Praxis
Medicinae
Reformata
:
OR
,
THE
Practice
of
Physick
REFORMED
.
BEING
AN
Epitome
of
the
whole
Art
:
Wherein
is
briefly
shewed
,
The
true
Causes
,
Signs
,
Prognosticks
,
and
Cure
,
of
most
Diseases
.
BOOK
I.
CHAP.
I.
Of
the
Head-ach
.
THE
Head-ach
may
be
divided
into
three
Kinds
.
The
first
is
the
momentany
Head-ach
,
it
The
second
is
an
inveterate
Head-ach
,
and
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
quod
tegit
Calvarium
.
The
third
is
a
Pain
on
one
Part
of
the
Head
,
before
,
behind
,
or
on
one
side
;
this
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
from
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
There
is
little
difference
between
Cephalaea
and
Cephalalgia
;
only
per
Cephalaeam
affectae
partes
multo
redduntur
quam
in
Cephalalgia
debiliores
.
These
Distempers
are
caused
by
Halituous
Vapours
,
and
Humours
,
fuming
up
(
from
the
Stomach
and
other
Parts
)
to
the
Head
.
1.
If
the
Pain
be
external
,
so
that
the
Dura
mater
is
invaded
with
the
peccant
Humours
.
2.
If
there
be
pricking
,
distending
Pain
with
great
Pulsation
,
it
is
from
sharp
bilious
Humours
,
or
Halitus
;
but
if
the
Pain
be
heavy
,
it
is
caused
from
viscous
Phlegm
or
Melancholy
.
1.
If
a
violent
Head-ach
come
suddenly
2.
If
corrupt
waterish
Matter
or
Bloud
do
issue
out
of
the
Nostrils
,
Mouth
,
Ears
or
Eyes
,
(
especially
on
the
fourth
Day
)
the
sick
will
suddenly
recover
;
but
if
the
Pain
be
very
violent
,
and
do
suddenly
vanish
without
a
Crisis
,
't
is
doubtfull
.
3.
If
the
Pain
be
without
a
Fever
,
accompanied
with
noise
in
the
ears
,
deafness
,
or
megrim
,
with
numbness
of
the
extreme
parts
,
an
Apoplexy
or
Epilepsy
,
is
at
hand
.
4.
Those
that
have
Cholerick
stomachs
,
are
most
subject
to
a
Hemicrania
;
and
if
it
continue
long
,
it
causeth
weakness
of
the
Eyes
,
and
sometimes
blindness
.
If
the
Head-ach
proceed
from
Phlegmatick
Take
of
Vervain
,
Betony
,
Mallows
,
Mercury
Sour
things
,
and
all
that
have
a
Lixivial
salt
,
either
fixt
,
or
volatile
,
and
all
Aromaticks
do
correct
and
amend
the
viscous
Phlegmatick
humours
.
Let
these
forms
serve
for
example
.
Take
the
Waters
of
Baum
,
and
Mint
,
of
Take
salt
of
Tartar
vitriolated
half
a
drachm
;
Cream
of
Tartar
one
drachm
;
For
the
Rich
you
may
prepare
a
medicinal
Wine
.
This
may
serve
for
example
.
Take
the
Roots
of
Elicampane
,
Calamus
aromaticus
,
of
each
one
ounce
;
of
Rue
,
Sage
,
It
may
be
given
to
three
or
four
ounces
in
the
morning
fasting
,
with
twenty
drops
of
Elixir
proprietatis
,
you
may
also
give
it
by
it self
,
at
dinner
and
supper
.
When
the
Wine
is
used
,
fresh
Wine
may
be
put
to
the
Ingredients
,
for
a
second
infusion
.
But
farther
to
correct
,
and
gently
evacuate
the
viscous
Phlegmatick
humours
.
This
opening
Apozeme
is
effectual
.
Take
of
the
five
opening
Roots
of
each
two
ounces
,
Liquorish
an
ounce
and
half
;
If
there
be
need
of
stronger
Physick
you
Take
of
Extract
.
Rudii
,
pil.
foetidoe
,
Cochioe
,
of
each
half
a
drachm
;
Mercurius
dulcis
twenty
grains
;
mix
it
for
three
Doses
.
If
the
pain
be
old
and
stubborn
,
apply
Vesiccatories
to
the
Neck
,
also
Leeches
to
the
Temples
,
and
Haemorrhoids
;
or
open
the
jugular
,
or
frontal
Vein
,
which
hath
often
prov'd
effectual
.
Errhines
,
Sternutatories
and
Apophlegmatisms
may
also
be
used
,
and
Ventoses
with
Scarification
if
need
require
.
Baths
of
Sulphur
(
whether
natural
or
artificial
with
Cephalick
Herbs
)
are
good
to
bathe
the
Head
and
whole
Body
.
Some
approve
of
the
fume
of
Amber
,
taken
into
the
Mouth
and
Nostrils
.
Also
spirit
of
cranium
humanum
,
or
spirit
of
salt
Armoniack
,
held
to
the
Nose
in
a
narrow-mouth'd
Vial
,
giveth
present
ease
in
all
cold
Pains
of
the
Head
.
Also
you
may
touch
the
Nostrils
and
Temples
with
Oil
of
Amber
,
or
Nutmegs
,
or
apply
this
Epitheme
to
the
Temples
and
Forehead
with
Linnen-rags
.
Take
the
Waters
of
Vervain
and
Betony
,
of
each
one
ounce
;
Vineger
of
Roses
,
Ointment
Laudanum
opiatum
one
scruple
;
mix
it
.
Cold
distempers
of
the
head
,
may
also
be
corrected
by
hot
Cephalicks
quilted
in
a
Cap
for
the
Head
.
Take
of
sweet
Marjoram
,
Stoechas
,
Vervain
,
Before
you
put
it
on
,
let
the
Hair
be
shaved
close
,
and
the
Head
gently
rub'd
for
some
time
,
the
better
to
open
the
pores
.
Let
the
Sick
abstain
from
fat
and
viscous
Food
,
and
let
the
mind
be
compos'd
to
chearfulness
.
If
the
Juice
of
the
Pancreas
abounding
in
the
Body
,
be
over
sour
,
it
causeth
a
vitious
Effervescency
,
being
oppos'd
by
Choler
and
Phlegm
in
the
small
guts
;
from
whence
sour
and
ungratefull
vapours
may
be
sent
to
the
Stomach
,
and
thence
to
the
Head
.
If
the
humours
be
over
sour
,
the
sense
of
This
distemper
is
to
be
cur'd
by
giving
Those
things
abounding
with
either
a
lixivial
or
volatile
salt
,
do
powerfully
destroy
this
acid
Juice
;
as
Pearl
,
Crabs-eyes
,
Coral
,
Chalk
,
Amber
,
Bloud-stone
,
Filings
of
steel
,
&c.
Take
this
as
a
form
of
a
Powder
.
Take
of
Crabs-eyes
,
Pearl
,
red
Coral
prepar'd
,
Take
Waters
of
Baum
and
Mint
,
of
each
I
prescribe
no
Purgers
in
this
Distemper
,
because
I
am
taught
by
large
Experience
,
that
the
sour
Humours
in
the
Body
may
be
stirr'd
up
indeed
,
but
not
purg'd
,
unless
with
very
great
gripes
,
which
will
doe
more
hurt
,
●●an
good
.
The
encre●●e
of
the
acid
Juice
,
may
be
pr●●●nted
by
abstaining
from
the
use
of
ac●●●
▪
Let
the
Patient's
diet
be
moist
,
and
fatty
,
as
fat
Broths
,
Jellies
aromatiz'd
,
&c.
When
the
Head-ach
proceedeth
from
a
hot
cause
,
if
the
Patient
be
costive
,
first
give
this
Clyster
.
Take
of
Mercury
,
Violets
,
Lettice
,
Mallows
,
Dandelion
,
of
each
one
handfull
;
Damask
After
its
operation
,
you
may
open
a
Vein
and
draw
eight
or
nine
ounces
of
bloud
.
Some
Authours
will
not
consent
to
Phlebotomy
in
any
Head-ach
,
except
the
Pain
be
intollerable
;
but
I
have
had
sufficient
Experience
,
that
it
may
be
done
safely
in
any
Pain
of
the
Head
.
Elixir
proprietatis
,
taken
in
Wormwood-wine
,
to
the
quantity
of
half
a
drachm
at
a
time
,
a
little
before
meat
,
doth
wonderfully
conduce
to
amend
the
vitious
quality
of
Choler
.
Choler
may
be
evacuated
by
vomit
,
most
commodiously
by
Antimonial
preparations
.
Take
of
the
infusion
of
Crocus
Metallorum
one
ounce
;
Oximel
of
Squills
half
an
ounce
.
Give
it
in
the
morning
.
But
if
the
Patient
be
averse
to
vomiting
,
the
Choler
may
be
evacuated
by
stool
,
by
this
or
the
like
Cathartick
.
Take
of
Baum-water
one
ounce
,
Cinamon-water
two
drachms
,
Syrup
of
Roses
solutive
,
Also
these
most
gratefull
Tablets
of
Scammony
may
be
prepared
,
and
kept
for
use
.
Take
Cristals
of
Tartar
two
ounces
;
Scammony
one
ounce
;
white
Sugar
four
Half
a
drachm
of
these
Troches
may
be
given
to
a
Child
with
carefull
governing
;
a
Man
or
Woman
may
take
two
drachms
of
them
.
They
who
are
fearfull
of
Scammoniats
,
though
safe
and
potent
,
let
them
take
the
following
infusion
.
Take
of
choice
Rhubarb
two
drachms
;
Cream
of
Tartar
one
drachm
;
infuse
them
Take
the
Pulp
of
Damask-prunes
ten
ounces
;
Powder
of
Scammony
,
Cream
of
Tartar
,
The
Dose
is
from
two
drachms
,
to
half
an
ounce
,
taken
either
in
a
Bolus
,
or
dissolved
in
a
sufficient
quantity
of
Endive-water
,
or
any
other
convenient
vehicle
.
These
excellent
Medicines
do
not
onely
purge
Choler
abounding
,
but
purify
the
Bloud
and
other
Humours
;
and
here
we
may
note
,
that
if
a
purging
Medicine
do
not
operate
according
to
Expectation
,
it
may
safely
If
the
Head-ach
be
accompanied
with
a
great
Fever
,
and
Thirst
be
augmented
;
the
following
Medicines
will
much
conduce
to
asswage
it
.
Take
of
Barley-water
two
pints
;
Cinamon-water
two
ounces
;
Syrup
of
Violets
four
This
Tincture
is
also
very
effectual
Take
of
Barley-water
two
pints
;
Red-rose-buds
If
an
Emulsion
may
please
better
,
take
this
following
form
.
Take
of
sweet
Almonds
one
ounce
;
the
You
may
also
have
a
little
fine
Sugar
,
and
salt
Prunella
equally
mixt
,
which
may
be
kept
in
the
Mouth
,
to
deceive
the
Thirst.
But
where
rest
is
hindred
by
the
Choler
abounding
,
and
cannot
be
obtain'd
by
the
Emulsion
,
which
gently
procureth
sleep
;
you
may
dissolve
two
grains
of
Laudanum
opiat
.
in
two
or
three
spoonfulls
of
it
,
and
give
it
at
night
;
or
you
may
order
this
or
the
like
Julep
.
Take
the
Waters
of
Lettice
,
Water-lillies
of
each
two
ounces
;
Syrup
of
red
Poppies
Laudanum
opiatum
four
grains
;
Oil
of
Vitriol
six
drops
;
mix
it
,
and
give
four
spoonfulls
of
it
to
cause
sleep
.
This
Epitheme
may
be
applied
to
the
Temples
,
and
Fore-head
with
Linnen-rags
.
Take
the
Oils
of
Violets
,
and
Water-lillies
of
each
half
an
ounce
;
the
waters
of
red
Roses
,
You
may
also
anoint
the
Temples
and
Fore-head
with
this
Ointment
.
Take
the
Ointment
of
Alabaster
,
Populion
,
Let
the
Patient's
diet
be
Mutton
or
Veal-broth
without
salt
.
When
a
salt
Catarrh
,
or
the
like
spittle
is
the
cause
of
Thirst
augmented
,
you
may
administer
a
Pill
of
Styrax
,
or
Cynoglosson
,
which
will
temperate
the
saltness
of
the
humours
;
and
if
salt
serous
matter
abound
in
the
Bloud
,
you
may
purge
it
by
Stool
and
Urine
,
for
which
there
are
variety
of
Medicines
prescrib'd
in
the
Chapter
of
Catarrhs
.
CHAP.
II.
Of
the
Palsie
,
and
Apoplexy
.
THE
Palsie
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
quod
a
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
i.
e.
a
solvendo
,
eo
quod
nervorum
genus
resolutum
,
facultate
animi
defluere
prohibita
sensu
motuque
destituatur
.
It
may
be
also
called
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
i.
e.
dimidia
Apoplexia
.
In
Latin
it
is
called
nervorum
resolutio
vel
relaxatio
.
It
is
a
Privation
of
sense
and
motion
of
one
side
of
the
Body
,
or
of
some
particular
part
.
The
Apoplexy
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
In
Latin
't
is
called
stupor
corporis
,
it
being
an
Abolition
of
sense
and
motion
through
the
whole
Body
.
The
parts
affected
are
the
Brain
,
Spinalis
medulla
and
Nerves
;
the
motion
of
the
Animal
spirits
through
them
being
deprav'd
.
The
causes
are
either
external
,
or
internal
.
The
external
is
much
cold
and
moisture
,
It
is
the
opinion
of
most
eminent
Physicians
both
ancient
and
modern
;
that
the
Animal
spirits
being
severed
from
the
Bloud
in
the
Brain
,
&c.
are
from
thence
carried
through
all
the
Nerves
to
exercise
the
external
senses
and
Animal
motion
;
which
is
continual
and
equal
in
healthy
persons
,
but
changeable
and
unequal
,
according
to
the
divers
diseases
of
the
Body
or
Mind
.
Wherefore
when
no
Animal
spirits
are
carried
to
the
Organs
of
the
external
Senses
,
or
Animal
motion
;
the
functions
of
seeing
,
smelling
,
tasting
,
hearing
and
touching
:
and
the
sense
of
heat
,
as
also
of
motion
in
the
Palsie
and
Apoplexy
,
cease
all
that
time
.
The
Signs
of
the
Palsie
are
manifest
;
to
wit
,
deprivation
of
sense
and
motion
of
the
(
viz.
of
that
side
affected
)
is
much
weakned
,
and
deprav'd
.
The
signs
of
the
Apoplexy
approaching
are
these
,
a
sudden
crying
out
for
help
,
with
an
abolition
of
sense
and
motion
.
1.
If
the
Palsie
,
or
Apoplexy
do
invade
the
sick
in
the
decrease
of
the
Moon
,
and
the
Patient
2.
If
the
sick
do
snort
,
and
is
droughty
,
and
cast
spume
or
froth
out
of
the
Mouth
,
and
have
great
sweat
with
difficult
breathing
,
't
is
mortal
.
But
if
the
Person
be
young
,
and
a
strong
Fever
immediately
happen
,
't
is
a
good
sign
;
for
the
Fever
consumes
the
superfluous
moisture
,
and
makes
a
Dissipation
of
the
gross
and
phlegmatick
Matter
.
3.
A
Palsie
coming
after
the
Apoplexy
is
ill
,
and
many
times
turns
to
the
Apoplexy
again
.
When
any
of
the
extreme
parts
be
Paralytical
,
To
this
end
I
commend
this
following
Form
.
Take
of
Treacle-water
one
ounce
;
Fennel-water
,
Laudanum
opiat
.
three
grains
;
Spirit
of
salt
Armoniack
twenty
drops
;
Oil
of
Cloves
four
drops
;
mix
it
,
give
the
sick
three
or
four
spoonfulls
of
it
,
and
expect
to
sweat
,
being
meanly
covered
;
and
a
spoonfull
every
half
hour
afterward
,
till
the
sweat
break
forth
;
then
give
them
some
pure
Broth
,
with
a
little
Wine
in
it
,
whereby
strength
may
be
recreated
,
and
the
Patient
enabled
to
bear
a
Sweat
longer
;
for
nothing
so
much
helps
the
sick
as
a
sweat
continued
mildly
a
while
,
which
experience
hath
often
taught
me
.
For
by
the
help
of
this
spirituous
,
and
volatile
,
and
also
Aromatick
medicine
,
or
one
like
it
,
the
troublesome
Cold
,
and
dulness
of
motion
are
discust
.
They
who
let
bloud
in
this
Distemper
caused
But
when
phlegmatick
and
watry
Humours
stick
about
the
Nerves
,
&c.
And
too
much
moistening
and
loosening
their
Membranes
and
Marrow
,
be
the
cause
of
the
Palsie
and
Apoplexy
,
and
if
the
same
humours
much
abound
in
the
Body
;
then
Phlegmagogues
,
and
Hydragogues
may
conduce
to
the
Cure
,
after
Clysters
,
and
internal
Aromatick
Sudorificks
.
Wherefore
to
begin
the
Cure
of
this
;
you
may
first
give
this
or
the
like
Clyster
,
which
must
be
made
strong
.
Take
of
sweet
Marjoram
,
Betony
,
Sage
,
Penny-royal
,
pil.
Cochioe
twenty
grains
;
common
Salt
one
drachm
;
Oil
of
Rue
two
ounces
;
mix
it
for
a
Clyster
.
The
next
day
(
if
the
sick
have
a
Plethorick
body
)
you
may
draw
bloud
from
either
arm
,
to
eight
or
nine
ounces
.
If
Phlebotomy
cannot
be
done
,
apply
Ventoses
with
Scarification
to
the
shoulders
;
afterward
sweat
the
Patient
with
the
aforesaid
Sudorifick
.
Sometimes
Suppositories
may
be
used
in
stead
of
Clysters
.
This
may
serve
for
Example
.
Take
the
Powders
of
Coloquintida
,
Salt-niter
,
Let
this
,
or
such
a
like
form
of
Pills
serve
.
Take
the
Gums
Amoniacum
,
and
Galbanum
,
of
each
two
drachms
;
dissolve
them
in
Vineger
Let
the
sick
take
five
or
six
small
Pills
of
this
in
the
morning
fasting
,
and
an
hour
after
drink
some
thin
broth
.
If
the
humours
be
more
serous
,
I
commend
this
Electuary
.
Take
Juniper-berries
one
pound
;
boil
them
in
six
pints
of
Fennel-water
,
till
The
dose
of
this
effectual
Medicine
,
is
to
half
an
ounce
,
to
people
of
age
;
a
Child
may
take
from
half
a
drachm
,
to
a
drachm
,
either
by
it self
,
or
dissolv'd
in
Whey
,
or
Parsley-water
,
or
in
any
other
convenient
Vehicle
.
After
universal
evacuation
hath
been
made
,
and
the
Patient's
stomach
be
still
nauseous
,
this
vomit
may
safely
be
given
.
Take
the
Infusion
of
Crocus
metallor
.
Vinegar
Take
the
Waters
of
Sage
,
Couslips
,
Lillies
To
correct
a
slow
ferment
,
and
also
to
amend
Phlegmatick
viscous
humours
,
a
Medicinal
Wine
may
be
prepared
for
the
rich
,
in
this
form
.
Take
the
Roots
of
Galangal
,
Elecampane
,
The
sick
may
drink
of
this
Physick-wine
at
dinner
and
supper
,
adding
to
every
draught
,
five
or
six
drops
of
Elixir
proprietatis
.
When
the
wine
is
almost
consum'd
,
more
may
be
poured
on
,
till
it
cease
to
be
Aromatical
.
External
means
for
the
Palsie
,
and
Apoplexy
are
also
to
be
used
.
Bathing
is
much
commended
,
both
natural
and
artificial
;
and
how
excellent
it
is
daily
experience
doth
manifest
.
This
artificial
Bath
,
or
one
like
it
,
may
be
prescrib'd
,
where
a
natural
sulphureous
or
nitrous
Bath
cannot
be
had
.
Take
Sage
,
Penny-royal
,
Betony
,
Organ
,
Let
the
sick
be
well
bathed
with
this
as
often
as
strength
will
permit
.
After
bathing
,
anoint
the
hinder
part
of
the
Head
and
Neck
,
and
down
the
Vertebra
of
the
Back
with
this
Oil
;
upon
which
let
a
Fox-skin
drest
be
worn
.
Take
Chymical-oils
,
of
Juniper-berries
,
This
plaister
may
be
applyed
to
the
Head
.
Take
Galbanum
,
Opopanax
,
of
each
half
an
ounce
;
Mustard-seed
,
white
Pepper
,
Euphorbium
,
Or
you
may
make
the
quilted
Cap
as
is
prescrib'd
in
page
6.
to
wear
constantly
;
Oil
of
Nutmegs
is
good
to
embrocate
the
Ears
and
Nostrils
;
also
Errhines
,
Sternutatories
,
and
Apophlegmatisms
may
be
used
with
good
success
.
Take
Castor
,
sweet
Marjoram
,
Betony
,
Let
the
Patient's
diet
be
such
as
may
not
breed
Phlegm
,
and
let
it
be
thin
and
spare
,
as
Water-gruel
,
in
which
boil
some
Mace
;
or
you
may
make
Broth
of
Mutton
,
&c.
in
which
boil
Sage
,
Rosemary
,
Time
,
sweet
Marjoram
,
Couslips
,
&c.
Of
this
broth
you
may
make
Panado's
with
the
Crums
of
white
Bread
,
and
the
Yelk
of
an
Egg.
Let
Anise-seed
,
or
sweet
Fennel-seed
be
baked
with
the
bread
.
Abstain
from
all
clammy
Diet
,
as
Fish
and
Milk
,
&c.
and
eat
little
or
no
supper
.
CHAP.
III.
Of
Convulsions
,
and
the
Epilepsie
.
THE
Cramp
or
Convulsion
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
in
Latin
Convulsio
.
It
is
a
very
painfull
,
involuntary
Contraction
of
the
Nerves
and
Muscles
towards
their
Original
.
There
are
generally
two
sorts
of
Convulsions
.
viz.
A
true
Convulsion
,
and
a
Convulsive
motion
.
A
true
Convulsion
is
either
universal
or
particular
.
Of
the
universal
there
are
three
Kinds
.
The
first
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
in
Latin
tentio
ad
anteriora
;
when
the
Body
and
Head
is
drawn
forward
.
The
second
is
called
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
and
in
Latin
tentio
ad
posteriora
when
the
Head
and
Body
is
drawn
backward
The
third
is
called
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
in
Greek
,
and
distentio
in
Latin
,
in
this
the
whole
Body
is
inflexible
.
The
particular
convulsions
are
various
.
If
it
be
in
the
Eye
,
it
is
called
strabismus
.
That
of
the
Mouth
,
is
call
tortura
oris
,
&c.
The
Falling-sickness
or
Epilepsie
,
is
called
It
is
called
also
in
Latin
Epilepsia
vel
invasio
;
item
morbus
hominem
ita
invadens
,
ut
retineat
&
sistat
sensuum
actiones
,
because
the
mind
and
senses
in
this
disease
are
suddenly
surprized
.
It
may
be
called
morbus
caducus
,
a
cadendo
,
or
morbus
puerilis
because
it
is
most
subject
to
Children
;
or
more
properly
noverca
puerorum
,
quod
eos
male
tractat
.
It
is
also
called
Herculeus
,
&
Elephantiasis
a
magnitudine
,
because
it
is
difficult
to
cure
.
Some
call
it
morbus
lunaticus
,
because
the
sick
are
most
subject
to
the
fits
at
the
change
of
the
moon
;
but
enough
of
the
Names
.
The
Epilepsie
is
an
universal
Cramp
or
Convulsion
of
the
whole
Body
,
with
deprivation
of
sense
and
motion
in
the
time
of
the
fit
.
The
parts
affected
are
not
onely
the
Brain
,
Cerebellum
and
Spinalis
medulla
,
but
all
the
The
causes
are
either
external
or
internal
.
The
external
,
may
be
by
the
biting
of
some
venemous
Creature
;
or
by
a
wound
or
puncture
of
a
Nerve
or
Tendon
.
Sometimes
it
may
be
caused
by
surfeiting
or
drunkenness
;
and
also
by
the
taking
of
Hellebor
,
&c.
It
may
be
also
caused
by
a
mineral
Gas
fuming
from
the
Mines
of
Lead
,
or
Antimony
,
&c.
which
infecteth
the
Air
with
noxious
metalline
exhalations
of
a
venemous
malignity
;
which
is
many
times
the
cause
of
Convulsions
,
as
they
can
tell
by
experience
,
that
live
near
those
Mines
.
The
internal
causes
are
acrimonious
and
flatuous
Vapours
,
rising
from
the
small
guts
,
because
of
over
viscous
Phlegm
,
and
the
over
acidity
and
tartness
of
the
Juice
of
the
Pancreas
,
which
causeth
a
vitious
effervescency
of
the
humours
,
by
which
the
Lympha
is
also
rendred
very
sharp
.
These
sour
flatuous
Vapours
continually
ascending
to
the
Head
,
together
with
the
spirituous
substance
of
the
Bloud
,
and
going
forward
into
the
Ventricles
of
the
Brain
,
and
Cerebellum
,
and
so
to
the
first
spreading
of
the
Nerves
;
and
corroding
them
,
causeth
an
inordinate
agitation
,
and
very
fierce
motion
of
the
Animal
spirits
;
and
by
a
continual
and
grievous
Irritation
,
urging
about
the
beginning
of
the
Spinalis
medulla
,
is
the
cause
of
an
universal
Convulsion
,
or
Epileptick-fit
,
in
which
all
the
Muscles
of
the
Body
are
most
vehemently
contracted
.
The
Irritation
in
a
particular
Convulsive
motion
or
the
Cramp
,
which
may
be
oft
observ'd
in
the
thigh
or
leg
,
and
other
extreme
parts
,
may
be
also
ascrib'd
to
the
same
sharp
and
sour
flatuous
Vapours
,
carried
to
the
beginning
of
the
Nerves
and
Tendons
of
the
said
Members
,
fretting
and
gnawing
them
sometimes
with
great
pain
.
The
signs
of
Convulsions
are
manifest
.
The
preceding
signs
of
the
Epilepsie
,
are
trembling
,
sadness
,
fearfulness
,
vertigo
,
numness
,
debility
of
the
senses
,
troublesome
sleep
,
with
great
pain
of
the
Head
.
The
signs
of
the
Epilepsie
presently
approaching
,
are
a
vehement
shaking
of
the
whole
Body
,
foming
at
the
Mouth
,
and
a
sudden
deprivation
of
all
the
Animal
functions
.
1.
A
Convulsion
or
Epilepsie
,
being
hereditary
,
is
incurable
.
2.
If
a
pregnant
Woman
be
taken
with
either
of
them
,
it
is
very
dangerous
;
and
also
after
Abortion
.
3.
Children
are
most
subject
to
these
diseases
,
because
they
abound
with
abundance
of
moisture
,
and
flatulent
Vapours
in
the
Brain
;
and
because
they
have
Nervorum
poros
angustos
,
whereby
the
Brain
is
easily
filled
with
such
vapours
;
and
therefore
we
see
that
Children
are
often
troubled
with
them
,
young
People
more
rarely
,
and
old
Folks
but
seldom
;
and
we
find
that
Children
better
suffer
them
than
either
of
the
other
,
who
frequently
die
of
these
fits
,
especially
of
the
Epilepsie
,
when
in
their
falling
there
follows
snorting
,
gnashing
of
the
teeth
,
a
ghastly
countenance
,
much
some
at
the
Mouth
,
involuntaria
seminis
effusio
,
and
great
cryings
out
.
4.
Of
all
the
kind
of
Convulsions
,
Tetanos
is
the
most
difficult
to
cure
;
because
it
is
(
as
it
were
)
composed
of
the
other
two
kinds
;
but
if
a
fever
happen
in
this
or
any
other
Convulsion
,
the
sick
will
suddenly
recover
,
because
a
fever
dissolveth
it
;
but
if
a
Convulsion
should
succeed
a
fever
,
it
is
very
dangerous
,
especially
from
a
wound
,
or
proceeding
from
venemous
matter
.
So
likewise
it
is
very
dangerous
if
it
be
caused
by
taking
of
Hellebor
.
When
a
particular
Convulsion
is
caused
Ambrose
Parey
adviseth
in
his
ninth
Book
,
Chap.
11.
of
which
I
have
had
large
experience
with
good
success
.
The
like
course
may
be
taken
with
all
other
wounds
of
the
nervous
parts
.
But
if
the
wound
of
the
Nerve
or
Tendon
yield
not
to
this
medicine
,
the
same
is
to
be
cut
asunder
cross-ways
,
seeing
it
is
safer
to
lose
the
action
of
one
part
,
than
that
the
sick
should
be
exposed
to
the
danger
of
a
deadly
Convulsion
.
When
the
Nerves
or
Tendons
of
the
Muscles
are
prickt
by
sharp
splinters
of
bones
,
the
grievous
pains
succeeding
,
soon
cause
a
particular
Convulsion
of
that
part
,
and
at
length
an
universal
Convulsion
will
attend
the
Patient
,
if
there
be
not
speedy
help
.
Wherefore
if
possible
,
the
sharp
fragments
of
the
bone
must
be
cut
away
;
or
if
this
have
been
neglected
,
or
could
not
be
done
,
and
an
universal
Convulsion
be
feared
,
you
must
hasten
to
amputation
of
the
member
;
For
,
Necessitas
non
habet
legem
.
If
a
particular
Convulsion
be
occasion'd
by
a
hot
Tumour
or
any
other
sharp
pain
,
which
hath
rais'd
an
inflammation
;
let
the
pain
be
diminisht
as
well
by
internal
,
as
external
Anodines
and
Narcoticks
,
to
allay
the
over
encreas'd
motion
of
the
Animal
spirits
.
To
this
end
you
may
give
the
sick
two
or
three
grains
of
Laudanum
opiat
.
at
a
time
,
either
in
a
Pill
,
or
dissolve
it
in
a
little
Wine
or
other
convenient
Vehicle
.
And
if
the
ingenious
and
judicious
Physician
,
or
Chyrurgeon
,
do
add
a
little
volatile
Salt
,
either
of
Animals
or
Vegetables
,
to
his
topical
Medicaments
,
whether
fomentations
,
Cataplasms
,
or
Ointments
,
he
will
wonder
at
the
incredible
benefit
;
for
by
the
help
thereof
the
Tumour
will
be
mollified
and
dissolved
,
the
internal
obstruction
loosned
,
and
the
pain
eased
.
If
a
Convulsion
be
caused
by
the
taking
of
Hellebor
,
or
any
other
venemous
matter
;
administer
an
Antimonial
vomit
with
all
speed
.
But
if
it
be
a
Child
,
give
it
ten
grains
of
Salt
of
Vitriol
,
or
half
an
ounce
of
Oxymel
of
Squills
,
with
a
drachm
of
Oil
of
Almonds
.
After
the
operation
of
the
Emetick
,
(
and
also
at
other
times
)
you
may
give
some
of
this
Julep
.
Take
of
Black-cherry-water
,
the
Water
of
Having
briefly
hinted
at
the
Cure
of
particular
Convulsions
;
I
come
now
to
those
more
universal
,
as
likewise
Convulsive
motions
,
and
the
Epilepsie
.
And
seeing
there
is
little
difference
,
in
the
remote
causes
of
them
in
the
Body
;
these
diseases
may
(
for
the
most
part
)
be
cured
with
the
same
Remedies
.
1.
First
then
the
peccant
humours
are
to
be
temper'd
,
and
diminisht
.
2.
The
rising
of
vapours
is
to
be
hindred
,
and
their
expulsion
procur'd
by
sweat
,
or
insensible
transpiration
:
By
which
the
over
motion
of
the
Animal
spirits
will
be
restrain'd
and
brought
to
tranquillity
,
that
is
a
more
quiet
motion
.
All
Aromaticks
,
and
all
things
abounding
with
either
a
fixt
or
volatile
Salt
,
do
not
onely
correct
,
and
by
cutting
amend
the
viscous
phlegmatick
humours
;
but
do
powerfully
temper
and
destroy
the
over
acidity
and
tartness
of
the
juice
of
the
Pancreas
.
To
temper
and
diminish
these
humours
,
I
commend
these
medicines
.
Take
the
Roots
of
Male-peony
,
Valerian
,
Elixir
proprietatis
,
of
each
six
drops
.
Also
you
may
give
the
Patient
half
a
drachm
of
the
following
powder
in
three
or
four
spoonfulls
of
this
Infusion
,
with
the
aforesaid
Spirit
and
Elixir
.
Take
of
Crabs-eyes
,
Salt
of
Tartar
vitriolated
,
Salt
prunella
,
of
each
half
an
ounce
;
volatile
Salt
of
Harts-horn
,
Salt
of
Amber
,
of
Man's
skull
prepar'd
,
of
each
two
drachms
;
make
it
into
a
fine
powder
,
which
may
be
taken
half
a
drachm
at
a
time
,
morning
and
evening
.
The
peccant
humours
being
temper'd
and
diminisht
,
by
the
frequent
use
of
the
abovesaid
medicines
;
the
inordinate
,
involuntary
and
impetuous
motion
of
the
Animal
spirits
,
(
in
Convulsive
and
Epileptick
fits
)
will
be
the
better
reduc'd
to
a
calm
and
voluntary
motion
,
by
the
help
of
volatile
and
spirituous
Sudorificks
,
mixt
with
Anodines
,
and
Narcotick
medicines
us'd
in
a
small
quantity
,
and
at
times
;
which
two
will
be
expedient
to
be
given
together
,
because
then
they
will
the
better
circulate
to
the
Animal
spirits
,
and
temper
and
educe
the
hurtfull
flatuous
Vapours
.
For
which
I
commend
the
following
form
.
Take
of
Treacle-water
,
Fennel-water
,
of
each
one
ounce
;
Syrup
of
Peony
,
Syrup
of
Laudanum
opiat
.
four
grains
;
Tincture
of
Castor
one
drachm
;
Oil
of
Cloves
three
drops
;
Spirit
of
Salt
Armoniack
ten
drops
;
mix
it
,
and
let
the
sick
take
it
,
being
well
cover'd
with
cloths
,
whereby
the
sweat
will
the
easier
come
forth
.
If
the
Body
be
costive
,
let
it
be
made
soluble
by
a
Clyster
,
or
Suppository
;
such
as
is
prescrib'd
in
the
cure
of
the
Apoplexy
.
As
often
as
the
Stomach
is
naufeous
,
or
the
sick
inclines
to
vomiting
;
let
the
Emeticks
before
mention'd
be
carefully
administred
;
and
likewise
three
or
four
days
before
the
full
of
the
moon
.
But
if
the
sick
be
averse
to
vomiting
,
and
Pills
or
Potions
are
more
acceptable
,
take
the
following
as
Examples
.
Take
of
Extract
.
Rudij
,
pil.
foetidoe
ex
duobus
,
Also
this
purging
Infusion
is
very
effectual
.
Take
of
the
best
Senna
,
Rhubarb
,
and
Cream
of
Tartar
,
of
each
an
ounce
and
half
;
Let
the
sick
take
four
ounces
of
this
purging
Infusion
every
morning
,
whereby
the
viscous
humours
and
flatuous
Vapours
may
be
both
corrected
,
and
also
evacuated
gently
by
degrees
.
If
bloud
abound
,
let
a
Vein
be
opened
;
in
Women
open
the
Saphoena
in
either
Foot
,
but
in
Men
you
may
apply
Leeches
to
the
Hemorrhoidal
Veins
.
&c.
Bathing
hath
been
often
us'd
(
with
good
success
)
in
these
diseases
.
A
natural
sulphureous
Bath
,
such
as
is
in
the
City
of
Bath
,
is
excellent
;
but
when
it
is
not
to
be
had
,
an
artificial
Bath
may
serve
.
That
which
is
set
down
in
the
Cure
of
the
Palsie
and
Apoplexy
,
is
of
excellent
Virtue
,
and
very
effectual
in
these
distempers
.
After
bathing
,
let
the
Spina
Dorsi
,
and
other
affected
parts
be
anointed
with
the
following
Ointment
.
Take
the
Oils
of
Euphorbium
,
Rue
,
Castor
,
Issues
are
approved
of
,
either
in
the
Neck
,
or
Arm
;
also
Ventoses
with
Scarification
,
Sternutatories
,
Errhines
and
Masticatories
are
all
commended
.
This
Masticatory
may
serve
for
Example
.
Take
the
Roots
of
Pellitory
of
Spain
,
Ginger
,
Calamus
aromaticus
,
of
each
one
ounce
;
Mustard-seed
;
all
sorts
of
Pepper
,
Nutmegs
,
Castor
,
Mastick
,
of
each
half
an
ounce
;
beat
them
all
into
fine
Powder
,
and
with
fine
Honey
boild
into
a
Syrup
,
make
them
into
Troches
according
to
Art
.
When
they
are
drie
you
may
chew
them
one
after
another
,
when
you
please
to
draw
the
Rheum
out
of
the
Mouth
.
When
the
fit
is
coming
,
or
upon
the
party
,
blow
up
some
Sneezing-powder
into
the
Nostrils
,
or
the
Smoak
of
Tobacco
into
the
Mouth
.
Embrocate
the
Temples
,
Fore-head
and
Nostrils
with
Oil
of
Amber
;
and
hold
the
Spirit
of
Salt
Armoniack
to
the
Nose
,
in
a
Narrow-mouth'd
viol
.
Make
a
noise
in
the
Ears
;
and
let
the
sick
be
kept
in
a
light
Room
,
with
the
Head
upright
.
Let
the
teeth
be
kept
open
with
a
stick
,
or
rather
with
a
little
viscus
quercinus
,
if
it
may
be
had
.
Let
the
soles
of
the
feet
be
well
rub'd
with
Salt
and
Vineger
;
also
Frictions
and
Ligatures
may
be
used
in
the
parts
affected
.
Some
commend
a
Pigeon
cut
asunder
,
and
applied
hot
to
the
Navel
;
for
hereby
the
venemous
halituous
Vapours
are
partly
drawn
away
.
I
might
add
variety
of
medicines
for
the
cure
of
these
diseases
;
but
those
before
mentioned
are
sufficient
to
give
light
to
the
ingenious
Artist
,
who
knows
how
to
prepare
diversity
of
them
,
as
well
milder
for
Infants
and
Children
,
as
stronger
for
Adults
.
I
will
therefore
prescribe
a
powder
to
preserve
Children
from
Convulsive
and
Epileptick-fits
,
and
so
conclude
this
Chapter
.
Take
the
Roots
of
Peony
,
Valerian
,
of
You
may
give
a
Child
twenty
grains
of
this
powder
with
a
little
Oil
of
sweet
Almonds
,
so
soon
as
it
is
born
,
which
may
happily
preserve
it
from
Convulsions
,
and
Epileptick
fits
.
And
because
obstructions
of
the
Belly
in
Children
,
exposeth
them
to
flatuous
Vapours
,
and
Gripings
,
and
so
consequently
to
Convulsive
and
Epileptick-fits
;
I
advise
you
to
keep
the
Belly
open
,
either
with
a
little
Manna
,
or
a
Carminative
Clyster
,
so
often
as
you
see
convenient
.
Let
the
sick
live
in
a
serene
Air
,
and
abstain
from
all
food
that
breeds
bad
nourishment
,
and
flatulent
Vapours
.
CHAP.
IV.
Of
the
Night-mare
,
and
Vertigo
.
I
Shall
treat
of
these
two
distempers
in
one
Chapter
,
because
if
either
of
them
continue
long
;
they
are
Forerunners
of
the
Palsie
,
or
Apoplexy
,
and
sometimes
Convulsions
,
or
Epilepsie
.
The
Night-mare
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
It
is
called
the
Night-mare
,
because
it
oppresseth
the
sick
in
the
Night
,
at
which
time
they
think
that
some
great
weight
lieth
upon
them
,
by
which
they
seem
to
be
almost
suffocated
.
It
happens
most
commonly
after
the
first
sleep
,
whereby
the
party
oppressed
,
is
deprived
of
speech
and
motion
,
and
sometime
breathing
for
a
time
.
When
the
fit
is
upon
the
sick
,
they
do
imagine
that
some
Witch
or
Hag
lieth
hard
on
their
Breast
or
Stomach
,
(
from
whence
it
hath
also
acquired
that
Name
)
in
which
they
cannot
stir
,
nor
call
for
help
,
though
they
have
a
great
desire
,
and
do
strive
very
much
to
cry
out
,
but
are
possessed
with
a
panick
fear
.
The
cause
of
this
distemper
,
is
most
commonly
The
giddy
motion
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
i.
e.
obscuritas
oculorum
.
In
Latin
't
is
called
Vertigo
,
ex
vertendo
quod
Caput
vertere
videtur
.
In
this
disease
the
Animal
spirits
are
wrong
mov'd
,
which
makes
the
sick
believe
that
not
onely
all
things
they
look
on
,
go
in
a
Circuit
about
,
but
their
Head
and
other
parts
,
seem
to
turn
round
;
which
many
times
causeth
them
to
be
in
danger
of
falling
,
or
tumbling
headlong
.
The
cause
of
the
giddy
motion
,
is
either
The
external
are
either
an
intent
looking
at
any
object
that
turns
round
,
or
about
,
especially
if
very
remote
;
or
a
frequent
turning
about
of
the
Body
it self
.
The
internal
cause
,
is
the
ascent
of
flatuous
Vapours
to
the
Head
,
together
with
the
spirituous
part
of
the
Bloud
,
and
carried
with
the
Animal
spirits
,
into
the
passages
of
the
Brain
,
and
Cerebellum
;
by
which
the
motion
of
wheeling
about
is
communicated
to
the
Animal
spirits
,
and
anon
carried
to
the
Cristalline
humour
of
the
Eyes
,
by
the
Optick
nerves
;
and
so
a
Giddiness
seems
to
be
produc'd
.
For
the
Cure
of
these
diseases
;
seeing
they
are
the
Forerunners
of
the
Apoplexy
,
and
Epilepsie
;
I
refer
you
to
those
excellent
Medicines
prescrib'd
for
the
Cure
of
them
.
Let
such
as
are
subject
to
these
distempers
,
be
very
sparing
in
their
diet
;
let
them
avoid
all
Herbs
,
Roots
and
Fruits
,
that
are
windy
;
and
all
viscous
and
gross
diet
,
such
as
is
of
hard
Concoction
.
Let
the
external
Causes
be
remov'd
,
and
the
internal
causes
corrected
.
Sublata
causa
tollitur
effectus
.
CHAP.
V.
Of
the
Lethargy
Coma
,
Carus
,
and
Catalepsie
or
Catocus
.
THE
Lethargy
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
id
est
,
ab
oblivione
&
inertia
.
Because
in
this
disease
,
the
sick
is
very
forgetfull
and
slothfull
.
In
this
distemper
,
there
is
a
very
great
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
sopor
altus
,
is
an
insatiable
inclination
to
sleep
;
the
sick
being
called
unto
,
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
is
called
in
Latin
crapularis
redundantia
;
because
it
is
sometimes
caused
It
is
deep
and
profound
sleep
,
whereby
imagination
,
sense
and
motion
are
all
depraved
.
In
these
there
is
no
Fever
,
in
which
they
differ
from
the
Lethargy
.
Catalepsis
,
vel
Detentio
,
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
which
signifies
a
with-holding
,
or
restraining
,
because
in
this
distemper
,
the
mind
,
with
the
senses
,
and
motion
are
all
suddenly
surprized
,
so
that
the
sick
remain
stiff
,
and
immoveable
,
in
the
very
same
posture
in
which
they
were
taken
,
with
their
Eyes
open
.
The
causes
of
these
diseases
are
either
The
external
causes
are
gross
food
,
idleness
,
spirituous
wine
,
or
any
other
inebriating
liquour
taken
in
excess
;
and
sometimes
by
the
Air
inspir'd
,
which
is
defil'd
by
the
Smoak
of
Coals
,
or
other
mineral
Fumes
,
by
which
the
Air
may
be
infested
.
The
internal
cause
,
is
a
Narcotick
force
mix'd
with
the
Animal
spirits
,
bred
by
degrees
in
the
Body
,
by
the
frequent
use
of
opiats
,
not
well
corrected
,
which
not
onely
dulls
the
mind
,
but
causeth
a
sluggishness
of
the
whole
Body
;
for
the
Animal
motion
being
deprav'd
,
the
external
,
as
well
as
internal
senses
,
will
be
thence
soon
infected
,
and
defil'd
.
These
diseases
are
all
very
dangerous
,
and
except
they
are
speedily
cur'd
,
they
will
soon
But
if
a
Phrensie
cometh
immediately
after
any
of
them
,
it
cureth
the
Patient
with
little
help
of
medicine
.
To
cure
these
diseases
,
let
the
drowsie
Animal
Also
sharp
spices
or
salts
should
be
put
into
the
mouth
,
and
gentle
frications
us'd
(
with
warm
Cloaths
)
to
those
parts
that
are
affected
with
Numness
.
The
Animal
spirits
may
be
freed
from
the
Narcotick
force
mingled
with
them
,
(
and
likewise
slothfulness
,
and
sleepiness
may
be
(
by
little
and
little
)
diminished
,
)
by
the
frequent
use
of
sharp
volatile
Salts
,
and
all
Medicines
endued
with
an
Aromatick
biting
;
such
as
Pepper
,
Cloves
,
Castor
,
Garlick
,
Horse-radish
,
Mustard
,
Scurvigrass
,
&c.
Of
which
you
may
make
diversity
of
Medicines
,
for
example
.
Take
the
Waters
of
Hedge-mustard
,
Scurvigrass
,
of
each
two
ounces
,
Syrup
of
the
This
decoction
is
also
very
effectual
.
Take
the
Roots
of
Horse-radish
,
the
best
Let
the
sick
lying
in
bed
,
meanly
covered
take
often
in
a
day
five
or
six
spoonfulls
of
this
decoction
,
whereby
a
light
sweat
may
break
forth
to
ease
them
.
By
the
frequent
use
of
these
medicines
,
the
Animal
spirits
will
not
onely
be
freed
from
their
drowsiness
,
but
even
the
Narcotick
force
bred
in
the
Body
(
either
in
the
length
of
time
,
or
received
in
from
without
)
may
be
corrected
,
and
by
degrees
gently
educ'd
by
insensible
transpiration
:
So
that
at
length
,
these
dangerous
distempers
may
happily
be
overcome
.
Let
Clysters
,
and
Suppositories
be
often
administred
,
as
need
requires
.
Those
prescrib'd
in
page
17
,
18.
in
the
Cure
of
the
Palsie
and
Apoplexy
,
are
very
effectual
here
.
If
strength
and
age
permit
,
let
a
vein
be
opened
in
either
Arm
or
Foot
,
as
you
shall
see
cause
;
for
generally
Authours
consent
to
it
,
besides
Experientia
docet
.
Let
Ventoses
with
(
or
without
)
Scarification
be
applied
to
the
shoulders
and
hinder
part
of
the
Neck
.
And
let
Sternutatories
be
often
snuft
up
into
the
Nostrils
,
to
provoke
sneezing
.
Take
the
Roots
of
Pellitory
of
Spain
,
white
If
the
Stomach
be
foul
,
and
the
sick
incline
to
vomit
,
give
this
or
the
like
.
Take
the
decoction
of
Horse-radish
,
two
But
if
the
sick
had
rather
take
Pills
or
Potions
,
let
the
following
serve
.
Take
Extract
.
Rudii
,
pil.
foetidoe
,
ex
duobus
You
may
give
them
twice
a
week
in
the
Morning
fasting
.
This
purging
Infusion
is
also
very
effectual
.
Take
of
the
best
Senna
,
Rhubarb
,
Polypodium
,
of
each
half
an
ounce
;
Mechoacan
,
Agarick
,
Turkey-Turbith
,
of
each
three
drachms
;
Ginger
,
Anise-seed
,
of
each
two
drachms
;
let
them
be
bruised
and
infused
in
eight
ounces
of
Ale
very
hot
,
for
the
space
of
a
Night
,
then
strain
it
,
and
add
the
best
Manna
;
Syrup
of
Roses
solutive
of
each
one
ounce
;
Spirit
of
Castor
twenty
drops
;
mix
it
for
two
doses
.
Let
the
affected
parts
,
as
the
Head
,
&c.
be
bathed
with
this
or
the
like
fomentation
.
Take
the
Roots
of
Master-wort
,
Angelica
,
After
bathing
anoint
the
hinder
part
of
the
Head
with
this
Oil.
Take
of
Oil
of
Rue
,
Marjoram
,
of
each
For
Revulsion
,
let
the
soles
of
the
feet
be
washed
with
Salt
and
Acet
.
Scillitic
.
Vesiccatories
may
also
be
applied
to
the
Coronal
Suture
,
and
behind
the
Ears
;
or
upon
the
Shoulders
,
Neck
,
Arms
,
Thighs
,
&c.
Avoid
all
vaporous
and
phlegmatick
Nourishment
.
CHAP.
VI.
Of
the
Phrensie
,
and
Madness
.
THE
Phrensie
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
The
Phrensie
is
an
inflammation
of
the
Brain
and
Meninges
,
both
the
dura
and
pia
mater
;
causing
an
acute
continual
Fever
,
which
remains
from
the
first
moment
of
its
invasion
,
to
the
last
of
its
duration
,
thence
a
delirium
,
and
raving
Madness
,
together
with
great
trouble
of
mind
,
afflicts
the
sick
in
a
superlative
manner
.
Madness
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
a
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
insanio
,
't
is
called
in
Latin
amentia
,
furor
,
insania
.
It
is
a
furious
alienation
of
the
mind
,
or
a
vehement
delirium
without
a
Fever
;
in
which
it
differs
from
the
Phrensie
.
I
know
there
are
not
wanting
the
works
of
great
Physicians
,
who
have
written
very
learnedly
of
these
diseases
;
but
omitting
the
opinion
of
others
;
I
shall
in
a
few
words
,
relate
that
which
seems
true
to
me
,
to
be
the
cause
of
these
furious
distempers
.
None
who
are
ingenious
Searchers
of
Truth
;
and
have
weighed
accurately
(
with
an
attentive
mind
)
both
the
fabrick
and
ways
,
or
Vessels
of
the
containing
Body
,
and
the
natural
motion
of
the
Bloud
,
and
other
humours
;
will
deny
,
that
almost
innumerable
diseases
do
arise
from
the
vitious
effervescency
of
over
fat
Choler
,
the
too
tart
Pancreat
juice
,
and
over
viscous
Phlegm
,
flowing
together
in
the
small
guts
;
for
by
this
vitiated
mingling
not
onely
hurtfull
humours
are
produc'd
,
but
often
wind
,
and
halituous
Vapours
,
causing
much
harm
to
humane
Bodies
.
Wherefore
I
judge
,
when
Phlegm
is
very
viscous
,
or
otherwise
vitious
,
and
the
juice
But
if
Choler
be
predominant
,
these
vapours
become
very
cholerick
and
acrimonious
;
which
rarifies
the
Bloud
by
degrees
more
and
more
;
so
that
at
length
the
heat
and
burning
Fever
in
the
Heart
,
(
and
thence
through
the
whole
Body
)
is
encreased
by
Choler
successively
over-ruling
,
which
causeth
the
Phrensie
.
No
marvel
then
if
heat
,
pain
,
and
inflammation
,
and
pulsation
of
the
Head
do
chiefly
vex
the
sick
in
this
grievous
distemper
;
seeing
no
part
of
the
Body
hath
so
many
Arteries
,
and
receives
so
much
Bloud
as
the
Head
;
wherefore
the
pulsation
of
the
Temples
is
felt
more
troublesome
than
elsewhere
,
because
of
the
remarkable
windings
of
the
Brain
,
through
which
great
Arteries
are
carried
;
from
whence
great
watchings
,
and
at
length
raving
Madness
do
molest
the
sick
.
But
there
still
remains
something
requisite
to
be
set
down
,
as
the
chief
cause
of
these
,
and
most
other
distempers
,
which
ought
not
to
be
despis'd
(
either
by
Jew
or
Gentile
)
seeing
we
have
the
word
of
God
for
it
;
and
that
is
the
crying
sins
of
Mankind
continually
drawing
God's
Judgments
on
them
.
You
may
reade
the
28th
.
Chapter
of
Deuteronomie
,
where
the
Prophet
Moses
enumerates
the
many
diseases
,
with
which
God
would
smite
the
Children
of
Israel
,
for
the
wickedness
of
their
doings
,
whereby
they
had
forsaken
him
.
And
not
onely
they
,
but
we
also
shall
be
subject
to
these
grievous
distempers
,
and
eternal
destruction
also
,
if
we
do
not
turn
to
the
Lord
by
unfeigned
repentance
,
except
ye
repent
,
ye
shall
all
likewise
perish
,
saith
our
blessed
Saviour
Jesus
Christ
in
Luke
13.
3.
Verse
.
Those
poor
creatures
who
have
been
miserably
afflicted
with
these
furious
diseases
,
and
happily
recovered
;
can
tell
by
sad
experience
,
that
they
have
been
many
times
hurried
almost
to
desperation
,
by
the
cunning
wiles
and
temptations
of
Satan
;
which
hath
prevail'd
on
many
to
lay
violent
hands
on
themselves
;
from
which
let
us
pray
,
libera
nos
Domine
.
1.
The
Phrensie
is
a
most
acute
and
dangerous
2.
If
the
Phrenetical
party
hath
a
Crisis
either
by
sweating
,
bleeding
at
the
nose
,
or
Haemorrhoids
,
&c.
or
a
tumour
appear
behind
the
Ears
,
there
is
hopes
of
recovery
:
but
if
the
sick
gnash
with
his
teeth
,
and
his
Excrement
and
Urine
be
whitish
,
and
no
Crisis
appear
,
't
is
mortal
;
so
likewise
is
it
very
pernicious
,
if
it
turn
either
to
the
Lethargy
,
or
Convulsion
.
In
the
Mania
or
Madness
,
if
the
stomach
or
appetite
decay
,
and
the
sick
be
very
fearfull
,
and
hath
continued
long
,
it
is
most
difficult
to
cure
:
but
if
the
party
be
merrily
conceited
,
it
is
not
so
dangerous
.
3.
If
the
swelling
of
the
Veins
in
the
Legs
,
called
Varices
,
or
the
Haemorrhoids
,
or
Menses
,
or
any
other
flux
of
bloud
should
happen
to
them
that
are
mad
or
frantick
,
there
may
be
hopes
of
recovery
.
And
that
we
may
pass
on
to
the
cure
of
Principiis
obsta
,
sero
medicina
paratur
:
Cum
mala
per
longas
invaluere
moras
.
For
unless
speedy
help
be
procur'd
for
the
Phrensie
,
it
killeth
the
party
in
a
short
time
:
and
likewise
Mania
or
Madness
becomes
oft
(
by
degrees
)
so
stubborn
,
and
rebellious
,
that
it
can
be
cur'd
onely
late
or
never
.
Ttherefore
the
friends
of
the
sick
are
to
be
admonish'd
to
consult
with
the
honest
Physician
,
so
soon
as
the
signs
begin
to
be
manifest
;
for
when
it
hath
taken
deep
root
,
it
is
hard
to
be
eradicated
,
or
overcome
,
unless
by
an
Herculean
labour
.
First
therefore
let
a
Clyster
be
administered
.
Take
of
Mallows
,
Marsh-mallows
,
Violets
,
After
the
Operation
of
it
,
you
may
open
a
Vein
in
the
Arm.
But
if
Menses
,
or
the
Haemorrhoids
be
suppressed
,
then
open
the
Saphena
,
in
either
Foot
;
and
let
the
orifice
be
made
pretty
large
,
because
thereby
sharp
and
fatty
vapours
may
more
plenteously
be
effus'd
together
with
the
bloud
:
whereby
the
troublesome
heat
will
be
the
better
temper'd
,
and
not
a
little
diminisht
.
Neither
will
it
suffice
to
let
bloud
once
,
but
this
evacuation
is
oft
to
be
iterated
,
till
(
by
the
diminisht
feverish
heat
)
it
appears
that
the
cause
is
remov'd
or
overcome
.
But
let
Phlebotomy
be
warily
done
,
where
choler
abounds
,
because
sanguis
est
fraenum
Bilis
:
wherefore
I
advise
the
young
Practitioner
to
take
away
but
little
bloud
at
a
time
,
which
may
be
done
so
often
as
need
requires
,
either
by
an
instrument
,
or
leeches
to
the
Haemorrhoids
.
Ventoses
with
scarification
,
may
be
applied
to
the
shoulders
,
also
Vesiccatories
to
the
armes
,
thighs
,
&
inter
scapulas
,
in
extremis
morbis
,
extrema
sunt
adhibenda
remedia
.
Choler
over
plenteous
in
the
body
,
may
be
safely
diminisht
by
a
mild
chologogue
;
for
example
.
Take
of
Dandelion
,
Succory
,
Sorrel
,
of
But
where
the
Stomach
is
full
and
nauseous
,
let
a
vomit
be
administred
without
delay
;
and
here
I
prefer
Antimonials
before
all
o-thers
,
both
because
they
do
most
happily
empty
any
humours
promiscuously
,
and
because
they
are
most
friendly
to
humane
nature
,
bringing
all
the
humours
by
degrees
(
after
a
peculiar
manner
)
to
a
most
laudable
state
.
And
because
in
this
distemper
,
the
sick
is
always
attended
with
a
greivous
and
furious
raging
;
let
those
things
be
given
which
will
not
onely
promote
sleep
,
but
powerfully
temper
the
sharp
cholerick
humours
.
To
this
end
I
commend
any
fixt
Mineral
,
Sulphur
of
Vitriol
or
Antimony
,
which
will
temper
the
Acrimony
of
choler
,
and
free
the
bloud
from
such
matter
perhaps
before
all
others
.
But
where
these
choice
Medicines
are
not
to
be
had
,
Opium
well
prepared
will
conduce
beyond
any
commonly
known
Medicine
;
which
may
be
used
both
Internally
and
Externally
.
This
Cordial
Opiat
is
of
great
virtue
.
Take
the
Waters
of
Sorrel
,
Lettice
,
Penny-royal
,
The
following
Epitheme
,
and
Linament
may
be
used
outwardly
to
give
ease
,
and
promote
sleep
.
Take
the
Waters
of
Betony
,
red
Roses
,
of
Let
Linen
cloaths
be
dipt
in
it
being
warm
,
and
applied
to
the
Forehead
,
and
region
of
the
Temples
;
and
as
often
as
the
cloaths
are
dry
,
moisten
them
with
the
same
,
till
pain
be
diminisht
,
and
sleep
follow
.
Take
Populion
half
an
ounce
;
Opium
dissolv'd
Let
the
diet
be
very
thin
and
cooling
:
Avoid
hot
spices
,
Wine
,
and
other
strong
Liqours
,
Pigeons
cut
asunder
,
and
applied
to
the
Soles
of
the
Feet
,
do
many
times
avail
,
by
drawing
down
hot
Vapours
and
Fumes
from
the
Head
.
By
this
you
may
know
how
to
cure
not
onely
Phrensies
,
but
all
ravings
and
watchings
,
which
are
ingendred
by
Fevers
;
for
it
will
not
be
very
hard
from
what
is
aforesaid
,
to
frame
or
join
such
helps
as
may
conduce
to
the
same
.
In
mania
or
madness
;
when
Phlegm
is
over
viscous
,
and
the
Juice
of
the
Pancreas
too
tart
and
harsh
,
exceeding
,
and
over-ruling
the
other
humours
in
the
Body
;
whereby
sharp
halituous
Vapours
are
continually
rais'd
,
disturbing
the
sick
both
in
Body
and
Mind
:
Speedy
care
must
be
taken
to
correct
and
educe
the
vitiated
humours
,
to
amend
and
discuss
the
hurtfull
flatuous
Vapours
,
and
also
to
compose
the
immoderate
passions
of
the
mind
.
Volatile
Salts
and
Aromatick
Oils
do
not
onely
correct
viscous
and
acid
Phlegm
,
but
sour
and
tart
Vapours
also
;
for
they
have
power
to
cut
and
dissolve
that
which
is
viscous
,
to
temper
and
correct
that
which
is
sour
and
tart
,
and
to
discuss
and
dissipate
what
is
vaporous
and
windy
.
The
following
Julep
,
whose
power
is
singular
and
stupendious
,
may
be
deservedly
preferr'd
before
many
others
.
Take
the
Waters
of
Parsley
,
Fennel
,
Mint
,
Laudanum
opiat
.
twenty
grains
;
Spirits
of
Salt
Armoniack
and
Niter
,
of
each
twenty
drops
;
Oils
of
Annise-seed
and
Cloves
,
of
each
ten
drops
;
mix
them
.
By
the
frequent
use
of
this
Julep
or
such
like
;
the
hurtfull
humours
and
vapours
will
not
onely
be
corrected
,
and
amended
;
but
a
new
Production
of
them
will
be
hindred
,
and
both
Body
and
Mind
reduc'd
to
a
more
quiet
frame
.
These
Pills
will
be
also
usefull
to
correct
more
,
and
mildly
educe
,
or
expell
the
vitious
humours
.
Take
of
Galbanum
prepar'd
with
Vinegar
It
will
be
convenient
to
take
these
Pills
twice
a
week
,
for
the
better
vanquishing
the
rebellious
and
redoubl'd
humours
.
Also
let
Antimonial
vomits
(
rightly
prepar'd
)
be
sometimes
administred
,
they
being
endued
with
an
universal
force
of
cleansing
Man's
body
from
all
harm
and
impurity
.
By
these
forms
any
judicious
Practitioner
,
may
easily
invent
other
prescriptions
in
some
things
to
be
varied
,
as
the
disease
requires
.
Thus
having
premis'd
a
rational
,
and
dogmatical
cure
of
these
grievous
diseases
,
confirm'd
by
experience
;
I
think
it
my
duty
(
once
for
all
)
to
admonish
the
honest
Physician
,
and
others
who
attend
the
sick
;
to
be
often
seeking
the
Lord
for
a
Blessing
on
the
means
.
And
if
all
refuge
fails
,
to
take
the
Advice
of
the
Apostle
James
in
the
5th
.
Chapter
and
14
,
and
15.
verses
.
This
was
the
Custome
of
the
Primitive
Christians
without
doubt
,
and
I
wish
it
were
more
in
use
amongst
us
at
this
day
;
for
God
is
as
able
to
heal
the
sick
now
,
as
he
was
then
,
for
he
is
the
same
yesterday
,
and
to
day
and
for
ever
.
I
thank
God
,
I
have
had
some
experience
of
his
great
goodness
and
mercy
,
extended
towards
some
of
his
poor
Creatures
,
by
means
of
this
ordinance
,
when
all
other
help
of
medicine
,
&c.
have
prov'd
unsuccessfull
,
for
which
uni
Deo
&
trino
Gloria
.
CHAP.
VII
.
Of
CATARRHS
.
THE
Catarrh
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
a
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
fluo
.
It
is
called
in
Latin
distillatio
,
because
it
is
a
defluxion
of
excrementitious
and
sharp
Rheumatick
humours
from
the
Head
,
into
most
parts
of
the
Body
;
invading
not
onely
all
the
conglobated
,
and
conglomerated
Glandules
;
by
which
the
Circulation
of
Lympha
and
Spittle
are
deprav'd
:
But
also
the
Nerves
,
which
causeth
intense
or
vehement
pains
,
and
inflammations
in
the
parts
ill
affected
,
which
is
most
commonly
attended
with
a
Symptomatical
Fever
,
especially
if
the
Rheum
be
thin
and
sharp
,
and
do
flow
very
violently
.
And
seeing
this
distemper
is
not
enough
explain'd
in
Authours
,
either
ancient
or
modern
;
I
therefore
(
God
prospering
my
indeavours
)
will
bestow
some
pains
in
searching
out
,
and
proposing
the
true
causes
and
effects
of
it
;
which
I
hope
will
induce
other
liberal
and
ingenious
spirited
Artists
to
a
farther
inquiry
after
the
occult
causes
,
not
onely
of
these
,
but
other
obscure
diseases
daily
occurring
in
practice
;
that
so
by
little
and
little
,
many
things
in
the
Art
of
Physick
,
as
yet
most
obscure
and
confus'd
,
may
be
illustrated
,
and
most
commodiously
explain'd
.
Experience
confirms
,
that
there
are
many
kinds
of
Catarrhs
;
some
are
more
thick
,
others
more
thin
;
some
acid
and
salt
,
others
more
sweet
;
some
Rheums
are
hot
and
sharp
,
flowing
more
violently
,
other
cold
and
pituitous
,
flowing
but
slowly
;
hence
it
is
,
that
some
Catarrhs
are
attended
with
Fevers
,
and
some
without
.
The
causes
of
Catarrhs
are
either
external
,
The
external
cause
is
from
external
sudden
Cold
,
shutting
the
pores
of
the
skin
,
hindring
the
discharge
of
sweaty
Vapours
by
insensible
Transpiration
;
for
if
the
usual
ports
of
the
skin
do
deny
passage
to
the
sweat
,
it
will
in
a
little
time
condense
,
and
thence
become
sour
,
by
which
the
extreme
parts
are
chilled
,
which
doth
manifest
it self
by
a
shivering
;
as
any
one
may
experimentally
observe
after
taking
Cold.
These
humours
having
not
vent
through
the
porous
skin
(
which
is
absolutely
necessary
)
by
the
habit
of
the
Body
;
they
are
conveyed
to
the
Head
(
together
with
the
Lympha
)
through
the
Lymphatick
Vessels
.
The
internal
cause
arises
from
pituitous
humours
,
gradually
collected
(
besides
Nature
)
in
the
conglobated
Glandules
,
observeable
about
the
Plexus
Choroides
in
the
side
Ventricles
of
the
Brain
,
and
elsewhere
;
perhaps
in
the
Tonsils
,
and
all
the
rest
of
the
small
Glandules
about
the
trachoea
Arteria
;
hence
the
Lympha
becomes
sourish
salt
,
as
is
tasted
in
a
Coryza
.
Whence
also
we
may
probably
conclude
,
what
way
soever
the
conglobated
Glandules
are
hurt
,
that
the
Lympha
declines
from
its
natural
State
and
Quality
:
And
as
its
depravation
is
milder
or
sharper
,
more
grievous
,
or
lighter
pains
are
thence
bred
;
of
which
we
have
many
times
an
ocular
demonstration
in
the
flowing
down
of
the
Rheum
through
the
Nostrils
,
which
is
oft
so
sharp
,
that
it
doth
corrode
the
skin
,
and
superficies
of
the
face
where
it
comes
.
If
it
be
in
quantity
moderate
,
it
is
conveighed
to
the
infinite
little
salivary
Ducts
or
Chanels
,
in
the
conglomerated
Glandules
,
which
open
into
the
palate
of
the
mouth
,
and
there
pour
out
the
salival
Liquour
which
they
contain
;
which
is
either
swallowed
down
into
the
Stomach
,
or
else
it
is
evacuated
by
spitting
;
and
if
Nature
be
overburthened
by
its
plentifulness
,
it
is
also
sent
forth
by
the
Nostrils
.
But
if
the
Lympha
becomes
more
sharp
,
acid
and
salt
in
the
Glandules
before
mention'd
,
it
produceth
first
a
stoppage
,
and
burthensome
Pain
of
the
Head
,
which
overcomes
the
retentive
,
and
provokes
the
expulsive
faculties
;
so
that
Nature
being
driven
to
most
violent
motions
,
doth
extravasate
,
and
intravasate
the
Rheumatick
humours
,
hic
&
ubique
,
a
Capite
ad
Calcem
,
through
the
most
abstruse
and
inconspicuous
passages
of
nature
;
so
that
it
is
the
opinion
of
many
learned
Physicians
,
that
a
Catarrh
is
the
original
of
many
diseases
incident
to
humane
Bodies
.
1.
Catarrhs
happening
to
Children
,
are
dangerous
,
especially
if
there
appear
plenty
of
2.
If
the
Rheum
flow
through
the
Nostrils
,
it
is
but
gentle
;
if
to
the
Throat
't
is
worse
,
but
if
to
the
Lungs
,
worst
of
all
;
and
if
it
becomes
inveterate
,
it
is
very
hardly
cured
.
In
the
Cure
of
Catarrhs
,
the
Head
is
As
Catarrhs
consist
of
a
different
matter
,
and
afflict
divers
parts
,
so
they
require
diversity
of
medicines
to
cure
them
;
for
if
the
matter
be
thick
and
viscous
,
it
must
be
attenuated
and
cut
with
Aromaticks
,
and
afterward
evacuated
with
Phlegmagogues
:
So
likewise
serous
and
salt
Catarrhs
are
to
be
temper'd
with
Oily
things
and
Opiats
,
and
the
plenty
of
humours
to
be
diminisht
with
Hydragogues
;
by
which
means
the
cure
will
be
the
sooner
performed
.
For
viscous
Catarrhs
,
accompanied
with
a
Cough
,
I
commend
these
following
medicines
.
Take
the
Waters
of
Hyssop
,
Mint
,
of
each
Laudanum
opiatum
six
grains
;
Spirit
of
Salt
Armoniack
twenty
drops
;
mix
it
,
of
which
you
may
give
three
or
four
spoonfulls
,
every
three
hours
.
By
the
frequent
use
of
this
Aromatick
Julep
,
the
viscous
Phlegm
will
not
onely
be
attenuated
,
but
the
over
sharp
Vapours
will
be
discust
,
and
the
other
humours
temper'd
.
After
the
Phlegmatick
humours
,
&c.
are
thus
prepared
;
it
will
be
convenient
to
evacuate
them
downwards
,
by
gentle
purgation
,
with
powerfull
and
effectual
Phlegmagogues
;
and
such
are
all
mercurials
,
Colocynthis
,
Hermodactils
,
&c.
to
be
taken
chiefly
in
the
form
of
Pills
.
Take
Extract
.
Rudii
,
pil.
ex
duobus
,
of
each
one
drachm
;
Mercury
dulcis
half
a
drachm
;
If
the
sick
be
averse
to
Pills
,
give
this
Potion
.
Take
of
Rhubarb
,
Agarick
,
Hermodactils
,
Polypodium
,
of
each
two
drachms
;
Cinamon
,
Every
night
give
the
Patient
a
Pill
of
Styrax
,
or
Hounds-tongue
,
to
stay
the
Rheum
,
and
to
give
ease
and
rest
.
If
the
Catarrh
be
serous
and
hot
,
accompanied
with
a
Fever
,
and
the
sick
have
a
costive
Body
,
this
Clyster
will
be
effectual
.
Take
the
common
decoction
for
Clysters
After
the
operation
of
it
,
you
may
open
a
Vein
in
either
Arm
,
and
take
away
eight
or
nine
ounces
of
Bloud
.
Then
give
this
purging
decoction
.
Take
Borage
,
Lettice
,
Purslain
,
Endive
,
You
may
give
this
Potion
twice
in
a
week
;
which
will
both
temper
and
gently
evacuate
the
serous
and
acid
humours
;
and
flatuous
Vapours
will
also
thereby
be
discust
,
and
gently
educ'd
.
To
cause
rest
,
and
thicken
the
Rheum
,
let
one
of
these
Pills
be
given
every
Night
to
bed-ward
.
Take
of
Laudanum
three
grains
;
Powder
Or
you
may
give
a
Pill
of
Styrax
every
Night
going
to
bed
.
When
the
Rheum
flows
down
from
the
Head
,
into
the
Trachoea
arteria
,
it
stirs
up
a
Coughing
more
or
less
,
according
to
the
If
the
humours
be
over
sour
,
they
may
be
corrected
with
Pearl
,
Coral
,
Crabs-eyes
,
&c.
If
the
Rheum
be
too
serous
and
salt
;
the
aforesaid
pil.
Estyrace
&
Cynaglos
.
&c.
is
excellent
to
temper
it
.
Becchical
Troches
,
both
white
and
black
are
not
onely
effectual
,
but
gratefull
to
the
sick
in
this
coughing
distemper
.
If
the
humours
be
thick
and
viscous
,
they
require
sourish
sweet
things
,
and
Aromaticks
to
attenuate
and
cut
them
.
The
fore-mention'd
Julep
may
be
prescrib'd
in
this
Case
.
When
the
salt
,
sharp
and
serous
humours
abounding
,
are
corrected
and
temper'd
;
they
may
be
diminisht
by
Hydragogues
.
The
Hydragogue
Electuary
prescrib'd
in
page
18
is
an
effectual
and
gratefull
medicine
,
which
may
be
often
us'd
to
the
profit
of
the
sick
.
Children
may
take
from
one
drachm
to
two
,
and
Adults
to
half
an
ounce
;
of
this
excellent
medicine
once
or
twice
a
week
.
As
in
other
distempers
always
,
so
let
me
here
admonish
you
in
general
,
to
be
very
diligent
to
attend
to
the
medicines
that
most
conduce
to
every
particular
Body
,
whereby
they
may
be
prefer'd
before
the
rest
;
and
as
long
as
they
profit
,
continue
in
the
use
thereof
,
that
so
the
health
of
the
sick
may
be
every
way
promoted
.
When
much
bloud
is
voided
by
coughing
,
To
this
end
let
a
Vein
be
opened
,
especially
if
a
Plethora
concur
,
or
there
be
a
notable
heat
of
Bloud
,
or
a
suppression
of
its
wonted
emptying
.
After
bleeding
,
let
the
over
great
heat
be
allay'd
with
sour
and
tart
medicines
;
for
example
take
the
following
Decoction
.
Take
of
Plantane
,
Housleek
,
Wood-sorrel
,
of
each
two
handfulls
;
boil
them
in
Barley-water
The
flux
of
bloud
may
be
stopt
by
conglutinating
medicines
,
which
have
power
to
close
the
Vessels
,
either
broken
by
violent
coughing
,
or
corroded
by
the
sharpness
of
the
descending
Rheum
.
Take
the
Waters
of
Comfry
,
Plantane
,
of
each
two
ounces
;
Cinamon-water
,
distil'd
Laudanum
opiat
.
six
grains
;
Oil
of
Sulphur
per
Campanam
twenty
drops
;
mix
it
,
and
give
three
or
four
spoonfulls
every
two
hours
.
This
choice
medicine
often
taken
,
will
cure
the
most
ruptions
of
vessels
,
and
will
soon
stop
the
flux
of
bloud
,
beyond
expectation
;
but
I
advise
,
that
a
sparing
use
of
it
should
be
continued
for
some
time
,
after
the
disease
is
cur'd
to
sense
,
whereby
the
affected
parts
may
be
strengthned
against
the
access
of
a
new
evil
.
The
bloud
distilling
into
the
sharp
Artery
of
the
Lungs
,
will
soon
corrupt
and
turn
into
purulent
matter
,
if
not
prevented
by
convenient
medicines
,
which
hath
power
to
dissolve
the
coagulated
bloud
,
that
it
may
be
the
easier
expectorated
.
The
following
form
may
be
prefer'd
.
Take
the
Waters
of
Hyssop
,
Fennel
,
of
If
the
Lungs
be
ulcerated
,
the
Cure
thereof
will
be
promoted
,
if
you
add
two
or
three
drops
of
Balsam
of
Sulphur
,
with
Oil
of
Annise-seed
,
to
every
spoonfull
that
you
give
of
the
aforefaid
medicine
,
or
in
any
pectoral
Decoction
;
it
must
be
given
oft
in
a
day
;
the
better
to
finish
the
Cure
.
In
all
Catarrhs
if
the
Rheum
have
been
long
,
you
may
use
a
Decoction
of
China
,
which
will
wonderfully
temper
the
humours
;
or
you
may
add
lign
.
sanctum
,
sassaphras
,
sarsaparilla
,
&c.
which
will
dry
up
the
Rheum
by
degrees
.
The
sharp
humours
being
temper'd
,
and
the
matter
of
Rheum
partly
evacuated
by
Phlegmagogues
,
and
Hydragogues
,
&c.
outward
means
that
dry
up
Rheum
are
likewise
to
be
used
;
as
Caps
for
the
Head
,
Perfumes
,
Errhines
,
Sternutatories
,
Masticatories
,
Apophlegmatisms
,
&c.
Ventoses
with
Scarification
,
may
be
also
applied
to
the
Neck
and
Shoulders
;
and
Fontinels
may
be
made
in
the
Neck
and
Arm
,
for
they
have
been
often
profitable
in
Catarrhs
.
Also
Vesiccatories
applied
to
the
Coronal
future
,
and
inter
scapulas
will
avail
much
.
Let
the
Temples
and
parts
adjacent
be
anointed
with
Oil
of
Amber
,
Oil
of
Nutmegs
,
&c.
and
let
the
Fume
of
Amber
or
Mastick
be
often
drawn
up
into
the
Nostrils
.
Also
a
Sternutatory
(
such
as
is
prescrib'd
in
page
21.
in
the
Cure
of
the
Palsie
)
is
very
effectual
to
cause
sneezing
,
twice
or
thrice
in
a
day
.
A
Cap
may
be
also
quilted
for
the
Head
(
of
the
following
things
)
with
Cotton-wool
and
red
Sarcenet
.
Take
of
sweet
Marjoram
,
Betony
,
Baum
,
Also
this
following
Powder
may
be
prepar'd
,
to
fumigate
the
Head
and
Cloaths
;
morning
and
evening
.
Take
of
Olibanum
,
Styrax
calamitis
,
Amber
,
Also
this
Masticatory
may
be
often
used
.
Take
of
Mustard-seed
,
Roots
of
Pellitory
Or
you
may
chew
either
Mastick
,
Amber
,
or
the
Root
of
Pellitory
of
Spain
by
it self
,
which
will
draw
the
serous
humours
away
by
spitting
.
Errhines
may
also
be
used
;
they
are
either
moist
or
dry
,
the
dry
are
made
with
Pepper
,
Betony
,
Rosemary
,
Stavesacre
,
&c.
The
liquid
are
made
with
the
Juices
of
Rosemary
,
Ivy
,
Beets
,
Mercury
,
sweet
Marjoram
,
&c.
And
it
may
here
be
noted
,
that
when
Rheum
doth
flow
down
to
the
Throat
,
Lungs
,
&c.
then
Errhines
may
be
used
;
but
when
the
humours
flow
to
the
Eyes
,
Nose
,
&c.
then
use
Masticatories
,
for
a
Revulsion
;
Revulsio
enim
est
humoris
fluentis
attractio
in
partem
contrariam
.
The
Spirit
of
Salt
Armoniack
,
held
to
Plaisters
may
be
also
applied
to
the
Head
being
first
shaved
,
to
dry
up
the
Rheum
,
and
strengthen
the
Brain
.
This
may
serve
for
Example
.
Take
of
the
Plaisters
ad
Herniam
,
and
Let
the
Rheumatick
live
in
a
warm
and
dry
Air
,
and
use
a
drying
Diet
with
moderation
in
eating
,
drinking
,
sleeping
,
and
all
other
things
.
Jejunet
,
vigilet
,
sitiat
:
qui
Rheumata
curat
.
BOOK
II.
CHAP.
I.
Of
Shortness
of
Breathing
.
SHortness
or
Difficulty
of
Breathing
,
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
spiro
,
vel
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
i.
e.
afflo
calidum
ori
.
It
is
a
disease
in
which
the
Bronchia
of
the
Lungs
are
so
stuffed
with
viscous
Phlegm
,
that
the
sick
can
hardly
breathe
,
but
with
wheasing
,
blowing
or
puffing
,
and
do
make
a
great
noise
with
snorting
;
in
which
the
Diaphragma
,
and
intercostal
Muscles
are
violently
moved
.
If
the
Lungs
onely
are
stuffed
,
it
is
without
snorting
,
and
is
then
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
aegre
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
spiro
.
In
this
the
conduits
of
the
Lights
are
much
stopped
,
causing
hardness
,
or
straitness
of
breath
,
and
pursiness
.
But
if
the
Patient
fetcheth
breath
with
much
difficulty
,
with
the
Neck
stretched
upright
;
it
may
then
be
called
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ab
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
rectus
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
spiro
,
i.
e.
erecta
cervice
spirare
.
The
cause
of
this
disease
,
is
the
Juice
of
The
same
humour
is
also
carried
to
the
Stomach
,
which
causeth
many
sour
Belchings
in
this
distemper
;
and
if
these
flatuous
humours
become
more
sharp
than
viscous
;
so
often
as
they
come
to
the
Lungs
,
they
pierce
into
the
sharp
Artery
,
and
do
so
provoke
and
molest
it
,
that
thereby
the
Lungs
are
compelled
to
cough
,
by
which
the
Expiration
of
Air
is
deprav'd
.
If
there
be
much
moisture
contain'd
in
Trachea
Arteria
be
affected
with
driness
,
then
nothing
is
spit
out
,
though
with
great
and
much
labour
,
but
the
universal
Body
is
wearied
in
vain
with
indeavouring
to
cough
;
whence
there
is
sometimes
raised
a
vehement
Pain
both
of
the
Head
and
Hypochondries
,
and
other
parts
;
yea
sometimes
a
Rupture
is
bred
by
it
,
and
the
Urine
and
Excrements
are
thereby
often
involuntarily
extruded
.
2.
If
this
disease
be
not
speedily
removed
,
it
will
prove
chronical
and
hard
to
be
cur'd
,
unless
the
Patient
be
young
and
of
a
strong
constitution
,
for
otherwise
it
will
end
in
a
Cachexie
or
Dropsie
.
An
Asthma
,
or
wheasing
Anxiety
may
If
the
Patient
hath
a
costive
Body
,
let
carminative
Clysters
be
often
administred
;
and
if
the
Body
be
plethorick
,
let
a
vein
be
opened
,
either
in
the
Foot
,
or
apply
Leeches
to
the
Haemorrhoid
veins
,
which
will
much
conduce
to
free
the
respiration
.
Such
medicines
as
have
an
expectorating
quality
,
and
have
power
to
temper
and
discuss
the
over
sharp
vapours
,
may
be
often
us'd
in
a
little
quantity
.
The
following
Julep
may
be
commended
in
this
case
.
Take
of
the
pectoral
Decoction
half
a
pint
,
Laudanum
opiatum
ten
grains
;
Oil
of
Sulphur
per
Campanam
ten
drops
,
mix
it
.
Quercetanus
his
Syrup
of
Tobacco
,
is
commended
in
this
distemper
.
Also
Tobacco
taken
in
a
Pipe
,
or
chewed
in
the
mouth
,
draweth
abundance
of
viscous
Phlegm
out
of
the
Stomach
and
Lungs
.
Many
more
medicines
might
be
inserted
,
but
I
refer
you
to
the
Chapter
of
Catarrhs
,
where
you
may
be
throughly
furnished
.
CHAP.
II.
Of
the
Pleurisie
,
and
other
Inflammations
.
THE
Pleurisie
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
latus
,
quod
tunicoe
costos
succingentis
lateris
dolor
.
It
is
also
called
in
Latin
Pleuritis
,
&
Inflammatio
;
it
being
an
Inflammation
of
the
Pleura
,
and
also
of
the
intercostal
Muscles
,
and
other
adjacent
parts
,
as
the
mediastinum
,
pericardium
,
diaphragma
,
&c.
It
is
attended
with
many
Symptomes
,
as
difficulty
of
breathing
,
shooting
and
pricking
pain
of
the
sides
,
which
is
the
more
The
Inflammation
of
the
Lungs
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
circum
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
It
is
also
called
in
Latin
Peripneumonia
,
&
Peripneumonicus
morbus
.
It
is
not
different
in
the
causes
or
signs
from
a
Pleurisie
.
The
cause
of
the
Pleurisie
,
and
Peripneumony
,
1.
The
sooner
the
inflammation
and
Tumour
2.
If
a
Pleurisie
follow
an
Inflammation
of
the
Lungs
,
there
may
be
hopes
of
recovery
;
but
if
a
Peripneumony
follow
a
Pleurisie
,
or
Quinzy
,
't
is
dangerous
,
and
(
for
the
most
part
)
mortal
.
3.
If
much
matter
be
expectorated
by
coughing
,
and
there
still
remain
difficulty
of
breathing
,
't
is
an
ill
sign
;
so
likewise
is
it
,
if
in
coughing
nothing
be
spit
up
.
4.
If
the
Pleurisie
,
or
Peripneumony
remain
above
twelve
days
,
an
Empiema
will
inevitably
ensue
;
for
the
bloud
standing
still
,
is
by
little
and
little
collected
in
its
vessels
,
and
be●ng
peccant
in
a
great
excess
,
it
distends
them
more
and
more
,
till
at
length
they
burst
;
whence
there
happens
an
effusion
of
blo●d
into
the
Cavity
of
the
Breast
,
and
being
there
collected
,
and
corrupted
into
matter
,
it
constitutes
a
suppuration
called
Empien●a
.
To
●ure
a
Pleurisie
,
and
any
Inflammation
,
and
Aposteme
following
,
it
is
required
,
that
1.
The
obstruction
of
the
vessels
be
opened
,
that
the
Circulation
of
the
Bloud
stopt
,
and
standing
still
may
be
restor'd
.
2.
That
the
Bloud
effus'd
out
of
its
vessels
(
if
possible
)
may
be
discuss'd
,
before
it
turns
to
matter
.
3.
That
if
the
Suppuration
cannot
be
hindred
,
it
must
be
promoted
with
all
expedition
,
that
the
purulent
matter
collected
,
might
be
evacuated
.
4.
That
the
cleansing
and
consolidation
of
the
Ulcer
be
speedily
performed
.
An
obstruction
of
the
vessels
by
viscous
To
these
may
be
referred
Crabs-eyes
,
the
Jaws
of
a
Pike
,
the
Bone
of
a
Harts-heart
,
Mummy
,
Sperma
coeti
,
Antimony
Diaphoretick
,
Opium
prepar'd
,
&c.
as
also
all
fixt
metallick
and
mineral
Sulphurs
.
These
volatile
medicines
have
an
egregious
Power
of
dissolving
all
things
coagulated
,
and
conglutinated
in
Man's
body
,
and
of
reducing
the
same
to
their
wonted
fluidity
,
and
do
mildly
promote
sweat
;
hence
it
is
that
often
by
one
such
Diaphoretick
given
in
season
,
both
a
Pleurisie
,
and
Piripneumony
,
and
also
Inflammations
of
other
parts
have
been
most
happily
and
safely
cured
without
Phlebotomy
.
But
where
a
Plethora
concurs
;
after
a
stool
hath
been
procur'd
by
a
carminative
Clyster
,
let
a
vein
be
opened
,
for
thereby
the
bloud
standing
still
will
be
restor'd
to
its
wonted
Circulation
;
for
some
of
the
bloud
being
let
out
,
there
will
be
a
larger
space
made
in
the
veins
,
for
a
more
brisk
and
swift
motion
of
the
universal
Mass
of
it
.
After
a
sufficient
quantity
of
bloud
is
taken
away
,
it
will
be
profitable
to
give
a
Sudorifick
.
This
may
serve
for
example
.
Take
the
pectoral
Decoction
four
ounces
;
Laudanum
opiatum
ten
grains
;
volatile
Salt
of
Harts-horn
half
a
drachm
;
Spirit
of
Salt
Armoniack
twenty
drops
;
mix
it
.
Let
the
sick
take
often
a
spoonfull
of
this
Julep
,
which
is
rich
in
volatile
Salt
,
and
powerfully
corrects
the
acidity
of
the
bloud
;
by
the
help
whereof
the
clottering
of
it
will
not
onely
be
hindred
,
but
it
s
over
thick
parts
incided
,
and
by
degrees
attenuated
;
and
it
s
over
thin
parts
will
be
discust
,
and
evacuated
together
with
Sweat
or
insensible
Transpiration
:
It
s
over
sharp
parts
will
be
also
temper'd
,
and
the
Pain
asswaged
,
and
at
length
wholly
taken
away
;
as
also
the
obstruction
it self
will
be
loosened
and
dissolved
;
for
when
the
volatile
Salt
of
the
Sudorifick
comes
to
the
place
of
obstruction
,
it
attempts
the
matter
obstructing
be
it
what
it
will
,
and
cuts
,
attenuates
,
loosens
,
and
makes
it
fluid
;
whence
it
is
farther
driven
forward
together
with
it
more
easily
.
The
bloud
is
also
thereby
more
and
more
rarified
,
and
becomes
more
fluid
,
and
moveable
;
wherefore
there
needs
no
farther
care
for
elaborated
medicaments
,
and
Methods
.
Frustra
fit
per
plura
,
quod
fieri
potest
per
pauciora
.
As
for
Topical
medicaments
,
or
external
applications
,
the
following
are
excellent
.
Take
the
roots
of
Briony
,
Smallage
,
Fennel
,
Let
the
Inflammation
or
Tumor
be
well
bathed
with
it
,
as
hot
as
may
be
suffered
,
either
with
woollen
cloaths
,
or
soft
spunges
,
fit
to
cover
the
part
affected
;
after
which
let
it
be
anointed
with
the
following
ointment
.
Take
Ointments
of
Marsh-mallows
,
Martiatum
,
Take
Yellow
Wax
four
ounces
,
Sperma
This
egregious
Plaster
doth
not
onely
preserve
the
bloud
from
coagulation
in
any
part
where
it
is
applied
;
but
Milk
also
from
curdling
in
the
Paps
.
But
if
it
be
not
to
be
had
,
the
following
dissolving
,
and
mollifying
Cataplasm
may
be
substituted
.
Take
of
Onions
rosted
under
the
ashes
two
Apply
it
meanly
warm
to
the
inflam'd
part
,
for
thereby
the
internal
obstruction
will
be
the
better
opened
;
but
it
must
be
renewed
as
often
as
it
begins
to
dry
.
When
the
bloud
is
effus'd
into
such
places
,
out
of
which
it
cannot
be
well
remov'd
,
or
discust
;
suppuration
or
the
generation
of
matter
,
must
be
promoted
,
and
hastned
;
which
may
be
done
by
emollient
and
ripening
Medicines
,
as
the
roots
and
leaves
of
Mallows
,
Marsh-mallows
,
white
Lillies
,
Onions
,
Squills
,
the
powder
of
Fenugreek
,
and
Flax-seed
,
the
meal
of
Barley
and
Beans
,
the
Marrow
of
all
bones
,
and
all
kind
of
fats
,
and
almost
any
Oil
that
is
exprest
of
seeds
,
or
kernels
;
as
also
divers
sorts
of
Gums
,
as
Galbanum
,
Liquid
Styrax
,
Bdellium
,
Amoniacum
,
and
also
Wax
and
Turpentine
,
&c.
Of
these
you
may
prepare
Cataplasms
,
Oils
,
Unguents
,
Emplasters
,
&c.
Which
Judicious
Physicians
and
Chyrurgions
may
doe
as
they
see
occasion
.
But
when
there
is
much
heat
in
the
part
inflam'd
,
beware
of
all
unctuous
things
,
and
let
your
Fomentations
and
Cataplasms
be
made
with
Butter-milk
,
which
doth
egregiously
temper
heat
,
and
hinder
St.
Anthonie's
fire
from
being
easily
join'd
with
the
Inflammation
.
The
generation
of
matter
being
promoted
,
and
the
Tumor
come
to
suppuration
,
let
it
be
opened
either
with
an
Instrument
or
potential
Cauterie
,
in
the
softest
and
lowest
part
of
it
;
and
let
the
matter
be
evacuated
by
little
and
little
,
because
otherwise
the
strength
of
the
sick
will
not
be
a
little
prostrated
,
especially
when
there
is
much
matter
contained
in
the
Aposteme
;
wherefore
let
not
the
Tumor
be
pressed
hard
,
which
is
familiar
with
many
Chyrurgions
,
but
often
proves
prejudicial
to
the
Patient
.
If
the
Orifice
be
too
small
,
you
may
dilate
it
with
a
tent
made
of
spunge
dipt
in
Melilot
plaster
,
and
afterward
pressed
;
but
it
is
better
to
lay
it
open
by
incision
,
if
it
may
conveniently
be
done
;
after
which
you
must
forth-with
proceed
to
cleanse
and
consolidate
the
Ulcer
;
to
which
end
several
Medicines
are
wont
to
be
applied
,
all
which
I
neither
blame
nor
carp
at
.
I
have
often
considered
(
with
admiration
)
the
laudable
effect
of
Balsam
of
Sulphur
with
By
this
experiment
not
a
little
to
be
esteem'd
I
judge
the
cleansing
and
consolidation
of
Ulcers
following
Apostemes
,
to
consist
in
the
correction
of
acid
and
corroding
matter
,
adhering
to
the
Ulcer
,
and
corrupting
the
bloud
,
(
at
least
in
part
that
is
apt
to
nourish
it
)
and
turning
it
into
new
matter
;
which
may
be
corrected
by
the
mention'd
Balsam
of
Sulphur
which
is
not
onely
Aromatical
,
but
abounds
with
a
volatile
oily
Salt
;
by
which
the
acid
Spirit
(
which
corrupts
the
bloud
into
matter
)
is
not
onely
dull'd
,
but
so
amended
,
that
the
bloud
flowing
to
it
soon
repairs
the
parts
before
consum'd
,
and
finisheth
the
last
consolidation
.
What
farther
may
be
deduc'd
from
this
experiment
,
to
perfect
Physick
and
Chyrurgery
also
in
other
cures
,
let
both
ingenious
Physicians
,
and
Chyrurgeons
,
weigh
and
judge
.
If
a
Pleurisie
,
or
Peripneumonie
,
be
Wherefore
if
these
Humors
cannot
be
evacuated
by
expectoration
,
nor
by
sweating
,
pissing
,
or
purging
;
the
matter
may
be
drawn
out
by
a
[
*
](A46940-e22650-b)
*
Compunctio
.
Paracenthesis
made
in
the
Breast
.
The
Apertion
may
be
made
four
or
five
inches
I
do
not
approve
of
the
old
way
of
performing
this
operation
,
viz.
After
the
Orifice
is
made
,
to
put
in
a
Perforated
Pipe
of
Gold
,
Silver
,
or
Lead
,
and
there
to
remain
till
the
matter
be
all
discharged
.
There
is
now
a
safer
and
surer
way
wherein
is
not
onely
avoided
many
difficulties
and
dangers
,
but
't
is
also
done
with
less
trouble
and
pain
to
the
Patient
.
The
Instrument
must
be
made
of
Steel
,
sharp
at
the
point
like
a
Lancet
,
and
hollow
like
a
quill
,
with
holes
in
several
places
towards
the
point
,
the
better
to
evacuate
the
matter
.
When
the
quantity
(
which
you
intend
)
is
discharged
,
draw
out
the
Instrument
,
and
put
a
little
pledget
of
dry
lint
on
the
Orifice
,
and
upon
it
a
sticking
plaster
;
the
next
day
(
according
to
the
strength
of
the
sick
)
repeat
it
,
either
in
the
first
place
,
or
make
a
new
Apertion
.
Thus
you
may
doe
every
day
,
till
the
matter
be
all
discharged
.
By
this
Instrument
may
a
Hydrocele
be
also
discharged
,
and
likewise
the
Dropsie
of
the
Breast
and
Abdomen
.
They
that
desire
more
directions
in
this
Operation
,
may
peruse
Hieronymus
Fabricius
ab
aqua
pendente
,
in
Libro
de
Operationibus
Chirurgicis
.
CHAP.
III.
Of
the
consumption
or
Phthisick
,
and
an
Hectick
Fever
.
THE
Consumption
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
Tabesco
,
because
in
this
disease
the
sick
doth
consume
or
waste
away
.
It
is
called
in
Latin
Tabes
,
which
is
a
general
Atrophia
,
Cachexia
,
or
Phthisis
;
but
it
may
most
properly
be
taken
for
an
Extenuation
of
the
whole
body
,
caused
by
an
Ulcer
of
the
Lungs
.
The
purulent
matter
of
the
Ulcer
circulating
with
the
bloud
,
doth
infect
,
and
by
degrees
corrupt
the
whole
mass
of
it
,
which
makes
it
unfit
for
nourishment
;
hence
it
is
that
all
the
parts
of
the
body
do
waste
and
consume
.
The
causes
are
many
,
sometimes
purulent
Sometimes
a
salt
and
sharp
Rheum
flowing
down
from
the
Head
to
the
Trachea
Arteria
,
which
doth
not
onely
cause
a
vehement
Coughing
,
but
doth
corrode
the
Lungs
being
naturally
tender
;
Hence
an
Ulcer
will
be
caused
.
Also
many
times
Pustules
,
or
Tubercles
,
are
generated
in
the
Lungs
,
and
coming
to
suppuration
,
they
break
;
and
the
matter
flowing
to
the
Bronchia
,
it
may
be
spit
up
,
if
the
Patient
have
strength
;
but
oft
times
an
Ulcer
remaineth
,
which
causeth
a
Consumption
.
These
causes
depend
sometimes
on
Choler
,
sometimes
on
the
juice
of
the
Pancreas
,
sometimes
on
Spittle
,
sometimes
on
Chyle
,
sometimes
on
Lympha
any
way
Vitiated
,
by
which
the
mass
of
bloud
(
in
time
)
becomes
also
corrupted
.
When
the
Lungs
decline
from
their
Natural
consistency
,
they
Will
soon
become
hard
and
tumorous
,
and
so
by
degrees
they
will
be
corrupted
,
and
ulcerated
;
and
the
matter
of
the
Ulcer
corrupting
,
and
makeing
the
mass
of
bloud
glutinous
,
in
circulating
with
it
,
doth
so
weaken
and
corrupt
all
the
parts
of
the
body
,
that
they
become
unfit
to
perfect
natural
nourishment
;
and
therefore
of
necessity
the
universal
body
must
consume
and
pine
away
;
sometimes
it
is
caused
by
an
obstruction
of
the
lacteal
veins
,
which
hindreth
the
natural
passage
of
the
Chylus
.
Authours
mention
many
more
causes
of
Consumptions
;
as
Gonorrhoea
,
Nocturnal
Pollutions
,
want
of
Nourishment
,
&c.
The
signs
of
a
Consumption
begun
,
are
a
To
know
whether
the
Lungs
be
ulcerated
,
let
the
Patient
spit
into
water
;
if
it
sinks
it
is
matter
,
which
is
an
infallible
sign
of
an
Ulcer
;
for
Phlegm
always
swims
in
water
.
When
the
Ulcer
is
confirm'd
,
there
is
difficult
breathing
,
and
wasting
of
the
whole
body
;
the
spittle
is
thick
,
and
of
various
colours
.
If
the
Ulcer
of
the
Lungs
,
and
Consumption
The
Hectick
Fever
is
called
in
Greek
It
is
an
unnatural
heat
which
hath
seized
upon
the
solid
parts
,
and
wasteth
the
moisture
of
them
.
The
heat
in
an
Hectick
Fever
is
but
little
,
and
therefore
rarely
troublesome
to
the
sick
,
except
one
or
two
hours
after
meat
;
at
which
time
the
heat
is
a
little
sharpned
and
increased
,
which
may
be
known
by
an
over
frequent
though
weak
Pulse
;
but
it
soon
returns
again
to
its
former
equality
.
But
here
it
will
not
be
amiss
to
shew
you
that
there
is
a
threefold
moisture
in
the
body
,
viz.
bloud
in
the
Veins
and
Arteries
,
a
dewy
substance
in
every
part
,
and
also
a
glutinous
moisture
;
which
doth
not
onely
nourish
,
but
moistneth
it
,
and
keepeth
the
substance
of
each
part
together
.
In
the
beginning
when
the
moisture
begins
The
Latin
Authours
call
it
Marcor
,
which
signifies
Corruption
or
Rottenness
.
It
is
an
immoderate
dryness
,
and
Consumption
of
the
whole
body
,
by
reason
of
the
defect
of
the
substantial
humidity
.
There
are
two
degrees
of
it
according
to
in
fieri
,
in
consuming
;
the
other
is
when
it
is
in
facto
esse
,
or
consummate
;
in
which
the
body
is
reduc'd
to
such
leanness
,
that
it
seemeth
to
be
nothing
else
but
a
walking
Sceleton
.
The
causes
of
an
Hectick
Fever
,
are
External
The
External
causes
are
all
that
may
occasion
any
of
the
other
Fevers
,
for
oft
times
Hectick
Fevers
are
observ'd
to
follow
other
diseases
,
and
especially
Fevers
of
one
day
,
proceeding
from
a
great
errour
in
Diet
,
and
also
from
continual
,
and
intermitting
Fevers
,
when
they
are
very
vehement
;
but
most
frequently
from
Inflammations
of
the
Bowels
,
especially
of
the
Lungs
,
for
when
an
Ulcer
follows
,
then
the
whole
mass
of
bloud
is
infected
by
matter
,
and
gets
a
singular
glutinousness
;
which
being
communicated
to
the
other
humours
,
spoils
them
with
the
same
fault
,
and
renders
them
unfit
to
perform
the
natural
Functions
rightly
.
Sometimes
Hectick
Fevers
are
observ'd
to
arise
immediately
from
excess
of
the
nonnatural
things
,
as
most
vehement
anger
,
too
much
watchings
,
immoderate
sorrow
,
continued
labour
,
want
of
food
,
&c.
The
Internal
cause
is
,
the
over
viscousness
of
the
bloud
and
humours
,
because
of
which
not
onely
the
appetite
of
all
food
is
diminished
,
and
at
length
dejected
,
but
the
nourishment
of
all
the
parts
of
the
body
is
dayly
decreas'd
;
for
when
there
is
loathing
of
food
,
then
fermentation
,
separation
of
usefull
from
unusefull
parts
,
sanguification
,
generation
of
the
Animal
Spirits
,
&c.
is
hindred
and
destroyed
;
whence
the
toughness
,
and
sluggishness
of
Choler
,
Spittle
,
the
juice
of
the
Pancreas
,
and
Lympha
,
is
dayly
augmented
,
and
the
evil
becomes
by
degrees
greater
,
and
at
length
incurable
.
If
you
perceive
that
there
is
so
much
of
But
if
the
Body
be
extenuated
,
almost
like
a
Sceleton
,
viz.
when
the
body
seemeth
to
be
nothing
else
but
Skin
and
Bone
,
(
as
the
vulgar
proverb
is
)
acquaint
the
sick
with
the
danger
,
least
Death
seize
upon
them
unprepared
.
Nevertheless
,
if
the
sick
implore
your
aid
of
Christian
Charity
,
withdraw
not
what
comfort
you
are
able
to
procure
unto
them
.
The
Cure
of
a
Consumption
,
and
Hectick
When
an
Hectick
Fever
comes
with
,
or
succeeds
Fevers
with
or
without
fits
,
then
upon
their
account
,
the
cure
may
be
varied
according
to
the
divers
harm
of
the
humours
,
differently
peccant
.
If
a
Consumption
,
or
Hectick
Fever
,
be
caused
by
purulent
matter
from
an
Ulcer
of
the
Lungs
,
&c.
then
you
must
endeavour
to
free
the
bloud
and
humours
from
matter
,
which
may
be
done
by
any
Antimonial
medicines
rightly
prepared
,
perhaps
before
all
others
;
whether
they
be
Diaphoreticks
,
Purgers
,
or
Vomiters
,
as
experience
doth
manifest
;
for
it
hath
been
observ'd
,
(
even
in
a
Phthisick
,
and
an
inveterate
great
Ulcer
of
the
Lungs
)
to
bring
away
a
good
quantity
of
matter
,
by
Stool
and
Urine
,
so
that
then
for
many
days
,
no
matter
was
cast
forth
by
a
Cough
.
Among
common
things
,
all
Vulnerary
plants
are
good
used
in
Decoctions
.
Let
this
or
one
like
it
,
be
a
form
of
a
Decoction
in
this
case
.
Take
the
Roots
of
Plantain
,
Comfry
,
Round-birthwort
,
Liquorish
,
of
each
two
ounces
;
Fennel
,
Scabious
,
Plantain
,
of
each
two
handfulls
;
Figs
,
Raisons
of
the
sun
stoned
,
of
each
four
ounces
;
let
them
be
all
cleansed
,
bruised
and
boiled
in
three
quarts
of
Barley-water
till
a
third
part
be
boiled
away
;
then
strain
it
,
and
add
Syrups
of
Hore-hound
,
and
Hyssop
,
of
each
two
ounces
;
Laudanum
opiatum
ten
grains
.
Mix
it
.
Let
the
sick
drink
two
ounces
of
this
Decoction
oft
in
a
day
;
and
if
you
add
one
or
two
drops
of
Balsam
of
Sulphur
with
Oil
of
Annise-seed
to
every
draught
,
it
will
be
the
more
effectual
.
The
Balsam
prepared
of
the
truly
Sulphureous
and
inflameable
Flowers
of
Antimony
,
is
most
excellent
in
this
distemper
,
if
it
may
be
had
,
which
may
be
taken
as
the
Balsam
of
Sulphur
.
Also
those
medicines
may
be
used
which
mildly
amend
and
correct
the
viscousness
,
and
glutinousness
of
all
the
humours
;
for
which
I
commend
all
mild
Aromaticks
,
and
Oily
Volatile
Salts
,
as
that
cut
and
alter
every
viscous
humour
,
and
reduce
it
into
its
natural
state
.
Those
medicines
are
to
be
selected
as
do
most
conduce
to
,
and
agree
with
the
constitution
of
every
sick
person
.
Vitriolated
Tartar
is
an
excellent
medicine
,
which
will
agree
with
all
constitutions
,
and
may
be
taken
from
ten
to
twenty
grains
(
every
other
morning
)
in
a
little
warm
Broth.
Also
the
following
medicine
is
very
effectual
.
Take
the
Powder
of
Cream
of
Tartar
,
These
choice
medicines
will
conduce
much
to
cleanse
the
bloud
and
humours
from
all
purulent
matter
,
if
there
be
any
hopes
of
the
Patient's
recovery
.
All
Effusions
of
Bloud
,
Seed
and
Milk
,
are
to
be
shun'd
,
except
the
wonted
emptyings
,
which
are
natural
and
serve
the
individual
.
Let
the
motions
of
the
Mind
be
moderate
,
and
the
exercise
of
the
Body
be
gentle
,
and
let
sleep
and
watchings
keep
a
mediocrity
.
Appoint
a
moistning
and
nourishing
Diet
,
which
is
of
easie
fermentation
,
as
Broth
,
and
Jellies
of
young
Creatures
,
and
Milk
of
Goats
,
Sheep
and
Cows
,
and
chiefly
of
wholsome
Women
.
A
Panado
made
with
the
Broth
of
a
Chicken
,
the
Crums
of
White-bread
,
and
the
Yelk
of
a
new
laid
Egg
,
may
sometimes
be
given
the
sick
for
a
change
.
Let
cooling
Herbs
be
boiled
in
the
Broth
,
and
Jellies
;
adding
other
ingredients
that
are
cooling
,
moistning
and
cordial
,
both
to
strengthen
Nature
,
and
revive
the
Spirits
.
Let
the
sick
drink
Barley-water
,
made
pleasant
with
some
Pectoral
Syrup
;
and
if
they
have
been
accustomed
to
drink
Wine
,
let
it
be
well
diluted
with
water
.
As
for
Fruit
,
Apples
are
much
commended
,
especially
Pippins
,
and
Permains
,
which
will
much
refresh
the
sick
.
If
the
Patient
be
costive
,
you
may
sometimes
administer
a
Clyster
of
Milk
and
the
yelk
of
an
Egg.
The
worst
symptome
that
can
attend
these
diseases
,
is
a
Loosness
;
if
it
so
happen
,
give
Goats
or
Cows
milk
,
wherein
steel
hath
been
quenched
,
and
Rice
boiled
in
it
,
adding
a
little
Powder
of
Cinamon
,
and
let
the
sick
eat
commonly
of
it
.
CHAP.
IV.
Of
the
Palpitation
of
the
Heart
.
THIS
Disease
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
and
in
Latin
,
palpitatio
Cordis
,
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
quod
leviter
ac
frequenter
commovet
;
because
there
is
an
over
frequent
Pulsation
or
leaping
of
Bloud
in
the
Heart
,
&c.
It
is
a
Convulsive
motion
of
the
Heart
,
with
a
vehement
Systole
,
and
Diastole
of
it
;
which
sometimes
hath
been
so
inordinate
,
that
the
Pulsation
hath
not
been
onely
seen
,
but
heard
at
a
notable
distance
;
yea
sometimes
it
hath
been
so
great
,
that
the
adjacent
Ribs
in
young
and
tender
people
(
who
have
been
afflicted
with
this
distemper
)
hath
been
dislocated
,
and
the
Aorta
or
great
Artery
,
hath
been
much
dilated
.
See
Fernelius
lib.
5.
cap.
12.
pag.
292.
This
deprav'd
motion
,
or
Palpitation
of
These
humours
are
mov'd
and
driven
forward
,
either
by
their
vitious
effervescency
;
or
else
they
are
stirr'd
up
by
violent
motion
or
exercise
of
the
Body
,
especially
in
the
quick
ascending
of
a
steep
hill
;
and
sometimes
they
are
constrain'd
,
or
urg'd
by
grievous
Passions
of
the
mind
.
Sometimes
there
have
been
observ'd
fleshy
Tumours
,
and
Cartilaginous
excrescencies
in
the
Substance
of
the
Heart
,
when
dissected
;
and
those
poor
Creatures
when
living
were
never
free
from
a
vehement
Palpitation
.
Also
Worms
have
been
found
in
the
Pericardium
,
of
some
that
have
been
dissected
after
death
;
which
without
doubt
caused
a
deprav'd
motion
,
or
pulsation
of
the
Heart
when
living
.
That
which
is
caused
by
fleshy
Tumours
,
But
the
Palpitation
of
the
Heart
which
is
caused
by
acrimonious
,
flatuous
and
viscous
humours
may
be
cured
.
Those
medicines
must
be
administred
,
The
following
Julep
may
serve
for
an
example
.
Take
the
Waters
of
Parsley
,
Fennel
,
of
Laudanum
opiat
.
ten
grains
;
mix
it
,
let
the
sick
take
a
spoonfull
of
it
every
quarter
of
an
hour
,
till
they
get
some
ease
.
If
the
distemper
hath
persever'd
long
;
the
peccant
humours
must
be
emptied
out
by
purging
;
and
to
educe
them
,
I
prefer
before
all
others
,
Pills
to
be
made
of
Gums
,
seeing
they
loosen
the
glutinous
humours
,
and
dispose
them
to
be
easier
carried
out
.
For
example
.
Take
of
Galbanum
prepar'd
with
Vinegar
Take
five
or
six
of
these
Pills
in
the
Morning
fasting
,
twice
a
week
.
They
who
abhor
Pills
,
may
use
an
Aromatick
and
purging
Decoction
.
The
following
though
bitter
is
very
efficacious
.
Take
the
five
opening
Roots
,
of
each
one
Let
the
sick
take
four
ounces
of
this
bitter
Decoction
,
every
other
Morning
;
which
will
by
degrees
diminish
,
and
mildly
educe
the
hurtfull
humours
by
purging
.
But
seeing
not
onely
the
cause
ought
to
be
removed
,
but
also
the
Symptomes
asswag'd
,
by
refreshing
the
Heart
;
you
must
administer
cordial
Medicines
which
have
power
to
corroborate
the
Heart
,
and
to
cherish
and
strengthen
nature
.
The
following
Cordial
may
be
preferred
in
this
Case
.
Take
the
Waters
of
Baum
,
Mint
,
Borage
,
Laudanum
opiat
.
Amber-greese
,
of
each
ten
grains
,
mix
it
.
Let
the
sick
take
two
spoonfulls
of
this
rich
Cordial
every
three
hours
,
which
will
wonderfully
refresh
,
and
delight
the
sensible
Stomach
,
from
whence
the
perfumed
impressions
will
soon
be
communicated
to
the
whole
Body
;
by
which
all
the
vital
and
animal
Functions
will
be
refreshingly
cherished
,
and
strengthned
,
and
the
Palpitation
of
the
Heart
eased
and
abated
.
If
the
Patient
hath
a
costive
Body
,
let
a
carminative
Clyster
be
sometimes
administred
,
and
if
a
Plethora
concur
,
let
a
vein
be
opened
,
either
with
an
Instrument
in
the
Arm
,
or
by
Leeches
applied
to
the
Haemorrhoids
.
CHAP.
V.
Of
an
universal
Languishing
,
as
also
of
Swouning
and
Syncope
.
AN
universal
Languishing
of
the
strength
of
all
the
parts
and
functions
,
is
sometimes
observ'd
to
remain
after
some
disease
preceding
,
not
rightly
cured
;
especially
when
the
Infirmity
hath
been
grievous
,
for
then
a
weariness
or
defect
of
the
Animal
motion
doth
usually
concur
,
together
with
a
weak
or
little
pulse
,
and
dulness
and
debility
of
the
internal
and
external
senses
;
whereby
the
sick
continues
weak
and
more
languishing
(
by
certain
intervalls
)
than
is
natural
.
All
the
kinds
of
Swounings
,
may
be
divided
(
for
methods
sake
)
into
two
,
viz.
the
lighter
kind
,
and
the
most
grievous
.
The
lighter
kind
of
Swouning
or
fainting
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
vel
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
in
Latin
animae
defectio
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
anima
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
deficere
,
because
it
is
an
Imbecility
or
Feebleness
of
the
Heart
and
Courage
.
The
most
grievous
and
singular
kind
of
swouning
,
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
quod
praeceps
virium
omnium
lapsus
.
It
is
also
called
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
i.
e.
pulsus
privatio
,
because
there
is
no
pulse
;
neither
indeed
(
presently
in
the
fit
)
is
there
any
Animal
or
voluntary
motion
or
respiration
to
be
observ'd
,
so
that
they
are
more
like
dead
than
living
Creatures
.
The
signs
of
these
fits
approaching
are
The
causes
of
these
distempers
are
either
The
external
are
many
,
as
extreme
weariness
of
the
Body
,
exceeding
passions
of
the
mind
,
prolong'd
hunger
or
thirst
,
ungratefull
smells
,
the
sight
of
any
Person
or
thing
that
is
envied
,
too
great
effusion
of
Bloud
,
Seed
or
Milk
,
over
great
evacuation
of
the
humours
,
by
Vomit
,
Stool
,
Sweat
,
Urine
,
&c.
It
may
also
be
caused
by
the
biting
or
stinging
of
any
venemous
Creature
,
and
by
any
other
vehement
pain
.
Sometimes
it
is
produc'd
by
a
great
heat
,
either
of
the
Sun
,
Fire
,
Bath
or
Fever
.
Any
of
these
Causes
mention'd
(
being
extreme
)
may
so
change
,
and
diminish
the
natural
effervescency
,
and
rarefaction
of
the
bloud
,
that
the
Heart
it self
is
not
thereby
enough
expanded
,
and
contracted
:
So
that
the
vital
bloud
cannot
be
sufficiently
effus'd
into
the
Arteries
;
and
therefore
the
Pulse
is
felt
less
and
more
languishing
,
yea
sometimes
none
.
The
internal
Cause
is
glutinousness
encreased
in
the
bloud
,
and
the
other
humours
;
and
sometimes
an
encreased
Acidity
in
the
Juice
of
the
Pancreas
,
Lympha
and
Spittle
;
by
which
the
Circulation
of
the
Bloud
and
Humours
becomes
too
slow
;
hence
the
Ventricles
of
the
Heart
are
not
enough
dilated
,
which
causeth
the
Pulse
to
be
weaker
than
is
natural
,
for
the
effervescency
of
the
bloud
and
humours
being
not
potent
enough
,
cannot
provoke
the
Heart
to
contract
it self
,
and
therefore
a
Swouning
or
Syncope
will
inevitably
ensue
.
They
who
are
much
subject
to
a
Swouning
Those
fits
which
are
produc'd
from
some
evident
cause
,
as
vehement
passions
of
the
mind
,
immoderate
evacuations
,
&c.
are
less
dangerous
than
those
which
come
from
an
internal
cause
,
as
glutinousness
of
the
bloud
and
humours
,
&c.
Which
in
a
great
measure
hindreth
its
free
Circulation
through
the
Ventricles
of
the
Heart
,
whereby
there
is
a
sudden
and
swift
sailing
of
the
vital
Spirits
,
and
consequently
of
all
strength
.
To
cure
an
universal
languishing
,
as
also
a
Therefore
to
correct
and
amend
the
said
humours
abounding
,
both
in
the
universal
Body
,
and
Bloud
;
I
will
here
set
down
some
forms
of
select
medicines
,
for
the
sake
of
young
Physicians
.
The
following
Decoction
,
is
an
efficacious
Medicine
.
Take
the
Roots
of
Elicampane
,
Galangal
,
Two
or
three
ounces
of
this
Decoction
may
be
taken
at
any
time
,
twice
in
a
day
,
either
before
or
after
meat
,
that
so
the
power
of
the
medicine
may
mildly
mix
and
incorporate
it self
,
not
onely
with
the
food
,
but
with
Spittle
in
the
Stomach
,
and
also
with
the
threefold
humour
flowing
together
in
the
small
Guts
;
and
thence
with
the
universal
bloud
and
humours
in
all
the
Veins
and
Arteries
;
whereby
the
desired
amendment
,
and
correcting
of
them
will
be
performed
,
sooner
,
easier
and
more
happily
.
If
any
like
a
medicinal
Wine
better
,
they
may
infuse
the
aforesaid
Ingredients
in
a
sufficient
quantity
of
White-wine
,
and
drink
it
daily
both
at
dinner
and
supper
time
.
These
choice
Medicines
may
be
continued
for
some
time
;
but
when
the
sick
is
weary
of
them
,
you
may
use
the
same
Ingredients
in
the
form
of
a
Powder
,
or
Electuary
,
or
make
them
into
Troches
,
with
Syrup
of
Staechas
,
Mugwort
,
&c.
Or
you
may
make
use
of
those
compound
Powders
which
are
to
be
sold
at
the
shops
,
viz.
Spec.
Diambr
.
Diagalangae
,
Dianthos
,
&c.
all
or
either
of
which
may
be
used
as
aforesaid
.
If
any
will
be
better
pleas'd
with
Pills
than
other
Forms
,
you
may
prescribe
these
,
or
some
like
them
.
Take
of
Galbanum
prepar'd
with
Vinegar
Let
the
Patient
take
four
or
five
of
there
Pills
in
the
morning
fasting
,
or
at
night
an
hour
after
supper
;
whereby
the
viscous
phlegmatick
and
acid
humours
will
be
potently
corrected
,
and
temper'd
;
which
being
done
,
the
peccant
humours
may
be
effectually
educ'd
with
these
hydragogue
Pills
.
Take
Gum
,
Sagapenum
prepar'd
with
Vinegar
Four
or
five
of
these
Pills
may
be
administred
at
a
time
;
or
more
or
sewer
,
as
the
sick
is
more
difficult
or
easie
to
be
purg'd
.
When
a
swouning
Fit
or
Syncope
is
near
approaching
,
give
those
things
that
will
powerfully
concentrate
the
sour
flatuous
vapours
,
and
discuss
the
glutinous
Phlegm
.
The
following
Volatile
,
and
Aromatick
Cordial
will
conduce
much
to
this
purpose
.
Take
the
Waters
of
Mint
,
Fennel
,
Betony
,
Laudanum
opiat
.
Amber-greese
,
of
each
six
grains
;
mix
it
.
The
sick
may
take
two
or
three
spoonfulls
of
this
Cordial
in
time
of
the
fit
,
and
likewise
both
before
and
after
,
which
will
much
repair
both
the
Vital
and
Animal
strength
,
which
is
wont
not
a
little
to
languish
in
these
fits
.
None
but
they
who
have
try'd
,
will
be
easily
perswaded
of
the
wonderfull
efficacy
of
the
aforesaid
medicines
;
not
onely
in
preventing
,
but
in
diminishing
and
soon
curing
Swounings
and
the
Syncope
.
When
either
of
these
fits
urgeth
,
or
is
upon
the
party
,
you
must
use
those
outward
things
,
which
may
stir
up
the
external
senses
;
as
frictions
of
the
external
parts
,
shoutings
in
the
Ears
;
also
make
a
smoak
with
Amber
,
or
Partridg
Feathers
at
the
nose
,
or
hold
the
Spirit
of
Salt
Armoniack
,
(
in
a
narrow
mouth'd
glass
)
to
the
Nostrils
.
You
may
also
wring
the
Fingers
,
and
pull
the
Hair
,
&c.
If
you
have
not
a
Cordial
ready
,
give
Cinamon
,
or
Treacle
water
,
or
the
Apoplectick
or
Antepileptick
waters
,
or
for
want
of
them
,
Brandy
,
Aqua
vitae
or
strong
Wine
may
serve
.
CHAP
VI.
Of
Fevers
in
General
.
A
Fever
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
vel
a
feritate
morbi
,
that
is
from
the
fierceness
of
the
disease
.
It
is
called
febris
in
latin
a
fervore
,
quasi
fervens
,
because
it
is
a
hot
distemper
.
A
Fever
is
a
nonnatural
heat
,
which
may
be
so
termed
,
because
it
is
more
than
nature
requires
,
for
the
continual
management
of
her
vital
functions
;
for
when
nature
is
grieved
,
or
over-burthned
by
any
distemper
,
there
is
a
strugling
endeavour
of
nature
her self
to
remove
it
,
which
causeth
this
non-natural
heat
.
It
may
be
called
the
Prince
of
diseases
,
because
it
is
the
general
door
,
through
which
most
of
humane
mortals
take
their
exit
of
this
world
.
The
cause
of
the
preternatural
frequency
of
the
pulse
,
is
either
a
permanent
and
over
rarefaction
of
the
bloud
,
or
any
sharp
,
sour
,
or
salt
vapour
carried
to
the
Heart
,
corroding
the
internal
substance
of
it
;
by
which
the
Archaeus
or
vital
Airy
spirit
of
the
Heart
is
provoked
to
allarm
all
the
faculties
,
and
powers
both
vital
and
natural
,
that
it
may
the
more
couragiously
resist
its
invading
Enemy
,
so
that
the
spirits
are
thereby
much
stirred
up
and
inflamed
;
from
whence
proceedeth
a
Conflagration
,
or
vitious
Effervescency
of
the
Bloud
and
Humours
throughout
the
whole
Body
.
Fevers
are
either
continual
,
or
intermitting
.
A
continual
Fever
is
that
which
remains
from
the
first
moment
of
its
invasion
,
to
the
last
of
its
duration
.
When
a
continual
Fever
is
very
mild
,
and
remains
but
one
day
;
it
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
dies
,
quod
diem
durans
.
It
is
called
in
Latin
Diaria
,
&
Ephemera
febris
.
This
Fever
is
often
excited
by
sudden
passions
of
the
mind
,
as
vehement
anger
,
&c.
and
also
by
our
abode
too
long
in
the
Sun
,
or
by
vitiously
using
any
other
of
the
six
nonnatural
things
so
called
;
for
which
there
is
no
great
need
to
prescribe
Medicines
for
a
Cure
,
it
being
not
difficult
,
the
very
nature
of
such
a
Fever
terminating
it self
,
most
commonly
by
a
breathing
sweat
,
especially
if
you
substract
the
Patient
from
the
inflammatory
Cause
.
If
the
Fever
continues
longer
,
it
may
be
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
continuo
.
From
whence
it
is
called
in
Latin
febris
continua
,
quae
nullas
hujusmodi
mutationes
habet
,
quae
accessiones
videri
possint
,
sed
unicam
modo
accessionem
a
principio
usque
ad
finem
nullis
exacerbationibus
distinctam
.
The
continual
Fever
is
also
called
Homotona
,
quae
fimilem
calorem
ad
finem
usque
servat
.
It
is
also
called
Acmastica
,
quae
continuo
crescit
&
intenditur
.
A
Synochus
,
or
continual
Fever
,
may
be
divided
into
two
sorts
,
viz.
that
which
is
not
Synochus
putrida
.
In
a
Synochus
non
putrida
,
the
bloud
,
and
other
humours
is
a
little
sharper
than
is
natural
,
and
the
heat
somewhat
great
and
vaporous
,
declining
a
little
to
the
nature
and
manner
of
those
called
putrid
.
Continual
Fevers
are
oft
times
mixt
or
compounded
with
those
intermitting
,
having
some
fits
,
and
again
remissions
,
so
that
they
are
not
intermitting
,
but
still
remain
continual
.
These
fits
come
sometimes
every
day
,
sometimes
the
third
,
and
sometimes
the
fourth
day
;
whence
it
may
deservedly
be
nam'd
,
either
a
Quotidian
,
Tertian
,
or
Quartan
continual
Fever
.
These
Fevers
upon
the
account
of
their
divers
causes
,
may
not
unfitly
be
distinguish'd
into
Cholerick
and
Lymphatick
Fevers
.
And
because
under
the
general
name
of
Lympha
,
we
do
not
onely
comprehend
,
that
Lympha
which
goes
from
the
conglobated
Glandules
,
and
other
parts
to
the
Heart
;
but
also
the
Juice
of
the
Pancreas
,
and
Spittle
it self
,
proceeding
from
the
conglomerated
Glandules
,
and
also
the
Liquour
that
ariseth
from
the
three-fold
sway
of
the
Guts
,
all
mixt
together
with
Lympha
,
and
the
bloud
in
circulating
with
it
.
Hence
may
Lymphatick
fevers
be
subdivided
into
glandular
,
pancreatick
and
salivary
Fevers
.
All
these
Fevers
may
differ
something
according
to
the
divers
Constitution
of
other
humours
together
being
in
the
Body
.
But
I
shall
wave
the
nice
descriptions
and
differences
of
Fevers
,
and
let
the
dextrous
,
and
judicious
Physician
put
a
difference
between
them
,
as
their
Symptoms
shall
direct
and
indicate
,
for
though
there
are
many
sorts
of
continual
Fevers
not
putrid
,
yet
the
Cure
is
almost
the
same
in
all
;
I
shall
therefore
(
in
a
few
words
)
mention
some
of
their
differences
,
taken
from
the
more
grievous
Symptoms
oft
accompanying
them
;
after
the
example
of
famous
Practioners
,
and
chiefly
great
Platerus
,
and
the
most
famous
Helmont
,
and
judicious
Sylvius
,
&c.
1.
First
,
let
us
take
notice
of
the
exceeding
heat
,
and
most
urgent
burning
,
which
It
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
which
doth
signifie
This
heat
is
not
of
the
essense
of
the
disease
,
but
proceedeth
from
the
inflamed
spirits
,
as
is
before
mention'd
in
page
98.
Neither
doth
the
great
thirst
in
Fevers
,
proceed
from
heat
and
driness
,
as
in
a
true
and
natural
thirst
,
but
from
some
excrementitious
matter
,
which
adhereth
to
the
sensitive
faculty
of
the
internal
membrane
of
the
Stomach
,
which
is
common
to
the
Throat
,
Mouth
and
Lips
,
as
that
famous
Physician
,
and
ingenious
Anatomist
Doctour
Alexander
Read
,
did
well
observe
;
which
is
also
the
cause
,
that
those
parts
are
always
afflicted
in
this
dry
and
thirsty
distemper
.
In
this
Symptome
,
Choler
is
peccant
,
not
onely
in
a
salt
Acrimony
,
but
also
an
inflamable
oiliness
;
hence
the
Pulse
is
very
great
,
and
over
frequent
,
&c.
2.
Raving
may
be
oft
observ'd
in
many
Fevers
,
which
is
grievous
to
the
sick
for
some
time
,
chiefly
when
the
Fever
is
malign
,
or
epidemical
.
The
cause
of
this
is
Choler
peccant
as
aforesaid
,
which
so
diminisheth
the
viscousness
of
the
Juice
of
the
Pancreas
,
that
it
causeth
a
vitious
Effervescency
with
it
,
and
being
made
sharper
,
it
produceth
a
humour
not
much
unlike
black
Choler
,
which
causeth
the
Head-ach
,
and
Watchings
,
and
hence
Ravings
,
and
at
length
sometimes
Convulsions
,
and
Death
it self
.
There
are
many
more
Symptoms
belonging
to
continual
or
synochal
Fevers
.
1.
As
first
,
a
speedy
wasting
of
several
parts
of
the
body
,
caused
by
Choler
,
the
Cure
whereof
may
be
referred
to
the
Cure
of
a
Hectick
Fever
.
2.
A
malignity
,
which
suddenly
dejecteth
the
vital
strength
,
without
manifest
cause
;
which
for
the
most
part
is
Epidemical
.
But
of
this
I
intend
to
treat
particularly
in
Chap.
8.
of
this
Book
.
3.
The
last
Symptome
which
I
shall
here
mention
,
is
seldom
observ'd
;
in
which
(
all
the
time
of
the
disease
)
the
external
parts
are
cold
,
while
the
internal
parts
burn
;
and
therefore
't
is
called
by
the
Latins
Lipyria
febris
,
and
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
quia
destituitur
Some
think
this
distemper
consists
of
a
double
Fever
,
Cholerick
,
and
Pancreatical
;
and
not
without
reason
,
because
such
like
vapours
may
be
continually
rais'd
in
the
small
guts
,
by
the
Juices
of
the
Pancreas
universally
over-sour
;
which
may
be
confus'd
onely
with
the
Mass
of
Bloud
,
and
breed
a
sense
of
cold
in
the
habit
of
the
Body
,
whilst
a
burning
heat
is
stir'd
up
in
the
internal
parts
by
a
Fever
,
caused
by
Choler
more
oily
than
sharp
.
The
cause
of
every
continual
Fever
not
These
vitiated
humours
flowing
always
to
the
Heart
,
cause
a
continual
Effervescency
in
the
right
Ventricle
of
it
;
whence
the
Pulse
is
continually
produc'd
more
frequent
against
nature
.
Fevers
in
Children
are
caused
either
by
the
Food
abounding
in
quantity
,
or
by
some
vitious
quality
of
it
,
or
from
an
ill
disposition
of
the
digestive
ferment
.
Milk
is
the
general
Food
of
Children
,
and
there
is
such
a
propensity
in
its
own
nature
to
curdle
,
that
if
it
be
not
quickly
digested
,
it
obeyeth
the
acid
Ferment
of
the
Stomach
,
and
is
soon
coagulated
like
new
tough
Cheese
,
and
if
it
be
not
speedily
vomited
up
,
it
begets
a
putrefactive
Ferment
,
which
produceth
terrible
Symptoms
,
as
griping
,
scouring
,
vomiting
,
&c.
I
know
a
Woman
,
that
had
a
young
Child
Continual
acute
Fevers
are
oft
times
accompanied
The
Stomach
(
in
continual
Fevers
)
is
For
as
in
humane
frame
,
the
first
heat
of
Nature
(
preparatory
to
all
her
depending
motions
)
is
the
digestive
heat
for
Chylification
in
the
Stomach
;
so
likewise
the
corrupting
or
exasperating
of
the
same
,
either
by
the
sour
Ferments
,
or
too
much
of
the
overflowing
Gall
,
is
the
Cause
of
most
Fevers
.
Therefore
in
the
beginning
of
the
Cure
,
And
here
I
commend
Antimonials
well
prepared
,
before
all
others
,
seeing
that
Antimony
as
well
rightly
prepar'd
,
as
administred
,
serves
no
less
to
purifie
Man's
body
than
Gold
.
But
if
the
Patient's
body
be
costive
,
and
there
be
eminent
signs
of
a
Plethora
,
or
great
fulness
of
Bloud
;
then
let
a
carminative
Clyster
be
first
administred
,
and
after
its
operation
let
a
Vein
be
opened
,
and
draw
seven
or
eight
ounces
of
bloud
at
a
time
,
and
if
there
be
occasion
let
it
be
reiterated
;
for
I
always
prefer
it
s
repeated
less
diminution
,
(
as
need
requires
)
sometimes
instituted
in
the
same
day
,
before
great
evacuations
made
suddenly
,
which
hath
brought
many
Evils
to
the
sick
.
It
matters
little
what
vein
be
opened
,
unless
in
Women
,
because
of
the
monthly
Terms
either
at
hand
,
or
hindred
.
And
seeing
it
is
the
duty
of
every
honest
Physician
to
be
Natures
helper
,
he
ought
to
endeavour
to
remove
all
impediments
,
whereby
the
sick
may
be
cured
more
quickly
,
safely
and
pleasantly
,
without
demurs
,
to
magnifie
the
Cure
,
and
inflame
the
reckonings
.
Wherefore
since
the
first
curative
intention
of
most
Fevers
,
is
the
discharge
of
the
first
turgent
Monitor
from
the
Stomach
,
and
adjacent
parts
by
vomiting
,
as
is
before
said
.
Let
the
Patient
(
upon
the
discovery
of
the
assaulting
Enemy
)
take
an
Antimonial
Emetick
,
and
if
one
doth
not
suffice
,
let
it
be
reiterated
;
by
which
the
Morbifick
matter
will
be
evacuated
,
nature
calmed
,
and
the
contemperating
of
the
incited
,
or
enraged
nonnatural
heat
,
will
be
the
easier
performed
.
But
here
the
Sex
is
to
be
consider'd
,
the
Female
not
so
well
enduring
this
evacuation
;
Wherefore
administer
no
Emetick
to
them
,
except
they
vomit
very
easily
;
but
rather
let
the
peccant
humours
be
diminisht
,
or
emptied
out
gradually
by
the
following
decoction
to
be
taken
twice
a
day
to
three
or
four
ounces
.
Take
the
Roots
of
Parsly
,
Fennel
,
Plantain
,
This
pleasant
Medicine
will
conduce
much
to
correct
the
salt
sharpness
of
Choler
,
and
will
also
amend
its
Oily
inflameableness
,
and
separate
it
from
the
Bloud
,
and
mildly
dispose
it
,
and
the
rest
of
the
abounding
humours
to
be
voided
out
by
stool
.
After
these
Evacuations
,
give
the
sick
the
following
Medicine
twice
a
day
in
a
little
thin
broth
,
or
Water-gruel
.
Take
Salt
of
Amber
,
volatile
Salt
of
Harts-horn
,
This
excellent
volatile
Medicine
is
both
abstersive
,
and
Diuretick
,
and
will
cleanse
the
Stomach
and
Intestines
of
the
remaining
Sordes
,
and
expell
them
by
Urine
.
In
the
Declination
of
the
Fever
,
if
sleep
be
wanting
;
this
following
Julep
will
much
avail
,
both
to
cause
rest
,
and
refresh
the
spirits
.
Take
the
Waters
of
Carduus
benedict
.
Fennel
,
Laudanum
opiatum
six
grains
;
Salt
of
Wormwood
half
a
drachm
;
Spirit
of
Salt
twenty
drops
;
mix
it
,
and
give
the
sick
three
or
four
spoonfulls
every
three
hours
.
By
the
frequent
use
of
this
Cordial
Julep
,
(
or
one
like
it
)
all
pains
will
be
eased
,
nature
quieted
and
relieved
,
and
the
importunate
thirst
allayed
.
But
if
thirst
still
urgeth
,
give
the
dulcified
Spirit
of
Salt
,
or
of
Niter
,
in
Posset-drink
,
and
all
the
Liquids
they
take
,
from
six
,
to
ten
or
twelve
drops
at
a
time
.
If
you
fear
there
be
any
Malignancy
in
the
Fever
;
give
the
sick
eight
or
ten
grains
of
Bezoardic
.
mineral
.
every
fourth
hour
,
in
a
spoonfull
or
two
of
the
aforesaid
Julep
,
or
good
sound
Canary-wine
,
to
keep
the
Patient
in
a
breathing
sweat
.
As
for
the
Cure
of
Fevers
attended
with
grievous
and
furious
raging
,
and
watchings
,
&c.
I
refer
you
to
the
Chapter
of
Phrensies
,
which
is
full
to
this
purpose
.
I
shall
now
give
some
directions
to
young
Physicians
and
Nurses
,
and
so
conclude
this
Chapter
of
Fevers
in
general
.
1.
First
,
give
no
Opiats
in
the
beginning
of
a
Fever
,
because
they
tye
up
the
Archaeus
of
the
Stomach
,
and
first
passages
,
thereby
hindring
it
from
expelling
,
the
occasional
cause
of
the
Disease
.
2.
Give
the
sick
neither
Mithridate
,
nor
Diascordium
(
as
is
the
common
custome
)
nor
apply
it
to
the
Wrists
,
nor
Stomach
,
(
nor
any
thing
else
that
is
nauseous
)
whilst
Nature
and
the
Disease
are
strugling
;
but
if
the
Patient
tends
to
coldness
,
you
may
moisten
a
piece
of
Rose-cake
,
or
a
tost
of
stale
Bread
in
Sylvius's
Spirit
,
or
for
want
thereof
in
Brandy
dulcified
,
and
apply
it
to
the
Stomach
twice
a
day
,
which
will
revive
nature
,
and
fortifie
it
against
the
invading
Enemy
.
3.
Give
no
meat
whilst
the
disease
is
on
them
,
for
the
Stomach
is
not
fit
to
receive
it
,
neither
hath
it
strength
to
digest
it
;
and
therefore
it
will
become
a
recruit
or
supply
to
the
Disease
,
except
it
be
speedily
vomited
up
again
.
4.
If
it
be
a
Child
,
give
it
not
any
Milk
,
and
if
it
Suck
,
wean
it
;
for
Milk
is
the
first
matter
,
and
foundation
of
this
disease
in
them
;
neither
give
it
Beer
,
nor
water
,
nor
any
cooling
things
to
correct
the
heat
,
because
it
will
weaken
nature
,
and
strengthen
the
Disease
.
But
hot
Posset-drink
turn'd
with
White-wine
,
or
sound
Beer
with
a
little
Vinegar
,
may
be
drank
liberally
,
after
the
Cause
is
removed
.
5.
If
the
sick
be
Adult
,
you
may
give
two
parts
of
Water
,
and
one
of
good
Wine
,
either
French
Wine
or
Sherry
;
but
Malaga
,
or
any
other
sweet
Wine
is
not
so
good
.
6.
When
the
Patient
begins
to
recover
,
the
plainest
broths
,
and
gruels
,
are
the
best
;
till
then
a
little
is
too
much
;
and
if
you
did
use
Salt
and
Vinegar
,
instead
of
Spice
and
Sugar
,
it
would
agree
better
with
them
.
CHAP.
VII
.
Of
intermitting
Fevers
.
AN
intermitting
Fever
is
that
which
returns
after
intervalls
,
sometimes
longer
,
sometimes
shorter
in
divers
Fits
;
whence
according
to
the
divers
space
of
every
access
or
fit
;
the
same
gets
also
divers
Names
,
for
if
a
new
Fit
return
daily
,
answering
the
precedent
in
proportion
,
it
is
called
a
Quotidian
.
If
it
comes
every
other
day
,
it
is
called
a
Tertian
.
If
the
fit
return
after
two
days
intermission
,
it
is
called
a
Quartan
,
and
so
forward
,
although
Quintans
,
Sextans
,
&c.
are
seldom
observ'd
.
And
here
you
may
note
,
that
intermitting
Fevers
do
but
seldom
return
in
the
exact
Although
it
matters
not
,
whether
the
fits
anticipate
,
or
come
later
;
if
so
be
that
their
continuance
,
and
the
grievousness
of
Symptoms
(
daily
accompanying
)
be
diminish'd
.
There
is
great
diversity
among
Authours
concerning
the
Causes
of
intermitting
Fevers
,
which
I
shall
not
insist
on
;
but
in
a
few
words
will
set
down
the
true
Causes
of
them
.
The
causes
then
,
are
either
external
,
or
The
external
Cause
of
Agues
is
a
stop
of
the
usual
necessary
discharge
of
fermenting
humours
;
the
porous
skin
(
being
shut
by
external
sudden
cold
)
denies
passage
to
the
constant
discharge
of
the
sweatty
humours
,
which
happens
most
commonly
about
Autumn
;
and
likewise
when
any
comes
suddenly
out
of
a
hot
Climate
,
into
a
cold
Region
;
for
the
sweatty
Vapours
being
detain'd
by
the
Constipation
of
the
skin
,
or
shutting
of
the
Pores
,
the
same
condense
,
and
thence
become
sour
,
which
chills
the
external
parts
,
and
causeth
the
shaking
,
or
shivering
cold
fit
,
at
the
first
invasion
of
this
disturbing
Foreigner
;
after
which
the
inflaming
Ferment
of
Choler
(
being
exasperated
)
doth
act
its
part
,
and
(
having
gain'd
Dominion
)
it
doth
rarefie
the
Bloud
by
degrees
;
whence
the
Pulse
becomes
greater
and
stronger
)
which
is
increas'd
by
an
irritation
of
the
Acrimony
of
Choler
,
and
the
rarefaction
of
the
Bloud
at
the
Heart
;
for
the
heat
and
burning
in
the
Heart
,
and
thence
in
the
whole
Body
,
is
increas'd
by
Choler
successively
over-ruling
.
The
internal
Cause
of
Agues
or
intermitting
Fevers
,
is
an
obstruction
of
one
or
more
of
the
lateral
ducts
or
branches
of
the
Pancreas
or
Sweet-bread
,
by
reason
of
viscous
Phlegm
;
which
being
separated
from
the
Bloud
by
the
Glandules
of
the
Pancreas
,
is
there
collected
by
degrees
;
whence
it
is
sent
(
in
too
large
a
quantity
)
to
the
main
duct
or
pipe
thereof
,
which
detaineth
the
Juice
of
the
Pancreas
contrary
to
nature
,
which
ought
continually
to
flow
into
the
small
Gut
called
Duodenum
.
The
Juice
of
the
Pancreas
,
which
is
naturally
sourish
,
being
compelled
to
stand
still
in
its
passage
,
quickly
grows
more
acrimonious
,
or
acid
;
because
the
Volatile
Spirit
(
which
is
naturally
conjoin'd
to
it
,
to
temper
it
)
doth
gradually
fly
away
;
by
which
this
Juice
(
becoming
more
sharp
and
acid
)
acquires
a
putrefactive
Ferment
;
whence
at
length
it
makes
way
through
the
obstructing
Phlegm
,
and
is
effused
into
the
Duodenum
,
where
meeting
with
Choler
,
it
stirs
up
a
vitious
effervescency
,
or
preternatural
Ferment
,
from
whence
comes
the
Ague
fit
,
with
all
its
Symptoms
;
as
in
the
beginning
Horrour
,
Chilness
,
Cold
,
Shaking
,
&c.
then
presently
follows
Reachings
,
Yawning
,
and
Vomiting
,
&c.
At
length
acrimonious
and
flatulent
Vapours
(
raised
by
the
aforesaid
vitious
Effervescency
)
are
carried
through
the
Lacteal
veins
,
and
Thoracick
passage
,
and
so
through
the
Vena
cava
ascendens
,
(
in
what
form
soever
)
to
the
right
Ventricle
of
the
Heart
;
and
by
its
Acrimony
,
alters
and
troubles
the
vital
Effervescency
,
and
by
over
stirring
the
Heart
,
causeth
a
more
frequent
Pulse
;
and
many
times
produceth
grievous
Symptoms
,
as
great
Heat
and
Thirst
,
difficulty
of
breathing
,
Heart-ach
,
Raving
,
Swouning
,
and
all
other
Symptoms
,
that
happen
in
all
intermitting
Fevers
.
The
nature
of
viscous
Phlegm
is
such
,
For
if
the
obstructing
Phlegm
be
not
very
glutinous
,
and
the
Juice
of
the
Pancreas
be
plentifull
and
acid
,
a
new
fit
of
an
intermitting
Fever
will
return
in
the
space
of
twenty
four
hours
,
and
therefore
't
is
called
a
Quotidian
But
if
the
Phlegm
be
very
viscous
and
plentifull
,
and
the
Juice
of
the
Pancreas
be
little
in
quantity
,
and
also
tart
and
obtuse
;
so
much
the
slower
will
the
new
fit
of
the
intermitting
Fever
be
produced
;
so
that
it
is
sometimes
three
,
sometimes
four
days
,
before
the
returning
of
the
fit
;
from
whence
it
is
called
a
Quartan
,
or
Quintan
,
&c.
So
likewise
as
oft
as
the
obstructing
Phlegm
,
and
the
Juice
of
the
Pancreas
are
in
a
medium
,
viz.
The
Phlegm
more
glutinous
and
plentifull
,
than
in
the
Quotidian
,
but
not
so
much
as
the
Quartan
;
as
likewise
the
Juice
of
the
Pancreas
is
more
in
quantity
,
and
more
acid
than
in
the
Qutartan
,
but
not
so
plentifull
and
acid
,
as
in
a
Quotidian
)
so
oft
new
fits
of
intermitting
Fevers
will
return
almost
every
other
day
,
from
whence
they
may
be
called
Tertians
,
which
much
differ
in
their
Symptoms
beyond
what
other
intermitting
Fevers
do
,
although
none
of
them
return
in
the
exact
intervall
of
the
Days
or
Hours
before
mention'd
,
but
return
quicker
or
slower
for
the
most
part
.
The
Cure
of
all
intermitting
Fevers
will
1.
First
,
if
the
glutinous
coagulated
Phlegm
,
(
which
is
the
cause
of
the
obstruction
)
be
cut
and
dissolv'd
,
and
wholly
carried
out
of
the
Body
.
2.
If
the
increas'd
Acidity
,
and
Acrimony
of
the
Juice
of
the
Pancreas
,
be
temper'd
and
corrected
.
3.
If
its
vitious
Effervescency
with
Choler
,
&c.
In
the
small
Gut
,
behindred
and
amended
.
Phlegm
obstructing
will
be
cut
most
commodiously
with
Aromaticks
,
and
any
Volatile
Salt
.
This
Volatile
Aromatick
Julep
may
serve
for
Example
.
Take
the
Waters
of
Carduus
,
Parsley
,
Fennel
,
Fumitery
,
Succory
,
Treacle
,
Cinamon
,
Laudanum
opiat
.
ten
grains
;
Oil
of
Cloves
six
drops
;
mix
it
.
Take
a
spoonfull
of
this
Volatile
Medicine
,
often
in
a
day
throughout
the
whole
Cure
,
using
some
exercise
,
that
thereby
the
whole
Body
may
grow
warm
,
and
the
force
of
the
medicine
being
disperst
over
all
the
Body
,
may
come
at
last
to
the
lateral
passages
of
the
Pancreas
,
and
dissolve
the
obstruction
.
Three
or
four
hours
before
the
coming
of
the
fit
,
you
may
give
three
or
four
spoonfulls
of
the
aforesaid
Cordial
,
which
will
not
onely
cause
a
breathing
sweat
,
but
will
temper
and
correct
the
increas'd
Acidity
and
Acrimony
of
the
Juice
of
the
Pancreas
,
and
hinder
,
and
amend
its
vitious
Effervescency
with
Choler
,
&c.
in
the
small
gut
,
which
will
conduce
much
to
a
Cure
.
Three
hours
before
the
return
of
the
next
fit
,
administer
an
antimonial
Emetick
,
which
is
in
this
case
proper
before
all
others
;
for
by
the
help
thereof
,
not
onely
Choler
abounding
,
but
also
phlegm
obstructing
,
will
be
expell'd
to
the
small
gut
,
and
thence
to
the
Stomach
,
and
at
length
by
the
mouth
;
and
the
straining
to
vomit
doth
many
times
procure
a
stool
or
two
,
which
is
very
beneficial
.
But
if
the
sick
be
a
Female
,
or
vomiting
be
prejudicial
,
or
not
approv'd
of
;
then
such
things
as
cut
and
purge
phlegm
downwards
,
may
be
administred
,
for
example
.
Take
of
pil.
faetidae
one
drachm
;
Mercur.
Take
four
or
five
of
these
Pills
,
four
hours
before
the
coming
of
the
fit
;
which
will
both
cut
,
and
purge
the
viscous
Phlegm
out
of
the
Body
,
and
also
educe
other
peccant
humours
.
After
purging
or
vomiting
,
let
the
sick
often
take
the
following
Powder
in
a
glass
of
generous
Wine
,
or
in
two
or
three
spoonfulls
of
the
Cordial
Diaphoretick
before
mention'd
,
to
provoke
sweat
as
is
there
directed
.
Take
Volatile
Salt
of
Harts-horn
,
Salts
of
You
may
take
a
dose
of
it
two
or
three
hours
before
the
access
of
the
fit
;
which
will
wonderfully
conduce
to
dissolve
the
obstruction
,
and
cause
a
breathing
sweat
.
Let
these
evacuations
be
as
often
reiterated
as
occasion
requires
.
If
the
intermitting
Fever
hath
continu'd
long
,
or
the
sick
hath
a
Plethorick
body
,
let
a
vein
be
opened
.
By
these
few
forms
the
young
Practitioner
may
easily
invent
other
effectual
Medicines
,
in
some
things
to
be
varied
as
the
distemper
requires
.
CHAP.
VIII
.
Of
Malignant
Fevers
.
IN
the
Chapter
of
Fevers
in
general
I
told
you
,
that
Synochal
,
or
continual
Fevers
,
were
without
any
fit
,
to
their
last
and
complete
ceasing
;
and
likewise
I
did
distinguish
them
into
putrid
,
and
not
putrid
.
Those
that
are
not
putrid
,
have
little
or
no
malignity
in
them
,
but
the
putrid
are
always
accompanied
with
malignity
.
A
malignant
Fever
differs
from
others
in
Malign
Fevers
are
either
more
acute
,
ending
in
few
days
;
or
longer
,
continuing
more
days
.
And
they
are
either
contagious
,
and
epidemical
raging
among
many
in
the
same
time
,
having
a
common
cause
,
as
the
Air
or
Food
vitiated
,
&c.
Infecting
others
,
or
else
they
are
not
contagious
.
Among
contagious
Fevers
,
we
may
not
The
signs
of
this
disease
are
a
great
pain
The
cause
of
a
Calenture
is
the
intemperature
of
the
Climate
,
together
with
ill
diet
,
causing
strong
obstructions
,
and
an
ill
habit
of
body
,
by
which
flatuous
vapours
are
encreas'd
in
the
body
,
and
in
time
ascend
to
the
Head
.
The
cause
of
the
malignity
(
in
this
,
and
all
other
putrid
fevers
)
is
a
sharp
volatile
salt
The
sharp
volatile
salt
aforesaid
,
may
be
also
swallowed
down
with
food
or
spittle
into
the
Stomach
,
or
it
may
enter
the
pores
of
the
body
;
by
which
not
onely
the
liquor
of
the
glandules
,
but
the
bloud
also
may
be
infected
;
hence
depends
the
variety
of
symptoms
which
may
be
observ'd
in
these
Diseases
.
In
Malign
fevers
,
there
oft
precedes
a
light
1.
If
tumors
in
the
glandules
,
and
spots
and
2.
If
the
sick
get
no
ease
after
sweating
promoted
by
Art
,
there
is
little
hopes
of
recovery
;
also
if
the
extreme
parts
soon
wax
hot
,
and
again
are
presently
cold
,
't
is
an
ill
sign
.
First
to
preserve
and
defend
the
body
from
I
commend
the
frequent
,
and
moderate
use
of
sour
and
tart
things
mixt
with
all
things
potable
,
for
the
Patient's
drink
,
or
food
;
as
Barberries
,
Quinces
,
Oranges
,
Pomgranates
,
Limmons
,
Wood-sorrel
,
Verjuice
,
Vinegar
,
&c.
In
the
beginning
of
malign
Fevers
,
and
also
the
Calenture
,
if
a
loathing
urgeth
,
part
of
the
acrimonious
volatile
salt
adheres
to
the
tunicles
of
the
Stomach
;
wherefore
in
this
Case
,
first
administer
an
Antimonial
Emetick
,
which
is
well
prepared
,
mild
and
fixt
,
because
it
hath
an
admirable
sulphur
in
it
,
whereby
any
sharpness
is
wonderfully
temper'd
,
and
the
Malign
Poison
is
thereby
in
part
sent
out
by
Vomit
and
Stool
.
After
the
Operation
of
the
Emetick
,
let
a
Cordial
Sudorifick
be
presently
administred
,
that
the
remaining
part
of
the
Malign
Poison
may
be
driven
forward
,
and
expelled
most
safely
,
and
commodiously
out
of
the
Body
.
The
following
Cordial
may
serve
for
example
.
Take
of
Epidemical
water
,
Spirit
of
Vinegar
,
of
each
one
ounce
;
The
Waters
of
Treacle
,
and
Cinamon
,
of
each
half
an
ounce
;
the
Waters
of
Carduus
,
Scabious
,
of
each
two
ounces
;
Syrups
of
the
Juice
of
Carduus
,
Clove-gilliflowers
,
of
each
one
ounce
and
half
;
Antimonie
Diaphoretick
,
Bezoar-mineral
,
of
each
one
drachm
;
Venice-treacle
,
two
drachms
;
mix
it
.
Let
the
sick
take
a
quarter
of
this
Diaphoretick
Julep
,
and
dispose
the
Body
to
sweat
,
and
after
half
an
hour
,
take
one
or
two
spoonfulls
more
,
and
so
go
on
,
till
a
profitable
Sweat
follow
.
In
the
interim
if
the
sick
be
thirsty
,
let
them
drink
a
little
warm
Broth
temper'd
to
a
gratefulness
,
with
juice
of
Oranges
,
Citrons
,
or
Verjuice
,
&c.
whereby
the
breaking
forth
of
the
sweat
will
not
onely
be
promoted
,
but
also
the
hurtfull
Acrimony
of
the
peccant
Salt
will
be
corrected
,
and
asswaged
.
After
this
excellent
medicine
hath
been
sufficiently
and
rightly
us'd
,
so
that
you
perceive
the
Malign
Poison
to
be
carried
out
of
the
Body
;
yet
you
must
persist
in
the
moderate
use
of
it
,
as
likewise
in
the
use
of
four
things
,
a
little
Harsh
,
mixt
with
drink
,
or
Broth
as
beforesaid
;
because
they
much
conduce
to
restore
(
by
degrees
)
the
former
consistency
to
the
Bloud
.
In
Calentures
,
Phlebotomy
may
be
safely
used
.
CHAP.
IX
.
Of
the
Plague
or
Pestilence
.
THE
Plague
or
Pestilence
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
solvo
,
quod
vitam
solvat
.
It
is
called
in
Latin
Pestilentia
,
&
Pestis
,
ex
depascendo
,
quod
veluti
incendium
depascat
.
It
is
also
called
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
percutio
hinc
Angl.
the
Plague
.
Pestis
significat
omne
malum
;
quod
tam
inanimis
quam
animatis
mortem
&
exitium
repentino
adfert
.
The
Plague
is
a
contagious
disease
,
suddenly
afflicting
the
Heart
,
and
all
the
vital
,
animal
and
natural
faculties
with
many
grievous
Symptoms
.
The
Cause
is
chiefly
the
sins
of
Mankind
,
The
Cause
(
next
to
God's
judgment
)
is
a
sharp
venemous
and
contagious
volatile
Salt
in
the
Air
,
very
much
heightned
(
inspired
with
the
Air
into
the
Lungs
,
or
is
swallowed
down
with
the
food
or
spittle
into
the
Stomach
;
it
may
also
get
in
through
the
pores
into
the
Body
)
by
which
the
acid
liquor
in
all
the
conglobated
glandules
is
weakned
and
made
sluggish
,
that
it
doth
not
circulate
with
its
wonted
force
:
whence
the
natural
consistency
and
rarefaction
of
the
Bloud
is
diminsht
,
and
the
separation
of
the
Animal
Spirits
hindred
;
and
the
vital
strength
is
much
opprest
,
by
which
the
Pulse
becomes
not
onely
little
,
but
also
languishing
;
till
at
length
the
Spirits
are
extinguisht
,
and
Death
(
unexpected
to
many
)
carries
them
speedily
(
torrenti
similis
)
in
fiery
Chariots
,
God
knows
where
.
All
the
signs
in
Malign
Fevers
are
common
(
and
much
heightned
)
in
the
Pest
;
besides
1.
The
Pest
is
deceitfull
above
all
other
diseases
,
2.
A
Bubo
is
less
dangerous
than
a
Carbuncle
,
and
it
than
the
spots
,
(
vulgarly
the
Tokens
)
which
most
commonly
portend
Death
wheresoever
they
are
.
3.
Buboes
incompassed
with
a
blue
or
livid
circle
,
are
most
commonly
a
mortal
sign
,
especially
if
they
suddenly
disappear
,
unless
the
Malign
humour
be
sent
to
some
other
part
;
and
if
with
a
Bubo
behind
the
Ears
,
there
be
pain
of
the
Throat
without
inflammation
't
is
mortal
.
4.
If
a
Carbuncle
rise
after
a
Bubo
,
and
look
white
,
with
a
litle
push
or
tail
at
the
end
of
it
,
't
is
dangerous
,
except
the
Fever
do
very
much
abate
;
and
if
after
cauterizing
,
or
cupping
,
the
Carbuncle
abate
not
in
twenty
four
hours
,
't
is
a
sign
of
Death
approaching
,
except
matter
appear
;
and
if
Carbuncles
seize
the
Stomach
,
Guts
,
Bladder
,
or
other
Intrails
,
it
portends
Death
.
5.
Deliriums
,
Drowsiness
,
Heart-ach
,
Trembling
,
Convulsions
,
great
driness
of
Tongue
,
are
all
bad
signs
;
also
a
Dysentery
is
most
commonly
mortal
;
but
a
Hemorrhage
at
the
Nose
,
or
Menses
are
not
so
dangerous
.
To
preserve
from
this
Pestiferous
distemper
,
although
transmigration
in
the
fear
of
God
may
be
lawfull
,
yet
let
none
think
to
escape
by
flying
,
and
so
neglect
their
duties
to
God
,
for
't
is
impossible
to
run
out
of
his
reach
,
for
he
filleth
Heaven
and
Earth
with
his
presence
;
wherefore
let
servent
prayers
be
put
up
to
God
,
whose
compassions
fail
not
;
and
then
make
use
of
an
honest
Physician
.
1.
You
must
endeavour
to
purifie
the
infected
Air
,
with
great
fires
,
wash
the
house
daily
,
and
after
sprinkle
it
with
Vinegar
;
and
Fume
either
with
Pitch
,
Frankincense
,
Mirrh
,
Amber
,
Benjamin
,
Wood
,
and
Berries
of
Juniper
,
&c.
2.
Avoid
all
passions
,
watchings
,
and
immoderate
exercise
and
venery
.
3.
Eat
nothing
that
is
hard
of
concoction
,
and
use
a
moderate
diet
though
easie
of
digestion
,
and
drink
good
sound
Wine
,
&c.
4.
Go
not
forth
with
an
empty
Stomach
,
but
always
take
some
preservative
against
infection
.
For
example
,
Take
Spirit
of
Vinegar
,
Julep
of
Roses
,
of
each
one
ounce
;
mix
it
.
Vinegar
,
Verjuice
,
Oranges
,
Limmons
,
Citrons
,
Pomgranats
,
Barberries
,
Quinces
,
Wood-sorrel
,
&c.
are
all
very
good
,
used
as
before
directed
in
Malign
Fevers
.
This
Poison
must
not
be
sent
out
by
vomiting
For
it
is
known
by
manifold
experience
,
that
the
cure
of
the
Pest
is
most
happily
instituted
by
Cordial
Sudorificks
,
rightly
prepar'd
of
Antimony
,
because
it
hath
an
admirable
Sulphur
in
it
,
whereby
not
onely
sharpness
is
wonderfully
temper'd
,
but
the
Malign
poisonous
volatile
Salt
is
thereby
most
safely
driven
forward
,
and
expelled
by
sweating
out
of
the
Body
;
to
which
may
be
added
other
Cordials
,
as
followeth
.
Take
the
Powders
of
Crabs-eyes
,
Tartar
confectio
de
Hyacintho
.
Let
the
sick
take
half
a
drachm
of
this
Cordial
Electuary
every
three
hours
,
and
drink
three
or
four
spoonfulls
of
this
Cordial
Julep
after
it
.
Take
of
Epidemical-water
,
the
Waters
of
Laudanum
opiat
.
ten
grains
;
mix
it
for
a
Cordial
.
Let
the
sick
person
take
the
aforesaid
medicines
,
till
sweat
is
plentifully
provoked
;
then
let
the
sweat
be
gently
wiped
off
with
warm
linen
cloaths
.
In
the
mean
while
give
the
sick
a
little
hot
Chicken-broth
,
or
other
Broth
of
fresh
Meat
,
temper'd
to
a
gratefulness
with
some
sour
thing
,
as
was
directed
in
Malign
Fevers
,
as
Barberries
,
Wood-sorrel
,
Limmons
,
&c.
You
must
persist
in
this
course
till
the
danger
be
over
,
and
some
time
after
,
(
though
the
sick
think
themselves
well
)
lest
the
disease
deceive
you
by
a
sudden
surprize
again
.
There
are
many
Cordial
Confections
always
to
be
had
ready
at
Apothecaries
Shops
,
as
Mithridate
,
Diascordium
,
Venice-treacle
,
London-treacle
,
Treacle-water
,
&c.
any
of
which
may
be
used
by
the
Rich
or
Poor
,
for
they
will
not
onely
cause
sweating
,
but
also
will
temper
and
moderate
the
hurtfull
acrimony
of
the
volatile
Salt
before
mentioned
.
You
may
dip
a
hot
Toast
in
aq.
prophylactica
,
and
apply
it
to
the
region
of
the
Stomach
,
and
also
tye
some
of
it
in
a
rag
,
and
smell
to
it
.
If
there
be
great
drowsiness
,
avoid
Opiates
,
and
take
the
Cordial
Julep
without
the
Laudanum
;
but
if
there
be
great
Watching
,
Vomiting
,
Flux
of
the
Belly
,
or
Hicket
,
you
may
give
it
with
the
Laudanum
prescrib'd
,
for
it
will
much
conduce
to
ease
the
sick
of
all
these
symptoms
.
If
there
be
a
Bubo
,
apply
a
strong
Vesiccatory
,
and
when
the
Blister
is
well
raised
,
open
it
,
and
dress
it
with
Mustard
,
and
Basilicon
,
of
each
equal
parts
;
after
cure
it
according
to
Art
.
If
there
be
a
Carbuncle
,
apply
Leeches
,
or
Ventoses
,
with
scarification
,
or
the
Actual
or
Potential
Cautery
,
after
which
often
apply
Mithridate
,
'till
the
Eschar
be
separated
;
then
dress
it
with
Unguent
.
Basilicon
,
and
Aegyptiacum
,
or
else
you
may
use
Butter
of
Antimony
'till
the
Ulcer
be
well
cleansed
and
fitted
for
the
last
consolidation
which
may
be
performed
by
any
desiccative
Medicine
.
CHAP.
X.
Of
the
Small-pox
,
and
Measles
.
THE
Small-pox
,
and
Measles
are
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
and
in
Latin
Morbilli
,
quasi
parvi
morbi
,
vel
parvorum
morbi
.
They
are
also
called
Variolae
,
&
Pustulae
,
ex
vario
,
vel
varium
facio
,
quod
cutis
fit
varia
.
Because
the
skin
is
of
various
forms
.
These
distempers
are
most
commonly
attended
with
a
Malign
Fever
,
which
oft
proves
Epidemical
,
Contagious
and
Mortal
,
and
therefore
may
justly
be
termed
Pestilential
.
The
Small-pox
is
a
cutaneous
Eruption
,
or
large
Pustules
,
something
like
to
Warts
on
the
Skin
,
with
Inflammation
,
which
in
few
days
comes
to
suppuration
,
if
the
sick
recover
.
The
Measles
are
little
Pustules
in
the
Skin
,
with
a
deep
redness
,
and
may
be
best
perceived
by
feeling
;
they
are
usually
discussed
in
five
or
six
days
without
suppuration
.
There
is
an
other
sort
of
Pustules
,
or
Tubercles
,
like
little
Bladders
,
incident
to
Men
,
Women
and
Children
;
which
are
without
Inflammation
or
redness
;
and
also
without
a
Fever
.
Some
call
them
Cristals
,
others
Blisters
,
but
Country
people
call
them
Swine-pox
,
Hen
or
Chicken-pox
,
&c.
To
these
also
may
be
referred
,
those
red
fiery
spots
which
break
out
about
the
fourth
or
fifth
day
(
in
Malign
Fevers
)
all
over
the
Body
;
and
if
the
sick
recover
,
they
vanish
about
the
eighth
day
,
after
which
the
Cuticula
cometh
away
in
flakes
;
this
is
commonly
called
the
Scarlet
Fever
.
The
signs
of
the
Small-pox
approaching
,
The
cause
of
the
Small-pox
and
Measles
,
The
excrementitious
matter
is
either
thin
or
thick
;
if
it
be
thin
,
the
Measles
follow
,
if
thick
,
the
Small-pox
are
produced
.
And
if
there
be
a
Malignant
constitution
of
the
Air
,
it
causeth
not
onely
a
purging
forth
of
the
corrupt
matter
of
the
Bloud
,
&c.
but
corrupteth
the
whole
mass
of
Bloud
,
and
so
produceth
a
dangerous
and
Epidemical
Small-pox
.
If
they
come
out
red
,
and
soon
ripen
or
So
likewise
if
it
be
long
e'er
they
come
out
,
and
they
be
green
,
blewish
,
or
black
,
and
sink
in
again
,
the
sick
is
in
great
danger
of
Death
.
As
for
the
Cure
of
these
distempers
,
if
they
be
Malignant
,
or
Epidemical
,
let
the
same
Take
the
Waters
of
Carduus
,
Dragons
,
Let
the
sick
take
two
or
three
spoonfulls
of
this
every
half
hour
till
a
sweat
be
promoted
;
after
sweating
,
keep
the
Patient
in
a
warm
Room
,
till
the
danger
be
over
.
Before
the
Eruption
,
(
if
there
be
eminent
signs
of
a
Plethora
,
and
the
sick
be
adult
)
Phlebotomy
may
be
used
with
good
success
.
Bezoar
and
Gascoign's
Powder
,
and
Diascordium
are
commonly
used
in
these
Diseases
.
You
must
endeavour
to
defend
the
inward
parts
with
the
pectoral
decoction
,
to
which
you
may
add
a
little
Saffron
.
Also
a
Saffron
Stay
,
in
which
is
put
a
few
Sows
(
called
Millepedes
)
bruised
,
is
excellent
to
defend
the
Throat
.
For
the
Eyes
,
this
water
is
good
.
Take
the
Waters
of
Plantain
,
white
Roses
,
Or
you
may
use
Womens
milk
,
and
Saffron
.
If
the
Throat
and
Mouth
are
inflamed
,
make
a
Gargarism
with
Plantain-water
and
To
defend
the
Nose
,
put
up
this
with
a
rag
or
feather
.
Take
of
red
Rose-water
,
Vinegar
of
red
Roses
,
of
each
one
ounce
;
Powder
of
red
When
the
Small-pox
begins
to
dry
,
anoint
them
often
with
Oil
of
sweet
Almonds
,
and
Oil
of
the
Yelks
of
Eggs
,
which
will
prevent
their
pitting
.
OF
DISEASES
OF
THE
BELLY
.
BOOK
III.
CHAP.
I.
Of
the
Thirsty
disease
.
THIS
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
a
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
sitio
,
to
be
thirsty
.
In
Latin
't
is
called
sitis
morbosa
.
Thirst
is
the
first
natural
Passion
of
Mankind
,
and
also
of
Beasts
;
as
is
manifest
by
their
first
sucking
milk
out
of
the
Breast
to
asswage
it
.
The
causes
of
thirst
augmented
,
are
either
The
external
are
the
Air
over
heated
by
the
Sun
,
over
salt
Food
,
too
much
exercise
of
body
,
vehement
passions
of
the
mind
,
as
much
anger
,
&c.
prolong'd
watches
,
the
Body
either
too
costive
,
or
too
loose
,
much
sweating
,
Urine
voided
too
plentifully
,
any
notable
Evacuation
of
Bloud
,
Milk
or
Seed
,
&c.
The
internal
Cause
is
deduced
(
for
the
most
part
)
from
too
sharp
Choler
,
carried
down
into
the
small
Gut
;
where
it
raiseth
such
an
Effervescency
with
the
Juice
of
the
Pancreas
flowing
thither
,
that
thence
are
elevated
salt
Vapours
to
the
Stomach
and
Gullet
,
and
there
produceth
a
sense
of
drought
.
It
may
also
pierce
through
the
lacteal
Vessels
,
and
so
to
the
Heart
,
and
infect
the
Bloud
too
much
with
its
Saltness
,
whence
the
Spittle
,
and
the
other
Humours
also
become
too
salt
,
by
which
a
great
Thirst
is
stirred
up
and
augmented
.
The
signs
are
manifest
,
for
the
Patient's
This
distemper
may
be
cured
by
such
acid
The
following
Julep
may
serve
for
Example
.
Take
Tincture
of
Red-roses
,
Barley-water
,
This
Emulsion
is
also
of
great
Virtue
,
not
onely
to
restrain
Thirst
,
but
mildly
to
procure
rest
also
.
Take
of
French-barly
boiled
four
ounces
;
Let
the
party
thirsting
,
drink
a
moderate
draught
of
this
Emulsion
,
often
in
a
day
,
which
will
be
very
acceptable
.
You
may
also
make
gratefull
Troches
,
or
Pellets
of
Sugar
,
and
Salt
Prunella
,
to
be
kept
in
the
Mouth
,
to
deceive
the
Thirst.
If
salt
serous
matter
abound
in
the
Body
,
purge
it
by
Stool
or
Urine
.
This
gratefull
Medicine
may
serve
for
both
intentions
.
Take
the
Roots
of
Flower-de-luce
,
Parsley
,
If
there
be
a
salt
Catarrh
,
it
may
be
temper'd
with
Pills
of
Styrax
,
you
may
administer
a
Pill
every
Night
going
to
bed
.
Let
the
Patient's
diet
be
Mutton
or
Veal-broth
,
without
Salt
.
CHAP.
II.
Of
Hunger
vitiated
.
HUnger
may
be
called
the
Appetite
of
Meats
,
as
Thirst
is
of
Drinks
.
It
may
be
many
ways
deprav'd
,
viz.
when
it
is
augmented
,
diminish'd
,
or
abolish'd
.
Hunger
augmented
may
be
deprav'd
two
ways
,
either
in
quantity
or
quality
;
if
it
be
in
quantity
,
there
is
more
Nourishment
desired
than
the
Stomach
can
digest
.
This
distemper
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
fames
;
quod
affatim
edatur
.
It
is
called
by
the
Latines
fames
canina
,
and
in
English
Dog's
appetite
;
because
in
this
distemper
the
sick
do
feed
insatiably
;
after
which
some
do
purge
and
vomit
like
Dogs
;
and
are
presently
hungry
again
,
and
sick
if
they
do
not
eat
.
If
hunger
be
deprav'd
in
quality
,
then
vitious
things
,
which
are
not
Food
,
(
as
Coals
,
Ashes
,
Clay
,
Turfs
,
Leather
,
and
I
know
not
what
)
are
desired
.
This
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
and
Pica
also
If
this
distemper
be
in
Women
with
Child
,
Hunger
diminish'd
is
caused
of
too
fat
and
Choler
also
being
too
fat
,
arising
from
the
small
Gut
,
to
the
Stomach
,
doth
there
corrupt
both
the
remainders
of
Food
and
Spittle
,
and
prostrates
their
gratefull
acidity
by
which
means
the
Appetite
becomes
dull
.
These
causes
being
complicated
,
if
they
be
most
grievous
;
will
at
length
quite
take
away
and
abolish
Hunger
.
The
cause
of
Hunger
augmented
is
sometimes
The
cause
of
hunger
deprav'd
in
quality
,
Hunger
augmented
needs
no
other
sign
,
The
signs
of
Hunger
deprav'd
in
quality
are
also
manifest
,
as
the
longing
desire
for
those
things
which
are
not
food
,
as
Coals
,
&c.
before
mention'd
.
If
these
distempers
continue
long
,
they
Hunger
increas'd
,
may
be
cur'd
by
giving
those
things
which
destroy
,
and
do
temperate
and
amend
the
over
acidity
of
the
Juice
of
the
Pancreas
,
and
do
prevent
its
increase
.
There
are
variety
of
Medicines
(
proper
for
these
intentions
)
prescrib'd
in
the
6th
.
and
7th
.
pages
of
the
first
Book
.
If
hunger
be
diminish'd
,
or
abolish'd
,
it
may
be
cur'd
by
Medicines
that
correct
and
educe
the
viscous
Phlegmatick
humours
,
of
which
you
may
be
throughly
furnish'd
in
the
3d.
and
4th
.
pages
.
If
hunger
be
suddenly
diminish'd
by
Choler
,
either
over
fat
,
or
abounding
in
plenty
;
CHAP.
III.
Of
want
of
Appetite
,
or
loathing
of
Victuals
.
WAnt
of
Appetite
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
sine
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
appetitus
.
In
Latin
't
is
called
inappetentia
,
because
in
this
distemper
the
sick
hath
no
desire
after
food
,
but
their
minds
are
averse
to
,
yea
they
loath
most
kind
of
meat
and
drink
,
which
sometimes
riseth
to
that
height
,
that
it
takes
away
their
strength
.
This
differs
from
vomiting
onely
in
degrees
,
it
being
a
desire
to
vomit
up
whatsoever
troubles
the
Stomach
,
but
cannot
,
either
by
reason
of
weakness
,
or
toughness
of
the
matter
.
Loathing
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
Navis
,
quod
navigantibus
proecipue
contingit
.
All
loathing
is
either
natural
,
or
adventitious
.
The
natural
(
for
the
most
part
)
is
common
to
Women
with
Child
;
wherein
't
is
thought
by
some
,
that
the
mind
of
the
Child
in
the
Womb
is
affected
,
as
well
in
this
distemper
,
as
in
the
disease
called
Malacia
,
or
longing
;
wherein
if
the
Woman
have
not
presently
what
the
longs
for
,
wheresoever
she
first
puts
her
hand
on
any
part
of
her
body
,
in
that
part
the
Child
is
mark'd
,
as
we
may
see
often
by
experience
.
The
adventitious
loathing
,
or
that
which
cometh
by
accident
,
is
stir'd
up
in
healthy
People
by
prejudice
,
they
esteeming
some
sorts
of
food
ungratefull
,
or
prejudicial
to
their
Health
,
and
therefore
their
Stomachs
loath
them
.
Sometimes
nauseousness
,
and
loathing
even
to
vomiting
,
immediately
follows
Intemperance
in
eating
and
drinking
,
which
is
dangerous
.
That
we
may
the
better
judge
of
the
causes
of
this
distemper
,
let
us
first
consider
what
is
the
natural
Cause
of
Hunger
,
by
which
we
may
the
easier
discover
it
.
I
judge
the
chief
Cause
of
natural
hunger
to
be
the
remainders
of
food
fermented
in
the
Stomach
,
and
the
longer
it
stays
there
,
it
is
still
more
and
more
fermented
by
the
Spittle
;
which
is
continually
swallowed
down
,
and
intermix'd
with
it
;
and
at
length
it
raiseth
a
somewhat
sour
and
gratefull
Vapour
,
which
pleasingly
affects
the
upper
Orifice
of
the
Stomach
,
and
so
natural
hunger
seems
to
be
produc'd
.
And
if
food
be
with-held
somewhat
longer
than
ordinary
,
then
this
hunger
is
increas'd
even
in
healthy
People
;
which
I
think
is
promoted
and
augmented
by
the
Juice
of
the
Pancreas
,
having
a
friendly
Effervescency
with
Choler
and
Phlegm
in
the
small
Guts
,
from
whence
sour
and
gratefull
Vapours
are
sent
to
the
Stomach
,
which
increaseth
hunger
;
and
if
food
be
seldom
taken
,
it
may
proceed
to
fainting
fits
.
Hence
we
may
gather
,
that
if
there
be
a
1.
Want
of
Appetite
or
Loathing
is
a
digression
2.
In
all
diseases
this
is
an
evil
Symptome
,
and
if
the
sick
recover
and
want
Appetite
,
or
loath
their
Food
,
there
is
danger
of
a
relapse
.
This
distemper
(
either
in
healthy
People
,
or
those
that
are
sick
)
may
be
cur'd
,
-
1.
First
by
freeing
the
mind
from
every
prejudice
.
-
2.
By
correcting
or
purging
out
the
vitious
and
peccant
humours
.
If
the
Humours
incline
upward
,
they
may
be
safely
carried
out
by
an
Antimonial
vomit
;
and
after
the
operation
,
at
night
going
to
bed
,
let
the
sick
take
this
Cordial
Opiate
.
Take
the
Waters
of
Damask-roses
,
Baum
Confectio
Alkermes
half
a
drachm
;
Laudanum
opiat
.
four
grains
;
Oil
of
Vitriol
six
drops
;
mix
it
.
But
if
the
humours
be
very
viscous
,
(
and
the
Stomach
be
not
nauseous
)
let
them
be
purged
out
by
stool
,
with
such
Medicines
as
have
power
to
alter
,
amend
and
evacuate
the
vitious
humours
.
For
example
.
Take
of
the
Decoction
of
Senna
Gereonis
After
purging
,
the
Stomach
must
be
strengthned
;
which
may
be
done
by
this
excellent
Diet-drink
.
Take
the
Roots
of
China
,
Sarzeparilla
,
of
The
sick
may
drink
four
ounces
of
it
three
times
in
a
day
.
Also
candied
Ginger
,
and
Nutmegs
preserv'd
are
good
to
corroborate
the
Stomach
;
a
little
of
either
of
them
may
be
eaten
before
the
taking
of
the
Diet-drink
.
You
may
anoint
the
Stomach
with
Oil
of
Mace
by
expression
;
after
which
apply
a
Plaster
Stomachicum
magistr
.
to
the
Region
of
the
Stomach
.
CHAP.
IV.
Of
the
Hicket
,
or
Hiccough
.
THE
Hicket
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
and
in
Latin
singultus
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
cum
,
&
gula
,
quod
fere
gula
fiat
;
vel
a
sono
gulae
.
It
is
called
in
English
a
Sobbing
or
Yexing
,
being
something
like
the
Clocking
of
Hens
with
Chickens
.
This
disease
was
thought
by
the
Ancients
to
be
a
deprav'd
motion
of
the
Stomach
onely
,
by
which
it
striveth
to
expell
something
which
is
hurtfull
;
but
experience
doth
manifest
,
that
it
is
a
convulsive
Motion
of
the
Midriff
,
and
not
of
the
Stomach
,
because
in
this
distemper
,
expiration
is
deprav'd
;
and
this
is
chiefly
perfected
by
the
Muscles
of
the
Belly
,
both
by
drawing
down
the
Breast
,
and
compressing
all
that
is
contain'd
in
the
Belly
,
and
driving
them
forward
towards
the
Midriff
,
and
so
compelling
it
upward
(
its
proper
motion
together
concurring
)
by
which
a
greater
straitness
is
made
in
the
Breast
,
which
causeth
the
Lungs
also
to
be
straitned
,
and
consequently
the
Air
contain'd
in
them
to
be
suddenly
expir'd
.
'T
is
true
,
in
this
distemper
,
the
Stomach
is
primarily
affected
by
sharp
Vapours
,
Wind
,
or
humours
whencesoever
proceeding
,
which
piercing
to
the
membranous
Centre
of
the
Midriff
,
provoke
it
by
pricking
,
or
corroding
,
to
perform
that
convulsive
motion
;
in
which
the
Diaphragma
is
contracted
with
a
great
force
towards
the
Region
of
the
Stomach
,
which
suddenly
and
violently
driveth
it
forward
and
outward
,
the
convulsive
Motion
soon
ceasing
,
and
again
often
repeating
.
The
causes
of
the
Hicket
are
either
external
,
The
external
are
hurtfull
,
sharp
and
poisonous
food
,
or
medicines
,
taken
into
the
Stomach
,
by
which
the
Midriff
is
soon
affected
,
and
compelled
to
this
violent
,
and
presently
interrupted
convulsive
Motion
.
The
internal
cause
riseth
up
out
of
the
small
Gut
,
by
the
vitious
Effervescency
of
the
humours
there
meeting
;
from
whence
sharp
,
halituous
or
windy
Vapours
are
rais'd
to
the
upper
Orifice
of
the
Stomach
,
by
which
it
is
soon
corroded
;
and
thence
the
sharp
flatuous
Humours
,
or
Vapours
,
are
presently
carried
through
the
Vessels
of
the
Diaphragma
,
and
sticking
in
its
substance
,
do
corrode
its
sensible
parts
,
and
compell
it
to
that
Convulsive
repeating
contraction
of
it self
.
When
the
Hicket
is
the
Symptome
of
any
other
grievous
disease
,
as
an
acute
Fever
,
Inflammation
,
In
most
ordinary
Hickets
,
the
party
is
easily
But
as
often
as
sharp
poisonous
Food
or
Medicines
,
or
any
flatuous
humours
be
in
the
Stomach
;
&c.
causing
the
Hicket
;
they
must
be
presently
expelled
by
an
Antimonial
Emetick
,
which
will
not
onely
empty
the
peccant
humours
upward
and
downward
,
but
will
correct
and
amend
the
hurtfull
humours
in
the
Body
.
After
the
Operation
of
the
Emetick
,
the
following
Cordial
Opiate
will
conduce
to
dissipate
the
molesting
Vapours
,
which
remain
about
the
Mouth
of
the
Stomach
;
and
will
stay
the
Hicket
,
and
mildly
procure
sleep
.
Take
the
Waters
of
Treacle
,
Cinamon
,
Coufectio
Alkermes
two
drachms
;
Laudanum
opiatum
six
grains
;
Spirits
of
Harts-horn
,
Niter
dulcified
,
of
each
twenty
drops
;
mix
it
.
Let
the
sick
often
take
two
spoonfulls
of
this
Opiate
,
till
they
be
dispos'd
to
rest
.
If
this
distemper
be
obstinate
,
and
yields
not
to
the
aforesaid
Medicine
,
it
shews
that
over-viscous
Humours
are
conjoin'd
to
its
Cause
.
Therefore
in
an
obstinate
Hicket
,
it
is
better
that
the
peccant
humours
be
emptied
downwards
,
with
such
Medicines
as
will
both
cut
,
and
educe
them
.
For
which
I
commend
these
Pills
.
Take
pil.
foetidae
,
ex
duobus
,
of
each
fifteen
Let
these
or
the
like
Aromatick
Pills
with
gums
be
taken
at
least
twice
a
week
;
which
will
not
onely
educe
the
hurtfull
humours
,
but
discuss
Vapours
,
and
Wind.
In
the
interim
,
let
not
the
frequent
use
of
the
aforesaid
Cordial
Opiate
be
neglected
,
for
it
will
wonderfully
conduce
to
the
Cure
.
Sometimes
it
is
good
for
the
Patient
to
sneez
,
for
it
hath
often
prov'd
succesfull
.
Drinking
of
warm
Milk
from
the
Cow
is
also
much
commended
,
because
it
will
asswage
the
hurtfull
humours
which
remain
about
the
Stomach
,
&c.
CHAP.
V.
Of
Belching
.
BElching
is
called
in
Latin
ructatio
&
ructuatio
esculenta
,
quae
fit
ab
homine
saturo
,
because
it
comes
most
commonly
after
a
full
Stomach
.
Any
thing
which
breaks
up
from
the
Stomach
in
the
kind
of
a
rift
,
or
windy
Vapour
,
and
is
expell'd
by
the
Mouth
with
noise
,
may
properly
be
called
belching
.
The
cause
of
this
distemper
,
is
either
outward
,
The
outward
is
from
windy
food
,
or
other
flatuous
things
taken
,
as
Beans
,
Pease
,
Radishes
,
&c.
The
internal
cause
is
either
from
a
phlegmatick
viscous
humour
adhering
to
the
Stomach
,
where
it
is
rarefied
into
wind
by
Aromaticks
taken
;
or
from
the
same
viscous
humour
in
the
small
Guts
,
turned
into
wind
by
Choler
over
fat
,
and
volatile
;
and
thence
it
is
driven
forward
to
the
Stomach
,
whereby
the
Fermentation
of
Food
is
deprav'd
into
a
noisome
Crudity
;
whence
Belches
like
rotten
Eggs
,
&c.
are
rais'd
,
which
doth
distend
and
gnaw
the
Stomach
.
If
the
Phlegmatick
matter
,
which
cleaveth
The
Cure
may
be
safely
and
happily
perform'd
,
CHAP.
VI.
Of
Vomiting
,
and
of
the
Cholerick
and
Iliack
Passion
.
VOmiting
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ab
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
vomo
.
It
is
a
deprav'd
motion
of
the
Stomach
,
and
a
certain
sign
of
health
weakned
;
for
in
perfect
health
nothing
is
wont
to
be
expell'd
out
of
the
Stomach
by
the
Mouth
.
In
vomiting
,
sometimes
food
,
(
either
crude
,
or
more
or
less
fermented
)
is
cast
out
by
the
Gullet
and
Mouth
;
sometimes
Bloud
,
sometimes
Choler
,
and
other
times
manifold
humours
and
matter
of
divers
Colours
,
Taste
and
Consistency
;
and
sometimes
the
Excrements
returning
to
the
Stomach
(
as
in
Iliaca
passio
)
is
expell'd
by
that
preposterous
way
of
vomiting
,
wherein
,
omnia
naturae
praepostera
legibus
ibant
.
All
the
differences
occurring
in
several
sick
People
,
are
very
difficult
to
be
numbred
,
or
reduc'd
into
a
certain
order
;
and
much
more
to
make
an
exact
Examination
of
all
the
Symptoms
,
and
thence
to
give
a
solid
Judgment
of
every
one
.
In
this
distemper
the
Stomach
is
either
primarily
,
or
secondarily
affected
.
The
Stomach
is
primarily
affected
to
vomit
,
when
the
cause
is
in
it self
.
As
by
taking
a
Vomit
,
or
when
there
is
an
Inflammation
,
or
Exulceration
of
it
;
for
then
it
is
easily
stir'd
up
(
by
food
,
or
any
other
thing
swallowed
)
to
a
violent
and
preternatural
Contraction
,
and
turning
of
its
motion
,
whereby
it
is
compell'd
to
cast
out
whatsoever
is
contain'd
in
it
.
The
Stomach
is
secondarily
affected
,
when
it
is
drawn
by
consent
of
other
parts
first
distemper'd
;
as
by
the
contracting
motion
of
the
Guts
,
either
in
part
or
wholly
,
in
that
most
grievous
disease
called
Ileos
,
or
Iliaca
As
often
as
Cholerick
humours
are
plentifully
voided
out
,
as
well
upward
,
as
downward
with
great
force
,
accompanied
with
troublesome
Anxieties
of
the
Midriff
;
it
is
When
there
is
a
forcible
pouring
out
of
Bloud
by
vomiting
,
it
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
and
in
Latin
vomitio
sanguinis
.
The
Cause
of
Ileos
,
or
Iliaca
passio
,
is
an
The
Rupture
of
the
Peritonaeum
may
be
also
the
cause
of
this
grievous
disease
,
especially
if
it
be
so
great
,
that
not
onely
the
small
Guts
,
but
the
great
ones
also
fall
through
the
lacerated
hole
,
either
by
reason
of
their
weight
,
or
else
by
the
perpetual
approaching
of
what
is
contain'd
in
them
,
which
renders
them
uncapable
to
be
reduc'd
,
or
put
back
through
the
same
hole
;
whence
the
excrements
,
(
having
not
passage
downwards
)
are
more
and
more
hardned
to
that
degree
,
that
they
can
hardly
be
dissolv'd
,
so
that
a
hard
and
unsupperable
Tumour
doth
soon
follow
,
which
hinders
the
reflux
of
bloud
,
and
causeth
an
inflammation
,
and
consequently
a
gangrene
of
the
Guts
,
attended
with
a
violent
vomiting
of
the
excrements
,
'till
death
do
put
a
period
to
the
Patient's
misery
.
These
evils
are
often
encreas'd
by
fomentations
too
hot
apply'd
,
as
also
by
a
preposterous
and
strong
rubbing
of
the
swell'd
part
,
and
violence
us'd
to
repell
the
Guts
.
The
immediate
causes
of
the
cholerick
The
cause
of
vomiting
bloud
,
is
to
be
deduced
This
distemper
may
also
be
caused
by
bloud
flowing
out
of
the
vessels
of
the
Stomach
or
Guts
,
either
broken
by
vehement
Coughing
,
or
corroded
by
sharp
humours
.
1.
If
vomiting
be
from
repletion
,
or
be
critical
,
2.
If
the
cause
of
Ileos
,
be
from
excrements
indurated
in
the
Gut
Ileon
,
it
may
be
cur'd
,
if
taken
in
time
;
but
if
it
be
from
a
Rupture
of
the
Peritonaeum
,
't
is
dangerous
,
and
for
the
most
part
mortal
,
especially
if
there
be
inflammation
and
Tumour
of
the
Guts
,
&c.
3.
If
the
sick
vomit
bloud
,
't
is
dangerous
:
neither
is
the
cholerick
passion
without
danger
.
The
Cure
of
this
manifold
vomiting
,
may
If
vomiting
be
rais'd
too
much
by
an
Emetick
,
or
any
other
nauseous
thing
taken
,
it
may
be
represt
by
this
aromatick
Opiate
,
or
one
like
it
.
Take
of
Mint-water
,
four
ounces
;
Tincture
Laudanum
opiatum
six
grains
;
Spirit
of
Nitre
twenty
drops
;
mix
it
.
Let
the
sick
take
a
spoonfull
of
this
every
quarter
of
an
hour
,
till
the
vomiting
ceaseth
.
If
a
Catarrh
be
the
cause
of
vomiting
look
for
the
cure
in
its
proper
Chapter
.
If
the
cholerick
passion
be
caused
by
Take
of
the
infusion
of
Crocus
Metallorum
,
Laudanum
opiatum
,
two
grains
;
mix
it
.
After
the
evacuation
of
the
peccant
humours
upward
,
and
downward
,
an
Opiate
may
be
profitably
used
;
because
it
will
not
onely
temper
the
Acrimony
of
Choler
,
but
asswage
the
acid
juice
,
and
stupefie
the
outward
sense
,
and
procure
rest
,
which
will
be
very
gratefull
to
the
sick
.
Take
the
waters
of
Fennel
,
Plantain
,
Mint
,
Confect
.
de
Hyacintho
,
Diascordium
,
Venice-treacle
,
of
each
two
drachms
;
Laudanum
opiat
.
eight
grains
;
Spirit
of
Niter
twenty
drops
;
mix
it
.
Let
the
sick
take
two
Spoonfulls
of
it
often
,
which
will
conduce
to
amend
the
faultiness
of
any
humours
,
whether
acrimonious
,
salt
or
sour
;
for
in
the
disease
of
Cholera
,
it
will
powerfully
asswage
the
too
much
effervescency
that
is
raised
in
the
small
Gut
,
staying
the
fierce
motion
of
the
troubled
humours
.
A
bloudy
vomiting
requireth
speedy
help
,
The
following
Astringent
medicine
will
wonderfully
conduce
to
the
cure
.
Take
the
waters
of
Plantain
,
Comfrey
,
Laudanum
opiatum
six
grains
;
mix
it
.
The
sick
may
take
two
or
three
Spoonfulls
of
this
Astringent
Julep
every
hour
,
with
good
success
,
for
it
will
cure
the
most
ruptions
of
Vessels
,
and
stop
the
flux
of
bloud
beyond
expectation
.
After
Vomiting
is
supprest
,
if
the
Patient
be
troubled
with
belching
of
wind
,
&c.
in
this
case
,
the
following
exemplary
mixture
may
bear
the
praise
;
for
it
doth
not
onely
conduce
to
curb
and
discuss
wind
,
remaining
as
well
in
the
Stomach
,
as
Guts
;
but
it
doth
temper
and
correct
both
Phlegm
and
Choler
,
and
hinder
wind
in
its
rise
,
and
will
dissipate
it
,
when
it
is
bred
.
Take
the
waters
of
Mint
,
Fennel
,
of
each
Laudanum
opiatum
ten
grains
;
mix
it
.
Let
this
be
taken
by
Spoonfulls
,
often
or
more
slowly
,
as
pains
or
stretchings
do
more
or
less
urge
.
If
bloud
be
thought
or
feared
to
be
clotter'd
in
the
cavity
of
the
Guts
;
to
dissolve
it
,
you
may
add
to
the
above
mentioned
Carminative
Julep
,
pul
.
ocul
.
Cancror
.
Antimon
.
Diaphoret
.
Sperma
Coeti
,
of
each
one
drachm
.
The
voiding
of
matter
by
vomiting
and
stool
,
is
not
to
be
staid
,
but
mildly
promoted
,
seeing
it
is
wholly
unnatural
,
and
hurtfull
to
the
Body
:
but
its
new
rise
is
to
be
hindred
as
much
as
may
be
,
seeing
it
is
bred
of
bloud
,
which
is
the
fuel
of
our
vital
fire
,
and
the
sustenance
of
all
parts
of
the
Body
.
Among
all
the
medicines
that
move
or
promote
the
voiding
of
matter
,
and
hinder
the
continual
breeding
of
it
,
out
of
corrupt
bloud
;
I
prefer
and
commend
Antimonials
,
rightly
prepar'd
;
as
well
Emeticks
,
as
other
preparations
of
it
,
as
Antimonium
Diaphoretic
.
and
above
all
,
a
Balsam
made
artificially
of
its
flowers
,
which
will
powerfully
conduce
to
alter
and
correct
the
harms
befalling
the
Body
by
matter
,
and
hinder
the
new
producing
of
it
.
Also
Balsam
of
Sulphur
with
Oil
of
Anise-seed
is
excellent
to
cleanse
and
consolidate
any
inward
Ulcer
;
if
two
or
three
drops
of
it
be
taken
often
in
a
day
in
any
pleasant
healing
vehicle
.
In
all
preternatural
vomitings
keep
the
Belly
open
,
so
that
the
sick
may
have
(
at
least
)
every
day
a
stool
,
either
by
Nature
or
Art
;
and
let
the
peccant
humours
remaining
be
emptied
out
by
siege
,
with
these
or
the
like
Pills
.
Take
Extract
.
Rudii
half
a
drachm
;
Resin
The
cure
of
Ileos
,
or
Iliaca
passio
,
may
Cure
of
Iliaca
passio
.
(
for
the
most
part
)
be
performed
by
the
aforesaid
medicines
.
But
for
the
sake
of
young
Practitioners
,
I
shall
add
some
few
directions
for
the
cure
of
this
lamentable
contracted
motion
.
Wherefore
to
appease
the
troublesome
irritation
of
the
Guts
,
let
fat
Broths
be
often
taken
in
at
the
Mouth
,
and
also
injected
into
the
Fundament
as
a
Clyster
;
but
if
an
emollient
Clyster
can
conveniently
be
made
,
let
the
following
be
prepared
and
often
used
,
the
Decoction
of
which
may
be
also
taken
at
the
Mouth
,
with
a
few
drops
of
Oil
of
Anise-seed
.
Take
the
Roots
of
Marsh-mallows
two
ounces
;
of
Mallows
,
Marsh-mallows
,
Mullein
,
Of
which
ingredients
you
may
also
make
Fomentations
and
Cataplasms
to
be
applied
to
the
region
of
the
Navel
,
moderately
hot
,
adding
Swines
or
Goats
dung
to
the
Pultess
.
The
following
Emulsion
will
conduce
not
onely
to
allay
the
irritation
,
and
temper
the
sharp
humours
,
but
will
make
the
passages
slippery
,
and
(
by
degrees
)
moisten
the
hard
Excrements
contained
in
the
small
Gut
,
and
in
the
mean
time
,
will
mildly
procure
rest
,
and
stop
vomiting
.
Take
of
sweet
Almonds
blanched
,
white
Poppy-seeds
,
of
each
two
ounces
;
French-barley
confectio
Alkermes
de
Hyacintho
,
of
each
two
drachms
;
Laudanum
twenty
grains
;
Spirit
of
Niter
forty
drops
;
mix
it
.
Let
the
sick
take
three
Spoonfulls
of
it
often
.
In
this
grievous
Disease
,
nothing
is
to
be
neglected
,
either
outward
,
or
inward
,
that
may
procure
ease
to
the
Patient
.
The
intrails
of
Animals
,
as
sheep
,
&c.
applied
very
warm
in
hot
cloaths
,
and
often
repeated
,
are
very
effectual
.
Also
Ventoses
applied
to
the
Navel
have
prov'd
succesfull
;
after
which
let
a
little
Civet
wrapt
in
Cotten
be
put
to
the
Navel
,
and
upon
it
apply
a
Plaster
e
Cymino
,
or
Sylvius's
Carminative
Plaster
;
or
else
let
the
aforemention'd
Pultess
be
applied
warm
.
Golden
bullets
swallowed
are
excellent
,
but
for
want
of
them
,
leaden
bullets
may
serve
.
Some
give
great
Pills
of
Antimony
;
and
crude
Mercury
or
Quick-silver
well
depurated
is
also
highly
commended
,
to
be
given
to
three
pound
at
a
time
,
and
walk
or
ride
after
it
,
to
agitate
the
Body
;
but
before
you
give
either
of
them
let
the
sick
take
an
ounce
of
oil
of
sweet
Almonds
or
Sallet
oil
,
and
likewise
after
it
:
and
be
sure
that
no
acid
thing
be
given
after
the
Quick-silver
till
it
be
evacuated
,
lest
it
coagulate
the
Mercury
,
and
hurry
the
Patient
to
the
grave
.
CHAP.
VII
.
Of
pain
in
the
Stomach
,
and
of
various
pains
of
the
Guts
,
as
Cholick
,
&c.
THE
pains
of
the
Stomach
may
be
distinguish'd
or
divided
into
two
sorts
,
viz.
of
the
upper
and
lower
orifice
.
If
the
upper
orifice
of
the
Stomach
,
(
which
is
of
exquisite
sense
,
by
reason
of
the
intertexture
of
Nerves
with
which
it
is
wonderfully
furnish'd
from
the
vaga
sexta
,
whereof
branches
are
also
communicated
to
the
Heart
)
be
affected
,
it
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
vel
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
Cor.
It
is
also
called
in
Latin
Cardiacus
dolor
,
cui
os
Ventriculi
dolet
,
&
per
consensum
cordis
,
ergo
vocatur
affectio
Cordis
,
seu
oris
ventriculi
.
For
the
Mouth
,
or
upper
orifice
of
the
Stomach
being
primarily
affected
,
the
Heart
suffers
by
consent
.
If
the
lower
orifice
,
called
Pilorus
,
be
affected
,
it
is
called
dolor
seu
colica
ventriculi
;
especially
if
it
come
of
wind
.
The
pains
of
the
Guts
may
also
be
distinguish'd
,
because
one
while
the
small
guts
,
and
other
whiles
the
thick
guts
are
griev'd
.
As
often
as
the
upper
part
of
the
small
gut
,
(
nearest
the
Stomach
,
)
is
pain'd
,
because
that
part
of
the
gut
is
over
the
right
Region
of
the
Lions
,
it
maketh
the
Patient
(
and
sometimes
the
Physician
)
think
that
the
pain
is
in
them
.
But
if
that
part
of
the
small
gut
which
riseth
up
from
the
Loins
and
Mesenterie
,
(
Towards
the
left
Hypochondrium
)
be
afflicted
with
rendings
and
distensions
,
with
a
notable
hardness
,
this
is
attributed
to
the
Spleen
,
even
by
some
Physicians
,
although
without
any
solid
reason
;
when
indeed
this
distending
pain
is
altogether
Hypochondriacal
.
If
the
pain
be
in
the
Gut
Ileon
,
it
is
thence
called
Iliaca
Passio
,
which
hath
been
already
treated
of
.
Whatsoever
pain
is
rais'd
in
the
Gut
Colon
,
may
be
called
Colica
Passio
.
These
may
be
distinguish'd
from
one
another
,
chiefly
from
the
situation
of
either
Gut
.
For
the
Gut
Ileon
is
for
the
most
part
contorted
hither
and
thither
,
up
and
down
about
the
region
of
the
Navel
,
and
from
thence
a
little
upward
;
but
the
Colon
from
the
Navel
downward
,
the
pain
of
the
Cholick
generally
pressing
to
the
bottom
of
the
Belly
,
as
well
as
to
each
side
,
and
the
Back
,
&c.
according
as
the
Gut
is
writhed
which
is
almost
in
the
manner
of
a
Roman
S.
being
roll'd
to
the
Navel
,
and
from
thence
with
a
remarkable
winding
through
the
middle
of
the
Belly
,
it
is
writh'd
to
the
left
kidney
,
and
groin
,
and
so
down
to
the
Os
sacrum
,
and
bladder
,
and
ends
in
the
right
Gut
,
whence
the
pain
rising
in
the
circuit
and
circumference
of
the
Belly
below
the
Navel
may
truly
be
called
Cholical
.
Sometimes
there
is
a
hot
distending
pain
In
these
various
pains
of
the
Guts
,
there
The
causes
are
either
external
,
or
internal
.
The
external
are
wounds
or
contusions
,
caused
by
external
violence
.
The
internal
causes
are
divers
;
sometimes
Worms
may
be
the
cause
.
But
a
burning
pain
is
produced
either
by
an
obstruction
of
the
Capillary
veins
of
the
Stomach
or
Guts
,
by
which
the
bloud
is
forc'd
to
stand
still
in
the
vessels
till
at
length
(
after
a
great
distension
)
the
vessels
burst
,
and
the
bloud
is
effus'd
,
which
breedeth
an
inflammation
,
and
a
manifest
pulsation
about
the
part
affected
,
by
which
it
may
be
distinguish'd
from
any
other
Kind
.
But
for
the
most
part
,
a
burning
and
corroding
pain
riseth
from
Choler
too
fat
,
powerfully
and
vitiously
raising
an
effervescency
with
the
juice
of
the
Pancreas
too
acid
;
as
experience
teacheth
in
outward
things
;
for
if
you
pour
Spirit
of
Vitriol
to
oil
of
Turpentine
,
it
will
presently
raise
an
effervescency
join'd
with
a
notable
heat
and
burning
.
This
burning
pain
is
chiefly
felt
in
the
region
of
the
Loins
,
because
there
is
the
conflux
of
Choler
,
and
the
juice
of
the
Pancreas
;
and
from
thence
ariseth
vitious
sharp
vapours
,
which
produce
griping
pains
of
the
Stomach
,
and
pricking
pains
in
the
Guts
,
as
also
other
wandring
pains
therein
.
If
the
pain
be
chill
and
cold
,
it
is
caus'd
from
the
juice
of
the
Pancreas
very
acid
and
sharp
;
which
raiseth
a
vitious
effervescency
with
Choler
(
not
oily
)
and
phlegm
together
,
as
we
may
observe
,
if
we
mix
Spirit
of
Vitriol
with
any
volatile
Salt
not
oily
,
how
it
will
raise
an
effervescency
,
coupled
with
a
notable
Chilness
,
and
Coldness
onely
sensible
;
hence
we
may
conclude
,
that
the
operation
of
the
acid
Spirit
in
producing
cold
,
is
much
promoted
by
phlegm
.
The
cause
of
the
Colick
is
over
viscous
But
if
the
aforesaid
humours
be
mixt
with
the
juice
of
the
Pancreas
over
sharp
,
acid
and
harsh
;
then
there
is
a
wonderfull
sense
of
contortion
in
the
part
affected
,
urging
and
writhing
from
place
to
place
,
according
to
the
winding
or
rolling
of
the
Gut
.
If
this
wind
pierceth
through
the
Guts
,
These
Distempers
are
all
dangerous
,
and
We
must
vary
the
cure
according
to
the
diversity
of
the
causes
.
A
burning
corroding
pain
may
be
cur'd
,
by
tempering
too
fat
Choler
with
Acids
,
as
Spirit
of
Niter
,
&c.
being
mixt
with
Opiates
.
For
example
.
Take
the
Waters
of
Fennel
,
Fumitory
,
Laudanum
opiatum
ten
grains
;
Spirit
of
Niter
twenty
drops
;
mix
it
.
Let
the
sick
often
take
a
Spoonfull
of
this
Julep
,
till
the
heat
and
pain
be
diminished
,
and
sleep
be
procured
.
The
following
Emulsion
is
also
profitable
,
and
therefore
may
sometimes
be
given
for
a
change
.
Take
the
four
greater
cold
Seeds
,
white
If
Choler
be
two
plentifull
,
let
it
be
educ'd
with
this
or
the
like
mild
Cholagogue
.
Take
Damask-rose
water
two
ounces
;
Manna
,
Diaphaenicon
,
Electuary
of
the
juice
of
Roses
,
of
each
two
drachms
;
Tartar
Vitriolated
ten
grains
;
mix
it
,
and
take
it
in
the
morning
.
The
Cholagogue
Electuary
of
Sylvius
is
also
excellent
,
of
which
you
shall
have
the
receipt
at
the
latter
end
of
the
Book
.
Chilness
and
cold
pains
may
be
cur'd
by
tempering
the
over
sharp
acidity
of
the
juice
of
the
Pancreas
.
Lixivial
Salts
both
fixt
and
volatile
are
excellent
in
this
Case
,
as
also
any
Aromatick
Spirit
of
wine
,
Treacle
water
,
&c.
with
which
may
be
mix'd
Coral
,
Pearl
,
Crabs-eyes
,
Antimon
.
Diaphoret
.
&c.
and
let
the
body
be
compos'd
to
sweat
.
The
following
forms
may
serve
for
example
.
Take
the
waters
of
Treacle
,
Fennel
,
Syrup
You
may
also
give
some
of
this
Cordial
Julep
,
to
uphold
the
Spirits
when
they
sweat
.
Take
of
Tincture
of
Cinamon
,
the
Carminative
Laudanum
opiat
.
four
grains
;
Oil
of
Cloves
six
drops
;
mix
it
,
and
give
two
or
three
spoonfulls
of
it
often
.
Let
Sylvius's
Carminative
Plaster
be
spread
on
Leather
,
and
applied
to
the
region
of
the
Stomach
and
Navel
.
As
for
the
cure
of
the
Cholick
,
let
an
Emollient
Take
the
roots
of
Marsh-mallows
one
The
smoak
of
Tobacco
may
be
blown
into
the
Clyster-bladder
,
and
given
with
it
,
with
good
success
.
Besides
,
a
Clyster
may
be
made
of
Canary
wine
,
or
warm
Cows
Milk
,
and
a
little
Honey
,
or
Malossus
,
and
given
sometimes
to
soften
the
hard
excrements
,
and
to
dissolve
those
that
are
too
viscous
,
whereby
they
may
be
the
easier
evacuated
,
and
also
Wind
invited
to
an
easie
outlet
.
To
drink
the
Decoction
before
prescrib'd
,
will
much
conduce
to
ease
the
sick
;
also
of
the
same
ingredients
,
you
may
make
fomentations
and
Cataplasms
,
But
if
the
Patient
do
not
care
for
the
trouble
of
such
medicines
;
you
may
anoint
the
Belly
with
this
ointment
.
Take
Ointments
of
Marsh-mallows
,
Martiatum
,
After
which
apply
a
large
Plaster
of
Sylvius's
The
following
Julep
taken
often
by
spoonfulls
will
much
conduce
to
ease
the
pain
,
and
discuss
the
wind
.
Take
the
Waters
of
Mint
,
Scurvigrass
,
Fennel
,
Laudanum
opiatum
ten
grains
;
mix
it
for
a
Julep
.
The
Oil
of
Harts-horn
is
a
very
Potent
,
though
ungratefull
remedy
in
this
disease
.
Also
the
Balsam
of
Sulphur
made
with
Oil
of
Anise-seed
,
Amber
,
or
Juniper
is
excellent
in
vanquishing
this
rebellious
distemper
.
After
the
violence
of
pain
is
abated
,
you
may
purge
the
Body
with
this
following
Decoction
.
Take
of
Guiacum
four
ounces
;
Roots
of
The
following
Pills
with
Gums
will
be
also
very
usefull
,
and
potent
to
educe
the
viscous
Phlegm
,
&c.
Take
Galbanum
prepar'd
with
Vinegar
of
Let
the
sick
take
three
or
four
of
these
Pills
in
the
morning
fasting
,
which
will
kindly
expell
the
vitious
humours
.
After
which
let
them
take
some
of
the
aforesaid
Julep
to
procure
rest
and
ease
.
Oily
volatile
Salts
,
and
Spirit
of
Niter
are
excellent
,
not
onely
to
correct
Choler
,
and
other
peccant
humours
,
but
do
potently
discuss
wind
.
CHAP.
VIII
.
Of
the
Worms
.
WOrms
may
be
generated
in
all
parts
of
the
Body
;
those
which
are
bred
in
Ulcers
,
may
more
fitly
be
called
Maggots
,
in
Latin
termetes
;
but
I
shall
onely
treat
of
those
which
are
bred
in
the
internal
parts
of
the
Body
.
Every
man
living
in
all
places
,
and
climes
,
doth
more
or
less
suffer
by
the
frequent
generation
of
these
little
intestine
Enemies
;
especially
the
weaker
state
of
Man
,
as
Infants
and
the
female
Sex
;
whose
ferment
,
or
digestive
heat
being
not
sufficiently
master
of
their
great
moisture
;
part
of
it
is
turned
into
putrefaction
,
which
corrupteth
the
humours
.
Wherefore
it
is
no
wonder
that
active
Nature
(
being
never
at
rest
)
by
the
quickning
animating
heat
,
which
causeth
Concoction
,
doth
frequently
generate
Worms
either
in
the
Stomach
or
Guts
,
according
to
the
various
occurrences
of
matter
,
and
seminal
dispositions
.
There
are
three
or
four
kinds
of
these
inbred
disturbers
,
which
we
may
take
notice
of
.
The
first
are
called
in
Latin
Teretes
,
a
terendo
,
quod
quasi
terendo
rotundum
sit
,
vel
ex
i.
e.
terebrando
.
They
are
long
and
round
like
Earth-worms
but
whiter
;
they
are
more
common
than
the
rest
,
and
are
bred
in
the
Guts
,
but
do
sometimes
get
up
into
the
Stomach
.
The
second
are
called
lumbrici
Lati
&
longi
,
because
they
are
broad
and
long
.
They
are
also
called
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
This
worm
is
full
of
joints
,
and
is
a
native
of
the
Jejunum
,
which
is
a
fit
place
to
nourish
these
Milk-suckers
,
or
craving
Vermine
;
there
being
the
most
supply
of
milky
Juice
,
by
reason
of
the
numerous
lacteal
Vessels
.
Some
of
these
worms
have
been
of
an
incredible
length
.
Pliny
lib
11.
nat.
hist.
cap.
33.
affirmeth
that
some
have
been
thirty
foot
in
length
.
If
you
peruse
Schenckiu's
his
observations
,
lib.
3.
pag.
411.
you
may
reade
variety
of
such
Histories
.
The
third
are
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
à
In
Latin
they
are
called
Vermes
exigui
intestinorum
,
quod
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
è
sordibus
nascantur
.
They
are
little
and
slender
;
some
call
them
Arse-worms
,
because
they
commonly
lye
in
the
Intestinum
rectum
,
near
the
Sphincter
Muscle
.
There
is
another
kind
of
worms
(
though
seldom
seen
)
in
the
Colon
,
like
the
Botts
in
Horses
;
they
may
be
called
in
Latin
Vermina
,
The
material
cause
of
all
worms
is
(
most
commonly
)
the
inconcocted
part
of
the
Chylus
which
is
produc'd
of
such
nourishment
as
easily
putrifieth
in
the
Stomach
;
as
green
fruit
,
&c.
which
gives
sufficient
matter
to
these
intruding
Vermine
.
This
part
of
the
Chylus
being
crude
,
and
unfit
for
sanguification
,
is
left
(
undrawn
by
the
lacteal
Veins
)
in
the
intestines
,
where
it
is
mixed
with
pituitous
humours
,
and
elaborated
by
the
temperate
heat
of
the
guts
,
which
is
the
efficient
cause
of
such
like
generations
.
The
form
which
lay
hid
in
this
matter
before
,
is
afterward
generated
by
the
temperate
heat
of
the
Bowels
,
and
according
to
the
diversity
of
the
latent
forms
,
sundry
sorts
of
worms
are
bred
.
In
the
aforemention'd
title
of
Schenckius
,
you
may
reade
of
the
stupendious
Figures
of
Worms
,
set
down
by
learned
and
famous
Men
in
their
Monuments
.
The
signs
of
worms
are
many
.
If
they
be
round
,
there
is
a
pinching
or
If
the
long
broad
worm
be
in
the
small
If
the
small
worms
called
Ascarides
,
be
If
the
short
thick
worms
like
Botts
be
bred
These
last
mention'd
,
are
of
all
others
the
worst
,
and
most
difficult
to
destroy
,
especially
The
broad
long
worms
are
also
hard
to
destroy
;
and
if
the
round
ones
continue
long
,
and
are
many
,
they
cause
Convulsions
,
and
sometime
Epilepsie
;
and
if
they
come
out
alive
in
acute
Fevers
,
it
betokeneth
great
Malignity
of
the
morbifick
matter
,
which
they
labour
to
shun
.
The
Ascarides
are
not
dangerous
,
for
they
may
be
easily
killed
with
Clysters
.
As
for
the
Curation
,
it
is
perform'd
by
two
And
here
the
place
or
residence
of
the
offending
Vermine
is
to
be
considered
,
viz.
whether
it
be
the
Stomach
or
Bowels
;
if
the
Bowels
,
whether
the
most
external
,
as
the
Rectum
,
or
more
internal
,
as
the
Colon
,
Ileon
,
or
Jejunum
;
and
according
to
the
different
seat
of
such
internal
offensives
of
life
,
we
must
differently
level
our
remedies
,
and
manner
of
Cure
.
If
the
Stomach
be
the
residence
of
these
notorious
offenders
;
they
may
then
be
killed
,
and
pumped
upwards
by
an
Antimonial
vomit
.
But
large
worms
,
which
are
not
natives
of
the
Stomach
,
but
(
as
is
said
before
)
of
the
Jejunum
,
or
other
next
productive
guts
,
may
be
most
properly
conveyed
downwards
by
the
force
of
Aloetick
and
Mercurial
Medicaments
.
And
for
as
much
as
the
passage
is
tedious
for
such
slow
marchers
as
worms
are
;
which
being
but
sick
it
may
be
with
one
dose
,
and
loath
to
be
dislodged
;
therefore
they
must
be
often
stimulated
to
their
exit
(
at
least
five
or
six
days
together
)
by
protruding
Medicaments
,
till
they
be
all
destroy'd
,
and
evacuated
.
The
following
Pill
is
excellent
.
Take
Extract
.
Rudii
,
pil.
Ruffi
,
of
each
one
Scruple
;
Mercur.
dulcis
sixteen
grains
;
A
young
Child
may
take
a
small
Pill
of
this
every
day
,
and
those
that
are
adult
,
three
or
four
of
them
,
for
five
or
six
days
,
till
all
the
Vermine
are
kill'd
and
ejected
.
And
to
render
the
whole
Region
of
the
Bowels
an
uneasie
residence
to
such
unwelcome
guests
,
an
Aloetick
Plaster
applied
to
the
Navel
is
never
to
be
omitted
;
and
farther
to
specificate
the
same
,
and
all
other
Medicines
,
either
internally
exhibited
,
or
externally
applied
;
I
advise
you
to
mix
some
of
the
Powder
of
the
ejected
worms
(
of
what
kind
soever
)
with
them
,
which
you
will
find
most
effectual
to
destroy
the
living
Vermine
.
Also
all
medicaments
which
partake
of
mercurial
irradiation
are
destructive
to
Worms
where-e'er
they
are
.
Our
common
Quicksilver
,
if
boiled
an
hour
or
two
in
fair
Water
,
renders
the
whole
(
without
communication
of
taste
or
scent
,
and
also
without
any
loss
of
weight
)
a
certain
destroyer
of
Worms
in
humane
Bodies
;
which
may
be
either
given
at
the
Mouth
,
or
sweetned
with
Sugar
,
and
given
as
a
Clyster
;
after
which
give
two
or
three
doses
of
the
aforesaid
Pills
to
expell
the
dead
Vermine
,
and
verminous
matter
.
CHAP.
IX
.
Of
a
Looseness
,
or
flux
of
the
Belly
.
AS
often
as
the
expulsion
of
what
is
contain'd
in
the
Guts
,
happens
quicker
,
oftener
,
and
more
plentifully
than
is
natural
,
it
may
be
called
a
Looseness
;
of
which
there
are
divers
sorts
,
which
may
be
distinguisht
according
to
the
different
things
voided
.
1.
If
Food
be
evacuated
crude
and
undigested
,
2.
If
the
Food
be
fermented
in
the
Stomach
,
and
the
Chyle
passeth
into
the
Guts
,
and
the
nutriment
of
the
Chyle
be
not
there
separated
from
the
Excrement
,
but
is
voided
whitish
like
a
Pultess
,
much
like
the
Excrements
of
those
that
have
the
Jaundice
,
it
may
be
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
and
in
Latin
Coeliaca
,
i.
e.
alvinus
,
vel
ventralis
dispositio
;
3.
If
not
onely
Food
,
but
waterish
and
cholerick
humours
are
often
and
plentifully
voided
,
it
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
It
may
be
called
in
English
a
Cholerick
Looseness
.
There
are
divers
other
kinds
of
Looseness
,
which
may
be
called
Diarrhoea
;
for
if
thick
and
viscous
Phlegmatick
humours
are
frequently
and
plentifully
voided
,
it
may
thence
be
call'd
a
Phlegmatick
Diarrhoea
;
if
the
humours
be
serous
,
it
is
a
serous
Diarrhoea
;
if
fat
and
oily
Excrements
are
frequently
evacuated
,
it
may
thence
be
nam'd
an
unctuous
Diarrhoea
,
&c.
4.
If
the
dejection
be
purulent
,
corrupted
,
excrementitious
matter
,
together
with
pure
Bloud
,
it
may
then
be
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
It
may
be
called
in
Latin
Tormina
quod
dolore
torquentur
intestina
;
In
English
't
is
vulgarly
called
the
Bloudy-flux
.
If
there
be
a
perpetual
endeavour
to
go
to
stool
,
and
nothing
but
a
little
mucous
purulent
matter
voided
with
great
pain
and
straining
,
it
may
be
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
vel
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
tendo
.
In
English
it
may
be
called
a
neediness
,
there
being
a
continual
need
and
desire
to
go
to
stool
.
This
Distemper
properly
belongeth
to
a
Dysentery
,
because
it
doth
most
commonly
follow
it
,
and
sometimes
with
a
procidentia
Ani.
To
a
Bloudy-flux
may
also
be
referred
the
It
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
sanguis
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
profluvium
.
Also
the
flux
of
the
Liver
(
if
there
be
any
such
Disease
)
may
be
referred
hither
,
in
which
the
excrementitious
liquour
ejected
,
is
like
the
washing
of
bloudy
flesh
.
This
Distemper
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
qui
ex
hepate
laborant
.
In
Latin
't
is
called
Hepaticus
affectus
,
vel
fluxus
est
serosi
et
sanguinei
humoris
per
alvum
excretio
,
propter
Hepatis
imbecilitatem
.
The
causes
of
all
fluxes
of
the
Belly
,
are
The
external
,
are
any
of
the
six
non-natural
things
immoderately
used
,
which
weakens
the
Stomach
,
also
the
taking
of
any
venemous
thing
,
as
Arsnick
,
Mercury
sublimate
,
&c.
which
presently
destroys
the
ferment
of
the
Stomach
and
Guts
.
The
internal
cause
of
the
Lientery
,
is
weakness
The
Jaundice-like
flux
is
caused
by
the
sluggishness
The
Chyle-like
flux
is
also
caused
by
the
A
Cholerick
Diarrhoea
is
caused
by
over-salt
,
A
phlegmatick
Diarrhoea
is
caused
by
such
things
as
do
breed
much
viscous
phlegm
.
A
serous
Diarrhoea
ariseth
most
frequently
from
Spittle
,
and
the
juice
of
the
Pancreas
too
Serous
.
A
fat
,
oily
,
or
unctuous
looseness
,
doth
follow
the
over
much
use
of
too
fat
food
.
A
Dysentery
doth
proceed
either
from
the
Or
else
it
may
be
caused
from
Choler
too
salt
,
sharp
and
plenteous
in
the
bloud
,
whereby
it
doth
become
extravagantly
serous
,
and
eager
,
through
extraordinary
fermentation
,
extremely
agitating
the
humours
to
a
Colliquation
,
especially
where
fierceness
of
anger
or
great
heat
of
mind
do
concur
;
by
which
the
bloud
is
the
more
rarifi'd
to
pierce
through
the
tender
restraint
of
the
vessels
,
and
doth
flow
out
by
indirect
ways
,
sometimes
by
great
loss
,
to
the
endangering
of
life
.
A
Tenasmus
is
caused
by
a
phlegmatick
viscous
The
flux
of
the
Hemorrhoids
,
and
of
the
The
Hemorrhoids
are
either
critical
,
which
useth
to
ease
the
sick
;
or
symptomatical
,
and
much
weakneth
them
.
The
signs
of
Fluxes
are
manifest
,
from
1.
If
any
looseness
continue
long
,
with
loathing
,
2.
If
the
small
Guts
are
affected
,
the
pain
is
sharper
than
when
it
is
in
the
thick
Guts
.
3.
In
the
Dysentery
,
if
the
dejections
be
very
bloudy
,
or
black
and
fetid
,
with
great
Thirst
,
Hicket
,
&c.
for
the
most
part
they
are
mortal
signs
;
but
if
the
erosion
be
onely
in
the
internal
membrane
of
the
Gut
,
and
there
be
no
great
pain
,
nor
other
bad
symptome
,
there
is
great
hopes
of
recovery
.
If
the
bloud
and
humours
be
too
thin
and
Chalk
,
and
Harts-horn
,
(
or
any
other
burnt
bone
)
reduc'd
to
powder
,
and
given
often
in
a
small
quantity
,
doth
imbibe
and
correct
watry
moisture
,
and
also
over
much
fatness
,
which
may
be
the
cause
of
a
looseness
.
After
which
the
peccant
humours
may
be
evacuated
by
stool
with
Hydragogues
,
and
by
sweat
and
urine
,
with
Sudorificks
and
Diureticks
.
Toasted
Rhubarb
will
satisfie
to
many
indications
,
seeing
that
it
doth
not
onely
evacuate
water
together
with
Choler
abounding
,
but
will
soon
correct
the
over-loose
body
,
by
its
mild
tartness
.
Wherefore
when
the
Bloud
doth
abound
with
much
serous
liquour
,
let
the
sick
take
this
Powder
in
a
little
Broth.
Take
the
Powder
of
Jallop
,
Cinamon
,
of
each
fifteen
grains
;
Powder
of
Rhubarb
After
the
operation
of
it
,
you
may
give
the
following
Cordial
by
spoonfulls
.
Take
the
Waters
of
Plantain
,
Comfry
,
Confectio
de
Hyacintho
,
Diascordium
,
of
each
one
drachm
;
Laudanum
opiat
.
four
grains
;
mix
it
.
It
will
be
also
convenient
sometimes
to
educe
the
humours
by
urine
and
sweat
;
for
which
I
commend
the
following
Decoction
of
China
,
&c.
Take
the
Roots
of
Burdock
,
the
five
opening
L●t
the
sick
take
a
quarter
of
a
pint
of
this
warm
,
twice
or
thrice
a
day
,
and
especially
in
the
morning
fasting
,
which
will
the
easier
procure
a
breathing
sweat
,
or
else
urine
more
plentifull
,
by
which
the
serosity
of
the
bloud
will
be
consum'd
by
little
and
little
,
so
that
the
bloud
and
humours
will
thereby
become
more
pure
.
If
a
Dysentery
,
or
Bloudy-flux
arise
from
a
sharp
humour
corroding
the
Vessels
;
it
may
be
cur'd
by
correcting
,
and
tempering
the
sharp
acid
humours
,
and
consolidating
the
Vessels
fretted
.
The
following
Powder
is
excellent
to
correct
and
amend
the
aforesaid
acid
humours
,
and
stop
all
fluxes
of
bloud
.
Take
the
Powders
of
red
Coral
,
Pearles
Take
the
Waters
of
Plantain
,
Comfry
,
of
Laudanum
opiat
.
ten
grains
;
Oil
of
Juniper
ten
drops
;
mix
it
.
If
there
be
an
Ulcer
in
the
thick
Guts
,
and
Clysters
can
come
to
the
part
affected
,
let
the
following
be
often
injected
,
and
instruct
the
sick
to
retain
them
so
long
as
they
can
.
Take
new
Milk
wherein
Steel
hath
been
The
following
Bolus
may
be
sometimes
given
in
the
Morning
fasting
.
Take
the
Powder
of
Rhubarb
tosted
two
And
this
Bolus
may
be
given
at
Night
going
to
bed
.
Take
Diascordium
,
Conserves
of
red
Roses
,
Laudanum
opiat
.
three
grains
;
mix
it
.
By
the
frequent
use
of
these
choice
Medicines
,
the
Ulcer
will
be
cleans'd
,
the
Gripes
asswag'd
,
and
the
Consolidation
of
the
ulcerated
Gut
(
both
in
the
Tenasmus
and
Dysentery
,
&c.
)
will
be
wonderfully
promoted
.
But
if
the
Ulcer
be
in
the
small
Guts
,
the
following
vulnerary
Decoction
will
more
conduce
to
the
Cure
.
Take
the
Roots
of
Comfry
,
Plantain
,
Knot-grass
,
If
you
add
two
or
three
drops
of
Balsam
of
Sulphur
,
made
with
Oil
of
Anise-seed
to
every
dose
of
the
Decoction
,
&c.
it
will
be
the
more
effectual
both
to
cleanse
and
consolidate
the
Ulcer
.
The
flux
of
the
Hemorrhoids
,
if
it
be
symptomatical
,
and
weaken
the
sick
,
is
then
to
be
hindred
,
which
may
be
effectually
done
by
the
afore-mention'd
Medicines
.
If
much
serous
Liquour
can
so
dilute
the
Bloud
,
and
relax
the
Vessels
,
that
part
of
it
may
be
carried
out
of
them
into
the
Guts
,
and
produce
a
Flux
like
the
washing
of
Flesh
,
commonly
called
a
Flux
of
the
Liver
;
it
may
be
cur'd
by
driving
forward
the
serous
Liquour
out
of
the
Body
,
by
Sudorificks
,
and
Diureticks
;
and
also
by
tart
strengthning
things
that
repair
the
hurt
of
the
loosened
Vessels
.
The
Diuretick
decoction
of
China
,
before
mention'd
,
is
excellent
in
this
case
,
to
be
taken
as
is
there
directed
.
Also
the
following
Diaphoretick
may
be
sometimes
used
with
good
success
.
Take
the
Waters
of
Treacle
,
Cinamon
,
of
Confectio
de
Hyacintho
,
Diascordium
,
of
each
one
drachm
;
Powder
of
Crabs-eyes
,
Antimony
Diaphoretick
,
of
each
half
a
drachm
;
Syrups
of
Mirtles
,
dried
Roses
,
of
each
six
drachms
;
mix
it
for
two
doses
.
Also
the
Powder
and
astringent
Julep
prescrib'd
in
page
192
,
193.
is
excellent
to
corroborate
the
loosened
Vessels
,
&c.
Anoint
the
Belly
with
the
Oil
of
Quinces
,
Mirtles
,
Roses
,
Wormwood
,
&c.
mixed
with
unguent
.
Comitissae
;
which
is
also
good
in
all
Fluxes
of
the
Belly
.
CHAP.
X.
Of
the
dry
Belly-ach
.
THIS
cruciating
disease
may
be
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
and
in
Latin
Spasmus
Abdominis
,
quod
sub
umbelico
est
ad
Pubem
;
and
because
of
the
additional
Torments
,
it
may
be
also
named
Tormen
Abdominis
,
quod
dolore
torquetur
Abdomen
.
This
disease
doth
also
need
as
well
the
Name
,
as
the
invocation
of
Miserere
mei
Deus
;
the
sick
being
in
such
extreme
misery
,
that
't
is
incredible
to
all
but
them
that
have
endur'd
it
.
The
most
urgent
and
exquisite
pain
under
this
affect
,
being
in
that
most
tender
and
sensible
part
,
viz.
the
Belly
,
may
seem
to
have
some
Alliance
with
the
Iliack
or
Colick
passion
;
and
indeed
they
are
sometimes
its
Concomitants
,
but
much
different
from
it
.
The
causes
of
this
lamentable
Distemper
,
The
external
general
occasional
cause
is
contracting
Cold
in
the
Region
of
the
Belly
,
&c.
which
doth
cramp
not
onely
the
Muscles
of
the
Abdomen
,
but
also
the
tender
Fibres
of
the
Intestines
,
cruciating
all
the
affected
parts
with
obdurate
Contractions
;
which
is
more
aggravated
when
the
Moon
doth
come
to
opposition
with
the
Sun
.
Which
may
be
also
observ'd
in
all
Spasms
and
convulsive
motions
,
that
about
the
full
of
the
Moon
,
the
tide
of
such
nervous
diseases
doth
rise
highest
:
Especially
in
those
places
where
the
direct
aspects
of
the
nocturnal
luminary
have
the
most
power
;
which
demonstration
will
evince
to
be
between
the
Tropicks
,
which
many
of
our
Mariners
,
(
who
have
sailed
that
way
)
can
tell
by
wofull
experience
.
Another
external
procuring
cause
of
this
grievous
disease
is
a
mineral
Gas
ascending
from
the
Caverns
of
the
Earth
,
infesting
the
Air
with
its
poisonous
Fumes
,
whereby
not
onely
the
tender
fibrous
,
and
nervous
parts
of
the
Belly
are
oft
times
crampt
with
Convulsive
spasms
;
but
the
mineral
Fumes
being
inspired
with
the
Air
into
the
Body
,
produce
most
eminent
apparent
evils
,
as
the
Corruption
of
the
Chyle
into
porraceous
and
adust
Choler
,
from
whence
followeth
irritating
Vomitings
,
and
the
Constipation
of
the
Belly
,
with
obdurateness
of
the
excrements
,
which
inflames
the
Bowels
,
and
entails
The
like
grievous
Symptoms
(
though
not
so
violent
)
happen
to
many
People
that
inhabit
near
the
mineral
Mines
in
Hungaria
,
and
also
in
some
Places
of
England
as
Derbyshire
,
&c.
Where
there
are
Lead-works
,
from
whence
mineral
Fumes
continually
ascend
from
the
separating
Oar
,
which
infesteth
the
Air
,
and
is
a
great
producer
of
such
Convulsive
effects
.
At
the
first
seisure
of
this
evil
,
the
Muscles
of
the
Abdomen
,
and
sometimes
those
of
the
Breast
and
Back
,
(
through
contractions
)
prove
hard
and
painfull
,
as
in
our
ordinary
Cramps
;
which
Symptoms
will
evince
,
that
these
Vapours
are
peccant
in
an
acid
Acrimony
.
The
internal
Cause
,
is
also
sour
Vapours
arising
most
commonly
out
of
the
small
Guts
;
which
the
concurring
symptoms
(
consider'd
and
weighed
with
an
attentive
mind
)
will
confirm
;
for
these
Vapours
being
sharp
,
are
driven
forward
into
the
Nerves
,
and
gnawing
them
with
great
pain
,
aggravate
and
produce
this
Convulsive
spasm
.
1.
If
this
miserable
and
afflictive
Distemper
2.
If
a
pregnant
Woman
,
or
a
Woman
after
Abortion
,
be
afflicted
with
this
grievous
evil
;
it
is
very
dangerous
,
and
many
times
mortal
.
As
for
the
Cure
,
we
must
endeavour
to
The
pain
may
be
eased
,
and
diminish'd
as
well
by
internal
,
as
external
Anodynes
and
Narcoticks
;
to
allay
the
violent
Motion
of
the
Animal
spirits
,
and
abate
the
grievous
Spasms
succeeding
.
The
following
Cordial
Diaphoretick
opiate
is
excellent
in
this
Case
.
Take
the
Waters
of
Fennel
,
Peony
,
Treacle
,
Laudanum
opiat
.
six
grains
;
mix
it
,
and
give
four
spoonfulls
every
three
hours
.
By
the
frequent
taking
of
this
Volatile
and
Anodyne
Sudorifick
,
the
peccant
humours
will
be
temper'd
and
diminisht
,
and
the
inordinate
,
involuntary
,
and
impetuous
motion
of
the
Animal
spirits
will
be
reduc'd
,
and
brought
to
tranquillity
,
by
which
the
binding
Constrictions
of
the
Belly-ach
will
be
the
easier
remov'd
.
Bathing
in
this
distemper
,
hath
been
often
us'd
with
admirable
success
;
for
by
the
frequent
use
thereof
,
the
cutaneous
and
muscular
Fibres
will
not
onely
be
relax'd
from
contracted
Spasms
;
but
the
pores
will
be
also
kept
open
for
the
constant
discharge
of
transpiring
Particles
.
A
natural
Bath
,
such
as
is
in
the
City
of
Bathe
,
is
excellent
;
but
when
it
is
not
to
be
had
,
an
artificial
Bath
may
be
very
usefull
for
the
ends
propos'd
.
For
example
.
Take
of
Elder
,
Dwarf-elder
,
Vervain
,
Betony
,
Chamomel
,
Bays
,
Rhue
,
Time
,
Hyssop
,
Let
the
sick
be
well
bathed
in
it
,
as
often
as
strength
will
permit
;
and
let
them
sit
therein
,
as
long
as
they
may
well
bear
the
same
.
Then
let
them
be
rub'd
dry
,
and
remov'd
into
a
Bed
;
and
let
the
affected
parts
be
well
anointed
with
this
(
or
the
like
)
fragrant
Ointment
.
Take
Oil
of
Earth-worms
,
Ointment
of
As
often
as
the
Body
is
costive
,
let
a
Suppository
,
or
carminative
Clyster
be
administred
to
make
it
soluble
.
Let
the
weakned
parts
be
fortifi'd
with
the
aforesaid
unguent
;
upon
which
apply
a
Plaster
of
Sylvius's
carminative
Emplaster
spread
on
Leather
,
which
you
may
remove
once
in
twenty
four
hours
,
using
warm
frictions
to
the
pained
parts
,
and
apply
the
Plaster
again
;
and
over
it
you
may
apply
a
Fox-skin
drest
,
which
will
keep
the
parts
warm
,
and
conduce
to
the
cure
,
which
course
may
be
continu'd
'till
strength
be
restor'd
to
the
grieved
Limbs
.
CHAP.
XI
.
Of
the
Yellow
Iaundice
.
THE
Yellow
Jaundice
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ab
avicula
quoe
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
dicitur
,
It
is
also
called
Icterus
in
Latin
;
it
being
a
spreading
of
a
yellowish
Colour
over
the
whole
body
.
It
was
the
common
received
opinion
of
the
Ancients
,
that
the
chief
cause
of
this
Disease
,
is
an
obstruction
of
the
Cystick
passage
to
the
small
Gut
,
so
that
Choler
is
thereby
wholly
hindred
in
its
natural
descent
;
wherefore
it
doth
ascend
to
the
Liver
,
and
so
to
the
Bloud
,
with
which
it
is
transfer'd
to
the
habit
and
superficies
of
the
body
,
where
it
doth
shew
it self
in
its
colours
.
But
it
may
be
manifested
from
many
observations
,
and
experiments
,
both
Anatomical
,
and
Practical
;
that
the
Jaundice
may
be
produc'd
without
an
obstruction
of
the
passage
of
Choler
.
Although
I
suppose
that
the
Jaundice
may
probably
be
raised
by
an
obstruction
of
the
Meatus
Hepaticus
:
for
if
there
should
be
a
great
stoppage
in
this
Vessel
,
by
any
glutinous
or
lapidescent
matter
,
the
Choler
that
is
generated
in
it
may
possibly
regurgitate
(
there
being
no
Valves
to
hinder
it
)
and
thereby
become
mixed
with
the
Blood
,
by
which
means
it
may
(
in
a
short
time
)
be
conveyed
over
the
whole
Body
.
But
if
the
Meatus
Cisticus
should
be
stopped
by
a
small
stone
,
&c.
as
I
have
sometimes
seen
in
dissecting
Icterical
Patients
,
where
I
observed
that
the
Excrements
were
not
dyed
so
yellow
as
usual
:
yet
it
is
impossible
that
there
should
be
any
regurgitation
of
Choler
to
the
Liver
out
of
the
Gall
,
by
reason
of
the
three
Valves
looking
from
without
inwards
,
which
do
potently
hinder
the
recourse
of
it
:
and
although
the
Meatus
Hepaticus
is
without
Valves
,
yet
seldom
in
a
Jaundice
,
is
either
that
passage
,
or
the
Ductus
Communis
obstructed
,
but
many
times
wider
,
as
the
most
ingenious
Salmon
hath
accurately
observed
.
Wherefore
that
we
may
the
better
judge
2.
Secondly
,
it
is
the
Nature
of
Volatile
and
Animal
salts
to
sublime
,
and
upon
their
mixture
with
other
fit
Bodies
to
excite
or
stir
up
new
appearances
of
Colours
according
to
the
Nature
of
the
Salt
;
for
if
a
solution
of
Salt
of
Tartar
be
mixt
with
a
solution
of
sublimate
in
fair
Water
,
it
gives
in
a
moment
a
reddish
,
yellowish
or
orange
tawny
Colour
,
although
both
the
solutions
be
as
clear
as
Cristal
,
and
with
Armoniack
salts
in
proper
liquors
,
may
be
made
many
Colours
to
appear
.
From
whence
we
may
judge
,
that
if
the
Animal
salt
of
Man's
Body
become
too
volatile
,
or
be
too
much
sublimed
:
which
may
be
done
,
either
by
the
biting
of
an
enraged
Viper
,
or
by
the
power
of
poyson
,
or
from
the
over
heating
of
the
Body
by
violent
exercise
,
or
by
exceeding
sorrow
of
mind
,
or
great
passion
,
or
by
excessive
drinking
of
hot
liquors
,
or
from
burning
Feavers
;
whereby
the
universal
Body
comes
to
be
inflamed
,
the
Spirits
vehemently
agitated
,
and
thereby
the
Volatile
saline
Principle
to
be
violently
moved
out
of
its
Place
or
Domicil
,
to
the
Circumference
of
the
Body
;
but
meeting
with
the
viscous
Juice
of
the
Cutis
is
there
hindred
from
flying
away
;
and
being
dissolved
and
mixt
with
the
Cutaneous
Humidity
it
excites
the
Jaundice
,
whether
yellow
,
black
or
greenish
,
according
to
the
Colour
of
the
Poyson
which
the
Patient
hath
casually
taken
,
or
predisposition
of
the
Body
to
so
notable
a
mutation
.
Hence
it
is
that
many
(
who
have
been
in
perfect
health
)
have
been
suddenly
invaded
with
this
Disease
:
some
by
the
biting
of
an
enraged
Viper
,
others
by
running
a
race
,
&c.
who
immediately
after
were
all
over
as
yellow
as
if
they
were
dipt
into
the
Juice
of
Saffron
;
and
yet
notwithstanding
it
could
not
be
judged
that
the
Gall-juice
was
either
affected
or
disaffected
in
the
least
measure
:
for
it
cannot
in
reason
be
supposed
,
that
the
Venome
or
Poyson
of
the
Viper
should
be
so
particularly
directed
to
the
Gall
,
to
work
such
an
effect
in
so
short
a
time
,
as
to
distribute
that
viscous
heavy
Juice
so
universally
over
the
whole
Body
:
much
less
can
any
one
imagine
,
that
either
the
drinking
of
strong
liquours
,
or
any
violent
exercise
,
&c.
should
any
ways
so
operate
upon
the
cholerick
Humour
,
as
to
volatize
it
,
and
so
immediately
disperse
it
universally
over
the
whole
humane
Frame
;
for
it
is
impossible
that
the
glutinous
Substance
of
Choler
should
be
dispersed
in
so
short
a
time
to
all
the
superficial
Parts
of
the
Body
.
Therefore
it
is
more
probable
,
that
the
volatile
Animal
salt
of
the
Body
,
being
moved
,
and
carried
out
of
its
Domicil
,
by
the
extream
heat
of
the
internal
Parts
,
and
violent
Motion
of
the
Spirits
,
and
being
mixt
and
dissolved
with
the
cutaneous
Juice
(
as
is
before
mentioned
)
doth
not
onely
excite
the
Jaundice
,
but
may
possibly
be
the
Cause
of
Purple
Spots
in
the
Spotted
Feaver
:
as
also
of
many
other
sudden
and
great
Changes
in
the
Bodies
of
humane
kind
.
The
Jaundice
invading
a
Patient
in
a
Fever
(
before
the
seventh
,
viz.
the
Critical
If
it
be
critical
upon
acute
Feavers
nature
If
it
be
essential
from
the
obstruction
of
the
Meatus
Hepaticus
,
the
obstruction
must
be
opened
.
If
sorrow
of
mind
or
great
passion
be
the
Cause
,
it
ought
to
be
prevented
as
much
as
may
be
,
both
by
Philosophical
and
Theological
reasons
about
any
troublesome
matters
,
and
by
confirming
the
mind
,
whereby
the
sick
may
be
the
better
enabled
to
bear
and
suffer
stoutly
any
adversity
.
This
ought
to
be
observed
also
in
all
other
Diseases
.
If
Ebriety
be
the
cause
I
commend
Sobriety
to
cure
it
.
Sublata
causa
tollitur
effectus
.
If
the
humours
be
over
viscous
or
glutinous
,
the
following
Decoction
will
not
onely
alter
and
correct
,
but
mildly
educe
the
peccant
humours
,
by
which
the
Jaundice
may
in
a
short
time
be
cured
.
Take
of
Rhubarb
,
the
Roots
of
Madder
,
Smallage
,
the
greater
Celandine
,
of
each
Let
the
sick
take
four
spoonfulls
of
this
three
times
a
day
,
till
the
viscous
phlegm
and
Choler
be
sufficiently
evacuated
,
and
the
natural
colour
of
the
body
restored
.
As
oft
as
the
Jaundice
is
caused
by
the
poison
of
a
Viper
,
or
any
other
venemous
thing
whatsoever
,
you
must
administer
(
as
soon
as
possible
)
a
volatile
sudorifick
to
correct
and
expell
the
venome
.
The
following
will
serve
to
both
indications
.
Take
the
waters
of
Carduus
,
Fennel
,
Fumitory
,
Laudanum
opiatum
six
grains
;
mix
it
,
and
give
three
or
four
spoonfulls
to
provoke
sweat
,
and
after
it
breaks
forth
,
give
a
spoonfull
or
two
,
now
and
then
,
to
promote
it
.
Also
this
Decoction
,
or
one
like
it
may
be
prescrib'd
for
the
Icterick
patient
,
it
being
both
Sudorifick
,
and
Diuretick
.
Take
the
Roots
of
Scorzonera
,
Juniper
,
of
Soap
of
any
sort
,
conduceth
to
the
cure
of
the
Jaundice
,
upon
a
twofold
account
,
both
by
reason
of
its
fixt
lixivial
Salt
,
and
also
by
reason
of
its
fatness
or
oil
;
for
the
Lixivial
Salt
doth
correct
and
diminish
the
over
volatileness
and
spirituousness
of
the
vitiated
Choler
,
and
the
oil
doth
blunt
the
sharpness
of
the
volatile
and
spirituous
Salt
ruling
in
Choler
.
The
following
mixture
is
very
effectual
.
Take
of
Hemp-seed
two
ounces
;
Soap
two
Laudanum
opiatum
four
grains
;
mix
it
,
and
give
half
of
it
in
the
morning
fasting
,
and
the
remainder
at
night
,
going
to
bed
.
CHAP.
XII
.
Of
a
Cachexy
.
AN
ill
Habit
of
Body
is
called
in
Greek
malus
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
habitus
.
It
may
be
called
in
Latin
mala
corporis
habitudo
.
There
are
many
causes
of
this
Distemper
,
which
may
be
distinguisht
according
to
the
diversity
of
the
conjoin'd
Symptoms
.
It
doth
accompany
all
Chronical
Diseases
,
as
Dropsies
of
all
kinds
,
Hypochondriack
suffocation
,
Scurvy
,
Pox
and
Gout
,
&c.
for
it
doth
spare
none
,
neither
Peer
nor
Peasant
,
of
any
age
or
sex
;
but
it
most
frequently
seizeth
on
Women
when
their
monthly
terms
are
supprest
.
The
cause
is
either
external
or
internal
.
The
external
cause
is
either
bad
Diet
,
a
long
time
receiv'd
,
or
for
want
of
good
refreshing
Food
after
sickness
,
for
the
Stomach
being
weak
cannot
digest
course
Diet
,
by
which
the
nutriment
of
the
Body
doth
by
degrees
become
peccant
in
quality
,
vitiating
the
humours
,
and
Bloud
it self
,
so
that
an
ill
nourishment
of
the
Body
doth
follow
.
The
internal
cause
may
be
the
suppression
of
the
Terms
in
Women
,
which
is
more
or
less
corrupted
about
the
Womb
,
having
not
its
natural
evacuation
,
from
whence
the
whole
mass
of
Bloud
is
indued
with
a
vitious
quality
,
by
which
the
nourishment
of
all
parts
of
the
Body
is
deprav'd
.
Also
Choler
,
and
the
juice
of
the
Pancreas
(
which
are
always
confus'd
with
the
Bloud
)
being
alike
vitious
or
peccant
in
quality
,
do
not
onely
corrupt
the
separation
of
usefull
and
unusefull
parts
,
but
by
the
vitious
effervescency
of
these
humours
manifold
flatuous
vapours
are
rais'd
,
which
do
not
onely
increase
anxieties
about
the
Midriff
,
but
being
carried
to
the
Heart
,
there
follows
a
pressing
pain
and
palpitation
thereof
;
and
in
circulating
through
the
Lungs
,
it
causeth
a
Dyspnoea
,
or
difficult
breathing
;
and
being
thence
transferr'd
every
way
throughout
the
Body
,
it
doth
breed
a
general
weariness
in
all
parts
.
But
when
the
vitious
humours
abound
together
in
plenty
,
then
several
kinds
of
the
Dropsie
at
length
succeed
;
if
not
the
universal
Body
groweth
lean
by
degrees
.
From
what
hath
been
said
,
the
production
of
every
Cachexie
may
easily
be
deduced
by
a
judicious
Physician
.
The
signs
are
paleness
of
the
Face
,
shortness
If
this
Disease
be
not
helpt
in
time
,
it
will
become
by
degrees
so
stubborn
and
rebellious
,
The
cure
of
every
Cachexie
will
consist
in
If
flegm
be
tough
and
glutinous
,
it
must
be
corrected
and
evacuated
,
for
which
there
are
variety
of
choice
medicines
prescrib'd
in
the
fourth
page
,
of
the
cure
of
diseases
of
the
Head
;
in
the
use
whereof
you
must
persevere
for
some
time
,
or
else
the
laudable
success
,
and
happy
wisht
for
cure
will
be
expected
in
vain
.
Any
other
humours
that
are
peccant
in
quality
(
by
which
the
bloud
is
vitiated
)
must
be
alter'd
and
reduc'd
to
their
natural
Constitution
by
selected
Medicines
,
which
will
amend
and
empty
them
out
by
degrees
.
In
the
interim
good
Food
(
which
is
easie
of
digestion
,
and
wholsome
nourishment
)
must
not
be
neglected
,
whereby
nature
may
be
cherished
,
and
health
by
degrees
procured
.
Those
Medicines
which
are
prescrib'd
for
the
Cure
of
the
Dropsie
and
Scurvy
,
are
proper
for
this
Disease
,
wherefore
I
shall
forbear
prescriptions
here
.
CHAP.
XIII
.
Of
Dropsies
.
THE
Dropsie
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
The
Ancients
have
assigned
three
sorts
of
Dropsies
.
1.
The
first
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
'T
is
called
in
Latin
aqua
intercus
,
ex
inter
&
cutis
,
because
the
Water
is
between
the
Skin
and
the
Flesh.
This
is
the
most
proper
Dropsie
,
in
which
the
Abdomen
,
Secrets
,
Thighs
and
Legs
are
affected
.
2.
The
second
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
quod
tumor
est
ad
similitudinem
tympani
,
vel
tympani
sonum
referens
.
As
this
is
the
most
rare
,
so
't
is
the
most
cruel
and
afflictive
.
3.
The
third
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ab
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
per
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
caro
,
quod
hydrops
toto
corpore
diffusus
;
It
is
also
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
album
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
phlegma
vel
pit
uita
;
because
it
is
caused
of
white
Phlegm
gathered
in
all
parts
of
the
Body
.
Some
Authours
make
a
difference
between
Anasarca
,
and
Leucophlegmatia
;
that
Anasarca
is
caused
by
a
serous
humour
,
and
Leucophlegmatia
by
a
phlegmatick
and
more
viscous
humour
;
but
all
Dropsies
except
Tympanies
seem
to
me
,
to
be
little
less
than
a
distinction
of
degrees
of
one
and
the
same
Disease
.
The
Ancients
did
take
the
Liver
to
be
the
chief
part
male-affected
in
these
distempers
;
but
Helmont
(
who
was
happy
in
a
remedy
to
cure
it
)
doth
severely
reprove
them
,
and
is
so
bold
to
tax
the
whole
Schools
with
the
ignorance
of
Anatomical
dissections
;
he
having
inspected
many
Carcases
of
dropsical
Persons
(
of
whom
he
makes
distinct
mention
)
doth
assert
the
Livers
of
them
all
no-way
vitiated
,
and
therefore
he
concludes
the
Liver
faultless
in
dropsical
affects
;
and
he
derives
the
Cause
of
Dropsie
to
be
an
obstruction
of
the
Kidneys
with
the
Stone
or
Gravel
;
and
so
the
water
which
should
be
transferr'd
through
the
Kidneys
,
to
the
Bladder
,
(
to
be
evacuated
by
pissing
)
is
forced
into
the
Cavity
of
the
Abdomen
.
But
experience
teacheth
that
Dropsies
may
be
caused
many
ways
;
wherefore
I
shall
betake
my self
to
a
more
evident
description
thereof
.
The
causes
of
Dropsies
are
either
external
,
The
external
Cause
is
the
Constipation
of
the
porous
Skin
,
impeding
transpiration
,
whereby
the
discharge
of
sweaty
Vapours
through
the
Habit
of
the
Body
is
lessned
and
interrupted
;
hence
what
moisture
is
usually
carried
off
by
sweating
,
doth
rebound
inwards
,
and
condense
into
an
Ichorous
water
,
and
is
there
(
by
degrees
)
aggravated
and
increased
,
through
the
hindrance
of
the
necessary
transpiration
;
till
at
length
a
great
quantity
of
water
is
accumulated
,
and
stagnating
in
the
affected
parts
,
in
time
may
work
farther
alterations
on
the
subjected
Bowels
.
Matter
of
fact
hath
evinced
this
to
me
,
having
cured
several
Hydropical
patients
onely
by
sweating
,
and
external
applications
.
The
internal
Cause
of
the
Dropsie
,
may
be
over
viscous
Chyle
,
or
Phlegm
of
the
Guts
,
coagulated
in
the
lacteal
Veins
,
and
causing
an
obstruction
in
more
or
fewer
of
their
Branches
,
so
that
the
Liquour
rising
either
from
the
continual
Conflux
of
Choler
,
the
Juice
of
the
Pancreas
,
and
the
Phlegm
of
Spittle
;
or
else
from
Chyle
,
or
from
drink
plentifully
drunk
,
being
stopt
and
intercepted
in
its
motion
,
it
doth
by
degrees
more
and
more
distend
the
Vessels
,
that
at
length
they
burst
;
and
the
moisture
receiv'd
into
them
,
is
poured
out
between
the
Membranes
of
the
Mesentery
,
and
presently
after
into
the
Cavity
of
the
Abdomen
.
This
disease
is
sometimes
suddenly
produc'd
by
much
drinking
in
a
burning
Fever
,
join'd
with
an
urgent
and
permanent
Thirst.
After
the
same
manner
(
though
difficult
to
be
known
)
may
a
Dropsie
of
the
Breast
be
caused
,
viz.
by
an
obstruction
of
the
lateral
Lymphatick
Vessels
,
by
glutinous
Phlegm
carried
together
with
Lympha
into
the
said
Vessels
,
and
there
coagulated
,
by
which
the
motion
of
Lympha
is
hindred
,
so
that
the
Lymphatick
vessels
being
much
distended
,
by
the
great
quantity
of
Lympha
gathered
in
them
,
at
length
they
burst
,
and
the
Lympha
piercing
(
through
the
Pleura
)
into
the
Cavity
of
the
Breast
,
procureth
a
Dropsie
in
it
.
The
cause
of
a
Tympany
is
wind
,
together
The
signs
of
Ascites
,
are
swelling
and
The
signs
of
Anasarca
are
weakness
,
faintness
,
In
a
Tympany
the
Belly
is
distended
,
and
1.
Every
Dropsie
is
difficult
of
Curation
,
2.
If
the
Hydropical
persons
have
a
good
digestion
,
and
void
more
moisture
both
by
stool
and
urine
,
than
they
either
eat
or
drink
,
it
is
a
hopefull
sign
of
recovery
,
&
e
contra
.
Dropsies
may
be
cured
by
strong
Hydragogues
,
The
Best
Hydragogues
are
prepared
of
Elder
,
Dwarf-elder
,
Jallop-roots
,
Elaterium
,
Gum-gutty
,
Crystals
of
Silver
,
&c.
of
which
you
may
prepare
purging
Infusions
,
Pills
,
&c.
for
example
.
Take
the
Roots
of
Flower-de-luce
,
Dwarf-Elder
,
If
any
like
Pills
better
,
I
commend
the
following
.
Take
the
Resins
of
Jallop
,
and
Scammony
,
Mercur.
dulcis
,
of
each
half
a
drachm
;
Oil
of
Juniper
one
scruple
;
make
it
into
Pills
with
Venice-Turpentine
,
of
which
you
may
give
twenty
grains
at
a
time
,
in
the
morning
fasting
.
The
following
Pills
are
also
very
effectual
.
Take
of
Elaterium
,
Gambogia
,
Resin
of
Jallop
,
The
obstructions
in
the
Lacteal
veins
,
or
Lymphatick
vessels
,
may
be
cur'd
by
Medicines
that
do
powerfully
cut
,
and
happily
open
the
said
obstructions
.
This
Aromatick
Sudorifick
may
be
commended
for
these
intentions
.
Take
the
waters
of
Treacle
,
Scurvigrass
,
After
the
Vessels
are
freed
from
the
noted
obstruction
by
the
medicines
before-mention'd
,
or
such
like
;
they
will
be
easily
consolidated
again
by
conglutinating
food
,
in
which
you
may
boyle
the
Roots
of
Comfry
,
Plantain
,
and
Solomon's
Seal
,
for
the
more
quick
and
easie
cure
.
In
a
Tympany
,
the
dulcifi'd
Spirit
of
Niter
is
excellent
,
being
taken
in
Broth
or
Sack
,
three
or
four
times
in
a
day
,
from
six
to
twelve
drops
at
a
time
,
for
it
doth
correct
both
Phlegm
and
Choler
,
and
hinder
Wind
in
its
rise
,
and
dissipate
it
when
it
is
bred
.
Also
the
following
exemplary
Julep
doth
curb
and
discuss
Wind
,
remaining
as
well
in
the
Stomach
as
Guts
.
Take
the
Waters
of
Mint
,
Fennel
,
of
Laudanum
opiat
.
eight
grains
;
Spirit
of
Niter
one
drachm
;
Salt
of
Amber
half
a
drachm
;
Chymical
Oil
of
Mace
ten
drops
;
mix
it
,
and
take
three
or
four
spoonfulls
every
three
hours
.
You
may
prepare
a
Medicinal
Wine
for
the
rich
,
very
beneficial
in
Dropsies
.
Take
the
Seeds
of
Anise
,
Fennel
,
Caraway
.
Sweating
is
very
profitable
in
all
Dropsies
,
either
in
Bed
,
with
the
forementioned
Sudorifick
,
or
in
a
Bagnio
,
or
Hot-house
,
by
which
the
water
standing
beside
nature
in
any
part
of
the
Body
,
will
(
by
degrees
)
be
emptied
through
the
pores
of
the
Skin
.
Also
it
may
be
necessary
,
especially
in
persons
more
elderly
,
to
use
warm
Baths
.
That
which
is
prescrib'd
for
the
cure
of
the
Belly-ach
in
page
201
,
202.
is
also
very
profitable
in
Dropsies
;
into
the
which
it
may
be
agreeable
to
descend
at
evening
,
before
Bed-time
,
and
there
to
continue
so
long
as
the
Patient
can
well
endure
without
fainting
;
after
which
Frications
may
have
their
proper
use
,
and
great
benefit
.
And
to
strengthen
the
cutaneous
Fibres
,
and
restore
their
true
tone
,
for
their
better
service
of
the
offices
of
Nature
:
let
the
affected
parts
be
anointed
with
the
following
fragrant
Balsamick
Ointment
.
Take
of
Flanders
Oil
of
Bays
,
Nerve-oil
,
Galen
commendeth
a
Cataplasm
of
Snails
bruised
with
their
shells
,
and
laid
upon
the
Navel
.
But
a
Pultess
prepar'd
of
the
ingredients
of
the
Bath
,
and
applied
to
the
affected
parts
,
will
be
more
effectual
to
discharge
the
Ichorous
water
.
Or
you
may
make
a
Cataplasm
after
this
manner
.
Take
the
tops
of
Elder
,
Dwarf-elder
,
Vervain
,
Let
the
Patients
diet
be
drying
,
and
let
them
drink
moderately
;
you
may
infuse
Juniper-berries
,
Tamarisk
and
Elicampane-roots
in
their
ordinary
drink
.
And
for
the
benefit
of
those
Physicians
and
Chirurgeons
,
that
live
in
the
West-Indies
;
there
groweth
(
almost
every
where
in
moist
places
)
a
large
Cane
,
much
like
the
Sugar-cane
;
the
Planters
generally
call
it
the
dumb
Cane
,
because
they
that
taste
it
,
are
presently
dumb
,
and
unable
to
speak
for
two
or
three
hours
;
after
which
the
Tongue
returns
to
its
former
use
and
volubility
without
any
prejudice
.
The
reason
why
this
remarkeable
Plant
doth
so
affect
the
Tongue
upon
the
touch
of
it
,
is
its
power
of
attracting
such
plenty
of
moisture
into
it
,
as
doth
distend
all
the
Vessels
thereof
,
and
render
it
immoveable
,
till
the
crouded
moisture
be
gradually
discharged
.
Hence
we
may
conjecture
,
and
indeed
experience
teacheth
,
that
of
this
Plant
may
be
prepared
diversity
of
medicines
as
Cataplasms
,
Oils
,
Ointments
,
&c.
Which
will
be
effectual
to
attract
,
and
easily
and
kindly
discharge
the
swollen
part
of
the
Ichorous
water
;
which
may
be
used
for
some
time
after
the
evacuation
of
it
,
the
better
to
prevent
a
farther
accumulation
,
or
return
of
the
Disease
.
Likewise
may
medicines
be
prepared
,
(
by
a
skilfull
Artist
)
of
this
Plant
,
very
effectual
to
be
taken
inwardly
,
not
onely
against
Dropsies
,
but
the
Scurvy
,
Gout
,
&c.
If
these
choice
medicines
are
not
to
be
had
,
and
nothing
be
effected
by
other
means
;
A
harmless
Paracenthesis
may
be
instituted
in
the
Dropsie
of
the
Breast
,
or
Abdomen
;
provided
the
Apertion
be
made
by
such
a
little
hollow
instrument
as
is
describ'd
in
page
81
,
82.
of
the
Cure
of
the
Pleurisie
,
for
by
such
a
small
wound
,
there
is
no
danger
to
the
sick
.
But
this
operation
must
not
be
delay'd
,
lest
the
humour
collected
,
get
an
hurtfull
Acrimony
,
and
by
degrees
corrode
and
corrupt
the
Membrane
,
and
hence
the
substance
of
all
the
parts
contain'd
,
and
so
make
the
Disease
incurable
.
CHAP.
XIV
.
Of
the
Scurvy
,
and
Hypochondriack
Suffocation
,
commonly
called
the
Fits
of
the
Mother
.
THE
Scurvy
being
a
Hypochondriack
disease
,
it
will
not
be
amiss
to
treat
of
them
together
.
The
Scurvy
is
called
in
Latin
Scorbutus
;
it
is
a
Complication
,
or
Concatenation
of
Diseases
,
generated
by
the
Conjunction
of
divers
Causes
contributing
to
a
scorbutick
Deformity
.
The
Scurvy
is
generated
,
or
planted
essentially
in
the
vital
Principles
,
or
digestive
Offices
,
and
therefore
it
is
not
discerned
by
sense
,
but
the
effects
are
distributed
throughout
the
Body
,
and
are
augmented
more
or
less
,
according
to
the
strength
and
debility
of
parts
,
to
resist
or
consent
and
be
depraved
.
The
Hypochondriack
suffocation
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
vel
quod
It
is
called
by
the
Latins
Hypochondriaca
melancholia
.
The
Ancients
thought
that
this
was
an
uterine
disease
,
in
quibus
mulieres
uteri
fuffocatione
laborant
;
and
therefore
it
was
called
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
and
in
Latin
morbus
Hystericus
,
vel
Hysterica
passio
;
and
in
English
't
is
called
Fits
of
the
Mother
;
it
being
most
subject
to
Women
,
from
the
suppression
of
their
monthly
Courses
.
But
because
men
are
also
molested
with
longing
,
and
suffer
often
both
the
Sense
and
Disease
of
Suffocation
,
especially
when
they
become
Cachectick
,
or
of
ill
habit
of
Body
:
and
also
they
are
cured
with
the
same
medicines
,
that
Women
are
cured
with
,
when
they
are
vexed
with
this
distemper
,
therefore
I
think
this
suffocation
may
be
more
properly
called
Hypochondriacal
.
It
may
be
called
the
Mother
of
the
Scurvy
,
because
the
vital
Principles
(
in
this
disease
)
are
seduced
to
declension
and
deviation
from
their
rectitude
,
the
digestive
offices
being
all
depraved
.
The
causes
of
these
diseases
are
either
external
,
The
external
,
are
sometimes
a
sedentary
studious
,
and
melancholy
life
,
by
which
the
vital
Principles
do
receive
much
prejudice
,
decay
and
fall
off
from
their
functions
,
and
become
languid
and
feeble
;
also
the
Air
being
infested
with
noxious
Vapours
,
is
a
procuring
cause
of
these
distempers
;
for
such
Air
being
drawn
into
the
Body
by
inspiration
,
doth
commix
with
the
spirits
,
and
debilitate
and
deprave
the
faculties
,
from
whence
Scorbutick
and
Hypochondriack
effects
do
ensue
;
and
as
the
Body
is
perspirable
or
impervious
,
these
diseases
are
more
or
less
varied
,
and
remitted
in
their
Symptoms
;
and
therefore
the
constipation
of
the
pores
,
prohibiting
transpiration
,
is
a
partial
organical
cause
of
preternatural
Spots
in
the
Scurvy
,
which
appear
chiefly
upon
the
Thighs
and
Legs
;
not
from
the
gravity
of
the
material
cause
,
and
ponderous
propension
of
gross
matter
downwards
;
but
because
those
parts
are
more
weak
in
their
assimilation
,
being
remote
from
supply
of
vital
Spirits
,
therefore
they
have
the
first
tokens
of
defection
.
The
internal
Cause
is
a
vitious
quality
of
all
the
humours
,
and
also
of
the
Animal
spirits
,
which
are
confus'd
with
the
bloud
,
and
communicate
their
faultiness
to
it
,
by
which
the
bloud
is
also
vitiated
,
so
that
the
nourishment
of
the
Body
is
deprav'd
several
ways
,
according
to
the
variety
of
the
quality
peccant
;
in
which
the
colour
of
the
native
Skin
,
and
especially
of
the
face
languisheth
,
and
is
changed
pale
.
In
these
diseases
,
not
onely
the
appetite
of
food
,
but
its
fermentation
is
also
deprav'd
;
wherefore
Anxieties
about
the
Midriff
and
Hypochondries
,
and
a
pressing
pain
of
the
Heart
will
soon
follow
.
For
when
the
food
is
ill
fermented
,
and
driven
forward
through
the
small
Gut
,
it
is
confus'd
with
the
Juice
of
the
Pancreas
and
Choler
,
which
are
a
like
vitious
,
the
Pancreatick
juice
being
too
sharp
and
acrid
,
and
the
Bile
over
thick
and
salt
;
from
whence
the
separation
of
usefull
and
unusefull
parts
,
is
not
onely
corrupted
,
but
also
by
the
vitious
Effervescency
of
these
humours
,
are
rais'd
manifold
halituous
Vapours
,
which
do
not
onely
increase
the
fore
describ'd
Anxiety
,
but
being
carried
to
the
Heart
do
breed
a
Palpitation
of
it
,
whence
it
circulates
through
the
Lungs
,
and
causeth
a
difficulty
of
breathing
,
and
thence
being
driven
every
way
,
it
causeth
a
weariness
in
all
parts
of
the
Body
;
and
if
an
Acrimony
of
the
humours
do
concur
,
then
it
is
manifested
internally
with
pain
.
The
cause
of
the
inordinate
effervescency
of
Bloud
,
in
the
Hypochondriack
suffocation
,
is
not
onely
the
unequal
flowing
of
Lympha
,
but
also
of
the
Liquour
rising
out
of
the
threefold
humours
,
vitiously
effervescing
in
the
small
Gut
,
from
whence
vitious
Vapours
are
sent
to
the
right
Ventricle
of
the
Heart
,
and
procure
a
great
Confusion
,
and
disturbance
in
it
;
hence
followeth
a
notable
Palpitation
of
the
Heart
,
by
which
sometimes
the
Effervescency
of
Bloud
seemeth
to
cease
in
the
right
Ventricle
for
a
time
,
with
its
motion
and
pulse
,
and
also
respiration
is
taken
away
to
outward
sense
.
The
symptoms
and
signs
of
these
diseases
are
very
many
,
yet
are
never
seen
to
concur
in
one
and
the
same
Body
.
The
usual
signs
are
pain
of
the
Head
,
palpitation
of
the
Heart
,
puffing
up
of
the
Stomach
,
Loathing
,
Vomiting
,
Belching
,
Hicket
,
Cough
,
Tumour
and
Putrefaction
of
the
Gums
,
with
much
spitting
;
looseness
and
blackness
of
the
Teeth
,
and
sometimes
great
pain
in
them
;
the
breath
stinketh
,
and
is
sometimes
fetched
with
much
difficulty
;
also
Convulsions
,
Palsie
,
Gout
,
Dropsies
,
and
all
other
obstructions
;
sometimes
the
Colick
,
and
trembling
and
looseness
of
the
Lims
,
with
red
purple
spots
dispersed
;
also
the
Pleurisie
,
pain
of
the
Hypochondries
,
and
also
of
many
of
the
external
parts
,
as
the
Neck
,
Arms
,
Hands
,
Thighs
,
Legs
,
Feet
and
Anckles
,
with
laziness
,
and
often
faint
sweats
;
there
is
also
sometimes
malign
Ulcers
,
dry
hard
Tubercles
,
Erisipelas
and
Edematous
tumours
with
many
others
,
which
to
enumerate
,
were
to
comprehend
an
universal
Genus
of
Atomes
,
within
a
very
narrow
Limitation
.
1.
These
diseases
(
for
the
most
part
)
are
of
long
continuance
,
and
are
seldom
cured
,
2.
If
the
Patient
hath
a
continual
pain
and
giddiness
of
the
Head
,
it
doth
threaten
an
Epilepsie
,
or
Apoplexy
.
3.
The
more
aged
the
sick
are
,
the
more
grievous
are
the
Symptoms
,
and
the
more
dangerous
and
difficult
to
be
cured
.
4.
Vomiting
,
Flux
of
the
Belly
,
and
Hemorrhoids
,
if
they
are
moderate
,
are
hopefull
signs
of
recovery
.
In
some
Regions
,
these
diseases
are
complicated
with
most
other
distempers
,
or
at
least
do
easily
degenerate
into
them
,
by
which
they
are
rendred
the
more
difficult
of
curation
.
As
for
the
Cure
of
these
stubborn
and
rebellious
The
best
Antiscorbutick
simples
,
are
the
Roots
of
Horse-radish
,
Butter-bur
,
Liquorish
,
Dandelion
,
Scorzonera
,
China
,
Zedoary
,
Angelica
,
Elicampane
,
Polypodium
,
the
five
opening
Roots
;
the
Wood
and
Bark
of
Guiacum
and
Sassaphras
,
the
Herbs
Scordium
,
Scurvigrass
,
Brook-lime
,
Water-cresses
,
Sorrel
,
Rue
,
Fennel
,
Golden-rod
and
Penny-royal
;
Fruits
of
Oranges
,
Limmons
,
Pomcitrons
,
Pomgranates
,
Apples
,
&c.
Seeds
of
Mustard
,
Angelica
,
Radish
and
Juniper-berries
,
cum
multis
aliis
;
of
which
may
be
prepared
diversity
of
good
medicines
both
Chymical
and
Galenical
.
The
volatile
Salts
both
of
Animals
,
and
Vegetables
,
are
excellent
to
open
all
obstructions
,
and
temper
the
humours
;
Also
Elixir
proprietatis
,
the
Spirit
of
Salt
Armoniack
,
Horse-radish
and
Scurvigrass
,
the
Spirit
of
Niter
and
of
Salt
dulcified
,
Salt
of
Steel
,
Wormwood
,
and
Tartar
,
Oil
of
Juniper
,
Cloves
,
and
Cinamon
,
are
all
Specifick
Antiscorbuticks
.
The
Hypochondriack
suffocation
having
great
affinity
with
the
Scurvy
,
the
same
medicines
are
proper
for
both
.
The
following
Julep
is
both
Diaphoretick
,
and
Diuretick
,
and
very
profitable
for
the
sick
in
these
diseases
,
to
be
taken
two
or
three
days
in
a
week
.
Take
the
Waters
of
Penny-royal
,
Scurvigrass
,
This
Electuary
may
also
be
prefer'd
.
Take
of
Conserves
of
Scurvigrass
,
three
Confectio
Alkermes
,
half
an
ounce
;
Powder
of
Crabs-eyes
,
two
drachms
;
Flowers
of
Salt
Armoniack
,
Tarter
vitriolated
,
of
each
half
a
drachm
;
Spirit
of
Castor
one
drachm
;
Oil
of
Cloves
twenty
drops
;
mix
it
,
and
give
two
drachms
morning
and
evening
.
After
the
frequent
use
of
this
Electuary
,
you
may
purge
with
this
Powder
.
Take
Powder
of
Cream
of
Tartar
,
half
a
drachm
;
Salts
of
Wormwood
,
Amber
,
If
the
Patient
like
Pills
better
,
these
may
serve
.
For
Example
.
Take
Extract
.
Catholicon
,
Rudii
,
of
each
ten
grains
;
Resin
of
Jallop
,
Agarick
,
Salt
Armoniack
,
of
each
six
grains
;
Oils
of
Amber
,
Cloves
,
of
each
two
drops
;
make
it
into
eight
Pills
,
for
two
doses
.
A
Medicinal
Wine
may
be
prepar'd
very
effectual
in
these
distempers
.
Take
of
Water-cresses
,
Brook-lime
,
Scurvigrass
,
In
the
Hypochondriack
suffocation
,
you
may
often
hold
to
the
Nostrils
,
a
glass
with
a
narrow
mouth
,
containing
the
Spirit
of
Salt
Armoniack
;
for
by
its
sharp
smell
,
the
sick
for
the
most
part
are
wont
to
be
rais'd
,
both
from
that
suffocation
,
and
from
the
Epilepsie
.
If
the
Gums
are
putrified
,
let
the
mouth
be
washed
with
the
following
Tincture
,
mixed
with
some
Plantain
water
,
and
Syrup
of
Mulberries
.
Take
Powder
of
Gum
Lacca
,
one
ounce
;
If
the
sick
hath
a
costive
Body
,
you
may
administer
a
Carminative
Clyster
once
or
twice
a
week
.
In
pains
of
the
Belly
and
Hypochondries
,
this
linament
is
effectual
.
Take
Oils
of
Earth-worms
,
Scurvigrass
,
This
Antiscorbutick
water
will
be
very
profitable
,
to
be
taken
two
or
three
spoonfulls
at
a
time
,
morning
and
evening
.
Take
the
Barks
of
Ash
,
and
Capers
,
the
Roots
of
Tamarisk
,
Polypodium
,
Horse-radish
,
Carduus
benedictus
,
Cloves
,
Cinamon
,
Nutmegs
,
Ginger
,
of
each
half
an
ounce
;
let
them
be
cleansed
,
bruised
and
digested
,
in
one
Gallon
of
White-wine
,
and
two
quarts
of
Spirit
of
wine
,
being
close
covered
for
three
days
;
then
distill
them
with
a
glass
Still
according
to
art
,
and
keep
it
for
your
use
.
Frictions
,
Ligatures
,
Ventoses
,
Sternutatories
,
&c.
are
all
profitable
to
stir
up
the
sick
in
the
Hypochondriack
suffocation
.
CHAP.
XV.
Of
the
Green-sickness
,
and
Suppression
of
the
Courses
.
THE
Green-sickness
is
called
in
Latin
Icteris
,
&
Febris
alba
;
In
English
the
Virgin
's
Disease
,
the
White
Fever
,
and
the
White
Jaundice
;
because
in
this
disease
the
native
colour
of
the
Face
is
pale
.
This
disease
is
caused
either
from
defect
of
Bloud
,
or
it
proceedeth
from
plenty
of
This
distemper
may
be
also
caused
by
external
coldness
of
the
air
,
&c.
and
sometimes
great
fear
,
and
sudden
shame
may
be
the
cause
of
the
suppression
;
also
aliments
,
and
medicaments
that
are
too
astringent
taken
inwardly
.
In
these
diseases
the
Urine
cometh
away
If
the
Hypochondries
be
afflicted
,
and
the
veins
of
the
Womb
obstructed
,
there
will
be
great
loathing
of
wholsome
Food
,
and
a
desire
after
those
things
which
ought
not
to
be
eaten
,
as
Ashes
,
Salt
,
Coals
,
&c.
which
is
called
Pica
,
and
in
Women
with
Child
Malacia
,
of
which
we
have
hinted
in
the
Chapter
of
Hungar
Vitiated
,
page
145
,
146.
1.
These
distempers
are
sometimes
of
long
2.
If
the
obstruction
be
onely
of
the
vessels
of
the
Womb
,
and
have
not
been
of
long
continuance
,
it
may
be
easily
cur'd
.
3.
Bleeding
at
the
Nose
,
is
sometimes
beneficial
,
but
if
the
Bloud
doth
disburthen
it self
by
the
Eyes
,
Ears
,
Mouth
,
or
Bladder
,
it
is
preposterous
,
from
whence
may
arise
other
bad
Symptoms
.
In
the
cure
of
these
distempers
such
medicines
An
obstruction
of
the
Vessels
by
viscous
Phlegm
,
may
be
cur'd
by
the
frequent
use
of
such
medicines
as
have
power
to
loosen
the
peccant
humours
,
and
again
make
them
fluid
.
All
fixt
metallick
and
mineral
Sulphurs
,
and
also
volatile
Salts
,
prepar'd
not
onely
of
several
parts
of
Animals
,
but
also
of
scorbutick
Plants
,
(
such
as
are
the
juice
of
Hedge-mustard
,
Scurvigrass
,
Garden
and
Water-cresses
,
Dandelion
,
&c.
)
conduce
before
all
others
,
to
loosen
and
dissolve
Phlegm
coagulated
,
or
Bloud
clotter'd
,
as
having
an
egregious
power
of
dissolving
all
things
coagulated
,
and
conglutinated
in
humane
bodies
,
and
of
reducing
the
same
to
their
wonted
fluidity
,
and
moreover
to
move
sweat
,
which
together
being
mildly
promoted
,
the
desired
dissolution
of
the
aforesaid
viscous
humours
,
&c.
will
be
obtained
much
easier
,
and
sooner
.
An
example
of
such
a
Sudorifick
I
have
here
set
down
for
the
sake
of
young
Practitioners
.
Take
the
Waters
of
Treacle
,
Dandelion
,
Laudanum
opiatum
,
four
grains
;
mix
it
.
The
following
is
also
very
effectual
.
Take
the
Waters
of
Fennel
,
Hyssop
,
of
each
two
ounces
;
distill'd
Vinegar
six
drachms
;
the
Carminative-water
of
Sylvius
half
an
ounce
;
Syrup
of
the
five
opening
Roots
one
ounce
and
half
;
Powder
of
Crabs-eyes
one
drachm
;
Sperma
Coeti
,
Mummy
,
Antimony
Diaphoretick
,
of
each
one
scruple
;
Laudanum
opiat
.
four
grains
;
mix
it
.
Let
the
sick
often
take
two
spoonfulls
of
either
of
these
mixtures
,
especially
in
bed
,
to
promote
the
power
of
the
medicine
,
and
to
facilitate
a
sweat
;
by
the
help
whereof
the
mention'd
power
of
the
Sudorifick
will
the
better
come
to
the
place
of
obstruction
,
and
will
attenuate
,
loosen
,
and
make
fluid
the
matter
obstructing
;
the
whole
Mass
of
Bloud
will
also
become
more
fluid
and
moveable
,
being
rarefi'd
by
the
volatile
Salt
of
the
medicine
.
If
the
Patient
be
plethorick
,
let
the
Saphoena
vein
be
opened
,
for
by
opening
and
breathing
a
Vein
,
the
motion
and
circulation
of
the
Bloud
will
be
the
better
restor'd
;
for
a
larger
space
being
made
for
the
universal
Bloud
,
it
will
circulate
more
swiftly
and
potently
.
The
phlegmatick
viscous
humours
must
be
corrected
,
and
evacuated
by
Phlegmagogues
.
The
following
medicines
are
of
great
efficacy
.
Take
of
Salts
of
Mugwort
,
Ash
,
Amber
,
Tartar
vitriolated
,
of
each
ten
grains
;
Powder
The
next
day
you
may
administer
the
following
Pills
.
Take
of
pil.
foetidoe
,
ex
duobus
,
of
each
half
a
drachm
;
Amber
,
prepar'd
Steel
,
Borax
,
Mercur.
Dulcis
,
of
each
one
scruple
;
Mirrh
,
Castor
,
Saffron
,
of
each
twelve
grains
;
Oil
of
Cloves
,
Spirit
of
Salt
Armoniack
,
of
each
six
drops
;
make
it
into
ten
Pills
for
two
doses
,
which
may
be
taken
in
the
Morning
fasting
.
If
a
medicinal
Wine
be
acceptable
to
the
sick
,
the
following
or
one
like
it
may
be
used
.
Take
the
Roots
of
Horse-radish
,
the
five
opening
Roots
,
of
each
one
ounce
;
Savin
,
You
may
add
more
wine
to
the
ingredients
so
long
as
there
is
any
Aromatick
taste
.
Four
or
five
spoonfulls
of
this
Wine
may
be
taken
two
or
three
times
a
day
,
with
which
you
may
mix
Salt
of
Tartar
vitriolated
ten
grains
;
Elixir
proprietatis
six
drops
.
If
you
expect
a
laudable
success
,
you
must
persevere
awhile
in
the
use
of
these
,
or
such
like
medicines
.
CHAP.
XVI
.
Of
the
immoderate
menstrual
Flux
,
and
the
Whites
in
Women
.
THE
monthly
terms
being
immoderate
,
may
be
called
in
Latin
mensium
fluxus
immodicus
.
And
the
Whites
in
Women
Alboe
mulierum
fluxiones
.
The
causes
of
too
many
Courses
are
either
The
external
Causes
may
be
by
an
Ulcer
in
the
Matrix
,
or
some
outward
Violence
,
and
sometimes
by
too
much
Coition
.
The
internal
Causes
are
either
a
sharp
serous
humour
abounding
in
the
Bloud
,
increasing
its
fluidity
,
or
else
an
over
great
heat
in
the
Womb
,
stirring
up
a
more
potent
,
and
therefore
a
swifter
rarefaction
of
Bloud
,
provoking
an
expulsion
of
it
,
either
by
breaking
,
(
or
some
other
preternatural
opening
)
of
the
vessels
of
the
Womb.
The
white
Flux
of
the
Womb
,
is
an
excrementitious
humour
flowing
from
it
.
This
distemper
is
subject
not
onely
to
Women
,
but
sometimes
to
Maids
also
.
These
humours
may
be
bred
in
the
The
cold
doth
render
it
unable
to
digest
its
nourishment
.
A
hot
Distemper
corrupteth
it
,
hence
cometh
this
excrementitious
humour
.
Also
Abortion
,
Contusion
,
Inflammation
,
Imposthume
or
Ulcer
in
the
Womb
,
may
weaken
and
dispose
it
to
breed
such
humours
.
The
signs
that
distinguish
between
this
1.
If
there
be
an
Ulcer
there
,
the
Womb
will
not
admit
of
Coition
,
without
pain
,
and
the
matter
which
floweth
from
her
is
stringy
,
and
more
digested
,
and
sometimes
bloudy
.
2.
In
the
Gonorrhoea
,
the
seminal
matter
cometh
in
a
small
quantity
,
and
seldom
,
except
it
be
gotten
by
acting
with
an
unclean
Person
,
then
the
Urine
is
sharp
,
with
many
other
malignant
Symptoms
.
All
long
Hemorrhagies
of
Bloud
are
dangerous
,
The
white
Flux
is
not
very
dangerous
,
but
is
often
difficult
of
curation
,
especially
in
old
Women
,
because
they
abound
with
Phlegm
;
and
't
is
hard
to
divert
the
humours
from
this
Chanel
,
it
being
the
sink
of
the
body
,
through
which
the
superfluous
humours
of
a
healthy
Woman
are
every
month
evacuated
.
If
this
distemper
continue
long
,
it
may
breed
great
evils
,
as
Barrenness
,
Falling
out
of
the
Womb
,
&c.
These
diseases
may
be
both
cured
by
the
If
the
courses
have
continued
too
long
,
the
following
mixture
will
soon
stop
the
flux
of
Bloud
,
and
will
cure
most
ruptions
of
vessels
.
Take
the
Waters
of
Plantain
,
Comfry
,
of
Laudanum
opiat
.
six
grains
;
mix
it
,
and
give
three
spoonfulls
every
four
hours
.
When
the
flux
of
Bloud
is
stopt
,
you
may
purge
with
the
following
.
Take
of
Manna
one
ounce
;
Powder
of
If
the
Patient
like
Pills
,
I
commend
the
following
.
Take
Resins
of
Jallop
and
Scammony
,
extract
of
Rhubarb
,
Agarick
,
Salt
of
Amber
,
After
purging
,
these
Astringents
will
be
profitable
.
Take
of
Cinamon
,
the
Roots
of
Bistort
,
Tormentile
,
Saccharum
Saturni
,
Dragons-bloud
,
Salt
Prunella
,
of
each
two
scruples
;
Laudanum
opiat
.
Camphire
,
of
each
ten
grains
;
let
them
be
all
finely
powder'd
and
searced
,
and
with
Honey
of
red
Roses
,
Syrups
of
Quinces
and
Comfry
,
of
each
equal
parts
;
let
it
be
made
into
an
Electuary
according
to
Art
.
Let
the
sick
take
the
quantity
of
a
Nutmeg
of
this
Electuary
,
every
morning
and
evening
,
either
upon
the
point
of
a
knife
,
or
dissolve
it
in
two
or
three
ounces
of
red
Wine
,
to
which
you
may
add
a
few
drops
of
Tincture
of
red
Coral
,
and
drink
it
.
This
Julep
is
also
of
great
virtue
.
Take
the
Waters
of
Comfry
,
Plantain
,
Let
the
Region
of
the
Womb
be
anointed
with
this
Linament
.
Take
Unguent
.
Comitissoe
,
Oil
of
Mirtles
,
Saccharum
Saturni
one
drachm
;
Camphire
ten
grains
;
mix
it
.
After
the
part
is
anointed
,
let
this
Plaster
be
applied
.
Take
the
Plaster
against
Ruptures
,
Diapalma
,
In
the
Whites
,
let
this
be
used
for
a
Fume
.
Take
of
Olibanum
,
Amber
,
Cloves
,
of
CHAP.
XVII
.
Of
the
Falling
Down
of
the
Womb
and
Fundament
.
IF
the
Womb
falleth
down
,
it
may
be
called
in
Latin
Procidentia
Matricis
.
So
likewise
if
the
Fundament
cometh
down
,
it
is
called
Procidentia
Ani.
The
Causes
of
these
distempers
are
either
The
External
Causes
may
be
any
violent
exercise
,
with
much
striving
,
also
falls
or
blows
,
on
those
parts
;
also
bathing
in
cold
water
,
&c.
The
Internal
Causes
are
serous
and
phlegmatick
humours
,
a
Dysentery
with
a
Tenasmus
,
the
Whites
continuing
long
,
a
violent
drawing
the
Child
,
or
After-birth
out
of
the
Womb
;
also
much
Sneezing
or
Coughing
,
especially
in
Child-bed
;
to
conclude
,
all
things
that
may
cause
a
Rupture
or
relaxation
of
the
Ligaments
of
the
Womb
,
or
sphincter
Muscle
of
the
Anus
,
may
be
the
cause
of
these
griefs
.
In
a
Procidentia
Ani
,
there
is
always
a
In
young
people
these
distempers
may
be
But
if
there
be
a
Rupture
of
the
Ligaments
of
the
Womb
,
it
is
incurable
;
likewise
great
pain
and
inflammation
are
very
difficult
;
and
if
either
the
Matrix
or
Anus
be
Gangrenated
it
is
mortal
,
without
speedy
amputation
.
You
must
begin
the
Cure
with
removing
Then
anoint
the
part
with
some
astringent
Oils
,
and
endeavour
to
reduce
it
gently
by
degrees
.
The
manner
of
the
reduction
every
ingenious
Artist
knows
,
and
therefore
needs
not
any
directions
.
When
the
Womb
is
reduc'd
it
may
be
kept
with
a
Pessary
fram'd
of
Cork
as
thick
as
necessary
,
and
cover'd
with
Wax
mixed
with
a
little
Castor
,
and
Assafoetida
,
which
may
there
continue
.
If
there
be
pain
and
inflammation
,
let
the
part
be
bathed
with
this
.
Take
the
Flowers
of
Chamomel
,
Elder
,
of
Let
Stuphs
be
moistned
in
this
and
wrung
out
and
applied
hot
;
after
which
apply
a
Plaster
of
ad
herniam
to
the
lower
part
of
the
Belly
.
Before
you
reduce
the
Anus
,
anoint
it
with
Oil
of
Mirtles
and
bestrew
it
with
Powder
of
Album
Groecum
,
or
the
following
.
Take
of
red
Roses
,
Pomgranat-rinds
,
Cypress-nuts
,
Crocus
Martis
,
burnt
Lead
,
of
each
half
an
ounce
;
beat
them
all
into
a
fine
powder
.
A
Bag
quilted
with
the
following
astringents
,
and
applied
hot
to
either
griev'd
part
three
times
a
day
,
will
conduce
much
to
keep
it
up
.
Take
of
Plantain
,
Sanicle
,
Buds
of
Oak
Inwardly
may
be
given
Astringents
and
Strengthners
,
but
not
in
time
of
the
courses
;
those
prescrib'd
against
the
immoderate
flowing
of
the
Terms
are
good
.
CHAP.
XVIII
.
Of
Barrenness
.
BArrenness
is
called
in
Latin
Sterilitas
.
It
may
be
called
in
English
Unfruitfullness
,
it
being
an
impotency
of
Conception
.
We
reade
in
the
Scripture
that
the
Women
of
old
did
think
it
a
reproach
to
be
Childless
;
and
therefore
when
Elizabeth
had
conceived
who
before
was
Barren
,
she
said
the
Lord
hath
taken
away
my
reproach
among
Men
;
as
you
may
reade
at
large
in
the
first
Chapter
of
Luke's
Gospel
.
Very
few
Women
in
a
Marriage
state
but
desire
Children
,
yea
some
would
give
all
they
have
in
the
world
for
a
Child
,
and
are
very
impatient
if
they
do
not
Conceive
.
Rachel
said
to
Jacob
in
Gen.
30
ver.
1.
give
me
Children
,
or
else
I
dye
.
I
will
now
briefly
shew
you
,
what
may
be
the
cause
of
Sterility
.
1.
First
,
want
of
Love
between
a
Man
and
his
Wife
,
way
hinder
Conception
.
2.
Any
malignant
distemper
in
the
womb
,
may
corrupt
the
Seed
,
and
be
the
cause
of
Barrenness
.
Some
are
of
opinion
that
Witch-craft
may
be
the
cause
.
But
to
conclude
,
the
Whites
or
any
moist
distemper
of
the
Matrix
,
may
be
the
cause
of
Barrenness
.
Sometimes
the
cause
is
in
the
Man
,
for
if
he
doth
want
Sperm
,
or
is
unable
to
erect
his
Genital
by
reason
of
any
weakness
or
distemper
in
his
Secrets
;
or
if
he
be
effeminate
and
taketh
little
or
no
delight
in
the
act
of
Venery
,
he
is
not
fit
for
Venus
School
.
There
are
some
Rules
left
by
the
Ancients
to
try
whether
a
Woman
be
naturally
Barren
or
no.
Hippocrates
adviseth
to
put
a
Clove
of
Garlick
or
a
little
Galbanum
into
her
Womb
,
and
if
her
Breath
do
smell
of
it
,
be
sure
she
is
fruitfull
.
If
Barrenness
be
caused
by
any
Disease
afflicting
either
the
man
or
the
woman
,
then
patientia
est
optima
virtus
.
In
the
cure
,
you
must
endeavour
to
remove
Many
things
are
antipathetical
to
fecundity
,
as
Jet
,
Glow-worms
,
Saphires
,
Smaragds
,
the
Matrix
of
a
Goat
or
Mule
,
likewise
Vinegar
,
Mints
,
Watercresses
,
Beans
,
&c.
all
which
I
advise
you
to
avoid
,
and
make
use
of
those
things
which
have
a
peculiar
virtue
to
help
or
cause
Conception
,
and
remove
Barrenness
.
The
After-birth
of
a
Woman
dried
and
powdred
,
and
taken
often
a
drachm
at
a
time
;
also
the
Stones
and
Liver
of
a
Bore-pig
,
the
Juice
of
Sage
,
the
Roots
of
Satirion
and
Eringo
candied
,
are
all
good
.
There
are
many
medicines
prescrib'd
in
Authours
to
help
Conception
.
Quercetanus
doth
commend
this
infusion
.
Take
the
Matrix
of
a
Hare
and
the
Stones
of
a
Ram
prepar'd
with
Whitewine
,
of
Cinamon
,
The
following
Electuary
is
also
excellent
.
Take
the
Roots
of
Satirion
and
Eringo
Species
Diambroe
,
Diamosc
.
dulcis
,
of
each
six
drachms
;
Confectio
Alkermes
one
ounce
and
half
;
with
Syrup
of
the
juice
of
Citrons
;
make
it
into
an
Electuary
according
to
Art
.
Let
the
Woman
take
the
quantity
of
a
Nutmeg
of
it
every
night
going
to
bed
,
and
drink
a
glass
of
Sack
or
Muskadel
,
or
of
the
aforementioned
Infusion
after
it
.
If
a
cold
and
moist
distemper
of
the
Body
and
Womb
,
accompanied
with
the
Whites
be
the
cause
,
look
for
the
cure
in
its
proper
Chapter
.
If
it
be
caused
by
Witchcraft
,
there
are
some
things
commended
by
Authours
to
be
worn
about
the
party
against
Fascination
,
viz.
the
Pizle
of
a
Wolf
,
a
Diamond
,
a
Jacinth-stone
,
Rue
,
Squills
,
Sea-holly
,
Sagapenum
,
Amara
dulcis
,
Hypericon
,
&c.
But
above
all
,
let
fervent
and
devout
Prayers
be
put
up
to
the
Throne
of
grace
for
help
;
and
reject
and
despise
Incantations
or
Charms
,
and
all
other
Diabolical
means
.
CHAP.
XIX
.
Of
Abortion
or
Miscarriage
.
ABortion
is
called
in
Latin
Abortus
,
vel
intempestivus
foetus
.
Because
it
is
an
untimely
Birth
;
the
Child
being
brought
forth
,
either
dead
or
alive
before
its
fit
time
of
deliverance
.
This
is
the
worst
Symptom
,
that
attends
breeding
Women
.
It
may
happen
from
the
first
Moment
of
Conception
,
to
the
end
of
the
sixth
Month
;
but
it
is
most
usual
in
the
end
of
the
third
,
or
the
beginning
of
the
fourth
Month.
The
causes
are
either
external
,
or
internal
.
The
external
Causes
are
a
great
excess
in
things
nonnatural
,
as
too
great
Anger
,
Fear
,
and
other
Passions
,
or
else
it
may
be
through
defect
;
for
if
the
Mother
undergo
Penury
or
Famine
,
or
lose
much
Bloud
,
the
Child
wanteth
Nourishment
.
Many
times
things
longed
for
,
and
not
obtained
,
kill
the
Child
.
Also
strong
purging
Medicines
,
that
provoke
the
terms
,
and
all
fetid
smells
,
falls
,
blows
,
lifting
,
carrying
,
dancing
,
running
,
riding
or
any
other
outward
violence
,
may
be
the
Cause
of
Abortion
.
The
internal
Causes
may
be
the
depravedness
of
the
humours
,
by
which
the
Mass
of
Bloud
becometh
vitious
;
also
Acute
or
Chronick
diseases
,
especially
of
the
Womb
;
and
also
violent
Coughing
,
Sneezing
,
Vomiting
,
Convulsions
and
Fluxes
of
the
Belly
,
may
loosen
the
Ligaments
of
the
Womb
,
and
so
cause
miscarriage
.
The
signs
of
Abortion
at
hand
,
are
great
1.
Women
who
have
moist
and
slippery
2.
Much
bleeding
,
with
fainting
,
raving
,
or
Convulsions
is
for
the
most
part
mortal
.
To
prevent
Abortion
;
if
there
be
an
evil
If
ill
humours
abound
,
purge
often
with
gentle
means
.
This
purging
Infusion
may
serve
.
Take
of
Cinamon
,
Rhubarb
,
Anise-seed
,
of
each
two
drachms
;
let
them
be
bruised
,
Also
the
Pills
prescrib'd
in
page
240.
may
be
used
in
this
case
.
If
the
Woman
be
troubled
with
a
Rheumatick
distemper
,
accompanied
with
Wind
;
and
if
she
be
pretty
strong
,
you
may
sweat
her
gently
sometimes
with
this
or
such
like
Cordial
Diaphoretick
.
Take
the
Waters
of
Treacle
,
Carduus
,
Fennel
,
Confectio
de
Hyacintho
half
a
drachm
;
Spirit
of
Niter
six
drops
;
Oil
of
Cinamon
two
drops
;
Laudanum
opiatum
three
grains
;
mix
it
,
and
give
to
provoke
sweat
.
Let
the
Womb
be
strengthned
with
Cordial
Astringents
:
Those
prescrib'd
in
page
239.
240.
are
excellent
.
CHAP.
XX.
Of
hard
Travel
in
Child-birth
.
HArd
labour
may
be
called
in
Latin
partus
,
vel
enixus
laboriosus
;
quod
ipse
nitendi
&
pariendi
actus
.
The
time
of
a
natural
Birth
ought
to
be
accomplished
in
the
space
of
twenty
four
hours
;
if
the
Womans
travel
continue
longer
time
with
vehement
pains
and
dangerous
Symptoms
,
it
may
be
called
hard
labour
,
or
difficult
Travel
in
Child-birth
.
There
are
various
Causes
of
hard
Labour
,
sometimes
tender
Women
by
reason
of
pain
,
Sometimes
the
Child
being
weak
or
dead
,
and
not
following
the
Water
in
Due-time
,
before
the
passage
be
too
dry
may
be
the
Cause
;
especially
if
the
Mother
be
weak
,
by
reason
of
any
Disease
afflicting
her
,
or
by
too
much
Evacuation
of
Bloud
,
or
there
be
not
sufficient
Motion
of
the
Womb
,
and
Muscles
of
the
Belly
.
Sometimes
the
Child's
head
may
be
too
big
,
or
the
passage
too
strait
.
Also
the
Child
may
be
turned
in
the
Womb
,
and
the
Hands
,
Shoulders
,
Back
,
Belly
,
or
Buttocks
,
&c.
may
come
forward
to
the
Birth
,
and
then
the
endeavour
to
bring
forth
will
be
painfull
and
difficult
.
The
signs
of
hard
Labour
are
easily
known
;
If
pains
be
weak
,
and
long
before
they
return
,
and
more
in
the
Back
than
Belly
,
the
Infant
is
weak
.
If
the
Woman
be
little
,
and
her
Husband
big
and
full
shouldred
,
then
there
is
a
great
Child
,
which
will
cause
tough
work
.
1.
Hard
travel
in
Child-birth
is
very
dangerous
,
2.
If
the
Woman
be
in
Travel
above
four
days
,
the
Child
can
hardly
be
alive
;
and
therefore
must
be
drawn
away
before
it
be
too
late
;
for
if
it
be
neglected
,
it
will
cause
Fevers
,
Faintings
,
Convulsions
,
Sleepiness
,
&c.
which
are
the
Forerunners
of
Death
.
3.
If
sneezing
cometh
of
its
own
accord
,
it
is
a
good
sign
of
deliverance
.
First
give
this
Cordial
to
strengthen
both
the
Mother
and
Child
.
Take
Waters
of
Baum
,
Vervain
,
Cinamon
,
Confectio
Alkermes
,
of
each
one
drachm
;
mix
it
.
If
the
Child
be
situated
on
Os
pubis
,
it
must
be
removed
,
and
all
other
unfit
Postures
must
be
rectified
.
Then
such
things
as
hasten
the
Birth
may
be
safely
administred
.
To
encrease
the
Pains
,
and
further
the
Womans
Labour
,
I
commend
sneezing
,
and
also
the
following
Medicines
.
Take
the
Livers
of
Eels
prepar'd
with
Cinamon-water
,
Take
the
Waters
of
Vervain
,
Mugwort
,
Confectio
Alkermes
one
drachm
;
Extract
of
Saffron
six
grains
;
Oils
of
Cinamon
,
Amber
,
of
each
three
drops
;
mix
it
.
Some
things
have
a
peculiar
property
to
help
the
Birth
;
as
the
stone
Aetites
,
Loadstone
,
Storax
,
the
Eyes
of
a
Hare
,
&c.
held
near
the
privities
.
The
time
being
come
,
the
Woman
must
be
put
into
a
posture
,
(
which
every
Midwife
doth
understand
)
and
let
her
not
labour
too
much
,
till
strong
pains
come
;
and
then
let
her
resolve
on
patience
,
and
not
be
disorderly
in
the
time
of
her
Travel
.
If
she
be
faint
,
you
may
give
her
some
of
the
formention'd
Cordial
Julep
to
comfort
her
.
Let
your
hands
be
anointed
with
some
Anodine
Ointment
.
After
the
water
is
broke
,
if
the
Head
cometh
with
the
Face
towards
Anus
receive
it
;
if
not
endeavour
to
place
it
right
:
Then
turn
your
Finger
round
about
the
Child's
head
gently
,
to
make
way
for
the
Birth
.
If
the
Child
cometh
any
other
way
,
you
must
endeavour
to
gain
the
Feet
,
and
bring
it
away
with
the
Face
towards
Anus
,
as
before
mention'd
.
The
Child
being
born
,
you
must
bring
away
the
Secundine
gently
by
degrees
,
after
which
put
a
Closure
to
the
Woman
to
prevent
Cold
from
entring
the
Womb.
Then
prepare
her
for
the
bed
,
and
give
her
some
Sperma
Coeti
,
or
Irish-slate
in
a
little
burnt
White-wine
with
Cinamon
.
If
the
Woman
doth
flood
much
,
or
be
troubled
with
after-pains
,
give
her
some
of
the
following
Cordial
Opiate
.
Take
of
small
Cinamon-water
,
the
waters
Laudanum
opiat
.
three
grains
;
Oil
of
Cinamon
two
drops
;
mix
it
,
and
give
three
spoonfulls
of
it
often
.
If
the
Child
be
born
alive
,
after
the
Navel
string
is
secured
,
give
the
Child
ten
grains
of
prepar'd
Coral
in
a
little
Breast
milk
,
or
black
Cherry-water
dulcifi'd
with
Syrup
of
Peony
,
to
which
you
may
add
a
little
Oil
of
sweet
Almonds
new
drawn
.
If
the
Child
be
troubled
with
gripes
,
you
may
give
it
a
little
Powder
of
Anise-seed
in
the
Pap.
But
if
the
Child
be
dead
,
and
the
Labour
gone
;
or
if
the
Child's
head
be
very
big
,
and
the
passage
too
strait
;
so
that
the
Midwife
cannot
doe
her
Office
;
you
must
then
speedily
implore
the
help
of
the
Man-midwife
,
as
we
are
called
.
If
a
Woman
in
Child-bed
hath
a
costive
Body
,
give
her
a
Suppository
of
Castile-soap
,
or
Honey
boiled
;
and
after
three
or
four
days
,
you
may
administer
,
an
emollient
,
carminative
Clyster
.
If
a
Woman
(
after
hard
Travel
)
cannot
hold
her
Urine
,
bathe
her
secret
Parts
and
Region
of
the
Womb
with
this
or
the
like
Decoction
.
Take
of
Plantain
,
Comfry
,
Shepherds-purse
,
Tops
of
Brambles
,
Penny-royal
,
Rosemary
,
Afterward
anoint
the
grieved
parts
with
this
Linament
.
Take
the
Ointment
Comitissoe
,
Oil
of
Mace
by
expression
,
of
each
one
ounce
;
Oils
of
Earth-worms
,
Foxes
,
Lillies
,
Goose-grease
,
of
each
half
an
ounce
;
mix
it
.
CHAP.
XXI
.
Of
Nephritick
pains
,
and
of
the
Stone
in
the
Reins
and
Bladder
.
DIseases
of
the
Reins
are
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
Ren.
In
Latin
they
are
called
morbus
Renum
,
which
comprehends
not
onely
any
Ach
in
the
Kidneys
,
but
also
the
Stone
and
Gravel
in
the
Reins
.
Nephritick
pains
may
be
caused
divers
1.
First
by
a
sharp
salt
matter
,
or
a
sharp
and
serous
Lympha
in
the
Kidneys
,
which
doth
easily
concrete
into
a
Stone
,
especially
when
the
Ferment
of
the
Reins
is
much
vitiated
;
which
may
be
known
by
those
cruel
torturing
Fits
,
that
come
by
intervals
.
2.
Worms
in
the
Kidneys
,
which
for
the
most
part
arise
from
Bloud
there
corrupted
,
may
be
the
cause
of
pain
.
3.
An
Abcess
or
Tumour
in
the
Kidneys
,
following
an
Inflammation
,
doth
hinder
the
passage
of
Urine
,
and
is
always
accompanied
with
great
pain
.
4.
It
may
also
be
caused
by
glutinous
Phlegm
,
obstructing
the
fleshy
parts
of
the
Kidneys
,
and
hindring
the
separation
of
Urine
;
so
that
it
is
not
strein'd
into
the
Funnels
of
the
Reins
as
usual
,
but
is
deprav'd
and
vitiated
:
Whence
the
natural
descent
of
the
Urine
,
through
the
Ureters
into
the
urinal
Bladder
is
also
hindred
.
The
same
also
may
happen
sometimes
by
Although
I
think
that
Stones
sticking
in
the
Ureters
themselves
,
cannot
long
hinder
the
passage
of
Urine
;
because
it
hath
been
found
by
experience
,
(
in
dissecting
of
dead
Bodies
)
that
Stones
near
the
bigness
of
a
Doves-egg
;
have
been
sticking
in
the
Ureters
;
by
the
sides
of
which
Stones
,
Urine
descended
freely
,
which
was
evident
,
because
the
Ureter
was
no
were
distended
,
unless
where
the
Stone
did
stick
:
Neither
was
there
any
Urine
contain'd
in
the
Ureter
,
above
the
obstruction
;
besides
when
the
Party
was
living
,
there
was
no
stoppage
of
Urine
.
Those
fits
which
come
by
intervals
,
are
caused
by
a
debility
or
vitiousness
of
the
Ferment
of
the
Kidneys
,
which
generates
crude
,
salt
and
sharp
matter
,
which
causeth
those
cruel
Tortures
;
and
should
all
the
Gravel
and
Stone
come
away
,
the
pain
would
not
be
the
less
,
untill
the
Kidneys
themselves
be
reduc'd
to
their
right
temper
:
For
many
in
perfect
health
have
voided
much
Gravel
at
a
time
without
the
least
pain
,
and
therefore
it
is
evident
that
Gravel
is
onely
the
product
,
and
not
the
producer
or
primitive
cause
of
this
pain
.
The
Symptoms
of
Nephritick
pains
are
The
Patient
often
pisseth
bloudy
water
,
and
when
the
Reins
are
ulcerated
,
the
matter
is
often
evacuated
with
the
Urine
.
Wherein
the
force
of
concreting
or
growing
All
the
Stones
that
are
generated
in
the
Body
,
may
be
dissolved
in
the
sour
Spirit
of
Salt
Peter
or
Niter
;
whence
I
conclude
that
the
Coagulation
of
Stones
cannot
be
expected
from
an
acid
Spirit
as
such
,
therefore
from
another
somewhat
contrary
to
it
in
part
at
least
.
If
any
consider
the
several
things
,
that
promote
the
growing
together
of
natural
things
,
they
will
find
that
such
force
is
in
tart
things
;
whence
the
Glutinousness
,
and
Toughness
of
fluid
things
is
wont
to
be
produc'd
;
to
which
if
earthy
,
and
volatile
salt
parts
be
join'd
,
something
will
be
produc'd
not
much
unlike
Stones
.
I
incline
therefore
to
this
opinion
,
that
an
earthy
and
salt
matter
,
join'd
to
that
which
is
glutinous
,
groweth
together
into
Stones
by
help
of
a
tart
humour
.
Also
Gravel
of
all
kinds
(
that
is
usually
seen
in
the
bottom
of
Urine
)
testifieth
that
the
conglobated
Glandules
are
all
affected
,
by
a
frequent
external
Cold
,
or
else
by
sour
things
taken
in
,
and
when
the
Gravel
is
great
it
is
then
near
to
the
Nature
of
Stones
,
yea
sometimes
groweth
together
into
Stones
,
especially
in
cold
phlegmatick
Bodies
,
where
(
for
the
most
part
)
it
giveth
Stones
their
first
rising
,
and
daily
cherisheth
their
production
,
and
increaseth
them
;
and
the
more
especially
where
a
glutinous
,
stone-making
faculty
doth
concur
in
the
Body
.
Many
Histories
mention
,
that
Stones
are
produced
from
a
stone-making
Spirit
,
or
Riverius
,
(
in
his
last
edition
)
quoteth
Aventius
Annal.
Bavar
.
lib.
7.
Anno
1343.
who
saith
,
that
above
fifty
Men
,
with
many
Cattle
were
turned
into
Stone
.
Ortelius
telleth
the
like
story
,
that
whole
Herds
in
Russia
have
been
turned
into
Stone
.
And
Camerarius
reporteth
,
that
in
the
Province
of
Chilo
in
Armenia
,
at
the
blast
of
a
South-wind
(
which
happeneth
four
times
in
a
Year
)
whole
Troops
of
Horse
have
been
turned
into
Statues
of
Stone
,
standing
in
the
same
warlike
Posture
,
in
which
they
were
marching
.
Children
are
most
inclinable
to
this
Monster
in
Nature
,
because
they
have
much
moisture
,
and
weak
digestions
,
which
generate
Crudities
.
Stones
are
generated
in
many
parts
of
the
Body
,
as
the
Gall
,
Reins
,
Bladder
,
&c.
I
once
opened
a
Woman
that
had
sixty
I
also
dissected
another
whose
Ureters
were
stony
;
and
out
of
her
Gall
I
took
out
a
large
Stone
,
and
a
small
one
(
about
the
bigness
of
a
Hazle-nut
)
out
of
the
Neck
of
the
Gall.
1.
These
distempers
are
very
dangerous
,
2.
Pain
from
acrid
Lympha
,
&c.
may
be
cured
in
those
that
are
young
,
if
the
strength
be
not
too
much
dejected
,
nor
the
Disease
hereditary
.
That
we
may
now
address
our selves
to
The
solvent
of
the
Stone
ought
to
be
homogenious
,
and
so
singular
,
that
it
submit
not
to
any
digestions
,
or
fermental
Powers
,
through
which
it
passeth
in
its
way
to
the
parts
affected
;
for
the
Virtue
of
all
common
Remedies
taken
at
the
Mouth
,
are
alter'd
and
transmuted
in
passing
three
digestions
:
For
acid
things
,
(
from
which
much
hath
been
hoped
)
as
soon
as
they
are
past
the
Stomach
,
lose
their
acidity
,
and
are
converted
into
a
saline
Nature
,
so
that
the
dissolving
Power
of
the
acid
is
wholly
transmuted
before
it
gets
either
to
the
Reins
or
Bladder
.
Likewise
those
Medicines
which
are
injected
into
the
Bladder
with
a
Syringe
,
ought
to
be
agreeable
to
its
Ferment
,
that
it
may
not
be
painfull
thereto
;
for
if
but
a
small
quantity
of
any
sharp
Medicine
be
injected
,
it
stirreth
up
an
intolerable
Strangury
,
it
being
wholly
foreign
to
the
Ferment
of
the
part
.
And
seeing
the
Stone
,
and
all
other
Distempers
of
the
Reins
and
Bladder
,
are
wont
to
be
bred
,
and
increased
in
length
of
time
;
the
Remedies
which
you
administer
must
be
long
us'd
,
before
you
may
have
experience
of
their
effects
.
I
will
here
set
down
some
choice
Medicines
,
not
onely
to
hinder
the
increase
,
but
to
dissolve
small
Stones
in
humane
Bodies
,
if
they
be
long
enough
us'd
.
Amongst
which
we
may
deservedly
attribute
the
first
place
to
Spirit
of
Niter
(
seeing
Stones
of
any
kind
are
so
easily
and
manifestly
broken
and
dissolved
by
it
)
which
may
commodiously
be
mixt
in
any
ordinary
Drink
,
or
Wine
and
Broths
,
&c.
to
a
light
acidity
;
whose
excellent
effects
all
may
admire
.
If
the
Patient
have
a
costive
Body
,
you
may
give
the
following
Lenitive
three
or
four
times
in
a
week
.
Take
of
Cassia
newly
drawn
one
ounce
;
Venice
Turpentine
half
an
ounce
;
Crystal
The
following
is
also
very
effectual
.
Take
of
Cio-turpentine
half
an
ounce
;
Powder
of
Rhubarb
one
drachm
;
the
Yelk
of
one
egg
,
mix
it
for
two
doses
;
give
it
in
the
morning
fasting
,
and
drink
four
ounces
of
this
Julep
after
it
.
Take
the
Decoction
for
Syrup
of
Marsh-mallows
This
Powder
is
also
excellent
.
Take
Salt
of
Tartar
vitriolated
two
drachms
;
Powder
of
Crabs-eyes
,
Salts
of
If
the
Patient
be
plethorick
,
Phlebotomy
may
be
used
with
good
success
.
If
a
Stone
chance
to
stick
in
the
Ureter
,
which
causeth
numbness
,
by
its
pressing
upon
the
Muscle
Psoas
,
and
the
Nerves
,
In
this
Case
,
apply
a
Ventose
on
os
Ilium
,
which
may
bring
the
Stone
by
degrees
into
the
Bladder
;
afterward
anoint
the
parts
grieved
with
Rabbets
fat
.
If
the
Stone
in
the
Bladder
be
very
big
,
there
is
little
hopes
of
dissolving
of
it
,
wherefore
if
the
Patient
(
being
in
continual
pain
)
be
willing
to
submit
to
Lithotomy
;
I
advise
them
to
make
choice
of
an
experienc'd
Artist
;
lest
by
Precipitancy
the
Operatour
neglect
to
cleanse
the
Bladder
,
after
the
Extraction
of
the
Stone
;
by
the
neglect
of
which
,
many
have
generated
the
Stone
again
,
and
have
been
forced
to
endure
that
dreadfull
operation
the
second
,
and
sometimes
the
third
time
,
under
which
many
have
died
,
and
others
who
recovered
,
have
never
held
their
Urine
.
In
other
Nephritick
pains
,
if
the
fleshy
parts
of
the
Kidneys
be
obstructed
,
they
may
be
opened
by
Diureticks
,
that
cut
,
attenuate
,
and
make
glutinous
Phlegm
fluid
.
For
example
,
Take
of
Eringo-roots
,
the
five
opening
Roots
,
of
each
one
ounce
;
the
Tops
of
Agrimony
,
They
who
like
Juleps
better
,
may
use
this
or
the
like
.
Take
the
Waters
of
Fennel
,
Parsley
,
Pellitory
Laudanum
opiat
.
four
grains
;
mix
it
,
and
give
three
spoonfulls
every
three
or
four
hours
.
The
Patient
may
also
drink
freely
of
the
mineral
Diuretick-waters
of
Tunbridge
,
&c.
which
will
conduce
much
to
the
Cure
;
especially
if
some
old
Diuretick-wine
,
and
a
little
oily
Volatile
Salt
(
made
of
Diuretick
,
Vegetables
)
be
mixed
with
the
water
.
When
the
glutinous
Phlegm
is
prepar'd
,
and
loosned
,
it
may
be
educ'd
with
some
convenient
Phlegmagogue
,
either
in
the
form
of
Pills
or
Potion
,
of
which
there
are
variety
mention'd
in
page
3.
and
four
,
&c.
The
fixt
Sulphurs
of
Minerals
and
Metalls
,
exalted
to
their
highest
perfection
,
do
(
before
all
others
)
mildly
temper
all
the
humours
;
next
to
which
oily
Volatile
Salts
come
,
and
Aromaticks
next
to
these
:
By
the
force
of
which
(
prudently
us'd
)
not
onely
an
effervescency
of
somewhat
contrary
Humours
(
most
agreeable
to
Man's
nature
)
is
bred
in
the
small
Gut
,
and
afterward
in
the
Heart
;
but
the
preternatural
growing
together
,
and
uniting
of
the
more
sharp
humours
(
being
first
moderated
by
them
)
is
again
dissolv'd
in
the
Bloud
.
I
speak
these
things
by
experience
,
and
because
it
is
of
great
moment
in
practice
,
I
commend
them
to
the
truly
Studious
of
Physick
.
If
the
Urine
be
bloudy
,
it
testifieth
the
opening
of
some
Vessel
of
Bloud
in
the
Kidneys
,
Ureters
,
Bladder
,
or
its
Neck
.
To
heal
and
consolidate
this
harm
the
following
is
excellent
.
Take
the
Waters
of
Parsley
,
Plantain
,
of
Laudanum
opiat
.
three
grains
;
Spirit
of
Niter
ten
drops
;
mix
it
,
and
give
three
or
four
spoonfulls
every
two
hours
.
If
there
be
an
Ulcer
in
any
of
these
parts
,
it
may
perhaps
be
more
happily
cur'd
by
the
daily
taking
of
Balsam
of
Sulphur
(
made
with
the
Oil
of
Amber
,
Juniper
,
Anise-seed
,
or
Turpentine
)
in
any
convenient
Vehicle
,
than
by
any
other
Medicine
hitherto
known
.
In
all
suppression
of
Urine
,
the
following
is
very
effectual
.
Take
the
Waters
of
Chamomel
,
Golden-rod
,
CHAP.
XXII
.
Of
Extraordinary
Pissing
,
&c.
THIS
Distemper
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
i.
e.
pertransire
,
quod
urina
ureteres
,
&
urethram
subito
pertransit
.
It
being
a
quick
or
plentifull
pissing
or
making
of
water
.
The
cause
is
either
external
,
or
internal
.
The
external
,
or
primary
efficient
Cause
,
The
internal
Cause
of
this
Disease
,
is
sharp
,
serous
humours
abounding
in
the
Bloud
,
by
which
not
onely
the
whole
Mass
of
it
doth
in
time
become
too
thin
,
but
the
nervous
Juice
is
also
thereby
ill
affected
,
and
consequently
the
Reins
inflam'd
,
by
the
continual
flowing
of
the
over
acid
serous
humours
:
Whence
the
attractive
faculty
of
the
Kidneys
is
increas'd
,
drawing
the
serosity
of
the
Bloud
more
potently
from
the
emulgent
Vessels
into
the
Funnels
,
and
provoking
the
expulsive
faculty
,
it
is
soon
sent
(
through
the
Ureters
)
to
the
Bladder
,
from
whence
it
is
often
evacuated
by
pissing
.
The
signs
are
a
continual
pissing
,
so
that
much
more
moisture
is
voided
,
than
is
taken
It
is
always
accompanied
with
an
extraordinary
Thirst
;
the
sick
is
also
feverish
,
something
like
a
Hectick
.
If
it
continue
long
,
it
will
decay
all
the
All
things
which
have
power
to
incrassate
In
the
beginning
of
the
Cure
,
after
a
stool
hath
been
procured
by
an
emollient
Clyster
,
you
may
open
a
Vein
in
the
Arm.
The
next
day
a
gentle
Purge
of
Rhubarb
may
be
administred
;
but
if
the
Stomach
be
foul
,
and
the
sick
can
vomit
easily
,
you
may
give
an
Antimonial
Emetick
with
good
success
,
because
it
will
potently
draw
the
sharp
peccant
humours
from
the
emulgent
Vessels
and
Reins
,
and
evacuate
some
of
them
both
by
Vomit
and
Stool
.
After
the
Operation
of
the
Emetick
,
let
the
sick
take
two
spoonfulls
of
this
Cordial
Opiate
often
,
which
will
ease
pain
,
and
thicken
the
humours
.
Take
the
Waters
of
Barley
,
red
Poppies
,
Laudanum
opiatum
six
grains
;
let
the
Gums
be
dissolved
in
the
distill'd
waters
,
and
strained
,
then
mix
all
together
according
to
Art
.
You
may
prescribe
this
,
or
such
a
like
Decoction
,
for
the
Patient
's
ordinary
drink
.
Take
the
Roots
of
China
,
Sarseparilla
,
Let
the
Diet
be
cooling
,
and
thickning
Broths
and
Jellies
made
of
Knuckles
of
Veal
,
with
the
Roots
of
China
and
Comfry
boiled
in
it
,
is
excellent
.
You
may
also
make
Panado's
of
the
aforesaid
Broth
,
with
a
few
Crums
of
Whitebread
,
and
the
Yelk
of
an
Egg.
Also
milk
(
wherein
the
aforesaid
Roots
are
boiled
)
will
be
very
effectual
.
CHAP.
XXIII
.
Of
involuntary
Pissing
,
commonly
called
pissing
in
Bed
.
WHEN
the
Urine
floweth
involuntarily
(
which
in
Children
is
vulgarly
called
The
causes
are
either
external
,
or
internal
.
The
external
Cause
is
a
large
Wound
in
the
sphincter
Muscle
of
the
Bladder
,
which
sometimes
happens
in
Lithotomy
;
for
by
extracting
a
great
Stone
,
the
sphincter
Muscle
may
be
so
much
lacerated
,
that
it
ceaseth
to
be
contracted
,
and
the
Orifice
of
the
Bladder
to
be
shut
,
wherefore
the
Urine
distilleth
of
its
own
accord
.
It
may
be
caused
internally
by
the
Palsie
,
Apoplexy
,
Epilepsie
,
Syncope
,
&c.
Sometimes
Ebriety
may
be
the
Cause
of
the
Resolution
of
the
Nerves
,
which
from
the
Loins
are
inserted
into
the
Neck
of
the
Bladder
,
and
so
render
the
sphincter
Muscle
incapable
of
Contraction
;
hence
the
Urine
is
involuntarily
voided
.
In
Children
,
this
Distemper
is
curable
,
if
That
which
is
caused
by
the
Palsie
,
Epilepsie
,
Syncope
,
&c.
look
for
the
Cure
in
If
it
be
caused
by
Ebriety
,
Sobriety
may
be
commended
to
cure
it
,
especially
by
the
help
of
inward
means
to
strengthen
the
parts
affected
.
Many
things
have
been
given
to
Children
,
that
have
been
troubled
with
this
Distemper
;
the
most
effectual
are
these
.
Fried
Mice
,
the
inner
Skins
of
Hens-gizzards
,
Cocks-weasands
,
Pudenda
suilla
,
Stones
of
a
Hare
,
Snails
with
the
shells
,
all
or
any
of
these
dried
and
poudred
;
also
the
Powder
of
Agrimony
,
Egg-shells
,
the
burnt
Ashes
of
an
Hedge-hog
,
&c.
Any
of
these
may
be
given
in
red
Wine
,
or
in
Lime-water
chalibeated
,
which
may
be
dulcifi'd
with
Syrup
of
Comfry
.
If
Phlegm
do
abound
in
the
Body
,
you
may
purge
it
with
Phlegmagogues
.
Also
sweating
with
gentle
Diaphoreticks
,
is
very
effectual
.
Those
already
mention'd
are
proper
,
onely
consider
the
Age
and
Strength
of
the
Patient
.
CHAP.
XXIV
.
Of
the
Stoppage
of
Urine
,
and
the
Strangury
.
THE
Stoppage
of
Urine
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ab
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
comprimo
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
Urina
.
'T
is
called
in
Latin
Urinoe
suppressio
.
The
Strangury
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
i.
e.
urinoe
difficultas
,
vel
urinoe
per
guttas
excretionem
.
Ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
stilla
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
urina
.
These
differ
onely
in
degree
,
for
when
the
Urine
is
totally
obstructed
,
it
may
be
called
Ischuria
,
but
when
little
is
voided
,
and
by
drops
,
it
may
be
called
Stranguria
.
These
distempers
may
be
caused
by
viscous
Sometimes
it
is
caused
by
a
schirrous
Tumour
,
or
other
excrescency
of
Flesh
,
as
a
Carbuncle
,
&c.
growing
in
the
Urethra
,
or
Chanel
of
Urine
.
Sometimes
it
is
caused
by
a
preposterous
holding
in
of
the
Urine
,
either
,
for
shame
or
want
of
opportunity
to
evacuate
it
;
so
that
the
Bladder
being
extremely
fill'd
and
distended
,
it
hath
not
power
to
contract
it self
,
hence
the
voiding
of
Urine
is
supprest
.
It
may
also
be
caused
by
sharp
humours
,
fretting
and
ulcerating
the
internal
Superficies
of
the
Bladder
,
by
which
it
is
continually
stirred
up
to
contract
it self
,
and
expell
the
Urine
which
is
in
it
;
so
that
the
Bladder
is
empty
,
having
little
or
no
Urine
in
it
,
as
I
have
known
by
experience
.
This
may
be
called
a
Bastard
Ischuria
,
which
may
be
also
caused
by
some
hurt
in
the
attractive
or
expulsive
faculty
of
the
Reins
.
If
the
aforesaid
Causes
be
violent
,
it
causeth
an
Ischuria
,
but
if
remiss
,
then
a
Strangury
is
stirred
up
,
in
which
there
is
a
perpetual
Irritation
to
extrude
the
Urine
,
although
slowly
;
and
by
drops
,
with
exceeding
pain
and
trouble
.
Suppression
of
Urine
is
dangerous
,
and
if
If
the
Cause
be
in
the
Neck
of
the
Bladder
If
the
Cause
be
from
the
Reins
or
Ureters
,
seek
the
Cure
in
the
Chapter
of
Nephritick
pains
,
&c.
Glutinous
Phlegm
,
and
coagulated
Bloud
,
may
be
cut
and
attenuated
with
Aromaticks
boild
in
Water
or
Wine
,
and
mixed
with
oily
volatile
Salts
,
Spirit
of
Niter
,
&c.
Stone-Horse
dung
is
rich
in
Volatile
Salt
,
wherefore
if
you
mix
the
Juice
of
it
with
Rhenish-wine
,
and
drink
it
often
,
you
will
admire
its
wonderfull
effects
,
in
curing
not
onely
Stoppage
of
Urine
,
but
most
other
obstructions
.
Those
Diureticks
prescrib'd
in
page
266
,
267.
are
also
very
effectual
here
.
Let
the
Belly
and
parts
affected
be
anointed
with
Dears-suet
,
which
will
conduce
much
to
give
ease
.
When
the
Urethra
is
obstructed
by
a
Caruncle
,
&c.
You
must
gently
thrust
in
a
hollow
Instrument
made
of
Lead
or
Silver
,
being
first
anointed
with
some
consolidating
Ointment
.
You
may
leave
the
Instrument
in
,
till
the
fear
of
a
new
Closing
of
the
Passage
be
remov'd
.
CHAP.
XXV
.
Of
the
Scalding
or
Sharpness
of
Urine
.
THIS
Distemper
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
Urina
.
The
causes
are
either
external
,
or
internal
.
The
external
Cause
may
be
by
the
Application
of
Cantharides
,
or
some
other
stronger
Poison
.
The
internal
Causes
are
sharp
,
salt
and
acid
humours
mixed
with
the
Urine
,
which
do
corrode
,
and
ulcerate
the
internal
Superficies
of
the
Bladder
,
and
sphincter
Muscle
.
Sometimes
it
is
caused
by
sharp
Stones
,
occasioning
an
Ulcer
.
If
the
Bladder
,
or
sphincter
Muscle
,
or
the
If
the
Bladder
or
urinal
Passage
be
ulcerated
,
The
salt
,
acid
,
corroding
humours
may
be
corrected
with
Crabs-eyes
,
Perle
,
&c.
and
also
all
volatile
oily
Salts
,
taken
often
(
in
a
small
quantity
)
in
any
refrigerating
Diuretick
.
This
Decoction
is
effectual
.
Take
the
Roots
of
Mallows
,
Marsh-mallows
,
Laudanum
opiat
.
ten
grains
;
Oil
of
Vitriol
ten
drops
;
mix
it
,
and
give
three
spoonfulls
every
two
hours
.
An
Emulsion
of
the
Cold-seeds
,
or
Chamomel-flowers
boiled
in
Milk
,
is
also
very
effectual
.
If
the
Patient
be
costive
,
give
emollient
Clysters
,
or
gentle
Cholagogues
,
and
Hydragogues
,
to
evacuate
the
peccant
humours
.
Or
else
you
may
give
a
gentle
Emetick
for
Revulsion
.
If
the
pain
be
very
great
,
you
may
inject
an
Emulsion
(
made
of
the
Cold-seeds
)
into
the
urinal
Passage
,
and
anoint
the
Privities
with
unguentum
Populion
,
&c.
CHAP.
XXVI
.
Of
Venereal
Affects
.
THIS
Scourge
of
transgressing
Humanity
,
being
as
it
were
a
Murrain
,
or
common
Destruction
to
venereous
Persons
,
may
be
called
in
Latin
Lues
venerea
,
a
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
solvo
,
vel
quod
Corpus
omnino
dissolvit
,
vel
quasi
luens
usque
ad
nihil
.
Lues
enim
ista
,
pestis
est
species
,
vel
qualiscunque
contagio
,
quoe
homines
inficit
,
debito
supplicio
scelus
luere
.
The
first
Knowledge
of
this
pocky
intestine
Enemy
(
at
least
in
the
European
parts
of
the
World
)
was
at
the
Siege
of
Naples
,
by
the
French
;
being
brought
thither
(
as
some
Authours
affirm
)
by
the
Spaniards
,
that
came
with
Christopher
Columbus
from
the
West
Indies
,
and
they
like
plaguy
Persons
that
croud
to
infect
others
(
contrary
to
their
reserved
temper
)
being
inflam'd
with
a
venereal
Itching
,
and
being
also
free
of
their
flesh
,
they
communicated
(
as
a
great
rarity
)
this
new
found
foul
Distemper
,
to
the
Italian
Women
,
which
among
others
they
had
engrost
to
themselves
from
the
Animal
Indians
,
in
their
American
Tyrannical
Conquests
.
Many
of
those
poor
Creatures
being
deeply
infected
with
the
monstrous
Yaws
(
so
called
by
the
Indians
)
from
whence
this
foul
Distemper
had
its
first
original
.
Hence
it
was
first
called
the
Neapolitan
,
and
afterward
the
French
disease
;
since
which
time
,
many
of
the
precipitant
youthfull
Europeans
(
to
their
great
Costs
and
Pain
)
have
been
punished
with
this
impure
venereal
Affect
.
This
Itch
in
spite
of
Mortals
will
be
catching
,
(
where
there
is
no
fear
of
God
to
restrain
)
but
the
beginning
natural
momentany
Pleasure
,
will
often
urge
a
smartfull
end
;
so
that
this
is
the
product
of
that
sin
of
uncleanness
,
for
which
God
hath
pronounced
,
Hebrews
13.
4.
Whore-mongers
and
Adulterers
God
will
judge
.
To
describe
this
virulent
contagious
Disease
,
It
is
an
universal
sour
taint
of
the
spermatick
parts
;
the
seed
in
the
spermatick
Vessels
being
first
corrupted
with
a
cold
indigested
Putridness
,
is
sometimes
conveyed
outward
to
the
groins
,
infecting
the
obscene
parts
with
a
filthy
eating
Crusty
scab
.
But
if
the
poisonous
malign
quality
(
gotten
by
impure
Coition
)
be
transfer'd
to
the
Liver
,
which
is
the
chief
Subject
of
its
more
easie
invasion
,
and
its
special
residence
;
it
must
necessarily
suffer
egregious
corruption
,
from
whence
the
afflicting
taint
is
dispersed
into
the
whole
habit
of
the
Body
,
vitiating
and
corrupting
the
Nutrition
of
every
part
;
by
which
the
sick
becomes
wholly
cachectick
,
and
the
filthy
Pox
(
without
speedy
help
)
tyrannizing
with
many
malign
Symptoms
,
and
afflicting
both
the
body
and
mind
,
doth
at
length
hurry
the
Patient
into
the
pit
of
silence
.
The
cause
is
chiefly
,
the
carnal
use
of
Also
Children
sucking
of
those
Nurses
that
are
infected
,
may
receive
the
pollution
from
the
poisonous
malignity
of
the
milk
.
It
may
also
be
Hereditary
,
the
seed
of
venereous
Parents
being
polluted
.
The
most
apparent
signs
,
are
a
dulness
of
1.
It
is
difficult
of
Curation
,
if
it
hath
2.
If
it
be
Hereditary
,
't
is
incurable
;
but
if
the
Patient
be
young
,
and
newly
infected
,
it
may
be
easily
cured
.
As
for
the
Cure
of
this
filthy
Disease
,
first
Then
make
choice
of
an
honest
Physician
.
The
Cure
is
easiest
effected
in
the
Spring
,
or
Fall
of
the
Leaf
;
but
if
necessity
urge
,
you
may
begin
the
Cure
at
any
time
.
First
let
the
Body
be
prepared
,
The
following
Apozeme
may
serve
for
Example
in
most
constitutions
.
Take
the
five
opening
Roots
,
Liquorish
,
If
the
Patient
be
Plethorick
open
a
Vein
;
after
which
you
may
purge
with
these
or
the
like
Pills
.
Take
of
Extractum
Rudii
,
one
scruple
;
Mercur.
dulcis
,
Salt
Armoniack
,
of
each
half
a
scruple
;
make
it
into
four
Pills
,
and
take
them
in
the
Morning
.
If
you
perceive
by
the
Excrements
,
that
the
Patient's
body
be
very
foul
,
you
may
administer
another
Dose
of
Pills
after
two
days
intermission
.
Then
you
may
prepare
the
following
Decoction
,
or
one
like
it
,
to
cause
sweat
,
&c.
Take
of
Guiacum
,
the
Roots
of
China
,
Sarseparilla
,
Let
the
sick
take
four
spoonfulls
of
it
,
with
ten
grains
of
Antimonium
diaphoret
.
every
Morning
and
Evening
,
for
four
or
five
days
following
,
and
sweat
after
it
in
Bed
,
or
in
a
Hot-house
,
or
Bagnio
,
so
long
as
can
be
well
endured
.
Then
omitting
a
day
or
two
,
you
may
take
another
Dose
of
Pills
;
then
sweat
seven
days
more
,
after
which
purge
as
before
;
this
doe
for
forty
days
,
or
till
the
Cure
be
perfected
.
You
may
make
a
second
Decoction
of
the
Ingredients
,
for
ordinary
drink
.
But
if
the
sick
have
extreme
Pains
in
the
Night
,
ten
grains
of
the
following
Pills
may
be
given
to
bed-ward
instead
of
the
Decoction
.
Take
Gum
of
Guiacum
two
drachms
;
Antimony
Diaphoretick
,
Bezoar-mineral
,
Laudanum
opiatum
,
of
each
half
a
drachm
;
with
Syrup
of
Saffron
,
make
it
into
a
Mass
for
Pills
.
If
there
be
a
Defluxion
of
Rheum
on
the
Lungs
,
you
may
give
ten
or
twelve
drops
of
Balsam
of
Sulphur
,
in
a
little
of
the
Decoction
every
Morning
,
and
the
like
quantity
with
half
a
drachm
of
Venice-treacle
every
Night
;
after
which
drink
four
ounces
of
the
aforesaid
Decoction
,
to
promote
a
gentle
sweat
.
You
may
also
make
Fontinels
in
the
Arm
and
Leg
with
good
success
.
But
if
the
sick
be
of
a
hot
Constitution
,
and
the
Disease
be
inveterate
,
and
stubborn
;
the
shortest
and
best
way
of
Cure
will
be
by
salivation
.
I
do
not
approve
of
unction
with
mercurial
Ointments
,
to
raise
the
Flux
,
nor
Turbith-mineral
to
be
given
inwardly
;
but
the
safest
way
is
to
administer
Mercur.
dulcis
,
but
let
it
be
well
prepared
.
Then
you
may
give
twenty
grains
of
it
with
a
little
Diascordium
,
or
Conserves
of
Roses
:
give
it
three
or
four
Mornings
successively
,
and
drink
a
draught
of
the
Diet-drink
after
it
.
Also
the
second
Decoction
may
be
sometimes
made
use
of
for
ordinary
Drink
,
all
the
time
of
the
Cure
;
and
warm
Posset-drink
at
other
times
,
when
desired
.
When
the
Salivation
is
rais'd
,
let
the
sick
have
a
piece
of
Gold
between
the
teeth
;
and
keep
warm
,
and
continue
spitting
till
the
Spittle
become
insipid
,
which
is
commonly
in
twenty
days
.
In
the
mean
time
,
wash
the
Mouth
with
Plantain-water
,
and
Syrup
of
Mulberries
.
When
you
would
abate
the
spitting
,
administer
a
Carminative
Clyster
,
or
a
Clyster
of
Milk
and
Sugar
every
Night
;
and
after
its
operation
,
give
the
following
Bolus
.
Take
of
Diascordium
half
a
drachm
;
Gascoigns
Pustules
,
Tumours
and
Ulcers
of
the
Mouth
,
Tongue
,
Gums
,
or
any
other
Place
,
will
be
all
easily
cured
,
when
the
Salivation
is
over
.
You
may
dress
the
sores
with
the
following
Ointment
,
which
is
very
effectual
to
cure
all
Pocky
ulcers
.
Take
of
Verdigreece
,
and
common
Salt
,
of
each
two
ounces
;
powder
them
,
and
When
the
filthy
Enemy
,
or
Neapolitan
disease
,
is
cast
out
by
Salivation
,
you
may
sweat
the
Patient
with
the
Decoction
of
China
,
&c.
before
mention'd
,
for
sometime
,
as
is
there
directed
.
Let
the
Diet
be
drying
;
rost
Meat
is
better
than
boil'd
.
Mutton
,
Chickens
,
Partridges
,
Rabbets
,
&c.
are
all
good
Food
.
When
strength
doth
begin
to
increase
,
Bread
and
Raisins
may
be
eaten
.
The
greater
Symptoms
of
this
Disease
,
are
the
Running
of
the
Reins
,
Nodes
,
Caruncles
,
&c.
The
Running
of
the
Reins
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
semen
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
fluo
,
it
being
a
Flux
of
natural
Seed
of
Man
or
Woman
unwittingly
.
If
the
Gonorrhoea
be
virulent
,
it
is
a
praeludium
to
the
Pox
,
and
must
be
cur'd
the
same
way
;
but
if
it
be
newly
contracted
,
it
may
wholly
and
most
safely
be
absolved
by
purgation
.
The
same
Apozeme
,
and
purging
Pills
,
before
mention'd
,
are
very
proper
,
which
must
be
continu'd
till
the
Running
of
the
Reins
cease
.
If
the
Patient
be
plethorick
,
let
a
Vein
be
opened
.
To
strengthen
the
spermatick
parts
,
the
following
Balsamick
Pills
are
effectual
.
Take
of
Mummy
,
Bole
Armenick
,
Gums
If
there
be
Nodes
,
Caruncles
or
Ulcers
in
the
urinary
Passage
,
The
following
Medicine
may
be
daily
injected
.
Take
the
Water
of
the
Spawn
of
Frogs
After
injection
,
put
in
an
hollow
Instrument
made
of
Silver
or
Lead
,
being
first
anointed
with
some
consolidating
Ointment
,
as
was
directed
in
the
Stoppage
of
Urine
.
I
do
not
approve
of
Astringents
in
the
Beginning
of
the
Cure
of
a
Gonorrhoea
,
till
the
Patient
be
well
purged
,
and
the
running
begin
to
cease
;
because
all
Astringent
means
conduce
to
prolong
the
Distemper
;
but
after
the
Cause
is
eradicated
by
purging
,
then
they
may
be
safely
administred
,
if
the
Cure
be
not
effected
without
it
.
To
prevent
the
Return
of
the
Distemper
,
I
advise
the
Patient
to
purge
,
and
bleed
every
Spring
and
Fall
.
Also
keep
a
good
Diet
,
be
moderate
in
Exercise
,
and
all
other
of
the
nonnatural
things
.
When
thou
art
recovered
,
give
God
the
Praise
;
and
have
a
care
of
committing
the
like
sin
again
,
lest
a
worse
thing
befall
thee
;
for
it
is
a
fearfull
thing
to
fall
into
the
Hands
of
the
Living
God
.
Hebr.
10.
31.
CHAP.
XXVII
.
Of
the
Rachites
,
or
Rickets
.
THIS
Disease
may
be
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
.
It
may
be
called
in
Latin
morbus
spinalis
,
it
being
a
Disease
of
the
Spine
of
the
Back
.
This
spinal
Disease
is
commonly
called
in
English
Rickets
.
It
is
peculiar
to
Children
,
because
they
abound
with
a
crude
phlegmatick
matter
;
for
if
they
labour
under
a
cold
moist
Distemper
,
there
is
presently
a
Penury
and
Paucity
of
the
Animal
Spirits
;
for
the
Brain
,
cerebellum
,
and
spinalis
medulla
,
being
more
compact
than
is
wont
,
is
unfit
for
percolation
,
so
that
the
most
spirituous
part
of
the
Bloud
cannot
pierce
,
or
be
strein'd
through
it
:
Hence
the
separation
of
the
Animal
Spirits
is
diminisht
.
For
the
aforesaid
cold
,
moist
,
phlegmatick
Humours
,
compacting
the
soft
substance
of
the
Brain
,
&c.
it
is
thereby
too
much
thickned
and
straitned
in
its
porous
passages
.
The
coldness
of
Air
,
Water
,
or
Snow
,
vehemently
affecting
the
Head
,
seems
to
confirm
and
prove
this
opinion
;
because
when
the
Glandules
of
the
Brain
are
affected
and
thickned
by
a
stuffing
of
the
Head
with
Coldness
,
then
a
more
sparing
production
of
the
Animal
Spirits
useth
to
follow
.
The
essence
of
this
Disease
consists
not
onely
in
the
Animal
,
and
vital
,
but
natural
Constitution
also
,
all
the
Functions
being
(
in
time
)
vitiated
:
For
the
spinalis
medulla
being
primarily
affected
,
all
the
Nerves
which
proceed
from
it
(
in
its
passage
through
the
spina
Dorsi
)
must
of
necessity
be
stupifi'd
,
and
vitiated
with
a
loose
Feebleness
;
hence
also
all
the
nervous
,
membranous
,
and
fibrous
parts
,
through
which
those
Nerves
are
carried
,
or
inserted
into
,
must
consequently
be
vitiated
with
an
inward
weak
Slipperiness
;
so
that
the
very
ends
of
the
bones
,
as
well
as
all
the
Faculties
of
the
Body
,
bear
a
share
in
this
Distemper
.
When
the
Rickets
is
confirm'd
in
Infants
,
it
seems
to
have
some
affinity
with
divers
other
Diseases
,
viz.
a
Chronical
fever
,
an
extenuation
or
leanness
of
the
Body
,
and
an
Hydrocephalus
,
and
many
more
,
which
are
frequently
complicated
with
this
affect
.
And
indeed
not
onely
this
,
but
most
other
The
Causes
are
either
external
,
or
internal
.
The
external
may
be
any
of
the
Non-naturals
exceeding
,
either
in
excess
or
defect
.
All
things
cold
and
moist
do
powerfully
contribute
to
this
Disease
,
especially
an
over
cold
and
moist
Air
,
which
is
most
frequent
in
the
Spring
;
the
Air
being
then
cloudy
,
thick
,
rainy
,
and
full
of
vaporous
Exhalations
.
Hereupon
the
Children
of
those
which
inhabit
near
the
Banks
of
the
Sea
,
or
great
Rivers
,
Ponds
or
Marshes
;
(
that
are
obnoxious
to
too
much
Rain
,
or
are
fed
with
a
great
Number
of
Springs
)
are
more
or
less
subject
to
this
affect
;
for
by
the
Continuance
of
such
cold
and
moisture
,
the
Bloud
and
Humours
becomes
too
slippery
,
and
therefore
(
in
their
Circulation
)
they
must
unavoidably
cause
a
softness
and
looseness
in
all
the
parts
.
Also
experience
testifieth
that
those
Children
which
are
born
,
and
nursed
near
the
Lead-mines
in
Derby-shire
,
&c.
are
generally
affected
more
or
less
with
a
languidness
of
the
Limbs
.
For
the
Air
being
infected
with
noxiousmetalline
Exhalations
,
which
(
for
the
most
part
)
fight
against
the
inherent
Spirits
of
the
parts
,
by
a
kind
of
venemous
malignity
;
by
which
the
spirituous
pulsificative
Force
of
the
external
parts
is
extinguished
,
and
the
strength
of
the
Limbs
,
and
whole
Body
much
weakned
and
diminish'd
.
Hither
we
may
also
refer
fine
soft
Linen
,
applied
actually
cold
and
moist
,
(
being
not
well
dried
by
reason
of
the
moistness
of
the
weather
)
to
the
Spine
of
the
Back
,
which
is
near
the
Original
of
the
Nerves
;
the
use
thereof
being
too
long
continu'd
,
it
cherisheth
the
Roots
of
this
Disease
in
that
tender
Age.
Likewise
Aliments
of
any
kind
,
which
are
too
moist
and
cold
;
or
too
thick
,
viscous
and
obstructive
,
do
manifestly
cherish
this
Distemper
.
And
I
am
induced
to
believe
that
Ebriety
in
English
people
,
especially
the
Gentry
;
and
eating
of
much
Flesh
;
and
not
using
frequent
labour
,
or
exercise
,
may
be
a
reason
why
this
Disease
is
more
common
and
natural
to
Children
in
England
,
than
in
other
Regions
,
perhaps
far
exceeding
it
both
in
cold
and
moisture
;
as
Scotland
,
Holland
,
&c.
wherein
this
affect
hath
not
been
observ'd
to
be
very
common
.
And
therefore
ebriety
and
eating
of
much
Flesh
,
and
defect
of
motion
,
and
want
of
exercise
doth
most
frequently
,
and
most
effectually
concur
to
the
production
of
it
;
because
the
inherent
heat
(
in
stupid
and
sluggish
People
)
is
not
sufficient
to
resist
and
expell
the
superfluous
moisture
by
a
due
transpiration
:
By
which
means
the
Circulation
of
the
Bloud
is
become
slow
and
lesned
,
and
the
production
of
the
vital
heat
very
feeble
,
and
weak
;
so
that
nature
is
thereby
forced
to
permit
all
the
parts
of
the
Body
to
be
affected
with
a
certain
softness
,
looseness
,
and
internal
lubricity
,
more
than
is
meet
;
which
do
sufficiently
evince
,
that
this
is
an
efficacious
cause
,
and
a
part
of
the
essence
of
this
Disease
.
Hence
we
may
easily
infer
that
the
Children
of
such
Parents
are
more
inclined
to
this
distemper
,
than
others
who
drink
moderately
,
and
eat
less
Flesh
,
and
are
more
active
and
lively
.
The
internal
Causes
,
are
excrementitious
Humours
luxuriant
in
the
Body
,
especially
Phlegm
and
serous
humours
retained
,
and
vitiated
,
being
naturally
cold
and
moist
,
and
little
spirituous
,
and
affected
with
an
internal
slipperiness
,
wherefore
upon
a
superfluous
accumulation
of
these
humours
,
the
production
of
this
affect
succeedeth
;
because
thereby
a
Colliquation
of
the
parts
,
and
a
dissipation
of
the
inherent
Spirits
will
be
easily
introduced
;
whereby
all
the
parts
will
afterwards
be
rendred
obnoxious
to
this
cold
and
moist
Distemper
.
Many
diseases
preceding
this
affect
,
may
be
the
cause
of
it
;
especially
those
which
do
extenuate
,
and
much
weaken
the
Body
,
as
all
Fevers
,
&c.
And
also
all
cold
and
moist
,
phlegmatick
,
and
cachochymick
Distempers
,
which
will
induce
a
stupour
and
dulness
in
the
affected
parts
,
and
cause
obstructions
.
Also
any
great
Pain
,
Inflammation
,
Tumour
,
Fracture
,
Luxation
,
or
any
other
preternatural
affect
,
that
hinders
the
standing
and
playing
of
the
Child
,
may
be
some
cause
of
this
Disease
.
Presently
after
the
beginning
of
the
Disease
,
In
the
progress
of
the
Disease
,
the
Head
and
Face
increaseth
in
bigness
,
but
the
fleshy
parts
below
the
Head
,
are
daily
more
and
more
worn
away
.
There
is
also
observ'd
in
this
affect
,
certain
swellings
,
and
knotty
excrescencies
about
some
of
the
Joints
;
these
are
chiefly
conspicuous
in
the
Wrists
,
and
somewhat
less
in
the
Ancles
,
and
in
the
tops
of
the
ribs
;
the
Bones
in
the
Armes
and
Legs
,
and
sometimes
the
Thighs
,
and
Shoulder-bones
wax
crooked
;
the
Teeth
come
forth
slowly
,
and
with
greater
trouble
than
usual
,
and
at
length
the
Breast
becomes
narrow
,
and
the
Abdomen
swollen
,
with
an
extension
of
the
Hypochondriacal
parts
,
which
hindreth
the
free
motion
of
the
Diaphragma
downwards
;
and
by
consequence
doth
somewhat
interrupt
the
breathing
,
so
that
respiration
becomes
difficult
,
accompanied
with
coughing
,
the
Pulse
being
also
weak
and
small
;
and
in
the
increase
of
the
Disease
,
all
these
signs
become
more
intense
and
evident
,
and
many
,
and
more
grievous
,
are
daily
accumulated
.
1.
If
this
Disease
be
light
and
gentle
,
the
But
if
it
so
vehemently
prevaileth
,
that
the
increase
thereof
cannot
be
prevented
by
the
best
internal
means
,
and
also
most
prudent
applications
,
then
there
is
imminent
danger
.
2.
If
it
proceed
from
other
Diseases
,
or
be
complicated
with
them
,
it
will
be
the
more
difficult
of
curation
;
especially
if
the
Bones
of
the
Armes
,
and
Legs
be
crooked
,
and
there
be
great
bending
and
tumour
of
the
Joints
of
the
Wrists
,
Ancles
and
Ribs
.
But
if
the
Symptoms
decline
,
and
the
Child
do
easily
endure
agitation
,
and
have
often
eruptions
in
the
Skin
,
as
Wheals
,
Pimples
,
or
Itch
,
then
there
is
great
hopes
of
recovery
.
3.
If
they
be
not
cured
in
five
years
,
they
will
grow
deformed
and
crooked
,
and
(
for
the
most
part
)
will
become
dwarfs
,
and
live
sickly
,
being
either
Cachectick
,
or
Phthisical
,
till
death
do
put
a
Period
to
their
miserable
Life
.
As
for
the
Cure
of
this
disease
,
both
the
Child
and
Nurse
must
keep
a
good
diet
In
the
mean
time
you
must
not
neglect
the
best
Chyrurgical
and
Pharmaceutical
means
which
will
most
conduce
to
the
speedy
recovery
of
the
weakly
Infant
.
Universals
being
premised
,
the
most
effectual
and
approved
Chyrurgical
means
in
this
affect
,
are
Incision
or
Scarification
of
the
Ears
,
and
little
Fountains
or
Issues
;
although
many
more
may
be
used
,
viz.
Frixions
,
Blisters
,
Ligatures
,
&c.
Incision
or
Scarification
in
the
Ears
,
is
to
be
performed
on
the
Ridge
,
in
the
inside
of
the
Ear
above
the
hole
;
which
must
be
stopt
to
hinder
the
Bloud
passing
into
it
.
This
Operation
must
be
often
repeated
,
at
least
once
or
twice
in
a
month
;
which
hath
proved
successull
when
many
other
remedies
have
been
ineffectual
.
And
here
it
may
be
noted
,
that
Scarification
being
made
in
that
place
,
must
needs
be
of
greater
efficacy
than
if
it
were
instituted
in
any
other
part
of
the
Ear
,
or
elsewhere
.
1.
First
,
Because
the
beginning
of
the
fifth
pair
of
Nerves
is
near
that
place
,
many
of
their
Branches
being
distributed
through
the
hollow
of
the
Ear
,
and
are
thence
conveyed
into
the
Spinalis
medulla
,
from
whence
it
shooteth
out
little
Branches
which
accompany
the
Nerves
of
the
marrow
of
the
Back
,
to
the
ends
of
the
very
Legs
and
Feet
;
as
many
ingenious
Anatomists
have
accurately
observ'd
.
Wherefore
Scarification
being
there
made
,
it
is
probable
,
that
the
matter
(
which
commonly
oppresseth
the
very
beginning
of
that
Nerve
)
is
immediately
evacuated
,
by
which
it
is
freed
from
obstruction
;
and
having
also
gotten
vigour
(
being
excited
by
the
pain
and
Inflammation
)
it
driveth
out
all
stupidness
from
within
it
;
by
which
means
the
Branches
of
the
Nerves
from
thence
arising
,
which
are
communicated
to
the
Spinalis
medulla
,
and
many
other
parts
may
be
in
some
measure
excited
also
.
2.
Because
by
this
means
,
there
is
a
particular
evacuation
of
the
Head
,
which
is
wont
to
be
oppressed
with
fullness
in
this
affect
.
Besides
,
the
Bloud
being
somewhat
lesned
,
the
thickness
and
toughness
thereof
must
thereby
be
corrected
;
and
(
by
consequence
)
an
equal
distribution
of
it
promoved
to
a
more
regular
nourishment
of
the
parts
.
Issues
in
the
Neck
are
also
much
approved
in
this
disease
,
because
they
very
much
conduce
to
lessen
the
unusual
magnitude
of
the
Head
,
and
to
evacuate
the
superfluous
watriness
thereof
,
and
repress
the
inordinate
increase
of
the
bones
;
also
it
manifestly
drieth
up
the
too
much
humidity
of
the
spinal
Marrow
,
exciteth
heat
,
strengthens
the
Nerves
,
and
expelleth
the
astonishment
.
As
for
the
Pharmaceutical
or
Physical
means
,
you
must
be
sure
to
cleanse
the
first
passages
either
by
Clysters
,
Vomits
or
Lenitive
purgations
.
When
the
Belly
is
Costive
and
the
excrements
are
hardned
,
or
some
flatuous
humours
afflict
the
Bowels
with
vehement
pain
,
then
Clysters
are
chiefly
required
;
and
they
may
also
be
injected
before
any
preparation
,
Vomit
or
Lenitive
purgation
.
I
need
not
prescribe
any
forms
,
because
a
little
Milk
and
Sugar
,
with
a
few
Anise-seeds
boiled
in
it
may
serve
.
Also
an
Emollient
or
Carminative
Clyster
(
that
is
gentle
)
may
be
injectrd
when
there
is
occasion
.
Emeticks
if
well
prepared
,
and
prudently
administred
are
very
efficacious
,
and
will
conduce
much
to
the
Cure
.
And
here
I
again
commend
Antimonial
Vomits
before
all
others
.
1.
First
,
because
they
not
onely
powerfully
evacuate
Crude
or
corrupt
humours
,
and
all
manner
of
impurities
contained
in
the
Stomach
by
Vomit
;
but
by
an
agitation
and
commotion
,
raised
in
all
the
parts
,
especially
in
the
Bowels
,
they
loosen
the
gross
and
viscous
humours
adhering
to
the
Guts
,
and
convey
them
through
their
many
involutions
and
labyrinths
,
by
which
they
are
expelled
by
Stool
;
in
which
respect
they
are
also
profitable
against
torments
of
the
Colick
,
and
very
conducible
to
unlock
obstructions
.
2.
They
most
effectually
irritate
the
expulsive
faculty
of
all
the
parts
of
the
Body
,
by
which
they
compell
forth
the
hidden
and
unappearing
causes
of
diseases
,
especially
of
intermitting
Fevers
;
for
by
the
very
straining
to
Vomit
,
the
Guts
are
also
instimulated
to
cast
out
by
siege
;
the
Liver
poureth
away
the
Choler
by
the
Biliar
pore
;
the
juice
of
the
Pancreas
is
voided
into
the
small
Guts
;
the
Spleen
perhaps
doth
unburthen
its
excrement
into
the
Stomach
;
the
Kidneys
exern
through
the
Ureters
;
the
Lungs
by
a
strong
Cough
eject
their
Phlegm
through
the
Wind-pipe
;
the
Head
emptieth
it self
of
salt
waterish
Rheums
by
the
Palate
,
Nostrils
and
Eyes
;
finally
the
whole
Body
(
for
the
most
part
)
is
rendred
more
prone
to
a
Diaphoresis
,
either
by
a
manifest
sweating
,
or
else
by
insensible
transpiration
.
If
any
are
afraid
of
Antimonial
preparations
(
though
most
safe
and
potent
)
they
may
administer
Salt
of
Vitriol
,
from
five
to
ten
grains
,
either
in
Posset-drink
or
any
other
convenient
Vehicle
.
Also
the
following
may
be
safely
administred
.
Take
the
clarified
Juice
of
Asarabacca
half
a
drachm
;
Syrup
of
the
Juice
of
Sorrel
But
here
we
may
note
,
that
vomiting
is
Those
that
are
averse
to
vomiting
may
take
lenitive
Catharticks
,
which
must
be
made
pleasant
and
potable
,
that
the
young
Patient
may
not
loath
the
taking
of
them
.
Manna
,
Syrup
of
Cichory
with
Rhubarb
,
Syrup
of
Violets
and
Syrup
of
Roses
solutive
are
all
good
pleasant
medicines
;
which
you
may
mix
according
to
your
discretion
,
in
any
proper
distill'd
water
,
or
in
the
decoction
of
sennoe
Gereonis
.
The
following
drink
is
of
excellent
virtue
,
and
will
conduce
much
to
the
Cure
of
this
disease
.
Take
of
Anise-seed
,
the
Barks
of
Ash
,
Ivie
,
China
,
Sarseparilla
,
Butterbur
,
of
each
half
an
ounce
;
Mace
one
drachm
;
let
them
be
cleansed
,
bruised
and
infused
in
two
quarts
of
small
Ale
for
two
or
three
days
;
then
strain
it
out
very
strongly
,
and
bottle
it
up
for
the
Child
's
ordinary
drink
.
In
the
Cure
you
must
endeavour
to
resist
all
symptoms
,
as
Fluxes
,
Worms
,
Venereal
affects
,
breeding
Teeth
with
great
pain
,
&c.
In
any
Flux
,
Gripes
or
urgent
pain
,
you
may
give
half
a
grain
of
Laudanum
opiat
.
dissolved
in
any
convenient
Vehicle
,
so
often
as
necessity
urgeth
.
If
Worms
or
venereal
affects
be
fear'd
,
you
may
sometimes
adminster
this
gentle
purging
Bolus
.
Take
of
Mercur.
dulcis
six
grains
;
Diagredium
,
In
your
Broths
and
Panadoes
,
you
may
boil
Harts-tongue
,
Ceterach
,
Liver-wort
,
Maiden-hair
,
Sage
,
the
Bark
of
Tamarisk
,
red
Sanders
,
Saffron
,
the
Roots
of
China
,
and
Sarseparilla
,
&c.
but
let
all
things
be
made
acceptable
to
the
Palate
.
All
kinds
of
exercise
unto
which
Children
are
accustomed
,
may
be
usefull
in
their
time
and
season
;
as
Rocking
,
Going
,
Swinging
,
Playing
,
&c.
Also
Frixions
are
excellent
,
in
which
begin
at
the
Spina
dorsi
,
and
rub
with
a
course
warm
linen
Cloth
,
and
also
under
the
Short-ribs
,
and
afterwards
all
other
parts
;
let
it
be
done
gently
,
to
cherish
and
incite
the
natural
and
vital
heat
,
and
attract
the
Nourishment
to
the
affected
parts
.
External
Medicines
may
be
also
applied
,
to
strengthen
the
weak
parts
,
as
Emplasters
,
Ointments
,
&c.
These
forms
may
serve
for
Example
.
Take
Ointments
of
the
opening
Juices
,
With
which
let
the
weak
parts
be
anointed
with
a
warm
hand
,
before
a
Fire
.
Take
the
Plasters
Nervinum
,
De
minio
,
ad
It
may
be
applied
to
the
Back
,
or
any
other
weak
part
after
anointing
.
If
the
Lungs
be
affected
,
anoint
the
Breast
with
the
following
Ointment
.
Take
the
pectoral
Ointment
two
ounces
;
After
which
apply
a
Plaster
.
They
that
desire
more
variety
of
Medicines
,
&c.
let
them
peruse
that
excellent
and
learned
tract
of
the
Rachites
written
by
the
famous
Doctours
and
Fellows
of
the
College
of
Physicians
at
LONDON
.
Ornari
res
ipsa
negat
,
contenta
doceri
.
CHAP.
XVIII
.
Of
the
Gout
,
and
Rheumatism
.
THE
Gout
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
ab
Articulus
,
quod
Articulos
infestet
;
hence
it
is
called
in
Latin
Articularis
morbus
,
it
being
a
Disease
of
the
Joints
.
This
is
a
general
Name
for
all
Gouts
,
or
when
all
or
most
of
the
Joints
are
affected
.
But
when
any
particular
Joint
is
infested
with
a
Gouty
distemper
,
it
doth
from
thence
take
its
denomination
.
For
if
it
invadeth
the
Jaw-bones
,
it
may
be
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
maxilla
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
soevio
,
quod
maxillarum
usum
impediat
.
It
being
(
for
the
most
part
)
accompanied
with
a
fierce
and
cruel
Pain
.
And
so
likewise
if
it
invade
any
of
the
rest
of
the
Joints
.
If
the
Vertebroe
of
the
Neck
,
&c.
be
affected
,
it
may
be
termed
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
collum
,
vel
cervix
,
&c.
That
which
molests
the
Shoulders
,
may
be
fitly
called
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
humerus
.
&c.
If
it
affects
the
Collar-bones
,
you
may
call
it
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
clavis
,
vel
clavicula
,
&c.
That
in
the
Elbow
may
be
termed
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
cubitus
,
&c.
The
Gout
in
the
Hand
is
called
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
manus
,
&c.
That
in
the
Hip
may
be
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ab
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
coxa
,
&c.
quod
ab
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
lumbus
.
In
Latin
Coxendicum
dolor
,
quod
coxendices
proecipue
infestat
.
If
it
be
in
the
Knee
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
genu
,
&c.
If
in
the
Foot
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
ex
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
pes
,
&
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
soevio
,
Quod
pedum
usum
impediat
,
which
may
be
added
to
every
particular
.
This
and
all
other
Gouts
are
most
commonly
accompanied
with
a
fierce
,
cruel
,
tormenting
pain
;
and
thus
much
,
if
not
too
much
of
the
Names
of
the
Gout
.
The
Causes
are
either
external
,
or
internal
.
The
external
Causes
are
Gluttony
,
Drunkenness
,
immoderate
Venery
,
Idleness
,
external
Cold
,
and
excess
or
defect
of
any
of
the
non-naturals
.
The
internal
Cause
of
all
Arthritick
pains
,
is
the
Juice
of
the
Pancreas
too
acid
and
sharp
,
which
raiseth
a
vitious
Effervescency
with
Choler
,
&c.
whereby
a
Fermental
sharpness
is
increased
;
and
when
it
is
exorbitant
,
it
is
sent
forth
into
the
extreme
parts
,
and
meeting
with
that
seedy
Glue
,
which
is
between
the
Joints
,
doth
not
onely
affect
it
with
its
fermental
Acrimony
,
but
is
also
the
grand
Cause
of
the
virulent
tormenting
pain
and
inflammation
in
the
part
affected
.
But
seeing
the
pains
are
different
,
not
onely
in
divers
People
sick
of
this
Distemper
,
but
also
the
Pains
of
the
Gout
are
divers
in
the
same
sick
party
,
we
must
therefore
,
as
well
by
reason
as
experience
,
search
into
the
true
Cause
thereof
.
Therefore
in
as
much
as
the
present
molesting
pains
,
are
not
always
freed
with
the
same
medicines
,
no
not
in
the
same
fit
;
much
less
all
that
are
Gouty
.
We
may
hence
consider
that
divers
humours
,
as
Choler
,
Phlegm
,
&c.
are
diversly
mixt
and
fermented
with
the
Juice
of
the
Pancreas
,
which
is
peccant
in
a
sour
Acrimony
,
being
the
primary
Cause
of
all
Gouts
.
And
here
we
may
note
,
that
this
over
acid
But
if
viscous
Phlegm
be
predominant
,
the
pain
is
much
dull'd
,
and
the
motion
of
the
part
hinder'd
with
a
phlegmatick
Tumour
,
rather
than
an
acute
pain
;
which
ought
to
be
accurately
observ'd
by
every
ingenious
Artist
.
When
the
Gouty
humour
hath
invaded
1.
The
Gout
is
a
Chronical
disease
,
attended
2.
If
it
continue
long
,
till
the
Joints
are
knotty
,
it
is
incurable
,
according
to
Ovid
,
Tollere
nodosam
nescit
medicina
Podagram
.
But
if
there
be
no
Knots
in
the
Joints
,
and
the
Patient
is
laborious
,
and
the
Body
is
(
for
the
most
part
)
soluble
,
and
there
be
swelling
of
the
Veins
called
Varices
,
then
it
may
be
happily
cured
.
3.
If
it
becomes
habitual
to
the
sick
,
the
morbifick
Idea
is
implanted
in
the
vital
Spirit
,
and
transfer'd
through
the
seed
,
which
makes
it
Hereditary
.
The
Cure
of
the
Gout
will
consist
,
-
1.
First
in
defending
the
afflicted
Joints
,
as
well
against
future
Pain
,
as
freeing
them
from
that
which
doth
molest
at
present
.
-
2.
In
the
universal
amendment
of
the
juice
of
the
Pancreas
.
-
3.
In
the
correcting
and
evacuation
of
the
vitious
Choler
.
-
4.
In
the
altering
and
diminishing
of
Phlegm
any
way
peccant
.
To
asswage
the
present
Pain
I
commend
the
following
Medicaments
,
which
will
conduce
much
to
mitigate
the
sharpness
of
the
acrimonious
humours
in
all
Gouty
people
,
and
ease
the
part
affected
.
When
there
is
excessive
heat
,
you
may
bathe
the
Gouty
part
with
this
Fomentation
very
hot
,
with
wollen
Stuphs
,
which
must
be
often
renewed
.
Take
the
Waters
of
the
Spawn
of
Frogs
,
But
when
the
Pain
is
more
corroding
than
burning
,
I
commend
the
following
to
be
used
as
the
former
.
Take
of
Treacle-water
half
a
pint
;
the
Waters
of
the
Spawn
of
Frogs
,
Parsley
,
of
each
one
quart
;
Opium
,
Camphire
,
of
each
half
an
ounce
;
mix
it
.
After
Bathing
with
either
of
these
;
apply
this
Cataplasm
.
Take
Powders
of
the
Roots
of
Marsh-mallows
,
Where
exceeding
heat
doth
concur
,
and
the
Body
abounds
with
sharp
Choler
;
instead
of
sweet
Milk
,
you
may
substitute
Butter-milk
.
Also
a
Pultess
made
of
the
Crums
of
White-bread
,
new
Goats
or
Cows
milk
and
Saffron
,
with
Oil
of
Lin-seed
,
and
Earth-worms
,
may
be
deservedly
commended
,
to
asswage
any
Pain
.
If
the
sick
be
very
phlegmatick
,
and
impotency
of
motion
doth
afflict
,
more
than
pain
;
then
Opiats
may
be
omitted
,
and
things
more
Aromatical
may
be
used
in
all
external
Applications
.
The
following
Pultess
,
or
one
like
it
,
may
serve
for
Example
.
Take
the
Powders
of
Orris-roots
;
the
Also
the
Root
of
Briony
,
and
Cuckow-pintle
bruised
,
and
made
into
a
Pultess
with
Cow-dung
is
excellent
.
If
you
add
Volatile
Salts
of
Animals
,
or
Vegetables
to
your
Medicines
,
whether
Fomentations
,
Cataplasms
,
or
Ointments
,
they
will
be
the
more
effectual
.
You
may
prepare
an
excellent
Volatile
Salt
of
Earth-worms
(
of
great
Virtue
)
for
the
Gout
,
which
may
be
resolved
into
Liquour
by
fermentation
,
and
putrefaction
.
If
the
Gouty
Patient
do
abound
with
Phlegm
,
or
the
Juice
of
the
Pancreas
exceed
in
an
acid
Acrimony
causing
a
corroding
Pain
;
it
may
happily
be
mitigated
and
remov'd
with
Balsam
of
Sulphur
made
with
Oil
of
Amber
,
with
which
let
the
grieved
part
be
embrocated
,
and
it
will
forthwith
raise
a
very
hot
Effervescency
,
which
will
presently
cease
again
,
and
remove
the
great
Pain
in
a
moment
,
even
to
admiration
.
After
the
pain
is
over
,
you
may
apply
one
of
the
former
Cataplasms
,
or
some
Anodyne
Ointment
,
to
comfort
,
and
(
by
degrees
)
restore
again
the
membranous
parts
.
The
following
Linament
may
serve
for
Example
.
Take
Oils
of
Earth-worms
,
Scurvigrass
,
Afterwards
,
you
may
apply
a
Plaster
of
De
minio
cum
sapona
.
In
the
mean
time
,
inward
means
(
to
take
away
the
Cause
,
and
ease
the
pain
)
must
not
be
neglected
.
If
the
Patient
have
a
plethorick
Body
,
after
a
Stool
hath
been
procured
,
by
a
Carminative
Clyster
,
with
Electuar
.
Caryocostinum
,
&c.
Let
a
Vein
be
opened
.
Bloud
drawn
from
the
Vena
poplitis
,
or
sciatica
Vein
,
hath
been
succesfull
in
the
sciatica
.
But
Leeches
applied
to
the
Hemorrhoidal
veins
,
are
effectual
in
all
Gouts
.
Two
or
three
days
after
bleeding
,
you
may
administer
the
following
Pills
.
Take
of
Pills
Hermodactils
,
faetidae
,
ex
Or
you
may
give
half
a
drachm
or
two
scruples
of
pul
.
Arthriticus
in
any
convenient
Vehicle
.
But
if
the
sick
be
inclining
to
vomit
,
administer
an
Antimonial
Emetick
.
You
may
purge
and
bleed
so
often
as
you
see
occasion
.
Issues
near
the
part
affected
,
and
also
to
raise
Blisters
upon
the
part
,
have
been
found
by
experience
to
be
very
effectual
.
Also
bathing
and
sweating
in
nitrous
or
sulphurous
Baths
,
either
natural
or
artificial
,
are
much
approv'd
of
.
That
which
is
prescrib'd
in
the
Chapter
of
the
Belly-ach
,
is
very
effectual
,
which
may
be
used
,
as
is
there
directed
.
I
might
fill
a
Volume
with
receipts
against
the
Gout
,
but
I
shall
onely
commend
the
following
water
or
spirit
to
be
often
taken
inwardly
in
any
fit
Vehicle
,
the
quantity
of
half
a
spoonfull
at
a
time
.
Take
the
Roots
of
Orris
,
Angelica
,
Saffaphras
,
The
Rheumatism
is
called
in
Greek
〈◊〉
〈◊〉
〈◊〉
〈◊〉
〈◊〉
,
The
humour
is
of
a
very
malign
Nature
,
and
soon
causeth
a
Cariosity
of
the
Bones
,
if
it
be
not
prevented
.
The
Cause
is
the
same
with
the
Gout
,
but
sharper
.
'T
is
seldom
mortal
,
but
may
be
of
long
In
the
Cure
of
this
Distemper
,
Phlebotomy
Foment
the
pained
parts
with
stale
Urine
(
made
very
hot
)
wherein
Castle-sope
is
dissolved
;
after
which
anoint
with
this
following
.
Take
Spirit
of
Salt
Armoniack
,
Oils
of
If
you
would
have
it
for
a
Plaster
,
you
may
add
so
much
Empl.
de
minio
to
it
,
as
will
give
it
a
sufficient
Consistency
.
The
Medicines
and
Directions
prescrib'd
in
the
Cure
of
the
Gout
,
are
also
proper
here
.
From
these
few
observations
,
it
will
not
be
very
difficult
to
select
other
choice
Medicines
out
of
the
writings
of
Practitioners
,
to
cure
both
the
Gout
and
Rheumatism
.
To
prevent
a
Relapse
,
purge
and
bleed
Spring
and
Fall
,
and
keep
a
good
Diet
,
and
use
moderation
in
all
things
.
I
have
now
finisht
this
little
Tract
,
or
Manual
of
Physick
,
which
I
have
written
for
the
common
good
;
not
onely
to
serve
young
Beginners
of
the
Art
of
Physick
,
but
also
for
the
sake
of
the
sick
themselves
.
GOD
grant
that
it
may
prove
succesfull
,
and
tend
to
the
good
of
them
both
.
Now
unto
the
onely
wise
God
and
our
Saviour
Jesus
Christ
with
the
Holy
Ghost
our
Comforter
;
three
Persons
,
and
one
God
,
be
ascribed
,
and
given
all
Laud
,
Honour
,
Glory
and
Dominion
,
from
this
time
forth
,
and
for
evermore
.
Amen
.