any Anatomist yet of necessity must be there Such milkie Vessels extended toward the Teats are not to be seen and yet that there are such Vessels stalks of Herbs eaten the day before and voided through the Paps and Broth dy'd with Saffron flowing out at the Teats of the same Colour sufficiently declare Now if these Vessels in the Teats are invisible to the Eyes what wonder that they which tend to the Womb and Bladder should not be discover'd However for the better clearing of this difficulty I would desire all Anatomists that they would use a little more than ordinary diligence in the search of these Vessels for the common benefit to the end that what is now but meerly conjectur'd at may come to be evident by solid Demonstrations Others there are who never thinking of the milkie Vessels have invented or at least imagin'd other ways XXXIII Bartholine l. de Lact. Thorac l. 6. 9. believes that this same thick Matter Needles the milkie Iuice and the like and in great Drinkers and those that cannot hold their Water the Liquor they drink nothing or very little alter'd are carried by a direct and short way to the Emulgent Arteries and so through the Kidneys to the Bladder But these Passages are not confirm'd by sight because those Chanels from the Chyle-bearing bag to the Emulgent Arteries are not to be found nor any Branches carried to the Sweet-bread and Liver of which he also discourses in the same place and therefore the Lymphatic Vessels seem to have deceived this learned Person as well as many others Moreover grant that the milkie Vessels reach to the said parts yet how is it possible that Needles Bodkins and the like of a great length and not to be bent should pass through those narrow and winding porous Passages of the Substance of the Reins And therefore of necessity this Invention of so famous a Man must fall to the ground XXXIV Clemens Niloe writes that some of the milkie Vessels are carried to the Vice-Reins or black Choler Kidneys call'd Capsulae Atrabilariae and that from those the serous Liquors flow to the external Tunicle and thence farther through the Ureters to the Bladder But the Hypothesis falters or rather fails altogether in this that the Hypothesis was first to be prov'd that the milkie Vessels are carried thither Besides there is no passage from these black Choler Caâ—…kets to the Ureters but they discharge themselves into the Emâ—…lgeut Veins or Vena Cava and so nothing can come from them to the Ureters XXXV Bernard Swalve going about to shew more manifest and shorter ways writes that the Bath waters acid Iuices and any Liquor plentifully drank is easily sâ—…ck't up in the Stomach by the Gastrick Veins gaping presently upon their approach and so are immediately carried to the Heart But the vanity of this Fiction is every way apparent For the more plentiful draughts of acid Liquors whether Wine or any other Liquid Juice were receiv'd by the Gastrick Veins in the Ventricle must of necessity be carried then to the Vena Portae the Liver the Vena Cava and the Lungs and in so long a way and passing through so many Bowels must of necessity be subject to a remarkable change and alter their colours whereas before they are presently piss'd out without any colour at all Nor could they retain the â—… inctures of Saffron Rubarb and other things and be piss'd out as they are with the same hue and smell as they went in Moreover by the Confession of Swalve himself there is nothing thick or chylous canpass through those ways by reason of their extraordinary narrowness whereas we find by experience that Matter Needles Milk and black Physick has been presently discharg'd by Urine Then again if so great a quantity of cold Acids as is commonly consum'd in a short space should be carried through the forementioned passages certainly the heat of the Liver Heart and Lungs would be extinguish'd by that same actual Cold and the whole Body would become colder than Marble and so shortness of Breath Dropsies and such like Distempers would presently seize all those that drink those Liquors whereas experience tells us that those Distempers are cur'd by Acids Thus the Opinions of Doctors concerning a shorter way to the Bladder are very uncertain among which nevertheless our own above mention'd seems to be most probable till another more likely be discover'd XXXVI Forestus Duretus and after them Beverovicius and Laselius write that one Kidney being obstructed the other becomes useless and losing its own action intercepts the fâ—…owing of the Urine which Riolanus says has been more than once observ'd by himself which he also believes comes to pass by reason of the sympathy between each other by reason of their partnership in duty and hence if the one be out of order the other growing feeble immediately languishes Which Veslingius also intimates in few words But in this particular I take Experience to be prefer'd before the Authorities and Opinions of the most learned Men which has many times taught us the contrary that is to say That one Kidney being obstructed or any other way distemper'd the other remains sound and makes sufficient way for the Urine of which I could produce several Examples which for brevities sake I omit Sometimes indeed we have seen that by a Stone falling down upon one Kidney the passage of the Urine has been stop'd which has not happen'd by reason of any sympathy but because unfelt by the Patient the other Kidney had been long obstructed before and yet the Urine having sufficient passage through the opposite Kidney which opposite Kidney being by chance obstructed likewise presently the passage of the Urine is quite stop'd up Which the Dissections of dead Bodies apparently teach us For many times we have found one Ureter quite obstructed near the Orifice which the sick Person never perceived in his life time while his Urine pass'd freely through the other Nor did we ever observe a total suppression of Urine where the Kidneys were faulty but we found upon Dissection both Kidneys obstructed The Lord Wede a Noble man of Utrecht often at other times subject to Nephritic Pains found his Urine of a suddain supprest by reason of an Obstruction in his Kidneys and yet without any pain Presently that same whimsey of consent came into the Physicians heads believing that one Kidney was suddainly obstructed and that the other fail'd in its Office by consent At length all Remedies in vain attempted in fourteen days he dy'd But then his Body being open'd in both Kidneys was found a Stone of an indifferent bigness shap'd like a Pear that was fall'n upon the Orifice of the Ureter and had quite damm'd up the urinary Passage Who would now have thought that in both Kidneys two Stones should be fallen at the same time upon both the Orifices of the Ureters And therefore it is most probable that long before one
thence in good part ascending to the Ventricle to promote Concoction Which is the reason they make no Fermentation so that the Nourishment fluctuates in the Stomach and is vomited up raw Or else they only cause a flatulent dilatation of the Aliments whence a great distention of the Ventricle the occasion of those loud Belches by reason of the Viscosity of the crude Matter therein contained IV. The deprav'd disposition of the chylifying Bowels was contracted by disorderly Diet and the long use of Meats thick sharp and hard to be digested out of which an unconcocted Chylus and out of that a crude and not easily dilated Blood was generated which being carry'd to the chyllfying Bowels could not be master'd conveniently by them and so by degrees they became debilitated and vitiously disposed V. By reason of an ill concocted Chylus and the crude humors collected and bred in the Ventricle it acquir'd a cold ill Temper which render'd it unable to perform its duty by bringing the sermentaceous Matter sticking to its Tunicles to any farther perfection VI. A great part of the Flegmatic humors abounding in the Blood passes through the Reins hence the Urine becomes pale and thick and the sediment like it VII There is no Feyer because no Putrefaction nor excessive Sulphureous Effervescency VIII This is a dangerous Disease because it threatens an utter decay of the natural strength for want of Nourishment IX In the Cure the Body is to be often purged with Hiera Picra Diaphaenicon Cochiae Pills Infusion of Agaric and the like X. Then this Apozem is to be prescribed of which he is to take three or four times aday â„ž Roots of Elecampane Calamus Aromatic an â„¥ j. Roots of Zedoary and Tamarischs an â„¥ s. Germander Dodder Baum an M. j. Leaves of Lawrel Marjoram an M s. Iuniper-berries Orange-peels an â„¥ s. Anise and Fennel seed an Ê’ ij Raisins cleansed â„¥ ij Water and Wine equal parts Make an Apozem of lb j s. XI The Stomach and other Bowels are to be corroborated with some such Conditement â„ž Ginger condited Candied Elecampane root Candied Orange-peel Conserve of Anthos and Flowers of Sage an â„¥ s. Oyl of Iuniper ℈ j. of Anife gut viij Oyl of Cinnamon and Cloves an gut j. or ij Syrup of Elecampane q. s. For a Conditement XII If after this the Distemper do not abate give the ensuing Vomit â„ž Leaves of green Asarabacca Ê’ iiij Rhaddish water â„¥ ij Squeeze out the Iuice according to Art then add Vomitive Wine Ê’ jij. Oxymel of Squils â„¥ s. XIII Then Prepare a Medicated Wine of which let him drink a draught every Morning between whiles taking a small quantity of the foresaid Conditement â„ž Roots of Elecampane â„¥ s. of Zedoary Ê’ ij Germander Marjoram Carduâ—…s Benedict an M. s. Orange-peels and Iuniper-berries an Ê’ iij. Anise and Fenel seed an Ê’ j. Cloves Cinnamon an ℈ ij Lucid Aloes ℈ iiij Hang them in a bag in 〈◊〉 iiij of White-wine XIV Forbear Pork pickled and smoaked Meats but observe a Diet of good juice and easie Concoction prepared with Horse Radish-root Majoram Rosemary Sage Lawrel-leaves Anise and Fennel-seeds Pepper Cloves and Spices Let his Drink be middle Ale and Wine and sometimes after Meals let him take a spoonful of Spirit of Wine or Matthiolus's Aqua Vitae Let him sleep and exercise moderately and let him sometime anoint the Region of the Ventricle and Hypocondriums with Oyl of Nutmegs and cover it with the Skin of a Vulture or Wild Cat and let the Excrements of his Body be duly and regularly evacuated HISTORY IV. Of a Hypochondriacal Passion with a Nauseating and Vomiting A Young Man in the Flower of his Age accustomed to hard salt and acid Food living an idle Life for a long time nauseating some sorts of Nourishments sometimes had no Stomach sometimes had too much but with difficulty retained and digested the Aliment received with rumbling distention and pain in his Stomach and many times was cruelly griped in his Guts and all the lower Part of this Belly with an extraordinary rumbling But these Evils were for some time abated by the copious breaking of Wind upward and downward Sometime a saltish Liquor was wont to void it self at his Mouth with an extraordinary nauseating and a slight Vomiting especially in the Morning though it many times happened at other times of the day and upon that evacuation he was somewhat better But about a Month since all these ill accidents began to grow worse For his Vomiting was often and violent so that he threw up whatever he swallowed with a great force which though they had not been long in his Stomach yet they came up very acid and which was more to be admired sometimes after dinner he brought up two or three ounces of a transparent Liquor only as he said himself Saltish and Sowrish Yet he retained both his meat and drink and after that Liquor was come up retained and digested them very well when he did not Vomit the Gripings and Rumblings of his Belly were more troublesome He had no Fever but was thoughtful and sad several Scorbutic Spots appeared also upon his Skin and his Body waxed lean I. HERE several Parts were ill affected chiefly the Stomach Guts and Sweetbread II. This Disease is called a Hypocondriacal Affection which is an acid ill Temper of the Sweet-bread Ventricle Intestines and Parts aâ—…joyning III. The Primary cause proceeds from a saltish and acid ill Temper of the Sweet-bread contracted by irrigular Diet by which the Pancreatic Juice became too salt and acid and that at one time more then another according to the nature of the Aliments received into the Stomach IV. This Juice flowing out of the Sweet-bread into the Duodenum and ascending good Part of it into the Ventricle corrupts the Ferment of it and so causes bad Concoction But if it fall into the Stomach infected with any stinking and depraved quality then it causes loss of Appetite and nauseating and sometimes vomiting But if it flow in over acid then it begets outragious hunger V. From this vitious Concoction and Fermentation arise Distensions Pains Rumblings and much Wind which being belched upward in some measure abates the Distention VI. But if that vitious Juice fall altogether down to the Intestines then the Decoâ—…tion is better the nauseating less However a vitious Effervescency excited in the Guts from whence Wind Rumblings Roarings Pains and Distensions of the Intestines VII The Liquor flowing out at the Mouth with a nauseousness is the Pancreatic Juice carried up to the Head and through nauseousness ejected out at the Mouth together with the Salival Liquor VIII Which Pancreatic Juice growing afterwards more sharp and deprav'd and more violently twinging the Stomach causes a frequent and violent Vomit Which if it happen after Meals to break forth through those Aliments into the upper Part of the Stomach as it causes a great nauseousness alone is vomited up alone the Aliments remaining in the Stomach where
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
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
they are well digested that vitious Ferment being Evacuated IX There is no Fever because no Putrefaction X. He is thoughtful and sad for that by reason of the acid Humors mixed with the Blood the many Animal Spirits are generated somewhat thicker in the Brain so that they do not pass so chearfully and orderly through the narrow Pores of the Brain which makes the Patient thoughtful and musingly Melancholly XI The Body is emaciated because the first Concoction is not well performed which infects the Blood with a Scorbutic quality that renders it more unapt for Nutrition XII This Disease is dangerous for fear of an absolute Atrophy and Consumption of the Natural strength XIII Therefore in the Cure let the Patient be Purged once in eight days with an Infusion of Senna Agaric c. adding thereto a little Electuar of Hiera Picra or Diaprunum or with Chochia Pills Extract of Catholicon Powder of Diaturbith and the like Blood-letting signifies little in this Case where there is no Fever XIV If his inclination to Vomit continue give him some such Vomitory â„ž Fresh Leaves of Asarabacca Ê’ iij s. radish-Radish-water an â„¥ ij squeez out the Iuice then add Antinomiate Wine Ê’ iij. Oxymel of Squills â„¥ s. XV. Let him take three times a day some convenient Apozem like this that follows â„ž Roots of Tamarisch Capers Polypody of the Oak Elecampane an Ê’ vj. Germander M. j. s. Baum Betony Borage Dodder an M. j. Leaves of Lawrel Water Trefoyl an M. s. Orange-peels Ê’ vj. Anise and Fennel-seed an Ê’ j. s Raisins cleansed â„¥ ij Water q. s. Make an Apozem to lb j. s. XVI Between whiles let him take a small quantity of this Conditement â„ž Roots of Elecampane Orange-peels Condited Conserve of Borage Baum Flowers of Sage an â„¥ s. Oyl of Anise drops xij Syrup of Elecampane q. s. XVII In a great distention of the Maw and Intestines with Faintness and Pain such a Bolus will be very proper â„ž Treacle Ê’ j. Crabs Eys prepared ℈ j. Oyl of Annise drops iiij Mix them for a Bolus XVIII Instead of his Apozem sometimes in a Morning fasting give him a Dose of this Powder in Ale or Broth. â„ž Crabs-Eyes prepared Ê’ ij Red Coral prepared Ê’ s. Amber prepared Ê’ s. Make a Powder to be divided into four Doses XIX Let his Diet be of good and easily digested Nourishment avoiding all dry'd smoak'd acid sowre rank and crude Victuals Let his Drink be sound stale Ale and small Wine but not acid Let him Sleep and Exercise moderately and evacuate duly and regularly AN INDEX OF MATTER Contained in the TREATISES OF THE Small-Pox Measles AND THE CURES and DISPUTATIONS following AGue Tertian 134 140 Ague Bastard 135 151 156 St. Anthonie's-fire Apoplexy 185 Appetite lost 113 Apthae 204 205 Arabian's Opinion of the Causes of the Small Pox. 4 An Asthma 44 216 The Author rejects the Opinions of all the Physicians concerning the Small-Pox 6 Avicins Opinion concerning the Causes of the Small-Pox 4 B. Bâ—…thing in the Small-Pox dangerous 37 Belly-bound 150 Blear ey'dness whether contagious 109 Bleeding at the Nose 52 116 200 Blindness 197 Bloodletting when to be admitted in the Small-Pox 13 34 Bloodshot Eyes 195 To break the Pox more speedily 19 b. Breath stinking 83 A Burning 64 Burstness of the Guts 86. With a Gangrene 122 C. Camphire debilitates Venery 79. a. b. A Canine Apetite 233 Carus 178 Catalepsis 179 A Catarrh Chimical dissolutions of little use 15 a. Chyrurgical Helps for the Small-Pox 12 Cinnamon water the use of it in the Small-Pox 35 Cholic 98 137 Coma a Disease so called 174 Ill consequences of catching of Cold in the Small-Pox 26 a. b. Concoction difficult 234 A Consumption 75 123 224 Convulsions Epileptic 133 Convulsion 189 Coverlets red contribute to expel the Small-Pox 15 A Cough 158. 214 Cupping-Glasses improper 13 Cure of the Measles 24. a D. Deafness 160 The Diagnostic Signs of the Small-pox 7 Diagnostic Signs of the Measles 23. b Diaphoretics for the Small-pox 14 Diarrhea 120 Duncan Liddel defends the Opinion of the Arabians 5 What Diâ—… convenient in the Small-pox 10 A Disentery 59 61 73 74 A Dysury 47 E. Emplasters hurtful 15 Empyema 212 Epilepsie 190 Epileptic Convulsions vid. Swoonings Epithemes hurtful 15 Evacuations monthly dangerous in the Small-Pox 32. a. b Expulsâ—…oes the several Sorts 14 External Parts how to cure 19. a. Exulcerations how to cure them 22. a. Eyes how to preserve 20 Eye-lid seized by the Small-Pox how to cure 37 Eye-lids closed by a Wound 46 F. Face swell'd with a Fall 142 Fever Malignant 69 70 72 Tertian Intermitting 115 Female Purgations suppressed 61. 80. 91 Fernelius of the Small-Pox 5 Figs the use of them in the Small-Pox 15. b The Vertues of them 16. a Fissure of the Skull 102 Fomentations hurtful 15 French-Pox 118 G. Gallic Fever 66 Gargles 19. b Gentilis of the Small-pox 5 Giddiness 181 A Gonorrhea 37 Gout in the Knee 97 Gouâ—… 154 H. Head-ach 80 103 128 163 Hickup 104 Several Histories of the Small-pox 25 26 27 28 29 c and Measles 38 Hoarsness 49 House-Swallows 13 A Hurt upon the Shin 78 The Hydrocephalus 208 Hypochondriachal Passion 235 Hysterical Suffocation 111 I. Imagination the Strength of it 29 Inflammation of the Lungs 41 221 Internal Bowels may be seized by the Small-Pox 27. a Internal Parts how to â—…re 15. b The Itch. 52 160 Itching in the Measles how to prevent 24. a K. Kidneys pain'd 95 Kings-Evil 143 L. Lethargy 176 What Lotions to be rejected 22. a M. Madness 173 Of the Measles in General 1 Of the Measles in Specie 23. a Melancholy 167. Hypochondriac 169 Mercurialis of the Small-pox 5 Milkie which the best for a Consumption 76. b Milk in a Virgins Breast 132 Mortification of the Legs and Thighs by Cold. 54 The Murr 200 201 N. Nature to be observed in the Cure of the Small-pox 28. a. b Nephritic Passion 63. Pains 125 132 The Night-Mare 183 Noise in the Ears 198 O. An Ophthalmy 108 194 Oyls hurtful 15 P. Pain extream under the Breast-bone 127 Palpitation of the Heart 228 Palsie 50 187 Perforation with a Bâ—…dkin dangerous 21. b Pestilential â—…ever 36 Pharmacutic Remedies 13 A Phrensie 165 Pin and Web. 195 Pitting to prevent 21. a Pits to take them away 22. b The Pleurisie 210 The Pose 200 201 Of the Small-pox in general 1 Of the Small-pox in specie 3 The Causes of the Small-pox 4 The preservative Physic. 9 The prognostic Signs of the Small-pox 8 Prognostic Signs of the Measles 23. b Purgatives whether proper or no. 13 Purging violent 82 Purples 24. a. b. 32 Q. Quick-silver good for the Worms 153 Quinancy 218 R. The Ranula 206 a Red Spots how to take them away 22. a Remedies not to be changed when truly applied 28. b S. Saffron the Use of it in the Small-pox 35 A Scald 46 Scars to prevent 21. a Sâ—…iatica 146 Scurvy 128. When first known 129
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
conceiv'd a quite different Opinion concerning these preternatural Colours Believing that same variety of Colours happens to the Choler not in the Gall-Bladder nor in the Choler Vessels but in the Duodenum and that by the Mixture of the Pancreatic acid or sowre Juice no otherwise than if it should change its natural Yellow into any other Colour in the Gall-Bladder it self But in the Dissections of Bodys that have dy'd in our Hospital we have demonstratively and frequently shewn a Green Eruginous or Rust Coloured and sometimes a blackish Colour in the Bladder it self before the mixture of the Pancreatic Juice nay in the Daughter of the Lord Vâ—…ich who dy'd of an Eruginous Flux of the Belly and after her Death by me dissected in the sight of several Physicians we found the Gall-Bladder swell'd to the bigness of a Hens Egg and full of an Eruginous Choler Which we have also observ'd in some other Infants that have dy'd of the same Diarrhoea as also in others who have dy'd of the Disease Cholera So that the various Colours of the Choler do not always proceed from the Mixture of the Pancreatic Iuice in the Intestins but are often acquired in the Gall-Bladder and Bilary Vessels in the same manner as we have already rehearsed Of which see more in the preceding C. 7. XLI But now that the several Humors engendered in the Body being mix'd with the Blood according to the diversity of Qualitys occasion a great Variety of Colour is apparent from these Experiments which we have observ'd in the Gall of an Ox. Which being mix'd with acid things as Oyle of Vitriol or Tartar or Vinegar first boyl'd a little then growing very thick became of a green Colour but being strongly shaken in a Flaggon with these Acids turn'd to a whitish Colour Being mix'd with ordinary Cinamon Water it became more Thin more Yellow and more Fluid But being mix'd with Spirit of Wine presently separated from it and setled at the Bottom Lastly being mixed with fair Water a little Gall dyed a great deal of Water of a Saffron Colour XLII Of the motion of the Choler we have spoken that is to say that some part of it mixed with the Blood tends from the Liver to the Vena Cava but that the greatest Part is carried to the Bilary Vessels and so through the Porus and Gall-Bladder to the Intestines But the Opinions of others are far different concerning this Matter Vesalius following the Judgment of Golen writes that the Choler is drawn out of the Porus to the Gall-bladder and from thence is forced down to the Intestines But this Opinion fails because it does not demonstrate the Way thro' which the Choler comes from the Porus to the Gall-bladder To which it cannot ascend through the Chanel of the Gall-bladder and through that descend again from the Gall-bladder to the Intestines for that in the parts of our Body there is neither any drawing of Humors nor any natural going and returning the same way Fallopius l. 3. Observ. c. 7. believes that the Choler of the Liver does not ascend unless when the Mouth of the common meatus Cholidochus is stopped by some Cause or other but that upon such an Occasion it may be done But the Wrinkles and Narrowness of the Neck of the Gall-bladder contradict this Opinion altogether impeding the Ingress of the Choler ascending this way so that the Choler thrust forward from the Gall-bladder it self by compressing into the common Ductus Cholidochus can by no means be repell'd back into the Gall-bladder by a contrary Compression of the said Ductus From these Backius very much differs Dissert de corde c. 3. 6. who asserts that the Choler is carried directly out of the Cystis to the common Ductus Cholidochus but that the Extremity of it which ends in the Intestines is so fram'd that it does not permit the Exit of the Choler but readily gives way to the Chylus descending from the Stomach and suffers in like manner its ascent to the Liver And that it communicates as well the Chylus as more especially a part of the Choler through the same Hole to the Pancreatic Wirtzungian Ductus But the very Sight it self evinces and destroys the Opinion of Backius by which it appears to the Eye in the Dissections of living Animals that as well the Choler as the Pancreatic Iuice break forth from their own Places into the Duodenum but that nothing of the Chylus can enter through that way out of the Guts by a contrary Conveighance Francis de le Boe Sylvius introduces still another Motion of the Chylus and asserts that the Choler which is bred in the Bladder flows to the common Ductus Cholidochus and is carried from thence partly to the Guts partly ascends through the bilary Porus to the Liver and there being mix'd with the Blood renders it more thin but that no blood flows from the Liver through the Porus to the Intestines And this in his Additament he proves from hence because that by blowing through a Reed there is a Passage open from the Porus to the Liver A most egregious Consequence and this is such another The breath blown through a Pipe into the Ureter passes into the Kidney and farther into the Emulgent Vein and Vena Cava therefore the Urinous Serum is carried out of the Bladder through the Ureter to the Kidney Certainly it would be very strange if the Choler which is bred in the Liver and from thence once empty'd into the Vesicle should return through the Porus to the Liver But the Falshood of this Opinion appears from many things already said First from the rare Constitution of the Gall Vessels And the Force of it is quite enervated by the Experiment of the perspicacious Malpigius l. de hep c. 7. In a Cat saith he of a few Months old where the Gall-bladder is conspicuously prominent I have ty'd the Neck of the Cystis with a Thread and empty'd it out of a Wound in the Middle Then have I again bound the Extremity of the Ductus Cholidochus where it opens into the Intestin Then the Creature still living for some convenient space of time I have found the intercepted bilary Porus extreamly swell'd and a Portion of the common Ductus Cholidochus And that I might prevent all Possibility of Separating the Choler by the help of the Cystis after I had first ty'd a hard Knot in the Neck of it I cut off the Cystis it self and threw it away And yet I found the same Swelling follow in the hollow'd Pores by reason of the flowing Choler Moreover I try'd with my Finger to drive upward the Choler contained in the Vessels that so swell'd yet would it return with a Force nor could be kept back unless with an extraordinary Violence A little after he adds It is most certain from many times repeated Observation that the Extremity of the Cystic Passage being bound so that not the least part of the
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-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
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
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
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-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
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
a good draught of the Decoction of Barley luke-warm sweeten'd with a little Honey which when he had Vomited up again with a great quantity of tough Flegm At length we gave him Cinnamon water Distilled with Wine â„¥ s. with which we mixed three drops of Oyl of Cinnamon which when he had taken he found himself better Half an hour after we gave him the same again In the mean time we laid the following Cataplasm to the Region of his Stomach â„ž Flowers of Mint Baum and red Roses an half a handful Mace Ê’ s. Clove-gillow-flowers Nuâ—…megs Mastic Olibanum Storax Benjamin an ℈ ij make a Powder to which add sower Leven â„¥ iij. Vinegar of Roses q. s. make all into a sost Past without boyling With these few things the vehement Vomiting ceased The troublesom Vomiting which had lasted a whole day I stop'd by giving him twice the following draught â„ž VVhite-wine warmed before the fire Ê’ij Oyl of Clove-gillow-flowers one drop of Cinnamon two drops mix them for a Draught to be taken very VVarm The Region of his Belly was also anointed with Oyl of Nutmegs warm ANNOTATIONS VOmiting is caus'd by the consent of other Parts as when the Meninxes of the Brain are wounded or that the Kidneys are troubled with the Stone or Gravel c. Which Vomiting ceases when the Disease is Cured of which it is the Symptom Or it is excited by the abundance and sharpness of Humors that stimulate the Fibers of the Stomach which are either Choleric and hot or Flegmatic Salt and cold or Melancholic and Salt or sanguineous extravasated and corrupting into the Stomach or flowing in too great a quantity into it At the beginning of the Cure the Vomiting is still more to be provoked that the Stomach may be well wash'd and freed from the Cause of the Distemper for according to Hippocrates a Vomit cures Vomitting This done the Stomach is to be fortified either with cold or warm Medicaments as the Cause of the Disease is either Hot or Cold. If the Cause be Hot Juleps made with juice of Pomegranates Quinces Citrons and Oyl of Vitâ—…iol are proper The raw juice of Quinces alone taken one or two spoonfuls at a time miraculously stays this Vomiting Outwardly Fomentations with a Spung dippâ—…d in Vinegar of Roses or Elder-Vinegar warmed or a Quince roasted and applied warm in the form of a 〈◊〉 or sowr Leven mixed with Vinegar and juice of Mint and applied which very quickly stays Vomiting and is highly extolled by Villanovanus Also smelling to Vinegar Camphire and the like may be very prevalent If the Cause be cold the Stomach is to be corroborated with hot things as Wine Matthiolus's Aqua Vitae Cinnamon-water Oyl of Cinnamon Nutmegs Mace Clove Gillowflowers Spirit of Vitriol and such like Distillations Among Simples all hot Stomach-Herbs and Spices also outwardly Applications of Castor Storax Labdanum Benzoine Galbanum Tacamahacca Olibanum Oyl of Nutmegs and Mace c. To which add Quinces Masâ—…ic and other Astringents If these do no good Fallopius gives you this Experiment If the Vomiting do not cease let him bite a piece of a Turnep twice or thrice and champ it only with his fore-Teeth and you shall see the Vomiting will absolutely ease tho his Stomach be very weak And this Remedy is so extraordinary that I could never find a better If these things will not stay the Vomiting you must come to Narcotics among which in a cold Cause Roman Philoniam is preferred above all the rest given to the quantity of one dram But in a hot Cause Pills of Storax or Opiate Laudanum OBSERVATION XXXII A Country Man of Groesbeck who because of his extraordinary Stature was called Ironically Little Iohn about forty years Old and very strong about two years since being very hasty in Cleavingof Wood by chance receiv'd a hurt from a Splinter in the fore Tibiaeon Muscle of his right Thigh the wound not being very broad but reaching to the Periosteum This wound though he slighted it at first it could never afterwards be consolidated by any Remedies but remain'd like an Issue Nature voiding continually several Excrementious Humors out of it which was the reason that the Country Man was troubled with frequent Inflammations and other Mischiefs At length in September having by Accident sold a parcel of Wood to a certain Chyrurgeon of Nimeghem after he had shew'd him his Thigh the Chyrurgeon promised to consolidate the little wound which had now been of two Years standing The other weary of his Pain and trouble gladly accepted the Condition presently the Chyrurgeon without ever Purging his Body thrust in Tents with I know not what Oyntment into the wound and laid on Plaisters the Fatness of which the parts adjoyning to the Periostea brook'd but very scurvily Hence within three days by reason of the stoppage of the deprav'd Humors now remaining within a terrible Inflammation of the whole Thigh ensued with a vast swelling and intollerable pain that threatned nothing less than a Gangrene Then my Advice was ask'd Presently after I had thrown away all the other applications and the Oxycrate that was bound about his whole Thigh I ordered the wound to be well washed with Spirit of Wine and then that they should pour in Balsam of Perue warmed with some few grains of Camphire mix'd with it and that his whole Thigh should be wrapt about with Linnen Cloths dipped in Spirit of Wine I also Purged his Body and the next day let him Blood and prescrib'd him a proper Dyet By these means not without some trouble the iâ—…flamm'd Swelling being fallen his Thigh within six days was restor'd to its first Condition But in regard that afterwards some new beginnings of an Inflammation with which he was wont to be molested before began to appear I clapt the grey Plaister about his whole Thigh having mixed with every ounce of the Plaister ℈ ij of Camphire which I let lye for three weeks together only putting in a fresh Plaister three times which prevented the return of those Inflammations In the mean time to Cure the wound also I ordered first an Issue to be made with a potential Cautery on the other side of the same Thigh from whence before I could well pull off the Blister Nature by this new Passage evacuated all those evil Excrementitious Humors which before were voided through the wound and the wound closed within a few days with the only application of the Balsam of Peru camphorated But I perswaded him to keep the Issue open as long as he liv'd But his Thigh being thus Cur'd the Country-man complained to me of another Malady no less ungrateful to his Wife that his Inclinations to conjugal performance were utterly extinguish'd and his Venereal Ability quite lost which Malady he said had befallen him but since the Cure of his Thigh Presently I suspected that this Languidness proceeded from the use of the Camphire which I had mixed with the Balsam and other Plaisters so that
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
Steenacker a Schoolmaster a very weak Man was so hard to be Purged that sometimes he could not be moved with Compositions of Antimony and other vehement Cathartics On the other side there are some that the very looking upon Physic will give them a Stool Thus I knew a Young Lady whom the very smell of the Physic Purged as well as if she had swallowed it for when she took the Physic it seldom worked more Alexander Benedictus also and Erastus Iohanes Postius and Rondeletius quote the like Examples of such as have been Purged by the smell of the Physic only OBSERVATION XXXVI A Stinking Breath THE Son of Iodocus N. a Nobleman had a very Stinking Breath His Parents believed that the Original of this Malady proceeded from his Stomach and for that reason many times gave him Hiera Picra which doing him no good they came to me I presently found that the Cause did not lye in his Stomach but in his Gums and Teeth for that the dregs of his Meat detain'd long in the spaces between his Teeth and there corrupting begot that Evil Smell I ordered them there to cleanse his Teeth twice or thrice a day very well with a Tooth-Pick and then to wash them well with his Water ℞ Powdered Allum ʒj common Water ℥ v. Cinnnamon water ʒ s. Oyl of Vitriol ix drops mix them well together After he had used this for a few days the ill smell of his Breath was no longer perceived ANNOTATIONS THere are several Causes of a stinking Breath sometimes it proceeds from Exulcerations of the Lungs as in Phthisical People Sometimes from ill vapours corrupting the Lungs as in the Scurvy sometimes according to Bauhinus from the loosness of the Valve at the beginning of the thick Intestine through which the continual stench of the Ordure passing through the thin Guts and the Stomach breaths through the Mouth sometimes it proceeds from the fault of the Teeth only when they are not well cleansed every day so that the remnants of chawed Meat corrupt and putrify between the spaces In which last case an alumm'd-alumm'd-water is mainly beneficial for that it resists Putrefaction and preserves the Teeth from all Corruption OBSERVATION XXXVII Want of a Stomach CHristian ab Ummersom a Wine Merchant in March 1636. was troubled with a Nauseousness and loss of Appetite for many days so that for want of feeding he was become very weak Now because the Pestilence was very rife at that time he thought he had got the Infection But it was not the Pestilence but his own Preservative which he drank every day before Dinner very plentifully that was the Cause of his Malady that is to say Wormwood-wine wherefore I forbid him to drink that prescrib'd him a proper Diet and after I had gently Purg'd his Body gave him the following Conditement ℞ Roots of Calamus Aromatic Nutmegs Mace Flowers of Sulphur an ℈ j s. Cremor Tartar ʒ j. choice Cinnamon ℈ j. Cloves ℈ s. Powder them very fine Then add Roots of Candid Elecampane ʒ vj. Conserve of Anthos ℥ s. Ginger condited ʒ vj. Oyl of Vitriol drops xv Syrup of Limons q. s. Make a Conditement Of this he Eat a small quantity Morning and Evening and sometimes before Dinner absta ining from Wormwood-wine which after he had taken for some time his Nauseousness ceased and his Appetite returned From that time he had so high an Opinion of this Conditement that for some Years he caused his Apothecary to make it as he said for the preservation of his Appetite and his Health ANNOTATIONS GAlen ascribes to Wormwood a heating cleansing corroborating and drying faculty Whence Pliny writes that it corroborates the Stomach and that the Savour of it is with great benefit translated into Wine And as true it is that Wormwood-Wine so much now in use but by most detestably abused is no new thing but an antient invention and very well known among the Physitians of old which is apparent from hence that Diascorides sets down various Compositions of it where he says that it is profitable for the Stomach moves Urine accelerates slow Concoction and cures the Maladies of the Spleen and Kidnies and Yellow Jaundise want of Appetite and Distempers of the Stomach That it prevails against Inflations and Distension of the Hypochondrium expells round Worms and brings down the Courses All which Commendations of Wormwood-Wine Oribasius also confirms but though Wormwood and Wormwood-Wine have many excellent qualities yet there are bounds and limits set to all things which if we exceed we render good things mischeivous for that the best of Medicaments and Nourishments if taken immoderately prove hurtful so I have many times observed that the excessive and inordinate use of Wormwood-Wine causes Inappetency extraordinary weakness of the Stomach Liver and the whole Body Vertigos in the Head loss of Memory Epilepsies Dropsies and several other Maladies to which the daily drinkers of Wormwood-Wine are exposed many times to the utter ruin of their Healths after which nothing but Death ensues as it befel N. Heymerick who dy'd of a Cachexy and Dropsie and Anthony N. who dy'd of an Epilepsie both daily drinkers of Worm-wood-Wine Therefore Wormwood-Wine is only to be drank upon occasion I will here add one foolish Story in the Year 1635. when the French Army quartered in Nimeghen the French to preserve themselves from the Pestilence drank Sack betimes in the Morning But some of the Noble Men asking what the Dutch-men drank to preserve themselves from the Infection the Vintner answered Wormwood-Wine which being a sort of Wine which they had never tasted they called for some but when they had tasted it they cry'd out the Devil take the Vine that yeilded such Wine as that for certainly said they this is the very Wine which the Iews gave Christ upon the Cross for the French-men thought the Grape it self had been so bitter not knowing it to be a mixture OBSERVATION XXXVIII A Wound in the Lungs with a Musket Bullet IN the Year 1636. in May during the Seige of Schenck Sconce a Trooper of our Army in a Horse-Charge was Wounded with a Musket-shot in the Right side of the Breast about the Pap three Bullets passing through his Breast and his Right Lung and going out again about the Scapula at three several Holes in his Back When he was brought to Quarters at Nimeghen I went along with the Chyrurgeon and by the Condition of the Wounds gave him over for Dead However that he might not Dye through any negligence of Ours we bound up his Wounds losen'd his Belly with a Glyster and gave him proper Medicines to stop the Blood flowing out of the Lungs we also thrust in a Pipe of Lead into the lower Wound through which the Blood and Matter might be Evacuated but finding it could not be conveniently done in that Wound we opened a more convenient passage in his side by an Intercostal Incision For Diet I forbid him all sharp cold Salt Acid things
â„¥ j. s. Oyl of Cammomil and Dill an â„¥ j. Common Salt Ê’ij For a Glyster After he had taken this there came away with it much Excrement and much Wind. Afterwards being sick at his Stomach he threw up a great quantity of Choler and tough Flegm which gave him much Ease Twice the same day he took Chicken Broth boil'd with Barley cleansed Citron and Orange Peels and for his Drink sometimes he drank Ptisan sometimes small Ale In the Evening this Bolus was given him which caused him to sleep a little the Night following and gave him very great Ease and the next day he had three Stools â„ž Of our Anticholic Electuary Ê’j Transparent Aloes ℈ j. Mix them for a Bolus This Bolus afterwards he took thrice a day every other day The seventh of October not having gone to stool in three days upon forbearing his Bolus his Cholic Pains increased again But then because the Gentleman would not admit of any more Glisters I gave him a gentle purging Draught which caused him to void much Choler and Flegm upward and downward The twelfth of October his Belly being bound he took a Glister The thirteenth Dr. Harscamp an eminent Physitian was called to Counsel and then by common Consent to stop his Vomiting we gave him at two times one Spoonful of Cinnamon-water with two Drops of Oyl of Cinnamon and ordered the following Ligament to be applied to the Region of his Stomach â„ž Oyl of Nut-megs squeez'd of Laurel an Ê’j Of Dill of distilled Fennel an ℈ j. Of Anise Drops iij. Mix them for a Ligament In the Evening he took the forementioned Bolus The sixteenth of October he took another Glister which gave him three Stools with great ease The twentieth to loosen his Belly we prescribed him Pills made of transparent Aloes only of which he swallowed two or three every other day or every other three days which Pills wrought so well that afterwards we had no need of any other Purges The twenty eighth I gave him â„¥ j. s. of our Anticholic Electuary wherein I had mingled Ê’j s. of transparent Aloes of which he took Morning and Evening Ê’s or ℈ ij to his great Advantage For it strengthned his Stomach dispell'd the Wind and cleansed away the Flegm and Choler This Electuary he afterwards used as a preservative taking his Aloes-Pills in the intervening days And by this means he recovered his former Health ANNOTATIONS THE Cause of this Cholic Passion was a great quantity of salt Flegm sticking to the Guts and an over-abounding quantity of sharp excrementitious Choler for the Choler being voided out of its Bladder into the Guts and being there mixed with that Flegm and causing that salt and tough Flegm to boil like quick Lime thrown upon Water or Oyl of Vitriol powred upon powdered Crabs Eyes begat an extraordinary Flatulency violent Pains and extream Anxieties That this was the true Cause appeared by his vomiting which brought up yellow and greenish Choler with tough and frothy Flegm as I have often observed in my Practice Wherefore in this case there is need of a hotter Medicament in regard of the cold Flegm and the Wind at the same time to cleanse away the Choler and asswage the Gripes To which three Purposes the foresaid Electuary mixed with Aloes was of great use other general and necessary Medicaments being given as occasion served To asswage the Pains of the Cholic many notable Remedies are prescribed by various Authors which are to be varied according to the variety of the Causes In a cold Cause I make use of my own Anticholic Electuary with good success the Composition of which is this â„ž Specier Diagalangae Rosatum Aromaticum an Ê’iij s. Diambra Ê’iij Mass of Storax Pills Ê’iij s. Treacle of Andromachus â„¥ iij. s. Mithridate of Damoc. â„¥ iiij Ê’v Oyl of Anise Ê’ij ℈ ij of Cloves Ê’j of Nutmegs distill'd Ê’j s. Syrup of Stocchas q. s. For an Electuary This Electuary sometimes I use alone sometimes with every ounce I mix Ê’j or ij of Aloes and so given have found it much more prevalent against the Chollic Holler boils in odoriferous Wine one small Handful of common Wormwood with Ê’ij of Cummin-seed He also commends Orange-peels boil'd in Wine and the Decoction drank fasting in a Morning We have also given the same Peel powder'd and mix'd with Wine and found it no less beneficial Wormwood-wine is commended by Aetius because it corroborates the Belly purges away the Choler and prevents the Growth of it and discusses and expels the Wind. Others boil Ê’j of Cummin-seed in VVormwood-wine and give the Straining Rases approves Confection of Laurel Berries Avicen prescribes an effectual Medicament of equal Parts of Castor Pepper and Aniseseed Against the same Distemper are no less prevalent the Powder of Zedoary Root from ℈ j. to Ê’j Also the distilled Oyls of Anise Fennel Caroes Dill and Zedoary given in hot Wine The Decoction of Flowers of Cammomil with a little Cummin-seed added given in Ale or small White-wine â„¥ iiij or v. at a time is a most present Remedy to asswage the Pains and expel the Wind. Others applaud this Carminative Water of Schroderus â„ž Flowers of Roman Cammomil m. xxx â—…ut bruise and infuse them twenty four hours in cammomil-Cammomil-water lb x. others say xv stout Wine lb vj. squeeze these very strongly and in the straining infuse for twenty four hours more Flowers of common Cammomil m. xxiiij Press them and strain them In the Straining steep Flowers of Cammomil m. xij The yellow of Orange Peels â„¥ j. s. Pontic Wormwood m. ij Lesser Centaury Penyroyal Basil an m. ij s. Seed of Dill â„¥ iij. Of Anise and Fennel an â„¥ j. s. of Caroways Cummin Carduus Benedictus Maries Carduus an â„¥ j. s. Iuniper berries â„¥ j. Laurel-berries â„¥ s. Let them stand twenty four hours then distil them with a Gentle Fire in Balnâ—…o Mariae Rodoric Fonseca recommends as a singular Remedy and a very great secret arising from the Propriety of the whole Substance the Testicles of Horses which he says he has several times try'd in the Cure of cholical Distempers These Testicles he washes in generous Wine and cuts into thin slices and then dries them in an Oven with a gentle Heat and keeps them for his Use upon occasion after general Remedies he gives of these powdered Ê’j in Wine three hours before any other Meat Zacutus prefers the Pizzle of a Bull as having a Wonderful specific Vertue one Scruple of the Powder being taken in Malmsey Wine affirming that he had cured several who were most cruelly tormented with that Grief with that only Medicament He also commends for almost as effectual the sole drinking of Urine In vehement Cholic Pains Riverius prescribes these Pills which he has often given with great Success â„ž The best Aloes Ê’j Laudanum Opiate gr iiij Diagridion gr vj. Make six Pills Let the Patient take these at a convenient time and within an hour
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
laid bare at that time we could perceive nothing for the Blood but the next day we discovered two apparent Fissures in the Cranium and upon one side a small Particle about half a Fingers length somewhat depressed which Particle was every way sever'd and broken from the Bone Therefore in the next firm Part we made a perforation with a Trepan and took out half an ounce of Blood which had flow'd out of the little broken Veins between the Cranium and the thick Meninx and there had shelter'd it self which being wiped off we laid a little rag dipped in Honey of Roses upon the Meninx and having filled the Wound without side with dry Wooll we covered it with Emplaster of Betony The sixth of February some little Blood came forth but after that none at all in the mean time we kept his Belly loose with a gentle Purge thus we ordered the Wound till the twelfth of February and covered his Head with a quilt of Cephalic Herbs and other things afterwards we began to lay the following Powder mixed with Honey of Roses upon the Meninx ℞ Sanguis Draconis Frankincense Aloes Myrrh an ℈ j. Fine Barley Flower ℈ j. s. Make it into a very fine Powder The eighteenth of February the flesh began to grow from the inside of the Meninx The first of March the Meninx was covered with flesh The sixteenth of March a little Scale was separated from the upper Bone of the Skull laid bare and at the beginning of April the Man being perfectly cured went abroad ANNOTATIONS THE suddain Consternation of this Person as it were Apoplectic was a certain sign of the Skull being depress'd which depression could never have been made without a Fracture or a Fissure And though for the following days the Patient felt nothing in his Head in regard such a depression and Fissure could not happen without breaking some of the little Veins it was better to open the Skull and take out the Extravasated Blood then to expect the Symptoms of it when Corrupted and Putrified For a very little Blood though no more then a dram yet Putrifying upon the Meninx may cause terrible Symptoms and Death it self OBSERVATION LIII The Head-ach PEtronel de Kuijck a Country-Woman about threescore Years old complained in February of terrible Pains in her Head as also of Catarrhs falling upon her Eyes Teeth Shoulders and other parts that she had been troubled all the Winter and felt a very great cold at the top of her Head as if the fore part of her Head had been dipped in cold Water Therefore having prescribed her a hotter and Cephalic Diet I Purged her with Pill Cochiae and Golden Pills then I ordered Linnen-cloths four doubled and dipped in Spirit of Wine warmed and gently squeezed to be laid over all the upper Part of her Head and to continue so doing for some days which done that Diuturnal Pain together with her Catarrhs all ceased within a few days then for prevention and preservation I prescribed her a Quilt to wear upon her Head ℞ Marjoram one little Handful Rosemary Sage Flowers of Melilot Lavender an one little Handful Nutmegs Cloves an ℈ ij Make a Powder for a Quilt ANNOTATIONS IN these cold Maladies of the Brain besides general and internal Medicines proper Topics are very beneficial so that many times they alone at the beginning of the Distemper contribute very much to the Cure In which case we made use of Spirit of Wine with good Success the Fomentations of which are highly commended by Arculanus Plater commends Dill Forestus Cammomile however they are made use of in Head-achs proceeding from cold Causes Aetius applaudes Goats dung bruised and laid on Morning and and Evening Others dry up cold superfluous humors after this manner ℞ Millet-seed lb j. common Salt lb s. Leaves of Majoram Rosemary Sage Flowers of Lavender Melolet an one small handful Seeds of Anise Fennel Dill Cummin an ʒ ij Lawrel Berries ʒiij These being fryed in a Frying-pan let them be put into little bags and while they continue warm let the head be first dried and then well rubb'd with them for half an hour Aetius prefers Vervein with the Roots and creeping Time boyl'd in Oyl for the Cure of all Head-aches proceeding from cold and thick Humors He also recommends Hog-lice boyl'd in Oyl for the same purposes P. Aegineta writes of a Woman who was very famous for cuing Head-aches either with or without a Fever by this means She boyl'd the green Roots of Asses Cucumers cut very small and Wormwood in Oyl till they grew soft and with this Oyl and Water she moistened and watered the Head and then clapt the Root bruised with the Wormwood upon it Which Medicine is highly recommended by Avicine who prescribes it after this form ℞ Common Oyl common-water an lb j. Leaves of Wormwood M. j. s. Root of Asses Cucumers ʒ ij Let them boyl together OBSERVATION LIV. A Hickup ANtonetta N. a poor Woman desired me to see her Daughter a Maid about twenty four Years of Age she had been troubled for ten days with a continual violent and troublesome Hickup and none of the old Womens Remedies would do her any good when I understood her Womb was well I judg'd that the Malady proceeded from some sharp Matter firmly Impacted in the Tunicles of the Stomach therefore I gave her first a light Vomit which gave her three or four Vomits but no release from her Hickup Thereupon I prescribed her this following little Bag. ℞ Flowers of Mint camomil Dill an M j. of red Roses Melilot an M. s. one white Poppy Head cut small Nutmeg Aniseed an ʒj of Dill and Cumin an ʒj s. cut and bruise them grossly and make a Linnen bag about the bigness of two hands breadth This Bag I ordered her to boil for half an hour in new Milk and common Water an lbj. s. and to take ever and anon a Draught of this Decoction and after she had gently squeezed the Bag to apply it hot to the Region of her Stomach which when she had continued to do but for one day her Hickup left her ANNOTATIONS SAys Hippocrates A Convulsion is caus'd by Repletion or Emptiness and so is a Hickup But for the most part a Hickup proceeds from Repletion seldom from Emptiness as Galen testifies Under the word Plenitude are comprehended also whatever matter sticks close to the Tunicles of the Stomach and twiching and gnawing them with its Acrimony whether sharp tough Humors Pepper or any other thing A Hickup if it last long is very troublesome but it seldom uses to continue long Yet M. Gatinaria tells a Story of a Doctor of Law who was troubled with a Hickup for twelve days together and Forestus makes mention of an old Woman that Hickupp'd many times for half a year together To suppress this Hickupping those Medicaments are most proper which loosen and remove the sharp and biting humors from the Tunicles of the Stomach such are Vomiting Medicines
manifest Cause as Menstruous suppression refrigeration corruption of the Seed or the like OBSERVATION LIX Loss of Appetite Mr. Hare an English Gentleman about Thirty Years of Age having for several days together contrary to his custom fed excessively hard and by that means disturbed the Functions of his Stomach and collected many crudities therein lost his Stomach to that degree that for a fortnight together he could scarce eat any thing at all at length by my advice he took this Vomit â„ž Green-leaves of Asara-Bacca Ê’iij bruise them and press out the juice with â„¥ ij s. of the Decoction of Radish add to the expression Oxymel with Agaric â„¥ j. mix them for a Draught This caused him to Vomit stoutly afterwards I ordered him to eat three or four Mouthfuls of candied Elecampane Root three or four times a day to observe a warm Diet to abstain from Immoderate eating to drink generous Wine but in a less quantity and after Dinner and Supper because his Stomach was very moist to eat a bit or two of a raw Salt Herring and by this means he recovered his Stomach again within a few days ANNOTATIONS LOss of Appetite sometimes proceeds from a hot Cause as a hot Distemper of the Stomach a Fever abundance of Choler and then it is cured with Choler purging and Refrigerating Medicines Sometimes it proceeds from a cold disposition of the Stomach which happens either through weakness of the innate Heat as in old Men or through bad Dyet and thence Crudities collected in the Stomach or else by reason of cold humors flowing from the Head or other Parts to the Stomach Now in every cold Disposition of the Stomach by reason of the weakness of the Concoctive faculty mary crude flegmatic moist and cold humors are collected in the Stomach which weaken the heat of the Stomach and dissolve the strength of it and blunt the Sense of Attraction and Suction In the Cure of this Distemper tâ—…â—…lear the Stomach from the filth of Crudities Vomits are mainly necessary But if other Purgatives are to be made use of Hiera Pills are chiefly commanded by Galen Then a Dyet is to be observed upon things of good juice and easie of Digestion hot and dry not fat or oily which take away the Sence of Suction The use also of most hot things Gaâ—…gale Calamus Aromaticus Rosemary Marjoram Hysop Sage Lawrel-berries hot Seeds all Spices and the like all generous Wines and moâ—…e â—…pecally Wormwod Wine Spirit oâ—… Wine is commended by all either simple or distilled off with Juniper-berries Seeds of Anise Caraways Fennel Cinnamon or Cloves all Hippocras and Cinnamon Water sublimated out of Wine Matthiolus extols his own Aqua Vitae which is used by many Physitians Levinus Lemni above all extols Ginger either dry or condited to help Concoction restore the Appetite dispel Wind and consume Crudities Others are for swallowing some few Pepper-corns either whole or cut into three or four pieces I have observed in my Practise that the Roots of Elecampane alone so condited that they still retain their bitterness are more effectual than all the rest by the 〈◊〉 of which I have made those who have lost their Stomachs in a short time in a few days very hungry I also used to give them pulverized with strong Wine and have found them answer Expectation For they warm the Stomach yet not too much consume Crudities promote Concoction corroborate open dry and dispel Salt meats also very much excite the Appetite So that I have observed that the eating of a third or fourth Part of a Pickled Herring after Dinner or Supper has recovered a lost Stomach if the Person be not very old for it extreamly drys and corroborates the Stomach For though a Herring be hard of Digestion when it is boyl'd or broyl'd yet taken out of the Pickle and eaten raw it is easie of digestion OBSERVATION LX. A Superfoetation THE Wife of Dionysius N. a Souldier living at Nimeghen in October 1637. was brought to Bed of a Boy lusty and at the full time which she Nursed her self after she was Delivered her Terms came down in due order and she was indifferent well all the time of her lying in like other Women after her Month was out she went about her business as before but the seventh Month after her delivering being at Church she felt such a suddain alteration that she was forced to return home where a Midwife being sent for her Waters came down accompanied with the throws of Delivery and while the Women were all admiring what the matter should be she was brought to Bed of another lusty sound Child which she Nursed with the former and may be alive still for ought I know ANNOTATIONS SAys the Great Hippocrates the mouth of the Womb of such Women as are with Child is compressed And Galen observes that if the Mouth of the Womb be shut 't is a sign of Conception and he says it is then so close shut that it will not admit the point of the smallest Bodkin But granting all this yet we must not conclude from hence that there can be no Superfoetation though it rarely happen For says Aristotle if after Conception there be Copulation there may be a Superfoetation though rarely for that the Womb though very rarely closes it self till delivery Thus Hippocrates those Women have Superfoetations whose Wombs are not exactly closed after the first Conception He also gives us an Example of Superfoetation in the Wife of Gorgias who Conceived a Girl and when she was near the time of her delivery Conceiv'd again I knew a Woman says Albucasis that was again impregnated when she had a dead Birth in her Womb. Says Cardan Superfoetation is rare yet seen at Millan in our time Says Dodonaeus Superfoetation is very rare yet there has been an Example of it in the Wife of a very honest Man And Plater gives us two Examples of Superfoetation But now granting Superfoetation the Question is how the Superfoetation can be brought to perfection Aristotle says that if after the first Conception a Woman Conceive again the Superfoetation may be nourish'd but if the first Conception be grown then the second proves Abortive Which is the Opinion of Hippocrates Plinie Dodonaeus Bauhinus and others Reason also seems to agree with Experience which teaches us that the first Conceiv'd and first increas'd draws the chiefest part of the Nourishment to its self by which means the latter Conception must be depriv'd of Nourishment and consequently dye and be expell'd as an Abortion But if the last Conception draws sufficient Nourishment and be sufficiently perfected and do not prove Abortive it is impossible it should be ready so soon for delivery as the former and yet it will be delivered in time as we find by this Example by me recited for the ratities sake Yet Nicholas tells ye a greater Wonder I knew says he the Wiâ—…e of Zachary de Scarparia who brought forth a Male Child and three Months
then for his Cough and the Pain in his Breast I prescribed him the following Emplaster to be laid over all his Chest which in a short time first abated and then perfectly cured his Cough and difficulty of Breathing to a wonder â„ž Castor the best Saffron Nutmegs Cloves Storax Calam. Bezoin an ℈ j. s. Reduce them to a fine Powder and mix therewith Gâ—…m Armoniac Galbanum dissolved in Wine Emplaster of Meltlot Oxycroceum an Ê’ v. Make a Plaister to be spread upon a thin peice of Leather Before I laid on this Plaister I purg'd his Body The next day being the twenty second of November I prescribed him this Decoction to take every Morning a good draught and Sweat a little and in the Evening to take another draught but because he was so weak no Sweating was expected â„ž Lig. Guaiacum â„¥ xii Bark of the same Salsaperil an â„¥ iij. Sassafrass-wood Licorice sticed an â„¥ j. s. Common-water lb. xii Macerate them near the fire twenty four hours Then boyl them in a Vessel close shut to lb. v. Roots of Elecampane â„¥ j. Carduus Benediot M. ij Rosemary Scordium Baum Germander Groud-Ivy Marjoram Centaury the less an M. j. Stoned Raisons of the Sun â„¥ vj. Make a Decoction The twenty eight of November he was purg'd again and he took the same Decoction again adding â„¥ j. s. of China-root but he Sweat with a great difficulty and very little because of the extremity of the cold Weather By the fifth of December the Pains in his Shoulders and Head were much abated so that he slept quietly at Nights and felt himself much better however the sharpness of his Urine still continued and a slight Gonorrhea where we went on as we begun for his Cough and weakness of his Stomach I prescribed him this Tablet â„ž Dry root of Elecampane Ê’ j. English Saffron ℈ s. Calamus Aromaticus Florence-Orrice Benzoyn an ℈ j. Flower of Sulphur ℈ ij sliced Licorice ℈ j. s. Reduce them in a very fine Powder and with fine white Sugar dissolved in Fennel-water make them into Tablets The tenth of December he purged with our Antipestilential Pills for his Body was soon moved The seventeenth of December he took Decoction again which made him Sweat plentifully because perhaps the long use of the Decoction had made Nature more prone to Sweat and now all the Symptoms began to vanish by degrees his Appetite returned and in regard the Patient felt no more Pain we forbore any more Physic and thus by this easiy course the Gentleman was perfectly freed from that detestable Disease But his Genitals had contracted such a Debility from a long continu'd Gonorrhea that his Venereal abilities were quite decayed nor could be restored by any Provocatives whatever The Year following 1638. in Feburary returning to his wonted excess of taking Tobacco the Pain in his Breast his dry Cough and difficulty of breathing likewise returned which by his abstaining from Tobacco and the application of the foresaid Emplaster were again absolutely removed OBSERVATION LXV A Diarrhaea A Dutch Gentleman having drank in the Evening too large a quantity of new Wine all that Night was Tormented with violent Pains in his Belly the next day he was taken with a loosness which seemed at first to give him some ease but afterwards increasing within two days was changed into a Dysentery then the Gentleman afraid of his Life sent for me I presently gave him the following Purge â„ž The best Rubarb Ê’ij Leaves of Senna cleans'd Ê’iij Myrobolan Cheb Ê’ij Seeds of Anise ℈ ij Decoction of Barley q. s. Make an Infusion To the straining add Syrup of Succory with Rubarb â„¥ j. Mix them for a Draught This brought away much Choleric Matter and strangely eased the Gripes of his Belly the next Evening I gave him the following Sudorific which caused him to Sweat much that Night afterwards he Sweat quietly and both the Pain and the Flux ceased and his former Health returned â„ž Treacle of Andromachus Ê’j Philonium Romanum ℈ j. Of our treacle-Treacle-water stone-parsly-Stone-Parsly-water an â„¥ j. Mix them for a Potion ANNOTATIONS MUST or new Wine as Diascorides and Galen testifie is difficulty concocted and begets Wind. Hence Crudities Oppilations of the Bowels and Griping of the Guts Many times the excessive drinking of it causes a Suppression of Urine as it befel my self once in France Sometimes it begets Cholic pains Sometimes it causes a Dysentery as it happen'd to our Patient Hence it happens that our Germans little accustom'd to Must when they go into France and swill it too immoderately are troubled with Diarrheas dangerous and many times mortal Dysenteries especially such as had eaten great plenty of Grapes before OBSERVATION LXVI An Uterine Suffocation JOan Segers a Widow in the flower of her Age left with Child by her Husband that dyed some Months before was delivered of a Son in August This Woman during her Month having been too busie about her House in the third week was taken with an Uterine Suffocation so that she thought her Matrix ascended up to her Throat and this Suffocation was accompanyed with Murmuring and Pains of the Belly and Sides The Woman had not slept in three whole days and nights nor could she either sit or lye still in a place for a quarter of an hour I conjectur'd that these Suffocations proceeded from Wind or Cold receiv'd into her Body through her Womb. In the Evening therefore I gave her the following Potion which caus'd her to sleep a little and put off the greatest part of the Symptoms â„ž Flowers of Cammomil M. s. Lovage seed Ê’j s. Wild Carot seed Ê’ s. White-wine q. s. Let them boyl a little â„ž Of the straining â„¥ ij Roman Philonium Mithridate of Damoc an Ê’ s. Oyl of Amber distilled by descent drop ix Mix them for a Potion The next day though she was much better yet because the Symptoms were not absolutely ceas'd and for that she had not gone to Stool in three days I gave her a gentle Purge which done this Emplaster was laid to her Navel â„ž Castor Pulveriz'd Benzoyn an ℈ j. s. Galbanum dissolved in Vinegar Tacamahacca an Ê’ij s. Mix them and spread them upon a peice of Leather of a hands breadth In the Evening going to Bed she took ℈ ij of Amber powdered with a little Wine She slept quietly and heard no more of her Symptoms ANNOTATIONS ERotis in a Suffocation and Dislocation of the Womb commends the Root of Lovage boyl'd and bruis'd with Hogs-grease and laid to the Navel but I believe the raw root bruis'd to be better Mercatus recommends Tacamahacca or Caranna alone or an Emplaster of Great Treacle Angelica and Agnus Castus seed Montagnana extols for a great Secret and a present Remedy the following Emplaster laid upon the Navel â„ž Mugwort Feverfew Lignum Aloes an ℈ s. Galbanum Ammoniac dissolv'd in Vinegar an Ê’j s. Wax q. s. For a Plaister But he more highly applauds the following Emplaster â„ž
salt Flegm caused by the first sudden Refrigeration and adhering to the Ventricles of the Stomach which fermenting at Intervals through the afflux of Choler or sharp Rhume caused those cruel Gripings Other things also shewed the Stomach to be offended as loss of Appetite inclination to vomit troublesome Belches Crudities c. The Cough I looked upon as caused by Defluctions falling upon the Lungs which were continually fed by the crude Vapors carried from the ill affected Stomach to the Head and thence falling down again upon the Breast the Gentleman thus satisfied with my Conjectures in order to the Cure upon the twenty sixth of November I laid him on upon his Head a Cap or Quilt of Cephalic Herbs and other hot Ingredients which he wore all that Winter I ordered him a warning and attenuating Diet Meats of good Juice and easie of Digestion to which Diet I left him wholly without giving him any other Physic for three or four days because of his extraordinary Weakness Within a few days his stinking and ill-coloured Spittle his Brain being corroborated by the help of the Quilt and his Defluxions ceasing became white and of its natural Consistence and neither so much nor so clammy as before The thirtieth of November the Pains of his Stomach began to gripe him not extending themselves beyond the Region of the Stomach yet so terrible that they seemed to surpass the Pains of Child-bed To asswage this Pain I gave him one Dram of our Anticholic Electuary by five a clock in the Morning and again at eleven at Noon but this would not stir the Pain Thereupon I applied to his Breast a Cere-cloth of Storax Benzoin Castor Galbanum all over the Region of his Stomach The first of December the Patient would swallow no Physic only he took a Glister that gave him one Stool The next day he having taken Pill Ruffiae had three Stools but his Pain nothing abated so that his Strength being extreamly wasted by the Violence thereof we were forced to Narcotics of which I made choice of the hotest by its heat to strengthen the Stomach and digest and cut the clammy cold Humors and by its Narcotic Faculty to asswage the Pain To which purpose I gave him about Night one Dram of Philonium Romanum prepared with Euphorbium which allay'd the Pains within three hours The third of December he took several times that day a small quantity of the following Conditement â„ž Specier Diamosch Diambra an ℈ j. s. Diagalanga ℈ j. Roots of Calamus Aromaticus condited Conserve of Anthos an â„¥ s. Preserved Nutmegs Ê’ij Confection of Alkermes ℈ â—…j Syrup of Limon q. s. Oyl of Cinnamon gutt ij For a Conditement About Night his Pains began to return again but not with that vehemency The next day taking Pill Ruffiae he had three Stools Toward Evening by his Pulse I found him somewhat feverish but upon taking this small Potion the Fever vanished â„ž Treacle of Andromac Ê’j Of our Treacle-water â„¥ j s. Oyl of Vitriol gutt vij For a Draught The fifth of December the Pain in his Stomach was very gentle his Cough and Spitting ceased but some beginnings of a Fever appeared which upon taking this Apozem vanished â„ž Succory Roots of Asparagus an â„¥ j. Of Elecampane â„¥ s. Herbs Endive Centaury the less Roman Wormwood an M. j. Carduus Ben. M. s. Anise-seed Ê’j s. Corrents â„¥ ij Orange and Citron Peels dried an Ê’iij Boil them in common Water q. s. for an Apozem to lbj. s. In the Evening I gave him an Amigdalate which caused him to sleep which was continued for three days during which time feeding now and then upon Chicken-broth his Strength was somewhat recovered All this while there was somewhat troubled the Patient's Stomach which he could not well express in Words only that something ascended up now and then to his Throat this spoiled his Appetite and hindred his Digestion and as the Patient believed was that from which the Fits derived their Original therefore to extirpate this Malady I gave him the following Antimoniate Wine â„ž Crocus Metallorum of our Preparation gr xv Strong French Wine â„¥ iiij Steep them all Night the next Morning strain them through a double brown Paper for a Draught He took this Potion the twelfth of December at eight of the clock in the Morning At nine a clock he had an Inclination to Vomit but brought up nothing but a little after he brought up some few Lumps like Glew and of a greenish Colour About eleven a clock his Anxiety ceasing he had seventeen watry Stools of a mixed Colour without any Gripes however because his Strength was much impaired we refreshed him with cinnamon-Cinnamon-water and Sugar In the Evening I gave him a Draught of generous Wine with a Dram of Treacle and so the next Night he slept indifferent well The next day he perceived the thing that troubled him in his Stomach to be gone which he never felt more From that time his Stomach began to come to him and he eat three Porringers of Broth that day and digested them well The following days he was so hungry that he not only eat three or four times a day but sometimes at Midnight the two first days he was fed with Broths variously prepared the third day be began to eat boil'd Chickens Lamb Veal c. and sometimes to drink a Glass of Wine the fourth he came to roasted Meats and so fell to his accustomed Diet and so in a short time he recovered his former Strength OBSERVATION LXIX Nephritic Pains MOnsieur Bronkherst Lord of Werdenburgh in the Flower of his Youth and a great Lover of Rhenish-wine was taken the twenty sixth of December with most cruel Nephritic Pains not without some obstruction of his Urine Six years before being troubled with the same Pain he had voided a little Stone but after that he had not had the least touch of the Malady nor so much as voided any Gravel To asswage the Pain I gave him an Emollient Glister then prescribed him this Mixture â„ž Oyl of sweet Almonds new drawn â„¥ iij. s. Iuice of Limons Ê’vj Malmsey-wine â„¥ iij. Mix them for three Doses to take once in three hours The following Liniment was also laid warm to his Loins â„ž Oyls of Scorpions Lawrel bitter Almonds an â„¥ s. Of Cammomil Dill Turpentine an Ê’ij Mix them Toward Evening his Pains ceased in the Night making Water freely he voided a rough unequal Stone about the bigness of a Pea. The fourteenth of Ianuary having exposed himself to the Cold in vehement Weather his Pains returned at what time taking the same Mixture again he voided another Stone and was again freed from his Pains But for the future Prevention I advised him to swallow every other day a Pill of transparent Aloes or a Bolus of Venice Turpentine and sometimes to use Fernelius's Syrup de Althea but above all things to forbear the use of Rhenish-wine ANNOTATIONS THE Reason why Rhenish-wine
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
before we came had laid him upon his Belly and kept the Wound open with their Hands so that he had bled three full Chamber-pots After we had bound up the Wound the Patient sounded and it was thought he would have died but upon giving him corroborating Cordials he came to himself For the first day he voided sometimes a great deal of Blood and sometimes Corruption and frothy coagulated Blood came forth from the Wound but not much yet to be short this Man was cured of this dangerous Wound by the Use of proper Medicaments nor did he afterwards feel any inconvenience in his Chest. Hildan tells us also of a remarkable Cure of the Lungs wounded at what time a good Part of the Lungs was cut away And many other Examples of the Lungs cured are frequently to be found in several other Authors OBSERVATION XC An Extraordinary Binding of the Belly N. ab Offendorph a German Gentleman a strong Man in the Flower of his Age was usually so bound in his Body that he could hardly go to the Stool without the help of Physic yet he was not sick but when he had not gone to Stool in five or six days he grew sleepy dull and lazy In August not having been at Stool for seven days together when his usual Pills would not move him he went to Monsieur Romphius Physitian to the Queen of Bohemia who gave him two Glisters and two Purges without success then afraid of his Life he came to me at what time he had been bound for sixteen Days together first therefore I try'd to move him with this following Glister ℞ Roots of Bryony ℥ j. Herbs Mallows Althea Herb Mercury Wormwood Lesser Century Flowers of Camomil and Melilot an M j. Leaves of Senna ℥ j. s. Colocynth Apples ʒj fat Figs no. vij Anise-seed ℥ s. Boyl them in common-Common-water q. s. to ℥ x. add to the Straining stibiate-Stibiate-Wine ℥ iiij For a Glister After he had kept this a quarter of an hour his Belly was much moved and he had above twenty Stools with a great deal of ease afterwards I prescribed him a loosning and emollient Diet and so sent him away back to the Camp quite eased of his burthen ANNOTATIONS SChenkius has collected several Examples of People that have been strangely bound in their Bellys In which Cases when Cathartics will do no good I have observed the wonderfull Operations of Stibiate-Wine I remember I gave a Purge to a strong lusty Country-man once that was very much bound in his Body but without success The next day therefore I gave him a Glister wherein among other things I boiled ℥ s. of dry Tobacco which presently opened his Body with a Witness I knew a Captain of a Man of War also that told me how he was bound in his Body at Sea to that degree that when no Medicaments would move him and that he was in dispair of his Life by the advice of one of his Seamen drank the Parings of his Thumb-Nails in a draught of Ale which when he had done at first he fell into a Swoon so that every body thought he would have dy'd but coming to himself he purged upward and downward to that degree that he was soon freed from his Distemper OBSERVATION XCI A Bastard Ague A Daughter of Captain Rifflaer about six Years of Age had been troubled a long time with a disorderly kind of Ague yet not very vehement which took her sometimes in the Forenoon sometimes after Dinner sometimes at Night sometimes every day sometimes every other day she looked black and blew about the Eyes slept unquietly had her Belly swelled and distended rubbed her Nose often but complained of no pain from these signs I conjectured that crude and Flegmatic Humors were putrified in the lower Region of her Belly which caused the Ague and that moreover she might have Worms in her Belly now in regard she was very squeamish and would take nothing that was bitter I gave her ℈ j. of Mercurius Dulcis which gave her five or six Stools that brought away much viscous and slimy Matter and three or four large Worms the three days following I ordered her to take a dose of the following Powder Morning and Evening in which time she voided eight Worms ℞ Harts-horn burnt Coral prepared an ℈ iiij Sugar-candy ʒij to be divided into six equal Doses Afterwards when I observed her Ague and the distension of her Belly to continue in the same condition I gave her again ℈ j. of Mercurius Ducis which after it had given her six Stools she found her self better the next three days she would take nothing the fourth day I got her to take Mercurius Dulcis again which after she had voided much viscous and watry Matter but without Worms the distension and tumour of her Belly went off together with her Ague and she recovered her former Health ANNOTATIONS IN these Cases I have frequently with success made use of Mercurius Dulcis and though several eminent Physitians disapprove the use of it as too dangerous yet so it be well prepared I never observed that it did any harm in moist Bodies For dry Constitutions it is not thought so proper and therefore to such I either give other Physic or mix other Purgatives with it that it may be the sooner expelled out of the Body Thus Simeon Iacoz gave xii gr of it mixed with gr v. of Diagridion to a Child of four Years of Age which within two hours brought away twenty Worms And indeed it is a most excellent Remedy against Worms in the Belly for it not only kills and expels the Worms but brings away the the cause that breeds them therefore says Sebastian Strommayien there is no such Remedy to be found for it falls upon all manner of Worms bred in our Bodies speedily safely and pleasantly and by a certain Specific quality utterly expels them which Experience has sufficiently made manifest Sometimes instead thereof ℈ j. of Jalap pulverized or less according to the Age of the Patient which is an insipid Medicine and and not displeasing to the Taste which gently Purges away the Cause of Worms and Agues joyned together Rondeletius extols Electuary Diacarthamum as a powerful Remedy to expel Worms and Purge away Flegm and the corrupt Chylus that breeds and nourishes Worms Others commend Diaturbith with Rhubarb For such as can take ill tasted Physic Hiera Picra or Aloes alone is an excellent Remedy given in Pills Dodoneus tells us of a Woman of forty Years of Age suddenly taken with terrible gripings in her Stomach that upon taking Hiera Picra voided forty Worms and the same Vertue have all Medicaments wherewith Aloes is mixed Benivenius writes of one that after he had taken a Composition of Aloes Myrrh and Saffron voided forty eight Worms Crato recommends these Pills that follow ℞ Aloes Rosat ℥ j. choice Mirrh ʒ j. Make them into Pills the Dose ʒ s. Plater commends these ℞ Aloes ʒij Myrrh ʒj Worm-seed ℈
j. Make them into a Mass with juice of Wormwood or Gentian the dose from Ê’s to Ê’j Sennertus prescribes these â„ž Aloes ℈ j. Rhubarb ℈ ij Myrrh ℈ s. Trochischs of Alhandal gr iij. Powder of Coral Ê’ s. Make them into twenty two Pills with juice of Wormwood The Dose for Children ℈ j. To destroy all Matter and Nutriment of VVorms in the Guts there is not any better Remedy to be found then for the Patient to swallow once a VVeek one ℈ of Aloes Succotrine for Aloes has a peculiar occult quality to Purge and cleanse the extream Parts of the Guts This is the opinion of Mercurialis in his own Words but I usually order a Ê’ or two of Rhubarb to be put into a little bag and hung up in the ordinary drink which the Patient drinks and by that means I both expel the Worms and the cause of the Worms Saxonia and Solenander with many others extol the Decoction of Sebesten in Ê’iiij of which Crato macerates Ê’j of Rhubarb and gives the straining to drink Rhubarb also given in substance is a great enemy to the Worms and Dodoneus voids them with this Powder â„ž Worm-seed Ê’j Shavings of Hearts-horn Citron-seed and Sorrel-seed an ℈ j. Rhubarb Ê’ij Make them into a Powder the Dose Ê’ j. Riverius takes â„ž Powder of Rhubarb and Coral an Ê’s Duretus prescribed this â„ž Chosen Rhubarb Wormwood Sea Wormwood Shavings of Harts-horn an Ê’iij Make them into a Powder Dose Ê’j with the Decoction of Scordium This as we have tried says he excells all the rest Lastly Antonius Cermisonius as a most destroying expelling Remedy against the Worms prescribes a Glister of Ê’ x. of Goats Milk and Ê’ij of Honey OBSERVATION XCII The Worms THE Son of Mr. Cooper about six or seven years old had been long troubled with Worms in his Belly which sometimes ascending his Gullet crept out at his Mouth in the Night-time The Parents had often given him Worm-seed but to no purpose so that at length when the Child was nothing but Skin and Bone they sent for me I found him thirsty and averse to all manner of Physick thereupon I took half a pound of Quick-silver and macerated it in two pound of Grass-water shaking the Water very often Afterwards having separated the Mercury I added to the Water Syrup of Limons â„¥ iij. Oyl of Vitriol q. s. to give it a grateful Taste This he only took for two days together in which time he voided downward six and thirty Worms and being so rid of his troublesome Guests recovered his Health ANNOTATIONS SOme extol Quick-silver it self given in the Substance as an excellent Remedy against the Worms insomuch that Sanctorius says there is no killing of the Worms but with strong and violent Medicines as Aloes and Mercury or Quick-silver Of which Baricellus thus writes Quick-silver says he which many take to be Poyson is given with great Success against the Worms and is accounted so certain a Remedy in Spain that the Women give it to Infants that puke up their Milk to the quantity of three Granes I cured a VVoman that for nine days together had been troubled with continual Vomiting occasioned by the VVorms besides that she had not eaten in three days nor could keep what she swallowed but after I had given her two Drams of Quick silver mortified with a little Syrup of Quinces without any trouble she voided downward about a hundred VVorms and was freed from her Distemper the same day I have VVater at home wherein I continually keep Quick-silver infused and wil lingly give it away to children for the VVorms yet never heard of any Hurt that ever it did The dose of Mercury to be given to Children is ℈ j. to elder People ℈ ij or Ê’j It is corrected and mortified by bruising it in a Glass Mortar with brown Sugar till it be dissolved into invisible Parts and to prevent it from returning to its pristine Form you must add to it two little Drops of Oyl of Sweet Almonds and give it fasting with Sugar of Roses Syrup of Violets or Quinces to the Party affected Zappara confirms this use of Quick-silver by many examples and Hildan tells of a Woman cured of the Worms by Quick-silver of which she passed Ê’j s. through a piece of Leather and then swallowed it Where this is remarkable that the same Woman at that time wore a Plaister upon her Navel which was afterwards found all covered over with Quick silver Thus many Physicians celebrate Quick silver but more applaud it than condemn it as Plater Horatius Eâ—…genius and Fallopius says of it That it does not work those Effects being drank as used by way of Oyntment I have known says he Women that have drank Pounds of it to cause Abortion without any dammage and I have given it to Children for the Worms The same is testified by Marianus Sanctus and Fracastorius And Matthiolus affirms that Quick-silver is only prejudicial because it tears the Guts by its weight and therefore if it be not given in too great a quantity he says it can do no harm And I have seen it given by Midwives to Women in difficult Labours without any hurt at all For my part I never give it alone but always in some Infusion of grass-Grass-water Wine or other Liquor And as for Stromaiier and Horstius though they reject raw Quick-silver yet rightly prepared they extol it as the best Remedy in the World against the Worms Sennertus however advises that though Quick-silver may be used in desperate Cases yet to forbear it where milder Medicaments may serve the turn Since there is a possibility that it may do mischief OBSERVATION XCIII The Gout MR. Hamilton in the Flower of his Age was miserably tormented with the Gout in the Joynt of his Right-shoulder so that he had not slept in three Days and Nights After I had prescribed him a proper Diet I purged him with Cochia Pills gave him a Diuretic Decoction for some days and then applied this Plaister to the place affected â„ž Gum. Galbanum dissolved in Spirit of Wine Tacamahacca dissolved in Spirit of Turpentine Emplaster of Oxycroceum an â„¥ s. Mix them and spread them upon Leather This Plaster stuck on eight days within which time that immense Pain went off so that he could freely move his Arm after that he returned to the Camp where he was unfortunately slain ANNOTATIONS MAny Disputes there are about the Causes of the Gout but for my part I believe there are necessarily two For either those Pains proceed from cold Defluxions mixed with some Salt and Acrimony falling from the Head upon the Joynts refrigerating and corroding the Nerves Tendons and Ligaments annexed to the Joynts For how great an Enemy Cold is to the Nerves and membranous Parts we find in Winter-time by the Wounds by which those Parts are laid bare There says Hippocrates all cold things are fatal to the Nerves Besides that such Defluxions cause Weakness and Stiffness of
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-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
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-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
Liniment and then cover the Head with the following Quilt â„ž Oyls of Amber Rosemary Marjoram an ℈ ij Martiate Oyntment Ê’ij Castoreum Powdered ℈ s. For a Liniment â„ž Leaves of Marjoram M. j. of Rosemary Sage and Flowers of Melilot an one little handful Cloves Nutmegs an ℈ j. Castoreum ℈ s. Beat these into a gross Powder for a Quilt XIV Let him have a good Air a light Room moderately warm and Perfumed with Castor Peny-royal Rosemary Sage Thime Marjoram Baum c. let his Food be easie of Digestion Condited with Rosemary Betony Marjoram Hyssop and the like Let him avoid Milk Pulse and Fruit Garlic Onions Mustard Radishes c. Let his Drink be Barley-water with Majoram Hyssop Rosemary and the like boil'd in it sweetened with a little Hydromel or Honey and aâ—…omatiz'd with Saffron Let him sleep as little as may be and make his natural Evacuations come forth in due order HISTORY VIII Of the Profound Sleep call'd Carus A Stout young Man having fallen from a high Place upon his Head was seized with a deep sleep being put by his Friends who thought him drunk into his Bed he continued so for two days There was no Wound appeared in his Head which was defended by a good strong Cap only in the top of his Head there was a Contusion not very big his Pulse beat well nor did he shew any Signs that his Heart was affected he breathed freely If he were prickt he shrunk up the prickt Member In the mean time no noise nor pulling him by the Hair nor other means would wake him I. How far this Patients Head was affected the profound sleep sufficiently shew'd II. This sleep is called Carus which is a profound sleep with an injury to the Animal Actions III. 'T is no Apoplexy because the Person breaths freely nor Lethargy because there is no Fever and the Patient cannot be waked wherein it differs from Coma since the Patients in that Distemper are often waked and move their Limbs from one place to another IV. The cause of this is a depression of the upper Skull and the Bones of the Bregmâ—… caused by the Fall by which the Brain being depressed the Brain is hindered in its Motion which injures all the Animal Actions Besides that the Choroid-fold being obstructed by the Compression hinders the Passage of the Vital Spirits to the Brain and consequently the Generation of Animal to supply the wast of Spirits in the Organs of the Senses into which the Animal Spirits having not a free Influx by reason of that Compression the actions of the Parts fail and thence that deep sleep V. This Carus is very dangerous and threatens an Apoplexy if not taken care of in time VI. The Cure consists in raising the depressed Skull 2. In corroborating the wakened Brain 3. In taken care of the whole Body to prevent the flux of many Humors to the Head or any other Disease from breeding at that time in the Body VII Therefore a Glister given take eight or nine Ounces of Blood out of the Arm. Then proceed to Denudation and if need require Perforation of the Brain VIII The same day the Glister is given and the Vein opened toward the â—…kull in the place where the Contusion â—…ppears must be laid bare with a Crossâ—…ike Incision made in the fleshy Parts The next Morning raise the Bone with â—…roper Instruments But for fear least â—…y that violent Contusion some little Veins should be broken in the hard Meninx which may have poured forth any Blood between the Meninx and the Cranium which corrupting there should afâ—…erward be the Cause of unexpected death the safest way would be to Perforate the Skull in the firm Part next the depressed Part to give â—…he extravasated Blood an easie Exit and for the more easie raising of the depressed Skull IX The Skull being raised and the wound stopt according to Art let this Fomentation be clapt warm about his Head still shifting it as it grows cold â„ž Betony M. iiij Marjoram Rosemary Vervain Fennel Leaves of Lawrel Baum Thime Rue Flowers of Stoechas Camomil Melilot an M. j. Common Water q. s. boil them according to Art adding toward the end white-White-wine lb j. Make a Fomentation of 〈◊〉 iij. X. Anoint his Fore-head with this Liniment â„ž Oyls of Amber Rosemary Marjoram distilled an ℈ j. Castoreum pulverised gr ix Martiate Unguent Ê’ ij XI The Patient being rous'd from his sleep which uses to happen after the raising of his Skull give him this Purging draught â„ž Leaves of Senna Ê’ iij. Rubarb Ê’ j. s. white Agaric Ê’ s. Anise-seed Ê’ j. Decoction of Barley q. s. Infuse them then add to the straining Elect. Diaprunum solutive Ê’ iij. XII The Body being Purged let him drink twice or thrice a day a draught of this Apozem â„ž Succory Root â„¥ j. s. of Fennel and Acorus an â„¥ s. Herbs Betony Dandelion Borage Baum Rue an M. j. Rosemary Marjoram Flowers of Stoechas an M. j. Orange and Citron Peels an â„¥ s. Currants â„¥ ij Water q. s. For an Apozem of lb j. s. XIII Instead of the Apozem he may now and then take a small quantity of this or such like Conditement â„ž Specier Diambrae Ê’ j. Roots of Acorus Condited Candied Orange-peels Conâ—…erve of Anthos and pale Roses an â„¥ s. Syrup of Stoechas q. s. XIV If he be bound at any time in his Body let him be loosened with Glisters Or else take the following Mixture and hang it up in a little Bag in a Pint and a half of small Alâ—… and give him a draught or two every Morning â„ž Leaves of Senna â„¥ j. s. Rubarb Ê’ ij Root of Iallop Ê’ j. Anise Ê’ ij Leaves of Marjoram Carduus Benedict an M. s. XV. Keep him in a good temperate clear Air let his Meats be of easie Digestion and spaâ—…ing at first His Drink small his Exercises moderate little Sleep at first especially But let his natural Evacuations duly proceed either spontaneously or provoked by Art HISTORY IX Of a Catalepsis A Young Maid her Evacuations being obstructed and frequently liable to Uterine Suffocations being taken of a suddain remained void of Sence and in that Posture as she taken waxed cold keeping her Eyes open and fixed but seeing nothing if the standersâ—…y moved her Arm upwards or downward or side-ways it remained as they laid it if they set her upon her Feet she stood if they moved her Body forwards she put out her Foot if they turned her Head on one side so it stood all this while she breathed freely when this fit had lasted an hour she came to her self but remembered nothing of what had happened Two days after she was taken with another Fit which went off of it self I. THat the Seat of this Distemper was in the Head the terrible Molestation of the Animal Actions declare as the Uterine Suffocation shewed the Distemper of the Womb. II. This Affection is called a Catalepsis and is a sudden and very great
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
of the Sight did not proceed from any Fault of the Sight or of the Medinum or the Object II. This Malady by the Physicians is called Vertigo or Giddiness And is a Deception of the Sight which makes that visible Objects seem to turn round arising from a kind of Whirl-pit Motion of the Animal Spirits in the Brain III. The remote Cause is the External Motion refrigerating the Brain and streightning the Passages of it appointed for the evacuating of Excrements so that Flegm abounding in the Body and copiously collected in the Ventricles of the Brain constitutes the containing Cause IV. By those flegmatic Humors the Ventricles are first distended thence the heavy Pain This Flegm augmenting stops up the Passages of the Brain through which the Spirits ought to pass partly by repletion partly by compression so that the Spirits missing their direct Passage and lighting upon the obstructed Passage gets thorough in a circular Motion as Water falling with violence if it meet a Dam in its way recoils three or four times in Circles before it run by V. These whirling Spirits thus circularly carried to the Seat of the Mind intermixing with the Images of visible things which are carried to the same Mind are offered to the common Sensory with the same circular Motion and so occasion that Fallacy of Sight by which all visible Objects seem to be whirled about in the same manner as the Images of visible things VI. But this same whirling of the Spirits does not last partly because the narrowness of the Passages of the Brain is sometimes more sometimes less partly because the Spirits are sometimes thicker and sometimes thinner and pass through sometimes with more sometimes less violence which is the reason the Vertigo comes by Fits For in the Motion of the Body the Spirits are moved with more violence and in greater abundance which if they cannot pass freely and directly through the ordinary Passages of the Brain but light here and there upon the obstructed Passages causes the Fit whether they be thin or thick For the Repulse of the Obstruction puts them into a Circumgyration and the plenty and violent rushing of the thin Spirits makes them they cannot pass but the thick are stoped by reason of their thickness and therefore Drunkards and young People that abound with thin Spirits are as much liable to Giddiness as old Men whose Spirits are thicker But the Giddiness of old Men is more frequent and lasts longer because of their more abounding Flegm longer and more frequently streightens the Passages of the Choroid-Fold Therefore the Vertigo seldom happens when the Body is in Motion and is generally abated and cured by rest VII But because there are not enough of those whirling Spirits that make their way through the Passages of the Brain besides that their â—…ircumrotation hinders them from entring in sufficient quantity into the Nerves This was the reason that this Patient for want of Animal Spirits in the Muscles often fell to the Ground without being able to rise before the Vertigos ceasing the Animal Spirits flowed more copiously again into the Muscles VIII Then the Fit returns again upon the Sight of Wheels turning round Precipices c. because the Images of those things being carried to the inner Parts with that same whirling and unequal Motion affects the Animal Spirits with the same circular and unequal Motion Upon the Sight of Precipices the Vertigo returns in regard the Sight of them striking a Terror into the Beholder the Affright streightens the Passages and by that means puts a sudden stop upon the Spirits which being forced forward by those that come behind because they have not a free Passage are agitated by the Repulse of the Obstruction and forced into a circular Motion IX This Malady is hard to be cured and many times turns to an Epilepsie or Apoplexie or some other grievous Distemper of the Brain and therefore the Cure of it is not to be delay'd X. The Cure consists in removing the primary antecedent and continuing Cause and Corroboration of the Brain XI First Therefore let her be purged with these Pills â„ž Mass of Pill Cochiae ℈ j. Extract of Catholicon ℈ s. Diagridion gr ij Syrup of Stoechas a little For vij Pills XII Though not much good can be expected from Blood-letting yet least the Blood should fly up to the Head in too great a quantity it may be taken from the Arm or if it happen in the time of her monthly Customs out of a Vein of the Foot Let the Vein be opened the Patient lying in Bed and let her not see her own Blood XIII Then let her drink three or four times a day a Draught of this Apozem â„ž Root of Acorus â„¥ j. Elecampane Fennel an â„¥ s. Herbs Betony Marjoram Rosemary Calaminth â—…hyme an M. j. Sage Leaves of Lawrel Flowers of Stoechas an Ms. Seeds of Anise Fennel Caroways an Ê’j s. Cleansed Raisins â„¥ ij Water q. s. Boil them according to Art adding toward the end white-White-wine lb s. Make an Apozem of about lbj. s. Sometimes instead of the Apozem she may take a small quantity of this Apozem â„ž Specier Diambrae Ê’j Sweet Diamosch ℈ j. Candied Root of Acorus Conserve of Flowers of Sage Anthos Baum an â„¥ s. Syrup of Stoechas q. s. XIV In the mean time let her use this Masticatory â„ž Root of Pellitory Elecampane an Ê’j Herbs Marjoram Hyssop an Ê’s Black Pepper ℈ s. Mastich Ê’v Reduce these into a Powder and then make them into Trochischs with a little Turpentine and Wax XV. Let her Temples Nostrils and Top of her Head be anointed twice a day with this Oyl â„ž Oyl of Nutmegs distilled Ê’j Oyls of Rosemary Amber Marjoram an ℈ s. She may also wear the following Quilt upon her Head for some Months â„ž Leaves of Rosemary Melilot Sage Flowers of Melilot an one little handful Nutmeg ℈ ij Cloves ℈ j. Benjamin ℈ s. Beat them grossly for a Quilt XVI Let her have a warm Room and good Air. Let her feed sparing and let her Food be easie of Digestion not flatulent and seasoned with hot Cephalics and carminative Seeds Her Drink must be small wherein if a little Bag of Marjoram Rosemary and a little Cinnamon be hung 't will be so much the better Moderate Sleep and Exercise is best when the Giddiness is off but let her Rest in the time of the Fit Keep her Body soluble and take care that all Evacuations be regular and natural HISTORY XI Of the Night-Mare A Woman of fifty years of age in good plight fleshy strong and plethoric sometimes troubled with the Head-ach and Catarrhs falling upon her Breast in the Winter the last Winter molested with no Catarrhs but very sore in the Day-time but in the Night-time when she was composing her self to Sleep sometimes she believed the Devil lay upon her and held her down sometimes that she was choaked by some great Dog or Thief lying upon her Breast so that she
off by one half but still obstructing the other constitute the containing Cause IV. Thus the Motion of the Left-side was taken away because that half of the Pith being obstructed the Animal Spirits could not enter into that half of the Pith nor the Nerves proceeding from it which causes a Cessation of the Actions of the Instruments of voluntary Motion or the Muscles on that side But the Sense is not quite lost but remains very dull because that several Spirits pass through the contracted Pores of the Pith sufficient for Motion yet not anew to impart Sense to the feeling Parts V. This Malady is hard to be cured by reason of the detension of a viscous and tenacious Humor in a cold Part but Youth and Strength of Body promise hopes of Recovery VI. The Method of Cure requires the Attenuation and Dissipation of the Obstructing Humor 2. To prevent the Afflux of any more 3. To take away the antecedent Cause 4. To cortoborate the Parts affected VII For Evacuation of the Flegmatic Humor give these Pills â„ž Mass of Pill Cochiae Ê’s Extract of Catholicon ℈ s. with a little Syrup of Stoechas make up vij Pills Instead of them may be given Powder of Diaturbith or DiacarthamumÊ’j or a Draught of an Insusion of Leaves of Senna Root of Jalap Agaric These Purges are to be repeated by Intervals VIII Blood-letting is not proper in this Case IX To corroborate the nervous Part of the Body and prevent the Generation of flegmatick Humors let him take this Apozem â„ž Root of Acorns Fennel an Ê’vj Florence Orice Ê’iij Betony Ground-pine Marjoram Rosemary Calamint Thime an M. j. Flowers of Stoechas M. s. Seeds of Fennel Caroways Bishops-weed an Ê’j s. Water and Wine equal parts boil them to a Pint and a half and to the Straining add Syrup of Stoechas â„¥ iij. For an Apozem Of which let the Patient take four ounces three or four times a day with a small Quantity of this Conditement â„ž Specier Diambr Diamosch Dulcis an ℈ iiij Conserve of Flowers of Sage Anthos Root of Acorns candied an Ê’v Syrup of Stoechas q. s. X. The Use of Paralitic and Apoplectic Waters will be very proper in this Case of which there are several to be found among the Prescriptions of Physicians XI If the Disease will not submit to these Remedies let him take every Morning five ounces of the following Decoction and sweat in his Bed according to his Strength â„ž Lig. Guaiacum â„¥ iiij Sassafras Sarsaperil an â„¥ ij Water lbvij Macerate these twenty four hours then boil them adding toward the end Roots of Acorns Valerian Butter-bur Fennel an Ê’vj Galangale Licorice sliâ—…'d an Ê’ij Herbs Betony Miij Ground-Ivy M. ij Thyme Marjoram Rosemary Flowers of Stoechas an M. j. Sage Ms. Iuniper-berries â„¥ j. Boil them to lb. iij. XII For Corroboration of the Head prepare this Quilt â„ž Flowers of Rosemary Marjoram Thyme Flowers of Lavender Melilot an one small Handful Cloves Nutmegs an ℈ ij For a Quilt XIII While these things are doing let the Spine of the Back be well chafed with hot Cloaths especially in the Neck about the Head and then fomented with a Fomentation of hot Cephalics boiled in Wine or else anoint the Neck with this Liniment warm â„ž Oyl of Foxes Spike Rue Goose and Cats-grease an Ê’vj Oyl of Turpentine â„¥ s. Oil of Peter Rosemary Amber an ℈ ij Powder of Castoreum ℈ iiij After Unction and Friction lay on this Plaister â„ž Pul Castoreum Ê’ij Benjamin Ê’j Galbanum Opoponax dissolved in Spirit of Wine Emplaster of Betony Lawrel-Berries and Melilot an Ê’vj Mix them according to Art XIV This Disease requires a hot dry and pure Air. Meats of good juice and easie Digestion calefying and attenuating For Drink Hydromel or Wine imbib'd with Rosemary Marjoram Betony Cardamum c. Now and then a Draught of Hypocrass or a Spoonful of Juniper-wine or Anthoswine or Aquae Vite of Matthiolus will not be improper avoid long Sleeps and Repletion and let Natures Evacuations be regular and due HISTORY XIII Of Trembling A Man fifty years of Age struck with a great and sudden Terror immediately fell down fixing his Eyes upon the Standers by but not able to speak Soon after recovering his Spirits he talked well enough but rose up with a Trembling over his whole Body From that time when he moved his Limbs the Trembling still remained which as his Body drew cold was more violent as he grew warm abated I. TRembling is a Deprivation of the Voluntary Motion of the Limbs by which they are agitated with a contrary Motion in a continued Vicissitude II. The antecedent Cause is a Flegmatic Humor contained in the Brain which being stirred by the great sudden and disorderly Commotion of the Spirits proceeding from the Terror and cast off to the Pith of the Spine constitutes the containing Cause III. For the Humor in that place contracting the Pores of the Pith prevents the free Influx of the Animal Spirits through the Marrow into the Nerves and Muscles So that not being sufficient to perfect the voluntary Motion it happens that the Limbs are moved forward by a voluntary Motion but are depressed by their own Weight so that both together cause a trembling Motion IV. This Trembling is more vehement in the Body when cold less violent when the Body is warm Because the Pores are more contracted by the Cold and more dilated by the Heat Which causes a freer or less open Passage to the Animal Spirits and consequently a more or less vehement Trembling V This Trembling is not a little dangerous for it may turn to a Palsey or may be accompanied with an Apoplexy a Carus or a Lethargy VI. The Cure is the same as of the Palsey HISTORY XIV Of a Convulsion A Maid about thirty years of Age received a Wound in her Right-arm which laid a Nerve bare but unhurt However she lay in a cold Place and by reason of her Poverty not well guarded against the Cold and besides an unskilful Chyrurgeon having stopped the Blood put a Tent into the Wound dipped in Egyptiaeum and the Apostles Oyntment which caused a most painful and vehement Convulsion in her Arm which soon after was accompanied with a Convulsion of the Thigh on the same side and of her Arm and Thigh on the other side which lasted sometimes half a quarter sometimes an Hour sometimes half an hour intermitting and returning She was in such Pain that many times it made her talk idly I. THE Nerves and Muscles of this Patient were affected as appeared by the Motion not spontaneous and that still more encrease and her Head was grieved as appeared by the Delirium II. This Simptom is called a Convulsion which is a continued and unvoluntary Contraction of the Nerves and Muscles toward their beginning III. The remote Cause was the Wound received which laid the Wound bare The next Cause was the sharp and biting Oyntment provoking the Nerve and the cold
vehement agitation by reason that respiration is hindered grows hot in those places and being mixed with the Air unequally and difficultly passing to and fro by vehement respiration are forced all frothy into the Mouth VIII The Fit lasts till that malignant and sharp Vapor be altogether discussed and returns again when the depraved matter stirred anew sends forth the same Vapors to the Original of the Nerves The Fit is more or less vehement and does less hurt to the principal Functions according to the quantity and quality of the evil Matter IX Now because this ill and acrimonious Humor is bred in the Brain and because the Fits were frequent and vehement and the Disease of nine Months standing therefore the Cure was difficult but the Strength and Age of the Patient gave great hopes of Cure For being but a Child the very change of Youth out of one Age into another many times effects the Cure as Hippocrates testifies X. The Cure is to be performed either in the Fit or when the Fit is gone off In the Fit Castor green Rue Oyl of Marjoram Amber Nutmegs and the like are to be held to the Nostrils XI When the Fit is past the Original Causes are to be taken away the antecedent Cause to be removed the depraved quality of the containing Cause to be removed and the whole Brain to be corroborated XII Let the Body be gently Purged with two drams of Heira Picra or Diaphaenicon or with one Scruple and a half of Powder of Diacarthamum or an ounce of Purging blew Currans XIII Then let him drink twice or thrice a day a draught of this Decoction ℞ Roots of Male Piony Misletoe Sassafras-wood an ʒvj of Calamus Aromatic Valerian an ℥ s. Herbs Marjoram Rue Calamit Rosmary Vervan Laurel-leaves Flowers of Stoechas an M j. Iuniper-berries ℥ s. Seeds of Anise Wild Carrots Fennel an ʒ j. Seed of Male Piony ʒ iij. Raisins cleased ℥ ij Water q. s. Boil them to an Apozem of lb j. s. Before he drinks this let him take a small quantity of the following Conditement ℞ Spicier Diambr ʒ j. s. Roots of sweet Cane candied Conserves of Anthos Flowers of Sage Betony an ℥ s. Syrup of Stoechas q. s. XIV Sometimes instead of the Apozem he may take a spoonful of this mixture ℞ Epileptic water of Langius ℥ iij. Water of Lime-tree Flowers of the Lilly of the Valleys an ℥ j. Syrup of Stoechas ℥ j. s. XV. Upon his head let him wear this Quilted Cap. ℞ Leaves of Marjarom Rosemary Thime Flowers of Lavender and Red Roses an Two small handfulls Cloves Benjamin an ℈ j. Beat them into a gross Powder XVI Let the Patient be kept in a warm Air his food must be Meats of easie digestion condited with Marjoram Baum Rosemary and other Cephalics His drink must be small his sleep and exercise moderate and his Evacuations regular Raw Fruit Garlick Onyons and Swines Flesh and all other Meats of hard digestion and ill juice are nought HISTORY XVI Of a Catarrh A Man of forty Years of Age of a cold Constitution and one that had long used a cooling and moistning Diet was troubled first with a heavy Pain in his Head with a proclivity to sleep Afterwards he was troubl'd with a vehement Cough sometimes with deafness noise in his Ears Pains in his Neck Teeth Shoulders and other Parts sometimes a most terrible Cough took him not without some difficulty of breathing and danger of Suffocation sometimes he had nauseousness and was molested with troublesome Belchings and Pains in his Stomach under his lower Jaw rose Flegmatic Tumors which fell and vanished soon after his Nostrils were more then usually dry and he spit little He complained also that he felt a continual chilness in the top of his Head and that his Hair was not so moist as it used to be I. HEre is one molested with a Catarrh which is a Preter natural Defluxion of Humors from the Head to the lower Parts II. The remote cause of this Distemper was a cold raw and Flegmatic nourishment which over-cool'd and weakened the Bowels serving to Concoction and bred a great quantity of Excrementitious Flegm which was the anteceding Cause of the Distemper and which being colected and accumulated in the Brain over-cool'd it and thence fell down upon the lower Parts III. This Flegm augmented in the Brain because it had not heat enough to concoct and dissipate so cold and thick a Humor besides that the Passages to the Nostrils and Palate were obstructed IV. This Obstruction happens in the inner Parts of the Head by reason of the viscosity of the Humors stuffing up the narrow Passages for the Evacuation of those Excrements Therefore not able to pass the regular way they flow to the inner Parts of the Ear where they cause Noises Deafness and Pain sometimes to the Larinx and Lungs which causes vehement coughing and danger of Suffocation sometimes to the Stomach and other Parts where they breed several Maladies In the Exterior Parts this Obstruction happens by reason the Pores in the top of the Head are filled with Humors contracted by the External cold and that cold continuing in those refrigerated Parts causes that chilness complained of by the Patient And this cold not only hinders the Passage of the Vapors but condenses them under the Pericranium into a serous and flegmatic Humor which being ill concocted becomes salt and sharp Which for want of dissipation falls down upon the Teeth Neck Shoulders c. and causes those Pains complained of V. That the ordinary Passages were obstructed is apparent from the driness of the Patients Nostrils and Hair and because he spit so little VI. This Affection is not a little dangerous in regard the Symptoms that attend it may bring a Man into a Consumption and breed occult and dangerous Apostems in the inner Parts VII In the Method of the Cure the Body must be Purged twice or thrice with Pill Chochiae Powder of Diaturbith or Diacarthamum or such a draught as this ℞ Leaves of Senna ʒiij White Agaric ʒ j. s. Anise-seed ʒ j. Choice Cinnamon white Ginger an ℈ s. Decoction of Barley q. s. Infuse them then add to the straining Elect. Hiera Picra ʒ j. Diaphoenicon ʒ ij VIII Then the Brain is to be dried and strengthened with the following Apozem ℞ Roots of Acorus Fennel an ʒ vj Galangal ʒ iij. Herbs Marjoram Betony Thime Rosemary Baum Calamint an M. j. Laurel-leaves Flowers of Stoechados an M. s. Seeds of Anise Fennel an ʒ ij Laurel-berrys ʒ s. Water and Wine equal Parts Boyl them to an Apozem of lbj s. Of which let him take three or four draughts a day IX Noon and Night after Meals let him take a small quantity of this Conditement ℞ Specier Diambr Diamosch Diagalanga an ʒ s. Conserve of Anthos red Roses an ʒvj Candv'd Roots of Acorus ʒiij Syrup of Stoechas q. s. X. While he follows this course Masticatories and Errhines may be used
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-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
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-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
a Swooning Fit VII Therefore a Person thus affected ought never to Travel without a sufficient Provision of strong Wine and Food along with him that he may have his Weapons ready to resist the suddain Invasion of his Enemy VIII Moreover let him be gently Purged with Electuary of Hier a Piora Cochia or Ruffi Pills avoiding strong Purgations or if he be easie to Vomit let him take a Vomit of Asarabacca IX To strengthen the Ventricle and Spleen and mend Concoction let him take this Apozem ℞ Roots of Elecampane Tamarisch Capers an ʒ vj. Galangal ℥ s. Germander Dodder Agrimony Ceterach Baum an M. j. Leaves of Lawrel M. s. Orange Peels ℥ s. Iuniper-berries ʒ vj. Fennel-seed ʒ ij s. Blew Currans ℥ j. s. Water and Wine equal Paris Make an Apozem of lb j. s. To the same purpose also let him take this Conditement ℞ Specier Diambrae Abbots Diarrhodon an ʒ j. Elecampane Roots and Orange Peels Candy'd Conserve of Anthos and Flowers of Sage an ℥ s. Syrup of Elecampane q. s. For a Conditement X. Let his Dyet be of good and easie Nourishment and Digestion Mutton Lamb Veal Pullets and River-fish the Broaths of which must be prepared with Rosemary Betony Anise and Fennel-seed Nutmegs Cloves Wild Carrots c. Let his Drink be clear Ale and middling Wine Moderate Exercise and Sleep HISTORY II. Of a Canine Appetite A Maid about Thirty Years of Age of a Melancholy and somewhat Pensive Disposition accustomed to Salt Acid Sowre smoaked Meats of hard digestion for a whole Year was troubled with an insatiable hunger without Swooning All manner of Victuals she devoured most greedily but drank moderately after it when her Belly was full her hunger never ceased but was somewhat abated After eating she flung up all again which in a short time became so Sowre in her Stomach that the Sowre smell offended the standers by and the Maid her self confess'd that they came up sharper then juice of Limons After that Evacuation she fell to again and then again brought up what she had eaten and day and night she would have done nothing but eat and Vomit had not her Poverty enjoyned her a most troublesome and tedious abstinence in the mean time however she grew very Lean. I. THIS Distemper is called Canina Appetentia or a Cane or Dog-like Appetite Which is an unsatiable Hunger without swooning proceeding from an acid ill Temper of the Inferior Stomach wherein the Nourishment so greedily devoured is presently cast up again and then other Nourishment devoured without any abatement of Hunger II. It differs from a Bulimia for that there is a Prostration of the strength without Vomiting but many times with Swooning in the other there is Vomiting without any signal weakning of the Body III. The Ventricle of this Maid was affected especially in the lower Part. IV. The containing Cause is an acid and viscous Humor bred through the defect of the Spleen and infused in the Ventricle which vellicating the Ventricle with it's acidity causes an insatiable Appetite after all sorts of Nourishment to appease that Vellication Which Nourishment being infected by the Humors with the same acidity causes the Vellication to be more troublesome upon which great plenty of Spirits being determined to the Inferior Fibres of the Ventricle causes a Contraction of the lower Tunicles of the Ventricle and so by the help of the Muscles of the Abdomen a strong Expulsion of the Nourishment received which not being able to dissolve or eject the acid Humor still firmly impacted in the Tunicles of the Ventricle which is rather fomented by the Spleen it happens that the same raging Hunger still continues after Vomiting V. There is no Swooning in this case because there is no great consent between the lower Part of the Ventricle and the Heart and Brain VI. Because this Raging hunger accompany'd with Vomiting hinders due Nutrition and Atrophy and wast of the Natural strength is to be feared VII In the Cure the Body is osten to be Purged with Aloes Hiera Picra Infusion of Agaric and other bitter things and two or three Vomits with Leaves of Asarabacca VIII Then such things are to be prescrib'd which corroborate and cleanse the Ventricle and Spleen and promote Concoction by consuming the acid Crudities such as are prescribed against the Bulimia and the same Dyet must be observed HISTORY III. Of Difficult Concoction of the Ventricle A Certain Person Forty Years of Age accustomed to Salt Smoaked Acid Meats and of hard Digestion after he had struggled with a Quartain Intermitting Ague for Eight Months at length being freed from that slowly recovered strength because his Ventricle difficultly digested the nourishment which it received for that after Meals he was troubled with a great distention in the Region of the Ventricles and Hypochondriums which was eased sometimes by sending forth violent and loud Belches and the fewer of those he sent forth the more he was troubled Sometimes he did not belch at all and then he felt his Meat to fluctuate in his Stomach and the next day he threw it up raw and unconcocted with some relief of his trouble and so he remained free as long as his Stomach was empty but after feeding the same molestation returned His Urine was thick and pale with a copious sediment thick and palish No Fever could be perceived but his Pulse was weak and unequal and his natural strength decay'd I. HERE the Ventricles which performs the first Concoction and Chylification was infected which occasioned a difficult Concection of the Nourishment by the Greeks called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 proceeding from a cold ill Temper of the Ventricle and chylifying Bowels II. Ehe Proximate Cause of this Evil is the unaptness of the Ferment to promote fermentaceous Concoction in the Ventricle by reason the subacid and saltish Particles of it are less fixed and not reduced to that fluxibility and tenuity as to penetrate the Particles of the Aliments stir up the Spirits latent therein and separate them from the thicker mass III. That defect of the Ferment is contracted through the depraved and over-cold disposition of the chylifying Bowels the Liver Spleen and Sweet-bread for which reason they do not sufficiently concoct the Ferment which is to be prepared nor reduce it to a due fluxibility and tenuity but make it over-fix'd and crude which being communicated to the whole Body begets Crudities 1. In the Blood which is therefore difficultly and unequally dilated in the Heart so that few and those thicker both Vital and Animal Spirits are generated whence a decay of Strength and dejection of the Mind 2. In the Salival Kernels of the Chaps and others of the Head where the fermentaceous falival Juice being bred raw and so falling into the Stomach becomes unfit to make a due Fermentation of the Nourishment And the same is to be said of all the other sermentaceous Juices flowing through the Choler-receiving and Pancreatic-Channel into the Duodenum and