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A47063 The mysteries of opium reveal'd by Dr. John Jones ... ; who, I. Gives an account of the name, make, choice, effects, &c. of opium, II. Proves all former opinions of its operation to be meer chimera's, III. Demonstrates what its true cause is, by which he easily, and mechanically explains all (even its most mysterious) effects, IV. Shews its noxious principle, and how to separate it, thereby rendering it a safe, and noble panacea, whereof, V. He shews the palliative, and curative use. Jones, John, 1645-1709. 1700 (1700) Wing J976; ESTC R1624 200,674 381

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Spirits and not an over-Relaxation or Dilatation of the Pores which must be well distinguished I. The Form must be liquid in all Fevers and is also most convenient generally speaking● II. The Dose may be the moderate or midling except it be where the Pains are great or where much of the Opiate is lost as in Vomiting Loosness c. for which see the General Rules III. The Vehicle should be generally speaking cooling composing and incrassating Liquids as Emulsions Milk and Water or the like but in settling the Stomach use agreeable warm and comfortable Cordials or Wine burnt with Aromaticks or the like IV. The Time is when 't is convenient according to the General Rules and your Intention of its Operation therefore where there are periodical Paroxysms or Exacerbations as in the Small-Pox and many Diseases in the Afternoons or towards the Evenings give it the due Time before that it may have its full Effect by the Time the Paroxysms or Exacerbations are expected to begin and be not so mad as to be regulated by Night or Day or Bed-time c. as is usual which are no Symptoms Signs or Effects of the Distemper but of the Motion or Position of the Sun Stars c which are not the Subjects of your Cure nor can be The Want of which most obvious and rational Practice has sadly disappointed inconsiderate Physicians and often hazarded if not destroyed the Patients V. The Regimen is the same as that to cause Sleep which you have in Chap. 35. and should be by all means used in this Case 1. Note That Opiates are not to be used as has been intimated where the Commotion Flux c. is for apparent and speedy Benefit of Nature as in Vomiting upon Repletion or to discharge the Stomach of somewhat that offends it or a Loosness to clear the Intestines or the like 2. Note That when any Evacuation is to be made by Vomit or Stool the best way in these Cases is to use large Dilutions of some contemperating Liquid instead of Vomitories and Purgers therefore use only lukewarm Water or which is best boil'd with a little Carduus in 't or Carduus-Posset or the like to cause Vomiting and more agreeable Dilutions for the Intestines to wash off ill Humours as a Gallon of Water with half an Ounce of Cream of Tartar or rather the purging Salt of the Waters dissolved in it or some part thereof using all cold or but very little warm'd giving the Opiate or Panacea immediately after the Person has done Vomiting or Purging in a small Glass of Wine or agreeable Cordial to warm and comfort the Stomach and Intestines which because of the smallness of the Quantity the Moisture and Coolness of the diluting Liquids and the Opiate can cause no Inconvenience by its inconsiderable Heat CHAP. XXXIII Of the Use of the Panacea of Opium c. to relax HAving shown that Opiates relax all the sensile Parts of the Body and bow and why it follows that they are of excellent Use 1. To prevent and take away all Contractions that happen from grievous Passion or Sensation or Pain as Convulsions S●iverings Shakings Cramps Tensions Palpitations and Tremors of the Heart from Fear Terrour Grief Melancholy Anxiety Solicitude Anger Fretfulness Concern Surpize c. Or from Cold Pain Acids c. as Contraction of the Sphincter of the Bladder from those Causes by which the Urine is often stopt as also by the Pain from the Haemorrhoids Inflammations Small Pox Colicks Acrimony Excoriation c. which often hinder the making of Water as they also do sometimes going to Stool swallowing c. Shivering in Ague-Fits Stupors from Cold or Pain which as was shown proceed from a violent Contraction in all which it will scarce ever fail of due Effect by this Means you may as I have often done cure those Disasters safely speedily and pleasantly even to a Wonder and Amazement as if charm'd by a Spell when others know not what Hand to put to them and are quite baffled thereby By the same Means tho' little or not at all minded you may prevent great Tumours upon Pain as when by a Thorn or any grievous Pain the Arm Legs Thighs c. begin to swell for the Swelling which often grows prodigiously and seizes the whole Limb if not a great Part of the Body threatning and often causing Mortifications and Death it self is caused by the Pain contracting and so girding the Parts that the Bloud Lympha c. cannot pass by which Means the Humours being stagnated and crowded in by the Force of the Arteries and dam'd up by the Contraction most dreadful Tumours happen whereas the Pain being taken away by the Opiate and all the Parts relaxed they are and must be prevented by plain Mechanism if used timely For Pain can cause Tumours by no other Means besides Contraction which Opium must prevent by taking away the very Pain it self 2. To help the Cure of all other Contractions as Tensions Rigidities of Nerves Membranes Tendons Ligam●nts Muscles c. 3. To relax or make way for Things to pass as Sweat 〈◊〉 Small Pox Measles pestilential or venemous Essl●vias M●nses Lochia and the like to pass through the Skin or Pores A Child dead or alive After-birth Mole clodded Bloud c. to pass through the Neck of the Womb when too narrow by Nature or contracted by Pain Cold Terrour c. A Stone to pass the Ureters or Neck of the Bladder by taking away the Pain that contracts them and hinders the Passage of the Stone so that in the Hand of an ingenious Physician there is not a better nor as good a Remedy to cause a Stone of any passable Bigness to come away for it passes through the relaxed or widened Passages without Pain to help which other Relaxers as Warmth 〈◊〉 Bath● Fomentations Clysters together with slippery and emollient Things inwardly taken and at last a great Stream of Urine well contrived and timed when the Parts are most relaxed suppled and lubricated do much conduce I would have all who are troubled with the Stone Note this Note also That to hold and dam up the Urine a long Time is of excellent Use well managed when the Stone is in the Ureters because when the Urine has fill'd up the Bladder very tightly that it will receive no more it must distend the Ureter which is the Cause that very many are eased either by the removal or discharge of the Stone after a set Time which gives Occasion to call them Fits of the Stone because they last for much about the same length of Time however the large and sudden Evacuation of Urine must by leaving the Part loose c. conduce very much to the Passage of the Stone Clods of Bloud Phlegm Matter c. that steps the Urine 4. To relax or make Way for Things to be put into the Body when there is Occasion as in Reductions of Hernias or Ruptures of a fallen Fundament Womb or
best Parts of Opium which is so much the better the more it abounds with them 9. If it yields any other Tincture than Red it is not right and the duller or paler the Red is the worse or weaker it is 10. The best is heavier in proportion to its Bulk which you may soon experiment thus Weigh an Ounce of each in the Air then weigh them just as they are in the Brass Scales in Water and the heavier will out-weigh the other in Water for the heavier any thing is the less Water takes from its Weight in proportion to its Bulk this is an infallible and most ready way to know the Weight of any thing in proportion to its Bulk Note That my Discourse is most particularly concerning the best sort of Crude Turky Opium that is the best that we have in common Use and that its Effects and not those of any Preparation thereof are set down in the following Chapters CHAP III. The Effects of Opium used externally OPIUM used externally has two sorts of Effects upon a Humane Body 1. As an Opiate to cause Sleep take away Pain c. 2. As an Alterative of the Parts it is applied to I. As an Opiate It is of very uncertain and uneven Effects when applied externally for sometimes it causes Sleep takes away Pain but it often fails therefore it is generally much better safer more certain and effectual to use it internally I do scarce know the case wherein 't is better to use it externally than internally unless it be to smell to in some cases But of these Things more particularly when we come to the Use of Opium in Curing Preventing or Paliating Diseases for here we only lay down Effects in order to a Disquisition of the Cause of the Operation of Opium to which its internal Effects will mainly contribute however it may be very useful to that end to lay down its alterative Effects for thereby we shall in good measure know the Prin ciples by which it operates II. It s external Effects as an Alterative are these viz. 1. It incides resolves and discusses 2. It relaxes and mollifies 3. It maturates and suppurates 4. It exulcerates or causes Blisters if it be very strong and applied to Persons of a fine Texture where the Skin is tender but this Effect belongs more properly to the Maslack or true 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 that drops from the Incisions made in the Heads of the Poppies especially the Theban which affords a very powerful Juice Hence you may observe that the more it exulcerates or blisters the better is the Opium vice versâ 5. It is a Psilotherick for it prevents Hair to grow and causes the shedding thereof 6. It is hurtful to the Eyes and Ears 7. It excites Itchings applied in a moderate manner to the Skin 8. It excites Venery applied to the Perinaeum CHAP. IV. The Effects of Opium used Internally in a moderate Dose 1. THE moderate Dose in ordinary Use to produce the following Effects is from one to three Grains more or less according to the Circumstance Condition Case Constitution Age c of the Person who takes it 2. It operates generally in a short time after it is in the Stomach that is in about half an Hour more or less if taken in a liquid Form and in about an Hour more or less if in a solid Form drinking a Draught of Water or some Liquor after it otherwise it may be sometimes near an Hour and a half before it has its full Effect But the time of its Operation has a considerable Latitude according to the Disposition of the Stomack and other Circumstances as the Vehicle it is taken in c. The constant Effects of Opium used internally in a moderate Dose 1. It causes a most agreeable pleasant and charming Sensation about the Region of the Stomach which if one lies or sits still diffuses it self in a kind of indefinite manner seizing one not unlike the gentle sweet Deliquium that we find upon our entrance into a most agreeable Slumber which upon yielding to it generally ends in Sleep But if the Person keeps himself in Action Discourse or Business it seems especially when given in a Mornning after a moderate Rest at Night like a most delicious and extraordinary Refreshment of the Spirits upon very good News or any other great cause of Ioy as the sight of a dearly beloved Person c. thought to have been lost at Sea or the like causing such a pleasant Ovation of the Spirits Serenity c. as we find after a competent Measure of generous Wine ad Hilaritatem as Men use to say It is indeed so unexpressibly fine and sweet a Pleasure that it is very difficult for me to describe or any to conceive it but such as actually feel it for 't is as if a Good Genius possessed or informed a Man therefore People do commonly call it a heavenly Condition as if no worldly Pleasure was to be compar'd with it Helmontianus would doubtless express it by the Archeus in his very best Humour It has been compar'd not without good cause to a permanent gentle Degree of that Pleasure which Modesty forbids the naming of and 't is well worth a Remark that both are Pleasures of the same Sense viz. that of Feeling for it cannot be a Pleasure of any other Sense since it is internal 2. It causes a brisk gay and good Humour Nor do I doubt but it has this Effect upon sleeping Persons as far as their Condition is capable of observing it for you shall have them often tell of pleasant Dreams after it when they remember them and speak of any See Bauchin and the Authors mentioned below under the 4th Effect of Opium 3. It causes Promptitude Serenity Alacrity and Expediteness in Dispatching and Managing of Business To which end and that of a good and gay Humour which are near of kind it is commonly taken in the Morning in the Eastern Countries with most certain Effect The truth of which Wedelius is forced to confess though quite contrary to his Hypothesis of Opium's fixing and coagulating the Spirits giving an instance of a certain serene Person who when she had any Affair of great moment to dispatch did before-hand take Opium with great advantage for she thereby found her self every way better disposed for Business and more enabled to bear the Fatigue thereof Which is the Substance of what he writes in Latin Many other Authors confirm the Truth of these Effects but above all the constant Experience of the Eastern Nations puts it out of all doubt 4. It causes Assurance Ovation of the Spirits Courage Contempt of Danger and Magnanimity much after the manner that generous Wine does instead of which the Turks c. use Opium before Engagements desperate Attacks c. as is most notorious to make them Courageous which it certainly does For your satisfaction as to this and other Effects of Opium not so commonly observed
by squeezing in some Cases and stop it by shutting the Pores in other Cases 10. It is by it that Contraction that Fear Cold c. closing the Pores and repelling the Bloud stanch Bleeding So happens also a greater Contraction of the Pupil of the Eye by the same Cause 11. It is the Violence of this Contraction upon Fear Terrour Pain Cold c. closing the small Vessels of the Animal Spirits and thereby repelling them causes the Shivering in those Cases by the Renitency of the elastick Animal Spirits springing back again toties quoties having gain'd more elastick Force by the very Compression it self which that Contraction causes so that by reason of the dubious velitation or skirmishing between the repelling Contraction and the springing Spirits happens a tremulous Motion as of quavering Springs which Shivering in Ague-Fits did formerly lead me to the Situation of the Cause of Agues when I writ my Book De Febribus intermittentibus in the Angustiae at the end of the Vessels which terminate in the Membranes the grievous Sensation of which causes all the Shivering that happens in any Case to Animals 12. By the same Contraction when very violent and of the whole Body cold Sweats happen in Pain Fear Terrour c. while it violently squeezes out the outmost and therefore coldest Moisture of our Bodies as Laundresses do Water out of wet Linnen by Contortion Thus if you dip one half of a wet cold Sheet in hot Water wrapping the hot side within the cold or let a warm Sheet that is contorted cool on the out-side of it and then wring it as Women do Linnen the Water that first exudates will be cold for in this Case the closing of the Pores avails nothing to hinder it as long as the expressing Force masters it more especially in Animal Bodies wherein the Parts are so contrived that Humours design'd for Exoretion cannot well return and therefore must upon Contraction run out Hence it is that Alum or Vitriol which are very astringent and therefore close the Pores will notwithstanding cause the Mouth or Nose to run very plentifully with Moisture by contracting all the Membranes about the Mouth or Nose and thereby squeezing out the Moisture design'd to be excern'd which cannot return because the Parts are contriv'd against the return or readmittance thereof whereas Alum or Vitriol will stanch or stop Bloud by the same Contraction because it may return as not being design'd to be excern'd either into the Arteries and so pass by other Branches thereof or which is more ready and natural keep its course into the Veins So the two Riddles that I have known some Proud Physicians amaz'd at tho' but Trifles of Alum and Vitriol causing the Spittle c. to come out instead of stopping it by their Astringency and their stopping Bloud at Nose at the same time they cause the Snot or other Humours to run out are unfolded 13. It is by this mighty Contraction growing to an enormous degree that the Animal Spirits being violently compressed grow exceeding irrequiete as upon Convulsions in great Pain or very grievous Sensation at Stomach c. while the sensitive Soul compressing them with mighty Force and somewhat disorderly and unevenly because of the Confusion and Hurry he is in to relieve the Animal they by their springiness fling up and down with great Vigour This makes convulsive Motions have great Strength 14. The Body under this Contraction is manifestly shrunk by measure especially when the Sensation is very grievous but most of all if they cause a general Convulsion which I manifestly observed in a little Bitch that was convulsive all over for three Hours and was just expiring when I gave her the Sal Volat. Oleos of Opium which perfectly restored her by relaxing the Vessels Some may think it strange That Nature should contrive a more nice and smart Sensation which the Contraction of the Vessels of the Animal Spirits must cause by compressing them c. in Pain and by it which becomes so much the more acute whereas one would judge That Nature would rather contrive its Ease than improve its Smart You are to know That the Pain is in order to relieve the Animal by exciting all its Powers to defend expel or reject the Cause and that without a grievous Sensation the sensitive Soul is neither minded nor excited to do it and the more the Pain is the more it is stirr'd up to Self-preservation and as was shewn the more vigorous do its Motions grow by the Compression of the elastick Spirits to perform that Work so Nature not regarding the Pain which is rather for good as much as taking away the Cause advances that for this Purpose like a wise Physician who finding a Grievance at Stomach not sufficient to excite effectual Vomiting to throw away the grieving Cause adds to the Grievance by giving a Vomit which because as was said Nature is proportionably excited to and invigorated for Self-preservation sufficiently sollicites and enables it by a stronger Contraction to reject the grieving Matter As the greater the Relaxation is the more is the Rest of all Parts and the weaker the Anim●l Spirits because less compressed the gentler are all Motions as you see in Sleep consequently the less is the Expence of Spirits so that in Sleep we generate more than we spend and are thereby recruited So the more the Contraction is the more violent is the Motion of the Heart Intestines and of all Parts and consequently the Expence of Spirits is the greater Therefore it can be no Wonder That Contractions do cause great Commotions of Spirits Diary Fevers c. when you consider 1. That the sensitive Soul is by the grievous Sensations c. that cause them put upon a great Fret Concern and Hurry to defend the Animal and lays about him all manner of ways for Self-preservation 2. That the Animal Spirits are by means of great Compression caused by the defensive Contraction in a very forcible Springiness which causes all the Actions that are continual involuntary and of course to be perform'd with great Violence proportionable to its compressed Elasticity Besides that 3. The Systoles of the Heart are o●tener repeated All which conspire to cause greater Commotions upon grievous Sensations whereby Diary Fevers c. are caused which are easily and naturally cured by Sleep or Relaxation at present compose and quiet those Perturbations Who knows tho' it is not my Business to discuss it at present but that the Contractions in the cold Fits of Agues have a great hand in causing the hot ones How otherwise should Opium by only taking away the grievous Sensation of the cold Fits take off or prevent the hot Fits also But of this in my often-mentioned Tract though not so often as it grieves me that it is not published How reasonably may we now expect That pleasant Sensation may cause quite contrary Effects to that of grievous Sensation viz. Relaxation and all its Effects
Darkness of the Eyes seeing Things double various Colours before the Eyes Loss of Feeling Ease from Pain c. Deadness of the Eyes to the View Dilatation of the Pupilla Efflorescence of the Skin Laxity of the Lower Iaw Intumescence and Laxity of the Lips Faltring of the Tongue Sardonick Laughter Laxity and Weakness of all Parts a general Ineptitude to Motion Failure in making Water going to Stool and in all Things that require Strength Contraction Motion c. Difficulty of Breathing a wide and slow Pulse a Condition in general very like that of Drunkenness which also proceeds from Relaxation Secondly When you are satisfied that Relaxation is the Cause use all Means to procure a due Contraction of all Parts which is to be done 1. By removing the Cause of the Relaxation 2. By using all good Means for Contraction First therefore give a brisk quick and strong Vomit both to discharge the Opiate and cause Contraction of Parts by a grievous Sensation Proportion it to the Deadness St●pidity or Sleepiness of the Person so as to give it of twice the ordinary Strength of Vomits in Case there is great Danger from those Symptoms and that they are of a high Nature After the Person has Vomited 3 or 4 Times or so often as that you may judge the Stomach well cleared of the Opiate give Half an Ounce of Cream of Tartar finely poudered in thin Broth Whey Water Small Beer or any convenient Liquid which will correct the Opiate if any remains at Stomach turn the Vomit to a Purger to clear the Intestines also and contribute much to the Contraction of Parts which you must always have in your Thoughts as the ruling Intention in this Case Therefore Secondly You must use Contracters all the Time the chief of which are Cold grievous Sensation or Pain Terrour Fear Voluntary Motion and Acids which last cannot be so well used during the Vomiting lest they stop it Therefore especially if the Person be very Stupid keep him very Cold for he will hardly feel it nor take Cold because the Relaxation and the Insensibleness of Grievance by Cold c. keeps the Pores open let him be if possible in some Motion as Walking Hewing Sawing Knocking Tugging c. the more violent it is the better because it causes more Contraction and Agitation to prevent Sopors To force him to Motion if need be Pricking Pinching or Whipping him about the Legs c. will be of good Use because grievous Sensation adds defensive Contraction which is the greatest sort to that of the intentive Contraction by voluntary Motion These Means failing he should be exposed stark naked to the coldest Air and in desperate Cases thrown suddenly at unawares into cold Water by which Means you cause Terrour Surprise and Cold which are the highest and most forcible Contracters to conspire to the Contraction of Parts Hence it is that Drunken People who are so from Relaxation become Sober as in a moment by that Means All the time but during the Vomiting let him use cold Acids in great Plenty and very manifestly acid for they will not only contribute to Contraction but very much correct the Opiate To this End Iuice of Oranges or Lemmons Verjuice or Water acidulated to a good degree by Verjuice Vinegar Iuice of Lemmons Spirit of Vitriol Sulphur or the like will be very proper Where you have not the Convenience to plunge them into cold Water as is directed dashing or pumping very cold Water or Water with a Fourth Part of Vinegar upon their naked Bodies will be of great Use especially if surprisingly done to cause the more Terrour and Concern These Things may be done more or l●ss as Cause may require which must be left to the Discretion of the present Physician or Friends and Standers by in Case there be no Physician I only Caution that Contracters should not be used too sparingly and that you should never cease to advance in the Use of them till you perceive their good Effect and then to continue them as occasion requires Note That the Case may well happen that the Rosin may stick at Stomach and yet no Signs or Symptoms appear but those of Relaxation by Reason that the Feeling at Stomach may thereby be disabled to take any notice of it To be sure of this you have no other Means because the Symptoms and Effects of grievous Sensation cannot appear where it is not for the aforesaid Reason but to examine whether the Opiate was a resinous one as crude Opium Extract out of Spirit of Wine or the like for then you may conclude especially if they were given in a massy solid Form as that of Pills c. without severing the Particles of the Rosin by other Things as the Yolk of an Egg c. that the Rosin may in all Probability stick at Stomach tho' its Symptoms do not appear for the aforesaid Reason In such a Case the best Advice that I can give is externally to use all Contracting Means as is directed and internally the Means prescribed for Dissolution of the Rosin for you 'll thereby answer both Intentions Failure of making Water often happens in these Cases which you may generally help by only clapping the Scrotum to the cold Chamber Pot or into cold Water and if that will not do put some Vinegar into the Water and that failing he must be stript and cold Water pumpt or dashed upon the Region of the Bladder III. To Cure the ill Effects of a long and lavish Use of Opium These Effects as you may easily observe if you take a View of them where they are enumerated in Chap. 6. are either 1. From an over-much and habitual Relaxation of Parts as Weakness a Moapish Disposition Diminution of Appetite Weakness of Digestion Dropsies Weakness of Memory c. Or 2. From Acrimony as frequent Irritations to make Water Priapisms Erections of the Penis fruitle● Inclinations to Venery c. In this Case as in that of old Drunkards which is much the same there is no good to be done till the habitual Cause is removed viz. the Taking of Opium which suddenly to leave off is as was shewn very dangerous Therefore in order to leave it off safely 1. You must stop your Hands and not increase the Dose that is taken by which Means it will come gradually to have little or no Effect 2. When you find that it is come to that pass your Work is half done then only lessen it 100th Part every Day till you come to take none at all 3. If during this retrograde Course you find any Faintness drink a Glass of good Stomach-Wine toties quoties as Gentian or Centary Wine or the like made by Infusion in Claret or if you want such a Glass of the Claret it self which Things will excite the Spirits and help Digestion 4. When you have quite ended the Taking of Opium continue to Use such Wines when you are faint and every Morning take in a Glass of
't is best liked and most suitable to People's Minds Palate c. II. The Dose moderate except it be 1. Where some by Accident require otherwise as Pain Loosenesses Vomitings and to titillate the Venereal Membranes because remote which see in the respective Chapters of the Use of Opiates in those Cases 2. Where the general Rules direct otherwise as in the soft fleshed People Children Women c. where the Dose must be less III. The Vehicle must be the same as is directed to Compose but in old People 't is observed that smooth Spirituous Things as good Ale c. conduce very much to cause Sleep because Sulphurs do qualifie-the Volatile Salt of the Opium as was shewn IV. The Time in general is at the due distance before Bed-time that is directed in the general Rules but Opiates may be given at any Time when the Case requires as in the Small-Pox about 12 1 or 2 in the Afternoon according as the ●tions which happen in the Afternoon or towards the Evenings do seise them and in Agues at the due distance before the Paroxysm invades them 〈◊〉 that the Operation thereof may be fall and compleat before the Time that the Fits are to begin and so in all other C●ses of the like ●ind V. The Regimen in this 〈◊〉 〈◊〉 〈◊〉 Twosold Aspect 1. To promote 〈◊〉 2. To compose and quiet Motions 〈◊〉 ●tions of the Spirits 〈◊〉 c. 〈◊〉 〈◊〉 Quiet being the Two 〈◊〉 〈◊〉 As to the first the Regimen must be the same as is directed in the Chapter of the Use of the Panacea c. to relax but as to composing and quieting the Spirits I shall add somewhat tho' Relaxers are generally good for this Purpose unless join'd with some agitating Accidents as Heat or the like 1. As to Diet it should consist of cooling incrassating inviscating Things that are not aromatick acid or saline such are Milk-Meats Emulsions Almond Milks Chicken Broth with cooling Herbs Water-gruel fresh and young soft Flesh Lettuce Purstane Spinage Herb Mercury Mallows and such like Mucilages as of Quince Fleabane c. The Drink may be Milk and Water Whey or such unfermented Liquors or smooth Small Beer not too old for all stale Drink is naught Water where it agrees c. 2. Rest of Body and Spirits must be contrived by all means as by leaning lying or sitting still without any motion after it is taken till Bed-time and therefore let the Person if the Season permits be as much undressed as may be in a loose Garment or Morning-Gown all that Time and be help'd off with his Cloaths that he may not agitate his Body when sleepy and not before let him go into a cold Bed in Summer and but a little warm'd in Winter and only have what Bed-cloaths suffices and pleases him best and then lie absolutely still without Noise Light or Fire in the Room 3. Rest and Tranquility of Mind is very necessary which should be not only free from grievous Passions but from all Excess of Joyous ones which too much agitate the Spirits 4. The Air should be moist and moderate and if not such by the Weather render'd so by Art especially in Fevers 5. All Evacuations should be made that may any way disturb his Sleep before he betakes himself to it nor should the Stomach be overfull or empty lest any Grievance may be thereby created 6. Emollient tepid Baths Fomentations Feetwashes c. do finely dispose People to Sleep but take care they be not too hot for heat causes a stir of Bloud and Spirits which is an Enemy to Sleep 1. Note That long Sleeps after great Fatigues or long Watching ought not to be very frightful if the Dose was moderate and that the Person takes Sustenance 2. Note That old or dry Persons or such as are very unapt to Sleep after Opiates are often caused to Sleep by smooth Wine Ale Cowslip Wine or the like because the gentle Oiliness of such Liquors do correct the Acrimony of their Volatile Salts and at the same time cause a Sense of Pleasure which relaxes and causes Sleep It has been observed that even Ambergrise and Musk which exagitate the Bloud and Spirits cause old Men to Sleep which happens by their fine Sulphur readily fastening upon the acrimonious Volatile Salts as Spirit of Wine does upon Sal Ammoniac which being mixed do soon coagulate Therefore I am apt to think that Camphire would be of excellent Use to correct the Opium and the volatile Salts of the Body in such Cases because it is Experimentally certain that it corrects the Acrimony of Urine of Semen Virile Cantharides c. 3. Note That the drier the Body is the more unapt are Opiates to cause Sleep therefore dry Bodies as of old Men Hectical Persons c. should be well moistened by incrassative Moisteners as Emulsions and such Things as are above mentioned and ordered in the Chapter of the relaxing Use of Opiates From what is said I do conclude that Opiates do cause Sleep very readily where the Oily Parts abound and that Things that have a fine Oleous Sulphur are very good Correctors of it where acrimonious Volatile Salts abound in order to cause Sleep and that hence it is that some ancient People will often Sleep better by the Use of the aforementioned smooth fermented sulphureous Liquors than by the Use of Opium from all which it appears that Sleep is not such a Property of Opium as People make it to be because that besides relaxing Sleep also requires a great Rest of the Spirits and the sensitive Soul It seems very probable from the Premises that Anodyne Sulphur of Vitriol would be excellent to cause old Men to Sleep for it doubtless causes Sleep only by obtunding and qualifying our Volatile Salts as White 〈◊〉 and other Balsamicks will often do CHAP. XXXVI Of the Use of the Panacea of Opium c. to stop Fluxes IT palliates moderates and stops Fluxes 1. By taking away the sense of the Irritation of Humours which cause Contraction to squeese them out and promote their motion 2. Because it composes and stills the motion of Humours by the Relaxation and the Sleep that it causes which quiets motions 3. Because thereby and by its combining Agreeableness and Texture it congregates the disgregated Humours 4. Because the Relaxation suspends the Humours 5. Because it discusses ill Humours 6. Because the Pores being opened by the Relaxation the Humours that caused the Fluxes are gradually perspired by that most natural and universal sort of Evacuation for 't is plain Reason and common Observation that a plentiful Evacuation at Pores stops Fluxes per Anum c. and if it continues perfectly cures them ☞ Hence it is that the Use of Opiates continued does happily not only palliate but perfectly cure Diarrheas Dysenteries Defluxions Catarrhs c. It therefore follows that it is of great Use 1. To palliate moderate or cure all Fluxes that proceed from Irritation of Humours as Vomitings
Loosenesses caused by the Humours of the Body or Things given as Diarrhe●s Dysenteries Artificial Purging Iliack Passions Cholera Morbus after the Humour is somewhat spent Defluxions Catarrhs immoderate Spitting Gonorrhea Notha that is of slimy Humours by Reason of Acrimony Fluor albus from the like Cause or any other Flux of that Kind 2. To moderate or cure Flux●s that proceed from too much motion of the Bloud Humours c. as Hemorrhages at Nose Lungs Stomach by the Hemorrhoids Pissing of Bloud immoderate Flux of Bloud by the Menses Lochia Stool c. when they proceed from that Cause as may also some Defluxions 3. To stop Fluxes that proceed as Hippocrates says from Segregation of Humours by composing and combining them from which Cause many such Fluxes as I have mentioned do happen But it is not advisable to use them in Fluxes that are apparently or very probably for speedy and ready Benefit otherwise as was said of Pain use them to respite Nature which they do as Sleep does nay in many Cases the Continuance of their Use may quite Cure them for the several Reasons given in the beginning of this Chapter What a pleasant Cure then do some refuse that reject them leaving their Patients to be worn out with dismal Pains tedious and profuse Evacuations want of Appetite and Digestion the common Consequences of Diarrheas Disenteries c. I. The Form of Opiates in this Case should generally be solid because it sticks better to its Work whereas the fluid is more subject to be evacuated in Diarrheas Dysenteries and Vomitings tho' sometimes the Liquid may be convenient in Vomitings as when that Form is more agreeable to the Stomach or that you would have a more speedy Eff●ct c. In other Fluxes where the Opiate is not liable to be evacuated too soon it is indifferent what Form you use II. The Dose in Fluxes where 't is probable some Part of the Opiate may be carried off without Effect as in Vomitings Diarrheas Dysenteries Choleras c. the Dose must be generally speaking pretty large otherwise a moderate Dose may serve In such Cases due Consideration is to be had of what is lost by the Evacuation at which you may easily guess in Vomiting by what comes up if its Colour Smell Taste be observed as also by the Frequency and Violence of the Vomiting and noting how the Stomach clears it self of what is ingested by the Quantity and lastly by the Effect of which if what was given fails more of the Opiate must be given by degrees till it stops the Vomiting in some measure In Loosenesses give Half the first Dose every Four Hours till the Flux begins to be moderated then be more wary in giving it for what is afterward given may have its full Effect therefore be very cautious by giving but small Quantities both in this Case and in Vomiting when they are moderated in some degree because Opiates then have their full Effect without any Diminution or Opposition thereof In other Fluxes a moderate Dose may serve as in Desluxions Catarrhs c. however let the Dose rather incline to the highest than the lowest and suffice if possible to cause Sleep which is a great Effect in these Cases III. The Vehicle in Vomiting should be small in Quantity pleasant comfortable and warming lest you should by either Quantity or Quality give any offence to the Stomach pleasing it answers the same Intent with the Opiate it self and has often good Effect without Opium for indeed every Pleaser is proportionably an Opiate and Opi●m is only such in an intense and permanent manner therefore the Vehicle must be agreeable as Wine Hippocras or Wine burnt with Spices Rosemary c. or the best Cordials or Wine with some 〈◊〉 C●viare or Anchovis or a little old Ch●ese dissolved in it upon the Fire according as the Person likes one or the other which last tho' not used in common Practice are of very great Benefit where they are pleasing and well liked of In Loosenesses such Wines and Cordials as are s●bastringent should be afforded after the peccant Matter is evacuated to comfort the Bowels but the mentioned Salt Things are not convenient in this Case In Defluxions incrassative Composers are the best Vehicles as Emulsions c. See the Vehicles for Composing for they are all proper in this Case also IV. The Time is at any Hour when there is Occasion but Sleep conducing the proper Time will be unless Need otherwise requires at the due and directed distance before Bed-time V. The Regimen 1. As to Diet in Vomitings offer nothing to the Stomach but such Things and in such Quantities as was directed for Vehicles only in Vomiting before the grieving Matter is discharged it will be often convenient before the Opiate is given to give good Quantities of innocent Diluters as luke-warm Water plain or Carduus-Posset between the Vomits to dilate and render the Vomiting more easie but when you would stop the Vomiting use but small Quantities of such Things as are above directed for Vehicles Diluters in great Quantity do also succeed very well in Loosenesses to wash off the ill Humours before the Opiate is given and it is the best Practice that can be but the Chalybeate Waters are the very best for that Purpose tho' Posset or very thin Chicken or Mutton Broth are useful for it answers all good Intentions it dilutes and qu●lifies the peccant Humours strengthens the Bowels leaves a binding Quality after the Dilution is made restores Appetite and Digestion which are both much amiss in such Cases and adds moisture to the Bloud which is under a Fr●t or Febricula for want thereof because all Liquids are carried off by Stool but much of this goes to the Bloud where it also washes off ill saline Particles so that believe me it is of it self a most compleat and adequate Remedy in such Cases if taken to 3 or 4 Quarts for 1 2 or 3 Days 1. Solid Meats or Things hard of Digestion must be avoided because the Digestion is infirm but Milks thicken'd with Rice or Flower Rice Gru●s a light Bread or Rice Pudding Gellies Marmalet a T●st out of Claret with Nutmeg Cinnamon and some Loaf Sugar Emulsions Almond Milk Cheese-Cakes Custards and all subastringent Incrassatives are best as also in all Defluxions 2. As to Sleeping and Waking that 's good and this bad 3. As to Rest and Motion that is convenient this not 4. As to Passions the joyous are convenient the grievous not 5. As to Air the dry and temperate is best 6. As to Excretion and Retention what is said above is sufficient saving that Vomits are very often convenient especially if the Looseness is occasioned by the Stomach to moderate it before the Opiate is given CHAP. XXXVII Of the Use of the Panacea of Opium c. to cause Fluxes or Evacuations as Perspiration Sweat c. IT as was shewn promotes some Fluxes or Evacuations by relaxing and opening