacuations THE CURES OF THE Chief Diseases Of the whole CHEST WITH TEN CASES OF THE PATIENTS HISTORY I. Of the Pleurisie A Young Gentleman of twenty four Years of Age having over-heated himself in the Tennis-Court and being very dry drank a large Draught of cold Ale Upon this he felt a Pain in the left side of his Chest which within half an hour grew so acute that through the trouble and the intolerable Pain he could hardly breath At the same time he had a strong Fever and a dry Cough which very much exasperated the Pain But neither his Faintness nor his Thirst was very great I. VArious Parts were affected in this Patient the Pleura Membrane the Muscles of the Misopleuron and the Heart and consequently the whole Body II. The Diseases called the Pleurisie which is an Inflammation of the Pleura Membrane and the Muscles of the Mesopleuron accompanied with a Pricking Pain in the Side difficulty of Breathing and a continued Fever III. That it is a Disease appears by the pricking Pain difficulty of Breathing and the continued Fever that it is no Inflammation of the Lungs the pricking Pain declares which never is felt in that Distemper That it is no Tumor Inflammation or other Pain in the Spleen appears from the sharpness of the Pain above the Diaphragma toward the Arm-pits and the difficulty of Breathing IV. The anteceding Cause was the great quantity of Blood in the Body The Original Causes vehement Exercises and pouring down cold Ale just after it The containing Cause is the over-large quantity of Blood contained in the Pleura Membrane and the Mesopleuron Muscles inflamed and corrupted V. The whole Body was over-heated by Exercise whence a strong and swift Pulâ—…e of the Heart which attenuating the Blood forced it in great quantity to all the Parts which so long as it had a free return through the Veins never occasioned any trouble But being thickened by the cold Ale in the Veins of the Left side of the Pleura and the Veins themselves thereby contracted it came to pass that more past through the Arteries then could circulate through the Veins which caused that accumulation of Blood that bred that Tumor in the Pleura and because the Blood that flows from the Heart has its own heat thence with the increase of the Blood the heat encreased and thence the Inflammation which caused the Putrefaction Part of which putrifying Blood being carried through the Intercostal Veins to the hollow Vein and so to the Heart caused the continued Fever which however is only Symtomatical as only arising from the Putrifaction of the Inflamed Part poured fourth into the larger Vessels VI. Now in regard the Ribs must be dilated in Respiration but by reason of the Tumid Inflammation of the distention of the Pleura Membrane and Mesopleuron Muscles they can hardly be dilated thence difficulty of Breathing which is the more troublesome because the Pleura being ended with a most acute Sense can endure no farther distention So that the Patient to avoid the Pain breaths slowly which not being enough to cool the Lungs causes a Drought of the Chaps and Mouth VII Sharp Vapors exhaling from the inflamed Part infest the neighbouring Lungs and by their vellicating the Aspera Arteria cause a dry Cough VIII This Disease is dangerous in regard the Heart is affected and Respiration is impeded besides the fear of an Imposthume in the Breast IX In the prosecution of the Cure Blood-letting is first to be done in both Arms and the Patient must bleed freely And if the first bleeding do not relieve the Patient it is to be again repeated within an hour or two after a third time if need require with regard to the strength of the Patient though a small debilitation is not to be feared X. In the mean time his Belly must be mov'd with a Glister â„ž Emollient Decoction â„¥ x. Elect. Diacatholicon Diaprunum Solutive an â„¥ j. Salt Ê’ j. Or else infuse two drams of Rubarb in Barley-water and give him to drink the streining with one ounce of Syrup of Succory with Rubarb or Solutive Rosatum Stronger Purges must be avoided XI He may also three or four times aday drink a draught of this Apozem â„ž Cleansed Barley Roots of Asparagus Grass an â„¥ j. Licorâ—…ce sliced â„¥ s. Venus-hair Borage Lettice Endive Violet-leaves an M. j. Flowers of Wild-Poppy Violets an P. ij Four great Colder Seeds an Ê’ j. s. Blew Currans â„¥ j. Water q. s. Make an Apozem of lb j. s. with which mix Syrup of Poppy Rheas and Violets an â„¥ j. To allay the Cough let him take this Looch â„ž Syrup of Wild-Poppy of Venus-hair of Violets an â„¥ j. Mix them for a Looch To allay the Pain and to attenuate discuss and Concoct the Blood collected in the affected Part Foment the Region of the affected Part with this Fomentation â„ž Mallows Althea Colewort Chervile Beats Violet-leaves Flowers of Camomil Elder and Dill an M. j. Water q. s. Make a Decoction to 〈◊〉 i j. For a Fomentation Of the same may be composed a Cataplasm by adding Meal of lin-Lin-seed and Barley Oyl of Almonds and new Butter XIV Let him keep a Temperate Diet and of easie digestion Cream of Ptisan Chicken-broths prepared with Endive and Lettice or else let him take some such Amygdalate â„ž Sweet Almons blanched â„¥ ij Four great Colder Seeds White Poppy Seed an Ê’j s. Decoction of Barley q. s. Make an Emulsion of lb j. with Sugar q. s. to sweeten it gently His ordinary Drink must be Ptsan or small Ale but not Sowre or such a Julep â„ž Decoction of Barley lb j. Syrup of Wild Poppy and Violets an â„¥ j. Mixt them for a Iulep Let him sleep long if possible and use no Exercise HISTORY II. Of an Empyema A Person about forty Years of Age being seized with a terrible Pleurisie in his left side and not having any Remedies applied to him before the third day found little ease so that
backward toward the Ligature but are almost quite empty beyond the Ligature Have they not the same Right and Power as the lymphatic Vessels Wherefore also when there is no Ligature cannot the Lympha be forc'd by the Finger from the chyliferous Bagg toward the Liver and Glandules of the Groyns and Armpits tho' it may be easily forâ—…'d toward the Vasa Chyliferae Why do the Valves obstruct this more than that Motion of the Lympha Certainly all these things plainly teach us that the Lympha does not move from but to the chyliferous Bag and the Vasa Chylifera In the Liver or a little below the Liver the thing is so plainly manifest by the forementioned Ligature that it is beyond the Contradiction of any Man that has Eyes whenas there is no Chylus strain'd through the Liver nor any Chylus that comes thither whatever Regius Bils and other Asserters of antiquated Learning and erroneous Demonstrations so vigorously maintain to the Contrary as shall be more largely prov'd l. 7. c. 2. Now then if this happen thus in the Liver why shall the same thing seem such a wonder in the forementioned Glandules in which the same thing is evident by Ligature Why must the Glandules of the Groyns and Armpits make milkie Juice and not rather extract it out of the Vasa Sanguifera themselves in like manner as we see that in the Ventricles of the Brain the small Glandules adhering to the Choroïdal Plexure so far as which no milkie or chylous Liquor penetrates extract a serous and lymphatic Liquor out of the Vessels to which they adjoyn and discharge it into the Cavities of the Ventricles However if any Follower or Admirer of Lemis de Bils either will be pleased or can at any time demonstrate this thing otherwise to us so as to convince us by seeing it with our Eyes we shall rest satisfy'd in the mean time we are bound to believe what we have hitherto seen and now asserted XX. Reason also gainsay's the foresaid Opinion For that the milkie Iuice of the chyliferous Receptacle cannot immediately upon its slipping out of the Receptacle toward the Glandules supposing 'em to be the Glandules of the Groyns changed into this pellucid and clear Lympha and lose all its milkie Colour in a Moment But this they say is done because it is strain'd through the Glandules lying in the Mid-way But there are no Glandules where the Insertion of the lower lymphatic Vessels into the Receptacle of the Chylus shews it self There are two indeed a little lower but the various lymphatic Vessels pass by 'em at such a Distance that they do not so much as touch 'em so that the Lympha contained in them cannot attain its transparent Thinness from such a Straining Others more studious of Novelty than Truth that they may by some means or other underprop this new Opinion assert with Regius that the milkie Juice being infused with Violence into the Receptacle of the Chyle becomes Frothy and White but by Cessaâ—…ion the Froth ceasing becomes watery and flows to the Glandules so coloured like Water Like brown Ale which being poured forcibly into the Glass foams at the top with a white Froth but let it stand a little and the Froth turns again to watery Liquor But how lame this Simile is is every way apparent For certainly there is not so much Violence in the Motion of the Chylus which should occasion the chylous Juice to become white and frothy for that natural Motion proceeds softly and gently of which no more violent Motion can ever be felt by a Man not discern'd by the Eye in Dissections of living Creatures So that if it presently loses its white Colour which they call Spumosity descending from the chyliferous Bagg by a short way to the Loins and Glandules of the Groins why does it retain it in a Channel four times as long ascending to the subclavial Veins Whence has it that whiteness in the Intestines and milkie Mesaraics before it is infused into the chyliferous Bagg with that feign'd Violence Wherefore standing quiet in the milkie Vessels or taken out in a Spoon by that Sedateness does it not lose its Colour but still preserve its whiteness XXI And thus whether we consider the Autopsia viz. Ocular Convincement or Reason the Lymphatic Vessels do not seem to have any other Original than from the cluster'd Glandules and the Parts by us already mention'd And further also it manifestly appears that the Lympha is a Liquor very much distinct from the Chylus XXII After the description of these Chanels or Vessels let us examine in few words what sort of Liquor the Lympha contain'd in 'em is For the Opinions of Learned Men are very various in this Matter and every one advances his own as truest or at least most probable XXIII Bartholine de vas Lymp Brut. c. 6. writes that the Lympha is a simple Water being the remainder of the Nourishment as it is Elementary This Martin Bocdan who Apol. 2. Memb. 11. Artic. 3. agrees with his Praeceptor asserts in Man to be diffus'd between the â—…at Membrane and the Muscles but in other Creatures is contain'd under the Skin and because it does not all transpire through the Skin therefore that these Vessels were made for its Evacuation But both the one and the other describe a very mean rise substance and use of this Lympha when such a simple Water could never be sufficiently expell'd through the Pores only by the heat of the Parts nor would there be such a necessity for it to be carried inward through the Pores of the Body If you say that this is requisite for the moist'ning of the Parts certainly that Office is sufficiently perform'd by the moisture of the Meat and Drink assum'd Besides a meer Water never settles into a Gelly as this Lympha will do if it stand a while in a Spoon XXIV Glisson Anat. Hep. believes the Lympha to be a Liquor consisting of the Vapors of the Blood gather'd together like Dew forc'd into these Vessels and flowing back with the Vehicle of the Nourishment brought through the Nerves But this Opinion is confuted by these Reasons 1. Because such Vapors may easily thicken into Dew or Water but never like the Lympha into a Gelly 2. For that the Supposition of the Nutritive Juice being carried through the Nerves is false and by us C. 16. of this Book and L. 3. c. 11. and L. 8. c. 1. sufficiently refuted 3. Because the Vapours of the Blood partly invisibly through the Pores and visibly by Sweat partly by the Expiration of the Lungs or else condens'd may be emptied with the Urine Stool Weeping c. so that if that be all there is nothing that compells 'em to enter those Vessels XXV Backius does not seem to differ much from Glisson who seems to deduce those Vapours of the Blood out of the Veins into these Vessels for he affirms the Lymphatic Vessels to be Veins arising
Words The Vas deferens says he is endu'd with a manifest Hollowness which that it may be discerned this Vessel is to be opened six or seven Fingers breadth above the Testicle then force the Breath blown in or the coloured Liquor syring'd into it toward the Testicle and you shall find the Vessel distended and discern the coloured Liquor through the middle of it run in a right Channel to the Stone Then you shall perceive the Cavity in the Vessel it self rowle from side to side and lastly to be bow'd by degrees with the Vessel in the same manner as Serpents and Eeles when they strive to creep with more than usual Swiftness and so with Windings not circular but Sideways runs on to the Bodies of the Testicles Thus its Hollowness appears toward the Stones now how it may be observed toward the seminary Vesicles he tells us a little after This says he if ye desire to know clearly and distinctly thrust only a little Pipe into the Vas deferens which being distended either by blowing into it or injection of some Liquor you shall observe those seminary Vesicles to be speedily distended before any thing breaks forth into the Urethra Hence appears their Error who affirm that the Vasa semen deferentia or Vessels that carry the Seed have no Communion with the seminary Vesicles as being absolutely different from 'em and that they evacuate themselves through two peculiar Holes into the Urethra distinct from those through which the seminal Matter breaks forth from the Vessels LXI John Swammerdam sharply reproves this last Experiment of Regner de Graef and asserts for a certain that the Vesiculae Seminariae or seminary Vesicles have no Communion with the Vasa deferentia nor receive any Moisture from 'em and for the more solid Proof of this he tells us of a seminal Vesicle that he has at home inserted in three distinct Places in the Vasa deferentia This Argument Regner de Graef derides and in Opposition bids him shew more than ten seminal Vesicles wherein he can demonstrate that the seminal Vesicles do not terminate in the Vasa deferentia but the Vasa deferentia in them Iohn Van Horn sway'd by the Opinion of Swammerdam writes that the Seed breaks forth through peculiar Holes out of the Vasa deferentia but through other Holes out of the Vesicles into the Urethra But Swammerdam rejects this Opinion of Horn saying that it is only true in Bulls and not in Men in whom the Vesicles have an Exit into the Vasa deferentia in three distinct Places but no other Communication with ' em But I am of Opinion that that same threefold Egress of the Vesicles into the Vasa deferentia assign'd 'em by Swammerdam is rather the Entrance of the said Vasa deferentia into the Vesicles through which the Seed flows out of the one into the other For in the Dissections of human Bodies we manifestly find that the seminary Vesicles being squeez'd by the Finger the Seed does not break forth out of them into the Vasa deferentia through those three distinct Openings but in the same place into the Urethra Which is a certain Demonstration that the Seed flows forth through those three Orifices into the Vesicles but does not flow out of 'em again the same way Lastly After he has said all Swammerdam concludes that there is a fourfold Matter out of which the Seed is made One out of the Testicles a Second from the Ends of the Vasa deferentia a Third out of the seminary Vesicles a Fourth proceeding from the Parastates But in regard that Entities are not to be multiplied without Necessity I know not why so many Matters of one Seed and so many Parts should be alledg'd for the Preparation of those several Matters No Man I suppose will deny but that the Seed is compounded of Arterial Blood and Animal Spirits and seeing that Spermatic Arteries together with small Nerves are carried into the Testicles and that there is no Progress of either to the Vasa deferentia the Vesicles or Parastates any where to be separately discern'd it seems more likely that there is but one seminal Matter that is to say Arterial Blood conjoyn'd with animal Spirits which is altered and concocted into true Seed in that wonderful Contexture of the Vessels of which the Stones consist and which flowing from them through the Parastates and Vasa deferentia in those Windings and Turnings gains something to its greater Perfection by which means it may be preserv'd in the seminary Vessels untainted till the time of necessary Evacuation And hence it is that the Experiment of Regner de Graef seems more consonant to Reason by which the Communication of the Vasa deferentia with the Vesicles is confirm'd than that of Horn and Swammerdam by which it is opposed For as they produce the Testimony of Ocular View so does he but where Ocular View is deficient there Reason is to be call'd to our Assistance and she is to determine concerning the Truth of the Matter And this Example may help us for as Spirit of Wine being so thin and subtil that ascending the Alembic it becomes Invisible and cannot be embody'd till descending from thence through the Serpentine Brass Tube set in cold Water it attains such a Perfection of Condensation that it flows down into the Receptacle to be preserv'd for Use. In like manner the several Windings and Meanders of the Vasa deferentia serve to concoct and thicken the Seed afore it fall into the seminary Vessels Moreover as Nature in our Bodies appoints one Part to make the Chylus which Chylus flowing through the long Meanders of the Intestines acquires therein a great Purity and Separation from feculent Matter tho' the Intestines themselves conduce nothing to the making of the Chylus it self So is it in all the spermatic vessels which singly make no particular Matter conducing to the Composition of the Seed but only the Stones alter the first Matter into Seed which in its Passage through the other Parts gains some greater Perfection and apter Disposition to be preserv'd without Corruption for Use. Lastly That some new Humour or Juice as Chylus Blood Choler c. may be made it is not brought to pass by a bare Confusion of various Matters but by a specific Fermentation of the Humours in some specific Part or Bowel without which no other new Juice or Humour can be made of no Humours as is apparent when those Bowels are become weak and enfeebled by any unsound Constitution for then they are not able to prepare those new Juices But now if the most noble Seed which contains in it self a Compendium of entire Man should be composed out of those four Matters flowing and mixing together in the Ureter from several Parts as Swammerdam believes then a new seminal Liquor would be made out of those four Matters simply mix'd and confus'd without any other peculiar Concoction of those four Matters so confused appointed and precedent in any other
made of a certain Iuice that falls from the Brain and Marrow of the Back-bone Thus writes Hippocrates l. de Gen. that the Seed is diffus'd out of the Brain into the Loyns and Marrow of the Back-bone Thus also writes Plato in Timaeus That the Seed is a Deflux of the Marrow of the Back-bone and Alâ—…maeon that it is a Portion of the Brain VI. The more Modern Authors who could find no such large Conveyances from the Brain and Spinal Marrow to the Stones rejected the foresaid Opinion altogether and asserted the Blood to be generated out of the Blood flowing through the Spermatical Vessels to the Stones Which Opinion as most true and indubitable for many Ages has been receiv'd and taught by all the Philosophers VII But of late Glisson Wharton and Charleton English Physicians have oppos'd this receiv'd Opinion who write that the Matter of the Seed is a more crude and chylous Humour carried from the Mesentery to the Brain and thence to the Stones through the Nerves of which they say there are a vast number inserted into the Testicles and Epididymis which is contrary however to all Experience when our own Eyes tell us thaâ—… only very few and those very small and scarce visible Nerves reach to those Parts VIII Clement Niloe produces another Opinion affirming the Seed to be generated out of the Lymphatic Liquor But in regard the Lympha never flows to the Stones out of any other Parts but while the Seed is making is separated out of that Seminal Matter and out of the Testicles themselves through the Lymphatic Vessels that take their rise within the Testicles ascends to the Abdomen and so to the Vasa Sanguifera it is apparent that the Seed is not made out of the Lympha but that the Lympha is only occasion'd by the making of the Seed as it is also an Effect of the making of bilious Ferment Cap. 13 14. Moreover if the Lympha should be carried to the Testicles as it is not and in them should be mix'd with the Matter that is to be chang'd into Seed then it would not hold proportion with the Matter so to be chang'd into Seed but only with the Ferment preparing the Matter that it may be conveninently turn'd into Seed So that Niloe does not seem to have observ'd the Motion of the Stones upward nor to have understood the use of it Cap. 13. 17. IX Hieronymus Barbatus of Padua seems not to recede far from this Opinion who Lib. de Sang. Sero writes that the Seed is not generated out of the Seed but out of the Serum Which Opinion he endeavours to support with many but such insipid Reasons as are not worth Refutation But none of these either Modern or Ancient Opinions have hit the Mark. But he who considers more seriously the Prolific Liquor will certainly find that to the making of the Seed there concurs for Matter partly Blood flowing through the Spermatic Arteries partly Animal Spirits brought through the Nerves X. That the Blood constitutes the first Mass of the Seed is apparent from the large Spermatic Arteries carried to the Stones which carry more Blood than only serves for the Nourishment of the Stones The same is confirm'd by the Spermatic Veins carrying back to the Vena Cava the Blood that remains after the Nourishment of the Stones and making of the Seed The same is also taught by Experience when upon immoderate Copulation we shall find the Blood to be ejected instead of Seed not without some kind of Titillation as Aristotle himself acknowledges and the observation of several Physicians testifies by reason that the Blood flowing in great quantity through the Arteries has not sufficient time to stay in the Stones nor Animal Spirit pour'd out of the Nerves strong and plentiful enough that the Blood could be converted into Seed in so short a space Add to this that in the Stones themselves and other Spermatic Vessels weaken'd by immoderate Copulation and the overmuch dissipation of the Spirits the Seminific power becomes debilitated so far as not to be able so speedily to convert into Seed the Blood which is brought being destitute of sufficient Spirit from the Nerves Which weakness is apparent from hence that after immoderate Copulation the Seed first generated is crude and watery And this Experience Reason supports which teaches us that the Blood concurs in the Seed as the primary and greatest part of the Matter For that in our Bodies all things are enliven'd by the Vital Spirit flowing from the Heart and inherent in the Arterious Blood and that decaying nothing can be reviv'd for that if upon any occasion that Blood be stopp'd from flowing into the parts they presently dye away Hence of necessity that enlivening Spirit must be infus'd into the Seed as containing in it self an enlivening Power chiefly requisite in the Seed which Spirit since it cannot be conferr'd without the Subject to which it is inherent that is Arterious Blood hence it follows undoubtedly that the Blood concurs to constitute the Matter of the Seed XI Now that the Animal Spirits brought by the Nerves and thicken'd in the Stones into a thin Liquor and mix'd with the Blood of necessity concurs to the Matter of the Seed is apparent from hence that there is a great Correspondence between the Brains and the Testicles in regard the Brain the Nerves and all the nervous Parts are much weaken'd by immoderate Copulation and in regard that the waste of much Seed wasts also a great part of the Animal Spirits attended by lassitude and a manifest impairing of the Strength together with sadness and dejection of Mind there is thereby a disturbance in a Man's Countenance accompanied with a trembling of the Limbs all which things declare that the Animal Spirits are plentifully evacuated with the Seed Which Seed if it were only made of the Blood such Symptomes would never attend the Evacuation of a little Seed for that a whole Pint of Blood taken from a Man does not weaken him so much as the loss of an Ounce of Seed To this we may add the Consideration of the Spinal Consumption thus described by Hippocrates Lib. 2. de Morb. The Spinal Consumption says he arises from the Marrow of the Back-bone and chiefly seizes upon new married and libidinous Brides Concerning which if you ask the Patient he will tell you that he feels as it were Flies and Emmets creeping along from the upper parts as the Head c. down to the Back-bone And when he goes to Stool or makes Water he voids a great quantity of Liquid Genital Seed nor can he generate tho' he lyes with his Wife He is the Laughing-stock of Venus and suffers Nocturnal Pollutions as well as at other times but especially when he has travell'd a sleep place or run hard he draws his breath short he loses his strength his Head akes and his Ears sound By the Description of this Disease it
of it it is the same with the Urinary Membrane of all Placenta breeding Animals But it is not shap'd like the Alantois neither is there any Membrane of that Figure in a Woman From which words it is apparent that there is no such Alantois allow'd to women as in beasts But this also appears over and above that Needham rightly and truly asserted the inner thiâ—… Membrane next adhering to the Chorion to supply the place of the Alantois in women and that the Urine flow'd out of the bladder of the birth through the Urachus between that and the Chorion where it is reserved till the time of Delivery And this Invention of Gualter Needham's Nicolas Hoboken found out confirm'd and describ'd in most Secundines lib de Secund. Human. XVII Within the Amnion besides the Embryo is contained certain milkie Liquor in great Quantity very like to watery Milk somewhat oylie which Harvey calls the Colliquamentum or dissolv'd Matter in which the Embryo swims and which sticks to it when first born all over the Body and is usually washed off by the Midwife with warm Water or Wine and Butter XVIII But here I think it necessary to distinguish between that Liquor wherein the Embryo at its first Delineation swims and that wherein it swims afterward For the first is the seminal Residue of the Mans and Womans Seed and is well and truly call'd the dissolv'd Matter But the latter is that which when the former is consum'd and the Navel being now brought to the Uterine Liver flows through the Umbilical Vessels and is a Juice meerly milkie but watery not to be call'd by the Name of Colliquamentum Here by the way we may take notice of the Error of Fabricius and some others who thought that same unctuous Uncleanness sticking to the body of the Child new born to be an Excrement of the third Concoction made in the whole habit As also of that Mistake of Claudius de la Courvee who lib. de nutrit foet writes that it is nothing else than an Excrement falling from the Brain through the Mouth and Nostrils But it was nothing but the Ignorance of the Nature and Use of the milkie Liquor contained in the Amnion that produc'd these Errors XIX Concerning the Liquor in the Amnion there are two different Opinions of the Physicians While some think it to be the Urine others the Sweat of the Conception But neither of the two have hit the Mark. XX. That it is not Urine appears by this for that this Liquor is found in the Birth new form'd in great abundance whereas so small an Embryo never discharges any Urine Nay for that it is found in the Amnios before the birth is form'd whereas there can nothing of Urine flow from the Crystalline Bubble XXI That it is not sweat is hence apparent that before the Birth is form'd and perfected or else from the beginning of the Formation of the Birth it is impossible that Sweat so unctuous and thick and in so great abundance should flow from so small an Embryo which exceeds in quantity ten times or more the little Body of the Embryo Moreover if this Liquor were an Excrement whether Urine or Sweat or any thing else it would encrease as the Birth grows But ocular Inspection teaches us the contrary For in Sheep it so manifestly abates by degrees as the Birth enlarges that a little before the Lamb is yean'd there is hardly any remaining tho' it abounded at the beginning Lastly Sweat and Urine are acrimonious Excrements wherein if the tender Embryo covered with an extraordinary thin and soft Skin should swim for nine or ten Months together it would be much injured by that Acrimony As we find the Skin of new born Iâ—…fants to be many times very much corroded by the Sharpness of the Urine tho' their Skin be much harder and firmer than the Skin of the Birth in the Womb. XXII Riolanus Anthropog l. 6. c. 7. acknowledges this Liquor to be the Sweat of the Birth but c. 8. he says it is the Steam of the arterious Blood fuming from the Heart and so turn'd into that Water that surrounds the Birth Which if it were true that Liquor ought to be at the beginning whereas there is none or very little blood as yet neither can be any or very little but is more and more increased as the birth enlarges Whereas on the contrary it abounds very much at the beginning and from that time forward abates by degrees And how little is to be found in Sheep after yeaning has been said already XXIII Therefore this Liquor contain'd in the Amnios is no Excrement but an Alimentary Humour and nourishes with its Matter out of which at the Beginning is taken the Nourishment of all and singular the Parts of the Embryo And hence follows their Encrease For it is the next Nourishment wherewith the Birth is nourished at first For therein it is found to swim before the Uterine Liver manifestly appears from which at length being enlarged the Umbilical blood-bearing Vessels manifestly suck forth blood with which alone if the birth were to be nourished it would for some time at the beginning want all manner of Nourishment neither would there be any Alimentary Matter to supply the first Growth of the Parts But hence also it appears to be a nutritious Humour and to be taken in at the Mouth by the Birth for that in Colour Tast and Consistency it differs little or nothing from that Liquor which is found in the Stomach of the Birth XXIV In the first forming of the Birth this Liquor is nothing else but the Seed of the Woman like the white of an Egg inclosed in the Egg mix'd with the Residue of the Mans Seed being dissolv'd Afterwards when the umbilical Vessels are grown to their just length and entered the Uterine Liver then is the milkie Juice carried thither through the milkie Umbilical Vessels from the milk-bearing Cells of the Womb whose whitish Colour sweetish Tast and likeness of Substance little differ from the Chylous Liquor somewhat mix'd with the Lympha and which is found in the Pectoral Chylifer Channel and its Receptacle Whence it is altogether probable that it is the purer part of the Chylus somewhat watery by its Mixture with the Lympha carried from the Mother to the Hollowness of the Amnios through the Passages mentioned in the foregoing Chapter nay it is pleasing to the Tast like watery Milk for which we do not take so much the Judgment of our own Tast but Harvey's Proof from this that almost all brute Creatures that bring forth living Conceptions lick it up from their young ones newly brought forth and swallow it whereas they never touch the Excrements of the Birth Wharton writes that it is a Liquor poured forth from the Nerves within the Amnion perchance because that being deceived by the white Colour he took the milky Vessels to be Nerves Needham thinks that it
it enters the upper Jaw and affords a little Branch to every Tooth through which when sharp Humors descend they cause the Tooth-ach with the remaining Part ascending the Skull toward the bottom of it it is divided into two Branches of an unequal bigness One of these which is the lesser and the hindermost affords a little Branch to the inner Muscle of the Neck and having sent another through the Hole of the upper Verteber into the hard Meninx involving the Pith of the Spine ascending farther it enters the Cranium through the Hole in the Vagous Nerve and creeps through the hard Meninx and about the Hollow of the thick Meninx into which it seems to open it self with slender little Branches the end of it vanishes IV. The other which is bigger and almost equal to the Trunk tending upward through the bony Channel in the Wedg like-bone near the Fore-side of the auditory Passage is carried with a winding Course to the Mares Saddle At the bottom of which after it has sent a Branch on both sides into the side of the thick Meninx expands it self into several minute Tendons which inserted into the little Branches of the Cervical Artery form the Wonderful Net conspicuous in Calves Cows and Sheep but more obscure in Men unless upon the Dissection of a Body but newly deceased V. Nevertheless the said Branch does not terminate in those Tendrils but making way through the hard Meninx enters the thin Meninx with two remarkable Branches which intermix infinite little Strings with the little Branches of the Cervical Artery fastned to the Marrow and also without the Skull accompany the Spinal Pith to the Loyns This done it sends another lesser Branch through the second Hole of the Wedg-like-bone together with the Optic Nerve without side the Skull to the Eye Also it stretches out another Branch through a torn Hole not far from the Infundibilum which is â—…lit into two Stocks at the side of the Spittle Kernel the innermost of which being united with the inner Artery of the opposite side and shivered into diminutive Arteries is scattered all over a thin Membrane at the beginning of the Optic Nerves and partly with innumerable visible Tendrils passes through the Bulk of the Brain partly discharges the Spirituous Blood through the gaping Orifices into the Pores of the Substance of the Brain The other more outward more reflex and wrapt about with a thin Membrane and united to its own little Branches with the diminutive Arteries carried from the Cervical to that Seat is partly disseminated through the thin Meninx partly ascends upward to the foremost Ventricles of the Brain wherein it constitutes the Choroide Fold From the same larger Branch of the Carotis another Artery proceeds which after it has passed the Skull through the second Hole of the Temple is presently parted into two Stocks of which the Exterior runs through the eight Hole of the Wedg-like-bone into the larger Concavity winding a little Branch to the Extremity of the Nose The innermost which is bipartited at first sends a slender Branch to the thick Meninx CHAP. V. Of the Arteries proceeding from the descending Trunk of the Aorta before it comes to be divided THE descending Part of the Trunk of the Aorta which is larger at the upper Part adheres to the Gullet Hence some vainly believe that a Man overheated with violent Exercise or the Rays of the Sun perceives such a remarkable Refrigeration from a large drought of cold Water the Gullet being thereby cold and by that means the Blood being also cold that is contain'd in the Trunk of the great contiguous Artery and that some in the same cases sound away upon drinking cold Water too freely because as they say that which is contain'd in the adjoyning great Artery being too suddenly cool'd by the cold Water passing through the Gullet is somewhat thickned and the Motion of it thereby interrupted I. This descending Part of the Trunk before it passes the Diaphragma sends forth the lower Intercostals which are sent from the hinder Seat of it on both sides to eight or nine Intervals of the lower Ribs and communicate little Tendrils to the Muscles of the Back and Breast through the Holes in the Nerves II. Moreover about the Diaphragma from the Trunk comes forth the Phrenic from hence the Right from thence the Left which is carried to the Diaphragma the Mediastinum and sometimes to the Pericardium The Remainder of the Trunk of the Aorta penetrating the Diaphragma scatters Branches every way through the lower Parts of the Body Some before it is parted into the Iliac Arteries others after it is divided from them The Branches which proceed from it before division some accompany the Vena Porta others the Branches of the hollow Vein The Branches that accompany the Vena Porta are two the Coeliac and Mesenteric III. The Coeliac which some also call the Stomachic proceeds from the Body of the Aorta before at the first Verteber of the Loyns and descending under the Hollow of the Liver is divided above the Trunk of the Vena Porta into two Branches which adhere to the Sweet-bread under the hinder Seat of the Stomac IV. Of these that on the Right-hand and the more slender produces the Dexter Gastric which approaches the Pylorus and by Spigelius is called the Pylorie also the double Cystic's being very small dispeirsed through the Gall-bladder with several Branches But in the lower Part these three following have their Original and proceed V. 1. The Right-hand Epiplois to the Right-hand Seat of the lower Caul and the Colon annexed to it VI. 2. The Intestinal to the Duodenum and beginning of the Iejunum VII 3. The Right-hand Gastro-Epiplois to the bottom and middle of the Stomach VIII 4. Two small Hepatic Arteries concerning which there is some dispute For as Galen says they enter the Parenchyma of the Liver and so betake themselves for the greatest part into the Hollow of it Rolfinch affirms that he has observed them very numerous in the Convex Part. Glisson affirms that they do not enter the Parenchyma of the Liver but only insinuate themselves into the common Capsula and therewith are divided into the Capillary Vessels and communicate several Branches to the Gall-bladder and Bilary Pores The remaining Portion of this Right-hand Branch enters the Mesentery and waters it with many Sprigs IX The Left-hand Branch of the Coeliac which is called the Splenic larger than that on the Right-hand and somewhat swollen with a winding course proceeds above the Sweet-bread to the Spleen at the upper Part sends forth the Larger Gastric which afterwards bestows a little Branch upon the higher and middle Seat of the Ventricle and throws out two stocks of Arteries noted with particular Names to the Stomach X. 1. The Coronary Stomachic which girds the upper Orifice of the Ventricle like a Crown and affords several little Branches to
Tumors to ripen them as they concoct crude Humors and hasten Suppuration so being taken in Decoctions or eaten they drive out the Small Pox and cause a swift Maturation of them as daily Experience tells us Only when you use them this one thing is to be observed that neither they nor their Decoctions must be given to them whose Bellies are Laxative or over-loose or where a Loosness is feared for they may excite a pernicious Flux where the Patient is subject already to Loosness Frequently therefore Physitians will not prescribe the simple Decoction of Figs but a Composition for the same purpose somewhat of this nature â„ž French Barley cleansed â„¥ j. Licorice sliced Ê’ij Red Vetches â„¥ j. s. Turnep-seed Fennel-seed an Ê’ ij Figs no. xvij Water q. s. Make a Decoction according to Art to two Pints To this Decoction some add Carduus and Water Germander others Lentils and Raisins of the Sun parsley-Parsley-seed Culumbine-seed Turnep and others other Ingredients These two Decoctions are taken from Avicen and Rases much used and approved by succeeding Physitians â„ž Lacca washed Ê’ v. Lentils peel Ê’vj Gum Tragacanth Ê’ iij. Water q. s. make a Decoction to a Pint and half â„ž Figs Ê’ vij Lentils peel'd Ê’iij Lacca Ê’ij s. Tragacanth Fennel-seed an Ê’ ij Water lb s. Boil this to the remainder of the third Part. Such a Decoction also may be somewhat otherwise prescribed â„ž Raisins of the Sun stoned â„¥ ij dry Figs no. x. â—…entils peel'd â„¥ iiij Lacca Ê’ j. s. Fennel-seed Ê’iij parsley-Parsley-seed Ê’ j. s. Saffron ℈ j. VVater lb iij. Boil them to two Pints Garcias Lopez prescribes a Decoction of the same nature after this manner â„ž Dry Figs no. x. Iujubes without Kernels no. xv Lentils peel'd â„¥ ij Seeds of Fennel Dill Parsley Quinces an Ê’ij Lacca Tragacanth Roses Saunders an Ê’ ij VVater q. s. Boil them according to Art and to the strained Liquor add Saffron powdered Ê’ s. But Cardan Io. Baptist. Sylvaticus Amatus of Portugal Septalius and some others disallow Lentils and Tragacanth Sennertus approves those compounded Decoctions only upon the score of Experience because many Physitians have been successful in the use of them not that he gives any reason for it But I will give my reason which is this because they somewhat thicken the Boiling Blood and dispose it to a quicker Maturation of the Blood and therefore I think them fit to be made use of not only at the beginning of the Distemper to drive out the Pox but a little after the beginning to hasten their Expulsion and Maturation as we said but now concerning Figs. There are some who distill these Decoctions and give the distilled Water to the Patients But these are Fools in Chymistry not knowing that Lac Figs Lentils Tragacanth and such other primary viscous and sweet Ingredients do not pass through the Lembec in Distillation whence of a good and effectual Decoction they make a Water altogether ineffectual If the Heat be not very intense you may to very good purpose add to the Decoction of Figs the Roots of Elecampane which prosperously promote Expulsion Others add the Flowers of Marigolds Instead of these Decoctions when the strength of the Disease and great necessity does not urge them these pleasing Emulsions may be aptly prescrib'd for nice and curious Palates â„ž Sweet Almonds peel'd â„¥ j. of the four Cold seeds peel'd an Ê’j s. Seed of Navews Columbines Carduus Benedict an Ê’j Barley water q. s. make an Emusion to a pint to which add refin'd Sugar or for the richer sort Manus Christi very clear â„¥ s. or q. s. to render it gratefully sweet Mingle all together and make an Emulsion â„ž Seed of Carduus Benedictus peel'd of Columbines of Navews an Ê’ij Melons â„¥ iij. Fennel and Carduus VVaters an â„¥ iij. adding of Manus Christi q. s. for sweetness mingle all together for Infants and Children All the Germans make these Emulsions with the Distill'd Waters of Sorrel Borage Carduus and Scabious c. But we ascribe little strength to them and value more the Decoction of Barley which may in some manner promote Maturation If there be any who with more discretion think fit to use Sweet-meats they may be prescrib'd after this manner â„ž Root of Elecampane Condited Conserve of Borage and Violets an â„¥ j. Syrup of Elecampane q. s. mix them and make an Electuary â„ž The pulp of large Raisins of the Sun and Figs preserv'd Orange-peel Conserve of Roses an Ê’vj Syrup of Orangs q. s. mix them for an Electuary â„ž Pulvis Liberans Ê’j Harts-horn burnt Ê’ s. Citron rind condited Wallnuts preserv'd Conserve of Marigold slowers an Ê’vj Syrup of Wallnuts q. s. mix them for an Electuary The Chymists applaud their dissolutions Magistery's and Essences of Pearls Coral Harts-horn and the like rather to be magnified for their hard Names then the benefit of their Operation as by which great effects are promis'd to be done but very little perform'd and which seem rather to aim at the gain of the Seller's then the Recovery of the Patient To all the foresaid Medicines if there be any Intense heat of a Fever some cooling things may be added as if you should add to the Decoctions Borage Succory Lettice Violet leaves Endive Bugloss Roses the four Cold seeds c. or to the Electuaries Conserve of Violets Roses Water Lillies Powder of Diatragacanth or Cold Diamargarit Trochises of Spodium or Ivory calcin'd and the like Besides Internal Medicaments Bauderon prescribes for the quick driving out the Pox and provoking of Sweats Epithemes which are a sort of Decoctions Fomentations Emplasters Oyls to anoint the Pulses and the like to be outwardly applyed But these do all more harm then good and by means of the Ventilation of the Air rather hinder then promote the provocation of Sweat However in the use of all these things a common Error of many Physitians is here to be taken Notice of who intermix with their Medicaments Sorrel green Grapes Barberies Ribes Apples Juice and Syrup of Limons Tamarinds and such kind of sowr things and this as they say to mitigate the heat and stop the Ebullition Certainly these Gentlemen are altogether out of the way Let them if they please by means of Acids mitigate the heat in Inflamations burning and tertian Fevers and such like Vitious Fermentations of the Blood but not in this Distemper which is to be brought to a Crisis and Expulsion and ripening of the morbific matter by some excess of heat and Ebullition and so to throw off the Disease For Acids because they quell the heat and Sulphureous Ebullition which attends this Disease and hinder the necessary Concoction as also the Expulsion and Maturation of the morbific matter and are hurtful to the Breast are so prejudicial that hardly any thing can be prescrib'd more dangerous CHAP. XI Of the Cure of the Parts of the Body more Afflicted then others and first of the Internal AFter General Curation which regards
in the first place the Preservation and Life of the whole Body some few things are to be said concerning the special Cure of some parts which in this Disease are more Afflicted then others Because that the Morbific matter either is more especially troublesom to them or falls upon them with greater force and in greater abundance Now the Parts more then others Afflicted are either Internal or External The principal Internal Parts are the Lungs the Stomach the Guts the Liver and the Reins and that they are Affected and greivously Prejudic'd is discern'd by the bad Performance of their Functions But although when these Parts whether one or more be particularly afflicted the danger of the Patients is so great that very few so seiz'd recover from the Disease and escape nevertheless because all do not dye but some are sav'd it behoves the Physitian to Devise what Cure may be done in these desperate Cases and as much as may be to lessen the cause of the Disease and asswage the Symptoms that so he may either restore the Patient to Health or procure him a more easie Death In General the Decoctions of Lentils Lack and Tragacanth relieve all these Parts and Bowels so Afflicted For Lack preserves the Liver Spleen and Kidneys Lentils Corroborate the Intestines and Tragacanth defends the spiritual Parts Particularly sweet things are proper for the Lungs Labouring under Sickness as being those things which promote Maturation asswage Coughing and facilitate Spitting Such are Syrup of Colts-foot Licorice Jujubes Wild Poppies Violets Roses cold Diatragacanth Diapendium Powder and Juice of Licorice Conserves of Roses Borage Violets and the like of which as occasion requires sometimes Loches sometimes Trochischs sometimes Electuaries are made Or else Pectoral Decoctions of Barley cleans'd Colts-foot Althea Violet Leaves Figs Raisins Jujubes c. are sweeten'd by their mixture Treacle at the beginning powerfully asswages Vomiting of the Stomach and Pains of the Heart Afterwards some such kind of Emulsion is to be Administer'd â„ž Sweet Almonds cleans'd â„¥ j. four greater Cold seeds an Ê’j s. Lettice and Columbine seed an Ê’j s. White Poppy seed Ê’ij s. Barley water q. s. make an Emulsion for one pint To which add Syrup of Poppies Ê’ij Syrup of Borage â„¥ s. Mix them Outwardly a Fomentation may be applyed to the Region of the Stomach of a Decoction of Mallows Althea Mint Sage Thyme Marjoram Flowers of Roses Camomil and Melilot seeds of Anise and Cumin After Fomentation for the greater Corroboration of the Part anoint with this Liniments â„ž Oyl of Mint and Anise an â„¥ j. Expression of Nutmegs Ê’j s. Oyl of Spike and Bricks an Ê’j Mix them for a Liniment After Unction let this little Bag be lay'd on sprinkled with hot Wine or else boyl'd a little in Wine and gently squeez'd â„ž Ledves of Majoram Rosemary Sage Flowers of Melilot and Roses an half â—… handful Seeds of Dill Lovage Cumin Nutmegs an Ê’j Clove Gilliflowers ℈ ij make a gross Powder and sow it in a little Linnen bag according to Art Treacle Mithridate Diascordium Hart's-horn burnt Crabes Eyes Powdred Terra Sigellata or sealed Earth red Coral conserve of red Roses or else the first Decoction of Avicen in the foregoing Chapter asswage the Gripings of the Guts and stop the Flux of the Belly Or else some such kind of Almond Composition â„ž White Poppy seed Ê’iij Sweet Almonds cleansed â„¥ ij Decoction of Barley q. s. make an Emulsion to a Pint to which add Syrup of Poppies and dry Roses an Ê’iij mix them together for an Almond composition When the Liver is affected the same Amygdalate will be very proper adding the four cold Seeds Or else a Decoction of Barley with red Roses and red Saunders sweetned with Syrup of wild Poppies Roses and Violets Or else an Electuary of Citron Rinds condited Conserve of Roses Borage Violets and Powder of the three Saunders with an addition of Syrup of wild Poppies For the Kindneys if the Patient makes Bloody Water the following Emulsion is to be prescribed â„ž Sweet Almonds cleansed â„¥ j. s. the four cold Seeds an Ê’j White Poppy seed Ê’iij Decoction of Barley q. s. make an Emulsion to a Pint. In which dissolve Tragacanth powdered ℈ ij Syrups of Wild Poppy dryed Roses and Cumphry an â„¥ s. Mix them together for an Almond composition Liddelius in this case commends powder of Amber Trochischs of Yellow Amber or Alkakengy with an Emulsion of the four greater cold Seeds These are the primary and cheif things which can be prescribed and administred in these most dangerous cases when the inner Bowels are greivously affected according to which method Physiclans may and ought to devise many others of the same Nature For a Patient is not presently to be abandond as uttterly lost in the pangs of extremity and danger of Death which would be an uncharitable act in Christanity but it behoves a Physitian to try his utmost and leave the rest to God who has many times restored to Health such as have lain in a desperate condition CHAP. XII Of the Cure of the External Parts THE External Parts which are usually most afflicted by this Distemper are the Hands and Feet the Mouth and Chaps the Nose the Ears the Eyes and Face At the coming forth of the small-Pox or when they begin to ripen many times an extraordinary Pain and Itching afflicts the Persons diseased in the hollow of their Hands and the Soles of their Feet because the thickness of the Skin in those Parts prevents their coming forth You shall cure this symptom by somenting those Parts in warm water or in warm water mixt with Sweet Milk or in a mollifying Decoction If the small Pox are come out very thick about the Mouth and Chaps they cause a difficulty of Respiration and swallowing In this case the Mouth is frequently to be washed and the Throat also frequently gargl'd with the simple Decoction of Figgs or if there be any Inflammation or violent heat the same Decoction may be thus prescribed â„ž Barley cleansed â„¥ j. s. sliced Figs no. xvij Raisins of the Sun stoned â„¥ j. s. Leaves of Althea Violets Endive Lettice an one handful and a half flowers of pale Roses one handful of Elder one handful Water q. s. make a Decoction of two pints to wash the Mouth When the Pox are ripe to render the act of swallowing more easie and cause a swifter breaking of the Pox let the Patient frequently swallow a Pill about the biggness of a filbeard of new Butter without any Salt wrapt up in Sugar for this wonderfully dissolves the Swelling Pox of the Jaws But if this happen to fail and that the Pox remain wholâ—… and that the difficulty of Breathing and Swallowing still increases then take a small Spunge fastened to a little stick and having dipped it in Syrup of Violets squeeze it strongly against the Jaws to the end thereby the Pox may be forcibly broken and the narrowness of the Passage
open'd So soon as the Pox are broken gargle with a Decoction of Barley Plantain and Red Roses sweetened with Honey of Roses and Syrup of Cumfrey To defend the Nostrils from the Pox let the Patient very often smell to Venegar Thus also Forestus writes that Benedict Faventinus before breaking of the Pox ordered their Patients to smell to Vinegar wherein they had boil'd a quantity of Roses Liddelius also and Riverius approve the smelling to Vinegar But if the Pox happen to be very thick in the Nostrils annoint them often with a Feather dipped in Oyl of Sweet Almonds But if they are grown into hard Scabs and obstruct the Nostrils and so procure a difficulty of Breathing then stuff into the Nostrils new Butter without Salt by which means the Scabs being softned fall off and the Obstruction ceases The advice of others is that the Patients should snuff up into their Nostrils these and the other Decoctions but that Children cannot do nor can grown People do it by reason of the Obstruction Only Butter thrust up often into the Nostrils does the business so that there is no need of other troublesom Remedies But if there be any Exulceration in the Nostrils that is to be cured with a Liniment made of the Oyl of the Yolks of Eggs and juice of Plantain well mixt together in a Mortar To which if there be an occasion of drying up the Matter more than ordinary you may add a little Tutia Oyntment If the Ears ake and itch let not the Patient handle them with his Hands or if they run let the Matter go and take care that they continue open But if the Pain be very much dip a Spunge in the Decoction of the Leaves of Althea Flowers of â—…amomil Melilot and Roses Seeds of Fengreek Dill and Cumin and drop it lukewarm into the Ear. The Medicinal Part that concerns the Eyes consists partly in Preservation partly in the Cure To preserve the Eyes from being over-run with the Pox some wash the Eye-lids with Plantain and Rose water wherein a little prepared Tutia has been infused or mixed with a little white Self and Camphire Bauderon prescribes to this purpose the following Collyrium â„ž Leaves of Black-thron-Bush Plantain red Roses an half a handful Boyl them in Smiths water to â„¥ iij. In the straining dissolve Saffron ℈ j. Camphire gr v. The white of one Egg and mix them together Of this drop some few drops into the Eyes every hour and lay little Rags dipped in the same upon the Eye-lids and keep the Patient dark Liddle prescribes this â„ž rose-Rose-water â„¥ ij plantain-Plantain-water â„¥ j. Powder of the Seed of Sumach Ê’ij warm them over a gentle Fire and strain them with a good force Add to the straining Camphir ℈ j. Saffron gr v. Mix them for a Collyrium and let the Eyes be often moistened with a Linnen cloth dipped therein Mercurialis administers this â„ž Rose-water Plantain-water an â„¥ j Sumac â„¥ s. let them steep a whole night and make a mixture with as much white of an Egg as suffices Or else he takes â—…halybeat Milk mixt with Rose-water with which sometimes he mingles a little Mirrh to assawge the pain and itching For my part I find nothing better then Saffron powdered and mixt with Cream of sweet Milk With which mixture let the Eyes be anointed with a Feather touching with the same now and then the Caruncles in the larger corner which I use with success when the Eyes are damnified only adding thereto a little white Sief If the Eye-lids cannot be preserved from the Small Pox then it frequently happens that they swell very much so that the Eyes are closed by reason of the swelling In this case observe that the Eye-lids notwithstanding that swelling are to be opened with the Fingers once or twice every day to the end the humour abiding therein may be let out which otherwise thickning within the Eye-brows begits a Whitshot But if by reason of the largeness of the swelling the Eye-lids cannot be conveniently opened they are first to be fomented with a soft Spung dipt in Mutton broth or a lukewarm Decâ—…ction of Leaves of Althea Flowers of pale Roses and Melilot and Seed of Fengreek and after the use of this Fomentation for some time then try again to sunder the Eye-lids with your Fingers If after the swelling is abated and consequently the Eye-lids freely open any white Clouds like the white of an Egg appear in the Eyes dimming the sight blow a little white Sugar Candy finely powdered through a quill into the Eye with which and nothing else I have successfully removed those little Clouds But if they chance to grow harder and absolutely blind the sight then add to the said Sugar Candy a fourth or sixth part of Lapis Calaminaris finely powdred together with the Sugar Candy That powder wonderfully takes away those Clouds and restores the sight But if the Eyes are Ulcerated by the Pox they must be cured with this Collyrium â„ž Ceruse washed Ê’iij Sarcocol Ê’j Gum Tragacanth ℈ j. Opium gr ij make Trochischs of this with Muscilage of Tragacanth extracted in Plantain-water which when use requires are to be dissolved in Womans milk or Rose-water The care of the Face like that of the Eyes consists partly in Preservation partly in Cure Preservation is not intended to prevent the breaking forth of the Pox in the Face for if that should be hindred the Distemper would seize the inner Parts as the Brain Meninx's Eyes and other Parts which would be a greater prejudice but that the Small Pox being dried and falling off may leave as few Scars and Pits as may be To which purpose several Topics have been invented Some while the Pox are coming forth frequently foment the Face with a Decoction wherein Pease have been boyl'd to an Extraordinary softness as we say to mash Others anoint the Face twice a day with a Feather dipp'd in Oyl of Navews with great success Forestus recommends Oyl of Sweet Almonds Riverius Oyl of Nuts Others Bacon tosted at a hot Fire and the dripping receiv'd into Rose-water and so made into a soft Oyntment which does well and was generally used by that great Practitioner Timannus Gesselius Others roast the Caul of a Boar-Pig at the Fire upon a Spit letting the Fat drop into a Receptacle fill'd with Rose-water and smear the Face all over with that mixture and then cover all the Face with the Fat of the same Hog cut into thin slices This they do twice a day taking off the Old and laying on fresh till perfect Maturation of the Pox which happens sooner by that means till they fall off and this is a great secret among the Court Lady's Certainly none of these ways are to be contemn'd but excellent in their kind and I believe they are many times to be made use of Especially among the Richer sort and great People that think the Physitians care do them more good by some notable Exploit then Nature by
for that by the Motions of the Mind it frequently works Miracles And thus in these two Gentlewomen through a continual and constant Cogitation caused by the Preceding Fear that Idea of the Small Pox so strongly Imprinted in their Minds and thence in the Spirits and Humours begat therein a disposition and Aptitude to receive the Small Pox. I remember the same Year I went to Visit a Noble German who Dreamâ—… that he was drawn against his Will to visit one that was Sick of the Small Pox and was very much Disfigur'd which Dream made such an Impression in his Mind that he could by no means drive it out of his thoughts He lived free for three Weeks but then falling into a Fever was pepper'd with the Small Pox. HISTORY VI. A Certain Apothecary that was a strong Man about Thirty Years of Age going into a Citizens House when he found and saw of a suddain his Patient all over covered with the Small Pox upon his Face he trembled a little at the sight of so much deformity and so departed A little after to drive the Whimsey out of his Head he drank very hard nevertheless all he could do could not put that Fancy out of his thoughts which the sight of such an Object had imprinted in his Mind though he were otherwise a Man of an undaunted Courage So that the sixth day a Fever seized him with an extream Heaviness a restless sleep and a kind of slight Delirium which after twice taking of a Sudorific Decoction was attended with the red Spots that usually fore-run the Small Pox which within the space of twenty four hours came forth very thick upon which eruption the Fever and all the Symptoms vanished and the Patient being restor'd to his Health went abroad again in three weeks ANNOTATIONS I would not advise any Persons that are timorous to come near those that are Sick of the Pestilence or Small Pox for if the Sight of one that lay Ill of the Small Pox could move a Man of that courage as this Apothecary was how much more would it have affected a timorous Person now it may be questioned whether this Apothecary might not be touched with any Infection or whether he might not contract the Distemper from some other cause Now that there could not be any thing of Contagion appears from hence that the same Person was of such an undaunted Spirit that he Visited at other times several Persons that had lay Sick of the same Distemper without any prejudice and therefore the cause seems rather to be that suddain conturbation of his Mind and Spirits with which he was stricken upon the unexpected Sight of this same Sick Person and which continually ran in his thoughts from which Idea such a disposition arose in his Body which at length produced the Small Pox. Now if any man can more clearly unfold how such an Accident should happen he shall be my great Apollo HISTORY VII A Young Maid of two and twenty Years of Age full body'd fresh colour'd and somewhat fat being seized with a mild Fever besides extream Heaviness and some sleight interveneing Deliriums suffered under frequent and strong Epileptic Convulsions and very terrible swooning Fits so that the standers by thought she had been troubled with the Mother and that she would presently dye I being sent for when I understood that she had had her Monthly Evacuations eight days before loosened her Belly with a Glyster and the same day order'd her to be let blood in the Arm about the Evening I gave her this Sudorific â„ž Theriac Androm Ê’ j. Harts-horn burnt Extract of Carduus Benedictus Salt of the same an ℈ j. Treacle-water and Carduus-water an â„¥ j. Oyl of Amber three drops Mix them for one draught Having taken this she sweat soundly that Night with great relief neither did her swooning Fits nor her Convulsions return The next day the red Spots fore-runners of the Small Pox began to appear up and down all over her Body Thereupon we gave her this Decoction to drink â„ž Elecampane Root Licorice sliced an Ê’ iij. Barley cleansed â„¥ j. Red Vetches â„¥ j. s. Fennel Seed Ê’ij Figs no. xvj Raisins stoned â„¥ j. s. Water q. s. Make a Decoction to two Pints Upon this the Small Pox broke out very thick and all the Symptoms presently ceasing with the Fever she was restored to her health in four Weeks and as it were rescu'd from the Jaws of Death went abroad again about her business ANNOTATIONS IN this Disease such Epileptic Convulsions and Swoonings are very band presages and unless the Small Pox appears very quickly the greatest danger is to be feared for that they may be easily the Death of the Patient before the Pox break forth Nor is it any wonder in regard this malignant Mischeif grievously effects the Heart as appears by the Fever the Swoonings and the heaviness of the Mind and therefore greater danger is to be expected if the Brain the Primary Bowel of Life be equally afflicted HISTORY VIII RUtger Schorer a Lad of Fourteen Years of Age and Eldest Son of Isaac Schorer a Lodger of mine was taken in September with a Fever and Small Pox and had them very thick when he began to grow well about the fourteenth day his Brother Isaac Schorer was taken in the same manner When he had lain sixteen days his Sister Mary Schorer about Ten Years of Age fell sick of the same Distemper and when she was pretty well at the fourteenth day the other and Youngest Daughter Maud Schorer had the Small Pox come out very thick upon her In the mean time the two Sons that were first seiz'd were recovered and went abroad But when the Youngest Sister Maud Schorer had kept her Bed about twenty days Rutger Schorer was taken again with a Fever and the Small Pox and he being recovered Isaac Schorer took his Bed again upon the same account and being almost cured Mary Schorer was taken a second time and the third week after Maud Schorer was again seized as the rest had been And as the first time the Disease had descended in order from the Eldest to the Youngest so likewise in so short a space of time it observed the same order a second time and yet two at once were never seiz'd with the Disease And which is to be wondered at all these four were so little prejudiced by the Distemper that not one of them happened to be disfigured in the Face either with Pits or Scars which is in great part to be attributed to the great care which we took in the Cure in regard we were all of one Family so that we had the opportunity to see them every hour ANNOTATIONS THe Small Pox seldom seize the same Person twice or thrice for that generally upon the first seizure all that Specific Malignant Contamination inherent in the Blood and several Parts being seperated by the Fermentaceous Ebullition is quite expelled which Effervescency if it be not strong enough
Years of Age finding her self not well ordered me to be sent for She had a slight Fever and complained of Melancholly at her Heart which caused her frequently to sigh and heaviness of her Head with an inclination to sleep Now in regard the Small Pox was then very rife I had presently a suspition of her Distemper Thereupon when she told me that she had been at Stool that day and that it was a good while before her Monthly Period would be up presently I let her Blood in the Arm and took away eight Ounces of Blood for she was Plethoric after which she found her self as she said somewhat better Ten hours after Blood-letting certain red Spots began to appear upon her Breasts and Hands but few and small Thereupon about the Evening I prescribed her this Diaphoretic â„ž Treacle of Andromachus Diascordium of Fracastorius an Ê’ s. Salt of Wormwood Confection of Hyaciâ—…th an ℈ j. Treacle-water and VVater of Carduus Benedict an â„¥ j. Mix them for a draught When this had caused her to Sweat moderately all Night the next day the Pustles came forth higher and the Fever together with the anxiety vanished altogether Thereupon we gave her a Decoction of Figs in Ale to drink and thus in a few days she reovered with these few Remedies not having had above three or four in her Face and very few upon the rest of her Body ANNOTATIONS WHat is to be thought of Blood-letting in this Disease and when it is to be made use of we have sufficiently Explained cap. 8. And I have particularly observed that if in Plethorics it be timely made use of before any Eruption of the Small Pox then it comes forth more easily and not so thick and the Patient recovers sooner And therefore when you meet with Young Girls that are nice of their Beauty I think it very beneficial to let Blood in time seeing that then fewer and lesser Pox come out in the Face But because the Physitian is seldom sent for till the Pox begin to come forth hence it is that Blood-letting cannot be made use of HISTORY XII A Little Son of Nicholas ab Harvelt began to grow ill in August but in regard that I was sent for at the beginning and had presently a suspicion of the Small Pox I gave him a little Treacle-water with a little Bezoar-stone and Saffron for the Child was not above three Years old and other ungrateful Tastes would not have gone down and to preserve his Eyes I ordered his Eye-lids to be anointed with Saffron mixed with Womans Milk The Aunt who had the care of the Child in my absence mixes a greater quantity then is usual with the Milk and not only anointed his Eyes but all his Face twice a day Which caus'd a strange Disfigurement of the Child whose Face was all over yellow with the Saffron In the mean while the Child sweat very well and still took now and then three spoonfuls of Treacle-water which preserved him in a moderate heat and drank for his drink the simple Decoction of Figs. The next day some very small Spots began to appear here and there upon his Skin but the third day the Small Pox came out very thick over all his Body except his Face where none at all nor the least sign of any were to be seen yet the Child was never the worse in regard they came out so thick over all the rest of his Body The Fever then went off and so the Child was perfectly recovered without having his Face so much as touched ANNOTATIONS The Saffron gently astringent repels and drys but whether being outwardly applied it hinders the coming out of the Pox or whether through any other Specific and occult quality it has that effect I am uncertain and much question But we saw the effect of it not only in this Child but also in three or four more For the Childs Aunt when she had told what had happened up and down to other Women there were several that would needs try the Experiment with the same good success And whether it will have the same success always at other times when occasion offers we shall try our selves HISTORY XIII THE most Noble the Lady Lucas an English Woman bred up in her House a Young Lady her Brothers daughter about six or seven Years of Age So soon as she began to be Fevourish anxious and drosie by my advice she had given her a little Powder Liberans Harts-horn burnt Bezoar-stone and Saffron with an ounce of Treacle-water which caused her to Sweat well with some ease For her drink she drank the Decoction of raw Harts-horn as it is prepared for Gellies and frequently the simple Decoction of Figs In the mean time the Lady Lucas every day twice or thrice washed the Face of our Patient with that same sort of cinnamon-Cinnamon-water which our Apothecaries generally sell which is made of Cinnamon distilled in Borrage-water and diligently kept the Young Lady in a continual breathing heat The second day toward Evening the red Spots began to appear the third day the Small Pox came out very thick every where except upon her Face where there was not one to be seen So that the Lady continued the Lotion of the Childs face for some days In the mean while the Fever going off our Patient was perfectly cured without the least Sign of the Small Pox upon her Face ANNOTATIONS THe same Lady gave the same advice also to the Lady Couper who having washed the Faces of three of her Children that lay Sick of the Small Pox with Cinnamon-water not one of them had any Sign of them in their Faces Whether the same success will always attend upon others will be manifest by the frequent Tryal upon others In the mean time it is to be considered whether upon hindering the Small Pox from breaking out in the Face there may not be some danger least the Menixe's and Brain should receive some prejudice HISTORY XIV THE Lady Ruchabor about twenty four Years of Age so Beautiful that she was the Admiration of many in the Month of August was taken with a Fever and the Small Pox so that her Head was wonderfully swell'd when she had made use of several Remedies by my Advice and the Small Pox came out very thick over all her Body and had pepper'd her Face at length after the Fever went off and that the Swelling of her Head was quite fallen I ordered her Face to be frequently fomented with Mutton Broth. But she not contented with that to preserve her Beauty by the advice of some Ignorant Women caused the ripe Pustles to be opened with a Golden Needle and the Matter to be squeezed out but mark the Event she that perswaded her self she should have no Pits when she recovered had her Face so disfigured with Scars and Pits that of one that was most Beautiful she became very deformed and a Thousand times bewayl'd that Foolish act of pricking the Wheals ANNOTATIONS
Noble French Man about thirty Years of Age Plethoric no great Drinker yet a Lover of unmixed Wine upon the Tenth of November going to Bed began to complain of difficulty of breathing yet without any pain in his Breast soon after a redness seized his Face especially his Cheeks and his Eyes also appeared swelled and inflamed This difficulty of breathing within two hours was so encreased that he could hardly draw his Breath insomuch that he was afraid of a Suffocation Wherefore about Midnight he sent for me bidding the Messenger tell me withal that he should dye unless I could help him with some present Remedy By the redness of his Face and his little frothy and flowry spitting as also by his difficulty of Breathing which was without any pain yet with a kind of heaviness in his Breast I judged this Distemper to be an Inflammation in his Lungs so much the rather because I found by his Pulse that he was in a strong Fever Thereupon I ordered a pint of Blood to be taken from the Basilic Vein of his right Arm by which he felt very much ease To drink for he was very thirsty I gave him a Ptisan of Barly cleansed and Licorice boyl'd in Water In the mean time the following Glister was prepared and given by six a Clock the next Morning â„ž Emâ—…llient Decoction â„¥ x. Elect. Diacatholici Diaphoenici an â„¥ j. common Salt Ê’j Oyl of Violets â„¥ ij for a Glister This gave him two sufficient Stools But because the difficulty of breathing still continued very oppressive about ten o Clock we took away a pint of Blood out of his left Arm. The Blood appeared indifferent good only that it had a great deal of Yellowish froth at the top Then besides the Ptisan he drank of the following Apozem now and then every day â„ž Barley cleansed Ê’ij 〈◊〉 Licoriâ—…e Ê’j â—… Endive Sorrel an one handful Violet Leaves two handfuls Flowers of Poppy Rheas two little handfuls the four greater Cold-seeds and Lettice-seeds an Ê’ij Currants Ê’ij Common-water q. s. Boyl this according to Art to two Pints In the straining dissolve Syrup of Poppy Rheas Violets and Limons an â„¥ j. mix them for an Apozem For his nourishment I prescribed him Broths with Chervil Endive clensed Barley and the like boiled therein The next day because the Patient would admit no more Glisters I gave him a Laxative Medicin which gave him four stools with great ease In the mean time he breathed much more freely and his Fever very much abated The following days the foresaid Apozem was five times repeated the seventh day of the Disease he fell into a very great Sweat of his own 〈◊〉 and so the force of the Disease being broken by a Crisis the â—…ever with the difficulty of breathing went off and the Patient was restored to his former Health ANNOTATIONS SAys Gallen when an acute Fever happens with difficulty of breathing accompanied with streightness and heaviness that Distemper is an Inslammation of the Lungs Now this Inflammation sometimes happens of it self sometimes it succeeds a Squinancy or 〈◊〉 when a Humor is carry'd from the Chaps or side into the Lungs by way of Mutation Whence Hippocrates An Inflammation in the Lungs from a Distemter in the sides is bad For it is a dangerous thing for one acute Disease to accompany or follow another But an Inflammation of the Lungs that does not proceed from any other Distemper but grows of it self proceeds from a thin and Choleric Blood flowing in a greater quantity then can be circulated into the Substance of the Lungs and there inflamed This Inflammation of the Lungs Fernelius asserts to be the less frequent of the two And it is much less frequent then the Pleurisie from which it differs because the one seizes with a most acute pain the other with a little pain but an oppressing heaviness for that the one inflames and distends the Pleura Membrane which is endued with an Exquisite Sence the other inflames and dilates the Lungs which are nothing so Sensitive In other things as acuteness of the Fever difficulty of breathing and other signs as also in the Cause and Cure of the Disease they both agree But besides the foresaid Inflmamation of the Lungs there is another sort more frequent which differs very much from the other in the excess of the Symptoms and the Cause as arising either from Flegm collected and putrified in the Lungs or from a thin sharp and copious distillation falling down upon the Lungs from the Brain and there preternaturally glowing and causing a Fever and by degrees wasting the Patient with a Cough difficulty of Breathing and a slow Fever without any spitting of Blood An Inflammation of the Lungs therefore is an acute Distemper which as Celsus testifies is more dangerous than painful Now this Distemper does not always seize the whole Lungs but sometimes one particular Lobe which Iacotius testifies he has seen in the opening of a Peripneumonic Body So says Iouberâ—… also In a Peripneumony there is no necessity that the whole Lungs should be always enflamed but many times some one of the Lobes only suffers as we have found by the Dissection of an Infinite number of Bodies This Hippocrates plainly declares where he teaches us how to know the differences of this Distemper in these words In an Inflammation of the Lungs if the whole Tongue be white and rough both parts of the Lungs are vext with an Inflammation but where but half the Tongue is so effected on that side where it is discoloured and rough there the Inflammation lyes A pain under one Clavicle denotes an Inflammation of one of the upper VVings of the Lungs but the pain extending under both Clavicles denotes that both the upper Wings of the Lungs are inflamed if the pain lye in the middle of the Ribs the middle part of the Lungs suffers but if the pain comes to that part to which the Lungs extends it self the lower wing of the Lungs is effected Where one whole Part is affected there all that answer to that Part must of necessity suffer The most certain and proper sign besides others of a true Peripneumâ—…ny is a redness of the â—…aws according to the Testimony of Galen Paulus Aegineta and Aviceâ—… with an acute Fever and extream difficulty of Breathing if accompanied with none or very little oppressive pain All which when they appeared so manifestly in our Patient there was no question to be made of the Distemper which Disease went off the seventh day upon an extraordidinary spontaneous Sweat which Forestus observes to be customary in a true Peripneumony Though sometimes as Aetius tistifies in young People it uses to go off with a violent Bleeding at the Nose or Flux of the Monthly Evacuaations which nevertheless I find that Riolanus denies Gregory Horstius has observed that a Peripneumony has gone off the seventh day with a Critical Flux Which however seems to be contrary to Reason when a Flux of
ours which came from a certain Infection of the Air and chiefly prey'd upon the Spirits and not upon the Humors and was chiefly cured with Antidotes whereas Blood-letting did harm On the other side our Fever more an Enemy to the Humors then the Spirits was cured by Blood-letting Wierus makes mention of a Malignant and Pestilent Fever which was very rife about the Countries lying upon the Rhine and very different from ours which the Cure informs us for he writes that he found Blood-letting very dangerous From our Fever also differ very much those Fevers which Forestus describes wherein there were neither the same Symptoms neither would the Cure admit repeated Blood-letting Lazarus Riverius produces one Example of a Malignant Fever which in many Patients agreed with ours and was cured by five times Blood-letting To which there was one very like that we saw in France in the year 1632 already mentioned Observ. 3. But that it may be the better understood How Patients afflicted with this same Malignant Fever are to be ordered I shall produce one or two Examples of a thousand in the following Observations OBSERVATION XXV A Malignant Fever HErman Thomas a Baker was seized with the foresaid malignant Fever the fifth of September with a very great Heat and Consumption of his Spirits at the beginning his Pulse beat thick yet not very unequal this Thirst was vehement with a very great driness of the Tongue All the Body seem'd to be equally affected and therefore he never felt any Pain only complained of a great Faintness and Dejection of his Heart the first day coming to him about the Evening I ordered him an Emollient Glister which gave him three Stools and to quench his Thirst I prescribed him this Julep â„ž Carduus-water Borage and Sorrel-water an lb j. 〈◊〉 of Citron newly squeezed out of the Fruit Syrrup of the â—…owre part of the Citron of Violets Rob of red Ribâ—…s an â„¥ Oyl of Sulphur q. s. to make it gratefuly sharp mix them for a Iulep The sixth of September in the Morning we took away a pint of Blood out of the Median Vein of the right Arm which gave him great ease The Blood was very bad the upper half between livid and green and like a Muscilage the lower half black and coagulated the Serum also was Green The next day he felt a Pain in his Throat which was without any Tumour for the asswaging of which I ordered him a proper Gargarism In the Morning he took a gentle Purge which gave him five Stools To quench his Thirst he took small Ale and sometimes his Julep the eight of September his Fever continuing in the same state we took away ten Ounces out of his left Arm which was as bad as the first the ninth this Sudorific was given him â„ž Diascordium of Fracastorius Ê’j Confection of Hiacinth Extract of Carduus Salt of Rue an ℈ j. Treacle and Carduus water an â„¥ j. Oyl of Vitriol ix drops mix them for a Draught Upon this he sweat well nevertheless the Continual Fever his weakness his Pain in his Throat his Thirst and driness of his Mouth continued still besides that he could not sleep hardly at all Therefore in the Afternoon he drank two Draughts of the following Apozem and took it also the next day â„ž Roots of Succory Grass Asparagus an â„¥ j. of Elecampane Sea Holly and stone Parsley an â„¥ s. Herbs Sorrel Carduus Benedict Borage Centaury the less Scordium Scabious an one handful One whole Pome Citron cut in slices the four greater Cold-seeds an â„¥ j. s. Fruit of Tamarinds Rhenish Tartar an Ê’vj Curants â„¥ j. s. Boyl them in common water q. s. to 〈◊〉 ij add to the straining Syrup of Limons â„¥ iij. mix them for an Apozem The eleventh after an Emollient Glister first given we took away seven Ounces more of Blood out of his right Arm which very much abated the Fever the twelfth after he had taken his former Antidote in the Morning he Sweat very much and in the Afternoon he took his Apozem The next day because his Belly did not answer our Expectations I gave him this Powder to take mixed with a little of his Julep which gave him three Stools â„ž Rhubarb the best Ê’j Cremor Tartar Ê’ s. for a Powder This Powder he took again the sixteenth in the Intervening days and the three days following he took the foresaid Apozem and a small quantity of this Conditement â„ž Pulvis Liberans Ê’j s. the three Saunders ℈ ij Confection of Hyacynth ℈ j. s. Candy'd Orange Peels Rob of red Ribs Pulp of Tamarinds an â„¥ s. Syrrup of Limons q. s. mix them for a Conditement Upon the twelfth his Fever abated every day more and more neither was he molested any more with Anguish or Thirst but his Stomach began to come to him but then through a slight Errour in his diet he fell into a Relaps and his Fever returned with great violence Therefore after we had Glistered him first we took half a pint of Blood out of his left Arm which gave him so much ease that the Fever was almost totally quenched with that one Blood-letting The next Morning taking his Antidote again he Sweat soundly and then taking his Apozem and his Conditement both that day and the three or four next days he was presently delivered from his Fever During the Cure we kept him to a slender diet of Broths wherein were boil'd Sorrel Borage Pome Citrons Barley cleansed and unripe Grapes To drink we gave him small Ale and sometimes Juleps and sometimes he quenched his Intollerable Drought with Pulp of Tamarind or by chawing a slice of Pome Citron dipped in Sugar or else by laying upon his Tongue a Leaf of the bigger Sempervivum steeped in water and the outer Skin pulled off OBSERVATION XXVI A Malignant Fever GErtrude Coets a Young Maid of about twenty four Years of Age was seized with the same Pestilential Fever Upon the eight of September I being sent for which was the fourth day of the Disease I found her so weak that she could hardly speak she swoonded away every moment by reason of the Malignant Vapours that oppressed her Heart her Pulse was very weak thick and unequal the heat not very intense in regard the Morbific Matter infested her more by it's Malignity then it's Heat presently I gave her this Sudorific â„ž Oriental Bezoar stone ℈ s. Diascordium of Fracastorius Mithridate Damoc. Confection of Hyacinth an ℈ j. Carduus water â„¥ j. mix them for a Draught Though she did not sweat long by reason of her weakness yet she had very much ease to quench her Thirst I prescribed her this Julep â„ž Carduus Baum Sorrel and Scabious waters an lb. s. Cinnamon â„¥ j. Citron juice newly squeezed â„¥ j. s. Syrrup of Limons Violets an â„¥ j. s. Oyl of Sulphur q. s. mix them for a Iulep The ninth her Belly was moved by a Suppository and two hours after we took from the Median Vein
they could think of for the Cure of this Distemper but very few did any good at length there was a Remedy found out by certain Italian Physitians who came hither with the French Army by which afterwards great numbers were cured First they Purged the Patients with Rhubarb Then they took white Wax Ê’ j. s. or Ê’ ij and cut this very small into â„¥ iiij or v. of New Milk which they boil'd till the Wax was perfectly melted and then gave their Patients that Milk as hot as could be to drink for it must be taken very hot because of the Wax that else would thicken so that it could not be drank if the Lask did not stop the first time then they gave it a second and a third time But in regard there were a great number of Souldiers that lay sick of this Distemper there was such a vast quantity of white Wax consumed in a short time that the Apothecaries of Emeric were quite exhausted so that they were forced to send for it to other Places Now though Wax seldom is given to swallow yet it is no new thing For Diascorides writes that it is of great Efficacy to fill up wounds and is given in Broths to those that are troubled with Dysenteries Thus Valleriola speaks of a Dysenteric recovered by such a Remedy He cut an Apple hollow and filled it with Citrin coloured Wax and then covering it laid it in the Ashes to roast till the Wax was melted and mixed with the substance of the Apple and then gave it the Patient fasting to eat for some days together though he believes it better to roast and melt the said Wax in a Quince as being more astrictive and glutinous Quercetus prepares the same Remedy by cutting an Apple hollow and filling it with white Wax and Gum Arabic an Ê’ j. Solenander stuft a Turtle with an Ounce of white Wax and boyl'd it in Water and then gave both the Flesh and the Broth to be eaten with Bread Others prescribe a Young Pidgeon stuft and boiled after the same manner OBSERVATION XXIX A Dysentery MArcellus Bor a strong Man of about forty Years of Age was taken with a Dysentery of the same Nature The ninth of October I Purged him with Rhubarb then I gave him Juleps Conditements Powders cooling thickning and Astringent Apozems Sudorifics and other proper Medicaments in convenient manner and time so that the Patient being reduced to extremity of weakness I began to give him over not beleiving he could live two days in that condition but in regard he was very thirsty and called for cold Water I ordered in a desperate condition that he might have as much cold water as he would drink to the end that by drinking such a quantity of water the Morbific cause if it were possible might be washed off from the Guts and the Acrimony of it blunted by the force of the cold All that Night the Patient drank as much as he would of well-Well-water which at first past swiftly through his Guts and with wonderful griping flowed down to the lower parts afterwards not griping so much toward Morning the Pains of the Guts were almost ceased and the Stools less frequent about noon the Patient falling a sleep slept quietly for some hours before the Evening the Flux stopt and so the Patient refreshed with proper diet when every one thought he could not have lived was unexpectedly recovered from a most desperate Disease ANNOTATIONS COncerning the Drinking of cold Water in a Dysentery there are hardly any of the Modern Physitians that speak a word Yet it is a Remedy not improper in a Choleric Dysentery For it washes the Intestines with its moisture and frees them from all the filth of sharp Humors and cleanses the inner Ulcers By its coldness also it abates and dulls the Heat and Acrimony of the Choler and binds up the Exulcerations of the Intestines Nor was the Drinking of cold Water unknown to the Ancients in this Disease Therefore says Aetius at the beginning for drink use rain-Rain-water but if there be no good Rain-water take Fountain-water Celsus also writes in these words If after several days tryal other Remedies will not prevail and the Disease is come to be of some continuance the drinking of cold Water binds the Ulcers In like manner Paulus and others of the Antients make mention of the drinking of cold Water in a terrible Dysentery Among the Moderns Amatus of Portugal was one that by his own report saw a Choleric Dysentery cured by the drinking of a great quantity of cold Water At other times it also happens that when the best Medicines avail nothing a plain ordinary Medicine has cured most desperate Dysenterys So by the Relation of Captains I have heard that when Breda was besieged by the Spaniards and that Dysenteries were very rife in the City nor any Remedy could be invented for this Distemper when all the known Remedies of the Physitians fail'd at length a new invention was found out by which many were cured A piece of Silk double dy'd of a deep Crimson colour comb'd into slender Threads and steep'd in Wine this taken in Wine with a dram or half a dram of Powder of the same Silk for some times infinite numbers have been cured by it I know a certain Dysenteric Person who was given over who upon eating a vast quantity of Medlars recovered beyond all expectation Another was freed by Man's Bones drank in red Wine of a Flux which was thought incurable Oyl of Olives taken alone or eaten with a White-bread Toast dipp'd in it many times works wonders Holler affirms that he was cured several times with the Juice of Ground-Ivy Forestus writes that he never found any thing more prevalent then the Dung of Dogs that only fed upon Bones given in Chalvbeate Milk And with this Medicine Fuchsius says that he cured above a hundred Dysenterics in one Year Riverius tells us of a Dysenteric that only used the Decoction of Pimpernel with Water and Butter and so was cured in three days Bruyernius writes thus of himself being troubled with a Dysentery We says he being terribly afflicted with a Dysentery lay given over by the Physitians for no Remedies were able to asswage or Cure the Disease At length by the Advice of an old Woman upon eating a great quantity of raw Services the next day I felt all my Pain almost abated And by this means my Belly being shut up and I as it were recalled from the dead and restored to my former Health experienced the saying of Gelsus to be true that Rashness does more in Diseases than Prudence can do OBSERVATION XXX A Consumption LEwis Gulielm a Sea-man about thirty four Years of Age and indifferently robust had sometimes before lain Sick of a Malignant Fever of which by the Assistance of God I had cured him In the Month of October about a Month after the cure of the said Fever he was taken with an Extraordinary Catarrh occasioned by
and Common-water equal parts boyl them to a Pint. But in regard the Women that stood by desired that something might be laid to her Feet to draw the Matrix down I prescribed this following Paste which was laid to her Feet â„ž Leaves of Green Butter-burr M. v. bruise them small adding to them sowr Leven â„¥ iij. Salt Ê’j s. VVine Decoction of Feverfew q. s. make a Paste This abated the Uterine suffocation But in regard it was not altogether gone off the twentieth of October she was Purged again with Hiera Picra the twenty first she took the Decoction again The next day she took a Sudorifie after which when she had Sweat well she was freed from her suffocations â„ž Crabs Eyes prepared Salt of Carduus an ℈ j. Treacle of Andromach Ê’j Castor Saffron an gâ—… iiij Treacle-water â„¥ j. s. Oyl of Amber drops xii mix them for a draught The rest of the Cure there being no necessity we deferred till the eight of November at what time she returned to the use of her Pills and Infusion prescribed October the second November the fourteenth she was let Blood in the Saphaena Vein of the left Foot the eighteenth her Courses came down plentifully and from that time she continued in Health ANNOTATIONS AT the same time that the Courses flow it behoves Women to have a great care of themselves otherwise they are easily stopped again by drinking cold Water or from cold Air or Wind getting into the parts or catching cold in the Feet or upon frights or mistake in Diet or otherwise which afterwards prove the causes of grievous Maladies as it befel this our Patient Thus Forestus tells a Story of a Maid that when she had her Courses washed her Rooms bare-foot which putting a stop upon her Courses terrible Symptoms ensued not could that Flux be brought down again till aâ—…ter some Months The same Person relates another Story of a Young Girl that at the time of her Courses leapt into the Water and of a Country Wench that at such another season ordered her self to be let Blood For the Provocation of the courses we use many Remedies and as variously composed as we find the Patients willing to take them and for that reason besides the Historical infusion we gave our Patient Pills as more grateful and no less effectual in that disease which Pills many Physitians prescribe after several forms Montagnana praises these â„ž Trochischs of Myrrh Ê’j s. seed of Parsley Cassia-wood an ℈ s. Mosch gr xv make them into Pills with the juice of Parsley Sennertus commends Trochischs of of Myrrh taken in Pills and these also â„ž Trochischs of Myrrh ℈ iiij Extract of Gentian Savin an ℈ j. Castor ℈ s. make these into Pills the dose is ℈ ij Others believe these more Effectual â„ž Trochischs of Myrrh species Hiera Diambre Venetian Borax prepared Steel Castor an ℈ ij Saffrons ℈ j Gum Ammoniac dissolved in Vinegar of squills Ê’iij make small Pills the dose from ℈ j. to two Zacutus of Portugal tells of a Noble Matron that reduced to the last Extremity when no other Remedies would do her good was cured at length by taking Pills only of Steel and Powder of Calamint prepared with Syrup of Mug-wort of which she took one dram in the Morning and exercised upon it for the space of twenty days As for laying Medicins to the Feet if they have no great force in Uterin Maladies yet they do no harm and therefore the designs of Patients may be satisfied in that Particular especially those things having the approbation of great Physitians as being useful by their peculiar Qualitys as Mug-wort Penyroyal Savin Fever-few cheifly the Leaves of the Butter-bur and Burdock which are thought by some to be of that force that being laid upon the Head they draw the Matrix upward being apply'd to the Feet they draw it downward The ancient also used to tye to the Feet of menstruous Women and Women newly deliver'd to provoke the courses Spunges dipt in Vinegar and squeez'd again OBSERVATION XXXV An immoderate and violent Purging A Kinsman of that Stout and Valiant Gentleman Mr. Lucas Captain of Horse about forty years of Age finding himself not very well by my Advice steeped all Night in â„¥ iij or iiij of small Ale Leaves of Senna Ê’ij Rhubarb Ê’j and Anisâ—…d ℈ ij for he said he was easily moved and drank the Straining the next Morning This slight and gentle Purge within the space of eight hours gave him about threescore Stools and perhaps there had been an end of his Life had I not stayed the Flux with the following draught and provoked him to Sweat â„ž Terra Sigillata ℈ j. s. Red Coral prepared Harts horn burnt an ℈ j. Treacle of Andromachus ℈ iiij Nicholas's Rest ℈ j. Treacle and Carduus-water an â„¥ j. mix them for a draught I ordered also Napkins scalding hot to be applyed to his Belly one after another and so the Flux stayed I perswaded him for the future not to take any Purge by the Advice of any Physitian though never so gentle unless upon eminent necessity but rather to Ioosen his Belly with a Glyster or some Emollient Broth. ANNOTATIONS THose Physitians are unfortunate who at the Beginning of their Practise meet with such a Patient as this for they expose themselves not to a little hazard of their Reputation For it happens in Physie that the younger Physitians are called the best Tormentors and if by their Medicaments they cure any Patient of a dangerous Disease it is ascribed to chance but if the Patient miscary under the violence of the Distemper then they impute it to the Physitian and his Prescriptions Thus without doubt here had been some mistake laid to my charge had the Medicament by me prescribed been prepared in an Apothecary's Shop and People would have said there had been some Poyson mixed with it but I was freed from that Calumny in regard that Capt. Lucas's Wife made the Infusion and prepared it her self The same accident befel my Brother also who having prescribed only a Dram of Rhubarb for a Gentleman to take and to steep it first at his own House in small Ale by that single Draught had above forty Stools There is a great difference in Men as to Purging some strong Men whom hardly any Medicaments will stir sometime the most easie and gentle Physic casts them into violent Fluxes Others who are lookt upon to be most easily and soonest moved many times the strongest Purgations will not stir Thus I knew a Man of a very short Stature and Lean whom nothing could Purge but Tobacco steep'd in Ale all Night and the straining given him next Morning nor did that give him above three or four Stools without any Alteration which would have put another Man in danger of his Life The Wife of Simon VVigger a weak and lean Woman could hardly be Purged with any Cathartic only Tobacco moved her and that without any trouble Cornelius
after they asswage the Pains and carry away noxious Humors Paraeus tells us of one who when all other Remedies would not prevail was at length cured with drinking â„¥ iiij of the Oyl of sweet Almonds mix'd with White-wine and pellitory-wall-Pellitory-wall-water and then swallowing a leaden Bullet smear'd over with Quick-silver This we also saw our selves of a Trooper who being troubled frequently with the Cholic swallowed three or four Pistol Bullets which coming out again he was presently rid of his Distemper OBSERVATION LI. A Wound in the Head THomas Gravener about sixty years old but a good strong Man of his age a Trooper under Captain Conyers an English Officer upon the fourteenth of November playing with some others in the Lieutenants Quarters by what Misfortune I know not fell backward and broke the hinder Part of his Head against the Pavement which made a slight Wound in the Skin which the Chyrurgeon slighted and only laid some sort of Plaister to it But immediately after the Fall the Trooper grew sick at his Stomach and had an Inclination to Vomit besides he had a slight giddy Pain in his Head yet not so but that he walked the Streets for the three or four first days but upon the sixth day his Face and all his Head began to swell very much The twenty fourth day of November and the eleventh after his Fall about Evening I was sent for I found the Patient very weak with his Face so swell'd that he could not open his Eyes for the Swelling and under his Eyes were black and blew Spots Thereupon having examined the whole Case more diligently from the beginning of the Fall I concluded he would dye in regard that by the Signs his Head seemed to me to be cleft and that the Blood being extravasated between the Meninxes and the Cranium was there putrified and that therefore this Blood which the Chyrurgeon should have drawn out at first by a Perforation of the Cranium would be the Cause of his Death The Chyrurgeons therefore that had him in Cure Mr. Edmunds and his Son observing their Mistake as also the Troopers Wife and Friends earnestly desired that the Operation might yet be try'd and notwithstanding all my Perswasions to the contrary I stood by while it was done Thereupon that Evening the Hair being taken off and a Cross-like Incision made in the place affected the Cranium was laid bare to a good breadth The next day the Tents being taken and the Wound more narrowly look'd into we found a long Fissure in the Skull which Cranium was immediately trepan'd But then we found the Blood which the Wound had bled sticking to the thick Meninx not coagulated or putrified but altogether dry'd up so that it stuck like a clammy Powder the more close to the Meninx and Cranium which was a most certain Sign of Death by reason that the Blood so dry'd could in no manner flow forth So that upon the twenty sixth of November he fell into a deep Sleep and the next day he dy'd ANNOTATIONS COntusions and Wounds in the Head are never to be made slight of For sometimes they deceive the quickest Eyes so that such as seem to be nothing dangerous bring a Man into the greatest hazard of his Life We have observ'd some who after the tenth nay fourteenth and twentieth day after a slight Wound in the Head have felt little or no pain yet of a suddain have been taken with an Apoplexy Convulsions or some terrible Distemper which contrary to expectation has ended their Days Thus a Servant of the Sieur Morignan a French Gentleman falling from his Horse upon his Head had no outward Wound to be seen the first day his Head aked and he was so very Giddy that he could not stand from the second to the twelfth he felt no harm but went about his business The twelfth day he complain'd of a Giddiness of his Head the fourteenth about noon he fell down with an Apoplexy and within a few hours Expir'd In the same manner a Servant of Captain Lucas a Captain of Horse in a Scuffle among certain Souldiers received a slight blow upon the Head with a Cudgel whence ensued a very great swelling without any wound for the first few days he was Giddy after that he complained of a Heaviness of his Head the thirty second day an Epilepsy took him and the forty sixth after the blow he Dyed Convulsive Valeriola also tells a Story of a Woman that having received a very slight Wound with a Pot in her Forehead for two days seemed to aile little or nothing The third day a terrible Fever seiz'd her her face swelled all over with a Redness and Inflammation soon after a Delirium and Convulsion afflicted her to all which Evils upon the fifth day Death put a final end Her Head being open'd there appear'd a Chink in her Skull which was hardly conspicuous a very great Inflammation within the Skull the hard Meninx swelled black and blew and covered with a great quantity of Putrefaction In such cases therefore it is better to lay bare the Skull at first and if need be to perforate then by lingring to expose the Patient to mortal danger OBSERVATION LII A Fissure of the Skull PEter ab Ewjick a Trooper under Captain Conyers about thirty four Years of Age being talking to the Lieutenant with his Hat off in the Yard belonging to his quarters a Servant of the House threw down out of an upper Window a peice of Wood of ten or twelve Pound weight which fell accidentally upon the Troopers Head Immediately the Trooper fell down Speechless and was carry'd into the next Room for dead where for an hours space he appeared so Apoplectic that every Body thought he would have dy'd at length he came to himself but rav'd all that day and the next Night the Chyrurgeon that was sent for perceiving nothing but a slight superficial Wound thought there was no danger and promised to cure him in three or four days However Mr. Cooper not confiding in that Chyrurgeon upon the third day desired me to see him I found him without Pain sound in his judgment with a slight Wound in the fore-part of his Head yet hardly Penetrating his Eyes also were surrounded with black and blew so that so few Symptoms appearing the Chyrurgeon and all the standers-by made slight of the business But I having examined the business from the beginning certainly affirmed that the Skull was either broken or slit and therefore that it was absolutely necessary to make a preforation as soon as possible that the Extravasated Blood might be let out and that there was no dallying till more terrible Symptoms ensued when Art and Industry would be too late so that at length my Advice was followed First therefore after we had loosen'd his Belly with a Glister the same Evening upon the sinister Bone of the Bregma an Incision large enough was made in the form of the Letter T. and the Skull triangularly
after that was delivered of another Boy and both lived in good Health Therefore we must conclude the last Conception had Nourishment enough in the Womb and was strong and consequently able to retain it self in the Womb during the delivery of the other in regard the Woman's Labour was easie and without any violence OBSERVATION LXI Worms in the Head THE Son of a certain Treasurer of Iuliers a Young Lad about twelve Years of Age from his Child-hood had been always troubled with Worms in his Head at length his Mother by the advice of a Quack washed and daubed his Head with I know not what Lotions and Oyntments and so the Worm was kill'd by which the Mountebank thought to have got himself a great name in the Town but within a few days after the Boy began to complain of a Pain in his Head which every day increasing at the Months end was so intollerable that I was sent for but all to no purpose after tryal of all external and internal Medicaments at nine Weeks end Epileptic Convulsions seiz'd him which in a few days turned to a vehement Epilepsie which afflicted him at first every day then every hour then every quarter of an hour at length the Child died his Head being open'd the Hard Meninx was all over of a red Colour and very Black in that part next the upper-part of the Head somewhat toward the the left side this being dissected there came forth a Blackish and watry Goar which had lain between both the Meninxes the substance of the Brain was very little altered but in the Ventricles of it there was a kind of greenish Humour watry yet not very clammy but the quantity very small in other things there was no alteration ANNOTATIONS IN this manner it was that these Worms were cured by this Mountebank However he was wise in this that upon Notice of the Boys Death he sneaked out of Nimeghen perhaps afraid I should upbraid him with the Death of this Patient like an Ignoramus as he was who had stopp'd up the way by which Nature voided the noxious Excrements of the Brain before he had made any diversion OBSERVATION LXII A Tertian and Intermitting Fever THE Wife of Monsieur de Spieck a strong Child-bearing-Woman the second Week after she was brought to Bed found her self very well but trusting too much to her strength got out of her Bed walked about the Chamber and eat a bit of a dry'd Neats-Tongue but at the end of the third Week she was seiz'd with a violent double Tertian Intermitting Fever with an extraordinary Heat continual Waking her Stomach quite lost unquenchable Thirst with several other bad Symptoms The twenty second of August I was sent for when I found her very anxious and weak and in the midst of her second Fit which most People thought would have carry'd her off I gave her presently Bezoar Stone ℈ s. Confection Hyacinth ℈ j. with six Drams of our Treacle-water which as she said soon after gave her some ease to quench her Thirst I gave her this Julep which pleased her so well that she drank nothing else all the time of her Distemper ℞ Waters of Carduus Benedict Succoury Borage an lb. s. Syrup of Limons ℥ j. s. Violets ℥ j. Oyl of Sulphur q. s. to make it grateful to the Pallat. Toward the Evening I prescribed this Infusion which she took the next Morning ℞ Leaves of Senna well cleans'd ℥ s. Rubarb the best ʒj s. Rhenish Tartar Anniseed an ʒj Succoury water q. s. Steep them all Night the next day boyl them gently then press them strongly adding Syrup of Roses Solutive ℥ s. For a Draught This gave her four Stools which brought away much stinking Excrement and gave her great ease after the Purge I prescribed her Chicken Broth with Sorrel and Chervil boiled together in it with a little juice of Citron to relish it and to quench her Thirst still gave her the Julep before mentioned The next Night she slept indifferently and when she waked found her heat much abated the next expected Fit was so slight that she was hardly sensible of it nor did the Fever after that appear any more being vanquished by these Medicins only ANNOTATIONS CHild-bearing Women not careful of themselves when they lye in oft-times pay for their Rashness as this Gentlewoman did As also did a Neighbour of Ours who going abroad too soon fell into a continued Fever upon which first a Frenzy and then Death ensued Another of our Acquaintance the second week of her Month looking to soon after her House Affairs and presuming to Combe her Head fell into an Epilepsie upon which a Delirium ensued which Maladies though at length they were much abated yet could they never be cured all the while the Gentle-Woman lived OBSERVATION LXIII A Bleeding at the Nose THeodore Bijl about fifty five Years of Age in August about four a Clock in the Morning was taken with a Bleeding at his right Nostril Three hours after being sent for for revulsion I ordered the Chyrurgeon to open a Vein in his right Arm with a large Orifice and to take away ten Ounces of Blood which done by applying cold Water to his Neck and Forhead the Bleeding was stay'd three days after being invited to a Feast where he drank Wine a little too freely upon his return home he was again taken with the same Malady and bled all that Night before I was sent for the next day I ordered him to be let Blood as before but to no purpose nor durst we repeat Blood-letting in regard of his Age and his strength nor would he permit any Tents to be put up into his Nostrils and therefore we apply'd a little lock of Tow moisten'd with this mixture to his Forhead ℞ Bole Armoniack ʒij s. Bloodstone Mastick Frnkincense Red Coral an ℈ ij The white of one Egg. Vinegar of Roses q. s. mix them together Moreover Oxocrate which is actually cold was applied to his Neck Forehead and Testicles and Revulsions by Ligatures and Painful Frictions of the extream Parts and by Cupping Glasses applied to his Shoulders which avail'd nothing at length after the bleeding had continued above thirty six hours and the strength of the Patient through loss of Blood was very much exhausted then he was forced to admit of Astringents to be thrust up into his Nostrils therefore when we had cleansed his Nostrils from the clotted Blood we ordered a Powder of Trochischs of Myrrh of Bole-Armoniac Mastick and Frankincense to be blown through a Quill into his Nostrils and withal thrust up a thick Tent made of Linnen about a Fingers length dipt in Vinegar and the white of an Egg and sprinkled with the same Powder by which means the bleeding seemed to stop for two or three hours but afterwards the Blood began to descend through his Palate into his Mouth and the Tent falling out he bled again at the Nostril Then after we had once more cleansed his
other OBSERVATION LXXII The Scurvey AGnes Alberti a Maid of about twenty four years of Age complained of a dull heavy Pain in her left Side under the Bastard Ribs as also of a certain Chilliness of her whole Spine She had also certain cold Shakings frequent Debilities and fainting Fits which presently went off besides she had certain black and blew Spots upon her Thighs moreover her Teeth were loose and her Gums eaten away she had an ill Smelling By these Signs I judged her to have the Scurvy But in regard it was in the midst of a hard frosty Winter when no proper Herbs were to be got and because the Extremity of the Cold would not permit of Purgation I only prescribed her this following Electuary to take of it the quantity of a Nutmeg three times a day and all the while to observe a good Diet ℞ Specier Diambrae of Aromaticum Rosatum Seed of Bishops-weed and Parsley an ℈ ij Nasturtium Cremor Tartar an ʒiij Choice Cinnamon ʒj Sal Prunella ℈ j. Reduce them into a very sine Powder Then ℞ Long fat Raisins q. s. Boil them in Wine till they are soft and strain the Pulp through a hair Sieve ℞ Of this Pulp lbs. and mix the whole Powder with it together with Oyl of Anise and Iuniper an ℈ j. Syrup of Limons q. s. For an Electuary I would willingly have mixed some bitter things but she had an Aversion to them I advised her also if there were any Winter Scurvy-grass or Nasturtium to be got to steep those Herbs in small Ale or Wine and then to boil them gently and to take that Decoction deferring the rest of the Cure till April in the mean time to fix and fasten her Teeth I prescribed the following Alum-water ℞ Powder Alum ʒj Common VVater ℥ vj. Cinnamon-water ℥ j. Mix them to wash the Mouth After she had made use of these things a while she felt a great ease and the Spots of her Thighs vanished The twenty sixth of April the following Apozem was prepared for her of which after she had taken three or four times and purged her Body twice she was quite freed from her Distemper ℞ Pylypody of the Oak Rind of Caper-roots an ℥ j. Roots of Fennel Eryngos Stone-parsley Elecampane an ℥ s. Fumary Dodder Lesser Centaury the whole Dandelyon an m. j. Roman VVormwood Flowers of Elder an m. s. Seeds of Parsley Anise Fennel Nasturtium an ʒj s. Currants ℥ ij Rhenish Tartar ℥ j. Common VVater q. s. Boil them according to Art adding at the end Root of wild Raddish ℥ j. Herbs Scurvy-grass VVater-Nasturtium Brook-lime an m. j. To make an Apozem of lb ji ANNOTATIONS MAny believe the Scurvy to be of the number of those new Diseases which Dodoneus writes were first known in Brabant in the Year 1556 though epidemic for some years before among the Belgians Danes and other Northern Regions However Hippocrates describes a certain Disease call'd the Bloody Volvulus very like the Scurvy if not in all things yet in most as a stinking Mouth starting of the Gums from the Teeth bleeding at the Nose Ulcers upon the Thighs some going off others newly come the Skin emaciated and black Sloathfulness and Inability to work or walk Pliny describes this Disease by the Name of Sceleturbe where he says that there was a new Disease in Germanicus's Camp beyond the Rhine which caus'd shedding of Teeth and loosned the Joynts of the Knees But that there was a Root which was found out for it which was called Britannica good for the Nerves and Maladies of the Mouth having a long Leaf and a black Root For as in the French Disease Guaiacum Sassaperil and some few other things are Specific so has this Disease certain proper Antidotes as Spoon-wort the Nasturtiums Brook-lime Fumitory wild Radish c. with some other bitter things that are not purgative OBSERVATION LXXIII A Weakness of the Stomach CAptain de Gone about fifty years of age for some Weeks had been troubled with a Weakness of his Stomach which had both lost its Appetite and Concoction accompanied with troublesome Belches and a nauceousness After I had prescribed him a proper Diet to cleanse his Stomach from Crudities and cold and viscous Humors I prescribed him this Apozeme to take at four times four Mornings together ℞ Roots of Elecampane Mecoacan Fennel an ℥ s. Calamus Aromat Galangale an ʒij Herbs Mint Rosemary Nipp Marjoram lesser Centaury an m. j. Wormwood Baum Hyssop an m. s. Seed of Carthamum ℥ j. Of Fennel Caroways an ʒij Raisins stoned ℥ ij Common Water q. s. Boil them and add toward the end White Agaric ʒij Leaves of Senna cleansed ℥ j. s. anise-Anise-seed ʒv This gave him three or four Stools a day so that after he had thus purged I ordered him to take an hour before Dinner and Supper a Dose of this Powder in a Draught of generous Wine ℞ Root of Calamus Arom Specier Diagalangae Diambra an ʒj s. Mace Choice Cinnamon Ginger an ʒj Make a Powder to be divided into ten equal Doses I advised him also in a Morning to drink a Draught of Wormwood-Wine and these few means restored his Stomach to its former Strength ANNOTATIONS IN cold Distempers of the Stomach besides those already mentioned Observation 5. 8. there are several others which are highly commended by Physitians Some extol the use of Turpentine and call it the true Balsam of the Bowels in regard it gently heats purges and cleanses the Bowels Zechius highly commends this Bolus and says there is nothing better can be used ℞ Clear Turpentine ʒj Mastich powdered ʒs Powder of Aromaticum Rosatum ℈ s. Make a Bolus to be given two hours before Meat Some there are that boil up Turpentine into the Form of Pills but erroneously for that the more effectual vertue of the Turpentine exhales in boiling Balsam of Perue is an admirable thing to strengthen the Stomach if you take some few Drops of it in strong Wine before Meat Crollius commends his Elixir Proprietatis Hartman and others prefer Zedoary before all other things The Decoctions of Guaiacum and Sassafras are very good Distilled Oils also are very proper of Cloves Anise Carroways Cinnamon Nutmegs and the like given in some few Drops of strong Wine The following digestive Powder is also very much used to help Concoction ℞ Coriander prepared ℥ j. sweet Fennel-seed and Aniseseed an ʒij Cinnamon Cloves an ʒs Sugar ℥ iij. Reduce them into Powder the Dose one Spoonful after Meals Wormwood also taken any way is very much commended as Galen testifies who cured a Woman that had lost her Stomach and so weak that she could get no Food down with only Wormwood-wine Therefore says Montagna among Medicines which strengthen the Appetite and Digestion and open the Obstructions thereof and cleanse away and dries up the Matters therein contained Wormwood is the most famous and all Wormwood Medicines whether Julebs or Confections Langius's Electuary is also
The third day I was sent for presently I ordered this Quilt to be prepared and laid upon his Head â„ž Leaves of Marjoram Vervain Rosemary Flowers of Melilot an one small Handful Nutmegs ℈ j. s. Cloves ℈ j. Make a gross Powder to be quilted up in red Silk After this had lain four or five hours upon his Head the Convulsions ceased by degrees and within twelve hours vanished quite to the Admiration of all that the Child should be so soon freed from so desperate a Distemper ANNOTATIONS IN regard the Brains of Children are very moist and that thence arise many watry and flegmatic Vapors Nature for their more easie Evacuation leaves the Skull open for some time at the top of the Head But as this Opening gives an easie Exit to the Vapors so if the Head be not well covered to prevent the entrance of the external Cold then upon shutting the Pores and the Refrigeration and weakning of the Brain the Vapors being detained therein condense into a tough Slime in the Ventricles of the Brain which Burthen when Nature cannot throw off thence arises Epileptic Convulsions which procure the Death of many Infants Or if they scape with Life they either become Changlings or retain some other terrible Misfortune as long as they live as some Paralytic Member Blindness of one Eye c. However this Diistemper differs from a true Epilesie in regard the Convulsions in this Malady are less vehement though more frequent and of longer continuance Besides that these Convulsions proceed from abundance of Humors and weakness of Concoction anâ—… Expulsion in the Brain but the true Epileptic from the Malignity and the Envenomness of the Humors Nevertheless it has been known when the Humors so collected in the Brain if the Distemper have continued long by degrees have acquired a malignant Quality and indeed a malignant Quality into the Brain and Meninxes and then these Convulsions become the most grievous of all Epilepsies The Cure of this Distemper consists chiefly in corroborating and warming the Brain to the end the Pores may be opened and the Vapors have free exit which being done in time I have known many that have escaped the Distemper Some endeavour an Evacuation of the Flegm at the Nose and Mouth by thrusting up Oyl of Amber and Rosemary into the Nostrils But when the Brain is become so weak through the extraordinary quantity of Flegm that overlays it that it cannot contract it self that way of Cure does little good or rather more harm as causing stronger Convulsions while the enfebled Brain is forced to more vehement Expulsion Therefore it is much more expedient to warm and corroborate the Brain and by that means to promote the Concoction of the crude Humors and to evacuate the Vapors through the Brain not yet consolidated Which done the Brain is sufficiently able to concoct and dissipate the rest of the Slime which adheres to the Ventricles and to expel it through the Passages appointed for that Evacuation To which purpose I have often found a Quilt lay'd upon the top of the Head to be very prevalent for it answers all Expectations it warms and corroborates the Brain it opens the Pores and powerfully promotes the Concoction and Dissipation of the Crude Humors Sometimes before I lay on the Quilt I anoint the top of the Head with a drop or two of Oyl of Marjoram Sometimes I order the Patient to take a spoonfull or two of the Water of the Flowers of Lilly of the Valley and Syrup of Stoechas two parts of the first and one of the latter I have also observed that if Infants wear these Quilts till their Heads are firmly consolidated they are not only free from this but many other Maladies of a cold Brain Nicholaus Fontanus in this case highly extols Childrens Urine and tells a Story of a Patient to whom he gave three Glysters with success of the Decoction of proper Herbs boiled in Urine and then gave him to take a Syrup of Childs Urine made up with various Cephalics OBSERVATION LXXVIII An Intermitting Tertian Ague JOseph Wenties a young Man in the beginning of March was taken with an Intermitting Tertian Fever which seized him with an extraordinary shaking and went off with a violent Sweat Within a months space he had made use of a hundred several Remedies of old Women and Mountebanks Purges Vomits and Topics to his Wrists not forbearing Charms and Amulets to hang about his Neck all which were so far from abating the Fever that after the beginning of April it grew stronger every day than other Upon the seventeenth of April I was sent for I found the Patient very weak his Stomach quite gone and so lean that his Skin could hardly cover his Bones He had taken a Vomit the day before and therefore I thought it not proper to purge him any more Wherefore after I had prescribed him a proper Diet I gave him an opening and refrigerating Apozeme which he drank three days together but without any benefit Thereupon I ordered the following Mixture for a bag to be hung up in a Vessel of White-wine â„ž Leaves of Carduus Benedict Lesser Centaury VVormwood an two small handfuls Lucid Aloes ℈ ij Cut the Herbs small and bind them together in a bag to be hung in 〈◊〉 v. of White-wine and sometimes to be squeezed out Of this bitter Wine he drank a draught of â„¥ iiij or v. the first day twice but afterwards once a day this gently purged him and brought the Distemper to a simple Ague and then it abated every day and this drink being continued in a short time went quite off leaving the Patient restored to a very good Stomach OBSERVATION LXXIX A Bastard Intermitting Tertian THE Lady of Nassaw in the Flower of her Age but lean and squeamish was seized by an intermitting Tertian that came every other day but no certain hours sometimes latter sometimes sooner accompanied with pain in the Head Nauseating Anxiety of Heart and seizing with an extraordinary shaking but going off with a violent Sweat her Stomach was gone and she slept very little and in regard she was very thirsty she would drink six or eight Pints of Water during her Fit Upon the twenty fifth of April at the beginning of her cold Fit I was sent for at what time to make her sweat the sooner I prescribed her this draught â„ž Salt of Wormwood Extract of Carduus Ben. Confection of Hyacinth an Ê’j Treacle water â„¥ j. Mix them for a draught The next day not willing to a Purge she took a Glister only which gave her two Stools after which she took no more Physic for four days May the first I prescribed her a refrigerating and opening Apozem which she drank up in two days her Ague still continuing in the same state thereupon because she abhorred the taste of Physic I gave her the following Vomit which when she took she thought she had drank Wine â„ž Crocus Metallorum gr xvi White French
Boyl these in common-Common-water q. s. adding at the end Leaves of Senna cleansed â„¥ j. s. white Agaric Ê’ij Fennel-seed and dill-Dill-seed an Ê’j s. Make an Apozem of 〈◊〉 ij The following Emplaster was likewise applied to the part affected â„ž Sulphur finely Powdered Ê’v Castoreum Ê’j Tar. Ê’vj Oxycroceum Plaister â„¥ s. Balsome of Sulphur Ê’ij For a Plaister to be spread upon red Leather After he had taken all his Apozem and that his pains remain'd in the same condition I prescribed him another purging Decoction of which he drank twice a day â„ž Sassafrass wood Ê’vj Roots of Eringos Cammoch Lovage an Ê’j Masterwort Fennel stone Parsley an Ê’ s. Vervaine Rosemary Betony Majoram Germander Ground Ivy an Mj. Savine Flowers of Stoechados an M. s. Anise-seed Iuniper-berries Ê’iij Boyl them in Common-water q. s. to 〈◊〉 ij Then add Syrup of Stoechas â„¥ iij. For an Apozem Two days after the former Plaister was laid on again and when he had drank up his Apozem I gave him the following Vomit which brought up a great quantity of Viscous Flegm with Choler â„ž Leaves of green Assarabacca Ê’iij Bruise them and press out the juice with â„¥ ij of the Decoction of Raddish to which add Oxymel Scyllit with Agaric â„¥ j. Mix them for a Potion When all these things did no good I applied this other Plaister â„ž White Mustard-seed and of Nasturtium an Ê’j Castorium ℈ ij Euphorbium ℈ j. s. Spanish-Soâ—…e Ê’x Pine-Rosin and Turpentine an Ê’iij Mix them well to spread upon Leather After this had stuck on two days it had raised innumerable little Blisters in the Skin out of which a green Humour flowed from the inner parts in great quantity so that in four days he felt great ease The Plaister being removed I laid on Colewort-leaves but observing the Plaister not to be very violent but that it only gently drew out the internal Humors and kept the Blisters open without Corrosion I laid it on again and so in twelve days the pain went quite off and the joynt was so corroborated that the Patient went about without any trouble but for fear of a relapse I gave him the purging Apozem again and the Plaister of Sulphur was laid on for a Fortnight longer which absolutely compleated the Cure ANNOTATIONS THough the Sciatica be a kind of a Gout yet because of the Place the Cure differs in some Remedies Sometimes it is very hard to be cured because that joynt is not so profound that Topics cannot reach it by reason of the thickness of the Muscles that lye over it and for that inward Medicines require a great deal of time to abate and remove the Cause This Disease proceeds from too much fullness of Blood sometimes from a defluxion of cold and and sharp Humors In repletion Blood-letting is requisite which in a very great repletion is to be done in the Arm then in the Thigh affected The Vein is to be opened in the Ham or else the Sciatica Vein I have cured said Galen the Sciatica by opening a Vein in the Thigh Some there are that apply Leeches to the Fundament instead oâ—… Blood-letting Which way Paulus and Aurelian commend if you lay on eight or ten Leeches at a time and Zacutus affirms he has cured the Sciatica with Leeches when other Remedies sailed within the space of ten hours Some prefer Cupping-glasses before Leeches But if the Malady proceed from sharp tartarous and cold Humors Blood-letting does no good unless there be a Plethory but first there must be strong Purging with Elect. Caryocostin and Hermodactyl Pills or Vomits of Ammonia or Asarabacca and then Topics such as asswage Pains sufficiently known to every skilful Physitian Some extract and dissipate the Morbific matter insensibly to which purpose Donatus ab Altomary takes a great quantity of the Stones of sweet Grapes and presses out the Liquor strongly This he heats with its Must then pours it out upon the Pavement and with his Hands strongly compresses into a heap then making a kind of a furrow in the Grape-stones burys the Patient in them up to the Mid-belly and there lets the Patient lye to sweat for half an hour or an hour twice a day Duretus commends Grape-stones in all sorts of Gouts If in Vintage time the Grapes are carried into a Barn and covered with Coverlets till they grow warm and then for the Patient to thrust his Feet Arms legs â—…r else to lay his whole Body in the heap Then which says he There is not a better Remedy under Heaven Solenandâ—…r also among the best and safest Remedies that corroborate the Parts affected and cherish the natural heat commends the laying the Hands and Feet or other Parts affected in a heap of Grape-stones hot from the Press or heated with new Wine and this continued for fifteen days To which he adds that he knew a Noble Person that could not go who was recovered by the use of this Medicine I knew my self a Country man cured by such a Fomentation for some days together in Horse-dung Matthiolus affirms experimentally that several Sciaticas have been cured with the slimy water of Snails when all other Remedies failed which Paraeus and Laurentius approve Old stinking Cheese kneaded into the form of a Cataplasm with the Decoction of a Westphalia-Ham asswages the Pain draws forth the cause of the Malady and dissolves the rigid hardness of the Part. Sylvius commends a Cataplasm of Dwarf-Elder Barley-meal and Honey Forestus also tells of two Sciaticas cured with laying upon the Part only Nettles boyled in Ale We look upon Balsom of Sulphur among the most effectual Remedies as having more then once observed the happy effects of it Galen commends an Emplaister of Pitch two Parts and one of Sulphur mixt and laid upon the Part affected till it fall off of it self Which Forestus so highly extols as the most effectual Remedy that can be invented only he believes it would be better to equal the proportions of the Pitch and Sulphur If these things or the like avail not then such things must be made use of that insensibly draw forth the matter and that either by diversion or from the Part affected By diversion â—…auteries applied to the Arms and Thighs are of great use So Paschal tells us of a Physitian cured of a pain in his Hipps by a Caustic applied under his Knee of Quick-Lime and Alum Hippocrateâ—… orders an Incision of the Veins behind the Ears Zacutus of Portugal in â—… defluxion from the Head saw a Person cured by a Caustic applied behind the Ears from whence after the falling off of the Crust for ten days together there flowed a thin and watery moisture and so the Distemper ceased From the Part affected Visicatories and Rubificants draw forth the peccant Matter Thus Douynetus tells us of several that have been cured by the application of Vesicatories Arculanus and others have successfully made use of a blistring Cataplasm in an obstinate pain that gave way to
no other Remedies â„ž Sowre Leven lb s. Cantharides â„¥ j. Pulp of Figs â„¥ s. Andrew Laurentius recomends this Visicatory â„ž Old Leven â„¥ ij Cantharides Ê’ ij Seed of Mustard and Stavesacre an Ê’iij Beat them together with Strong Vinegar for a Vesicatory Iohn Matthew de Gradibus prepares another of the Seeds of Mustard and Nasturtium Pigeons-dung Decoction of Figs and Venegar which rubifies and raises Blisters which being broken and cleansed with the Decoction of Figs then lay on a Colewort Leaf warm and this he says extirpates the inveterate Pains of the Hips and the Gout Galen Aetius and Paulus prefer a Cataplasm of wild Cresses which raises Blisters and is accounted a peculiar Remedy for these Distempers Schenkeus tells us of a Sciatic who when all other Remedies failed of his own Head took Skins of Hemp macerated with Ashes and having boiled them in strong Vinegar laid them to the place affected as hot as he could endure them This raised several Blisters upon the Skin out of which flowed a great quantity of greenish yellow Water by which means his Pain left him Tagaultius celebrates this Emplaister of Galen and Avicen then which he says there can be none more effectual or that gives such present ease â„ž Mustard and nettle-Nettle-seeds Sulphur Froth of the Sea round Birthwort Bdelium an â„¥ j. old Oyl Wax an â„¥ ij For an Emplaister I have found that Emplaister which I prescribed to our Patient with Spainish Soap to have wrought wonderful effects I remember a Young Maid at Montfort miserably troubled with the Gout so that she could neither move Shoulders Arms nor Hips who was cured only with Emplaisters of Spanish Soap mollified in Wine and spread upon Leather which raised Blisters and drew out a great quantity of yellow greenish Water which restored her unexpectedly to her Health in a few weeks OBSERVATION LXXXIX A Wound with a Bullet A Citizen of Nimeghen the twentieth of May 1637. imprudently discharged his Pistol downward so that the Bullet rebounding from the Flint-stone-pavement of the Street hurt a Woman that was passing accidentally by The Bullet had entered the Cavity of her Breast about three Fingers from the Spine of the Back between the fifth and sixth Rib and entring the exteriour substance of the Lungs had made a great Wound in the fourth Rib in the side from the inner part so that the Rib was broken but the Bullet did not pass through but stook in the Cavity of the Breast not round but flat and oblong by hitting against the stone as appeared by the Wound unequal and bigger then usual the Woman was carried wounded home very little Blood Issued from the Wound but the next day with Coughing she threw up a good quantity the danger was great which I foresaw in regard that the Bullet lying upon the Diaphragma could no way be drawn forth out of the Cavity of the Breast as also for that Wounds in the Lungs are difficultly cured because of their continual motion especially when the Wound is made by a Bullet which cannot be done without a great contusion However the Chyrurgeon bound up the Wound and after I had gently purged her Body I prescribed her this Apozem to drink Morning and Evening â„ž Roots of Madder â„¥ j. Eryngos Fennel stone Parsley an â„¥ s. scraped Licorice Ê’vj Herbs Scabious Violet-leaves Coltsfoot Chervil Leaves of black Ribes or Garden Currants an M. j. greater Celandine M. ij four greater Cold-seeds Anise-seed an Ê’j Raisins of the Sun â„¥ ij Boyl them in Common-water q. s. to lbij. add Syrup of Licorice Poppy Rheas an â„¥ j. s. Mix them for an Apozem She complained of no pain but one where the Wound was and the place where her Rib was broken which pain went off upon laying on a Plaister of Oxycroceum and her Rib closed again The first six days she was very weak she eat little or nothing little or no Matter came out of her Wound she had no Fever or Cough or difficulty of Breathing and after the second day she spit forth nothing either of Blood or Matter out at her Mouth May twenty seventh being somewhat bound we gave her a loosening Draught which gave her two or three Stools May the thirtieth she was grevously tormented so that every Body thought she would have died but in the Evening of a suddain she coughed up a good quantity of white Matter with some Blood which gave her great ease and then she began to be better the Wound also closed against our Wills neither did any thing of Matter come forth from the Wound out of the hollowness of her Breast all the time of the Cure after she had voided this corruption for seven days she continued without a Cough The seventh of Iune with a slight Cough she spit up a small quantity of Corruption again and then the Cough ceased and the Patient grew stronger and stronger every day nor did she after that spit forth any more Matter or Blood but after the second Month being restored to her perfect Health went abroad again feeling no Inconvenience from so great a Wound afterwards for nine Years together nor did she feel the Leaden Bullet in her Breast only when she fetched her breath with a deep sigh she felt something heavy upon her Midrife ANNOTATIONS WIthout doubt the Bullet did not pass the middle of the Lungs nor touched the Bronchia or bigger Vessels but only slightly touched the substance of the Lungs in the outer side otherwise more terrible Symptoms would have ensued nor would the Cure have been so soon accnmplished which however was sufficiently to be admired when such a wound could not happen without a very great Contusion Now the great Wounds in the Lungs are incurable and slight Wounds difficult to be cured yet we are not to despair since very great Wounds in the Lungs have been often Cured I remember I knew a Victualer that lived near Leyden who in a scuffle with a Country-man was stabbed under the Pap of his right Breast with a broad Knife that past through the middle of his Lungs and went out behind under the Scapula Yet this Man reduced to meer Skin and Bones through the Exulceration of his Lungs two years afterwards being brought to Utrecht was perfectly cured by a Chyrurgeon with only vulnerary Decoctions However a great Paâ—…t of his Lungs was consumed by Suppuration which was easily perceived when he moved backward or forward for then his right Lung would strike against his Breast like the Clapper of a Bell. 'T was to be admired that such a Wound should be brought to a perfect Cicatrization yet this Man I saw ten years after without a Cough without any Malady sound and whole as ever I saw a Man in my Life In the year 1635. I had another sturdy Country-man in Cure who had received a Wound under the Pap of his left Breast with a broad Knife that entered as far as the middle of the Lungs Other Country-men
Tamarisch an ℥ s. Herbs Baum Borage March Violets Tops of Hops Betony Germander Majoram an M. j. Flowers of Stoechas M. s. Cordial Flowers an one little handful Citron and Orange Peel an ʒ iij. Seeds of Fennel and Caraways an ʒ j. s. Currants ℥ ij Water and Wine equal Parts Make an Apozem for a Pint and a half to which mix Syrup of Stoechas and Borage an ℥ j. s. XI After this preparation Purge with this Potion ℞ Leaves of Senna ℥ s. White Agaric ʒ j. anise-Anise-seed ʒ j. Ginger ℈ j. Decoction of Barly q. s. Infuse them all Night Then add to straining Confect Hamech ʒ iij. XII This done let him take this Apozem again and continue it for some time loosing his Belly every three or four days either with the foresaid draught or Confect Hamech or Cochiae Pills or Mesues and compounded Syrup of Apples highly commended by Rondeletius in this Case XIII After every Dose of his Apozem as also after Dinner and Supper let him eat the quantity of a Nutmeg of this Conditement ℞ Specier Diambr sweet Diammosch Dianthos an ℈ ij Candid Citron and Orang Peels an ʒ iij. Conserve of Flowers of Borage Baum and Rosemary an ℥ s. Confect Alkermes ℈ j. s. Syrup of Citron Rind q. s. Mix them for a Conditement XIV In the midst of these Cures peculiar Evacuations of the Head will not be amiss either by Masticatories or Sternutories made of Mar joram Gith-seed Roots of white Hellebore and Pellitory or the like XV. Great care is to be taken to provoke the Patient to sleep Therefore for his Supper give him sometimes a Hordeate or Amygdalate made with a Decoction of Barly and Lettice with which if he be hard to sleep mix one Ounce of Syrup of Poppys or more Or if these avail not of the Mass of Pills of Storax fifteen grains or of Laudanum Opiat three grains but this not often When he is not so much troubled with Waking it will suffice to anoint his Temple with Oyntment of Populeon mixt with some few grains of Opium Though Narcotics are to be used as little as may be for fear of accustoming the Patient too much to the use of them XVI His Diet must be such as breeds good Blood and corrects all the qualities of Melancholly Humors easie of Digestion moderately hot and moist prepared with Barly cleansed Borage Baum Bugloss Marjoram Raisins Betony c. avoiding Leeks Onions Garlic Cabbige Fish long pickled or dry'd in the Smoak and whatever beeds ill Juice and Melancholly nourishment let the Patient be moderate in his Diet neither too full nor too empty Let his Drink be small with a little Baum Rosemary or other such Herb mixt with it Let his Exercises be moderate His sleeping time much longer Let his Body be kept soluble And which is of great moment in this Cure let his Mind be taken off from all manner of sadness and thougthfulness and all occasions of fear and grief be avoided while his friends on the other side labour with grateful Arguments to perswade him of the vanity and falsehood of his idle Dreams and Imaginations HISTORY IV. Of Hypochondriac Melancholy A Noble German of forty Years of Age of a Melancholy Constitution having suffered deeply in the calamities of the late German War as Captivity Exile Famine and other Miseries which had reduced him to an ill sort of Diet the long use of which had begot wind roarings and distensions about his Midriff and a troublesom Ponderosity especially about his left Hypochondrium with difficulty of respiration and a palpitation of the Heart though not continual with loss of Appetite which made him sad fearful and thoughtful till at length understanding the death of his Wife he became so consternated that no perswasive and kind Language could asswage his sadness so that through continual watching restlessness horrible thoughts and want of sleep he began to rave at first by intervals but afterwards without ceasing he thought every Body came to kill him and therefore sought retirement and avoided Society No body but Servants entered his Chamber and of them he was afraid too if any other Persons came to visit him he besought them not to Murder him unprovided but to give him time to prepare himself for Death he only seemed to trust his Physitian from whom he often desired Antidotes against Poyson which he assured himself were often mixed with his Meat and took any Medicaments that were brought him IN this Person thus Distempered various Parts were grievously afflicted especially the Brain as appeared by the Delirium and the Bowels of the middle and lower Belly which the Palpitation of his Heart difficulty of breathing distention and ponderosity of his Hypochondriums and loss of Appetite plainly demonstrated II. The Symptom that chiefly insested is called Melancholly which is a Delirium without Rage or Fever arising from a Melancholly Phantasm III. The remote Causes of this Malady are Fear Terrors and Grief occasioned by Misfortunes which had long troubled and disordered the Spirits in their Motion to which an ill Diet mainly contributed For thereby Crudities were bred in the Bowels of the lower Belly thence Obstructions in the Spleen and neighbouring Parts The faculty of the Spleen was weaken'd so that not able to do its Office in Chymification and breeding Matter unfit for convenient Fermentation of the Humors it left many feculent acid sour thick and crude Humors which not able to pass the small Vessels got together in a large quantity in the left Hypochondrium about the Spleen which occasioned that troublesom Ponderosity accompanied with wind and roarings for that while Nature endeavours the Concoction of that acid Matter which she cannot well accomplish those acid Humors receive some Fermentation which begets that great quantity of Wind which not finding an easie Exit occasions those rumblings and distensions of the Parts This thicker acid and sharp Matter being carried to the Heart causes Palpitation while the Heart endeavours to expel that sharp pricking Matter from it And in regard that Melancholly Juice is not equally troublesom to all the Parts of the Heart thence it happens that the Palpitation does not always continue but comes by intervals The same Juice being expelled from the right Ventricle of the Heart to the Lungs when it comes to fill the small branches of the Arterious Veins and Veiny Artery as not being able to pass them without great difficulty fills the Breast with many Vapors and causes difficulty of Respiration But being carried through the Arteries with the Vital blood to the Brain it disorders the Motion of the Animal Spirits renders them more impure and alters them by a Specific and bad mistemper Thence those Melancholly Imaginations by which the Operations of the Mind and Ratiocination are disturbed which occasions a Delirium accompanyed with fear and sadness IV. But because that Melancholly humor is not generated at first in the Head but ascends from the Hypochondriums especially the left to
could hardly speak or breath and when she endeavoured to throw off the Burthen she was not able to stir her Members And while she was in that Strife sometimes with great difficulty she awoke of her self sometimes her Husband hearing her make a doleful Inarticulat Voice waked her himself at what time she was forced to sit up in her Bed to fetch her Breath sometimes the same Fit returned twice in a Night upon her going again to Rest. I. THe Brain of this Woman was primarily affected especially in the hinder Ventricle of the Brain near the Spinal Pith for the Muscles of the Parts seated below the Head are agrieved which appears by her difficulty of breathing and the hindered Motion of her Breast Thighs and Arms. Hence the Heart is affected with the Lungs II. This Affection is called Incubus or the Night-Mare which is an Intercepting of the Motion of the Voice and Respiration with a false Dream of something lying ponderous upon the Breast the free Influx of the Spirits to the Nerves being obstructed III. The antecedent Cause of this Malady is an over-redundancy of Blood in the whole Body whence many Vapors are carried to the Head and there detained by the Winter-cold streightning the Pores and thickning those Vapors and narrowing the Passage to the beginning of the Spinal Marrow which hinders a sufficient Passage of the Animal Spirits to the Nerves and this constitutes the containing Cause IV. For while the Passages of the Nerves are compressed by the more thick Vapors detained about the lower part of the Brain at the entrance of the Marrow into the Spine sufficient Animal Spirts do not flow into the lower Parts which causes the Motion of the Muscles to fail Now because the Motion of the Muscles for the most part ceases in time of sleep except the Respiratory Muscles therefore the failing of their Motion is first perceived by reason of the extraordinary trouble that arises for want of necessary Respiration Now the Patient in her Sleep growing sensible of that Streightness but not understanding the Cause in that Condition believes her self to be overlay'd by some Demon Thief or other ponderous Body being neither able to move her Breast nor to breath Then endeavouring to shake off that troublesome Weight as apprehensive of some ensuing Suffocation but not being able to move the rest of her Members she believes them under the same Pressure Upon which when she tries to call out for assistance but because of the streightness of her Respiration she is not able to speak distinctly she makes an inarticulate Noise with great difficulty In this Strugling she continues till the Animal Spirits detained at the lower Part of the Brain by the Compression of the Spinal Marrow and there collected in a greater quantity at length forced by the continual Flux of Spirits from the Heart violently make their way through the Pith into the Nerves and Muscles and restore Motion to the Parts Then the Patient moves her Body and wakes and by that motion those thick Vapors are dissipated and being awake she is forced to take Breath to repair the Loss which she suffered for want of Respiration But because there is yet a larger quantity of these Vapors still remaining in the Head hence it comes to pass that if she fall asleep again especially if she lye upon her Back the same Evil returns in regard those thick Vapors settle more easily toward the hinder part of the Head near the Marrow V. Now that they are Vapors and not Humors is plain from hence that the Malady is so soon mastered which could not be done so suddenly were they Humors which would rather cause an Apoplexie or some other more dangerous Evil that they are thick and not thin Vapors appears from hence because the thin Vapors would pass more easily through the Pores though narrower which the thick cannot do which requires motion of the Body to dissipate them which Motion ceasing in Sleep they stick to the Place and streighten the Pores of the Nerves But if any cold ill Temper of the Brain happen at the same time those Vapors are easily condensed into Humors by that Cold which if detained in the Head cause Heaviness the Coma Apoplexy and the like If they flow from the Head to the lower Parts they breed Catarrs with which our Patient was wont to be troubled in the Winter-time VI. This Malady is dangerous least the collected Vapors being condensed in the Head should breed a Coma Apoplexy or the like VII It consists in removing the Antecedent Principal and containing Cause and the Corroboration of the Brain VIII To purge away the Antecedent Cause or the great quantity of Humors let the Body be purged with Pill Cochiae Powder of Diaturbith or this Potion ℞ Leaves of Senna ʒiij White Agaric Rhubarb an ʒj s. Anise-seeds ℈ ij White Ginger ℈ s. Decoction of Barley q. s. Infuse them and to the Straining add Elect. Diaphaenicon ʒij IX Then because she is plethoric take away ℥ viij or ix of Blood from her Arm. X. After Blood-letting let her take every morning a Draught of this Apozem ℞ Root of Calamus Aromaticus Fennel Stone-parsley Capers an ʒvj Herbs Betony Marjoram Dodder Succory Borage Sorrel an m. j. Flowers of Stoechas m. s. Iuniper Berries ℥ s. Blew Currants ℥ ij Water q. s. Boil them according to Art adding toward the end Rubarb white Agaric an ʒij anise-Anise-seed ℥ s. Cinnamon ℈ j. s. Make an Apozem of lb. s. XI To expel the containing Cause Errhinas snuft up into the Nostrils or a sneezing Powder of Root of white Hellebore Pellitory Leaves of Marjoram and Flowers of Lilly of the Valley greatly conduce XII To corroborate the Brain let her take a small quantity of this Conditement ℞ Specier Diambr Aromatic Rosat an ℈ ij Conserve of Flowers of Betony Sage Anthos candied Root of Acorns an ℥ s. Syrup of Stoechas q. s. XIII To the same purpose let her wear such a Quilt as this upon her Head ℞ Leaves of Rosemary Marjoram Thyme Flowers of Lavender an ʒj Nutmegs ℈ ij Cloves ℈ j. Benjamin ℈ s. Beat them into a gross Powder XIV Keep her in a pure and moderate hot Air. Let her Diet be sparing but of good Juice and easie Digestion Let her Suppers be more moderate then her Dinners Her Drink must be small her Exercise moderate and so must her Sleep be and let her be careful of sleeping upon her Back Lastly a sedate Mind and a soluble Body are of great moment in this Case HISTORY XII Of the Apoplexy A Strong Man about forty years of age both a great Feeder and Drinker complained of a heavy Pain in his Head for two Months together but took no care of himself but followed on his usual Course of Drinking Fore-noons and After-noons but at length one Morning waking in his Chamber after he had muttered out three or four inarticulate Words he fell of a sudden void of
and the taking of Tobacco is very Beneficial XI Decoctions of Guaiacum Sassafras and Sassaparil prepared with hot and drying Cephalics to provoke Sweat now and then are of great use XII This Quilt may be made for the Patient to lay upon his Head â„ž Leaves of Rosemary Marjarom Thime Flowers of Lavender an two small hand fuls Mastic Frankincense an Ê’ j. Cloves Nutmegs an ℈ j. For a Quilt To anoint the Temples and top of the Head which is every day to be done use this Liniment â„ž Oyls of Rosemary Amber Marjoram an ℈ j. Oyl of Nutmegs pressed ℈ ij Martiate Oyntment Ê’ ij XIII If notwithstanding all this the Catarrh continue make an Issue in one Arm or in the Neck XIV Let him keep in a moderately warm Air observe a good Diet roasted rather then boil'd condited with Spices and hot Cephalics avoid Radishes Mustard Garlic Onions which raise and fill the Head with Vapors His Drink must be sparing but strong moderate sleep and moderate Exercise HISTORY XVII Of an Opthalmy A Person about thirty Years of Age abounding with hot and Choleric Blood having heated himself the last Winter at an extraordinary compotation of strong Wine and then exposing himself in a bitter cold Night to the extremity of the weather presently felt a sharp pain in his Eyes with a burning heat the next day a very great redness appeared in the white of his Eye with a manifest swelling of the little Veins He could not endure the light so that he sat continually with his Eyes shut sharp Tears flowed from his Eyes which when he opened his sight appeared to be very dim I. HEre the Part affected was the Eye in which the annate Tunicle or the Conjunctive Tunicle was chiefly aggreived the other Parts of the Eye only by Accident II. This Disease the Physitians call an Opthalmy or Blear-eyedness which is an Inflammation of the annate or white Tunicle accompanied with redness heat pain and tears III. The Antecedent Cause of this Disease was an abundance of hot Blood through the whole Body which being violently stirred by the extraordinary heat caused by the Wine and suddainly detained by the Original Cause or the outward extream Cold and overflowing the conjunctive Tunicle constitutes the containing Cause IV. For the blood being moved more rapidly through the Arteries and Veins by reason of the extraordinary heat of the Wine was thickned of a suddain by the external Cold received into the Eye so that it could not pass so speedily through those little Veins as it was sent from the Heart which caus'd the Veins of the Tunicle to swell and distended the Tunicle it self and the stay of the Blood corrupting it and causing it to wax hot and sharp produced the Inflammation V. The Pain was occasioned partly by the distention of the Tunicle partly by the acrimony of the Humors corroding the Tunicle VI. He could not endure the Light partly because the Pain was exasperated by admission of the External Air partly because the Eyes being opened the Animal Spirits presently flow into it as they are determined for the benefit of seeing and distend the Eye which destension augments the Pain for the avoiding of which the Patient keeps his Eyes shut to avoid the distension of the Part. VII Now in regard the sight proceeds from the copious Influx of the Spirits into the Eye and because the Tunicle cannot endure that distension hence the Eyes being open the sight grows dim in regard that the fewer the Spirits are the duller the sight is VIII The Tears issue forth chiefly upon opening the Eye by reason that the Caruncle in the larger corner of the Eye that lies upon the hole in the Nose is twitched and contracted in each Eye by the neighbouring Inflammation especially if any injury of the Air accompany it and by reason of that painful contraction does not exactly cover the Lachrymal point so that the hole being loose and open the Tears flow forth in greater abundance And they are sharp by reason of the Salt mixt with the serous Humor and seem to be much sharper then they are by reason of the exquisite Sense of the Tunicle which is now already molested IX This Opthalmy threatens great danger to the Eye in regard that by reason of the Winter cold the discussion of the Humors flowing into the Annate Tunicle is the more difficult and the longer stay of it may hazard the Corrosion and Exulceration of the Annate and the Horny Tunicle and so produce a white Spot a Scar or some such blemish in the Sight X. In the Cure the antecedent Cause is to be removed as being that which nourishes the Containing and the Original Cause is to be removed that the Containing one may be the better discussed XI The Body is first to be Purged with one dram of Pill Cochiae or half an ounce of Diaprunum Electuary Solutive adding a few grains of Diagridium or else such a Draught â„ž Rhubarb Ê’ j. s. Leaves of Senna Ê’ iij. Tartar Ê’ j. Anise-seed Ê’ j. Decoction of Barley q. s. Infuse them and then add to the straining Solutive Diaprunum Electuary Ê’ iij. XII The Body being Purged open a Vein in the Arm and take away eight or ten ounces of Blood Then Purge again and if need be bleed again XIII To divert the Excrementitious Humors from the Brain to the Eyes Cupping-glasses may be applied to the Neck and Shoulders or a Vesicatory behind the Ears Which if they prove not sufficiently effectual make a Seaton in the Neck or apply an Actual or Potential Cautery to the Arm or Neck XIV To asswage the Pain drop into the Eye the Blood of the Wing-feathers plucked from Young Chickens or Womens Milk newly milked from the Breast or the Muscilage of the Seeds of Flea-wort and Quinces extracted with Rose-water or the Yolk of an Egg boiled to a hardness or else the following Cataplasm laid upon the Eye â„ž Pulp of an Apple roasted â„¥ j. s. Crum of new White-bread â„¥ iij. Saffron Powdred ℈ j. s. New Milk and rose-Rose-water equal Parts Make them into a Cataplasm XV. The Pain being somewhat asswaged this Collyrium may be dropped into the Eye â„ž Sarcocol fed with Milk Ê’ j. Tragacanth Ê’ s. Muscilage of the Seed of Quinces q. s. XVI For discussion of the Humor contained in the Tunicle foment the Eye with a Spung dipt in the following Fomentation warm â„ž Herbs Althea Fennel Flowers of Camomil Melilot an M. j. Water q. s. boil them to eight ounces then add Rose-water â„¥ iij. XVII After Fomentation lay on the Cataplasm again or else drop the following Collyrium into the Eye â„ž Alloes washed in Fennel-water ℈ j. Sarcocol steeped in Milk Ê’ j. Saffron gr vij Eyebright and Fennel-water an â„¥ j. XVIII Let him keep in a temperate and clear Air free from Dust and Wind and Smoak let him avoid too much Light and wear a green pâ—…ece of Silk before his Eye His Diet must be sparing
hid about the Larynx Ossophagus and Chaps nevertheless a certain Redness extended it self toward the outward Parts adjoyning to them X. This is an acute and dangerous Disease which must be either speedily cured or sudden Death ensues for that the Inflamation and Tumor increasing will cause a Suffocation The Fever augments the Danger for that the Patient being not able to swallow any thing the internal Heat cannot be quenched by Drink nor the Debility of the Body be repaired by Nourishment However there is some hopes because the Inflamation does not lye altogether hid in the Miscles of the Larynx but extends it self to the outward Parts where Topicks may be applied besides that the Redness promises an Eruption of the Inflamation towards the outward Parts to the great Benefit of the Patient XI In the Method of Cure it is requisite 1. To hinder the violence of the Blood flowing to the Parts affected 2. To discuss the Blood already collected therein 3. To promote Maturation 4. To prevent Suffocation by Chyrurgery XII The first thing therefore to be done is to let Blood freely in the Arm. And if once letting Blood will not suffice to open a Vein in the other Arm and a third time if need require Also to draw a good quantity of Blood from the Frog-veins XIII In the mean time the Body is to be kept open with emollient Glisters XIV Let the Patient make frequent use of this emollient and discussing Gargarism â„ž Sliced Licorite Ê’iij Two Turneps of an indifferent bigness Scabious Violet Leaves Mallows Mercury Beets an M. j. Flowers of Camomil pale Roses an M. s. Citron Peels â„¥ s. Water q. s. Boil them to lbj. s. Add to the Straining Syrup of Dianucum â„¥ ij Diamorum â„¥ j. Honey of Roses â„¥ s. Mix them for a Gargarism If the Tumor seem to tend to Suppuration add thereto Cleansed Barley Ê’j s. Leaves of Althea M. j. s. Figgs n o ix XV. Outwardly apply this Cataplasm â„ž Root of white Lillies Ê’j s. Leaves of Beets Mallows Mercury Althea Flowers of Camomil an M. j. Pale Roses M. s. Fengreek Meal â„¥ j. s. The inner Part of one Swallows Nest powdered Water q. s. Boil them into the Form of a Poultis to which add Oyl of Camomil â„¥ ij Mix them for a Cataplasm If there be any likelihood of Maturation add thereto Fat Figs n o vij or viij Meal of the Root of Althea Hemp-seed Pulp of Cassia Oyl of Lillies an â„¥ j. XVI So soon as the Patient is able to swallow purge him gently with an Infusion of Rhubarb Pulp of Cassia Syrup of Roses solutive or of Succory with Rheon XVII Then give him this Julep for Drink â„ž Decoction of Barley lbj. s. Syrup of Diamoron Dianucum and Violets an â„¥ j. Oyl of Sulphur a little to give it a Sharpness Mix them for a Iulep XVIII If the Imposthume break let the Patient holding his Head down spew out the purulent Matter and cleanse the Ulcer with a Gargarism of the Decoction of Barley sweetned with Sugar Honey or Syrup of Horehound or Hyssop of which Syrups a Looch may be made Afterwards let him use a Gargarism of Sanicle Plantain Egrimony Cypress Nuts red Roses c. sweetned with Syrup of dry Roses and Pomegranates XIX If while these things are made use of the Difficulty of breathing increase so that a Suffocation may be feared before the Matter can be discussed or brought to maturity the last Remedy is Laryngotomic or Incision of the Larynx concerning which consult Casserius in his Anatomical History of the Voice Aquapendens in his Treatise De Perforatione Asperae Arteriae and Sennertus's Institutions L. 5. P. 1. Sect. 2. C. 7. XX. When the Patient can swallow let his Diet be Cream of Barley Amygdalates thin Chicken and Mutton Broth boiled with Lettice Endive Purslain Sorrel Damask Prunes c. Let his Drink be small Ale refrigerating Juleps and Ptisans Keep his Body soluble and quiet HISTORY VI. Of a Peripneumony or Inflammation of the Lungs A Strong Young Man having overheated himself with drinking Wine after Mid-night drank a Pint of cold Water and so exposing himself to the cold nocturnal Air went home Presently he felt a Difficulty of Breathing which every moment encreased without any acute Pain in the Breast However he felt a troublesome Ponderosity in the middle of his Breast toward the Left-side He had a little Cough which after molested him and caused him to spit bloody and frothy Matter but not much He had a great Redness upon his Cheeks About three or four Hours after a strong and continued Fever seized him with an extraordinary Drought and Dryness of his Mouth His Pulse beat strong thick and unequal and his Head pain'd him extreamly and his Difficulty of Breathing encreased to that degree that he was almost suffocated I. THE chief Part here affected was the Lungs especially the left Lobe as appeared by the difficulty of breathing and the heaviness in the middle of the Breast toward the Left-side By consequence also the Heart and the whole Body II. This Disease is called Peripneumonia which is an Inflamation of the Lungs with a continued Fever difficulty of Respiration and a ponderous trouble in the Breast III. A Plethora is the antecedent Cause of the Disease The next Cause is greater Redundancy of Blood forced into the Substance of the Lungs then is able to circulate The original Cause was too much overheating and too suddain refrigeration IV. The Wine overheated the Body thence a strong and thick Pulsation of the Heart by which the Blood attenuated by the Heat was rapidly forced through the Arteries into the Parts but being refrigerated by the actual Coldness of the Water drank and the in-breath'd Air and not able to pass through the obstructed Passages of the Pulmonary Veins and Arteries begets that remarkable Swelling accompanied with an Inflamation partly through the Encrease of the Blood partly by reason of its Corruption and violent Effervescency V. Now the Bronchia or Gristles of the Lungs being compressed by this Tumor of the Lungs the Respiration becomes difficult and that Difficulty more and more encreases because every Pulse adds some Blood to the Tumid Part. VI. Then because the Lungs being swelled and distended must needs be more heavy thence that troublesome Ponderosity is perceived in the Breast especially toward the Left-side because the Inflamation possesses the sinister Lobe However there is no great or acute Pain because there are no large Nerves in the Substance of the Lungs which therefore have no quick Sence of feeling and as for the inner Tunicle of the Bronchia which most acutely feels it is hardly affected with this Distemper only the sharp Heat of the putrifying Blood somewhat tickling it and the thinner Particles of the Blood being squeezed into it provoke a little Cough accompanied with a little spitting of Blood VII The Cheeks are red by reason of the spirituous Blood boiling in the Lungs
by reason of the extraordinary Prostration of the Strength and Vital Actions The External Parts are cold for want of hot Blood from the Heart There is a cold clammy Sweat in regard the thin Vapors which otherwise used insensibly to exhale through the Pores of the Skin are suddenly condensed by the sudden want of Heat and so sticking viscous to the Skin begets a cold Sweat Nor is there hardly any Respiration to be perceived for that the fainting Heart sends no hot Blood to be cool'd in the Lungs besides that the Motion of the Heart and Brain failing few or no Animal Spirits are sent to the Respiratory Muscles VII The Syncope ceasing the Languor of the Heart remains by reason of the great quantity of Flegm contained in the Stomach which flows out at the Mouth with a kind of nauseating VIII This is a dangerous Malady as well in respect of the Principal Bowel affected as in respect of the Cure in regard of the Weakness of the Patient IX The Cure is as well to be begun during the Syncope as when it is over X. During the Syncope the extream Parts are to be rubbed with Musk Amber Benjamin green Baum bruised and such other odorous Smells are to be held to the Nostrils either alone or mixed with Wine or Spirit of Wine A little of Matthiolus's Aqua Vitae Spirit of Wine cinnamon-Cinnamon-water or Hippocrass is to be powered down his Mouth with a Spoon and the Region of the Stomach to be somented with this Epitheme warmly applied ℞ Rosemary Baum Mint Leaves of Laurel an M j. Nutmegs Cinnamon Cloves an ʒj s. Fennel Seed ʒij Generous Wine q. s. Boil them according to Art to lbj To the Straining add Spirit of Wine ℥ ij For an Epitheme XI When the Syncope is past the Flegm accumulated in the Stomach is gently to be removed To which purpose let him take this Bolus ℞ Electuar Hiera Picra ʒij for a Bolus Or this Powder ℞ Root of Ialap Cinnamon an ℈ j. Diagridion gr iiij Make them into Powder XIII Afterwards to strengthen the Heart and Stomach and gently to purge away the Flegm this medicated Wine is very proper Of which let the Patient take a Draught every Day or every other Day ℞ Root of Elecampane ℥ s. Acorus Galangale an ʒij Baum Marjoram Tops of Wormwood an M. s. Orange Peels Iuniper Berries an M. s. Fennel and Anise-seed an ʒj s. Agaric Lucid Aloes an ʒj Choice Cinnamon ʒij s. Cloves ℈ ij Put these into a Bag to be hung in lbiiij Of odoriferous White-wine XIV In the day time let the Patient now and then drink a little Hippocrass or Hydromel after a little Bag of Cinnamon Nutmegs Ginger Cloves and Grains of Cardamum has been hung Or take now and then a small quantity of this Conditement ℞ Specier Diambrae Sweet Diamosch an ʒj s. Orange-peels Roots of Elecampane Ginger condited an ℥ s. Conserve of Anthos ℥ v. Oyl of Cinnamon and Cloves an gutt ij Syrup of preserved Ginger q. s. For a Conditement Or let him use these Tablets ℞ Choice Cinnamon ℈ ij Mace Cloves White Ginger an ℈ j. Specier Diambrae ʒj Sugar dissolved in odoriferous Wine ℥ iij. For Tablets XV. Outwardly apply this little Bag to the Region of the Heart and Stomach ℞ Cloves Cinnamon Nutmeg Storax Benjamin an ℈ j. s. Leaves of Marjoram and Rosemary an M. s. Reduce them into a gross Powder to be sowed into a little Bag. Lastly that which is called the Amber Apple or Storax Benjamin Grains of Cardamom Cloves or other odoriferous Spices somewhat bruised and ty'd up in a thin piece of Silk or put into an ivory or silver Box perforated will be very proper to smell to XVI When the Patient begins to recover Strength let him take a spoonful or two of this Mixture ℞ Strong Rhenish-wine ℥ iiij Cinnamon-water ℥ j. Matthiolus's Aqua Vitae ʒvj Confection of Alkermes ʒj s. Perl'd Sugar q. s. to a moderate Sweetness For want of this Composition let him take a little generous Wine or Spirit of Wine or Matthiolus's Aqua Vitae XVII Let his Chamber be strewed with odoriferous Herbs as Baum Thyme Marjoram Rosemary c. or else be perfumed with Cephalic Spices His Diet must be sparing easie of Digestion and very nutritive as the Juices and Gravies of Chickens and Partridges Gellies of Mutton Veal and Hens prepared with Baum Rosemary Sage Roots of wild Raddish Anise and Fennel-seed Nutmeg Cloves Pepper Ginger Cinnamon c. His Drink must be midling Wine Hydromel or Ale moderately taken tinctured with a little Wormwood Nor will it be amiss to take now and then a little Wormwood-wine or Hippocrass or a spoonful of Matthiolus's Aqua Vitae or Spirit of Juniper Wine Cinnamon or Fennel Wine His Sleep and Exercise must be moderate and gentle and his Excrements must have their due and regular Course HISTORY X. Of the Palpitation of the Heart A Lusty young Man about thirty four years of Age but somewhat Scorbutic and for a long time accustomed to salt Meats dryed in the Smoak and pickled in Vinegar and other Food of hard Digestion many times complained of a troublesome Ponderosity in his left Hypochondrion Afterwards about three or four hours after Meals he felt a strong Palpitation of his Heart accompanied with a strong Pulse very unequal and sometimes intermitting for two or three stroaks together at what time he was seized with an extraordinary Faintness This Palpitation lasted for half an hour then ceased again after which slight but frequent Palpitations often return'd His Appetite was indifferent and his Stomach digested well He slept also very well only sometimes he was troubled with frightful Dreams I. THE Part most manifestly affected in this Patient was the Palpitation of the Heart which is a disorderly and over vehement Motion of the Heart II. The Proximate Cause is a salt and sharp Humor mingled with the Blood which being mixed with the Chylus concocted out of sharp and salt Food and three or four hours after Meals poured forth into the hollow Vein and sliding with it into the Heart causes a disorderly and vehement Fermentation in the Chyle which is to be turned into Blood For the sharp and salt Particles of the Chylus together with the Veiny Blood impregnated with that sharp Humor falling into the Heart too much augment the Fermentation whence that vehement and disorderly Dilatation and Contraction of the Heart which causes that Inequality and strong beating of the Pulse III. Now in regard there are many fixed and thicker Particles mixed with the thinner Particles of that salt and sharp Humor which cannot be so soon dissolved and attenuated in the Heart therefore while the Heart is busied in the Dissolution and Dilatation of them the Pulse intermits for a stroke or two whence arises the Faintness for that no Spirits are forced to the Parts while the Pulse ceases IV. This vehement Palpitation lasts half an hour
because in that space all the Chylus of one Meal or the greatest part of it is mixt with the Blood in the hollow Vein and passes through the Heart and the Remainders more or less cause those slighter Palpitations afterwards V. Now the reason why that sharp Humor continually flowing with the Veiny Blood to the Heart does not cause a continual Palpitation is because the Particles of the Blood and sharp Humor fermented in the Heart are many times more equal more mitigated and less sharp so that such vehement Effervescencies cannot be excited in the Heart especially if they fall into the Ventricles by degrees and in lesser quantity But when the Body being heated by exercise the Blood more copiously and rapidly passes through the Heart with its sharp Particles mixed with it then the Heat encreasing and the sharp Humors abounding the Effervescency increases and thence the vehement Palpitation which abates upon Rest and Diminution of the Heat and extraordinary Motion of the Blood VI. This salt and sharp Humor is bred through a particular Depravity of the Spleen and emptied out of it into the Liver through the Spleenic Branch where it is concocted with the sulphurous Juice and mixed in the hollow Vein with the Blood flowing to the Heart The Vice of the Spleen is a depraved and salt ill Tempet with some Obstruction causing that troublesome Ponderosity VII The Stomach still craves and digests well because it is not affected besides that the same sharp Humors carried with the Blood through the Arteries to the Tunicles of it raise a Fermentation within it VIII He sleeps well but troubled with troublesome Dreams because that Vapors ascending to the Brain do cause Sleep but being somewhat sharp they twitch the Membranes of the Brain and the beginnings of the Nerves and so disordering the Fancy procure frightful Dreams IX This Disease is dangerous because the Heart is affected and because the depraved Disposition of the Bowels is not so soon reformed X. The Cure aims at three things 1. To correct the Depravity of the Spleen 2. To attenuate and concoct the salt and sharp Hâ—…mors in the Brain 3. To corroborate the Heart XI First then let the Patient be three or four times purged with Pill Cochiae Hiera Pills or Golden Pills Electuary of Diaphoenicon Hiera Picra Confection Hamech or Infusion of Senna Leaves Agaric c. XII Afterwards let him take this Apozem â„ž Roots of Elecampane Fennel an â„¥ j. Of Capers Tamarisch an â„¥ s. Germander Dodder Fumitory Borage Motherwort Water Trefoil an M. j. Baum M. ij Citron Rind Iuniper Berries an Ê’v Fennel-seed Ê’iij Blew Currans â„¥ ij Water and Wine equal Parts Boil them to an Apozem of lbj. s. XIII After he has taken this let him drink every Morning a Draught of this medicated Wine â„ž Roots of Acorus Elecampane an â„¥ j. Of Capers and Tamarisch an Ê’ij Water Tresoil Germander an M. s Orange-peels â„¥ s. Iuniper Berries Ê’vj Choice Cinnamon Ê’j s. Cloves ℈ j. Fennel-seed Ê’ij Lucid Aloes white Agaric an ℈ iiij Make them into a Bag to be sleeped in Wine XIV In the Afternoon let him take the quantity of a Nutmeg two or three times â„ž Specier Diambrae Sweet Diamosch an Ê’j Orange-peel and Root of candy'd Elecampane Conserve of Anthos of Flowers of Sage and Baum an â„¥ s. Syrup of Elecampane q. s. for a Conditement XV. Let him keep a good Diet upon Veal Lamb young Mutton Pullets Rabbets and Partridges c. The Broths of which must be prepar'd with Rosemary Borage Baum Betony Hyssop Calamint creeping Thyme Leaves of Lawrel Root of wild Raddish Rinds of Citron and Oranges Seeds of Anise and Fennel Nutmeg Cinnamon Cloves Ginger c. Also gravelly River-fish Turneps and new-laid Eggs. His Drink midling Ale with a little Wine at Meals Moderate Sleep and Exercise and a soluble Belly THE CURES OF THE Chief Diseases OF THE LOWER BELLY WITH THE CASES OF THE PATIENTS IN THREE HISTORIES HISTORY I. Of a Preternatural Ravening Hunger A Young Man twenty eight years of age of a healthy Constitution but somewhat Melâ—…ncholy and a great Lover of hard salt and acid Diet was sometimes seized with a very great and extraordinary Hunger so that unless he presently drank two or three Draughts of strong Ale or Wine and eat a piece of Bread or other Meat he complained of a Dimness of Sight accompanied with a slight Vertigo and presently became so weak that not being able to stand he fell into a Swoon From which when he recovered and had refreshed himself with Bread and Wine he continued free from that excessive Hunger for some days This Distemper suddenly came upon him sometimes in the Morning when he was fasting sometimes an hour after Meals before his Stomach was well emptied without any Nauseousness or Vomiting I. THE Stomach of this Man was affected in the upper Part of the Stomach and the Disease is called Bulinus Which is a Preternatural and Insatiable hunger seizing a Man on a suddain with Weakness and Swooning II. The remote Cause was a Melancholly Disposition of the Body and such a Dyet as somewhat vitiated the Concoction of the Spleen which bred many sharp and Acid Humors in the Body ill concocted by the Spleen which being carried to the Ventricles and adhering to the upper Part of it near the Stomach twich'd it after a peculiar manner and by means of a certain acid Distemper and Constriction caused an extraordinary Hunger III. The swooning follows together with a notorious weakness because of the great consent between the Stomach the heart and the Brain by means of the vagous Nerves which are inserted into the Stomach and upper Part of the Ventricle with infinite little Branches which being ill affected about the Stomach by Sympathy the Heart and Brain are affected Now the Brain being affected presently the Animal Spirits were disturbed which caused the dimness of Sight and the Vertigo The same disorderly and sparing Influx was the occasion of the weakness and faintness of the Heart which is the reason it makes lesser Vital Spirits and sends a lesser quantity of Arterious Blood to the Heart IV. Now whether a few hours after Meals or Fasting t is all one for at whatever time that subacid Juice flows into the Ventricle and knaws the upper Part of it that vehement Hunger seizes V. The Patient is so corroborated with strong Ale or generous Wine and the Distemper is presently mitigated because such sort of Liquor refreshes both Animal and Vital Spirits and washes off nay sometimes concocts and digests the acid Humor sticking to the Tunicles of the Ventricle and breaks the sowre Force of it till there be a sufficient quantity of the same Humor collected again to make the same Vellication VI. The danger of this Distemper is least the Patient should be seized at any time with this raving Hunger where Meat and Drink are not to be had and so should be carry'd off in