of this Consumption beginning are Faintness and want of Appetite without any notable Feaver Cough or short Breath though in progress of the Disease when the habit of the Body is wasted some difficulty of Breathing as is usual in all that are Faint may be perceived This Disease is very difficultly cured if the Physician be not made use of at first it ends in an Hydropical and Oedematous Tumour of the Body especially of the lower parts and then the Disease is past all hope The main of the business must be performed by Stomachick Medicines and such as strengthen the Nerves such are Chalybeats Antiscorbuticks and Cephalicks and bitter things of every kind For Instance Let the Sick take if his Body be bound four Ounces of the bitter Decoction with Senna and every fourth night two Ounces of Tinctura Sacra or of the Tinctura of Hiera Picra made in the Waters of Rue Black Cherries Compound Peony In his ordinary Drink hang a Bag of Cephalicks and Antiscorbuticks an hour before Dinner let him take half a Dram of Elixir Proprietatis in a Draught of Whitewine wherein Wormwood has been infused Apply to the Region of the Stomach the Magisterial Stomachick Plaister with a few drops of the Chymical Oyl of Cinnamon and Wormwood or foment the Stomach daily with Aromatick Bags made of the Leaves of Mint and Wormwood Cinnamon Mace Zedoary Galingal Cyperus and Sweet-smelling Flag and boil'd in Claret If it be Summer-time let him drink Chalybeat Waters if Winter Syrup of Steel or the Wine of it made by quenching Filings of Steel in good Whitewine three or four times then by infusing in it Zedoary Galingal Nutmegs sharp Cinnamon Mace Cubebs and Cloves grosly beaten But amongst Chalybeats Mynsichts extract is thought the best which must be given in the form of a Bole or of Pills for the space of twenty or thirty days For Instance Take of the Extract of Mynsicht half a scruple Balsam of Gilead seven drops of Haly's Powder six grains of the Compound Powder of Wake-Robin four grains of the Powder of Liquorish a sufficient quantity make Pills of an ordinary size repeat them every day once Opobalsamum by it self as also Spirit of Harts-horn and Spirit of Sal-armoniack are very effectual in this case because they are agreeable to the Nerves For Instance Let the Sick take eight or ten drops of Opobalsam or of Spirit of Harts-horn in a sufficient quantity of Sugar-candy Let him endeavour to make himself Chearful by Exercise and Company for this Disease most commonly proceeds from Care and Sorrow and let him live in a good and open Air And because the Stomach is chiefly affected in this Disease he must eat a delicate sort of Meat and not be too long accustomed to any one The Consumption that proceeds from Innanition is next to be discoursed of and first Of that which proceeds from an Hemorrhage whither by the Nostrils or from the Lungs by Coughing or from the Jaws by Hawking or from the Stomach by Vomit or from the Reins by Urine or from the Hemorrhoidal or Uterin Vessels in the customary monthly Purgation or from hard Labour or lastly from Wounds when there has been a great and long Flux of Blood In this case the Hemorrhage must be first stopt by thickning Remedies and by binding hard the extream parts and if there be occasion and the Sick have Strength Bleeding must be used frequently but sparingly you must apply if the part will admit of it Galen's Stiptick Plaister the Royal Stiptick Water Oxycrat cold Ink Ashes of Hair a little burnt in a Retort and with Vinegar made up in the form of a Cataplasm true Bole Dragons blood and the like and they must be often renewed Let the Sick take inwardly three or four times a day twenty or thirty drops or more of the Royal Stiptick-water in a Draught of the Milk-water and five or six Spoonfuls of the clarified Juices of Plantane and Nettles or let him take frequently in a Spoon the following Linctus Take of Syrup of Purslain three ounces of true Bole Dragons blood of the Troches of Spodium and of sealed Earth each two scruples of Japan Earth one dram of Gum-Tragacanth a sufficient quantity dissolved in Plantane-water mingle them make a Linctus Or let him take thrice a day the quantity of a Nutmeg of the following Electuary Take of the Conserve of red Roses one ounce of the Troches of Ambar three drams of true Bole and of Dragons blood each half a dram with Syrup of Myrtles make an Electuary Let him take also every night at Bed-time five or six Spoonfuls of the following Julep shaking the Viol when he uses it Take of Plantane-water six ounces of Cinnamon-water hordeated three ounces of distilled Vinegar half an ounce of true Bole and of Dragons blood each half a dram of London Laudanum three grains of Syrup of Myrtles one ounce and an half make a Julep The Flux of Blood being stopt we must endeavour by all means to raise the weak Blood with new and good Chyle and to extinguish the Febrile Flame if it be begun least a Consumption should follow wherefore the Sick must be frequently nourished with good Broths and variety of Meats that are full of Nourishment and of easie Digestion and pleasant to the Stomach but he must be sure to abstain from Wine and from things salted and spiced and because this sort of Sick and all other that are inclining to a Consumption are subject to Anger Sorrow Oppressions of the Hypochonders Hysterick Passions and want of Appetite upon which account they can neither eat plentifully nor digest well They must endeavour to recreate themselves and to take the Benefit of a wholsome and free Air which most commonly does more good than Medicines But if the Sick be Hectick the Peruvian bark given freely is of admirable Vertue and if there be occasion the Sick must use a Milk Diet or Chalybeat Waters but you must by no means Loosen the Body A Consumption also often arises from a simple Gonorrhaea and the Whites also from Imposthumes and large Ulcers and also from giving Suck from a Loosness and Dysentery from a Diabetes from Salivation a Dropsie violent Sweating and the like But a Consumption of the Lungs is the chief The Cause in general of it is an ill Disposition of the whole Mass of Blood and of the Nervous Spirit contracted by degrees by the various Procatarctick Causes whereby the Acrid and Malignant Serum of the Blood separated by the soft and glandulous Paranchyma of the Lungs stuffs and inflames them and at last causes Ulcers which is indeed the containing Cause of this Disease The Procatarctick Causes are first a Suppression of the usual and necessary Evacuations as of the Courses the Lochia of old Ulcers of Issues of Sweat by the Soles of the Feet and other parts of the Body and the like without correcting and removing the Causes on which they depend whereby the Blood
Rise from want of Nourishment the Sick must be refreshed with good Wine and by a Piece of Bread dipt in it and eaten and also by nourishing Broths and the like If by reason of the Thinness of the Humours the Spirits exhale Perfumes and meat of good Juice and Thickning must be prescribed and the Pores of the Skin must be stopt with Oyl of Roses and by the cold Air. If it proceed from an Hysterick Disease Remedies proper for that must be given if from a malignant Quality Cardiacks and Alexipharmicks must be used If from taking Poyson things that evacuate must be used a Vomit must be given and afterwards Treacle must be prescribed and then if a Heat and Erosion of the Stomach be perceived he must take Milk or Butter or fat Broths or cooling Cordial Potions If from Immoderate Evacuation the Sick must be refreshed with Perfumes Meat and Drink Sleep and Rest If from too great a Loss of Blood lay the Sick on a Bed with his Head downward Sprinkle his Face with cold Water give him a little Wine diluted with cold Water If by over-purging give new Treacle or for want of it old Treacle with two grains of Opium or rather with three grains of Laudanum dissolved in Wine Anoint his Belly with the following Oyls Take of Oyl of Mirtles and of Quinces each one ounce and an half of Oyl of Wormwood one ounce of Rose Vinegar a little mingle them anoint his Belly with it often Inject a Glister of Calybeat Milk adding to it the Yolks of three Eggs of Philonium Romanum two drams rub his Arms and upper Parts dip a Piece of Bread in Wine and give it or let him drink Wine it self And lastly Every Evacuation whether of Blood by the Nostrils Womb or other parts or of other Humours by Vomit or Stool is to be restrained by Remedies described in their proper Chapters That Fainting which arises from too great Sweat must be cured by Remedies that restrain Sweat as with cold Water Rose-water alone or with a little Vinegar in it cast upon the Hands and Face the Air also must be cooled with the foresaid Waters and with fanning cold Epithems must be applied to the Heart made of rose-Rose-water Sorrel Borrage and of the Powder of Diamargarit frigid and with a little Wine to make them penetrate Also cooling Juleps of Syrup of Sorrel Violets of Apples or Lemmons with cooling Waters and Sal-prunella are frequently to be given the Pores may be stopt by anointing the Skin with Oyl of Roses Mastich and Myrtles Let the Sick abstain from Wine he must by no means be rubbed let him often change place and be lightly covered let the Bed be sprinkled with the following Powder Take of the flowers of Water-lillies and red Roses each three ounces of pure Labdanum half an ounce of Storax two drams of Myrtles and the Grains of Sumach each two ounces make a Powder If the Fainting arise from Suffocation of the Spirits they must be called back to the Surface of the Body by Frictions Ligatures Cupping-glasses and the like but if the Suffocation arise from Fullness Blood must be drawn plentifully by Intervals if Fainting proceed from a Fright or Fear Blood must be also let least an Obstruction or Inflammation should be occasioned CHAP. LXI Of the Palpitation of the Heart and of the Trembling of it THE Palpitation of the Heart is so violent sometimes that it may not only be manifestly felt but also seen and heard at some distance And some Authors of note say That by the violent Vibration of the Heart the Ribs have been broke or thrust out in young People As to the Cure it must be varied according to the variety of the Causes First therefore when this Disease proceeds from a fault in the Blood the curative Intention will be to exalt the watry Blood and to render it more apt for Fermentation to which purpose Spiritous Medicines also Saline of every sort and Sulphurous especially Chalybeats and also those things which are used for the Green-sickness or Lucophlegmatia and a cold Scurvy do good Take of the Conserves of Roman Wormwood of the yellow Peel of Oranges and Lemons each two ounces of the Winteran bark powdered two drams of the Species Diacurcuma one dram of Steel prepared with Sulphur three drams Salt of Wormwood one dram and an half with a sufficient quantity of the Syrup of Citron-bark make an Electuary The Dose is the quantity of a Nutmeg in the Morning and at five a Clock in the Afternoon drinking upon it three Ounces of the following Julep and walking after it Take of the Waters of Wake-robin leaves one pint of Penny-royal and Hyssop each four ounces of the water of Worms Snails and Mirabilis each one ounce of Sugar one ounce mingle them make a Julep Take of the Tincture of Antimony one ounce The Dose is twenty or twenty five drops twice a day in the same Julep Moreover Tincture of Steel or the Syrup of it also Elixir Proprietatis are proper Secondly The Palpitation of the Heart is oftner and much more violent from a fault in the Cardiack Arteries which is either an Obstruction or a Convulsion The first is most commonly continual and often incurable especially if it be occasioned by tabid Lungs or by reason the roots of the Arteries are half filled or compressed by a Tubercle or bony Excrescence which Causes when they are and can be perfectly known it is to no purpose to endeavour to remove and then all that can be done is only to give ease by Hypnoticks Moreover It is probable that the passage of the Blood is hindred sometimes by a Polypus growing within the Sinus of the Heart But it is difficultly known and hardly cured when there is a Suspicion of it Saline Medicines seem most proper and of those such as are volatile or acid But they are not to be given together you are to try one sort first and if that does not do you must try the other Take of Compound Spirit of Sal-armoniack viz. distilled with Millepedes or with other anti-asthmaticks three drams The Dose is from fifteen Grains to twenty thrice a day in some proper Julep or distilled Water In the same manner Spirit of Harts-horn of Soot of Blood and of a Scull dug up may be tried Take of Spirit of Sea-salt or of Vitriol distilled with Spirit of Wine impregnated with Pectoral Herbs and often cohobated three drams The Dose is from fifteen to twenty drops Spirit of Tartar of the Wood of Gujacum or of Box may be used to the same purpose Thirdly The Palpitation of the Heart is often Convulsive and proceeds from the same cause as other Hypochondriack or Asthmatick Passions do and must be cured also by Antispasmotick Remedies but respect must be had to the Constitution of the Sick Take of Spirit of Sal-armoniack with Ambar three drams The Dose is from fifteen to twenty drops twice a day in some proper Julep or
distilled Water Tincture of Tartar of Steel or of Antimony may be also given by turns As to the Cure of the Trembling of the Heart Medicines proper for Convulsions must be given it being meerly Convulsive Wherefore having made sufficient Evacuation the follow Medicines may be given Take of prepared Coral and of Pearls each two drams of both the Bezoars each half a dram of white Ambar two scruples of Ambar-grease one scruple make a Powder The Dose is half a Dram twice or thrice in a day in some proper Julep or distilled Water Take of Compound Powder of Crabs-claws two drams of the Powder of the roots of Male-peony of Mans Skull prepared each one dram of the flowers of Male-peony and of Lillies of the Vallies each half a dram make a Powder to be taken the same way Take of Ivory and red Coral powdered each three drams of the Species Diambra one dram of white Sugar dissolved in a sufficient quantity of Orange-flower-water and boiled to Tablets seven ounces make Tablets each weighing half a dram Let him take one or two often in a day or when he pleases Take of the Conserve of the Flowers of Lillies of the Vallies six ounces of Coral prepared of Pearls Ivory and Crabs-eyes each one dram and an half of Vitriol of Mars one dram with a sufficient quantity of Syrup of Coral make an Electuary The Dose is one or two drams twice a day drinking upon it a Draught of the following Julep Take of the Waters of Orange-flowers and of the whole Citron each six ounces of Orange-peels distilled with Wine two ounces of Sugar half an ounce make a Julep Take of Syrup of Steel six ounces The Dose is one Spoonful in the Morning and at five in the Afternoon in two ounces of the Julep above prescribed but you must omit the Sugar Take of the Powder of Ivory and of Coral each two drams and an half of the Species of Diambra one dram of Salt of Steel two drams of Sugar eight ounces of Ambar-grease dissolved half a scruple make Tablets each weighing half a dram The Dose is three or four drams twice a day Taâ—e of fresh Strawberries eight Pints of the outward Peel of twelve Oranges of the fresh Filings of Steel half a pound beat them together and pour upon them four quarts of Wine Let them ferment together in a close Vessel twenty four hours then distill them in a cold Still Take of Spirit of Harts-horn or of Blood or the like three drams The Dose is twenty drops twice a day in some proper Vehicle Take of the Flowers of Sal-armoniack and of Coral prepared each two drams The Dose is one scruple twice a day Take of Sal-prunella two drams of Salt of Ambar one dram of Salt of Harts-horn one Scruple The Dose is from fifteen to twenty grains twice a day in some proper Liquor Note Such of these Medicines as agree with the Constitution of the Patient are to be chosen CHAP. LXII Of Weakness THE Cause of Weakness is a Defect of Native Heat and of Spirits This Defect is occasioned by the Defect of Vital Spirits The Vital Spirits are wanting either when they are not generated in a sufficient quantity or because when they are generated they are dissipated corrupted or suffocated as it happens in Fainting But the difference betwixt Fainting and Weakness is That in Fainting the Causes produce their Effect of a sudden but in Weakness by degrees The Cure of this Disease respects the taking away the Cause and the cherishing the Heart and Vital Spirits The Causes are almost all great Diseases whereby Nature is much weakned therefore the taking off the Causes respects the Cure of almost all Diseases which must be sought for in their proper Chapters But the Strengthning the Heart and the Restoration of the Vital Spirits are to be treated of a part and sometimes to be preferred before the Cure of the Morbifick Causes when there is danger of Death But you must always take care that whilst you endeavour to refresh the Spirits you do not increase the Morbifick Causes and therefore in a hot Disease you must give temperate Cordials in a cold such as are hot And first With Meat you must mix Cordials as Confection of Alkermes or of Hyacinth in Broths also Mutton Broth the Fat and Skin being cut off is good also Gravy of Mutton is frequently used and the Gravy of the Heart is mightily commended The Italians make a Soop of Yolks of Eggs Wine Sugar and Cinnamon which is very restorative Jelly of Harts-horn is also very good Cordial Juleps may be also prepared in the following manner Take of the Waters of Bugloss Roses and the Flowers of Oranges each one ounce of Syrup of Apples and of Lemons each half an ounce Confection of Alkermes half a dram of cinnamon-Cinnamon-water two drams make a Julep To the Stomach may be applied Bags made of Spices and moistned with Wine the private parts may be fomented with Confection of Alkermes dissolved in Wine The Arteries of the Temples the Hands and Feet may be anointed with the same And Apoplectick Balsam may be often held to the Nostrils CHAP. LXIII Of Appetite depraved diminished and abolished THE Cause of an excessive Appetite is a sharp Juice abounding in the Body and especially brought from the Pancreas to the Intestine and sending thence Vapors that are sharper than usual to the Stomach This Acid is increased in the whole Body by sharp Meats and Drinks Cold and Serene Air immoderate Grief continued long violent Motion and long Watching The Appetite is diminished by Fat Choler and by Fat and Viscid Meat by Hot or Rainy Weather by too much Sleep Sloath and great Cares The Causes that diminish Appetite will wholly abolish it if they are extream Depraved Appetite is usual in the Green-sickness and in Women with Child and sometimes but rarely Men are troubled with it It most frequently happens before the Flux of the Courses or when they are suppressed In the Green-sickness they crave for Meats that are improper and unusual or they eat Chalk Ashes Coals Pitch Dirt Leather and many other things Appetite increased is to be cured with such things as temperate the acid Juice as Coral Pearls Crabs-eyes Filings of Steel and the like also Fat and Oily things and Volatile Spirits Take of Coral prepared and Pearls prepared each one scruple of white Chalk half a scruple of white Sugar three drams make a Powder to be divided into six Doses Take two Papers in a day three or four hours after eating in a Spoonful of strong Wine If a Liquid Medicine be more pleasing let him take a Spoonful of the following Mixture now and then Take of the Waters of Mint two ounces and of scurvy-grass-Scurvy-grass-water and of the Tincture of Cinnamon made by Infusion in rectified Spirit of Wine each half an ounce of Syrup of Wormwood one ounce mingle them Or Take of Oyl of Mace by Distillation and of the Oyl of Juniper-berries
each one scruple mingle them in a Glass Let the Sick take two or three drops of this Oyl in a Spoonful of Malago Sack or in any other generous Wine or in the foregoing mixture and let him eat fat Broths Appetite diminished or abolished must be cured by Medicines that evacuate and correct Flegmatick and Viscid Humours Acids and Spices correct them Coloquintida Turbith Hermodactiles evacuate them Take of Mint-water two ounces of Cinnamon-water half an ounce of Syrup of Fennel one ounce of Spirit of Salt a sufficient quantity to make it pleasantly Acid. Or Take of Tartar vitriolated half a dram of Cream of Tartar one dram of white Sugar-candy two drams mingle them make a Powder to be divided into three Doses Let him take one or two in a day in Rhenish-wine or in the preceding mixture and if he please instead of Spirit of Salt he may add half a dram of Elixir proprietatis to be taken by Spoonfuls They that dislike Acids may take the following mixture by Spoonfuls Take of the Waters of Mint and of Fennel each one ounce and an half of Aqua vitae Matthioli six drams of Oyl of Mace by Distillation three drops of Syrup of Mint one ounce They that had rather take a medicated Wine may use the following Take of the Roots of Elecampane and of Acorus each two drams of the leaves of Sage Marjoram Garden-rue each one handful of the Seeds of sweet Fennel two drams of Orange-peel dried one dram being cut and grossly bruised put them into a Bag and hang it in a Glass and pour on it twenty ounces of Whitewine after it has stood a night in a Cellar three four or five ounces may be taken in a Morning Fasting or at Dinner or Supper as every one pleases or as they find it agrees best with them And fresh Wine may be put on as long as the Aromatick Vertue remains in the Ingredients When Purging is necessary Take of the greater Faetid Pills half a dram of Coche one scruple Extractum Catholicon ten grains Oyl of Cloves two drops mix them make fifteen Pills gild them or cover them with Powder of Liquorish or Cinnamon Let the Sick take five of these Pills or more if he be hard to Purge But if you design to add Chymical Medicines in form of Pills you may prescribe in the following manner Take of Gum-ammoniacum or Opoponax or the like cleansed by Vinegar and afterwards thickned half a dram of the Troches Alhandal Mercurius dulcis each one scruple mix them make fifteen Pills and gild them Let the Sick take five or more of them But if the form of an Apozem seem more convenient for the Sick he having no great Aversion to bitter things the following is convenient Take of Liquorish rasped half an ounce of the Roots of Smalage one ounce of the Shavings of Guajacum three ounces of Laurel-berries and Seeds of Annise each two drams of the Pulp of Coloquintida half a dram boil them in a sufficient quantity of Rain-water in thirty ounces of the strained Decoction dissolve of Syrup of Roses solutive with Senna of Diacnicum each one ounce and an half of the Salt of Tartar vitriolated two Scruples Tincture of Cinnamon one ounce mix them Let the Sick take three four or five ounces of this Decoction once or twice a day by which the Flegmatick and viscid Humours are both corrected and evacuated per Epicrasin In the mean time let the Sick abstain from fat and viscid Meats Let him use a clear Air that is hot and dry Let Sleeping be diminished if it be too long Let the Mind be chearful Let the Motion and Exercise of the Body be moderate Evacuation by Stool and Urine daily ought to be proportionable to what is taken in by the Mouth if it can be conveniently Appetite diminished by fat Choler is presently cured by correcting of it if it abound too much it must be evacuated either by Stool or Vomit For correcting of this Choler there is nothing more effectual than Elixir Proprietatis given in Wine or any other convenient Mixture five or six drops at a time especially before Eating Those who do not love Acids may take in place of it sweet Spirit of Salt prepared with rectified Spirit of Wine by several Cohobations The same Choler is corrected by Wormwood and Wormwood-wine in the place of which also other Aromatick Plants may be likewise infused in Wine which may be drank in a small Quantity at Dinner and Supper Such Plants are Mountain-calamint Marjoram Rosemary Garden-rue Hyssop Thym Sage and the like Choler is very conveniently evacuated by Vomit by several Medicines prepared of Antimony as Crocus Metallorum Glass of Antimony and the Sapa Vomitoria that is made of it Oxysarcharum or Oxymel Vomitorium Mercurius Vitae or the like Rhubarb Scammony Tamarinds and the like evacuate Choler by Stool Scammony may be prepared presently and well if a convenient Dose of it twelve or fifteen Grains more or less according to the Age and Constitution of the Sick be powdered in a Mortar and a little Baulm-water Succory-water or the like be poured upon it and rubbed with it till it becomes of a milky Colour pour it off and put more Water on that all the Vertue of the Scammony may be extracted leaving the black Faeces at the Bottom then add to the Liquor of Cinnamon-water or Fennel-water or some other Aromatick-water two drams of Syrup of Roses solutive or the like two or three drams and so you will have a very pleasant Purging Draught and that it may work the easier a Scruple or half a dram of Cream of Tartar may be drank in Broth half an Hour after taking the Purging Draught Pleasant Tablets may be also made of Scammony in the following manner Take of Christals of Tartar one ounce and an half of Diagridium three drams of Oyl of Cinnamon six drops of white Sugar dissolved in rose-Rose-water eight ounces mingle them make Tablets These Tablets may be conveniently prescribed for Infants Children and delicate People the highest Dose of them is from three drams to half an ounce an Infant must take but half a dram or a dram a Youth may take two drams They who are afraid to use Scammony or Medicines made of Scammony though it be a kind safe and powerful Medicine may use Rhubarb in the following manner Take of choice Rhubarb rasped two drams of the best crude Tartar half a dram of Succory-water a sufficient quantity infuse them all Night over ashes or in a Bath to the Liquor strained gently add of Syrup of Roses solutive or of Succory with Rhubarb half an ounce of Cinnamon water two drams and to take off the nauseous Smell of the Rhubarb and to expel Wind add of Oyl of Annise-seeds two or three drops make a Draught To evacuate the over abounding Choler those that had rather use an Electuary may take of the following Take of the Pulp of sharp and sweetish Prunes ten
pound of the Ashes of Broom to be infused in the cold in three Pints of rhenish-Rhenish-wine and that a Pugil or two of the Leaves of common Wormwood be added to it let the Sick take four ounces of the Liquor filtrated daily in the Morning at five in the Evening and late at Night till the Swelling goes off with which Remedy alone I have known some Dropsies that were accounted deplorable cured in such whose weak Constitution could not bear Purging But to come to the second Intention half the Business is no more than done when the Water is evacuated wherefore we must endeavour to strengthen the Blood by a long and daily Course of heating and strengthening Medicines to prevent a new Collection of Water and to this end the Sick must drink Wine whilst he is under Cure after the Passages are open for the Water to go out or instead of Wine strong Beer For poor People who could not provide better Medicines I use to order Srong-beer wherein Horse-radish Root the Leaves of common Wormwood Garden Scurvy-grass Sage the lesser Centaury and the Tops of Broom have been infused for their ordinary Drink Rich People may use Canary-wine wherein the same bitter Herbs have been infused whereof a small draught may be taken twice or thrice a day or they may take nine spoonfuls of Wormwood-wine instead of it after two drams of the following Digestive Electuary in the Morning at four in the Afternoon and at Bed-time Take of Conserve of Garden Scurvy-grass one ounce and an half of the Conserve of Roman Wormwood and of the yellow Rind of Oranges each one ounce of candied Angelica and Nutmegs candied each half an ounce of Venice Treacle three drams of the compound Powder of Wake-robin two drams with a sufficient quantity of Syrup of Oranges make an Electuary The Sick must be sure to drink sparingly of small Liquors but to take off his Thirst he may often wash his Mouth with cold Water sharpened with Spirit of Vitriol and he may hold Tamarinds in his Mouth now and then or may chew a Lemon but he must swallow neither of them But amongst corroborating things Steel is not the least Garlick is also very good and without any Evacuatious I have known a Dropsie cured by it Take of Syrup of Steel a quart let a spoonful be taken with fifteen grains of Cream of Tartar every Morning in five spoonfuls of the following Julep Take of Aqua-lactis Alexiter one Pint of compound Water of Wormwood and of compound Water of Gentian each three ounces mingle them make a Julep Take of Steel prepared with Sulphur of astringent Saffron of Mars each half an ounce of Crabs-eyes and red Coral prepared and of Salt of Wormwood each one dram of Volatile Salt of Amber one scruple of Extract of Gentian a sufficient quantity mingle them make ten Pills of every dram let him take four every Night at Bed-time 'T is to be noted that that Dropsie which only swells the the Legs or the Belly a little does not presently require to be cured by Vomiting and Purging for it 's often removed by the heating and strengthning Medicines above mentioned but above all 't is to be minded that when we undertake to cure this Disease by Corroboratives or Lixivial Medicines the Patient must by no means be purged Topical or external Remedies as far as I have observed do nothing considerable and Blisters often occasion a Gangrene To conclude though this Disease when it comes to a Dropsie of the Belly has been always accounted desperate yet it will appear that if it be treated according to the Method above described it may be as certainly cured if the Bowels are not corrupted as many other Diseases which are not reckoned so deadly CHAP LXXXIII Of a Timpany A Timpany is a fixt hard and equal Swelling of the Belly that sounds when 't is knock't upon with the Finger it proceeds from a Convulsive Inflation of the Bowels the Animal Spirits being obstructed in the Fibres it generally ends in a Dropsie Medicines do little good in this Disease yet they are not wholly to be rejected the following are prescribed by Dr. Willis Take of Peach-flowers and of Damask-roses each two pugils of the Flowers of Broom Elder and the lesser Centaury each one pugil of the Leaves of Agrimony and of Sea-wormwood each one handful of the best Senna one ounce of Rubarb six drams of the seeds of Bastard-saffron half an ounce of Dwarf-elder two drams of yellow-sanders three drams of the Roots of Galingal two drams cut them and bruise them and put them into a silken Bag and hang them in a Glass-bottle and pour upon them a quart of White-wine and a pint of Saxifrage-water and put into the Bottle a dram and an half of Salt of Tartar let them infuse forty eight Hours and then take four or six ounces every third or fourth Day The following has been used with Success in this Disease in a hot Constitution Take of purging-purging-waters four quarts of Salt of Wormwood two drams evaporate a quart over a gentle Heat and to these I used to add of the Water distilled from Wine with Catharticks four ounces the dose is four or six ounces Or to the Purging-water evaporated to a quart add the Roots of Mecoacan and Tuâ—bith each half an ounce of Rubarb six drams of yellow-sanders two drams of Cloves one dram digest them hot in a close Vessel two hours filter them hot through Paper the dose is three or four ounces Glisters are often used in this Disease because they loosen the Belly without much provoking the Fibres Take of the Infusion of Stone-horse-dung with Camomil-flowers one pint of Mercurial-honey two ounces make a Glister Or Take of Vrine one pint of Sal-prunella one dram of Venice Turpentine dissolved with the Yolk of an Egg one ounce and an half mingle them make a Glister Diureticks also seem proper Take of live Millepedes cleansed three ounces one Nutmeg sliced beat them together and pour upon them a Pint of the following Diuretick-water strain out the Liquor hard the dose is three or four ounces twice a day Take of the green-berries of Juniper and Elder each six pounds of the Tops of Fir four pounds of green Wallnuts two pound of Winteran Bark four ounces of the yellow-Peel of six Oranges and four Lemons of the Seeds of Bishops-weed Rocket and Cresses each one ounce and an half of Dill two ounces cut them and bruise them and pour upon them four quarts of White-wine Posset-drink distill them in a common Still and mingle all the Waters Whilst these things are taken inwardly Topicks must be also applied not such things as are hot and discussing but those things which are indued with Particles of Volatile Salt and Nitre Take of the Flowers of Sal-armoniack one ounce of Sal-prunella two ounces of small Spirit of Wine a quart mingle them and dissolve them in a Bottle Flannels dipt in this are to be applied warm over
the Belly twice a day for the space of half an hour afterwards apply a Cataplasm made of Cows-dung and the powder of Dogs-dung or the following Plaister Take of the Plaister of Sope that is of the red-lead Plaister with a sufficient quantity of Venice Sope spread it thin upon thin Leather and apply it to the Belly and renew it within ten or twelve Days Altering Medicines are also requisite Take of the Filings of Steel finely powdered two drams of the distilled Water above described a quart of the Syrup of the five opening Roots two ounces mingle them in a Glass and let them clarifie by standing The dose is three or four ounces in the Morning and at five in the Afternoon Take of the Powder of the Roots of Wake-robin and of Crabs-eyes each three drams of Sal-Prunella two drams of Vitriol of Mars one dram and an half of Anthosat Sugar two drams mingle them the dose is half a dram in a convenient Vehicle And Medicines are to be prescribed against Fainting Difficulty of Breathing Watching and Drouth Cordials Take of the Waters of Orange-flowers of the Flowers of Marigolds and of Camomil each three ounces of Dr. Stephens's water two ounces of Tincture of Saffron two drams of Sugar one ounce of Pearls one dram make a Julep the Dose is four or five spoonfuls thrice or oftner in a Day Take of the Conserve of Marigold-flowers two ounces of Confection of Atkermes and of Hyacinth each two drams of Pearls powdered one ounce of the Syrup of the Juice of Citron a sufficient quantity make a Confection let him take the quantity of a Nutmeg Morning and Evening drinking upon it a draught of the Julep Hypnoticks Take of the hysterick-Hysterick-water six drams of Diacodium half an ounce mingle them let it be taken at Bed-time Or Take of Syrup of Cowslips three Spoonfuls of compound peony-Peony-water one spoonful of Laudanum tartarized one dram let a spoonful be taken in the Night if the Sick cannot sleep To quench the Thirst without much drinking which is always very prejudicial let the Sick lick often a small quantity of the following Linctus Take of Conserve of Wood-sorrel pulped three ounces of the Pulp of Tamarinds two ounces of Sal-prunella one dram of the Syrup of the Juice of Wood-sorrel a sufficient quantity make a Linctus CHAP. LXXXIV Of an Anasarca AN Anasarca is a white soft Swelling of the outward parts of the Body or of some of them it yields to the Touch and will pit and is occasioned by watry Humours extravasated As to the Cure there are two things chiefly to be minded First That the Water within the Skin should be evacuated Secondly That Care be taken to prevent the heaping up of new Water to which End we must endeavour the Viscera of Concoction being freed from Obstructions and Filth that good Chyle be made and carried in a due quantity to the Mass of Blood and that it be sufficiently fermented The Vital Indication is of little use in this Disease because there is seldom Fainting or Watching for which Cordials and Hypnoticks are required and also a strengthning diet for Fasting and Abstinence do good in this Case and often perform the greatest part of the Cure for the Vessels being emptied by Fasting absorb the Waters within the Skin or stagnating elsewhere and evacuate them by the Reins or the Pores of the Skin or otherwise The Sick must use purging Medicines prescrib'd for a Dropsie and the same Diureticks A Decoction of the Woods is also very proper Take of the Shavings of Guajacum six ounces of Sassafras two ounces of all the Sanders each six drams of Ivory and Hartshorn rasped each three drams infuse them and boil them in four quarts of Fountain-water till half is consumed adding to it the Roots of Sweet-smelling Flag of the lesser Galingal of Burdock and Butter-bur each one ounce of the Leaves of Sharp-sage and of dried Germander each two handfuls keep the strained Liquor for use the Dose is eight or ten ounces hot twice a Day to every Dose add twenty or five and twenty drops of Spirit of Saâ—armoniack with Amber or of Soot or of the Tincture of Salt of Tartar half a dram or a dram Frictions do often good in an Anasarca wherefore the whole Body may be rubb'd once or twice a day with a course Napkin or with Brushes made for that Purpose Blisters evacuate the Water plentifully but there is Danger of a Gangrene by the use of them But Escharoticks may be more safely used than Blisters an Emperick often evacuated successfully Water from the Members of Dropsical People if they were never so much swelled in the following manner by an Escharotick viz First he fomented their Legs Morning and Evening with a Decoction of Dwarf-elder Wormwood Camomil and other hot Herbs the grounds of Beer or Wine being added to it and betwixt the times of Bathing he applied a Cataplasm made of the Dregs of the Decoction and Bran after these things had been used three days he covered the Legs and Feet with a Plaister made of Burgundine-pitch leaving only upon each Calf a little hole about the bigness of a small Nut in which places he applied an Escarotick Medicine to the naked Skin made of the Ashes of the Bark of the Ash which being taken off after twelve hours a small Eschar remained from the pores whereof the Water first drained gently and daily afterwards it dropt more freely but when the Eschar cast it flowed as from a Fountain till it had emptied the Legs Another Way remains as good as the former but less us'd to drain the Water viz. By pricking with a Needle which also must be used cautiously and leisurely lest the Flux of Waters should be too great provide such a Needle as Tailors use and prick the Place that is most swelled with it so as that the Blood may not come you must prick only six or seven Holes at at a time at the Distance of the Breadth of a Thumb one from the other the Water will break out drop by drop from each Hole continually till all the Swelling about the Parts prick'd disappears and then the next time sometimes after twelve hours sometimes after eighteen and sometimes after twenty four prick again in another part of the same Leg or in the other and so once or twice a day in this or that Member in one or two or more at a time for the Water may be drawn more plentifully and safer this Way than any other and if the Breeding of new Water be prevented by Medicines the Disease will be easily cured Moreover in a deplorable Dropsie the Life may be prolonged this way An old Man of Seventy Years of Age that was dropsical all over kept his Head above Water and lived many Months by this means contrary to Expectation But to strengthen and restore the Blood the following Medicines must be used Take of Conserve of Sea-wormwood of Scurvy-grass and the yellow Peel
three Doses adding to each one ounce of Syrup of Violets and a dram of Sal-prunella if the Pain be very violent some Syrup of Poppies may be added to it and a dram of Gum Arabick powdered Broths may be also prepared in the following manner Take of the Roots of Marshmallows half an ounce of Mallows one handful of Liquorish half an ounce of the Seeds of Quinces one dram boil them with Chicken Broth and let it be taken for several Days together The Whey of Goats Milk is also very good a large draught of it being taken at a time and if there be no Feaver milk it self is more effectual especially Asses Milk If the Disease is inveterate Epsom and Tunbridge-waters are very proper Forestus cured himself of a violent Dysury by only using a Decoction of Mallows sweetned with Syrup of Violets a Conserve of Mallows has also done much good an ounce of it having been taken Morning and Evening and three ounces of Mallow-Water being drank presently after the Conserve of the Flowers of Marshmallows is as good or rather better some Practitioners commend the Troches of Alkakengi a dram of them being taken at a Time in some proper Liquor When the Pain is very violent the dipping the Yard in Milk whilst the Urine is rendring or in a Decoction of Mallows and the Seeds of white Poppies does much good in this case A small decoction of Mallows sweetned with Syrup of Violets or with Conserve of Roses is very proper for the ordinary Drink And to ease the Pain Injections may be made for the Passage of the Bladder of Milk an Emulsion of the cold Seeds of Plantane and Whey whereunto may be added the White of an Egg well beaten and a Scruple of the Troches of Alkakengi External Remedies do also much good to qualifie the Heat of Urine as Baths and Fomentations applied to the Pubis and Perinaeum made of a Decoction of cooling Herbs also Liniments made of Oyls of Roses of white-lillies and of Oyntment of Roses and of the white Oyntment with Camphor CHAP. XCV Of a Chlorosis or the Green-Sickness THe Green-Sickness is a vitious Habit of the Body proceeding from Obstructions it is accompanied most commonly with a Palpitation of the Heart Difficulty of Breathing and a longing for absurd things and with an Unfitness for Motion and other Symptoms The Diagnostick manifestly appears by the following Series of Symptoms First The Face and whole Body is pale and sometimes of a leaden livid and green Colour Secondly An Inflation and as it were a Swelling appears upon the Eye-lids the Legs also swell especially about the Ankles Thirdly There is a Dulness and Unwillingness for Motion Fourthly There is a Difficulty of Breathing especially when they move much or go up Stairs Fifthly There is a Palpitation of the Heart upon Motion Sixthly There is a heavy and often a lasting pain of the Head Seventhly The Pulse is quick Eighthly The Sick are drowsie and incline to Sleep Ninthly There is a great Aversion for wholesome Food Lastly The Disease increasing and the Obstructions being multiplied a Suppression of the Courses at length follows which shews the Disease is confirmed As to the Prognostick This Disease most commonly is noâ— dangerous but if it be neglected too much it occasions great Diseases as a Scirrhus Tumours a Dropsie and other grietvous Diseases which at length kill the Patient When the Disease is small and chiefly arises from Obstructions of the Veins of the Womb it is easily cured by Marriage in Young Virgins Women that have had this Disease a long while are either barren or bring forth Children that are Sickly and short liv'd There is great Hopes of Cure when the Courses keep their exact Periods and flow in a due Quantity and Quality The Cure of this Disease is performed by opening Obstructions by purging off the vitious Humours by Correcting the Intemperies of the Bowels and by Strengthning them First therefore A gentle Purging Medicine must be given that is agreeable to the Constitution that the first Region may be only emptied and if the Belly be bound a Glister must be given first of all Afterwards Bleeding must be ordered unless the Disease is very inveterate and the Maid be inclined to a Cachexy But a Vein in the Arm must be opened though the Courses are stopped for at that Time if you should bleed in the Foot the Obstructions of the Veins and of the Womb would be increased That quantity of Blood being taken away that is necessary proper Purges must be used viz. Take of the Pill Coch Major two Scruples of Castor powdered two grains of Peruvian Balsam four Drops make four Pills let her take them at five in the Morning and let her sleep after them Let these Pills be repeated twice or thrice every Morning or every other Morning according to the Strength of the Sick and their Operation After the purging Pills let her take the following Take of the Filings of Steel grains eight with a sufficient quantity of Extract of Wormwood make two Pills to be taken in the Morning and they must be repeated at five in the Afternoon She must continue this Course for thirty Days drinking presently after the Pills a Draught of Wormwood Wine If a Bolus be more pleasing Take of the Conserve of Roman-Wormwood and of the Conserve of the yellow Peel of Oranges each one ounce of candied Angelica and Nutmegs candied and of Venice Treacle each half an ounce of Ginger candied two drams with a sufficient quantity of Syrup of Oranges Make an Electuary Take of this Electuary one dram and an half of the Filings of Steel well powdered eight grains with a sufficient quantity of Syrup of Oranges make a Bolus to be taken in the Morning and at five in the afternoon drinking upon it a draught of wormwood-Wormwood-wine Take of choice Mirrh and of Galbanum each one dram and an half of Castor sixteen grains with a sufficient quantity of Peruvian Balsam make twelve Pills of each dram Let her take three every Night at Bed time drinking upon them three or four Spoonfuls of compound Briony water through the whole Course But if these Pills should purge then the following must be used instead of them Take of Castor one dram of Volatile Salt of Ambar half a dram with a sufficient quantity of Extract of Rue make five and twenty small Pills Let her take three every Night at Bed-time CAHP. XCVI Of the Suppression of the Courses THere is said to be a Suppression of the Courses when in Women of a mature Age that neither give suck nor are with Child the Evacuation of Blood by the Womb which naturally is wont to be monthly seldom or sparingly proceeds or is wholly stopt The Cause of this Suppression is to be referred either to the Womb or to the Vessels of it or to the Blood which flows or ought to flow through them Various Diseases of the Womb may occasion this Suppression namely a
things to draw downwards they bring the Blood also to the Fundament and if you use astringent things to it they by reason of the Nearness of the Parts repel what should be brought to the Womb so that the only Way of Cure is to apply such things to the Womb as may allure the Blood thither after you have used such things as draw the Blood downwards But the most frequent Obstruction of all is that which proceeds from an Obstruction of the Veins of the Womb the Cure whereof is in a manner the same with that of the Green Sickness But the Eruption of them must be helpt by opening a Vein in the Foot about the time they used to flow when the Patient was well as also by Cupping-glasses applied to the Hips and Legs instead of Bleeding with or without Scarification by Frictions of those Parts and by painful Ligatures Take of the Roots of round Birthwort half a dram of the leaves of dried Savin one dram and an half of Dittany of Crete and of Troches of Mirrh without Assa-Faetida each one dram of choice Cinnamon two drams of white Sugar two ounces make a Powder whereof let her take two drams every Morning for some days with the Broth of red Vetches wherein two drams of Cinnamon and half a dram of Saffron have been boiled Take of Roots of Briony of Lillies Cyperus Valerian Angelica Asarabacca Orris and Parsley each one ounce of the Leaves of Mugwort Bays Rue Savin Thym Rosemary Penny-royal Nep Mallows Mercury each one handful of the Flowers of Elder of Wall-flowers and of Camomil each two Pugils of the grains of Juniper two ounces boil them in Water and Whitewine with the strained Liquor foment the Belly and Thighs with a Spunge With the same Decoction the quantity being increased a Bath may be made wherein the Sick may sit up to the Navel and the boiled Herbs being put in a Bag may be applied to her Belly but you must take care that she does not sweat for that rather stops the Courses Take of the Leaves of Mercury bruised one handful of the Powder of Hiera Picra and of Benedictum Laxativum each two drams of the Powder of long Birthwort one dram with a sufficient quantity of Honey or the Juice of Mercury make a Pessary Injections are also wont to be made for the Womb which are called uterine Glisters for they cleanse it from Filth sticking to the Sides and they open the inner Orifices of the Vessels They may be prepared with a Decoction for the Fomentation above described the acrid things being left out or of fat Figs with Mugwort Penny-royal Mercury or only of the Juice of Mercury clarified wherein a little Benedictum Laxativum has been dissolved for you must not use acrid things lest they should occasion an Inflammation And after the use of these things which must be retained only an hour it is convenient to inject a Decoction of Mallows Barley and Violets or a little Hydromel diluted with the Whey of Goats Milk When the Disease is inveterate Issues in the Leg do much good In the use of the forementioned Medicines some things are to be observed First You must never use Remedies to force the Courses unless general Evacuations went before Secondly You must begin with gentle Means and proceed by degrees to stronger Thirdly Medicines that are given to move the Courses must be taken in a large quantity Fourthly Pessaries and uterine Glisters must be prescribed only for married Women But for Virgins Fomentations Baths and the following Fume may be ordered Take of Cloves Cinnamon and Mace each two drams of Juniper-berries half an ounce of the Seeds of Nigella one dram of Storax Calamit two drams make a gross Powder which must be cast upon Coals and the Fume must be received through a Tunnel Lastly In Cholerick and Melancholly Constitution the hottest Medicines must be avoided and only such as are gentle must be used and things that are opening moistening and mollifying must be mixed with them CHAP. XCV Of an immoderate Flux of the Courses AN immoderate flux of the Courses invades either in Child-bed or at other Times As to the first that afflicts Women most on the first Days after a difficult Labour and is accompanied with a long train of Hysterick Symptoms and as it happens only on the first days so usually does not last long for if a thickning Diet be ordered it soon abates The following Drink may be also used Take of Plantain Water and red Wine each one pint boil them till a third part is consumed Sweeten it with a sufficient quantity of white Sugar and let her take half a pint of it twice or thrice a day and in the mean while some gentle Hysterick Julep may be used and the following Nodulus may be often held to the Nostrils Take of Galbanum and Assa Foetida each two drachms of Castor one Drachm and an half of volatile Salt of Amber half a drachm mingle them make a Nodulus Or two drachms of spirit of Sal Armoniack may be often held to the Nose But as to the Flux which happens out of Child-Bed though it befals Women at any Time yet most commonly it invades a little before the Time they leave them viz. when they are about forty five Years of Age if they had them very young and about fifty if it was late before they began to have them And by reason of the great quantity of Blood which is continually evacuated they are almost continually seized with Hysterick Fits and though in this Case Hystericks both inward and outward may be used by the by but you must forbear the strongest lest they should further the Flux yet the Cure must be managed by such things as stop the Flux You must bleed in the Arm and eight Ounces of Blood must be taken away The next Morning the following Purge must be given Take of Tamarinds half an ounce of Sâ—na two drachms of Rhubarb one drachm and an half infuse them in a sufficient quantity of Fountain Water In three ounces of the strained Liquor dissolve of Manna and syrup of Roses solutive each one ounce make a purging Potion which is to be repeated every third day for twice every night at bed-time through the whole course of the Disease let an Anodyn be given of an ounce of Diacodium Take of the conserve of dryed Roses two ounces of the Troches of Lemnian Earth one drachm and an half of Pomgranate peel and of red Coral prepared each two scruples of Blood-stone of Dragon's-blood and of Bole-Armenick each two scruples with a sufficient quantity of simple Syrup of Coral make an Electuary whereof let her take the quantity of a large nutmeg in the morning and at five in the afternoon drinking upon it six spoonfuls of the following Julep Take of the waters of Oak-buds and of Plantain each three ounces of Cinnamon-water hordeated and of Syrup of dried Roses each one ounce of Spirit of Vitrial a
the strength of the Patient Take of the Waters of black Cherries Rue and compound Briony each three ounces of Castor tyed up in a Rag and hanged in the Glass half a dram of fine Sugar a sufficient quanity make a Julep whereof let her take four or five Spoonfuls when she is faint dropping into the first Dose if the Fit is violent twenty drops of the Spirit of Harts-horn After the Purging Pills just described are taken let her use the following Take of the filings of Steel eight grains with a sufficient quantity of extract of Wormwood make two Pills let her take them early in the Morning and at five in the Afternoon for thirty days drinking upon them a draught of Wormwood-wine Or if she like a Bolus better Take of conserve of Roman-wormwood and of the conserve of the yellow rind of Oranges each one ounce of candied Angelica and Nutmogs candied and of Venice Treacle each half an ounce of candied Ginger two drachms make an Electuary with a sufficient quantity of Syruy of Oranges Take of this Electuary one drachm and an half of the filings of Steel well rubbed eight grains make a Bolus with a sufficient quantity of Syrup of Oranges to be taken in the Morning and at five in the Evening drinking upon it a Glass of wormood-Wormood-wine Take of choice Myrrh and Galbanum each one drachm and an half of Castor fifteen grains with a sufficient quantity of Balsam of Peru make twelve Pills of every drachm Let her take three every Night and drink upon them three or four Spoonfuls of compound briony-Briony-water through the whole course of this Process But if the Pills last prescribed move the Belly which sometimes happens in Bodies that are very easily purged by reason of the Gum that is in them the following may be used instead of them Take of Castor one drachm of volatil Salt of Amber half a drachm with a sufficient quantity of extract of Rue make twenty four small Pills Let her take three every Night But here you must take notice That Chalybeats in whatsoever Form or Dose they are taken occasion sometimes in Women great disorders both of Body and Mind and that not only on the first days which is usual almost in every Body but also all the time they are taken in this case the use of Steel must be interrupted at those times but Laudanum must be given every Night for some time in some Hysterick Water that they may better bear it But when the Symptoms are mild and it seems that the business may be done without taking Steel I think it sufficient to bleed and to purge three or four times and then to give the altering Hysterick Pills before-mentioned Morning and Evening for ten days which method seldoms fails when the Disease is not violent yea the Pills alone bleeding and purging being omitted oftentimes do a great deal of good Yet we must take great notice That some Women by a certain Ideosyncrasy so abhor Hysterical Medicines which give ease in most of the Symptoms of this Disease that they don't only not receive benefit but are much injur'd thereby therefore they must not be given to such for Hippocrates says 'T is in vain to do any thing contrary to Natures inclination Which Ideosyncracy is so great and so frequent that if we have not regard to it the Lives of the Sick may be hazarded And so Hysterical Diseases are most commonly cur'd and most Obstructions of Women especially the Green Sickness and also all Suppressions of the Courses But if the Blood is so very feeble and the confusion of the Spirits so great that Steâ—l order'd to be us'd according to the Method prescrib'd is not sufficient to cure the Disease the Patient must drink some mineral Waters impregnated with an Iron Mine such as are Tunbridge and some others lately found out for the Chalybeat Vertue of these is better mingl'd with the Blood by reason of the great quantity that is taken of them and also because they are more agreeable to Nature and they cure Diseases more effectually than Iron how much soever exalted by Art But this is more especially to be observ'd in drinking of them that if any Sickness happens that is to be referr'd to Hysterical Symptoms in this case the Patient must forbear drinking them a day or two till that Symptom that hinder'd their Passage is quite gone and it is to be noted that Purging must be avoided all the time the Patient drinks these Waters But if this Disease by reason of its Obstinacy does not yield to Steel-waters the Sick must go to the Bath and when she has used them inwardly three mornings following the next day let her go into the Bath and the day following let her drink them again and so let her do by turns for two months for in these and in others of what kind soever they are this must be carefully noted That the Patient must persist in the use of them not only till she perceives some benefit but till she is quite well that the Symptoms may not return again in a short time Venice-Treacle alone if it is us'd often and a long while is a great Remedy in this Disease and not only in this but in very many other Diseases that proceed from want of heat or concoction or digestion 't is perhaps the most powerful that has been hitherto known Spanish Wine medicated with Gentian Angelica Wormwood Centory and other Corroboratives infus'd in it does a great deal of good some Spoonfuls of it being taken thrice a day if the Woman be not of a thin and cholerick habit of Body and truly a large Draught of Spanish Wine by it self taken at Bed-time for some Nights by my Advice has been very beneficial to some Women for by it the habit of the whole Body was render'd stronger and they who before were Cachectical became fresh-colour'd and brisk Moreover sometimes we find that the Peruvian Bark wonderfully comforts and invigorates the Blood and Spirits a Scruple of it being taken Morning and Evening for some Weeks but it succeeds best in that kind of Hysterick Diseases wherein VVomen are afflicted with Convulsions But if any of the Remedies above-mentioned don't agree well which often happens in cholerick and thin Constitutions then a Milk-diet may be us'd for some VVomen which one wou'd wonder at at first that have been conflicted a long while with Hysterick Diseases and even such as have frustrated all the endeavours of Physicians yet have recover'd by dieting themselves for some time only with Milk and especially those that labour with that Disease I call an Hysterick Cholick which can't be appeas'd by any thing but Narcoticks to which repeated by Intervals the VVomen are much accustom'd the Pain returning assoon as the Vertue of the Anodyne fades But nothing of all I have hitherto mention'd does so much comfort and strengthen the Blood and Spirits as riding on Horse-back every Day for a long while but though
Syrup of the five opening Roots make an Electuary Let her take the quantity of a large Nutmeg every third Hour drinking upon it three or four spoonfuls of the following Mixture Take of the Water of Penny Royal and Balm each three ounces of compound Briony-Water two ounces of Syrup of Mugwort three ounces and an half of Saffron two drachms of Castor tied up in a Rag and hanged in the Glass one scruple mingle them If these things are used presently upon the Suppression they generally take it off But if they have been used so long that all the quantity is taken and the Lochia are still stopt in this case we may use Laudanum for once but it is best to mix it with hysterick things For instance Take of liquid Laudanum sixteen drops in a spoonful of compound Briony-water Or Take of solid Laudanum one grain and an half of Assa Fetida one scruple and an half Make two Pills But it must be carefully noted that if upon once taking the Business is not done Opium by no means must be repeated again But having waited a while to see what it will do we must return again to Emmenagoges mix'd with Hystericks and afterwards we must Inject a Glister But what was said before of Opium is also to be taken notice of in respect of Glisters for unless the first bring down the Lochia nothing is to be hoped for from more These things therefore being done it is safest and the duty of a prudent Physician to wait and see what Time will do for every Day the Danger will lessen and if the Sick live over the twentieth Day she will be in a manner out of Danger for then she will be able to bear that Method which is fittest to conquer the Diseases which were occasioned by the Suppression of the Lochia CHAP. CXI Of After-Pains PAins happen so frequently to Women in Childbed that few are free from them but they seldom require the Physicians help because they usually cease in two or three Days But if they are sharp and continue longer they are forced to send for Physicians who before they prescribe ought to enquire into the causes of the Pains The chief Causes therefore of Pains after Labour are a great quantity of Blood the Thickness and Acrimony of it and the Narrowness of the Vessels for when the Veins of the Womb have ceased to evacuate Blood for nine Months and when that is heaped up in a great quantity and also grows thick and acrimonious by it's long stay it occasions Pain while it passes through the narrow Passages which returns by Intervals as often as the Womb endeavours the Evacuation of the Blood And when that is over the Pain ceases till more Blood endeavours to come out These Pains are also sometimes occasioned by Wind or cold received into the Womb but the Pain seldom happens from these Causes This Pain is distinguished from other Pains that are wont to afflict the Belly by the continuance or Intervals which follow the Evacuation of Blood and Women can easily distinguish them themselves The thick Blood easily coagulates but the thin is known by its thinness and fresh colour If the Pain arises from Wind it is more wandring and possesses more parts of the Belly nor does it follow the Intervals of the Evacuation of Blood If cold Air be admitted into the Womb it may be known by those things which have been done about the Woman These Pains are not dangerous but are most commonly very troublesome and therefore are to be taken off or asswaged as soon as may be As to the Cure the Vessels of the Womb must be relaxed and the thickness of the Blood attenuated and its Acrimony qualified all which may be done by the following means And first the Woman's Belly must be gently swathed that it may subside and not move hither and thither as it often happens after Delivery upon so sudden an evacuation and then give of Oil of Almonds fresh drawn three ounces mixed with an ounce and an half of Syrup of Violets And Glisters may be injected made of Milk and Sugar and Yolks of Eggs or they may be prepared of a Decoction of Camomel-flowers and of Mugwort in Chicken-broath adding to them Oil of Lillies and Yolks of Eggs. And the Belly of the Woman must be anointed with Carminitive and Aperitive Oils as with Oil of Dill Rue Jasmin or with the following which is very effectual which may be prepared for this use in due season and kept in the Shops Take of the Roots of round Birth-wort of Orris and Peony each one ounce of Cyprus half an ounce of the dried Leaves of Mugwort Feverfew wild Marjoram Calaminth Pennyroyal Dittany of Creet of Wormwood Savin Rue Bettony and Sage each one handful of the Flowers of Rosemary Stechas Lavender Camomel Dill S. John's Wort Elder each half an handful of the Grains of Lawrel and Juniper each half an ounce of Cummin the Seeds of Rue Peony Daucas of the Chast Tree each three drachms of Cloves Nutmegs Cinnamon and Ginger each two drachms of Storax and Myrrh each one ounce Bruise them and cut them and infuse them in three quarts of old Oil adding a litte White-Wine keep them in an earthen Vessel well stopt for the space of a Week then boil them upon hot Ashes four or five hours then press out the Oil and keep it for use If you have it not ready prepared you may boil the Simples upon occasion with equal parts of Oil and White-Wine to the consumption of the Wine afterwards press out the Oil. A Fomentation may be also made of a Decoction of Mugwort Feverfew Baulm of the Leaves of Bays and Calaminth of the Seeds of Daucas Cummin and Caraways of the Flowers of Wall-flower and Camomel made in Water and white-White-Wine or in Milk Or the following Cataplasm may be applied Take of Onions boil'd in Water number three or four bruise them in a Mortar and add to them of the Seeds of Cummin and Flax bruised each one handful With a sufficient quantity of the Flowers of Camomel and Barly-meal make a Cataplasm and if there be occasion add a little of the Water wherein the Onions were boil'd Spread it upon a cloath and apply it hot to the Navel It is also proper to cover the Belly with a Sheep's-skin fresh flea'd off and applied hot for the Heat of it is very agreeable it eases the Pain and keeps the Belly from wrinkling And the following things may be taken inwardly Take of the Seeds of Daucas powdered one drachm of White-Wine three ounces Mingle them and give it twice in a day Or Take of Nutmegs Aniseeds and Cinamon each one scruple Mingle them make a Powder give it with White-wine or one scruple of Oil of Nutmegs with Broath Forestus used the Flowers of Camomel in Beer or a Decoction of Camomel and Mugwort in Chicken-Broath with good Success It is good presently after Delivery to give the Broath of an
Powder which may be made into a Bolus with the pap of a roasted Apple or a drachm of the Conserve of Violets let it be taken early in the morning Or Take of Mercurius Dulcis six or ten grains of the Conserve of flowers of Succory half a drachm mix them make a Bolus Let it be taken early in the morning drinking presently upon it a sufficient dose of the purging Infusion or Syrup Chyrurgical Remedies After gentle Purging if the Sick be of a sanguine Constitution Blood-letting is of use Our Empericks use to draw a small quantity of Blood by scarifying the lobe of the Ear which operation they rather perform with a blunt Knife than with a sharp Lancet and they repeat it twice or thrice intermitting about the space of 7 days Altho' Practitioners greatly praise this way by Scarification I do not know but Leeches may be more effectual Neither do I think it is to be fear'd that the sucking of Leeches should cause a greater afflux of Blood to the Head For whatever Blood is drawn to the part by their Sucking is also evacuated by it and as to the greater afflux of Blood by reason of the emptying of the Vessels the same happens in bleeding by the Lancet Issues are also very effectual in this Disease especially an Issue made between the first and second Vertebrae of the Neck The usefulness of Issues consists in that they are very effectual to evacuate the superfluous ferosity of the Brain and also to lessen the irregular form of it and likewise to dry up the too great moisture of the spinal Marrow and consequently to strengthen the Nerves that arise from thence A Seton may be put in the place of an Issue As to Vesicatories it is not to be doubted but that they give ease being applied upon the Vertebres of the Neck or behind the Ears But their Strength is soon gone and the use of them seems to be both troublesom and painful to Children Moreover Cupping-glasses without Scarification apply'd along the Back-bone are very effectual to correct the moist and cold Temperies of the spinal Marrow and to remove the dulness of the Nerves And I think also that they may be applyed upon the upper Vertebres of the Neck with a light Scarification Besides Purging and Chyrurgical Remedies Specifick altering Medicines are to be used to which sometimes Diureticks and Diaphoreticks are to be added of which we shall add some Examples The specifick Remedies that are found most effectual to cure this Distemper are either simple or compound among Simples the following are most approved Wood of Guiacum and its bark Sassafras Lentiskwood Rosemary the knotty parts of Firr the roots of China of Sarsaparilla the three Sanders the roots of Osmund-royal or rather the Cloves of the roots the roots of Sea-fern or rather the buds of them Grass-roots the roots of Asparagus Eryngo Succory Burdock the barks of the roots of Cappers the capillary Herbs and chiefly Trichomanes Ceterach Wall-rue Harts-tongue Liverwort Male-speedwell Agrimony Brook-lime Water-cresses the leaves and flowers of Sage of Rosemary Betony dead Nettle and of Tamarisk also Steel prepared or its Salt or Vitriol Tartar Castor flowers of Sulphur Earthworms Millepides prepared and the like Of which Compositions may be made after this manner Take of the Cloves of the roots of Osmund-royal or the roots of Sea-fern or the Twigs of the roots of it scarcely sprung above Ground onehandful boil them in a pint of Milk or Spring-water to the consumption of a third part Let the strained Liquor sweetened with Sugar be drunk twice or thrice a day Take of the leaves of Tea one drachm of the flowers of Sage Betony each half a drachm put them in a convenient Vessel and pour upon them a pint of boiling Water let them stand close and warm about an hour Sweeten the strained Liquor with Sugar and let it be drunk in the same manner as the former Take of the Cloves of the roots of Osmund-royal of the roots of Burdock Grass succory each one ounce of the herbs Male-speedwel Agrimony Hartstongue Liverwort Maiden-hair each half an handful of the raspings of Ivory and Hartshorn each an ounce of Raisins of the Sun stoned one ounce boil them in two quarts of fountain-Fountain-water to the consumption of a third part add of white-White-wine or Rhenish-wine half a pint strain it presently and then add to it of the leaves of Water-cresses and Brooklime and of the tops of Fir each half an handful of Juniper-berries half an ounce make a warm Infusion in a close Vessel for about two hours keep the strained Liquor in a Glass well stopt and sweeten it at pleasure The dose is two or three ounces at nine in the morning at three in the afternoon and six in the evening Take of Lignum Lentiscinum Rosemary of the roots of Sarsaparilla flowering Fern or of male Fern each three ounces of the herbs Agrimony Maiden-hair Speedwel Hartstongue Sage Bettony each two handfuls of the teps of Fern and Tamarisk each 2 handfuls boil them in four Gallons of Ale till one is consumed when it has done working in the Vessel put into a bag 200 Millepides washed in Whitewine and gently bruised of Juniper-berries two ounces of Nutmegs cut number two hang the bag in the Vessel and put a piece of Steel into it to make it sink If there be any suspicion of the Scurvy you may add of Water-cresses and Brooklime each two handfuls after a fortnight let it be drunk for the ordinary drink But the Medicine which is most approved of in this Disease is ens veneris five or six grains of it may be taken every night at bed time in half a spoonful of syrup of Gillyflowers If the Lungs are stuffed with viscid Humors as happens often and the Mesentery with scropholous Glandules Balsam of Sulphur may be given three or four drops being mixed with Sugar-candy powdered and taken morning and evening Sometimes the use of Steel agrees but it must not be used in Coughs Pleurisies a stoppage of the Lungs and hectick Fever and the like To the foresaid Remedies are sometimes added Diaphoreticks as a decoction of Guaiacum or the like which must be taken in Bed and Sweat must be promoted according to the strength The Bath-water also is very proper and is excellent to take off the swelling of the Belly The following artificial Bath is much commended Place the Sick in a large Vessel and put round him warm Barly fermented which has been a while infused in boiled Water as is usually done for making Beer cover him well and let him abide in it to provoke sweat Of the Symptoms Regard must be had to the Symptoms coming upon this Disease the most frequent whereof is a Loosness for the Cure whereof gentle Catharticks as an infusion of Rhubarb and Tamarinds and of Sanders or a Bolus made of them is of use But sometimes Astringents and gentle Opiats may be used but Purging and sometimes Vomiting
the Spleen Take of the best Aloes and of the Ointment de Arthanita each one ounce of Turpentine a sufficient quantity mingle them make a Plaster to be apply'd to the Navel Take of the Cephalic Plaster with Euphorbium three parts of Burgundy-pitch one part make a Plaster for the soles of the Feet Pultisses TAke of white Bread baked the day before two ounces of red Sanders pouder'd one drachm and a half of Camphor pouder'd half a drachm mingle them and with a sufficient quantity of cold Fountain-water beat them make a Pultiss to be apply'd to the Eye shut the quantity of a small Wallnut being used at a time twice a day Take of the seeds of Mustard bruised two drachms of Garlic one ounce of black Soap two ounces mingle them make a Cataplasm to be apply'd to the soles of the Feet Take of an Onion and the tops of Savine each half an ounce of Currants and Sea Salt each half a handful beat them and make a Cataplasm to be apply'd to the Wrists Stomach Medicines TAke of the Stomach Pill with Gums of Aloes Rosat each fifteen grains of London Laudanum one grain mingle them make four Pills to be taken at Bed-time the next morning let him take two quarts of Epsom-waters or the like Let the Pills and the Waters be repeated every third day for four times Take of the Tinctura sacra one pint and a half let him take four spoonfuls every third night at Bed-time and the next morning let two quarts of epsom-Epsom-water be boiled and turned with Milk and let him drink it then Take of the bitter Decoction a quart in making it put in but half the quantity of Sena and add a drachm of salt of Wormwood To the strain'd Liquor add four ounces of compound gentian Water made with White wine Let four ounces be taken in the morning fasting three hours before Dinner Take of the bitter Tincture without Sena two ounces of steel-Steel-wine one ounce of spirit of Saffron eight drops take it morning and evening for thirteen days Take of Crab's Eyes prepared Pearl red Coral prepared each two scruples of the best Chalk one scruple mingle them make a Pouder to be divided into eight parts let one be taken in a spoonful of syrup of Mint thrice a day Take of the Waters of black Cherries and Baulm each three ounces of Dr. Stephans's water one ounce and a half of spirit of Mint three drachms of Confection of Alkermes two drachms of syrup of Mint a sufficient quantity mingle them make a Julep Let five spoonfuls be taken at a time Take of the tops of the lesser Centaury of the flowers of Camomil and Agrimony each half a handful of common Wormwood half a pugil of the roots of Gentian sliced half a drachm of Zedaary one drachm of the seeds of Carduus Benedictus and of Citrons each one drachm and a half of Filings of Steel two ounces digest them all over a gentle Fire in two pints and a half of Whitewine for four days filter the Liquor and let nine ounces of it be taken every morning and at four in the afternoon Take of Salt of Wormwood one scruple of syrup of Lemons a sufficient quantity to take off the Ebullition Let it be used upon occasion Suppositories TAke of Hiera piera two drachms of Coloquintida and Agarick each half a drachm of Diagridium one scruple of sal Gemma two drachms of Hony boil'd to a due consistence a sufficient quantity make Suppositories Vomits TAke of salt of Vitriol half a drachm of compound Water of Wallnuts two ounces of compound syrup of Scabious half an ounce mingle them make a Vomit Take of Vinum Benedictum six drachms of the Water of Carduus Benedictus one ounce of Oxymel of Squills half an ounce mingle them make a Vomit Take of Oxymel of Squills three ounces of compound syrup of Scabious one ounce let it be taken in an Evening in a draught of clear Posset-drink and let him drink Posset-drink frequently with a spoonful of Oil of Almonds in each draught Take of Mercurius Vitae four grains give it in the pulp of a roasted Apple Take of Turbith Mineral nine grains of conserve of red Roses a sufficient quantity mingle them make a Vomit ADVERTISEMENT EXcellent Purging Pills prepar'd by the Author are to be sold by Mr. Henry Bonwicke at the Red Lyon in St. Paul's Church-yard They cure the Scurvy the most reigning Disease of this Kingdom They purge the Head Breast Stomach and Reins and cleanse the Blood and are a very proper Purge for those that cannot confine themselves when they want Purging but are forc'd to go abroad about their Business The Price of each Box is 1 s. 6 d. with Directions for use BOOKS Printed for Henry Bonwicke at the Red Lyon in St. Paul's Church-yard COllections of Acute Diseases in five Parts I. Of the Small Pox and Measles II. Of the Plague and Pestilential Fevers III. Of Continual Fevers IV. Of Agues a Pleurisie Peripneumonia Quinsie and the Cholera Morbus V. and last of the Bloody-Flux Miscariage of Acute Diseases of Women with Child a Rheumatism Bleeding at Nose Apoplexy Lethargy and several other Diseases Collection of Chronical Diseases viz. The Cholick the Bilious Cholick Histerick Diseases the Gout and the Bloody Urine from the Stone in the Kidnies Promptuarium Praxeos Medicae seu Methodus Medendi Praescriptis Celeberrimorum Medicorum Londinensium Concinnata in Ordinem Alphabeticum digesta The Compleat Herbal of Physical Plants Containing all such English and Foreign Herbs Shrubs and Trees as are used in Physick and Surgery and to the Virtues of those that are now in use is added one Receipt or more of some Learned Physitian The Doses or Quantities of such as are prescribed by the London Physitians and others are proportion'd Also Directions for making Compound-waters Syrups Simple Medicines Moreover the Gums Balsams Oyls Juices and the like which are sold by Apothecaries and Druggists are added to this Herbal and their Virtues and Uses are fully described These four by the Author of this Practice of Physick The General History of the Reformation of the Church written in Latin by John Sleidan faithfully Englished To which is added A Continuation to the End of the Council of Trent by E. Bohun Esq in Folio Pains afflicting Human Bodies Their various differences Causes Parts affected Signals of Danger or Safety shewing the Tendency of Chronick and Acute Diseases for a seasonable prevention of fatal Events With a Tract of Issues and Setons by E. Maynwaring M. D. Octavo A New Description of Paris Containing a Particular Account of All the Churches Palaces Monasteries Colledges Hospitals Libraries Cabinets of Rarities Academies of the Virtuosi Paintings Medals Statues and other Sculptures Monuments and Publick Inscriptions With all other remarkable Matters in that Great and Famous City Translated out of French The Second Edition to which is added a Map of Paris Letters of Religion and Virtue to several Gentlemen and Ladies with some short Reflections on divers subjects Pia Desideria Or Divine Addresses in three parts 1. Sighs of the Penitent Soul 2. Desires of the Religious Soul 3. Extasies of the Enamour'd Soul Illustrated with 47 Cuts Written in Latin by Herm. Hugo Englished by Edmund Arwaker Octavo The Art of Catechising or the compleat Catechist in four parts 1. The Church Catechism resolv'd into easy Questions 2. An Exposition of it in a continued full and plain Discourse 3. The Church Catechism resolv'd into Scripture-proofs 4. The Whole Duty of Man reduced into Questions Fitted for the meanest Capacities the weakest Memories the plainest Teachers and the most uninstructed Learners Country Conversations Being an account of some Discourses that happen'd in a Visit to the Country last Summer on divers Subjects chiefly of the modern Comedies of Drinking of translated Verse of Painting and Painters of Poets and Poetry Golden Remains of Sir George Freeman Knight of the Honourable Order of the Bath Being choice Discourses on select Subjects The Present State of Persia with a faithful Account of the Manners Religion and Government of that People By Monsieur Sanson a Missionary from the French King Adorn'd with Figures Done into English FINIS
of the Oak factitious Cinnabar and of Elk's Hoof each half an Ounce Dose half a Scruple or one Scruple Some find benefit by Shaving the Head and by applying to the forepart of it a Plaister Take of the Roots and Seeds of Peony of Castor of Misleto of the Oak and of Man's Skull finely powder'd each one Dram of the Plaister of Bettony two Ounces of Carrana Tacamahaca each two Drams of Balsam Copaiba a sufficient quantity make a Plaister spread on Leather and apply it to the Sutures of the Head Anoint the Temples and Nostrils often with Oyl of Ambar either by it self or mixed with Oyl of Copaiba Sneesing Powders and Apophlegmatisms must be used every Morning Take of white Hellebore one ounce of Castor and Euphorbium each half a dram of sweet Marjoram and the Leaves of Rue each two drams make a Powder which you may dissolve with Mustard in a decoction of Sage or hyssop and with it wash and gargle the Mouth Glysters may be used daily upon occasion 'T is said that six or eight Ounces of the decoction of Gujacum taken twice a day and the second decoction of it used for ordinary drink as is used in the French Pox will Cure this Disease CHAP. V. Of Childrens Convulsions CHildrens Convulsions in Latin Epilepsia puerorum are so frequent that it is almost the only Species of Convulsions They are chiefly subject to them in the first Month and at the time they breed Teeth but they also happen at other times and proceed from other causes in such are disposed to them Sometimes they do not come presently after the Birth but lye hid until the breeding of Teeth or not till a great while after and take their rise from other evident Causes either Internal or External as from an Unhealthy or Big-bellied Nurse from Milk coagulated or corrupted in the Stomach from a Feaverish Disposition from Ulcers or Scabs of the Head or of other Parts suddenly disappearing from changes of the Air or from the Conjunction or opposite Aspects of the Sun and Moon We must endeavour to prevent these Convulsions in Children and Infants or to Cure them when they are come for if the former Children of the same Parents have been subject to Convulsive Fits this Disease ought to be prevented by the early use of Remedies in such as are born after To this end it is customary to give to new-born Babes as soon as they begin to breath some Medicine proper for Convulsions Some upon this occasion give some drops of pure Hony others a Spoonful of Canary-wine sweetned with Sugar or Oyl of Almonds fresh drawn others give a drop of Oyl of Ambar or half a Spoonful of Epileptick water Besides these things used at first which certainly do good some other Remedies ought to be administred for instance give a Spoonful twice a day of the following Liquor Take of the Waters of Black Cherries and Rue each one Ounce and a half of Langius's Antiepilectick Water one Ounce of Syrup of Coral six Drams of prepared Pearl fifteen Grains mingle them in a Viol. The third or fourth day after the Birth make an Issue in the Neck and if the Countenance be florid evacuate by bleeding an Ounce and an half or two Ounces of Blood from the Jugular Veins but take care that too much Blood do not flow out in sleep rub gently the Temples with the following Linement Take of Oyl of Nutmegs by expression two Drams of Balsam of Copaiba three Drams of Ambar one Scruple mix them Hang round the Neck the Roots and Seeds of Male-peony and a little Elks hoof sewed up in a Rag Moreover Medicines proper for Convulsions must be given daily to the Nurse Let her take Morning and Evening a Draught of Whey wherein the Roots of Male-peony or the Seeds of Sweet Fennel have been boiled Take of the Conserves of the flowers of Bettony Male-peony and Rosemary flowers each two Ounces of the Powders of the Roots and Flowers of Male-peony each two Drams of red Coral prepared and white Ambar each one Dram of the Roots of Angelica and Zodoary prepared each half a Dram with a sufficient quantity of Syrup of Peony make an Electuary Let her take the quantity of a Nutmeg Morning and Evening and be very orderly in her Diet. But if any Infant be actually seized with Convulsions because the Issue does not run well you must apply a Blister to the Neck or behind the Ears and if the Infant be not of a cold Constitution Blood must be drawn from the Jugular Veins by Leeches and Linements must be used to the Temples Nostrils and Neck and to the Soles of the Feet and Glisters which empty the Belly plentifully must be injected Moreover often in a day namely every sixth or eighth hour Specifick Remedies must be given Take of Oyl of Copaiba and of Castor each two Drams of Ambar half a Dram make a Linement Apply to the Soles of the Feet the Plaister with Euphorbium spread on Leather Take of prepared Pearls of the Powder de Gutteta each one Dram mingle them for twelve Papers whereof let him take one Morning and Evening in a Spoonful of the following Julap drinking after it one or two Spoonfuls Take of the Waters of Black Cherries and of Lilly of the Vallies each two Ounces of Fennel-water and Compound Peony water each two Drams of Syrup of red Poppies six Drams Take of the Powder of the Seeds of Rue of Castor of Assafaetida each a sufficient quantity mingle them and tye it up in a Rag sprinkle it with Vinegar and put it often to the Nostrils Vntzerus commends much the Gall of a Sucking Kitlin all the Juice being taken out of the Bladder and mixed with a little water of Lime-flowers and given to the Child An excellent Physician lately told me that he had known several Children cured with this Remedy When by reason of breeding Teeth difficultly Convulsions happen this Symptom is Secondary and less Dangerous and therefore does not require the first and chief work of Healing for sometimes we are more Solicitous to ease the Pain and take off the Feaverish Disposition And therefore a thin and cooling Diet is ordered for the Eruption of the Teeth either by rubbing or cutting the Gums and things that are anodine are applied to the swelled and pained Parts and here Glisters and Bleeding are often used and we ought to procure Sleep and to qualifie the Fury of the Blood in the mean while Temperate Medicines for Convulsions and such as do the least stir the Humours are to be used and Blisters because they evacuate the Serum too apt to be poured upon the Head do often give relief When Children are seized with Convulsions not presently after the Birth or upon breeding Teeth but from other Occasions and Accidents the cause for the most part of such is either in the Head or in the Bowels when the former is suspected as is wont to be
known by the signs which shew watry Humours heap'd up in the Brain the Medicines above mentioned must be used Moreover for those who bear Purging well a Vomit or gentle Purge must be prescribed Wine and Oxymel of Squills also Mercurius dulcis Rubarb and Rosin of Jalap are of good use when the cause of the Convulsions seems to be lodged in the Bowels or when Worms or sharp Humours in the Belly are the cause For Worms a Purge of Rubarb or of Mercurius dulcis with the Rosin of Jalap must be given and the following Medicines are also of use Take of the Roots of Virginian Snake-weed powdered one Dram of Coral calcined till it is white half a Dram make a Powder The Dose is half a Scruple or a Scruple twice a day for three days following drinking upon it the Decoction of the Roots of Grass Take of Hiera pitra and of Venice-Treacle each one Dram make a Plaister for the Belly If the Convulsions are thought to proceed from sharp Humours disturbing the Bowels or Stomach Purging upward and downward by turns is to be observed to this end a gentle Vomit of Wine of Squills or Salt of Vitriol is to be given Take of Syrup of Peony three Ounces Salt of Vitriol two Scruples of Compound Lavender-water one Dram mingle them give a Spoonful three or four times in an hour till the Child has once Vomited or went to Stool once But if Evacuation downward seem most proper give the Infusion of Rubarb or the Powder of it or Syrup of Succory with Rubarb or Syrup of Roses with Agarick And moreover Glisters are to be used frequently in this case and External Medicines are to be applied to the Belly Take of the leaves of Camomil cut small two handfuls put them into two Bags made of fine Cloth or of Silk which being dip'd in hot Milk and pressed out are to be applied successively to the Belly CHAP. VI. Of the Night-Mare or Incubus IT is commonly supposed by the ordinary sort of People that this Disease is occasioned by the Devil or an Evil Spirit 's lying upon their Stomachs which perhaps may be so sometimes but it also comes from meer Natural Causes as is supposed though what those are or where the Morbisick Matter is placed is not known when it is thought to come from Natural Causes the Cure is to be undertaken in the following manner Bleeding and gentle Purging is first to be used and afterward things proper for the Head as Powders of Ambar Coral Pearls the Roots of Male-peony Dittany of Crete Contra yerva and other things prescribed in the Chapter of the Apoplexy and the like But an orderly Diet is first to be prescribed windy Meats and such as are hard of Digestion are to be avoided and Sleep must not be indulged after Eating or Study and large and late Suppers and lying on the Back must be forbid Infants and Children are often troubled with this Disease the sign whereof is their starting in their Sleep and crying out violently and after they have had these Fits often they fall into Convulsions wherefore a right Method of Cure ought to be administred as soon as they seem to be disordered in their Sleep Inquiry must be made concerning the Milk they Suck whether it be good or not and whether it agrees with their Stomachs after they have Sucked plentifully they must not be suffered to sleep the Nurse must use an orderly Diet and let her take also Morning and Evening a Dose of a Powder or Electuary that is proper for the Head drinking upon it a Draught of Posset-drink wherein the Leaves of Sage or Bettany or the Roots or Seeds of Peony have been boiled Let the Infant take twice a day a Spoonful of black-cherry-Black-Cherry-water let an Issue be made in the Neck and let it lye sometimes on one side sometimes on the other and seldom or never upon the Back And Coral or the Seeds of Male-peony being hanged about the Neck or upon the Pit of the Stomach may do some good When they start violently often in their Sleep apply a Blister to the Neck or behind the Ears Moreover Morning and Evening daily give half a Scruple of the Powder de Gutteta in a Spoonful of Lime-flower-water CHAP. VI. Of Sleepy Diseases Coma Lethargy Carus and Apoplexy THere are four sorts of Preternatural Sleep Coma Lethargy Carus and Apoplexy which because for the most part they proceed from the same Causes and require the same Methods of Cure therefore they shall be treated of together in this Chapter The first and principal cause of these Diseases is a Flegmatick or Watry Humour contained in the Brain contrary to Nature Secondly Sleepy Diseases are wont to be generated by Blood abounding in the Brain and from extravasated Blood stopping or oppressing the Ventricles of the Brain sleepy Disease and especially an Apoplexy is sometimes occasioned Thirdly It is certain that a Comatose Disease proceeds from a Tumor that oppresses the Brain by its weight Fourthly Immoderate Vapors carried to the Head may be the cause of a Sympathetick Coma. Fifthly From the immoderate use of Narcotick Medicines inwardly taken so deep a Sleep is occasioned that many by the imprudent use of Opium have slept their last That Sleepy Diseases are occasioned by Flegmatick Humours stagnating in the Brain is known by a Flegmatick Habit of Body by old Age or Childhood by a cold or moist Season or Country by the Suppression of the Excretion of Flegm by the Mouth and Nostrils and for that the Sick before the coming of this Disease was afflicted with a Dulness of the Head Dimness of Sight and Unaptness for Motion and because in the Disease Flegm flows from the Mouth and Nostrils or falling upon the Throat is frequently swallowed down by the Sick That Blood produces a sleepy Disease is known by a Plethorick Disposition by Redness of the Face and by a Pain in the Head foregoing this Disease That the Sympathetick Disease arises from Vapors elevated to the Brain is known by the absence of those Signs which signifie an Idiopathetick Disease also by the signs of the peculiar disorder of the Parts from whence Vapors are transmitted to the Brain A very thin Diet is to be ordered at the beginning of these Diseases and when the Fit is off the Sick to prevent a Relapse must forbear all strong Liquors and be fed with Barly and Oat-meal Broths or with Chicken Broth and sometimes especially when he Purges with Chickens Lamb and the like When a Physician is first called to a Patient that is seized with a sleepy Disease he must endeavour by all means to rowse him by offering Violence to all his Senses and therefore he must expose his Eyes to the Sun-beams or to a clear Light his Ears must be filled with violent Noises and Clamours and the Sick must be sure to be called aloud by his own name sharp things are to be blown up his Nostrils the Sense of Touching
is to be revived by Frictions Vellications plucking of the Hair Ligatures Squeesing of the Fingers together and the like he must be presently Blooded if he has Strength but his Strength is not to be judged of by the present Circumstances but by such as he was in before the Disease invaded him You must first Bleed in the Arm and then in the Jugular Vein presently after give the following Vomit Take of the Blessed Wine one Ounce and an half of Carduus water one Ounce of Spirit of Juniper-berries two drops make a Vomit Inject two or three sharp Glisters in a day Take of the Carminative Decoction with Bay-berries and Juniper-berries ten Ounces of the Electuary of Bay-berries one Ounce of Vinum Benedictum three Ounces and of brown Sugar three Ounces of Chymical Oyl of Juniper ten drops mingle them make a Glister If the Glister be not rendred in due time provoke the Belly by a Suppository Take of Hiera picra half an Ounce of Sal Gemma one Dram of Hony a sufficient quantity make Suppositories The Spirit of Sal Armoniack must be held to the Nostrils and things of all kinds that cause Revulsion must be used not only Frictions and Ligatures but also Cupping-glasses set on the Back Shoulders Arms and Thighs But in an Apoplexy you must not apply Cupping-glasses to the Back or to the Hypochonders least the Muscles of the Breast and Belly should be contracted and so Respiration more hindred Cupping-glasses applied to the Head are counted very proper apply a Blistering Plaister with Euphorbium to the Neck Some according to the Custom of the Ancients hold a red-hot Frying-pan to the Head at such a distance as it may burn the Hair but not the Skin Take of the Waters of Rue Balm and Black-Cherries each three Ounces of Compound Peony water and of Compound Syrup of Peony each one Ounce and a half of Tincture of Castor one Dram of Spirit of Sal Armoniack half a Dram mingle them make a Julep give four or five Spoonfuls often In the general Cure of these Diseases you must take notice that in those which proceed from Blood Medicines that heat the least are to be used but Bleeding is to be used more freely and afterwards the Vein in the Forehead is to be opened and things that purge Choler are to be mixed with those that purge Flegm If the Brain be very much cooled the Sick after universal Evacuations may use Tablets made in the following manner Take of Amber-grease half a Scruple distilled Oyl of the Seeds of Anise Cinnamon and Nutmegs of each three drops Oyl of Cloves one drop of Sugar dissolved in Orange-flower water four Ounces make Tablets let him take a dram or two drams every Morning The following Powder is also commended and is much in use Take of white Ambar half an Ounce of the Powder called Diarhodon Abbatis two drams of the Roots of Peony one dram and an half make a Powder whereof give a dram in two Spoonfuls of Simple Peony water before the New Moon It is also proper to hold Nutmeg often in the Mouth and to chew it and Perfumes are to be held often to the Nostrils especially Apoplectick Balsam Spices are to be used with Meats and the following Digestive Powder after Meals Take of the Seeds of Coriander sweet Fennel Caraways each fifteen Grains of white Ambar one Dram of the yellow peel of Citrons and flowers of Rosemary each one Dram and an half of Nutmegs half a Dram of white Sugar three Ounces powder them grosly and give half a spoonful after Meals If from too great a quantity of Blood a sleepy Disease is feared the Patient must be sufficiently Blooded and the utmost endeavours must be used to make the Hemorrhoids flow than which nothing can be more advantageous Purging is to be ordered to prevent a Relapse Take of the Pill of Ambar and of the lesser Cochie each two Scruples of the best Castor six Grains of Oyl of Ambar a sufficient quantity mix them and make 12 Pills Take six for a Dose and the other six three days after Or Take of the Pill of Ambar one Scruple of Rosin of Jalap six Grains of Tartar vitriolated eight Grains spirit of Lavender eight drops of Elixir Proprietatis a sufficient quantity make 4 or 5 Pills to be taken in the Morning After Purging prescribe the following Medicines Take of the Conserves of the Flowers of Male peony and of Rosemary each one Ounce of the Bark of Citron Candied six Drams of the Species Diambra and Dianthos each one Dram of Castor powdred two Scruples of Compound Spirit of Lavender half a Dram with a sufficient quantity of the Syrups of Gilliflowers and Compound Peony Make an Electuary give the quantity of a Nutmeg Morning and Evening daily and let the Sick take four spoonfuls of the following Julep after it Take of the Waters of Black Cherries Rue Pennyroyal each three Ounces of Compound Peony Water and Langius's Epileptick Water each one Ounce of the Syrup of the Flowers of Male Peony one Ounce mingle them Or Take of the Powder e gutteta three Drams of Castor half a Dram of Syrup of the Flowers of Peony a sufficient quantity make forty Pills whereof let him take four every Night at Bed-time drinking upon them two spoonfuls of the following Julep Take of the Waters of the Flowers of Peony Black Cherries Rue Pennyroal each two Ounces of Compound Peony Water and of Compound Briony Water and Tincture of Castor each one Ounce of Syrup of Male Peony an Ounce and an half mingle them Take of Ambar one Ounce sprinkle the fourth part of it every Night at Bed-time upon the Head CHAP. VIII Catalepsis or Catoche THis Disease is very rare and very wonderful Galen mentions an Observation of one of his Scholars who upon hard Study was seized with a Catalepsis He lay says he like a piece of Wood extended rigid and inflexible his Eyes were always kept open but he could not speak When he recovered he told us he could hear us speak though not plainly he remembred what was done and saw all that were with him but he said he could not speak nor move a Limb And Fernelius mentions two Observations of this kind He says that a person studying very hard was seized with this Disease and that he was so stiff that sitting with his Pen in his Hand and looking earnestly upon his Book he was supposed to be hard at Study till being called and pull'd he was perceived to have no Sense nor Motion Another lay as it were Dead who neither saw nor heard nor felt when he was pricked He breathed well and whatever was put in his Mouth he readily swallowed Being taken out of his Bed he stood alone and being push'd he went forward and in what manner soever his Hand or Arm or Leg was Bent it stood fix'd so that he look'd like a Statue The like Observations are to be found in many other
them beyond Measure especially if there be also a hot and moist Intemperies of the Brain they are retained by reason of an Obstruction of those Parts or too great an Oppression of them as in those that are flat-nosed The Disease of the Nose occasioning such a Stink may be known by its proper Signs But if there be no such Disease in the Nostrils we may conjecture that it arises from a putrid Humour contained in the Brain or Mamillary Processes or in the Os cribrosum The Prognostick of an ill Scent in the Nostrils which is occasioned by an Ulcer Polypus or Sarcoma depends on the Prognostick of them But that ill Scent which proceeds from Corrupt Humours contained in the fore part of the Head if it be lately come may be easily cured if it be inveterate it is incureable especially if it come from an ill Confirmation of the Nostrils as in such as are flat-Nosed The Cure is performed by taking away the Causes and by moderating the Symptoms The Cure of an Ulcer Sarcoma and Polypus are mentioned above but a putrid Humour contained in the Brain Mamillary Processes or in the Os Ethmoides must be carried off by Purging and Cleansing And first universal Evacuations are to be ordered which free the whole Body and the Brain from Flegmatick Excrements and if there be abundance of Humours a Sudorifick Diet-drink must be also ordered afterwards cleansing Errhins must be prescribed to remove the conjunct Matter And first Whitewine wherein Centaury has been infused must be put into the Hand and snuft up Morning and Evening or the Juice of Beet drawn with Marjoraâ— Water may be used but the following is more Powerful Take of the Roots of Florentine-orris half a Dram oâ— white Hellebore and long Pepper each half a Scruple of the Seeds of Anise and of dried Marjoram powdered each one Scruple of the Oyls of Nard Wall-flower and Violets each as much as is sufficient Make a soft Oyntment wherewith anoint the Top of the little Finger and anoint the Nostrils within or a Tent besmeared with the Oyntment may be applied Lastly To palliate the ill Stink sweet-smelling things may be often drawn up the Nostrils as an Infusion of Nutmegs in fragrant Wine Angelica Water and the like CHAP. XL. Of a Coryza COryza is a sort of Catarrh wherein the Fluxion falls on the Nostrils it 's easily known by the abundance of Moisture that is evacuated by the Nostrils 't is commonly call'd a Cold or Stoppage in the Head It requires the same Method of Cure as is used for a Catarrh but in this Case you must not use Errhins least they should draw Humours to the Part affected Masticatories and Apoplegmatisms may be prescribed after general Evacuation and some-things are reckned peculiarly proper for this Disease as the Vapour of a Decoction of Marjoram received into the Nostrils or of Vinegar wherein red Roses have been infused the Venegar being poured upon red hot Iron if it be occasion'd by a very cold Fluxion the Fumes of Frankincense cast upon live Coals corrects the cold Intemperies of the Brain and dries up the Superfluous Moisture CHAP. XLI Of Sneezing THo Sneezing often happens in Health and is generally so small a thing that it scarce deserves the Name of a Symptom yet sometimes 't is so very troublesome that it requires Medicines and the Physicians help and the ancient Custom of saying God bless you upon sneezing shews that some time or other it has proved dangerous some say 't was an Epidemical Disease in the Time of Gregory the Great and that the Sick died sneezing As to the Prognostick 't is of it self without Danger but 't is very injurious at the Beginning of a Catarrh or Coryza and in Feavers when it is frequent it sometimes occasions bleeding at the Nose but most commonly it does good by expelling Superfluities from the Brain When Sneezing is injurious as in a Plurisie Peripneumonia and the like or when it becomes a Disease the Cure must be undertaken by Revulsions and Evacuations and if by Reason of a hot Intemperies of the Brain or of any other Part sharp Vapours are transmitted to the Nostrils Bleeding must be used and proper Purges and to qualifie the Acrimony and to asswage the Irritation of the Nostrils it will be proper to snuff up warm Milk into the Nose or to anoint the Nostrils wlth Oyl of Violets or of sweet Almonds or with fresh Butter CHAP. XLII Of Bleeding at the Nose or Spitting of Blood BLeeding at the Nose comes at any Time of the Year and seises chiefly those that are of a weakly Constitution and have hot Blood and oftner when they are in Years than when they are Young at first there are some Signs of a Feaver which goes off by bleeding at the Nose but a Pain and a Heat in the fore part of the Head remains the Blood flows for some Hours then stops a while and afterwards breaks out again and so it does by turns till at length it is quite stop'd either by the use of Remedies or of its own accord by reason the Quantity is diminished but the Sick is in danger of a Relapse yearly either upon drinking of Spirituous Liquors or from being over-heated upon any other account In order to the Cure I endeavour to qualifie the Head and Ebullition of the Blood upon which account the preternatural Extravasation arises Wherefore I bleed often in the Arm and take away a large Quantity of Blood I order a cooling and thickning Course of Diet as three parts of Fountain Water and one of Milk boil'd together and drank cold roasted Apples Barly-broths and the like forbidding the use oâ— Flesh I also prescribe thickning and cooling Juleps and Emulsions and the like Take of the clarified Juices of Plantane and Nettles each six Ounces of the Aqua Lactis Alexiteria four Ounces of Cinnamon Water hordeated three Ounces of white-Sugar a sufficient Quantity mingle them make a Julep let him take four Ounces in the Morning and at four in the Afternoon and so daily for three Days following Take of the Waters of Plantane and of Cinnamon hordeated each four Ounces of distill'd Vinegar half an Ounce of true Bole and of Dragon's Blood each half a Dram of London Laudanum three grains of Syrup of Myrtles one ounce and an half mix them make a Julep let him take five or six Spoonfuls every Night at Bed-time Take of the Syrup of Juice of Nettles four ounces give half an ounce in his Liquor every time he drinks and he may drink of Tincture of Roses every time he drinks Take of the Seeds of Henbane and of white Poppies each half a dram of Sugar of Roses three drams of Syrup of Comfry a sufficient quantity make an Electuary give the quantity of a small Nutmeg twice a day and let him drink a draught of Tincture of Roses presently after it Or Take of the four greater cold Seeds each one dram and an half of
Abdomen are violently moved and a Wheezing accompanies it But an Orthopnoea is the greatest Difficulty of Breathing wherein the Sick can only breath as the Word signifies sitting upright The Cure of an Asthma is twofold one in the Fit and the other out of it in the Fit a Glister being first given Bleeding must be used if Blood seem to abound in any Degree and the Sick must be placed upright in a free Air and Smoak or the Breath of the Standers by must not offend him and his Cloathes or any thing else that covers his Breast must be loosned After Bleeding or it being omitted if it be not thought proper a Phlegmagogue Purge must be given As to Vomits though some dislike them yet are they very proper in this Disease as is evident by Experience and frequently the Fit is taken off by this Remedy alone Sharp Glisters are often to be injected to make a Revulsion nevertheless their Quantity ought to be small Frictions in the inferior Parts are also to be used and many Cupping-glasses are to be applied to them and to the Neck afterwards the gross Humours must be moistned and attenuated and the Wind arising from them must be discussed to which Purpose the following Medicines must be given Take of Gum Ammoniack and Bdellium dissolved in Vinegar of Squills each one dram and an half of Castor and of the Flowers of Sulphur each half a dram of Millepedes prepared one dram of Salt of Ambar one scruple of Elixir Proprietatis half a dram with a sufficient quantity of Oxymel make small Pills Let him take four Morning and Evening drinking upon them three Spoonfuls of the following Julep Take of the Waters of Rue Black-Cherries Lime-flowers each two ounces of compound Peony and compound Briony-waters and of Spirit of Castor each one ounce of Syrup of Staethas and Gilly-flowers each one ounce and an half mingle them and make a Julep Take of the Nerve Plaister half an ounce of Oyl of Amber four Drops of Balsam of Sulphur half a dram mingle them spread a Plaister upon Leather and apply it to the Breast Take of the Cephalick Plaister with Euphorbium a sufficient Quantity make Plaisters for the Soles of the Feet In the mean while things that expectorate the gross Matter must be used Take of the Pectoral Decoction a quart add to it of Spirit of Salt-armoniack half a dram of Oxymel of Squils half an ounce of Tincture of Castor one dram of Ground-ivy Water three ounces mingle them let him take six Spoonfuls every two Hours Or Take of the Seeds of Annise finely powdered and of Powder of Liquorish each three drams of the Flowers of Sulphur one dram and an half mingle them add two ounces and an half of the best Honey dissolved in three ounces of Cinnamon-water hordeated make an Electuary add to it of Balsam of Sulphur fifteen drops of Oyl of Annise-seeds ten drops let him take one dram every third or fourth hour drinking upon it five Spoonfuls of the following Decoction Take of the Roots of Elecampane one dram and an half of the Leaves of Ground-ivy half an handful boil them in three pints of the Pectoral Decoction strained add three ounces of Canary-wine Syrup of Maiden-hair two ounces and an half mix them The Breast must be anointed with Oyntments and Liniments that soften and discuss Take of the Oyntment of the Flowers of Oranges and Pomatum each three drams of Oyl of Nutmegs by expression two drams of Oyl of the Berries of Juniper and Annise each half a dram mingle them make a Liniment wherewith anoint the whole Breast Morning and Evening Take of the Oyntment of Marsh-mallows one ounce and an half of Oyl of Annise-seeds thirty drops make an Oyntment If the Fit Continue apply a Blister to the Neck when the Fit is off the Fluxion of the Humour must be hindred and that which has already flowed upon the Lungs must be incided cleansed away and expectorated and to restrain the Force of the Fluxion a clear and pure Air must be chosen and Southerly and rainy Air must be avoided and the Air in the Night Sleeping and Watching must be moderate and the Humour must be purged off by the following Medicines Take of the bitter Decoction made with a triple quantity of Senna three ounces and an half Manna half a ounce mingle them make a Purging Potion Or Take of the Pilulae Ruffi one Dram of the Species Hiera half a dram of Salt of Wormwood half a scruple of Aloes Rosat and of Rhubarb powdered each one scruple of Elixir Proprietatis a sufficient quantity make Ten Pills of a dram let him take four at bed-time Of the Days he does not Purge let him take of the following Medicine Take of the Seeds of Annise finely powdered two drams with a sufficient quantity of Lucarellus's Balsam make Pills of each drams Six let him take three in the Morning and as many at four in the Afternoon drinking upon them four ounces of the bitter Decoction It is to be noted that Purging must be often used in this Disease and the Form of them must be varied least Nature should be too much accustomed to one and the same Remedy CHAP. LV. Of a Pleurisie THis Disease that is as frequent as any other comes at any time but especially about the Spring and Summer for at that Time the Blood being heated by the nearness of the Sun rushes violently into effervescences and inordinate Motions It chiefly seises those that are of a sanguine Temperament and often country People and those that are accustomed to much Labour It most commonly begins with a Shaking and Shivering and then Heat Drouth and Restlessness and other Symptoms of a Feaver follow after a few Hours though sometimes it is much longer before this Symptom comes the Patient is taken with a violent pricking Pain in one of his Sides about the Ribs which sometimes reaches towards the Shoulder-blades sometimes towards the Back-bone and sometimes towards the Breast he coughs frequently which occasions great Pain so that sometimes he holds his Breath to prevent coughing the Matter which is spit up at the beginning is little and thin and often sprinkled with Particles of Blood but in the Process of the Disease 't is more and more concocted and mixt with Blood the Feaver in the mean while keeps the same Pace and is helpt on by those Symptoms that proceed from it and the said Feaver with all its ill Train viz. The Cough the Spitting of Blood the Pain and the like is gradually lessened according to the Degree of the free Expectoration of the Morbisick Matter But the Matter occasioning this Disease does not always in the Process of it attain the Concoction that is due to Expectoration for it often happens that the Matter spit up is yet little and thin as at the beginning of the Disease and consequently the Feaver and other Symptoms do not at all remit till they have destroyed the Sick In the
is vitiated Secondly Great Passions of the Mind especially Fear Sorrow Anger deep Thinking unseasonable and too hard Study and the like Thirdly Eating and Drinking too much and unseasonably especially Drinking too much of Wine and Spirituous Liquors Fourthly Neglect of due Exercise Fifthly Long Watching Sixthly Marshy and gross Air and Smoak of Coals Seventhly An Hereditary Disposition Eighthly An ill Conformation of the Breast Ninthly Contagion Tenthly Stones generated Preternaturally in the Lungs Eleventhly Particular Diseases which corrupt the Blood and Spirits By these and such-like Procatarctick Causes the Body being predisposed for a Consumption the Disease takes its rise immediately from taking Cold. For the Cure of an original Consumption of the Lungs Blood must be drawn from the Arm especially if the Sick be Plethorick or accustomed a long while to Blood-letting and let six seven eight or ten Ounces be taken away Secondly It is requisite after Bleeding especially if the Disease took its rise from a Surfet or is accompanied with Nauseousness or a Disposition to Vomiting to give a gentle Vomit of Honey or of Oxymel of Squills and sometimes of the Vinum Benedictum in a moderate quantity The Vomit especially if the Sick bear it well and if it be necessary may be repeated three or four times at the distance of three or four days betwixt each Vomit It is best to give the Vomit towards the Evening the Sick being blooded the day before and at Bed-time after every Vomit you must give an Anodyn Take of Honey of Squills half an ounce give it in a Draught of Posset-drink and repeat twice or thrice in an hour if the Sick does not Vomit enough This is proper for Children and young People Take of Oxymel of Squills and of Oyl of Sweet-Almonds each one ounce mingle them let the Sick take it in a large Draught of Posset-drink and let it be repeated twice or thrice in an hour if there be occasion Or Take of Vinum Benedictum seven drams Syrup of Violets two drams mix them and make a Potion for Vomiting And if it be needful you may give of Oxymel of Squills and Oyl of Sweet-Almonds each half an ounce in a Draught of Posset-drink twice or thrice in the Operation Salt of Vitriol is not at all convenient in this case because it irritates and pricks continually the Glandulous parts about the Jaws and so promotes the Flux of the Serum and increases the Cough After the Vomit hath done working give the following Opiat or the like Take of the Pectoral Decoction clarified four ounces of Tincture of Saffron two drams of Helmont's liquid Laudanum fifteen drops of Syrup of Violets two drams mingle them make a Draught or you may give ten grains of the Pill of Hounds-tongue or of Storax Thirdly It is convenient to Purge gently by Stool the Humours by Stomachick Purges and the like which the least agitate the Blood For Instance Take of choice Manna and of Oyl of Sweet-Almonds each one ounce and an half or two ounces dissolve them in a Pint of hot Ptisan let the Sick drink half in Bed and the rest half an hour after when he is up Or Take of the best Senna two drams of Cassia with the Canes broke and of Tamarinds each half an ounce of the Seeds of Coriander prepared half a dram boil them in a sufficient quantity of Fountain or Barnet water to eight ounces dissolve in it an ounce of Manna and half a dram of Sal-prunella Let the Sick take half in the Morning and the rest half an hour afterwards And every Night after Purging give an Opiate to asswage the Blood and to quiet the Lungs least a new Flux of Humours should fall upon the Lungs by the Agitation of the Blood occasioned by the Purge For the same reason it is proper to mix some Opiate with Stomachick Purges to be taken at Bed Time For Instance Take of Aloes-rosat one scruple or twenty five grains of the Pills of Hounds-tongue half a Scruple mingle them make four Pills to be gilded which are to be repeated every other Night after the Patient hath been blooded These Pills are vulgarly called Pilulae Catarrhales by the Apothecaries for they do not only evacuate the Humours by Stool but also hinder a new Flux of them to the Lungs Or Take of the Stomachick Pills with Gums Aleophagin of Mastich or of Ambar half a dram or two scruples of London Laudanum one grain mingle them make four Pills gild them and let them be taken every third Night for thrice And if the Catarrh be very violent and if a Difficulty of Breathing or a straitness on the Breast does not arise from the Use of Opiates an Opiat must be given every Night for at the beginning of this Disease nothing considerable can be done without them Fourthly In this State of the Disease Diaphorecticks do much Good but you must take notice that they must be never used before Bleeding Vomiting and Purging if they are necessary and they must be always mixed with Opiates and such must be chosen as are least hot Take of venice-treacle half a dram or two scruples of Conserve of old red Roses half a dram mingle them make a Bolus Or Take of Diascordium and conserve of Wood-sorrel each one dram make a Bolus Or Take of Matthew's Pill fifteen grains make two Pills gild them and let them be taken at bed-time Or Take of the Pill of Hounds-tongue twelve grains of Diaphoretick Antimony one scruple of Tincture of Saffron a sufficient quantity mingle them make four Pills These Diaphoreticks must be taken at Bed-time and great Care must be taken that the Sick does not take Cold after the use of them Blisters must also be applyed to the Arms and betwixt the Shoulders and Pectoral Medicines must be used when the Sick does not Purge Take of Oyl of sweet Almonds of Syrup of Maiden-hair of Jujubs Violets or of Marsh-mallows each one ounce and an half of White Sugar-candy one dram and an half mingle them exactly whereof let the Sick take a Spoonful every fourth Hour drinking upon it four ounces of the following Apozem hot Take of the Pectoral Decoction clarified one Pint and an half of Tincture of Saffron extracted with treacle-treacle-water of Syrup of Maiden-hair Scabious or of Jujubs each one ounce mingle them make an Apozem If you desire to have a more thickning Linctus Take of fresh Oyl of sweet Almonds of Syrups of Comfrey of red-poppies of dried Roses each one ounce and an half of Diacodium half an ounce of Sugar of Roses one dram and an half mingle them make a Linctus If you wou'd have a more lubricating Linctus Take of fresh Oyl of Flax extracted without Fire of Syrup of Liquorish and of Honey of Violets one ounce and an half of white Sugar-candy one dram and an half mingle them exactly make a Linctus If there be a Feaver omit the Hissop and Tincture of Saffron if there be a Loosness use the
and by this means many Consumptive People have been recovered Issues are also of use and the Shaving of the Head And if the Hectick heat be but small the Sick ought to drink Calybeat Waters in the Summer-time for by this means many have been relieved Year after Year their Stomack Flesh and Strength recovered and the Hectick Heat and Cough left them and their Breath has been freer But these Waters are not to be used when the Lungs are evidently putrified or when the Flesh is very much wasted by Colloquative Sweats a Loosness or a Dropsie for then they are deadly And when they are proper the Sick must use them the greatest part of the Summer but not so great a quantity at a time as is usual in other Cases two Quarts five Pints or three Quarts may be sufficient at a time and the Sick must take Care that he does not catch Cold and of Errors in Diet Purging is not to be used during the drinking of the Waters in this Case but if the Body be subject to be bound the Purging Mnieral-waters must be taken three or four times at the distance of three or four Days before and after the use of the Calybeat-waters If the Waters do not pass well by Urine or if they cause a Diarrhea you must not continue the use of them long unless these Inconveniences may be remedied by Art to take off or to prevent the Diarrhea I use to prescribe the quantity of a Walnut of the following Electuary to be taken at Bed-time every Night Take of the Pulp of the conserve of old red Roses of the Electuary of Quinces each half an ounce of the Troebes of Ambar three drams of true Bole of Dragons-blood each half a dram of London Laudanum three grains of Syrup of Mirtles a sufficient Quantity mingle them make an Electuary To force the Urine I order that a scruple of the whitest Salt of Ambar well cleansed from the Oyl should be dissolved in the first Draught of Water It is also good during the Course of the Water to medicate the ordinary Drink with a Bag of Pectoral Ingredients But secondly If the Hectick Feaver be considerable it is safer to attemperate the Blood by a Milk-Diet but as to a Milk Diet what followeth must be observed First In the use of this Diet nothing but Milk or things made of Milk Bread only excepted must be allowed of but good Quantities of it must be taken frequently least by reason of the Thinness of it the Parts should be deprived of their due Nourishment Secondly This sort of Diet must be continued for the Space of a Month or two Thirdly Spring time is most seasonable for a Milk Course for then the Herbs and Flowers wherewith the Beasts are fed flourish most Fourthly But if by reason of the Ferment of the Stomach being too acid common Milk as it sometimes happens curdles and so cannot be concocted upon which account Vomiting Grips and a Loosness follow it is better to abstain from the use of it and to endeavour to attemperate the Blood with Asses-milk Concerning the use of which observe the following Directions First Give this Milk in the Morning and let the Sick sleep a little in Bed afterwards let it be given again at five in the Afternoon Secondly Nothing of a contrary Nature whether Diet or Medicine must be taken till the Milk is concocted Thirdly You must give a Pint or half a Pint at a time or thereabout for a great Quantity of this or of common Milk can neither be received nor concocted by the Stomach but is usually cast out presently either by Vomit or Stool to the great Prejudice of the Sick wherefore it is prudently ordered by Physicians that as the Stomach is by degrees accustomed to this sort of Diet so the quantity of it should be daily increased from half a Pint to a Pint. Fourthly If the Sick by reason of the acid Ferment of the Stomach is subject upon taking Asses-milk to a Loosnessâ— which frequently happens the Milk must be sweetned with Sugar of Roses and must be milked upon a Branch or two of Mint and if there be occasion and nothing forbids the Sick may take every Night at Bed-time a grain of London Landanum or a Dose of the beforementioned Astringent Electuary Fifthly The Milk must be drank whilst it is warm for if it should grow cold and be afterwards warmed upon the Fire it would be rendered less pleasing to the Tast and Stomach and the Remedy would not be so effectual by reason of the Spirits being wasted Sixthly During the use of Asses-milk which also ought to be ordered in every Milk-diet the Sick must abstain from all other Medicines except Opiats and Astringents if they are necessary to prevent a Loosness or to quiet the Cough at Nights Seventhly But if the Loosness occasioned by the Milk cannot be taken off by the Laudanum and the Astringents or if after it is taken off Vomiting or at least a continual Sickness or Weight upon the Stomach succeed which are the certain Signs of the Milk curdling in the Stomach Or lastly If there be Signs of a Schirâ—hus and Obstruction of the Liver which are frequent in Scorbutical and Hypocondriack People that have had a Consumption a long while rhey must carefully avoid all sorts of Milk for the use of Milk by increasing the Obstruction of the Liver is wont to bring upon the Consumption a Dropsie and Jaundice whereby the original Disease is rendred deplorable Wherefore Fourthly in these cases it is better to alter the Blood and to blunt its Acrimony by the free use of Fish and of testaceous Medicines and also by Restorative Broths made of the extream parts of Animals and drinking freely of the Compound Waters of Milk Capons and Snails and the like though what we said before of the use of Milk is also true with respect to these Flegmatick Waters viz. That when the Liver is obstructed the Jaundice or Dropsie is wont to follow the free use of these Wherefore in such a case it is better to endeavour to Sweeten the Blood in the following manner Let him eat freely of River and Sea-crabs of Lobsters and generally speaking of all testaceous Fish which sort of Diet eaten plentifully much attemperates the Acidity of the Blood and the sharp Ferment of the Stomach Of these testaceous Fish are also made very pleasant Broths which must be taken plentifully Take of River Crabs number an hundred beat them whilst they are alive and boil them in two quarts of fountain-Fountain-water add towards the end of boiling two or three blades of Mace one Nutmeg rasped and of malago-Malago-wine half a pint strain it for use Jellies and restorative Broths may be also used to the same purpose For instance Take of the Shavings of Harts-horn and Ivory each four ounces two blades of Mace one bark of an Orange candied boil them in two quarts of Fountain-water to a quart or a pint and
Sick cannot take a Vomit he must be purged by stool but the Humour must be first prepared by things that incide and cleanse Afterwards these things that follow are convenient Cupping-glasses must be applied opposite to the Region of the Stomach and to the Stomach The Stomach must be bound with a Swath-band that it may not be so much dilated Ligatures of the Extremities must be used Let him eat Anniseeds which is thought to Cure the Hickops peculiarly Frequently Glisters must be injected to draw away the Noxious Humours from the Stomach Young Animals must be applied to the Stomach Vinegar of Squills may be taken by Spoonfuls Sneezing casts off the Matter impacted in the Coats of the Stomach As the Physician Chrysimacus cured Aristophanes of a Hickop by provoking Sneezing when he could not do it by stopping of the Spirits and Gargling with cold Water Pills made of one dram of Aloes and three grains of London Laudanum are good Platerus in his Observations says That he cured a Boy of ten Years of Age that had the Hickops for eight Days and Nights continually with the Water of green Nuts distilled with Radishes infused first in Vinegar which he gave him to provoke Vomiting and though he did not Vomit at all yet he was cured But to conclude Narcoticks wiil do the Business when nothing else will CHAP. LXVI Of Vomiting of Blood THe conjunct cause is the Quantity or Quality of the Blood exceeding The external causes are Wounds and Bruises and violent Heat or immoderate Cold or unaccustomed Labour and Excercise or Hollowing If the Blood flow from the Stomach there will be almost always a continual Pain and Weight there and the quantity of it will not be much because the Veins of the Stomach are small and Nauseousness will accompany it and 〈◊〉 Blood will be mixed sometimes with Meat sometimes with Choler and sometimes with Flegm If it flow from the Head there will be a Tickling perceived about the Jaws and Pallate and Blood will flow sometimes from the Nostrils mixed with Snot and a Pain or Heaviness of the Head precedes If Vomiting of Blood proceeds from a Suppression of the Courses it will be Periodical As to the Prognostick Vomiting of Blood from what Cause soever it arises is dangerous for if too great a quantity be evacuated there is Danger of Death if it coagulate in the Stomach and corrupt there it occasions Fainting But a Vomiting of Blood from Suppression of Courses is least dangerous They which fall into a Dropsie by Vomiting of Blood die It must be cured by Medicines that cause a Revulsion of the Blood from the Stomach and by such as attemperate it and stop the Apertion of the Veins And First Because an orderly Diet is of great use in this Case the common Diet ought to be astringent and Emplastick and also cooling as Barley Broths Almond and Rice Diet Water-gruel and Jellies and especially Starch boiled in Milk whereunto may be added Pomegranate Juice or a little Rose-vinegar hard Eggs may be also used dipt in Vinegar Also Bread dipt in Water Chicken Broth with Wood-sorrel Purslain and Plantane boiled in it but at the beginning of eating some Astringent thing should be taken as a Quince baked under Ashes Medlars or the like Let the Sick abstain from all acrid salt peppered and fried Meats and also from such things as yield a great deal of Nourishment unless the Weakness of the Sick requires that they should be taken sparingly He must drink but little and when he does he must drink Water wherein Iron has been quenched with a little Juice of Pomegranates in it The Air must be somewhat Cold but he must not expose himself to the Winds nor to the Rays of the Sun or Moon He must sleep moderately and his Body must be kept open and his Mind free from Passion Bleeding must be used sparingly and it must be repeated Frictions and Ligatures must be used and cleansing Glisters must be injected Apply Cupping-glasses to the Buttocks Legs Loins and Hypochondres Let two Spoonfuls of Oxycrat be given if there be a Suspicion of coagulated Blood for by the use of it it may be easily dissolved and driven from the Veins of the Stomach and they will be stopt thereby foment the Region of the Stomach also with it cold and if the Sick does not Vomit the following Mixture may be used to stop the Veins Take the White of one Egg of Rose-water and Vinegar each one dram and an half shake them well and add to them two drams of Starch mix them and let the Sick take it by Spoonfuls Or Take of prepared Coral sealed Earth Bole-armonick Blood-stone Troches of Ambar each one dram of Plantane-water and Syrup of Mirtles each two ounces mingle them let the Sick take it as before Or Let the Sick take Morning and Evening four ounces of the Juice of Plantane cold Galen says That nothing is better than this Juice to stop any Flux of Blood The Juice of Purslain and Knot-grass is also good for the same Purpose Take of the Waters of Plantane and Purslain each one ounce and an half of Syrup of Mirtles half an ounce of Syrup of Poppies one ounce mingle them make a Julep to be repeated often Take of old conserve of Roses and of Comfrey-roots each one ounce of Marmalad of Quinces half an ounce one Mirobalan candied Troches of Ambar and of Lemnian Earth each two drams of Coral prepared and of Saffron of Mars each one dram with Syrup of dried Roses make an Opiat to be used frequently Troches of Ambar do not only bind but also dissolve concreted Blood and therefore are frequently to be used Tincture of Coral made with Juice of Lemons is also very good But when the Blood is evacuated violently and cannot be stopt by the forementioned Medicines Narcoticks must be taken inwardly and injected by Glisters and the Region of the Stomach must be anointed with Oyl of Roses and of Mirtles washed in Vinegar and after you have anointed it sprinkle on Powder of Coral Bole-armonick and sealed Earth or anoint the Stomach with the following Ointment Take of the Juices of Plantane and Knot-grass each one ounce and an half Rose-vinegar one ounce of Omphacin Oyl six ounces boil them to the Consumption of the Juices then add of Dragons-blood Mastich Pomegranate peels and Mirtles each two drams of Camphor one scruple with a sufficient quantity of red Wax make an Ointment Let him drink Water wherein hot Iron hath been quenched with Syrup of Quinces and Spirit of Vitriol in it and let his Broths be made of the same Water Let his Loins and Hypochondres be fomented with a Decoction made of Plantane and Purslain in Oxycrat and let it be used when it is almost cold and let him put his Hands into cold Water Afterwards let the foresaid Parts be anointed with Galen's cooling Ointment washed in Vinegar Bleeding being sufficiently used gentle and frequent Purging must be ordered
frigid one dram make a Julep for three Doses to be taken twice a day To these may be added restorative Opiats Narcoticks and the like all which are to be varied according to the Judgment and Discretion of the Physician Turpentine washed in Wormwood-water taken twice or thrice resolves and ripens Imposthumes of the Stomach The following Fomentation may be applyed outwardly in the beginning Take of the Roots of Sorrel two ounces of the Leaves of Endive Succory and Mallows each one handful of the Seeds of Lettice and of white Poppies each three drams of white and red Sanders each half a dram of the Flowers of Violets and of Water-lillies each one Pugil make a Decoction add to it a little Rose-vinegar foment the Region of the Stomach with it warm After the Fomentation anoint the part with Oyl of Roses and Oyl of Violets mixed Cataplasms are not convenient in the beginning because they oppress the part by their Weight and by retaining the Heat increase the Inflammation If the Disease come to a Declination and if the Tumour should be resolved which is most to be wished for a resolving Fomentation may be applied made in the following manner Take of the Roots of Florentine-orris two ounces of the Leaves of Mint Marjoram Penny-royal and of Roman Wormwood each one Handful of the Seeds of Fâ—enugreek and of Annise each two drams of the grains of Kermes one dram of the Flowers of Staechas Rosemary and Camomil each one Pugil adding towards the the end a little White-wine make a Decoction wherewith foment the Region of the Stomach After the Fomentation anoint the Part with Oyl of Nutmeg Wormwood Nard and the like to which Wax and the Powder of Florentine-orris and of Cinnamon being added an Oyntment may be made but Plaisters and Cataplasms are not convenient because they oppress the Part. But if the Tumour seem to tend to Suppuration foment the part with a Decoction of the Flowers of Camomil and red Roses and afterwards apply the following Cataplasm Take of the Roots of Marsh-mallows two ounces of the Leaves of Bears-breech and of Roses each one handful boil them well and then add of the Flower of Barley and of Linseeds and Faenugreek-seeds and of the Powder of Camomil each half an ounce of white and red Sanders each two drams with Oyl of Roses and of Camomil and with a little Hens-grease make a Cataplasm to be renewed often The Abscess being broken cleanse the Ulcer by drinking Hydromel to which must be added sometimes according to Galen's order Manna of Frankincense or Barly-water with Sugar of Roses in the beginning in a hot Constitution When the Ulcer grows old from what cause soever it prooceeds Broths are proper altered with cooling and moderately astringent Herbs Barly-broths sweetned with Sugar of Roses new Milk sweetned with Sugar and a little Honey steel-Steel-waters for the ordinary drink or Water wherein some Bole-armonick or sealed Earth has been infused to which may be added a little red rough Wine if there be but little Heat in the Part afterward the following Apozem may be used Take of whole Barley one Pugil of the Leaves of Scabious Agrimony Burnet and of Maiden-hair each half an handful of the seeds of Melons two drams of red Roses dried one Pugil make a Decoction to one Pint wherein dissolve three ounces of Syrup of dried Roses make an Apozem for four doses to be frequently repeated For internal Ulcers a Decoction of China is also very good when there is no Feaver for being taken for twenty Days or more it gently provokes Sweat and dries the Ulcer by degrees But if there be danger of a Consumption the foresaid Root must be boiled in Chicken-broth with the foresaid Herbs and with cleansed Barley When the Ulcer has continued long Chalybeat or Purging Waters drank for a Month do good and gentle Catharticks as Rubarb and Tamarinds Myrobalans Syrup of Roses are to be used once a Week Lastly The following things are to be used Take of Bole-armenick sealed Earth red Coral Blood-stone well washed in rose-Rose-water each one dram of Dragons-blood Gum-arabick and Tragacanth each half a dram of the Seeds of white Poppies gently bruised and roasted of Hypocistis Sarcoco and Frankincense each one Scruple of Sugar of Roses one ounce make a Powder whereof let him take a dram in Plantane-water or with Conserve of Roses daily Or of the same Powder may be made an Opiat with Conserve of Comfry and Roses and with Syrup of Quinces or of Myrtles or Troches may be made of it with the Mucilages of the Seeds of Psyllium or of Tragacanth of all which the Sick may take by turns least his Stomach turn by taking of one Medicine a long while And outwardly to heal the Ulcer may be applied to the Region of the Stomach a Fomentation made of Wormwood Roses Pomegranate-peel Galls Balaustins Myrtles Frankincense Mastich and the like And afterwards the part must be anointed with some Astringent Oyntment and an Astringent Plaister must be applied over CHAP. LXX Of the Chollick IT takes its name from the Gut Colon which is the part affected which is long and winding and designed by Nature to receive the Excrements of almost all the Body and when those Excrements are retained too long they are wont to occasion Pains of this kind Therefore the Causes of the Chollick is all Excrementitious Matter that occasions a Solution of the Continuum either by distending pricking or corroding and is either Wind or Humours Wlnd generated by Crudities or from a cold Intemperies of the Stomach or Bowels if it cannot be seasonably excluded by reason the Feces are very hard or by reason the Intestines are obstructed it is heap'd up in a great quantity in the great Guts especially in the Colon and occasions violent Pain Thick Cold and Flegmatick Humours stufft into the Tunicks of the Guts may occasion such Pains by corroding them if they are indued with Acrimony or by chilling them which consequently occasions Costiveness and Convulsions as Galen says of himself that he having a violent Chollick evacuated glassy Flegm which was actually cold Wind which is easily elevated by a weak and gentle Heat from gross and clammy Humours may also occasion this Pain Cholerick and Acrid Humours and also Melancholly and Acid may occasion these Pains by vellicating and pricking the Intestines But in the Action of these Causes it may be asked how the Chollick Pain should have Exacerbations and Remissions the same Matter remaining in the Bowels which as long as it is there should always bite and distend them To which I answer that that Matter does sometimes remain quiet and then it occasions little or no Pain but sometimes is moved and excited by various Fermentations that happen to the Humours as is wont to happen to the Falling-sickness Hysterick Fits and in Fits of Feavers But we must take notice that the Wind or Humours do not only reside in the Cavity of the Intestines for then
ounces of the Aqua-benedicta or two or three drams of Coloquintida may be boiled in an emolient and Carminative Glister If Glisters do not give ease you must not obstinately persist in the use of them for it has been observed that when a Sick Person has taken without any Success twenty Glisters another Physician having given only an ounce and an half of Manna with two ounces of Oyl of Almonds in fat Broth has cured the Patient But in that Pain which proceeds from thick Flegm stronger Medicines must be given Afterwards Fomentations Oyntments Baths Plaisters and other Remedies are useful to which must be added some Specificks Boil simple Water and when it is boiling hot add a fourth part of common Oyl and some grains of pepper grosly beaten Let the Sick take three or four Spoonfuls as hot as he can bear it the pain will be gone as it were in a Moment Take of the best Aloes one dram of Laudanum Opiatum grains four mingle them make six Pills gild them let the Sick take them at a convenient time they give ease in an hours Time and afterwards purge off the noxious Humours Instead of the Pills a Potion may be taken made of half an ounce of Diaphaenicon and two Scruples of Philonium Romanum in the Water or Decoction of Camomil Take of the Oyl of Almonds or of some other Oyl for poor People four ounces of generous Wine one ounce of Syrup of Poppies one ounce mingle ehem make a Potion Oyl of sweet Almonds also taken with Manna in fat Broth asswages the Pain and evacuates the Peccant Matter If the Disease is lasting it may be successfully treated with a Decoction of Guajacum continued for many Days purging now and then with Elixir Salutis and injecting Glisters frequently But if the Chollick proceed from Flegm boil the Guajacum with Wine A Bilious Cholick is cured by emolient Glisters and with such things as attemperate the Acrimony of the Humours Give Juleps of the Waters of Erratick Poppy of Lettice and Sorrel with the Syrups of Violets Apples and Lemons If the Pain is very violent we must use Narcoticks the Pain being somewhat mitigated An Infusion of Rubarb in Succory-water is to be given with Syrup of Roses and to be repeated often till the Stock of Matter is evacuated If gentle Purging be not sufficient to eradicate the Disease we must use Mercurius Dulcis which being given sometimes with purging Medicines that have Diagridium in them perfects the Cure They that dislike Diagridium may give Mercurius Dulcis alone made into Pills with Conserve of Roses drinking upon them an Infusion of Rubarb and Senna with Manna and Syrup of Roses added to it Afterwards it will be convenient to use Tunbridge or such like Waters When the Pain is violent you must fly to Laudanum with which Catharticks may be sometimes given but in a large Dose because they are much blunted by Laudanum Bleeding is sometimes proper in this sort of Chollick when there is danger least the Violence of the Heat should occasion a Feaver if there be a Feaver already it is presently to be used When there is a great Drouth cold Water must be given according to Galens Instruction And Amatus Lusitanus says he wonderfully cured of a sudden such a Pain by the use of it and Septalius declares in two Observations that he used it inwardly and outwardly with great Success For the Cure of a Chollick that degenerates into a Pâ—lsie put the Patient into a warm Bath made of a Decoction of emollient things the Belly being loosned with various Glisters and the first Passages opened by Catharticks the Patient must be bathed twice or thrice or four or five times in a day that the Acrimony of the Humours may be attemperated and that the Pores of the Membranes may be opened The next day let the Humour be purged with some proper Cathartick and then the Bath must be repeated and so you must do every other day if the Patient be able to bear it till the Humours being purged off and the pain quieted he is recovered In the mean time you must continue the use of Glisters but those made with Milk are best to asswage the Pain to which may be added Cassia Oyl of Violets and Oyl of Lillies Let the Belly be frequently anointed with Oyl of Camomil of Dill sweet Almonds Lillies and with Butter Lastly Use Whey and Tunbridge-waters or the like and if the Disease continues a long while those things may be used which are proper to cure Hypochondriack Melancholly and Bleeding is to be used at the beginning of the Disease and before Purging and to be often repeated if the Blood seem to be bad or if something of a Rheumatism seems to be joyned wtih it Lastly All those Remedies which are proposed for the Cure of a Bilious Chollick may be used in this Case and if these things do no good some Physicians prescribe the following Potion which though it be loathsome and will not go down with the delicate yet they say it presently mitigates the Pain Take of Horse-dung one ounce crumble it in small Pieces and infuse it in a Pint of Erratick poppy-Poppy-water to which add eight or ten drops of Spirit of Wine Strain it gently and divide it into three Doses to be taken when the Pain is most violent But if the Disease degenerates into a Palsie you must use to the Spine of the Back and the paralitick Parts some resolving Balsam and such an one as strengthens the Nerves if there be a Feaver but if there be no Feaver you may apply Wooll dipt in Oyl or Ointment to the Paralitick Parts taking great Care that the Patient does not catch Cold for by that means the Humour will be more fixt upon the parts and the Perspiration of it will be hindred CHAP. LXXI Of the Bilious Chollick of the Years 1670 71 72. IN all these Years the Blood was much inclined to put off upon the Bowels hot and Cholerick Humours upon which Account this Chollick was more frequent than is usual The same Febrile Symptoms preceded this Disease as used to go before the Dysentery that reigned in those times and sometimes this Disease followed the Dysentery when it had a long while afflicted the Patient and was just about to leave him but when it did not follow a long Dysentery it generally took its Rise from a Feaver which after some Hours was wont to end in this Disease it chiefly seised Young People of a hot and Cholerick Constitution especially in the Summer the Pain of the Bowels was extreamly violent and more intollerable than any other that afflicts poor Mortals it sometimes binds as it were the Guts and sometimes being contracted to a Point it bores like an Auger the Pain now and then remits and presently the Fit approaches again which as soon as the Patient perceives he looks sadly and bemoans himself as if it were actually upon him At the beginning of this Disease
Liquor whereby the Spirits exhausted by Exercise may be repaired But when the Disease being unskilfully treated has a long while afflicted the Patient so that the Bowels become weak and infirm and he is in a manner quite wasted I say in this Case we find by experience that the free use of Epidemick Water or of Aqua-mirabilis or any other the Patient likes best relieves him at this Time beyond Expectation Moreover As in the Cure of the Disease so when it is over the thin Diet we have mentioned must be observed for some time for this Disease being more apt to return than any other and seating it self upon the principle parts of Concoction the least error in this kind will presently occasion much Pain Wherefore in this and all other Diseases of the Bowels Meats of hard Digestion are carefully to be avoided and things of easie Digestion must be taken only in such a Quantity as will suffice to sustain Life CHAP. LXXII Of the Hysterick Chollick A Certain kind of Hysterick Disease afflicts some Women very like the Bilious Chollick both as to the Sharpness and Situation of the Pain and also upon the account of the Humours ejected by Vomit of a Yellow and green Colour But least any one should take it for the Bilious Chollick just now mentioned I will treat of it in a Chapter by it Self Those Women that are of a lax and crude Habit of Body are chiefly afflicted with this Disease and they that have lately laboured under some other Hysterick Indisposition or which is very often those that have scarce evaded a difficult and hard Labour in bringing forth a large Child whereby the Mothers Natural Strength has been almost Spent A Pain as violent almost as that of the Chollick or Iliack Passion seises the Region of the Stomach and sometimes it comes a little lower and then violent Vomitings follow and the Matter which is cast up is sometimes yellow and sometimes green And moreover which I have often observed there is a greater Dejection of Spirit and Despiration than in any other Disease whatever After a day or two the Pain goes off and returns again in a few Weeks after as violent as it was before sometimes it is accompanied with the Jaundice which is very visible and which goes off of its own accord in a few days when all the Symptoms are gone off and when the Patient seems very well the Smallest Disorder of Mind whether it be occasioned by Anger or Sorrow to both which in this Case Women are very prone almost recalls the Pain which may be said of walking or any other Exercise used too soon for by these means Vapours are elevated in a Lax and weak Habit of Body when according to the Vulgar Opinion I say Vapours whither they be so or no or whither they are Convulsions of particular parts the Phaenomena may be solved either way These Vapours or Convulsions when they invade this or that Region of the Body produce Symptoms agreeable to the part they invade and though they are one and the same Disease every where yet they cunningly resemble most of the Diseases Mankind is exposed to Bleeding and Purging repeated which were plainly indicated at the beginning of a Bilious Chollick are not to be used here but the whole Business must be done by Anodyns unless a great Quantity of Blood and Humours so resists the operation of the Narcotick that though it be often repeated it cannot quell the Tumult till the Patient is blooded and purged which I have observed in Women of a very sanguine Constitution and in Virago's If the Case is so Bleeding or Purging or perchance both must make Way for the Anodyne for either of these being used a moderate dose of the Narcotick will perform the Business which otherwise would signifie nothing though the largest Dose is given But this seldom happens and these Remedies must not be repeated and when they are used when there is need of them you must proceed in giving Anodynes in that Method which I have proposed in the Bilious Chollick and they must be taken often or seldom according to the degrees of Pain But for as much as this Disease in Hypochondriack as well as in Hysterick People often ends in the Jaundice and as this comes on that goes off we must take notice that in curing this kind of Jaundice all Catharticks are to be wholly omitted or if they are given you must use only Rubarb or some other gentle Purge for there is danger least by purging new Tumults should arise and so all the Symptoms return and therefore in this Case nothing must be done presently seeing the Jaundice taking its Rise on this Account generally lessens of its own accord and wholly vanishes in a short time But if it continues a long while and seems to go off difficultly Remedies must be taken for it I use the following Take of the Roots of Madder and of Turmerick each one ounce of all the greater Celandine and of the Tops of the lesser Centaury each one handful boil them in equal parts of Rhenish-wine and of Fountain Water to a quart in the Liquor strained dissolve two ounces of the Syrup of the five opening Roots mingle them make an Apozem Let the Patient take half a pint Morning and Evening till he is well But if the Jaundice comes of it self the Chollick not going before it is necessary besides the alteratives just mentioned To give Cholagogues that is such things as purge Choler by Stool viz. once or twice before the Patient enters upon the Apozem prescribed and afterwards once a Week as long as he takes it As Take of the Electuary of the Juice of Roses two drams of Rubarb finely powdered half a dram of Cream of Tartar one scruple make a Bolus with a sufficient quantity of Syrup of Rubarb with Succory give it early in the Morning let the Patient drink upon it a small draught of Rhenish-wine But if notwithstanding the constant taking of these things a long while the Disease continues obstinate the Patient must drink tunbridge-Tunbridge-waters or such like from the Fountain every Morning till he recovers CHAP. LXXIII Of the Iliack Passion THis dreadful Disease being hitherto almost in the Opinion of all Mortal takes its Rise from the inverted and preposterous Motion of the Intestines to wit the Fibres of the Intestines which ought to be contracted from the Superior toward the Inferior are drawn to the Superior and whatsoever is contained in the Intestines is not protruded to the Belly but towards the Stomach and is violently regurgitated to the Mouth so that Glisters how sharp soever become vomitive and also Catharticks taken by the Mouth are suddenly cast up by Vomit And in my Opinion the exquisite and intollerable Pain coming upon this Disease is only occasioned by the foresaid preposterous Motion of the Intestines for whereas those Folds which the many Circumvolutions of the Intestines make are so formed by Nature that they should
mixed with Antiscorbuticks are to be given Therefore the Body being cleansed by Catharticks which are proper in the Scurvy you may proceed with Medicines proper to cure these Diseases after this manner In the beginning of the Cure the Hemorrhoids are to be opened by the Application of Leeches and this ought to be often repeated unless something contraindicate Take of the Roots of Male-peony half an ounce of red Coraâ— prepared two drams of Man's Skull and Elks-hoof each one dram take of fine Sugar dissolved in Peony-water compound or the compound Water of Horse-radish and boiled to Tablets eight ounces of the best Oyl of Ambaâ— rectified half a dram make Tablets A dram and an half or two drams of them may be taken Morning and Night drinking upon them a draught of the following distilled water Take of the Leaves of Scurvy-grass Brook-lime Lillies of the Valley Sage Rosemary Bettony each three handfulâ— of green Wallnuts one pound the Peels of six Oranges and of four Lemmons the Roots of Male-peony green â— Pound and an half after they are bruised and sliced pour upon them of Flegm of Vitriol one pound of Who made with Syder five Pints distil them after the common manner mix all the Liquor together The Dose is three or four ounces Fluxes of Blood often threaten great Danger in the Scurvy therefore these Fluxes whether they be too great or from an inconvenient place ought to be stop for the present and guarded against for the future The common Method of stopping Blood when it flows immoderately is generally known and there is no peculiar thing more to be done on this Occasion than what is usual in other Fluxes of Blood Nevertheless to hinder these Fluxes of blood Remedies must be used which sweeten the Blood and contract the Orifices of the Vessels which are too lax and open Both these Intentions are excellently performed by Steel Medicines Take of the Conserve of red Roses and of Hips each three ounces of the Species Diarrhodon Abbatis of the three Sanders each a dram and an half of Salt of Steel one dram of Saffron of Mars two drams of red Coraâ— prepared one dram and an half with a sufficient quantity of Syrup of Steel make an Electuary The Dose is the quantity of a Nutmeg three times a day drinking upon it a Draught of some proper Liquor For the Poor you may prescribe after this manner Take of the Tops of Cypress and of stinging Nettles each four ounces of Brook-lime two ounces beat them in a Mortar with ten ounces of white Sugar afterwards add Filings of Steel finely powdered one ounce of white and red Sanders powdered each two drams with a sufficient quantity of Syrup made of the Juice of Nettles make an Electuary The Dose is the quantity of a Wallnut twice a day When the Scurvy does infect the inward Parts of the Mouth as when the Gums begin to swell and their Flesh grows spungy Medicines are presently to be used that resist Putrefaction Liquors to wash the Mouth and Liniments are of great use both at the beginning and height of this Distemper and as they respect various Intentions so they are to be prepared after divers manners Gargarisms or Waters for the Mouth are of divers kinds which are all made for the most part of the Decoctions of Vegetables or the Infusion of Minerals The Herbs and Roots which are boiled in a proper Liquor viz. Water or Wine are for the most part sharp bitter or stiptick Afterwards these Decoctions are impregnated with a Salt either volatile lixivial vitriolick or chalybeat and aluminous When the Gums are swelled and become spungy a Gargarism may be prescribed after this manner Take of the Bark of Elder and of Elm each half an handful of the leaves of Savory Sage Hedge-mustard and Cresses each one handful of the Roots of Pepper-wort two drams After they are cut and bruised boil them in three pints of Lime-water to the Consumption of the third part make a Gargarism it may be sweetned with two ounces of Honey of Roses Liniments may be also prescribed for the same purpose they are most properly applied at Night The following is greatly commended by Authors Take of the Powder of the Leaves of Columbines of curled Mint Sage Nutmeg Mirrh which is sometimes left out each two drams of Burnt-alum half an ounce of Virgin-honey a sufficient quantity make a Liniment If the Flesh of the Gums be dried and falls off from the Roots of the Teeth light Scarification is often used the Mouth also is to be washed with this Decoction Take of the Tops of Madder Cypress of the Leaves of Sanicle Ladies-smock each one handful boil them in three pints of Water wherein hot Iron hath been quenched to the Consumption of a third part add to the strained Liquor two ounces of Honey of Roses mingle them When the Gums are putrified and corrupted and the Teeth being carious and loose stink stronger Medicines and such as greatly resist Putrefaction are to be used The Infusion of Vitriol camphorated and of Lapis medicamentosus is very effectual in this case If deep and putrid Ulcers afflict the Gums or any other part of the Mouth strong Remedies must be often used also Cotton dipt in Aegyptiacum dissoloved in Spirit or in the Infusion of Lapis Medicamentosus or sublimate must be sometimes applied to the part affected Scorbutick People are also oftentimes afflicted with Pains in the Legs and in other Joints especially in the Night-time for the removing of which Pains which are sometimes very violent besides the general Method of curing the Scurvy Specifick Remedies are to be used Therefore in such a case Purging having been rightly performed and Bleeding if there be occasion for it Medicines both external and internal must be used As to the First Those that evacuate by Sweat and by Urine are oft-times very effectual Testaceous Powders Crabs-eyes the Jaw of a Pike the Spirit and Flowers of Sal-Armoniack Spirit of Blood Tincture of Antimony and of Coral Decoctions of the Roots and Seeds of Burdock Ground-pine and Germander are very proper and such like Remedies may be taken twice or thrice a day â—n distilled antiscorbutick-waters The distilled water of Horse-dung with Scurvy-grass Brook-lime and Ground-â—ine and the like may be conveniently used In the mean time Fomentations Liniments Cataplasms and â—uch like Applications must be applied to ease the Pain For a Scorbutical Gout Henricus Petreus mentions â—wo Remedies which are frequently used in Westâ—halia Take nine Worms beat them in a Mortar with two spoonfuls of Wine press it through a Cloth and add to it half a Measure of Wine let three spoonfuls of it be taken in the Morning at Noon and in the Evening for many days The other is as follows Take of Savin two or three Branches of Virgin-honey two spoonfuls boil them in a measure of Wine till the Wine sink two Fingers let four or five spoonfuls of the strained Liquor be taken thrice
the Sick bends towards the well Side the Motion of Nature must be furthered by applying Cataplasms made of emollient Roots and Herbs of the Seeds of Flax and of the Flowers of Camomil to which being boiled bruised and pulped Meals Butter Grease and proper Oyls must be added whereby unless the Abscess break and cleanse it self by Urine the Matter breaks into the Cavity of the Belly upon which account sudden Death or an hectick Feaver follows Sometimes the Tumour swells outwards and then it must be opened by a Potential Cautery or with a Knife It also happens sometimes that the Tumours become Scirrhous the Feaver ceasing but the Pain continuing with a greater Sense of Weight and a Numbness of the neighbouring Parts which are most commonly incurable for the Sick falls into a Cachexy and Dropsie yet the Cure may be attempted by emollient inciding and digestive Medicines CHAP. LXXXIX Of Bloody Vrine BLood may be conveyed from many Parts to the Urinal Passages and be mixed with the Urine and so render it bloody but that rarely happens and we only discourse here of Diseases of the Reins and Bladder and of that bloody Urine which proceeds from the fault of those Parts The Blood flows from the Reins and Bladder as from all other Parts either by opening of the Vessells by a Rupture or a Solution of the Continuum but very rarely by reason of the Thinness of the Veins which carry Blood to these Places The most frequent causes are Fullness and Acrimony of the Blood and a Stone in the Kidneys a Fall or Blow the lifting or carrying of a great Weight violent Motion of the Body or the like When Blood flows from the Bladder it is little in quantity The Cure of this Disease must be varied according to the Variety of the Causes And first If it proceed from a great quantity or Acrimony of the Blood Bleeding must be used frequently but little must be taken away at a time and in this case Cupping glasses Frictions and Ligatures must be used to the upper Parts and Derivation must be made by bleeding in the Foot or by opening the Hemorrhoidal Veins When serous and Cholerick Humours promote this Evacuation they must be purged off by Catharticks used by Intervals Take of Rubarb a little torrified and powdered one dram of Coral prepared half a Scruple of the Whey of Goats-milk or of Plantane-water three ounces make a Potion Take of Cassia fresh drawn half an ounce of the Pulp of Tamarinds six drams of Bole-armonick half a Scruple with Sugar make a Bolus After due Revulsions and Evacuations or whilst they are used if there be occasion such things as restrain the Blood and heal the Veins must be given but they must not be presently used least the Blood should be stopt too soon and being thickned it should coagulate somewhere for this Purpose the Juice of Plantane fresh drawn is much commended four or five ounces of it being taken Morning and Evening which is also very proper in all Hemorrhagies but if it be too cold for the Stomach it may be boiled a little with Sugar Sheeps-milk is also much commended four ounces of it being taken with a dram of Bole-armenick but after takeing it the Sick must not sleep nor exercise himself Decoctions also of Knot-grass Horse-tail Purslain and of the Tops of Brambles sweetned with Syrup of Quinces or to qualifie the Heat of the Blood the following Apozem may be used Take of the Leaves of Lettice Purslain Plantane and Comfrey each one handful of the four greater and lesser cold Seeds each one dram of Jujubes three pair of Liquorish half an ounce of the Flowers of Water-lillies of Violets and of Roses each one Pugil make a Decoction to a Pint and an half in the strained Liquor dissolve of Gum-tragacanth a dram and an half of Syrup of Violets and of dried Roses each one ounce and an half of Sal-prunella half an ounce of the Troches of Alkakengi without Opium half a dram make an Apozem for four Doses To thicken and restrain the Blood more powerfully we may add to it an ounce of Syrup of Poppies If the Disease be lasting an Electuary may be made in the following manner Take of the Conserves of Roses and of the Roots of Comfrey each two ounces of sealed Earth and Bole-Armenick of Dragons-blood red Coral Blood-stone and Troches of Ambar each one dram of Hypocistis grains of Kermes and of the Seeds of Plantane each one scruple with equal Parts of Syrup of Mirtles and of Poppies make an Electuary whereof let him take the quantity of a Walnut Morning and Evening drinking upon it a little plantane-Plantane-water Dr. Gordon's Troches are also reckoned excellent in this Case But because Clots of Blood are wont to be retained in the Bladder and to occasion violent Symptoms for the Dissolution of them it will be convenient to drink warm now and then mallow-Mallow-water mixed with a little Vinegar but the quantity of the Vinegar must be so small that it can scarce be tasted Outwardly Topicks must be applied to the Region of the Loins such as are proper to cool and bind the Reins Take of the Roots of Bristort and of Comfrey each one ounce of the Leaves of Plantane Purslain Shepherds-purse Knot-grass each one handful of the Flowers of Pomegranates half an ounce of the grains of Sumach and Mirtles and of Hypocistis each two drams of the Cups of Acorns and of yellow and red Sanders each one dram of red Roses three Pugils boil them in Smith's-water with a little Vinegar strain the Liquor and foment the Reins with it warm A Bath may be made of the same Decoction the quantity of it being increased Take of the Juice of Plantane and of Blood-wort each two ounces of Vinegar half an ounce of Omphacine Oyl one ounce boil them to the Consumption of the Juices then add of Dragons-blood Mastich and of Pomegranate-peel each two drams of Champhor half a dram of the Countesses Oynoment four ounces of Wax a sufficient quantity make a Liniment Anoint the Loins with it frequently at the time you use it mix a little Vinegar with it Leaden Plates with many holes in them worn upon the Reins are very proper When the Voiding of Blood proceeds from the Stone the following Method has been found very successful by Dr. Sydenham who was much troubled with the Gout the Stone in the Kidneys and a bloody Urine and I have also found it very successful I drank says he two ounces and a half of Manna dissolved in a quart of Whey swallowing now and then a little of the Juice of Lemmons while I was purging to quicken this Cathartick which used to work slowly and to render it more pleasant to the Stomach It can scarce be said how much Ease I received about the Region of the Reins by the use of this Remedy for though they did not always ach before yet they were affected with a heavy and troublesom Pain and
Genus Nervosum and of the genital parts by Childhood Age and a Flegmatick Cachexy and the like As to the Prognostick This Disease is incurable in old Age in a Feaver it is dangerous but it may be cured in Children by increase of Years for in time the superfluous Moisture may be consumed and the lax parts rendered firm and strong The Cure of Involuntary Urine must be directed to the correcting of the cold and moist Intemperies and to the Laxity of the Sphincter Muscle for that which is occasioned by Sympathy from other Parts primarily affected must be referred to the Cure of those Diseases and that which proceeds from a Wound Ulcer and other manifest Diseases depends on the Cure of them wherefore the following Method of Cure must be observed both for Children and grown People but in Children the most gentle Medicines must be used and they must be dosed accoding to their Age. First Bleeding is not of use in this case unless there be a Plethora of the whole Body in Youth but Purges are always necessary in this case they must be made of Phlegmagogue Medicines and astringent things may be mixed with them especially such as purge too as Rubarb Mirobalanes and the like Afterwards Electuaries medicated Wines and the like must be used to dry up the phlegmatick Matter and to constringe the relaxed part Take of the Nuts of Cypress and of Mirtles torrified of the Raspings of Ivory Coriander seeds prepared red Coral Ambar each two drams of Spodium one dram of the Roots of Cyperus and Galingal each half a dram with candied Citrons make an Electuary whereof let him take the quantity of a Chesnut Morning and Evening drinking upon it a little red Wine Take of the Roots of Comfry half an ounce of the Roots of Cyperus and Galingal each one dram of the Leaves of Plantane Horse-tail five leaved Grass with the Roots each one handful of Cypress Nuts and of the Cups of Acorns each four Scruples of the seeds of Rue and of the chast Tree of Frankincense and of the Raspings of Ivory each half a scruple of red Roses one Pugil of red Wine two quarts infuse them twenty four Hours then strain them and add to it half an ounce of Cinnamon and with a sufficient quantity of Sugar make a Claret whereof let him take three or four ounces twice a day Many Specificks are proposed by Authors for the Cure of this Disease as the Brains and Testicles of a Hare burnt also a Cockle in its Shell burnt and drank the Dung of a Hare the Ashes of a Mouse burnt the Hoof of a Boar torrified the Ashes of Date-stones the Powder of Egg-shells but above all the Powder of Agrimony and the inward Coats of the Stomach of a Hen dried which may be given a part or together in red Wine Solinander says he saw excellent Success by the use of a Cocks Throat torrified the Powder was taken before Supper in a little red Wine it was repeated for some Days In grown People Sudorifick Decoctions made of Guajacum and Sassafrass and used for twenty Days are proper to dry the Body So are also bath-Bath-waters applied with Flannels The Sick must drink red rough Wine by it self or diluted with Chalybeat waters and he must drink but little at Supper he must make Water just as he is going into Bed in the middle of the Night and early in the Morning And outwardly Topicks must be applied to the Pubis and Perinaeum such as heat strengthen and dry Take of the Roots of Elecampane sweet-smelling Flag of Acorus and Cyperus each half an ounce of the Leaves of Mint Sage Wild-marjoram Calaminth and Wormwood each half an handful of the Nuts of Cypress Mirtles Galls and Balaustines each one dram of red Roses one Pugil boil them in equal parts of Smiths Water and red Wine to one quart in the strained Liquor dissolve of Salt and Allum each one ounce foment the Region of the Pubis and Perineum Morning and Evening hot Of the same Decoction the quantity of it being increased a bath may be made to be used for many days After the Fomentation or Bath the Parts may be anointed with a Liniment made of Oyl of Foxes rue Orrise Unguentum Martiatum Aregon and with the Powder of Mastich Cyperus and Mirtles or the following Plaister may be applied Take of Labdanum and Mastich each two drams of the Wood of Alces and of Storax calamite of Cinnamon and of Turpentine each one dram of Mirtles and of the Roots of Cyperus each half a dram of the Juice of Mint and Horsâ—-tail extracted with red Wine a sufficient quantity make a Plaister CHAP. XCIII Of a total Suppression of Urine and of the Strangury A Total Suppression of Urine is called by Authors Ischuria but when the voiding of Urine is lessened they term it a Strangury An Ischuria or total Suppression of Urine is twofold viz. true when the Bladder is full and false when the Bladder is empty and nothing comes from the Reins to it The true Ischury depends on three Causes the first whereof is Sense abolished in the Bladder by reason of a Palsie or Obstruction of its Nerve or because the Spirits are diverted another Way as in a Delirium or the like The second cause is a cold Intemperies of the Bladder The third Cause is a narrowness of the Neck of the Bladder and of this three Causes are assigned for the Muscle incompassing the Neck of the Bladder is so swelled that the Passage is stopt or a Caruncle grows in the Neck of the Bladder or a Callus is generated there the Passage is also obstructed by a Stone by a thick Humour a Clot of Blood or by Matter The Passage is also stopt by a Swelling of the neighbouring parts as by a large Child in the Womb by the Excrements hardened in the right Gut and by the Piles much swelled This Suppression also happens sometimes by too great a quantity of Water retained too long that so much distend the whole Body of the Bladder that it cannot be contracted to expel it first when any Person that is well retains his Urine for want of a Convenient Place to void it in or when the Nerves of the Bladder are affected so that the Bladder cannot be sensible of the Weight and Fulness A false ischury is occasioned by reason either the Serum is not put off upon the Reins or not conveighed through the Ureters they being stopt by a Stone or the like A true Ischury is known by a Weight and Tension of the Hypogaster and by a Swelling resembling the Bladder The causes of it are known by things that go before and accompany it for if it proceed from a large quantity of Urine which hinders a Contraction of the Bladder it is perceived by the Relation of the Sick he having omitted to make Water by reason of long travelling or by being in the presence of great Persons and if he never had
the use of it 'till the Symptom is quite gone CHAP. CV Of Barrenness AS to the Cure of Barrenness too much Fat must be corrected by an orderly Diet and by convenient Evacuation Such as are of a robust and manly constitution must be reduc'd to a womanly state by all means they must forbear strong Meats and Labour and the Coarses must be forced and by Bleeding and Purging and the like the Habit of the Body must be rendred moist and cold If from Distortion Obstruction Tumors or Ulcers of the Womb or from its being shut Barrenness is occasion'd proper Remedies must be applied If too hot an Intemperies be the cause it must be corrected so must immoderate siccity by Milk and Bathing But the most frequent Cause of Barrenness is a cold and moist Intemperies of the whole Body and of the Womb which the Whites often accompany and for the Cure in this case the Whites must be cur'd by the Method prescrib'd in the Chapter for the Whites and the following things must be order'd which are peculiarly proper for the said Intemperies which may be varied according to the discretion of the Physician so as that they may heat more or dry more according as Humidity or Frigidity exceeds And first the flegmatick Humors stagnating in the Body must be evacuated by Medicines that purge sweat and force Urine and Revulsion must be made by Issues in the Arms Neck and Legs and the principal Parts must be strengthned by Treacle Mithridate Confection of Alkermes and the like Aftewards such things must be us'd as are proper by a specific quality to strengthen the Womb and to help Conception Take of the Roots Eryngo and Satyrion candied each one ounce of green Ginger candied half an ounce of Hazel-Nuts Pine-Nuts and Pistaches each six drachms one Nutmeg candied of the Seeds of Rocket and Cresses each two drachms of the Ashes of a Bulls-Pisle of the Reins of Scinks and of the Raspings of Ivory each one drachm of Confection of Alkermes three drachms of Diambra and sweet Diamoch each one ounce and an half of Ambergrise half a drachms with the Syrup of candid Citrons make an Electuary let her take the quantity of a Nutmeg at Bed-time drinking upon it a Glass of good Wine Some count the Secondine of a Woman dried and powder'd very effectual one drachm of it being taken The Seeds of Bishop's Weed is also much commended Many good Authors affirm That if a Woman drink six ounces of the Juice of Garden-Sage with a little Salt the fourth Day of her menstrous Purgation and a quarter of an hour after has Conversation with her Husband she will infallibly conceive And by the use of this Remedy Aetius says the Egyptian Women became fruitful after a great Plague Topicks are also to be used but purging must always go before Take of Diaphenicon and Hierapicra each half an ounce of Turpentine and Mercurial Hony each one ounce of Castor one drachm Mingle them and reduce them to a convenient consistence that Pessaries may be made for the Womb. If the Womb abound with a great quantity of Excrements a stronger Pessary may be made in the following manner But this injection must be first used Take of the Leaves of Wormwood Mugwort Mercury and Rue each one handful and an half of the Pulp of Coloquintida one scruple of Agarick trochiscated half a drachm of Ginger and Myrrh each one scruple Make a Decoction in Water and white-White-Wine to a Pint in which dissolve two ounces of Hony of Roses Let three ounces of this Decoction be injected for three or four days morning and evening after the Flux of the courses and afterwards immit the following Pessary Take of Hiera picra and of Benedictum Laxativum each one ounce of the Pulp of Coloquintida and of Agarick trochiscated each half a drachm of Spikenard and of the Seeds of Roman Nigella and of the Leaves of Savine powder'd each one drachm let them be incorporated with Rosemary-Hony and put them up in Silk and make Pessaries let one be put into the Privities at Bed-time and let it remain there two hours afterwards let the part be washed with White-wine To bind strengthen and dry the Womb the following Medicines may be us'd Take of round Birthwort half an ounce of Wood of Aloes three drachms of Cypress-nutts and of the Roots of Cypress each two drachms of sweet-smelling Flag one drachm of the Leaves of Dittany of Crete and of Savory and Myrtles each one handful of choice Myrrh Storax Calamit and Benzoin each two drachms and an half of the Flowers of Stechas Rosmary and Marjoram each one pugil Boil them in a sufficient quantity of good White-Wine in a pint of the strain'd Liquor dissolve of the Troches of Alipta moschata two drachms of Ambergreese and of Musk each seven grains of Civet five grains Make an Injection Morning and Evening hot for some Days Before or after the Injection the following Fume may be used Take of the Troches of Gallia and Alipta moschata each two drachms of Storax Calamit Benzoin and pure Labdanum each half an ounce of Wood of Aloes and of Rhodium each one ounce of the Seeds of Roman Nigella Cubebs and Cloves each four scruples of Amber and Tacamahaca each one drachm and an half of Mace half a drachm Make a Powder and with Gum Tragacanth dissolv'd in Orange-flower-water make Troches whereof let one or two be cast upon the Coals and let the Fume be received through a Tunnel Poor People may be fumed with equal Parts of Myrrh Franckincense Wood of Aloes Storax Benzoin Cinnamon and Cloves After the Injections and Fume the following Pessary may be used Take of Frankincense and Mastick each two drachms of the Troches of Gallia and Alypta Moschata each four scruples of the Roots of Bistort of Cypress-Nuts shavings of Ivory and of red Roses each one drachm of Storax Benzoin and Labdanum each two scruples of sweet-smelling Flag and Cyprus each half a drachm Moisten them with Orange-Flower-Water and with a fine Rag make two Pessaries of a due magnitude whereof let one be used at Bed-time the top of it being anointed with Oil of Nutmegs and Civet mixed Before the strengthning Injections and the Fumes the Sick may use the following Bath Take of the Roots of Briony Masterwort Valerian Orris Elecampane each three ounce of the Leaves of Marjoram Mugwort Catminte Pennyroyal Mercury Sage Lawrel each four handfuls of the Berries of Lawrel and Juniper each one ounce Boil them for a Bath But sulphurous and Bituminous Baths are the best as our Bath-waters and the like to which such Women fly as to an Asylum After the Bath and Fume the Region of the Pubes and Perinoeum must be anointed with the following Liniment Take of Nard-oil one ounce and an half of Oil of Wall-flowers half an ounce of Diambra and Dimosh each one drachm and an half of liquid Storax one drachm of Civet half a scruple of Musk
it seizes sometimes in a manner resembling a violent stretching or tearing those Ligaments sometimes the gnawing of a Dog and sometimes a Pressure Moreover the part affected has such a quick and exquisit pain that 't is not able to bear the weight of the Cloaths upon it nor hard walking in the Chamber and the night is not only pass'd over in pain upon this account but also by reason of the restless turning hither and thither till two or three a clock in the morning viz. a night and a day being spent from the first approach of the Fit at which time the Sick has suddenly ease and now being in a breathing sweat he falls asleep when he wakes he finds the pain much abated and the part affected swell'd the next day and perhaps two or three days after if the Matter apt to degenerate the Gout is copious the part affected will be in pain but 't will be eased about the Cock's crowing within a few days the other Foot will be in pain as the former was and if the former has left off aking the weakness which render'd it infirm will presently vanish After it has vext the Feet the Fits that follow are irregular both as to the time of invasion and duration yet the pain always returns in the Evening and is less in the Morning and of a series of these small Fits consists that which is call'd a Fit of the Gout But when the Gout is disturb'd by improper Methods or by the obstinate continuance of the Disease the very substance of the Body being as it were perverted to the nourishment of the Disease and Nature unable to eliminate the same by its wonted method then the Phaenomina are much different for whereas the pain was hitherto only troublesom to the Feet which are the genuine seat of the peccant Matter and if it possesses any other parts 't is most certain that either the method of the Disease has been alter'd or that the vigour of the Body is by little and little diminish'd now it possesses the Hands Wrists the Arms the Knees and other Regions tormenting these as much as it us'd to do the Feet for sometimes distorting one or more of the Fingers it makes them like a bunch of Parships taking away the motion by degrees and at length it generates stony Concretions about the Ligaments of the Joints sometimes the Matter occasioning the Disease thrust upon the Arms causes a whitish swelling almost as big as an Egg which is by degrees inflam'd sometimes falling upon the Thigh it feels as if there were a great weight hanging upon it yet without any considerable pain but passing to the Knee it handles that more severely And whereas the Gout before did not use to invade before the latter end of Winter and was wont to go off after two or three Months now it continues upon the Sick a whole year excepting only two or three of the hot Months The Sick is also afflicted with many other Symptoms as with a pain of the Hemorrhoidal Veins and with unsavory Belchings and upon Yawning especially in the morning the Ligaments of the Bones of the Metatarsus are violently pull'd and sometimes when Yawning does not go before the Sick just dropping asleep suddenly feels a blow as it were of a Club breaking in pieces the Metatarsus Women are very seldom troubled with the Gout and if they are not till they are old or unless they are of a masculine habit of Body As to the Cure Bleeding Purging and Sweating are not indicated but the Intention of curing is to be directed to the helping Concoction Whatsoever therefore assists Nature in duly performing her Offices whether in comforting the Stomach that it may rightly concoct the nourishment or the Blood that it may well assimulate the Chile brought into it or the solid Parts that they may the better convert it to their proper substance the Juices designed for their nourishment and increase Lastly whatever preserves the various Organs of Excretion and the Emunctories of the Body in such a state as that they may be able to discharge duly and orderly the Excrements of each part This and such like conduce to the answering this intention and are properly called Digestives whether they are Medicines or a course of Diet or Exercise or any other of those things which are called the six Non-naturals Medicines of this kind are those in general which moderately heat and are bitter or gently bite the Tongue for they are very agreeable to the Stomach they purify the Blood and comfort all the Parts The Remedy which I use is made in the following manner Take of the roots of Angelica sweet-smelling Flag Master-wort Elecampane leaves of common Wormwood the lesser Centaury white Horehound Germander Groundpine Scordium Calaminth meadow Saxifrage S. John's-wort golden Rod Feverfew Thyme Mint Sage Rue Carduus Benedictus Penny-royal Southern-wood of the flowers of Camomil Tansie Lilly of the Vallies English Saffron of the seeds of Treacle Mustard Garden scurvy-grass Carraways Juniper-berries each a sufficient quantity let the herbs and flowers and roots be gathered when they have most vertue in them let them be dried and kept in Paper-bags till they may be finely powdered To six ounces of each well mixed add a sufficient quantity of purified Hony and Canary-wine to make an Electuary Take two drachms morning and evening Or for want of this use the following Take of conserve of Garden-scurvygrass an ounce and an half of Roman Wormwood and of the yellow rind of Oranges each one ounce of candied Angelica and of Nutmegs candied each half an ounce of Venice Treacle three drachms of compound Powder of Wake robin two drachms make an Electuary with a sufficient quantity of syrup of Oranges let him take two drachms twice a day drinking upon it five or six spoonfuls of the following water Take of the roots of Horse-radish sliced three ounces of Garden-scurvygrass twelve handfuls of Water-cresses Brooklime Sage and Mint each four handfuls the peels of six Oranges two Nutmegs bruised of Brunswick Mum six quarts distil them in a common Still and draw only six pints of Water for use Among the Medicines commonly known Venice-Treacle is the best but because it contains a great many Species that heat too much and besides a great deal of Opium the Electuary above-mentioned may be more commodiously prepared of the chief heating Vegetables but we must take care to chuse such Simples as are pleasant to the taste for the Sick must take it a long while viz. almost as long as he lives Among the Simples the Peruvian-bark is the best for it strengthens the Blood and renders it vigorous if some Grains of it are taken morning and evening A Mediocrity is to be observed in Meat and Drink so that neither more nourishment be taken in than the Stomach can concoct Nor on the contrary must the Parts by too much Abstinence be defrauded of that proportion whereby their Strength and Vigour
but it proceeds from an Ague and must be cur'd as that is There is also another sort of Rheumatism which comes near the Scurvy and requires in a manner the same Cure and therefore I call it a scorbutick Rheumatism the pain seizes sometimes this sometimes that part but seldom swells nor is it accompanied with a Fever nor is it so fixt but is of a more wandering and uncertain disposition and accompanied with irregular Symptoms Sometimes it seizes this or that Member and then presently it affects only the inner Parts and occasions Sickness which goes off again when the pain of the external Parts returns and so afflicts the Patient by turns and continues a long while like those Diseases that are accounted most Chronical it chiefly seizes Women and Men of a weakly nature They who for a long while have us'd the Peruvian-bark are subject to this Disease which by the by is the only inconvenience I â—ver knew follow upon the use of this Remedy but however it be whether the Disease take its rise on this occasion or from any other cause 't is very easily cur'd by the following Remedies which should have been kept secret if I had a greater regard to my private Advantage than to the publick Good for by these alone I have cured many Afflicted after the manner I have described Take of fresh Conserve of Garden scurvy-grass two ounces of Wood-sorrel one ounce of the compound Powder of Wake-robin six drachms make an Electuary with a sufficient quantity of syrup of Oranges The dose is two drachms to be taken thrice a day for a month drinking upon it three ounces of the following Water Take of Garden scurvy-grass eight handfuls of Water-cresses Brook-lime Sage and Mint each four handfuls of the peels of six Oranges of Nutmegs bruised half an ounce infuse them in six quarts of Brunswick-mum and distil them in a common Still and draw off three quarts for use The precise dose of the compound Powder of Wake-robin must be observed or at least it must not be lessened CHAP. CXVII Of the Pestilential Fever and of the Plague of the years 1665 and 1666. THE Plague rarely rages violently in England oftener than once in the space of 30 or 40 years The last dreadful Plague destroyed 8000 in the space of a Week notwithstanding that two thirds at least of the Citizens of London fled into the Country for fear of the Infection Its first approach was always accompanied with shaking and shivering like the Fits of an Ague presently violent Vomitings a pain about the region of the Heart as if it were pressed a burning Fever with the usual concourse of Symptoms perpetually molest the Sick till either Death it self or a happy eruption of a Bubo or Parotis discharges the morbifick Matter and so frees them from that deplorable condition It does indeed now and then happen but it is seldom that it comes without any sense of a Fever before and suddenly destroys Men the Purple-spots which are the Fore-runners of present Death breaking out as they are about their Business It sometimes also happens That Tumors appear when neither a Fever nor any other grievous Symptom went before As to the Cure if a Tumour has not broke out I bleed moderately with respect to the strength and temperament of the Sick and afterwards a Sweat is easily and soon raised whereas otherwise it is not only very difficulty procured but there is also danger lest the Inflammation should be heightned by it and so the Tokens forced out and the benefit of the Sweat immediately following abundantly compensates the loss of Blood which how little soever it be would otherwise be very injurious After Bleeding which must be performed in Bed when all things are in a readiness to promote Sweat without any manner of delay I order the Patient to be covered quite over with Cloaths and that a piece of Flannel be bound to the forepart of his Head and indeed this covering of the Head conduces more to the procuring Sweat than any one would easily imagine afterwards if the Patient does not vomit I give these and the like Sudorificks Take of Venice Treacle two drachms of the Electuary of the Egg one scruple of compound Powder of Crabs Eyes twelve grains of Cochinel eight grains of Saffron four grains with a sufficient quantity of the juice of Kermes make a Bolus which let him take every sixth hour drinking after it six spoonfuls of the following Julep Take of Carduus water compound Scordium water each three ounces of Treacle water two ounces mingle them make a Julep But if the Patient be troubled with Vomiting as he is very frequently in the Plague and other pestilential Fevers I defer the giving of Sudorificks so long as till he begins to Sweat by means of the covering only excepting that sometimes I put part of the Sheet over the Face to collect the Vapors for which is indeed very well worth Observation when the Rays of the morbifick Matter extend themselves to the circumference of the Body the Loosness and Vomiting that were occasioned by their being inwardly reflected and cast upon the Stomach and Bowels cease presently of their own accord so that how great soever the preceding subversion of the Stomach was the Medicines that are taken afterwards are easily retained and procure Sweat as well as can be wished I order That the Sweat should be continued for the space of a natural day by Sage-posset-drink or Mace-ale now and then taken and I strictly forbid That the Patient should be any way cleansed neither indeed do I permit that the Shirt how moist and foul soever it be should be changed within the space of 24 hours from the end of the Sweat which I would have observed with the greatest caution But if the Sweat be circumscribed in a narrower compass of time the violence of the Symptoms soon returns and the health of the Patient is very uncertain which a longer continuance of the Sweat would have put out of danger If any defection be perceived towards the latter end I permit the Sick to take a little Chicken-broath the yolk of an Egg or the like which with Cordials and Draughts commonly used to keep up the Sweat abundantly repair the Strength I admonish that Cold be carefully avoided that their Cloaths dry on their Body of their own accâ—â—d and that all Drinks are taken somewhat hot and that the use of Sage-posset-drink be continued for the space of 24 hours after the Sweat The next morning I give a common Purge viz. of the infusion of Tamarinds of the leaves of Sena of Rhubarb Manna and syrup of Roses solutive and with this method the next year after the Plague I recovered very many that were seized with the Pestilential Fever so that not one died of this Disease that was under my care after I began the use of the same But where the Tumor has been out already I have not hitherto ventured to bleed
so much danger when they Flux the Physician should endeavour all he can to hinder their Fluxing by bleeding presently in the Arm if there be the least suspicion of the Flux-pox and by giving a Vomit afterwards and by keeping the sick up till the 6th Day from the first sickness Afterwards he must be put to Bed and keep there to the end of the disease but he must have no more Cloaths on nor a greater fire in his Chamber than he used to have when he was well and he must drink freely of small Beer or other cooling Liquors But because notwithstanding the sick frequently grows hot lightheaded and restless I give an Anodyne every Night but a little earlier than is usual because in this Disease a fit of heat and restlessness comes almost every day towards the evening But which is to be lamented notwithstanding these things and all other Physical Helps the sick is very often seized on the 11th Day or on some other of those Days which we said were most fatal in the various kinds of Flux-pox with a violent Fever difficulty of breathing and restlessness and dies suddenly In this case nothing is more effectual than the taking away of ten or twelve ounces of Blood and in the evening a large Anodine must be given as before and so afterwards morning and evening and sometimes oftener for it is diligently to be noted that in some the fury of the Disease is so high that a very large dosed Anodyne cannot stop its force in 12 hours in which case it is necessary to repeat the Anodyne every 6th or every 8th hour But because it happens often at the latter end of the Disease that the Body is bound up so much that the sick is like to be suffocated and consequenrly is in great danger in this I have given successfully an ounce and an half of Lenitive Electuary dissolved in four ounces of Succory-water or the like which Draught gives some stools before night but if it does not an Anodyne must be given in the evening and sooner notwithstanding the Purge if great Restlessness or some considerable sickness threaten danger If therefore the Purge does not answer the first day it must be repeated the next and then it seldom fails and in this manner Bleeding and Purging may be repeated by Intervals as occasion requires But it is to be noted that the sick must not be purged till the 13th day or after nor then unless Bleeding has gone before For spitting of Blood and a bloody Urine coming upon the small Pox for both these Hemorraghes come sometimes at the beginning of the Disease After bleeding largely once give an Anodyne Take of red Poppy water two ounces of liquid Laudanum 14 drops of distill'd Vinegar three drachms of Diacodium half an ounce make a Draught to be repeated every night at bed time Take of Troches of Lemnian Earth and of Bole-armenick each one drachm of sealed Earth Bloodstone Dragon's-blood and red Coral prepared each half a drachm of Mastich and Gum-arabick each one scruple mingle them make a fine Powder whereof let him take half a drachm every third hour in a spoonful of syrup of Comfry drinking upon it four or five spoonfuls of the following Julep Take of the Waters of Plantain and Oak-buds each three ounces of Cinnamon-water Hordeate two ounces of syrup of dried Roses one ounce make it a little acid with spirit of Vitriol Emulsions also of the four greater cold Seeds with white Popies do a great deal of good But after the Hemorrhage is stopt you must proceed according to the method described in the small Pox. Great care must be taken that the Salivation continue according to the manner of it from the beginning to the 12th or 13th day for if it quite stop before the 11th day the Sick is in great danger It may be much promoted by ordering the Sick to drink freely small Beer or any other Liquor which is neither heating nor provokes sweat In the next place the Loosness in Children must be permitted because it evacuates the morbifick matter At last when the Pustles are crusty and hard I use to anoint the Face often with Oyl of sweet Almonds If in the distinct small Pox the Face does not swell I give an Anodyne presently but if the Patient be light-headed and very sick and makes Water often but little at a time he can be relieved no other way Death being near at hand than by giving Narcoticks freely or by taking away a large quantity of Blood and by exposing the Body to the Air but I would not be so understood here as if in every Phrensy coming upon the small Pox there being no Symptom more frequent that I should advise Bleeding presently but only in that which therefore happens because the Face does not swell in the distinct kind tho' there be a great number of Pustles If in the Flux-Pox the Spitle be so thick and clammy that the Sick is in danger of being suffocated which happens often on the 11th day a Gargarism must necessarly be prescibed and must be ordered to be used often Day and Night It may be made of small Beer or Barly-water with Hony of Roses Or the following may be used Take of the bark of Elm six drachms of Liquorice half a drachm of Raisins of the Sun ston'd number twenty of red Roses two pugils boil them in a sufficient quantity of Water to a pint and an half In the strained Liquor dissolve of simple Oxymel and of Hony of Roses each two ounces mingle them make a Gargarism But when the sick is in danger to be suffocated every moment and is stupid an ounce and an half of the Infusion of Crocus Metallorum must be given for a less Dose will not work by reason of the stupidity of the sick But this Remedy does not always do the business The Coma may be easily relieved by the help of a moderate Regimen For a Suppression of Urine which sometimes afflicts young and brisk People nothing does so well as taking the Sick out of Bed and after he has walked twice or thrice cross the Room by the assistance of the By-standers he will presently make Water freely and be much relieved thereby But the Symptoms arising from catching cold or by Evacuations unduly used whereby the small Pox are struck in must be removed by Cordials and an agreeable Regimen but they must not be continued after the Symptoms are gone off The chief of these are a flatting of the Pustles and a Loosness in the distinct small Pox for in the Flux a depression of the Pustles is natural nor is a Loosness dangerous in Children In both these cases a Cordial-potion made of distilled Waters Diascordium liquid Laudanum and the like is proper not only to remove these Symptoms but also at any time of the Disease if the Sick complain of a pain at the Heart or of sickness But to speak the truth Symptoms of this kind are
Plaister to be applied to the Navel The next day she persisted in the use of the Julep and a blistering Plaister was applied to the Neck a Glister made of six ounces of Milk with Sugar and Salt was injected because the Belly was bound Take of Aethiops mineralis and of Mercurius dulcis each six grains of Marmalade of Quinces two scruples make a Bolus to be taken at Bed-time The next Morning she took the following Cathartick syrup Take of syrup of Buckthorn two drachms of the Earl of Warwick's Powder six grains of choice Rhubarb powdered twelve grains of Tincture of Saffron twenty drops of black Cherry-water one drachm mingle them Half a drachm of Cream of Tartar was given in a draught of Posset-drink to quicken the Purge the same night at Bed-time four spoonfuls of the foresaid Julep were given On the fourth and fifth days the following mixture was given by spoonfuls Take of Coraline two drachms of the leaves of Mint dried and powdered one scruple of the simple Powder of Crab's Claws one drachm of balsamick syrup and of the syrup of Marshmallows each one ounce of Orange-water half an ounce mingle them The Evening preceding the sixth day the Bolus before-prescribed was repeated and the Morning following the purging Syrup by the vertue whereof the Child vomited up a Worm a span long and soon â—â—â—erwards was well CHAP. CXXIII Of Agues AS to the Cure I have for many years taken notice how dangerous it is to endeavour to cure by Sudorificks in Tertians and Quotidians when they are new and have not yet formed themselves being at present like continual Fevers For though it is well known that upon Sweating the restlesness and other symptoms presently vanish yet if Sweat be forced too much the Fever will be made continual and the Life of the Sick will be endangered Having therefore considered how ineffectual this method is and the inconveniency of other Evacuations by Bleeding and Purging I suppose the Peruvian Bark would do best and I can truly affirm notwithstanding the prejudice of the common People and of a few Learned Men I never perceived any injury by the use of it nor can imagin any only they that have used it a long while sometimes fall into a scorbutick Rheumatism but this seldom happens upon this occasion and when it does it is easily cured by the Remedies proposed for it in the Chapter of a Rheumatism Being called to a Patient of a Quartan Ague for instance on a Monday I do nothing if the Fit be to come that day only I give the Sick hopes that he may be freed from the next Fit and therefore on the two well days namely Tuesday and Wednesday I give the Bark in the following manner Take of the Peruvian Bark finely powdered one ounce with a sufficient quantity of Syrup of Gilliflowers or of dried Roses make ad Electuary to be divided into twelve parts whereof let him take one every fourth hour beginning presently after the Fit drinking upon it a draught of some Wine Or if he likes Pills better Take of the Peruvian Bark finely powdered one ounce with a sufficient quantity of the Syrup of Gilliflowers make Pills of a moderate bigness whereof let him take six every fourth Hour But an ounce of the Powder may be easier taken and as successfully mixed with a quart of Claret-wine eight or nine spoonfuls of it being taken every fourth hour On Friday when the Fit is feared I give nothing for most commonly no Fit comes but lest the Disease should return eight days exactly after the last Dose I give the same quantity of Powder viz. One Ounce divided into twelve parts according to the method above-mentioned But though most commonly by giving the Powder after this manner the Disease is commonly Cured yet to secure the Patient from a relapse it is safe to repeat it three or four times at the same intervals especially when the Blood has been weakened by foregoing Evacuations or by catching Cold. But though this remedy has no purging quality yet by reason of the peculiar Constitution of some Bodies it often happens that the Sick is violently purged by it in this case it is necessary to give Laudanum with the Powder wherefore I give ten drops of Laudanum in Wine after every other Dose if the Loosness continues I use the same method for Tertians and Quotidians but Tertians and Quotidians often are almost continual and there is only a remission of those days they should intermit especially when the Sick has been confined to his Bed and has used too hot a Regimen and Medicines In this case I give the Powder as soon as I perceive any remission But there are some that cannot bear the Bark neither in the form of a Powder nor of an Electuary nor of Pills for these I infuse in the cold two Ounces of the Bark grossly powdered in a quart of Rhenish-wine and four Ounces of the Infusion standing some days seem to contain the vertue of one Drachm of the Powder and because it is neither unpleasant nor oppresses the Stomach it may be taken as often again as any other form of this Remedy Sometimes it happens that before this Disease is come to a regular Type the Sick cannot retain the Bark in any form by reason of continual Vomiting in this case the Vomiting must be first stopp'd before the Bark can be given to which end I order that six or eight times in the space of two hours one spoonful of the fresh juice of Limons be taken with a scruple of Salt of Wormwood afterwards I give sixteen drops of liquid Laudanum in a spoonful of strong Cinamon-water and soon after if the Vomitting stop the Jesuits Powder For Infants whose tender Age would scarce bear the taking of this remedy in another form at least so much of it as would cure the Disease I use to prescribe the following Julep Take of black-cherry-Black-cherry-water and of rhenish-Rhenish-wine each two ounces of the Peruvian Bark finely powdered three drachms of the Syrup of Gilliflowers one ounce mingle them make a Julep let one or two spoonfuls of it be taken according to the age every fourth hour till the Ague is cured If there be a Loosness you must give a drop or two of liquid Laudanum with every other Dose As to the Diet the Sick may eat any thing that agrees with his Stomach only he must avoid cold Liquors and Summer Fruits and let him use Wine moderately for his ordinary drink by which alone I have cured some Patients that could not be cured with the Jesuits Powder The Disease being taken off the Sick must carefully avoid all evacuations for the gentlest Purge yea only a Glister of Milk and Sugar will be apt to cause a Relapse CHAP. CXXIV Of the various Forms and Shapes of intermitting Fevers THese Fevers often resemble most other Diseases and such as are most acute yet they yield to the Peruvian Bark and if the Bark is not given they
much more effectual Take of Ointment of Roses four ounces of Brimstone half an ounce of the Oil of Tartar per deliquium a sufficient quantity make a Liniment you may perfume it with a scruple of Oil of Rhodium But after all I have found by much Experience that Quick-silver Girdles though they are generally much disliked are most effectual for curing the Itch and as Safe as any other Medicine if they are prepared in the following manner Take of Quick-silver three quarters of an ounce the White of one new laid Egg beat them together in a woodden Dish with a Stick two hours then spread it on a Girdle of new Flannel the breadth of three Fingers you must spread it all by degrees and dry it in the Sun or by a moderate Fire and it must be worn a Month or six Weeks being sewed strait round the Waste the side whereon the Mercury is being turned to the Body The Patient must be Purged once before the use of the Girdle and once after the Itch is cured And by this short and easie Method I have cured whole Families infected with the Itch and never perceived the least Injury though I have used it frequently and several Years The following Water is excellent for taking off Spots and Pimples from the Face and the redness of it and that blackness which looks like Gunpowder in the Face especially about the Nose and Fore-head which is sometimes the black heads of Worms Take of Sublimate one ounce put it into a tin Pot with three pints of Fountain-water let them stand together twenty four hours stir them now and then with a Stick till all the Liquor looks black filter it through Paper and with a Feather or the like dipt in it touch the Face gently once in a day or two FORMS OF MEDICINES Frequently used by the London Physicians Medicines for a Consumption TAKE of the Pill of Hound's Tongue half a scruple of Balsam of Tolu one scruple mix them make six Pills Let two be taken at Bed-time every other night Take of liquid Pitch of Balsam of Tolu each 26 grains of Chios-turpentine 1 scruple make a Mass whereof make middling Pills Let three he taken in the morning and at bed-time drinking upon them four spoonfuls of the following Julep Take of the Waters of Hyssop one pint of Ground-Ivy six ounces of the tincture of the Balsam of Tolu one drachm and an half of White-sugar-candy a sufficient quantity mingle them Take of the pectoral Decoction clarified one quart boil it in an handful of Ground-ivy leaves and of the syrup of Raspberries and of the balsamick Syrup each six drachms mingle them Let a small draught be taken in the morning and at four in the afternoon Take of Conserve of red Roses two ounces of Flowers of Sulphur two drachms of the species of Diatragaâ—â—nth frigid one drachm and an half of Lucatellus's Balsam two drachms of Opobalsam half a drachm with a sufficient quantity of balsamick Syrup make an Electuary whereof let him take the quantity of a Nutmeg in the morning and at four a clock in the afternoon drinking upon it a draught of the following Apozem Take of the roots of China one ounce of Sarsaparilla two ounces of Lentisk wood one ounce of Ivory and Hartshorn rasped each one drachm and an half of the leaves of Hyssop and Coltsfoot each one handful of Figs two pair of Dates number three of Raisins of the Sun an ounce and an half of Liquorice three drachms boil them in a sufficient quantity of Fountain-water to three pints of the strained Liquor add one ounce of the tincture of Saffron with syrup of Violets and Maiden-hair each one ounce and an half make an Apozem Take of Lemnian-earth half a scruple of Bole-armenick twelve grains of the Pill of Storax one drachm and an half of Jesuit's Powder half an ounce with a sufficient quantity of syrup of Clove Gillyflowers make fourscore Pills Let him take five every sixth hour during the Loosness drinking upon them seven spoonfuls of the following Julep Take of the Aqua lactis alexiteria twelve ounces of cinnamon-Cinnamon-water hordeated three ounces of Dr. Stephans and Epidemick-water each two ounces of Diacodium three ounces mingle them make a Julep Apozems TAke of burnt Hart's horn of the Roots of Scorzonera and Bread each one ounce boil them in two pints and an half of Barly-water till half is consumed to the strained Liquor add of Christaline sugar and of Cinnamon-water hordeated each one ounce mingle them make an Apozem Give four ounces every third or fourth hour Take of Citron-bark candid one ounce and an half of candid Angelica half an ounce of Hart's horn rasped one ounce and an half of Currans six ounces a Crust of white Bread boil them in a sufficient quantity of thin Barly-water to a pint and an half to the strained Liquor add of the syrup of the juice of Oranges one ounce mingle them make an Apozem Drink of it at pleasure when thirsty Take of the Roots of Scorzonera and Angelica each six drachms of the Leaves and Roots of Wood-sorrel two handfuls of Hart's horn and Ivory rasped each half an ounce of the opening Roots each half an ounce of Liquorice two drachms boil them in a sufficient quantity of Barly-water to a pint and an half to the strained Liquor add of compound Scordium-water and of the cold Cordial-water of Saxony each three ounces of the syrup of Raspberries three ounces mingle them make an Apozem Let him take three or four ounces at pleasure Take of the Peruvian Bark one ounce of Balsam of Tolu three drachms of Cochinel one scruple boil them in a pint of Carduus-water to the strained Liquor add of the syrup of Raspberries and epidemick Water each two ounces Take of the Roots of spanish Scorzonera one ounce and an half of the raspings of Hart's horn 6 drachms of Ivory rasped three drachms of Marigold flowers two pugils of fat Figs cut two pair boil them in Barly-water To a quart of the strained Liquor clarified add of Epidemick-water one ounce and an half sweeten it with white Sugar and make an Apozem whereof let him take a draught at any time when he is thirsty Take of calcined Hart's horn powder'd two ounces of Fountain-water two quarts boil it till half is consumed strain it gently through a linnen Rag and add two it three ounces of syrup of Oranges This is the white Decoction and is an excellent drink for Worms in Children for a Loosness and for Fevers Cordials TAke of the Waters of Wood-sorrel all the Citron and Strawberries each four ounces of syrup of the juice of Citron one ounce of Pearls powdered one drachm mingle them Take of the Waters of black Cherries and Aqua Lactis alexiteria each five ounces of Elder-flowers Cinnamon hordeated and epidemick Water each two ounces syrup of Raspberries two ounces and an half mingle them Take of Confection of Hyacinth one scruple Conserve of Wood
soure Belching Pain or Wind in the Stomach signifie that it proceeds from the Stomach that a Giddiness proceeds from the Liver Spleen or Womb is known by the following Signs When it proceeds from the Spleen there are frequent and large evacuations of Wind inflation of the Belly soure Belchings and the like when from the Womb there is stopage of the Courses or Hysterick Fits A Giddiness that is recent and seldom invades and that which is occasioned by external Causes is light and easily Cured that which is inveterate and frequent most commonly ends in the Falling Sickness or Apoplexy CVRE The Cure is much the same with the Falling Sickness which see in the Chapter of the Falling Sickness But when it is small it does not need so large a course of Physick as is requisite for the Cure of the Falling Sickness But those things will be sufficient which I shall here set down First therefore if Blood abounds inject a pretty sharp Glyster and afterwards Bleed then Purge with the following Pills Take of the fetid Pills two Scruples of Resin of Jalap five grains with a sufficient quantity of Galbanum dissolved in Briony Water make seven Pills to be taken in the Morning repeat them Thrice But if the Patient cannot take Pills the following Purging Potion may be given instead of them Take of Gerions decoction six Ounces boil in it of the Fibres of black Hellebore and of Agarick each one Dram and an half strain it and add an Ounce of the Syrup of Roses Solutive and two Drams of Compound Briony Water Make a Potion Afterwards let the Patient use the following Sneesing Powder Take of the Leaves of Marjoram Sage Rosemary dried each half a Dram of the Roots of Pellitory of Spain and white Hellebore each one Scruple of Musk three Grains make a Powder Cupping-glasses with and without Scarification frictions of the extream parts Bleeding from the Hemorrhoidal Veins may be used to cause revulsion Blisters are also of use for derivation Afterwards use such things as are proper to strengthen the Head which you will find in the Chapter of an Epilepsie The Conserves of the Flowers of Marrygolds is counted by some a Specifick for Giddiness CHAP. IV. Of the Falling Sickness THE Falling Sickness in Latin Epilepsia is an universal and violent Convulsion the Fit most commonly comes of a sudden and precipitates in the twinkling of an Eye to the Earth and deprives a Man of Sense and Understanding for they seem rather forcibly thrown down than to fall and that part which first comes to the Ground is most commonly bruised or wounded They gnash with their Teeth foam at the Mouth and often beat their Heads against the Ground their Arms and Legs either become rigid or tossed here or there Some beat their Breasts violently and some cast their Bodies impetuously hither and thither But in most the Belly swells much After some time sometimes sooner sometimes longer the symptoms suddenly cease as if the Tragedy were just ended and then the Sick come to themselves again and are sensible but there remains after the Fit is gone off a pain in the Head and a dulness in their Senses and often a Giddiness The Fits are sometimes wont to come at set times of the day month or year but most commonly according to the greater turns of the year or according to the Conjunctions or opposite Aspects of the Moon or Sun they return more certainly and afflict more violently and sometimes the Fits are uncertain and come as occasion is offered and according to the variety of evident Causes Sometimes they are gentle sometimes violent sometimes though rarely some Signs forewarn the Epileptick person of a Fit before he falls as a dulness of the Head sparkling of Fire before the Eyes Noise in the Ears and the like Sometimes a Convulsion in some outward part as in the Arm or in the Leg or in the Back or in the Hypochondres precedes which rising from thence like a cold Air towards the Head occasions the Fit CVRE You must begin with Purging but if the Sick bear Vomiting well a Vomit must be first given and must be repeated for several months four days before the Full Moon Wine of Squills mixed with fresh Oyl of Sweet Almonds or half a Scruple or a Scruple of Salt of Vitriol may be given to Infants But for grown People and such as are of a strong Constitution the following forms of Medicines may be prescribed Take of Crocus Metallorum or of Mercurius Vitae four or six grains Mercurius dulcis fifteen Grains or a Scruple grind them together upon a Stone mix them with the Pap of a roasted Apple or Conserve of Borrage make a Bolus Or give half an Ounce one Ounce or one Ounce and an half of the infusion of Crocus Metallorum or of Mercurius Vitae made in Spanish Wine according to the Strength of the Sick Or Take of Emetick Tartar four or six grains They that are of a weak Constitution may take a Scruple or half a Dram of Salt of Vitriol and half an hour after let them drink several Pints of Posset-drink and then with a Feather or with the Finger let them provoke themselves to Vomit often The next day after the Vomit unless any thing forbid draw Blood from the Arm or by the Sucking of Leeches from the Hemorrhoidal Veins and the next day after Bleeding give a Purging Medicine which afterwards must be constantly repeated four days before the New Moon Take of Rosin of Jalap half a Scruple of Mercurius dulcis one Scruple of Castor three Grains of Conserve of the Flowers of Peony one Dram make a Bolus to be taken in the Morning Or Take of the Fibres of black Hellebore infused in Vinegar dried and pouder'd half a Dram of Ginger half a Scruple of Salt of Wormwood twelve Grains of Oyl of Ambar two drops make a Pouder give it in the Pulp of a roasted Apple in the Morning Of the days the Sick does not Purge especially at the Seasons of the Moon give Morning and Evening specifick Remedies Take of the Roots of male Peony dried and poudered one two or three Drams give it twice a day in the following tincture at eight in the Morning and at four in the Afternoon Take of the Leaves of Misleto of the Oak two Drams of the Roots of Peony cut half an Ounce of Castor one Dram put them into a Glass and pour upon them of Bettony Water or of simple Peony Water and of White Wine each a Pint of Salt of Misleto of the Oak or of Common Salt two Drams Digest them in a close Vessel in the heat of Sand for two days Give three Ounces with a Dose of the Powder above prescribed At the same time make a Necklace with Peony Roots sliced and hang it about the Neck and the Roots fried or boiled till they are soft may be eat daily with the Meat Take of Man's Skull prepared one Ounce of misleto
Cause which is a cold intemperies of the Brain To which end the following Remedies must be used Take of the Roots of Cyperus Florentine Orris Angelica Zedoary Elecompane each one Ounce of the Leaves of Bettony Marjoram Balm Peniroyal Calaminth each one handful of the Tops of Thym and Sage each half an handful of the Seeds of Anise Sesely and Fennel each three Drams of Liquorish rasped of Raisins of the Sun cleansed each one Ounce of the Leaves of Senna cleansed and sprinkled with Aqua Vitae two Ounces of the Seeds of Carthamus bruised and of fresh Polypody of the Oak each one Ounce of Agarick newly trochiscated of Turbith and Hermodactil's each three Drams of Ginger and Cloves each one Dram of the Flowers of Staechas of Rosemary Sage and Lavender each one pugil boil them in a sufficient quantity of Water to a Pint dissolve in it four Ounces of White Sugar clarifie it and aromatize it with two Drams of Cinnamon and make an Apozem for four Doses to be taken in a Morning In the first and last Dose dissolve three Drams of Diaphaenicon Or Take of the Mass of Pill Cochiae Minor two Scruples moisten them with Bettony Water make five or six Pills guild them and let him take them early in the Morning The Pills of Agarick and of Cochiae major are used for the same purpose Take of Gujacum and of Sarsaparilla each two Ounces infuse them twenty four hours in two Quarts of Fountain Water over hot Ashes then boil them over a gentle fire to the consumption of half strain it give half a Pint hot in the Morning and cover the Sick well that they may Sweat The use of this may be continued for fifteen or twenty days or longer In the use of Sudorifick Decoctions this is always to be observed viz. let some Purging Medicine be given once a Week omitting for that day the Sudorifick Potion Sneezing Apoplegmatisms Blisters Head Powders and Baths are also used After the use of the Diet Drink give the following Pills once a Week Take of the faetid Pill Coch. Minor each half a Dram Troches of Alhandal four Grains mingle them and make Pills to be taken in the Morning But because the Humour wants preparation before every Purge therefore two or three days before every Dose of the Pills give three or four Ounces of the following Water in the Morning two hours before Eating Take of Gujacum four Ounces of the Bark of the same one Ounce of Sarsaparilla one Ounce and an half of China one Ounce of Sassafras six Drams of Wood of Aloes and of Galingal each one Dram and an half of the Roots of Angelica Peony and Fennel each three Drams and an half of the Seeds of Peony two Drams infuse them twenty four hours in six Pints of Fountain Water and two Quarts of White Wine Afterwards add the Leaves of Bettony ground Pine Sage each one handful of the Flowers of the Lime-tree Primrose Staechas and Rosemary each two Pugils of Lavender Flowers one Pugil of Old Venice Treacle half an Ounce of the Seeds and Bark of Citron each two Drams and an half of Polypody half an Ounce of Cinnamon six Drams distil them in a Bath to two Pints and an half of the Liquor add four Ounces of Penids If the Purges abovementioned are not successful it will be convenient to give Chymical Vomits as Vinum Benedictum and the like if the Sick is able to bear them After general Evacuation we must use Topicks both to the Paralytick part to recall the Heat and Spirits and to the Spinal Marrow where for the most part resides the Cause of the Disease therefore let the part affected be rubbed daily gently with hot Cloaths and let Cupping Glasses be applied to the Heads of the Muscles of the part affected let them have a narrow Mouth and much Flame But they must not be kept on long lest what is attracted should be dissipated Afterwards apply a Plaister of Pitch and Rosin of the Pine that what is attracted may be kept in All the Paralytick part may be Stung gently with Nettles Afterwards the part affected may be anointed with proper Oils Ointments and Balsams The following Ointment is very good in this case Take of the Juice of Squills four Ounces of the Juice of Wild Cucumber and of the Juice of Rue each one Ounce of Euphorbium Castor Sagapenum Ammoniacum Bdellium dissolved all in Vinegar each one Dram and an half of Myrrh Frankincense Pellitory of Spain Niter each one Dram of Oils of Elder Turpentine and of Euphorbium each half an Ounce of Wax a sufficient quantity to make an Ointment After the anointing the part wrap it about with hot Cloaths If the Disease goes not off by these means Plaisters are to be applied to the Spine of the Back the following is of excellent use for this purpose Take of Ship-pitch Galbanum Sagapenum and Gum Ammoniack each one Ounce of the Roots of Pellitory of Spain and of Mustard Seed each half an Ounce of Euphorbium two Drams of Yellow Wax three Drams of Oyl of Turpentine a sufficient quantity make a Plaister It is also very good to Sweat the Part affected by the Vapours from a Decoction of Cephalick Herbs and Roots made in White Wine but the Decoction must not touch the Part. A Decoction of the Roots of Burdock is also much commended in this Case These sorts of Baths are to be used twice or thrice a Week and after Bathing you must put the Sick to Bed and give him a Dram of Venice Treacle The green Leaves of Tobacco infused in Malago Wine and the Parts bathed with it after Sweating is reckoned the best outward Remedy for a Palsie But lastly the Bath Waters are best if the Sick drink of them some days Bath and Wash the Head with them and afterwards rub the Parts with the Infusion of Tobacco Leaves The Paralytick Parts must be always kept warm If it can be with the Skins of Foxes Hares or Lambs CHAP. X. Of a Convulsion A Convulsion in Latin Spasmus is an involuntary and perpetual Retraction of the Nerves and Muscles towards their Original It is twofold one properly so called to which the Definition above mentioned agrees the other is rather a Convulsive Motion and they are thus distinguished In a true Convulsion the retraction of the Muscle is continual and the Member immoveable In a Convulsive Motion the Member is variously agitated as in the Falling-sickness They also differ in their Causes for a true Convulsion proceeds from fulness or emptiness a Convulsive Motion from Irritation A true Convulsion is divided into universal and particular an universal takes its rise either from the Brain and then the Muscles of the Face are also seised with Convulsions or it arises from the beginning of the Spinal Marrow then the Muscles of the Head or those that move the Spine forward or backward are seised with Convulsions Upon which account there are three sorts
Eyes for those that have such Eyes are subject to Suffusions for prominent Eyes are wont to be large and so fitter to receive Humours and Vapours Some external Causes also occasion weakness as a Blow Contusion Bathing a Southerly and Rainy Season long continuing in the Sun Smoak hard Reading especially by a Candle which occasions a Fluxion of Humours upon the Eyes The differences of Suffusions arise from the thickness quantity or place where the Humour resides that occasions them By reason of the greater or lesser thickness the Obstruction of the Sight is more or less for if the Humour be thin and serous the Sight is but little obstructed if very thick blindness is occasion'd By reason of the quantity and place the Humour possesses either all the Pupil and then the Sight is equally obstructed which way soever it is directed to the Objects or it covers one part of the Pupil more than another and the Objects are not seen whole by looking directly nor many at one time But if the Humour be very small and is seated in the middle of the Pupil the Objects appear as if there were holes in them But if the Matter be torn into various Corpuscles seated in various Parts of the Pupil the appearance of Gnats is always before the Eyes Also Hair Cobwebs Circles about a Candle and many other things The Diagnostick of this Disease is first to be directed to a legitimate Suffusion to distinguish it from a spurious afterwards the various Sorts of a legitimate Suffusion are to be enquired into A true Suffusion seizes only one of the Eyes most commonly or if both not at the same time nor alike which happens in a Bastard Suffusion Secondly in a legitimate Suffusion something dark appears in the Pupil which is not in a Spurious but this Sign is not constant for if the Suffusion be generated from a thin and serous Humour there is no change in the Eye that Humour being scarce thicker than the watery Humour upon which account Physicians mistake it for a Gutta Serena But this Suffusion is easily distinguished from a Gutta Serena for in a Gutta Serena the Sight is wholly taken away or much diminished no fault appearing in the Eye But in a Suffusion which does not appear to the Sight the Sick can see tolerably well because the serous Humour from whence it is produced is thin and clear so that the species of the Objects can pass through it like Glass and then in a Suffulsion the Sight is not for the most part obstructed in althe Parts of the Pupil but the Objects are sometimes seen best when they are placed directly opposite to the Eye and sometimes when they are placed towards the Corner because most commonly there is a greater thickness or thinness in one part of the Pupil than in another Thirdly In a true Suffusion the Symptoms are continual but in a Bastard Suffusion they are encreased or lessened by intervals as the Vapours rise more or less to the Head and so when the Stomach is empty they are much less than when it is full for then a greater quantity of Vapours arise from the Head and then the Gnats Cobwebs and the like appear only by intervals Besides in a true Suffusion the Sight seems to pass always through a Cloud or thick Glass which is the proper and Pathognomonick Symptom of it But in a Bastard Suffusion the Sight is sometimes very good CVRE The Cure is easier performed in Summer than in Winter If a Suffusion come upon an acute Fever after a Peripneumonia Frensie or violent Pains of the Head it is very hard to cure A confirm'd Suffusion can be cured only by Couching In a confirm'd Suffusion if having shut the other Eye the Pupil is dilated there is hope of a Cure by Couching otherwise there is none for then the Optick Nerve is obstructed and so the Spirits cannot come to the Pupil A black Suffusion can never be cured and but very rarely a green or yellow A Suffusion which represents the Objects by holes is not to be Couched Couching succeeds best when the Eye is full and at its natural bigness for if it be withered and small it will not succeed This Operation must not be attempted in old Age or in Child-hood nor when the Eye being pressed with the Finger the Suffusion appears broader and then returns to its wonted bigness and shape for then it is not ripe But if being pressed with the Finger it does not alter its shape it may be Couched When it is ripe it is like a thin Skin and may be wrapped round the Needle and thrust to the lower Part of the Eye The Cure of a Suffusion is not to be directed only to the conjunct Cause but also to the antecedent and therefore the whole Body especially the Brain must be first well Purged afterwards the Humour obstructing the Pupil must be difcussed or removed some other way Which Indications being the same in a manner as were proposed for the Cure of a Gutta Serena may be sought for there Therefore all that Cure being premised which was instituted for a Gutta Serena we must proceed to those Remedies which respect peculiarly the taking off the Matter that is seated near the Pupil and though Topical Remedies may seem not to do much good yet a due use of them is not to be rejected for experience teaches that incipient Suffusions have been cured by Topical Remedies when they have been used after general Evacuations First therefore you must begin with gentle Resolvents which must not dry too much lest the Matter of the Suffusions should be hardned and so rendred unfit for Resolution and Emollients are therefore to be mixed with the Resolvents to prevent the hardening of the Matter and to render the resolving of it more easie to which end the following Fomentation may be used at the beginning Take of the Leaves of Rue Fennel Eyebright and the greater Celandine each one handful of the Seeds of Foenugreek one ounce of the Flowers of Camomil and Melilot each one pugil boil them in three parts of Fountain Water and one of Wine added at the end Strain it and foment the Eyes with it with a soft Spunge Morning and Evening and the Head being covered the Steam of the Decoction may be received into the Eyes At the very beginning of the Disease when the Fluxion is beginning and when Medicines are used for Revulsion it will be proper to foment the Eyes with Red Wine to hinder the Fluxion In the Progress of the Disease a Fomentation of White Wine wherein Crocus Metallorum has been infused is very beneficial and the Breath of a Child having first chewed Fennel-seeds received into the Eyes and a Child or a Whelp licking the Eyes in the Morning is also good and Bread hot out of the Oven mixed with Fennel-seeds held to the Eyes till they are moist with the Vapour of it The foresaid Remedies must be used in the
Morning chiefly At Night apply the following Cataplasm Take of the Flower of Foenugreek-seed one ounce of Aloes half an ounce of Saffron one dram make a fine Powder mix it with White Wine wherein Crocus Metallorum has been infused make a Cataplasm to be applied hot at Bed time Many commend Pidgeons Blood dropped hot into the Eye but because the heat of it soon goes off it were better to apply a young Pidgeon before it has Feathers cut in the middle to the Eye The Suffusion being cured either by Resolving Medicines or by Chirurgical Operation care must be taken to preserve the Eyes for the Eyes being much weakned by the Disease are ready to receive Fluxions therefore Purging is to be used frequently and Issues are to be made to turn the Humours and such strengthening things are to be used as were proposed in a Gutta Serena and the Eyes must be washed in the Morning with Wine held in the Mouth till it is warm and mixed with Sage chewed in the Mouth Moreover Spectacles that represent the Objects neither greater nor lesser than they are preserve the Sight much Lastly all those things are to be avoided which injure the Sight and such as help it are to be used CHAP. XVIII Of the Dilatation of the Pupil THE Vvea Tunica is subject to many Diseases especially Rupture Distortion Dilatation and Constriction A Rupture may be occasioned by an external Cause as by a Bruise or the like or by an internal namely by a great quantity of Humours extending or breaking it But this can never be cured by Art the distorting of it happens from the first Conformation when it sticks on every side to the horny Tunick and this also can never be cured The Dilatation of the Pupil which is the hole of the Vvea Tunica through which the Species of the Objects enter the Eye injures the Sight for that the Light enters in too great quantity upon which account such as are troubled with a Dilatation of the Pupil see better where there is a little Light than where there is a great deal and this shews the natural and the ordinary changes of the Pupil which happen according to the more or less Light of the place we are in for in a very light place the Pupil is contracted and this is the Reason that when we come out of a very light Place into another that is more obscure we can at first scarce see any thing till the Pupil is gradually dilated to receive more light and then things that could not be seen at first plainly appear and on the contrary they that come put of a dark place into a very light place can scarce bear the Light The preternatural Dilatation of the Pupil is either from the Birth or arises from preternatural adventitious Causes which are either internal or external The next and immediate of the Internals is Extension of the Tunica Vvea which is either from driness or repletion driness stretches the Vvea and renders the hole of the Pupil larger as holes in Leather are larger when they are dry This dry Intemperies is occasioned by long Watchings by Fevers and other drying Causes The Repletion of the Tunica Vvea it being extended on every side renders the Pupil larger and this is produced either by Wind or Vapours or by Humours flowing upon the Eye or by the watery Humour encreased above measure and lastly from a Swelling of the Tunica Vva To these Causes may be added a Convulsion of the Tunick which chiefly appears in Fits of the Falling Sickness and in Chldrens Convulsions The external Causes are a Fall a violent Shaking holding of the breath in Women in Travail and in Trumpeters The Diagnostick of this Disease is not difficult for the Dilatation of the Pupil may be perceived by the Eyes especially if before the Disease the Physician know the natural largeness of it and also if with the largeness of the Pupil the Sight is obstructed besides the natural largeness of the Pupil is known by shutting one Eye for then the Pupil of the other is more dilated which does not happen in a Dilatation that is a Disease because the Tunica Vvea is so much distended by the preternatural Cause that it can be distended no further As to the Prognostick A Dilatation of the Pupil from the Birth is incurable and that which arises after is difficult to Cure especially if Driness be the Cause CVRE The Cure is to be varied according to the variety of the Causes and if it come from Driness the whole Body must be refreshed with moistning Medicines and Nourishment such as is used in Hectick Fevers the Body is also to be moistned with a Bath of hot Water and new Milk if it be also frequently drop'd into the Eyes especially Womens Milk If it proceed from an Humour that fills the Eye the-whole Body is to be Evacuated and presently the Hu +mour wherewith the Eye is stopped must be discussed which may be sufficiently performed by the Remedies prescribed in the Cure of a Suffusion But after them Astringents may be used to contract the Pupil of the Eye to which end the following Collyrium may be used Take of Red Roses dried two scruples of Saffron Spikenard and the Bark of Frankinâ—ense each half a scruple of Tutty prepared Spodium Acacia each one scruple reduce them to a Powder and tie it up in a fine Rag and infuse it in three ounces of Rose-water Drop the Water in the Eyes often and press the Rag every time you use the Water If it proceed from Wind after general Evacuations those Medicines are to be used which expel Wind and the Eyes may be fomented with a Decoction of Fennel Rue Dill Red Roses and Myrtles made in rose-Rose-water and a fourth part of White Wine Lastly if it be occasioned by a Bruise it must be cured like an Ophthalma if there be an Inflammation but if there be no Inflammation apply at the beginning a Cataplasm made of Bean Flower the Leaves of Plantane Red Roses and Rose-water But afterwards Pidgeons Blood must be often drop'd into the Eye which is an excellent Remedy for all Wounds and Bruises of the Eyes CHAP. XIX Of the Narrowness of the Pupil THE Narrowness of the Pupil is also injurious to the Sight It is either narrow from the Birth and then it is no great Injury for though they cannot see so well as others in a Place where there is not much light yet they see better in a very light Place or the Narrowness of the Pupil is occasioned by preternatural Causes as from too great moisture or driness from a Defect in the Watery Humour or for want of Spirits The Cure of this Disease is the same with the former though they produce different Effects CHAP. XX. Of an Albugo Spot and other Colours of the Cornea changed THE natural Constitution of the Cornea is altered when it loses its Perspicuity or changed into another Colour It loses its
the Eyes with linnen rags four times double This Fomentation may be also used at the beginning or declination of the Disease it must be applied hot in the Winter and warm in the Summer The Oyl of Rags or the Liquor which is drawn from Rags burnt and extinguished betwixt two Platters is excellent to discuss an Ophthalmia a drop of it mixed with a Childs Spittle being put into the Eye with a Feather And Collyria that are more resolvent may be used at the declination Take of Frankincense and Aloes each half a dram of Sarcocol moistned with Womans Milk one dram and an half of Saffron half a Scruple of the Mucilage of Fenugreek Seeds half an Ounce of Fennel and Eye-bright Water each an Ounce make a Collyrium Fennel Water mixed with Astringent Wine is good to be used in the manner of a Fomentation to discuss the Relicks of the Disease and to strengthen the Eye A Decoction of Hyssop is excellent to take off the Redness which remains at last But an inveterate Ophthalmia which has continued many Years requires a somewhat different and longer Method of Cure If it proceed from a hot Intempories then such Remedies as correct it are to be used after Bleeding and convenient Purging Baths Whey and Vitriolick Mineral Waters and Leeches applied to the Hemorrhoids do much good But if the matter of an Ophthalmia arise only from an Intemperies of the Brain from whence Flegmatick Humours flow to the Eyes with somewhat of Blood then care must be taken to purge the Brain twice thrice or four times in a Month and a Seaton must be made in the Neck and Masticatories are of use But if the Brain want to be more dried Sudorifick Decoctions of China Sarsaparilla and the like must be used and the Resolvent Fomentation and Oyntment mentioned above are to be applied and the following Water is very effectual Take of the best Aloes and of Tutty prepared each six drams of white Sugar one Ounce of rose-Rose-water and of white-White-wine that is not acid each six Ounces infuse them in the Sun for forty days in a Glass well stop'd drop in a few drops of this Water not strained into the Eye Sometimes in an inveterate Ophthalmia much Filth like Matter is collected in the Eyes and in this case Cotton finely carded and well dried and applied over the Eyes for many nights together will draw it out To conclude Zacutus Lusitanus cured a desperate Ophthalmia that had continued notwithstanding all other Remedies for a Year with Fluxing CHAP. XXII Of Matter collected under the Cornea INflanâ—ations of the Eyes when they are Violent and a great Tumor is raised cannot sometimes be dissolved but turn to Matter which is greatly to be feared for then Ulcers succeed and sometimes a Collection of Matter under the Cornea which is called Hypopyon This also often happens by Contusions of the Eyes This Disease is known not only by the white colour that resembles Matter but also by the Inflammation that went before and when the Eye is moved the Matter seems to move under the Cornea the Eye looks red and there is a throbbing Pain in it or at least it went before In order to the Cure Universal Remedies being premised if any relicks of the Inflammation remain they must be taken off by Remedies prescribed in the foregoing Chapter and afterwards use a Fomentation made of the Flowers of Camomil Melilot the Seeds of Psyllium and Fenugreek afterwards you may use the following Collyrium Take of the Waters of Vervain Rue Celandine Roses Fennel each half an Ounce of the best Aloes Tutty prepared each half a dram of Sugar-candy one dram powder them and mingle them and add to them a little Womans Milk make a Collyrium Drop a few drops into the Eye twice or thrice a day The following Medicine is also very effectual Take of Saffron Aloes Myrrh each one dram of Wine three drams of Hony six drams dissolve the Saffron in Wine then mingle the Aloes and Myrrh and lastly the Hony anoint the Eyes with it And those Remedies are also proper which were prescribed for Spots of the Eyes and for a Suffusion but if the Matter cannot be discussed by resolving Medicines other Remedies must be used Galen mentions an Oculist of his time that cured many of this Disease with placing the Patient upright in a Chair and holding his Head on both Sides and suddenly shaking it the Matter sunk down But if this will not do Galen proposes to Cure it by Puncture as in a Suffusion But for this Operation the most skilful Chirurgion must be procured CHAP. XXIII Of Bladders called Phlyctaenae IN the Tunicks called Cornea and Adnata as in other Parts of the Body are wont to be generated small Bladders full of Water like the Bladders which arise from Scaulds they are of the bigness of Millet Seeds and are occasioned by acid and watery Humours they are easily known for they appear to Sight Those that arise in the Adnata are of a red Colour but those in the Cornea are blackish when they are placed upon the Superficies of it but they are white if they lie deep Those that are seated in the Adnata are not so dangerous as those in the Cornea the superficial is less dangerous than they that are deep The Cure of then must be performed by resolving the conjunct Matter and by turning the antecedent Cause the other way and great care must be taken to hinder Suppuration wherefore universal Evacuations Revulsions and Derivations which were propos'd in the Cure of an Ophthalmia are also of use here Afterwards Topicks are to be applied which gently repel in the beginning but in the Progress of the Disease such things as dry and and resolve are to be used which you may see in the Chapter of an Ophthalmia CHAP. XXIV Of the Vlcers of the Tunicks called Cornea and Adnata ULCERS in those Tunicks use to follow an Ophthalmia when it comes to Suppuration they also follow the breaking of the Bladders in the Cornea They are also occasioned by sharp and corroding Humours that fall upon the Eyes Great variety of them are proposed by Authors according to the various Circumstances They are easily known because they appear to Sight If the Ulcer be in the Cornea it appears white in the black of the Eye if it be in the Adnata a red Spot appears in the white of the Eye These Ulcers are very hard to Cure and dangerous but much more in the Cornea than in the Adnata That which is near the Pupil is most dangerous because when it is cured a Cicatrix is left behind which spoils the Clearness of the Sight The Cure of this Disease as of other Ulcers is to be perform'd by cleansing and drying Medicines but they must be very gentle by reason of the softness and exquisite Sense of the Part but those things are to be used first which stop the Fluxion Such are to be found in the Chapter
of an Ophthalmia If there be also an Inflammation and Pain Medicines respecting both must be added to the former Moderate cleansing and drying Medicines are Sugar Honey Saffron Myrrh Frankincense Aloes Sarcocol Tutty and Ceruss whereof the following Forms may be composed Take of the Decoction of Barly and Foenugreek four ounces of the best Hony half an ounce or of Syrup of dried Roses one ounce make a Collyrium wherewith wash the Eye often or Take of Vervain and Plantane Waters each two ounces of Sugar-Candy half an ounce mingle them for a Collyrium or Take of Hony Water distilled in a Bath and of Rose-water each equal Parts or Take an Egg boiled hard and clear'd from the Shell divide it into two parts take out the Yolk and fill the hole with Sugar-Candy powder'd bind it up and set it in a Cellar and a Liquor will drop from it which is very fit to cleanse Vlcers if you would have it operate more powerfully you must mix powder'd Myrrh with the Sugar-Candy In the Progress of the Disease if it is necessary to cleanse and dry more powerfully add to the forementioned Collyria white Troches of Rhasis Frankincense Aloes Myrrh Sarcocol and such like in a small Dose You may also add Milk the White of an Egg Mucilages and other Anodyns but Tutty is better than the rest because it dries without causing Pain The following Collyrium is very drying and cleansing Take of Sarcocol moistned in Rose-water of Ceruss Aloes wash'd Myrrh Tutty prepared each half a dram of Sugar-Candy one dram with the Mucilage of Gum Tragacanth extracted in Rose-water make a Collyrium wherewith anoint the Eye-lids CHAP. XXV Of the Cancer of the Cornea AS Cancers are wont to happen in all Parts of the Body so also they sometimes grow in the Eyes A Cancer of the Eye is either occult or ulcerated An occult is called a Cancerous Tumor when it is ulcerated it is called a cancerous Ulcer in both there is an unequal hardness and a leaden and livid Colour great and pricking Pain especially about the Temples the Veins appear swoln like a Varix in the Tumour and in the Neighbouring Parts sharp Blood frequently flows our when the Cancer is ulcerated and the Pain is very much exasperated by Medicines that are never so little heating This Disease is incurable both in the Eye and in other Parts of the Body when it is rooted unless it be irradicated by a Chirurgical Operation Two sorts of Cures are proposed by Authors viz. a true one and a palliative The true one can be performed only by Chirurgery the palliative Cure which mitigates the Symptoms is perform'd by Evacuations and convenient Topicks But first of all a cooling and moistning Course of Diet must be ordered afterwards Blood must be drawn from the Part opposite to the Eye affected and Leeches must be applied behind the Ears of the same side and to the Hemorrhoidal Veins if they are any whit swelled Cupping-glasses must be also applied to the Shoulders and other sorts of Revulsions must be used Purging and the preparaâ—ion of the Humours by Potions Apozems medicated Brothes and the like must be frequently prescribed But above all Black Hellebore rightly prepared or the extract of it for an incipient Cancer has been cured by using of it twice or thrice These Remedies hinder the influx of the Humours into the Eyes and much lessen the Pain and other Symptoms But Topical Remedies such as are described in the Chapter of an Ophthalmia to ease pain do also much good especially Collyria made of Mucilages of the white Troches of Rhasis of Tutty prepared and with the Water of Roses Night-shade and Plantane The following Water is excellent for washing the Eye Take of the Roots of the greater Figwort and of Herb-Robert each two handfuls of Ribwort Night-shade Borrage Bugloss Purslain Eye-bright Betony each one handful of green Frogs and of the white of Eggs each number seven of the Seeds of Foenugreek and Quinces each one ounce the Roots and Seeds must be beat and the Leaves cut then pour upon them of Rose-water and Eye-bright water each one pint mingle them and distil them in a leaden Still The Flesh of Pullets eases the Pain much and some say this Disease has been cured by this Remedy only A Lady that had an ulcerous Cancer upon all the right side of her Face a long while and had used various Medicines that were prescribed by Italian French German and Spanish Physicians was cured by a Barber by this common Remedy He cut Chickens into thin and broad Pieces and applied them often in a day to the Part affected Lastly The true Cure of a confirm'd Cancer can only be perform'd by the Extraction of the Eye which Fabricious Hildanus says may be safely and successfully done and he describes at large the manner of Extirpation and all the Circumstances of it in his Observations CHAP. XXVI Of the Rupture of the Cornea THERE is such a Solution of the Continuum in the horny Tunick sometimes that the watery Humour comes out of the Tunica Vvea this is call'd a Rupture of the Cornea The cause of this is either a Rupture or a Wound and it is most commonly incurable but if the Wound be small and if but part of the watery Humour flows out the Cure may be undertaken For Galen says that the watery Humour is sometimes regenerated The Cure of this Disease must be entred upon by conglutinating Remedies Universal Evacuations namely Bleeding and Purging if they are necessary being first used drop into the Eye the White of an Egg mingled with the white Troches of Rhasis and foment the Part with the Decoction of Red Roses of the Leaves of Knot-grass Brambles Shepherds Purse and Plantane made in astringent Wine if there be not an Inflammation if there be it must be made in Simple Water Or Take of Quinces paired the Seeds and Cores being taken out half a pound of red Roses three pugils of Acacia two drams of Saffron one scruple boil them in astringent Wine and make a Pulâ—ise to be applied to the Part and to strengthen the whole the following Collyrium must be used Take of Aloes wash'd of prepared Tutty and of Sarcocol moistned with Womans Milk each half a scruple Saffron grains eight with Mucilage of Gum Tragacanth make a Collyrium CHAP. XXVII Of the Falling out of the Uvea THE Falling out of the Vvea often succeeds the Rupture of the Cornea the Cure of it is very difficult But if it be very small it may be oured by moderate Astringents such as are proposed in the foregoing Chapter CHAP. XXVIII Of a Fistula Lachrimalis HItherto the Diseases of the Eyes which happen in the Tunicks or Humours of them have been treated of It remains now that we speak of the Diseases of the Eye-lids and of the Corners of the Eyes And first the Tumour appearing betwixt the greater Angle of the Eye and the Root of the Nose offers
fitted for the purpose But if this does not succeed you must endeavour to break them and afterwards wash them out and to this purpose a Probe with Cotton on the end of it and dipp'd in Turpentine or the like is put into the Ear to clear the Passage and if any of the clammy Matter remains behind it may be cleared by an Ear-Picker Some cut a Quill and put one end into the Ear and endeavour to suck out what is in it Animals are allur'd out of the Ear by putting such things to it as are pleasing to them as a Spunge dipp'd in Milk and Sugar or the Pulp of a sweet Apple or Lard wherewith little Worms are much pleased and soon come out of the Ear if it be turned to the Sun If a Leecâ— happen to get into the Ears it may be enticed out by putting Blood to the Ear Gnats may be drawn out by putting Dogs Hairs into the Ears but if you cann't get them out alive 't is best to kill them because then they will not disturb the Ear so much and may be easier drawn out they may be kill'd by dropping Spittle or Urine into the Ear. But bitter things kill them soonest as the Juice of Wormwood a Decoction of Aloes or any Gauls sharp things do also the same as Vinegar the Juice of Onions and the like But because a cold Intemperies is the most frequent cause of Deafness rhe Cure must be chiefly directed to the amendment of it wherefore an attenuating drying and moderately heating course of Diet being ordered as is prescribed for the Gutta Serena and Southerly Winds being avoided as much as possible and the Ears defended from them Vaporous Aliments must be avoided especially Garlick and Onions which are very injurious to the Hearing and also those that generate gross and flegmatick Humours these things I say being first observed general Evacuation must be entered upon by Head Purges Bleeding must be also used if there be an indication for it and if the Disease be obstinate a Sudorifick Diet afterwards particular Remedies that cause a Revulsion of the Humours as Blisters Issues Sneesing Powders Masticatories Apophlegmatisms but especially Masticatories But Sulphureous and Bitumenous Baths are peculiarly proper for the Cure of this Disease the Body being bathed and the Head washed with them afterwards topical Remedies are to be applied to discuss the Matter in the Ear. Take of the Leaves of wild Marjoram Wormwood Penny-royal wild Thym Sage Mint the lesser Centaury Mallows Marsh-mallows each one handful of the Flowers of Camomil Melilot Stechas and Rosemary each one pugil of Cinnamon and Cloves each half an ounce boil them in equal parts of fountain-Fountain-water and White Wine added towards the end Strain it and foment the Ear with it hot with a Spunge Morning and Evening and the Vapour of the Decoction may be received into the Ear through a Tunel It certainly does much good by passing into the innermost Parts of the Ear. Instead of the Fomentation Bread made up with Carraway-seeds cut and applied hot from the Oven may be used or common Bread just taken out of the Oven the under Crust being cut off dipp'd in Spirit of Wine and applied as hot to the Ear as can be born is also of good use But the Bread will be more effectual if with the common Flower the Seeds of Carraways Juniperberries Bayberries and Nutmegs are mixed with it If you 'll have a stronger Decoction you may add of the Pulp of Coloquintida or of the Roots of white Hellebore each one dram After fomentation some Liquor must be instilled into the Ear and afterwards you may stop it with Cotton perfum'd with Musk. Take of Oil of bitter Almonds and of Rue each one ounce mingle them and pour it hot into the Ear. Or Take of Oil of Castor and white Lillies each one ounce of Oil of Dill half an ounce of white Hellebore half a dram of Aqua Vitae one ounce boil them in a Bath till all the Aqua Vitae is evaporated Strain it for the use above-mentioned Chymical Oils are are very effectual as of Marjoram Rosemary Sage Fennel Spike Cloves but because they are very strong they must not be used alone but they are to be mixed in a small quantity with the foregoing Oils half a dram of them may be sufficient to be mixed with two ounces of the foresaid Oils The Water that drops out of an Ash-stick when it is burning is much commended for Deafness when it proceeds from a hot Cause The Fat of an Eel is much in use it is gathered from the Water wherein a Fat Eel is boil'd being Scum'd off with a Bay-leas and dropp'd hot into the Ear. In applying topical Remedies this must be always observed viz. that they are applied warm or hot and what hath been used before must be taken out of the Ear before other things are dropp'd in and when any thing has been dropp'd in the Ear must be stopp'd with Cotton perfum'd with Musk which of it self is very good for Deafness CHAP. XXXIII Of Noise in the Ears THE Sense of Hearing is obstructed by a Noise in the Ears for as the Eye ought to be void of Colour that it may rightly perceive all the Colours of Objects For if it be preternaturally affected with any Colour as in the Jaundice the Sight must be necessarily depraved so the Ear should have no sound in it that it be able to receive all Sounds that come from abroad for if any Sound is preternaturally in the Ear it hinders Hearing This Noise in the Ear proceeds from a preternatural Commotion of the inbred Air for though this inbred Air moves naturally yet no noise is heard from its Motion unless we stop the Ear with the hand or with some such thing The Causes of this extraordinary Motion are Vapours Wind or Spirits transmitted to the Ear from other Parts or bred in it if it be brought from other Parts it proceeds either from the whole Body or some peculiar Part. It flows from the whole Body in Fevers and this Sound in the Ear comes from a windy Spirit conveyed through the Arteries from the whole Body to the Ears But it most frequently happens at the beginning of Fits and just before a Crisis by a Bleeding at the Nose Wind is also elevated to the Ears from some peculiar Part viz. from the Stomach Liver Spleen Mesentery Womb and from some other Parts upon which account inviolent Vomiting Hypochondriack Melancholy and Mother-Fits there is frequently a Noise in the Ears It is also occasioned by windy Spirits flowing from the Head that arise from Cold and Flegmatick Humours Wind is also generated in the Ear by Flegmatick Matter contain'd there Upon which account difficulty of Hearing is commonly accompanied with a Noise in the Ear for the Obstruction is occasioned by Humours Other Causes occasioning this Noise in the Ears are Ulcers a hot Intemperies Weakness exquisite Sense a violent shaking in the Head and
Matter comes out through the Membrane of the Ear either rarified or corroded then the Sick should lye on the Ear affected that the Matter may flow out easily and such things should be dropt into the Ear as may wash and cleanse it Take of the Decoction of Barly four ounces of Honey of Roses one ounce mingle them drop it warm into the Ear. If the Ulcer be generated by Acrimony of Matter it requires a peculiar Cure which may also be used for an Ulcer arising from Fluxion of Humours And first according to the Opinion of Galen Topical Medicines must not be applied to any Member before the whole Body is purged wherefore Evacuation by Bleeding and Purging being administred agreeable to the Nature and Constitution of the Patient and repeated through the whole course of the Cure as often as there is occasion drying and astringent Topicks may be used beginning with the Mild and proceeding to Stronger by degrees For instance Take of the best Honey and of old White-wine each three ounces boil them till all the Scum rises drop it into the Ear afterwards stop the Ear with Cotton dipt in the same Liquor when you would have the Medicine stronger mix the Juice of Horehound Smallage Wormwood the lesser Centaury or of Sow-bread with Honey boil them gently and drop them into the Ear. Or Take of the Juice of Beets one ounce of Horehonnd half 〈◊〉 ounce of the best Honey six drams boil them a little afterwards add two drams of Syrup of Wormwood mingle them You may make a stronger Medicine in the following manner Take of the Juice of Sow-bread one ounce of Myrrh on◠ounce of Saffron half a scruple of Frankincense one scruple of Verdigrease half a scruple of old Wine one ounce an◠an half boil them till the Wine is consumed drop th◠Liquor into the Ear twice or thrice a day Note Before any Liquor is dropt in the Ear must be well cleansed with warm Hydromel a Probe wrap◠round with a Cotton being dipt in the Liquor and used for that purpose The Ulcer being well cleansed it must be cicatrized by Epulotick Medicines used in the following manner Take of round Birthwort of the bark of Pomegranates and of Galls each half an ounce boil them in equal parts of Wine and smith's-Smith's-water to half a pint strain it and add to it of the Juice of Plantane and Knot-grass each one ounce of Honey of Roses two drams mingle them and drop it into the Ear or drop into the Ear burnt Allum mixed with the Wine for it is very drying If the Ulcer be very obstinate and has continued a long while it is certainly promoted by Fluxion which therefore you must endeavour to remove by Purging and a Diet-drink of Gujacum or Sarsaparilla by Errhins Masticatories Issues and by other Remedies that divert the Fluxion If Pain arise by reason of the Sharpness of the Remedies Oyl of Sweet or Bitter Almonds with Myrrh Aloes and Saffron must be dropt into the Ear If the Pain be violent a little Opium must be mixed with them or the Oyl of the Yolks of Eggs beat in a leaden Mortar may be used If the Ulcer be very Sordid Aegyptiacum must be mixed with the foresaid Juices If the Pain of the Ear be occasioned by something thrust into the Ear you must endeavour to draw it out by wrapping Wool upon a Probe dipt in Turpentine or made glutinous by Rosin or some other Gum But if this will not do warm Oyl must be often dropt into the Ear to relax it and to Lubricate the Matter contained in it and so it may the easier be drawn out and Sneesing-powder must be given and these things must be used continually till the Sick is freed for if any thing remain long in the Ear an Inflammation will arise and afterwards it will be much more difficult to extract any thing from the Ear and there will be besides great danger Lastly If the foresaid Remedies are not sufficient Chirurgical Instruments must be used See the manner of Extraction in Fabritius Hildanus Cen. I. Observ 4 5 6. Gnats sometimes insinuate themselves into the Ears and moving in the Cavity of it they cause much Trouble but they may be extracted by a Probe wrapped round with Cotten and dipt in Turpentine Sometimes water runs into the Ear in swimming or when the Head is wash'd and is often very troublesom and causes Pain but is most commonly easily shook our by hopping upon the Leg of the same side and by holding the Ear downwards But if this will not do you must endeavour to suck it out with a Pipe wrapt round with Wool to stop the hole of the Ear that the external Air should not enter in It is also dried by a small soft piece of Spunge often put in CHAP. XXXV Of things that come out Preternaturally from the Cavities of the Ears MAny Things come out preternaturally from the Ears which must be particularly mentioned and peculiar Remedies must be prescribed for them First therefore an Abscess being broken arising from an Inflammation or from an Ulcer proceeding from the Acrimony of Humours Matter or Sanies is wont to flow the Cure of which depends on the Cure of the forementioned Diseases which are proposed in the foregoing Chapter Blood also sometimes flows from the Ears as in Wounds and Concussions of the Head whereby the Veins of the Ears may be broken or torn But if this Flux be moderate it must be left to it self for if it should be retained within it might cause an Inflammation but if it be immoderate or continue a long while it must be restrained by bleeding in the Arm and by applying Cupping-glasses with Scarification to the Shoulders afterwards cooling and astringent things must be dropt into the Ears as the Juice of Plantane Knot-grass or the Decoction of Bramble-tops red Roses Mastich Acacia Hyposistis Balaustins Sumach and the like in Wine and Vinegar or Smiths Water A watry Humour sometimes flows from the Brain to the Ears this most commonly happens to Children and ought not to be stop'd for being suddenly stop'd it occasions the Falling-sickness or some other great Disease of the Head For Nature puts off Excrements and the too great Moisture that abounds in Childrens Heads not only by the ordinary ways appointed for this use viz. The Nostrils and Pallate but also through the Eyes the Ears and the Superficies of the Head where Ulcers and Scabs often happen But when such an Evacuation is Symptomatick and when the Humour flowing to the Ears causes Ulcers in them and hinders the Hearing you must endeavour to cure it by a convenient Method And First the Superfluous Humours in the Brain must be evacuated by gentle Purges often repeated and also by Derivation by Blisters in the Neck and an Issue there afterwards the Ears must be cleansed and dried by the following Medicine Take of the Juice of Agrimony and Worm-wood each four Ounces of Whitewine and Honey of
of Allum and Galls made into a Plaister with Pitch are very effectual Riverius chief Physician to Henry the Great kept the following Plaister as a great Secret Take of Pine-nuts and red Roses of the Seeds of Cresses torrified of Mastich and seal'd Earth each one dram and an half infuse them in Rose Vinegar twenty four Hours afterwards dry them and add of Opium dissolved in Aqua Vitae three ounces of Ship Pitch and Colophony each one Ounce of Yellow Wax melted in the Oyls of Henbane and white Poppies by Expression a sufficient quantity make a Plaister which must be applied to the Arteries and pained Part. Medicines also are put into the Ears for Pain in the Teeth because the Arteries which nourish the Teeth do pass by the Ears upon that account Oyl of bitter Almonds is put into the Ear next to the Tooth affected also a Suffumigation of Vinegar in which Penyroyal or wild Marjoram hath been boiled is often used Vinegar is also dropt into the Ear by which the Fluxion is powerfully stopped and it is most effectual in a hot Fluxion But in a hot Fluxion Juice of Garlick mixed with Venice Treacle and dropt warm into the Ear mitigates the Pain powerfully Also the Root of Garlick the Bark being taken off and made in the form of a Suppository and put into the Ear produces the same Effect Astringents are also applied in the beginning of the Fluxion and they ought to be cold if the Matter be hot but if it be cold hot Medicines mixed with those that are repelling are to be used in whatever Cause if the Pain be violent Anodyns are to be mixed with Discutients To which Purpose the following Medicine may be prescribed Take of the Roots of Cinquefoil Bistort Tormentill each one dram of the Leaves of Vervain Plantain and Mullein each one handful Cypress-nuts Galls and Cups of Acrons each two drams of red Sanders a dram and an half of red Roses and Balaustines each one pugil boil them in astringent Wine and Vinegar fomeriâ— the pained Part with this Decoction frequently This Decoction may be used in the beginning of a hot Fluxion in a cold one you may add the Roots of Cyperus the Bark of Box-wood Ivy-leaves and the like A more Simple Medicine may be prepared of Plantain and Rose Water with a little Vinegar after the manner of an Oxycrat Or the Teeth must be washed with a Decoction of Galls in Vinegar Or Take of Cinquefoil-roots half an ounce of Willow-leaves half an handful boil them in astringent Wine and wash the Mouth with the Decoction This Decoction stops the Fluxion and eases Pain After that these Remedies have been used which mitigate the Pain and discuss the Cause of it of which there are a great Number proposed by Authors and also by the common People We shall in the next Place propose those that are more effectual of the which such Choice is to be made that these which not only resolve and discuss but also stop the Flux being mixed with astringents in the beginning and increase of the Disease those which only discuss in the Height and Declination Take of the Juice of House-leek and Night-shade each two ounces of Cow or Sheeps-milk eight ounces Oyl of Roses Omphacin one ounce and an half of OpiUm and Saffron each three grains mix them and apply a Rag dipt in the Liquor warm often to the Jaws where the pained Tooth is Or Take of the Pap of sweet Apples boiled two ounces of Braâ— infused in Vinegar three ounces Oyl of Roses Omphacin one Dram Saffron half a scruple of Opium two grains mix them and make a Cataplasm to be applied to the part affected Or Take of wheaten and Bean-flower each three ounces of Oyl of Roses compleat and of sweet Almonds each half an ounce of the Juice of the greater House-leek an ounce and an half of Milk a sufficient quantity make a Cataplasm to be often applied warm to the Part affected Or Take the Whites of two Eggs beat them with Rose-water with Rags whereon two drams of Pepper powdered has been sprinkled apply them over the whole Cheek affected Nevertheless it is carefully to be noted that Astringents be not applied to the Jaws if they be tumified least the Humour be repelled back and should suffocate the Patient Cotton dipt in Oyl of Cloves and put into the Hollow Tooth is frequently used to ease the Pain Oyl of Box also does the same But if the Pain be so violent that it cannot be quelled with the foresaid Remedies we must use Narcoticks which may be applied to the pained Tooth but they most certainly give Ease being taken inwardly you may give three or four grains of the London Laudanum it gives ease and stops the Fluxion Take of Opium Mirrh and Labdanum each one Dram powder them and boil them in Whitewine to the Consistance of a Liniment mix Cotton with it and stop the Hollow Tooth If Worms are in the Teeth they must be killed by bitter things Take of Aloes one Dram of Champhor ten Grains of Aqua Vitae half a dram mingle them and apply them to the Teeth with Cotton It is to be noted that there is seldom a Pain in the Teeth unless they are Hollow and untill they are eaten through to the Nerve wherefore that the Pain may be taken off the Nerve must be burnt either with an actual Cautery or with Aqua fortis or Oyl of vitriol put into the Cavity But if notwithstanding all these means the Pain continues the Tooth must be drawn but care must be taken that the Tooth be not drawn when the Fluxion rushes violently upon it or when the Headach accompanies it or the Gums are swelled and when the Pain is violent and the Tooth-drawer must be admonished that he does not pluck it out violently at once least a concussion of the Brain shou'd follow or the breaking of the Jaw-bone upon which violent Bleeding a Feaver and sometimes Death comes As soon as the Tooth is drawn the Part from whence it is taken must be pressed on every side that it may be restored to its natural State afterwards let the Sick wash his Mouth with warm Oxycrat and let him be careful least he catch cold whereby a new Fluxion may fall upon other Teeth But if Blood flow so much as that it can scarce be stopt which sometimes happens though the Jaw be not broken by reason of a Vein or Artery torn This Flux of Blood is most commonly stopt by applying Lint rolled up hard and pressing it hard down an hour or two with the Fingers But if this does not succeed burnt Vitriol must be applyed and a Rag dipt in Vinegar over it which also must be pressed down with the Finger till it be crusted The last Remedy is an actual Cautery which presently stops the Blood But if any timerous Person cannot bare the drawing of a Tooth but desires to have it extracted by Remedies Those things are to
be tryed which are proposed every where by Authors for the same purpose as a Paste made of Frankincense powdered a little Starch and the Milk of Spurge the Root of Crow-foot the Bark of the Root of Mulberry Tree the Ashes of Earth-Worms Pellitory of Spain steep'd in Vinegar the Root of wild Cucumber infused in Vinegar and the like But Bears-foot is the most effectual the Tooth being rub'd with the Leaf of it bruised but great care must be taken that the other Teeth be not touched with it for if so they wou'd be in danger to drop out A certain Country Fellow being grievously afflicted with the Toothach desired another to rub his Teeth with Bears-foot who unwarily rub'd almost all his Teeth with it and in a few hours almost all of them dropt out Wherefore if any one intends to use so violent a Medicine I wou'd advise him to cover the rest of his Teeth with Wax to secure them Though the Tumour arising in the Jaws most commonly takes off the Pain of the Teeth the Matter being translated to the outward parts yet to procure Ease the sooner some Remedies must be used The following Liniment does good Take of Fresh-Butter and Hens-grease each one ounce of the Powder of Florentine Orris one dram of Saffron half a Scruple of Oyl of Camomil and Oyl of Sweet-Almonds each half an Ounce make a Liniment to be applied to the Jaws A Cataplasm made of Figs bread and Vinegar operate sooner Nettles bruised and applied to the Jaws soon ease the Pain This Cure is for the present Pain but if it be wont to return frequently the generation of Humours flowing to the part must be hindred and the Teeth must be strengthned that they may not so easily receive the Humours flowing to them CHAP. XLVIII Of Black and Rotten Teeth THE Teeth are often Black Yellow or Livid by reason of vitious Humours sticking to their Superficies which by lying long on them corrode and make them rotten ill Vapors do the same which arise from unwholsome Meats eaten or from an Intemperies of the Stomach Quick-silver used to the whole Body or to the Face to Beautifie it blackens the Teeth Upon which account Women that use Paint are wont to have black or foul Teeth In order to the Cure the antecedent Cause must be first removed and if ill Humours abounding in the Stomach occasion this Disease they must be evacuated and the Intemperies producing it must be corrected and a good Course of Diet must be ordered and such Meats must be avoided as are apt to corrupt the Teeth especially those that are Sweet There are a great many Medicines proposed to whiten the Teeth by Authors which every one may make trial of we use only one which presently frees the Teeth from all Filthiness and renders them white and also preserves them from a Caries that is the Spirit of Vitriol or of Sulphur in which a small Stick wrapt round with a Rag may be dipt and the Teeth rubbed with it and presently after the Teeth must be dried with a clean Linnen Cloth When the Teeth are very foul the pure Oyl may be used or mixed with Honey of Roses or it may be corrected with Simple Water least the use of it corrode the Gums Montanus relates that he learned this from a Woman at Rome whom he had seen when he was very young and she about the Age of Twenty he found her afterwards when she was Fifty in the same Condition who had preserved her Beauty and Strength by the use of the Oyl of Vitriol and that her Teeth which were very ill in her Youth were become firm and clean in her old Age by the use of it for she was wont daily to rub her Teeth and Gums gently with a drop or two of it The Ashes of Tobacco are also excellent to cleanse and whiten the Teeth But to preserve them and to keep them clean they must be daily cleansed from Filth and Meat that sticks in them by a Tooth-picker made of the Lignum Leutiscinum Afterwards you must wash the Mouth with Wine and the Teeth must be rubbed with the following Powder Take of the Roots of Bistort Allum and White Coral each one ounce make a fine Powder wherewith rub the Teeth CHAP. XLIX Of the Errosion and Vlceration of the Gums THE Gums are eaten and ulcerated by Acrid and Corroding Humours flowing to them from the Brain Stomach Spleen and other Parts Splenetick People are more especially troubled with Ulcers of the Gums and such as are Scorbutick and sometimes also the Gums are corroded by Worms or by the Humours that occasion them so that when they continue long to be so they signifie Worms to be in the Body Fabritius Hildanus mentions an Observation of a Boy that was much troubled a long while with corroded Gums and after he had tried many Medicines both inward and outward at length he died and his Body being opened there were found great numbers of Worms which had eaten through his Guts and lay in the Cavity of the Belly The Cure must be first directed to the Antecedent Cause and the Peccant Humours must be evacuated by Bleeding and Purging The Acrid and Hot must be attemperated by Apozems Juleps and medicated Broths and the like And the Fluxions of the same Humours is to be turned by applying Cupping-glasses to proper places And lastly The Diseases of the Part principally affected must be cured And afterwards we must use Topicks which are to be varied according to the greatness of the Disease for in a simple Errosion those things are only to be applied which are Astringent and dry And first the following Lotion must be used Take of unripe Galls of the Cups of Acorns and of Balaustins each one dram of red Roses one Pugil of Crude-allum three drams boil them in two parts of Smiths water and one of rough Wine The Teeth must be often washed with this Water and if the Errosion is not cured with it the following Opiat must be used Take of Dragons Blood three drams of Wood of Aloes red Roses Spodium Harts-horn burnt till it is white and Cypress Nuts each one dram of Myrrh and the Ashes of Tobacco each one dram of Allum two drams make of all a Powder mix it with Honey and add to it a few drops of Spirit of Vitriol or Sulphur make an Opiat which you must spread upon a rag and apply to the Gums at Bed-time Spirit of Sulphur either by it self or mixed with Honey of Roses cleanses and whitens the Teeth and cures the Corruption of the Gums If the Ulcer is deep or sordid you must use the following Balsam Take of choice Myrrh and of Sugar-candy each equal parts powder them and fill the white of an Egg with them first boiled hard and cut in the middle afterwards bind it up with Thread and hang it in a Cellar put a Glass under for the Liquor to drop into wherewith anoint the part affected
an half strain it let the Sick take three or four Spoonfuls either by themselves or in some hot Broth. These kind of Jellies may be made more pleasant to the Pallate by adding at the time of use a little of the Syrup of Baulm Gilliflowers Raspberries Oranges or Lemmons though it must be confessed Acid Syrups do not so well agree with Jellies The manner of making a Restorative Broth is as follows Take a Capon drawn and cut in pieces of Sheeps and Calves feet each two pair the shavings of Ivory and Harts-horn each half an ounce two leaves of Mace one Nutmeg cut yellow Sanders three drams or half an ounce boil them all gently in one gallon of Fountain-water till half is consumed add towards the end of boiling a pint of Malago-Sack and of the Flowers of the greater Daisie Coltsfoot Maiden-hair Spotted Lungwort each one handful of fat Dates eight pair of Jujubs twelve pair of Sebestens ten pair of Raisins of the Sun stoned three ounces strain it let the Sick take a large Draught of it twice or thrice a day Prepared Coral Millepedes Pearls Crabs-eyes prepared the Simple Powder of Crabs-claws and other testaceous Medicines taken plentifully and often in a day are good to blunt the Acrimony of the Blood Take of the Aqua lactis Alexiteria of Carduus or of black Cherry-water one pint of Cinnamon-water hordeated half a pint of prepared Pearl half an ounce of white Cristaline Sugar two ounces mingle them make a Julep whereof let the Sick take four ounces shaking the Viol always when it is used three or four times in a day adding if the Stomach require it one or two ounces of Epidemick water Or Take of the Powder of Millepedes of Crabs-eyes prepared of the Simple Powder of Crabs-claws each one dram of the Powder of white Ambar half a dram mingle them divide it into nine Papers whereof let him take one thrice a day in a Spoonful of the Pearl Julep Fifthly If the Sick seem free from an Obstruction of the Liver and has neither the Dropsie nor the Jaundice but the Milk-Diet before described does not agree by reason of a Loosness or the Acid Ferment of the Stomach besides the altering Medicines above described the free use of the compound distilled Waters of Milk Snails a Pig and the like may be ordered with success to attemperate farther the Acrimony of the Humours The Milk-water Take of the leaves of Maiden-hair Coltsfoot spotted Lungwort Speedwell each three handfuls of Hyssop Goats-rue Mint and Wormwood each two handfuls of the Flowers of St. John's Wort and Scabious each two handfuls of English Saffron one dram three Nutmegs sliced Dates and fat Figs each half a pound of Raisins of the Sun stoned one pound cut them and infuse them in three gallons of fresh Cows Milk and three quarts of Malago-Sack distill them in a cold Still and draw off half the Liquor and mix the Distillations and keep them for use If the Consumption be Scorbutical you may add in Distillation the tops of Pine Water-cresses and Brook-lime and Ground-Ivy with other gentle Antiscorbuticks And instead of Malago Sack you may use Brunswick Mum. If you would have this Water also Restorative you must add a Capon or a Pig in the second Distillation For instance Take a Capon or a Pig the Intrails being taken out cut in pieces of the Milk-water above described one gallon distill off three parts of the Liquor Snail-water Take of Garden-Snails cleansed with Salt three hundred of common Milk or rather of the Milk-water above prescribed three gallons distill them in a cold Still with a gentle Fire till the Liquor becomes Acid And the following Magisterial water of Worms is not to be despised for it will keep good a long while Take of fresh Milk two gallons of Mint and Roman Worm-wood each two handfuls distill off one gallon Then take of Garden-Snails first wash'd in common water then in Small-beer half a peck of Earth-worms prepared one Pint of Angelica one handful and an half of Agrimony Bettony and Rue each one handful put the Herbs into a Still and the Snails and Worms upon them and at top shavings of Harts-horn half a pound Cloves one ounce Saffron three drams infuse them in two quarts of Syder and one of Malago-Sack then distill all in a cold Still These Liquors are to be drank freely for the ordinary drink mixed with an equal part of Milk if the Stomach will bear it and if the Sick can quench his Thirst with it If a Julep be more pleasing give it in the following manner Take of the Waters of Pig or Capon before described one pint of white Cristaline Sugar a sufficient quantity boil them to a Syrup Take of Milk or Snail-water one pint and an half of the Syrup just described four ounces mingle them make a Julep whereof let the Sick drink freely Or Take of the Water of Milk or of Magisterial Snail-water a quart of pearled Sugar ten drams or an ounce and an half mingle them make a Julep whereof let him take freely and frequently But if there is not so much a Hectick Feaver as a difficulty of Breathing as it often happens to such as are afflicted with a Scorbutick Consumption a Pectoral Hydromel is better for the ordinary Drink than distilled Waters abounding with Flegm Take of the roots of China sliced six ounces of the roots of Coltsfoot gathered at a Fit-time three ounces of the roots of Burdock and Avens each three ounces of the roots of Elecampane two ounces of the leaves of Lungwort all the Scabious both the Speedwells Meadow-sweet and Monywort each two handfuls of all the Capillaries each one handful of the flowering tops of Bugles and Bettony of the flowers of red Speedwell and of Cowslips each four Pugils of all the Ground Ivy three handfuls of Jujubs Dates Sebestens and Raisins of the Sun cleansed each one ounce and an half of Spanish Liquorish one ounce and an half cut them all and boil them in sixteen quarts of Fountain-water with a gentle Fire till half is consumed strain it and clarifie it and add to it four pound of the best Honey boil it again and take off the Scum strain it again add half an ounce of Cinnamon six drams of Coriander-seed of the Seeds of Annise and Sweet Fennel each three drams put the Liquor into a large Tub and let it ferment which it will the sooner do if the Tub be placed in the Sun for then it will be sufficiently fermented in forty days otherwise it will require a much longer time The Vessel must be always kept open and full Of this let the Sick drink a good Draught twice or thrice a day for many Months When the Consumption comes to its third State the Sick very rarely is cured or lives long unless the Ulcers are very small and benign wherefore though a prudent and honest Physician being called to Consumptive People at this time may endeavour to
it is fit to add Chalk Coral Dragons-blood and other temperating astringent and emplastick Medicines which in some manner fix and mitigate the Ferment of the Blood For Instance Take of the Waters of Tormentil Oak-buds each three ounces Cinnamon-water hordiated four ounces of Aqua-mirahilis one ounce of Pearls and Coral prepared and of Chalk each two scruples of true Bole and Dragons-blood each half a dram of Japâ—n Earth a scruple of destilled Vinegar or Spirit of Vitriol as much as is sufficient to make it gratefully acid Syrup of Mirtles an ounce and an half Mingle them make a Julep let the Sick take two or three ounces of it every third or fourth hour shaking the Viol every time it is used The Cloaths on the Bed must be also lessened and the Sick must be removed into a thin warm and free Air let him always sleep in a large Room and as soon as his Strength begins to fail the Sweat must be rubbed off with dry Linnen Cloaths a little warmed and the Patient must be removed to the other Part of the Bed As to the violent Vomiting that seises Consumptive Persons at the latter end there is little Help to be afforded by Art only the Physician ought to assist by his prudent Counsels since he cannot by Medicines First therefore The Sick ought to be ordered to eat little though frequently at a time Secondly He must eat those things that afford good Nourishment and are of easie Digestion Thirdly After eating he must avoid as much as he can Coughing Sleeping and lying down Sometimes it happens after the Putrid Feaver begins especially if the Evacuation of the Colliquative Matter by Stool or by other ways is hindered by Art that Nature indeavours tho in vain the Protrusion of the Enemy by the Salivary Ducts or the glandulous Tunick of the Mouth and Oesophagus by which means a troublesome Spitting arises that continues for many Weeks Secondly by reason of the Acrimony of the Humour evacuated by these Parts an Inflammation not only of the Membrane of the Mouth but also of the Oesophagus and Stomach follows Thirdly By the Inflammation an Ulceration is occasioned and from thence little Ulcers called Aphthâ—â— accompanied with a very troublesom Pain of the Throat And Lastly An Hicop that is very troublesom arises from the Inflammation and Exulceration Which Symptoms as they are troublesome so are they sometimes long and always deadly for the Cause from whence they proceed is incurable yet cleansing softning astringent and Mucilaginous Gargarisms must be injected with a Syringe and to ease the Pain of the Throat a double Flannel worn about the Neck does much Good by defending it from the external Cold. CHAP. LX. Of Swooning or Fainting THe next and immediate Cause of this Disease is a Defect of the Vital Spirits and this Defect of the Spirits chiefly happens four ways Either because there is not a sufficient quantity of them generated or because they are dissipated and evacuated when they are generated or they are preternaturally altered and corrupted Or lastly They are suffocated and overwhelmed They are not generated either by reason of a Fault of the Faculty or of the Matter the Faculty of the generating the Spirits is hurt either by a Peculiar Disorder of the Heart or by Consent The peculiar Diseases of the Heart that are chiefly to to be taken Notice of are great Intemperies overturning the native Temper of it or destroying the Substance of the Parts and of the Native Heat as acute and malignant Feavers Colliquative Pestilential and Hectick Fevers also Organical Diseases as Constriction and too great Dilatation The Faculty of the Heart is hurt by Consent as from the Brain and Liver which have a great Sympathy with it and also often from the Mouth of the Stomach by reason of its nearness and Exquisite Sense upon which account Swooning is divided into Cardiack and Stomachick that is Cardiack which proceeds from the Heart being Primarily affected that is Stomachick which is produced by Consent of the Stomach It also often arises from the Womb by reason of ill Vapours transmitted thence to the Heart The Fault of the Matter is a Defect or Corruption of the Air and Blood from whence the Vital Spirits are generated A Defect of the Air happens from Respiration or Transpiration hurt A Defect of the Blood from a Fault in Nutrition The Corruption of both is occasioned by putting on another Quality so from the infected Air in a Pestilential Constitution Swooning and Fainting frequently happen and some ill Smells occasion the same and sweet Smells in some Women The Blood is also often corrupted by unwholesome Food Too large Evacuations dissipate the Spirits both sensible and insensible sensible Evacuatioins are first of Blood it self by the Mouth Nostrils Womb Belly Hemorrhoids Bleeding and great Wounds Secondly of other Humours which though they are Excrementitious yet being evacuated in a large quantity they dissipate the Spirits and occasion Fainting Such Humours are wâ—nt to be evacuated by Vomit Stool Urine Sweat by opening a large Abscess especially inwardly as of an Empyema and also outwardly as in a Dropsie the Navel being open Insensible Evacuations are made by too great a rarity of the Skin and by reason of Thinness or Acrimony of things contained by immoderate Heat Bathing and excessive Labour They are also dissipated by long Watching long Fastting immoderate Venery Anger or excessive Joy long and acute Sickness violent Pains of the Heart Stomach Bowels Veins Ears Teeth and of all the Nervous Parts The Spirits are altered and corrupted by an ill Disposition of the Bowels and by any thing that has a malignant and an inimical Quality to the Heart as a venomous and pestilential Air drawn in by the Breath or generated in the Body by Putrefaction of Humours Poison taken inwardly does the same and the Biting of Venomous Creatures Lastly A violent Reflux of the Spirits and Blood to the Heart and the like suffocates and overwhelms the Vital Spirits A noble Virgin which was very subject to fainting upon every small occasion died suddenly by reason of a sudden Reflux of the Blood and Spirits to the Heart as she was about to sign a Contract of Marriage with a very handsom and accomplished Gentleman Fainting also sometimes happens from cold and thick Blood heapt up in abundance in the greater Vessels As to the Cure it must be varied according to the Variety of the Causes but from whatever Cause it proceeds that which follows must be observed in the Fit You must lay them on their Back and sprinkle Water in their Faces and provoke Sneezing put some good Wine or Cinnamon-water into their Mouths apply Bread hot out of the Oven to their Nostrils call them aloud shake them pull them by the Nose double their Fingers pull their Hair use Frictions Ligatures and Cupping-glasses But the Cure must be varied according to the Variety of the Causes in the following manner If it takes its
ounces of Cream of Tartar and the best Scammony each two ounces of choice Rhubarb ten drams of sharp Cinnamon half an ounce of Yellow Sanders two drams of clarified Sugar a Pound mingle them make an Electuary The Dose is from three drams to half an ounce It may also be dissolved in some convenient Water and so you may make a Potion of it The Cure of a depraved Appetite depends on the Purification of the Blood and Humours But Volatile Salts are more successful in this case than any other Medicines a few grains of them being taken twice or thrice in a day in Wine or some other Liquor especially at Dinner or Supper and to evacuate the vicious Humours Purging and Vomiting must be used CHAP. LXIV Of Nauseousness Belching and Vomiting IN perfect Health nothing is wont to be evacuated upwards by the Mouth wherefore whatever comes this way signifies Sickness whether it be Meat Wind or a thick or thin Liquor When Wind comes forth with a Noise it is called Belching when the Meat is ejected it is called Vomiting Nauseousness always precedes Vomiting and sometimes Belching Wind by reason of the Clamminess of its Nature sticks to the Stomach and is difficultly excluded and is often accompanied with an Inflation of the Stomach Belching arises from windy Meats or from other flatulent things taken inwardly as Chesnuts Pease Beans Turneps Redishes and the like or from Flegmatick and viscid Humours sticking to the Stomach and rarified to Wind by taking Aromaticks That the material cause of Wind is a Flegmatick and clammy Humour is evident from the Antecedent Causes as from Meats of a like kind viz. Milk Fish especially Sea-Fish and the Feet of Animals and Gellies and from the Cure which is wholly performed by evacuating and correcting Flegmatick Humours As in Belching only Wind is evacuated so in Vomiting either Meat crude or more or less fermented or various sorts of Humours as Watery serous flegmatick and cholerick and the like thin thick white yellow green Sky coloured or black Humours or the like insipid bitter acid rough sweet stinking or Humours without Taste and sometimes bloody Matter or Excrements All Vomiting is occasioned by the Stomach being Primarily or Secondarily affected The Stomach is Primarily affected when the Cause of Vomiting or of the Peristaltick Motion inverted is in it self It is Secondarily affected by consent from other Parts and it is provoked to the Inversion of its Peristaltick Motion in Part or altogether by the Peristaltick Motion of the Guts which is sometimes occasioned by the violent Agitation of the Diaphragma and of the Muscles of the Belly by a violent Cough The Stomach is primarily disposed to vomit first when it is inflamed excoriated or ulcerated then it is easily excited to any violent Contraction of it self from any sort of Nourishment taken Secondly When the Nourishment by its Quantity and chiefly by its Quality is troublesome to the Stomach Thirdly when sharp Humours from he Head fall upon the Sâ—omach and corrode the lower Orifice and so occasion Vomiting From the total Inversion of the Peristaltick Motion of the Guts Vomiting is occasioned as in the Iliack Passion whereby Glisters are often vomited up From the same Motion inverted in Part Vomiting is occasioned frequently as in the Cholera Morbus and from any other Motion upwards of Humours fermenting in the small Guts and by Reason of the Passage of the Excrements stopped In a violent Cough the Diaphragm being shaken violently Vomiting is occasioned which we think to be caused by a conjunct Compression of all the Bowels contained in the Abdomen made towards the Breast which mightily troubles the Stomach and forces it to the Inversion of the natural Motion Vomiting oecasioned by things taken in at the Mouth is quieted of its own accord so soon as they are vomited up or upon use of a few Aromaticks and Opiats it is stopped and cured For Instance Take of Mint-water two ounces Tincture of Cinnamon two drams London Landanum two grains Syrup of Minâ— half an ounce mingle them let the Sick take a spoonful of this Mixture by short Intervals and the Vomiting will presently cease Sharp Humours flowing from the Head upon the Stomach are to be evacuated by proper Purges mentioned before or corrected by Medicines that alter and temperate the Noxious Acrimony Vomiting of Blood occasioned by the Rupture or Erosion of the Vessels of the Stomach and Intestins is cured by conglutinating them by the following Mixture which is also useful in other Excresions of the Blood Take of Plantain-water two ounces of Cinnamon two drams distilled Vinegar half an ounce of red Coral prepared half a dram of Dragons-blood ten grains of London Laudanum two grains of Syrup of Mirtles one ounce mingle them A Spoonful of this Mixture being taken often cures most Ruptures of the Vessels and will â—top Fluxes of Blood in a short time beyond Expectation But Blood collected in the Stomach the Flux and the Vomiting of it being stopt will be carried off of its own Accord by Stool but if there is danger of the Blood 's coagulating to the foregoing Mixture may be added half a dram of Crabs-eyes and one scruple of Diaphoretick Antimony Vomiting of Matter chiefly following an Inflammation of the Pancreas or of some neighbouring Part or some notable Ulcer must be cured by curing the Primary Distemper In the mean time you may use the above described Mixture with Crabs-eyes and Antimonium Diaphoreticum It will be also proper to give a drop of Balsam of Sulphur annisated in all the Liquor he takes The belching and generation of Wind will be cured by First avoiding Flegmatick and Windy Meats Secondly By inciding and evacuating clammy Flegm Thirdly By attemperating the Choler if it be acrid Fourthly By discussing the Wind that is already made Acids and Aromaticks and volatile Salts incide clammy Flegm and Flegmagoges purge it off Spirit of Nitre attemperates Choler when it is acrid better than any thing else two or three drops of it being taken in common Beer or in some convenient Mixture Most Spices discuss Wind so do the Oyls of them but especially the Seeds Flowers and Barks but Spirit of Niter is better than all for it corrects Choler and Flegm and hinders the Generation of Wind and discusses that which is generated The following Mixture is also good to expel Wind from the Stomach and Bowels Take of the Waters of Mint and Fennel each two ounces of Spirit of Wine rectified one ounce of the sweet Spirit of Niter twenty drops of London Laudanum three grains of Oyl of Mace by Distillation six drops of Syrup of Mint one ounce and an half mingle them This Mixture must be taken by Spoonfuls often or seldom according to the degree of Pain and Quantity of Wind. Silvius's Carminative Spirit is made in the following manner Take of the Roots of Angelica one dram of Master-wort and Galingal each one dram and an half of the Flowers of Rosemary
Ulcer That which is generated by Wind must be cured by Remedies that discuss and evacuate that flatulent Matter and also Flegm which breeds Wind. And first An emollient and loosning Glister must be injected and presently after a carminative and discussing Glister made of the Decoction of the Leaves of Wild-marjoram Calaminth Penny-royal Rue and the lesser-centaury the Seeds of Annise Fennel Daucus Cummin and the like wherein may be dissolved Benedictum Laxativum Oyl of Dill Rue and Honey of Rosemary If the Pain continue a Glister must be made of Oyl of Rue or of Nuts and of generous Wine each equal Parts you must add to it two ounces of Aqua-vitae or you may prepare a Glister of Whitewine mixed with eight drops of Oyl of Juniper Cinnamon or of Chymical Oyl of Cloves Afterwards the following Fomentation must be applyed to the Region of the Stomach Take of the Roots of Cyperus Galingal sweet smelling Flag each one ounce of the Leaves of Mint wild-marjoramâ— Marjoram Penny-royal Hyssop and Sage each one handful of the Seeds of Fennel Daucus Caraways Bay-berries each half an ounce of the Flowers of Camomil Melilot Rosemary and Lavinder each one Pugil cut them and beat them and put them into two Bags boil them in generous Wine press them out and â—pply them hot to the Stomach and Belly by turns But when the Matter is not very cold the following Fomentation may be prepared which is much commended by Forestus and he says it will give Ease when other Medicines will do no good Take of the Roots of Marshmallows half an ounce of red Roses the Flowers of Camomil and of the Tops of Centaury each one handful boil them in Fountain and camomil-Camomil-water to a Pint and an half at last add a little good rhenish-Rhenish-wine Rose-water and Vinegar make a Fomentation After the Fomentation anoint the parts with Oyl of Rue and Dill mixed with Aqua-vitae and a little of the Oyl of Sage or of Cloves Chimically extracted after the Anointing apply the Plaister of Laurel-berries or instead of it a Cataplasm made of Honey and the Seeds of Cummin In the mean time whilst these things are about if the Stomach be nauseous Vomiting may be provoked by some gentle Vomit or a Purge may be given that evacuates Flegm After the Body is purged Oyl of bitter Almonds mixed with White-wine may be taken or Aqua-clareta or Cinnamon-water The following Julep is very effectual to ease Pain discuss Wind to cleanse Flegm and to strengthen the Stomach Take of the Leaves of common Worm-wood of the lesser Centaury and Agrimony each half an handful boil them to five ounces in the Liquor dissolve one ounce of white Sugar Let it be taken for two days in the Morning Amatus Lusitanus greatly commends the distilled Water of Camomil-flowers as a special Remedy to ease Pains of the Bowels and Stomach three ounces of it may be taken warm or in the place of this Water a Decoction of Camomil-flowers may be used which is greatly commended by Forestus who says that he cured a certain Merchant of a violent Pain in the Stomach with only giving this Decoction once he had no sooner drank it than he fell into a Sweat belching up Wind and in a Minute all the Pains went off so that there was no occasion for any other Remedies A Vomit may be prepared of this Decoction made with Seeds of Dill or with Agarick or the Roots of Wake-robin wherein may be dissolved Oxymel Syrup of Sorrel or of Roses solutive which may be given at the beginning of the Disease to mitigate the Pain by evacuation Galen says that a Cupping-glass applied to the Stomach removes the Pain wonderfully but this Caution must be taken notice of viz. That but little or no crude Humour be in the Stomach for if there be it will increase the Pain Bread fresh drawn out of the Oven cut in the middle and applied to the Part does good either by it self or sprinkled with Aromatick Powders But if the Disease be obstinate you must use a Bath made of a Decoction of emollient and healing Herbs which is safest and most effectual for it eases the Pain by discussing the Wind and driving it through rhe Pores of of the Skin But the Buisness will be sooner done if in the Bath the Sick take some discutient Remedy for both concurring the Cure will be effectually performed The Bath ought to be very hot that the Wind may be the easier discussed and that the gross Humours may be melted If Glisters cannot be injected or retained by reason of the violence of the Pain a Purge must be given in the Bath where the Sick must continue half an hour or an hour till the Purge begins to operate But sometimes when there is danger by reason of the violence of the Pain Narcoticks must be given which being prudently administred do often a great deal of good Some mix Narcoticks with Purgers that the Pain may be eased and the peccant Matter evacuated at the same Time Take of Diaphaenicon half an ounce of Philonium Romanum two Scruples with the Water or Decoction of Camomil make a Potion After the Pain is taken off Purging should be repeated once or twice a Month in such as are subject to this Disease that the Cause of Wind may be removed corroborating Medicines must be also used but if the Pain arise from Choler it must be cured by the Evacuation of the peccant Humour as by a gentle Vomit or a Purging Medicine or by injecting Glisters frequently which ought to be emollient not sharp or hot Afterwards the Acrimony of the Humours is to be mitigated by cooling and thickning Juleps by Emulsions of the four greater cold seeds by new Milk Oyl of sweet Almonds newly drawn by Yolks of Eggs and the like Strenghning Medicines must be used and Narcoticks upon occasion and outwardly must be applied a Cataplasm of White-bread Crums boiled in Milk Yolks of Eggs and Saffron being added Or you may apply Bread fresh drawn and cut in the middle and moistened with Vinegar or let the part be fomented with a Decoction of the Flowers of Camomil Violets and of Water-lillies or which is much better let the Sick be bathed with warm Water for this is very effectual for the Cure of this Disease If when the Pain is eased it should chance to return again the Sick must be purged twice a Month and the hot Intemperies must be corrected by a cooling Diet and convenient Remedies But when the Pain proceeds from an Inflammation Abscess or Ulcer it must be cured by Remedies to be proposed in the following Chapter CHAP. LXIX Of an Inflammation Abscess and Vlcer of the Stomach THough in the Stomach as in all other Parts all sorts of Tumours may happen yet here we only treat of an Inflammation or Phlegmon which is most frequent for other Tumours rarely happen and may be cured by the same Method wherewith the Tumours of other inward parts are
they would be easily excluded by things that Evacuate and Cleanse and by Carminative Medicines but most commonly they are fixed in the very Tunicks of the Intestines upon which account it is difficult to remove them and so they occasion an obstinate Disease The Gross Flegmatick and Melancholly Humours flow by little and little through the Veins of the Intestines and so do not presently cause Pain till there is a quantity sufficient to irritate Nature for their Expulsion and then being moved cause Pain or Wind occasioned by them and included in the Coats of the Intestines distends them and not easily getting out occasions a lasting Pain also Choler after the same manner poured through the Veins of the Intestines upon their Coats and imbibed by them causes violent Pains which are wont to be long and obstinate because it is difficultly removed from their substance There is another Species of a bilious Chollick which degenerates into a Palsie scarce known unto the Ancients which proceeds from a bilious Humour not poured as the former upon the Colon but upon the Membranes of the Abdomen which is transferred thither either from the Gall-Bladder or from the Mesentery in the Crisis of long Feavers or by reason of violent Anger or some other external Cause when because of Obstructions it cannot be carried to the common Passages but by a Preposterous Motion is put off suddenly upon the foresaid Membranes of the Abdomen And hence great Pain arises like the Chollick which yields neither to Glisters nor Fomentations nor any other Remedy but continues for many Months by which the Body wasts and the Sick is vexed with a sort of intermitting Feaver and often with a slow continual Feaver at length the Pain remitting a Palsie succeeds that Humour leasurely creeping through the Membranes of the Abdomen to the Spine of the Back but this Palsie chiefly possesses the upper parts yet there is most commonly a Pain in the Thighs and Legs and in some few the use of them is wholly taken away and sometimes it breaks in upon the â—raâ— and causes the Falling-sickness from whence Death generally follows There are other causes of the Chollick but less frequent viz. Stones growing in the Guts Worms wound up in a bottom and obstructing the Intestines a Compression of the Guts by a Tumour of the neighbouring parts and the narrowness of them by reason of an Inflammation and other Tumours of the Guts or a twisting of them occasioned by Wind which is next to an Iliack Passion and sometimes the Matter which causes a Chollick is Venomous and Malignant Lastly All hard Bodies by obstructing the Guts or distending them may occasion a Chollick as stones generated in the Guts a great quantity of Cherry-stones hard Cheese and the like As Platerus relates of a certain Governour a long while troubled with the Chollick and Convulsions who after the use of Glisters evacuated a great quantity of hard Cheese by Stool The External Causes are a cold Constitution of the Air pressing and hardning the Belly or a hot Constitution which does likewise harden the Excrements the use of Meat and Drink unfit for the Mans Constitution of crudâ— and harsh Roots and of gross Meats of hard Digestion too much rest immoderate Sleep unseasonable Exercise immoderate Venery and other External Causes which may injure the Concoction of the Stomach The Diagnosticks of this Disease are plain for first the Pain is violent sometimes afflicting grievously this part sometimes that sometimes it possesses the Region of the Spleen sometimes of the Stomach or Liver or of the Reins sometimes it is above sometimes below the Navel and oftentimes it is most violent in the left side the Patient often Vomits the Pain is increased after Eating the Belly is most commonly bound The Signs of the Causes are distinguished in the following manner If the Pain proceed from Flegm it is not violent unless it be accompanied with Wind the Sick is eased by hot things and injured by cold things a course of Diet before apt to increase Flegm preceded If the Chollick is occasioned by Wind there is a stretching Pain and a certain Inflation of the Belly the Sick perceive a great deal of Wind and a rumbling in the Belly they are much eased by breaking Wind a course of Diet fit to breed Wind was used before as unseasonably drinking cold Water the frequent use of Pulse Turneps and Chesnuts Herbs and Fruits and the like and if the the Wind be contained in the Cavity of the Intestins the Pain is wandring and not fixed to one part and is renewed by Intervals But if it be kept in within the Coats of the Guts the Pain is fixed and is continual and obstinate because it cannot find Vent If the Chollick proceeds from an acrid and Cholerick Humour it is most sharp there is a twitching and pricking Heat Drouth and for the most part a Feaver the Disease is increased by hot Medicines and Diet and is mitigated by cold By the following Signs the Chollick and Nephritick Pain may be distinguished if they are accurately examined First The Nephritick Pain is fixed in the Kidney and stretches it self from that to the Testes according to the length of the Ureter but the Chollick is wandring and painfully girds the lower Belly Secondly The Chollick increases after eating by reason of the pressure upon the Gut by a full Stomach but the Nephritick Pain is not at all increased after eating but rather lessened because some of the Nutritious Juice is carried to the Veins which somewhat asswages the Pain Thirdly In the Chollick Vomiting is more severe and the Belly is more bound because the Colon lies near the Bottom of the Stomach and the Intestines being full or violently provoked contract themselves that they may expel the common Enemy but either of the Symptoms is common to either of the Diseases so that the Intention or Remission of them has a difficult Diagnostick For the Nephritick Pain being intense may occasion greater Vomiting and bind the Belly more than a remiss Chollick Fourthly In the Chollick the Patient is more eased by Vomiting and going to Stool than in Nephirtick Pains Fifthly In the Nephritick Pain the Urine is first clear and thin afterwards something settles to the Bottom and at length Sand or Gravel is evacuated buâ— in the Chollick the Urine is thicker from the beginning The Cure of this Disease must be varied according to the Variety of the Causes And first There is the same Way of Cure for a Windy and Flegmatick Chollick you must begin with an emollient Glister and afterwards you must give a Carminative and discutient Glister which must be repeated twice thrice or four times in a day till the Pain be gone but if after the use of one or two Glisters the Sick does not go to Stool as sometimes it happens the Belly must be irritated by a sharp Suppository but it is convenient to add to one of the Glisters four
the Narcotick may be sufficient for a Child of a Year old The Liquid Laudanum which as was said I daily us'd was prepared according to this easie Method Take of Spanish-wine one Pint Opium two ounces of Saffron one ounce of the Powder of Cinnamon and of Cloves each one dram let them be infused together in a Bath for two or three days till the Liquor come to a due Consistence strain it and keep it for use In the Dry-gripe Dysentery I used the following Method If the Patient was in the Flower of his Age and had a Feaver I ordered him to be bled in the Arm and after an hour or two that he shou'd take great quantities of Liquor as I us'd to do in the Cholera Morbus but not Chicken-broth or Posset-drink as in that Case but Whey which I ordered to be drank cold in the same quantity as in the Cholera but the Glisters were to be injected warm without Sugar or any other thing I found the Gripes and the bloody Stools went off with the fourth Glister This Business being over and all the Whey ejected which might be done in the Space of two or three Hours if the Sick minded his Business I presently put him to Bed where he soon sweated of his own Accord by reason of the Whey mixt with the Blood and I ordered it should be continued for twenty four hours but not at all provoked allowing him all the while nothing but Milk a little warmed which he only used three or four days after he left his Bed If either by rising too soon or by leaving the use of Milk too soon the Patient relapses the same Method is to be repeated To conclude 'T is to be noted that tho in those Years wherein the Bloody-flux is Epidemical the foresaid Evacuations are wholly necessary before we come to the use of Laudanum yet in any Constitution not favouring so much this Disease they may be safely omitted and the Cure may be performed more compendiously by Laudanum alone in the manner we have described CHAP. LXXVIII Of a Tenesmus A Tenesmus is a continual Motion to go to Stool whereby nothing but a mucous Matter is evacuated The Cause of this Disease is an Ulcer of the right Gut from whence a purulent Matter continually flows and irritates the expulsive Faculty It is not dangerous unless it proceed from black Choler and so shou'd turn to a Cancer or should occasion Miscarriage in Women with Child The manner of Cure is much the same with that of the Bloody-flux If there be an Inflammation which is chiefly known by a Feaver or an abundance of Blood Bleeding must be us'd and if the Inflammation remains after Bleeding and occasion a Strangury which sometimes happens Bleeding by Leeches in the Hemorrhoidal Veins is beneficial Glisters are also to be Injected according to the various Seasons of the Ulcer sometimes those that are lenient when the Pain is violent sometimes cleansing glutinating or astringent but in giving Glisters you must observe first that they must be given often and in a small quantity because 't is difficult to keep them and then the Pipe must be put up gently least it should anger the part and cause Pain And the part must be well fomented and Bathed and Fumes Suppositories and Oyntments must be us'd to it a Fomentation may be made in the following manner Take of the Leaves of Mullein and Wormwood each six handfulls boil them in new Milk and put them into two Bags and apply them hot by turns to the Fundament and Belly Or Take of the Flowers of Camomil and Roses each one handful of red Wine a quart infuse them for two Hours upon hot Ashes foment the Fundament as hot as the Patient can bear it with Clothes four times double afterward let hlm set upon a Spunge pressed out of the same Liquor Or fill two Bags with wheat-bran and boil them in Vinegar let the Sick sit hot upon them by turns as he can bear them If much Blood be evacuated you may make a Fomentation in the following manner Take of the Leaves and Roots of Mullein two handfuls of red Roses one Pugil of the Bark of Pomegranates and of Gauls each half an ounce boil them in two Parts of Smiths Water and in one of red Wine 't will be more powerful if you add half an ounce of Alum A Bath to ease the Pain must be made of Emollients boyled in a Decoction of Sheeps-feet and if the Heat be much Violets Night-shade Goards and pieces of Melons may be added But to heal the Ulcer a Bath must be made of Astringents Fumes are proper to dry the Ulcer made of Frankincense cast on Coals or of a Decoction of Savine made with Oxycrate the following is much commended by Forestus Take of Mastich one dram of Frankincense one Scruple of Mirtles one dram and an half of red Roses two scruples make a Fume to be received through a Chair that has a hole at the Bottom Suppositories do much good in this Case but they ought to be gentle least they should exasperate the sensible Part they may be made of Goats Suet cut into the Form of a Suppository for it gives Ease and heals the Ulcer but it will be more powerful to ease the Pain if you mix with it the Seeds of white Poppies and of Henbane bruised but t is much better to add instead of the Seeds three drops of the Oyls pressed from the Seeds or a grain of Opium dissolved in half a Scruple of Oyl of Almonds But to heal the Ulcer 't is best to add to the Suet dissolved Starch and Gum-tragacanth beat or infused first in Plantane-water or it may be compounded in the following manner Take of Gum-Tragacanth as much as is sufficient pour upon it a little Plantain-water that it may only swell and not be too moist add the Mucilage of the Seeds of Psyllium or of Quinces a sufficient quantity and the Yolk of one Egg mingle them and make them warm and of melted wax a sufficient quantity to make Suppositories Narcoticks may be also added and the Powders of Ceruss Tutty Bole Balaustines and other things that dry and are not acrimonious when there is a great Corrosion but they ought to be finely powdered least they should cause Pain Oyls and Oyntments may be also applied as Oyntment of Roses Populeum of the Mucilages of Yolks of Eggs and Oyl of Roses and the like to asswage the Pain and Inflammation Lastly when the Disease is violent Narcoticks must be used inwardly and outwardly Laudanum Opiatum is best whereof three or four grains may be given with Mastich or sealed Earth or mixt with a Glister made of a Decoction of Camomil Flowers CHAP. LXXIX Of Worms THe Worms are generated in various Parts of the Body yet because that is very seldom and they most frequently abound in the Guts therefore we shall treat only of these The Signs of Worms in the Bowels are various
is Lice nine being taken alive in a Morning five or six days following and I have known several that have been cured this way when other Medicines would not do the Business But if notwithstanding all above mentioned the Disease continues obstinate the Sick must use Iron-waters such as are Tunbridge which he must drink at the Fountain till he is well Moreover Those that are afflicted with this Disease are often subject to Pains that are very troublesome and they rage chiefly a Nights And moreover the Sick cannot rest well wherefore Anodynes are to be used Take of Aqua-mirabilis and of the Water of Worms each one ounce of Diacodium six drams of Tincture of Saffron half an ounce mingle them The Dose is one Spoonful or two late at Night when the Sick cannot rest CHAP. LXXXII Of a Dropsie EVery Age and Sex are sometimes troubled with a Dropsie yet Women are more inclined to it than Men it comes upon Men chiefly when they are old and upon Women when they have done breeding but it sometimes seises barren Women when they are young The pitting of the lower part of the Leg by impression of the Finger is not so certain Sign of a Dropsie in Women as in Men for Women that are with Child and such as have a stoppage of the Courses are often subject to the same nor does such a Swelling certainly indicate a Dropsie for when an old Man of a gross Habit of Body having been a long while afflicted with an Asthma is suddenly freed from it in the Winter presently a great Swelling seises the Legs yet notwithstanding generally speaking the Swelling of the Legs is to be accounted a Sign of an approaching Dropsie Three Symptoms accompany this Disease Difficulty of Breathing little Urine and great Thirst There are two sorts of Tumours of the Belly that resemble a Dropsie that are common to Women the first is a preternatural Excrescence of the Flesh in the parts within the Belly which makes the Belly as Bulky as when Water is included in it the other kind arises from Wind which does not only occasion a Tumour but also other Signs of Breeding Widdows are most inclined to this sort or such Women as were not married till they were in Years The true and genuine curative Indications are wholly to be directed either to the Evacuation of the Water contained in the Belly and other Parts or to strengthen the Blood That Purging may be instituted to the Advantage of the Patient we ought to know whether the Sick is easily purged or hardly which can be known no other Way than by Inquiry how purging Remedies used at other times worked A Dropsie above all other Diseases requires the strongest and quickest Purges and the Sick ought to be purged every day unless by reason of the Weakness of the Body or the too violent Operation of the preceding Purge he ought to rest a day or two for you must not leave off purging unless Necessity urge till all the Water is quite carried off For those that are easily purged Syrup of Buck-thorn may be sufficient to carry off the Water But when the Sick is of such a Constitution that gentle Catharticks will not work quickly nor easily stronger must be given for which I have frequently prescribed the following Potion with Success Take of Tamarinds half an ounce of the Leaves of Senna two drams of Rubarb one dram and an half boil them in a sufficient quantity of Fountain-water to three ounces in the strained Liquor dissolve of Manna and Syrup of Roses solutive each one ounce of Syrup of Buck-thorn half an ounce of the Electuary of the Juice of Roses two drams mingle them make a Potion But this Potion must be given only to strong People it purges when other things will not as I have found by frequent experience Or Take of White-wine four ounces of Jalap finely powdered one dram of Ginger powdered one Scruple of Syrup of Buck-thorn one ounce mingle them make a Potion to to be taken early in the Morning and to be repeated every Day or every other Day according to the Strength But two Medicines remain which in my Opinion are better than all the rest for those that are difficultly purged I mean Elaterium and the Infusion of Crocus Metallorum Elaterium or the Fecula of wild Cucumbers being given in a small quantity purge watery Humours powerfully for two grains of it are a sufficient Dose for most People I used to mix it with a scruple of the Pill ex duobus and to make three small Pills to be taken in the Morning As to the Infusion of Crocus Metallorum an ounce and an half of it or two ounces for those that are difficultly vomited given in a Morning and repeated daily according to the Strength of the Sick though it may seem at first only to evacuate the Water contained in the Stomach yet at length it will free the Belly from the Waters that are in it But if the foresaid Vomit does not sufficiently purge the Belly for it uses to purge at last after the third or fourth Dose of the Infusion of Crocus Metallorum by it self I sometimes though rarely use the following Take of the Water of Carduus Benedictus three ounces of the Infusion of Crocus Metallorum one ounce and an half of Syrup of Buck-thorn half an ounce of the Electuary of the Juice of Roses two drams mingle them make a Potion But here it is to be noted that if the Swelling of the Belly be but small the Water is not so easily evacuated by the Infusion of Crocus Metallorum as when the Dropsie is great and a great quantity of Water is heaped up wherefore unless the Belly be much swelled it is best to do all by things that purge downwards But you must take notice that it often happens that Water is cast not only upon the Thighs and Legs but also into the Cavity of the Belly and yet it is not to be evacuated by Purging Medicines For Instance When such a Tumour follows a long Consumption or when it is occasioned by the Putrefaction of some of the Bowels or from the Tone of the Blood spoiled and the Spirits exhausted or by long continuance of Fistula's in Carnous Parts or occasioned by great Weakness and Evacuations by Sweating Fluxing or by violent purging and by a thin Diet in the Cure of the French Pox in these Cases the Patient will be rendered worse by purging wherefore we must endeavour all we can to strengthen the Blood and Bowels And among Remedies to this purpose which are to be mentioned by and by I have found by Experience that the change of the Air and Exercise in a free Air such as the Sick can bear answers this Indication excellently well And when the Sick is of a weakly Constitution or a Woman subject to Vapours neither Purge nor Vomits must be used but you must endeavour to evacuate the Water by Diureticks I order one
ounce boil them in a quart of fountain-Fountain-water till half is consumed add a Pint of rhenish-Rhenish-wine strain it presently and add to it half an ounce of the best Senna six drams of Rubarb half an ounce of the Leaves of Black-hellebore of the yellow Peel of Oranges two drams infuse it warm in a close Vessel twelve hours keep the strained Liquor in a Glass well stopped the dose is five or six drams After Purging once or twice if Bleeding be indicated you must bleed in the Arm or with Leeches After Bleeding many Remedies of another kind are necessary but that you may prescribe orderly you must consider whether the Preservatory Indications have only place here or whether some curatory Indications namely such as respect the Symptoms that are violent ought not to be minded between whiles But if there be no urgent Symptom you must wholly apply your self to the Cure according to the following Method And as to the Cure of the Symptoms we shall treat of them by themselves below Wherefore If your chief Design be to erradicate the Cause of the Scurvy digestive and Specifick or Antiscorbutick Remedies must be used at all times except on the Days the Sick purges whereunto if there be Occasion Diaphoreticks or Diureticks must be sometimes added Various Forms are prescribed by Authors every where to answer these Intensions but we will only mention the chiefest which according to the twofold Disposition of the scorbutick Cause viz. The Sulphurous Saline and the Salino sulphurean Discrassy of the Blood we will distinguish into two Classes And First Of the cold Scurvy Among Digestive Medicines Cream of Tartar Salt and Tincture of it Tartar vitriolated Elixir Proprietatis or either of these may be taken twice a day Or Take of the Winteran-Bark of Wood of Aloes of the Roots of the lesser Galingal each two drams of Cinnamon Cloves and Cubebs each one dram of the Seeds of Bishops Weed and Cresses each half a dram bruise them and pour upon them the following Menstruum three Fingers high digest them in a Matrass six days in Sand keep the strained Liquor in a Glass well stopeed The dose is twenty drops more or less in a Spoonful of Canary-wine or some proper Water twice a Day The Menstruum is made in the following manner Take of Spirit of Vitriol rectified six ounces of Spirit of Wine rectified sixteen ounces mingle them and distill it in a glass retort and Cohobat it thrice and keep it in a Glass well stopt for use Elixir Proprietatis is made easier and better by this Menstruum than by the common way Whilst these Remedies are given in a small quantity Morning and Evening Antiscorbutick Medicines of another kind may be taken which are generally prescribed in a double Form viz. Solid and Liquid to be taken together the Solid first and the Liquid presently after Take of the Conserves of Scurvy-grass and Roman Wormwood and of Fumitory each two ounces of the Powder of the Winteran-bark of the Roots of Angelica and of Wake-robin each two drams of the Species of the three Sanders one dram and an half of the Powder of Crabs-eyes one dram of Salt of Wormwood two drams with a sufficient quantity of the Syrup of the Bark of Citron make an Electuary Take of the Conserves of the Leaves of Scurvy-grass and Brook-lime made with an equal quantity of Sugar each three ounces of the Troches of Capers and of Rubarb each two drams of Salt of Wormwood and of Scurvy-grass each one dram of Ivory Powdered and Coral calcined each one dram with a sufficient quantity of the Syrup made of the Juice of Scurvy-grass make an Electuary I use to prescribe Conserves made of the yellow Peel of Lemons and Oranges of the Purple-flowers of the Ash of the Leaves and Flowers of Ladies-Smock of the Roots of sharp-pointed Dock and of English Rubarb made with an equal quantity of Sugar which I give by themselves or mixed with other Conserves or Species For Country and poor People who desire Medicines that are cheap and easily prepared I prescribe after this manner Take of the Leaves of Scurvy-grass and Brook-lime each four ounces of white Sugar eight ounces beat them together in a Mortar and add to them of the Powder of the Winteran-bark half an ounce of Tartar calcined with Niter three drams with a sufficient quantity of Spanish-wine make an Electuary The Dose is the quantity of a Wallnut twice a day drinking upon it some proper Liquor Take of the Leaves of Scurvy-grass one pound of Raisins of the Sun stoned and of White Sugar each half a pound of the Lees of the Root of Horse-radish two ounces beat them together and reduce them to the Form of an Electuary In some scorbutical cases where the use of Steel is indicated three drams of Steel prepared with Sulphur or two drams of Vitriol of Mars may be mixed with any of the Electuaries After the taking of the Medicine once or twice a day the Body must be exercised Take of the compound Powder of Wake-robin one ounce and an half of Winteran-bark half an ounce of Cubebs grains of Paradise and Cardamoms each two drams of Salt of Wormwood three drams of Tablets of Oranges three ounces make a Powder The dose is one dram in some proper liquor For Delicate People the following Tablets may be prescribed Take of the Powder of the Winteran-bark and of Crabs-eyes each one dram and an half of Pearles powdered half a dram of white-sugar dissolved in a sufficient quantity of the Water of Worms and boiled to Tablets six ounces of Spirit of Scurvy-grass two drams make Tablets each weighing half a dram let two be taken twice a day drinking upon them some proper Liquor Tablets of Oranges are made in the following manner Take of Orange Lemmon and Citron peel candied each one ounce of Eryngo-roots candied half an ounce of Pine and Pistach-nuts each twenty of sweet Almonds blanched number ten of Annise-seeds powdered half an ounce of Ginger candied two drams of the Species Aromatick Rosat and of Nutmegs each one dram and an half of the Roots of Galingal one dram of Cloves number ten of Ambar-grease grains four of Musk and Civet each grains two of White-sugar dissolved in rose-Rose-water and boiled to Tablets one pound and an half and so make Tablets Antiscorbutick Wines and Beers Take of the Leaves of Scurvy-grass four handfuls of Horse-radish-root rasped four ounces of Winteran-bark bruised half an ounce of the yellow peel of four Oranges and as many Lemmons put them into a glass and pour upon them six quarts of Rhenish-wine keep the Glass close stopt in a cold place let a quarter of a pint be taken Morning and Evening and at dinner-time daily and pour off the Wine clear when you use it But medicated Beer is more common for the Scurvy to be drank constantly for ordinary Drink Provide four Gallons of Ale and instead of Hops boil in it four handfuls of the tops of
Pine or of Fir when it has done Working in the Vessels put in four handfuls of Scurvy-grass four ounces of the Roots of Sharp-pointed Dack and the Peels of four Oranges when it has stood a Week and is clear it may be drank for ordinary Drink Diet-drinks do a great deal of good in the Scurvy because they being continually taken with Meat they alter the Blood But in some Scorbutical cases and in a hot Scurvy Scurvy-grass Horse-radish and the Winteran-bark and other acrid things such as abound with Volatile-salt are sometimes injurious wherefore when the Morbisick Discrasie of the Blood is hot temperate Medicines are indicated Take of Conserves of Brook-lime and Ladies-Smock made with an equal quantity of Sugar each three ounces of the Species of the three Sanders of Diarrhodon Abbatis each one dram and an half of Ivory powdered one dram of Pearls half a dram of Salt of Wormwood and Tamarisck each one dram with a sufficient quantity of Syrup of Coral make an Electuary Take of the Conserves of Wood-sorrel and of Hips each three ounces or of the Conserve of the Roots of Sharp-pointed Dock and of the Roots of Succory each three ounces of the Troches of Rubarb two drams of the Species Diamargarite frigid one dram and an half of the Bark of Tamarisck one dram of Sal-prunella one dram and an half of Mirobalans candied number two with a sufficient quantity of the Syrup of candied Mirobalans meke an Electuary For the Poor I used to prescribe the following Electuary Take of the Leaves of Brook-lime six ounces of Wood-sorrel two ounces of White-sugar eight ounces bruise them and add to them half an ounce of the Flower of the Seeds of sweet Fennel of Ivory powdered two drams of Sal-prunuella one dram and an half with a sufficient quantity of the Syrup of the Juice of Brook-lime make an Electuary Take of the Powder of the Leaves of Ground-pine of the compound Powder of Wake-robin each one ounce and an half of Ivory powdered and of red Coral prepared with the Juice of Oranges each two drams of the Tablet of of Oranges two ounces The Dose is one Spoonful twice a Day Take of the Species of the three Sanders of Diamargarite frigid each one dram and an half of Pearls powdered Red-coral prepared and of Ivory powdered each one dram of Sugar dissolved in scordium-Scordium-water and boiled to Tablets six ounces make Tablets But if Chalybeats are to be mixed with these temperate Antiscorbuticks two or three drams of Crocus Martis or the like may be added to the Electuaries But it is often best to take Calybeats in Liquors Wines and mediated Beers Although the use of Wines in the Scurvy caused by reason of the Heat and sulpherous Saline Discrasie of the Blood are not very convenient nevertheless when the Weakness of the Stomach or Custom at least requires Wine mixed it with Water Such a Liquor that is temperated and medicated may be prepared In the first place Small Wines mixed with Water and those that are impregnated with the Infusion of Baulm Borrage and Burnet may be allowed Moreover Wines may be prepared of the Juice of Currants of Cherries and of Garden-fruits which may be ripened by Fermentation and are very grateful to the Stomach and purifie the Blood Syder is also very good if it be clear and not sharp Moreover many ingredients may be put into clear Syder as the Tops of Pine or of Fir the Flowers of Tamarisck the Raspings of Ivory or Harts-horn which sweeten and preserve the Liquor Temperate medicated Diet-drinks may be prescribed in the following Manner Provide six Gallons of Small Ale and instead of Hops boil the Tops of Pine or Tamarisck in it or the Raspings of the Wood of either of them and when it has done working put into a Bag sharp-pointed Dock dried which is an excellent Medicine for the Scurvy also the Leaves of Water-cresses or Brook-lime and Bank-cresses also Citrons or Oranges cut in Slices and hanged in Vessels Hitherto we have treated about the Removal of the Morbisick cause but when the Symptoms are very violent they require a peculiar Method of Cure And First Difficulty of Breathing with Narrowness of the Breast and Asthmatical Fits must be taken off by Medicines proper for the Symptom Elixir Proprietatis is of excellent use in this Case Pain of the Stomach Nauseousness Belching and Vomiting must be cured by a gentle Vomit of Wine of Squils or of Salt of Vitriol or the Patient must be purged with an Infusion of Rubarb with Salt or Cream of Tartar added to it Elixir Proprietatis is also good in this Case The Collick and Gripes must be cured by Glisters Opiats and testaceous Powders Take of the Powder of Crabs-eyes and of Egg-shells each one dram and an half of Pearls one dram make a Powder to be divided into twelve Doses whereof one must be taken every sixth hour in some Antiscorbutical-water And in this case Epsom and Barnet-waters do a great deal of Good An inveterate Diarrhea which frequently happens to Scorbutical People must not be stopt by astringent Medicines nor is it easily cured by Alteratives and Antiscorbuticks Tunbridge-waters and the like are of excellent use in this case Chalybeat Medicines are also very good but Crocus Martis is the best I have used the following Method often with very good Success First The Sick must be purged with the Powder or Infusion of Rubarb with some astringent Aromaticks added to it and it must be repeated three or four days after On the days the Sick does not purge he must take Morning and Evening the quantity of a Nutmeg of the following Electuary Take of the Conserve of Roman-wormwood made with an equal quantity of Sugar six ounces in a hot Constitution Conserve of Roses may be used instead of it of Diarrhodon Abbatis two drams of white and red Sanders powdered each one dram of the best Saffron of Mars half an ounce with a sufficient quantity of Syrup of Steel make an Electuary In a Bloody-flux and Tenesmus the like Method is to be used especially Tunbridge-waters or the like Moreover Glisters made of Vulnerary Decoctions must be often injected I lately cured a Man of a long Disentery who daily voided many Ounces of Blood by the following Remedy Take of the best Rubarb powdered two drams of Cinnamon one dram of Crocus Martis three drams make Pills with a sufficient quantity of Lucatellus's Balsam He took four sometimes every day sometimes every other day for the space of a Fortnight and was perfectly cured But he constantly drank a medicated Beer made of the Roots of Sharp-pointed Docks and of the Leaves of Brook-lime A Vertigo often comes upon an inveterate Scurvy as also frequent Swoonings and Numbness in the Limbs they are very difficultly cured by reason they are produced by a Scorbutick Salt obstructing the Brain and Nerves Cephalick Medicines such as are proper in the Vertigo and Paralitick Distempers which come of themselves
a day Certainly the Magisterial-water of Worms of the London Dispensatory is very beneficial in this Disease so are the Spirit and Salt of Harts-horn Spirit of Blood Flowers of Sal-armoniack which I have often used with good Success Moreover Testaceous Powders as Crabs-eyes Coral Pearls and Vegetables which are counted good for the Gout as the Roots of Birth-wort the Leaves of Ground-pine and Germander and the like mixed with Antiscorbuticks conduce to the Cure of this Disease Oyl of Worms of Frogs and Toads are often useful to ease the Pain I have been told by a worthy Man that the Water drawn from what is contained in the Stomach of an Ox newly killed by Distillation and applied hot with Cloaths gives certainly ease For Convulsive and Paralitick Diseases occasioned by the Scurvy Remedies proper for them must be mixed with Antiscorbuticks For a Consumption and a Feaver ocasioned by the Scurvy gentle Catharticks Digestives and things that corroborate must be used And because they often arise from a scirrhous Tumour in the Stomach or Parts thereabouts things that open Obstructions are to be used as Tunbridge-waters and the like Moreover Fomentations Liniments and Plaisters must be outwardly applyed Asses or Cows-milk diluted with Barly-water or with some proper distilled-water is often good so is Broth made of Snails and Snails boiled in Milk Moreover Distilled waters of Milk or Whey with Snails and Antiscorbutick Herbs do a great deal of Good in this Case And for the Feaver the following Medicines may be used with a thin Diet Take of the Raspings of Harts-horn and Ivory each two drams and an half of Eryngo Roots candied six drams of the Roots of Chervil Dandelyon each half an ounce of the Leaves of Harts-tongue Liverwort each one handful one Apple sliced of Raisins one handful boil them in four Pints of Fountain-water to the Consumption of a third part pour the strained Liquor upon two handfuls of Brook-lime and a dram and an half of Sal-prunella or of Nitre fixed one dram let them infuse for the Space of three Hours four or six ounces of it may be taken three times a day Take of the Leaves of Brook-lime four handfuls of Wood-sorrel of the Herb and Root of Dandelyon each two handfuls of Snails cleansed one pound and an half the Peels of two Oranges After they are bruised and cut pour upon them six Pints of new Milk or Whey made with Syder or of the fresh Juice of Apples distill them after the common Way Three ounces may be taken twice or thrice a day A Scorbutical Rhumatism must be cured by Purging but especially by Bleeding and repeated sometimes according to the Strength of the Patient Diureticks and Diaphoreticks must be also used and four or six ounces of the Infusion of Horse-dung in Wine or Ale may be taken twice or thrice a day on the Days the Sick does not purge Spirit of Harts-horn or of Blood is also very good in this case A Scorbutical Dropsie arising from an evident Cause or occasionally is often cured wherefore if the Sick cannot sleep Opiats must be given and Purging must be repeated at due distances according to the Strength of the Patient and Glisters must be often injected to keep the Body loose Take of Mercurius Dulcis one Scruple of Rosin of Jalap five or ten grains of Cloves half a Scruple mix them and give it in a spoonful of Panado At other Times Diureticks and sometimes Diaphoreticks must be given Take of Tincture of Salt of Tartar impregnated with the Tincture of Millepedes as much as you please Give a Scruple or two Scruples twice a day in some proper Liquor Take of the Spirit of Sal-armoniack what quantity you please The Dose is fifteen drops Take of Mille pedes prepared three drams of Salt of Tartar two drams of Nutmegs one dram mix them make a Powder The Dose is half a dram twice a day with some proper Liquor Or Take of dried Bees powdered two drams of the Seeds of Bishops-weed powdered one dram of Oyl of Juniper one scruple of Turpentine a sufficient quantity for a Mass of Pills The Dose is one scruple or half a dram to be taken twice a day drinking upon it three or four ounces of the following Water Take of the Leaves of both the Scurvy-grasses of Water-cresses of Pepper-wort and Arsmart each three handfuls of the Roots of Wake-robin Briony and Florentine-orris each four ounces of the middle Bark of Elder two handfuls of the Winteran-bark two ounces of the yellow Peel of four Oranges and three Lemmons and of fresh Juniper-berries four ounces cut them and bruise them and pour upon them two quarts of Rhenish-wine and of the Wine made of the Juice of Elder-berries one quart Distill them in a common Still and mix the Waters The Dose is three or four ounces twice a day after a Dose of any of the Medicines above prescribed There remains one Symptom that comes though rarely upon the Scurvy viz. A crackling of the Bones but the Cure of it is not yet known An orderly Diet is of great moment in the Cure of the Scurvy The Sick must only eat Meat of easy Digestion he must avoid thick and clammy Meat and such as are smoaked and Pulse Milk-meats unripe Fruit and things that are sugared for the Scurvy has increased wonderfully of late by the immoderate use of Sugar Their Drink must be middling mild Beer that is clear and medicated with Antiscorbuticks Exercise and Labour are so beneficial in the Scurvy that many have been cured by them alone An Air moderately hot and dry thin and pure should be chosen CHAP. LXXXV Of the Stone in the Kidneys and of the Nephritick Pain THE Nephritick Pain is called that whick afflicts the Reins and Ureters The cause of this Pain is various but the most frequent is a Stone or gross Flegm The less frequent causes are Clods of Blood thrust into the Ureters or thick Matter conveyed from the Reins or other Parts into the Ureters The diagnostick Signs of the Stone The first Sign is a fixed Pain about the Region of the Loins the second is bloody Urine the third thin and little Water at the Beginning of the Fit which is sometimes succeeded by a total Suppression of Urine if both the Ureters be obstructed the fourth is the frequent voiding of Sand and little Stones the fifth is a Numbness of the Legs the Sixth is the drawing up of the Stones the seventh is Nauseousness and Vomiting The Cure of the Nephritick Pain and Stone sticking in the Reins and Ureters is peformed by dilating the Passages by the Explosion of the Stone or any other Matter which causes Pain and also by removing the antecedent Cause and mitigating the Pain to the which Indications the following Remedies answer Take of the carminative Decoction for a Glister ten ounces of the Electuary of Laurel-berries of the Electuary of Juice of Roses each three drams of Venice-turpentine dissolved in the Yolk of
Troches of Alkakengi which are peculiarly proper in this case must be used inwardly Also Emulsions of the cold Seeds of the Seeds of white Poppies adding if there be occasion Syrup of Poppies And lastly The Conserve of the Flowers of Marsh-mallows must be frequently given And the following Fomentation may be used to the Region of the Reins Take of the Roots of Marsh-mallows of the Leaves of Mallows Pellitory and Violets each one handful of the seeds of Flax Fenugreek and Alkakengi each three drams of the Flowers of Camomil Melilot and Water-lillies each one Pugil make a Decoction wherewith foment the Part with Flannels After the Fomentation use the following Liniment Take of Oyl of Violets and of sweet Almonds each one ounce and an half of Oyl of Roses one ounce of the Mucilages of the Seeds of Marshmallows and Fenugreek each two ounces of Suffron one scruple make a Liniment But to ease the Pain new Milk from the Cow with Dr. Gordon's Troches dissolved in it injected is the best Anodyne for it eases the pain and cures the Ulcer CHAP. XCI Of a Diabetes THis Disease was so rare amongst the Ancients that many famous Physicians made no mention of it but in our Age wherein excessive Drinking has been especially of Wine so much used there are many Instances of it As to the Cure The chief intentions of Healing are to prevent fusion of the Blood and to take off that which is so First The Fusion of the Blood is hindred when its gross and watry Parts contain one another and are contained so that they do not too hastily separate which may be effected by thickning Remedies and for this Purpose Rice Starch and Mucilaginous Vegetables also Gums and some resinous things are of use Secondly That the Fusion of the Blood may be taken off such Remedies are indicated as dissolve the Concretions of the Salts I have prescribed in this Disease the Tincture of Antimony with good success and Lime-water with the Seeds of Annise Raisins and Liquorish is much commended by some A Noble-man fell into a desperate Diabetes for besides that he voided a Gallon and an half of clear Urine that was almost as sweet as Honey in the space of a Night and a Day he was also afflicted with great Thirst a Hectick Feaver great Weakness and with a wasting of the whole Body he was cured in a short time by the following Medicines Take of the Tops of Cypress eight handfuls of the Whites of Eggs a quart of Cinnamon half an ounce having cut them small pour upon them four Quarts of new Milk and distill them in a cold Still Have a care of an Empyrema He took six ounces of it thrice a day Take of Gum-Arabick and Tragacanth each six drams of Penediate Sugar one ounce make a Powder give one dram or one dram and an half twice a day with three or four ounces of the distilled Water Take of Rubarb powdered fifteen grains of Cinnamon six grains make a Powder let him take it in the Morning and repeat it six or seven days after Take of Cowslip-water three ounces of Cinnamon-water hordeated two drams with half an ounce of Diacodium make a draught to be taken at Bed-time every Night His Diet was altogether in a manner of Milk which he eat sometimes crude sometimes boiled with Bread or Barley sometimes it was diluted with a distilled water or with Barley-water When he had been well a long time he fell into the same Disease again and the same Method and Medicines were ordered again whereby he grew better in a few Days afterwards he took five or six ounces of Lime-water daily thrice in a Day and having used it four days he voided Urine in a moderate quantity well coloured and somewhat salt I cured another of a deplorable Diabetes by the same Method especially with Lime-water CHAP. XCII Of Incontinence of Vrine INcontinence of Urine proceeds from a fault of the retentive Faculty of the Bladder it befalls either People waking and then the cause is great or sleeping and then it is less for at that time the Animal Functions are not so freely exercised and this happens two Ways viz. Either by the Weakness or Laxity of the Sphincter Muscle of the Bladder which sucking Children are subject to old People and some in their middle Age and others by false Imagination for many there are who by reason of excessive Drinking or by reason of the exquisite sense of the Bladder or sharp Urine piss in Bed in some sort willingly for they imagine in their Sleep that they are making Water against the Wall or some other Place and they are so accustomed to this Vice that they do it where there is no Fault either in Bladder or Muscle of it and they are not cured by Medicines but by rectifying their Imagination as in Children by the Rod and in grown People by placing some precious things upon the Places where they think they make water in their Dreams and by shewing such things to them often But a preternatural Disorder occasioning an Incontinence of Urine is seated in the Sphincter Muscle which is either affected Sympathically or Idiopathically it is affected by Sympathy many Ways as when the whole Body is weak and the Natural Heat decayed as when Death approaches or when the whole Body or half of it is seised with the Palsie or those Branches of the Nerves only which arising from the Os sacrum are communicated to the Bladder This Resolution of the Muscles is occasioned sometimes by reason of the Nearness to other Parts affected as in Women with Child in swellings and Pains of the Womb and great Diseases of the right Gut But the Sphincter Muscle is also affected various ways Idiopathically as by Wounds upon it as it happens in cutting for the Stone or by reason of deep Wounds that hinder the Contraction and Shutting of it but the chief and most frequent cause is a cold and moist Intemperies whereby that part is weakned and relaxed This Intemperies is much furthered by a natural cold and moist Constitution by Childhood Age the Feminine Sex by Diseases of the whole Body or of some Parts arising from a cold and moist Intemperies to which may be added external causes proper to produce such an Intemperies The Diagnostick Signs of this Disease either shew a Sympathick Disease which are to be taken from the Effects proper to produce an Incontinence of Urine mentioned above and if they are present we must suppose the Disease proceeds thence but if they are absent we must count it Idiopathick and if it be occasioned by a Wound Ulcer or any other Disorder of the Sphincter it is easily known but if none of these appear we must consider whither there be a cold and moist Intemperies of the part which may be known by the Constitution of the Internal and external Causes and by the Effects of them as softness of the whole Body a pale Colour a Laxity of the
must be us'd that thereby the Excrements bred in the Bowels and in the habit of the Body may be dissipated and also all that which is contain'd in the Womb the Skins being broken by the violence of the exercise And if the Woman vomit easily 't will be proper to vomit her twice a Week whereby not only the Humors flowing to the Womb may be recall'd and evacuated but also the Skins sticking to the Womb and sometimes containing a watry Humour may perchance be broken and so the ill Humors may flow out The following Bolus is very effectual to discuss the Humour contain'd in the Womb. Take of Mineral Borox half a drachm of Saffron half a scruple with the juice of Savin make a Bolus to be taken twice a week Sudorificks are also very proper in this Disease for by them the watry Humours contained in the Womb or the whole Body may be discuss'd and evacuated In the mean while the heat of the Stomach must be strengthened by things taken inwardly and outwardly apply'd And outwardly must be apply'd proper topical Remedies to strengthen the Womb and to discuss the Humors contain'd in it And first may be prepar'd Fomentations and Baths made of a decoction of the Roots of Briony and wild Cucumber of the Leaves of Dwarf-elder Mercury-elder wild Marjoram Calaminth Wormwood Rue Sage Marjoram Thyme Bays Penny-royal Mugwort of the Seeds of Broom Daucus Cummin Annise Fennel Laurel-borries and Juniper-berries the Flowers of Camomile Melilote and Rosemary of which may be made Bags to be boil'd in Wine or the foresaid things may be boil'd in a Lee made of the ashes of the Twigs of a Vine But that the foremention'd Fomentations may operate the better they must be applied before and behind and the Sick ought to sweat if she can in the Bed or in a Bath In a windy Dropsie dry Fomentations are more beneficial with Bags made of Gromwel Salt Cummin and Bran torrefied in a Frying-Pan and sprinkled with Wine After the Fomentation anoint the Belly with the Oils of Nard Dill Rue Wormwood and Southernwood which if they are drawn chymically will be much more effectual After you have anointed the Belly apply the Plaster of Laurel-berries or a Cataplasm of Cow-Dung Sheeps-Dung of the Seeds of Smallage Parsly Cummin and boiled Hony For the same use is commended the Skin of a Sheep newly kill'd and sprinkled with hot Wine Glisters must be also frequently injected made of a Decoction of Wormwood wild Marjoram Pennyroyal Rue Centory and the like or with Oils of Rue Nuts Dill and White-wine or Mallago-Sack wherein must be dissolv'd Benedictum Laxativum Turpentine Rosemary Hony and the like Injections for the Womb may be prepar'd in the following manner to evacuate the Humours contain'd in it Take of the Roots of Asarabacca three drachms of the Leaves of Pennyroyal and Calaminth each one handful of the Seeds of Savine one pugil of Mechoacan one drachm of the seeds of Annise and Cummin each half a drachm boil them and in the strain'd Liquor dissolve of Oil of Orrice and of Elder each one ounce in six ounces of the Liquor and make an Injection For the same Use Pessaries may be made in the following manner Take of Coloquintida and Mechoacan each one dracm of Salt of Niter half a scruple with a sufficient quantity of boil'd Hony make a Pessary Or Take of Elaterium half a drachm of Figs bruis'd a sufficient quantity make a Pessary When the Inflation is occasion'd by Wine a Fume made of Nutmegs and conveyed through a Tunnel has done much good And in the same case a Cupping-Glass applied to the Navel with much Flame discusses Wind powerfully But when the Disease is humoral Issues in the Legs discharge the Filth of the Womb by degrees The Bath-waters used inwardly and outwardly are also very good if the Body be not very hot For the Pain of the Womb which often afflicts the Sick in this Disease Amatus Lucitanus commends the Water or Decoction of Camomel four or five Ounces of it being taken at a time And lastly if an Inflation happen after Delivery there is no need of any other Cleansing than that of the Womb but if it does not proceed well it must be helpt by drawing Pessaries and by Cupping-Glasses applied to the Thighs and by other Remedies prescrib'd for the Stoppage of the Courses and if Wind be the cause the Fume of Nutmegs above-proposed is very proper CHAP. CIV Of a Falling of the Womb. FOR the Cure of this Distemper regard must be had to two things the first is to reduce the Womb into its natural Place and the second is to strengthen it and keep it there For the Execution of the first which is to reduce it if the Womb be quite out or turned the Woman must first of all render her Urine and a Glister must be given if it be necessary to empty the gross Excrements that are in the right-Gut that so the Reduction may be the easier perform'd then place her on her Back with her Hips rais'd a little higher than her Head and then foment all that is fallen out with a little Wine and Water luke-warm and with a soft Rag put it up into its proper Place thrusting back not all at once but waging it by little and little from side to side in case this be too painful because 't is already too big and swell'd anoint it with Oil of Almonds for the more easie reduction of it being careful as soon as 't is reduc'd to wipe off the Oil as much as may be to avoid a Relapse But if notwithstanding all this the Womb cannot be put up because 't is very much inflamed and tumified which happens when it has been a long time so without the use of necessary means during which time it is continually moistned with Urine and other Excrements which contribute very much to its Corruption in this case there is great danger that 't will gangrene Also the second part of this Cure which consists in the retention of the Womb in its place and the strengthning of it It will be done by a convenient situation Let the Woman for this purpose keep her self in Bed on her Back having her Hips a little raised her Legs something crossed and her Thighs join'd together to prevent the falling of it out again but the best way is to put up a Pessary into the Neck of the Womb to keep it firm There are two or three sorts of them made for this purpose the Figures of them may be seen in Moriceau's Midwifery see Page 311. Take of Oak-Bark two ounces boil it in two quarts of fountain-Fountain-Water add at the latter end one ounce of Pomegranate-Peel bruis'd red Roses Pomegranate-Flowers each two handfuls and then add half a pint of red Wine strain it and bath the part affected with Flannels dipt in it in the Morning two hours before the Woman rises and at Night when she is in Bed continue
Carminative Medicines be applied below the Navel of the Patient such are Bags of Anniseeds Fennel-seeds Fenugreek-seeds Flowers of Camomile Elder Rosemary and Stechas mixed together or a Rose-cake fried in a Pan with rich Canary and sprinkled with Powder of Nutmegs and Coriander-seeds or the Gaul of a Wether newly kill'd or his Lungs laid on warm If by these means the pains cease not let a Glister be injected made of Wine and Oil wherein two drachms of Philonium Romanum may be dissolved or Narcoticks may be given inwardly in a small quantity to allay the violence of the Humors and Wind as we are wont to do in the pains of the Cholick But if by reason of contumacious pains that will not be asswaged or of the violence of some external cause Blood begins to come away Medicines that cause Revulsion are to be applied to turn the course of the Blood from the Womb such are Frictions of the upper parts and painful Ligatures also Cupping-glasses fastened to the Shoulder-blades under the Dugs and under the short Ribs on both sides and if the Woman be full of Blood it will not be amiss to take some blood from her when she begins to void blood and especially before it begins to come and the blood must be taken away at several times a little at once And if the flux of blood continues we must proceed to an astringent and thickening Diet and Medicines and so the Powders and Electuaries before described may be administred also juice of Plantain new drawn and syrup of Poppies to the quantity of an ounce with Powder of Bole-armenick or Dragons-blood Also binding and astringent Fomentations may be used outwardly made of Pomgranate-peels Cypress-nuts Acorn-cups Baclaustins Grape-stones and the like boiled in Smiths water and red Wine Or a little bag full of red Roses and Balaustins may be boiled and applied hot to the Patient's Belly The above-mentioned Plasters and Cere-cloaths may be used and to bind more make a Pultiss of astringent Powders with Turpentine and whites of Eggs spread it upon Tow or course Flax and apply it to the Navel and Reins warm The Tow that is to be applied to the Navel must be moistened with Wine that which is to be apply'd to the Kidnies with Vinegar The two following Medicines are accounted Secrets and it is believed they will certainly retain the Child in the Womb if they be used before it be torn from the Vessels of the Womb. Take of Leaves of Gold number twelve of Spodium one drachm the Cock's treading of three Eggs not addled mix all very well till the Gold be broken into small pieces afterwards dissolve them in a draught of white Wine and give it three Mornings following At the same time let the following Cataplasm be applied Take of Male-frankincense powdered two ounces the whites of five Eggs let them be stirr'd together over hot Coals add Turpentine to make them stick then spread them upon Tow and lay them upon her Navel as hot as she can possibly endure them twice a day Morning and Evening on the three days aforesaid CHAP. CVII Of hard Labour THAT is said to be hard Labour which does not observe the due and ordinary course of Nature and longer time is spent in it and the pains are more violent than usual and the Symptoms that accompany it are more grievous Many Causes may be assigned of it both external and internal The internal depend on the Mother the Womb or the Child As to the Mother the natural weakness of the whole Body may make the Labour difficult or her Age she being too young or too old or it may be occasioned by Diseases which she had with her Big-belly Leanness and too much dryness of the Body or Fat compressing the Passages of the Womb the ill conformation of the Bones encompassing the Womb as in those that are Lame may also occasion it Wind swelling the Bowels a Stone or a preternatural Tumour in the Bladder that presses the Womb may be the cause so may the ill constitution of the Lungs or of the parts serving Respiration For the holding of the Breath is very necessary to help the exclusion of the Child As to the Womb various Diseases of it may render the Delivery difficult as Tumors Ulcers Obstructions and the like As to the Child hard Labour is occasion'd when by reason it is dead or putrified or any way diseased it cannot confer any thing to its own exclusion Also when the Body or Head of it is large or when there are many So Twins most commonly cause hard Labour or when it is ill situated as when the Hands or the Feet offer first or when one Hand or one Foot comes out or when it is doubled or when the Membranes break too soon so that the Water flows out and leaves the Orifice of the Womb dry at the time of exclusion or when the Membranes are too thick so that they cannot be easily broken by the Child The external causes depend on things necessary and contingent things necessary are those which are commonly call'd Non-natural so cold and dry Air and a North-wind are very injurious to Women in Labour because they bind the Body and drive the Blood and Spirits to the inner Parts and they are very injurious to the Child coming from so warm a place also hot Weather dissipates the Spirits and weakens the Child and causes a Fever in an ill habit of Body Crude Aliments and such as are difficultly concocted and those that bind taken in great quantity before Labour do render it difficult the Stomach being weakened and the common Passages contracted which ought to be very open in this case Drowsiness hinders the action of the Mother and Child and shews that Nature is weak The unseasonable motion of the Woman much retards the delivery as when she refuses upon occasion to stand walk lie or sit or flings her self about unadvisedly so that the Child can not be born the right way being turned preposterously by the restlesness of the Mother The retention of such things as should be evacuated at the time of Labour as of Urine that swells the Bladder or Excrements in the right Gut the Hemorrhoids also much swelled narrow the neck of the Womb and so hinder Natures endeavours And lastly violent Passions of the Mind as Fear Sorrow and Anger make the Labour difficult To things contingent ought to be referred a Blow a Fall or a Wound which may much obstruct Labour also the By-standers which ought to assist the Woman viz. strong Women and Maids which may lift her up just at the time of Delivery especially a skilful Midwife which ought to advise in every matter for if she be unskilful she may make the Labour difficult For sometimes the Midwife orders the Woman to endeavour an Expulsion and to stop her Breath when the Ligaments of the Fetus stick firmly to the Womb so that the Woman is tired before the time of her Delivery
Difficult Labour is known both by the Woman by the By-standers and especially by the Midwife And first if the Woman continue a long time in Labour viz. two three four or more days whereas a natural Birth is finished in 24 hours Another Sign of difficult Labour is languid pains returning at long Intervals also the pains tending backward rather than forward But the Causes of difficult Labour may be known by the Womans Relation and most commonly upon sight So the weakness of the Woman or leanness or over-fatness may be seen by the habit of Body The Diseases of the Womb may be known by their proper Signs the weakness of the Child by the weak and slow motion of it But the signs of a dead Child may be known by the following Chapter The bigness of the Child may be judged of by the stature of the Parents especially if a gigantick Man be married to a dwarfish Woman But when there are none of these Causes and the Womans and Childs endeavours are strong and yet the Labour is difficult it is a sign that the Secundine is so strong that it cannot be easily broken and this will be confirmed if no water or moisture flows out in Labour The preposterous figure of the Fetus may be perceived by the Midwife and other things as has been said by sight As to the Prognostick difficult Labour is of it self dangerous and sometimes the Woman and sometimes the Child and sometimes both are extinguished If a Woman continue in Labour four days she will hardly escape Sleepy Diseases and Convulsions coming upon hard Labour are most commonly deadly Sneesing coming upon hard Labour is good As to the Cure of hard Labour First all those things which retard it must as much as may be be removed afterwards Medicines that further Labour must be methodically administred And first it is common with Women to give a spoonful or two of cinnamon-Cinnamon-water or Cinnamon powdered with a little Saffron or half a drachm of Confection of Alkerms in broath or half a scruple of Saffron alone in some broath or every hour in a little VVine Or Take of Oil of sweet Almonds and of white Wine each two ounces of Saffron and Cinnamon each twelve grains of Confection of Alkermes half a drachm of syrup of Maiden-hair one ounce and an half mingle them make a Potion If these things are not sufficient the following may be used which I have frequently found very effectual Take of Dittany of Crete and both the Birthworts and of Troches of Myrrh each half a scruple of Saffron and Cinnamon each twelve grains of Confection of Alkermes half a drachm of Cinnamon-water half an ounce of orange-flower-Orange-flower-water and of mugwort-Mugwort-water each one ounce make a Potion Oil of Ambar of Cinnamon and extract of Saffron are very effectual in a small quantity viz. five grains of extract of Saffron four or five drops of Oil of Cinnamon twelve or fifteen drops of Oil of Ambar in VVine Broath or some other Liquor Sneesing hastens Delivery it may be provoked by the following Powder Take of white Hellebore half a drachm of long Pepper one scruple of Castor five grains make a Powder let the quantity of a Pease be blown up into the Nostrils But difficult Labour must be helpt not only with inward Remedies proposed but also with external let the Midwife therefore frequently anoint the VVomb with the Oils of Lillies sweet Almonds Linseed and the like and let the Belly be fomented with an emollient decoction of the Roots of Marsh-mallows Lillies the leaves of Mallows Violets Mugwort of Linseeds Fenugreek-seeds of the flowers of Camomile and Melilot Sharp Glisters are to be injected by the irritation of which the expulsive faculty of the VVomb will be stimulated and the Guts being emptied thereby there will be more room for the VVomb Anoint the Navel with Oil of Ambar and such things as are thought to help Delivery by a specifick quality are to be used as the Eagle's-stone the Load-stone Storax Calamint and the like bound to the Hips and if the Woman has any Gems about her as in Rings or the like they must be pull'd off for many Women think that such things retain the Child by a specifick Quality If the Child seem to be weak it must be refreshed by giving strengthening things to the Mother as hot Wine Confection of Alkermes Cinnamon-water and the like If the Child begins to come forth preposterously as with one Arm or first with the foot or the like the Midwife must thrust them back and turn the Child right which may be done by placing the VVoman in a Bed upon her back with her Head low and her feet high and then force the Child gently into the VVomb and then the Midwife must endeavour to turn it right viz. to turn the Face towards the Mothers back and the Buttocks and Legs must be elevated towards the Mothers Navel and so she must hasten a legitimate Birth But all hopes of Delivery being past or the Mother being near Death some Authors propose the Cesarian Section whereof Franciscus Rossetus wrote an excellent Treatise wherein he endeavours to shew by many Arguments that it may sometimes succeed But because this operation is dangerous and very terrible it ought rarely or never to be attempted by a prudent Physician if he values his own Reputation CHAP. CVIII Of a Dead Child WHen the Child is dead the Motion of it ceases which either the Mother felt before in the Womb or the Midwife with her Hand a greater sense of weight with Pain afflicts the Belly when the Woman turns from side to side she perceives the Child fall like a Stone from one part to another the Belly feels cold the natural Heat being extinguish'd and the Spirits dissipated which were contained in the Child the Eyes are hollow the Face and Lips pale the extream parts cold and livid the Breasts flaccid and at length the Child putrifying a fetid Ichor and Sanies flows from the Womb an ill and strong smell exhales from the Woman's Body and her Breath stinks If the Secundine be excluded before the Fetus it is a certain Sign that the Child is dead The whole Cure consists in the exclusion or extraction of the Child Take of the Leaves of Savin dryed of the Roots of round Birthwort of the Troches of Myrrh and of Castor each one drachm of Cinnamon half a drachm of Saffron one scruple Mingle them make a Powder whereof let her take one drachm in Savin Water In the mean while apply to the Pubes Privities and Perineum an emolient Decoction After the Fomentation anoint the Parts with the Ointment de Arthanita and let a Pessary be put up the Privities Take of the Roots of round Birthwort Orris black Helebore of Coloquintida and Myrrh each one drachm of Galbanum and opopanax each half a drachm With Ox-Gall make a Pessary It is also proper if the Strength be sufficient to give a Purge Angelus
Wherefore in this case till she has been well Purged by a long flux of the Lochia the fierceness of the Symptoms must at present be only appeased The Indications of the Small-pox are not only contrary to those above-described but also to one another for the flux of the Lochia must be moderately restrained but in the mean while the Efflorescence of the Blood and gentle Sweating must be continued For seeing a twofold venomous Ferment is in this Disease and the corrupt Particles of the Blood are to be carried out two ways we must take care that the least and narrowest Passage do not draw all the Matter or more than it can let out Wherefore lest the Lochia flowing plentifully should turn inward the Venom that is inclined to go off by Sweat the course of Diet must be somewhat changed and first such things as are of an Alexipharmick and astringent nature must be boyled with their Broaths as the Roots of Tormentil and Bistort also Powders Juleps and Electuaries endued with such Vertues must be given at due Intervals and in this case the Woman must be no ways allowed Flesh or the Broath of it not must she Rise but she must be kept as quiet as is possible and the whole Business must be left in a manner to God and Nature All Women in Child-bed have an inbred Venom and they ought to be careful of it and to avoid it as much as the greatest Malignity Wherefore they ought to use an exact course of Diet whereby the Impurities of the Blood and Humours may be purged in Child-bed without the danger of a Fever and that the disorders of the Womb may be heal'd and their strength weakned by Delivery may be restored To which end three things are to be minded First An exact course of Diet must be ordered viz. That they be fed for a Week at least with Water-Gruel sometimes made with Beer sometimes made with Water mix'd with Whitewine or with Panada and other things of easie Digestion Secondly They must take great care that they do not catch Cold whereby the Pores and the Lochia may be stopt wherefore let them continue in Bed at least till the Tenth day Thirdly The Lochia must be gently provoked to this end Midwives when after hard Labour there is danger of a stoppage of the Lochia give Sperma Caeti Irish Slates Powdered or White Wine tinctured with Saffron and they make the Gruel with Water and White Wine wherein as also in Posset Drink they Boyl Marygold Flowers the Leaves of Penny-royal or Mugwort CHAP. CXIII Of Childrens Diseases Of ordering them and of the Choice of a Nurse A Child which during the stay in its Mother's Belly had no other Nourishment but the Blood it received by the umbilical Vessels hath for want of that after its Birth need to take some by the Mouth and Suck Breast-Milk however it is not good to give it Suck as soon as it is Born to prevent that so sudden a Change as well in respect of the difference of Nourishment as the manner of receiving it lest it cause some alteration in its Health First therefore empty the Phlegm out of its Stomach by giving it the first three or four days some Wine and Sugar to cut and loosen it to prevent the Milk he shall take from Corrupting it being mixed with this viscous Phlegm wherefore it is best to stay until the next day before you give it Suck It were to be wished that the Mother shou'd not give it Suck until the Eighth day of her Child-bed at soonest and it is best if she stay three Weeks or a Month for in that time she will be well Purged by the Lochia and the Blood will be much more pure besides the small holes of the Nipples are not at first sufficiently opened and therefore it is necessary for a Woman to Suck first But often poor People cannot observe so many Precautions and such Mothers are obliged to give their Children Suck from the first day and likewise others will not suffer any but themselves to do it In this case let her Breasts be a little drawn by some old Woman or some lusty sucking Child or they may Draw them themselves If the Nurse has much Milk she must not give the Child any thing else at least the first two Months As to the quantity of Milk the Child ought to suck it must be proportionable to his Age and Strength in the beginning he must not suck too much nor too often afterwards by little and little let it be daily augmented until he may take his fill but he may suck at any time night or day After the Child has suck'd two or three Months more or less according as one finds he needs stronger Nourishment give him then Pap made of Flower and Milk though but little at first and not too thick lest his Stomach may be overcharged When the Child has taken Pap thus made which must be but once a day especially in the Morning or twice at most the Nurse may give it a little suck to the end that being washed down into the Stomach the Digestion may be the better and easier made There are many Women who give their Children Pap as soon as they are Born and Nurses who have little Milk ordinarily do so to hinder their Crying as they will do when they are Hungry But sometimes this of it self is enough to kill them because of the Indigestion and Obstruction it occasions which by reason of its gross and viscous consistence can scarce find Passage through the Stomach and Guts which at the beginning are weak and not sufficiently opened and dilated whereby there happens to Children great Oppressions difficulty of Breathing Gripes Swellings Pains of the Belly and often Death Wherefore do not give it the Child till after the first or second Month at soonest and if you forbore it three or four Months he would thrive the better provided the Nurse does not want Milk When he is in the Cradle let it be so turned as it may be towards the Fire the Candle or the Chamber Window that having the Light directly in its Face he may not be allured to look continually on one side for doing so often his Sight will be so perverted that he will grow Squint-ey'd Wherefore for the better secucurity throw some Covering over the head of the Cradle Many Children are so Grip'd that they can't forbear Crying night nor day and some die so and this is very often the first and most common Disease that happens to little Infants after their Birth To remedy all these Pains which Women generally call Gripes respect must be had to their different Causes As to that which is the general cause viz. The too sudden change of the Nourishment you must forbear giving the Child Suck till the next day lest the Milk being mix'd with the Phlegm which is in the Stomach corrupt and at first it must Suck but little until it
first to preserve the Child from the ill Accidents that may happen to it by reason of the great pain Secondly to assist as much as may be the cutting of the Teeth when they can hardly cut the Gums themselves To prevent these Accidents the Nurse must keep a good Diet and use all things that may cool and temper the Milk that a Fever may not follow the pain of the Teeth and to hinder the falling of the Humors upon the inflamed Gums keep the Child's belly always loose to which purpose give him a gentle Glister if the Belly be bound but there is commonly no need of it For at this time the Children are usually troubled with a Looseness As to the second which helps the cutting of the Teeth that the Nurse must do from time to time by gently rubbing the Childs Gums with her Finger to which end the Child it felf may be useful if they give a little Stick of Liquorish to them or a small piece of a new Wax-candle which is very good to soften the Gums Coral is also often used to this purpose and the Teeth of a Wolf But these things that are peculiarly proper what they do is by their Solidity and Roughness But if these things do no good the Gums must be cut with a Lancet to prevent ill Accidents As soon as little Infants are in the least indisposed they very commonly fall into a Looseness to which their natural moisture very much contributes For the most part the Looseness happens to them by reason of the great Pain they have at the cutting their Teeth It may also happen by the vitiousness of the Nurses Milk But if the Looseness be not accompanied with a Fever or some other Accident it is not dangerous but if it continue so long it will not be amiss to remedy it For this purpose let the Child suck good Milk and give it a slight Infusion of Rhubarb or a little compound Syrup of Succory gentle Anodyn Glisters may be also given made of Milk yolks of Eggs and Hony of Violets and after Purging let them be made with plantain-Plantain-water and mix the yolk of an Egg with the Pap. Anoint the Belly with Oil of Quinces and lay on the Stomach a Compress dipt in red Wine wherein Province Roses have been boiled Vomiting usually happens to Children because they often draw more Milk than their little Stomachs can easily contain or digest A Cough does sometimes occasion it so does the swathing of the Belly too hard When the Vomiting is too frequent it is fit it should be stopped to which end regard must be had to that which causes it as when the Child sucks more than it should the Nurse must not give it so much but it must suck but little at a time that the Stomach may the easier contain and digest what it receives If it be occasioned by an ill quality of the Milk the Nurse must be changed for a better if from a Cough it must be helped by things fit to appease it The Nurse must not dance it rudely nor rock it fiercely after it has sucked Care must be likewise taken that it be not too close wrapt and swathed about the Stomach And it will be very convenient to purge the Infant with a gentle Infusion of Rhubarb or with half an ounce of compound syrup of Succory And after it has been well purged it may take a little syrup of Quinces to fortify the Stomach and a Compress dipt in red Wine wherein Province-roses Cinnamon and Cloves have been boiled may be applied to the region of the Stomach Children are sometimes afflicted with Scabs in the Head and Face but the course of these Humors must by no means be hindred by driving them inwards because their Evacuation defends little Infants from many ill Diseases and we ordinarily see them whose Bodies have a long time purged away such Superfluities to be better in health after they have cast forth all this kind of Corruption But Endeavours must be only used to hinder the generation of more of these ill Humors in the Child wherefore a healthy Nurse must be provided whose Milk is pure and cool the Child's Belly must be kept open and purged upon occasion with a little syrup of Roses or of Succory that so the Humors may not be sent in too great abundance to the Head and that the Sanies under the Scabs may not eat and corrode the Skin and so cause deep Ulcers it will not be amiss also to make the Scabs fall off that there may be a freer vent or issue for which end fresh Butter is ordinarly made use of to moisten them or Oil of sweet Almonds afterwards apply a Cabbage-leaf and change it twice or thrice a day As to the choice of a Nurse the first and principal of all the Qualities in a good Nurse is That she be the own Mother of the Child as well because of the mutual agreement of their Tempers as that having much more love for it she will be much more careful than an hired Nurse who ordinarily loves her Nurse-child but with a feigned and seeming Love having no other end or foundation but the hope of the Recompence she expects for her Hire Wherefore the true Mother though not the best Nurse should ever be preferred before a Stranger But because there are several that either will not or cannot suckle their own Children there is a necessity to provide an other Nurse which should be chosen as convenient for the Child as may be Now as we see Trees produce Fruits of a different Taste by reason of the difference of the nourishment so the Health of Children and sometimes their Manners depend on the nourishment they receive at the beginning For as to the health of the Body it is well known it answers the Humors that all the Parts are nourished and maintained with which Humors ever retain the nature of the Food whereof they are engendred As for the Manners they ordinarily follow the Temperament which also proceeds from the quality of the Humors and the Humors from the Food By this consequence as the Nurse is so will the Child be by means of the nourishment it draweth from her and in sucking her it will draw in both the Vices of her Body and Mind This appears very easily in Animals that suck a strange Dam for they always partake something of the Creature they suck being accordingly either of a mild or fiercer Nature or of a stronger or weaker Body which may be noted in the Example of young Lions tamed by sucking a domestick Animal as a Cow a Goat or Ass and on the contrary a Dog will become more furious or fierce if it sucks a Wolf The necessary Conditions of a good Nurse are usually taken from her Age the time and manner of her Labour the good constitution of all the parts of her Body and particularly of her Breasts from the good Nature of her Milk and in fine
must go before Sometimes immoderate sweating afflicts the Child which if it follow a feverish Fit is critical and ought not to be rashly stop'd but if it flow inordinately it is a Sign that the Body is oppressed with ill Humors and therefore this sort of Sweat must be corrected by a gentle Purge especially with Rhubarb A Vomit does also good sometimes in this case Aperitives also and such things as help Concoction must not be omitted Moreover breeding of the Teeth difficultly is familiar to this Disease which often occasions a Fever in which case gentle Evacuations especially by Glisters must be made tho' sometimes Purging and Vomiting gently are of use If the Tooth be about to pierce the Gum Nurses are wont to rub the Gum with a piece of polished Coral but the roots of Marshmallows or sharp pointed Dock will do as well But sometimes it is necessary to cut the Gum to make way for the Tooth and to apply Blisters behind the Ears and if there be great pain and watching Hypnoticks must be used as one or two drachms of Diacodium in a spoonful of Cowslip-water Besides internal Medicines and chirurgical Helps external things also must be used as Exercises of all sorts and if the Child be able walking frequently if not he must play sitting or be carried about in the Nurses Arms and the like Frictions are also good in this case with warm Flannels the parts to be rubb'd are the Spine which is primarly affected and the muscular Parts but with this caution that you must not rub the Bones where they stick out but you may rub freely the concave parts of the Bones Ligatures are also of use which are to be made above the Knee and above the Elbow but they ought to be soft and loose Boots are also of use but you must take care that they press a little upon the protuberant part of the bone and scarce touch the cavity Bodice are also to be used to keep the Body upright Swinging is also necessary Lastly we will mention some things that are to be applied outwardly A fomentation of all sorts of Wine also common Aqua Vitae is very good to corroborate the nervous parts which must be used for the weak parts and especially for the Spine which being done the parts must be anointed with Oil or some proper Ointment which we shall mention by and by and instead of Wine the following Decoction may be used Take of the roots of Osmund-royal or of male-fern three ounces of the leaves of Bettony Sage Rosemary Marjoram Water-cresses each one handful of the flower of Camomel Melilot and Elder each one pugil of the berries of Lawrel and Juniper each half an ounce boil them in a sufficient quantity of fountain Water to a quart add of white-White-wine or of common Aqua Vitae one pint keep the strained Liquor for use Take of the leaves of Elder Lawrel Marjoram Sage Rosemary Bettony and the tops of Lavender each two handfuls of the berries of Juniper and Lawrel each one ounce cut them and bruise them and put them into a Vessel with three pound of May butter or of fresh butter not salted and add to them half a pint of Aqua Vitae boil them to the consumption of the Aqua Vitae and while the strained Liquor is hot add half an ounce of the Oil of Nutmegs by expression and one drachm of Peruvian balsam mingle them make an Ointment Instead of May-butter Beef Marrow or Deers Suet and Oil of Worms or Oil of Foxes each one pound and an half may be used The Ointments must be applied warm before a hot Fire and naked with a warm hand till the parts are dry If the Belly be hard and swelled the following Ointment must be applied Take of the Oils of Cappers Wormwood and Elder each one ounce of the Ointment above described one ounce and an half of Gum Ammoniacum dissolved in Vinegar half an ounce make a Liniment Whilst Ointments are applied to the Hypochondres the bowels must be handled by the Nurse If the Lungs are affected the Breast must be anointed with the pectoral Ointment or with the Ointment of Marsh-mallows or both mixed together and at the time of Unction a little Oil of Nutmegs by expression may be mixed with it The Nerve-Plaster or a Plaster of Bettony may be apply'd to the Spine CHAP. CXV Of the Gout THe Gout chiefly seizes those Old Men who after they have lived the best part of their Lives tenderly and delicately indulging themselves freely with splendid Banquets Wine and other spiritous Liquors at length by reason of the sloth that always accompanies old Age wholly omit those excercises of Body which young Men are accustomed to Moreover they who are obnoxious to this Disease have large Skulls and are most commonly of a gross habit of Body moist and lax and of a lusty and luxuriant Constitution the best and richest foundation for Life Not that the Gout only seizes those that are corpulent for sometimes though seldomer it invades thin People nor does it wait always till they are Old for sometimes it seizes those that are in the flower of their Age when they have receiv'd the unhappy Seeds of the Disease from their Parents as it were ex traduce Or if this be not the cause they have too early us'd Venery or have quite forsook violent Exercises that they us'd formerly Moreover they have great Stomachs and have drank spirituous Liquors immoderately and afterwards they have suddenly betook themselves to thin and cooling Liquors I will discourse of this Disease as it proceeds regularly and afterwards of its anomalous and uncertain Phaenomena When the Gout is regular it seizes the Patient most commonly after this manner about the latter end of January or at the beginning of February it comes suddenly and for the most part without giving any notice except that the Patient has been troubled with indigestion and crudities of the Stomach for some Weeks before Moreover the Body is oppress'd and puff'd up with Wind which daily encreases till the Fit thunders upon him but a few days before it comes the Thighs are benummed and there is as it were a descent of Wind through them with convulsive motions and the day before the Fit the Appetite is sharp but not natural He goes to Bed and to sleep well but at two a clock in the morning is wak'd by the pain seizing either his great Toe the Heel the calf of the Leg or the Ankle This pain is like that of a dislocated Bone with the sense as it were of Water almost cold pour'd upon the Membranes of the part affected presently shivering or shaking follows with a feverish disposition the pain is very gentle but increases by degrees and in like manner the shaking and shivering go off and that hourly till towards night it comes to its height accommodating it self neatly according to the variety of the Bones of the Tarsus and Metatarsus the Ligaments whereof
ought to be sustained Morever as to the quality of the Meat though things of easy digestion considered by themselves are to be preferred before things of hard digestion yet regard must be had to the Patient's Palat for we must take notice That that which the Stomach earnestly craves for though of difficult digestion is sooner concocted by Nature than that which is accounted to be of easier digestion if it be offensive to the Stomach but those things that are reckoned of hard digestion are therefore to be eaten more sparingly And I suppose the Patient ought to feed upon one sort of Meat at a meal for various sorts of Flesh eaten at once disturb the Stomach more than one sort eaten in the same quantity as to other things besides Flesh let him eat at pleasure if they are not sharp nor salted nor spiced As to the times of eating a Dinner is only necessary for the Bed being most proper to digest the Humors that time ought not to be wasted about concocting the Meat therefore they that are subject to the Gout should not eat Suppers yet they may allow themselves a large draught of small Beer for such are inclinable to breed the Stone in the Kidnies the concretion whereof is much hindred by such kind of Liquor drunk at this time the Reins being cooled and cleansed thereby The drinking of Milk or a Milk-diet either crude or boiled without any thing else except perhaps a piece of Bread with it once a day has been much used this 20 years and it has done more good to many than any other sort of Remedy for this Disease as long as they kept to it but as soon as they return to common Diet though of easy digestion the Gout returned more violently than before and held them longer therefore he that intends to betake himself to this method ought first to consider seriously whether he can persist in the use of it all his Life long which perhaps is not in his power how resolved soever he may be For I knew a Noble Man who after he had been dieted with Milk only a whole year with pleasure all which time he went to Stool daily once or oftner was forced to leave it off by reason he was suddenly bound in Body and the temper of his Body altered and because at length his Stomach nauseated Milk tho' the inclination of his Mind still continued but some Hypochondriacal People of a gross habit of Body or who otherwise have accustomed themselves much and a long while to spirituous Liquors can by no means bear a Milk-diet As to Liquors those in my opinion are best that are neither as strong as Wine nor as weak as Water of which sort is our London small Beer either with or without Hops for extreams on either hand are hurtful But now though it may be sufficient for him that has the Gout but little and at sometimes only to use small Beer and diluted Wine the degree of his Disease not requiring more severe usage yet when the whole substance of the Body is as it were degenerated into the Gout he will be less able to conquer the Disease who does not wholly abstain from any sort of fermented Liquors though small and mild therefore a dietetick Drink must be prescribed for his ordinary Drink The following pleases me best Take of Sarsaparilla six ounces of Sassafras China and the shavings of Hartshorn each two ounces of Liquorish one ounce 〈◊〉 them in two gallons of Fountain-water for half an hour afterwards let them stand covered in hot ashes 12 hours afterwards boil them to the consumption of a third part As soon as it is taken from the fire infuse in it half an ounce of Anniseeds after two hours strain it and let it stand till it is clear keep the clear Liquor in Glass-bottles for use This Liquor is most conveniently us'd at first when the Patient recovers of the Fit and he must persevere in the use of it all the rest of his Life as well when he has the Fits as at other times at the same time the foresaid Electuary must be us'd daily as well in the Fits as when they are off Yet if the Sick by reason of a long and too great use of intoxicating Liquors or by reason of old Age or Weakness cannot concoct his Meat without Wine or some other fermented Liquor he cannot leave it off suddenly without great danger the doing whereof has been fatal to very many therefore in my Opinion he shou'd not use the dietetick Apozem at all The Sick must go to bed early for besides Bleeding and Purging nothing does so much destroy the strength of Nature as watching a-nights Moreover Tranquility of Mind must by all means be obtain'd but the exercise of the Body is more profitable than all other things that are us'd to hinder the indigestion of the Humors and to corroborate the Blood and to restore strength to the parts but unless 't is used daily 't will do no good yet it must not be violent As to the kind of Exercise riding on Horseback when old Age and the Stone do not hinder is much to be preferrâ—d before the rest if this cannot be used riding in a Coach does almost as well And on this account at least it is well with gouty People for their Riches which enticed them to Luxury whereby the Disease was bred can provide them a Coach which kind of exercise they may use when they cannot the other But it is to be observed that it is best to use exercise in a good Air viz. in the Country and not in the City where the Air is filled with Vapors exhaling from the Shops of various Artificers and thickned by the closeness of the Buildings as it is here in London which is generally supposed to be the largest City in the whole World As to Venery old and gouty People must not indulge themselves in it But notwithstanding what has been said of the utility of exercise in the Fits of the Gout if the Sick by reason of the violence of the Fit is as it were overwhelmed presently by the first assault of it which happens to those for the most part in whom the Gout has now come to its height nor is yet grown gentle by a course of many years In this case if the Sick is confined to a Chamber it will also be convenient that he keep his bed for some of the first days till the violence of the pain is abated for the bed does somewhat supply the want of Exercise For the continual use of it does more powerfully digest the morbisick Matter in a few days than keeping up in many especially at the beginning of the Disease if the Sick can abstain from Flesh without fainting or other ill Symptoms and can be contented only with Barly-broath small Beer and the like But you must take notice that if the Gout is inveterate and inclines the Sick to Fainting Gripes and Loosness
the disease was violent the sick had as it were a Fit in the evening and then the Symptoms raged more cruelty In the next place I will treat of the irregular Symptoms that happen in this disease when it is unskilfully handled It is to be noted therefore that the irregular Symptoms that occur on the eight Day in the distinct small Pox and those that happen on the eleventh in the Flux always reckoning from the first approach of the Disease are of very great moment with respect either to the Life or Death of the patient and therefore they ought to be exactly weighed for it is manifest that the greatest part of those that die of either sort die on the days above-mentioned When Sweat is promoted much by Cordials and hot Regimen the Particles are eliminated which should have served to elevate the Pustles and to swell the Face on the Eight Day and it appears flaccid and white and the Sweat which flowed freely to this day now ceases of its own accord nor it can it be raised again with the hottest Cordials The patient is taken light-headed of a sudden with Anxiety violent Sickness and restlessness he makes Water often but little at a time and in the space of a very few hours takes leave of his Friends and repairs to his long home But in the Flux the Sick is in the greatest danger and most commonly dies on the 11th Day for the Salivation which hitherto preserved the Patient is wont to cease of its own accord at this time Therefore unless the swelling of the Face persists a little longer and that of the Hands now manifestly beginning supplies it's place the sick must necessarily perish But it happens too often in this hot Disease that the Crasâ—s of the blood being weakened and broke by an over-hot Regimen and being so highly inflamed that it is no longer able to exterminate leasurely the inflammatory Particles to say nothing at present of those Mischiefs that are occasioned by sweat unseasonably forced so that either the Face or Hands do not swell at all or the Tumour vanishes with the Salivation There are yet other symptoms that happen at any time of the Disease and belong as well to the distinct small Pox as the Flux As a Frensie a Coma and Purple Spots which are most commonly the forerunners of Death and sometimes there is a bloody Urin or Blood is cast up from the Lungs both these Hemorrhages happen most commonly at the beginning of the Disease before the Pustles come out sometimes also there is a total suppression of Urine There are also other symptoms that sometimes arise from a cause contrary to those above mention'd when the Patient has been injured by violent Cold or excessive Bleeding or by being over purg'd viz. the Pustles fall of a sudden and a Loosness supervenes so that the Patient if he be Adult is in great danger moreover the Tumour of the Face and Hands is repell'd on this account But the Symptoms that proceed from taking Cold very rarely occur for what those do that are occasioned by too hot a Regimen As soon as the Signs of this Disease shew themselves I keep the sick from the open Air and forbid them the use of Wine and Flesh and allow them small Beer gently warmed with a Tost for their ordinary Drink and now and then permit them to drink as much of it as they will I order them for their Victuals Oatmeal and Barly Broaths and rosted Apples and other things which are neither too hot nor cold nor too hard to be digested I forthwith prohibit a hot Regimen and the use of all manner of Cordials On the fourth day I commit the sick to his Bed and then if they come not out well some gentle Cordial may be properly prescribed at least for once to drive out the Pustles Among the Medicines for this purpose those they call Paregoricks such as liquid Laudanum Diascordium and the like if they be mixed in a small quantity with some proper cordial Waters excell the rest But it is to be noted That if I am call'd to a strong young Man who has besides given occasion to the Disease by excessive drinking of Wine or any Spirituous Liquor whatsoever I reckon it not sufficient for the restraining of the ebullition of the Blood that he abstrain from his Bed and Cordials unless moreover he be blooded in the Arm. When the Pustles first come out I then diligently consider whether they be of the distinct or confluent kind because they differ exceedingly one from the other though they agree as to some symptoms If therefore from the bigness and paucity of the Pustles and the slowness of their coming out and from the vanishing of sickness and other symptoms which tire the Patient after the eruption of the flux Pox it appear that they are the distinct sort I take care that the sick be refreshed with small Beer Oatmeal and Barly-gruel and the like And if the small Pox be but few and in Summer-time and that very hot I see no reason why the Patient should be kept stifled up in Bed and why he may not rather rise a few hours every day provided the inconveniencies of too much Cold or Heat may be prevented by the place and cloathing but if either the cold season of the Year or a large eruption of the Pustles put the Patient under a necessity of keeping his Bed continually I take care that he lie not hotter nor has more Cloaths on him than when he was in health and that he have a Fire kindled only morning and evening unless it be Winter nor do 〈◊〉 require that he should be always fixed to one place lest he sweat which I confidently affirm cannot be promoted without great danger When the Disease is going off it is proper to give three or four spoonfulls of Canary-Wine hot or some other temperate Cordial Medicine At the same time also a little hotter and more Cordial-diet may be allowed For instance Sugar-soâ—s and Oatmeal-candie and the like nor is there need of any other thing at all in the distinct and gentle sort if the Patient will suffer himself to be treated moderately in this method and diet unless by change Restlessness or Watchings should now and then persuade the use of a Paregorick But if the small Pox Flux the case is very hazardous for I reckon this sort is no less different from the other than the Plague is from this though among the Vulgar who take names and words for things the cure of both is said to be the same for towards the end of the disease the sick is in great danger viz. on the 11th Day in the common Flux-pox on the 14th Day in a worser sort and the 17th Day in the worst sort But sometimes though rarely one the 21st Day the Fever the Restlessness and other symptoms invading together whereby the sick is generally destroyed unless Art relieve him Wherefore seeing there is
them and make a Julep of which take often Take of Gascoin's Powder of oriental and occidental Bezoar-stone of each one scruple one leaf of Gold mix them and make a fine Powder Take to the quantity of twelve grains when there is occasion in the Syrup of the juice of Citron and of Gilliflowers each two drachms drinking upon it a few spoonfuls of the Julep prescribed Take of treacle-Treacle-water four ounces of the Seeds of Citron two drachms beat them together and make an Emulsion add to the strained Liquor a sufficient quantity of Pearl-sugar to make it grateful to the Taste Take two spoonfuls three times in a day But if the Fermentation be neither too high nor too low I leave it in that state and use no Remedies unless I am forced to do something by the importunity of the Sick or his Friends about him that may please them without obstructing my design And now I must tell you that when I was called to a poor Body who was not able to be at the charge of going through a long course of Physick I did nothing else after Bleeding and Purging was over if they were indicated but order them to keep their Beds all the time of their Sickness and to drink Oatmeal and Barly-broath and the like and that they should drink Small-beer warm moderately to quench their Thirst I took care that they should have a Glister of Milk and Sugar every day till the Tenth or Eleventh day and towards the end of the Fever separation being now begun if it were slow I permitted them now and then stronger drink to help it instead of a Cordial And so without any more ado except that I used to give a gentle Purge at the end of the Disease I cured them If the Patient be very weak or if there be not a perfect Despumation so that I cannot boldly give a Purge on the Fifteenth day I defer it to the Seventeenth at which time I give the following or the like according to the strength of the Patient Take of Tamarinds half an ounce of Senna two drachms of Rhubarb one drachm and an half boyl them in a sufficient quantity of Water to three ounces of the strained Liquor add Syrup of Roses solutive and Manna each one ounce mingle them and make a Potion Purging being over I order the Patient to rise who has been hitherto kept in Bed by my prescription and to return gradually to his accustomed Diet. It happens often especially in old Men that the Patient though the Fever be cured and the Body sufficiently purged is notwithstanding very weak and sometimes expectorats by Cough and sometimes also hauks up a great quantity of clammy Phlegm which Symptom does not only affrighten the Patient but also imposes upon the Physician especially if he be unwary and induces him to believe that this will make way for a Consumption though I have observed that this is not so very dangerous In this case I order the Patient to drink Old Malago or Muskadine with a Toast which takes off this Symptom in the space of a few days as I have often Experienced If the fermentation proceed well there will be a perfect despumation of the morbifick Matter within the time aforesaid but if cooling Remedies or Glisters have been given too late the Fever will continue much longer especially in very ancient Men ill manag'd by the Physician I have been sometimes called to such after they have laboured under a Fever forty days or more and have tryed all things to induce despumation of the Blood but it was so much weakened partly by old Age and partly by Glisters and cooling Medicines that I could not attain my end either by Cordials or any other corroborating Medicines but either their Fever stood its ground or if otherwise it seemed to cease the Patient's strength was very low and in a manner gone But other Remedies being unsuccessfully used I have been often forced to take this course and indeed with very good Success viz. I have applied the brisk heat of young People to the Sick neither is there any reason why any one should much wonder that the Patient is so mightily strengthned and weak Nature relieved by this method though it be unusual as that it can deliver it self from the relicks of the Matter to be eliminated seeing it is easie to conceive a transfusion of a great quantity of vigorous Esâ—luvia from the sound and strong Body into the withered one of the Sick Nor have I ever found that the repeated application of hot Cloaths could at all do that which the now mention'd method has perform'd where both the heat applied is more agreeable to the human Body and gentle moist equal and lasting And though this way of emitting balsamick Spirits into the Body of the Patient may seem absurd yet it has been used by others with happy success Nor truly am I ashamed to mention this Remedy though perhaps some impertinent Men superstitiously contemning all things Vulgar may ridicule me for it for I think the health and good of my Neighbour is very much to be preferred before their vain Opinions He that prudently and with due consideration hath observed â—he method hitherto deliver'd will free the Patient if not from all yet at least from most of these Symptoms which are either wont to accompany this Fever or to come after it But forasmuch as such accidents often happen either because the Sick neglected to call the Phisician in time or by reason of the unskilfulness or carelesness of the Physician I think it not amiss to treat briefly of their particular Cure but will confine my self to those Symptoms that require a different Cure proper to themselves And to begin with a Phrensie if the Sick either upon the account of taking hot Medicines unseasonably or by being naturally of too hot a Constitution becomes Light-headed or which is next to it if he does not sleep at all if he looks and talks fiercely if he rakes Medicines and common drink greedily and as it were snatches it and lastly has a suppression of Urine in this case I say I bleed more freely than before and use Glisters and cooling Medicines oftener especially in the Spring And though this Symptom does not appear in young People and in those whose Blood is brisk they admit of these Remedies without much hazard and by the use of such Remedies I endeavour to keep up the Patient till the Disease has lasted a while and then it is not difficult to free him at once of the Symptom and the Disease too and this may be done by giving some Narcotick Medicine in a large Dose for though when the Fever is at the height those things that are of a narcotick quality do no good nor answer the Physician 's end yet being given seasonably at the declination of the Disease are very beneficial But if the use of a Narcotick be deferred till the 14th day it will do the better
and the Passions of the Mind As to a Gonorrhea the main of the Cure is performed by Purging but because the Disease is accompanied with an Inflammation and cured by Purging Medicines that are hot cooling Diet must be ordered through the whole Course Take of the mass of the Pill Coch. Major three drachms of Extract of Rudius one drachm of rosin of Julap and Diagridium each half a drachm with a sufficient quantity of Opobalsamum make six Pills of every drachm The Sick must take four of them at four or five a Clock in the Morning and sleep upon them for twelve or fourteen days or more till the heat of Urine and the yellow colour of the Matter be much lessened afterwards every other day for a Fortnight and afterwards twice a Week till the Humour quite stop which will not be done till a long time though it be commonly affirmed that that Ichor that is seen especially in a Morning at the top of the Yard being pressed proceeds only from a loosness of the parts by reason of the long continuance of the running Yet the Sick will find it otherwise if he neglect Purging before it is quite gone For upon any small occasion as by immoderate Drinking violent Exercise or the like the Gonorrhea will return But if the Gonorrhea does not yield to such kind of Purging it will be proper instead of Pills especially if the Sick are difficultly Purged to give betwixt whiles some more powerful Medicines as is the following Purge Take of Tamarinds half an ounce of the leaves of Sena two drachms of Rhubarb one drachm and an haâ—f boyl them in a sufficient quantity of Water in three ounces of the strained Liquor dissolve of Manna and syrup of Roses solutive each one ounce of syrup of Buckthorn and of Electuary of the juice of Roses each two Drachms mingle them make a Potion If the Cure proceed slowly give eight Grains of Turbith Mineral only twice or thrice and at due distances lest a Flux arises and this Medicine is certainly the best for an obstinate running of the Reâ—ns But sometimes the Sick has such an â—verâ—â—on for Purging often repeated that he cannot so much as see or smell the Medicine and sometimes by a certain Idiosyncrasy there is such an obstinate opposition to Purging that a due quantity of the peccant Humour cannot be evacuated and whilst we waste time to no purpose in endeavouring to purge the Sick the Pox creeps on when the case is so we must use Glisters and on those days the sick does not use them we must give Catharticks by the Mouth I proceed in the following manner I give the foresaid Pills or the like for two or three Mornings following and afterwards I order the following Glister to be injected in the Morning and at five in the Afternoon daily till all the Symptoms cease only once or twice a Week I give a Purge omitting on those days the Glister Take of the Electuary of the juice of Roses six drachms of Venice Turpentine dissolved in the yolk of an Egg an ounce mix them with a pint of Barly-water to the strained liquor add two ounces of Diacatholicon mingle them make a Glister Every night at Bed-time I give twenty five drops of Opobalsamum mixed with Sugar or for want of it Cyprus Turpentine to the quantity of a hazel-Nut I forbid salt Meats and other things of hard digestion as Beef Pork Fish Cheese Roots and Herbs and all Summer Fruits and instead of them I order Veal Mutton Chicken Rabbets and the like and the Sick must eat but sparingly of these He must forbear Wine and all strong and sharp Liquors but he may drink Milk boyled with thrice the quantity of Water and a small quantity of small Beer at Meals and betwixt the Purging he may drink of the following Emulsion frequently to qualifie the heat of Urine and the Inflammation Take of the seeds of Melons and of Pompious each half an ounce of the seeds of white Poppies two drachms of blanched Almonds number eight beat them together in a marble Mortar pouring upon them gently a pint and an half of Barly-water to the strained Liquor add a sufficient quantity of Christaline Sugar and make an Emulsion When the Sick is of a very sanguine Constitution and when the Disease is obstinate after I have Purged him a Month or thereabout I order eight or nine Ounces of Blood to be taken from the Arm. In this disease he that Cleanses well Cures well only Mineral waters must not be used But it is to be noted if the Glans be covered all over with the Prepuce and if by reason of the Inflammation it be swelled hard and callous so that it cannot be drawn back it is in vain to attempt the cure of the Running unless at the same time the Part affected be reduced to its natural State the hardness and swelling being removed therefore the following Medicines must be used Yake of the roots of Marshmallows and of Lillies each one ounce and an half of the leaves of Mallows Mullein Elder and Henbane of the flowers of Camomile and Melilot each one handful of the seeds of Flax and Fenugreek each half an ounce boyl them in a sufficient quantity of Fountain-water make a Fomentation wherewith foment the part half an hour at a time twice or thrice a day After the fomentation I order that the part affected be anointed with the Oyl of Flax-seeds fresh drawn and that a Plaster of the Mucilages be apply'd to the swell'd lips of the Prepuce but if the Ulcer in the Lips of the Prepuce or on the Glans under it hinders it from being drawn back easily besides the fomentation above mention'd I prescribe also the following Liniment Take of Basilicon six drachms of the Ointment of Tobacco two drachms of red precipitat wash'd in Rose-water and well powder'd half a drachm mingle them make a liniment wherewith make Pledgets and apply them to the Chancres after the use of the fomentation But when the Scrotum is the seat of the Disease after the use of the fomentation if the pain and swelling be not abated apply a Cataplasm of Oxycrate and Bean-flower also at the same time I use inwardly Catharticks and cooling Medicines and order the Diet above-mentioned and bleed at any time of the Disease if the swelling in the Scrotum be great and if the pain be violent If a swelling arises in the Groin apply the follow-Plaster to suppurate it Take of Galbanum and Ammoniacum each two ounces of Opopanax and Sagapenum each one ounce of Mustard-seed and Pellitory of Spain each six drachms of common Soap two ounces of Burgundine Pitch four ounces of Oil of Lillies two ounces of Wax a sufficient quantity make a Plaister For Ulcers in the Pallate and Tonsis Take of all the Throatwort three handfuls of Holm Self-heal and Male Speedwell each one handful of red Roses one pugil of red Sanders and the Wood of Juniper
each one ounce make a Decoction in two quarts of Barly-water boil it to the consumption of a third part in the strain'd Liquor dissolve of syrup of dried Roses and Diamoron each three ounces of Hony two ounces make a Lotion With this the Ulcer may be washed daily either by Syringing or Gargling but if the Ulcers be behind or over the Palate the best way to cleanse them will be to pass the Injection up into the Nostrils but the Patient must keep his Mouth full of Water all the while to prevent Coughing If the Ulcers are sordid dress them with the Lac sublimate upon an armed Probe if there be a Caries in the bone of the Palate touch it with Aqua divina Fernelii if the bone be corrupted through 't will be necessary to wear a plate In Ulcers of the Nose the matter usually mixing with the excrementitious humours dryes in the passage and thereby prohibits the discharge and increases the ulceration and also the Caries and therefore you are in the first place to supple and remove that by casting up mucilaginous decoctions Take of cleans'd Barly one ounce of the roots of Marsh-mallows two ounces of the Seeds of Quinces three Drachms of Liquorish two drachms boyl them in a quart of Fountain-water to the strain'd Liquor add three ounces of Oyl of Almonds let it be injected often in a day the mucus being thus removed inject the following Water Take of Sarsaparilla sliced three ounces infuse them twenty four hours in three pints of plantain-water then boyl half away towards the end add of the Leaves of Agrimony Sage and the tops of Brambles each one handful of red Roses and Balaustines each half an handful quench Steel often in the strain'd Liquor and add to it two drachms of Roch Alum and make an Injection This will cleanse the Ulcers and in the mean while you may by Anti-venereals hasten the exfoliation of the Bones and consolidation of the Ulcers For the extirpation of Warts and the like Excrescencies magisterial water of Alum lac Sublimati Spirit of vitriol and the caustick Stone are proper when these will not do the business the Ligature and Knife and actual cautery will but the growing of them again must be prevented by Anti-venereals To cure the fluttering noise in the Ears arising in this Disease Take of the bark of Guiacum one drachm of the bark of Sassafras two drachms of Castor four scruples of the flowers of Lavender one drachm and an half of Cloves half a drachm of Spirit of Wine rectified eight ounces make an Infusion in a glass Vessel twenty four hours upon hot Ashes keep the strain'd Liquor for use Put some of this daily into the Ears warm with Cotton To ease Pains Take of Lard four ounces of Oil of Scorpions two ounces of the Oils of Camomil Rosemary and Sage each half a drachm of Petroleum and Spike Oil each one drachm of London Laudanum one Scruple more or less mingle them and anoint the Part. If Nodes cause the Pain apply the Plaister of Frogs with four times the quantity of Quick-silver CHAP. CXXVII Of the Itch and Spots and Pimples in the Face OFten and constant eating of salt Fish or Flesh and dryed in the Sun also Drinks that are disagreeable and poysonous do commonly cause cutaneous eruptions also the Humour gathered in the cutaneous Glands sometimes by meer Stagnation becomes not only itchy but oftentimes corruptive wherefore not only they that have been long kept in Prison but also they that have liv'd a Sedentary Life and are used to Filth and Stinks are subject to these Diseases As to the cure of the Itch there are two primary Indications First that the glandulous Humour be reduced to a due disposition Secondly that the pores of the Skin be freed from ichorus concretions The preservative Indication respects these two things First that the itchy Humour does not regurgitate upon the Blood and nervous Liquor Secondly that itchy Humour if it be fallen upon the noble Parts be eradicated All these intentions of Healing ought to be complicated or at least provided for by turns by external and internal Remedies You must begin and end with Purging and Bleeding if nothing contra-indicates must be used at the beginning Alteratives must be also used and Liniments and Baths or Topicks of other kinds I will set down some choice forms of Medicines of every kind and first as to Purges a Purge or a Vomit must be given at the beginning and after bleeding if it be used a purging Apozem or Diet-Drink must be taken for seven or eight days Take of the Electuary called Diacarthamum three drachms of the Species called Diaturbith with Rhubarb one drachm of Cream of Tartar and Salt of Wormwood each half a Scruple of the purging Syrup of Apples a sufficient quantity make a Bolus Take of Sulphur of Antimony grains seven of Scammony sulphurated grains eight of Cream of Tartar half a scruple make a Powder Take of the Roots of Polipody of the Oak of sharp-pointed Dock prepared each one ounce of the leaves of Sena ten drachms of Turbith Agarick and Dodder of Thyme each one ounce of the seeds of Carthamus half an ounce of yellow Sanders two drachms of the Seeds of Anise and Caraways each two drachms cut them and beat them and digest them hot in two quarts of White-wine in a Vessel close stopped for twenty four hours pour off the clear Liquor without pressing The Dose is six ounces either by themselves or with a spoonful of the Syrup of Dodder of Thyme Or Take the fore-said Ingredients and boyl them in three quarts of fountain-Fountain-water till half is consumed then add a pint of white-White-wine strain it presently to be taken as before Or Take of the roots of Polypody of the Oak of sharp-pointed Dock each three ounces of the best Sena four ounces of Dodder of Thyme Turbith and Mechoacan each two ounces of yellow Sanders one ounce of Coriander-seeds six drachms prepare them according to Art make a Bag for four Gallons of Ale after five or six days Tap it and take three quarters of a pint more or less every morning for eight or ten days For the ordinary drink provide four gallons of small Ale and hang in a Bag in it the following Ingredients Take of the tops of Tamarisk and Fumitory dryed each four handfuls of the roots of sharp-pointed Dock dryed six ounces of the bark of Woody Night-shade two ounces cut and beat them As to altering Remedies there is little need of others besides the altering drink above prescribed only the Patient must observe a good course of Diet he must forbear salt and peppered Meats Shell-fish and such as are Pickled also Wine Strong-waters and strong Beer As to Ointments the following is commonly used Take of the powder or flower of Brimstone half an ounce of Butter that is not Salted four ounces of Ginger powdered half a drachm make a Liniment The following is neater though not
sorrel one drachm of species Liberans half a scruple with a sufficient quantity of the syrup of the juice of Citron make a Cordial Bolus Take of the compound Powder of Crab's claws half a scruple of Volatile salt of Hart's horn three grains of confection of Hyacinth a sufficient quantity Take of the Cordial magisterial Powder of compound Powder of Crab's claws each twelve grains of the temperate Cordial Species eight grains mingle them make a Cordial-powder for two Doses Take of the compound Powder of Crab's claws and of the Goa-stone each half a drachm mingle them Make a Powder to be divided into three doses Catharticks TAke of Quercetan's pill of Tartar one drachm and an half of the Pil. Coch. major two scruples of chimical Oil of Marjoram three drops mingle them make twelve Pills and let three be taken at Bed-time once in two or three days Take of the fetid Pill and of Troches of Myrrh each one drachm of volatile Salt of sal Armoniack one scruple of peruvian Balsam a sufficient quantity make midling Pills Take of the fetid Pill and of Rudius's extract each half a drachm of salt of VVormwood ten grains of Oil of Cloves two drops with a sufficient quantity of Elixir Proprietatis make twelve Pills Let him take four every third day with Regimen Take of the Pills of Storax ten grains of Aloes Rosat two scruples make eight Pills Let him take them every other night and the next morning an ounce of Manna and a drachm of Cream of Tartar Take of Pil. ex duobus and of Pil. Coch. minor each one scruple of salt of Tartar half a drachm with a sufficient quantity of syrup of Backthorn and four drops of Juniper berries make twelve Pills Let him take six with Regimen Take of the Pill of Hound's-tongue one scruple of Aloes Rosat and of the Pil. Coch. minor each one drachm of salt of Tartar half a drachm with a sufficient quantity of syrup of Violets make eighteen Pills Give six when the cholick pain is violent and let the sick keep his bed six hours and repeat them upon occasion Take of Manna one ounce and an half dissolve it in two ounces and an half of black Cherry-water add one ounce of the purging syrup of Apples of spirit of Sulphur three drops Let the Child take half of this every other day Take of Gerion's decoction of Sena four ounces of syrup of Buckthorn six drachms of spirit of Sulphur six drops of Aqua mirabilis one drachm mingle them make a Potion to be taken in the morning Take of the Powder of Rhubarb twenty five grains of salt of Wormwood eight grains of syrup of Succory with Rhubarb a sufficient quantity mingle them make a Bolus to which add two drops of chimical Oil of Aniseeds Take of Mercurius dulcis and Diagridium each fifteen grains mingle them make a Powder to be taken in the morning Diaphoreticks TAke of Venice-treacle half a drachm of bezoartick Powder one scruple of syrup of the juice of Citron a sufficient quantity Make a Bolus Take of the Powders of the roots of Contrayerva Virginian snakeweed and Butterbur each one drachm of Cochinele and Saffron each half a drachm mingle them make a Powder The dose is half a drachm Take of the compound Powder of Crab's claws half a drachm of conserve of VVoodsorrel one drachm of Mithridate two scruples and an half mingle them Presently after taking it drink a draught of Posset-drink wherein Camomil or Marigold-flowers have been boil'd Take of Venice-treacle one drachm of Laudanum Opiatum one grain and an half of the pulp of Conserve of Roses half a drachm mingle them make a Bolus to be taken at bed-time drinking upon it the following draught Take of treacle-Treacle-water one ounce of Carduus-water two ounces of syrup of Cowslips three drachme mingle them make a draught Take of Venice-treacle two scruples of volatile Salt of Amber and Bezoartic mineral each half a drachm of Laudanum opiatum three grains mingle them make a Bolus Take of Salt of Hartshorn two grains of the magisterial Cordial-powder six grains of Camphor and Cochinele each four grains of Venice-treacle one scruple of the Aqua Coelestis a sufficient quantity mingle them make a Bolus Let it be taken at a convenient time and let nine ounces of the following Apozem be taken every third hour Take of the roots of Scorzonera two ounces of Butturbur Angelica and Fennel each one ounce of rasped Hartshorn six drachms of Ivory rasped three drachms of Marigold-flowers one pugil of Vetches half a handful boil them in a sufficient quantity of Barly-water to a quart of the Liquor strain'd add half an ounce of tincture of Saffron of Christalline Sugar one ounce mingle them make an Apozem Diureticks TAke of Sal Prunellae two drachms of Sugar candy one drachm make a Powder to be divided into six parts Let one be taken thrice a day Take of Sal Prunella three drachms of Salt of Amber half a drachm make a Powder The dose is half a drachm thrice a day Take of Compound-water of Horse-radish two ounces of Pellitory-water four ounces of spirit of Salt one scruple fifteen grains of salt of Tartar fifteen grains of syrup of Violets half an ounce mingle them make a Potion Take of the Powder of Bees one scruple of the seeds of Lovage half a scruple mingle them make a Powder Take of the Powder of Egg-shells half a drachm or one drachm give it in a draught of Whitewine Take of the Waters of Arsmart and Wake-robin each six ounces of compound Briony-water and compound Radish-water each two ounces of the syrup of the five opening Roots one ounce and an half of spirit of Salt forty drops mingle them make a Julep Let four or five ounces of it be taken twice a day Eye-Waters TAke of the water of Spawn of Frogs of Plantain and of Roses each one ounce of Tutty-stone prepared two scruples of the white Troches of Rhasis half a scruple mingle them make an Eye-water to be used twice or thrice a day cold Take of red Rose water two ounces of Salt of Vitriol finely powder'd five grains mingle them make a Collyrium Take of Crocus metallorum one drachm of Plantain-water three ounces digest them hot for six hours and then filter them Make a Collyrium to be dropt into the Eyes often in a day Emulsions TAke of blanched Almonds number three of the seeds of Melons Lettice and white Poppies each one drachm of the pulp of Barly three drachms beat them and pour on them a sufficient quantity of Barly-water to eight ounces of the strained Liquor add five drachms of Diacodium mingle them make an Emulsion Take of blanched Almonds twelve of the four greater cold Seeds each one drachm and an half of the seeds of Lettice and white Poppies each half a drachm beat them in a marble Mortar and pour on them gently a sufficient quantity of Poppy-water make an Emulsion for 2 doses
to which add an ounce of syrup of Violets and half a drachm of sal Prunella Take of blanched Almonds infused in Rose-water two ounces of the four greater cold seeds and of Plantain and Purslain each one drachm of seeds of Marsh-mallows and white Poppies each one scruple beat them according to Art and pour on them a sufficient quantity of the decoction of Barly and Liquorice make an Emulsion for two doses To each add of syrup of Water-lillies one ounce of sal Prunella half a drachm Gargarisms TAke of the Waters of Plantain and spawn of Frogs each four ounces of syrup of Mulberries and dried Roses each one ounce of spirit of Vitriol a sufficient quantity to make it pleasantly acid make a Gargarism Take of the middle bark of the Elm two ounces of Barly-water one pint and an half boil it to a pint Add to the strain'd Liquor when 't is clear of Epidemic-water and syrup of Rasberries each two ounces of spirit of Sulphur half a scruple mingle them make a Gargarism Take of the mucilage of the seeds of Quinces made in Rose-water two ounces of syrup of Rasberries one ounce mingle them Let him take one spoonful often and hold it a little upon his Tongue and swallow it by degrees Take of Plantain-water one pint the whites of two Eggs of Sugar a sufficient quantity mingle them make a Gargarism Take of the roots of Marshmallows one ounce of Liquorish rasped three drachms of the middle bark of the Elm and of common Bramble-bush each three drachms of the leaves of Sage and Columbine each half a handful of fat Figs number five of red Roses half a handful of Balaustines half a drachm of Jew's Ears two drachms of Cochinel one scruple boil them in a sufficient quantity of Fountain-water to one pint strain the Liquor and sweeten it with Hony of Roses strain'd make a Gargarism Take of the Waters of red Roses and Plantain each two ounces of Hony of Roses strain'd and of syrup of Mulberries each three drachms of crude Alom pouder'd ten grains mingle them make a Gargarism Glisters TAke of the carminative Decoction ten ounces of mercurial Hony one ounce of brown Sugar two ounces and a half of the Electuary of Laurel-berries half an ounce mingle them make a Glister Take of the common Decoction for a Glister one pint of Lenitive Electuary one ounce and a half of Diacatholicon one ounce of Oil of Camomil half an ounce mingle them make a Glister Take of Cow's milk one pint of yolks of Eggs number two of Venice-treacle half an ounce mingle them make a Glister Take of the carminative Decoction with Lawrel and Juniper-berries ten ounces of the Electuary of Lawrel-berries one ounce of Vinum Benedictum two ounces of brown Sugar three ounces of chimical Oil of Juniper ten drops mingle them make a Glister Take of the common Decoction for a Glister six ounces of the species of Hiera piâ—ra one drachm of Cassia six drachms of mercurial Hony one ounce and a half mingle them make a Glister Take of Cow's Milk with a pugil of red Roses boil'd in it six ounces of Diascordium one drachm mingle them make a Glister Take of the roots of Tormentil of yellow Myrobalans of the seeds of Coriander each three drachms of the Flowers of Camomil half a handful of Balaustines one scruple boil them in a quart of Fountain-water to half a pint of the strain'd Liquor ade one drachm of Mithridate make a Glister Liniments TAke of the red Ophthalmic Ointment of the last Edition save one of the London Dispensatory two drachms of Oil of bitter Almonds twenty drops mingle them make a Liniment wherewith anoint the Eye-lids with a hot Finger Take of pure Sperma ceti two drachms dissolve it in half an ounce of Oil of Almonds fresh drawn add six drachms of Pomatum mingle them make a Liniment for the Face Take of Oils of Scorpions and of sweet Almonds each one drachm of Saffron pouder'd half a scruple mingle them make a Liniment wherewith anoint the region of the Heart with a hot Hand and apply over a Pidgeon cut in the middle and renew it every third hour Take of the Alabastrine Ointment one drachm and a half of Oil of Nutmegs by expression two scruples mingle them anoint the Forehead and Temples and apply over a Rose-cake sprinkled with Vinegar Take of Populneum Ointment half an ounce of Opium one scruple mingle them Take of Ointment of Tobacco one ounce and a half of Flowers of Sulphur half an ounce of Oil of Nutmegs by expression two drachms of sal Armoniac one drachm mingle them Take of the pectoral Ointment and of the Flowers of Oranges each one ounce and a half of the chimical Oil of Camomil-flowers one scruple mingle them make a Liniment wherewith anoint the Breast with a hot Hand Pectorals TAke of Olibanum Spema ceti and of the Powder of Liquorice each one scruple of syrup of Marshmallows a sufficient quantity mingle them make a Bolus Repeat it twice or thrice in a day Take of Storax strain'd Myrrh Balsam of Tolu Juice of Liquorice and Hony each a sufficient quantity make Pills Take a scruple thrice a day upon an empty Stomach drinking upon it two spoonfuls of the following Julep Take of compound gentian-Gentian-water and of strong Cinnamon-water and of Oxymel of Squills each three ounces mingle them Take of syrup of Maiden-hair and of Jujubes each three ounces of Oil of Flax fresh drawn two ounces mingle them make a Lohoch Let him take half a spoonful every other hour and when the Cough is violent Take of Aniseeds finely pouder'd and of Liquorice pouder'd each three drachms of flowers of Sulphur one drachm and a half of the best Hony two ounces and a half dissolved in three spoonfuls of Cinnamon-water hordeated make an Electuary to which add fifteen drops of Balsam of Sulphur of Oil of Aniseeds ten drops Let him take two drachms in the morning and at bed time Take of the Lohoch Sanans half an ounce of syrup of Maiden-hair two ounces of Oil of sweet Almonds half an ounce of syrup of Jujubes half an ounce mingle them make a Linctus to be taken when the Cough is violent Take of the Lohoch Sanans three ounces of syrup of Rasberries one ounce mingle them Make a Linctus Plasters THE Head being shaved and washed with equal parts of Canary and compound spirit of Lavender apply a Plaster made of the Cephalic Plaster and a fourth part of Gum Tacama-haca To the Breast and Region of the Stomach apply the Stomach-Plaster with eight drops of Oil of Wormwood Take of the Plaster ad Herniam and of red Lead each a sufficient quantity mingle them make a Plaster to be apply'd to the Vertebrae of the Loins and the Os Sacrum Take of the Plasters of Hemlock with Ammoniacum of compound Melilote and Cummin each equal parts of sal Armoniac half a drachm mingle them make a Plaster for the region of
Sweet Almonds two pair of the Seeds of white Poppies two drams plantane-Plantane-water eight ounces of Red-Poppy-water four ounces of Cinnamon-water hordeated one ounce and an half make an Emulsion to which add three drams of pearled Sugar and half an ounce of the Juice of Citron mingle them give four ounces thrice a day I order that the Sick should keep from Bed daily for some time and that a gentle cooling Glister be injected every day and a Paregorick Draught to be taken at Bed-time But because sharp Humours often accompany such Hemorragies besides Cooling and Revulsion I order gentle Purging even when the Disease is at height and when it has done Working I give an Anodyn that is stronger than usual and when the Symptom is quite abated I give another Purge As to External Applications Rags four times doubled and dipt in cold Water wherein Sal Prunella has been dissolved and gently press'd out may be applied often in a day to the Neck and after general Evacuations the following Liquor may be applied Take of Hungarian Vitriol and of Alum each one ounce of the Flegm of Vitriol half a pint boil them till all are dissolved filter the Liquor when it is cold and separate it from the Cristals that sometimes arise to the remaining Liquor add a twelfth part of Oyl of Vitriol dip a Tent in this Liquor and put it up the Nostril from whence the Blood flows and leave it there two days Rags dipt in this Liquor and applied stop Blood in any external part A Spitting of Blood which I shall now treat of seises Weakly People of a hot Constitution whose Lungs are weak it happens chiefly to young People in the Spring or Summer-time It must be cured much the same way as the Bleeding at the Nose only Purging must not be used often for if it be the Sick will quickly fall into a Consumption Take of Lucatellus's Balsam one dram of true Bole one scruple mingle them and give it Morning and Evening with a draught of the Traumatick Decoction Take of Plantane-water two ounces of Cinnamon-water hordeated one ounce of distill'd Vinegar half an ounce of red Coral prepared half a dram of Dragons Blood half a scruple of London Laudanum two grains of Syrup of Myrtles one ounce mingle them give a Spoonful every hour till the Blood stops Or Take of Tincture of Roses one pint of Comfry one ounce and an half mingle them give a draught every fourth hour Or Take of Conserve of red Roses and of Comfry each three drams of Cutle-bone finely powdred two drams of Crabs Eyes one scruple boil them in half a pint of Milk to four ounces let him eat and drink all Or Take of the Lohoch of Purslain one ounce and an half give three drams every fourth hour And lastly Bleeding frequently used a Glister every day injected and Diacodium taken every Night at going to Bed and also a Diet and Medicines that thickens and cools will perfect the Cure Of Diseases of the TONGUE CHAP. XLIII Of an Inflammation of the Tongue and other Tumours of it AS all parts of the Body especially such as are fleshy are wont to be inflamed so also is the Tongue sometimes by reason of Blood flowing into it and as it is Pure Cholerick Flegmatick or Melancholly it occasions either a Flegmon or an Erysipelas an Oedema or a Scirrhus and sometimes it ends in Suppuration whereof Forestus mentions an Observation of a Brewer who had a great Inflammation of the Tongue which Suppurated But most commonly the Swelling of the Tongue is soft and loose and purely Oedematous of which Galen proposes an Example of a Man whose Tongue was so tumified that it could not be contained in his Mouth And sometimes also the Tongue grows excessively big when there is no Oedema no Scirrhus nor any other kind of Tumour and without any kind of Pain and is only an increase proceeding from too great Nourishment of the part The Diagnostick of these Tumours is not difficult for they may be seen but the differences of them may be so distinguish'd if there be an Inflammation Pain and Heat and Redness attend it and the Face is also affected therewith but if the Swelling proceed from Flegm the Tongue is white and much Flegm flows out which tasts sweet and insipid But if it be only an increase of the Tongue there are no signs of other Tumours or ill Humours As to the Prognostick Tumours of the Tongue for the most part do not endanger Life unless they grow so great that Suffocation should be feared from thence or take their rise from some Malignant Humour which may generate a Cancer which is known by Hardness pricking Pain and a livid Colour The Cure of an Inflammation of the Tongue must be begun with such things as cause a Revulsion and with repelling Medicines And then first a loosening Glister must be injected and a large quantity of Blood must be taken away presently after Cupping-glasses with Scarrification must be applied to the Shoulders afterwards cooling and repelling Gargarisms must be used Galen commends the Juice of Lettice wherewith the Tongue must be washed or a Gargarism may be prepared of a Decoction of Plantane Nightshade of Syrup of dried Roses After Bleeding Purging may be prescribed with a Medicine made of Cholagogs and Flegmagogs The Fluxion being stopt by Evacuation Revulsion and Derivation the Derivation of the Humour stuft into the Tongue must be endeavoured to which end the Veins under the Tongue must be opened But if it cannot be done by reason of the bigness of the Tongue a Cupping-glass with Scarification must be applied under the Chin. If the Tumour tends to Suppuration it must be promoted by applying a Fig cut in the middle which must be frequently changed or by a Gargarism made of a Decoction of Barly Mallows Violets Figs Raisins of the Sun of the Seeds of Quinces and Fenugreek adding to them Syrup of Violets and of Jujubs Suppuration being made if the Abscess does not break of it self let it be opened with a Knife and the Ulcer must be presently cleansed with a Decoction of Barly Agrimony and Plantane with Honey of Roses But a soft and loose Tumour arising from Flegm is cured first by Revulsion made by Bleeding if the Sick abound with Blood afterwards some strong Purge must be given as is the Pill Coch minor But if the Sick cannot take Pills a strong Purging Potion must be used After these Evacuations cooling and repelling Medicines must be applied at the beginning The Tongue may be washed with the Juices of Lemons Pomegranates Sorrel of Plantane or with Simple Oxymel to which may be added in the increase of the Disease a little Ginger Sal Gemma or Sal Armoniack Zacutus Lusitanus in a very dangerous case when Suffocation was feared by reason of the bigness of the Tongue applied four Leeches to it and soon after a great quantity of Blood was evacuated and the Tongue asswaged The same