use Cupping-glasses thinking by that means they may draw the dislocated Vertebra outwards again which Hippocrates expresly forbids lib. de Articulis But it is great weakness to think to draw out the Verticles slipt inward by applying Cupping Glasses for they rather drive forward than backward nor do those that set them on take notice of this for by how much faster they set them on so much the more crooked are they made to whom they are applied because they shrink the outer skin together XIV When the Patient has bled enough he may be purged the day following Riverius l. 6. c. 7. never waiting for the Coction of the Humours because the Disease gives no Truce Nay if that it be very violent you may Bleed and Purge the same day which Trallianus saith he did l. 4. c. 1. But it must be done with gentle Medicines because of the Inflammation ¶ After the Patient has been let Bloud the next morning if the Fever and Pain be any thing abated I presently give him a gentle Purge which after Bloud-letting is the best thing can be done and by often experience I have found it highly necessary If afterwards which seldom happens Sydenham Observ Sect. 5. c. 7. the Fever and other Symptoms invade him they must be encounter'd with repeated Bloud-letting as before Through the whole course of this Disease I order every morning a Cooling emollient Clyster except the day allotted for Purging XV. There are some that prescribe Gargarisms of some sower and bitter things that are not very ingratefull to the Taste for repelling the Humour Yet I suspect the use of these things in this case because the Parts Inflamed should be quiet but the Throat and Jaws are moved by Gargling Therefore I would either have them not used at all or held in the Mouth without stirring Enchir. Med. Pr. lying on ones back that they may come to the Part affected Then I prescribe the following Gargarism not to be used the common way but to be kept in the Mouth without Gargling till it be hot Sydenham loc supra cit then to be spit out and more taken Take of Water of Plantain Red Roses and Frog Spawn each four ounces three Whites of Eggs beaten to water of White Sugar-Candy three Drachms make a Gargarism XVI Galen and his followers in all sorts of Quinseys from the Beginning use cold and astringent Gargarisms contrary to the Precept of Hippocrates 4. de rat vict in acut vers 72. who prescribes Gargarisms actually hot They mistake not considering how such Medicines cause certain and speedy Suffocation in the Quinsey which depenâ—â— on Phlegmatick Matter seeing it gives not place to Repellents but being thickned and more-setled in the Part it is rendred more unfit for Discussion and readier for Suffocation and in that which comes of sharp and thin Matter although they be not so pernicious yet they may doe more hurt than good for since they cannot repell upwards the Matter descending from the Head when it is forced either to the iâ—ner parts of the Muscles of the Throat or upon the Lungs they may make the Disease more dangerous Hippocrates his Advice is better whom all the Ancients follow'd as you may see 6. de comp Med. while he thinks good in all sorts of Quinseys and at all times to abstain from Repellents and always to use Rarefiers and Discutients that the Matter may more easily be raised by Spittle and be driven outward and discuss'd Nor is there any fear the Flux should increase seeing it may be prevented by Bleeding and Purging and other Remedies respecting the Matter fluent Martâ—anus Câ—m in prâ—eâ—â—ctum lâ—cuni p. 308. And if at any time he would have some Astringents mixt with the foresaid Medicines when the Matter is thin he does it not because he would repell but that by their drying virtue he might avoid too great laxity of the Part and that he might lessen the Swelling Therefore he approves the use of them rather in the Beginning than at another Time as appears from lib. 2. de morb sect 1. vers 24. XVII Humours sticking in the Flesh which are wholly extravasated cannot run because of the thickness Therefore the Physician must make them fluxile with hot Medicines If one taken with a Quinsey do in the beginning of the Disease Gargle himself with Spirit of Wine Walaeus m. p. 11â— all Inflammation of the Throat will cease in three hours time XVIII Whether a Swallow's Nest be of use Some disapprove it as Mercurialis because the Virtue lies not in the Nest but in the Bird But grant the Bird be endowed with such a peculiar Virtue yet it ought not be denied the Nest because the Nest may have it from the Excrements of the young ones which are full of Salt Neither ought it to be rejected for the repellent virtue of the Earth as Pereda doth because all Earth hath not a Repulsive Virtue nor is it desired alone but for the sake of the Dung mixt with it which is sharp and Discutient whose sharpness the Earth qualifies Therefore it is a Remedy most proper to discuss Tumours chiefly of the Jaws and Throat especially if the Bird have a peculiar virtue against the Quinsey If the Quinsey be Phlegmatick Swallow's Dung used inwardly and outwardly is good But a bilious one is exasperated by the use of sharp Medicines It concocts and discusses Phlegmatick Humours and dries up the superfluous Moisture XIX J. Tiengius had a Nun under Cure that had an Imposthume in her Throat which was Twenty days before it broke or she could swallow any Food He ordered now and then a Clyster of sweet Milk boild with Yelks of Eggs. Forestus Obs â—0 in scholio lib. 15. Amatus teaches the same when the Quinsey is upon the Windpipe and Gullet that Broths given by way of Clyster are able to nourish Celsus and others affirm the same We kept a Religious Woman alive in a Quinsey for nine days onely with Clysters and she recovered of her Sickness Brassavolus comm ad aphor 15. Sect. 2. XX. In a Quinsey Symptomatick of a Malignant Fever we must doe nothing before the great Heat be laid the Body evacuated and altered and the Parts be preserved against the Poyson Hen. Petraeus in Nâ—sol Heâ—mon XXI Then Sleep as in all inward Inflammations so in this likewise must be avoided to our utmost power for according to the Prince of Physicians in sleep the Bloud retires inwards therefore the Defluxion of the Humours to the part affected may be increased XXII A Learned Man of a Sanguine Temper inclining to adust was taken with a Bastard Quinsey without a Fever he swallowed difficultly and found some straitness about his Jaws He tried many things to quiet his troublesome Disease supposing it came of a Defluxion from the Brain although there were more signs that that was dry He Purged his Head often with Pills he prescribed to himself for he was a
good Crocus Martis well prepared may justly be prefered before all others Willis XIX If a Loosness have a cough with it we must abstain from astringents But because Medicines do bind either by their thick or by their viscid substance when there is a cough astringents are used that have a viscid substance such as Wheat-flower Gum Tragacanth Capivaccius Comfrey and Plantain XX. When a man has got the Pox and has a Loosness with it then Sarsa China and the new Antidotes are good for then we must not desist from Sarsa because the disease depends on a venereal virulence Such a receipt as this may be proper Take of juice of Sow-thistle depurated 2 drachms powder of Sarsa 1 drachm Gum Tragacanth-half a drachm Spec. è santalis half a drachm mix them make Bolus's This Medicine alters the venereal virulence and the Flux depending thereon But because Sow-thistle and Sarsa open and loosen to correct the Basis Idem and especially the Sarsa we may mix half a drachm of Spec. Triâ—â—n Santal or Tragac. XXI We must have a care of sweet things for they because cold and moist make the matter more fluent and loose Therefore they doe most hurt when the Loosness comes from a hot matter in a hot body Nor may we use things that have Vinegar in them Idem and we must especially abstain from that which is sharp and from any quantity of it XXII Aristotle 4. Probl. 18. thinks that Venus sometimes stops an old Loosness and so think Paulus and Aetius Fortis But it is not proper when there is a defect of innate heat XXIII Whether do astringent meats taken first bind Some alimentous astringents taken before meal bind the belly but taken after meal loosen it as may be gathered from the constriction of the Fibres For when they are given before meal the Pylorus is more strengthened whereas after meal by accident the sides of the Stomach being straitned it is made more lax and this is particularly verified in Quinces Whence also it is manifest that astringent Medicines themselves cannot conveniently be given with meat Moreover I have observed that by accident in persons of a more tender and lax texture as to their Stomach and Guts G. Wolf Wedelius a styptick powder has caused a Loosness Medicines especially made use of by eminent Physicians 1. Mulberries not ripe but as yet sowre dried in the Sun then powdered and applied and upon occasion given inwards will make a great restringent Medicine for a Loosness and may well be given to coeliack persons who have been long sick in powder either with meat or drink Aetius 2. Old Cheese is a most effectual Remedy boiled till all the saltness be out they toste it first then after it is boiled they dry it A drachm weight stops a Flux wonderfully ¶ Also the inner rind of a Chesnut-tree is highly commended for it stops an old Flux Alex. Benedictus ¶ Among all Medicines Mastick is most commended taken in juice of Quinces 3. Many have been most easily cured by taking new Cows Milk frequently with Yelks of Eggs dissolved in it ¶ There is also a bisket-bread wherewith Elder-seed is mixt a drachm of which given in wine is highly commended Petrus Borellus Also bread made of Rye flower with juice of Elder is very good for all Loosnesses 4. In a Flux of the Belly that is very pertinacious a most effectual remedy is propounded by Avicenna and it is old salt cheese which must be often washed and boiled till it become altogether fresh Capivaccius The dose is a drachm with juice of Quinces 5. One had a loosness 3 years at last when he had eaten Grewel with Acorns in it his Loosness was stopt And after the universal remedies I use to give with success 1 drachm of Plantain seed powdered in a rear Egg. Forestus 6. Take of Dragons bloud Frankincense Mastick Mummy Terra Sigillata each 1 drachm Bole Armenick 1 drachm and an half Carab Blood-stone each 1 drachm Make a powder Grulingius it deserves commendation 7. This is of wonderfull Efficacy Sugar of Roses dissolved in juice of Quinces and Plantain water heat and strained and given upon a fasting Stomach ¶ This is of incredible efficacy Take of Quinces or Pears or Dates green 1 pound steep them in Vinegar and water boil them and add of Roses and Wormwood each 1 handfull of Cumminseed baked and steeped in Vinegar 3 drachms Make a decoction and mash them together Add of Acacia Mastick each half an ounce Coral 1 ounce Cloves Spikenard each 1 drachm Oil of Roses unripe Olives and Myrtle each 2 ounces and an half Lud. Mercatus with 2 pounds of white Bread or Bran make a Cataplasm 8. A singular secret against the Flux of the Belly Take some great and unripe Sloes bruise them strain out the juice coagulate it upon the fire till it be dry and become a kind of yellow powder Give half a drachm of this in water of Sloes or Plantain Joh. Poppius 9. Take of juice of spotted Arsmart Housleek each 3 ounces Boil them to a third part they certainly cure a Loosness Riverius though never so inveterate 10. For a Loosness let Pidgeons dung be dissolved in water of Fleawort or Willow or let it be boiled in rain water and the feet washed therewith It is admirable and sure J. Dav. Rulandus ¶ Also the dung mixt with strong Vinegar and laid upon the Navel presently stops any Flux 11. Take a fat Turtle pulled and drawn wash her gently put an ounce of new wax in her Belly boil her in a sufficient quantity of Water Eat her up and drink the Broth. I found this to be truly salutiferous in one who had been a long time sick of a Loosness ¶ This has been proved by often experience Take a large quantity of Knot-grass boil it in rain water In this Decoction let the sick party set onely the Soles of his feet afterwards let him cover his feet with water let this be done thrice a day for three days continually increasing the water till it cover his Knees I have known several cured in this manner Saxonia and it may be tried without any inconvenience or danger 12. In a chylous Flux especially outward Medicines are of great efficacy and are used with less danger as a Plaster of Lupine meal Sennertus with oil of Nard and the like 13. In any Flux and Pain of the Belly rain water Joh. Stokkerus with Mastick boiled in it taken warm is good It is approved and certain 14. The Liver of a Wolf Jacob. Sylvius if a Spoonfull of it be taken in a morning is an excellent Remedy 15. Boil Knotgrass in Wine Vinegar strain it dip a double cloth in it M. J. Wittichius and apply it to the Stomach Navel and Back It is an experiment that has helped many Dolor or Pain or
bilious humours must be procured which is of such efficacy in curing a dysentery that it put Amatus into admiration how a certain young Man in a dysentery could be cured onely by a draught of cold Water which he drank without the advice of his Physician But we may cease our admiration if we observe that Celsus 4. 15. proposes cold Water as the best remedy for a Bloudy-flux But here decoctions of Herbs and Juices Whey Spaw-waters and Milk are proper Take of the Decoction of Endive Lettuce Violets Plantain Purslane 5 ounces of clarified Juice of Plantain Purslane each 1 ounce Mix them Give it for five or six days or Take of Water of Lettuce Water-Lily Plantain each 2 ounces Seeds of White Popies 2 drachms Make an Emulsion to which add of Juice of Quinces 1 ounce Fortis consult 93. cent 2. Diamargariton frigidum 1 scruple Mix them For we must abstain from Sugar as also from Honey XXVII Galen against Herodotus declares sufficiently what harm the unseasonable use of astringents does It is suppressed indeed in the declension of the disease and lest the matter being turned upon some noble part should injure it astringents are ordered with Spices mixt therewith and things that provoke Urine for so the humour being diverted to the ways of Urine the Ulcers may heal the sooner And as far as I could ever learn by experience I have observed some upon stopping a dysentery unseasonably fall into an Epilepsie others into a Pleurisie And one Hollerius in Conces having the matter turned to his hands had them full of filthy thick scabs Some were so bound with astringent Medicines and their Guts so dried that afterwards they scarce went to stool once in four days ¶ In the year 1659 there was an Epidemick Dysentery up and down Switzerland one Bedoz his Wife was taken with it in the Village Courcelles in the Province of Newemburgh she had recourse immediately to astringents by the use whereof it was stopt but the humours falling back upon her right knee it continued swollen to her dying day XXVIII A very painfull dysentery had afflicted two well-grown Virgins for several days at divers times by reason of the Guts being exulcerated with yellow choler mixt with salt phlegm At first they had large frequent liquid and various stools mixt afterwards with a sort of Fat which were followed by caruncles or bits as it were of flesh plainly to be seen in their Excrements Yet both of them escaped by my assistence Among other things liquid Balsam of Peru was very successfull mixt in Clysters to defend the exulcerated Guts from the sharp and putrid excrements and to heal them I have also experienced the singular virtue of this most noble exotick liquour as well in immoderate Diarrhoeas as in Bloudy-stools when other things would doe little good And truely the effect of it was admirable in a young Man who was most barbarously tormented with most cruel Gripes a sanious stinking Matter coming out with the Excrements an argument of an Ulcer in the Guts And these Gripes could no ways be mitigated till I ordered the following Clyster to be given him and moreover half a scruple of the same Balsam mixt with Pine-Nuts adding of Syrup of Orange-Pill 2 drachms and refined Sugar half an ounce This was the Clyster Take of the root of Tormentil Comfrey each half an ounce Leaves of Plantain Shepherds-purse Horse-tail red Mint each half an handfull Flowers of red-Red-Rose Pomegranate Rose-mary each 1 pugil Seeds of Sumach 2 drachms Boil them in a sufficient quantity of spring-Spring-water Lucas Scroeckius Ephem Germ. ann 3. p. 126. In 7 ounces of the Colature dissolve of Sugar half an ounce Balsam of Peru dissolved with the Yelk of an Egg 1 drachm Juice of Plantain fresh drawn 1 ounce When the Patient found present ease two hours after I ordered it to be repeated XXIX Since some commend the use of Milk and others forbid it it is certain that it has been given sometimes with good success sometimes with bad For Amatus cur 44. cent 2. says he once accounted it poison Hippocrates 5. aph 64. affirms it is hurtfull to several persons Saxonia on the contrary in prael pr. affirms that he has not onely taken away pains but has cured Dysenteries at the first without any other help Nor are reasons wanting for Milk especially allays the heat of Choler takes off Acrimony and asswages the heat of the bowels As it purges downwards it carries off cholerick filth But this or that preparation or this or that constitution of a disease renders it wholsome or unwholsome Milk consists of three substances of Cheese whereby especially it nourishes and plasters the Ulcerated Guts Of Butter whereby it eases pain digests anoints the Guts and fences them against sharp humours Of Whey whereby it is abstersive and cleansing In many respects therefore it is proper as it serves the turn both for food and physick Yet the use of it must be circumscribed with several cautions In the first days therefore it must be used raw and new milked that the choler may be drawn downwards so Aetius advises in the progress of the disease that the flux may be stopt it stands in need of preparation and the Whey which has the detersive faculty useless at that time must be consumed by boiling Gold in it or quenching Flints and Steel therein so also the fat and igneous parts prone to turn into choler or to purge are dissipated But if the prohibiting Symptomes proposed by Hippocrates 5. aph 64. attend a dysentery as Head-ach Thundring Hypochondriack Meteors a high Fever a flood of Choler flowing in abundance we must abstain from Milk or a fourth part of Rain-water must be added and given after it has boiled a little mixt with a little Honey left it corrupt on the stomach Thus prepared it may according to the opinion of several be given innocently when these impediments are present Note the greatest part of the Cacochymie must be carried off by Purges before the use of it ¶ Hor. Augenius says that is the safest way of giving it and one that never fails which Aetius proposes which nevertheless he uses not for purging in the first days because we have other very sate Purgers much safer than the use of Milk But he commends it in the progress of the disease pouring into it as it boiles a fourth part of Water and that for three days For the next three days he boils the Milk a third part or half away when there is a Fever with it he says all inconvenience may be corrected by mixing Rain-water with it ¶ Milk may be given notwithstanding bilious stools or a Fever if so be most part of the choler be purged away onely the inconvenience must be taken away by boiling it with Plantain-water or by quenching red-hot stones or Gad's of Steel in it for it is imbued with a faculty that dries and resists corruption Fortis consult 93. cent 2.
Diaphoenicon frigidum applied hot to the whole Belly is most excellent in any Dysentery the same also may be applied in the beginning 7. Take pure root of Tormentil grosly bruised 6 ounces Pour to it in a glass Body of Tormentil water 16 ounces Let it simmer on a gentle Fire then let it cool and pour off and separate the Decoction carefully from the Root add of fine Sugar half a pound Set it in Sand and with a gentle Fire reduce it to the consistency of a Syrup Then add of the Tincture Oil or Liquour first precipitated with distilled Vinegar and then with Spirit of Vitriol of Corals Mich. Crugnerus mix it well and keep it It is a most excellent Remedy in the Bloudy-flux 8. Oil of Walnuts cures a Flux miraculously if it be taken inwardly and the Belly be anointed therewith ¶ This is reckoned a Secret in stopping Fluxes of the Belly If you take of the Juice of unripe Grapes 10 spoonfuls boil it a little after it is clarified drink a third part of it for it presently stops the Flux and strengthens the Bowels Claud. Deodatus 9. They say Cudweed boiled in Wine is an effectual Remedy Dioscorides 10. Boil a Crab with Wine and Pepper take off the Shells and dry them the Powder of the simple Shell taken twice every day cures any Flux specifically It may also be mixt with other things It is an experienced thing ¶ Distilled water of Celandine drunk Tob. Dorncrellius powerfully stops any Flux as I have heard one say upon his certain experience 11. There is no more present Remedy than Vva quercina in Powder Christoph Engelius for any Bloudy-flux I have cured some of desperate Dysenteries onely with it 12. The Cawl of a Wether fried in Oil of Roses and applied Franc. Osw Grembs is an excellent Remedy to stop the fury of it 13. A linen cloth dipt in the bloud of a Hare not killed by a weapon but in hunting by the bite of a Dog and dried and kept for use if it be made Lint of and given in Wine it cures the Dysentery Yea the Soldiers in Germany when they have killed a Hare in the aforesaid manner dry her in the smoke and give her in drink and so cure the Bloudy-flux infallibly Van Helmont 14. The Liver of a Wolf prepared that is when it has been steeped 3 days in very strong Vinegar and then dried in an Oven upon a Tile is highly commended 15. The Pisle of a Cat is a most certain Remedy in this Disease Frid. Hofmannus the Shavings of it may be mixt in some Electuary 16. It is admirable that Colcothar the Caput mortuum of Vitriol should possess a quality to cure a Bloudy-flux that is if they that are afflicted with the Bloudy-flux do go to stool upon it Christ Langius it cures them This is confirmed by many observations of D. Michael 17. Half a drachm of Crystal finely powdered and prepared taken in some convenient Water is a singular Remedy for a Dysentery Joh. Langius especially for one arising from porraceous and yellow choler 18. I have observed it by experience and beyond all doubt that 2 drachms of Filipendula root given either in Wine or the Yelk of an Egg is good The leaves and roots of which Herb I have often found to doe both the same thing ¶ I have found this Potion doe a great deal of good Take of Syrup of Popy 1 ounce of dried Roses half an ounce Diamargariton frigidum half a drachm burnt Ivory half a scruple Water of Plantain Horse-tail each 2 ounces ¶ This is excellent good to ease pain Take of Acacia Hypocistis the inside of a Quince Sumach Galls each 1 drachm red Coral burnt and washt with rose-Rose-water 1 drachm and an half Opium 1 drachm Cinnamon Cyperus each 1 drachm Syrup of Roses what is sufficient Make a solid Electuary of which make Pills Lud. Mercatus whereof you may give a scruple or half a drachm 19. An Egg boiled in Vinegar and eaten Oribasius stops all Fluxes of the Belly 20. The Feet of a Partridge rosted and one drachm of the Powder given in Coriander water when there is a Fever and when there is none Joh. Praevotius in black Wine cures even a raging Dysentery 21. The dung of a Dog that eats bones dried and powdered and put in a little chalybeate Milk is good for a Dysentery given for 3 days morning and evening I can safely swear I have cured above an hundred of the Dysentery with it in one year as Christopher Landrinus can testifie Joh. David Rulandus 22. The Fruit of the Linden-tree yields an effectual Remedy for any Flux of the Belly Valesc de Taranta as Camerarius testifies 23. The lesser Plantain given with an equal quantity of Daucus is a singular Remedy Gul. Varignana 24. This is very much commended If the Patient for 3 or 4 days morning and evening sit over a red hot Plate of metal upon which 1 ounce of the best Turpentine or Pine Refin must be thrown ¶ This is an admirable one especially in Childrens fluxes if every day morning and evening the Child's anus be fumed with the Powder of young Asses dung carefully dried in an oven and strewed upon red hot Coals Benedict Victor ¶ The following Fomentation also is highly commended Take of Balm 1 pound Mullein 1 handfull put them in a long bag which afterwards boiled in a like quantity of styptick red Wine and strong Vinegar to a third must be applied warm to the Seat 25. Many reckon Cresses seed given alone or mixt with other things a singular Remedy in the Bloudy-flux Arn. Weikardus 26. This is a singular Remedy for any Flux of Bloud Take Frog-spawn and dip a linen cloth at least thrice in it dry it in the shade and doe so thrice Which cloth so prepared and dried you may use Apply a piece twice as large as the place where-out the Bloud flows Keep this as a Secret ¶ This is a singular Remedy for the Bloudy-flux Break a new Egg into a new earthen Pot then take a like quantity of Honey Vinegar and Oil mix them all together and bake them Eat them and you will find a good effect Marc. Ant. Zimara Dysuria or Sharpness of Vrine The Contents It must be cured variously according to the diversity of the cause I. A Vomit is proper II. The benefit of Clysters III. Cassia sometimes suspected IV. Diureticks sometimes hurtfull V. It arises sometimes from the defect of the humour that moistens the urinary passage VI. Sometimes from the site of the Bladder altered VII Sometime from the glandulous Body too much dried VIII Medicines I. A Man threescore years of age was sick of a violent Sharpness of Urine some placed the cause in his Bladder others in his Kidneys But when he was dead of an Apoplexy there was no fault observed in
inclose the heat with danger of pain and making it worse Hot things are more properly applied which make the skin lax open the pores and dissolve the serous humours that would break out into pustules The intemperature of the part is removed after the same manner in both cases not so much by opposing it with a contrary Sennertus as by taking away the cause ¶ In this case the use of moist things is prohibited for they presently cool actually although they may heat potentially and therefore they obtain the force of a repellent Therefore dry and digesting fomentations are best Hence it is that if a Patient through carelesness wash in the beginning of an Erysipelas Hoeferuâ— not knowing the Disease it will be exasperated swelled and the pain doubled ¶ We must have a care of things that are unctuous and have an emplastick virtue especially of Narcoticks for the sharp vapours exhale Crato 3 which if they be kept in sometimes corrupt the part ¶ It is a custome among our country people if they be taken with an Erysipelas to anoint the part affected with Oil of Bayes mixt with a little Quicksilver with which Medicine they prolong the Disease for while the Oil makes lax the Skin the Erysipelas spreads farther and farther so that you may see it overrun the whole Body on a sudden except you prevent the mischief thus i. e. unless you apply all round it a linen cloth wet in warm water which may defend the other parts If the humours that stick in the flesh be plainly extravasated they cannot flow for their thickness let the Physician therefore make them fluid with hot Medicines So an Erysipelas in the beginning is taken away by applying Spirit of Wine Walaeus V. I have seen an Erysipelas in the right cheek that was treated with suppurating Emplasticks turn to a Gangrene Again I saw a Chirurgeon with such Emplasticks who was taken with an Erysipelas in ano The reason is 1. Because the Cheeks Breasts Nose c. because of their softness are easily deprived of their innate heat When therefore strength is good and the humours are hot let Digesters not Suppuraters be made use of Sanctorius VI. This is a rule concerning Sleep When an Erysipelas is in the Legs or Thighs moderate Sleep is good But when it is in the Face we must refrain from Sleep as much as may be Crato VII Green Coriander and Barley-flower applied is a very good Medicine but not in the beginning because it is hot which its bitterness shews although it partake of moisture Fonseca VIII By the use of Linimentum simplex not yet rank and often changed I have cured innumerable Erysipelas's with success not neglecting universals and inward coolers In defect of this nothing is better than Oil of sweet Almonds nine times washt in a glass-bottle with Night-shade-water with which cold anoint the place till the violent heat be diminished Others commend Balsamus Saturni made with Linseed-oil and often anointed with a Feather This is the Description of Linimentum simplex Take of Juice of Night-shade fresh made Oil of Roses each 20 ounces Boil them to the consumption of the Juice Strain it and add to it Litharge of Gold Ceruss each 1 pound Mix them make an ointment according to art Scultetuâ— IX A Leech did a melancholick Woman a great deal of good who had an eating Erysipelas in her Leg for it drew out of the Veins thereabout the hot and adust bloud which had all along supplied the stubborn Ulcer with matter which being sucked out the rest of the trouble was easily over onely by applying Bread soaked in Water N. Tulpius X. The famous Veslingius cured a certain person of an ulcerated Erysipelas in his Leg when he had first purged the Body by touching it sometimes with a Feather dipt in Spirit of Vitriol He said that these sharp chymical Liquours were therefore applied to malignant and spreading Ulcers that the corroding humours may after a manner be mitigated and their violence broken after the example of Salt of Tartar and Spirit of Vitriol both which were very sharp and by their mutual acting one upon the other their mixture produces a far more gentle Medicine Veâ—schâ—us XI In the Blisters of an Erysipelas which by force of sharp and hot ichorous Juices use to break out Fallopius advises to prick them in the beginning adding this moreover that the place subject to the Fluxion should be prickt Which operation also pleases me yet I had rather doe it with a golden or silver Needle But you must also know this that they must not be prickt slightly but also clipt with Scissers that nothing of the Ichor may be left which being kept in a Bladder might by its contact spoil the part Severinus XII I knew a man about thirty five years old of the Senatory order whose Face was often invaded with bilious bloud and then was continually disfigured with an oedematous swelling the thinner parts of the humour being discussed By the advice of Physicians several remedies were tried altering Broths Whey Waters but all in vain I advised an Issue in the Arm it was made in the right Leg but to no purpose which by the persuasion of the Chirurgeon whose Wife had found the benefit of it in the like case he admitted And he has not been troubled with this Disease ever since the year 1673. to 1679. his Face falling and all signs of the Oedema being gone XIII A Countrey fellow had an inflammatory Erysipelas in his left Hand he anointed his Hand and Arm for some days with Oil of Roses upon which his Pain Inflammation c. grew worse so that his Hand was all over gangrened From whence it is clear that Oil is a great enemy to Inflammations as Galen 15. de simpl intimates Hilâ—anus ¶ In the year 1668. a Butcher's Wife of Geneva called Bourdillat anointed her Face that had an Erysipelas in it with the same Oil then she had a most filthy thick scab as white as milk which almost caused a Gangrene Therefore Fortis Consult 95. cent 1. bids us wholly abstain from oily and fat things because being heated by the heat of the part they may inflame it farther XIV I happily cured an ulcerated Erysipelas by the method prescribed of Rulandus cent 1. cur 43. One about sixty three years old was taken with an ulcerated Erysipelas in his feet with great pain and swelling 1. I thus purged the Body Take of Syrup of Roses Mont. 1 ounce extract of Spurge half a drachm Pectoral Decoction 1 ounce and an half Mix them A wash for the feet Take of Roses 4 handfulls Plantain 3 handfulls let them boil a little in a sufficient quantity of water When you take out your feet and have wiped and dried them with a soft Towel anoint them twice every day with the following Ointment Take of Litharge 3 ounces Vnguentum Populeon
in it Febris Algida or The Cold Ague It s Nature and Cure COld Agues are observed some times to be troublesome not onely in cold especially but in Cold alone so that sometimes and more frequently a little Heat does follow sometimes but more seldom none at all We have such in our University Hospital so manifest that not onely in the beginning and encrease but at the very height and declination of the fit yea and when it is over the Patients are always sensible of Cold never so much as warm much less hot at any time They owe their Original to a more acid Pancreatick juice joined with great store of viscid Phlegm Bile in the mean time being very dull This Mixture will be proper for the Cold and other Symptoms that use to accompany it Take of water of Parsley 2 ounces Fenil 1 ounce Theriacal simpl or vitae Matthiol 1 ounce and an half volatile salt of Amber 1 scruple Syrup of Carduus benedictus 1 ounce Which will be more effectual if you add to the same of Laudanum Opiatum 4 grains Oil of Cloves 2 drops I have not hitherto observed any thing temper the cold equally to this Sylvius de le Boë Prax. l. 1. c. 30. And as long as the Ague lasts the Patient may take one spoonfull of this or some such liquour 3 or 4 times in an hour Febris Anginosa or A' Fever and a Quinsie It s Description and Cure IT invades men at any time of the year but most between Spring and Summer time and young men and them that are of a Sanguine complexion above others but red haired men as I have observed more than once above all the rest At the very first invasion of the Disease they are cold and shake a Fever follows and a little after comes a pain and inflammation of the Jaws which if it be not speedily helped immediately the Patient cannot swallow any more nor draw his breath through his Nostrils but his Throat is stopt with a certain sense of strangling by the inflammation of the Vvula and swelling of the Tonsills and Larynx In the first place I take a great quantity of Bloud from the Arm then from each Ranula then I touch the inflamed parts with Honey of Roses and Spirit of Sulphur By and by I prescribe the following Gargarism to be held in the mouth till it be warm without stirring it Take of Water of Plantain red Roses and Frog-spawn each 4 ounces Whites of Eggs reduced to a water by beating No. ij white Sugar-Candy 3 drachms I order an Emulsion as in a Pleurisie The next morning if the Fever and Pain do not abate I open a Vein again in the Arm and let Purging alone till the next day If both be abated I presently give a gentle Purge which after bleeding is necessary above all things as experience testifies If perchance even after purging the Fever and Symptoms should proclaim War this must be subdued by repeated Blood-letting Let the Patient every day keep up some hours from his bed because the warmth of it adds strength both to the Fever and the Symptoms But we must take notice that these Quinsies which are onely a Symptome of this Stationary Fever Sydenham Obs in Acut. Sect. 4. c. 6. as I call it love to be cured by the self same method which the Fever challenges for it self and therefore must be thrown off by Sweat and the Pores of the Skin or by any other method that is due to the primary Fever whereto they are inherent Febris Anhelosa or The Short-breathed Fever It s Nature and Cure ANhelous or Short breathed Fevers have their name from difficult and anhelous respiration and they put the Patients to strange and miserable Anguish either with or without palpitation of the heart I have observed them more than once begin with a distension of the Abdomen and anxiety of the Praecordia the Pulse being immediately weak small and frequent chilness and pain troubling them in the Region of the Loins at the same time But if then they broke wind either upwards or downwards the fit was less if not it was more grievous for after this distension and anxiety had lasted one or more hours both of them sensibly abated and then an exceeding difficulty and shortness of Breath was raised so great indeed that the Body could not indure to be stirred or moved in the least the Pulse by degrees growing rather weaker than stronger and continually more frequent together with the Veins every where very turgid which out of the fit were small and scarce conspicuous This shortness of Breath was sometimes more grievous sometimes more slight and grieved them sometimes a longer sometimes a shorter time Wherefore Medicines that are good for Hypochondriack prefocation were often here likewise used with good success And at length the fit ended rather in a Damp than a Sweat till a new one returned seldom every day often every other day I think these Fevers as also suffocating Fevers of which hereafter should be ascribed to Vapours but not very austere ones and in like manner from a less austere Pancreatick juice but arising from this mixt with viscid Phlegm meeting it in the small Guts and therefore the more flatulent from which the symptoms enumerated may easily be derived and well enough explicated Sylvius de le Boë Prax. l. 1. c. 30. The anhelous anxiety since it owns the same but a slighter cause will be cured and abated with the like Medicines as well in the fit as at the beginning of it being often used in a less quantity Febris Arthritica or The Gout-fever It s Nature and Cure SOme Practitioners reduce Arthritick fevers to Catarrhal fevers because they think the Gout owes its rise to Catarrhs But because I am of opinion that another humour is carried together with the Bloud by the Arteries to the joints which breeds the Gout I cannot but think that Gout-fevers should be distinguished from Catarrhal ones But because I could accurately enough observe the rise and progress of the Gout from the faithfull relation of the sick I as often took notice that it came with a Continual fever or an Ague Wherefore when a new Ague fit came the Gout was not a little increased till it either turned to a Continual fever or ceased of it self or the Ague was removed by art the Gout-pains nevertheless continuing I reckon to find Gout-fevers in the Pancreatick juice so corrupt that it is troublesome onely to the joints whether it being also endued with a considerable Acrimony which is most frequent carries the Bile thither along with it wherewith it had vitiously fermented and causes a most bitter pain Or being not so sharp and hurting the viscid Phlegm not the sharp Bile which is much dulled with mixing with it it rather hinders the motion of the part affected with an oedematous tumour than a sharp pain Where we must observe that the Ague fits which come every or
in other places requires But he forbids the giving of it before signs of Coction because it hinders attenuation and digestion of tough humours and causes difficulty of breathing convulsion and trembling in some But Averroës tarries not till that time because the Patient in the mean time is in danger of having his innate heat extinguished by the febrile and because the damage done by the cold Water is less than what would be done by the burning Heat for by drinking cold Water there is onely danger of lengthning the Disease by the violent Heat of Death Besides Coction is a sign the Disease is overcome and when the Heat is quenched drinking of Water is useless Therefore when Bile is raging cold Water may safely be given When it is cooled and the state of the Disease is over it will be useless because the humours will grow crude again with the Water and new occasion will be given to Obstructions and lengthning out of the Fever espeally in Natures that are obnoxious to Obstructions as the melancholick XVI Because in the place of Putrefaction in long Fevers a certain Infection like to a Ferment is usually bred and left behind whereby the humours though not so very bad are fermented and corrupted Therefore to extinguish this ferment and stop the humours convenient Evacuations premised we may proceed to the use of the Peruvian Bark which must be given in the beginning of the fit with Malmsey Wine in manner and quantity as is well known to all Physicians Fortis XVII A Tertian ague is sometimes prolonged by a hot and dry intemperature of the Liver which continually produces fewel for new fits As I have often observed in several who were of a dry and squalid habit of Body and altogether cholerick and without any store of humours they have had a Tertian for three or four months especially in a hot season of the Year Violent Purgatives and violent Aperients and Heaters are hurtfull to such But they must be treated with a cooling and moistning Diet and with Juleps and Broths of the same quality And the superfluous humours must be purged away by degrees with emollient and cooling Clysters Cassia Tamarinds Catholicon and Syrup of Roses but in this case Baths of sweet water especially doe wonders by extinguishing the hot and dry intemperature impressed on the Bowels which the Patient may use without Sweating Sometimes also the length of a Tertian depends upon an indisposition of some part especially of the Liver or Mesentery which cannot be cured by Purging never so often repeated because the ill quality remains in the part and daily gathers new humour which maintains the fits And this ill quality is removed by Diureticks Sudorificks and other dissolvents Things endued with such qualities are Wormwood lesser Centaury Carduus benedictus root of Dittany Burnet Tormentil c. whereof decoctions may be made Enchir. Med. pract Riverius to be given several days before the fits XVIII Many are ignorant what Galen's skill was in giving of Wormwood in Tertian agues In curing of them this among many other is one Indication to purge store of bilious humour by stool and Urine Another is to strengthen the mouth of the Stomach much molested with bile Wormwood performs these things of which Galen 6. simpl Wormwood has an astringent and bitter and also a sharp quality both heating and cleansing and drying and strengthning Therefore it drives down the bilious humours of the Belly by stool and purges by Urine But it purges what is bilious in the Veins most by Urine therefore it does no good when it is given for Phlegm contained in the belly And Dioscorides lib. 3. cap. 23. It has an astringent and heating virtue it purges bile which sticks to the Stomach and Belly it provokes Urine Therefore Wormwood is given for these two Reasons to purge Bile and to strengthen the Stomach It does no hurt because hot for its substance is not given but its decoction or infusion in Melicrate as Galen said besides onely the leaves are infused that is a small quantity to cause heat To say nothing Augenius l. 7. tom 1. Epist 8. that if it doe a little harm it need not be valued in respect of the good it does They doe amiss who give the juice XIX A Woman 45 Years old after a disorderly Diet was taken in the latter end of May with a Tertian ague I neglecting the Ague betook my self to restrain the fierceness of the sharp Salt redounding in the Patient and not without success for when I had given her of the volatile Salt of Harts-horn half a scruple with 6 grains of Salt of Carduus benedictus and 5 grains of Salt of Wormwood but the first time and that one hour before the fit it not onely came later by two hours but held her much more mildly Georgius Sogerus Misc Cur. an 72. Obs 244. Wherefore insisting on this Medicine and when because of its nauseous taste she began to loath it I made it into Pills with a little crum of Bread and I cured her XX. A Gentlewoman was taken with an exquisite Tertian ague she obstinately refused all that I prescribed in the mean time the Disease grew worse and for eight fits it grew stronger and stronger every fit I visited her a little before her ninth fit and when she refused to take any thing inwardly I order bottles filled with hot water to be placed here and there about her to make her sweat against her Will. She on the contrary commands the bottles to be taken away I being not at all moved with the clamour of my Patient order the Maids to observe my commands and to force her to sweat against her Will remembring that of Hippocrates 2 Epid. We must endeavour that anger may be provoked in such as are pale Now said I to my self if anger must be provoked that the bloud may be diffused through the habit of the body and dispell paleness perhaps it may also drive out the Ague and open the inward obstructions the cause of the present mischief Borrichâ—ins Misc Cur. ann 72. Obs 234. Nor did my Augury deceive me the Ague ceased forthwith and though she was outragious angry it stopt and never returned any more XXI In the height of the fit to allay the heat cooling Epithemes of water of Cichory Roses Plantain Vinegar of Roses c. may be applied to the Liver Yet we must have a care that the waters lie not upon the Liver Enchir. Meâ— Pract. when Sweat is at hand for they might hinder its coming out XXII Thoâ—e Remedies that use commonly to be applied to the Wrists are not to be rejected altogether for the opinion of the Vulgar is not onely satisfied with them because they think many are cured with these remedies but also they may doe some good by communicating their virtue to the heart by the large Arteries Riverius which run to the Wrists XXIII The Diet in
of Seed of Willow seven drachms Calaminth six drachms Seed of white Vitex five drachms Rue half an ounce Hemlock Seed two drachms Make it with water into Trochiscs Aetius Give the quantity of a Hazle-nut in five ounces of Posca 2. Among noble Confections this is reckoned most effectual Take of Pine Nuts first washed in water Pistachio Nuts Seed of Cucumber Cucurbite Raisins each half an ounce Cinamon Mace Seed of Anise Agnus Castus each one ounce Alex. Benedictus Camphire one drachm Make it with Sugar 3. This Confection wonderfully helps a Gonorrhoea Take of Seeds of Melon two ounces Cucurbit one ounce Agnus Castus half an ounce Acacia Coral each one drachm Been white and red each two scruples With Sugar make a Confection Rod. Ã Castro the dose half an ounce with three ounces of Plantain-water 4. This is singular good for a Gonorrhoea Take of Gum-arabick Tragacanth Carabe Mumy Bole Armenick the mandible of a Pike each what is sufficient and with Syrup of dried Roses or Myrtle Make Pills of one scruple in weight At the first time let him take three Pills Crato and then one for several days 5. I commend this for strengthening of the parts Take of the whole Mastick Tree with the Bark cut very small one ounce and an half Infuse it in six pounds of Water add of juice of Lemons depurated three ounces Digest them in Balneo twenty four hours Rod. Ã Fonseca The Dose is six ounces in the morning for several days together 6. One was cured of a Gonorrhoea onely with this Apozeme Take of Root of Comfrey half an ounce Plantain Horse-tail Daisie Knot-grass each one handfull Sorel one handfull and an half Seed of Plantain one drachm Sorel Mallow each half an ounce red Rose Flowers one pugil Raisins half an ounce scraped Liquorice three drachms Boil them in a sufficient quantity of Water To the Colature add of Syrup of Purslain Myrtle each one ounce and an half Forestus Mix them Make an Apozeme for three doses in the morning 7. If in a virulent Gonorrhoea the parts be inflamed and pained Grulingius a Cataplasm of Leaves of Rue and Dwarf Elder boiled in Vinegar and applied is a present Remedy C. C. de Heredia 8. Powder of Ivory presently cures a Gonorrhoea whether Gallick or Legitimate and other Women's Diseases 9. Natural Bathes Sennertus which have an astringent faculty are here very good or artificial ones which have the same virtue 10. I frequently use juice of Citron and Lemon with great success because it conduces much to extinguish Seed Oil of Henbane if a Woman's Loins and her Loci be anointed therewith Mercurialis is commended outwardly and has often been experienced by me 11. Purging premised Take of Wall-Rue one handfull bruise it and with a little Flower and one Egg bake it on a Tile into a Cake yet without Oil and Butter let the Woman eat this Cake in the morning two days and her Gonorrhoea will presently be stopt 12. This is an approved Remedy Take of dried Mint three drachms Seed of Agnus Castus Root of Iris Seed of Rue each one drachm Seed of Lettuce two drachms and an half white Sugar one ounce Mix them Make a Powder Joh. Zechiaâ— The Dose half an ounce with Chalybeate water for a Woman's Gonorrhoea Gurgulionis Affectus or Diseases of the Uvula The Contents The applying of Powders to it when swelled sometimes does harm I. When it does good II. When it is grown long we must not hasten to cut it out III. It must be cautiously cut out IV. Imprudently cut off the Cause of Death V. Powders are to be preferred before Gargarisms VI. Medicines I. WE must have a care when the Body is impure or the part affected is troubled with an Inflammation and Afflux of Humours that we do not use hot and eroding Medicines as also if there be any Malignant Quality bred of an atrabilarious humour or which savours of a Cancer For Cancrous Ulcers are exasperated and irritated by eroding Medicines In such I shall rather apply a Medicine made of ashes of Crabs with their Menstruum The Wife of N. after riding in the hot Sun was taken with a defluxion upon her Vvula and Jaws A Barber Chirurgeon was called who when he found the Vvula swoln he blew in a very sharp hot Powder three or four times a day Hereupon an Inflammation and a very dangerous abscess arising not onely the Vvula but also the Cartilages of the Nose were eroded and Ulcers broke out here and there in the Face When the Matron's Vvula by reason of the Catarrh was relaxed and inflamed and Aqua Regia had been indiscreetly applied a great Inflammation there followed with danger of Life Hildanus Cent. 6. Obs 15. A most dangerous Quinsey followed upon applying Powder of long Pepper and Saffron to the Throat and Jaws II. But if it degenerate into the form of a Grape and you see the Vvula grow narrow upwards then you must not use Coolers and Restringents any more but you must endeavour with moderate Dissolvents as with a Gargarism onely of hot water or wherein a little Fenugreek and Fenil has been boiled and it must be touched with a Spatula strewed with fine Powder of Pepper Cummin and Fenil Nor need we fear Pepper in this place for it is often used alone with good success when the Vvula is inflamed For which reason the vulgar dare say relying on this Argument that Pepper is potentially cold supposing that hot things are onely expelled by cold not knowing that the chief Cure of Inflammations is to be performed by hot things Botallus l. de Catarrhâ— c. 8. Sect. 16. dissolving that which sticks to the Part. III. It must not immediately be cut off as the stalk begins to grow pale and small but scarifications must be tried first which usually give present relief to parts that are almost dead for a Gangrene will never mortifie any part if they be applied in time But in this case the Vvula is falling or already faln into a Gangrene and why should you fear to scarifie that in hopes of restitution which you are resolved to cut off Idem ibid. IV. Abscission must not be made over precipitately if the cure can be performed by any other means because sometimes by taking it away either the Voice is hurt or a Consumption follows or a bleeding is raised which cannot easily be stopt But before it be cut off we must see what the figure and colour of it is For it must not be touched if it be round in its lower part and slender above hanging as it were by a stalk Or if it be very red and as it were bloudy that is speckled with drops of bloud or if it cause pain For if such an one be touched it easily turns to a Carcinoma On the contrary if it be small and long and not very red but whitish in the
that a putrid matter but not sharp may putrefie the vessels of the Lungs and consume them by erosion Saxonia so that bloud may be voided ¶ Praevotius observed Spitting of bloud without Coughing as if with a certain expiration for bloud of a temperate substance is easily voided and therefore without coughing just as a distillation is carried through the cavity of the aspera arteria without coughing Rhodius cent 2. obs 30. the sides of the Artery not being irrigated thereby XXX When Spigelius had healed up an Ulcer in a Girl nine years old at the request of her Parents a little while after she spate bloud He was sent for to advise He made an Issue in the place where the Ulcer had been and gave her a Decoction and not onely preserved the Girl from a Consumption but reduced her to a much better state and she lived a long time Idem cent 1. obs 30. Therefore we must diligently consider the consent of the Veins and Arteries XXXI We must have a care while we would doe good that we doe not a great deal of harm for Galen lib. de const art c. 17. says I know they doe a great deal of hurt who in such as cough bloud out of their Lungs apply astringent Medicines all over the Breast for besides that their virtue does not reach to the Lungs they also drive the bloud in the Breast to the Lungs He thinks the same lib. 5. meth cap. 6. of cold things without astriction Yet these passages must not be so understood as if they could never be used for after derivation or revulsion of the fluxion is made they may be applied by Galen's own concession in the same place Therefore says he I would not advise without difference nor at all times to apply cooling things about the part whence the bloud flowes till after you have averted it to another place Also the application of astringents is hurtfull Fortis cons 17. cent 2. if straitness or compression or any difficulty of breathing accompany it XXXII The course of Diet as it must not be very spare so by no means attenuating but very incrassating for Men are very much mistaken with Erasistratus who think a spare Diet is proper in these cases to the end the abundance of bloud may be diminished for so it is made more thin bilious turbulent and ever more ready for efflux XXXIII One would think a cold Air should be avoided both because by its violence some vessel is often broken in the Lungs and because it may occasion a Cough which may open the Vein farther But in truth there is greater danger in a hot Air because by dilatation it may augment the flux and by the diuturnity of the flux the dilatation is greater but the Cough occasioned by the cold Air may easily be stopt by holding ones breath Nor does our domestick Air so much straiten by its Cold as to endanger the breaking of any Vessels because a cold Air is onely apt to doe that when there is great plenitude in the body which when taken away there is no danger at all Medicines especially made use of by eminent Physicians 1. For Stopping of bloud it is very good to dip the Scrotum in cold water Claudinus 2. The following Electuary is admirable for the Stopping of bloud Take of Seed of Henbane white Popy each 10 drachms Terra sigillata red Coral each 5 drachms old Sugar of Roses what is sufficient Mix them Make an Electuary Crato 3. Scaliger's Haemoptoïck Powder Take of burnt Ivory red Roses Bole-armenick Bloud-stone Terra figillata each 5 drachms red Coral Pearl not perforated Carabe each 2 drachms Gum-arabick Tragacanth each 2 drachms Seed of white Popy red Roses Mallowes Purslain Plantain burnt Harts-horn each 2 drachms Acacia Juice of Liquorice each 2 drachms dried Starch 3 drachms Mix them Make a Powder Deodâ—tus 4. A drachm of Philonium Persicum in Plantain and Purslain water given before meal has done many good in Spitting of bloud when no other Medicines would doe any as also a Decoction of Jujubes cold wherein hot Steel has been quenched ¶ I gave one a drachm of Bloud-stone finely powdered and it did him a great deal of good I have also taken the same Stone finely powdered washed much in Plantain and Shepherds-purse water and then strained it that the water might acquire redness and mixt it with Syrup of Purslain and Myrtle and so gave it for Spitting of bloud ¶ Syrup and Lohoch of Purslain are both very good for Spitting of bloud Forestus 5. This is Hector de Manfredis his Secret Take of Germander what is sufficient bruise it infuse it in Scabious water and Wine then strain it Goclenius and drink it warm 5. I use every morning to give about half a drachm of white Popy-seed with half an ounce of old Sugar of Roses which Remedy I know has done a great deal of good to several Mercurialis 6. This is an infallible Experiment given at any hour and at any time Take the Shell of a raw Egg cast away the inner Skin powder it Take of this Powder 2 drachms Plantain water 3 ounces Mix them And give the Mixture to the Patient and you shall suddenly see it will heal If you would have it work more effectually you may give 2 drachms every day five days together with Syrup of Purslain dryed Roses and Myrtles each half an ounce Mix them Ben. Victor Faventinus 7. This is an admirable Syrup Take of Juice of Plantain and Vervain clarified each two pounds wherein let boil Gum-arabick Tragacanth Juice of Liquorice each 4 ounces Mumy Dragon's-bloud Bole-armenick each 1 drachm and an half Sugar of Roses what is sufficient Arn. Villa novanus it is excellent for Spitting of bloud whence soever it comes Haemorrhagia or Bleeding The Contents Whether it ought to be stopt and how I. It must not be rashly stopt II. Ischaimous Medicines act by a various virtue III. External Medicines IV. Internal ones V. Things that stop the passages and vessels V. How bloud must be let VI. Bloud must be let freely and at once not by little and little VII We must have a care how we apply Cupping-glasses to the region of the Liver VIII To the nape of the Neck IX Cupping-glasses must not be applied near the fire side X. They are not safe upon the Shoulders XI Where Astringents must be applied XII XIII Topicks are sometimes applied to the Forehead to no purpose XIV When washing of the Head with cold water may be admitted XV. The Neck must not be wrapt about with cold wet linen XVI Topical Astringents must not be applied to the jugular Veins XVII Ligatures rather doe harm than good XVIII XIX For a Bleeding upon a wound of the Veins they must be moderate XX. Escharoticks must be used with Caution XXI XXII We must have a care how we blow Powders into the Nostrils XXIII The use of
concocted Saxonia II. The Matter which is contained in the Guts must be evacuated by Stool And what is contained in the Stomach by Vomit Rolfinccius III. If the Flux arise from some fault in the food or from the violence of a Purge Astringents must be avoided lest the Humours being repelled from without return inwards for it will stop by changing the diet and by taking off the Acrimony of the Medicine Mercatus IV. Milk seems hurtfull because it loosens the Belly which is already loose 2. Because of its cooling virtue which is suspected where the concoctive faculty is weak But we must observe that Milk is good for that sort of Lientery which thin and sharp humours do cause by irritating the expulsive faculty they being tempered by taking it or when the inner coat of the Stomach is excoriated in its superficies for which reason the Meat creates trouble and mordication so that it cannot be retained in which case the taking of Milk is most convenient 1. Because we must take care to give food which is easie of alteration because the Meat cannot stay long in the Stomach and Guts for the weakness of the retentive faculty But Milk is such and as Galen 6. de plac testifies it may be converted without Alteration 2. Because in regard of its caseous substance which abounds in it it is a little stopping Observe 2. Milk must not be given raw but boiled that the serous part flying away in boiling which by its nitrous detersive faculty does harm onely the caseous may remain which is the fitter for Nutrition V. If the Flux arise from the Dropsie it must not be stopt lest perhaps Nature trying to disburthen her self that way should be forced to some principal part It is better to strengthen the Stomach and to refresh it with good Diet. Mercatus Medicines especially made use of by eminent Physicians 1. The Seed of a Head of Popy bruised and given is very good ¶ Also sowre and unripe Mulberries dried and powdered and given in drink gives great relief Altomari 2. A Hen's Gizzard dried and powdered and given in drink is admirable good ¶ One after he had tried several things was cured with this Electuary Take of Sugar of Roses 6 ounces the best Treacle 6 drachms with Marmelade of Quinces make an Electuary ¶ I cured one of a desperate Lientery with this Take the Yelk of an Egg strew the Powder of one Nutmeg on it rost it upon a Tile It cured the Flux and the party recovered Forestus Grembs 3. Distilled Oil of Mint with Quince-wine and Cinnamon-water stops this Disease 4. If the Disease continue long Rheubarb especially prepared with Rose-water Sennertus is of great efficacy Linguae Affectus or Diseases of the Tongue The Contents The cure of a suffocative Tumour I. Of a thick one by taking off what was superfluous II. What such moistners are good for the Heat of it III. The Cure of it when wounded IV. Fraenum or Tongue-tiedness See the same Title in Childrens Diseases BOOK IX The Cure of the Ranula by a red-hot Iron V. The cure by Suppuraters safe VI. By opening VII The cure of a half-Palsie VIII The impeded Speech restored by a fortuitous remedy IX Medicines I. A Nobleman tried the singular effect of Leeches in a most contumacious swelling of the Tongue One half of the Tongue was hard from a defluxion of black choler so that it stuck immoveable in the mouth like a piece of a dry stick The best Medicines were used for it but unsuccessfully J. Langelottus in Misc cur â—m 75. obs 9. for three weeks But the thick and viscous humour was drawn out by Leeches onely applied to the Tongue which the Physicians had disswaded and the Patient recovered II. A Maid at Liege had a large thick Tongue as big as ones hand so that she could scarce contain it in her Mouth The Physicians cured her by cutting off what was superfluous at the end till they had reduced it to the usual bigness This I had from the judicious Johannes Walaeus Bartholinus III. In the heat of the Tongue a Gargarism is not sufficient but something that is fat is requisite Minderorus for though it be never so well washed it presently grows dry IV. The Wounds of the Tongue that are made transverse are usually reckoned incurable because of its mobility moisture and great laxity yet I would advise unless it be quite cut off to try to cure it for such wounds are not wholly incurable I had a Girl three years old under cure which falling to the ground with her Tongue out cut off almost all that part of it which was between her teeth and had quite cut it off but that she wanted two of her teeth When I was called I thought to have sowed the parts together but the Girls impatience would not permit me Therefore I managed the cure with the things following Take of Leaves and Flowers of Privet Plantain red Roses each one handfull Rinds of Pomegranate and its Flowers each half an ounce boil them in two pounds of Chalybeate water to the consumption of a third part Add to the colature of Acacia two drachms Syrup of dried Roses two ounces Make a Gargarism She often held in her mouth Syrup of dried Roses Quinces Currants and rob of Quinces she used liquid Meats by these things she was cured without any impediment to her Speech Hildanus V. The Ranula or Swelling under the Tongue put a young Man to so much trouble that he could scarce speak nor could he well swallow or take Breath The Chirurgeon determined to get out the Phlegm gathered there with a Penknife but it was grown so hard it would not run And therefore he changed his mind and consumed it with a red-hot Iron hindring it withall from returning But if the matter of the Ranula be soft and sequacious which is easily discerned by the touch let burning alone Tulpius and cut onely the top of the Skin and the limpid viscid matter like the White of an Egg will either run out of it self or may be squeezed out with the finger ¶ In a Boy Veslingius cured it with an Astringent drying powder of Cuttlefish bones Spodium Coral Tartar Pomegranate Flowers and Roses ¶ P. Marchetti cut out the Tumour and took out the Bladder whole with admirable success applying Juice of Celandine Velschius VI. The Wife of N. was subject to Catarrhs which fell chiefly on the Jaws Sometimes the matter falling under the Tongue did so fill and dilate the place that a true Ranula appeared And because there was bloud also for the pain pulse and colour did shew that I resolved to promote suppuration which happened within seven days upon which she could speak and breathe better But first of all the Pus ran fetid and then pure I saw two other Ranulae opened with a Knife out of which matter came like the
When it was grown inveterate and could as it seemed be cured by no Remedies he came to me His Toe was swelled and inflamed On the outside of it there was an excrescence of Flesh as big as a Bean which covered almost half the Nail The Barber-Surgeons had several times wasted it away with causticks but to no purpose for whatever they wasted in the day it grew up again like a Mushrome in the Night I enquiring out the hindrances of cure found the Nail under this Flesh extuberant and separated from the Flesh underneath which therefore did prick the sound Flesh continually towards the root of the Nail caused pain and attracted the Humours plentifully When the cause was known I put the Patient in hope of a speedy cure Therefore having purged and bled him on the same side I strowed some burnt Alom powdered upon the excrescence of Flesh And I applied to his Toe and to his whole Foot a cooling and anodyne Cataplasm Take of Bean-flower 2 ounces powder of red Roses Pomegranate flowers and Cypress-nuts each 2 drachms Saffron half a scruple Boyl them in Plantain and Rose water and a little Vinegar Add towards the latter end the yolk of an Egg and a little Rose water Apply it warm With this the pain and swelling abated much the excrescence of the Flesh was a little wasted so that the Nail separated from the Flesh underneath which the excrescence of Flesh had covered came into sight I cut it away as carefully as I could with a Pen-knife and Scissers and when I had strewed on it a drying powder aad applied Diapalma plaster he quickly recovered Hence let Chirurgeons learn how much it concerns them Hildâ—â—â— to know the cause of a disease XLVI Frequently after the cure of an Ichor and a Meliceria we find the joynt so stiff and hard that it can be bended neither one way nor other Here oftentimes Chirurgeons labor a long time to mollify the joynt Ligaments and Nerves but in Vain for that Ichor which flows from the whole Body to the wounded joynt and has such acrimony corrodes and wasts first of all the ligaments and tendons which encompass the joynt and then the Cartilages which cover the joynt Hence it comes to pass that the Bones being divested of their Cartilages and Ligaments do as firmly grow together by a Callus which I was the first that observed as if there had never been a joynt there Idem XLVII Why is a full and a moist course of Diet bad for all Ulcers and a thin and dry one good Whether because a moist Diet makes the matter of the excrements more fluid for moisture is terminated by any thing but it self and driness by it self Or is it because moisture opens a passage for Moisture makes lax the passages which driness stops up And they flow especially when they are sharp and when the moisture of meat and drink abounds And a passage easily succeeds by these parts which of their own Nature are apt to receive the excrements of the whole Body Or is it because the Skin among all its other uses has this remarkable one to retain the Humours and Juices which run from within to the habit of the Body and to stop them as it were when otherwise they would easily run out and be discharged So therefore as the want of Skin is the cause why the serous Humour ouzes out it will be much more in sick Persons like as in Plants and Fruits when the bark of them is cut the useful Humour runs out so an Ulcer ceases not to run till it be crusted over nor does it cease running in Plants till the Cut close up Wherefore Hippocrates lib. de Vlceribus sayes The dry is next to the sound the dry is sound Or is it because of weakness for which the part does ill receive much adventitious moisture whether excrementitious or useful and wasts the moderate heat and is distempered so that it can neither concoct nor assimilate the same Wherefore it is said by Arnaldus doct 5. cap. 18. Aliment attracted and not incorporated turns to sanies and therefore superfluity of Aliment hurts wounded persons Or is it because by how much more aliment comes to the parts by so much more Excrements are bred And this being poured in plentifully infects and spoils the place Moreover Hippocrates writes l. de nat human that when an Ulcer cannot be healed of a long time Moisture is the cause of it It is necessary therefore that the whole Body be dry and that the part be dry for the agglutination of an Ulcer Or is it because an Ulcer that is moist by Nature is encreased by the accession of a moist diet as withered Plants when they are watred afresh grow green again But not only the Ulcer but the parts about it grow moist and stiff with an inflamed or some other Tumour without the soundness of which the Ulcer can neither dry nor heal These are Reasons sufficient to reject a moist Diet. Now a slender Diet is approved of in Ulcers as Eustachius Rhudius has observed to the end Nature may be more desirous to distribute that which is scarce sufficient for it self For an Empty Stomach attracts from all the parts round so as that by long consequence the circumference of the Body is emptied And that ill Humours may be corrected by Nature's constant evacuation of them which would be hindred and diverted by plenty of victuals Therefore Hippocrates lib. de locis p. 47. sayes Whatever Diseases turn to Vlcers and are eminent above the rest of the Body they must be cured by Medicines and Abstinence And a little after Proud and rising flesh must be brought down by Diet. But otherwise when the Bodies of ulcerous Persons abound Cacochymy they will find huge inconvenience from a full and moist Diet. For 2 aph 9. Impure bodies the more you nourish them the more you hurt them Wherefore I use to say Severinus that by a spare Diet much mischief which would ensue is retrived XLVIII If you would clearly know how hurtful an ill course of Diet is for Ulcers I will propound to your consideration the evidence and experience of Apparencies which have informed me when the Patient has been any way irregular For the Sores continue a long time and sometimes putrid and fungous caruncles breed in the Ulcer sometimes callosities and other filth and tumors grow in them sometimes there is a troublesome pain and sometimes an Inflammation about the part and an internal one too To say nothing how ill sometimes the Ulcer looks and what a strange colour and stench sometimes uses to follow The Patient must needs suffer these and such like things who indulges his Appetite and crams his Gut and has no command of himself On the contrary he that can rule himself and his Appetite will both quickly be cured and will feel none of those things I have spoken of For as Celsus l. 2. c. 16. sayes Nothing
Physician a Drying and Sweating Diet he endeavoured to dry his Head with Bags Plasters c. he used Apophlegmatisms Sneezing yea and made an Issue behind in his Head all in vain At that time I was following my Studies at Paris he sent me a Description of his Disease to shew it to some famous Physicians I consulted severally with Monsieur Carolus Buvardus Chief Physician to Lewis XIII with Monsieur Curaeus de la Chambre Physician to the High Chancellour and with Monsieur Hurduynus de S. Jaques Physician to the Hospital of Charity They well considering the Constitution of the Patient declared The Disease was Sympathick arising from Fumes ascending from the Hypochondria affecting the Top of the Chimney i. e. the Gullet and that the tempering and exclusion of Melancholick Humours must be lookt after they prescribed him Spaw Waters the use of Chalybeates an Issue in each Leg and stopt up that in his head they order'd Leeches to the Haemorrhoids and other things to conquer the Melancholick Humours The Patient consented who a little after was rid both of his Melancholy and his Quinsey XXIII In this Controversie I think we must take great notice whether the Body abound with Bloud either naturally or because of the manner of living or of some accustomed Evacuation stopt for then I think we should bleed in the Ham or the Ancle and the same day if the Disease be urgent or the next to Breathe the Jecorary or Cephalick Vein and if the Disease abate not we must proceed to Bleed under the Tongue But if there be no such great plenty of Bloud Septalius Animad vers lib. 6. Sect. 113. I think it better not to meddle with the Veins of the lower parts but presently to open a Vein in the Arm and afterwards to bleed in the upper Veins XXIV But Bloud-letting in the Arm must be repeated not onely because it makes better Revulsion and causeth less weakness but because it is often observed that there is new afflux to the Part affected either from some other Part transfusing Matter Idem Ibid. Sect. 114. that it may ease it self of the burthen wherewith it is oppressed or by the Part affected drawing by reason of its pain and heat XXV And seeing some either in the Working of their Physick or that they naturally abhor it are apt to vomit it up again it is better always to give Potions than Pills or Bolus's for if they should happen to Vomit either a Bolus or Pills when they are suddenly and with great Violence forced to the Passage straitned with the Inflammation Idem Ibid. Sect. 115. there is no small danger of Strangling XXVI Bags that are made up with drying Powders to discuss in Inflammations of other parts must never be made use of in the Quinsey because by thickning the outer Skin Idem Ibid. Sect. 116. they rather hinder the Cure Therefore we must rather work with Moistners Medicines especially made use of by eminent Physicians 1. Aetius Tetrab 2. Sect. 4. c. 47. I have used in an Inward Quinsey a Gargarism of Mustard and have often delivered my Patients from danger 2. If the Swelling in the Neck will not soften J. Agric. Chirur. parv p. 802. burn an Owl in an open Pot to Powder a little of which you may blow into the Throat The Swelling will soften to admiration and break This is a Singular Secret 3. Bartoletus l. 5. part 2. c. 16. Duke Ferdinand's Powder is a great Secret in the Quinsey It is made of Mineral Crystal Cream of Tartar and Sugar For every half ounce of Crystal 1 ounce of Cream of Tartar and 2 ounces of Sugar are taken Tho. Bartholinus cent 4. hist 73. Blockwitius anat Samb Sect. 3. c. 12. 4. A Purple Thread wherewith a Viper hath been strangled is highly commended for the Quinsey 5. Let the Water or Decoction of Elder Flowers wherein is mixt a little Elder Honey and a few Leaves with one or two Jews Ears be Gargled This is recommended by experience Claud. Deodatus 6. Spirit of Nitre with Water of the Anodyne Salt Gargled hot is most excellent to allay the Inflammation Hartman prax chim 7. Take of Houseleek a sufficient quantity bruise it and strain it Take of this Juice 1 pint Sal Ammoniack half an ounce leave it in a moist place till the Salt be dissolved Distill it by an Alembick Wash your Tongue often with this Water 8. Galen Aetius Orobasius and all the Ancients commend Dogs-Turd White poudered and dried mixed with Honey and laid to the Throat Platerus 9. The Juice of Tree-Ivy swallowed gently from 3 drachms to half an ounce doth much good by repelling and digesting Eust Rud. Art Med. l. 1. c. 42. 10. This is an Excellent Remedy Take of Swallow's Nest 3 ounces Sapa 1 ounce Pulp of Cassia newly drawn 1 ounce and an half Mix them and apply it outwardly For it digests and asswages 11. This also is admirable which is made of the crum of a Loaf Milk Flowers of Roses and Chamaemil mixt together and applied after Bloud-letting Idem ibid. by virtue of which Medicine they use to spit plentifully and be much relieved Scultetus Armamen Chir. Obs 32. 12. This Gargarism is highly commended in all dangerous Quinseys especially in the beginning if the enflamed Jaws be often washed therewith Take of Saffron powdered 1 scruple and an half of the sharpest Vinegar 1 ounce Plantain Water 3 ounces white Sugar 2 drachms Mix them and make a Gargarism M. Joh. Wittichius Cons Med. 23. 13. Sennertus commends the Decoction of Berberry wood or of the inner Rind of the Hazle 14. Oil of sweet Almonds new drawn given with Sugar and a little of the Powder of a Boar's Tusk is the most present Remedy for the Quinsey and Pleurisie Anorexia or Want of Appetite The Contents It s Cure must be various according to the variety of Causes I. Food must be actually cold II. Fasting must sometime be injoyned III. It s Cure in Women with Child IV. It s Cure when caused by Choler V. When by Phlegm VI. In Consumptive Persons VII When Cured of its own accord VIII Medicines I. WOmen about sick persons desire nothing more than to remove this fault but they reckon that which is onely a sign of Health to be the Cause For this reason oftentimes the Physician is forced to provoke an Appetite It is lost 1. Because the Powers are weakned and the Bloud is not well concocted 2. Because for the former reason the acid Humour cannot be separated because of the thin Humours that are admitted We see this in them through whose Arteries noxious Humours together with the acid Humour are poured into the Stomach which often deceives Physicians while they ascribe the cause to the Intemperature of the Stomach or because it is corrupted and too thin That the loss of Appetite is to be ascribed to the fault of the
and indeed contrary sharp being by me discovered and now for some years confirmed by the Experience of several regard must be had to the force and Mischief of each Acid and to the best correction of it And amongst many things which use to correct or allay either or both the Sharps every thing deserves commendation in curing the Thrush that concentrates the Spirits and that does it gently Amongst which are Crabs-Eyes Pearl Coral White Earth Bloud-stone c. which may be made choice of according to the Diversity of the Thrush and the peccant Acids For example When the Mouth is not onely ulcerated but the Tongue also chapt with extreme heat and other parts in like manner affected so that the very bloud runs out Bloud-stone and Dragons-Bloud are proper When a Thrush comes without such driness of Tongue Crabs-Eyes and Pearl will be the best to temper and correct the Acidity for they gently concentrate and what I have mentioned hitherto doe good in asswaging and destroying the noxious Acidity Bezoarticum minerale is also good Medicines that purge Phlegm diminish and carry off these humours when they are corrected as much as can be for all pure Acid humours are found to be like Serum and no wonder if they be joyned and confounded with other humours as Phlegm and Choler and so it is not absurd to carry them off by Specificks This is the reason why in curing the Thrush in Children we so frequently use Syrup of Cichory with Rhubarb because Choler is also corrupted and by the very sharp Acid is made eruginous To say nothing now that all humours are purged by any Purgative although I think that this or that humour is more easily and plentifully purged by some certain Medicines than by others The production of Acid humours as it depends especially upon the use of Meats Sawces and Medicines that are Acid as also of a cold Air Grief or Terrour of Mind so this same production may be hindred both by abstaining from such things and by using those that are more oily or more fat and spirituous by the enjoyment of a more serene and warm Air and by recreating the mind with gratefull and delightfull things And as the Original of Acid Vapours is owing to the effervescency caused by a very sharp and powerfull Acid so the vapours will be hindred when the said vitious effervescency is corrected or hindred both by things which concentrate the potent and exceeding sharp Acid and by things which otherwise take off its edge Chalk Dragons Bloud and the like do powerfully concentrate a sharp Acid Fat and oily things take off its edge especially Opium and all Narcoticks but I prefer a Metallick or Mineral Sulphur fixt above all in comparison of which nothing I have hitherto tried does so kindly certainly speedily and safely restrain these vitious effervescencies The parts affected may be cleared of the Thrush by maturation of it and by its spontaneous Fall promoted by Medicines that kindly temper the Acid Acrimony which accompanies it and that draw the Acrimony to themselves amongst which the juice of baked or boiled Turneps is deservedly commended with a little Sugar Though less be needfull when they are baked for the juice that comes out of them then is in consistency and taste like a thin Syrup The Patient must wash and gargle his Mouth and Throat often with this juice or hold it a little in your Mouth and swallow it by degrees which I prefer because not onely the Mouth and the Parts therein contained have the benefit of it but also the whole Gullet and the Stomach which are not less troubled with the Thrush than the Mouth And this should be done in Children especially in whom we cannot expect Washing and Gargling Besides seeing this peccant Acid is kindly and effectually tempered by this juice it is also corrected in the small Guts and its ascent is hindred and the Disease is sooner cured Divers Syrups are also used as solutive Syrup of Violets Jujubes Syrup of Liquorice c. which I think doe good in that they take off the edge from the noxious Accidity by the mucilaginous juice of the Plants of which they are made I must needs commend the yelk of an Egg mixt with a little Rosewater and Sugar for it draws to it the Acid humour that hurts the Stomach and so by degrees clears the part affected and promotes the fall of the Thrush You may use it as the Turnep juice Some commend Beer with slit Figs boil'd in it Yet I have observed it ingratefull to some because of its great Glutinousness While the Thrush is ripening that is gradually falling from the Parts disaffected a new Cuticle grows under them Sylvius de le Bâ—ë Appen Tract 1. c. 5. Sect. 50. 59. and covers the Parts And although this follow of its own accord and by the benefit of the Medicines now commended yet it will be promoted by the Syrup of red Roses Honey of Roses and the like Also Bole Armenick Terra Lemnia c. ground fine with a little Plaintain Water and Sugar may be held in ones Mouth and the last part of the Cure i. e. healing it be hastened II. This is remarkable that the cure of other Ulcers is promoted when they are dried by degrees and little Humour comes from them On the contrary there is hopes in a Thrush when it is moist Idem Appen Tract 10. Sect. 2. 85. 286. and when one spits as if he were in a Flux For then the Thrush is cured with more speed and ease Wherefore as in curing other Ulcers Medicines are commended that temper the Acid Acrimony and then dry so Medicines on the contrary are good to cure the Thrush which are gentle and temper the Acid Acrimony but they must also be moist Medicines especially made use of by eminent Physicians Aetius 1. This helps Children wonderfully Take Galls and beat them boil them in Water to the Decoction strained add an equal quantity of Honey Make it so thick that you may be able to rub it long enough on the place with your fingers Idem 2. Fennil Root burnt applied by it self or mixt with Honey is very good J. Caes Baricellus Hort. genial p. 145. 3. Thomas Thomasius in his Idea mentions a tried Remedy how with wonderfull success and skill he hath cured the Thrush with no other thing than the Decoction of Cinquefoil Root Wolf Gabelchoverus cur 4. Petrus Angillata Writes how he hath cured a hundred Thrushes with Savory boiled in Wine to wash the Mouth It cures the Patient in two or three days Rud. Goclerius Experimentor c. 15. 5. For the Thrush in Children Take of Allum Sugar each half an ounce boil them in Plantain Water add of Mulberry juice what is sufficient wash the Mouth often it will doe much good Joel Oper. Med. Tom. 2. Sect. 7. 6. The most present Remedy for the Thrush both in young and old is this
our body certainly its cure will consist in the contemperation of the foresaid more sharp volatile Salt both by oily things as Emulsions of Barley sweet Almonds Seeds of white Poppy Melon Cucumber c. by sweet Milk of the Cow Sheep Goat Woman Ass c. And by Acids but contempered with a volatile Salt sweet Spirit of Salt c. mixing them with convenient Drink Broths c. but not with the aforesaid Emulsions or Milk Sylvius Append because all sowre things make them curdle XI I believe the chief and most frequent cause of a Diabetes consists in the too much dissolved and lax mixture of the bloud and likewise scarcity and less than ought of urine in a too strict consistency of bloud If the cause of this lax and dissolute consistency which makes it apt to dissolve into Serum be inquired we say the fusion of it as also of Milk proceeds from hence because since in the mass of it Salts of divers natures meet and are associated the rest of the particles being freed from the Salt ones which keep them one from another and contain them in mixtion make a Separation And it is plainly evident that Salino fixt and volatile particles are always in the bloud naturally among which if at any time an acid Salt or one that has obtain'd a fluidity do come in a sufficient quantity it will easily produce the aforesaid Disease Hence it is that Rhenish-wine c. and acid Liquours when they are drunk provoke urine plentifully for this reason also Medicines having a fixt or volatile Salt use to move urine in some sickly People whose bloud abounds with an acid Salt Astringent Medicines properly so called namely harsh bitter and styptick ones which by corrugating the fibres of the bowels and by contracting them into a shorter space do stop their expulsive and excretory faculty and therefore hinder Purging upwards and downwards although they use to be vulgarly prescribed to hinder pissing they doe little or no good because their virtue is able to doe nothing in the mass of bloud and it reaches not the Kidneys or Bladder Wherefore that it is to no purpose in a Diabetes to prescribe the rind and flowers of Pomegranates Medlars Tormentil-roots and the like as Reason dictates so Experience confirms But the things that are found to doe most good and square exactly enough with our Hypothesis some of them are such as hinder the combinations of Salts and consequently the fusion of Bloud such as those that are vulgarly called thickning Medicines and have viscous and glutinous Particles which being admitted into the mass of bloud pertinaciously adhere to its active Particles and sever them and so hinder them from combining mutually among themselves or with the Saline ones any other way in fusion Other things dissolve the accretions of Salts and therefore restore the mixture of the bloud such as Saline things of another nature which naturally stick to an acid Salt and so recall it from the combinations it has entered into within the bloud such Medicines are they especially that are indued with a fixt Salt and with a volatile and alkalizate one Besides these two primary sorts of Ischureticks there is another secondary one namely an Hypnotick which by putting a stop to the animal Oeconomy makes the vital Regiment to be performed more sedately and therefore with less fusion of the bloud or precipitation of the serous and nutritious humour Willis XII It sometimes proceeds from too much cooling of the Liver And observe this for no man to my knowledge has taken notice of it Reason persuades it for if a Dropsie be caused why may not a Diabetes When the Liver breeds Water why may it not as well send it to the Kidneys as into the capacity of the Belly Saxonia XIII I first cured my self of abundance of Urine and then my young Daughter and as many as came into my hands when all died that fell into other hands though they were reckoned famous men And when in the presence of some of them I had almost cured one man in a day who had been a month under cure and had found no benefit but was well nigh dead they admired I abstained from Purgatives they gave them I abstained from fat things they advised the use of them I gave them Raisins they consented but they would not admit Lentils but against their will I used hot things they cold I applied Astringents to the Kidneys they feared lest the Water violently stopt would flow back to the principal Bowels I took away the Feather-bed they forgot it I often washed the Feet and they neglected it I gave White-wine they said of right it was not proper I forbad exercise after meat Cardanus I injoined Sleep they agreed with me onely in these two rules Capivaccius XIV In a spurious one by transmission we must have a care of Coolers XV. It is worth remembrance concerning Quinces which have a cooling and astringent faculty how Pascalius in his Praxis c. 50. writes that Alfonsus King of Naples upon the use of them fell into a Diabetes Saxonia XVI A Bath of Sweet-water may be convenient for it moistens the body that is then dried especially if it be indued with a cooling virtue but a mineral one and of a drying faculty by no means for it would quickly bring the Patient into a Consumption Idem especially if he be of a hot constitution XVII A man thirty years of age after plentifull Drinking of Wine fell into a Diabetes with most violent heat extreme thirst and so great a flux of urine that he made thrice as much water as he drank by day as well as night But after Bloud letting and the frequent use of Tincture of Corals Decoction of Plantain and especially that mixture Fr. Sylvius Prax. l. 1. c. 30. § 183. hath to temper the volatility of the pancreatick Juice within fifteen days the Disease abated This is the Mixture Take of Water of Plantain 3 ounces Cinnamon distilled Vinegar each half an ounce Syrup of Purslane 1 ounce Powder of red Coral 1 drachm Mix them This Mixture may be given by spoonfulls A. Hermannus commisc curâ—an 1672. obs 183. If any one would have it stronger he may add to it half a scruple or a whole one of Acacia or Juice of Hypocistis XVIII Medicines must be given presently because it brings Men often into a Consumption through the exceeding Heat of the whole Body especially of the Liver Kidneys and Venous kind I cured a Countrey fellow who was taken with it after a burning Fever with Coolers and Moistners adding Astringents and Strengthners Knobl oâ—hiuâ— in Apâ—â— p. 40â— among other things his whole Body was wrapt in a Plaster Medicines especially made use of by eminent Physicians 1. These are most effectual Trochiscs which contain of the mucilage of Fleawort-seed Coriander-seed prepared burnt Ivory Coral Amber Dragon's-bloud Red-saunders Flower each two drachms
be free from that infection 5. This powder was used with great success in the Plague and is given by many but erroneously as a common cure for Fevers Take Sugar-Candy 3 drachms Ginger 2 drachms Camphire 1 drachm Mix them The dose 1 drachm in Water and Vinegar in which Tansie has been boiled especially when the season is not hot ¶ I could also prove the efficacy of this Electuary by good witnesses it is made also of Camphire Take of Scordium 3 drachms Tormentil White Dittany Zedoary Gentian Angelica Cloves each 1 drachm Saffron Camphire each 2 scruples Mix them Make a powder sprinkle it with Water of Carduus in which are dissolved of Treacle 2 drachms and with Syrup of Juice of Carduus and of Scordium make an Electuary The dose 1 drachm or more in Carduus-water ¶ Nothing is better to preserve children from the Plague than Bole-Armenick with a little Tormentil and Citron-pill powdered which may be strewed on their Meat ¶ In a Pestilential fever the following Water is a truely royal Medicine and is highly commended Take Spirit of Malmsey-wine eight times distilled 8 Measures put to it of root of Tormentil Serpentaria each 1 ounce Angelica Zedoary each half an ounce Citron-peel Cinamon each 1 drachm let them stand 3 days in a glass stopt and in a warm place then these things being cast away and strained out first pour this Elixir again into a glass and let these things tied up in Linen be put into it Take of fresh Sperma Ceti Ambergrise best Rheubarb each 2 drachms Musk half a drachm let the Vessel be well stopt keep it One drop of it in Summer time is taken with Sugar of Roses for preservation to those that are infected one ounce may be given with Water of Carduus Benedictus Scabious or Scordium adding 1 drachm of this Powder Take of Hartshorn Unicorns-horn each 1 scruple Terra sigillata half a drachm Pearl Emerald each half a scruple Camphire 7 grains 5 grains of Bezoar-stone may be added and every 3 hours 1 scruple of this powder may be given with Water of Water-lily Sorel c. and when the Patient has taken it let him Sweat ¶ I have learned by certain experience that to pour some Spirit of Malmsey-wine upon Amber and keep the Glass close stopt and every morning to take a few drops with Bread Crato is an excellent preservative from the Plague 5. Elixir Alliatum is reckoned a great Preservative from the Plague it is made thus Take twenty heads of Garlick cleansed bruise them put them in an Alembick pour to them rectified Spirit of Wine till it stand four inches above distill it in Balneo by cohobations always putting in new Garlick in the last distillation add of Camphire tied in a rag and hung in the nose of the Alembick 1 drachm distill it as before ¶ There is a most secret virtue against the Plague in the herb Milfoil whole with its Flowers Deodatus with which onely the Buriers use to guard themselves in the greatest Plagues 6. A compound Oil is made of Scorpions and is much celebrated amongst Chymists it is commonly called Oleum Clementis it shews wonderfull effects in Poison and in all Pestilential Diseases reviving them that are half dead which Oil I highly commend in this case if the Arteries Pet. Salius Diversus and the region of the heart be anointed onely with it 7. A Salt is made of the ashes of a burnt Toad with Water of Carduus Benedictus or Meadow-sweet The dose half a drachm in Carduus Benedictus Water for a Sweat in the Plague which it powerfully promotes Faber and it is very good to cast the Plague out thereby 8. I take Earth-Toads and hang them up and dry them in the Air then I lay them on a hot Tile to make them dry I powder them but first I anoint the Pestil and Mortar with Oil of Scorpions that the Powder may not get into my Nose and hurt my brain with its poisonous quality I take of this Powder 1 ounce sowre Leven 4 ounces the best Treacle 1 ounce leaves of green Rue 1 handfull I mix all these things well with Honey and apply it to the Bubo twice or thrice a day This Plaster draws the Poison out of the body wonderfully to it self a whole Toad dried Guilh. Frabricius and applied to a Bubo does the same 9. This is a most noble Bezoardick Tincture Take of Mistura simplex 3 ounces Berries of the herb One berry 3 drachms Scorzonera-Root 4 scruples Make an Infusion and digest them J. Mich. Febr. The Dose 1 scruple to 2 scruples 10. Hier. Fabricius I especially commend Flammula Jovis to be applied to a Bubo because it draws much and raises blisters by which the Poison is purged out 11. This Plaster is commended above all others for Swellings and Pestilential Buboes Take a Frog and a Toad dried powder them add thereto of Gum Opoponax Frankincense each 2 ounces Galbanum 1 ounce Serapinum 4 ounces Bdellium 3 drachms pour to them Rose-vinegar what is sufficient boil and dissolve the Gums add of Camphire Oil of Sulphur each 1 ounce Fry them in a Frying-pan into the form of a Pultess and apply it hot to the Swelling repeating it every six hours ¶ This is very good to anoint Carbuncles Take of Vnguentum Basilicon 1 ounce fat of Vipers 1 ounce extract of Scordium 3 drachms Treacle 2 drachms Juice of Lemons Oil of Scorpions each half an ounce Mix them Make an Unguent Anoint the Carbuncles ¶ Above all other things which by experience are found good to preserve from the Plague Vitriol is the thing To the stronger sort it may be given to 1 drachm dissolved with Honey and Water for the weak it is prepared with rose-Rose-water and ground very fine at least four times and so half a drachm of it may be given with Wine or Honey ¶ In a Malignant Spotted Fever this Cordial-water of mine is most excellent Take of Juice of Goat's Rue Sorrel Scordium Citron each 1 pound Mix them Add 1 ounce of Treacle Infuse them in warm Water then distill them in Balneo The dose half an ounce morning and evening ¶ This is a most excellent Powder which preserves from and cures the Plague Take of White Vitriol it is first powdered and infused in water then it is dried and this is done three or four times adding a little Camphire of White Dittany Tormentil-root each 2 drachms Make a Powder Rod. à Fonseca The Dose is 1 drachm in Water of Plantain or Roses or Sorrel 12. This Powder of mine was very good Take of Root of Dittany Tormentil Bole Armenick prepared Terra sigillata each 3 drachms Roots of Gentian Butter-bur Tunica each 2 drachms red Sanders 1 drachm shavings of Ivory Citron-Pill red Coral Bone of a Stag's heart Root of Zedoary each half a drachm prepared Pearl both the Behens each 2 drachms Amber Unicorn each half a
scruple I applied dry Lint till it was healed up with firm flesh I deterged the Ulcer every day by strowing on some powder of white Sugar which mitigates Bile every day and I cicatrized it with Diapalma Plaster For the hardness remaining Emplastrum Oxelaeum was applied with a Linen-cloth three double strained out of a decoction of strengthning things in Wine making convenient ligature that the relicks might be discussed Scultetus Armom obs 51. and a new afflux of humours might be hindred Thus within a month and 14 days the Patient was cured IX A young Man 18 years old had a hard Swelling in his right side which came to suppuration Being ill treated it turned into a callous Sinus or fistula Universals premised to search the quantity and quality of it I dilated the extreme narrow orifice with the pith of Elder very much writhen so that it would admit a round Probe with which gently put in through the corruption I touched a rough edge of the rib To consume the Callus I put in a tent of lint writhen anointed with this Ointment Take of powder of Henbane Seed 1 scruple burnt Alume burnt Vitriol each 1 scruple and an half Butter washt in Plantain water what is sufficient Mix them When the Callus was extirpated 1 put in a â—ent of Lint the top whereof wet in Decoctum divinum I strewed with powder of Euphorbium to correct the Caries of the rib but the rest of the tent that I might prevent the regeneration of callus I anointed with this Unguent Take of Vnguentum de Betonica 1 ounce Vnguentum Aegyptiacum 2 drachms I put it in every day till the corrupted rib after 2 months cast off some skales which being taken out I applied every day a less tent dipt in Ointment of Betony Idem obs 41. till the Ulcer being filled up with solid flesh was cicatrized by benefit of Ceratum divinum X. When an Ulcer is old and fistulous we must have recourse to that admirable magisterial Syrup described by the most excellent Fallopius lib. de Vulnerib c. 38. which does good with the greatest success in any inveterate fistula's of the breast whereof this is a description to which we also add China Take of Root of Marshmallow Leaves of Mislefoil Horehound Mugwort Dock Coleworts very green Burnet Bramble tops Roots of Madder with Leaves of Aristolochia rotunda Feaver-few lesser Centaury Honey-suckle each half an handfull Olibanum half a drachm Sarcocolla 1 ounce Seeds of Anise Plantain Fenil Hemp each half an ounce Saffron Rheubarb greater Centaury each 2 ounces odoriferous White-wine what is sufficient China 6 drachms Bruise the Ingredients infuse them in the Wine for 24 hours boil them without Water and strain them Epiphanius Ferdinaâ—dus Hist 32. add of the best Honey 4 pounds Let this Decoction boil up one ebullition with the Honey The Dose is 5 ounces in the morning XI Some order the Fistula to be filled with Hellebore and that it must be done for three days but when I did it once in a Fistula of the Spina dorsi near the region of the Heart the Patient fell into frequent Swoonings Therefore I' think it no safe Remedy especially if the Fistula be in any part of the Breast Chalmetaeus XII A Matron had been long troubled with a Defluxion upon her Teeth in her nether Jaw and when she had not taken care to get the Tooth pulled out upon which the Defluxion fell at length after an Inflammation and great Pain had risen about the roots of it an Abscess gathered which breaking outwardly the Pain abated The Ulcer degenerated into a Fistula which remained even for fourteen years Having undertaken the Cure I found the upper part of the Tooth at the Root whereof the Fistula was eaten away almost to the Alveolus I drew out the Root of the Tooth afterwards I applied a Tent anointed with my Ointment to waste the Callosity when the Callosity was eroded I strewed every day some Powder of precipitate upon it and applied Diapalma Plaster nor did I alter the Medicines before the Ulcer was perfectly cured which was within a month And the Root of the Tooth was eroded unequal and covered with a stony matter lying on it in manner of Scales Hildanus cent 3. obs 33. XIII A Lying-in Woman had an Inflammation in her right Breast from concretion of Milk which being too much hardned with Dissolvents turned to an Abscess then into a deep Fistula with a Callus of a narrow orifice Her Body being purged I sufficiently dilated the narrow orifice of the Fistula with tents of Gentian afterwards I wasted the Callus by once putting in a tent of Lint smeared with the following Ointment Take of Mercury precipitate burnt Alume Verdigreece salt Nitre each equal parts Mix them with Whites of Eggs beaten as much as is sufficient It quickly extirpates the Callus of Fistula's but in the nervous parts especially and such as are endued with an exquisite sense not so pleasantly and safely When the Callus was consumed the Ulcer was cleansed with Vnguentum Aegyptiacum incarnated with Vnguentum de Betonica consolidated with Ceratum divinum and the reliques of the hard tumour were dissolved with Ceratum oxaeleon Scultetus Armam obs 43. Emplastrum ex spermate Ceti Mynsichti cures hard Swellings from curdled Milk XIV When a Fistula in ano reaches to the Gut the finger anointed with Oil of Roses must be put into the anus and also a falceolus or a crooked Incision-knife with it and when the finger is thus put in the falceolus must be so guided that it do not err in cutting into the callous substance that it may also cut the haemorrhoid Veins I approve rather of Incision than of Detraction of the Callus which is made by ligature But we must take notice that the Callus must not reach above four inches lengthways into the Gut Otherwise we must use onely a palliative Cure or when it reaches to the bladder or the os sacrum proceeding beyond the sphincter because the sphincter would be cut and an involuntary excretion of the faeces would follow Then therefore it must be twice every day fomented with a Decoction of Mullein Chalmetaeus and the Decoction must be injected XV. Celsus l. 7. c. 4. and his Followers do cut a Fistula in ano which does not penetrate by breaking through the bottom of it they gather both ends of it with a twisted silken thread yet red silk single because of its tenuity and tincture cuts and eats in sooner and so straining it very hard with a little piece of a stick transverse they cut the whole sinus or the Interstice of both holes But Aquapendent deservedly rejects this Incision of Fistulae in ano by a thread because it is too slow and puts a Man to continual pain And he says it must never be used but when People are afraid of the Knife Scultetus Fab. 45. propounds a new way
arises in another place Medicines are very necessary to help the whole Body which the following things will doe Take of Root or Comfrey Osmund Royal China Sarsa each one ounce Bark of Guajacum shaven two ounces best Rheubarb six drachms clean Senna 10 drachms light Agarick 6 drachms Cloves one drachm Cinnamon two drachms Make an Infusion twenty four hours in a sufficient quantity of Barly-water warm Boil them on a gentle fire to four pounds of it strained out add of Syr. de Symph Fernelii four drachms Mix them Make an Apozeme The Dose three four or five ounces It will Purge gently promote the Cure and prevent a Relapse Idem A GUIDE TO THE Practical Physician BOOK XIV Of Diseases beginning with the Letter P. Palpebrarum Vitia or Diseases of the Eye-lids The Contents When the Eye-lids are wounded the parts adjoyning must not be anointed with the Oyl of Roses I. With what cautions Tubercles growing thereon must be cured II. A Hare-Eye must be treated with caution III. In the falling down Contraction c. how Section must be made IV. The Cure of Warts V. The Cure of a Ptilosis by pricking VI. The Cure of an Ectropium by Scarification and Section VII I. WHen these parts are wounded Chirurgeons do use and they do well to anoint the part all over with Oyl of Roses that they may prevent Inflammation Nevertheless when the Eye-lids are wounded the parts thereabout must either not at all or exceeding cautiously be anointed with Oyl of Roses as Aquapendent well advises lest the Oyl fall into the Eye and inflame it for Oyls are great enemies to the Eyes but rather a Linnen Cloth wet in an austere black Wine and strained out should be applied II. Writers recite good and proper Remedies in the Hordeolum Grando Stone and Wart of the Eyes but Galen's Rule which few take notice of Com. 2. in lib. 6. Hippocr de morb popul must be observed concerning them to wit that these Tubercles be first exasperated with the Shell of a Cuttle-Fish or a Pumice-Stone or with our Nails and then we must lay on some Detractory Medicines And the reason why we do so is Plempius Ophthalmogr l 5. c. 1. that the Ulcerated Tubercles may receive the virtue of the Medicines deep into them a thing which if you be wise you will observe not only in hard Tubercles of the Eye-lids but also of any other part III. Paraeus lib. 16. c. 6. shewing the cure of a Hare-Eye bids us have a special care lest in administration of the Section the Cartilagineous edge of the Eye-lid be hurt For when that is cut in sunder he says we may endeavour in vain to elevate the Eye-lid But what has this Cartilagineous edge to do with the elevation of the Eye-lid Cut it boldly and cut it through again if you do not divide the right Muscle of the Palpebra transverse you will not hurt the elevation of the Palpebra His Predecessor Guido expressed himself more to the purpose and with better skill Idem ibid. Avoid as much as you can the Ciliary Rimb for if it be hurt it is very hard to cure This is very true because of its Cartilagineous Nature IV. Authors practise Section of the Eye-lids in the falling of them down and laxity in their contracture as in a Hare-Eye in Tubercles Warts Mori Grandines c. In which Diseases they always and without any distinction order Section to be made according to the duct of the Wrinkles of the Palpebra But a distinction must of necessity be made For if the foresaid Tubercles rise upon the Skin or the External Circular Muscle we must in Section follow the duct of the Wrinkles in the Palpebra for that is the process of the Fibres in the Circular Muscle You must use the same Surgery in a Hare-Eye whose Cause has been a Cicatrice Where we must take special care that in cutting we do not force the Instrument deep so as to hurt the right Muscle lying underneath which being hurt the elevation of the Eye-lid perishes On the contrary if the Tubercles possess the inner Superficies of the Eye-lids because the long right descending Muscle has its seat there from the Eye-brows downwards the Section must be administred conformable thereto having again especial care that we force not the Knife too deep and cut through the Circular Muscle the transverse Section whereof causes an abolition of the shutting of the Eye As for the under Eye-lid it consists of one only Muscle namely that same Circular one which is found in the upper Therefore a Lunar Section has only place in it so as the Horns are turned not to the Jaw but to the Eye for there is the progress of the Fibres of the Muscle But from the transverse Wounds of the Eye-lids all that profess Surgery do unanimously predict the fall of them and the abolition of their Elevation And all Wounds are called Transverse by these Men which pass from one corner towards the other Therefore they assert that if a Wound descend from the Eye-brow downwards and cut the Palpebra abolition of the elevation of the Palpebra does inevitably follow But Anatomy tells me otherwise Because therefore the Circular Muscle which encompasses both Eye-lids exercises the shutting the Eye as its proper action an abolition of the shutting of the Eye follows the Transverse Section of its Fibres therefore a Wound inflicted from the Eye-brows downwards hinders the shutting not the opening of the Eyes for by such a Wound the Fibres of the Recludent or Elevating Muscle lying within are not cut asunder Besides a streight Wound say they that is proceeding from one corner of the Eye towards the other has no danger in it and portends no inconvenience because the duct of the Wound follows the rectitude of the Fibres in the Palpebral Muscle They say true indeed if the Wound only hurt the Superior Circular Muscle but if it reach deep so as to cut through the Inferior or Internal Right Muscle then it will do no small harm that is it will cause a falling down of the Eye-lid because the Fibres of the Elevator Muscle are cut across Idem V. Physicians that are flatterers and soothers of Diseases do not so much as touch much less cut off Warts of the Eye-lids But J. C. Arantius l. de tum c. 20. clips them with Scissers and wets them with Plantain Water tinged with Alume that they may not grow again and that they may the sooner Cicatrize I can aver this upon my Experience that I took off such a Wart as this which hung down from the middle of the Eye-lid and hindred the sight of the Eye by running a Needle and a Thread through it and taking both ends of the Thread and drawing it up a little I cut it out by the Roots with a sharp Pen-Knife and anointed it with a little Oyl of Sulphur The Man had had it Twenty years and still the Physicians had
delivered Bayrus let it be taken off immediately that the Matrix fall not out 3. If a Woman before her Travel drink Oyl Olive it vvill prove easie Borellus and she will not be troubled vvith after-pains They say Water of Adders-Tongue does the same 4. To cause Pain for the more easie delivery Take of vvarm Water 2 ounces Claudinus Honey vvhat is sufficient Mix them Give this Dose at any time vvhen there is occasion 5. This vvas communicated to me for an Infallible Secret Take Nettle-Roots boil them in Wine Corbaeus and in a draught of that Wine put of povvdered Cinnamon 2 drachms Saffron 1 scruple Let her drink it 6. This is an excellent Secret and never fails in hard Travel Take of the Seed of Lavender half a drachm Plantain Endive Simon Paâ—â— of each tvvo scruples Pepper one scruple Make a Povvder Take it in the Water of Endive and Woodbine of each four drachms 7. This has been found to be excellent by long Experience Take of the Bark of Cassia Fistula Asarum of each one drachm Cinnamon Saffron Savine of each halâ— a drachm Make a Powder Eustach Rhudius The Dose is one drachm in Chicken or Pigeon Broth. 8. Ol. ligni Heraclini 16 drops were given to a Woman in Labour and a dead Child with the After-burthen came away within an hour the Mother who had hard Labour being safe Rulandus 9. This Powder has been tried by Experience Take of White Dâ—ttany Amber of each one drachm and an half Sennertus Mâ—ke a Powder Give half of it in White Wine for one Dose Pectoris Pulmonum vitia in genere or Diseases of the Breast and Lungs in general See Thoracicks Book XIX The Contents Blood is not to be let to Swooning I. 'T is profitable to open the Hemorrhoids II. Whether Purgers be hurtful III. Whether Manna be friendly IV. Vomiting is not always hurtful V. Antimony is both the Medicine and Poison of the Lungs VI. Purging Clysters hinder Expectoration VII Things that incide too much do sometimes hinder it VIII Eclegma's or Lambitives sometimes rather hinder than promote it IX They are not good if a Fever be present X. When they are to be prescribed XI The too much use of them hurts the Stomach and Liver XII Sweet things hinder Expectoration in Cholerick Distempers XIII Astringents are profitably added to Expectoraters XIV The excellency of the Decoction of Turnips XV. The efficacy of Suffumigations XVI Whether the Smoak of Tobaco be profitable XVII When Diureticks are proper XVIII Those things which pass into the Lungs by the Wind-Pipe act more effectually than such as are swallow'd XIX Whether sweet or harsh Wine be best XX. Anointings of the Breast are oft hurtful XXI The correction of the Flowers of Sulphur XXII When Sulphureous Waters may be drunk for strengthening the Lungs XXIII Whether the Origin of Fluxions be always from the Head XXIV When Lambitives are hurtful XXV They are unfit to astringe XXVI Simple Flowers of Brimstone are better than the Compound XXVII Acids are to be temper'd with sweet things XXVIII How the Serum when it is too Acrimonious is to be temper'd XXIX The Serum must be thickened that it may be expectorated XXX The Correction of an Humour offending in Acidity XXXI I. THough Galen says 1. Aph. 23. That in great Inflammations and especially burning Fevers Blood is to be let to Swooning away yet it is very dangerous to Bleed to that degree in Diseases of the Spiritual Parts Wherefore though we ought to Bleed plentifully and even almost to fainting away yet we must not proceed so far as till the Patient swoon which the skiâ—ful Physician will understand by feeling the Pulse P. Salius Diversus com in lib. 1. Hip. de Morb. t. 60. Fortis cons 50. cent 2. II. Evacuation out of the Hemorrhoidal Veins has great consent with the Breast III. I do not approve of Evacuations in Pectoral Diseases from a Catarrh and those Physicians who are but indifferently learned and verst in the practice of Physick know the Reasons For what good do Evacuations do as to the Concoction or Evacuation of the Matter out of the Breast What do they do towards derivation seeing they move and roil it the more What do they do as to the strengthning of the Head and Stomach What towards the Correcting of the Temperature of the Liver I know something may be said against me but I have found by Experience that in Pectoral Diseases it is most profitable to abstain from Purging Medicines Thus Crato in Scholtzius cons 4. yet he uses them in difficulty of breathing from a Catarrh ¶ Fortis cons 7. cent 2. writes thus Let strong Purgation follow Lenients and Preparatives for it is not to be queried whether Purgers draw from the Breast or no for besides that they may draw forth Humours by the Vena sine pari whilst the whole Body is purged part after part the Breast it self is also purged for there is one and the same Conflux one Conspiracy all things consenting ¶ Indeed though they be not proper in respect of the Matter that is passed out of the Vessels yet they bring forth the antecedent Matter at least whether it flow from the Brain seeing 't is manifest that the stronger Purgatives draw from thence or through the Pulmonary Artery into the Lungs which has conveyed thither the Cacochymie mixt with the Mass of Blood IV. Their Opinion ought to be rejected who understanding that Manna is friendly to the Breast give it to those who have their Breast loaden with Crudities not seeing that Crude Humours are made more thick and unapt for Concoction when the Serum is discharged I have often observed such to be thrown into a very bad state by the giving of Manna Nature desires that thick Humours should be made fluid but those who give Manna or Scammony separate the Ichors Sanctor method l. 5. c. 10. Martian 4. de acut victâ— or watry part and make the remainders of the Humours thicker Johan Baptista Montanus considering this gives Manna with the Cream of Tartar for the bringing forth of the thicker Humours I lately saw the efficacy of Manna given after that manner in an Asthmatical Woman whose Lungs being turgent with Serum she was cured the same day a great quantity of Serous Humours being carried off V. Vomiting is not good if there be a solution of Continuity in the Lungs but if they be full of thick and Viscid Humours only 't is an excellent Remedy Hence 't is false That Vomiting is hurtful in every Disease of the Breast It often happens that a slimy tough Matter lies a Fingers breadth thick upon the upper side of the Midriff which kills the Patient unless it be taken away by Vomit So died a certain Landâ—grave of Hessen Walaeus m. m. p. 56. in whose dead Body being opened there was found such a Matter ¶ When an Empyema follows a
nor Candles do good some endeavour to make a Penetration by the sharp end of a Rush putting a Corroding Medicin upon the top of it and so by degrees penetrating the Caruncles Which manner of Operation is not well approved of Fonseca cons 36. tom 1. because there is danger the Rush may break VI. Within the Vrethra behind the Prostates there is a Caruncle placed at the Orifice of both Ejaculatory Vessels which like a Valve shuts both Orifices lest the Urine being poured out into the Vrethra flow back again into the Seminary Vessels or lest the Seed should flow forth involuntarily Ignorant Surgeons hitting upon this with a Catheter which it will not suffer to pass further esteem it a Caruncle Riolan in Anthropoâ— which being eroded by Causticks breeds a perpetual Gonorrhoea VII There often arises a Caruncle from an Ulcer of the Urinary passage and it is sometimes so increased as to suppress the Urine This must be extirpated by Manual Operation and fit Medicins which have an eroding vertue But lest other parts also in the Urinary passage be eroded or the Urine as it runs forth should wash off the Medicin that is applied to the Caruncle Aquapendent hath invented an Instrument by the help whereof nothing but the Caruncle is eaten and provision is made that the Medicin that is applied to the Caruncle cannot be washt off by the Urine that is often made Let a Cannula be made of a Linnen Rag besmear'd with White Wax a Fingers breadth long and so broad as to equal a Silver Catheter and let a long Threed be well fasten'd to it Let this Cannula be first smear'd over with Prevotius's Eroding Medicin viz. Take of Honey burnt to ashes Tutty prepared fresh Butter washt in Plantane Water Turpentine also washt yellow Wax of each half an ounce of burnt Alum half a drachm mix them make a Liniment and then be fitted to a Probe standing out of a Silver Pipe and together with the Silver Pipe and Probe let it be put up the Urinary passage till it come at the Caruncle and when it is just in the seat of the Caruncle let the Silver Pipe with the Probe be drawn back again but let the Cannula made of a Linnen Rag Waxed over be left in the passage that the Urine may be expelled through it and that it may also hinder the Medicin that is applied to the Caruncle from being washt off by the Urine Scult Armam tab 40. VIII I use Precipitate safely in Caries about the Glans sometimes alone without mixing any thing with it having reduc'd it into Pouder when the Caries is pertinacious Sometimes I mix it with Butter or the Ointment of Roses and sometimes I make it up in this form wherein it cures all Internal Caries Take of the Oyl of Sweet Almonds of Oyl Omphacine of Unguentum Resmum of each six drachms of the Pouder of Precipitate one drachm a little Wax and make an Ointment and spread it on the finest Linnen Vngu Resinum is made of Oyl the Rosin of the Pine Turpentine and Wax Precipitate being used thus there is no danger it should repell the Malignant Vapour inwards as Petronius thought because of the Quick-Silver because as he says it drives the Taint or Infection to the upper parts Yea if Precipitate should be used alone there would be no danger hereof for though it be made of Quick-Silver yet from the Aqua fortis whereby it is made it has an attractive vertue yea I also approve of the use of Quick-Silver where Precipitate because of the Malignity of the Ulcers is not sufficient because it appears by Experience that either of them do very well cure these Ulcers Nor is there any danger the Poison should be driven inwards for we find it not to happen nor can Quick-Silver in so small a quantity drive the Matter to the upper parts Dulcified Precipitate called Turbith Minerale Fonseca consult 34. tom 1. is also very good IX A Crystalline Bladder upon the Glans of the Yard is one of the Symptoms of the Pox which unless it be well cured uses to cause death Now it by no means endures the Knife only the Spirit of Tabaco is to be commended in this case with which if it be but wet over five times at most it dies and utterly wastes away But let this be done when the Patient is lying Hartman prax chym c 233 sect 34. unless you would have him faâ—l Convulsed X. In curing Vlcers of the Glans and Prepuce many mistake much while they wash the Ulcers with Aqua fortis as they call it also with the Water of Plantane with Vitriol Alum Verdegriese Vngu Aegyptiacum c. and apply other acrimonious things for by this means they add mischief to mischief seeing the Pain which they raise by those Acrimonious Medicins draws many Humours from the Body to the part affected whence proceeds an Inflammation and other Symptoms succeed daily Fabr. Hild. cent 5. obs 57. Wherefore such Ulcers are to be treated gently XI Of the Cure of a Phimosis or too great straitness of the Prepuce Pareus writes very well There is no danger in the cutting of it if the Prepuce cleave not to the Glans for then the Cure is attempted in vain But if the Prepuce be only too strait and free from the Glans then marking the place how far the Incision ought to be made the Prepuce is extended and the work is done by one incision lengthways of it yet with this Caution that the greater Vena Pudenda be not hurt which being visible enough the Surgeon cannot but see The Incision being made the head of the Yard struts out being freed from all impediments Amman medic Crit. p. 141. But care must be taken that the Dissected parts of the Prepuce grow not together again but that they be skinned over apart XII The Coherence of the Prepuce with the Glans happens two ways 1. Through an Ulcer of those two parts For in the curing of the Ulcers thereof they are apt to grow together especially in Children so that the Prepuce cannot afterwards be drawn back from off the Glans In such Ulcers I use to put betwixt them a thin plate of Lead bended sometimes I sprinkle thereon plentifully some drying Pouder as of burnt Lead Litharge c. 2. From the first Conformation of them Now when it is necessary to cut this band in sunder we must see that neither the Prepuce nor much less the Glans be touched especially if the band be in the lowest or undermost part of the Glans for in that place the Urinary Duct may be easily cut into and thereby a hole be made through which the seed and Urine will issue Wherefore if one cannot be avoided rather cut somewhat off the Prepuce than off the Glans for though the Prepuce should be perforated Hild. cent 3. obs 54. yet the inconvenience would not be comparable
it lest Putrefaction increase VII It we make question of the order of Remedies by a great consent of Authors the Manual Operation recommends it self first of all next Medicins and lastly Suppuration Fabr. Hildanus prefers Manual Operation before Medicins on a double account 1. because they ought to be deduced into act by the benefit of Nature which being weakened by the preceding pains before she can acquire new strength with time the door of the Womb is shut and the Secundine putrefies and by its Putrefaction infects and corrupts the adjacent parts and dejects the strength more and more 2. because most expelling Medicins are hot and do above measure heat the inner parts whence follow a Fever inquietudes watchings and other symptoms and for the most part death it self And the Operation extraction is to be hastened if it be either Summer or the Putrefaction acquire a Malignity for the Women appear to be ready to dye when Putrid Vapours ascend to the Vitals Stomach and Brain Idem VIII D. Animaeus left for a Secret a Plaster to be applied to the Belly of the white of an Egg and red Lead which because it binds much may well be question'd whether it do not rather detain the Secundines within But because it constringes the Muscles of the Belly which through the extension of the Womb and the straining in Travail were before debilitated 't is therefore credible such a Plaster may help for these Muscles being constringed and contracted into themselves by pressing the Womb from above downwards they make it more apt to expel the Secundines even as the action of the same Muscles is not a little necessary for the expulsion of the Excrements of the Belly Hoeferus l. 7. c. 5. IX Seeing Medicins that expel the Secundines do also increase the Flux of the Lochia hence Physicians are put into a quandary wherefore Rondeletius cap. 65. advises to give a drachm of Carabe for it provokes Urine expels the Secundines and retains the flowing Blood The same is confirmed by Platerus pract t. 2. p. 449. X. If all the Placenta be not extracted it is in no wise deadly and the place where it was pluckt off by force does a while appear tumid rough and unequal till all the Womb be drained again and reduced to its Natural Figure all which things are to be diligently marked Riol Enchir. l. 2. c. 36. especially in Childbed Women that are ill XI I have observed the following Apozem taken to three ounces â—wice or thrice a day to profit and recover the Patient when part of the Placenta has remained in the Womb after an Abortion and has been accompanied with a continual Efflux of Blood for some months Take of the Roots of Bistort two drachms of the Leaves of Majoran Penyroyal of each an handful boil them in Water and White Wine of each as much as is sufficient for thirty ounces of strained Liquor to which add three ounces of the Syrup of Mugwort and one ounce of Cinamon Water I have seen a piece of the Placenta as big as ones Fist expelled by the help hereof and the further Flux of the Blood was withal suppressed and cured Fr. Sylvius XII Joh. Th. Schenkius in his Botanick Lectures did once relate how a certain Countess had her Secundine stay three weeks after her delivery without any notable prejudice And then by the persuasion of an old Woman she took a decoction of Roman Chervil and was soon cased of that burthen And indeed I hardly know any Herb of like availableness in hard Travail and the stoppage of the Secundine as Chervil and the greater Sempervivum or House-leek Al. Herm. com misc cur ann 72. obs 117. and I know that every one who makes trial thereof rightly will say the same XIII Concerning sleep we must note that it is wholly to be kept off when the Lochia flow very plentifully for by it many lose their Lives because the heat being drawn inwards makes the Flux the greater And if it be to be allowed at any time some of those who attend ought to be ever and anon observing the Pulse and Respiration of the Patient River Pract. l. 15. c. 21. XIV After the Birth the capacity and thickness of the Womb are lessened by degrees by the effusion of the Lochia which are nothing else but the expression of the Blood that is contained within the spongy Membranes of the Womb. But if that amplitude be not lessened nor the Blood evacuated it will then putrefy and inflame the Womb will remain extended and hard as if it contained the Foetus still and at length a deadly Gangrene ensues Whether is this amplitude and hardness to be cured by Bleeding in the Arm or in the Foot Fernelius does boldly draw Blood out of the Arm Pereda advises us to consider not whence the Blood flows but into what part it hath flow'd and bids us open the nearest Vein 'T is more profitable and secure to let Blood largely in the Foot accordingly as the strength can bear not neglecting cooling Clysters Riolan Enchir l. 2. c. 36. and other things that may irritate the Womb to excretion XV. When the Lochia either flow not at all or they come to be supprest by some External cold they shall be cared by giving presently Medicins that dissolve Phlegm or Blood coagulated in the Orifice of the Womb such as are all Aromaticks and those which are endued with a Volaril salt chiefly those called Uterines which are found to profit by long and manifold Experience and if they be withal sudorifick they will do more and will the sooner and better take away that difficult and dangerous Disease But when through the defect of the Flux of the Lochia a Fever is raised which uses to be continual and is often burning enough we must take diligent heed not to increase the Febrile heat by those Aromaticks and therefore to these Potions Acids are to be added distilled Vinegar the Spirit of Salt of Vitrio c. For observing this Temperament we satisfie both Indications seeing Acids are profitable for the Febrile heat and the same as well as the Aromaticks are good for dissolving the coagulated Phlegm especially when there are added Crabs Eyes Antimon Diaphoret and the like which â—hen may dissolve the Coagulated Blood also Sylv. XVI When the eruption of the Lochia is too large from the surface of the Womb bâ—ing hurt by a violent pulling off of the Secundines it shall be cured by those things which heal Excoriation and restrain the Efflux of Blood As for Example Take of Plantain Water half a pound of the Antepileptick of Amsterdam and distilled Vinegar of each half an ounce of Lapis haematires half a scruple of red Coral one scruple of Laudanum Opiate two grains of the Syrup of Myrtles one ounce mix them give now and then a spoonful of it and by the help hereof both the Flux will be stayed and the Excoration healed
2 drachms Forestus Make a powder for a Fume 4. This is an admirable Clyster Mutton broth with about a drachm of Oyl of Wax dropt into it ¶ A few drops of oyl of Mastich given inwardly in Plantain water cures a Tenesmus presently Hartmannus 5. Take an old Brick black with Smoke break and powder it put it into white Wine Vinegar wrap it in a Cloth and apply it 6. You will find admirable efficacy in these Pills in a Tenesmus with a quotidian Ague Take of Parsly Anise each 3 drachms and an half Seed of white Henbane 2 drachms of Parsly 2 drachms Pound them together Guilh. Varignana and make Pills of them with Wine The Dose 5 grains with Rob of Myrtle and water 7. To take away the pain of a Tenesmus Fill two Bags full of powder of Brimstone Boil them in Vinegar and let the Patient sit first upon one then on another Villanovanus as hot as he can endure it presently takes away the pain It is experienced Tonsillarum Affectus or Diseases of the Tonsills or Almonds of the Ears The Contents The Swelling of them cured by Scarification I. When they are inflamed gargarisms must be warm II. Whether the cutting them off when hard be Safe III. Their Porous Coat when they are swelled shows like an Vlcer IV. Vpon the abuse of repelling Gargarisms the Swelling grew into a stony hardness V. Whether when they are inflamed Repellents may be applied outwardly VI. Medicines I. A Certain Knight had his Tonsills swelled from I know not what defluxion which had been so swelled for 2 years that the swelling could not be got away by internal or external Medicines no not by Issues But they were immediately got away when I had once scarified them Severinus II. When the Tonsils are inflamed we must observe with Aetius and Paulus that Gargarisms must be given rather warm than cold or very hot for any thing actually cold is bad for an Inflammation and inflamed parts And if they first washed their Mouth with warm water it would be better Epiphan Ferdinaâ—dus according to Avicenna for so the Gargarisms would sooner penetrate III. I have often admired with my self the boldness of the Ancient Physicians who when the Tonsils were hardened after Inflammation took hold of them with an hook and cut them off with a Knife as Celsus l. 7. c. 12. testifies For thus I thought with my self sure it is not safe to cut off these parts which are of great necessity in the Body and all over interwoven with Nerves and branches of the Carotid Artery And which is more I find Aquapendent at the same stand with me But M. A. Severinus Pyrotech l. 2. c. 64. has given light to this doubt who writes thus The Tonsils usually grow out with foul eminences being bred of a viscous and tough Humour either from the French Pox or some Rheum as Mariscae or Piles do Although I have not yet seen this case yet for the sake of the younger I thought good to note that the Tongue must be held down the Tonsils taken hold on with an Hook J. Van Horne and then cut off with a knife crooked backwards and sometimes they must be seared with a hot Iron IV. Inspection of the Tonsils finds an Ulcer In which notwithstanding we must observe as Fallopius advises that the Tonsils contrary to the nature of other Glands have a Nervous Coat pervious with many and large Holes which while they are Swelled gaping wider easily impose on the ignorant Joubertus who take them for little Ulcers but as soon as the swollen Glands fall these Ulcers disappear V. One could scarce either breath or swallow because of the swelling of his Tonsils after he had long used drying and repelling Gargarisms the thinner part of the Humour being dried up the rest grew into a Stone And when the Muscles of his Larynx grew every day stiffer than other and his breathing more difficult he called me I ordered him to wash his Mouth with a Decoction of Marsh-mallows Figs and Mallows and after washing his Mouth I prescribed him to lick clarified Honey fresh Butter Jessenius à Jessen apud Schenckium and powder of Florentine Orrice mixt together wherewith the Tumour being softned he voided a Stone then he could breath freely and when the Ulcer was cured he recovered VI. Almost all Practitioners when the Tonsils are inflamed apply repellents inwardly yet Rondeletius dissents from them and the common custome who lib. 2. cap. 4. will not only have astringents applied inwardly and mollifiers outwardly but astringents both inwardly and outwardly For when the Parts are lax he thinks they must not be made more lax while the matter is in fluxion but only when the fluxion is stopt that the matter may be drawn outwards But in the beginning he applies astringents outwardly to the sides of the Artery under the nether Jaw which he writes he tried in himself and hindred a Quinsy and a defluxion to the Throat and cured many as they were beginning with the Kings-Evil But here great caution must be used and we must see what store of affluent matter there is for if the Body be as yet full and the afflux great I would perswade no man to apply repellents outwardly since it may easily happen that the Matter being repelled inward may raise a dangerous Quinsy and the Matter may always with greater safety be carried outwardly than inwardly â—nertus Medicines especially made use of by eminent Physicians 1. When one was ill of a small Inflammation of his Tonsills without a Fever I Cured him with this one Gargarism Take of Plantain water 1 pound and an half red rose Flower 1 pugil Quince Seeds 1 drachm Boyl them a little and strain them Add of diamoron 2 drachms dianucum half a drachm Mix them Make a Gargarism ¶ In malignant and crusty Ulcers when the Body is purged Ashes of Swallows mixt with Honey is very good and I have often used a Plaster of Swallows nests with good success Forestus 2. A Decoction of Vervain easily cures the Ulcers of the Tonsils Grulingius 3. According to Borellus terra sigillata if applied or a little of it swallowed by degrees in Broth is very good for an Inflammation of the Tonsils Hofmannus 4. This is an approved Liniment in malignant Ulcers of the Tonsils if the ashes of lesser Centaury and powder of Album Graecum be mixt up with Honey to a consistency Sennertus 5. We take a Viper's Head and hang it about the Neck in a Scarlet thread Christ à Vega so as that it may touch the Patient's Flesh and we have found it do wonderful good Tremor or shaking See Paralysis Book XIV Tumores praeternaturales or Praeternatural Tumors See Abscessus Book I. and Inflammatio Book IX The Contents Critical ones must not be repelled I. In Bilious ones sometimes Suppurators do harm II. In Cold
some wonted evacuation of it although its too great Heat may be stopt with things a little acid but especially with things a little austere Let the following Apozeme serve for an example Take of leaves of Plantain 2 handfuls House-leek Sorrel each 1 handful Boyl them in Barley water to 20 ounces adding of Syrup of Jujubes 3 ounces Salt peter purified 1 drachm or Sal prunellae half a drachm or Spirit of Nitre 20 drops Mix them Make an Apozeme Let the Patient take a middling draught of this now and then to stop any other violent motion of the Blood Sylvius de le Boë The same Blood must be stopt in its efflux by conglutination of the open Vessels by proper Remedies XVIII The corruption of the Blood into pus or matter must be prevented by all means and especially by Balsamus Sulphuris anisatus or any other that is not ingrateful seeing that by the help of this not only the turning into pus or corruption and further hurt of the Ulcerated part is prevented but moreover the total cure of it is promoted Idem The Dose is a drop or two in some convenient pectoral mixture XIX And lest the same Blood whence soever it come into the Aspera Arteria should be coagulated there and then corrupted it must immediately be kept dissolved with convenient Medicines or must be dissolved again and voided To which end Crabs Eyes dissolved partly at least in a little destilled Vinegar together with diaphoretick Antimony taken with some grateful things must be preferred to many other things for example let the following prescription be taken a spoonful at once Take of water of Hyssop Fenil each one ounce Aqua vitae Matthioli 2 drachms destilled Vinegar half an ounce Crabs Eyes half a drachm Idem diaphoretick Antimony 1 scruple Syrup of Maiden-hair 1 ounce Mix them XX. But we must have a care in such mixtures as have Crabs Eyes dissolved in Vinegar in them that Syrups made of Mucilaginous things be not added to them such as de Althaea Fernelii of Jujubes Violets and the like because they grow presently thick and unfit for use which would not easily be if Syrups made of Aromatick things be used Idem and especially new enough since several in tract of time grow viscid XXI A dry Cough arising either from cold Air or drink will be cured by often holding the Breath some while that when the heat is encreased in the Throat and Lungs the fault may be amended which arises from external Cold. And I must say that in this case holding ones Breath as long as one can does not a little conduce to restrain and stop any Cough and a dry one especially by which means I have observed often in my self and others that a Cough otherwise troublesome enough has either been wholly removed or abated Idem and I have also seen a Hickup thus cured XXII The Spasmodick Cough in Children is difficultly cured because not only the Blood must be altered as in an ordinary Cough and its recrements should be discharged and derived from the Lungs to the habit of the Body by transpiration but moreover an amendment of the Nervous juice must be procured The method of cure usual in other sort of Coughs seldome does good here wherefore neglecting the rational method most use onely empirical Medicines Among many the two following are usually preferred that is Muscus pyxidatus and its various preparations which as far as we can gather from the Tast is of an astringent virtue and contains in it self something sharp particles savoring of store of volatil Salt whence we may conjecture that its use is to fix the Blood and stop fluxions of the Serum and moreover by volatilizing the Nervous juice to remove the Spasmodick disposition The other Remedy uses to be to put the Children into some sudden fright the reason whereof consists in this because the animal Spirits being put to flight and forced into new distractions do leave their former disorders And moreover the Spasmodick matter is either dispersed by this perturbation or else it is driven into other Nerves where it is not very troublesome Such as are of an hot constitution and while they Cough have an intense red or rather a black Countenance I prescribe them Phlebotomy or Bleeding with Leeches to the loss of 2 or 3 ounces and sometimes with good success Take of live Millepedes cleansed 1 ounce powder of Anniseed 1 drachm Nutmeg half a drachm white Sugar 5 ounces when they are bruised pour to them water of Hysop 6 ounces Limacum magistralis 2 ounces Mix them a little in a Mortar make a strong expression The dose 2 or 3 spoonfuls twice a day In the Winter when Snails cannot be had Sheep's or Calve's Lungs Willis parboyled and minced must be put in their stead c. XXIII There was an universal Cough at Rome and many died A certain Physician cured himself and several others with this Medicine Take of Iujubes N o 25. Figs N o 10. Large plump Raisins 1 ounce and a half scraped Liquorish 3 drachms roots of Coltsfoot 1 handful Boyl them in a sufficient quantity of water till half be consumed away Take a Glass of it every Morning and at the hour of Sleep They abstained from Wine and Flesh they used Bread boyled with Raisins and Butter Solenander or Butter Bread and Sugar or Bread boyled in Milk and Sugar XXIV Celsus l. 4. c. 3. advises to use reading aloud Some question whether this be a proper Remedy since loud reading dries But it may be answered that it certainly does good because it dries up Phlegm from whence an old Cough is reckoned to derive its original Besides Antyllus in Oribasius advises to use it if drought and heat seem to abound beyond measure in our Bodies Much Air entring by respiration into the passages will very much moisten what is dry and because it is of more tenuious parts and more liquid than any water it will soften hardness caused by dryness But we must take notice that the actions of the voice must not be used rashly and unadvisedly and especially by them that are not used to the exercise and are but beginning Rubaeus comm in loc Medicines especially made use of by eminent Physicians 1. This conduces greatly to mitigate inveterate Coughs arising from cold and gross Humours Take of Pine nuts roasted Starch Liquorish Nettle seed Linseed each 2 ounces Orris Pepper Hyssop Cresses Seed bitter Almonds each half a drachm Mix them with well clarified Honey Donatus ab Altomari and give a small spoonful of it 2. This is an excellent Remedy for great destillations Take of Storax Castor Pepper Cardamome each half a drachm Opium Jujubes Henbane Seed each half a drachm Let the quantity of a Vetch be given to them when they go to Bed ¶ The Medicine of the ancients for an old and dry Cough The common People in a desperate Cough take
of it self so that the Pustules came out very thick all over his Body Whey with Marygold flowers and other things usually boyled in it also Juleps and all Cordials though temperate which cause but a gentle breathing did most certainly set him a bleeding Wherefore I prescribe such a course of Diet as I did before § LXXIII upon which he was better However at the very height of his Disease for when the Small Pox are fully come out a Fever usually returns in all People because transpiration is stopt this Sick man fell into plentiful Bleeding so that after a large profusion of Blood the Small Pox began to grow flat After he had in vain tried many Remedies to stop Bleeding at length a bag with a Toad in it that was dried in the Sun and bruised was hung about his Neck and at the very first he immediately found benefit by it for his Bleeding was presently stopt and it returning no more for he carried this Epitheme constantly ever after in his Bosome the Patient still continuing his cooling diet Idem perfectly recovered LXXV I visited a young Gentlewoman of a florid countenance and hot constitution when she was 4 Months gone with Child she was troubled with grievous Vomiting a most violent pain in her back and extream heat and thirst Her Pulse was very quick strong and vehement Although the Small Pox were no where thereabout yet these Symptomes gave me no small suspicion of this Disease However the excessive effervescency of the Blood did indicate the letting of it therefore I presently took away about 6 ounces then the heat abated a little yet the Vomiting and pain in her back continued still At the hour of Sleep I gave her a Cordial Bolus with half a grain of our Laudanum upon which quiet Sleep succeeded with a pleasant Breathing and a ceasing of all the Symptomes The next Morning the Small Pox came out which although she had them very full yet she recovered without any dangerous sickness or fear of miscarriage and went her full time Idem LXXVI A Woman was brought to Bed and the same day her Children in the same House were taken with the Small Pox and she her self as it seems had taken the Infection for the second day after her delivery they began to come out with a Fever and pain in her Loins which indeed in 3 dayes her Lochia flowing moderately did rise well Although she cleansed well all that time she was very full of the Small Pox all over her Body and not only upon the out side of her Body but they filled her Mouth and Throat so that she could scarce speak or swallow The sixth day after she was brought to Bed her Lochia flowed immoderately upon which the Small Pox immediately growing flat she was taken with Swooning frequent Convulsions and other ill favored Symptomes which threatned sudden death I prescribed her half a drachm of this powder to be taken constantly once in 3 hours in a spoonful of the following Julep that is Take of Tormentil root powdered 2 drachms Bole Armenick 1 drachm Species de hyacintho half a drachm Make a Powder Take of Aqua Scordii composita water of Dragons Meadow-sweet each 3 ounces Treacle Vinegar 1 ounce Syrup of Corals 2 ounces burn Harts-horn half a drachm Make a Julep I ordered also Tormentil root to be boyled in all her Broths and drink by these Remedies her Uterine Purgation wholly stopt and the Small Pox ripened by degrees without any more grievous Symptome and fell off This was a difficult case indeed and was managed with great hazard to wit it was dangerous to keep in either the Lochia or the Small Pox and yet a full eruption of either one of them hindered the others motion As long as they both proceeded moderately the case being left to Nature was moderate But when one exceeded the help of Art was required Thus it was convenient to use the curb to the Lochia and the spur to the Small Pox. Idem LXXVII As to meat the Arabians teach that no Flesh no not a Chicken is proper in this Disease yea they condemn yolks of Eggs before the Fever be over and the Pustules be suppurated and scale off Which seems to be a bad rule for Children are often Sick who according to Hippocrates want much nourishment Besides before they begin to scale off 10 or 14 dayes are usually over But to keep Children so long a time without some good food were very pernicious Wherefore I can by no means follow the Arabians advice But when I see the Sick are out of all danger I use to feed them more liberally so as their strength may be supported and the solid parts restored and then I give them yolks of Eggs in broth with Verjuice or juice of Lemons And by this way of cure I can attest Mercurialiâ— not one has died in my Hands since I practised Physick LXXVIII The Measles and Small Pox agree in this that the Pustules in each are caused by the ebullition of the Blood while Nature separates the bad from the pure and forces it out to the Skin wherefore one may easily gather that Nature must not at that time be diverted from such expulsion by gross or much food or that is hard of digestion But that Nature may do her work the better and may drive the noxious Humours from within towards the Skin more conveniently and lest some Humour might be detained in some of the inner parts we must give them meat that is a little cooling and gently astringent for such as this strengthens the parts that they can more strongly drive out what is troublesome besides it has a virtue to repel hot Humours Wherefore the broth of Spanish Lentils with the herb Sorel green Coriander Oyl Vinegar and Salt is very good Also Gourd boyled with Purslane Oyl Vinegar and Salt Ptisan as we prepared it in colliquating Fevers is very good for them All things must be avoided Bâ—â—dus de victu febricit l. 3. c. 22. which increase Blood or add to its ebullition Wherefore in the beginning while they have strength chicken broth and all sweet and unctuous things must be avoided LXXIX But when they begin to go off it is good to mix such things in meat as loosen the Belly as Prunes Violets Borage and the like But Prunes that have an Astringent Faculty as French and Spanish may be used all the time boyled with black Maiden-hair or Purslane or Plantain And let the drink of such as have the Small Pox or Measles Idem be Barly water boyled with black Maiden-hair and Pomegranate LXXX There are some who give Lettuce boyled in Vinegar and the pulp of Citrul and water-Melon And some give water of water-Melon to drink But as I think these Meats do more hurt than good Because they hinder Nature's expulsion and by their excessive coldness retard the comeing out of the Pustules for such expulsions as
these from within to the Skin are made by Nature the matter inclining that way because it is then turned to Vapors being of a thin substance Wherefore as the ebullition must not be encreased by hot Idem fuming things so neither may it be extinguished by excessive cooling things LXXXI Whenever the Small Pox are epidemical and have grievous and dangerous Symptomes attending them we must take care quickly to remove Children and the younger sort who have not yet had the Small Pox into a more wholesome Air where no Small Pox reign and to keep them there till they either cease or grow more kindly But on the contrary if they be kindly and well conditioned that is if most People have but few if they come quickly and easily to suppuration and if they fall off without any notable disfiguring then I am so far from perswading you to avoid the Air that breeds the Small Pox that on the contrary I think it advisable to let the Children that are yet well Sylvius de le Boâ— be in the same Chamber with the Sick to the end they may have the Small Pox while they are gentle Of the Measles see more BOOK XI Medicines especially made use of by eminent Physicians 1. In the Small Pox and Measles Oyl of Gold is very good ¶ The use of Mercurius vitae is good for Children Joh. Agricola when you fear they will have the Small Pox. ¶ Mercurius vitae fixus is very good in the Small Pox. 2. This is admirable good for a scar in the Eyes left by the Small Pox Take of juice of Dasy clarified 2 ounces juice of red Poppy 1 ounce water of Honey 6 drachms Mix them Augenius Drop a little into the corner of the Eye 3. This is very good to take out the pitting of the Small Pox Take of Oyl Olive 1 ounce and an half juices of Lemon 6 ounces washt Litharge ashes of burnt Snail each half an ounce fat of an Hen half an ounce Mix them for a Liniment Claudinus after which the Face may be washed with a Decoction of Lupins 4. To drive out the Small Pox give Avicenna's decoction of Figs excorticated Lentils and tragacanth Take it 4 or 5 times Morning and Evening Crato ¶ A draught also of Fenil water Morning and Evening is good 5. I ordered one that had the Small Pox in his Throat continually to gargle with Goats Milk and Plantain water mixt together warm which miraculously preserved him For the same purpose I ordered him often to swallow Syrup of Pomegranates by degrees because I had often tried the admirable benefit of it in the like case ¶ Among things that drive out some commend water destilled off Lime flowers as a thing very good for it 6. I have found the following powder admirable good in the Small Pox and in all contagious Diseases Take of Salt of Ash 8 or 10 Grains Bezoardicum minerale from 5 grains to 10. Mix them with Aqua cornu cervi citrata and Angelica water Joh. Lud. 2 Frundekk It is a most effectual Antilemick Diaphoretick drink 7. To bring out the Measles and Small Pox this is highly commended Take juice of Fenil and Parsly wet a cloth in them warm and so let the Children be wrapt up therein warm Or Take Parsly and Fenil water wet a double Linnen Cloth in them wrap the Child up in it warm Dav. Lipselius repeating it often it brings out the Small Pox powerfully 8. To take off the ill colour of the Skin Take of Lupines Beans Barly each 1 pugil and an half pound them after a gross manner boyl them in a sufficient quantity of water till the water grow as thick as Pap. Mercurialis Wash the Face and Hands Morning and Evening 9. I can attest that by giving half a drachm or a drachm of Columbine Seed in powder with Mede or the distilled water of Fumitory Carduus Benedictus or Harts-horn I have saved several Children in the Measles from the Grave Simon Pauli 10. The Oyl of Tender Harts-horn and the Skull Eustachius Rhudius may serve Children instead of Bezoar especially in the Small Pox and Measles 11. The red Oyntment for Children which is most Famous in the Small Pox and Measles when you fear them for the benefit of it is unspeakable if a little of it be given a Child or a grown Person in small Wine and then the Patient be covered with Clothes till he sweat by which Remedy whatever corruption is within it will break out at the Skin all over It is made thus Take of new fresh Butter that was never salted 2 pounds Alcanna root 2 ounces red Wine 1 pound Castor 6 drachms let the roots bruised be steeped in the Wine for a day then add the Bâ—tter and boyl them on a gentle Fire till the Wine be consumed strain it and then put in the Castor ¶ Oyl and Balsame of Rosemary are approved Joh. Steph. Strobelbergerus in taking out the Pits of the Small Pox and restoring the Face to its former Beauty Venena or Poysons The Contents They act not by occult qualities I. Many lies are told by Authors concerning them II. The Physician must well consider their several differences III. Whether they may ever serve instead of Medicines IV. Whether two Poysons one destroy the other V. Whether a Vein may be opened VI. Purging is proper VII Poyson cured by Vomiting VIII How when Poyson is taken inwardly it may be got out by Vomiting IX Bezoarticks either respect the Blood and resist Putrefaction X. Or they hinder the Ichorescence resolution and rare faction of it XI Or they respect the Serum in promoting its motion and hindring coagulation XII No Alexipharmack resists all Poysons alike XIII The promiscuous use of them is not convenient XIV In the beginning there is most need of Volatils XV. For whom the temperate and mild are most proper XVI Poyson is not removed only by Sweat XVII We must not trust too much to things made of Serpents and Vipers nor to Bezoar XVIII Suspected Alexipharmacks must not be used XIX Taken betimes before one go to Sleep more efficacious XX. Volatils are not so proper for Cacochymick Persons XXI We must not mind the first qualities in Alexipharmacks too much XXII The malignity contracted from Poysonous Metallick Fumes must be cured by mineral Medicines XXIII Alexitericks outwardly applied are good for Venomous stings XXIV Whether they may be taken for preservation sake XXV Whether every venomous Creature carry its Antidote with it XXVI Whether from once or the repeated taking of the Viperine or Serpentine powder one can be ever after safe from the biting of Serpents XXVII The Antidote of a Scorpion XXVIII Acids correct most vegetable Poysons XXIX Vomits are not good after eating Mushromes XXX Hemlock is not mortal because of its coldness XXXI Nor Henbane XXXII The cure of each when taken XXXIII Whether Wine be the Antidote of
only be made by a Syringe as is done commonly but a Cathaeter must be put into the Bladder and the Syringe Riverius must be fitted so the Injection is carried to the part affected V. Injections to dry up Ulcers must be made of driers with little astriction For things too astringent stop the Urine which causes much pain Seing a sharp Urine when it comes through a narrow passage Rondeletius causes more pain than if it came through a larger VI. An injection of a decoction of Comfrey roots is proper in this Disease because it heals and has a certain Mucilage which is necessary to make the Medicine stick and mollifie the asperity of the part Horse-tail Plantain Ceterach may be added for it dries much 〈◊〉 St. Johns wort especially in the Stone with an Ulcer in the Bladder because it breaks the Stone and heals the Ulcer Litharge powdered and boyled a good while and strained through a filtre is good Things also may be added which are reckoned to heal the Nerves because it is a part more Nervous than Carnous Root of Narcissus is good Idem because of its Mucilage Trochices must be finely ground as for Collyries VII A Woman who was troubled with a foul and sharp Ulcer in her Bladder when Cyprus Turpentine lignum nephriticum Steel and other drying and cleansing things would do no good betook her self to the Spaw-waters Tulpius by continual taking of which sheover came the deplorable Ulcer VIII I much question whether there be any hope of curing an Ulcer in the Kidneys I do not remember that either I or any body else ever cured one Yet something may be used to give ease and keep it from growing worse for which purpose I find nothing better than Balsame of Sulphur as well anisatus as succinatus juniperinus and terebinthinatus by which although their strength be much wasted before they come to the Kidneys yet the Breeding of much pus is hindred and the encrease of the Ulcer is stopt The same may be said in the Ulcer of the Bladder in which case Balsamus Sulphuris anâ—satus does Wonders Sylvius de â—e 〈◊〉 And there is more hope here because it may immediately be injected into the Bladder Medicines especially made use of by eminent Physicians 1. When the Inflammation is laid if it be exulcerated or there be Pustules it may be cleansed with half a pound of Hydromel with 2 ounces of juice of Smallage with 1 drachm of Myrrhe powdered Crato for this is an excellent cleansing Medicine 2. A decoction of Strawberry leaves drunk will ease the most violent pain of an Ulcer in the Bladder Dornerellius 3. Terra sigillata or Bole Armenick taken in Milk of Almonds or their Oyl or in Asses or Goats milk is a peculiar Remedy for it purges the Poyson and dries the part and the Ulcer without pain and stops blood Nic. Piso if the Ulcer come from Cantharides 4. Liquorish taken any way is wonderful good in Ulcers or Excoriations of the Bladder for it cleanses dries moderately heals Solenander and tempers the Acrimony of the Humours 5. Take of the Seeds of Alkekengi 3 drachms seeds of Citron Cucumber Gourd each 3 drachms and an half bole Armenick Frankincense Dragons Blood white Poppy seeds bitter Almonds juice of Liquorish bark of the Frankincense Tree each equal parts finely powdered let them be mixt a long time with the white of an Egg in a leaden Mortar with a leaden Pestil Varignana let it be injected with a Syringe 6. Two scruples or 1 drachm of Trochices of Alkekengi in Endive water heal Ulcers in the Kidneys and Bladder admirably Chr. à Vega. 7. For a scab in the Bladder The drinking and injection into the Blaâ—der of Whey Mercurialii especially if Mastich tree Scabious Pomegranate Peel or Plantain have been infused or boyled therein Ulcera or Vlcers The Contents Bathes not alwayes proper for inveterate Vlcers I. Lapis Medicamentosus Crollii not alwayes safe II. Alume water hurtful in cancrous ones III. They are not cured as long as the Blood is impure IV. How to cure those that are difficult of cure V. Dysepuloticks cured by means of Fire VI. When they arise of themselves and are the cure of some other Disease they must not be healed up VII For cure the bilious Sulphur must be checkt VIII The cure of them depends upon the correction of acid Pus IX The healing up of some is difficult because of the thinness of the adjacent skin X. Sometimes they are full of Worms XI If the Glands be disaffected they are difficultly cured XII Why difficult in the Glands XIII The cure of an eating one XIV The cure of an cancrous one XV. The cure of inveterate ones by cutting out the Veins in the Legs XVI The cure of putrid ones by cutting out XVII Occult ones or such as do not shew themselves outwardly must be cut out XVIII In Chronical ones Issues are very available XIX How hard and callous Lips must be cured XX. A dry intemperature is sometimes an Impediment to the Cure XXI An Vlcer that revives often gives suspicion of the Bone being corrupted XXII An Vlcer with a great caries of the Bone can only be cured by Chirurgery XXIII Sometimes only curable by burning XXIV The cure of a malignant Vlcer with Varices XXV XXVI The caries of the Bone is often an hindrance to the cure XXVII What such Sarcoticks ought to be XXVIII What must be washed with water XXIX An Vlcer cured by fluxing with Mercury XXX The cure of one with a dry Intemperature XXXI Of one with Pain XXXII Of one with Fluxion XXXIII Of one with an Hypersarcosis XXXIV Of one with Caries in the Bones XXXV Of a Sinuous one XXXVI The Efficacy of Ceruss of Antimony for the cure of pertinacious ones inward and outward XXXVII When a Vomit is good XXXVIII The Cure of a Sinus with two holes XXXIX An Vlcer in the Jaw cured by an internal Medicine XL. One in the Chin cured by pulling out a Tooth XLI An old one in the Leg cured by drinking medical waters XLII The cure of Vlcers in the Feet XLIII The cure must not be hasty XLIV An inveterate Vlcer in the Toe cured by cutting out the Nail XLV A stiffness of the joynt incurable after an ichor and meliceria XLVI Vlcerous Persons must use a spare Diet. XLVII How such may be found out as have offended in their Diet XLVIII Whether much Meat but not moist may be given XLIX Whether Wine may be allowed L. Whether Flesh and Eggs be proper LI. Cooling Broths are improper LII Medicines I. SInce for the most part Bathes consist of Sulphur Alume Vitriol Iron Copper and other Metals which cleanse and dry extreamly and therefore are used with success in Ulcers Itch c. at last they are abused so that they are usually the extream refuge in desperate cases But it often so happens that
effectual ¶ In whatever cause Bread tosted dipt in Vinegar of Roses and bestrewed with powder of Mint Cloves and Roses is good ¶ This is a certain experiment and reckoned as a secret by some After the takeing of Antimonial Medicines which vomit too much to give a spoonful or two of Spirit of Wine Sennertus and it gives present help 9. Dried Coriander infused in Vinegar does admirably in a hot cause Stokkerus 10. Sower Leven soaked in strong Vinegar and juice of Mint applied and renewed twice or thrice most certainly stops Vomiting by Purging and due Revulsion Varendaeu◠11. A few Coriander Seeds in Vomiting after the taking of a violent Medicine Welkardus have an admirable property to stop it if they be chewed Vomitus Sanguinis Puris or Vomiting of Blood or Corruption The Contents Purging is good I. It must not be stopt in all II. Things that are hot and of subtil parts must be put into the Applications III. Oyly things are hurtful IV. Vinegar must not be given alone V. Caused by swallowing a Leech VI. From the Spleen VII The Cure and Prevention of Vomiting of Pus VIII Medicines I. GEntle and frequent Purging must be celebrated whereby the Blood is purged from those serous and bilious Humours which produce this Disease Which kind of Purges celebrated by a prudent Physician do wonders as I have learned by experience And they must be made of Rheubarb Myrobolans Tamarinds and triphera Persica which Medicines purge and bind and no way disturb the Humours so that you need not fear any vomiting of Blood will be caused thereby Riverius II. There were two Women at Padua who the day before their Menses came Vomited Blood they perceived the Vomit before it came which if the Physician tried to stop Rhodius divers Symptomes would arise and go away with vomiting III. In Oyntments Epithemes and other applications we must take care that they have some heat with their astriction for though the flux be stopt with cold and astringent things yet this is done upon taking the indication from the function of the part that is the Stomach and from the time Cyperus Spike Cassia and Cinnamon are the best among other Astringents For besides that they preserve the nature of the part they help also the penetration of the astringent and cold things which are of gross parts IV. In vomiting of Blood the use of Oyls is suspected because they open the orifices of the Veins rather than close them Therefore Aloysius Mundella denies Oyl of Sweet Almonds to all that vomit Blood Bartholinus V. The use also of Vinegar alone is suspected because it exasperates the parts and raises a Cough whereby it promotes a new fluxion Therefore it must be sweetned with Honey or Sugar VI. A Country-Man was ill of Vomiting of Blood that would give way to no Remedies for several dayes The Physician being desirous to carry off the Blood that was gathered in the Stomach by vomit prescribed him 2 ounces of Oyl of sweet Almonds which made him vomit and he brought up clotted Blood and a Leech also that moved upon the ground Riverius Obs 26. Cent. 4. This was an unknown and rare cause of vomiting of Blood The Patient said afterward that he drank of a rivulet where he had swallowed a Leech with the water VII In the year 1662. I saw in the Town Boudri within the Territory of Newenburgh a Notary fifty years old who vomited at one time a pound of clotted black Blood and as he said he had vomited as much the day before His Stomach was then squeamish with a sense of a load wherefore I gave him a little warm Oxycrate for there was nothing else at hand which brought up no less quantity Because the strength was good I prescribed him a bolus of Conserve of Roses with I drachm of the powder of Rheubarb which brought away a great deal of clotted Blood mixt with the Stools Then I proceeded to strengthners For Preservation I ordered him to Bleed at the Haemorrhoids twice a year for the flux came from his Spleen as the swelling of it returning at times did testifie giving him Chalybeates and openers of Obstructions He followed this wholesome advice for 2 years which being neglected the third year his vomiting returned with greater violence which deprived him of Life I have known many sayes Dodonaeus cap. de Absynthio l. hist stirpium who have brought up Blood by vomiting I remember I saved one or two by my advice after once vomiting and indeed by the frequent use of Worm-wood all manner of wayes VIII The excretion of Pus by Vomit and Stool must not be stopt but gently promoted seeing it is an Humour toto genere preternatural and every way hurtful to Man But the new growth of it must be hindred as much as can be since it is bred of Blood the fewel of our vital flame and the food of all the parts of the Body as well containing as contained Among all things which move or promote excretion of Pus I prefer and commend Antimonial Medicines for I have often observed that they have not only a virtue of correcting the mischief which comes from Pus but also of hindring the breeding of new Pus for rightly prepared and administred it serves no less for the purifying of Man's Body than for purifying of Gold Also Balsamus Sulphuris Anisatus and any other stops the continual generation of Pus out of corrupt Blood if 2 or 3 drops be taken several times a day from which also the cleansing and certain healing of the Ulcer may be expected and perhaps more certainly than from any other Medicine To this end also Antimonium Diaphoreticum will conduce Sylvius de le Boe. and any other altering Medicine made of Antimony and a Balsame artificially made of its flowers Medicines especially made use of by eminent Physicians 1. To stop vomiting of Blood I gave these with success Take of Mummy 1 drachm juice of Horse-tail 1 ounce water of Plantain Horse-tail each 1 ounce and an half After the Patient had drank this cold his Bleeding and Vomiting stopt ¶ To a Woman who brought up her Menses by vomit I gave this Clyster for diversion Take of Chicken broth wherein a few Prunes Raisins and Aniseeds were boyled Cassia for Clysters 1 ounce oyl Olive of sweet Almonds Chamomil each 1 ounce common salt 1 drachm Sal Gem. half a drachm the yolk of an Egg. Mix them Make a Clyster She recovered beyond expectation with this one Remedy But every Month before her vomiting came Forestus she was bled in the Foot 2. Practitioners use to apply Remedies to the Spleen as I have observed from experience when the Patients have vomited great quantities of black Blood the vomiting has been presently stopt by this Plaster Take of Barley flower A corns root of Comfrey each 1 ounce and an half blood-Dock 2 drachms Plantain water and red
sweetned with a little Sugar is a good Remedy against Swooning ¶ The Essence of Citron Pet. Joh. Faber Coral Pearl Balm and rectified Oyl of white Amber do the same 3. I use to apply the following Plaster with good success to the region of the Heart and the Wrists Take of the Crum of Wheat bread 1 ounce Cinnamon Cloves Mace each 2 drachms Confectio Alkernes 4 Scruples Guil. Fabricius with Rose water and a little Vinegar make a Paste which spread on a Cloth and apply it 4. Take leaf Gold grind it an whole day very diligently with burnt Hartshorn Then reverberate it in a Potter's Furnace till it acquire a carnation colour As it is a Medicine easily prepared so in vertue it is very efficacious and is better than the most laborious preparations of Gold Finkius 5. Common Salt is a most excellent Remedy if the Lips be rubbed a little with it or if the Patient chew it Hofmannus or the Palms of the Hands or Soles of the Feet be rubbed therewith 6. Balm sprinkled with some odoriferous Wine heated between hot Tiles Sennertus and applied to the Region of the Heart is very good A GUIDE TO The Practical Physician BOOK XVII Of Diseases beginning with the Letter T. Tenesmus or a continual desire of going to stool without voiding any thing considerable The Contents Whether we may purge I. Whether we may Bleed II. The drying of the Vlcers with Powders III. Fasting is hurtful IV. Care must be taken to strengthen the part V. Medicines I. PUrging seems hurtful 1. Because it hinders cleansing and healing of the Ulcer 2. Because it makes the Ulceration worse which is heated and irritated thereby 3. Purgers stimulate Nature whereby the Symptome of vain desire is made worse But on the contrary oftentimes we must purge 1. It often follows a Dysentery because of some sharp corruption or peccant Humours unseasonably left behind but here Purging is requisite 2. A Tenesmus for the most part happens to Phlegmatick Persons because thick and viscid Phlegm is gathered in the Intestinum rectum but this must be removed by Purging But we must take notice that Purging is twofold one Cathartick and another Lenitive of which this latter is often required because it evacuates not from the whole but only the peccant matter in the first wayes Then we must distinguish between the causes of the Tenesmus which are often such that they stand in no need of lenitive evacuation I answer to Argument 1 of the negative part that it holds true of strong Catharticks which we do not allow To the 2. That although the Ulcer be irritated by lenitives yet the Disease is not made worse seeing the cause of that vain straining is removed by them To 3. that Nature is stimulated by Purgatives Horstius quast 6. dec 6. yet not by vain motions but to the end what things are noxious may be voided II. Seeing a Tenesmus is an affection with tension weight and sharp pain wherewith the lower part of the Belly is annoyed all which things depend upon the shaving of the Intestinum rectum we must oppose it first upon account of the matter which falls upon it according to universal precepts among which Bleeding first occurrs which must not be omitted for the medical Intentions in this Disease are to remove plenitude to cool the Liver abate the pain of the Guts to stop or prevent their Inflammation to cure the Ulcer and Laelius à Fonte if there be occasion to take off the Fever and other Symptomes All which Bleeding does III. When the Ulcer is cleansed it must be healed Among Suppositories all that are made of Metallicks are good as Ceruss Tutty Litharge Bolus Armenus Terra Lemnia and Dragons Blood But I had rather have these Powders blown in by a Servant with a Pipe or with a pair of small bellows For since the true Cure of the Ulcer is the drying of it I have observed Idem it is easilier procured by Powders than by moister Medicines IV. We may observe from Hippocrates lib. de Affectionibus that this Disease can ill endure hunger it may be because where there is meat the Guts are less raked Yet this must be rightly understood so as that crudities and mucosities may not be encreased by too much meat Fortis V. If the Patient overcome all the Symptomes of a Dysentery and the Disease be protracted a long time at length all the Guts seem to be affected in their order downwards till the Disease be thrust down into the intestinum rectum and end in a Tenesmus Upon which far otherwise than in the Dysentery when the Stools cause a most violent pain in the Guts that is the Excrements as they come down grate upon the tender Guts at this time the mucous stools are only troublesome to the lower Guts namely the rectum for then the matter is only made in it and voided from it And if so then in my opinion it will be to no purpose to endeavour a cure by abstersive glutinating and astringent Clysters according to the different times of the Ulcer as is supposed or by Fomentation Insession Fumes and Suppositories which respect the same end For it is evident this proceeds not from an Ulcer in the intestinum rectum but rather because the Guts as they recover strength by degrees by the same degrees they thrust down the reliques of the Morbifick matter into the rectum which being incessantly irritated every day scrapes off that mucous matter with which by Nature's providence the Guts are lined Therefore the part affected should be strengthned to the end it may after the manner of the other Guts utterly discharge the reliques of the Illness which now are upon yielding And this can be done only by such things as are apt to give strength to the Body For a Topical Medicine whatever it is applied to the grieved part because it is a thing aliene will weaken more by its troublesome Touch than it can strengthen The Sick therefore must have patience till by a restorative diet and some Cordial Liquor he can gain strength as which returns this Symptome of a Tenesmus will at the same pace go away of it self Sydenham Medicines especially made use of by eminent Physicians 1. This is my most approved Remedy for a Tenesmus It is a drachm or two of Syrup of Buck-thorn in Cinnamon water The Patient is certainly cured in one day now the Body is purged without trouble and when the serous Humours are voided the Patient is perfectly cured with this Remedy alone Baricellus 2. Some take Ceruss and Litharge well steeped in water and mix them well with the yelk of an Egg and Rosewater in a Mortar Alex. Benedictus and apply it with good success 3. This Fume cures the Tenesmus to a miracle Take of Mastich 1 drachm Frankincense 1 scruple Myrtle Seed 1 drachm and an half red Rose flowers