ours which came from a certain Infection of the Air and chiefly prey'd upon the Spirits and not upon the Humors and was chiefly cured with Antidotes whereas Blood-letting did harm On the other side our Fever more an Enemy to the Humors then the Spirits was cured by Blood-letting Wierus makes mention of a Malignant and Pestilent Fever which was very rife about the Countries lying upon the Rhine and very different from ours which the Cure informs us for he writes that he found Blood-letting very dangerous From our Fever also differ very much those Fevers which Forestus describes wherein there were neither the same Symptoms neither would the Cure admit repeated Blood-letting Lazarus Riverius produces one Example of a Malignant Fever which in many Patients agreed with ours and was cured by five times Blood-letting To which there was one very like that we saw in France in the year 1632 already mentioned Observ. 3. But that it may be the better understood How Patients afflicted with this same Malignant Fever are to be ordered I shall produce one or two Examples of a thousand in the following Observations OBSERVATION XXV A Malignant Fever HErman Thomas a Baker was seized with the foresaid malignant Fever the fifth of September with a very great Heat and Consumption of his Spirits at the beginning his Pulse beat thick yet not very unequal this Thirst was vehement with a very great driness of the Tongue All the Body seem'd to be equally affected and therefore he never felt any Pain only complained of a great Faintness and Dejection of his Heart the first day coming to him about the Evening I ordered him an Emollient Glister which gave him three Stools and to quench his Thirst I prescribed him this Julep â„ž Carduus-water Borage and Sorrel-water an lb j. 〈◊〉 of Citron newly squeezed out of the Fruit Syrrup of the â—…owre part of the Citron of Violets Rob of red Ribâ—…s an â„¥ Oyl of Sulphur q. s. to make it gratefuly sharp mix them for a Iulep The sixth of September in the Morning we took away a pint of Blood out of the Median Vein of the right Arm which gave him great ease The Blood was very bad the upper half between livid and green and like a Muscilage the lower half black and coagulated the Serum also was Green The next day he felt a Pain in his Throat which was without any Tumour for the asswaging of which I ordered him a proper Gargarism In the Morning he took a gentle Purge which gave him five Stools To quench his Thirst he took small Ale and sometimes his Julep the eight of September his Fever continuing in the same state we took away ten Ounces out of his left Arm which was as bad as the first the ninth this Sudorific was given him â„ž Diascordium of Fracastorius Ê’j Confection of Hiacinth Extract of Carduus Salt of Rue an ℈ j. Treacle and Carduus water an â„¥ j. Oyl of Vitriol ix drops mix them for a Draught Upon this he sweat well nevertheless the Continual Fever his weakness his Pain in his Throat his Thirst and driness of his Mouth continued still besides that he could not sleep hardly at all Therefore in the Afternoon he drank two Draughts of the following Apozem and took it also the next day â„ž Roots of Succory Grass Asparagus an â„¥ j. of Elecampane Sea Holly and stone Parsley an â„¥ s. Herbs Sorrel Carduus Benedict Borage Centaury the less Scordium Scabious an one handful One whole Pome Citron cut in slices the four greater Cold-seeds an â„¥ j. s. Fruit of Tamarinds Rhenish Tartar an Ê’vj Curants â„¥ j. s. Boyl them in common water q. s. to 〈◊〉 ij add to the straining Syrup of Limons â„¥ iij. mix them for an Apozem The eleventh after an Emollient Glister first given we took away seven Ounces more of Blood out of his right Arm which very much abated the Fever the twelfth after he had taken his former Antidote in the Morning he Sweat very much and in the Afternoon he took his Apozem The next day because his Belly did not answer our Expectations I gave him this Powder to take mixed with a little of his Julep which gave him three Stools â„ž Rhubarb the best Ê’j Cremor Tartar Ê’ s. for a Powder This Powder he took again the sixteenth in the Intervening days and the three days following he took the foresaid Apozem and a small quantity of this Conditement â„ž Pulvis Liberans Ê’j s. the three Saunders ℈ ij Confection of Hyacynth ℈ j. s. Candy'd Orange Peels Rob of red Ribs Pulp of Tamarinds an â„¥ s. Syrrup of Limons q. s. mix them for a Conditement Upon the twelfth his Fever abated every day more and more neither was he molested any more with Anguish or Thirst but his Stomach began to come to him but then through a slight Errour in his diet he fell into a Relaps and his Fever returned with great violence Therefore after we had Glistered him first we took half a pint of Blood out of his left Arm which gave him so much ease that the Fever was almost totally quenched with that one Blood-letting The next Morning taking his Antidote again he Sweat soundly and then taking his Apozem and his Conditement both that day and the three or four next days he was presently delivered from his Fever During the Cure we kept him to a slender diet of Broths wherein were boil'd Sorrel Borage Pome Citrons Barley cleansed and unripe Grapes To drink we gave him small Ale and sometimes Juleps and sometimes he quenched his Intollerable Drought with Pulp of Tamarind or by chawing a slice of Pome Citron dipped in Sugar or else by laying upon his Tongue a Leaf of the bigger Sempervivum steeped in water and the outer Skin pulled off OBSERVATION XXVI A Malignant Fever GErtrude Coets a Young Maid of about twenty four Years of Age was seized with the same Pestilential Fever Upon the eight of September I being sent for which was the fourth day of the Disease I found her so weak that she could hardly speak she swoonded away every moment by reason of the Malignant Vapours that oppressed her Heart her Pulse was very weak thick and unequal the heat not very intense in regard the Morbific Matter infested her more by it's Malignity then it's Heat presently I gave her this Sudorific â„ž Oriental Bezoar stone ℈ s. Diascordium of Fracastorius Mithridate Damoc. Confection of Hyacinth an ℈ j. Carduus water â„¥ j. mix them for a Draught Though she did not sweat long by reason of her weakness yet she had very much ease to quench her Thirst I prescribed her this Julep â„ž Carduus Baum Sorrel and Scabious waters an lb. s. Cinnamon â„¥ j. Citron juice newly squeezed â„¥ j. s. Syrrup of Limons Violets an â„¥ j. s. Oyl of Sulphur q. s. mix them for a Iulep The ninth her Belly was moved by a Suppository and two hours after we took from the Median Vein
probable that the necessity of Respiration forces the Birth to a stronger Calcitration when the Birth in the Womb breaths sufficiently considering the Proportion of its heat For Vessingius resting upon the Authority of Hippocrates writes that the Lungs of the Birth enclosed in the Womb by a gentle dilation draws something of Air and for proof of this he alledges the Infants being often heard to cry in the Womb. Examples of which are produced by Albertus Magnus Libavius Solin Camerarius Sennertus Bartholin and Deusingius Also the Learned Velthusius believes that in this case the Air penetrates to the places where the Infant lies and that it is attracted by the Infant by Inspiration Nay the Honourable Robert Boyle in Experim Physic. Mathem Exercit. 41. seems to confirm this crying by a most memorable Example I knew a certain Lady says he who was with Child some years since at what time her friends bemoan'd her Condition to me that she was very much terrified with the Crying of her little Infant XXVI But whoever they were they were all in an Errour that wrote of the Respiration and crying of the Birth in the Womb. For first the Relations of these things are taken from the vain stories of idle and unskilful Women and Men who either conceive Whimsies of their own or else on set purpose perswade others into a belief of these Vanities Either to move the Rich to Pity for generally the poor are they that only hear these Noises or else to get themselves a name among the Vulgar by establishing some Prophecy upon these feigned wonders But we shall hardly read of any person of Reputation that ever heard this imaginary Crying Secondly it is impossible there should be any breathing or crying in the Womb without any Air but which way shall it come thither For the Mouth of the Womb is so closely shut by the Testimony of Galen or Hippocrates that it will not admit the point of a Probe nor the least Air or Water Of which though some make a doubt yet we found to be true in the year 1649. When we opened the Body of a young Woman that was poysoned in whose body we found the Womb swollen with a Birth above a hands length and the Mouth of the Womb not only most closely contracted but also stopped up with a glutinous clammy flegmatick Humour that would not admit the sharp end of a Bodkin unless it should have been forced through the Glewy substance The same thing we found in December 1665. in a Woman seven Months gone that dy'd suddainly Moreover besides this closing up the Mouth of the Womb the Birth is also so exactly enclosed in its Membranes that no liquor contained within can distil forth nor any external Air penetrate withinside VVhich difficulty Gualter Needham observing after he has related a story as it was told him of a Child that was heard to cry in the Womb of a Noble Woman L. de format foet writes that the Air cannot come from without to the Birth but that it may be there generated by the fermentation of the Humours latent within as wind is bred in the Stomach Guts and other parts But this being in some measure granted how is it possible that the Birth going about to cry should draw in that or any other Air when it swims upon the Milkie liquor of the Amnion which would fill up the Mouth of it For should it breath in the Air it would be choaked in regard the Liquor in the Mouth would slide down into the Lungs through the rough Artery together with the Air and fill up the middle Fistulous part of the Windpipe Certainly t is a wonder that those Learned Men who have written concerning this Uterine Crying have not made this Observation upon it that the sound which is heard in the Belly of a Woman with Child which they that hear perhaps take for the crying of the Infant proceeds only from the Wind that roars in the Guts compressed and straitned by the bulk and weight of the Infant as we hear sometimes a wonderful whistling of the wind impetuously forcing it self through the narrow holes of windows such a one as once I remember I heard my self with several others exactly resembling the sighs and groans of a Man in sorrow or in some great danger so that all that heard it were frighted and talked of nothing but Spirits and Hobgoblins that bewayl'd some terrible Misfortune that was to befal them whereas after half an hours search we found the winding hole through which the wind passing made that lamentable noise which ceaâ—…d upon stopping the Hole And thus t is no wonder if the Vapours passing through the streights of the Compressed Guts sometimes make a whining noise like the crying of an Infant as you shall hear in the lower Belly noises of the wind resembling perfectly the croaking of Frogs and the Hissing of Serpents Therefore says Aristotle the Infant never cries till it be come forth out of the Womb. XXVII Here perhaps an important doubt will arise if it be so that the Birth promotes its delivery by vehement kicking occasioned by the necessity of Respiration and so provokes nature to Expulsion what 's the Reason 1. That sometimes a very weak Birth that wants no Respiration is forced out of the Womb in the fifth or sixth or seventh Month in which seventh Month however many mature Births sufficiently strong and lively and wanting Respiration are born though it may happen that many Births unripe very weak and unable to brook the change of Air and Nourishment may be and are frequently born in that Month. 2. That a Birth that dies in the VVomb consequently requiring no Respiration is cast forth by female Labour seeing that in neither of these cases there is any need of strong Calcitration to promote delivery I answer to the first that sometimes a Birth may be sound in the Womb according to the time that it abides there after Formation though not ripe that is so weak as not to be able to brook the changes of Air and Nourishment and that of such a Birth a Woman miscarries by Abortion not through the necessity of Respiration or provoked by sprawling but by reason of a cause far different either the flowing in of too much flegm or too violent Agitation of the Womans Body or through the rapid disorderly and violent motion of Spirits and Humours as in the passions of Anger or Fear by all which cause the Placenta is loosned from the VVomb or the Birth is killed which then becomes heavy and troublesom to the VVomb and provokes it to Expulsion and to the end that trouble may be expelled presently the Spirits are sent in great quantity to the Contracting Fibers of the VVomb and Muscles of the Abdomen which by drawing both the one and the other together expel the Birth To the Second I say that the Birth being dead for some times the pains of Travel cease because
I found by many Signs that there was no Virulency but only a Mischeif contracted by the more violent use of Venery which had weakened the seminary Vessels Wherefore I prescribed him a diet moderately heating and drying meats of good juice and quick nourishment to drink unmixed Wine moderately and to take some other corroborating and nourishing things Then after I had purged his Body twice with a gentle Purge that the Viscous humours might be first expelled the seminary Vessels before the use of other Medicaments every Morning and about five a Clock in the Afternoon I gave him â—…ij s. of Salt Prunella in a Draught of red Wine which when he had taken for eight days together he was perfectly Cured without having need of any more remedies which I had ordered him to use All this while I ordered his Loyns to be anointed with the following Oyntment â„ž Martiat Oyntment Ê’ij Oyl of Foxes â„¥ s. Oyl of Turpentine Ê’ij Oyl of squeezed Nut-megâ—… Ê’j make an Oyntment ANNOTATIONS A Gonorrhea according to Galen Aetius and others is an unvoluntary Excretion of the Seed of which some make two others three we four differences First by reason of the heat of the Reins and plenty of Seed and this is called Pollution It happens with some Pleasure and Erection wherein it differs from other Gonorrheas because they are accompanied with neither It is cur'd by Blood-letting slender Dyet refrigerating Medicaments and Nourishments as also drying and gentle Astringents The second is caus'd by the falling down of evil and corrupt Humors and Phlegm from the Brain and Liver and other Bowels to the Spermatic Vessels the retentive faculty of which is thereby endamaged and so those putrid Humors flow forth with the Seed This as it seldom happens to Men so is it very frequent among Women and hard to be Cured nor is it to be Cured until you can first remove the vitious Distemper of the Bowels which sends those humours thither The third proceeds from the excessive use of Venery by which the Spermatic Parts being weary'd and extinguish'd are refrigerated grow languid and gather together crude and cold Humours by which their concoctive and retentive faculty being loosened they can neither concoct nor retain the Seminal matter This is easily got by Elderly People less used to Venery who not meeting so often with Opportunities to delight themselves force all their Nerves so strenuously when they come to it that they weaken the strength of the whole Body and having wasted the strength of the Seminal Parts such a Gonorrhea ensues accompany'd with a weakness of the Loins This is Cured by corroborating Medicaments and Nourishment hot and gentle Asâ—…ringents having made use before of Purgatives and Diuretics to free the Urinary and Seminary Passages from the Crude and Viscous Humours collected therein which done the Cure easily proceeds The fourth which they call virulent is contracted by coition with those that have the Pox of which Infection it is often a fore-runner and as often a most faithful Companion as being deriv'd from the same Cause and which cannot be safely cured before the perfect Cure of the Pox. In this there is a stinking Poyson of a White and Greenish colour that distills insensibly from the Seminary Vessels and frequently corrods the Pipe of the Yard which causes sharp pains upon Erection and making Water and thence also Ulcers and Caruncles grow in the Urinary passage And besides if this virulent Running be stopped unskilfully for the most Part it occasions Aposthumes either about the Testicles which then begin to swell very much or else about the Seminary vessels and thence Veneral Buboes Many times also the Venom ascending inward and infecting the Liver and other Bowels communicates the Contamination to the whole Body OBSERVATION V. A Scald WIggerd Simonis was melting a good quantity of Rosin upon a quick Fire which being too hot the Flame got hold of the Kettle now as he was going to put out the Flame and cover the Kettle with a Pillow unwarily he thrust both his hands into the scalding and boyling Rosin and the same thing happened to him that went about to help him to put out the same Flame so that both most greviously complained of the pain that their hands were in A present remedy was requisite but having none at hand I bethought my self of a whole Bottle of Ink that I had in my Study this I powred forth into a Pot and bid them both plunge their hands into it and for some time to wash and foment with it which when they had done for half an hour the Heat and Pain ceased nor did any Blisters rise nor did they receive any damage by so terrible a Scald OBSERVATION VI. The closing of the Eye-lid by reason of a Wound A Young Country Girl had fallen from a high place and with the fall had received a great wound in the right Eye-brow that is to say in the inner part next the Eye by which wound the Bone of the Cranium was laid half bare and the Eye-brow being cut cross-ways the upper Eye-lid hung over the lower A certain Chyrurgeon had quickly Cured the wound but after the Cure of the wound the upper Eye-lid would never rise of it 's own accord nor could the Maid open her Eye but by the Assistance of her Fingers many Topics were apply'd by several Chyrugeons to remedy this defect but none of them availing after some Months my Assistance was desired When I had viewed the Place affected I perceived the Mischeif was incurable and therefore advised them to forbear any further Applications However the Maid by the advice of others who put her in great hopes for a whole Year together applied sometimes one thing sometimes another till at length receiving no benefits he quite gave over ANNOTATIONS HEre the streight Muscle of the Eye-lid was cut Moreover the unskilful Chyrurgeon at the beginning had not sufficiently clos'd the Lips of the wound so that afterwards a thick Scar being grown over it the Muscle could no longer preform it's Duty so that there was no Man that understood Anatomy but might perceive the Wound to be incurable OBSERVATION VII A Dysury or difficulty of making Water A Young Son of N. a Domestic Servant of the Lord Dolre a Boy of five Years of Age made Water for some Months with great difficulty and in extream pain and misery and which also many times stopped at the time it should have Evacuated The Parents had taken the Advices sometimes of Chyrurgeons sometimes of Old Women and sometimes of Strowling Mountebanks but at length in December my advice was desired Thereupon after I had gently Purged his Body with Powder of Diacarthamum and Syrup of Succory with Rhubarb ordered him to take a Draught several times a day of the following Apozem which the Boy impatient of the pain greedily suckt up â„ž Roots of rest Harrow or Cammock Sea Holly sliced Licorice an â„¥ s. Flowers of Cammomil
they could think of for the Cure of this Distemper but very few did any good at length there was a Remedy found out by certain Italian Physitians who came hither with the French Army by which afterwards great numbers were cured First they Purged the Patients with Rhubarb Then they took white Wax Ê’ j. s. or Ê’ ij and cut this very small into â„¥ iiij or v. of New Milk which they boil'd till the Wax was perfectly melted and then gave their Patients that Milk as hot as could be to drink for it must be taken very hot because of the Wax that else would thicken so that it could not be drank if the Lask did not stop the first time then they gave it a second and a third time But in regard there were a great number of Souldiers that lay sick of this Distemper there was such a vast quantity of white Wax consumed in a short time that the Apothecaries of Emeric were quite exhausted so that they were forced to send for it to other Places Now though Wax seldom is given to swallow yet it is no new thing For Diascorides writes that it is of great Efficacy to fill up wounds and is given in Broths to those that are troubled with Dysenteries Thus Valleriola speaks of a Dysenteric recovered by such a Remedy He cut an Apple hollow and filled it with Citrin coloured Wax and then covering it laid it in the Ashes to roast till the Wax was melted and mixed with the substance of the Apple and then gave it the Patient fasting to eat for some days together though he believes it better to roast and melt the said Wax in a Quince as being more astrictive and glutinous Quercetus prepares the same Remedy by cutting an Apple hollow and filling it with white Wax and Gum Arabic an Ê’ j. Solenander stuft a Turtle with an Ounce of white Wax and boyl'd it in Water and then gave both the Flesh and the Broth to be eaten with Bread Others prescribe a Young Pidgeon stuft and boiled after the same manner OBSERVATION XXIX A Dysentery MArcellus Bor a strong Man of about forty Years of Age was taken with a Dysentery of the same Nature The ninth of October I Purged him with Rhubarb then I gave him Juleps Conditements Powders cooling thickning and Astringent Apozems Sudorifics and other proper Medicaments in convenient manner and time so that the Patient being reduced to extremity of weakness I began to give him over not beleiving he could live two days in that condition but in regard he was very thirsty and called for cold Water I ordered in a desperate condition that he might have as much cold water as he would drink to the end that by drinking such a quantity of water the Morbific cause if it were possible might be washed off from the Guts and the Acrimony of it blunted by the force of the cold All that Night the Patient drank as much as he would of Well-water which at first past swiftly through his Guts and with wonderful griping flowed down to the lower parts afterwards not griping so much toward Morning the Pains of the Guts were almost ceased and the Stools less frequent about noon the Patient falling a sleep slept quietly for some hours before the Evening the Flux stopt and so the Patient refreshed with proper diet when every one thought he could not have lived was unexpectedly recovered from a most desperate Disease ANNOTATIONS COncerning the Drinking of cold Water in a Dysentery there are hardly any of the Modern Physitians that speak a word Yet it is a Remedy not improper in a Choleric Dysentery For it washes the Intestines with its moisture and frees them from all the filth of sharp Humors and cleanses the inner Ulcers By its coldness also it abates and dulls the Heat and Acrimony of the Choler and binds up the Exulcerations of the Intestines Nor was the Drinking of cold Water unknown to the Ancients in this Disease Therefore says Aetius at the beginning for drink use Rain-water but if there be no good Rain-water take Fountain-water Celsus also writes in these words If after several days tryal other Remedies will not prevail and the Disease is come to be of some continuance the drinking of cold Water binds the Ulcers In like manner Paulus and others of the Antients make mention of the drinking of cold Water in a terrible Dysentery Among the Moderns Amatus of Portugal was one that by his own report saw a Choleric Dysentery cured by the drinking of a great quantity of cold Water At other times it also happens that when the best Medicines avail nothing a plain ordinary Medicine has cured most desperate Dysenterys So by the Relation of Captains I have heard that when Breda was besieged by the Spaniards and that Dysenteries were very rife in the City nor any Remedy could be invented for this Distemper when all the known Remedies of the Physitians fail'd at length a new invention was found out by which many were cured A piece of Silk double dy'd of a deep Crimson colour comb'd into slender Threads and steep'd in Wine this taken in Wine with a dram or half a dram of Powder of the same Silk for some times infinite numbers have been cured by it I know a certain Dysenteric Person who was given over who upon eating a vast quantity of Medlars recovered beyond all expectation Another was freed by Man's Bones drank in red Wine of a Flux which was thought incurable Oyl of Olives taken alone or eaten with a White-bread Toast dipp'd in it many times works wonders Holler affirms that he was cured several times with the Juice of Ground-Ivy Forestus writes that he never found any thing more prevalent then the Dung of Dogs that only fed upon Bones given in Chalvbeate Milk And with this Medicine Fuchsius says that he cured above a hundred Dysenterics in one Year Riverius tells us of a Dysenteric that only used the Decoction of Pimpernel with Water and Butter and so was cured in three days Bruyernius writes thus of himself being troubled with a Dysentery We says he being terribly afflicted with a Dysentery lay given over by the Physitians for no Remedies were able to asswage or Cure the Disease At length by the Advice of an old Woman upon eating a great quantity of raw Services the next day I felt all my Pain almost abated And by this means my Belly being shut up and I as it were recalled from the dead and restored to my former Health experienced the saying of Gelsus to be true that Rashness does more in Diseases than Prudence can do OBSERVATION XXX A Consumption LEwis Gulielm a Sea-man about thirty four Years of Age and indifferently robust had sometimes before lain Sick of a Malignant Fever of which by the Assistance of God I had cured him In the Month of October about a Month after the cure of the said Fever he was taken with an Extraordinary Catarrh occasioned by
an â„¥ j. s. Mix them well together XI For diversion of the Morbific Matter apply Pidgeons dissected alive to his Feet or else this following Medicine â„ž Leaves of red Cabbage white Beets an â—… j. s. beat them in a Mortâ—…r and make them into a Past with sowre Levea â„¥ iiij Salt Ê’ij Vinegar of Roses q. s. XII About Night give gr iiij of Laudanum in a Pill or if he refuse a Pill dissolve three Grains of that Laudanum in one ounce of Decoction of Barley adding an ounce of Syrup of Poppy Rheas to provoke Sleep XIII While these things are done for his usual Drink give him small Ale or Whey of sowr Milk or Fountain Water having some Pieces of Citron steeped in it adding a little Sugar and Rose-Water or else this Julep â„ž Lettice Leaves M. iiij Endive M. ij Red Currants M. j. Barley-water q. s. Boil them to a Pint to the Straining when cold add Syrup of Violets and Limons an â„¥ j. of Poppy â„¥ s. Iuice of Citron q. s. to make it pleasing XIV Let him also take of this Conditement often in a day â„ž Powder of Diamargarite cold ℈ iiij Pulp of Tamarinds Conserve of Violets pale Roses Robb of red Currants an Ê’ iij. Syrup of Violets q. s About Evening when he does not take his Laudanum Opiate let him drink one or two Draughts of this Emulsion â„ž Four greater Cold seeds an Ê’ ij Seed of white Poppy â„¥ s. Decoction of Barley q. s. Make an Emulsion of about â„¥ vij To which add Syrup of Violets and Poppy Râ—…eas an Ê’ v. XV. When the Distemper begins to asswage the sooner to dissolve the peccant Matter cut alive Hen in the middle and lay it to his Head or else the Lungs of a Calf or Sheep newly killed XVI Let his Air be between cold and moist and his Chamber somewhat dark His Diet sparing and cooling prepared with Lettice Endive Borrage Sorrel and the like his Drink as before Let him not be tâ—…oubled with much company nor Talk Only let those for whom he had a Kindness in his Health endeavor now and then to pacifie his Rage with good Words Lastly keep his Belly soluble HISTORY III. Of Melancholly A Learned Man forty years of age of a melancholly Constitution in the Summer time walking out of the City with a Son of his came to the River side pulling off his Cloaths leaâ—…t into the Water to please himself with Swimming to which he perswaded his Son likewise to make him skilful of the same Art but his Son leaping into the Water sunk to the bottom and was drowned before his Father could come to his Assistance Upon which the Father fell into such a deep Sadness continuing thinking of his Misfortune and believing himself the Author of his Childs Death that he did nothing but weep Day and Night without sleeping and within a few Days was brought to that pass that he believed himself guilty of Murther and for that reason eternally damned He also thought the Devil who had tempted him to do the Fact alway stood at his side and shewed his horrid Shape to those that stood by pointing at him with his Finger wondring they did not see him as well as He. As to other things he was well enough only this false Imagination stuck so deeply in his Mind that no Perswasions or Consolations of his Friends could root it out I. VVhen the seat of the Principal faculties in the Brain was endamag'd and the Imagination deprav'd it was a sign the Patients Brain was out of order as appeared by his sadness and fear II. This Malady is Melancholly and a deprav'd Distemper of the Brain hurting the Imagination and deluding it with false Apparitions and causing fear and sadness without any reason which are two unquestionable Signs of Melancholly according to Hippocrates Therefore we may well define Melancholly to be a Delirium without a Fever arising from a Melancholly Fancy III. The first and external Cause of this Mans Malady was his grievous Misfortune having his Son drown'd which seiz'd him the more violently as being naturally Melancholly Which when he could not forget but spent whole Days and Nights continually thinking upon it without any Sleep the Animal Spirits prone to Melancholly were disorderly agitated in the Brain and so contracted a Specific and Ocult distemper which they communicated not to the Brain but to the Heart and whole Body Hence horrible thoughts sadness and fear VI. When he thought of his Son whom he believed to be drown'd by his fault he perswaded himself he was guilty of Murder which because he knew it was a Sin hareful to God therefore he thought himself Damn'd and the Devil to be always at his Elbow the continual thinking upon which had shaped the Idea of a Devil so firmly in his mind that he could not be otherwise perswaded but that the Devil was always before his Eyes nor could any Body dispossess him of that Imagination In other things he was well because his perception and judgment of things was no way hindred by that false Imagination as being wholly taken up with that Imagination and nothing so much not with such an emotion of Mind intent upon other things V. Because this occult Distemper of the Brain and Animal Spirits was bred in the Brain plain it is that this was a primary or self-suffering Melancholly VI. This Melancholly Delirium tho' very troublesom yet is it not Mortal and gives great hopes of Cure because only the Imagination is depraved the Ratiocination and Memory little endamaged then again he was sound in Body and lastly because he was a Learned Man and so much the sooner to be governed by Reason besides that it was in the Summer when this happened which was a Season more proper for Cure VII In the Cure the Evil Melancholly Matter and the ill Temper of the Brain is to be amended that the purer Spirits may be freed from that Specific Melancholly Contamination and generated anew The same evil Matter is also to be evacuated and his Head to be corroborated and all means try'd to take off the Patients thoughts from false and horrible Imaginations VIII First therefore Purge him with this Bolus â„ž Conâ—…ection Hamech Elect. Diaphoenicon an Ê’ j. s. Diagridion gr vij Mix them Or if he will not take that give him this Glister â„ž Emollient Decoction to which an Ounce of the Leaves of Senna has been added â„¥ ix Elect. Diaphoenicon â„¥ ij Oyl of Camomil â„¥ j. s. Salt Ê’ j. IX Because such a Patient has not much Blood therefore to preserve his strength there is no Blood letting to be used unless there be a Palpitation of the Heart or any such Symptom which requires it X. After the Belly is well cleansed to prepare the Melancholly humor and strengthen the Head let him drink three or four times a day a draught of this Apozem â„ž Root of Polypody of the Oak â„¥ j. Calamus Aromatic Fennel rind of Caper-rooâ—…s
rest by degrees become thin and shorter They have pretty broad upper Appendixes the Cavities of which receive the little Bones of the Wrist and the lower which tack them to the Cavities of the Fingers IV. The Phalanx of the Fingers the Thumb being numbred in consists of fifteen Bones for that three compleat every Finger different in bigness of which the first and largest is covered with the second the second with the third and the third with the Nail It is gibbous without plain within and somewhat hollowed for the more commodious comprehending the solid Bones They have Processes above and below The uppermost are round and have one round hollowness in each of the first four Bones receiving the Bone of the Meta-carpium The rest are provided as it were with a double Cavity distinguished with a small Protuberance The lower Processes put forth as it were a double head distinguished by a Cavity with which they enter the double Cavity of the imposed Bone except the third and last Bone which is only fenced with the Nail All these Cavities and Processes to facilitate motion are covered with a Gristle CHAP. XIX Of the Bone of the Thigh and Leg. THere are three Parts of the Foot the Thigh Leg and extream Part of the Foot I. The Thigh called Femur in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 consists of one strong Bone in length and bigness exceeding all the rest of the Bones of the Body round and somewhat gibbous before behind somewhat depressed and hollow marked with a rough Line obliquely descending toward the Knee II. The upper Part has a thick Process prominent toward the Hip bone with a round and large Epiphysis imposed upon it and so composes the gibbous head of the Thigh underpropt with a strong Neck which being overcast with a Gristle is hid up in the Acetabulum of the Hip and there fastened with two strong Ligaments one broad thick and Membranous which encompasses the whole Joynt the other round which being produc'd from the Cavity it self of the Acetabulum is inserted into the received head of the Thigh and fastens it most firmly to the Acetabulum and thus this Articulation is perfected by Enarthosis III. Concerning this Epiphysis Rolfinch observes that it adheres with a very loose connexion to the Bone of the Thigh so that being boyl'd in Water it suddainly becomes soft and is easily separated from the Bone especially in young Animals for which reason it is in Infants and Children easily separated from the Bone upon any slight occasion as when Children are set to go too soon by their Nurses and then it is taken for a Dislocation and that Error prevents the Cure This brings to my Memory that once or twice I saw this Recess of this Epiphysis from the Thigh Bone which the Chyrurgions took for a Luxation though the head could by no means be perceived to be slipt out of the Acetabulum Only the Thigh-bone was turn'd back toward the hinder Parts and the upper Part was perceived to ascend without a head and so one Thigh became shorter than the other But no body then thought of the Recess of the Epiphysis which now I find was the cause Below the Neck where the Bone begins to grow broader two Processes are produced provided with their Epiphysis's which are manifestly conspicuous in Children but afterwards become Bony and are united inseparably to the Leg without any seeming diversity of the Substance One of these Processes the upper and bigger bend upward towards the Exterior Parts The other lower and far less having the figure of an obtuse Tubercle looks backward toward the inward Parts which Riolanus believes to be rather an Apophysis then an Epiphysis That is called the bigger Trochanter this the lesser Trochanter To this lesser for the most part there joyns toward the outer Parts another lesser Tubercle in a place somewhat lower These Processes afford Insertion and rise to several strong Muscles Below where the Thigh-bone grows thicker by degrees with its Appendix it forms two large Heads of which the outermost is thicker then the innermost These being overcast with a Muscle it enters the double Cavities under the Leg which are fortify'd likewise with a Muscle Between those Heads it has another Cavity small before large behind through which remarkable Vessels are carry'd to the Legs together with the fourth Nerve of the vast Pair Between these Cavities the Protuberancy of the Leg is admitted and so that Articulation is compleated by Gynglymus while they also receive these two heads of the Leg. Moreover there are two other little Cavities at the side of each Head into which the Tendons of several Muscles are inserted IV. More behind in the Ham the two Sesamoides Bones are plac'd to the lower Appendixes of the Thigh which grow to the Heads of the two first Muscles moving the foot whereas otherwise the rest of the Sesamines stick to the Tendons of the Muscles V. But because the Articulation of the Knee was not yet strong enough but that through the motion of the Leg or by any external violence the Bones might slip out of their place therefore there is a round and broad Bone placed upon the Joynt like a Circular Platter by the Latines call'd Molae Patella and by others Rotulae of a Gristly substance in Children which afterwards becomes Bony and to facilitate its motions is overcast within-side with a Gristle This Bone adheres to the Tendons of the Muscles with a looser connexion it being requisite that it should not be two streight ty'd to prevent an easie Luxation and yet not hinder the Motion of the Muscles The necessity of this Office Galen observed in a certain Young Wrestler whose little Platter being dislocated ascended toward his Thigh whence happened a dangerous bending in the Knee so that he could not walk down a Hill without the help of a Staff The same thing I have also observed in my Practice upon the like Accident And though Paraeus asserts that he never saw any Man halt who had broken that Bone yet I knew a Young German Nobleman whose Platter was shot away with a Musket Bullet so that he could not so much as go Yet a Bone-setter here in Utrecht fitted a certain Iron Instrument to his Knee which bending the Thigh-bone in Conjunction with the Leg in some measure supply'd the loss of the Knee-pan so that with the help of that Instrument he could walk indifferently but when that was off he could not move his Foot nor stand a moment VI. To the Thigh is annexed the Crus being that Part which extends it self from the Knee to the Heel This is compos'd of two Bones very much differing in thickness and bigness cohering together above and below but parted in the middle by reason of the Muscles of the Feet yet connexed with a strong interceding Ligament VII The first of these is by the Greeks called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the
open'd So soon as the Pox are broken gargle with a Decoction of Barley Plantain and Red Roses sweetened with Honey of Roses and Syrup of Cumfrey To defend the Nostrils from the Pox let the Patient very often smell to Venegar Thus also Forestus writes that Benedict Faventinus before breaking of the Pox ordered their Patients to smell to Vinegar wherein they had boil'd a quantity of Roses Liddelius also and Riverius approve the smelling to Vinegar But if the Pox happen to be very thick in the Nostrils annoint them often with a Feather dipped in Oyl of Sweet Almonds But if they are grown into hard Scabs and obstruct the Nostrils and so procure a difficulty of Breathing then stuff into the Nostrils new Butter without Salt by which means the Scabs being softned fall off and the Obstruction ceases The advice of others is that the Patients should snuff up into their Nostrils these and the other Decoctions but that Children cannot do nor can grown People do it by reason of the Obstruction Only Butter thrust up often into the Nostrils does the business so that there is no need of other troublesom Remedies But if there be any Exulceration in the Nostrils that is to be cured with a Liniment made of the Oyl of the Yolks of Eggs and juice of Plantain well mixt together in a Mortar To which if there be an occasion of drying up the Matter more than ordinary you may add a little Tutia Oyntment If the Ears ake and itch let not the Patient handle them with his Hands or if they run let the Matter go and take care that they continue open But if the Pain be very much dip a Spunge in the Decoction of the Leaves of Althea Flowers of â—…amomil Melilot and Roses Seeds of Fengreek Dill and Cumin and drop it lukewarm into the Ear. The Medicinal Part that concerns the Eyes consists partly in Preservation partly in the Cure To preserve the Eyes from being over-run with the Pox some wash the Eye-lids with Plantain and Rose water wherein a little prepared Tutia has been infused or mixed with a little white Self and Camphire Bauderon prescribes to this purpose the following Collyrium â„ž Leaves of Black-thron-Bush Plantain red Roses an half a handful Boyl them in Smiths water to â„¥ iij. In the straining dissolve Saffron ℈ j. Camphire gr v. The white of one Egg and mix them together Of this drop some few drops into the Eyes every hour and lay little Rags dipped in the same upon the Eye-lids and keep the Patient dark Liddle prescribes this â„ž rose-Rose-water â„¥ ij Plantain-water â„¥ j. Powder of the Seed of Sumach Ê’ij warm them over a gentle Fire and strain them with a good force Add to the straining Camphir ℈ j. Saffron gr v. Mix them for a Collyrium and let the Eyes be often moistened with a Linnen cloth dipped therein Mercurialis administers this â„ž Rose-water Plantain-water an â„¥ j Sumac â„¥ s. let them steep a whole night and make a mixture with as much white of an Egg as suffices Or else he takes â—…halybeat Milk mixt with Rose-water with which sometimes he mingles a little Mirrh to assawge the pain and itching For my part I find nothing better then Saffron powdered and mixt with Cream of sweet Milk With which mixture let the Eyes be anointed with a Feather touching with the same now and then the Caruncles in the larger corner which I use with success when the Eyes are damnified only adding thereto a little white Sief If the Eye-lids cannot be preserved from the Small Pox then it frequently happens that they swell very much so that the Eyes are closed by reason of the swelling In this case observe that the Eye-lids notwithstanding that swelling are to be opened with the Fingers once or twice every day to the end the humour abiding therein may be let out which otherwise thickning within the Eye-brows begits a Whitshot But if by reason of the largeness of the swelling the Eye-lids cannot be conveniently opened they are first to be fomented with a soft Spung dipt in Mutton broth or a lukewarm Decâ—…ction of Leaves of Althea Flowers of pale Roses and Melilot and Seed of Fengreek and after the use of this Fomentation for some time then try again to sunder the Eye-lids with your Fingers If after the swelling is abated and consequently the Eye-lids freely open any white Clouds like the white of an Egg appear in the Eyes dimming the sight blow a little white Sugar Candy finely powdered through a quill into the Eye with which and nothing else I have successfully removed those little Clouds But if they chance to grow harder and absolutely blind the sight then add to the said Sugar Candy a fourth or sixth part of Lapis Calaminaris finely powdred together with the Sugar Candy That powder wonderfully takes away those Clouds and restores the sight But if the Eyes are Ulcerated by the Pox they must be cured with this Collyrium â„ž Ceruse washed Ê’iij Sarcocol Ê’j Gum Tragacanth ℈ j. Opium gr ij make Trochischs of this with Muscilage of Tragacanth extracted in Plantain-water which when use requires are to be dissolved in Womans milk or Rose-water The care of the Face like that of the Eyes consists partly in Preservation partly in Cure Preservation is not intended to prevent the breaking forth of the Pox in the Face for if that should be hindred the Distemper would seize the inner Parts as the Brain Meninx's Eyes and other Parts which would be a greater prejudice but that the Small Pox being dried and falling off may leave as few Scars and Pits as may be To which purpose several Topics have been invented Some while the Pox are coming forth frequently foment the Face with a Decoction wherein Pease have been boyl'd to an Extraordinary softness as we say to mash Others anoint the Face twice a day with a Feather dipp'd in Oyl of Navews with great success Forestus recommends Oyl of Sweet Almonds Riverius Oyl of Nuts Others Bacon tosted at a hot Fire and the dripping receiv'd into Rose-water and so made into a soft Oyntment which does well and was generally used by that great Practitioner Timannus Gesselius Others roast the Caul of a Boar-Pig at the Fire upon a Spit letting the Fat drop into a Receptacle fill'd with Rose-water and smear the Face all over with that mixture and then cover all the Face with the Fat of the same Hog cut into thin slices This they do twice a day taking off the Old and laying on fresh till perfect Maturation of the Pox which happens sooner by that means till they fall off and this is a great secret among the Court Lady's Certainly none of these ways are to be contemn'd but excellent in their kind and I believe they are many times to be made use of Especially among the Richer sort and great People that think the Physitians care do them more good by some notable Exploit then Nature by
violent heat and extraordinary thirst many times Inflamations of the Chaps Lungs and other Bowels with diffâ—…culty of Breathing extream heaviness deliriums tension of the Hypochondriums and other evil Symptoms In reference to which Subject Sennertus tells a remarkable Story of such a Patient l. 4. de Feb. c. 12. A TREA TISE OF THE SMALL-POX AND MEASLES FOR the greater Perfection and more solid Confirmation of what has been said before we will add the Histories of some Patients which we have met within our Practise not common but such wherein there may be something singular observed HISTORY I. IN the Year 1640. After a moist and warm Winter followed a hot and moderately dry Summer wherein Fevers Tertian Quotidian and Intermitting seized abundance of People About the middle of Iuly the Small Pox and Measles began to be very rife In August they greatly increased especially the Small Pox and so continuing to the end of that Year carry'd off a great many to their Graves More then that they who in those two Months fell sick of other Diseases were also in a short time after seized by the Measles but chiefly by the Small Pox. At that time we saw several who having had the Small Pox very thick have afterwards had them a second time and that second time they break forth in greater quantity than the first Nay it has been known that some have had the Small Pox and been very full too three times within the space of six Months Though it be a thing that rarely uses to happen especially in so short a time These Diseases took their Rise from a continual Fever which in some is more intense in others more remiss with a Pulse for the most part oppressed weak thick and unequal For the most part the Symptoms were very bad an extream heaviness oppression of the Heart dryness of the Mouth tremblings of the extream Parts Deliriums c. In many the Small Pox come forth after the first or second but in most not before the third fourth or fifth days where they appeared later the Patients were in great danger and many dy'd for oft-times the strength of the Patient was so wasted by the violence of thâ—…â—…istemper that at length when the red Spots the Harbingers oâ—…â—…e Small Pox appeared Nature was so feeble that she could not expel them with that vigour as she ought to have done They that vomited or coughed up Blood or Piss'd bloody they generally dy'd not one in six hundred escaping For their internal Bowels being seized with the Small Pox were so corrupted that they could never be restored to Health Such as had the Small Pox very thick in their Mouths Tongues Palate Chaps Asperia Arteria and Gullet were very much troubled to fetch their Breaths and to swallow before the maturation and breaking of the Wheals which was the reason that many were stiffled They who were Purged by unskilful Physitians at the beginning for the most part died In regard the Small Pox come forth more Naturally when the Belly is bound then when it is loose Our Treacle water was much more prevalent to provoke Sweat in Children then any other Diaphoretic After breaking the Decoction of Figs drank very much assisted to expel the Pox especially if Sycory Carduus Benedict Scabious red Vetches and other such things were added However it was not to be administred if the Belly were loose The common People and Country folk steeped Sheeps dung and Horse dung in Wine or Ale and then straining it through a Linnen Cloath gave it lukewarm with good success to their Patients But the greatest part of the Cure consisted in keeping all manner of Cold from the Patients ANNOTATIONS 1. OF the Use and Vertue of Figs and their Benefit in the Cure of these Diseases and the Decoctions usually made of them we have discoursed at large cap. 10. before Avicen also thus speaks of their Vertues The water of Figs says he is good for Figs are vehement expellers to the outward Parts and that is one way to escape the Disaster of the Small Pox. 2. This very advice concerning Cold has Avicen also taken notice of when says he the Small Pox begin to appear then the catching Cold will be the occasion of a great mistake for that it detains the superfluity within and carrys it to the Principal Members and for that it is impossible for the Small Pox to come out and appear thence proceeds restlesness narrowness of the Throat and sometimes swoonding Therefore the superfluities are to be assisted with such things as make them boyl and open Oppellations as Fennel and Parsley with Sugar and their Juices or some Decoction of their Roots and Seeds HISTORY II. THE Daughter of Iohn Crasselt eight Years of Age fell sick of the Small Pox which for the first three days came out very thick over the Skin of the whole Body The fourth day she had a Hoarsness with a little Cough and pain in her Belly The Fever also from the beginning till this time continued in the same degree The sixth day a purulent Diarrhea with griping of the â—…estines followed and she coughed up much purulent bloody Matter No Remedies availing and her strength being wasted she dy'd the Eighth day ANNOTATIONS IN this Patient there is no question to be made but that the Small Pox had seized the Internal Bowels the Guts and Lungs and perhaps the Liver and other Bowels the affections of which in this Distemper are Mortal Now that the Internal Bowels may be seized by the Small Pox our own Eyes will convince us as Fernelius tells us It is often found saies he tha several who have been Dissected after their Deaths have had their Liver Spleen Lungs and all their inner Bowels all over covered with Mattry Pustles like the Skin Paraeus also observes the same thing This says he Richard Hubert the Chyrurgion and I saw in two Girles the one four the other seventeen years of Age who both dying of the Small Pox were both Dissected at what time their internal Bowels appear'd covered over with Scabby Pustles like those upon the Skin HISTORY III. THE Wife of Iames de Clear a Woman of thirty years of Age was taken with a Fever not very violent together with a kind of Drowsiness pain at the Heart a heaviness of the Head and a â—…light intermitting Delyrium Now because the Small Pox were then very rife I suspected the Small Pox would follow these Symptoms because she had never had them before For the Cure therefore having first loosened her Belly with a Glister I gave her this Sudorific â„ž Treacle Diascordium of Fracastorius an Ê’ s. Salt of Wormwood ℈ j. Treacle water â„¥ ij mix them for a Potion This taken she fell into a good Sweat but the Disease continuing in the same state the same was given her again the next day with like success for all that sweating would not move the Disease Then I prescribed her to drink this Decoction
Years of Age finding her self not well ordered me to be sent for She had a slight Fever and complained of Melancholly at her Heart which caused her frequently to sigh and heaviness of her Head with an inclination to sleep Now in regard the Small Pox was then very rife I had presently a suspition of her Distemper Thereupon when she told me that she had been at Stool that day and that it was a good while before her Monthly Period would be up presently I let her Blood in the Arm and took away eight Ounces of Blood for she was Plethoric after which she found her self as she said somewhat better Ten hours after Blood-letting certain red Spots began to appear upon her Breasts and Hands but few and small Thereupon about the Evening I prescribed her this Diaphoretic â„ž Treacle of Andromachus Diascordium of Fracastorius an Ê’ s. Salt of Wormwood Confection of Hyaciâ—…th an ℈ j. Treacle-water and VVater of Carduus Benedict an â„¥ j. Mix them for a draught When this had caused her to Sweat moderately all Night the next day the Pustles came forth higher and the Fever together with the anxiety vanished altogether Thereupon we gave her a Decoction of Figs in Ale to drink and thus in a few days she reovered with these few Remedies not having had above three or four in her Face and very few upon the rest of her Body ANNOTATIONS WHat is to be thought of Blood-letting in this Disease and when it is to be made use of we have sufficiently Explained cap. 8. And I have particularly observed that if in Plethorics it be timely made use of before any Eruption of the Small Pox then it comes forth more easily and not so thick and the Patient recovers sooner And therefore when you meet with Young Girls that are nice of their Beauty I think it very beneficial to let Blood in time seeing that then fewer and lesser Pox come out in the Face But because the Physitian is seldom sent for till the Pox begin to come forth hence it is that Blood-letting cannot be made use of HISTORY XII A Little Son of Nicholas ab Harvelt began to grow ill in August but in regard that I was sent for at the beginning and had presently a suspicion of the Small Pox I gave him a little Treacle-water with a little Bezoar-stone and Saffron for the Child was not above three Years old and other ungrateful Tastes would not have gone down and to preserve his Eyes I ordered his Eye-lids to be anointed with Saffron mixed with Womans Milk The Aunt who had the care of the Child in my absence mixes a greater quantity then is usual with the Milk and not only anointed his Eyes but all his Face twice a day Which caus'd a strange Disfigurement of the Child whose Face was all over yellow with the Saffron In the mean while the Child sweat very well and still took now and then three spoonfuls of Treacle-water which preserved him in a moderate heat and drank for his drink the simple Decoction of Figs. The next day some very small Spots began to appear here and there upon his Skin but the third day the Small Pox came out very thick over all his Body except his Face where none at all nor the least sign of any were to be seen yet the Child was never the worse in regard they came out so thick over all the rest of his Body The Fever then went off and so the Child was perfectly recovered without having his Face so much as touched ANNOTATIONS The Saffron gently astringent repels and drys but whether being outwardly applied it hinders the coming out of the Pox or whether through any other Specific and occult quality it has that effect I am uncertain and much question But we saw the effect of it not only in this Child but also in three or four more For the Childs Aunt when she had told what had happened up and down to other Women there were several that would needs try the Experiment with the same good success And whether it will have the same success always at other times when occasion offers we shall try our selves HISTORY XIII THE most Noble the Lady Lucas an English Woman bred up in her House a Young Lady her Brothers daughter about six or seven Years of Age So soon as she began to be Fevourish anxious and drosie by my advice she had given her a little Powder Liberans Harts-horn burnt Bezoar-stone and Saffron with an ounce of Treacle-water which caused her to Sweat well with some ease For her drink she drank the Decoction of raw Harts-horn as it is prepared for Gellies and frequently the simple Decoction of Figs In the mean time the Lady Lucas every day twice or thrice washed the Face of our Patient with that same sort of cinnamon-Cinnamon-water which our Apothecaries generally sell which is made of Cinnamon distilled in borrage-Borrage-water and diligently kept the Young Lady in a continual breathing heat The second day toward Evening the red Spots began to appear the third day the Small Pox came out very thick every where except upon her Face where there was not one to be seen So that the Lady continued the Lotion of the Childs face for some days In the mean while the Fever going off our Patient was perfectly cured without the least Sign of the Small Pox upon her Face ANNOTATIONS THe same Lady gave the same advice also to the Lady Couper who having washed the Faces of three of her Children that lay Sick of the Small Pox with Cinnamon-water not one of them had any Sign of them in their Faces Whether the same success will always attend upon others will be manifest by the frequent Tryal upon others In the mean time it is to be considered whether upon hindering the Small Pox from breaking out in the Face there may not be some danger least the Menixe's and Brain should receive some prejudice HISTORY XIV THE Lady Ruchabor about twenty four Years of Age so Beautiful that she was the Admiration of many in the Month of August was taken with a Fever and the Small Pox so that her Head was wonderfully swell'd when she had made use of several Remedies by my Advice and the Small Pox came out very thick over all her Body and had pepper'd her Face at length after the Fever went off and that the Swelling of her Head was quite fallen I ordered her Face to be frequently fomented with Mutton Broth. But she not contented with that to preserve her Beauty by the advice of some Ignorant Women caused the ripe Pustles to be opened with a Golden Needle and the Matter to be squeezed out but mark the Event she that perswaded her self she should have no Pits when she recovered had her Face so disfigured with Scars and Pits that of one that was most Beautiful she became very deformed and a Thousand times bewayl'd that Foolish act of pricking the Wheals ANNOTATIONS
which the Fever was almost gone off with a great part of his heaviness I ordered them to keep him in a Breathing Sweat for three or four days and to be sure not to let him take Cold. ANNOTATIONS I Expected this Body should have had the Small Pox but the Measles came forth of which the first Cure is the same with the Small Pox. New Sheeps-dung with equal Efficacy expels both the one and the other and therefore in both cases is very advantageously administer'd especially in those places where other things are not to be had some there are who prefer Horse-dung administer'd after the same manner before it But that Sheeps-dung is much more prevalent the Savour tells in which we find there is much more Salt of Niter or some more specific Diaphoretic Salt HISTORY XVIII A Young Man of twenty four Years of Age strong and Plethoric after his violent Exercises of Tennis and Fencing and hard drinking of Wine between while fell into a violent Fever accompany'd with great thirst dryness of the Mouth and extream Anxiety and restlessness with other very bad Symptoms This Young Man we order'd first to be let Blood and then prescribed him a Glister together with Julips cooling Apozems and Electuarys to quench his thirst The third day he was Purged with an Infusion of Senna-Leaves and Rhubarb mixt with Electuary Diaprunum which gave him six Stools but the heat remaining together with the Fever he was let Blood again the fourth day The fifth day he continued the use of his Julips Apozems and cooling Electuary The Night succeeding the sixth day he was so very heavy and drowsie that there was little hopes of his Life and we thought he would have dyed The seventh day the Measles came out all over his Body by way of Crisis Then the Fever and all the pressing Symptoms somewhat remitted so that the Patient slept a little the next Night but by the two next days both Fever and Symptoms were quite gone off by degrees The tenth day the Measles began to lessen and upon the twelsth quite vanished And thus the Patient who seemed to be at Deaths Dore contrary to the Expectation of many was restored to his former Health ANNOTATIONS THE beginning of the Disease was such that no Man could well have any suspition of the Measles and therefore the Patient was dealt with by us as labouring under a Burning Fever which Fever at length you see ended nevertheless in a Critical Evacuation of the Measles HISTORY XIX A Strong Young Man was seized by a Violent Fever accompany'd with a thick weak and unequal Pulse an Extream Anxiety heavy Pain his Head drowsiness restless sleep and a slight kind of Delirium I would willingly have let him Blood but because he would not permit me I gave him the following Sudorific toward the Evening ℞ Treacle ℈ ij Diascordium of Fracastorius ℈ i. s. Confectio Alkermes Extract of Carduus Benedictus Salt of VVormwood an ℈ j. of our Treacle Water Carduus VVater an ℥ j. mix them for a Draught Though upon this he Sweat very well yet finding the Disease to continue in the same State the next day he took the same Sudorific again and Sweat very well but then the red Spots that fore-run the Small Pox began to appear up and down in the Skin Nevertheless the Fever and other Symptoms seemed to be somewhat abated yet did not go off Therefore I ordered the Patient to be kept in a gentle breathing heat and that he should take a Draught of the following Decoction luke-warm several times a day ℞ Red Vetches ℥ j. s. Barley cleansed ℥ j. Scabious one handful s. fat Figgs no. XVI Raisins Stoned ℥ ij VVater q. s. make a Decoction to two Pints By this means the Small Pox came forth every where very thick and rose very high the Fever and Anxiety still continuing so that the Patient seemed to be in great danger of his Life For which reason I thought it necessary to give him the former Sudorific again puting him into somewhat a greater Sweat and the Decoction of Figgs being continued over and above for two days the seventh day contrary to all expectation the Measles came out over the whole Body between the Small Pox and then the Fever and other Symptoms abated very much and by degrees went off all together and the Patient being happily recovered the fourth week from the beginning of the Disease went abroad again ANNOTATIONS I Do not remember that ever I saw this Accident above twice or thrice in all my Practice that is to say that the Small Pox and Measles should come both together However by this Observation it appears that although both these Diseases in respect of Infection have somewhat in common yet in respect of the Subject to which that Infection adheres there is something of difference and distinction between them Otherwise what should be the reason that in this Patient the whole Infection should not be Evacuated with the Expulsion of the Small Pox Then again it is to be admir'd that why the Measles adhering to the more suttle and thinner Matter did not break out first seeing that the thinner Matter is quicker in coming forth than the thicker HISTORY XX. A Noble Batavian was seized by a Fever accompany'd with a strong Pulse but very unequal an extream Anxiety Thirst restlessness a slight Delirium and some little convulsive Motions of the Extream Parts Having loosned his Belly with a Glister I ordered him to be let Blood Toward Evening having taken a Sudorific he Sweat very much but the Disease remaining in the same State the next day the Sudorific was repeated he Sweat very well All this while the Symptoms nothing abated but the Patient began to complain of a Pricking in his Skin quite all over his Body Soon after it was observed that great red Spots appeared in his Skin some as broad as a Dollar some half a Hands breath some more some less which seemed to be all fiery sown all over with little risings like Millet Seeds These Spots in a days time closed all together and spread themselves all over the Body So that it was all over of a red florid Colour In the mean time the Fever and Symptoms abated Three days after that general redness abated also and the Spots returned to be as they were when they first appeared and so within three days vanished quite away and so the Patient after the Skin of his Body was all peeled off was restored to perfect Health ANNOTATIONS THis Distemper which Forestus calls Purpurae or the Purples is very near akin to the Measles and the Cure of both is almost the same only the Subject to which this Infection adheres is hotter then that of the Measles but it is as easily dissipated nor are those little Pustles suppurated but dissipated by heat MEDICINAL OBSERVATIONS AND CURES OF Isbrand de Diemerbroeck OBSERVATION I. An Inflammation of the Lungs MOnsieur La Fontaine a
sorts of it The one says he is that the Skin is exasperated by the smallest Pustles and is red and slightly corrodes in the middle somewhat lighter and creeps slowly it begins round and dilates in a Circle The other which the Greeks call 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or the wild Itch is that by which the Skin becâ—…mes more rough is exculcerated and vehemently corroded looks red and sometimes fetches the Hair off which is less round and more difficultly cured As for the Cause of the Disease Galen Aetius Aegmeta affirm it to be generated out of certain mix'd Humors that is to say serous thin and sharp mix'd with thick Humors But in my Judgment Galen writes better and more perspicuously that this Distemper is generated out of a salt Flegm and yellow Choler which is the reason that as in earthen Vessels corroded by Pickles the Scales fall off the Skin Now these Humors being transmitted to the Skin putrifie it as Avicen says To which I add that this Corruption afterwards is intermixed with the good Humors carried to the Skin for its Nourishment and so the Mischief becomes diuternal Thus also Mercurialis writes that the Skin only having acquir'd a deprav'd Habit corrupts all its Nourishment and converts it into increase of Impurities And in the same manner discoursing of such a kind of scabby Patient In the whole Circuit of the Body there is a vitious and itchy Humor implanted by vertue of which whatever good Nourishment is carried to it is presently converted into a nasty salt corroding Humor which occasions that continual Itching together with those little Ulcers and the roughness of the Skin Now these Humors corrupting the Skin must of necessity be hot and salt from which proceeds that Heat and Itching of those Scales This Distemper however is not so dangerous as it is troblesome which if it continue long gets that deep footing that it is a very difficult thing to extirpate it and sometimes it hardens into a dry Mange and Leprosie The gentler sort is cur'd at the beginning with gentler Medicaments as Fasting-Spitle tosted Butter Oyl of Eggs of Tartar or Juniper boyled Honey liquid Pitch or Juice of Citron But that which is of longer continuance and wild requires stronger Remedies as Sulphur Minium Lytharge Ceruse Vitriol Pit-salt Rust of Brass Limeallum Niter white Hellebore c. To which we may add Quick-silver Sublimate and precipitate Mercury having a peculiar occult yet apparent Quality to kill the Malignity that accompanies this Distemper Thus Peter Pachetus in his Observations communicated to Riverius when no other Remedies could tame a wild Itch cur'd it with this Oyntment â„ž Unguent Rosaceum Ê’ iij. White Precipitate Ê’ iij. Mix them for an Oyntment OBSERVATION XIII A Mortification of the Legs and Thighs by Cold. MAny times severe Mischiefs attend the Imprudence of Persons given to drink which a certain lusty young Man sufficiently made known by his own woful Example For he in a most terrible Winter when it freez'd vehemently hard coming home about Midnight well Cup-shot without any body to help him to Bed went into his Chamber where falling all along upon the Floor he fell asleep and neither remembring himself nor his Bed slept till Morning But when he awak'd he could feel neither Feet nor Legs Presently a Physitian was sent for But there was no feeling either in his Legs or Feet though scarified very deep Hot Fomentations were apply'd of hot Herbs boil'd in Wine adding thereto Spirit of Wine but to little purpose For half his Feet and half his Legs below the Calves were mortified the innate Heat being almost extinguished by the Vehemency of the intense Cold. The Fomentations were continued for three days Upon the fourth day the mortified Parts began to look black and stink like a dead Carcass Therefore for the Preservation of the Patient there was a necessity of having recourse to the last Extremity namely Amputation and so upon the sixth day both his Legs were cut off a little below the Calves in the quick part by which means the Patient escaped without his Feet from imminent Death and afterwards learn'd a new way to walk upon his Knees ANNOTATIONS AN Example of the same Nature we saw at Nimeghen in the Year 1636. of a Danish Souldier who having slept Drunk as he was upon a Form in a bitter frosty Night when he walk'd in the Morning could not feel his Feet But by heating Fomentations the native Heat at most extinguished by the Cold after two days so menting was restored to his Feet tho his Toes could never be brought to their natural Constitution but remaining mortified and beginning to putrifie were all cut off by the Chyrurgeon And therefore I would advise all hard Drinkers not to take their Naps too imprudently in the Winter unless they have first laid themselves in a warm Place and well fortified themselves against the Injuries of the Air least their being buried in Wine bring them to be buried in Earth OBSERVATION XIV Obstruction of the Spleen KAtharine N. a Woman of forty four years of Age had been troubled a whole year with an Obstruction of her Spleen much Wind rumbled in the Region of her Spleen she was tormented with terrible Pains of the same Side by reason of the Distention of the Bowels and the neighbouring parts so that she went altogether bow'd toward the Side affected till at length grown as lean as a Skeleton with continual Torments she could go no longer You might also perceive by laying your Hands upon the Place that the Spleen was very much swell'd and more than all this her Stomach was quite gone In March being call'd to the Cure of this Distemper I first purg'd her Body with a gentle Purge upon which when she found but very little Relief I prescribed the following Apozeme for two days to open the obstructed Passages and prepare the Morbific Matter and withal to keep her Body open â„ž Roots of Polypody of the Oak Dandelyon an â„¥ j. Roots of Fennel Elecampane Stone Parsly Peeling of Capery roots Tamarisc an â„¥ s. Baum Fumary Water Trefoil Tops of Hops an Handful j. Centaury the less half a Handful Fennel seed Ê’ij Damask Prunes â—… o xi Currants â„¥ ij Boil thâ—…m in common Water q. s. In the straining macerate all night of Spoonwort Winter Nasturtium an Handful j. Leaves of Senna cleansed â„¥ ij Anise-seed Ê’vi Make an Apozeme for two Pints After she had drank two Mornings a Draught of this Decoction she went to Stool twice or thrice a day but the Ease which was expected did not follow Wherefore after she had drank up her Apozeme I gave her a purging Medicine somewhat stronger which I thus prescribed â„ž Leaves of Senna cleansed â„¥ s. White Agaric Ê’j Roots of Black Helleâ—…ore Ê’s Rhenish Tartar Anise-seed an Ê’j Fumary VVater q. s. Make an Infusion all night and add to the straining Elect. of Hiera Picra Diaphoenicon an Ê’ij for a Draught
of Wind. In the intervening Hours because of the Suffocations frequently returning she sometimes took her first Decoction By the use of these Medicines within four days the greatest part of her Pains ceased The twenty ninth of September I ordered the Saphena Vein in her Left-foot to be opened and a good quantity of Blood to be taken away which gave her ease and the same day she took her last Apozeme again of which the following days she drank no more than once a day And thus by the use of these Remedies she escaped a dangerous Disease and recovered her Health ANNOTATIONS CHild-bearing Women in their Lyings in frequently commit very great Errors afterwards the Causes of great Mischiefs Among which this is not the least that they are over confident of their own Strength and trust themselves in the Air sooner than the time of their Lying in will permit whence arise those dangerous Diseases Suppression of the Courses Fevers Suffocations and many others of which there are several Examples to be found in Authors besides what we see every day Thus in our Practice we have seen through this Error committed by Child-bearing Women most terrible Diseases brought upon them some of whom have died others ran most terrible Hazards others have goâ—… those afflictions of some particular Part which they could never claw off as long as they liv'd They do not all escape so luckily as our Patient before mentioned for sometimes extream Weakness or loathing of the Taste or a Fever or some other thing hinders the taking of the Medicaments or inverts or hinders the operation of the Medicines and then all the Art and Diligence of the Physitian signifies nothing Thus the same year that I had this Woman in Cure the Wife of a Kinsman of mine at Utrecht a strong Woman fell into the same Distemper but not to be cured by all the Prescriptions of the most learned and prudent Physitians In these Cases I have observed this that the Courses suppressed a little after Delivery unless they be stirred within three or four days by Medicaments can very hardly or not at all be moved by the help of the Physitians but are the Causes of very desperate Diseases which Diseases do not presently appear sometimes not till after some days sometimes not till after the third or fourth Week And in the Cure of these Diseases I have farther observed this that the greatest Relief is given at the beginning before the Strength of the Patient is abated partly by attenuating Apozems and loosning withal to provoke and evacuate the Matters peccant both in quantity and quality partly by Blood-letting in the Feet which way of Cure I have with success experienced more than once OBSERVATION XX. The Nephritic Passion THE Young Lady Calsâ—…ager was so cruelly tormented for three days with a Pain a little below her Loyns that she knew not where to turn her self these Pains were also accompanied with Vomiting and an extraordinary Restlessness It was the Nephritic Passion and the Gravel or Stone descending through the Ureters caused this Pain Wherefore to expel the Gravel with more speed and ease I prescribed this Decoction â„ž Slic'd Licorice â„¥ s. Herbs Stone-parsly Althea Chervil Mallows Water-parsly Leaves of black Ribs an one Handful Flowers of Camomil one Handful and a half fat Figs n o ix New Milk common Water an q. s. Boil them to the Consumption of the third part for an Apozem That Day she drank almost all the Decoction and about Evening voided some small Stones with a good quantity of Gravel and was freed from her Distemper ANNOTATIONS MEdicines that break the Stone sometimes crumble the little Stones that stick in the Kidneys as Experience tells us But when they are expell'd out of the Kidneys and stick in the Ureters they are not to be crumbled by the force of any Medicaments whatever which Reason besides Experience teaches us since no Medicaments can reach thither with their Vertue entire for that the great quantity of Serum running thither and there setling hinders and abates the Strength of the Medicaments so that they are disabled in their Operation And therefore to force the Stones out of the Ureter lenifying and molifying Medicaments must be mixed with the Diuretics to smooth and mollifie the Ureters and to prepare a more easie Descent for the Stone Such is that Decoction which I and such is that Prescription of Io. Baptist Thodosius which he boast never fail'd him in driving out the Stone though he had made use of it several and several times â„ž Leaves of fresh gathered Althea one Handful and a half New Butter â„¥ iij. Honey lb j. Boil them together in Water q. s. to the Consumption of the third part Take of the Straining a warm Draught Morning and Evening Such is also that celebrated Secret of Forestus which most Physitians highly approve and which I have successfully made use of only now and then with some Alterations and Additions of which Forestus himself thus writes This my Secret I will no longer conceal for tâ—…e common Benefit of the Sick that it may not be laid to mine which was laid to the Charge of the wicked Servant who hid the Talent which God had given him in the Earth And therefore I will no longer to the Prejudice of Posterity keep this Secret by me which is this â„ž Seed of Mallows Althea an Ê’iij Red Vetches â„¥ iij. The four greater Seeds an Ê’ij Barly cleaned â„¥ ij Fat Figs n o ix Sebeston n o vij Licorice slic'd Ê’j rain-Rain-water 〈◊〉 iiij Boil these to the Consumption of half and reserve the Straining for use which the Patient continually using always voided Stones OBSERVATION XXI The Worms A Little Boy the Son of Antonius about three years of age had the lower part of his Belly extreamly swell'd and stretch'd like a Drumb so that he seem'd to be Hydropic his Stomach was gone with a slight Fever accompanied with Frights in his Sleep and he would be always rubbing his Nose with his Fingers I guess'd them to be either Worms or crude Humors sticking in the first Region of the Belly that caused all those evil Symptoms Wherefore because the Child would take nothing but would be always drinking I ordered new Ale to be given him for his Drink with which I only mixt a little Oyl of Vitriol so much as suffic'd to give it a gentle Sowrness This Drink being continued for a fortnight or three Weeks the Swelling of his Belly fell but he voided no Worms ANNOTATIONS OYl of Vitriol given after that manner does not only remove all Putrefactions and Corruptions but kills and consumes the Worms in the Stomach and Guts and those that are infested with such like evils and we have seen it recover those that have been despaired of contrary to Expectation Thus my Sister Cornelia when she came to be seven years of Age and was miserably tormented with the Worms in her Belly and had taken several Remedies to no
Nostril we blew up the same Powder again and thrust up a peice of Chalk in the form of a Tent so big as to fill the whole Concavity of the Nostril which stopped the bleeding presently however to be sure we let the Chalk stay in three days and so for this time the Patient escaped a most threatning danger the next Year in Autunm the same bleeding took him again for the stopping of which after he had used a whole Day and a Night certain idle old Women's Remedies in vain when his strength was almost Exhausted he sent again for me and then with the same means of a Chalk Tent I presently stopped the Bleeding as I had done before but not long after his Liver being refrigerated and weakned through the loss of so much Blood being seiz'd at the same time with a Dropsy and an Asthma he ended his days ANNOTATIONS AN excessive Bleeding at the Nose when Symptomatical and not Critical in regard it occasions the Dropsie a Cachexy and other greivous Maladies is to be stopped with all the speed imaginable This is cured by revulsion of the Blood flowing to the Nostrils by repelling the Blood from the Nostrils by thickning the Blood and by shutting the opened Veins The best and suddainest way to draw back the Blood is by opening a Vein in the Arm on that side which is affected by which means Galen affirms that he has suddainly stopped violent Bleedings at the Nostrils Most Physitians believe a little Orifice is best and to take away the Blood in a small quantity and at several times But we are for a large Orifice that the Blood may freely spin forth which causes a swifter revulsion Cupping-glasses also are are prevalent Revulsives Thus Galen stopped a bleeding in a Young Man by applying a Cuping-glass to his Hypochondriums Forestus cured a desperate Bleeding at the Nose by Cupping-glasses applied to the foot which Experiment we have frequently try'd with success Cupping-glasses apply'd to the shoulders are not so well liked by many because they draw the Blood from the lower Parts to the upper Crato commends the painful bending of the little-finger on the side affected of the same Nature are Frictions and painful Ligatures of the Extream Parts and an Actual Cautery applied to the Soles of the Feet by which means Zacutus writes that he cured a most desperate bleeding at the Nose The Blood is repelled from the Nostrils with Vinegar cold Water or Oxymel applyed to the Temples and Neck or with Cataplasms of Bole sealed Earth Mastic Frankincense Vinegar Whites of Eggs and the like to which may be added Plantain Pimpernel and other astringent and cooling Herbs gathered fresh and bruised Snails with their Shells mixed with Frankincense and Vinegar and applied to the Forehead and Nostrils are much commended Riverius commends Parget kneaded with Vinegar and laid upon the Forehead and Nostrils about the thickness of two Fingers Others prefer Vinegar alone or Oxymel snuft up into the Nostrils or cold Water dashed unawares in the Face Actius commends the Steam of Vinegar pour'd upon a red hot Tile Says Pachequus being sent for to a Countryman who bled so excessively that he was just at Deaths door I dropt into the contrary Ear to the Nostril that bleed some drops of Vinegar of Roses and presently the Bleeding stopped This I learnt from Dr. Pontuado who saw this Remedy made use of by a Dutch Physitian Thickning of the Blood is performed by cooling astringent and thickning Medicaments taken inwardly and outwardly applied such are Oxymel and cold Water and the repelling Medicines already mentioned Thus Hildan by wrapping the whole Body of the Party in Linnen Cloaths dipped in Oxymel stopped a Bleeding of which the Cure was dispaired of The Veins are shut by astringent and glutinying Medicaments thrust up into the Nostrils Galen mixes Frankincense and Aloes reduced into Powder with the White of an Egg and with a Linnen Cloth first strewed with Hare's Hair put up into the Nostrils The Moss that grows upon dead Mens Skulls exposed to the Air powdered and put up any way into the Nostrils is accounted a most effectual and present Remedy For my part I have always found the Benefit of a round piece of Chalk Cotten dipt in Ink and thrust up into the Nostrils is a very good Remedy Hogs-dung if applied while warm or warmed with Bole-armoniac and Vinegar is accounted a Specific if applied to the Forehead and Temples smelt to or thrust up into the Nostrils by which means I knew a Noble German cured of a desperate Bleeding at the Nose Rodoric a Castro and Zacutus commend Asses-dung used in the same manner the Powder of Mans Blood dried and Snails burnt with the Shells and Frogs burnt and blown up into the Nostrils is by some no less esteemed Pereda tells us of his curing an old Woman that had bled for three days with only thrusting up Mint into her Nostrils The Juice of Nettles either taken inwardly or applied to the Nostrils or else Nettles bruifed and laid to the Forehead by a Specific Quality stop Bleeding Lastly Riverius applauds for a present Remedy Spikenard finely powdered and one dram given in Broth Plantain or other proper Liquor which not only by a Specific quality but by strengthening the Liver stops Blood OBSERVATION LXIV The French Pox. A Certain Captain about sixty Years of Age complained of a very dry Cough which had troubled him for two or three Months together with some difficulty of Breathing and a very great Pain in his Chest he had eaten very little in two Months his Stomack was so bad which had reduced him to a very low and weak condition though he did not keep his Bed his Head and Shoulders aked extreamely but cheifly in the Night he had a Pain in his Loins he made water very often but very little and when he had need he must do it presently for he could not hold his water sometimes his Urin was very sharp and pain'd him in passing through besides that it died his Shirt of a Safforn or reddish Colour more then this he had found himself impotent for a whole Year together By these Signs I judged him to be troubled with the French Disease more especially because he confess'd he had been a long time troubled with a Gonorrhea which an unskilful Chyrurgeon had stopped without any preceding Purgation which occasioned these Symptoms that every day increased He had also been pepper'd with the Distemper about ten Years before and was known to be a common frequenter of leud Company As for the inward Pain of his Chest and dry Cough I knew they proceeded from his immoderate taking Tobacco sometimes fifty and when he took least thirty Pipes a day First therefore I prescribed him a proper Diet and among other things enjoyned him to leave off his excessive taking Tobacco allowing him three or four Pipes a day for fear the total forsaking of an inveterate Custom might do him an injury
j. Make them into a Mass with juice of Wormwood or Gentian the dose from Ê’s to Ê’j Sennertus prescribes these â„ž Aloes ℈ j. Rhubarb ℈ ij Myrrh ℈ s. Trochischs of Alhandal gr iij. Powder of Coral Ê’ s. Make them into twenty two Pills with juice of Wormwood The Dose for Children ℈ j. To destroy all Matter and Nutriment of VVorms in the Guts there is not any better Remedy to be found then for the Patient to swallow once a VVeek one ℈ of Aloes Succotrine for Aloes has a peculiar occult quality to Purge and cleanse the extream Parts of the Guts This is the opinion of Mercurialis in his own Words but I usually order a Ê’ or two of Rhubarb to be put into a little bag and hung up in the ordinary drink which the Patient drinks and by that means I both expel the Worms and the cause of the Worms Saxonia and Solenander with many others extol the Decoction of Sebesten in Ê’iiij of which Crato macerates Ê’j of Rhubarb and gives the straining to drink Rhubarb also given in substance is a great enemy to the Worms and Dodoneus voids them with this Powder â„ž Worm-seed Ê’j Shavings of Hearts-horn Citron-seed and Sorrel-seed an ℈ j. Rhubarb Ê’ij Make them into a Powder the Dose Ê’ j. Riverius takes â„ž Powder of Rhubarb and Coral an Ê’s Duretus prescribed this â„ž Chosen Rhubarb Wormwood Sea Wormwood Shavings of Harts-horn an Ê’iij Make them into a Powder Dose Ê’j with the Decoction of Scordium This as we have tried says he excells all the rest Lastly Antonius Cermisonius as a most destroying expelling Remedy against the Worms prescribes a Glister of Ê’ x. of Goats Milk and Ê’ij of Honey OBSERVATION XCII The Worms THE Son of Mr. Cooper about six or seven years old had been long troubled with Worms in his Belly which sometimes ascending his Gullet crept out at his Mouth in the Night-time The Parents had often given him Worm-seed but to no purpose so that at length when the Child was nothing but Skin and Bone they sent for me I found him thirsty and averse to all manner of Physick thereupon I took half a pound of Quick-silver and macerated it in two pound of Grass-water shaking the Water very often Afterwards having separated the Mercury I added to the Water Syrup of Limons â„¥ iij. Oyl of Vitriol q. s. to give it a grateful Taste This he only took for two days together in which time he voided downward six and thirty Worms and being so rid of his troublesome Guests recovered his Health ANNOTATIONS SOme extol Quick-silver it self given in the Substance as an excellent Remedy against the Worms insomuch that Sanctorius says there is no killing of the Worms but with strong and violent Medicines as Aloes and Mercury or Quick-silver Of which Baricellus thus writes Quick-silver says he which many take to be Poyson is given with great Success against the Worms and is accounted so certain a Remedy in Spain that the Women give it to Infants that puke up their Milk to the quantity of three Granes I cured a VVoman that for nine days together had been troubled with continual Vomiting occasioned by the VVorms besides that she had not eaten in three days nor could keep what she swallowed but after I had given her two Drams of Quick silver mortified with a little Syrup of Quinces without any trouble she voided downward about a hundred VVorms and was freed from her Distemper the same day I have VVater at home wherein I continually keep Quick-silver infused and wil lingly give it away to children for the VVorms yet never heard of any Hurt that ever it did The dose of Mercury to be given to Children is ℈ j. to elder People ℈ ij or Ê’j It is corrected and mortified by bruising it in a Glass Mortar with brown Sugar till it be dissolved into invisible Parts and to prevent it from returning to its pristine Form you must add to it two little Drops of Oyl of Sweet Almonds and give it fasting with Sugar of Roses Syrup of Violets or Quinces to the Party affected Zappara confirms this use of Quick-silver by many examples and Hildan tells of a Woman cured of the Worms by Quick-silver of which she passed Ê’j s. through a piece of Leather and then swallowed it Where this is remarkable that the same Woman at that time wore a Plaister upon her Navel which was afterwards found all covered over with Quick silver Thus many Physicians celebrate Quick silver but more applaud it than condemn it as Plater Horatius Eâ—…genius and Fallopius says of it That it does not work those Effects being drank as used by way of Oyntment I have known says he Women that have drank Pounds of it to cause Abortion without any dammage and I have given it to Children for the Worms The same is testified by Marianus Sanctus and Fracastorius And Matthiolus affirms that Quick-silver is only prejudicial because it tears the Guts by its weight and therefore if it be not given in too great a quantity he says it can do no harm And I have seen it given by Midwives to Women in difficult Labours without any hurt at all For my part I never give it alone but always in some Infusion of Grass-water Wine or other Liquor And as for Stromaiier and Horstius though they reject raw Quick-silver yet rightly prepared they extol it as the best Remedy in the World against the Worms Sennertus however advises that though Quick-silver may be used in desperate Cases yet to forbear it where milder Medicaments may serve the turn Since there is a possibility that it may do mischief OBSERVATION XCIII The Gout MR. Hamilton in the Flower of his Age was miserably tormented with the Gout in the Joynt of his Right-shoulder so that he had not slept in three Days and Nights After I had prescribed him a proper Diet I purged him with Cochia Pills gave him a Diuretic Decoction for some days and then applied this Plaister to the place affected â„ž Gum. Galbanum dissolved in Spirit of Wine Tacamahacca dissolved in Spirit of Turpentine Emplaster of Oxycroceum an â„¥ s. Mix them and spread them upon Leather This Plaster stuck on eight days within which time that immense Pain went off so that he could freely move his Arm after that he returned to the Camp where he was unfortunately slain ANNOTATIONS MAny Disputes there are about the Causes of the Gout but for my part I believe there are necessarily two For either those Pains proceed from cold Defluxions mixed with some Salt and Acrimony falling from the Head upon the Joynts refrigerating and corroding the Nerves Tendons and Ligaments annexed to the Joynts For how great an Enemy Cold is to the Nerves and membranous Parts we find in Winter-time by the Wounds by which those Parts are laid bare There says Hippocrates all cold things are fatal to the Nerves Besides that such Defluxions cause Weakness and Stiffness of
hid about the Larynx Ossophagus and Chaps nevertheless a certain Redness extended it self toward the outward Parts adjoyning to them X. This is an acute and dangerous Disease which must be either speedily cured or sudden Death ensues for that the Inflamation and Tumor increasing will cause a Suffocation The Fever augments the Danger for that the Patient being not able to swallow any thing the internal Heat cannot be quenched by Drink nor the Debility of the Body be repaired by Nourishment However there is some hopes because the Inflamation does not lye altogether hid in the Miscles of the Larynx but extends it self to the outward Parts where Topicks may be applied besides that the Redness promises an Eruption of the Inflamation towards the outward Parts to the great Benefit of the Patient XI In the Method of Cure it is requisite 1. To hinder the violence of the Blood flowing to the Parts affected 2. To discuss the Blood already collected therein 3. To promote Maturation 4. To prevent Suffocation by Chyrurgery XII The first thing therefore to be done is to let Blood freely in the Arm. And if once letting Blood will not suffice to open a Vein in the other Arm and a third time if need require Also to draw a good quantity of Blood from the Frog-veins XIII In the mean time the Body is to be kept open with emollient Glisters XIV Let the Patient make frequent use of this emollient and discussing Gargarism â„ž Sliced Licorite Ê’iij Two Turneps of an indifferent bigness Scabious Violet Leaves Mallows Mercury Beets an M. j. Flowers of Camomil pale Roses an M. s. Citron Peels â„¥ s. Water q. s. Boil them to lbj. s. Add to the Straining Syrup of Dianucum â„¥ ij Diamorum â„¥ j. Honey of Roses â„¥ s. Mix them for a Gargarism If the Tumor seem to tend to Suppuration add thereto Cleansed Barley Ê’j s. Leaves of Althea M. j. s. Figgs n o ix XV. Outwardly apply this Cataplasm â„ž Root of white Lillies Ê’j s. Leaves of Beets Mallows Mercury Althea Flowers of Camomil an M. j. Pale Roses M. s. Fengreek Meal â„¥ j. s. The inner Part of one Swallows Nest powdered Water q. s. Boil them into the Form of a Poultis to which add Oyl of Camomil â„¥ ij Mix them for a Cataplasm If there be any likelihood of Maturation add thereto Fat Figs n o vij or viij Meal of the Root of Althea Hemp-seed Pulp of Cassia Oyl of Lillies an â„¥ j. XVI So soon as the Patient is able to swallow purge him gently with an Infusion of Rhubarb Pulp of Cassia Syrup of Roses solutive or of Succory with Rheon XVII Then give him this Julep for Drink â„ž Decoction of Barley lbj. s. Syrup of Diamoron Dianucum and Violets an â„¥ j. Oyl of Sulphur a little to give it a Sharpness Mix them for a Iulep XVIII If the Imposthume break let the Patient holding his Head down spew out the purulent Matter and cleanse the Ulcer with a Gargarism of the Decoction of Barley sweetned with Sugar Honey or Syrup of Horehound or Hyssop of which Syrups a Looch may be made Afterwards let him use a Gargarism of Sanicle Plantain Egrimony Cypress Nuts red Roses c. sweetned with Syrup of dry Roses and Pomegranates XIX If while these things are made use of the Difficulty of breathing increase so that a Suffocation may be feared before the Matter can be discussed or brought to maturity the last Remedy is Laryngotomic or Incision of the Larynx concerning which consult Casserius in his Anatomical History of the Voice Aquapendens in his Treatise De Perforatione Asperae Arteriae and Sennertus's Institutions L. 5. P. 1. Sect. 2. C. 7. XX. When the Patient can swallow let his Diet be Cream of Barley Amygdalates thin Chicken and Mutton Broth boiled with Lettice Endive Purslain Sorrel Damask Prunes c. Let his Drink be small Ale refrigerating Juleps and Ptisans Keep his Body soluble and quiet HISTORY VI. Of a Peripneumony or Inflammation of the Lungs A Strong Young Man having overheated himself with drinking Wine after Mid-night drank a Pint of cold Water and so exposing himself to the cold nocturnal Air went home Presently he felt a Difficulty of Breathing which every moment encreased without any acute Pain in the Breast However he felt a troublesome Ponderosity in the middle of his Breast toward the Left-side He had a little Cough which after molested him and caused him to spit bloody and frothy Matter but not much He had a great Redness upon his Cheeks About three or four Hours after a strong and continued Fever seized him with an extraordinary Drought and Dryness of his Mouth His Pulse beat strong thick and unequal and his Head pain'd him extreamly and his Difficulty of Breathing encreased to that degree that he was almost suffocated I. THE chief Part here affected was the Lungs especially the left Lobe as appeared by the difficulty of breathing and the heaviness in the middle of the Breast toward the Left-side By consequence also the Heart and the whole Body II. This Disease is called Peripneumonia which is an Inflamation of the Lungs with a continued Fever difficulty of Respiration and a ponderous trouble in the Breast III. A Plethora is the antecedent Cause of the Disease The next Cause is greater Redundancy of Blood forced into the Substance of the Lungs then is able to circulate The original Cause was too much overheating and too suddain refrigeration IV. The Wine overheated the Body thence a strong and thick Pulsation of the Heart by which the Blood attenuated by the Heat was rapidly forced through the Arteries into the Parts but being refrigerated by the actual Coldness of the Water drank and the in-breath'd Air and not able to pass through the obstructed Passages of the Pulmonary Veins and Arteries begets that remarkable Swelling accompanied with an Inflamation partly through the Encrease of the Blood partly by reason of its Corruption and violent Effervescency V. Now the Bronchia or Gristles of the Lungs being compressed by this Tumor of the Lungs the Respiration becomes difficult and that Difficulty more and more encreases because every Pulse adds some Blood to the Tumid Part. VI. Then because the Lungs being swelled and distended must needs be more heavy thence that troublesome Ponderosity is perceived in the Breast especially toward the Left-side because the Inflamation possesses the sinister Lobe However there is no great or acute Pain because there are no large Nerves in the Substance of the Lungs which therefore have no quick Sence of feeling and as for the inner Tunicle of the Bronchia which most acutely feels it is hardly affected with this Distemper only the sharp Heat of the putrifying Blood somewhat tickling it and the thinner Particles of the Blood being squeezed into it provoke a little Cough accompanied with a little spitting of Blood VII The Cheeks are red by reason of the spirituous Blood boiling in the Lungs