succeed the washing of the Head with Fallopious his lie IV. Pains of the Head in whose cure inwardly takes place Hartmans Diaphoretick Oyl of Mercury outwardly Vigoes Magistral Plaister de ranis and that of Platerus Observat l. 3. V. Pains of the Joynts and especially of the lower parts between the Joynts which at night grow more feirce because then the pores are stopt and they are taken away by fomentations VI. Pustles Efflorescencies Scabs clefts in the palms of the Hands and soles of the Feet the Cure of which see in Hartman VII A running of the Reins in which the same Hartman commends green Mercury precipitate or the Gum of Pockwood which being given Turpentine washt in violet water and dissolved with the yelk of an Egg ought to be administered with the Decoction of Sarsaparilla 'T is distinguished from another by this that it causeth little or no itching nor doth not so soon cast the Patient into a Consumption VIII A tingling of the Ears which is very difficultly cured yet somtimes it vanisheth by the use of the decoction of Pockwood Septalius commends an Asses water distilled in which Pockwood some castor and a bundle of Horse mint have steeped al night and dropt into the Ears or the fume of it received IX Hardnesses or Knobs and Gummosities for the Cure of which Platerus hath afforded excellent Plaisters in the third book of his Observation Hither belong Hartmans Oyntment made of Vnguentum Aureum of the shops and Mercury sublimate X. A Consumption in the Cure of which Septalius tels me l. 7. Of his Animadversions p. 322. That the Decoction of Sarsaparilla made with leane Veal is admirable Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title II. Of Poysons Chap. I. Of Poysons digged out of the Earth POysons considered in special are either digged out of the Earth or Vegetables or Living Creatures The cheife and most common of those digged out of the Earth are the following I. Aqua Fortis whose strength is broke by the Mucilage of Quince Seeds Flea-wort Gum Tragacanth c. II. Antimony whose Antidote is bole-Armenick given with Oyl of Cloves and a little Wine That it hurt not with its Vapors whiles it is wrought in the fire we must Eat butter with Rue or drink Zedoary water III. Lapis Lazuli which if it be taken either ill prepared or in a greater quantity it ought to be cast up by vomit and be tempered with a drauft of warm Milk especially asses Milk IV. Arsnick Auripigmentum Sandarach which somtimes infect by their smel their specificks are Crystal digged out of the Earth poudered and drank one dram weight with new Oyl of sweet Almonds and Oyl of Pine Nuts given three drams weight V. Burnt brass Scales of Brass the flour of Brass the rust of Brass which are weakned by sheeps Fat taken in broth are killed by Bole-Armenick given with Honey and water VI. Refuse of Iron and the rust of Iron whose antidote is thought to be one dram of a Load-stone made into Pils with the juyce of Mercury VII Lead to which are opposed the Kernels of quinces husked bruised and given two drams weight with sweet wine VIII Quick-silver against whose fume received we proceed with a drauft of wine in which some Cephalick things have been boyled Sublimate is resisted by Oyl of Tartar or Salt of Wormwood Chap. 2. Of Vegetable Poysons VEgetable Poysons or those of plants are as follow I. Aconitum or Monkes hood whose antidote is Andromachus Treacle or Terra Lemnia in wine outwardly the swelled body must be anointed with Oyl of St. Johns wort and Scorpions II. Spurge against which a vomit being premised Andromachus Treacle is good with Carduus water III. Mezereon which is resisted with water Germander red Coral Treacle and Terra Lemnia IV. Black Hellebore whose antidote is the pouder of the flowers or Roots of white water Lillie or of Parsnip seed with wine V. Coloquintida whose force Treacle doth infringe VI. Euphorbium whose force is broke with Citron Seed in wine in which Elecampane Roots have boyled VII Green Coriander which causeth a furious raving and hath the Root of swallow wort in wine for its antidote VIII Mandrakes which causeth a heavy sleep its Symptomes are resisted by garden radish taken somtimes with Salt IX Henbane which they that have taken of it do somtimes rangle and dote like drunken men somtimes think that they are beaten with rods by reason of an Itching caused in the whol body its antidotes are Pistachoes castor Rue Nettle Seed X. The Walnut Tree whose shade if any one lie under it it doth hurt and causeth pains of the Head they are taken away with a lie of betony Marjoram Lavender c. XI Nux Vomica whose antidote is Zedoary two drams weight Citron Pill or the Juyce of it Juyce of the Myrtle or quinces XII Opium upon the too much use of which a Heavy sleep seazeth with a Vertigo and itching of the whol body whose antidote is assa Faetida and castor to which add Rue and Origanum XIII Mushrums which if they be taken either in too great quantity or be not wel concocted do cause Suffocation raise the hickops stop the Urin and exulcerate the Guts In the Crue are commended the ashes of prunings of vines with honeyed water Treacle and other things Chap. 3. Of Poysons from live Creatures THe cheife Poysons which are inferred by living creatures are those which are Caused I. By an aspe whose wound is so smal that it can scarce be seen upon its biting there come a heaviness of the Head sleepiness paleness of the Face often gapings c. In the Cure we must provide by ligatures and Scarifications that the Poyson peirce not into the body Treacle with bruised Rue must be laid on the wound Things alexipharmacal must be given inwardly amongst which are commended the leaves of Mullein Avens boyled in Vineger II. By a Viper at whose stroke first the blood comes forth pure which is followed by a bloody and fro thy filth like to the rust of brass with a notable tumor of the part and whol body pustles adust and blackish in the part affected It s antidote is costus given from half a dram to one dram with wormwood wine or the Decoction of wormwood an Hares Runnet Leeks c. III. By a Scorpion at whose stroke do follow pain inflamation a Tumor pustles about the wound like warts 'T is resisted by sage water germander wormwood gentian birth wort up-right vervain wild time c. One hath been freed by frankincense bruised in whom the scorpion had left its print IV. By a Lizard which leaves in the wound for the most part its subtile smal black teeth the teeth must be drawn out with Cupping-Glasses a Cataplasme of the crum of wheaten bread made with the Decoction of
pressed from ful ripe olives it affords nourishment sutable to our Natures and is fit to correct the bad quallities of other meats and of herbs Also it molifies and loosens the Belly it takes away al Asperity it helps such as are bruised and mitigates pain 3. Juice of unripe grapes Citterns Lemmons and of Crabs which the French and Itallians much use doe coole bind and helpe the extravagant longings of women Hereunto belongs Vinegar which is extream cold and pierceing The eagerness thereof is blunted with a peice of toasted bread wine raisons elder flowers roses sugar and such like things T is hurtful for mellancholly persons and women that are subject to mother fits IV. Honey is of an hot nature saving that which is white and seems convenint for healthy people It easily turns to choller and therefore it is neither fit for hot natures nor hot parts otherwise it has a power to clense and resist putrefaction Mead is made hereof IV. In the Fourth place we reckoned BREAD of which in respect of the Matter and waies of making there are sundry differences I. In Respect of Matter I. Such as is necessary 1. It is made of fine flower and which is most nourishing to the Body 2. That which is made of bolted meal and finest flower being taken away and is next in goodness to the former 3. Houshould bread which is made of the finer sort of bran and nourishers less than the former but descends better through the belly because of the branniness 4. Of Courser bran which nourishes least of al but goes soonest through the belly 5. Bread of altogether which nourishes very wel and soone passes through the belly 6. Barley bread which if it be made of the most excellent barly is the less inferior to wheaten bread if of loose and light barly it is like the wheaten bran bread 7. Rye bread which if it be black and heavy it burthens the eater is of sad and thick juice and breeds stones in the kidneys II. In respect of the matter prepared and quallified it is 1. Leavened bread which is lighter and sooner destributed than the unleavened 2. Vnleavened bread which is of a contrary Nature 3. Soure leavened which is also hard to digest and lies heavy upon the stomach 4. Salted bread which is lighter than the unsalted 5. Vnsalted bread which is apt to breed obstructions I shal not speak of Saffron-bread Eye-bread Butterd-bread Cheese-bread Sugard-bread Hereto belong the parts of bread 1. The Crum of which that which has been here said of bread is to be understood 2. The upper crust which drinks up moisture in the body and sharpens the Heat thereof but if it be scorched and burnt it breeds adust humors and black choler 3. The Lower Crust which is of like nature with the former II. In Respect of the preparation bread is 1. Savory in which the leaven and salt are wel mingled 2. Vnsavory or tastless which is contrary wise ordered 3. Wel Kneaded which is neither too littl not too much but moderately wrought 4. Ill kneaded which obstructs pufs up burthens the stomach 5. Baked in an Oven which Because its throughly bak't is the best of al others 6. That which is baked on tiles or in a portable oven which because it is not so wel baked in the bottom is worse than the former 7. That which is back't on a gridiron or on the hearth is bad because the outer parts are scorched and the inner parts are dough-bak'd 8. Bak't under the ashes or embers from which it receives a bad quallity 9. Biscoct or Bisket which is drying and if made of fine flower it affords very little excrement 10. New Bread which if hot causes thirst and breeds winds and suffocations if cold t is wholsom to feel on if it be two or three days old t is hard of digestion because of its dryness 11. Old bread which is hard and moldy breeds a melancholly humor and binds the belly 12. A Great Loafe because the fire has not sufficiently digested the moisture thereof lies heavy upon the stomach and raises wind 13. A Little Loafe because it is more than ordinarily crusty round about produces adust blood as the material cause and makes the Body dry 14. A Loafe of a middling size which is most commended 15. Light and spungy which nourishes lightly and makes no obstructions in the bowels 16. solid and heavy which is worse than the former 17. The best bread therefore is that which is made of fine white wheat meal the wheat being ripe not very new grown in a fat soil not infected with moaths dust cockel darnel or frost not wet with rain or musty with keeping being wel kneaded leavened and salted V. In the first place we are to consider of the TIME OF EATING which varies according to the several Customs of natures The Hebrewes seem to have eaten twice a day Among the Greekes even so long as since Homers daies their times of eating were distinguished into dinner and supper The latter Grecians did eat oftener The Romans had their Breakfast dinner after noones bever their Supper and Rere-supper Our Age followes the Custom of the Romans yet thousands there are that content themselves with a dinner and supper only And so much may suffice to have spoken of meats They that would know more besides Galen of the faculties of meats let them consult Morellus upon Schola Salerni Bruyerinus of Meates Julius Alexandrinus of wholesome diet and Vlisses Aldrovandus de Animalibus Article 3. Of Drink Drink is a thing non-natural restoring the moist substance of Mans Body and quenching his thirst Touching which two things are observable The Necessity thereof to preserve Health and its kinds I. That Drink is necessary for Health is hereby manifest in that it restores the moist substance of our Bodies which daily wasts away it quenches natural thirst it carries the fat and thick moisture through the narrow passages it causes the mixture digestion and liquefaction of meats in the stomach and prohibits the inflamation of that same fat juice which is ordained to nourish the Body II. The kinds of drink are 1. Water 2. Wine 3. Beer and Ale 4. Mead. 5. Liquors made of Apples Peares and such like fruits I. Touching water two things are considerable viz ' its differences and Correction I. In respect of the Differences water is either 1. Raine water which it stormy and cloudy is condemned if it come down with thunder it is exceeding light and thin because the Sun drinks up and draws out the most subtil parts yet is it impure and subject to putrefaction because divers vapors drawen up by the heat are mixed with the Raine 2. Snow and ice-Ice-water which because the most subtile and light parts are dissipated is thick and hurts the stomach and breeds greivous diseases of the joints nerves and bowells 3. Water gathered in Cisterns which has much setlings is slow in passage oftentimes has a strong
tast and smel of chalk and sometimes breeds little animals Pit-water which because it mounts not above the Earth it is thick and sticks long in the bowells Observe that sweet water springs out of marley grounds cold water out of stoney and thin muddy water out of gravelly places The best and most hopeful comes from ground that has red stones wel tasted water comes from sandy ground cold water proceeds from the bottom of mountaines and from stony and flinty places That water is best which is hot in the winter cold in the Summer 4. Fountain water which if it come out of a Rock and runs towards the North and is not illustrated by the Sun it is unhealthful if it issue directly against the Summer-Sun-rise t is wholsom if it run in a flat and plain ground because the Sun exhales the most subtil parts and leaves the earthy behind t is not so wholsom if it run through leaden pipes 't is hurtful if through Sand and pibbies and draws no dirt with it 't is commendable 5. River water which for the most part is mixed as rising from many springs meeting together and from snow dissolved in the mountains and rain water to boot It s crudity is corrected by the beames of the Sun which play upon it while it runs such a long tract of ground It varies according to the variety of Rivers which flow into it and the Sundery lands it runs through 6. Lake and Pool water which is the worst of al others for it is thick and crude and many times pestilential It offends the Stomach obstructs the bowells corrupts the Humors and many time is the Cause of putrid Feavers 7. The best Water is that which is transparent void of all strange tast or smel is soon cooled soon heated is light and in which flesh and fruits are soonest boyled II. The Correction of waters is performed by boyling by which not only the Crudity and Coldness is amended but also the earthy and bad parts are separated which when the water cooles settle to the bottom See of this subject Pamphilus Herilacus touching the qualities of water and wine II. There are certain differences of wines I. In respect to the place where they grow there is 1. Vinum Falernum which is of an excellent juice 2. Wine of Crete or Malmsey which eases a cold stomach and cures the Colick 3. French wines 4. Rhenish wines which are thin most fit to strengthen the Heart and restore the forces of the Body 5. Hungarian wine 6. Spanish wine c. II. In respect of its substance wine is 1. Thin which easily penetrates suddenly restores strength opens the passages provokes sweat and urine but nourishes little 2. Thick wine such as is the black red sweet and harsh which nourishes most but it sticks long in the body heates the same and dries it and sometimes breeds obstructions II. In respect of color wine is 1. White which heates less then the yellow and Gold-coloured if besides the color it be withal thin of Substance 2. The Gold-colored which is next to white and if it be thin withal is excellent 3. Red which moderately heates breeds good blood and troubles not the head if it be thick withal it bastens obstructions of the spleen and liver 4. Pallet wine is much of the same nature 5. Black wine which is of a thicker substance for the most part sweet very nourishing and breeds thick blood While it sticks long in the bowells it obstructs them and fills the head III. In respect of Tast 1. There is Sweet wine which nourishes wel is pleasing to the palate bowels lungs and joints not disturbs the Head but because it is thick it breeds obstructions and is easily turned into cholor 2. Harsh wine which has a weaker heat staies longer in the belly and pierces to the passages of urine is good for fluxions but because it hinders spittle it is not good for diseases of the Chest 3. The midling sort which is best of al. IV. In respect of smel it is 1. Fragrant which restores strength by its very smel encreases the spirit strengthens al the faculties 'T is good for old people save that it fills the head and weakens the nerves 2. That which has no smel which is neither so greedily drawn by the stomach or affords matter so fit to engender spirits 3. That which has a strange smel which is hurtful V. In respect of Age it is 1. Must which by its windyness breeds the cholick and hinders the voidancie of Urine 2. New wine which yet retaines the sweetness of must is excrementitious not easily distributed into the body and breeds fluctuations therein 3. Old wine which works upon the nerves and troubles the brain 4. Middle-ag'd which is best for al Intents and purposes In which nevertheless there is great variety Some beare their Age others soon loose their strength III. Beer is in use among the Northern Nations where little or no wine growes 'T is made of wheat barly rie oates either simple or mixed together and is preserved with Hops It has also sundry differences I. From the matter 1. Some is made of wheat which nourishes heats and moistens more than that of Barley but it breeds a more clammy juice causes obstructions provokes urine and moves the belly to stoole 2. Barly-malt beer which heats less by reason of the barly but because it has much hops it becomes not a little heating affords more thin juyce and is more diuretick 3. Oaten-drink which is of the same quality with oats 4. Rie-beer which nourishes very much but breeds obstructions and stops the Urine Hereunto belong the differences of beer from the waters it is made of viz. poole river pit water c. which also varie the faculties and strength of beere II. From the Age it is 1. New which is unwholsome especially if it be troubled for it stops the passages and is bad for such as have the stone 2. Welpurged and ripened which is more wholsome III. In respect of the place where 't is made we have 1. Poland bâ—er which is made for the most part of wheat nourishes wel and Heates moderately 2. Dantzick beer which is like a syrup nourishes such as are used to it very wel in others it causes thirst 3. Hambrough beer which is commonly made of wheat is of good tast makes a man have a fresh colour expels the urine if it be taken too largely it makes a man have a red face 4. Lubicks Beer which is too strong makes the Head heavy and hurts a mans health 5. Goslar beer which at the first tasting seems sweet and soon after imprints a winy tast upon the tongue It is healthful 6. Embden beer which is subtile clear and piercing at first bitterish afterwards sharp it drives forth urine and choler and therefore 't is commended in the Jaundice and in Fevers 7. Brunswick beer called Mum differs not much from the former save that it is thick
and others IV. The Fermentation of Medicaments is nothing else but their union by mutual Alteration by which meanes the old virtues of each of them do no longer remaine entire It is cheifly to be regarded in Treacle and Methridate V. As for the Division compound artificial Medicaments are Internal or External The former are fluid Solid or middle consistence And the latter are divided into as many sorts Chap. 4. Of Compound artificial Medicnies in Special Article I. Of Internal Medicaments Point I. Of internal fluid Medicaments WE cal those internal Medicaments which are received by the mouth into the Body and those we terme fluid which wil run like water and they are 1. Decoctions 2. Infusions 3. Potions 4. Medicinal Wines 5. Medicinal Beer or Ale 6. Oxymel 7. Barley water 8. Medicinal Vinegar 9. Distilled waters 10. Syrup 11. Juleps 12. Emulsions 13. Essences 14. Spirits 15. Tinctures 16 Oiles I. Decoctions are made of vegetables animals sometimes of mineralls if need be cut bruised or shaven boiled in simple or prepared water over a slow or quick fire in a vessel open or shut to the consumption of a third or fourth part of the liquor the Decoction being afterwards strained aromatized and clarified The most noted decoctions are The greater aperitive decoction of the Physitians of Augsburg with their Decoction of Rubarbe Decoction of Maiden haire Fumitory Carminative Gallinae consummatum of a Capon and the Vulnerary Decoction II. Infusions are made of Vegetables or minnerals purgers or vomitories steeped a certaine time in some liquor and afterwards strained forth The proportion of the Ingredients to the liquor is one and an half or double III. Potions are made when purgeing Electuaries Extracts pouders roules c. are mixed with liquors without boileing IV. Medicinal Wines are prepared when new or clarified Wine is impregnated with the Virtues of simples either suddenly by their oyles spirits and tinctures or by long Infusion either with or without sugar The principal are wine of Barberies Quinces Pomgranates red Corants V. Medicinal beers and Physick Ales are made after the same manner VI. Oxymel is made when vinegar is mingled with Honey and plants are sometime steeped therein The most famous are the Simple that of squils the Helleborate Oxymel of Gesnerus VII Barley water is made when barley is sufficiently boiled in water alone or with raisons anis-feed cinnamon strained and made tart with a drop or two of spirit of Vitriol or of Sulphur VIII Medicinal Vinegar is made when simples or compounds are steeped in vinegar or it is made of their juices It is made of Plants 1. Of their Flowers as vinegar of rosemary-flowers of Marrygolds of Gillyflowers of Lavendar of Poppie of Red-poppie of Roses of elder flowers 2. Of their Leaves as of Mints Rue Scordium 3. Of their Fruits as of Citron peeles Strauberries Rasberries 4. Of their Roots as vinegar of Squils There are also compound vinegar Antidotary Preservatory Bezoardick c. IX Distilled waters either by a Cucurbita in Balneo Mariae of plants for the most part of cold Nature whol or beaten and juiced or in Vesica out of hot plants and such whose force is not easily drawn forth and which must first ferment They are made either with wine as Wormwood water Agrymony Betonie Carduus Cinnamon Liverwort Lavendar Lilly-convally Baume Penny-royal Garden sage Veronica or without wine as are those of Sorrel Wood-sorrel c. Or which see the Dispensatory of Augsburge They are also made of Animals as of Capons Singing birds Kidnies Mans blood dung of Beasts c. X. Syrups are made of decoctions Infusions clarrified juices they are preserved with honey or sugar boiled to the consistence of honey almost and are used both to alter and purge seldom alone frequently mingled with a double quantity of distilled waters Those kept in the Shops are Syrup of wormwood of juice of Citrons of Sorrel wood-Sorrel Vinegar simple of vinegar compound of Maiden haire of sowr grapes of Marsh-mallows of Orenges of Mugwort of Betony Simple of Betony compound of borrage Byzantious so cald simple and compound of Maidenhaire simple of Cichory simple of Cinnamon of Corals of Citron peeles of Quinces of Endive simple and compound Of Eupatoruim of Colts foot of Fumitory Simple and compound of Lycorize of Pomgranates of Jujubees of Hyssop of Lemons of Hops of Baum of Mints the Simple and compound of Myrtiles of waterlillies of Poppies of red poppies of Cowslips of Pionie of Mouse-eare of Apples Simple and Compound of Purslain of Horehound of the five opening roots of Roses Simple of dried roses of Rasberries of Scabious of stechados of Comfrey of Violets XI Juleps are made of distilled waters juyces conserves and sugar either without decoction or with decoction XII Emulsions are made of seeds nut kernels perles corals hearts-horne certaine fruites being beaten with some liquor poured on and then strained forth XIII Essences are made of the juice of green herbes pressed out with spirit of wine and digested in Balneo Mariae where they receive their color separated by inclination and with a little sugar reduced into the forme of a Syrupe XIIII Spirits descend in the distillation both of Simple and compound waters together with the waters themselves and are afterwards separated from them by a Cucurbita vial c. But this must be understood of the more volatil sort The fixer sort are drawen out by a Retort and a stronger fire viz. With sand or the bare fire The cheife drawen from Minerals are of Alum of coral Mercury Sal ammoniack Common Salt Nitre Lead Ambar Sulphur Tartar Vitriol of Vegetables are of Wormwood Wine-vinegar Angelica Anisseed Carduus Centorie black-cherries Scurvy-grass Quinces Elder-berries Fenel Strawberries Guaiacum Juniper-berries Lilly-convally Baume Rosemary Roses Sage Danewort Linden-flowers Fluellen wine c. XV. Tinctures are made of dry Plants for the most part hot beaten steeped in some liquor which is called the Menstruum as spirit of Wine May-dew or some other set in an hot place and the vessel shut so longe as that the liquor wil receive no more colour and then they are filtred through a Paper or purified by digestion The most renowned are 1. Of Minerals Of the Sun Moon Mars Saturne Antimony Sulphur Vitriol Smaragd 2. Of Vigitables and cheifly of flowers of Winter-cherries Safron Black-cherries Strawberries St. Johns wort Peony Red poppie Roses Violets Elder-berries Dwarfe elder c. XVI Oyles are drawen out of gummie rosiny substances either descend with waters in distillation or are separated from them either by a separatory or by thick linnen threds or by brown or otherwise sinking paper in some materials they sink to the bottom the more remarkable are oile of wormwood Dil Angelica Of which see beneath in the first point of the third article Point 2. Of internal solid Medicaments INternal solid Medicaments are 1 Pouders 2. Salts 3. Saffrons 4. Flowers 5. Precipitates 6. Vitra Glass 7. Feculae dregs 8.
Roses Rue Elder Scorpions Storax Mullen Violets Boiled Oiles compound are these following of Capers Castoreum Costus St. Johns wort Lilies Marjorum Mandrake Nard Poppy Pepers Foxes The stillatitious oiles most in use are these Of Wormwood of dil of Angelica of Anis Orenge-peeles May-butter Benzoin Calamus aromaticus Camphire Cardamoms Caraway Cloves Waxe rectified Chamaemel Chervil Cinnamon Bark of Citron Cumin Cubebs Euphorbium Fenel Galbanum Guajacum Hyssop Juniper berries juniper wood of Tiles phâ—losophick of Mace Marjerom Mastich Baum Mints Myrrhe rectified Of Nutmeg of Origanum of Peper of Peny-roial Rosemary of Roses of Sage of Savine Wildbettony Spike White amber yellow Amber Tartar Terpentine Zedoarie V. Epithemata Epithemes are applied to the external parts of the Body and are made of distilled waters juices infusions suitable to the part and disease To them belong Oxyrrhodina Rose-vinegred Epithemes which are peculiaâ—ly applied to the forhead with frequent reiterations to coole and repel They were anciently made of Oile of Roses and vinegar now a daies distilled Oiles and waters as also juices and pouders are sometimes added VI. Pumping or pouring is when common water bathe water decoctions Milke Oile c. are pumped or poured down upon some part or suffered to dril upon the same out of a cock or spout of sisterne or Ewer They are applied cheifly to three places viz. the suture of the Crown of the Head the Beginning of the spinal Marrow and to warme the stomach VII Lotions are either of the whole Bodie and are called Baths or of the parts Head Hands Feet Belly c. They are made of the same things as fomentations are made of Point 2. Of external solid Medicaments External solid Medicaments are 1. Suppositories 2. Pesseries 3. Plaisters 4. Cerates 5. Caustickâ— Suppositories are sollid Medicaments which are put up into the fundament being formed round like a wax candel four or five fingers breadth longe They are made of Honey boiled so thick that it may be wrought and fashioned with a mans fingers into which other requisite materials are sprinkled They are used to loosen the Belly the patient being weak to clense and consolidate an ulcer in the Rectum Intestinum to stop paine draw back humors flowing upwards and kil worms in the Guts II. Pessaries are made of towzed wool or cotton wreathed into the forme of a mans finger impregnated with some juice or Liquor either alone or with pouders commixed or of beaten medicaments made up in a mortar with convenient liquors as Fat Oile waxe Ladanum Galbanum Honey and wrought into the forme of a pessarie or of green herbes a little bruised and bound with a string into the shape of a pessarie Or of pouders received in thin wool or Cotton and bound with a thrid into the forme of a Pessarie Or of pouders received in thin wool or Cotton and put into a round bag made of thin cloath which may be included in a round silver Instrument with holes on the sides made for that purpose III. Plaisters properly so called are Medicaments which being spred upon linnen Cloathes or leather do stick fast to the Skin of the body are the same with cerotes in respect of the matter save that metals and mineralls and litteridge for the most part are added which give it solidity of substance Al which are boiled to a just consistence and being cooled are made up into rowles Sometimes before the Mass is quite cold Cereclothes of old linnen are dipped in and taken forth Emplasters improperly so called which are of a middle consistence between a plaster and a Cataplasme are made without waxe pitch and those glewish materials or fire with honey mucilages and a certaine clammy creame or a little wax dissolved in Oile The cheife Plasters are Album coctum Apostolicum Arthriticum Basilicum and Lapide Calaminari Diachylon simplex Magnum Parbum cum Gummi Citrinum de Crusta panis de Baccis Lauri de Meliloto de Minio Mundificativum Nervinum Oxycroceum Diaphenicum calidum frigidum de ranis Vigonis de Rhabardaro Sparadrap Stichticum Paracelsi Tetrapharmacum Vesicatorium IV. Cerotes which consist much of wax and are not of so hard a consistence as Plasters are made either of wax Oile and Rosin only or of the same pouders being added besides so that the proportion of oiles to pouders is octuple to wax triple or sextuple to rosin twelve times as much Besides al these fats and gums are added juices roots fruits or seeds which must first be boiled and the colature is afterwards to be boiled with oile til the watrish liquor be consumed The Principle are Cerot of Betonie Diacalciteos Diapalma Infrigidans Galeni Oesypi Diapixer pro Hermosis Santalinum Sparadrappum Vigonis Stomachale V. Cauteria Cauteries are medicaments which have a power to burne the Body and to raise a crust and they are either Actual which consist of red hot metals of which in our discourse of Chirurgerie or potential which are made by burning medicaments and composed of Lie which soap is made of boiled into a consistence of Salt or of a stone almost which is vulgarly called Lapis corrosivus An Ulcer made by a Caustick or Cautery is commonly called a fontanel or issue Point 3. Of external medicaments of a middle consistence External medicaments of a middle Consistence are 1. Balsams 2. Liniments 3. Vnguents 4. Cataplasmes I. Balsams are made of oiles incorporated with white wax deparated or oile of Nutmegs by expression or the marrow of a Calfe washed or manna clarified Also the extracts of things whose balsom is desired may be mingled with them The most usual are these of Angelica of Anise An Apoplectick Balsom with musk and civet of Orenges of Cloves of Cinnamon of Citrons Cubebes of Lavendar of Mace of Marjorom of Mints of Nutmegs of Rose-mary of Roses of Rue of Amber Zedoary There are also distilled Balsomes which are nothing else but distilled spirits and a potion of oile proceeding from rosins gums spices and such like drawn out with spirit of wine The most usual are Balsamus vitae Nervinus Antiarthriticus c. II. Liniments are Medicaments of a middle consistency between an oile and an unguent and are made by adding to Oiles Butter Fat Suet Marrow juices pouders rosins teares of trees in this proportion for the most part that to one ounce of oiles two drams or three of fats be added one dram of spices somtimes though seldom a dram of wax is added Al are mixed either with fire or without fire or boiling sometimes they are set over the fire to melt the gums and fats and sometimes they are a little boiled to consume and wast away the juices added III. Ointments differ from Liniments by their thicker consistence and are made either without fire or with fire of fats oiles gums pouders usual ointments of herbes roots seeds macerated in water wine juices oiles and boiled to the Consumption of the liquor The most usual are of Agrippa
peculiar property above all other medicines purges this Humor howbeit but weakly 'T is more safely used in the Winter than the Summer That of Crete is the best Polypodie of the Oak which because it binds when it is old must be used fresh and new gathered That which grows on over old Oaks by its overmuch Humidity subverts the stomach Sena which is used to draw humors out of the Mesentery in the broth of Prunes Reisons and in Whey c. its cods if gathered when ful of juyce before they are fully ripe wil work as the leaves doe but withering upon the stalk they lose al their virtue Among Comporunds are Syrup of polypody and Epthymum Pils of Fumitory Pouder of Sena of Montagnana c. II. The stronger sort are among simples Lapis Armenius which must be so long washed in cordial waters til no more foulness appear Lapis lazuli which must be used after the same manner Black Hellebore which is least dangerous in the decoction 'T is best corrected with the flegm of Vitriol An excellent way and Elegant to give it is to stick an apple with cloves and black Hellebore Roots and roast it in the Embers Among Compounds are Extract of black Hellebore and Syrup of the same in Heurnius IV. Water-purgers are Medicaments which drive waters out of Mans body 1. The more gentle are among simples Soldanella or Sea-Colewort which extreamly delights in the company of Rhubarb and loses not its Vertue by boyling 2. Germane Orice which provokes the Courses and loses its force by boiling The juyce of the Root is put in an Egshel with the yolk of the Egg and so they are boil'd together or roasted til the Egg be soft boyled so as it may be supt Among Compounds are Conserve of Peach Flowers Pouder of Soldanella of Fowentinus c. II. The more vehement sort are Elaterium which slips even without the Veins and draws water away It may be given to strong persons to the quantity of ten grains if wel corrected understand in German Bodies and tough english plough-men or Sadlors 't is corrected with Cinamon Spike c. Cambogia which because it makes the Stomach a little sick it is corrected with Spirit of Salt and Mace The use thereof is hurtful to cholerick natures See thereof Reudenius and Lotichius Hedge-Hyssop which works upwards downwards It is dried and steeped in milk then dried again so as that it may be reduced to pouder Esula whose Milk Seed Leaves are very strong but the Root more mild It must not be used til a month after it has been gathered That is best which is five or 〈◊〉 months old The Bark of the Root is chiefly in use 'T is corrected by Infusing three dais in Vineger Among Compounds are the Magistery of Cambogia Pilulae Freytagii Oyl of Elder-berry Stones V. Purgers of al Humors together which are called Catholica and Panchymagoga are these which follow of simples Sena Hellebore Antimony c. Of the compounds Panchymagogum Crollii Vegitabtle Paracelsi Extractum Catholicum majus minus Electuarium Diacatholicon c. Point 2. Of Vomitories and Diureticks Vomitories are such Medicaments as cast forth bad humors by the Mouth Which they do either because they naturally tend upwards or because they swim upon the Stomach and burthen the same or because they loosen the upper Orifice of the Stomach Of this sort are I. The more gentle simple water Luke-warm water Barley water fat broaths simple Oyl with water Butter Hydromel Root of Orach Garden Cowcomber Melons Daffodillies Asarum Flowers of Peaches of which conserve is made Seeds of Rocket Orach The middle Rind of a Walnut Tree when it is fullest of juyce especially the Cats-tailes thereof Electuary of Asarum of Fernelius II. The stronger sort are white Hellebore The Vomitory of Cunradinus which is given from three drops to ten drops Gilla of Paracelsus White vitriol vomitory Sala his salt of vitriol Flores Mercurii argentei Mercurius Vitae Mercurius dulcis Manna Mercurii Aquila-Flowers of Antimony Oyl and Electuary of Antimony and Crocus Metallorum Aqua benedicta of Quercetanus Pismire water Platerus his Wine Heurneus his Helleborate wine Aqua Benedicta Rulandi II. Diureticks are medicaments which provoke Vrine and by that means evacuate withal the morbifick matter They are twofold 1. Properly so called which easily penetrate into the Veins and therein melt the Humors with their heat and they are Roots of Parsly Smallage Eringos Ruscus Asparagus Pimpernel Herbs Asarum Liver-wort Chervil Scordium Seeds of Gromwel Chervil Saxifrage Fruits bitter Almonds Peach Kernels c. among chymical preparations is spirit of Salt and whatever things are compounded of Tartar II. Improperly so called and they either hot as Maiden-hair Terpentine Ambona Root of which see Zacutus Or moist and which lenifie the passages as Mallow-seeds Marshmallow Lycorice Or cold as Strawberries Barly the four cool seeds bath-Bath-waters Whey of Milk Juice of Lemons Also Peach-Kernel water with Muscadine is commended The whitest slints heated red hot and quenched in rich Wine Oyl of Wax from five drops to six Salt of Amber an half dram in weight Water of Hips Oyl of Juniper Berries c. Point 3. Of Hydroticks and Diaphoreticks Hydroticks are such medicaments as drive out the morbifick matter by the habit of the body in a sensible manner viz. by sweat They are otherwise termed Sudorificks The act by reason of their heat and thinness or subtilty of parts turning the peccant matter into a vapor and they which are cold do act by a propriety of their Substance Now they are I. Either Simples as Angelica Pimpinella Fumitory Tormentil Zedoary China Sarsaparilla Sassafras Lignum Guajacum Cornu Cervi Bezoar stone oriental and occidental 2. Or Compounds as Orenge-Flower Water and Treacle water Spirit of terra sigilata Tartar Carduus de tribus Treacle Mithridate Salt of Scabious Carduus Wormwood Ash Among chymical preparations there is Aurum Diaphoreticum Flowers of Antimony fixed Turpetum minerale diaphoreticum Sulfur Auratum Bezoardicum joviale c. II. Transpirers properly termed Diaphoreticks are such medicaments as drive the morbifickmater through the pores of the Skin invisibly They are al hot turn the Matter in a vaporous steam and open the bodies pores The chief are Melilote Fenugreek Rue Marjerom Of Kin to these are Wind-discussers such as are the Roots of the smaller Galangal Leavs of Bayes Dictamus Penyroial Origanum Rue Marjerom Seeds of Annis Fenel Carway Cumin Carrot Fruits Bay-berries Juniper berries Barks of Citrons Orenges c. Point 4. Of Medicaments which purge the Brain Brain-purgers are such as void the morbifick matter nestling in the Brain by the Nostrils or Pallate The former are called Errhina and Ptarmica the latter Apophlegmatizantia I. Errhina do by their nitrous quality melt and dissolve the flegm which hangs about the Coats of the Brain and draw it out into the Nostrils without any disturbance to the Brain it self The chief are the Roots
where note 1. It must be extended without any pain or as little as may be by one man if the lesser hones by two if the greater be hurt 2. They must be rightly placed in their proper places so as the ends may fitly joyn one to another so that the Eminencies of the Bones may not be forcibly thrust into their Cavities lest they should be broken That if they break out of the Skin they be handled after a peculier manner 3. We must see whether they be rightly placed and framed together which is known by Cessation of pain and that there is no cavity that the broken part feels just as the whol save that it is thicker possibly by reason of afflux of humors 4. They must be duly bound up which is then done when a medicine made of the white of an Egg beaten with astringent pouders is first laid on to prevent Inflamation When the binding is neither too loose nor too strait It is then too loose when the Patient finds that he is lightly pressed and the same night feels himself more strongly bound and the day after a swelling arises in the extremity of the Member if it be too strait the contrary signs follow If it be not loosed before the third day 5. The member must be rightly placed that is to say softly lest it be pained equally that it may not be distorted it must be somwhat raised lest the Humors flow to it III. The Body of the Patient where if need be blood-letting and purging must be used IV. The Callus and then meats of good juyce must be given Medicaments which breed the Callus must be drunk down and applied especially in grown persons one dram of Osteocolla with Comfrey Water See Aquapendent and Hildanus in their observations V. The Symptomes 1. Inflamation whereto respect is to be had presently at the Beginning nor is the part to be bound or at least not so hard 2. A Gangrene which see in its proper Chapter 3. Itch and Excoriation which proceeds from sanies where the Sanies is to be washed off and afterwards unguentum album Camphoratum Rosaceum c. must be used 4. Pain which either springs from the overstraitness of the Swath-bands and then a swelling appears in the extremity of the part and the sick Patient complains that he is extreamly pressed The swath-bands are to be loosed and the binding to be made more easie Or from a pricking bone and then a pain arises from a light handling of the part The Bone is either to be restored to its place or taken out or cut off Or from a Confluence of Humors and then 't is cured like a beginning Inflamation Or from an evil scituation of the Member and then the Patient easily discovers the same the scituation of the Member must be changed 5. The Gracility or leanness of the member and then either an over-thin diet or long binding of the swathes is the cause Nourishment must be drawn to the part The Differences of Fractures are sundry I. One is athwart so as the Extremities do not at al stick together 'T is known by this in that you may feel the ends of the broken bone asunder one from another and in the place of the Fracture a nonnatural Cavity is observed c. 'T is more easily healed especially if it be simple and equal and the broken bones be not removed out of their places II. Another is when a bone is broken into divers parts This is hardly Cured especially if sharp eminences or points do prick the parts adjoyning If they cannot be reduced to their former state and the member is become shorter and unfit for service III. Another is according to the length of the Bone which is called a Clift This is known by the preternatural thickness of the member 'T is easily cured because there is no need of any laborious replacing of Bones but it suffices that the gaping Chinkt or Rift of the bone be closed up IV. Another is Flesh which is easily consolidated V. Another is old which is hardly because Inflamation being added extension is dangerous The extremity of the Bones grow hard Galen saies if the Cure be protracted beyond the seventh day there is danger that the bone wil be blasted VI. Another is alone of which al that has bin hitherto said must be understood VII Another is with conclusion of the flesh and has a wound joyned therewith This is dangerous if the wound be great and in the greater Muscles inflamations easily arise therupon the splints and other things for the better repose thereof cannot so wel be fitted but an hole must be kept open for the Wounds VIII Another which happens in the middle of the Bone and then the division is lighter IX Another which is near the Head above or beneath and then because in the former there are more nerves in the latter more tendons greater pain happens X. Another is near the Joynt and then by ligaments nerves tendons the part broken cannot be conveniently bound up in a bloodless part the Heat is weak the motion of the member is hindered by reason of a Callus or hard substance which binds up the tendons or muscles XI Another is when Two Bones joyn'd together are broken as in the Arm the Radius or Ulna and then the Cure is hard XII Another when One and then the Muscles can be less contracted because they are kept stretched by the whol Bone Title II. Touching Symptoms and their Removal A Symptome is a preternatural Disorder in such things as beside the Constitution of the parts are necessary to action following some other preternatural thing 'T is many waies divided but two waies especially For I. One is of Action hurt whether it be abolished diminished depraved or augmented It comes to pass either through fault of the Faculty when the immediate instrument is ill affected to which the Absence of the Spirits and Influent Heat is referred or by reason of some external Error when those things deceive with which the actions are performed or at least without which they cannot be Another is of Things voided and things retained Another of Qualities changed which depend upon the Hurts of Actions and the Humors depending thereupon II. Others are Symptomes of the natural Faculty viz. the Nutritive Augmentative Generative Retentive Attractive Concoctive Expulsive Others are of the vital Faculty others of the animal Faculty to which belong Symptomes of the external Senses of the internal Sences of the motive Faculty c. The CURE of Symptomes is their Mitigation or asswagement and that must be sudden when they are urgent that is to say do threaten so great danger that we cannot stay to take away the Disease or its Causes upon which they depend but if we should wait danger of death or some great Inconvenience would threaten us Of these we shal Treat in the particulars But because amongst al symptomes the most frequent is pain we shal
Worms which discover themselves by the corroding pain restlessness and other such like conjectural Symptoms How these Worms ought to be drawn forth see further in the Practitioners They are killed by the Oyntment of Capons Grease and the Oyl of the Hazel Nut or Filberds mingled with two grains of Mercurius Dulcis and so put into the Orifice of the Ears with Silk they are killed with the Decoction of Hemp into the part affected IV. Water fallen into the Ear is again drawn forth by infusing Oyl thereinto Ticle V. Of the Symptoms of the Ears Chap. 1. Of Pain and Deafness THe Symptomes of the Ears are Pain Deafness Tingling and a Hardness of hearing together with a mistaking therein The Pain needeth no signs in Infants if the part be but touched it is then discovered by the moan and complaint that is made It ariseth from Causes distending the Membranes encompassing about the Cavity of the Ear and endued with an exquisite sense The Cure hereof is somwhat doubtful if it infest and annoy those that are young and tender if in those that are declining in yeers it be accompanyed with frequent Relapses and if it abide and keep its residence in the deeper part or bottom of the Ear. It is performed by Anodynes and if it be Vehement and intollerable by those Medicaments that stupefie Among these are the green Leaves of Tobacco moystened either with a specifical and proper Water or at least with Rue Water and so applied together with three grains of Opiate Laudanum Those things that are applied externally ought to be gentle lest that the pain be exasperated and Augmented The Differences are taken especially from the Causes I. One there is from Externals as to instance from somwhat fallen thereinto from a Wound c. which are al to be known by the Relation of the sick person Another there is from Causes internal to wit a Distemper either without or with matter and this either cold in which the Juyce of Onions with some kind of liquor is very helpful or else hot in which the Breast-Milk of a Woman together with the Juyces of cooling Herbs do much avail and profit a Wind for the which those things are useful and proper which in the following discourse touching the noise and sound in the Ears remain further to be spoken of from an Inflamation of which enough hath been above said or lastly from an Vlcer and corrupt matter of which likewise sufficiently in the same place Deafness is an Abolition of the Hearing differing from that we cal Barucoia or Hypocophofis in the which a man not without much difficulty heareth and perceiveth sounds although at a Just and meet distance only in regard of the greatness and intensiveness of the Cause It ariseth from the default of those things that concur to the constitution and perfection of the Hearing and I. Of the Brain in that it either produceth no Animal spirits or else doth not transmit them by Reason of some peculiar Disease II. Of the Auditory Nerve which hath no passage or conveyance for the said spirits either by Reason of some thing amiss in its very frame and formation and hence for the most part those that are deaf are likewise dumb and this kind of Deafness is altogether incurable or else by means of some obstruction thickness c. III. Of the Animal Spirit it self which either is not at al generated by reason of some extraordinary great distemper of the Brain or else is abolished by reason of the extream straightness and narrowness of the passages or otherwise it passeth not through by Reason of somthing amiss in the Nerve or else it is but very little and that likewise over thick and impure by Reason of the Ambient Air or from other Cause IV. Of the Inbred air which either faileth to wit by Reason of a wound or an Ulcer c. and passeth forth dissipated and Scattered by noises and sounds the contusion of the Head or a Vehement affect of the Brain not restored and made good again by Reason of a fayling and want of Nourishment or else it is impure either from some matter sent thither from the brain or from elswhere V. Of the Auditory Passage which either is formed amiss Or else stopped and that either but in part and then there is only a diminution of the Hearing or else wholly and altogether and hence it is that the external sound is not at al perceived but then there is another new one produced by the Air left remayning there or else from things External falling or sent thereinto or otherwise from internal Humors filthiness and impurities Ulcers c. Or else it is condensed and thickned by an Inflamation some smal Tumor or rising c. Or else lastly compressed and thrust together by Reason of some fracture of the Bones VI. Of the Tympanum or drum which may be broken loosened rendered thicker or drier extended and otherwise infested by an inflamation arising about or neer unto it VII Of the three little Bones which either are not rightly formed or else are moved out of their place And yet notwithstanding most frequently from a Pituitous and Flegmatick or Cholerick humor which happeneth in acute and violent Feavers and somtimes it discovereth that the matter is carryed forth unto the exterior parts In the Cure hereof we must see and look wel to it that the Medicaments be applied Warm that there be no new remedies laid to until after that al the filth and Impurities be throughly cleansed and wiped away that there be never more than three drops conveyed in at once that we be not over forward in tampering with those things that are Viscous and Clammy and the sick person lie upon that Ear that is sound and wel and lastly that there be care taken of the Head There are here commended the destilled Water of Carduus Benedictus the Leaves thereof being twice infused in the Glass Vessel the Juyce of an Onyon wel soaked in the spirit of Wine and then roasted under the Embers the Juyce that is pressed forth of Ants Eggs or the destilled Water of the same the Gal of an Hare with a like proportion of Virgin Honey and such like of all which you may see further in Petraeus and Hartmannus Chap 2. Of the Noise or Ringing of the Ears and thickness of Hearing THis Tinnitus or Ringing noise is Defined to be a Preternatural sound in the Ears made and perceived in the instrument of hearing or else in the Cavity of the Head bone arising from Vapors first shut up therein and then moved In this Affect there is no need at all of Signs The CAUSE is conjectured to be that which they term Pneuma Physodes as it preternaturally moveth up and down the inbred Air. Now this indeed ariseth 1. Either of it self or otherwise by the Consent and agreement of other parts to wit the Spleen the Liver the Womb the Stomach c. And then there are
to be dissolâ—â—d should putrefie For the Dissolving hereof excellent good is that broth that is made of the stalks of the Herbs following together with an Ablution or washing of the Paps with Water Wine and Vinegar mingled together a Fomentation of the Decoction of Marsh-Mallows Fenugreek and Melilote c. A Liniment laid thereupon of the Oyl of Roses Sweet Almonds the Juyce of Smallage and Parsly and Vinegar in which there hath been first dissolved the Curd or Runnet of a Hare The Water of Hemlock is thought to be good for both the foresaid Purposes And so much of the Diseases of the Chest or middle Region THE TENTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Concerning the Diseases of the lower Belly Title I. Of the Affects of the Gullet Chap. 1. Of the Diseases of the Gullet THe Diseases of the lower venter comprehend under them the affects of the Gullet stomach Guts Anus Mesentery Liver Spleen Kidneys Bladder Genital Parts in Men and Women the Navel and Belly The Diseases of the Gullet are Distemper Tumor Straitness Wounds and Vlcers Article I. Of the Distemper and Tumor of the Gullet 1. The Distemper of the Gullet is a recession of it from its Native to a preternatural Temper it s known by the swallowing being hurt 'T is divided into a hot one which happens from without from fumes pouders c. from within from Vapors in burning Feavers a hot and dry Distemper of the Womb and then there is perceived a Redness and Roughness on the Tongue with thirst which is cured by cooling means somwhat clensing 2. into a cold one which either proceeds from too cold drink or otherwise and is taken away by things that heat 3. Into a moist one which issues from the Defluxions of catarrhes Salivation c. and Causeth a Relaxation of the Gullet so that the lower part of it and the upper mouth of the Stomach lie open 4. Into a dry one which ariseth from dry things and Causeth Roughness and is Cured by suppings of Chicken Broth or fresh butter II. A Tumor of the Gullet is its excess in its Magnitude 'T is known by the pain in swallowing most of al in the hinder part and back by the stoppage in swallowing so that if a great bit be to be swallowed somtimes the drink runs through the Nose it proceeds from the same Causes from which we said Tumors in general did arise 'T is often hard to cure because it endangers Suffocation but after the same manner as other tumors viz. In the beginning by replling means in the Augment by external and internal resolvers in the state by discusives let vomits be avoided for fear of suffocation unless when t is come to suppuration that the Tumor ought to be broke 'T is divided I. Into a hot one with which is Joynd a Feaver great thirst pain in the Cure of which bleeding takes place and into a cold one in which the pain is less and in the Cure of which the repellers ought to be gentle the resolvers and discussives stronger II. Into that which possesses the upper part of the Gullet and then meat cannot go down and into that which infects the lower part and then the Meat after it hath descended a little way stops there Article II. Of the Straitness wounds and Vlcers of the Gullet I. The Straitness of the Gullet is when its Passage is Contracted 't is known by this that liquids are easier swallowed than solid things 'T is divided according to its Causes for one is from external Causes as from astringent medicines or some things swallowed and then the business is known from the standers by or the Patient himself it must be cast up by vomiting or Coughing or furthered by moistning and Emollient means applied outwardly and inwardly or be thrust down with a Spunge Dipt in Oyl of sweet Almonds or taken out with that excellent Instrument of Fabricius Hildanus Another Cause is from a Tumor Worms ascending out of the Stomach and Guts from Scorbutical and Hypochondriacal Vapors distending the Gullet and compressing the rough Artery from the Luxation of the Vertebrae of the Neck and back which may be seen in their proper place Another is from thick Flegm kurdled milke c. Sticking in it where Oxymel of squils and vomits takes place II. The Wounds of the Gullet in respect of their Causes are twofold for either they are Caused by a weapon and then the situation of the wound shows it if vomiting happen somwhat is cast forth through it and t is hardly Cured Or from some smal bones swallowed and then t is easily manifest Medicines that are grateful to the Stomach ought to be administred III. An Ulcer of the Gullet is known by the pain when some sharp sour or Salt thing is swallowed though in little quantity by its biting and by the casting up of matter 'T is hard to be Cured because the parts wil scarce grow together in a Membranous body It hath its Differences from the Causes for one is from external corroding things as Aqua Fortis mercury Sublimate and then we must work with Lenient Vomits and such as are clammy as the Mucilage of quince Seeds Fat broths Another is from a wound Tumors imposthums another from the casting up of sharp Humors c. Chap. 2. Of the Symptomes of the Gullet AMongst the Symptomes of the Gullet the Principal one is the hurt of swallowing which is twofold for one is by Reason of the resolution of the Gullet the faculty being hurt by Reason of the Resolution of the Nerves of the sixth or seventh Conjugation it s known by this that solid things are easier swallowed than liquids as being thrust down with less labor for these require a greater force to make them yeeld to the impulsive Body It ariseth either from a Defluxion and then there is felt a heaviness in the Head a distension of the Neck and the Rheum it self or from some other Disease t is dangerous and ought to be cured by Medicines good against Palsies the Second is by Reason of Convulsions which ariseth also from a wound and t is most dangeous in old people There is another from the affects of the part of which we have treated formerly Title II. Of the affects of the Stomach Chap. 1. Of the Diseases of the Stomach THe Affects of the Stomach are either diseases or Symptoms to those belong distempers Tumors wounds and Vlcers the other see hereafter Article I. Of the Distemper of the Stomach in general The Distemper of the Stomach is a preternatural constitution of its similar Parts in the first qualities The SIGNS of that are the hurt appetite and concoction a change in the Excrements a heaviness in the Stomach and waving of it and distillations from the Head which most commonly happen The CAUSE is whatsoever can Internally or Externally alter it The CURE is performed I. By the alteration of the distemper by contraries then the Medicines ought
anointing of the belly with Oyle of Violets dil Chamomel a little butter in which a Snakes Skin ought first to be boyled 2. By mitigation of the pain by cataplasmes unctious fomentations baths of sweet water narcoticks also mixt with purgers c. II. The Pancreas doth chiefly labor of obstructions whence the stomach by reason of its neerness is affected pains and the sence of a weight are caused about the region of the stomach and pulsations in the back by the compression of the celiacal artery and also a difficulty of breathing molests them by the consent of the midriffe The cure is perfected by the same remedies as the obstructions of the spleen III. The Caule by twiggs from the spleen branch doth oftentimes receive feculent humors from the spleen in that part especially which is between the spleen the midrif and the stomach in its cavity in the left hypochondry under the diaphragma arising from the connexion of the stomach Caule colon and bowels and having no passage out Oftentimes from thence the belly in the left part towards the navel is raised up into a tumor oftentimes the belly being prest a sound and noyse is heard They cannot be emptyed unless they vanish by the continued drinking of bath or sharp waters If it putrefy or suffer an impostumation the cure is in vaine Titile VI. Of the affects of the Liver Chap. 1. Of the diseases of the Liver Article 1. Of the Distemper of the Liver THe diseases of the Liver are distemper obstruction inflamation a schirrus wounds and ulcers The distemper of the liver is a swarving of the same from its natural temperament by reason of external and internal causes The Signs are fetcht from the hurt of its action and others of which in the differences The Causes are either not natural and external or the neighbouring parts as the stomach heart and that either by contact or by communication of matter or the collection of matter in the vessels or parenchyma by reason of some fault of the liver either innate or acquired The Cure varies according to the nature of the differences Internal remedies because the liver is situate in a lower place ought to be the more efficacious 'T is performed by alteration and removing the matter offending As concerning the Differences the distemper is fourfold I. One is hot and that either simple or without matter which is known by this that there is a loathing of meat and most of al of flesh and nevertheless fastings doth hurt a vehement thirst troubles them the whole body is hot especially the palms of the hands and soles of the feet and either they are moist or dry the belly is somewhat dry by reason of the extraction of the moisture from the chyle It is cured by coolers amongst which the cheife are the roots of Dandelion and Strawberries the leaves of Succory Endive the seeds of Sorrel the greater and lesser cold seeds the wood of Saunders fruits of Cherries Currans Strawberries Of compounds syrupe of Corals Strawberries Sorrel Citrons Succory The Salt of Corralls Pouders Diatrion Santalon diarrhodon Abbatis Diamargartium Fridgidum Mynsichtus his mter vitriolate Amongst external things Saccarum Saturni a Cerote of Saunders oyle of green olives The mixture compounded of the Water Lillies henbane the flowers of white lillies plantane Red Roses each one ounce and an half Salt of Saturne Camphure dissolved in spirits of wine each one scruple Sal Prunella half a scruple adding a little of Tragacanth and applyed to the right hypochondry c. Or with matter which is known by this that a bitterness of the mouth a loathing of meat and a vehement thirst doth trouble them and a feaver either an intermitting tertian or a slow feaver or erratick doth vex them by which the body by degrees is dryed up That choler doth break forth by vomiting and stoole first of al thin and pale afterwards thick truly yellow and stinking It ariseth from choler either generated in it or sent from the bladder of gal laboring of obstruction or from some other part It is cured 1. By revulsion by opening a veine in the arme by scarifying or friction if the humors flow from some other part 2. By attraction by Succories cheifly if the humors be already flowed thither 3. By evacuation either by the stool where syrup of Roses of the Leaves of Rubarb and tamarinds take place or by urine where whey grass roots barley take place 4. By strengthening of the liver that it collect no more II. Another is cold and that either is simple and without matter which is known by this that there is a greater desire of meat no thirst a voiding of flegmatick crude and oftentimes of liquid matter there is generated a warry and crude blood 'T is hardly cured because 't is more repugnant to the nature and office of the liver and 't is cured by things that alter amongst which the cheife are The roots of burnet the true acorus The leaves of Wormwood Agrimony Centaury the less Betony Maidenhair Raisons Cloves Nutmeg Cinnamon Agallochus of compounds Mynsichtus his tincture of Cassia lignea treacle mithridate Mynsichtus his aromatical rowles Cratoes confection of Rhubarb The pouders of Diamargartium calidum Or with matter which is known from the foregoing of the like causes the white color of the face and whol body a soft habit of body flegmatick stools a heaviness in the right hypochondry The rise and cure do follow other distempers The essence of Mars is good the preparation of which see in Hartman III. Another is moist which is known by the soft pulse watry blood liquid excrement thick urine The cure is performed by dryers IV. Another is dry which possesses in a contrary manner neither is there any things singular concerning its cure for the most part it troubles in composition Article 2. Of the obstruction of the Liver The obstruction of the Liver is a narrowness of the vessels in the liver caused by a matter filling up their cavities and hindring the distribution of the nourishment The signs are heavy and obtuse pain in the right part of the hypochondries which after the taking of meat is increased especially if soon after meat some violent exercise be undertaken The excrements varying from their natural manner oftentimes more liquid and copious because the chyle is not received A change of the color especially in the face by reason that the sanguification and distribution are hurt c. But it is frequent that a veine from the porta dispersed through the substance of the liver in most fine branches is obliterated and it hath others no less smal from the Vena Cava through al which the nourishment ought to be produced and carried The Cause is the matter filling up the cavities of the vessels or also the very substance of the liver whether it be generated there its action being hurt either by a distemper or by some external error or whether it flow from elsewhere
juyces in the veins or in the substance of the body are changed into a serous matter which attracted by the kidnies slides through them and descends to the bladder Article III. Of an Ischury An Ischury is a suppression of the Vrine by reason of the disappointment of the expulsive faculty so that none of it can come forth There is no need of Signs in an affect so manifest The Cause is the disappointment of the expulsive faculty the causes of which we shal explaine in the differences The Cure must be hastened least it regurgitace into the whole body oppresse the liver infect the blood and cause a danger of suffocation Oftentimes the humors putrefie feavers are kindled and unless they pisse before the seaventh day they dye There is no cure if it arise by reason of the deadly concourse of fits if it come from a wound of the back bone or luxation of its vertebrae If the hickops or a tenesmus come upon it It respects 1. The symptom it self that the urine be provoked here meet us a pressing of the belly with holding of the breath putting up of a catheter unless an inflamation doe hinder or of a wax candle dipt in oyl of sweet almonds suppositories and sharp glysters by reason of the communion of the right gut with the bladder fomentations of the pubes and perinaeum with the decoction of pellitory of the wal melilot chamemel Cataplasms of horse raddish bruised and fryed in butter The juice of a cray fish baked and strained through hair given in wine The salt of beane cods The decocti-of buck-thorn in wine of gillyflowers with their root dryed in the shade with wine of quinces 2. The Causes of the Symptom of which in the differences An Ischury is divided twofould One from Diseases of the bladder which is known by this that a continnual desire to pisse doth oppress them the pubes is distended and pained by the collection of abundance of urine by putting in a catheter plenty of urine flowes forth with ease Those diseases are 1. A stupidity by reason of which it feels not its spur either by reason of a palsey and obstruction of the nerve or the aversion of the spirits and then although the bladder be ful there is no desire to pisse nor no paine felt 2. A cold distemper contracted from cooling causes and then such causes went before diureticks must not be used unless the body be purged first 3. A streightness either by reason of a tumor of the muscle compassing the neck or by Reason of a stone and other things formerly alledged if from this 't is somtimes cured with an emulsion of the seeds of purple violets made with speedwel water 4. Too great an extention then the urine hath been retained too long against the wil we must act with fomentations of pellitory of the wal with oyl of sweet almonds Another is from the streightness of the urinary passage which is known from hence that the urine is not voided by compressing the bladder and that a catheter is difficultly put up See the Cure in its chapter II. One is exquisite of which we treated even now Another Spurious which is knowne by this that the bladder is empty so that no water flowes forth though a catheter be put up There is no heaviness or distention or paine perceived about the pubes though you presse it It ariseth either by default of the Kidnies which do not attract or expel the matter of the urine either by reason of its owne diseases of which formerly or by reason of some external error viz. because the serum is either consumed or converted to some other parts Or by default of the uriters which either are bound up or obstructed and then the patient was subject to the paine of both kidnies there is a great heaviness in the loins and somtimes a vehement paine torments every where there is little or no desire to make water But the specificks in this disease are thought to be earth worms in number five drunke with sweet wine An egg-shel purged from which a chick in hath been hatched Goats piss dranke warme ' its caule and guts applied to the belly c. To an Ischury belong A deminution of the water which in malignant and acute feavers is therefore bad because it is a signe that the nerves are affected And the slowness of urine when it is voided at longer distances than it was wont because they differ from an ischury only gradually therefore we wil treate no more of them Article IV. Of a strangury A strangury is a voiding of urine by drops made with or without paine and a continual urging to piss arising from a continual goading of the expulsive faculty of the bladder by reason that the sphincter is affected or from the weakness of the retentive faculty oppressed with the least burthen The Signs of an affect so manifest are evident The Cause is explained in the definition viz. the irritation of the expulsive or weakness of the retentive facculty but from whence they are shal be exprest in the differences The Cure is of little or no Hopes almost if it come upon an Iliack passion proceeding from an obstruction of crude and thick Humors no Feaver following it which may attenuate the Humors 'T is ordered according to the diversity of the Causes of which hereafter The Difference is taken from the Causes I. One is with pain proceeding from the irritation of the expulsive faculty and it ariseth 1. From the Acrimony of the Urin which either is inferd by external Causes as meat and drink hot and Salt new and dreggy drink which when it cannot be concocted commodiously and hath a power to ferment the Humors and loosen the Belly if it be quickly carried to the Kidneys 't is carried crude to the bladder and stimulates it Then drinking of spanish or Mallego wine does good Nut-megs Goates Fat put on the Navel Or from internal Viz. Sharp Humors either produced there or sent from elsewhere which being viscous do by their clamminess stick to the Orifice of the bladder and somtimes by their long continuance exulcerate the same They are known by this that the Urin is red and Yellow there is a sharp biting felt with a heat and thirst The Cure requires emptying by Cassia and Turpentine Tempering by coolers and moistners and a bath of sweet Water Promotion of the Vrin By Salt of Acorns of bean stalks half a scruple Oyl of Wax three drops in the Decoction of red Vetches By the pouder of stones squeezed from the Heads of Snails given in Wine 2. By matter sent from the Liver Kidneys or else where and then some of it wil appear in the Urin whey with Sugar of Roses is good 2. From the Stone which Excoriates the bladder to which we must have respect 3. From an inflamation of which was spoke formerly 4. From the affects of the neighboring Parts for upon an Inflamation of the right
Humors are happily digested in the whol body the whol body and especially the Bowels are sweetly moistened and the body is made generally stronger cards are removed anger appeased and the mind made more peaceful immoderate Evacuations saving sweat are suppressed and especially sleep is good for Old people Contrarily Immoderate Sleep obscures the spirits and makes them sluggish and stupefies the mind and Memory and blunts the Edge of Natural heat by augmenting crude humors and stopping the Issue of such as are superfluous Also sleep which is taken after the body is any waies Emptied does dry and extenuate the same IV. Also Watchings are either moderate or Immoderate The former excite the spirits and render them more lively distribute the spirits and heat into al parts of the Body help the distribution of Aliment and further the Expulsion of Excrements But Immoderate watchings consume and dissipate the spirits especially the Animal and dry the whol body especially the brain encrease Choler sharpen and enflame the same and in conclusion the heat being dissipated they cause cold Diseases Chap 3. Of Non-Natural things Externally used NOn-Natural things Externally used are Bathes Oyntments Frictions and Garments I. Touching Bathes observe I. That they alter as much as the Aire it self but diversly according to the difference of Temperatures and there is in them more Artifice than in the Air. II. That they frequently and very much hurt Cheifly persons not used to them Plethorick persons such as are Cacochymical have Catarrhs are subject to Inflamations and Erycipelas III. That they are made either of Liquors as fresh water Medicinal Fountains Decoctions of Herbs Oyl milk Wine c. Or of Vapors or of some solid substance which is hot as sand Salt Pressings of Grapes IV. The Vapors of fresh water Heats first moistens relaxes afterwards Melt congealed liquors and procures sweat finally by long use it dries V. Fresh Water hot of it self Moistens but at the first it heates afterwards the hot Vapors breathing forth it cools attenuates and dries Luke-warm or such as is moderately warm Cools such as are over hot heates those that are overcold and withal Relaxes and used an indifferent time it fattens and digests the Excrements beneath the Skin and by long tarriance therein it resolves and discusses them wherefore to hot leane Natures and to such whose heat is biting it is good being tarried in an indifferent while also for Melancholick persons Hectical persons such as have dry Feavers and are thirsty also it chases away wearyness Mitigates pains is good for Diseases of the Skin Cold Water cooles but withal stops the passages makes the Skin hard and compact strengthens the whole Body recalls heat into the lower parts of the Body by which means it helps Concoction and is a good Remedy against hurts springing from external Causes if we use it moderately and rightly It is bad for such as grow use not good diet nor exercise or are inclined to crudâ—ties and stoppages and breed sharp vapors VIII Artificial Baths are to be judged of by their Ingredients IX Waters of Medicinal Wels do alter the parts according to their Quality so that the Sulphureous do dry heat and resolve the Nitrous do dry and clense c. See of them Fallopius Mercurialis and Baccius II. As for what concerns Anointings they were anciently used before and after bathing as is every where apparent in Galen But because they are now grown out of use I shal therefore say nothing of them See Galen in the second Book of the Faculties of simple Medicaments Chap. 2. and 4. Also in the seventh Book of his Method of Curing Chap. 6. and Mercurialis in the first Book and 8. Chapter of his Gymnasticks III. The effects of Friction or Rubbing are various according to the Differences thereof 1. Hard friction hardens the Body contracts the flesh and makes it compact 2. Soft Softens Loosens and dissolves the same 3. A middle Sort has an effect between both 4. Much Rubbing lessens the Flesh dissolves the same and Causes leanness 5. Little leavs it in the same Quantity it was in 6. Indifferent encreases the flesh 7. Morning friction is best used after the voidance of the common superfluities of the Body being useful for such as are dried and find a wearysomness upon them Evening Friction is good for wearyed dried persons and such as nourish not IV. Hippocrates treats of Garments where he speaks of the ambient Aire in the sixth Book of his Epidemicks I conceive best to place the consideration thereof among things externally applied to the body Al Garments in general do in some measure heat the body both by keeping off the cold Air and keeping in the steams of the body and introducing a true and genuine Heat The effect of Cloaths varies according to their Differences 1. Silk-Taffaties and Grogarans do heat and because they are soft and tender they soften 2. Plush and Velvet by how much they are deeper and richer so much the more they heat 3. A woolly garment heates and dries much 4. A Garment of Skin if ful of hairs is warmest of al other 5. A Scarlet garment cals forth the spirits and Humors with which it has Analogy from the Centre to the Circumference and therefore is accounted hot 6. A Perfumed Garment hurts an hot brain and breeds the Head-ach 7. A Linnen Garment whitened with Lime does bite the Skin and Causes an Itch. 8. An Hempen Garment is more dry than one of Linnen Chap. 4. Of Non-Natural things which are voided and retained NOn-Natural things which are voided and retained are both those which in the nourishment of the Body Nature retaines to restore the decaied substance thereof as also those parts which she separates and voids forth as unprofitable Touching them observe in general I. That Excrements do vary according to the Concoctions Some are simply such as Urin internal Vapors fumes Dandrifs Sweate Moisture Ichor Tears Flegm in the Eyes Menstrual blood Hemorrhoid-blood spittle Snivel Pose Droppings of the Nose Eare-Wax Dung some are for the sake of Children as Miske Seed Mothers-blood II. That they are necessary in point of health which continues in good case if they be conveniently voided but is prejudiced if they be either retained or unseasonably voided forth Particularly three of them are most confiderable Viz. Excrements of the Belly Vrin and Venereal I. The Excrements of the belly if they are often voided and carry with them the Vitious Humors and so lighten the Body they confirme health if too frequently and too long the body is defrauded of necessary Aliment and begins to pine away the forces of the body are weakened and many times the guts are as it were shaved If not in due time they hinder digestion by putrid vapors hurt a weak head and breed molestation to other parts of the Body II. The Vrine if too long kept in does not only burthen the bladder and neighboring parts but oftentimes does so stretch the same
little bals that they may be swollowed whole and the unsavoriness of the ingredients not discerned by the Tast They are made of pouders extracted out of the mass of usual pils the simples being made up with some liquor They are either Alterers of Bdellium Bechicae or for the Cough of Castoreum of Cynoglossa Narcotick pils of platerus c. or Purgers of Agarick Agregative Alephangine of Aloes rosata of Amoniacum Arthriticae Assajeret Aureae de Colocynthide de Hermodactilis Mastichinae Panchimagogae c. They are also distinguished into Hypoglotudes and Narcoticae Point III. Of internal medicaments of a middle Consistence Internal Medicaments of a middle consistence between fluid and solid contain under them 1. Extracts 2. Rosins 3. Conservs 4. Conserves 5. Quiddennies 6. Electuaries 7. Lick-pots 8. Soâ—pes and 9. Boles An Extract is drawn as a tincture and is reduced to the Consistence of Honey Pils or pouder The most usual are of wormwood of Acorus of Lignum aloes of Angelica roots of round Birthwort of Carduus of Gilloflowers of Castoreum of Centory of Celondine of Safron of Cubebs of Dictamus of Enula of Galingal of Gentian of Guajacum of Masterwort roots of Baume of Mint of Mace Marjoram of Broad dock of Paeonie of Rue of Savine of Satyrium roots of Scabious of Scordium of Comfrey of Tormentil of Valerian of Zedoary II. Rosm is drawn out of Gummy materials with rose-Rosewater and spirit of wine separate from the feces by inclination precipitated and dryed with a gentle heat III. Conserve is made of flowers somtimes of herbes and soft roots bruised and preserved with a double quantity of sugar The most usual are of the tops of Roman-wormwood Carduus Eye-bright Fumitory Marjorom Penyroial Veronica Of the Leaves of Sorrel Wood-sorrel Scurvy-grass Mints Purslane of flowers of Acacia Betonie Borrage Bugloss Marygolds Cichory Broom White-lillies Lavendar Lilly-convally Mallowes Baume Mints Water-lillies red Poppie Peach-flowers Primrose Prunella white and Red-roses Sage Elder Linden Savory Colts-foot IV. Preserves are made of roots barkes Fruits or harder materials steeped in water or boiled or of softer preserved in sugar or honey to last the better and to be more grateful to the Palate The more usual are these following Of the roots of Calamus aromaticus Borrage Cichory Comfry Elecompane Eryngoes Pimpernel Rhubarbe Satyrium Scorzonera Zedoarie Ginger both that of China and the common sort Of the flowers of Orenges Citrons the fruits of Orenges Barberies Cherries Citrons either whole cut in slices or dried or of the pulpe of Quinces bramble berries or Hips Apricocks Medlars Myrabolans bellirican Chebulan Citrine and Emblican of Wallnuts and Indian nuts of Peaches black-peper in the branch Sloes Prunes Damsins c. Of Peeles of Aurenges Citrons And stalkes of Spanish Lettuce V. Rob or Quiddiny is the thickned juice of fruits sometimes of flowers either with expression or without expression boiled and with a like quantity or somewhat more of sugar added The cheife are of Barberies Cherries Hips red-corants Elder berries Hitherto belong thickned juyces of Wormwood Acacia Agrimony Aloes Carduus kermes berries Elder berries centaury Quinces Elecampane Fumitory Lycorize Hedge-Hyssop St. Johns wort Henbane Hypocistis our blew Orice Licorize Mercury Myrtils of germanie Nicotiana or Tobacco Opium Plantane Red-Roses scrophularia and Solatrum Ad hereunto Mel Ebulinum Sambucinum Juniperinum and Passulatum V. An Electuary is made of Conserves Spices Roules Trochischs a proportion of juice or syrup being added The Cheif are Venice Treacle Mithridate Alkermes Confectio Anacardina Aurea Alexandrina Electuary of Bay-berries de Scoria ferri de Ovo Philonium Mesuae Persicum Romanum Dioscoridum Tryphera magna so named because they give a good color to the whole body and make the breath sweet and are made up of curious ingredients VI. Eclegma or Lohoch or Lick-pot of pouders species conserves juices mixed with some liquor or syrupe used against infirmities of the Lungs and Chest The most usual are de Scilla compositum de Caulibus de Farfara de Papavere Passulatum of the Pine kernels of Purslane of Fox-lungs Lohoch-sanum and expertum and succo Scillae c. VII Saponea is a Lick-pot made of almonds blanched and beaten and with sugar dissolved in a convenient water boiled to the consistence of Honey starch and rosewater being added towards the end VIII Bolus a morsel is made of Electuaries pulpes conserves spices pouders with a little syrupe made into the shape of a little bal given to purge vomit alter or some other purpose Article 2. Of external Medicaments Point 1. Of external fluid Medicaments And so much for compound internal Medicaments the external follow which are either fluid or solid or of a middling nature or indifferent The fluid are 1. Clysters 2. Gargles 3. Mouth-washers 4. Oiles 5. Epithemes 6. Pumpings 7. Lotions I. Clisters are medicaments which by a convenient Instrument are cast through the fundament into the Guts They are made of Roots Barkes Leaves Flowers Fruites boyled in water and strained some other things being added which may serve the Intent of the Physitian Their use is to loosen the belly to clense dispel wind to bind to sodder to allay the paines of the Guts and kidneyes II. Diaclysmata or Mouthwashings are medicaments which are kept in the mouth and are by the tongue moved up and down without swallowing They are cheifly provided for paines of the Teeth and Diseases of the Jawes III. Gargarismes are medicaments with which the throat is washed without swallowing down the humor being forced up and down by the breath They are made of distilled waters or convenient decoctions neither unpleasing in tast nor smel nor haveing any venemousness in them in which some syrupe or Quiddinie is dissolved We use them in repelling discussing ripening abstersion consolidation IV. Oiles are made either by distillation as aforesaid or by expression of the oleaginous juice when the fruits and contused seeds grow warme with the vapour of hot water and being put in a bag are squeezed in a Press or by infusion either when the simple medicaments with simple water or distilled water wine or other convenient liquor are boiled in common oile til the Humor be consumed or when the same simples are macerated in a gentle Heat or in the Sunn or when dryed plants are with oile digested in balneo Mariae the oile being afterwards pressed out and clarified The Oiles pressed out are these Oile of bitter Almonds and of sweet of Hazel-nuts of Hemp seed of Cherry kernels of Citron seeds of Rocket of Henbane of Walnuts of Baies of Mace of Nigella of Nutmeg of Ripe and unripe Olives of Eggs de palma of Poppie of Peach kernels of Pine kernels Pistachios Rape Ricinus sesamus Acorns Oiles by infusion in the Sun and simple are these Oile of Wormwood Southernwood Dil Chamemel Cheiri Quinces Elecampane Euphorbium Pismires Ground-ivy Jasemine Orice Priver of Lillies Lilly convally wormes Mastich Mint Melilote Myrtils Nard white lilly Populeum Frogs
hair of the Juice of Ivy of Fleuellen of Scabious of Tobacco Oxymel simple of Squils Lohoch of Colts-foot of Fox-lungs Lohoch sanum and Expertum de Passulis de althea Conserves of Bortys Veronica Pulmonaria maculosa Hedera terrestris Electuaries Treacle Mithridate Speices diaireos simple Diatragacanthum frigidum Diapenidium Diathamarum Fecular Aronis Flowers of Brimstone of Benzoin Trochiscks Bechicâ—albi and nigri Diaireos II. External Heaters are I Of the simples al those in a manner which we formerly mustered II. Of compounds Oiles of Orice Rue Costus Cheiri Sweet almonds and bitter Lillies Line Fatts Goose-fat which most penetrates Deer-suer Hens-grease Mucilages of Lin-seed Fenigreek marshmallowes with Safron Ointments of Marsh-mallowes Pectoral ointment and Unguentum Resumptivum Point 2. Of cooling Chest-medicaments Cooling Chest medicatâ—â—â—s are internal or external I. The internal are I. Of simples Roots of Garden Endive Lamb-tongueplantane Polypody Leaves of porslane Water-lillys Colewort Flowers of Violets mallowes Water lillys Bugloss Cichory red poppy roses Seeds the four great and smal cool-seeds seeds of poppy mallowes quinces barly Fruits Hungarian spanish prunes mulberries Jujubes sebestens of water thistle of sweet briar dried Woods red sanders yellow sanders white Sanders Gum tragant Arabick Animals River crabs whey Goates-milk II. Of compounds Waters of a capon simple and compound of veale mallowes Violets water-lillies red popie Distilled oiles of purple violets sweet almonds Emulsions of white poppie porslane cold seeds Decoctions Decoctum pectorale in the London Dispensatory of a Capon Syrups of violets Jujubees Water-lillies Gourds red poppie porslane Dialthâ—ae Fernelij Lohoch de Psyllio of reisins of Cole stalkes of poâ—slane of marsh-mallowes Electuaries Diacodium of the Physitians of Augsburge new Treacle Conserves of roses violets with boile-Armeniack Spanish Lettuce Species Diatragacanthi frigidi Diapenidij Roules of diatragacanthum frigidum Diamargaritum frigidum diapenidium sugar of roses in Lozenges II. External are I. Of simples the Leaves before aleadged Animals fresh may butter not salted barrowes grease Mucilages of Fleawort seeds of Quince seeds of Fenigreek of marsh-mallowes Oiles of violets white lillies Article 4. Of Cardiac or Heart-Medicines Point 1. Of Heating Heart-Medicines Cardiack-medicaments are such as are good for the Heart whether given in or outwardly applied and they are also hot or cold Internal are I. Of simples Roots of Scordium Doronicum Angelica Devils-bit Master-wort Vince-toxicum Scorzonera Dictamnus Contrajerva Tormentil Leaves of Baum scordium sage Tormentil carduus Scabious Fluellen Cardiaca Goates Rue Garden and wild Cresses Flowers of the Gilloflower rosemary scabious Centaury Baum Tormentil Borrage Bugloss Seeds of Citrons Aurenges Carduus Rue Lovage Navew Spices Nutmeg Cassia lignea Safron Cloves Woods Lignum Aloes Gums myrrh Camphire Benzoin Mastich Sea-commodities Amber Ambar-greise Earths and stones Bole-Armeniack Terra sigillata Turcica and stringensis Perles Corals fragments of the five precious stones Animals Bezoar stone Harts-horne Rhinocerots Horn Bone out of the Heart of a Stag. II. Of compounds spirits of Elder and juniper berries baume Elixir of Citrons with spirit of muscadine Distilled waters Of Carduus baum Citron-flowers scabious marigolds scordium Carbuncles Cinnamon with Cordial flowers Bezoardica senerty Distilled oyls of Cinnamon Citron baum Ambar Cloves Nutmegs Tinctures of ambar Elixir proprietatis Extracts of Angelica Carduus Citron peeles Lignum aloes Vince toxicum Zedoary Safron Essences the magistery of Cinnamon Essence of Ambar of Citrons of Perles of Vervaine Juyces of Citrons with their barks of Pomgranates Gelly of Harts horne made with Vinegar of Harts horne and scordium Syrups of Citron peeles with and without musk and Ambar Scordium Carduus Orenges baum Gilloflowers Pomgranates veronica Borrage Bugloss Gallangal Conserves of Baum Citron-flowers Orenges Gillowflowers Marygolds Borrage Bugloss Preserves of Citron peeles Orenge peeles Indian Nut Scorzonera roots elecampane roots Electuaries Treacle Mithridate Confectio Alkermes Diascordium Fracastorij Species and pouders of Diamargartium calidum Diamoschi Diambrae Bezoardicus II. External are I. Of simples those which have been reckoned up before 1. The compounds likewise are the same viz. waters juices distilled oiles Of these Epithemes bags Fomentations and Linements are made Point 2. Of cooleing Heart-medicaments Cooleing Hart-medicaments are either Internal or External I. The Internal are I. Of simples Roots of Dandelyon Sorrel Leaves of Sorrel wood-sorrel Water-lillyes Flowers of violets Cichory Water-lillies Seeds the four cold seeds Fruits of Rasberry red Corants Barberries Citrons Aurenges Pomegranats Sweet briar berries dried Woods the three Sanders Earths and medicines from Animals are those before mentioned II. Of compounds Waters of Sorrel Straw-berries black Cherries Quinces Hart-Stones Juyces of Citrons Pomegranates Rasberries Vinegar of Roses Gelly of Harts-horn made with Elder-flower Vinegar Syrups of juyce of Citrons of Pomegranates of Wood sorrel of juyce of Red Corrants Strawberries Lorrals Violets Conservs of Citron flowers of Aurenges of the pulp of Citrons of Roses of Acacia Preservs of Red and White Corants Barberies Citron Meates Eglancine berries Species and Powders of Diamargaritum frigidum Diatrion santalon Magistery of Perles of Corals Article 5. Of Stomach Medicaments Point 1. Of hot Stomach Medicaments Stomach medicaments are such as heat the stomach or cool it and that either taken inwardly or outwardly applied Internal stomach-heaters are 1. Of simples Roots of Pimpinel Rhaponticum Galangal Zedoary Calamus Aromaticus Caryophyllata Leaves of Roman and common Wormwood red and garden Mint Cardiaca Cichory Agrimony Marjerom Seeds the four greater and lesser cool seeds Coriander prepared Fruits Juniper berries bay-berries Aurenges Indian Nut. Spices Nutmeg Ginger Mace Cloves Cinnamon Galangal Cubebs al sorts of Pepper Cassia Lignea Woods Lignum Aloes Guajacum Citron Peels Orenge Peels Gums of Mastich Sea-medicines Ambar Ambar-greise Of Compounds Spirits of Muscadine of Rhenish Wine of vitriol of Mastich of Wormwood of Rosemary of Cinnamon of bread Distilled Waters of Mints of Betony Sage of Cinnamon with and without Wine Elixir vitae of Baum with Wine of Zedoary with Wine Distilled Oyls of Peper Calamus Aromaticus Cloves Mace Cinnamon Caraway Fennel Wormwood Orenge Peels Tinctures Elixir Proprietatis of Amber of Corals of Sassafras Wood. Extracts of Lignum aloes Wormwood calamus aromaticus Essences of Rosemary Citrons Wormwood Aurenges whereunto belong Salt of Wormwood Juniper Syrups of Cinnamon Mints Wormwood Betony Mastich Oximel sciliticum Syrup of St. Johns-wort flowers Conservs of Wormwood Mints Betony Red Roses vitriolated Preservs of China Ginger true Acorus Galangal Citron Peels Orenge peels Nutmegs Indian Nut Myrobalans Species and Pouders Aromaticum Rosatum Diatrion pipereon Diaxyloaloes Imperial species Stomach-pouder of Brickmannus II. External are 1. Of simples such as have been already reckoned up and of Gums Ladanum Tacamahaca Styrax calamites 2. Of Compounds there are besides the aforesaid the Balsams of Peru Camemel Romane Oyntments Stomach Oyntment Martiatum magnum Emplasters and Cataplasmes Emplastrum Stomachle de Crusta panis de Baccis Lauri de mastiche Point 2. Of Stomach Cooling Midicaments Cooling
Vitriol aâ—â—â— spirit of Sulphur of salt Distilled waters of Cichory Sorrel Water Lillies Strawberries Syrups of the juyce of Cichory Endive Sorrel wood-sorrel juyce of Citrons and the rest reckoned among cooling stomach medicines Conserves Preserves and species see in the same place II. External are I. Of simples the same fore-cited II. Of compounds Oiles of Roses Quinces Water Lillies unripe olive Ointments of Sanders cooling Ointment of Galen Unguentum rosatum of Mesue Emplasters Cerotum santalinum Diaphenicon frigâ—â—◠〈◊〉 plaâ—ster of the juice of Hemlock Article 7. Of Splenetick Medicaments Point 1. Of warming spleen medicaments Spleen medicaments are either heating or cooling each of them internal or external I. The internal Heating are I. Of simples Roots of Ferne which are appropriate of Scorzonera of Florentine orice of polypody of the Oake of Avens of wild radish Leaves of true scolopendrium Harts-tongue Scurvygrass Tamarisk Dodder Hops Fumitory Brooklime Chervil Galiposis ground oake Flowers of Hops Broome Elder Fumitory Liver-wort Seeds of Ash bishops-weed Watercresses Chervil mustard Nettle wild parsnip Scurvy grass Spices Safron Epithymum Woods Sassafrs Xyloaloes Barks of capar roots middle rind of ash-roots Elder roots Tamarisk roots Gum Amoniacum dissolved in Vinegar of squils II. Of compounds Spirits of wine tartarized of Centaury of vitriol of Mars of Tartar simple and compound of watercresses of Scurvy grass of Guajacum of juniper berries Waters of Dodder of barm compound of Hops of Water-cresses of Scurvy-grass of Fumitory Tinctures of Mars Extracts of Joves Spleen Scolopendrium Harts-tongue Scordium Fumitory Polypody Essences of Scurvy-grass Epithymunâ— Ground-oake Fumitory Dodder Capaâ—â—â— Syrupps of Ceterach or Scolopendrium or Fernelus of Epithymum of Scurvy-grass of Apples the Scotbutick Syrup of Forestus Conserves of Scurvy grass of Ceterach of Broom-flowers of Fumitory of Fluellen of Chamaedrys Pimpinel Species of Dialacca Diacurcuma Diacapparum of Hollerius Tartarus Vitriolatus II. External are I. Of simples those before mentioned II. Of compounds Oyls of Capars Orice Cheiri Rue Peach kernels Almonds Scorpions Ointments of dialthea Martiatum de Arthanita de Ammoniaco Spleneticum Emplasters of Melilote diachylum ireatum Emolliens Foresti diasulphuris Rulandi Point 3. Of cooling Spleen-Medicaments Cooling Spleen Medicaments are internal or external I. The internal are I. Of simples Roots Of Cichory-like plants and of which mention is made among liver Medicines Leaves Flowers Fruites Seeds may be also fetcht from thence To these you may ad the barks of willow roots II. Of compounds are the same likewise to which you may ad medicaments prepared of tartar and of steel Trochisks of Sanders spodium Carabe Barberries II. The external are I. Of simples Roots of Mandrake Leaves of white henbane Hemlock Willow Water-lillies II. Of compounds see those reckoned among cooling Liver-Remedies Article 8. Of Nephritick Medicaments Point 1. Of heating Nephriticks or kidny remedies Nephritick Medicaments are either heating or cooling both are internal or external I. Internal heaters are I. Of Simples Roots of restharrow Saxifrage Filipendula Pimpinel Lycoris Marsh-mallow Polypody Lovage Leaves of maiden haire Wal-rue Fluellen Chervil Nettle ground-ivy Pellitory of the wal Feverfew Restharow Flowers of Broome Spike Elder Betony the yellow of violets St. Johns-wort flowers Seeds the four greater and lesser hot seeds persly gromwel Saxifrage Cherry-stone-kernels Peach-stone-kernels Oake of Jeruâ—â—lem Beanes Fruits Juniper berries Ivy-berries winter-cherries bitter Almonds Sweet-briar berries Corants Spices Cassia lignea Spica Indica Safron Woods Lignum Sanctum Nephriticum Tamarisk Gums Terpentine Myrrh Mastich Olibanum Minerals Lapis judaicus Lapis Nephriticus From animals the stones of Perches Crabs-eyes Earth-wormes Eggs-shels Jawes of a Pike II. Of compounds spirit of salt Terpentine Elder berries Strawberries Cherties Vitriol Feverfew Distilled Waters of Rest-harrow saxifrage Persley Hedera terrestris Alkekengy Matricaria Elder flowers Oyls of Orenges Juniper peach-kernels cherries bitter almonds Tinctures Elixir proprietatis of Ambar Extracts of veronica Ground-ivy Lycorice Syrups of Maiden hair of Fernelius Byzanrinus so called of dialthea Oxymel Conserves of Hedera terristris veronica Sweet briar-berry Spices and pounders Lithontripticon Tartarus Vitriolatus Restharrow-Salt salt of Beane ham chervil Nettles II. External are I. Of simples such as were before aleadged II. Of compounds Oiles of scorpions white lillyes Ointments Martiatum Agrippae Aregon dialthea Emplasters diachylon simple Oxycroceum Melilote Point 2. Of cooling Nephriticks Cooling Nephritcks are internal or external I. Internal are I. Of simples Roots of Grass Strawberries Water-Lillies Leaves of Porslane Willow Venus Basin Hearts-ease Lettuce Flowers of Water Lillies Violets Roses Beanes Seeds the fouer cold white poppy seed seed of purple violets Fruits see among the stomach and liver coolers Stones Christal II Of compounds Waters of Strawberries Violets barly porslane Lettuce Juyces of Citrons Strawberries porslane Syrups of Water Lillies Strawberries porslane syrup of the juyce of Cirrons Conâ—erves of Acacia violets porslane II. External are the same to which ad of the compounds Oyls of Roses water lillies sugar of Lead Vnguents The Ointment of Roses of Mesue Galens cooling Ointment Article IX Of Vterine Medicaments Point I. Of heating Vterine or Womb-Medicaments Vterine Medicaments are either Heating or Cooling and they are internal or external I. The internal are I. Of simples Roots of Peony Valerian Laserpitium Angelica Pimpinella Bryony Aristolochia rotunda Leaves of Mugwort Rue round Birthwort Mercury Fever-few Sabine Betony Flowers of Betony Chery Elder St. Johns-wort Stechados spikenard Seeds foure hot mountaine osier red vetched Rosemary peony Fruits Indian Nut Juniper Berries Orenges Spices Cinnamon Cassia lignea Nutmegs Cubebs Graines of Paradise Safron Woods Lignum aloes Ash Guajacum From Animals Castoreum II. Of compounds Waters of Mugwort Hysop Elder Cinnamon Zedoary yellow stock-gillo flowers betony with wine Oyls of Cinnamon Angellica Ambar Cloves Tinctures the Uterine Elixir of Crollius omitting salt of mother of perle Extracts Hystericum majus and minus of Quercetanus of the Liver and Splene of an Oxe of Baume of Lignum Aloes Syrups of Mugwort Feverfew Orenges Baume Cinnamon Conserves of Marjerom Betony Baum Rose-mary Mary golds Preserves of Acorus citron peeles Orenges Nutmegs Zedoary Pouders Diacalamint Diaxyloaloes diacinnamomum II. External are I. Of simples the greatest part of the foresaid to which may be added Gum Olibanum storax bdellium myrrh Ladanum Assafetida Galbanum Opopanax Sagapenum Ambar From Animals Castoreum civet Musk. II. Of compounds Oyls of cheiri Angelica Rue Castoreum Nard oile Scorpions Nutmegs Vnguents of Bay-berries Gum Caranns ceratum matricale or of Galbanum c. Point 2 Of wombe-cooling Medicaments Wombe cooling medicaments are also either internal or external I. The Internal are I. Of simples Roots of bistort comsery Leaves of Strawberry Shepherds-pouch Vinca pervinca Plantane Oake great comfry Porslane Nettles loosestrife Flowers of Roses Quinces Balaustians Water-Lillies Loose-strife St. Johns wort Comfery Willow Seeds of porselane Plantane Henbane white-poppy Fruits of Acacia Pomegranates Medlers Myrtils Woods Sanders Gums Dragons-blood Earths and miniralls Bole Armeniack Red
brest Aloes to the stomach and Gutts Rhubarb to the liver Sena to the spleen Hermodactyls to the joints 3. That they ought to be of equal pace in operation that one do not prevent and out-â—un another and that they must be mixed with odoriferous medicaments of thin parts least they overthrow the stomach and that wind may be dispelled yet must not these odoriferous ingredients be in so great quantity as to move urine 4. Alwaies to abate somewhat of their strength 5. That they act by help of the expulsive faculty so as to disturbe and jumble the whole mass of Blood then to sparate the humors whether any part of their substance be drawn into the veines or they act only by a vapour sent forth V. The Conveniences of Purgaton viz. Whether or no How much When After what manner I. As for whether or no observe I. That you must not purge 1. If there be paucity of Humors 2. If the Body be sound and of a good temper 3. If the patients purge only by the smel of the Physick 4. If the forces of the Body are weake by way of dissolution and then the Artery pressed with three fingers does not fly up or one finger being removed it is not felt by the next or there are more little than great pulses more languid than vehement more slow than swift 5. If the stomach be weak in which case a Clyster is convenient 6. If there be plenty of crude humors because gripings are raised and little to speak of evacuated 7. If there be an Impostume in the Gutts 8. If the midrif be stretched raised burning inflamed and the Urine fiery 9. If the Member from whence you intend to purge be troubled with some raging pain 10. If the Belly be bound no clyster given II. You must purge 1. If there be gripings without a fever heaviness of the knees and paine in the Loins 2. If the matter conceived in the member be moveable 3. If the sick be hard to vomit and moderately fleshy 4. If nature do not incline to a Crisis 5. If the foregoing conditions are absent III. You must warily purge such as are of an healthy and pure body idle apt suddenly to faint away such as are frampold and hard to please Children old Men women such as easily vomit such as are leane and of a thin body and those that are of a cold and moist constitution II. As for how much observe 1. That you must alwaies purge rather with a little than a great dose 2. That the parts in the Region of the Belly require lenitives in the venous or veine-region moderate purgatives those in the habit of the body vehement ones 3. Strong forces of the Body with great abundance of Humors does prohibit a medicine which purges plentifully and tumultuously least the spirits be dissipated but when the humors are not so plentiful a strong medicament may be given 4. That the Bodies forces being weak by repletion do require smaller purgations the remaining Humor being drained out by gentel repeated Lenitives 5. That the forces languishing through resolution of the Body do only require gentle and partial or repeated purgations 6. Women with child in the seventh month must be gently purged least the child being heavy come by strong agitation of the medicament to be cast downward 7. Old persons because with tract of yeares their benigne juyces are exhausted cannot bear strong purgers 8. Nor yet children because they grow and their humidities do easily evaporate 9. Men of rare or thin texture of Body if they be strongly purged they suffer detriment thereby 10. Leane persons because they have large veines are easily purged 11. Long-legged persons are easily purged 12. Such as live hardly as labouring Country-people are not moved with a gentle purge 13. Melanchollick persons whether they be so by nature diet or sickness because they are for the most part of good strength without danger of weakness and have their bodies solid and ful of juice must be strongly purged 14. But stammerers must be gently purged because they are liable to a loosness 15. When only the stomach is out of frame gentler purgations must be used least more il humors be drawen to the stomach 16. Great plenty of Humors profoundly situate in the body do need more plentiful purgations either jointly or severally 17. Where we need more evacuations we must begin with the most gentle 18. We must then use strong purgations when gentle wil not do the deed III. Touching the quando or when you must purge take these Rules 1. That women with child ought not sooner to be purged then when the child begins to stir that when the Humors work Women in childbed must not be purged til their month be over 2. In Peracute diseases If the matter be unruly and in motion you may purge the very same day by reason of the tenuity and fluxibility of the matter 3. In the firs of intermitting diseases you must abstaine from purging in the time of Remission and Intermission you must purge 4. In long-lasting diseases we must not purge before the matter be atteâ—uated and made fluent and the passages opened 5. In the Summer time before day in the winter give your purges in the day 6. The juyces which are in motion or wil shortly be in motion must be purged to prevent the Encrease of the disease and that the part may not be marred by over abundance of the juyces 7. In the Dog-days and immediatly before you must not purge For the bowels Heated by the violence of the Season do easily entertaine a fever IV. As for the question after what manner take these following â—ules 1. To every Humor you must apply its proper purgative 2. To near parts and in Melancholy cases liquid Medicines are good in remote parts you must use solid ones which stick long in a place and spread their virtue more effectually 3. Vomiting which is wont sometimes to arise after the taking of a purge is stated by stomach-strengtheners or cupping glasses applied to the navel or with juice of pomegranates in such as are of a weak stomach and hot liver it is prevented by holding an Eg to the throat or putting toasted bread to the nostrils 4. Loathing of the stomach is taken away by a linnen cloath wet in Vinegar put upon the Cup or by washing the mouth with juyce of pomgranates before the potion is taken 5. A purge which causes griping is mitigated by a clyster lenitive or a potion of the decoction of Mastich or with lukewarm water 6. In persons abounding with melancholy Catharticks ought to be mingled with lenitives and moistners 7. Purgers if they be given with barly water do work little or nothing by reason of the abstersive faculty therof 8. Super purgation is stopped with new or old treacle a grain or two of opium mingled with three ounces of wine Also with a crust of bread steeped in vinegar and laid upon
Another by Induration and then the matter is clammy and hard natural heat strong the tumor it self diminished and the Hardness is encreased Another by Corruption and then the part appeares lead-colored and black and the heat and paine are diminished Point 1. Of an Imposthume Two things follow a tumor which proceeds from Humors viz. an Imposthume which is sometimies attended with a Cavity An imposthume is a collection of purulent matter or quittor in the Cavity of of some part proceeding from the Humor which causes the swelling The Subject is the parts and their Cavities The Signs may be fetcht from the third difference of tumors ariseing from humors where the business of suppuration is handled The Cause is the Humor it self which natural heat ripens and turns into quittor Hence it is various according to the variety of the Matter The Cure has respect to two certain times or seasons I. When quittor is in making and then we must act 1. By anodines and paine-asswagers Oyl of worms is exceedingly commended 2. By Ripeners and that temperatly hot and clammy in hot tumors and soft and moist bodies such as sweet oyl wheat flower milk crummy part of wheaten bread with such as are yet hotter in cold tumors and cold Natures and parts such as terpentine fire-rosin larch-rosin pine-rosin sigs raisons diachylon simple II. When quittor is made where we must go to work with 1. Evacuation either Insensible which is dangerous not only where there is great quantity of matter for feare of hardning the same but in al cases by reason of accrimony which may be increased by delay Or sensible and in this case the Imposthume must be opened either by more benigne medicaments amongst which are Diachylon simple with mustard-seed figs and salt or by stronger that is to say potential and actual Causticks 2. By Clensing with detergents viz. Juice of smalladg of Centory round birth-wort wormwood Betony Agrimony c. 3. By breeding of flesh with Sarcotick medicaments 4. By covering all with a scar by Epulotict medicaments among which is Emplastrum Diapalma In respect of the Differences they are manyfold I. Either it is from Blood and then it is easily ripened and being ripened it affords laudible quittor Or from other humors which arises with difficulty has somwhat in it like quittor green and yellow II. Or it is pure and simple quittor like either to pap hony suit oyle lees and wine dregs and sometimes mixed with many other things III. The Impostume is either in fleshy parts and then it is easily changed into quittor or near the joints in nervous and weak parts which have little Heat in them and then it is ripened with difficulty IV. Either the quittor flowes up and down in the Cavity and is gathered into the receptacle thereof or it is shut up into a peculiar membrane and bag Point 2. Of the Hole in an Imposthume The Sinus or holly hole in an Impostume is when the quittor diffusing it self in the depth thereof the neighboring skin does not cleave to the flesh beneath it The Sign is the going before of an impostume and tents by which it is best of al searched The Cause is the quittor it self which being kept in far below does make by its acrimony coney holes as it were and draws together the excrements of the whol Body The Cure is imposible if it have collected a Callus and hardness Doubtful if much and unconcocted matter is voided forth pain felt in the Hole Hopeful if little quittor good and white come forth and there be no pain 'T is performed I. By Evacuation of the quittor which is done either by bare clensing if the Hole tend downwards with barly water melicratum or mead and wine sod with hony or by Opening so that either the whol cavity be cut asunder if it be smal or only the lower Orifice if it be great and the part cannot be cut without danger II. By production of flesh with Sarcotick Medicaments where note That an excrement must be removed as wel if it be thin as thick least it stick in the Ulcer Most with the dryer sort as Orobusmeal Orice root Birthwort Myrrb Tutty pompholyx in such as are dry with the less dry as Franckincense Barly meal and Bean meal in such as are dry If the hole be not wide open liquid medicaments are to be cast in by a syringe and to be let alone a good while By want of pain and voidence of little quittor and wel digested we may guess of the soodering and growing together again of the skin and flesh and by contrary signs of the Contrary As for what concerns the defferences either they are shallow and little or deep and broad Either strait or oblique They tend either upwards or downwards and that way the worst quittor is evacuated Article 2 Of diseases consisting in Magnitude diminished A disease of Magnitude diminished is the diminuition of the parts of mans body in their natural magnitude There needs no signs seeing the disease it self is evident The Causes are want of aliment either because it is drawn away or because the channelar e obstructed Straitness of the place in which a part ought to be augmented section putrefaction refrigeration ustion of which in their places The Cure is undertaken I. By repairing the part with plenty of good nourishment in which case drinking of wines meats of thick juice little exerciâ—e indifferent rubbings are useful A Dropax or pitchy medicament of which see the Pharmacopeia II. By regeneration if a member be pluckt away which is the work of nature alone only let the Physitian remove the impedicaments c. Chap. 6. Diseases in Situation A Disease of situation or connexion is the sejunction of such parts of the Body as ought to be conjoined and a conjunction of such as ought to be separated 'T is needless I should speak of Signs because the disease is of it selfe apparent The Causes consist in those things by means of which the parts are fastened together and touching luxation we shal speak in the following Article Now the connexion of such things as ought to be separate comes to pass when the intermediate parts are loosned or the ligaments broken or wounded The Cure requires the Conjunction of parts disjoined and separation of parts conjoined And because luxations are most frequent of al the diseases of situation I think it meet in this place to treat of Luxation in Generall Article 1. Of Luxation Luxation in General is the slipping of a joint out of its natural seat into another wherby voluntary motion is hindered The Signs are the unlikeness of the Member to it self as it was before in shape and length Motion hurt pain by reason of Compression of the Nerves Muscles and tendons the sweling of that part in to which the joint is slipt the hollowness of that place from whence 't is fallen The CAUSES are al such things which are apt to stretch or violently
and Malignant IIII. In some the matter flows from the whol Body in others from the Brain Article VI. Of Nail-sores Kibes and Chilblaines Paronychia the Nail-sore is a Tumor arising upon the fingers ends beside the Nails The SIGNES are taken from the Situation and greatness of the Pain because the Nervous parts adjacent are affected and the said pain reaches somtimes al the Arme over The CAUSE is blood adust somtimes Malignant which Nature thrusts out into those parts The CURE is contrived by Evacuation Mitigation of Pain and Suppuration Repellers must not be used least we exasperate the pain and fix the Humor Oyl of Lead is commended by Agricola Page 216. And Eare-Wax applied with a peice of Ele-Skin Page 246. Perniones Kibs and Chilblains are swellings which arise in the winter time upon the Heels Toes and Fingers with other parts of the Hands and Feet The SIGNS are Refrigeration forgoing Pains Itch c. The CAUSE the winters cold weakening those parts and by pain drawing blood unto them They are somtimes long-lasting and though they go away in Summer they return again in winter In the Cure 1. The cold must be expelled by plunging the part into cold Water 2. The Part must be fomented with blood warm Milk wherein Rose-Mary Bay berries c. Have bin boyled or it must be put into hot Water wherein frozen Turneps have been boyled Article VII Of an Ecchymoma Ecchymoma is the effusion of Blood into the neighbouring spaces whereby a Part comes to have a livid black and blew color SIGNS are needless seeing the Disease is apparent to our Eye-sight The CAUSES are various viz. Anastomosis Diapedesis Diaeresis Contusion c. The CURE is performed 1. By Blood-letting if the Disease be great least Inflamation be caused 2. By Repelling Medicaments which must not be moist least blood flow in and they must have discussors mingled with them Honey of Roses laid on with blew Paper is good as is terra Sigillata dissolved with Water of Life By Digestion to which intent the Root of Solomons Seal bruised and steeped in Wine or other Liquor is good 4. By application of Cupping-Glasses if digesters help not 5. By laying on Ripeners that are Of a middle Nature between strong and weak 6. By opening the Tumor least the Quittar corrupt the neighbouring parts or make hollow fistulaes 7. If the part encline to a Gangraen we use to scarrifie the same and to wash it with hot Vinegar wherein the Root of Solomons Seal has been boyled Inwardly such things must be given as dissolve clotted Blood Article VIII Of a Carbuncle A Carbuncle is a Tumor springing from Adust thick and most fervent blood degenerating into black Choller which corrupts the part The SIGNS are these following A crusty Ulcer arises blackish or Ash colored not long after a round Bubo sharp and burning which is worst towards the evening breakes forth and the flesh round about is very hot There concurs a Feaver stomach-sickness womiting panting of the Heart Swownings Ravings c. The CAUSE is such blood as aforesaid which being bread in the Body and having attained a certain degree of Malignity is cast out and continually generated by a new afflux of Matter The CURE in general is in a manner None if having been red they presently vanish away Hard of such as are black and which are seated in the emunctories and near the noble members of the body Easier of such as are red Smal Single The manner of proceeding in the Cure is this 1. Let a Diet be prescribed cold and moist 2. Blood-letting must be practised at the beginning to take away fervent blood provided it be not drawn through some noble Members 3. The Malignant Humor must be prepared and Mitigated to which intent Scabious is most prevalent 4. We must Purge warily because of the acute Feaver 5. The part must be Scarrified where you are to note that the Scarrification is to be iterated if the blood require the same again We must not Draw if the Humor flow violently into the part least the Feaver and pain should be augmented Nay rather moderate Repression is to be caused by applying Medicaments to that end three fingers space round about the Carbuncle To which intent the Pap of Appels is used boyled with Vinegar of Roses into the form of a Pultis A Qiniment of Bole-Armoniack with a sufficient quantity of Oyl of Roses c. The Plaister of Agricola T. 1. Page 139. The part being Scarified must be washed with Salt Water hot 6. After it is washed Medicaments must be applied which resist putrefaction especially made of Scabious and Devils-bit 7. If Scarification help not we must use Burning but so that we presently anoynt the Crust with Unguentum Aegyptiacum or apply thereto a Cataplasme of Orobus meal and Oxymel simple to remove the same least if it remain upon the place it prevent the breathing forth of the Malignant Humor 8. The crust being removed the Ulcer must be cleansed c. The Cure thereof see in Agricola T. 1. Page 139. If you please The Difference is two-fold I. One sort is without any Pustle which discovers it self by those signs of which mention is made in general and there is nothing singular in the cure thereof Another is with a Pustle which is known because an Itching is first felt and soon after one smal pustle or more like the graves of Milet shoot forth which being broken a crusty Ulcer shews it self In the Cure there is nothing singular observable II. Another is Pestilential and then the Constitution of the year is such the Symptomes are stronger The Cure is most Difficult if it break out after a pestilential Feaver the heart being possessed by Malignant Humors T is easier if it break out before unless violent Symptomes appear soon after In the progress thereof these things are to be noted 1. That Blood-letting must be avoided because it breaks forth after the Patients strength is dejected 2. That we are cheifly to make use of Antidotes both Internally and Externally 3. Al possible diligence must be used to hinder the putrefaction from spreading To break it the Plaster of Heurnius in his comment upon the 55. Aphorisme of the fourth Book is commended Oyl of Antimonial butter the Magnetick Plaister of Hartman in his Chapter of the Plague Agricola his Oyl of Mercury T. 1. Page 139. Elixi Pestilential of Crollius c. A Cataplasme of radishes beaten with Rose-Vinegar described by Joel T. 6. Another is not Malignant and milder which at first looks red like a Flegmone or Inflamation and afterward waxes Yellow For its Cure see the general Rules Chap. 2. Of Tumors springing from Choller Article 1. Of an Erysipelas or Tumor so called ANd so much may suffice to have spoken concerning Tumors arising from blood From Choller proceeds Erysipelas and Herpes Erysipelas or St. Anthonies fire is a Chollerick Tumor springing from Chollerick blood flowing together into some part under
the Skin with a spot which is red broad and dispersed up and down The SIGNS are it seazes the patient with shiverings after which a Feaver follows There is a vehement biting and burning so that smal bladders somtimes arise The color is red inclining to yellow not red inclining to brown which being pressed with the finger vanishes and quickly returns A pain which is neither pulsative nor vehement and stretches it self out to the neighbouring parts without tension These signs are not observable in an Inflamation or Phlegmon The CAUSE is Chollerick blood which is bred by an hot Liver whereby it becomes more thin and movable or by nature many times because of a maligne quality it is driven into the outward parts or is moved by external Causes c. The CURE is hard if it follow upon the baring or fracture of bones It if turne from the external to the internal parts It is putrifie or suppurate If it arise on the Head or Face because the Tumor being augmented it causes the squinzy If in the Liver or Womb of Women with Child because it kils the Infant It respects 1. The driving away of the Disease to which end are subservient 1. Blood-letting from the Liver or median Vein in Plethorick and gross bodies 2. Purgation by the cooler sort of choler-purgers 3. Provocation of sweat by Venice Treacle in Elder-flower water c. 4. Application of Topick or external Medicaments which must be liquid and thin and frequently renewed The principal are the Lapis Medicamentosus Crollij Menstrual blood dissolved in groundsel-Groundsel-Water and Rose-vinegar Balsom of Litturige with Camphire in frog-spawne-Frog-spawne-Water Decoction of red Myrrh and Olibanum each one ounce in Wine and vinegar of each four ounces A Linnen bay ful of wheat bran heated The Liniment of Sebize at the end of his Book de Acidis 2. Preservation from this Disease Where Blood-letting is useful twice a year Purgation by Choler-purges Diet enclining to cooling and moistning wearing of stockings wet in Frog-spawn-water The use of that Preservative mentioned by Sinnartus in his second Book of Feavers Chap. 16. It is divided two manner of waies I. One is Exquisite to which the general rules aforesaid agree Another is Bastard and that either Phlegmonodes Oedematodes c. Wherein the Tumor is greater II. One is Simple in which the top of the Skin is colored and tainted and dry scales are raised like bran In this case after general remedies cooling Topicks are to be applied and the discussion must be left to Nature Another is Vlcerous in which after the pustles are broken saines or Blood-Water and quitter come out It quickly breaks froth with an evident Fluxion It has great moist pustles T is quickly come to solution and of its own accord and so t is distinguished from Herpes To this al other things corresponding cooling Topicks or external Medicaments may be applied til the color of the skin be altered See the Cure in Rulandus Article II. Of Herpes or the Shingles Herpes Fermica or the Shingles is a Tumor raised by Yellow choler pure and unmixt with other Humors upon the surface of some part of the body and creeping along to the neighbouring parts The SIGNS are a broad Tumor ruffing the Skin hardness pain sense of burning it makes a Circular kind of progress the middle parts healing while the extream parts break out a fresh The CAUSE is Yellow choler sincere or unmixt and thicker than in St. Anthonies fire proceeding from its causes The CURE respect 1. The whol Body which must be Evacuated 2. The part affected which must be gently cooled Digestion must be used and discussion by dryers if heat permit It s divided into Simple and Eating I. The Simple or Milet fashon'd Herpes roughs the top of the Skin and is quartered only under the Epidermis or Skarfe-skin raising thereupon very smal pupples which have very smal height from the skin like the graines of milet If the pustles are whole cold and dry things must be used if broke cleansers Water of quick-Lime and Sugar of Lead are very good A Decoction of Arse-smart and Resberry leaves in water and Wine c. II. The Eating or devouring Herpes the pustles being broken exulcerates the true Skin spreading it self in depth and breadth and is long in coming forth by little and by little it has dry pustles lasts long and comes unattended by a Feaver Thus it is distinguished from an Vlcerous St. Anthonies fire Stronger Medicaments must be used in these sorts of shingles Chap. 3. Of Tumors springing from Flegm Article I. Of the Tumor cald Oedema OEdema being the only Tumor arising from Flegm is a swelling caused by Flegmatick matter which Nature exples into the parts of the Body The SIGNS are the softness and loosness of the Tumor pain none or very little whiteish color no heat The CAUSE is Flegmatick matter the colder and moister part of the blood which is somtimes expelled by Nature somtimes tends downwards by its own weight and settles in the extream parts It cheifly quarters upon the Hands and feet being Members remote from the Fountain of Heat The CURE is performed 1. By Diet which must not occasion Fleagm and crudities Fish are allowed that swim in stony-bottomd Rivers 2. By Alteration and Digestion where Oxymel and Oxysaccharum are good 3 By Resolving with Discussers but the part ought first to be heated by frictions and fomentations 4. By Suppuration if by pulsation and pain we perceive it tending thereto Whereof see Platerus The Differences are sundry I. One springs from Flegm alone which is more lasting and is for the most part discussed by Resolution that is to say through the pores of the Skin Another comes from it and other Humors mixt therewith which sometimes suppurates especially if it be in an hot part II. One arises of it self which is not dangerous Another sort follows other Diseases as the Consumption cooling of the Liver c. Which is dangerous and threatens death In the Cure regard must be had of the Diseases upon which it depends Chap. 4. Of Tumors proceeding from the Melancholick Humor Article I. Of the Tumor called Scirrhus THe Tumors which arise from the Humor of Melancholick are the Scirrhus and Cancer The Scirrhus is an hard Tumor without pain springing from a Melancholick Humor which is thick clammy and roaping The SIGNS are little or no pain over-great hardness want of feeling when it is pressed The CAUSE is an Humor either Malancholick that is to say the dreggy part of the Blood or the natural Malancholick Excrement or somtimes also Flegmatick which is either thickned by heat dissipating the thinner parts from thence Inflamations St. Anthonies fire c. Follow or it is hardened by an Immoderate Application of repellers astringents and strong Discussives The CURE is None if it have no feeling otherwise some cure may be T is hard by reason of the stubbornness of the matter It is performed
Differences are taken from the Quanrity and color 1. Some are plentiful others few 2. Soâ—â—e smal others great 3. Some are red from putrefaction of temperate blood others Yellow or Green from choler others of a Pomegranâ—â—â— and Black-choler from Melancholy c. Article IV. Of the Hungarian Disease Morbus Hungaricus is a continual feaâ—er malignant and contagious Joâ—nâ—â—l with abundance of evil bumorâ— about the stomaâ—â— and first Passages and with an extream he adach It may be called the Compe or Soldiers-sickness because it had its original in the Soldiers Camps Its Signs are the same with those of malignant Feavers Also great pains in the Head as also hardness aboue the stomach and are renitency to the touch I under the Mucronata Cartilage cavings which cease when the matter turnes to the Ears and causes Deafness many times spotâ— appear as in the spotted Feaver c. The CAUSE is either their Putrefaction and corrouption of Humors in Veâ—â—â— Caâ—â— or Contagion The CURE is hopeful if the matter rend to the Ears If it be Evacuated by 〈◊〉 'T is Performed according to the Nature of the Causes which see in the Differences and has great respect both to the Feaver and the malignity 'T is divided with respect to the Causes One sort comes from Corruption of humors in the Vena Cava which are cumulated by Errors in Diet. For the Hungarian Air is thick a Nights thin and hot a daies The Soldiers neceive in the Vapors which exâ—â—â—e from the ground Their Diet is commonly had and tending of it self to putrefaction c. 'T is known by the Diet foregoing and pain of the stomach 'T is Cured 1. By drawing forth the Humors both by stoole where Agarick is commended and by vomit also by opening a Vein in the Arme or Ankle which must be done the first or second day if some daies are slipped and either the belly be loose or vomiting happen omit it 2. By Dispelling the maliguity by moderate Sudorâ—ficks frequently given where both Antimony Diaphoretick and Treacle are useful given in cooling Waters 3. By Diet suitable to malignant Feavers Those that drink Wine â—â—esure to die for it Another comes by Contagion or Infection in which case Purgeâ—s 〈◊〉 Vomiters must be â—miteed and only the maligniâ—y resisâ—â— Article V. Of the Sweating sickness the â—â—lignant Feaver with Cramping 〈◊〉 that with the Cough and Cataâ—â— The Sâ—â—or Anglicus or sweating-Feaver began in England in the daâ—es of Heneâ—y the seventh vexing the Patients with exâ—â—â—am Head-ach Vnquietness Panting of the heart pâ—â—peâ—ual and plentyful sweats The Câ—â—se is said to be the moist and Venemous Constitution of the Air enemy to the spirits Heart and more subâ—ile part of Humors one peculiar Influx of the stars concurring to the said Corruption T was Cured meerly with Sudorificks viz. Sorrel Water Scabious water Terra Sigillata c. The sweat was â—â—â—â—inâ—ed twenty four 〈◊〉 ours together The Patient was not permitted to sleep 〈◊〉 the sweat was overâ— nor to be uncovered but was in the mean while refreshed with the Juyce of Ciâ—rons Pomegâ—â—ats c. The Malignant Feaver with a Cramp which arose in Germany in the year 1596. Does vex the Patient with sundry Symptomes and the Cramp among the rest Many were suddenly taken some with falling sicknesâ— others with the Apoplexy in some ravings did endure for some daies by reason of the Contagion which in the space of two years after did Glew it self spread abroad c. 'T is Caused as was thought by pesâ—â—lent Ichors or blood-waters and malignant Vapors infesting the Nerves Which were judged to arise from bad diet occasiond by a general Death In the Câ—â—â— the had and Veâ—emouâ— matter was removed and the Nerves being debiliated were made strong again See touching this Disease a discourse of the Phyâ—â—tians of the Vâ—â—â—â—ty of Marpurge and Sennertus Book 4. Chap. â—6 De Febâ—ibâ—s A. Malignant Feaver with a Catarrh and Epidemiâ—â— Cough arose in the year 1980. And about the rising of the Dog star or beginning of the Dog daies it ranged almost al Europe over It took the Patients with a feaverish heat Head-ach and dry Cough pain of the brest and Septum Transversum roughness of the Jaws shortness of breath c. 'T is thought to arise from the moist constitution of the forgoing years and continual blowing of the South â—wind The Feavers Cause might be the Rheumatick matter diffused through the Veins unless hapily the Feaver being the pâ—â—macy Disease I Nature endeavoured to eject part of the Humor she was troubled with that way In the Cure respect was had to the Humor which Fomented the malignity which was expelled and the malignity it self which was encountted with Alexipharmaca and the Reliques of the Humor were altered To the Member affected which was assisted by appropriate Medicaments Title VI. Of Pestilential Feavers A Pestilential Feaver is a continual putrid Feaver which arises cheifly from the Air and Contagion kils most it seazes receives Putrefaction and beat from the destructive and Venemous Nature of the poysonous Seminary and afflicts the Patient with Bubo's and Carbuncles and greater Symptomes than are usual in malignant Feavers Its SIGNS are Symptomes Fewer and milder than are usual in the Plague of which we shal treat in the next Chapter fee more in the Differences The CAUSES are the same with those of the Plague and differ only in respect of the Contagion Vehemence and Magnitude The CURE is hard or easie according to the multitude Paucity Benignity or Vehemence of the Symptomes Regard is therein to be had both of the Pestilential Venom and of the Putrefaction and Feaver which are to be compared one to another T is Performed I. By Sudorificks not very hot especially if the malignity and Putrefaction are more urgent Distilled waters are most efficacious and Volatil salt of Harts-born II. By Blood-letting before the malignity be shed abroad into the whole Mass of Blood other things being considered which are contained in the general Precepts III. By Purgation of the first Passages especially by Clysters especially if bad Humors abounding be the Cause but Antidotes must be given afterwards IV. By Application of Vesicatories to the Thighs Armes the bending of the Arm as the place shal advise to which the matter we would reveal or derive does take its Cause or about which t is cheifly resident This Feaver admits a threefold Division I. One sort comes with the Pestilence another is without the Pestilence II. One sort in which Both Putrefaction and malignant are at the Height Then the Patients are extream weakened and by reason of the Putrefaction divers Symptomes as watching Headâ—ach Unquenchable thirst c. Shew themselves Another in which Putrefaction is high and the malignity remiss Then the Patients are not so much weakened the Heat in the outward parts is answerable to the Putrefaction til the state about which time if the Patient must die the outer parts begin to be luke warm
making an Issue in the Neck if the Distemper be altogether refractory and wil not give place noâ— yield unto the aforesaid Remedies VI. By Corroboration which is effected by appropriat Cephalicks VII By a Diet that is opposite and contrary unto the Cause and the distemper It is divided into that which is from thick Flegm where preparatives have their place as being of singular use neither may blood-letting in this case be safely allowed of and that which ariseth from Flegm that is thin and fluid and which excites and begetts a Catarry and in removing of which sneezing wort and al sorts of Sternutatories and Errhina liquid Mediâ—aments to be puâ— up into the Nostrils that are over strong and violent ought carefully to be avoyded IV. The Sercus or Wheyish distemper oâ— the brain is known by those signs and tokens that are before mentioned It is derived unto the Head either sensibly and by degrees especially together with the Arterial blood it self and likewise the spirits or else al at once by reason of some external more forcible Causes to wit overmuch drinking of wine anger violent exercises c. It is Cured I. By the Evacuation of the serous Humor from the Brain without the premising or use of any preparatives whatsoever This Evacuation is performed 1. By a purgation of the Humor with such Remedies as draw forth water 2. By blood-letting especially if there be present any Feaver although never so gentle and an extraordinary heat which moveth the serous part of the blood unto the Head and in case the accostomed Evacuation be suppressed 3. By the Exhibition of Sudorificks that are over hot as for instance Antimonium Diaphoriticum Bezoarticks the Lunar Fumary c. 4. By the drinking of Diureticks which are likewise very good and profitable to the spleen II. by Correcting the Distemper for which purpose we usually prescribe the powder of a mans bones drying Lotions c. III. by Diet touching which fee and consult the practical Physitians V. The Melancholy distemper of the brain is known by the dotage that accompanyeth it together with fearfulness and sadness a pain especially on the left side turbulent dreams and oftentimes a sudden loss of al motion Is Proceedeth from Causes that generate Melancholy The Cure hereof is easie in its beginning It is Accomplished I. by the reiterated Preparation of the Melancholly Humor after the Purgation of the first waies and passages by the use of those medicaments that both heat and moisten among which the syrup of apples is excellently good II. By the evaccuation of the said humor by purging potions at first such as are genttle but afterward such as are stronger in opperation and here for this purpose Lapis Lazuli is much commended adding thereunto such things as moisten after which there must immedeiatly follow an evacuation by the frequent use of those remedies that we term Errhina and other such like III. by corroberating and strengthening the Brain by the confection Alkermes with other suchlike confections IV By diet iâ— the which vinegar in regaâ—â— that it doth ferment and as it were leaven and sowr the mellancholly humor is principally to be avoided It is divided into that that is Essencially such in which likwise the opening of the cephalick or head vein of the left arme and a copious letting out of the blood if it be black but a more sparing evacuation thereof if pure hath its place and use and into that which ariseth from the suppression ether of the Monthly Courses or of the hemorrhoides in which case revulsion and the opening of the Ankel vein is to be put in practise VI The Atrabiliary distemper of the brain is Known by the want of sleep and extream dobting of the sick party and it arisath from such causes as foment and supply a melancholly Juyce and together with these as it were burning of the same aforesaid Juyce the extraordinary heat of the bowels may do very much The Cure is very difficult in regard that it to far receeds from the Temperament of the Brain It is atchived I. By an often repeated preparation by coolers and moisteners an evacuation of the first Vessels or passages being before premized That compound which we commonly cal Cachund of which hath already bin spoken in the melancholly destemper hath here likwise its place and use II. By a frequent and reiterated evaccuation of the black choler by medicaments such as they term Melanagogues well mingled together with Moisteners as also by those things that peculiarly and properly purge the brain III. By digestion and that by Topicks and sweet water baths if yet the distemper wil not give place nor be removed then let the patient drink the whey of milk together with such things as are specifical remedies against melancholly and of a moystening quality It is divided I. into that which is such in its very sence wheâ—e the opening of the cephalick or the common Basilick vein hath its place and that which is caused by the suppression of the courses or the Hemorrohides of the which sufficiently above II into that which is from the blood burnt or over heated in which distemper the sick party is evermore very apt and propense unto laughter And this is to be cured by letting blood in the same manner as was that that was generated by yellow choler in which a bruitish kind of dotage and fierce anger gets the upper hand and that likewise that had its original from the Melancholly humor in the which pensiveness or sadness and a continued silence or else haply after a while that this silence is broken a tedious extream talkativeness hath the predominance c. Chap. 3. Of the straintness or narrowness of the passages of the Brain THe Straightness of the passages of the Brain then happeneth when the said passages are either obstructed or compressed by their causes Those passages are the pores of the Brain which is of a spungy substance the pores or passages of the stomach the Veins Arteries Nerves and the sutures of the Skul The SIGNS are taken from the diminution or else the utter abolition of the actions of the Brain The Causes are either obstruction from pituitous and flegmy humors blood poured forth out of the vessels grosse and thick Vapours or otherwise Compression and this either from the skul by reason of some violence offered thereunto or else from blood distending the vessels from whence they are affected with a flegmatick distemper or else haply such as is shed forth and fallen into the substance of the body by reason of the a bundance of its thinness or acrimony apituitous or flegmy humor having first obstructed the Basis of the brain and lastly by an hard tumor or swelling The CURE is Various according to the variety of the differences The differences are taken from the many and several causes I. One difference is from Causes External to wit the fumes that arise either from coals beer or
There is here Good hope of a cure if there appear on the fourth day good and promising Signs if pus to wit snot or filth or water flow forth by the nostrils ears or eyes But is somewhat doubtful if there be present with it an acute feaver and that the ut in be white because then the choler is carried upwards and an inflamation is greatly to be feared if the Patient vomit up that which is Eruginous or in color like unto brass and that the Party be over long kept awake and deprived of his rest especially if a deafness accompany it in regard that by reason of the choler that is gotten together they suddenly fal into a violent and vehement madness if they be surprised with a Congelation or taking as we cal it together with a stoppage of the belly a fierce and wild countinance and that the face be extraordinarily red and fiery because then they are suddenly surprised with a crick in the neck that affect which we usually terme opisthotonos if likewise there happen together with it a sound or ringing in the ears without a Feaver if there accompony it a vertigo or giddiness in the head a hoarsness of the voice and a benummedness in the hands for then they sudenly become either appoplectical or Epileptical and Apoplexy and Epilepsie or falling sickness most commonly following thereupon But there is no hope at al or if any very little if where â—â—it was very vehement it suddenly vannish away and conceal it selfe there following no alleviation by the crisis if the extream parts become exceeding cold because that the native heat being drawn back a Phlegmon may easily be excited if it happen to be with an acute feaver and that on the fourth day there appear some pernitious sign or other if a sound person so soon as he is surprised and taken herewith become instantly speechless and snort and yet is not afflicted with any strong feaver wherby probably he might be freed from the aforesaid distemper The Cure if there by any is performed I. By mettigation of the pain either by anodines of river craw-fish beaten wel together with rose vinegar vervain water and the root thereof wel bruised and imposed on the part affected the Allabastrine unguent before mentioned al which ought to be applied unto the suâ—ures and temples or else by narcotick remedies which may only be applied unto the forehead and layd thereon II. It is to be accomplished by removai of the Causes and strengthening the part touching which see further in the differences The Differnces of the Cephalalgy are many and those very various I. One difference hereof is symptomatical of which we here treat Another is Critical which beginneth not to afflict the patient from the first rise of the dâ—stemper but much about the time of the Crisis and then the breathing suddenly becometh short and very difficult the Hypecondria being drawn back the veins are swoln and the arteries beat in the Temples the cheeks wax red and tears flow forth of their accord the patient not being able to withstand it the sick party streacheth his nostrils with his hands and then most commonly there floweth a streaming forth of the blood II. Another is External which seizeth the pericranium is perceived in the very superficies reacheth unto the roots of the eye-lids is exasperated by the compression of the hairs and hands Another internal which becomes easy and moderate upon the very touch especially if it be without any distention and it extendeth it self even unto the roots of the eyes III. Another is from Causes External to wit 1. Ebriety with beer in which the herb Chamaepence is boiled easily and soon causeth And then the matter fluctuating in the stomach is to be cast forth thence by vomit The leaves either of the Colewort or Cabbage throughly moistened in warme water or else the leaves of Rue wel brused together with rose vinegar are to be applied The head is to be al over wet and besprinkled with the spirit of wine and the feet are chafed and rubbed with salt and vinegar 2. By a Contusion stroke wound in which case the cure is to be sought for above in and from their proper places 3. By the heat of the sun the heat of a Bath and of the soucherly winds And then the head is to be delt withal by cooling fomentations c. 4. By the use of other things offensive such as are dates walours chestnuts Filbirds toad-stools hempseed the seeds of Coriander not prepared Frankinsence styrax and Mirh if moderatly taken c. Another is from Internal causes to wit 1. From a distemper without matter which if it be hot the pain is vehement and the head becommeth hot if it â—e cold the pain lasteth so much the longer and the head is cold In this case the little rols or cakes of diamâ—scum dulce and a little bag of heating Cephalicks are very convenient If it be dry the pain is moderate dul and notacute and there went before causes that were extreamly efficating and drying 2. From a distemper with matter which is either from blood and then the paine is more gentle and moderate which cheifly seizeth the fore part of the head and increaseth before the time of repast The Cure is to be sought in its due and proper places Or else it hath its original from yellow choler and then the pain is extreamly pricking and corroding and for the most part fasteneth upon and seizeth the right side of the fore part of the head In the cure those things that are most fit and likely to effect it are Epithenâ—s of Opiat Laudanum with rose water vesicatories applied unto the neck the smelling of rose water with Camphire washing of the head with a decoction of agarick together with the flowers oscamomil scarification of the lips of the ears c. or else it procedeth from flegm and then a pain afflicteth the patient on the right side or the hinder part of the head rather then else where Medicaments good and sucessful against this malady are oxymel with squils the water of the flowers of the elder tree of penyroyal of rosmaâ—y with cristal of nitre the shels of peaches beaten together with verveyn water the oyl of nutmeg pressed or drawn forth the Balsam against the Apoplexy that of yellow amber and the sacculus or little bag of Hartmannus Or else it ariseth from blak choller or melancholly and then the watchings are very extream greivous together with a pain of the left side of the hinder part of the head Let the cuâ—e be sought for in iâ—s proper place 3. from a wind and then the pain wandereth as it were and flyeth up and downe hiâ—her and thither it puffeth out and extendeth the part where it is often returning and running back again at some certain constant hours of the day It is discussed scattered if so be that the temples and the coronal suture be frequently anoynted and
impostums of the Brain abundance of Yellow Choler c. Or else they exalt the same such as are hot and dry temperaments that cause an inordinate motion of the Animal spiritts Or else lastly They impede and hinder the motion of the Animal spirits and such are a less than is requisite conformity of the head and brain the over great thickness of the same c. The CURE respects the several Causes and may be taken and understood by what hath been already above spoken Those medicaments that are appropriated either for the conservation or restoration of the memory are reputed and accounted to be that they term Tinctura lunae taken in the water of lilies of the vally The pouder of Trithemius of which there is sufficiently spoken in the miracles of Mullerus the Anacardine Confection in weight half a dram thereof exhibited and taken with al possible cautions unless haply an hot and dry temperament hinder it Those things that resist and therfore are good against a cold and moist distemper are that water that Practitioners cal Aqua Magnanimitatis Cunradi The lily of the vallys balm frankinsence in weight half a scruple taken with wine Nutmeg c. Toughing which consult the practitioners in Physick Article II. Delirium or dotage A deliry or dotage is a depravation of the Phantasie and the ratiocination Faculty arising from the bringing and presenting of an absurd and inconvenient Phantasme The SIGNES of a delirium beginning are garrulity or talkativeness in a person of few words and so on the contrary fierceness in a quiet and mild person ribaldry and scurilous speech the quick motion of the eyes in regard that they are associated with the brain Arteries veins and nerves a pulse with perturbation in the Hypocondria But the signs of that that is present are speeches and actions that the patient hath been altogether unaccustomed unto and which in themselves are indeed very absurd and incongruous The CAUSE hereof is an absurd Phantasme having its rise and original from a default in the Animal spirits as wel those that are fixed as those that are movable which ought to be pure clear and transparent temperate and regularly and ordinatly movable For if they swerve from those aforesaid requisites there is then an error and mistake communicable unto the Phantasmes about and upon which the Reason is employed and busied and then those Phantasms are represented unto the intellect or understanding otherwise than they ought to be The CURE is different according to the variety of the differences It is divided into a dotage that we cal primary and that which we cal sympathetical I. The Primary is that when the brain is in its one proper substance and essence that is in it selfe affected and this is either with a feaver of which more in the Chapter following or else without a feaver containing under it as wel that wherein Paraphora and Leron that is to say an error of the mind or a dotage and busying of it about toies and trifles proceeding from the imbycillity of the principal faculty by reason of an immoderate flux of blood or else by reason of long continued watchings as that we term downright folly in the which the principal faculties are not only impared and diminished but likewise extreamly depraved and corrupted II. That which is sympathetical when the Cause is communicated from other parts It is disposed and divided into that which is without a feaver which comprehendeth under it temulency or a kind of drunkeness and distemper brought upon the spirits either by wine or beer or else from hemp darnel henbain the dry sticks of that they cal Levanthe the rinds of mandragoras opium and the like Those things that preserve are the smal strings of wormwood and Rew eaten upon an empty stomach the cabbage or colewort and a morsel of bread eaten after a draught as aforesaid those things that accomplish the cure are vomits and the use of things Acid and sharp c. and into that that is with a feaver which often hapeneth in acute feavers and not otherwise And then the feaver is at hand and presently appeareth if it shew it selfe in the very begining without any apparent signs of concoction it introduceth a Phrensie which is quallified in great part removed by sleep but if it happen to be with concoction and other hopeful signs and tokens then it is Critical and decretory It is cured 1. By revulsion by the opening of a vein in the feet and other such like remedies 2. by tempering and allaying the extraordinary heat of the blood in the head by topical or local medicaments 3. By the application of hypnoticks or medicaments caussing sleep 4. both by the evacuation of the matter which hath already seized the head and this is to be done by openining either the forehead or the tongue vein and likwise by the discussion of the said matter by applying unto the head pidgons dissected and cut in midst and withal the decoction of Camomile c. Or else it happeneth in an inflamation of the parts and especially the diaphragme And then the breathing is unequal the Hypocondria are violently drawn back more inwardly there is likewise Joyned therewith a deliry or dotage together with a Cough and a pain of the side The Cure ought to proceed according to the Nature and condition of the part affected Article III. Of a Phrensie A Phrensie is a perpetual and Continual deliry or dotage arising from the Inflamation of the Membranes of the brain and afflicting the Patient with a continued Feaver The SIGNS are a perpetual doting a continual Feaver incessant watchings and short and frequent drawing of the breathe The CAUSE is an inflamation of the Membranes of the Brain of the which we have already above treated in this very Book The CURE ought to be ordained according to the Disease the Nature of the watchings and the suppression of the Urine In this distemper Venesection or blood-letting is one especial if not the only Remedy But then a plentiful measure or as we say good store of blood is somtimes to be drawn forth at the Nostrils by putting up a Feather made into the fashion of a Star even unto the very Root of them and forcibly turned about therein But touching what we are now upon more may be seen in what hath been already delivered concerning the Inflamation of the brain Neither must we forget by reason of those aforesaid watchings together with repellers to mingle Hypnoticks that cause rest or else they ought to be administred severally and by themselves alone as we see good Three grains of Opiat Laudanum cautelously administred in a convenient liquor least the Phrensie should by any means degenerate into that Disease we cal Veternus that is the Lethargy or drousie distemper are very much commended This said mutation or change is wont to happen either of its own accord or else because the sick persons neglect cannot endure to reply unto
which the breathing is as to the sense altogether abolished Chap. 8. Of the Symptomes of the Excrements of the Head A Single Article Of a Catarrh The Symptom of those things that are sent forth from the Brain by way of Excrement is a Catarth which is nothing else but a Defluxion or flowing down of some Excrementitious Humor generated by reason of the Concoction of the Brain its being hurt from the Head upon the parts that are situate underneath it proceeding from distemper therein or else from an over abundant Repletion irritating and stirring up the Expulsive Faculty The SIGNES are of that imminent and neer approching a sensible weight heaviness in the head dimness of the eyes a sluggishness and drousiness of the senses sternutation or sneesing c. The Signs of a Catarrh present and in being asensible feeling of a distilling humor a cough frequent sneezing c. The CAUSE is a Phlegmatick humor which is somtimes altogether insiped and tastless sometimes sharp salt acid or tart discolored it is somtimes corrupt and peccant in its substance which 1. is generated either in the brain by reason of its concoction hurt or else by some fault of the very brain it selfe or else by reason of something amisse in the aliment or from some other place and sent thither especially in those that have either their brain cold but their stomach and their Liver hot or otherwise these cold and their brain hot 2. it is moved either by the expulsive faculty irritated and excited or else from causes introducing heat that attenuate and make thin the humors and withal open the passages or else from Causes producing coldness which either expel forth those humors that are in the brain or else at least melteth and dissolveth them by the fuliginous and sooty quality that is reteyned and likewise the heat therein augmented or else from Causes Concussune as we may terme them which over vehemently move and shake the brain 3. It floweth downward in regard of the terme or place from whence it descendeth or else from the parts that lye underneath the Scalp of the brain it selfe or else from those parts of the head that ly without the skul especially under the skin of the Crowne of the head where the extream parts or ends of the veins by the face and the Temples creeping up as it were into the head are terminated in regard of the terme or place to which they flow it is either unto the internal parts the lunges the nostrils the stomach c. or else unto the parts external and that not alone between the skin and the flesh but likewise throughout the veins and arteries and also the Continuity of the muscles veins and nerves The CURE is the more Difficult if the Catarrhs be more frequent than ordinary and withal more greivious if they rush down with a kind of impetuousness and violence if they invade ancient people if they are joyned and meet together with a pain of the head It bath an eye and regard 1. Unto the matter generated which is forthwith to be evaccuated and in the next place we must indevour to prevent the further growth and breeding thereof and to this end the disposition of the part that supplieth and fomenteth it is to be corrected 2. It respecteth the matter as it is now flowing which is to be drawn back intercepted and the part receiving it to be corroberated and strengthened See more herof in the differences A Catarrh is especially divided in a three fold manner I. One is from a humor both cold and moist and this 1. either copious and rushing downward with a greater violence and then venesection in the external vein of the elbow is to be administred lest that from the rest of the Body the humors should flow hitherunto or else but very little neither rushing down with any force at al and then in this case especially in old age we ought to abstain from venesection 2. or else from a humor thin and waterish and then it ought to be prepared moderately by those remedies that incrassat or thicken as for instance the decoction of frankinsense of Mastick of Betony and of Nutmeg we must then purge but with medicaments of the gentler sort that so the peccant matter may not be too much stirred and so dispersed throughout the body and such remedies are as followeth to wit Manna and Mechoacan we ought in the next place to make use of particular evaccuations by Errhines if the Mother flow into the Brest and stomach but by gargarisms and Apophlegmatismes if it flow unto the eyes and nostrills and then al things being so disposed that they may fix and inpede the impetuousness of the Catarrh the said catarrh is then to be dryed up and the head to be strengthened with the little roles of the flower of sulfur yellow Amber pulverized tyed up in a smal bag made warm in the spirit of malmsey besprinkled with some drops of the oyl of Amber and so applied unto the crown of the head the nostrils and the Temples having been first of al wel anoynted therewith with the decoction of the China root Sassafras c. or otherwise from a humor that is thick and then it is to be prepared with such medicaments as warme and attenuate viz. the decoction of Hisop Rew Oximel Simple Oxymel scillitick or with squils we must then purge with Agarick and the extract of the Cochy pils Then we ought to evacuate particularly where among the Errhines we prescribe the Seed of Roman Nightshade pulverized and together with the water of Marjoram snuffed up into the Nostrils out of the hollow of the hand Then the Head is to be fortyfied and strengthened for which purpose we commend the water of wild betony distilled with Wine of Hartman as likewise the Medicate wine of the same Another is from a hot humor which is 1. to be removed and taken away by Venesection or Cupping-glasses lest that the Head being so hot there should be more of the Humor attracted 2. It is to be Prepared with cooling Cephalicks and such as are moderately astringent 3. It is to be Evacuated with Rhubard c. 4. The Fourth proceeding in the Cure ought to be as is before declared II. Another is that that rusheth with force and Violence which besides the diversions and those other Remedies already spoken of requireth also Interception by Medicaments that stop the flux and incrassate or thicken the thin Humor and these to be administred after Supper about bed-time without any waiting for or expecting a concoction thereof and such are Treacle new made Bole Armoniack red and light the bones of a mans Skul burned Opiate Laudanum Pills of the herb Cynogloss or hounds Tongue Pills Asajereth the Arabick Pills Wierus his pills Pils formed and made of Styrax Calamite the Juyce of Liquorice Frankincense Myrrh Opium of each halt a dram Saffron one scruple with as much of Poppy and Rheubard as
at ful of the moon it groweth exceedingly and about the change or new moon it becomes altogether as flaggy and smal in appearance c. It hath its Rise from viscous and Clamy humors and cheifly from flegm mingled with the blood which falling down from out of the brain unto the exulcerated nostrils sticks fast in the Ulcers The Cure is by al means to be hastened lest that it turn into the Cancer It is accomplished either by Chirurgery or by cutting it off of which see further in the Practical Authors Or else by Pharmacheutickâ— or medicinal remedies and among them universal and general medicaments being first premised about the new of the moon therâ— are to be administred either the oyl of vitriol uncorrected dropt into wooll and after the flesh shal have been scarrified so applied unto the part affected or else tents of the Gentian Root by the prescript of Hartman or Joel his liniments It is divided after a twofold manner I. One is soft and white which being void of al pain is the more easily and the sooner cured Another inclining somwhat unto a Reddish color which is more difficult in the curing Another Livid or black and blewish which refuseth by any means to be cured and soon degenerateth into a cancer In this affect there are commended the yolks of new laid eggs beaten together in a leaden morteâ— even unto a blackness and then made up into the form of an unguent with one scruple of Camphire Another hard in which Emollients in the form of a fomentation ought to be premized II. Another is profound and deep which in regard that it is neerer unto the brain is therefore withal the more dangerous Another such as is to be discerned by the eyes and hath its existence and being somewhat more outwardly Chap. 2. Of the Hemorrhage or Bleeding of the Nostrils THe Hemorrhage is an immoderate excresion and in the whole kind thereof besides and above the course of nature of the blood by the veins of the nose the said veins being divided rarefied or opened The thing we are now treating of is to be understood of that homorrhage that is Symptomatical and not of that which is meerly Critical which is caused in Feavers by the strength and vigor of nature with signs foregoing of concoction and a Crisis on that day the Judgment is to be made and which dischargeth and terminateth the disease The SIGNES of this Affect are of themselves sufficiently manifest It is foreknown by that Anarropia as they term it or tending upwards of the humors unto the superior parts the which is signified by the pain of the head and neck the heaviness of the temples the dimness of the Eyes the extension or stretching forth of the Hypochondrium involuntary tears difficulty of breathing c. The CAUSES are whatsoever it be that can open divide or rarefie the veins of the nose of al which we shal make mention in the differences The CURE is difficult if it be so immoderate and immeasurable that in cholerick bodies the Choller inflaming and burning the blood the face becometh of a Citron or oringe color in Flegmatik bodies the flegm being multiplied of a leaden color and in melancholly bodyes of a black and duskish color and if it flow forth to the quantity of four pints therof if it befal such as are Phlegmatick and melancholly in regard that they are more cold thereby than are the sanguine or Chollerick if it affect those that are of an high and red color with a certain kind of pain in the head if it doth not terminate and put an end to that disease wherein it happeneth and that a chilness and stifness follow thereupon because that the body being exhausted of spirits is extreamly cooled and chilled and by this means breedeth diseases that last and continue a long while It is not at al to be attempted in those persons that in a burning Feaver are afflicted with pains in the head together with aches in the neck and the whole body and where there is present a weakness with a kind of trembling in regard that this putteth an end unto the disease in those whose monthly Courses fail them in those that are afflicted either with deafness or the distorsion of the back bone and a difficulty of breathing or else with a strong pain in the inferior parts al other things being thereunto answerable and correspondent It is very doubtful if in the affects of the Liver it flow from out of the left nostril and in the affects of the spleen out of the right nostril and especially if it be accompanied with a sweating of the Breast or head if it happen to those that are Feaverish and that thereupon when they begin to Recover the belly is humectated and becommeth overmuch moystned in regard that the nattural innate heat being debilitated a dropsie is very likely to follow thereupon if it happen to be attended with weake faint and as we cal them cold sweaâ—s and therewithal a kind of chilness because that hereby is signified and shown an extream and overgreat dissollution and subversion of the Spirits if in an accute disease it hath together with it joyned a quick and suden motion of the eyes a turbulent and troubelsom sleep frequent watchings or want of duesleep it in acute and burning Feavers on the fourth day there issue forth drop by drop a thick gross and black blood together with other Sympcoms because this argueth evidenceth the imbicility or weakness of nature and lastly if such a bleeding chance to be in diseases of long continuance It is wrought and accomplished I. By Revulsion by opening of the median vein provided that the said venesection be moderate and as often as there shal be cause Repeated on that side the nostril is of out of which the said blood floweth as also by cupping-gasses applied unto the hypochondria if the blood be not naught by Frictions c. II. By those Medicaments that stanch and stop the Hemorrhage or bleeding flux and those either such as are Cooling or astringent and binding or of an agglutinating Nature or else lastly such as act and operate by a secret and occult quallity and theâ—e aforesaid medicaments either to be outwardly applied or else drunk in and taken down inwardly In the number of those Remedies that are internal and to be taken into the body the cheif that we know of are beleeved to be these Sperniolae compositum or the composition of frogs mentioned and prescribed by Crollius three or foure grains hereof to be administred in the water of the herb shepards pouch Crocus Martis with the Juyce of Quinces and some few grains of Opiate Laudanum the Syrup of Coralls of Quercetan in a Chalybeat water the Extract of Crocus Martis three grains therof with plantane water the sperm or seed of frogs collected in the spring time dryed and then drunk with wine Among the External Remedies the unguent of Quercetane
interception of the said humor and for this purpose serveth wel the Emplaster of mastick Gum elemy and Taccamabaka throughly warmed and so applyed to the temples IV. By discussion with the playster of Melilote and other the like V. By the Application of such remedies as act and operate by their own specifical property among which the cheif are the tooth of a dead dog burnt in the furnace mingled with posset drink and so imposed the root of the sharp and sowr sorrel taken up in the spring before it blossom and bud forth wel dryed and so applied unto the pained tooth That we term senect a serpentis boyled in wine or vinegar Gum Hedera put into the teeth VI. By extraction and drawing it forth which wil be much facillitated if the tooth be first touched with the distilled water of Sal Armoniack take notice of this let the Cause be what it wil Take the Fern root and Cinquefoyl of each three drams Bistort two drams the leaves of Rew of Sage of Betony the Flowers of Roses of each half a handful boyl al these in a sufficient quantity of red wine that is most astringent and as much common water as you think fit until a third part be wasted for a Collution to wash the mouth withal The differences are taken from the original place and quality of the Humors I. For their rise and original they somtims flow together from the highest part or crown of the head and then the Revulsion ought to be by the Cephalick vein and likewise those things that we hinted before touching repellers are heedfully to be observed Somtimes they arise from the inferior parts and then the revulsion ought to be made by the Basilick vein II. For the place sometimes they stick and abide in the tooth and then the pain is not altogether so deep but is extended according to the latitude of the tooth For the most part it conteyneth within it a worm by the motion whereof the pain is exasperated Somtimes in the little nerve tending toward and into the roots of the tooth and the nervous membrain thereof and then the pain is the more vehement It extendeth it self in breadth al along the Gums and reacheth even unto the Ear the tooth being taken forth it is much eased in regard that by reason the way is opened the pain may the better be dispersed and blown abroad Somtimes it seateth it self in the very Jaw-bones themselves and then it floweth into the upper Jaw-bone along by the greater Angle of the Eye and into the lower by the Temple Veins We cannot attempt the Cure by Repellers without apparent danger in regard that the matter being brought unto the Jaws inevitably suffocateth and choaketh III. For the Qualities some are hot Serous or Wheysish Salt and Sharp which excite a most violent and intolerable pain but hot withal such as soon hath an end by Reason of the sudden changes It is very rare that they have adjoyned to them as a Concomitant the swelling of the Cheek They are removed and taken away by Repellers among which are Roots of the sour Sorrel boyled in hard and austere Wine and together with Wine held in the Mouth as long as need requireth the Roots of the Wild sloes the outward Rind being taken away and this indeed is one of the cheif Remedies al things else corresponding and answerable thereto Others are Cold and Flegmatick from the which that pain that proceedeth is indeed more remiss and gentle than the former but then it is of longer continuance these most commonly produce a swelling of the Cheeks This pain is to be taken away after that Universal and general Remedies have been made use of with Camphire half a scruple Spirit of Wine two ounces or of the Juniper Gum half an ounce boyled together with eight ounces of Rhenish Wine and for a while kept in the Mouth Or lastly of the Distilled Oyl of Cloves two drops thereof with a smal proportion of Camphire put upon the Tooth being first wrapt up in Cotton Article II. Of Stupor Stridor and Nigredo in the Teeth THe Stupor or if we may so term it the astonishment of the Teeth is Caused I. Somtimes from the Sowrness either of meats or of the Humors or else of the fumes and vapors which frequently befalleth those that are Hypochondriacal II. Somtimes from the imagination at the Noise that is made in filing of hard mettals or the Mastication and Chewing of sharp sowr fruits by one standing neer If the sound be very acute piercing and making a loud crashing then the imagination suffereth a kind of violence the Application of the said noise being made within an extream narrow compass and then next of al the Membrane of the sense of hearing being likewise as it were smitten is offended and thereupon is immediately contracted and together with it certain little Nerves also even unto the Root of the Teeth into which place a new Air suddently falling in and getting entrance causeth a certain kind of horrour about the Teeth It is Cured and taken away by Chewing of Wax hot bread Cloth c. The Stridor Grinding or Crashing noise of the Teeth proceedeth I. From the imbecillity of the Jaw-bone Muscles produced and caused by cold II. From Worms the brain being affected by Consent III. From the multitude of Vapors is in the beginnings of Paroxysmes It is wont to threaten the Apoplexy and likewise in Feavers the Deliry or Dotage in such especially as are not accustomed thereunto in case this doting went not before the Feaver III. Nigredo or blackness proceedeth from divers Causes as wel External as Internal And these external are a Carelessness and neglect in Rubbing and Cleansing them the use of sweet and hot things and the anoynting of the upper parts with Quick-Silver or as they commonly cal it Hydrarge These latter to wit the internal are 1. The Exspiration or breathing forth of Crudities by reason of surcharging the Stomach with meats or Drink 2. A fault of the Humors by reason of the impurity of the Bowels and cheifly of the Spleen left remayning behind after a Quartane Feaver It is taken away by the Dentifrice Compounded of Marsh-Mallow Roots and of the Illirian Flower-de-luce Boyled in Water with Salgem and Alum of each alike and as much as wil suffice and after that throughly dryed in a Furnace beaten together into a very smal powder and mingled wel together with some few grains of Musk. There are other dentifrices that are formed and made of the Jaw-bones of the Lucefish or Pike burned White Coral and Date Stones burned the Bones of the Sepia or Cuttle fish and Egg-shels burnt Harts horn burnt c. Title XII Of the Affects of the Gums THe principal Affects of the Gums are an Excrescence and a Purulis I. The Excrescence is somtimes so great by reason of the Spungy rarity and loosness of the Gums and the abundant afflux of Blood that the Teeth and
the body be Plethorical if it be not directly on the side affected 2. That if the courses or the Hemorrhoids be suddenly suppressed then the evacuation is in the first place to be out of the ancle vein or that of the Ham but if the suppression hath been of long continuance out of the arm vein 3. That in derivation the blood is to be drawn forth so long as until the color of it be changed 4. That fomentations may be administred to moderate the pain in a body that is not Plethorical yea even before Phlebotomy but not so when the Body of the patient is Plethorical And for this end and purpose excellent good is the Unguent made of dialthea or of Marshmallows one ounce thereof and half an ounce of the oyl of sweet Almonds with the pained parts ought to be al over anointed and upon it the fine small pouder of Camomile flowers is to be lightly strewed and then the leaf of a Colwort or Cabbage anoynted with Butter or hogs fat is to be laid upon it very hot and this is to be continually done dureing the whol time of the cure adding likewise a little of the distilled oyl of dil Champhyre 5. That forthwith in the very first beginning a sweat may very fitly and properly be raysed and excited by exhibiting either of the water of the Poppy Roses three ounces there of with one dram of the pouder of Corral red Filberds the Jaws of the Luce-fish or Pike or else of the simple Mixture one dram with the water of Carduus Mariae or of the Spirit of Nitre with the spirit of Wine of each one scruple the spirit of Tarttar half a scruple in the water of Poppy Roses or else the simple water thereof c. 6. That pectoral decoctions together with their appropriates are continually to be administred after the premizing of universals that so the spitting may be facillitated 7. That these following have in them a Specifical propriety of operation to wit the flower of the wild poppy of the dry dock and of the white Eglentine or sweet Brier the seed of Carduus Muriae the Bulls pizzle or the pizzle of the Hart or Stagg the shavings of the Boars tooth c. see Petraeus Al which are to be made into a very fine pouder and then to be put upon bread that hath been wel dipt in Scabious water 8. That the impostume may best be broken with a Cataplasm of the herb kaly the roots of the White lily while they are new and fresh c. applied unto the side that is payned 9. That after al those aforesaid Chalybeated milk unless a Feaver hinder it is the best I. One is as we may term it Legitimate and exquisite unto the which only whatever was sayd before as to this poynt is to be referred and understood thereof which I. ariseth either from blood that is pure in which there is a bloody spittle an extension of the veins about the Temples and the forehead with a sence of heaviness neer about the hollow of the Eyes the fore parts of the head or else from a blood that is Cholerick in which the spittle is yellow and which if it suddenly vanish without any apparent cause the sick person is immediately surprised with dotage It is best and soonest of al cured by opening the salvatella vein or thirdly from a Phlegmatick blood in which the spittle is frothy more slow and as it were sweet the syrup of Zacutus in the Eight Book Chap. 3. of his History is very efficacious in this kind or else lastly from a Melancholy blood which very rarely happeneth by way of afflux II. It affecteth either the interior tunicle and then the sick person doth with the more ease lie and rest upon the grieved side in regard that now the tumor is not immediately under it neither doth it in this case distend the grieved part or else the Exterior about the bones and then the case is quite contrary unto the former or otherwise both of them and then the patient lying upon the back is the freer from pain III. It affecteth either the right or the left side or the superior part extending it self to the throat or else the inferior reaching even unto the Hypochondria II. Another is bastard and spurious which is distinguished according to the quality of the matter and the manner of its situation One is from Windiness in which the pain is not fixed but runneth from place to place it is mitigated and oftentimes wholly dispelled by fomentations there went before causes generating windiness the pouder of Cummin sprinkled and strewed upon a Cabbage leafe anointed or spread over with butter and outwardly applied unto the pained part is very successful in giving ease Another from a distilation which hath with it a sence and feeling of a defluxion or something at certain times falling down it is exasperated by being touched neither doth it any whit yield unto fomentations the cure is to proceed according to that of a thin catarth Another is externally when the blood thorow the branches from the Axillar is ramus is emptied forth into the External Muscles of the Thorax and then the pain waxeth very intolerable upon the pressure thereof lying down upon the grieved side is extreamly troublesome there is in this case nothing cast forth by spitting and the transition or passing over of it into that which above we termed Vera or the true and exquisite Pluresy is very facile and easy Chap. 3. Of Empyema EMpyema is the Constipation of the Cavity of the Thorax or Breast from an abundant purulent matter causing and producing a difficulty of breathing with a Cough and a purulent or rotten spitting The Subject is the Cavity and capacity of the Thorax being that void space betwixt the Thorax and the Lungs albeit the Lungs themselves and the vessells thereof may not here be altogether excluded But now indeed because that the Lungs by the Mediastine is divided into two parts the Pus is collected either in the one or the other part or else in both of them together The Signs are a difficulty of breathing with a spitting and a perpetual purulent Coughing a sense and feeling of a heavy and dul pain in the bottom of the Thorax and especially neer about the diaphragm a redness of the Cheeks and that chiefly about three or four hours after meals c. The Cause is that very purulent filth it self filling up the Thorax the abundance whereof together with its stinking smell and acrimony inflicteth very sad and grievous pain and mischief There is some hope of a cure if upon the opening or burning there flow forth a white Pus or corruption if it be rather on the right side than the left and that the Patient be strong and able No hopes if the whole Thorax be lifted up in the breathing if the whol cavity be possessed if the left side if upon the lancing or burning of it that
Breath proceeding from the pertinacious either obstruction or Compression of the Lappets of the Lungs The SIGNS of the beginning hereof are the heaviness of the Breast difficult breathing in running or going up a steep place hoarsness a Cough and a windiness in the Praecordia c. The Signs of one present are already expressed in the Definition There is present now and then a Feaver as also a certain ratling noise or Wheezing in regard that somtimes the matter sticketh fast in the foldings of the Rough Artery which when it is expelled by the breath there is the aforesaid sound and noyse excited and somtimes without them in the smooth Arteries The drawing in of the Breath is here more difficult than the exspiration or Putting it forth For whenas in taking in the breath neither the Lungs by Reason of the store of matter nor the Thorax by Reason of the imbecillity of its motion can easily be moved Nature interposing endeavoreth as it were by rest and quietness to cherish and repair the weakned and dejected powers but in Exspiration or breathing forth the Organs and instruments of that work fal down and so give way of their own accord The CAUSE is the Obstruction and compression as wel of the Rough Arteries as of the Smooth of which we have spoken above and from what causes it proceedeth we shal declare in that which followeth The CURE hath respect unto the Causes and it is somthing Difficult if the sick persons be aged There is but smal Hopes if the sick person be thereby rendered Gibbous and caused to go stooping with the back bunching out because that in these the Lungs growing and the Spina not growing nor increasing in the streightness of the Breast the heat is stifled and smothered if it be with an acute Feaver in regard that the Cause of the Asthma being dryed up by the Feaverish heat is thereby rendered and made the more unfit and unable to eject and cast forth that which offendeth upon the ceasing of the Cough the difficulty of breathing stil remaineth if the strength be much weakened because then they soon fal into the Syncope or swooning fits The Diffecences are taken partly from Causes obstructing and compressing and partly from the accessions and other the like Causes I. One is from a Viscid or Clammy Humor stuffing up the Lappets which may be known by this that the breathing forth is Difficult and with a sound as it were and a noise together with a Wheezing Cough It is Cured 1. By opening the Basilick Vein if nothing hinder 2. By cutting and dividing the matter by those Medicaments that moderately cut and divide and that have in them humidity to moysten but these ought to be often changed lest that other wise Nature should be too much accustomed thereunto For the purpose aforesaid there is commended the Oyl of Angelica the Syrup of Nicotiana or Tobacco and that Syrup of Theodatus in his Pantheon Hygiasticon the Decoction of Joel of Zedoary Gum Ammoniack the Flower of Brimstone and Saffron the Oyl of Sugar of Grulinguis and Petraeus in his Nosology the Secret of Frytagius in his Aurora Medicorum Oxymel Scillitick with the Syrup of Violets c. 3. By Evacuation with the Asthmatick powder of Rulandus 4. By Exsiccation with Guajacum Sassafras c. The Humor is divided into that that is Collected in the Lungs and the sick person by degrees beginneth to breath with difficulty and much ado and this difficulty is continual and into that which floweth unto it from elsewhere and then it is not wholly continual the Exacerbations thereof are manifest And here all those things that have in them a purging quality are to be shunned and avoided because they are not without danger II. One is from a serous and Wheyish Humor waxing hot in the greater branches of the Vena Cava and rushing altogether and violently through the right ventricle of the Heart into the Lungs and pressing down the Arterie and this is most frequent It proceedeth cheifly from the Liver and hence it is that the Feet of the Asthmatical person do swel by reason of the weakness of the said Liver the humors in the first place rushing unto the Lungs by their falling to the Kidneys excite and Cause a difficulty stoppage of the Urine Ructures or sour belchings and windiness in the Praecordia are accounted to be in the number and among the signs thereof III. Another is from a little Crude or raw Swelling that we term Grando and smal stones and Gravel touching which we have treated above in the streightness of the Lungs IV. One is more light gentle and moderate with a snorting Noise and a violent Cough the Diaphragm and the Intercostal Muscles yea likewise the Muscles of the Abdomen affording the assistance herein Another there is more grievous we cal it Orthopnaea in the which the breathing is very little thick and exceeding swift which is not performed but with the breast and Neck straitly erected the Superior Muscles of the Breast and the shoulders likewise contributing their help and assistance V. One is Not Periodical and that observeth not its Paroxysms Another is Periodical when the Humor either of its own proper Nature extendeth it self and seeketh for more space and room or otherwise is driven and chased up and down by External Causes if it be there collected or else at the certain and wonted time it floweth hither from some other place Those excerbations are wont to be cheifly in the Winter or in Autumn because the matter is Flegmatick and in the Night-time because it is then moved according to the Motion of the Moon and this usually every fourth day This may be greatly Remedied other things not omitted or neglected either with a Scruple of Saffron in Malmsie and given hot or with Brumerus his smal Potion made of a dram of Ammoniacum Hyssop water four ounces and two ounces of Rhenish Wine Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Chap. 3. Of the Cough THe Cough is a vehement thick and loud Efflation or Blowing forth of great store of breath together and at once that was first attracted and drawn in by the Lungs Caused by the swift Contraction of the Lungs and the Thorax that so what ever is burthensom and Grievous unto the Organs of breathing may be expelled and shaken forth In a Symptom so evident there need no SIGNS at al. The CAUSE is whatever may affect the Lungs the Rough Artery and that Membrane wherewith is is encompassed and as it were swathed about within whether this be somthing External or else a Humor or a Vapor c. The CURE either respecteth the Cause from whence it ariseth or the Cough it self if it be vehement which is either mitigated by Lenifiers or Anodynes or else is wholly taken away by those
from a humor which is known by this that its invasion is not altogether so sudden and unexpected and that it continueth longer And this is I. Either waterish having its residence in the Pericardium which is not known but with much difficulty albeit the malady be continual and that the sick persons complain of the suffocation of the Heart It is taken away by discussives as wel such as are internal as Treacle Confection of alchermes the Species of diambra as those that are External namely hot Bread besprinkled with a cordial water and applied to the region of the heart Neither vesicatories nor venesection are here to be made use of Or else it is sent from some other parts and by its weight either burtheneth too much the veins Arteries and the ventricles of the heart so that it is thereby deprived of the freedum of its motion as it hapeneth in wounds great fear and terror c. or else by its quallity it infesteth the same which is especially wont to be done by Choler a dust and terrefied by excessive heat and then there wil be need of evacuations and revulsions For the Cauteryes if we make use of any there are no cantharides to be therewithal mingled or put thereinto Treacle outwardly applied if the matter be cold is here commended 2. Or else it is not malignant and of this what hath already been spoken ought to be understood or else it is Malignant and poysonous and then there is great variety in the Pulse which chanceth especially in regard of the greatness and smalness thereof c. III. One is from a Tumor which if it be hot the inflamation in the Body wil be so much the greater and the breathing wil be difficult if the swelling be hard and in the Pericardium the motion is then continnual and the sick person wasteth and weareth away by degrees and without any manifest Cause The Cure is to be proceeded in according to that of a Tumor IV. From Worms which are discovered by the Convulsion for the whole and entire cure hereof see in Hartman The Bezoar stone is here of excellent use V. From the defect of Spirits which is known by the foregoing of dissipating Causes It is Cured by those things that Cheer and Comfort as odoriferous wine c. VI. From a hot Distemper touching which the second Book is to be Consulted Chap. 2. Of Fainting or Swouning FAinting or Swooning is a sudden and Precipitate fayling of al the Spirits and especially of the vital powers and strength with a pulse much weakened and almost totally abolished as likewise with a cold sweat arising from an extraordinary great weakness of the Heart through the fault and defect of the vital spirits of which those that remain retire also from the External parts of the Body unto the Centre to wit the Heart According to the diversity of the degrees of this sad affect so are the names thereof various and different Ecclusis is a smal and light fainting Lepothimia and Leipopsychia is that which is somwhat more greivious and Syncope is the most sad and greivious of them al which last if it proceed so far that the pulse or beating is abolished in the whole Body it is then termed Asphyxia the reason whereof shal be declared in its definition The Signs and that first of the affect not yet present but very neer approaching are especially in persons unaccustomed thereto an Anxiety that neither was nor indeed could be foreseen a vertigo or swimming in the head a representation as it were of strange and various Colors an often reiterated change and alteration of the Pulse The Signs of the Affect present are a suden fal and failing of al the Powers of the Body a Pulse most weak and obscure and so it is distinguished from the Apoplexy the strangling of the womb the Chilness and Coldness of the whole Body but more especially of the extream parts a cold sweat and therefore termed syncoptick breaking forth and chiefly in the temples neck and Thorax which if it be with an abolition of the Pulse it is then to be accounted a sign Pathognomick The CAUSE is a sudden fayling of the vital spirits whithout which neither the heart nor indeed any other part of the body can perform its actions but as touching this we shal speak more fully in the differences There is some hope of a Cure if it be only from the single or simple distemper of the heart if it proceed from evident and apparent Causes and if it be by Consent There is no hope if the patient fal often into these fainting fits and that without any manifest cause if it befal a weak body if the sick person be not raised out of these fits after the sprinkeling of Rose water upon his face and the drinking of wine nor yet even after sneezing wort hath been administred if the heart primaryly lie and labor under this affect and lastly if it affect those that are Feverish and by reafon of the great store of humors with an inflamation of the stomach and the Liver The Cure hath respect 1. Unto the paroxysme in the which the Spirits are to be refreshed and cheered with the vinegar of the flowers of tunica a kind of Gilly-flowers the vinegar of Rue and of the Elder Tree the balsam of white Ambor and likewise by putting to the nostrils wine Rosewater Cinnamon water and carbuncle water c. When the disease is hot then cooling Medicaments but if the Affect be Cold then those Remedies that heat and warm are to be administred and unto women those things that afford the most strong and stinking savour Unto the Region of the Heart Epithems and inunctions of treacle Mithridate and the oyl of Citron are to be applied Wine that is old and odoriferous is here most efficacious II. It respecteth the intermission touching which more shal be sayd now we are come in the next place to speak of the differences The Differences are taken from those Causes that produce a defect of the Spirits I. One is that Spirits are not generated either by reason of a defect of Matter to wit the blood overmuch evacuated and the Air corrupted or else by reason of some defalt in the faculty as wel in regard of the more noted and considerable diseases of the Heart whether they be from its distemper or whether they be instrumental as in regard of the Arfects of the Brain and the Liver yea likewise of the stomach and the womb and of al these there ought to be a special and due regard had in the cure II. Another is from the Dissipation of those spirits that are generated and bred which is caused 1. by those insensible evacuations that are either habitual or else happen from the over great rarity and thinness of the skin and in this case we must have recourse unto perfumes and sweet smelling medicaments and to those kind of meats that afford a good and wholsom
cerote of one part of pure Ladanum with too parts of wax applied an hour before dinner is good 3. By a contrary diet Article IV. Of the tumors of the stomach A tumor of the stomach is when the same is elevated into a bulke or magnitude greater than is due It contains under it three things I. Inflamation which is known both from the general signs and also from the vehement pain heat thirst a most burning feaver vomiting or often going to stool unless when the orifice or pylorus is possest to these are added the symptoms of the principal faculties if the brain be drawn into consent It ariseth from blood preternaturally poured forth by the veins derived from the porta whether it be pure or mixt whether sent thither or attracted T is cured after the manner of other inflamations where observe 1. that emptying by vomiting or stool is not convenient unless where there is an eruption of matter collected 2. Bleeding is rather to be repeated than to take much blood at once 3. Amongst external repellers sugar of saturne with plantaâ—â— or nightshade water adding a little of wormwood or mint is commended internal things ought to be administred with a moderate actual coldness 4. resolvers which ought to be gentle and Emollient must be corrected with astringents by reason of the excellency of the part 5. If suppuration cannot be prevented the heat must be cherisht with things moderately hot moist and clammy both inwardly and outwardly 6. The imposthumation may excellently wel be broken either with the juice of Scabious alone or mixt with honey 'T is divided according to the parts of the stomach One is of the whol stomach in which what posture soever the sick lyeth down in he is ful of pain Another is of part of the stomach 1. Either external in which the pain after the concoction of the meat is encreased by reason of the intension of the transverse fibres the appetite is not very bad nothing of the impostumation is cast up by vomit Or of the internal part in which al things are contrary but 't is better if the matter pass into this than under the peritoneum because there it may easily be purged forth but here not so 2. Either of the upper part in which because 't is endued with exquisite sence there happen most greivous symptomes and the strictness is most of al perceived towards the latter end of swallowing where the attraction is strongest Or of the lower part in which the pain is encreased more in the disgestion of the meat 3. Or of the former part in which the tumor may be perceived by the touch Or of the hinder part in which if the outside be affected the sick can hardly lie down on his back if the inside not easily on his face II. An Oedema and Schirrus of which we meet with nothing remarkable III. An Inflation when the magnitude of the stomach is increased by wind conteined in its capacity 't is knowen by its distension molesting the region of the stomach above the navel by the tumor and by its resisting the touch by belchings with which the malady is eased It ariseth from matter ministring wind of which in its differences T is hardly cut'd if it befal one recovering because it signifies a relapse if it be in acute Feavers because it shews that the natural heat is wasted by the preternatural if it last long because it endeth in a dry dropsy How it may be be cured see in the differences 'T is divided according to the nature of the causes 1. One is from windy nourishment which is knowen by the patients relation 't is cured with good dyet and discussives to wit with balsome of fenel oyl of carawaies inwardly and outwardly applied by baths of warm water in which are boyled danewort roots by baggs by bread hot out of the oven sprinkled with oyl of Rue 2. Another is from a flegmatick matter which causeth wind and is known from the signs of a flegmatick distemper 't is taken away by emptying the matter prepared and discussing the wind a great cupping glass also doth discuss being applyed with much fire without scarification and often repeated and one dram of sows pasterne bones burnt and prepared with Rue water given in a draft of wine Article 5. Of the wounds and ulcers of the Stomach I. The wounds of the Stomach are known from hence that the belly is loose deeper over against the Stomach hickops and vomiting of choler do ensue sometimes the meat and drink is cast up again They are no waies cured if the whol body of the Stomach be perforated or if its upper part about the orifice be wounded very difficultly if only the outer coat and if the bottome of the Stomach which is fleshy and able to endure medicines The cure is accomplisht as in other wounds mastick any waies taken is good The wound that penetrates and is large ought to be sowed up leaving an orifice in the lower part they must abstaine from al sharp things in their dyet II. An ulcer of the Stomach is knowen by the pricking and ulcerous paine by a heat molesting above the navel caused by the receiving in of hot meat by stinking belchings by causes generating ulcers by a slow feaver c. It arises 1. From external things as sharp medicines and poysons and then the relation of the patient which shew it 2. From sharp humors there derived from some other part or generated there and then we must have recourse to the distemper with matter 3. From an impostumation broke after inflamation and then this was precedent 4. From the rupture of a veine and then vomiting of blood proceeds 'T is hardly cured both because detersives cause paine and because being alwaies moistened by the chyle it cannot be dryed Inveterate ulcers cause a lientery In the cure note 1. The humors if there be any ought to be brought forth only with lenitives 2. Vomits are wholly to be shunned lest that which is ulcerated be delacerated more 3. To internal consolidating medicines somwhat moderately abstersive is alwaies to be mixed Chap 2. Of the Symptomes of the Stomach Article 1. Of the pain and heat of the Stomach THe Symptomes of the Stomach are Paine Heat want of appetite too great appetite a vitious appetite too great thirst hurt of concoction hickops belching rumblings nauseousness Vomiting and the Cholerick passion I. The paine in the stomach is a sad sensation of the same arising either from things that distend it or knaw it and so dissolve its continuity There is no need of Signs in this symptom unless the patient be diseased in mind The Cause is explained in the definition and we shal be more large of it in its differences The Cure hath respect unto 1. The symptome it selfe if it be too urgent in rebating of which a bagg made of the roots of marsh mallows camomel flowers red roses wormwood is good Quercetans anodyne water
Clammy and Flegmatick whether generated out of the meats or flowing thither from some other part The Cure ought to be fetcht from the Chapter of distemper 3. by a defect and weakness of attraction Either by reason of a cold and moist distemper or by reason of the interception of the passages by the obstruction of the mesaraick and hollow part of the Liver in the Cure of which those parts must be respected 4 By hindrance of Evaporation either when the substance of the body is not emptyed either by reason of the constipation of the pores and thickness of the Skin which a Bath of sweet water wil take away or the weakness of Native heat whether acquired by a cold distemper or idlenss or by reason of the tenacity sixt and firme concretion of the substantifical moisture which doth not easily yeild to the gentle and pleasing heat that feeds upon it There is another from the not perceiving of the sucking which 1. by Diseases of the brain in which either the Nerves of the sixth pair are affected or the Animal spirits are not generated or their influx is hindred or which happens in acute Feavers they do languish or the faculty as in the Phrenitical c. is converted another way The Cure ought to respect those Diseases 2. by Diseases of the Stomach it self whether they be of distemper or of Composition or of solution of unity of which we treated before The appetite is raised by taking away the causes partly by cooling things if a hot Cause did precede partly by heating things if a cold Wormwood Wine is very much commended Article III. Of too great Appetite Too great Appetite is distinguished into two Species viz. A Dog-like Appetite and Bulimus I. A Dog-like Appetite is a continual insatiable desire of Eating arising from a Vehement sense of sucking in the mouth of the stomach afflicting somtimes with vomiting somtimes with a loosness There is no need of SIGNS whereas they are exprest in the definition The CAUSE is a Vehement sense of sucking and pricking in the Orifice of the stomach but whence it comes is explained in the Differences The CURE which is timely to be administred least the sick fal either into a custome of vomiting or into the Caeliacal passion or into a dropsie doth respect 1. The hunger it self which is allayed either with the Use of Fat things or with the Yolks of Egs hardened in Water or what is best with Wine 2. The Causes of which we wil treat in the Differences The Differences are taken from the Causes urging the Suckings I. One is from the too great want of nourishment in the Body or by Reason of worms feeding on the Child which shew themselves by biting and they are cast forth by the use of Hiera Picra or by reason of too great Evacuations both sensible and insensible by the habit of the Body by Reason of too great a heat of the moisture to which conduceth much the tenuity of the Humors and thinness of bodies Laxness of pores c. And then sweats do molest The Cure is to be turned to the Particular Diseases Or by reason of the long use of Detersive Nourishment as Pigs Lobsters c. II. There is another from cold acid and more austere Humors wrinkling the Orifice of the Stomach compressing and pulling it as are acid Flegm and Melancholly poured into the Stomach and then the signs of a cold distemper are present amongst purger Hiera Picra is good as also Zacutus his Wine Lib. Ult. Hist Prax. ca. 2. n. 9. II. Bulimus is a great Appetite Periodical which aftentimes ends in a Nauseousness with Faintings away and loss of strength The Signs are explained in the Definition The Cause is doubted of by Physitians yet most do hold that t is a cold distemper of the Stomach whereupon t is wont often to happen to those that make long Journeys through deep snow There is no Cure if it happen in Chronical Diseases somtimes after Feavers and other Diseases it threatens a relapse It respects 1. The time of the fit when the swouning happens in which we must use frictions and revivers as the smel of Wine Vinegar c. 2. The time out of the fit in which after the sick hath recollected himself meats of good juyces must be ministred bread dipt in Wine c. And by external means the heat must be restored to the Stomach Article IV. Of a Depraved Appetite or Pica Pica which is also Citta and Malacia is so called from the bird Pie which is sick of this disease it is an absurd appetite to a strange substance liquid or solid beside the ature or essence of nourishment from a sad sense of sucking and corrupt judgment not discerning things fit or unfit for eating from a Vitious Excrement imbibed in the coats by a peculiar propriety of substance molesting the mouth of the Stomach The SIGNS are manifest because they desire meats of Vitious qualities there preceded excess indigestion use of meats and drinks of evil qualities a suppression of the Courses c. The CAUSE is a sad sense of sucking Molesting which is Caused by the matter impacted in the Coats of the Stomach either acting by its whol substance or by a manifest quality arising from an evil Course of Diet or sent from some other part as from the womb whereupon t is familiar to Childing Women about the second and third Month but there is wont at the beginning while the Causes do alter to be raised a desire of contrary things but when by long custome there is a familiarity contracted things like are desired The CURE must be haistened left a Cacochymy or Dropsie be caused The peccant matter is most commodiously cast forth by vomit which in Childing Women must be Caused by those which are more gentle The Stomach may be strengthened with water of Cinnamon of Orange Pils magistral of Corals c. Article V. Of too great Thirst Too great thirst or Poludipsia is a greater and oftner desire of accustomary drink by reason of a sad sence of sucking in the Mouth of the stomach arising from the defect of moist nourishment and the alteration of its proper Humidity The SIGNS of the Symptom are manifest of themselves The CAUSE is a sad sense of sucking which the want of moisture and the plenty of heat have raised but whence that proceeds shal be explained in the Differences The CURE doth respect 1. The too urgent Symptom which is mitigated by Crystal or Coral held in the Mouth cold water corrected with a little Vinegar the iuyce of live Crabs with water of violets and Housleek sprinkled with a little Niter a Lohoc compounded of the Mucilage of the Seeds of fleawort and quinces of each half an ounce Sugar Candy of violets pouderd Starch Tragacanth of each one dram Syrup of violets as much as is sufficient With spring Water boyled with Sugar Candy adding a Pome Citron cut in two c. II.
extinction of the native heat If with it there be other matter which from the corruption in the body hath contracted blackness it being by nature not black it relates to I. The urgent symptome it self which is to be stopped 1. By revellers whether they be strong and sharp Clysters or hot things applyed to the extream parts 2. By things that compress the motion of the expulsive faculty and strengthen the Stomach Inwardly are commended Zacutus his Pills lib. 9. hist prax cap. 1. num 4. Lignum aloes poudered and given with the syrup of the sharp juice of Citrons The crude juice of quinces taken a spooneful laudanum opiate a vomit Outwardly a plaister of treacle Zacutus his cataplasme an epithem of the decoction of wormwood mint made in smiths water The differences are taken chiefly from the causes I. One is from external causes as are meats either taken into great quantity or offensive by their hurtful qualities vomiting medicines then are comended new treacle spirits of wine imoderate drinking and drunkenness vehement motions after meat unaccustomed going to Sea violent coughing the phansie and beholding of things loathsom blows on the body a wound of the skul poyson taken c. Another is from internal causes either diseases or humors of which shal be treated in the following difference II. Another is from diseases infesting the stomach as are Vlcers tumors straitness and smallness the stoppage of the lower orifice which must be considerd in the cure Another is from humors which are either bred there and then there was some fault in the dyet with a continual nauseousness or flow from some other part and then there must be respect had to those parts or they lie in the cavity of the stomach and then they are cast up with a little straining there is a distension and anxiety after meat and vomitings when they have taken no meat or they adhere to the coats and then they vomit not unless upon taking of meat nauseousness is very troublesome These humors are 1. The Chyle which must be suddenly remedied lest an atrophy steale upon us this happens in an ulcer of the Stomach 2. Excrements which are cast upwards in the Iliaca passio as also Glysters 3. Blood which is cast up either by reason of the cutting of some member or after the suppression of some evacuation of blood where it must be dissolved lest it putrefy with oxymel in which a dane-wort root hath been boyled afterwards it must be emptied at last it must be stopped with two ounces of the water of the greater nettle spirit of vitriol as much as is sufficient for a gratful sharpness w th the essence of crocus Martis gelly of Quinces with the old conserve of roses given with gum tragacanth Or by reason of the opening of the vessels where the same means must be used Syrup of purslane with terra sigillata is powerful in astriction 4. Cholor sometimes comes theither if the channel of choler be inserted into the Stomach and then the nature of the humor cast up must be considered vomiting troubles them most when they are fasting 't is somtimes happily stayed by opening the Salvatella if we may credit Zacutus 5. Flegm melancholly matter worms stones c. which are best of all discovered by their proper signs Article X. Of Choler Choler whether it come apotes choles that is from yellow choler from which it most frequently ariseth or apo ton cholodon that is from the gutts is twofold moist and dry I. Moist choler which also is the true is a continuall and imoderate casting off of an evil humor with great perturbation and violence both through the upper and lower parts arising from the violent irritation of the expulsive faculty The signs are often voiding of cholerick humors a great paine in the belly and bowels paine at the heart thirst a pulse smal and frequent to which do oftentimes succeed faintings and coldness in the extreame parts The Cause is a sharp and corrupt matter whether arising from meats bad in themselves as the eggs of the barbel fish mushrums melons cowcumbers plums fat things herbs leeks onions c. or bred elsewhere and sent to the stomach as shal be said in the differences The cure must be bastend by reason of the acuteness of the disease yet there are some in whom this cholerick passion a lask at certain periods doth empty al the superfluities of their bodies It respects 1. The furthering of either of the evacuations if one be too much the other to little 2. Atempring of the humors 3. Astrengthning of the part 4. A restoring of the strength and spirits too which end wine is good if there be no feaver 5. A mitigation of the Symptomes of which in the differences As for the differences There is one when the matter that irritates is conteined in the Stomach which is known by this that there is present nauseousness a straitness knawing and pain of the stomach It ariseth from strong purging medicines Concerning the Cure observe 1. That the flux must not be stopped if the evacuation be plentiful and the strength be not impaired 2. Where the irritation is great and the evacuation smal vomiting must be furthered by gentle vomiters and purging by benigne purgers and laxatives 3. Where the evacuation is great and irritation smal we must use astringents and strengtheners together 4. If vomiting be excessive we must move by stoole if a loosness be too much we must act with vomits composed of whey with syrup of roses 5. Inwardly crocus martis rightly prepared doth stop it best of al. The decoction of Cloves Mastich and Red Roses made in red wine Laudanum opiate the spunge that is wont to grow on sawallows given four grains weight in red wine Outwardly a Sea spunge boy led strongly in vinegar and laid upon the stomach Another is when the matter flows from elsewhere as from the liver pancreas gutts mesentery into the stomach 'T is known by this that for the most part there is present a malignant feaver and convulsins trouble them the matter offending then is Choler like yolks of eggs yellow adust or salt nitrous and corrupt In the Cure 1. The course of the matter flowing thither is not presently to be stopped 2. If it flow too much it must be diverted by medicines either to the skin or to the passages of urine or it must be called to the outward parts by frictions ligatures and the like 3. It must be qualified and the parts strengthened Inwardly Christal is good given half a dram weight Outwardly epithems made of the juice of Endive Purslane with barly flower In course of diet bread dipt in the juice pomegranates is good c. II. Dry choler which also is the bastard is a voiding of a flatulent spirit through the upper and lower parts with a puffing up of the belly with noise and a pain of the loynes sides The SIGNS and immediate cause
are exprest in the definition The CURE which also must be hastened doth respect 1. The bringing forth and discussing that flatulent spirit where Clysters and carminative decoctions take place 2. A Removal of the Cause from which it ariseth of which in the differences As concerning the Differences One is From the fiery heat of the stomach corrupting the meats and converting them into a nidorous matter and sharp vapors in which the cure must be turned against a hot distemper and outwardly the boyling hot hypochondries must be cooled Another is from sharp and windy nourishments as Raddish Rocket Seed fryed Egs and the like and then the matter must be emptyed and give diartion Piperion Another is from Black-choler and other adust and Salt Humors lurking about the Hypochondries and growing hot by the mixture of another Humor as we see Salts and saline spirits being mixt with acrid spirits do yeild a great quantity of spirits Title III. Of the Affects of the Guts Chap. 1. Of the Diseases of the Guts THe Diseases of the Guts are Cheifly Inflamation Straitness Wormes Rupture Wounds Vlcers and the affects of the right Gut Article I. Of the Inflamation of the Guts An inflamation of the Guts is a swelling of them arising from blood out of its vessels falling into them and putrefying The SIGNS are a fixt and distending pain the perceiving of a Tumor that the Guts may be perceived to be rowled up like the strings of an instrument costiveness of body a stoppage of the Urin a Feaver present The CAUSE is explained in the definition In the Autum the blood chiefly flows thither by reason of its thinness because the thin and moveable Humors generated in the Summer by the inequal cold of the Autum are driven to the center of the body The CURE must be ordered according to the rule of other inflamations and that quickly because the evil is acute and oftentimes turnes to a gangrene and mortification The cooling Medicines which are administred for it ought to be without astriction we must wholy abstain from Purgers lest the place affected be exasperated 'T is divided according to the place and Causes I. One is of it self of which we have now treated another from the Navel Rupture of which in its place Another from the Rupture of the guts in which the Guts ought presently to be put back into their place Another from a contusion in which to those things which are applyed for the inflamation must be added somwhat lenifying and concocting II. One is in the smal guts which is most common in which a distention of the stomach straitness of breathing daily vomitings do molest that they are not able to contain their drink the pain and Torture tends most to the upward parts Another in the great Guts in which the pain reaches more to the Hypochondries there is a heaviness in the Loins and vomiting is not so continual Article II. Of the Straitness of the Guts The Straitness of the Guts is known cheifly by this that the Excrements of the Belly are not rightly cast forth by stoole It hath its Differences according to the Nature of the Causes I. One is from External things that are astringent and drying as quinces and other things which is known by the relation of the Patient and standers by In the Cure are required things moistening and mollifying fat things c. II. Another is from the Excrements hardned obstructing them which is known by this that there is no Tumor pain yet the Excrements are not cast forth It ariseth at that place especially where the smal and great Guts end either from too dry matter and drink to much diluted or from the heat of the neighbouring parts sucking up the moisture 'T is Cured by Mollifiers by a bath of sweet Water with emollient Herbs by the Grease of a rosted Goose cast in by a Clyster by blowing up the Guts with a Pair of bellows which must be followed with a strong Clyster with half a dram of Sal gema III. Another is from Inflamation of which we spake in the former Chapter IV. Another from the growing together of the Guts which is incurable V. Another from a Rupture or worms of which shal be spoken hereafter VI. Another from thick Flegm which is known by this that Causes generating that went before crudities flowness of the belly to stoode and much wind abound It ariseth from the fault of the Dier and the feeble heat of the Guts and if it stick there long it grows so thick that it wholly stops up the Guts It is Cured by things that cut flegm and sharp Clysters concerning which consult with the Chapter of the Cholick Article III. Of Worms Worms and smal creatures wholly preternatural generated in the guts out of a thick clammy and viscous Humor having in it the principal of life in its kind by a vivid heat raised up by putrefaction which do hinder the actions of the Guts The common signs are many to wit a stink in the mouth disturbed sleep with skipping trembling noise and gnashing of the Teeth Itching and often rubbing of the nose a pale face somtimes by fits ruddy hollow and dark Eyes the white of which is changed into a Saffron or Pale running of drivel from the Mouth more than usual a distension and puffing up of the belly with murmurs a knawing in the belly that exasperated in the time of hunger somtimes a loosness vomiting falling-sickness If in the morning while Children are fasting cold water be sprinkled on the Mouth of the stomach they wil al gather together and this sign hath most weight with it if the Age of the Child wil bear with it The CAUSE is a viscous and Flegmatick Humor which ariseth from much eating meats that easily corrupt generate a thick juyce as cheese Milk pulse decaying fruits sweet things sugard things honyed things c. It hath somthing analogous to seed endued with a formative faculty and a vivifying discretion which doth dispose the matter to receive this and no other form of worm and being disposed doth Cloath it with that from as we see peculiar worms do proceed out of wormwood Sea Salt a Horse a calfe Mulberry leaves Cheese Honey The CURE which is Difficult if there be many great ones red and of divers colors living if in the beginning of Feavers and acute Diseases as also in the augment by the malignity of the Disease they be Symptomatically voided Is Performed I. By things that kil them those which are bitter acrid Salt or enemies by their whol propriety ought to be given upwards but alwaies mixt with sweet things downwards premising sweet things then when they are in the lowest places or in the right Gut with them Oyl ought to be mixed that they may be stifled in it with cheese butter which they exceedingly fear The chiefe things that kil them are hot as Coralline given in pouder one dram Wormseed centory the less peach flowers Myrrh
Roses Oxymel of Squils with a Mixture of things a little astringent Another is by default of the Expulsive Faculty which is provoked 1. By an ulcerous Disposition residing in the Superficies of the Guts and Stomach like pustles 'T is known from hence that there was no Coeliaca going before and there is a sense of knawing and pain in the stomach In the cure if the Stomach be in fault eschew vomits let the Belly be loosned with lenitives having some astriction avoid Fat things If the Guts be affected vomiting is good 2. By sharp humors whether generated there or falling from some other part especially the Liver It is known as the former disposition The cure is hard if it be of long continuance because it passeth into a dysentery if it be with difficulty of breathing and a pricking in the side and the humor fal down from the brain so that part of it fall upon the breast because it ends in a consumption If it be long with gripings wormes and paines because these being over it hath a swelling followes The sharpness is abated with the decoction of baâ—ley succory other cooling things if it continue long rhubarb prepared in rose water is effectual 3. From the taking of poyson and then things alexipharmacal must be mixed the juice of dittander with syrup of pomegranates is commended II. A Coeliaca is a suddaine passing of drink and meats out of the stomach into the gutts in which they flow forth like unto chyle or a milky substance The Signs are evident This passage is compleated within six or eight hours after meat so that the thinner and subtler parts of the nourishment are alterd and concocted and so pass into the nourishment of the body yet the body because it is not sufficiently nourisht wasteth a way The pulse is frequent and heat afflicts as if there were a feaver when they are going to stool some light fainting seize on them Before it breake forth the belly is distended and struts out The CAUSE of it is cheifly the il distribution of the chyle which is bred by the obstruction either of the mesentery spleen or liver and then the chyle is voided white the obstructions must be opened Or the weakness of the attractive faculty in the liver and then the chyle is somwhat dyed with a little reddish colour the liver must be strengthened Or the immoderate Quantity or corruptible nourishments and drinke for hence there is much filth heaped up in process of time being increased in those parts t is corrupted and by its quantity or quality provokes the expulsive faculty The CURE Respects the Causes as we have said al the superfluous humor being emptied the flux stayes of it self somtimes on the same day it began sometimes on the next Point 2. Of the Diarrby A Diarrhy is an immoderate frequent and continual going to stoole in which excrementitious and sincere humors by their quantity or quallity stiring up the expulsive facculty of the stomach and guts do flow forth without an inflamation lientery exulceration Tenesmus or vehement sence of paine There is no need to touch upon the Signes for they are explaned in the definition The Cause is al that which doth preternaturally irritate and encrease the expulsive faculty of the stomach and guts on the contrary doth debilitate and destroy the retentive whether it be done by it self or by consent The Cure is difficult if it befal a great bellied woman because it withdraws the nourishment from the child by moving relaxes the ligaments and by raising up of filthy vapors causeth abortion 'T is easier if vomiting succeed because there is a revulsion of the matter from the lower parts to the lower If it happen after an ophthalmy because the matter is revelled from the upper parts to the lower If it be supervenient to one sicke of a dropsie though it be violent at the begining of the disease in ful strength and the bowels sound because there is an evacuation made of the matter causing the disease from the whole habit of the body by the stool It must not presantly be attempted if such matter be purged as ought to be if it do good and they beare it easily if there be no feaver For oftentimes to have a flux for one day or more is healthful if it stop within seven dayes if it be presumed from the circmstances to be critical 'T is accomplished 1. By Emptying of the matter it selfe By rhubarb in substance mechoacan tamarinds myrobalanes and syrup of roses solutive 2. By revulsion which is done by bleeding vomiting frictions ligatures urine sweats 3. By the use of astringents of which if we consider the simples the cheife are tormentil roots Plantane avens sloes The leaves of plantan loosestrife shepherds pouch The seeds of Purslane of cresses torrified The flowers of roses pomegranates Woods red Saunders Spices Nutmegs Minerals terra sigilata bole arminicke Chrystal c. If the compounds they are Tragaea of Elder berries Quercetan in his pharmacopoea c. 21. the bones of a man calcined terra dulcis vitrioli crocus martis burnt hartshorn new treacle old conserve of roses diascordium sperniolae compositum and if the flux be too vehement Philonium Romanum and laudanum opiate 4. The diet in which steele water takes place an immulsion of sweet almonds in tormentil water or the decoction of Oake leaves the pouder of diatragacanthum in reer eggs c. The Differences of a Diarrhy are Various I. One is from things external as purging medicines causing a super-purgation which is stopped with the root of dropwort given in wine by steeled milk given by glyster by laudanum opiate From poysons against which alexipharmaca must be opposed especially some graines of an emrald praepared in a convenient water Another is from things internal of which hereafter II. One is from the whol Body which is either with a Feaver or without a Feaver as shal be said in the following Difference Another is from some part which see in the fifth Difference III. One is with a Feaver the matter causing the Flux being transmitted from the whol Body which is known by this that things very crude moist and watry are cast forth with a noise either often and little at a time or much and altogether and there are present the Signs of a Feaver 'T is hardly Cured if in a disease of long continuance with lothing of meat stools be sincere that is such as have no watery moisture mixt with them because they shew a burning up of the native moisture by a weak heat if they be voided with often noise and too much because that argues a crude stoole from vitious humors this because the often labor of going to stool causeth deliriums and these have danger of fainting depending on them If the stooles be thick white green yellowish frothy because they demonstrate crudities a disturbed flux plenty of yellow choler in the guts a mixture of a windy spirit with the humor
are of no force in a dysentery from sharpe choller when as they leave a biting quality behind them 8. By dyet in which biskit bread milk of sweet almond sthe flower of sugar c. take place The Differences of a Dysentery are Divers I. One is in making when the exulceration begins onely in the superficies of the guts and there from them suffering an inflamatory disposition their temper being destroyed Another is already made when the corrosion peirces deeper and either fibres and smal skins of the inward coat are voided with blood or peices of the fleshy substance cut off from the proper substance of the guts are voided with membranous shavings and much blood and purulency which is the utmost degree of malignity II Another is of the smal guts in which the pain is most acute by reason that they are membranous the stool is longer after the torments the blood is exquisitely mixt with the excrement by reason of the longer passage the blood is blacker Purging medicines must be given by the mouth 't is almost incurable Another of the great guts in which the paine is less by reason of their fleshiness t is cheifly perceived about the navel by reason of their situation the stools are quickly after the torments the blood purulent matter swims upon the excrements of the belly Note that for the most part the great guts are tainted and being tainted medicines are best administred by glisters Somtimes the stomach and neighboring parts are drawn into consent somtimes the belly over against the ulcer and hole is perforated by reason of the putrefaction communicated to it III. Another is from things external viz. either from poysons whose cure is performed by vomits by things that dul them whiles they teare as milk rice fat broths by antidotes cheifly six grains of an emrald prepared but they must abstain ten hours from meat and sweat Or by purging medicines that are very strong and then if you consider the cure after abstersives 't is good to drinke warme milke new treacle c. Another is from things internal of which hereafter IIII. Another is epidemical and malignant in which we must act with things alexipharmacal amongst which are harts-horn terra sigilata Corals saphyres water germander pulvis Bezoardicus aureus The same may be mixt with purgers Another is simple to which those things above may be applied V. One is from Yellow choler from which for the most part it begins the which sometimes is generated in the stomach somtimes in the guts sometimes is cast from the bladder of gall the meseraick veins the whole body Another from Black choler which if it be voided by reason of a crisis in feaverish diseases it may be cured It ought not to be purged before it be tempered and then with Lenitives Another is from Choler of a leek color and the rust of Brass which though by Nature collecting it self it may be cast off yet not presently Another is from Salt Flegm which somtimes is produced in the head from a great heat somtimes in the stomach being carried to the Guts and by its clamminess sticking long to them it troubles them and at length Exulcerates 'T is hardly Cured 'T is wel rooted out with Agarick and Mechoacan Point 4. Of the Bloody and Hepatick flux I. The bloody Flux is known both by the sight and by this that it is voided without pain and exulceration It ariseth 1 By reason of plenty of Blood proceeding either from a hot distemper of the Liver and then there wil be signs of fulness 'T is voided without pain and wasting of the Body the Urin is thin of a Goldish color Thirst oppresseth both by reason of the wasting of the moist substance and the heat of the Liver In the Cure the diet must be abated the Liver must be corrected by succories and other proper coolers steeled milk c. If Choler be mixt with it it must be emptyed Or from the cutting off of some member and then blood must be let according to Course Or from the suppression of some accust omary Evacuation and then we must act by frictions the stoppage must be opened 2. by reason of a vein broke or opened which is known by this that it is cast up also by vomiting Some vehement fal hath happened before Fainting is Caused by reason of the putrefaction in the stomach The cure is difficult II. An Hepatick flux is either Exquisite which is known by this that that which is voided doth look thinly red as the washing of the flesh of a beast newly kild doth not clod together doth flow more frequently yet not so often as in a dysentery without any knawing but yet not without a Heavy pain the Eye-lids are swelled and the Feet the excrements are crude It ariseth from a weakness of the Liver and the defect of natural heat in it from causes that do dissipate or choak it up The Cure must be hastened because this Disease Leads to an ill habit of Body a dropsie and Consumption 'T is hard when t is beginning and in young men Almost incurable when its inveterate and in old men and in them also whose spittle is bloody somwhat pale or clearly cholerick It excludes Purgers and is perfected only with altering strengthning medicines mixt with the meats Hens Livers Chickens and Geese stones are commended Or Spurious in which the blood is either acrid by the mixture of Choler or thick by its long stay in the Liver or elsewhere or faeculent by reason of the foulness of the Liver because the Spleen doth not attract the feculent parts Title IV. Of the Affects of the right Gut Chap. 1. Of the Diseases of the right Gut THe Diseases of the right Gut are Inflamation warts Clefts and Fistulaes I. Inflamation comes either from violent Causes or from Medicines and corroding cauteries It is known by the sharp Launcing pain fixt in one and the same place by a vain desire of going to stool in which by reason of the greatness of the Tumor obstructing nothing or very little is voided The cure is difficult both because the part is endewed with an acute sense and because the Excrements of the Belly hinder Applications and because by reason of the heat and moisture of the place the Disease degenerates into Ulcers II. Warts are either Condylomata or swellings of the Skin of the Anus viz. Hard and callous bunchings growing out from a Melancholy humor more troublesom than painful Or Thymi or the rougher warts having a narrow basis and large superficies which do easily pour forth blood into the same which if they grow out much are called Ficus If they bleed they are worst of al especially if a disposition to a Cancer draw neer Or Crista or excerescences of flesh arising from preposterous Venery They are taken away either with the Ashes of Mouse dung boyled with Wine and applied or with the oblong shels of Fishes found by the Sea side
either by reason of its attraction or reception The Cure is difficult both by reason of the narrowness of the veins in the liver and because more diseases do follow upon this It is performed by things that open obstructions amongst which are commended Riverius his extract of pils of amoniacum made of gum amoniacum dissolved in Vineger of squills three drams the species of biera picra one dram and half crude aloes four scruples Myrrh one scruple Saffron six grains With Syrup of Wormwood Quercetans Pilulae tartareae reformed by Sennertus Tinctura Martis whose description is in Petreus from one ounce to two three and more Deodates pouder compounded of the species of diarrhodon Diatragacanth each two drams Agrimony Madder Roots Ferne poudred Sorrel Purslane seeds each one dram Magistral of pearles Corralls Crocus Martis made without corrosives Crocus Martis prepared by oyl of sulfer each foure scruples with sugar-candy as much as is sufficint given one dram the former tincture being drank after it Pils of steele The decoction of the whitest tartar mundefied and poudered one pound made with foure ounces of crude steel and two gallons of spring water and given two ounces in opening broth Penotus his opening spirit c. In the cure these things come worth observation 1. That universals must be premised before particulars and topicks 2. That medicines ought not to be given to drink but a long while after meat least they carry with them crude humors to the liver 3. Astringents must be added to mollifiers as spicknard burnt Ivory that the tone of the liver may be preserved 4. That things attenuating discussing and resolving ought to be moderate least the thinner parts discussed the thicker doth remaine 5. That we use sweet things not as meats but as sauces 6. The medicines must be given liquid or finely poudered 7. Topicks must never be applied actually cold 8. After the use of steel-medecines the body must be stirred unless black excrements do follow we must abstaine from them The Differences of this obstruction are various I. One is lately which is the easier cleared Another inveterate which causeth putrefaction and a Feaver and produceth a jaundice schirus and dropsie II. One is in the hollow part of the liver which is known from hence that nothing is perceived outwardly by reason that the part lurketh deep the stomach is drawn into consent from whence is loathing of meat nauseousness vomiting thirst liquid excrements It must be cured by things that empty by the stool Another in the gibbous part which is known from hence that the belly prest on that place doth resist the midrif especially because the liver is joyned to it the excrements of the belly appeare bloody by reason of the light change of the chyle into blood The Cure is the easier by reason of the penetration of medicines and the emptying of the obstructing matter by a larger passage we must act chiefly by things that move urine III. One is from Blood either pure which is remedyed only by the opening of the basilica in the right arme or cholerick hot and which is joyned with paine being a long time preternaturally imprisoned in the liver and not timely purged it grows wonderfully thick Or flegmatick viscous and thick which ariseth from gross meats viscous too much by baths or motion forced or carried into the smal veins sometimes it fals from the brain into the stomach by and by passing through by degrees it penetrates with the nourishment into the smal veins of the Liver Another from Winde that is grosse imprisoned under its coate or sticking in the veins which is known from hence that the paine is greater but not continual there is such a great tumor of the right hypochondry that it fils up the whole hypochondry so that the ends of the ribs cannot be perceived yet t is without heaviness and being prest it yeelds it makes no murmuring and gives no suspition of an impostumation lurking there It ariseth either from windy meats from which they must beware or from the weakness of the liver not able to overcome the matter then the matter prepared must be emptied or 't is sent from the neighboring parts and the whole body especially in flegmatick Feavers The Cure in general requires carminatives of which in the dropsie Article III. Of an inflamation of the Liver An inflamation of the liver is a hot tumor of the same arising from blood impacted and putrefying in the substance of the Liver afflicting with a continual feaver a heavy paine and sence of a weight in theright hypochondry The CIGNS are a sence of heaviness in the right hypochondry from the membranes with which the liver is joyned in some to the bastard ribbs A tumor in the same which appeares greater the sick lying on his left side less the body being bowed to the right and the liver sliding under the bastard ribbs A paine reaching from the throat to the bastard ribbs by reason of the heape of matter restrained which puls the membrane that lines the Breast A Feaver whose vehemency follows the greatness of the inflamation and at night is exasperated the inflamation growing hot A dry cough by intervals by reason of the vapors raised up to the lungs and afflicting the midriffe by compression A Difficulty of breathing because the feaver brings a greater necessity of cooling uneasie lying both on the right side because the liver is prest by the stomach and guts and on the left because the liver hanging the membranes are retcht A swift and unequal pulse by reason of the necessity of cooling increased by the hot distemper c. It is distinguished from an inflamation of the muscles of the belly and pleura by the signs mentioned there The CAUSE is blood impacted and putrefied which either is attracted or transmitted or flows thither either by default of its quallity viz. its thinness heat and accrimony or by reason of its quantity and abundance or by the impulse of external causes as while hot medicines are applied to the stomach The CURE is difficult because a principal part is affected and by occasion of it there is iminent the feare of a dropsie or consumption Of little or no hope if the hickops follow because it is a signe that the liver is come to the highest inflamation and so by communion of the nerves the mouth of the stomach is drawn into consent If a loosness follow because this voiding of crude matter proceeds from the weakness of the faculty If a burning and continual feaver accompany it because it signifies that bowel is exceedingly inflamed If it come to Superation which is known by this because that happens after the twentieth day if nature be not weake paines and feavers with other symptomes grow strong yet most by night shakings assail in no order and with no reason which are attended mith an exacerbation of heat because from the impostumation there ariseth a sordid ulcer because t is perpetually
must be emptyed especially with things that purge water 3. To open obstructions is commended the cachectick pouder of steele prepared one part Cassia lignea three parts of the whitest sugar four the pouder of young geese turds 4. Sweats are happily moved with antimony diaphoretick 5. The Cachexy of virgins is driven away by the distilled water of Walnutts fresh cut into thin slices steeped in white wine twenty four hours sweetened with Canary sack and exposed some few days to the sun and taken three ounces weight using exercise after it Article 3. Of the dropsy in general The dropsy is considerd either in General or in special The dropsy considered in general is a tumor of the body or of part of it preternatural arising from a watrish and serous humor or a collection of wind The Signs of it are a swelling and puffing up of the body a heaviness difficulty of breathing an extensive pain in the right or left hypochondry a filthy color of the face betwixt green and whitish or declining to a yellowish or lead color little urine and deep dyed continuall thirst partly from the defect of natural and alimental moisture partly from the ascent of hot salt vapors drying up the mouth of the stomach partly by reason of the little aire drawn in whence the heart and lungs also boyl with thirst But concerning the tumor of the feet we must note 1. That they cheifly swel after excercise of the body and in the eveining because the waterish humor by its own weight tends downwards 2. In the night concoction being finisht the swelling bates by reason of the increase of the heat the heat of the bed helping somwhat too 3. They do often swel in those that are recovering either from acute diseases or of long continuance because the languishing heat cannot concoct so much as the patient receives and the crude and serous part which ariseth from thence flyes to the feet without any eminent danger if it be timely taken care of The Cause is the fault of nutrition proceeding from a cold distemper of the liver which is induced either by the extention of heat either immediatly by the six non natural things or mediately by diseases of the whol or of other parts Or by the dissolution or dissipation of it either from too much heat or from other causes The cure is not difficult if the dropsy be of late Difficult if after another disease it seize upon a body weakned If it be inveterate We must observe in it 1. That we begin with gentle things 2. Because the disease is chronical remedies must be used the longer time 3. Least nature be accustomed to them they must be varied 4. Somtimes for a while we must forbear least nature be opprest See the manner in the species Article 4. Of an Ascites The dropsie considered in Specy is either an Ascites or Tympany or Anasarca An Ascites is a distension of the belly from a watry serous and Salt Humor poured forth into its Capacity by default of the Liver Spleen and Kidneys with a Tumor of the â—eâ—t Thighs and somtimes of the God The SIGNS are a swelling of the Belly which begins from the lower parts as being most distant from the heart the fountaine of heat a slenderness of the upper parts the belly being struck a hoarse sound as from a bladder half ful the sick turning from side to side a â—â—ife like the Murmuring or waving of Water The Disease growing strong there follows a difficulty of breathing by reason of the abundance of water lying on the midriffe A Cough somtimes either from the compression of the midriffe or from the peircing of the Water into the breast from whence suffocation in a short time ensues the impression of the Fingers Leaves behind it a manifest mark in the flesh The CAUSE is a watry and serous Humor whence Dropsie people pisse little they that pisse much after great draufts are not taken with a Dropsie And some by abstinence from drink have been restored to health That humor is collected if you consider the place between the stomach and kidnyes through which otherwise naturally the serum is wont to be emptyed especially in the spleen veine the mesaraick and perhaps in the branches of the spleen artery and the roots of those veins about the hollow parts of the bowels gastrical and epiploical Whence after quartanes and long continued feavers whose cause is in the mesaraick veins a dropsy follows If the cause 't is collected from too much drink and moist meats by the accession of the fault of the bowells which either attract or contein the serum by which it comes to pass that it stays in the belly and afterwards is poured forth into its cavity But it is poured forth into the capacity of the belly or that space which is between the peritoneum the caule and the guts cheifly by the epiploick and gastro epiploick branches yet so as neither the caul which hath veins only from the vena porta and can easily receive the burthen of the mesentary and spleen nor the pancreas which in its middle hath a splenicke veine passing to the spleen with the left branch of the celiacal artery are free from fault The humor poured forth although it be cold yet because it contains many salt parts and borrows heat from the neighboring parts 't is hot also but by continuance of time it putrefies from whence is raised a corruption of the bowels a Feaver thirst whiles the vapors strike the mouth of the stomach The Cure is of better hopes if the patient be young and strong If a slave who is able to endure hunger thirst and other troubles if more moisture be voided by urine than is taken if the water which is in the veins flow to the belly or stool the bowels unhurt Of none almost if it come from an acute disease because the bowels the radical moisture being waisted do contract a cold and hectick distemper which cannot be corrected If the water break forth into the caul and that be corrupted If it happen to the splenetick after a longe dysentery because by the passing of the evil humor the symmetry of the innate heat is perisht in the guts and bowels If a cough come upon it because it shews that the watery moisture is so much increased that it penetrates into the breast and doth already possess the rough arteries If impostumations or spots break forth in the thighs if being eased by remedies 't is wholly renewed again because it signifies the bowels are corrupt and possest either with a schirrus or consumption and hectick distemper If it arise from a colliquation because al the strength is dissolved and the body languisheth 'T is perfected 1. By the emptying of the water poured into the belly premising a preparation of thick humors if they intervene But it is emptyed 1. By the Stool by medicines that purge water the gentler as mechoacan Jallop which may be given to
one scruple and an half the Juice of Flowerdeluce clarified which may be given to three drams with syrup of endive six drams Parsly water half an ounce and the pouder of diarrhodon Abbatis one scruple With peach flowers dryed and boyled in wine The stronger as gambugia which is given from six grains to fifteen see Reudenius concerning it Rulandus his extract of esula trochiskes of Alhandal or the same authors Spiritus vite aureus The extract of elaterium most commended by Massaria from one grain to three grains The magistral or Crystal Lunae of Tentzelius given chiefly at the Wain of the Moon from four grains to five Mercurius vitae fixt by longe digestion Crocus Metallorum Absinthiacus of Mynsichtus the same authors Tartarus Emeticus c. All which must be given on even dayes not too often nor the bowels too much corrupted after the use of them we must see whether they bear it wel and the bowels must alwaies be strengthened Concerning a Paracenthesis or tapping see Authors 2. By diureticks which ought to follow purgers of water amongst which beare the palme the pouder of earth worms given one dram weightwth the decoction of asparagus or fennel The salt of ash salinated as Billichius delivers Wine twice or thrice strained through the ashes of bean straw burnt six handfuls the tops of broome Juniper each two handfulls and a halfe woodbine one handful and a half and given six ounces weight 3. By swaeters and dryers as are the Root of swallow wort steept and boyled in Wine Antimony Diaphoretick the decoction of Sassafras wood Treacle in wine the quantity of a smal Walnut with a few drops of Oyl of Sulphur Lapis Serpentis concerning which see Joel Outwardly Mynsichtus his Plaister de Cineribus 2. By strengthning of the parts that the Water be not collected again here are good the Trochiskes of Wormwood Paracelsus his Diacubebae c. 3. by diet which see in Anthors The Differences are taken from the parts by whose default the serum is collected One is by default of the Kidneys that do not attract the serum either because they are Exulcerated and then some matter appears in the urin the piss is much less than in other Causes or because the Vreters are broken and then it ariseth suddainly That comes to pass for the most part in expelling the stone Another is by default of the Spleen which when as it is as it were spungy it ought to draw the water from the stomach by the vas breve that office being delegated to it by Nature which may be carried from hence by the splenick Artery into the Coeliacal by and by from the trunk of the Aorta by the emulgent Arteries to the veins It doth that either too greedily by reason of an inflamation risen in the Veins which is known by a pertinatious flux of the belly which doth neither take away the swelling of the belly nor the pain by reason of a Hectical distemper and either from the weakness of the veins not attracting the nourishment or from the corruption of the same and continual voiding of Cholerick Excrements it afflicts with a heat in the jejunum gut and mesentery Or it neglects it altogether either by reason of the obstruction of the passages tending to it caused by thick humors Or by reason of the dissipation of heat from a schirrous too much emptying the use of hot things the distemper of the neighbouring parts acute Diseases Or by reason of the suffocation of heat by the too much use of cold things from the suppression of the Courses from superfluous Evacuations c. Another is by default of the Liver either for the same causes not attracting the serum or retaining it or by reason of the same inflamation too much attracting and then there is a desire of coughing the Excrements are few and dry by reason the serous Humor is sent into the belly and the rest is burnt up by the heat of the Liver Article V. Of a Tympany and Anasarca A Tympany is a distension of the belly from much wind raised up either by a weak or burning heat contained within its Capacity It is called also a dry dropsie although for the most part 't is joyned with Water The SIGNS are these the Skin appears retcht like the skin of a drum and struck upon gives the sound of a Drum the Navel hangs forth much The puffing up of the belly is greater but the heaviness less Compressing of it doth not leave behinde it so conspicuous a mark but the hollow print is presently filled up belching and Farts often break out noise and rumblings Obmurmurate It must be distinguished from the distension of the breast after wounds which doth possess the breast back Loins Cod Arms Neck nay somtimes the whol habit It proceeds from hence that the Air which ought to pass streit through the mouth to the Lungs and from the Lungs again to be breathed forth through the mouth a way being open between two Muscles or the Muscles and the skin 't is blown from the wound as from a pair of bellows into the space between the skin muscles and hence furthermore it penetrates into the neighbouring parts The CAUSE is wind which if you consider its rise springeth either from a weak heat or from too much and torrefying which resolves into Vapors that which is subtile being violently stirred as is seen in black choler lying under the stomach If the place 't is neither in the stomach because it would be cast forth by belching nor in the Guts because it would be voided by stool but for the most part 't is generated between the coates of the mesentery and Guts For in the dry Dropsie the torments afflict about the Navel greifes and pains of the Loyns but the mesentery forward is united to the smal Guts backward to the vertebres of the Loins from which it springs from whence is this distention yet it is found also in the Cavity of the Guts and it insinuates it self thither through the Orifices of the Mesaraick Veins The CURE requires I. The bringing forth of the matter producing the Wind where takes place Fardinandus his Antipneumatical wine concerning which in the History 38. The Coagulated Spirit of Salt with Wormwood water and spirit of Elder 2. The Discussion of the wind outwardly by a great Cupping-Glass applied to the Belly by frictions with Garlick bruised and boyled in generous wine by a fomentation of a Boyes Vrin and Lapis Prunellae concerning which see Hartman Inwardly by the Decoction of Ebony wood the spirit of Guajcum the Arcanum of Cummin and Carrawais the liquor of the flowers of Mullein c. 3. The correcting of the hot distemper of the Bowels if there be any the strengthning if it be weak II. An Anasarca or Hyposarkidion and Leucophlegmaty is an equal increase of the bulk of the Body preternaturally throughout â—â—e whol body arising from default of the nourishment The SIGNS
it It respects the same things as a schirrus of the liver Amongst things that disgest in wardly are commended the root of ferne the pouder of dead nettle in meats the wood of tamariske boyled in steel water to a third part The composition of ferne rootes one ounce dodder of vetches two drams boyled in eight ounces of strong wine to the consumption of a third part Outwarly amongst emollient things Fabricius unguent is of force compounded of Gum ammoniacum one ounce oyle of sweet almonds white lillies bens grease each two ounces the juice of hemlock foure ounces vinegar of squils two ounces The Differences are the same as of a schirrus of the liver I. One is new come which afflicts with pain extending it self to the very throat Another inveterate which is void of al paine neither doth it easily kil a man unless the liver be drawne into consent II. One affects the spleen only according to its substance which also is bounded with the figure of the spleen though this do sometimes according to its longitude appear as round sometimes according to its latitude somtimes swels according to al its dimentions Another is poured forth into other neighbouring parts also that for the most part it comprehends al the left region of the belly Article III. Of an Vlcer and wound of the spleen Concerning an Vlcer there is nothing to be observed but that it followes inflamations and tumors and casts forth its matter somtimes by urine vomiting or stool It must be purged cleansed headed A wound is either in its superficies which is less deadly or in its substance which by reason of the effusion of blood is deadly wheresoever it is it pours forth black blood for the most part also it affects the stomach causeth thirst and paine to the throat the matter somtimes is voided by the urine carried through the caeliacal artery to the trunk of the great artery and hence to the emulgents 'T is cured also with vulnerary potions Chap. 2. Of the Symptomes of the spleen Article I. Of the paine of the spleen and black Jaundice The Symptomes of the spleen are a pain of the Spleen The black Jaundice the hypochondriacal affection and the scurvy I. The pain of the Spleen ariseth from the solution of its continuity and distension of its membrane This is caused both from things external as blows fals c. and internal viz. â—â—â—ammation inflation tumors ulcers c. But it must diligently be distinguished both from those pains which are felt in the left side especially after meat or riding which proceed either from wind or from serous humors which flowing into the spaces of the peritoneum that sticks close to the coates in that place do distend them from the muscles and from the paine of the muscles which is felt if they be prest a little The Cure requires no narcoticks for when as it is cloathed only with a thin coate the paine is not exquisite II The black Jaundice is a change of the skin of the whol body into black 'T is known by the color it self It ariseth from the same causes as the yellow Jaundice doth except that there the liver here the spleen is in fault But t is harder to cure because if it be by default of the bladder of gal there is a greater corruption of choler if by default of the spleen the humor is more stubborn and there is a fear of a dropsy Medicines of steele are commodious in it and also a dry bath after which the body must be clensed with an emulsion of hemp seed the face with beane flower water mixt with wine Article 2. Of the Hypochondriacal affection The Hypochondriacal affection is a filth of vitious humors collected in the branches of the vena porta caeliacal Mesenterical arteries by reason of the hurt of the spleens concoction without putrefaction and by sending forth of vapors causing many Symptoms 'T is called Hypochondriacal by reason of the place of both Hypochondries by which is understood that part of the body which under the bastard ribbs reaches as far as the loyns on both sides and comprehends with the muscles the bowells themselves 'T is called also the windy passion by Diocles and Aetius for the familiarity of winds conteined in the left hypochondry and it obtains the name of Melancholly when as the brain is affected by consent As was said before The Signs are fetcht from the symptoms of the natural vital and animal faculties there is 1. A crudity of the Stomach by reason that it is ill nourisht by the vena porta from the Spleen which is followed with a continual spitting Flegme filling the mouth with moisture vomiting up of the thicker parts of the humor either generated in the stomach or sent from the spleen and somtimes so sowr that the teeth are on edg there goes before it an ebullition of the same in the stomach wind distending the neighbouring parts that somtimes the patient falls into swouning fitts a discussion of the thinner parts of the humor by insensible perspiration somtimes with a Feaverish shaking which a certaine heat Follows presently vanishing in sweat 2. Pains in the stomach which reach even to the back returne upon taking of meat when 't is concocted or cast forth they cease they draw the kidneys into consent by communion of membranes 3. Costiveness of body both by reason of the dryness of the vessels in both sides and because the meat is changed into a flegmatick viscous humor and so 't is not moved forward by the gutts and pertinaciously adhering to them is the cause of astringency 4. An inflammatory heat as it were of the Hypochondry which by motion meat drink hot things grows more fierce which is attended somtimes with a redness of the cheeks and whole face by reason of vapors ascending a diary Feaver vanishing in sweat by reason of the dispersing of them through the whol body by large drinking 5. A Vrine sometimes thin by reason of the passages obstructed and the retention of wind from whence the fit begins sometimes troubled and thick by the admistion of humors with a sediment somtimes of red sand in which the tartarous parts of the blood are coagulated 6. A Flatulency and waving especially in the left hypochondry the wind being imprisoned in the cavity under the midriffe arising from the connexion of the stomach caule cholick gut and bowels 7. Anxiety both because the meat half concocted is resolved into wind and causeth a straitness and because being carried to the neghbouring vessels affected with a hot distemper it boyls as it were with that Fiery heat and distends the hypochondries and so causeth a straitness in those parts which have nerves from the sixth conjugation 8. A Palpitation of the heart either by consent of the stomach or by the contention of the part it self against the malignity of the vapors which is more frequent with some at the increase of the Moon by reason of
fits which affects without a noise hissing and cough somtimes it hath joyned with it a darkness cast over the Eyes faintings and the Patients despairing of health It ariseth from Vapors or Humors Sticking in the Cavity of the Caul and compressing the Midriff which being stirred after vehement exercise make the Symptome more greivous 'T is Cured with Thoracical and Antiscorbutical means to which add somwhat of Eichstadius his Confection of Alchermes and Saffron II. An Itching Tumor and Putrefaction of the Gums for whenas their flesh is soft and loose 't is easily corroded by the thinner and sharper part of the Humor ascending thither It cheifly troubles Children and affects with a blackness of the Teeth Putrefaction and loosness their holes being possest with the evil Humor yet it suddainly vanishes by reason of the recourse of the Humor The Cure of it is helped by appropiate Waters if the mouth be washt with them By the Decoction of astringent plants in austere Wine adding Spirits of Vitriol and Alum which are most effectual III. Plenty of spots in the Thighs which for the most part trouble those of ful Age first they are ruddy and like flea-bitings by and by they become purple and somwhat livid at last they decline to a black color When there is many Somtimes they invade the breast the Neck Arms and Face somtimes they vanish suddainly somtimes last many yeares somtimes they turne to scales and by how much the more livid they are by so much the more dangerous They arise from the descending part of the Humor thrust by Nature to the more ignoble Parts They may be Cured by things discussive and mollefying as Baths of Juniper berries cresses Scurvy-grass Chamemel c. if they be ulcerous they are hardly cured whenas the whol thigh is gangrend by them IV. A paine of the thighs which is distensive dul breaking the bones lying deep grows Feircer towards night by reason of the motion of the melancholy humor about that time It ariseth from serous humors somtimes falling down from the head and cleaveing to the membranes sometimes poured out of the veins from the seat of the filth by the crural branches of the vena cava and insinuated into the muscles of the thighs 'T is mitigated with a cataplasme of coagulated milk with flowers of chamemel water cresses and Juniper beries boyled in milk 'T is exasperated by giving of fat things before the spots break out V. A pain of the belly which somtimes doth so goad that the sick fal into a rupture of the peritoneum It troubles by intervalls with a pulse and urine scorbutical Somtimes it lasts to the fortieth day neither is it circumscribed with the course of the collick gut And truly with a depression of the belly that it is pulled inward with the navel and this seems as if it were tyed to the loins with a distension felt according to its longitude a puiling of the right gut upwards that nothing at al is voided It ariseth from an effusion of that matter through the mesaraick veins which do not open into the gutts between the two coats of the guts Hence is a distension convulsion pulling drawing of the neghbouring parts into consent a pregression of Feavers whose Fewel is in the vessels of the bowels It is cured by removing the cause by mitigating it by laxatives and glysters by which excretion ought to be provoked The elixir proprietatis is very profitable VI. A pain of the feet about the ankles and soles which is a fore-runner of the spots and by reason of the thinness of the matter it doth as it were penetrate the parts 'T is cured by a medicine made of the flowers of elder two handfuls boyled in wine adding two drams of soap and applyed on a cloath to the part in pain VII Pains of the Hypochondries unbounded because the wind hath no passage out Nephritical either because the Matter descends by the emulgent vessels to the kidneys or because being heaped up and by the accession of an external cause thrust to the greater vessels it flows down to the kidneys Of the Loyns which sometimes arise from vitious blood conteined there somtimes by way of a catarrh falling from the head by the veins upon the spinal marrow hence the paines begin from the shoulders and by degrees creep to the Loyns VIII Paines of the head which trouble about the evening and are joined with a certain Feaverish heat which vanish away in the morning sweats they afflict those principally who contract this evil from the suppression of the hemrods They arise from vapors ascending thither They require that brooklime be given in a greater dose the quantity of hot things be diminisht the hypochondries be anoynted with things opening IX A Gout concerning which note that it is wandering especially if cold topick medicines be applyed that for the most part 't is joyned with a light palsey with a paine ceasing and returning That it ariseth from serous humors thin and apt for motion That 't is wonderfully to be observed that if a live worme be layed upon the place that is fullest of paine it skipps winds and bowes it selfe about wasts away and dyes Amongst sweaters that is appropriate which is prepared of the roots of Devils bit one ounce round birthwort three drams the herbs of Sage betony each one handful Southernwood Rue Perewinkle Savine each one pugil c. See Horstus concerning the wandring scorbutical gout Tom. 1. of his observations X. A Palsey which somtimes involves the the thighs somtimes al one side It differs from the palsey of the ancients because some motion remains 't is interrupted it assayles by little and little before it fixes it follows no such fixt stupidity paines of the colon and belly tumors breaking forth in any part and easily vanishing again It ariseth from the scorbutical matter carried to the spinal marrow by that branch which is extended from the Aorta not far from the mesenterical branch and creeps to the back bone and its vertebraes 'T is Cured if the tendons be not rigid the body being once or twice purged by the use of brooklime and scurvy-grass if they be hardned and rigid by emollient cataplasmes premising fomentations of water in which the leaves of Sage Betony Rosemary with elder and melilot Flowers have been boyled XI A Convulsion and contraction which somtimes grows so strong that the sick are not able to extend any joint and they are drawn as it were round 'T is joined somtimes with a rigidity of the turning joint of the mouth on which the lower jawe under the place of hearing is reversed so that the mouth shuts close that it cannot rightly be opened It ariseth from the rigidness of the tendons when in that tartarous but serous humor this being discust that is left and dryed 'T is cured by things mollefying and discussive XII A deepe sleep which somtimes afflicts with a slow continual Feaver somtimes with an intermitting it comes
water is made it doth sinke and is hardly bruised with the fingers Or doth arise from the adustion of humors in the veines and liver that which is voided in the declination of feavers both acute and chronical 'T is known from hence that it doth not subside but is mixt with the substance of the urine cleaves to the chamber pot like pouder and is easily bruised with the fingers Article II. Of an inflamation of the Kidneys An inflamation of the kidneyes on nephritis is a swelling of them from blood poured forth into their substance and there putrefying joyned with a vehement paine fibrous or gravelly excretions The Signs are a heavy and extensive paine about the loins to the first vertebrae which differs from the collick in these because it doth not wander into the middle of the belly or about it with a murmur doth not alwaies grow gentler the belly being purged by its cruelty and feâ—rceness it puls the peritonaeum t is very thick and frequent There is a continent inordinate feaver which somtimes increaseth somtimes abateth and about night is exasperated a subvertion of the bowels and stomach A casting up by vomite first of al of flâ—gmatick things afterwards of colerick a scarceness thinness waterishness of the urine when the evil begins somtimes a suppression by and by that plenty and thickness with a compulsion to piss from a certain sence of heat A stupidity and numness of the next thigh by reason of the compression of the nerve A difficult raising of the body lying down upon the sick side mirigates the paine upon the contrary exasperates it The Cause is blood either pure or mixt either heaped up in the kidnies by way of collection or thrust thither by way of fluxion either from the whole body or from a part as is often said elswhere The firmness and hardness of the kidneys seldom give occasion for a fluxion oftentimes diuretick medicines doe which carry the blood to the kidneys The CURE is easier if the hemrods come upon it if the impostume being broke a white smooth equal matter not stinking be voided through the passages of the urine if it tend to resolution Very difficult if the Impostum being broke after suppuration the matter take its way through the emulgents to the liver and guts If it tend to induration Past hopes almost if there flowe a white thin or purulent water without the remission of the feaver and symptoms and with a wasting on the legs and thighs 'T is ordered as in other inflamations yet we must observe 1. That things moderately cooling and astringent be used with things anodyne for repulsion outwardly indeed least the humors subsisting about the external and fieshy parts be struck inward into the kidneys but inwardly least when they begin their astriction about the belly or liver and veins they should either cast down the blood to the kidnies or by straightening the narrow passages cause an ischury 2. We must abstaine from purgers because they inflame and trouble the humors yet gentle and benigne must be given if choler stick in the mesaraicks and stomach least it be carried thither 3. Diureticks must not be drank unless when the inflamation is perfectly alaied Here takes place tartar vetriolate half a scruple with the Julep of roses and cinnamon water two drams and other things The Differences are taken from the part affected I. One is in the Right kidney in which the loins on the right side are payned the paine ascends more to the liver the right thigh is benummed Another in the left in which the paine descends to the bladder Another in both in which the symptoms oppress in both sides II. One is in the fleshy part of the kidney in which a greater heaviness affects Another in the parts in which the arteries are terminated in which a beating paine urgeth Article III. Of the Stone of the Kidnies The stone of the Kidnies is a solid and stony substance mucilaginous sâ—imy carterous endued with a stone making faculty arising in the kidnies by the help of heat The Signs are principally five 1. A Pain which affects in the loyns causeth a sence of heaviness by reason of the substance of the kidnies void of sense in its descent into the ureters 't is increased by reason they which consist of a crosse and thick membrane are distracted especially if the stone be great craggy and rough 'T is distinguisht from the chollick because 't is neither so grievous nor so large because 't is fixt and is circumscribed with the region of the kidnies and if it fal into the bladder it follows the course of the ureters and affects not with winde 2. Bloody urine by reason of the wounding of the parts through which it passes which at first is little and waterish by and by supprest the stones being removed out of the kidneys t is turbulent and having a sandy sediment 3. A Numness of the thighs which hapens not in the paine of the chollick because the muscle on which the kidney lyes and which is appointed for bending of the thigh and is inserted into the inner part of the thigh is comprest 4. A retraction of the testicle of that side by reason of the retraction of the neighbouring vessels which lead to the stones and are inserted in them 5. A â—auseousness and vomiting for the kidnies are knit to the stomach by the mediation of the peritoneum whose membran each bowel participates and two nerves of the sixth conjugation issuing from the stomach are implanted into the internal coate of the kidneys The voiding of gravel is a signe of the stone in making The Cause is not flegme for many are troubled with that who have no commerce with the stone-growing juice hence chose that have the stone oftentimes make water which is like mucous matter and presently concretes into a stone But this proceeds from the faeculency of the nourishment which if it be retained glues it self to this or that part by the new arrival of matter is dayly increased being increased by degrees it is dryed and where it finds a viscous thick earthy matter it coagulates it and afterwards the internal spirit of the microcosmical salt comming the which by reason of its natural viscousness or clamminess that Tartar easily receives and hides within it self at last 't is Coagulated into a perfect Stone The CURE is Difficult if bubbles for some daies are perceived to continue in the Urin because they shew a great quantity of Tartar ous and mucilaginous Humors together with wind doth abound in the Kidneys If from Urin remaine subtile and last so for some time because it argues a great obstruction If the it an Ulcer of the Kidneys ensue If the Patient be of Nephritical parents It respect I. Prevention that either it be not generated or do not â—ncreafe and then 1. There must be care had of the Diet in which meat and drink making for the stone must be eschewed the
contrary meats made use of amongst these are commended asparagus moderately boy led with Oyl of Vineger and Butter taken at first Course the fruit of Eglantine the stones of the same boy led in broths Chevil Radish Oyl of Olives and sweet Almonds 2. The matter collected must timely be emptyed that it do not concrete By vomits given every month twice or thrice by lenitive Medicines especially Cassia Turpentine and chose that purge water By things that break it if any thing be concreted amongst which are commended the Decoction of the Nephritical wood of Alehoof the Juyce of Speedwel with the Water and other things of which hereafter 3. The Peins must be reduced to their state and hert bleeding prevails if the Liver hath raised hot distemper in them the administration of Strawhetry Purslain Barley Water and anoynting with cold Unguents II. The taking away of the stone generated which is performed 1. By clensing of the first Passages by gentle Evacuaters corrected with things that discuss wind 2. By opening a Vein in the Arm if there be a plenitude in the whol body and the pain be great of the Anckle or Ham if it be fallen upon the affected Part. 3. By Relaxing and making slippery the Passages in wardly with the Syrup of Marsh-mallows Liquorish Violets Outwardly with an Oyntment Compounded of Oyntment of Dialthea two drams Hens Grease new Marrow of a Hart each one dram Oyl of White Lillies one dram of Scorpions two scruples Oyl of Wax distilled and spirits of Turpentine of each one scruple Wax and Saffron a liltle By a Bath of sweet Water in which may be taken Oyl of fresh Almonds two ounces Oyl of Turpentine six drops With a drauft or Warm wine 4. By Removing Breaking and expelling the Stone by Medicines that wil do that the more Excellent of simples are the magistral of Tartar Vitriolate of Crabs Eyes of the mandible of a Pike and the Jewish Stone Lapis Prunella the essence of Crystals the Nephritical Stone the Aqua Vitae of Juniper Horstius T. 1. P. 481. Of compounds Zacutus his Confection or conserve of the Nephritical Stone l. 8. c. 16. Mynsichutus his Nephritical liquor Armament P. 338. The mixture of magistral of Tartar Vitriolate dissolved Crabs Eyes Lapis prunella the volatil Salt of Amber and Vntzerus his Saxafrage Water The generous Wine of the same Author in which a sharp radish with the Rind taken off and cut into thin slices was steeped a whol day given with the magistral of Crabs Eyes and spirit of Salt The mixture of Muffet the English man Cistae Medicae p. 34. Of Libavius of white Saxifrage water with Sugar of Violets and Roses streined with a little Spirits of Vitriol Zuingerus his expeller of the Stone Cist Med. p. 35. 3. The removing of the pain which is performed by the Oyntments formerly prescribed for relaxing of the Passages with a half bath prepared of things anodine Cratoes Cataplasme of pellitory of the Wal Parsly Onions c. 4. The Discussion of wind if there be any See concerning the Stone the excellent most satisfying Treatises of Vntzerus Franciscus Collutius and Beverovicius Article IV. Of an Vlcer and Wound of the Kidneys Concerning an Vlcer of the Kidneys Let it suffice to have observed these things I. That it doth very seldom happen from an Impostumation of a phlegmon by the Acrimony of the matter flowing thither corroding the Kidney by a blow or fal breaking the Veins yet if it do happen the Cure doth require that the falling down of Humors be stopt by Diet by bleeding and purging they already fallen must be temperd with coolers nephritical means must be emptyed with turpentine reduced with the yolk of an Egg into a liquor or with the pouder of liquorish into a Bolus II. That it is alwaies truely Cause by a Stone restraineth within it which either by its weight doth bruise the Kidney or by fretting diminish and corrode it Then the Urin before it begins to be purulent becomes bloody especially after exercise and labor none or an obscure feaver troubles them If at any time the matter be stopt by the obstruction of the Head of the Ureter that by degrees either redounding by the emulgent into the greater veins will defile the blood and habit of the body or heaped up in that place wil distend the Loyns from which the Skin being opened it wilflow much and a long while III. In the Cure the Decoction of Parsly discribed by Doringius in his Mithridatotechina p. 150. Bears the Palm from al others Concerning a Wound of the Kidneys it shal suffice to have noted these things I. That it is known by the Situation suppression of Urin or difficulty of it by its bloodiness by a pain extending to the groins II. That it is divided into that which is in the Superficies and fleshy Part and then much blood flows forth the Urine goes not forth the stronger agglutinatives may presently be administred and into that which Penetrates even to its Cavity and then the blood goes forth with the Water In the Cure the blood must be stopt This stopping things agglutinating must be given inwardly and laid upon it and here is of force unguentum Sanctum of Andreas a Cruce which see in Sennertus c. Chap. 2. Of the Symptomes of the Kidneys COncerning the Symptomes of the Kidneys Viz. The Separation of the serum hurt and Pain few things present themselves I. The separation of the Serum is hurt by the fault of the emulgent Vessels and Kidneys which either labour of a cold distemper and then the Urine is not suddainly supprest Or of a streitness of which formerly In the Cure Diureticks must be given an hour or two before meat II. The Nature of the Pain may be fetcht from the Chapter of inflamation and stone of the Kidneys At the seat of the Kidney 't is fixt and firm on either side unless that somtimes 't is extended either to the Hip or to the Stone of the same side by the Course of the ureter They that are accustomed to it by reason of the dilatation of the ureters are not so easily affected unless perchance the stone be thick and rough but they who are not accustomed to it or have been seldome and gently troubled with nephritick pains are tormented with the least stone c. Title IX Of the Affects of the bladder Chap. 1. Of the Diseases of the Bladder Article 1. Of the Stone of the Bladder THe Diseases of the Bladder are The Stone Inflamation Vlcers to which ought to be added the streitness of the passage for Vrin What the Stone of the Bladder is may be perceived by the definition of the Stone of the Kidneys The SIGNES of it are an Itching and sharp pain in the Neck of the Bladder the Pubes and Perinaeum which by progression and distention of the Bladder torments with great tortures the Patients are wont to scratch their Privities and often to distend
hangs forth like a Taile The SIGNS and CAUSES are the same as in a Tentigo only that Women fear Copulation The CURE is also the same if it must be cut off it must be done either with a Horse Hair or a silken thred dipt in sublimate water or by Iron Article II. Of the straitness of the Neck of the womb The straitness of the Neck of the womb is either a stopping of the same or of the Orifice of the womb either by compression or a growing together The SIGNS are the Flux of the Courses denied in them in whom they were wont to flow through the Neck a sense of pain with a weight The CAUSE is either natural when it affects from the birth or accidental of which in the Differences The CURE varies according to the Nature of the Differences The Differences are taken from the Part and the Causes I. One is of the outward Orifice which is called of the Pudendum in which the Courses which flow both by the neck and by the womb are disappointed there can be neither Copulation nor Conception because neither the seed nor the man is received Another of the inward which is called the Orifice of the Womb in which the seed received presently flows forth again conception can in on wise be II. One is by way of Compression which is Caused 1. By a Fat Caule lying on the mouth of the womb 2. By a stradling of the Thighs 3. By a stone in the bladder 4. By a Tumor in the right Gut of which in their place Another is by way of growing which is caused 1. Either from the birth and then either flesh stops it which is red to sight soft to touch or a Membrane which is white to sight hard to the touch In the Cure 1. The Part being moistned with warm Fomentations it must be cut streight up taking Care that the Neck of the Bladder be not hurt 2. The humor must be drawn forth and a tenâ—must be applyed dipt in a suppurating Medicine 3. And astringent pouder must be had in readiness for fear of a Flux of blood 4. The following daies the place must be washt with honey water and we must act with things that Cicatrize 2. Or after the birth cheifly from an Vlcer and then either the sides of the Neck are grown together in which case we must use incision but very warily or there is a Callous substance which first must be cut off with a Pen Knife or a Spongy and Luxuriant flesh in which first of al we must use dryers and discussives as brithwort Frankincense Myrrh Mastick afterwards we must apply corrosives without pain at last we must cut it Article III. Of the pustles Condylomata and Hemorrhoids of the womb Pustles of the womb are little bunchings arising in the neck of the womb which by their Acrimony do Cause itching and pain The SIGNS are Itching Pain a folling down of Scales like flower to which we must add a Speculum Matricis that the affect may be the better discovered The Cause is cholerick sharp adust and thick humors which emptied into moist and loose places do insinuate and immerse themselves in them The CURE respects the causes universals being premised where amongst preparatives prevaile syrup of Fumitory of succory with the decoction of hops topicks discussing and mitigating the humor especially baths and halfe baths which must be followed with washing the part with wine and niter But these must be often repeated They are divided into benigne and malligne or venereal which are stuborn and contagious they ought to be washt with the water made of aloes the quantity of one vetch flower of brass the quantity of half a vetch flower of brass the quantity of half a vetch pouder'd and mixt with white wine one ounce plantane water and of rose heads each one ounce and kept in a wide mouthed glass II. Condylomata are swellings of wrinkles in the necke of the womb with heate and paine There is no need of Signes because they appeare to the eyes oftentimes if there be many they resemble a smal bunch of grapes The wrinkles hang forth like knobbs which appear in the fist clutched But they swel more when the courses flow The CAUSE is Thick and Adust humors The Cure in general respects the taking away of the causes and repercussion and drying As concerning the Differences Some are with an inflamation in which the pain and heat is greater the condylona is hard In the Cure we must act with anodyne half baths and perfusions Others without an inflamation which if they be new we must repel and dry if cold and inveterate we must first mollefie then disgest and dry Here take place the pouder of egg-shels burnt the oyntment of trochisks of steele one dram redeuced into pouder and mixt with oyl of roses and wax adding halfe an ounce of the juice of mulein The oyntment of the mad apple concerning which see a Castro l. 2. c. 25. de Morb. Mulier If the condiloma yeild not to these medecines it must be cut off by an instrument and astringent pouder strewed on III. The hemrods of the wombe are smal swellings like unto the hemrods of the anus raised in the necke of the wombe by an afflux of Feculent Blood The Subject is the neck of the womb for there they are where the veins doe end as in the hemrods of the anus and these are lift up by an afflux The Signs are manifest for they are discovered by the sight if a speculum matricis be applied the women looke pale and are troubled with a weariness The Cause is Feculent blood which when sometimes it flows to these veins not at its due time there stopping it becomes thicker that it cannot penetrate the orifices The Cure is order'd 1. By revulsion by opening a vein in the arme 2. By derivation by opening another in the ankle They are divided twofould I. Some are painful which by the paine it selfe are distinguisht from the courses and are cured by things that mitigate the same especially half baths and the Cataplasme of a Castro l. 2. c. 26. de Morb. Mulier And also with opium which notwithstanding is safer in the hemrods of the anus Other without pains to which what is and shal be said ought to be applied II. Some are open which flow either moderately and then the business ought to be comitted to nature Or too much so that the strength is dejected and there is feare least an evil habit of body be induced and then for revulsion blood must be taken from a vein of the arme at several times For purging myrobalanes tamarinds and rhubarb serve At last we must act with things that stop blood Others are blind from which no blood at al flowes forth The Cure is perfected by emptying of blood by emollition and fomentation of the part with mollefiers and things opening the mouthes of the veins and discussing the matter By artificially opening
'T is hardly cured if it have its Cause lurking in the bowels which nourisheth it in Infants 't is easily taken away with discussives Another is fleshy when a fleshy substance lifts the Navel up into a Tumor which is known by this that the Tumor is hard and being prest doth not yeild and is changed by no manner of lying 'T is Cured by cutting of the flesh performed by a caustick Medicine or Iron unless it turn to a Cancer for so the evil is incurable An Inflamation of the Muscles of the belly affects either the right Muscles or transverse If those the Tumor is oblong and extended al over the belly The Skin is not handled without pain and being laid hold on doth not follow In every posture the bulk of the Tumor remains the same If these the deep parts are more affected and because those Muscles are Membranous about their end and have many Nerves the pain is the greater 't is distinguisht from an Inflamation of the Liver by this that it follows the Figure of the Muscles and is not so round The Cure is such as in other Inflamations and so much of the lower Belly An Appendix Concerning the Gout An arthritis is a pain of the parts about the joints caused by a defluxion of a serous and sharp humor poured forth of the veins and arteries into them assailing by periods having joined with it an hinderance of motion The subject is the membranous parts and those endued with sense about the joints from which neither are the membranous ligaments excluded The pain is caused more in them both because the humors are thrust thither from the veins and arteries and because being carried thither they are in less room The SIGNS are almost evident by the relation of the Patient at first assault the pain invades the great Toe and for the most part of the left Foot afterwards a Tumor heat and redness is manifestly perceived there is added an impotency to move and in an Arthritis of long continuance hard Knobs c. The CAUSE is a solution of unity induced by a serous Salt and sharp Humor this ariseth from the use of nourishments as plants Carpes unwholsom wines by the accession of a vitious constitution of the bowels as of the Liver and Spleen the efficient Cause of that Salt or Tartar It oftentimes comes neer to the Nature of spirits which have a most biting Salt in them whence it often wanders up and down By reason of the want of sufficient separation 't is mixt with the blood By the veins and arteries 't is sent to the joints whence when the fit is at hand the vessels which lead to the hands and feet and are inserted to the utmost joints do swel by reason of their weakness either natural from their parents or acquired by labor excess of the air and other things altering the joints from whence they become softer and more relaxt nature being stimulated by its plenty disburthening it self and somtimes being helpt by external causes as the spring or autume aire affections of the mind the retention of accustomary sweating c. 't is moved to the joints rather than to other parts perhaps because the ligaments and tendons are nourisht with a more terrestrial blood and that hath affinity with the tartarous humor The CURE is in general most difficult both by reason of the disease it self in respect of errors in dyer and other things by reason of the fit because the humors dispersed through the ligaments membranes and nerves by reason of thickness coldness of those parts are hardly discust None at al if any deadly disease be joined with it If there be a luxation for though the joint may be reduced yet the ligaments remaine relaxt if in the luxation the cavity of the joint be filled with a tophous matter because before that is taken away the joint cannot be reduced that cannot be taken away if it be hereditary It respects I. The fit in which 1. The humors rushing to the part affected must be taken away where bleeding takes place if blood do abound and that quickly because the flux is urgent Of the basilica if al or many joints be affected in the opposite side if one only No bleeding if flegmatick blood predominate least discussion be protracted Purging when the pains are at hand for which end is thought to serve hermodactils Paracelsus his arthritical pouder Horatius Angenius his electuary cariocostinum the gum for the gout in stronger bodies in the weaker the matter boyling very much Solenander his syrup of buck thorne mechoacan c. Sweating which is very wel caused with the decoction of China of the root of bur dock with treacle harts-horne prepared antimonium diaphoreticum 2. The afflux must be hindered by repellers if the pain be increased by a suddain and too great afflux of humors but not by them alone least the motion intended by nature be stopt with danger of life but mixt with things anodyne The liquor of the flowers of mullein is commended and hartshorne burnt steept and boyled in the water of mullein flowers and applied to the greived part 3. The pain must be mitigated where takes place Stockerus his oleum raninum l. 1. c. 58. prax Rulandus his antipodagrical water in Hartmans Chymiatry Lacuna his ointment of dane wort The foame of the decoction of china root in Zacutus l. 3. hist med hist 38. Anointing with the oyl of mans bones Freitagius his secret of opium and camphure in his book of opium Another of the same Authors there of sugar of saturne and the salt of the same c. A lye sufficiently seasoned with salt the pouder of oriental Bezoar stone or harts-horne prepared mixt with hony of roses and vineger by a gentle heate and layd on by way of cataplasme c. 4. The matter which hath flowed thither must be discust where take place the ointment of castor Solenander his mushromy of the oake consil 24. sect 4. The water in which brass and iron are quenched and afterwards mercurius vitae is steept the decoction of Nettles made with wheaten bread Salt wine and water c. 5. The Knobs must be dissolved for which purpose serves A Cataplasme of old cheese dipt in the strong broth of Salt Hogs flesh and that which you may find in Hartmans Chymiatry 2. Prevention which requires 1. A convenient diet in which ought to be shunned the Air in excess meats that do administer matter for it drinking of Moravia and Austria wine c. too great passions of the mind 2. Bleeding unless the body be cold some open the Veins of the great Toes every month 3. Purging which ought to be ordered spring and autum and it requires gentle ones rather than strong 4. The use of things good against the Gout as are Germander Ground pin round Birth-wort the true Pontick Rhubard c. 5. The strengthning of the Joynts for which end serves a Lie made of
be moderate and therefore we must be obedient to reason whose part it is to bridle them IV. The motion of the Body ought to vary according to the Nature of several Bodies the time place and manner And therefore 1. Leane persons must be moderarly moved strong persons strongly respect being had to custome touching which Hippocrates Persons used to daily labours although they are weak and old do more easily undergoe their daily labours than persons unaccustomed though strong and yonge 2. While a man is hungry or meat remains undigested upon his stomach he must not labor for if he doe the nourishment wil be drawn undigested into divers parts of the body but he must not continue too long fasting neither for then the natural heat wil be dessipated and bad humors wil be brought into the stomach 3. Motion must goe before and follow after eating but such as is light The former removes such excrements as stick in the narrow passages the latter brings down the meat into the bottom of the stomach 4. Those whose head is weak or ful must not walke in the Sun 5. Motion and Rest must follow one another interchangably 6. Men must leave off exercising when their face begins to be coloured and sweat begins to break forth 7. A man must not study presently after meat least the heat be called forth of the stomach and the brain be filled with vapours V. Sleep as to the time ought so long to continue til the meat is digested and the spirit restored It must not therefore be continued beyond nine hours nor must it be less than sixe Nor is sleep in the day time commendable unless a man have passed the greatest part of the night without sleep otherwise the Head wil be filled with vapours Also that sleepe is not allowable which is after Sun-rise which by its beames opens the passages of the body and cals forth the humors and spirits from the Centre to the Circumference as for the manner of lying in bed it ought to be upon one side begining on the right that the stomaches digestion may be assisted by the Liver the thighs and armes being moderatly contracted the head a little high the rest of the body as softly reposed as may be As for the place the moon-beames must be avoided Let the bed be soft fit to keepe off the injuries of the aire Whether the Head should be covered or no I leave as a thing doubtful VI. Touching Baths observe these following rules 1. They ought to be neither frequent nor long for they dissipate natural heat and cause a redundancy of il humors 2. We must not goe into the bath before our meat be digested least crudities be drawn into the body 3. We must not eat nor drink in a bath 4. We must come out of the bath before we we be weary nor must we eate or drink before the heat be expired Concerning washing of the head and feet I shal only ad what followes The former is not good in Head-ach or Catarhs in other cases it opens the pores and le ts out fumes the latter drawes humors from the Head VII Excrements because they are daily accumulated ought also daily to be voided forth And therfore 1. A man should goe to stoole as soone as he rises 2. If he cannot doe that his belly must be moved with the broath of an hen and other lenitive 3. The Excrements of the third Digestion must be expelled by exercises Point 3. Of Preserving the healths of old People By old people I Vnderstand such as have attained to fifty yeares age But their Age is divided into green old age which reaches from the begining of the eight septinary to some part of the ninth and old age it selfe precisely so called The part of Physick which takes care hereof is termed the Regulation of old age Now we shal provide wel for the health of Aged persons if we shal observe some things in General other things in special I. In General we must indeavor because in old age the body daily dries away that the said dryness may be prevented and that a diet hot and moist may be used II. In Particular I. Let the Air be hot and moist and let the cold winter air be conquered and driven away by Art II. Let their Nourishment be of good juice and easie to digest some commend honey to wast away flegme and let them take a less quantity than formerly lest too much over whelm their natural heat Let them eat thrice a day rather than twice nor let them ever if possible offende in the Quantity of their meat Somtimes let them change their Diet. III. Let their drink be either thin Wine fragrant of middle Age fleâ—m colored or yellow or mead or beer IV. Let them avoid passions of the mind least their weak Natural heat be dissipated or suffocated and a consumption be caused V. Their accustomed exercises are not wholly to be omitted but let them use light exercise before meat Moderate frictions are commended that heat being excited after sleep the distribution of their meat may be more happily accomplished VI. Let their Sleep be long and let want of sleep be removed by washing their feet near bed time and other sleep procuring Remedies VII Let their Excrements be conveniently and seasonably voided forth and because aged persons are commonly costive because of the dryness of their remper let them use emollient and abstersive things as honey Figs Raisons terpentine c. See Sebizius of the Diet of aged people Article II. Of Preserving the Health of Intemperate Persons By intemperately Complexioned Persons we understand three kinds of men which deflect from the best temper Viz. Such as are simply Intemperate which indeed want their most exact health yet can sufficiently perform the actions of life nor are inclining to any Diseases Declining Persons which are turning from a temperate state towards some Disease which is known by the threefold kind of Symptome and if they be not helped they fal into the said Disease and Persons recovering who recollect themselves from some Disease For the first for Hygieine particularly so called for the middle sort Prophylactice for the last Analeptice takes care I. Touching Intemperate Persons note 1. In General If they are not to be reduced into a better condition they must be preserved with things alike in general and in special or as they are wont to speak in quantity and degree if they may be reduced they are by little and little to be used to contraries 2. That an not and moist temper because convenient to our Nature must in no wise be Changed 3. It Dry Distemper must be kept off as much as may be II. In Particular 1. Hot and dry persons lest they over inflame a fretting heat or heape up sharp Excrements must avoid hot soultry aire hot meats anger over great Meditations they must drink plentifully but the drink must not be strong They must use frequent Baths of
fresh water long sleep and shun the use of hot and dry things 2. Persons hot and moist if moderately such preserve their Temperament and follow al things moderately lest contracting plenty of Excrements they sal into putrid Diseases 3. Cold persons require both hot meats which stir up heat and consume it not and seasonable Evacuation of Flegmatick Excrements 4. Dry Constitutions must have moist meats and baths of fresh Water 5. Such as are Cold and Dry have an unhappy constitution which must be holpen with long sleep frictions which strengthen the Natural heat and discuss it not and with a bath of fresh Water 6. In Cold and moist persons coldness must be corrected and the moisture preserved as much as may be Temperate exercises do stir up the Natural heat whereby it is inabled to conquer the moisture II. Persons Declining because in regard of a Plethorick and Cacochymical disposition encline to sickness must in the first place use rest and abstinence and in case these suffice not they require Blood-letting and purging Therefore at the beginning of the spring Flegmatick and Melancholly Humors about the end thereof Choler and about Autumn black Cholerick Humors are to be purged A pil of Aloes Rosata taken an hour before supper but not too often lest it hurt the Liver may suffice to Empty the matter which sticks in the stomach and first passages III. Touching persons neither sick nor wel but recovering two things are to be observed 1. That they fal not back again into their sicknesses 2. That they may soon recover their perfect health And therefore 1. Because such reliques as are left in Diseases after the Crisis wont to cause relapses if there be as yet any superfluous matter remaining it must be drawn away by little and little and the parts are to be Roborated 2. If there be no matter over the Body must be carfully nourished with moist Diet easie of digestion and of good nourishment 3. Bodies that have been long extenuated must be repaired by little and little such as have been suddenly decaied must be quickly repaired 4. These things are chiefly to be used which respect the Causes of the weakness and may resist the Morbifick Dispositions And so much for the Method of preservation of Health THE SECOND BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of the Preternatural Affections or Disorders of Mans Body and their Respective Signs The INTRODUCTION SO much may suffice to have spoken touching Hygieine or the Art of Preserving Health The Second Part of Physick followes termed Therapeutice which teaches the way to know all Infirmities which impair the Health of Mans body and being known by certain convenient Remedies to remove the same if possible It s End therefore is to remove if possible the preternatural Dispositions of the body and to restore health lost Its Parts are likewise two 1. General which treats of the Nature Signs Causes Differences and Cure of the praeternatural Affections of the Body both in General in particular in Conjunction 2 Special which treates of such preternatural affections as refer to the particular parts of the Body The former is again subdivided into four parts In the First we shal treat of the Nature and signs of praeternatural affections The Second declares the Medicaments The Third laies open the general method of curing The Fourth treates of the first differences of Diseases and delivers their Cure considered in gross Title I. Of a Disease in general Chap. 1. Of the Nature of a Disease THose Affections or disorders which praeternaturally infest the Body of Man are three A Disease its Cause and its Symptome A Disease is the Inability of the living parts of Mans body to perform their natural Actions ariseing from their praeternatural Constitution Concerning which we are to consider 1. The Subject 2 The Times 3 The cause 4 The Differences 5. The Signs 6. The Issue or event Of the first four we shal treat in this Chapter assigneing peculiar Chapters to the two last I. The Subject is the liveing parts of mans body both spermatick and sanguine both in reference to their matter to which Temperament and occult qualities belong as also to their structure to which conformation and unity do appertaine Sometimes altogether sometimes many sometimes only one of these is affected II. The times are four 1. The Beginning in which the disease iâ— crude nor are there any signs of coction or corruption contrary thereto present althings are remiss unless the matter being agitated does infest some one part more than the rest til it is either dissipated or thrust out into the Circumference of the Body and healthily disposed diseases their causes being removed do sometimes vanish 2. The Augment or Increase wherein the Symptomes grow more burthensome and the signs either of Coction or contrary Corruption begin to appeare 3. The State in which there is the greatest combate betwixt Nature and the Disease the signs of Life and Death do manifestly shew themselves and all things are vehement and if any Remission appeare the reason is because nature being weakened gives over and is no longer able to oppose her against the morbifick Causes 4. And lastly this Declination or Decrease in which the disease being overcome by nature grows gentle and no man dies at this time unless through the fault of himself or the Physitian or the disease changing into a worse Touching all these times note in general 1. That each of these being not of equal length in all diseases is subdivided after the same manner so that the beginning hath its beginning Augment and Declination and so the rest 2. That Intermitting Diseases have their particular times in each fit 3 That Diseases which receive nourishment in winter are finnished in Summer and contrariwise unless they are terminated within the circuit of certaine daies III. When we speak of Causes we do not consider any material cause For a disease hath no such cause its subject being instead thereof nor do we intend the formal cause for that is explained in the definition nor of the final because those things have final causes which consist in perfection whereas a disease consists in defect thereof also it is bred and receives growth by accident but we speak of the Efficient Causes which are considered either in respect to the disease or absolutely or according as the things themselves are The former are sundry I. Remote which either works as procatarctick causes which 1 Are either in the Body or without and therefore have not recourse with externals 2. They are called external because they belong not to the Constitution of the body 3 When manifest causes as a sword c. may be the immediate cause of a disease they are reckoned with the former 4. They stir up and put in motion such causes as lie hidden in our Bodies so that they sensibly affect our bodies as Watchings 5. Of their own nature and force they cannot cause a great disease
distinguished from the paine of the stone in the kidnies because it pricks more possesses a greater space is increased after meat by reason of the compression of the stomach it doth less afflict the back and the thighes 't is wandering and there appeares no Gravil in the urine From that of the womb because this seizeth for the most part upon the stoppage of the courses is communicated only to the hipps and Groins The cure must be hastened because the pain dissolves the strength and spirits and draws the principal parts into consent There is little hope if they vomit often and cannot keep their drink and little or nothing is voided if it be changed into an impostumation of the Collick gut If the matter which was contained in the hypochondries be poured forth and carried to the spina and pass into pains of the back and by a malignity contracted doe produce a falling sickness 'T is performed 1. By taking away of the Causes of which we shal treat in the defference 2. By mittigating of the paine if it be too vehement where note that we act most commodiously with anodine glisters the frequent use of outward applications may be if some evacuation have preceded that narcoticks or stupefying means must not be used neither where the strength is dejected nor in a cold cause That Compounds are more safely used than simples and that the same are more securely cast up into the belly than taken by the mouth That we never be unmindful of things appropriate as are the guts of a wolfe dryed and poudered the stones of a horse Quercetans powder compounded of the inward coate of a hens mawe and the white dunge of the same each half an ounce the pouder of the inward skin which is found in eg-shels two drams and an half of rupture wort cinnamon each four scruples of medlar kernels two drams of an is and fennel seeds each one dram the dose is from half a dram to a dram at the most with white wine c. Crato prescribes for preservation 1. A glister made of one pound of the decoction of speedwel in hen broth adding half a pound of mallego wine and half a dram of mirrh 2. Outwardly oyl of mirrh 3. Three hours after supper one scruple of Zedoary sliced 4. Every month in the morning before meat one scruple of treacle See more in Practitioners The diffences are taken either from the part it self or from the causes I. One is of the whol gut in which the pain is about both the loyns and below the region of the stomach neer to the navel which is very dangerous Another is of part of the Gut in which if the beginning of it be opprest the pain afflicts in the right loyn If the middle of it the paine shows it self in the left If the end of it the region of the navel next to the left is pained There is less danger ariseth because glysters may have access but note that sometimes the loyn is affected with a pain above the navel in the hypochondries II. Another is from diseases as 1. Worms whose signs and cure see in its place 2. An inflamation of the Guts which was formerly described and is increased by meats and drinks that are hot 3. From Stones of the cure of which elsewhere Another is from humors I. Thick and viscous sticking between the coats of the gutts which is known by this that the pain is as if a stake were driven through them by reason of the violent distension of the coats in that place neither is it asswaged by belching or breaking of wind and the gut it selfe is corroded which proceeds from glassy flame They arise cheifly in them who are given to drunkenness and idleness and in whom choler which is the spurre of the expulsive faculty flows not to those places In the Cure observe 1. That strong glisters cast in at first and often repeated do more hurt than good because they stirre the matter but bring it not forth 2. That we use not for attenuation things eminently hot lest the matter being suddainly resolved wind be multiplyed 3. To attenuate and discuss the oyle of Zedoary often given from three grains to one scruple is good White whorebound the decoction of Speedwel the Oyl of Orange pills given four grains with wine 4. If the paine continue we must proceed to dry fomentations by which that which was melted and attenuated may be dryed up and discussed 5. We must abstaine from Agrick for feare of vomiting which at that time is in no wise safe 6. Where gentle purgers do not good the essence of the trochisks of alhandal extracted with distilled mallegoe sack and Rulandus his golden spirit of life must be given from half an ounce to an ounce half at the most 7. we must wholy abstaine from opiates II. From sharp and cholerick humors sticking in the coats and vessels which are knowen by the accute pain thirst bitterness of the mouth watchings though by the first glister some excrements be brought forth yet afterwards nothing almost is emptied There are oftentimes joined with it tertain Feavers double tertians bastard tertians In the Cure note 1. That the collick from those causes is of long continuance and is wont to afflict the patient with many relapses 2. That those humors transmitted to the joints do cause an arthritis to the back pains of the back to the nerves a palsey 3. That they are best of al cast forth with the extract of Rhubarb or Hiera picra mixt with cooling things lest they offend by their heat 4. If the pains continue after evacuation Mallego wine may wel be administred with oyle of sweet almonds 5. That warme milk may also be given in glysters with honey of mercury 6. In dyet the fruit of the guord by a certain natural propiety doth oppose the disease III. Another is from the retention of hard excrements of which formerly and in which we must at the beginning abstaine from giveing any purging medicines by the upward parts lest they move the excrements Another is from wind conteined in the cavity which cannot get passage which is known by the distension of the belly a rumbling murmuring which shew themselves in the bowing of the left side It ariseth cheifly from meats apt to produce a fermentation of the humors as are corruptible-fruits Grapes new wine new and thick drink c. In the Cure observe 1. That the cure must be begun with anodyne and emollient glysters 2. If these profit not Some laxative must be given in fat broth of manna Oyl of sweet almonds and other things 3. Afterwards we must use discussives Inwardly are commended a glister made of Mallego wine and oyl of Nuts each three ounces aqua vitae one ounce the distilled oyles of Juniper and Rue each two drams apply it very hot A mixiture of Spirits of wine and Spirits of niter each half a dram or two scrupels given in common water warme
One spoonful of the tincture of orange peels extracted with spirits of wine Sperma ceti with oyl of sweet almonds Outwardly gum taccamahac and Caranna applyed to the Navel The antiapoplectical balsome with one or two grains of Zivet c. IV. One is exquisite of which we have hitherto spoken Another Spurious whose cause sticks either in the peritoneum or in the membranes which are spred over the abdomen and parts of the belly 'T is known by this that the paine is most greivous and very lasting and cannot be mitigated neither by glysters nor medicines nor fomentations nor by those remedies by which the true collick pains are abated and yet it succeeds to long continued feavers and other cholerick diseases whose solution is difficult For nature endeavoring a crisis and the expulsion of the hurtful humor by the stoole when she can no where find a ready and cleare way to empty it doth often cast it out of the veins and bowels into the membranes whence do arise pains more grievous than the former disease 'T is observed by Fernelius that both continuall feavers and tertians and more frequently quartans are terminated with these pains which a long time had their exacerbations at certaine circuits and retained the like order of fits See concerning this Mattheus Martinus on the diseases of the Mesentery V. Another is which tends to a particular palsey which Palmarius was wont to cure with a syrup compounded of white wine six ounces Rose water two ounces pouder of Alarbazi or antimony prepared one dram choice cinnamon one dram and an half infused al night strained by gentle pouring it off adding of Sugar eight ounces The dose is from half an ounce to an ounce after a draft of chicken broath Article 3. Of Costiveness of body Costiveness of body is no casting forth of excrements or very little in proportion to the nourishment received There is no need of signs The causes shal be explained in the differences The cure is not to be neglected for from thence the head is assaulted with vapors the whole body grows heavy the concoction of the stomach is hindred the appetite destroyed the loines grow weak to wit the veines being burthend and a preternatural heat caused in them Sometimes the belly is moved by sneezing and coughing sometimes if the diseased walk on the ground bare sooted c. The difference is taken from the excrements and guts I. One is by default of the excrements which either are not by reason of fasting and the use of meats of good juice Or do not stimulate either by reason they are small in quantity or by reason of the want of choler which either is carried to other parts as in the jaundice or is not produced out of cold meats Or they are hard either by fasting and a hot habit of body or by a continued restraint there by which it comes to pass that they forthwith grow dry and the veins of the mesentery do suck forth somwhat of their juice Or by reason of gross tough astringent meat eaten at first and not moistned by reason of the too great heat of the liver and kidnies and then there must be care taken of those parts we must act by mollefyers Solenanders liniment is approved of if the navil be anointed therewith 't is compounded of new oyle of sweet almonds goose grease May butter dialthea each two drams Coloquintida sixteen grains Salt one scruple and half the pouder of Simple hiera one scruple diagridium four grains II. Another is by fault of the guts which either do not feel either by reason of their long custom or by their stupidity such as is caused by the drowsy disease palsy apoplexy or by reason of flegme adhering to their coats of which in the chollick Or do not cast it forth either by reason of the narrowness of the passages from the obstruction of the guts of which formerly or of some tumor of the mesentery or bowels pressing the guts or from the fault of the muscles of the belly or from the strength of the retentive faculty from the moderate dryness Article 4. Of a Looseness Point 1. Of a Lientery and Coeliaca Fluxes of the belly are A Lientery Coeliaca Diarrhy Dysentery and Hepatick flux A Lientery is too sudden a voiding by the stool the nourishment in that forme in which it was received proceeding from the fault of the retentive and expulsive faculty of the stomach and guts The SIGNES are evident whether you consider the consistence or the colour smel and other qualities of the aliments taken The CAVSE we have laid in the definition on the faults of the retentive and explusive faculty of which hereafter in the differences The CURE must be hastened because this symptome proceeds from a great prostration of the natural heat and a weakness of the tone of the stomach 'T is difficult if it be supervenient to acute and chronical diseases because the strength is impaired It respects 1. The cause which must be taken away 2. The symptome which must be stayed by astringent means and things that stregthen the stomach and guts The Diffence is taken from the causes One is by default of the retentive faculty which is hurt 1. By the refrigeration of the guts which is caused I. By immoderate drinking of cold water especially when the body is hot by a southerne wind over moist and excessive cold especially in bodies of a fine texture c. 2. A cold distemper which ariseth from flegm either generated there or sent from some other part covering over the wrinkles of the guts doth make them laxe and slippery duls their heat and closeth up the mouths of the mesaraick veins In this for the most part a Celiaca was precedent If sour belching which was not before be supervenient to this of long continuance it is a good signe The Cure requires a casting forth of the matter either by vomit or stoole to which end serve Myrobalans Chebul Citrini tamarinds Rbubarb A restraint of the same and strengthening of the stomach by the distilled oyles of masticke wormwood mint c. order of dyet in which wine takes place II. by a laxness from the continuall use of things oyly fat and emollient from whence is too great a mollification of the Mouth of the stomach whether also belongs the resolution of the nerve of the sixth payre that contracts the fibres of the inward coat III. By a strange quality inured and that either from an evil constitution of the aire as happens in a popular lientery or from the unseasonable eating of mushrums melons cowcumbers c. IV. By a thick and smooth scar such as is wont to follow a great disentery and a deep ulceration which by its thickness stopping the Mesaraicks hinders the distribution by its smoothness the Retention This must be rubbed off and wiped away as it were by eating of sharp things attenuating and strong abstersive as musterd Seed Onions Garlicks honey of