The
First
BOOK
.
Of
Consumptions
in
general
,
and
particularly
of
a
Consumption
proceeding
from
the
whole
Habit
of
the
Body
,
or
an
Atrophy
,
both
that
,
which
is
Nervous
,
and
that
,
which
is
caused
by
Evacuations
.
THAT
I
may
give
such
a
Scheme
of
this
whole
Work
,
as
will
lye
under
a
single
View
,
and
open
a
Prospect
into
my
Design
,
I
shall
here
by
way
of
Preface
first
give
a
Definition
,
and
make
a
Division
of
the
Subject
about
which
we
are
to
treat
,
whereby
,
as
by
Ariadne's
Thread
,
we
be
easily
,
and
safely
directed
to
,
and
proceed
through
all
the
parts
of
the
Work
.
The
Definition
of
a
Consumption
in
general
.
A
Consumption
in
general
is
a
wasting
of
the
Muscular
parts
of
the
Body
,
arising
from
the
Substraction
,
or
Colliquation
of
the
Humours
,
and
that
either
with
,
or
without
a
Fever
,
and
it
is
either
Original
,
or
Symptomatical
.
Of
an
Original
Consumption
.
An
Original
Consumption
is
that
,
which
arises
purely
from
a
Morbid
Disposition
of
the
Blood
,
or
Animal
Spirits
,
which
reside
in
the
System
of
the
Nerves
and
Fibres
,
and
is
not
the
effect
of
any
other
preceding
Disease
.
Of
which
there
are
two
sorts
,
to
wit
,
an
Atrophy
,
and
a
Consumption
of
the
Lungs
.
Of
an
Atrophy
.
An
Atrophy
is
an
Universal
Consumption
proceeding
from
the
whole
Habit
of
the
Body
,
and
not
from
any
Distemper
of
the
Lungs
,
or
of
any
other
Entrail
;
without
any
remarkable
Fever
,
and
is
either
Nervous
,
or
the
effect
of
Evacuations
.
Of
a
Nervous
Consumption
.
A
Nervous
Atrophy
,
or
Consumption
is
that
,
which
ows
its
Original
to
an
ill
and
morbid
state
of
the
Spirits
,
and
to
the
weakness
,
or
destruction
of
the
Tone
of
the
Nerves
,
from
whence
as
an
imbecillity
,
and
an
Universal
Consumption
in
the
whole
Habit
of
the
Body
upon
the
want
of
a
due
assimulation
of
the
Nutritious
Juice
do
at
length
proceed
;
so
from
the
beginning
of
the
Disease
there
is
to
be
found
a
want
of
Appetite
,
and
a
bad
Digestion
in
the
Stomack
from
an
imperfect
Fermentation
and
Volatilization
of
the
Chyle
.
Which
sort
of
Atrophy
may
justly
be
reckoned
one
of
the
Fatal
Symptoms
of
the
Scurvy
.
An
Atrophy
from
Inanition
or
an
Expense
of
the
Humours
,
Of
an
Atrophy
from
Evacuations
.
is
that
which
derives
its
Original
from
a
preternatural
Defect
,
or
Evacuation
of
the
Nutritious
Juice
,
and
that
long
and
habitual
,
which
differs
according
to
the
variety
of
the
passages
formed
in
the
Body
either
by
Nature
or
Art
,
by
which
this
precious
Liquor
either
has
,
or
may
run
off
,
and
be
wasted
.
A
Consumption
of
the
Lungs
is
an
Universal
wasting
of
the
Parts
of
the
Body
,
Of
an
Original
Consumption
of
the
Lungs
.
caused
by
some
Distemper
of
the
Lungs
,
as
a
stuffing
,
swellings
,
inflammation
,
and
exulceration
of
them
,
and
thereupon
it
is
attended
with
a
Cough
,
difficulty
of
Breathing
,
and
other
Symptoms
of
the
Breast
,
and
accompanied
with
a
Fever
,
which
at
first
is
slow
,
and
Hectical
,
afterwards
Inflammatory
,
and
at
last
Putrid
and
Intermitting
.
A
Symptomatical
Consumption
is
that
,
Of
a
Symptomatical
Consumption
.
which
although
it
does
immediately
proceed
from
a
Preternatural
,
and
ill
state
of
the
Blood
and
Spirits
,
yet
has
a
mediate
dependance
upon
some
other
preceding
Diseases
,
which
had
given
that
ill
Tincture
to
the
Spirits
and
Humours
.
And
because
it
is
necessary
,
if
we
would
be
successful
in
the
Cure
of
this
kind
of
Consumption
,
to
have
a
respect
to
the
Disease
which
the
Patient
first
laboured
under
,
I
shall
in
the
end
of
this
Treatise
speak
of
all
the
several
kinds
of
this
Consumption
,
which
I
have
hitherto
had
an
Opportunity
to
observe
in
my
Practice
;
but
I
shall
begin
,
and
discourse
first
of
an
Original
Consumption
.
CHAP.
I.
Of
a
Nervous
Consumption
.
A
Nervous
Atrophy
,
or
Consumption
is
a
wasting
of
the
Body
without
any
remarkable
Fever
,
Cough
,
or
shortness
of
Breath
;
but
it
is
attended
with
a
want
of
Appetite
,
and
a
bad
Digestion
,
upon
which
there
follows
a
Languishing
Weakness
of
Nature
,
and
a
falling
away
of
the
Flesh
every
day
more
and
more
.
A
Nervous
Consumption
that
which
Virginians
are
most
incident
to
.
Which
kind
of
Consumption
I
have
sometimes
observed
in
England
,
but
most
frequently
amongst
those
that
have
lived
in
Virginia
,
after
they
have
come
over
hither
.
In
the
beginning
of
this
Disease
the
state
of
the
Body
appears
oedematous
and
blouted
,
and
as
it
were
stufft
with
dispirited
Chyle
;
the
Face
is
pale
and
squalid
,
the
Stomack
loaths
every
thing
but
Liquids
,
the
strength
of
the
Patient
declines
at
that
rate
,
that
before
the
fleshy
Parts
of
the
Body
are
evidently
consum'd
,
he
is
render'd
plainly
feeble
,
and
almost
always
confin'd
to
his
Bed
.
The
Urine
also
keeps
not
constant
to
any
colour
,
though
for
the
most
part
it
be
high-colour'd
,
and
but
little
in
quantity
.
Yet
it
is
sometimes
,
(
as
it
happens
commonly
to
be
in
Nervous
Distempers
)
though
seldom
,
pale
and
plentiful
.
But
there
is
no
considerable
Fever
to
be
discovered
,
either
by
the
Pulse
,
or
a
Thirst
,
or
Heat
,
how
high-colour'd
soever
the
Urine
appears
.
So
that
the
Pathognomonick
Signs
,
or
those
which
do
evidently
manifest
the
beginning
of
this
Consumption
,
are
a
decrease
of
the
Patient's
Strength
,
and
a
loss
of
Appetite
,
without
any
remarkable
Fever
,
Cough
,
or
shortness
of
Breath
,
though
in
the
Progress
of
the
Distemper
,
when
a
Consumption
of
the
Flesh
has
gradually
affected
the
whole
Habit
of
the
Body
,
there
is
some
difficulty
and
trouble
in
breathing
to
be
observed
,
as
it
uses
to
happen
to
all
those
who
are
under
a
great
Weakness
.
The
immediate
cause
of
this
Distemper
I
apprehend
to
be
in
the
System
of
the
Nerves
proceeding
from
a
Preternatural
state
of
the
Animal
Spirits
,
The
Causes
.
and
the
destruction
of
the
Tone
of
the
Nerves
;
whereupon
I
have
used
to
call
this
a
Consumption
in
the
Habit
of
the
Body
.
For
as
the
Appetite
and
Concoction
are
overthrown
by
the
weak
and
infirm
Tone
of
the
Stomack
,
so
also
the
Assimilation
,
the
Fermentation
,
and
Volatilization
of
the
Nutritious
Juice
are
hindred
in
the
whole
Habit
of
the
Body
from
the
distemper'd
state
of
the
Brain
and
Nerves
.
The
Causes
which
dispose
the
Patient
to
this
Disease
,
I
have
for
the
most
part
observed
to
be
violent
Passions
of
the
Mind
,
the
intemperate
drinking
of
Spirituous
Liquors
,
and
an
unwholsom
Air
,
by
which
it
is
no
wonder
if
the
Tone
of
the
Nerves
,
and
the
Temper
of
the
Spirits
are
destroy'd
.
This
Distemper
as
most
other
Nervous
Diseases
is
Chronical
,
but
very
hard
to
be
cured
,
The
Prognosticks
.
unless
a
Physician
be
called
at
the
beginning
of
it
.
At
first
it
flatters
and
deceives
the
Patient
,
for
which
reason
it
happens
for
the
most
part
that
the
Physician
is
consulted
too
late
.
And
at
last
it
terminates
in
an
Hydropical
and
Oedematous
swelling
of
the
Body
,
especially
of
the
lower
and
depending
Parts
,
in
which
case
there
remain
no
hopes
of
the
Patient's
Life
,
neither
is
there
any
thing
more
to
be
done
for
his
Cure
,
than
giving
him
some
ease
,
whereby
his
Miserable
Life
may
be
lengthened
for
some
days
.
The
Cure
.
The
business
of
Cure
,
if
it
be
so
that
the
help
of
our
Art
is
called
in
in
due
time
,
consists
in
the
convenient
use
of
Stomack-Medicines
,
and
such
as
comfort
and
strengthen
the
Nerves
;
such
are
Chalybeates
,
Antiscorbutick
,
Cephalick
,
and
bitter
Medicines
of
all
sorts
.
As
for
Example
,
let
the
Patient
,
if
his
Body
be
costive
,
take
every
third
or
fourth
Morning
four
Ounces
of
the
bitter
Decoction
with
Senna
,
or
every
fourth
Night
two
Ounces
of
the
Sacred
Tincture
,
or
of
our
Sacred
Cephalick
Tincture
made
with
Hiera
Picra
infused
in
Rue-water
,
Black
Cherry-water
,
and
strong
Piony-water
.
For
his
common
Drink
,
let
him
use
Ale
,
in
which
a
Bag
of
Cephalick
and
Antiscorbutick
Ingredients
has
been
hung
.
An
hour
before
Dinner
let
him
take
xxx
drops
of
Elixir
Proprietatis
in
a
draught
of
Wormwood-White-wine
.
To
the
Region
of
the
Stomack
let
there
be
applyed
the
Magisterial
Stomack-Plaister
,
with
some
Drops
of
the
Chymical
Oyl
of
Cinnamon
and
Oyl
of
Wormwood
.
Or
let
the
Stomack
be
fomented
every
day
with
some
Aromatick
Bags
made
of
the
Leaves
of
Mint
,
Wormwood
,
Cinnamon
,
Mace
,
Zedoary
,
Galingale
,
Cyprus-roots
,
Calamus
Aromaticus
boyl'd
in
Claret
.
If
it
be
in
the
Summer
,
let
him
use
the
Chalybeate
Waters
:
But
if
it
be
the
Winter
time
,
let
him
make
use
of
a
Chalybeate
Syrup
,
or
our
Chalybeate
and
Aromatick
Wine
made
with
the
Filings
of
Steel
quenched
three
or
four
times
in
strong
White-Wine
,
and
with
Zedoary-roots
,
Galingale
,
Nutmegs
,
the
best
Cinnamon
,
Mace
,
Cubebs
,
Cloves
bruised
,
and
steeped
in
the
same
Wine
.
But
for
Chalybeates
,
I
do
prefer
Mynsicht's
Extract
before
any
other
,
which
I
order
to
be
given
for
xx
.
or
xxx
.
days
in
the
form
of
a
Bolus
,
or
Pills
.
As
for
Example
.
Take
of
Mynsicht's
Extract
half
a
Scruple
,
Balm
of
Gilead
(
which
in
this
case
is
very
proper
and
beneficial
,
because
it
is
not
a
little
grateful
to
the
Stomack
and
Nerves
)
seven
Drops
,
Old
Conserve
of
red
Roses
a
Dram
,
mix
them
,
and
make
them
up
into
a
Bolus
to
be
repeated
every
day
.
Or
if
the
Patient
chooses
to
take
Pills
,
let
the
Extract
be
made
up
into
that
form
in
the
manner
following
.
Take
of
Mynsicht's
Extract
half
a
Scruple
,
of
Balm
of
Gielead
seven
Drops
,
of
Haly's
Pouder
six
Grains
,
of
the
compound
Pouder
of
the
Roots
of
Wake-Robin
four
Grains
,
of
Pouder
of
Liquorice
so
much
as
will
make
them
into
the
due
consistence
of
Pills
,
and
make
the
Mass
into
Pills
of
a
middle
size
,
let
them
be
gilded
,
and
repeated
once
every
day
.
Also
Natural
Balsam
by
it self
,
as
likewise
Spirit
of
Hartshorn
,
and
Spirit
of
Sal
Armoniack
are
of
use
in
this
case
,
because
they
are
good
for
the
Nerves
.
As
for
Example
:
Let
the
Patient
take
viij
.
or
x.
drops
of
Natural
Balsam
,
or
Spirit
of
Hartshorn
in
a
convenient
quantity
of
Sugar-candy
twice
a
day
.
Rules
for
Exercise
,
Diet
,
&c.
Let
the
Patient
endeavour
to
divert
and
make
his
Mind
chearful
by
Exercise
,
and
the
Conversation
of
his
Friends
.
For
this
Disease
does
almost
always
proceed
from
Sadness
,
and
anxious
Cares
.
Let
him
also
enjoy
the
benefit
of
an
open
,
clear
,
and
very
good
Air
,
which
does
very
much
relieve
the
Nerves
and
Spirits
.
And
because
the
Stomack
in
this
Distemper
is
principally
affected
,
a
delicious
Diet
will
be
convenient
,
and
the
Stomack
ought
not
to
be
too
long
accustomed
to
one
sort
of
Food
.
History
1.
Mr.
Duke's
Daughter
in
St.
Mary
Axe
,
in
the
Year
1684.
and
the
Eighteenth
Year
of
her
Age
,
in
the
Month
of
July
fell
into
a
total
suppression
of
her
Monthly
Courses
from
a
multitude
of
Cares
and
Passions
of
her
Mind
,
but
without
any
Symptom
of
the
Green-Sickness
following
upon
it
.
From
which
time
her
Appetite
began
to
abate
,
and
her
Digestion
to
be
bad
;
her
Flesh
also
began
to
be
flaccid
and
loose
,
and
her
looks
pale
,
with
other
Symptoms
usual
in
an
Universal
Consumption
of
the
Habit
of
the
Body
,
and
by
the
extream
and
memorable
cold
Weather
which
happened
the
Winter
following
,
this
Consumption
did
seem
to
be
not
a
little
improved
;
for
that
she
was
wont
by
her
studying
at
Night
,
and
continual
poring
upon
Books
,
to
expose
her self
both
Day
and
Night
to
the
injuries
of
the
Air
,
which
was
at
that
time
extreamly
cold
,
not
without
some
manifest
Prejudice
to
the
System
of
her
Nerves
.
The
Spring
following
,
by
the
Prescription
of
some
Emperick
,
she
took
a
Vomit
,
and
after
that
I
know
not
what
Steel
Medicines
,
but
without
any
Advantage
.
So
from
that
time
loathing
all
sorts
of
Medicaments
,
she
wholly
neglected
the
care
of
her self
for
two
full
Years
,
till
at
last
being
brought
to
the
last
degree
of
a
Marasmus
,
or
Consumption
,
and
thereupon
subject
to
frequent
Fainting
Fits
,
she
apply'd
her self
to
me
for
Advice
.
I
do
not
remember
that
I
did
ever
in
all
my
Practice
see
one
,
that
was
conversant
with
the
Living
so
much
wasted
with
the
greatest
degree
of
a
Consumption
,
(
like
a
Skeleton
only
clad
with
skin
)
yet
there
was
no
Fever
,
but
on
the
contrary
a
coldness
of
the
whole
Body
;
no
Cough
,
or
difficulty
of
Breathing
,
nor
an
appearance
of
any
other
Distemper
of
the
Lungs
,
or
of
any
other
Entrail
:
No
Loosness
,
or
any
other
sign
of
a
Colliquation
,
or
Preternatural
expence
of
the
Nutritious
Juices
.
Only
her
Appetite
was
diminished
,
and
her
Digestion
uneasie
,
with
Fainting
Fits
,
which
did
frequently
return
upon
her
.
Which
Symptoms
I
did
endeavour
to
relieve
by
the
outward
application
of
Aromatick
Bags
made
to
the
Region
of
the
Stomack
,
and
by
Stomack-Plaisters
,
as
also
by
the
internal
use
of
bitter
Medicines
,
Chalybeates
,
and
Juleps
made
of
Cephalick
and
Antibysterick
Waters
,
sufficiently
impregnated
with
Spirit
of
Salt
Armoniack
,
and
Tincture
of
Castor
,
and
other
things
of
that
Nature
.
Upon
the
use
of
which
she
seemed
to
be
much
better
,
but
being
quickly
tired
with
Medicines
,
she
beg'd
that
the
whole
Affair
might
be
committed
again
to
Nature
,
whereupon
consuming
every
day
more
and
more
,
she
was
after
three
Months
taken
with
a
Fainting
Fit
,
and
dyed
.
History
2.
The
Son
of
the
Reverend
Minister
Mr.
Steele
,
my
very
good
Friend
,
about
the
Sixteenth
Year
of
his
Age
fell
gradually
into
a
total
want
of
Appetite
,
occasioned
by
his
studying
too
hard
,
and
the
Passions
of
his
Mind
,
and
upon
that
into
an
Universal
Atrophy
,
pining
away
more
and
more
for
the
space
of
two
Years
,
without
any
Cough
,
Fever
,
or
any
other
Symptom
of
any
Distemper
of
his
Lungs
,
or
any
other
Entrail
;
as
also
without
a
Looseness
,
or
Diabetes
,
or
any
other
sign
of
a
Colliquation
,
or
Preternatural
Evacuation
.
And
therefore
I
judg'd
this
Consumption
to
be
Nervous
,
and
to
have
its
seat
in
the
whole
Habit
of
the
Body
,
and
to
arise
from
the
System
of
Nerves
being
distemper'd
.
I
began
,
and
first
attempted
his
Cure
with
the
use
of
Antiscorbutick
,
Bitter
,
and
Chalybeate
Medicines
,
as
well
Natural
as
Artificial
,
but
without
any
benefit
;
and
therefore
when
I
found
that
the
former
Method
did
not
answer
our
Expectations
,
I
advis'd
him
to
abandon
his
Studies
,
to
go
into
the
Country
Air
,
and
to
use
Riding
,
and
a
Milk
Diet
(
and
especially
to
drink
Asses
Milk
)
for
a
long
time
.
By
the
use
of
which
he
recover'd
his
Health
in
a
great
measure
,
though
he
is
not
yet
perfectly
freed
from
a
Consumptive
state
;
and
what
will
be
the
event
of
this
Method
,
does
not
yet
plainly
appear
.
CHAP.
II.
Of
a
Consumption
proceeding
from
some
Evacuation
.
TO
this
sort
of
Original
Consumption
from
the
whole
Habit
of
the
Body
belongs
also
another
kind
of
Consumption
(
which
I
have
often
met
with
in
my
Practice
)
arising
from
the
empoverishment
of
the
Blood
,
The
loss
and
want
of
Nutritious
Juice
empoverishes
the
Blood
,
and
causes
a
Consumption
.
occasioned
by
the
Preternatural
substraction
and
loss
of
the
Nutritious
Juice
.
Whereupon
the
whole
Mass
of
Blood
being
deprived
of
the
Nutritious
and
Oily
Juice
,
grows
sour
and
too
hot
,
affording
none
or
very
little
Nourishment
to
the
Muscular
Parts
;
and
thereupon
there
follows
a
Consumption
of
the
whole
Body
,
and
a
Hectical
heat
fixed
in
the
whole
Habit
of
it
,
without
any
considerable
Cough
,
or
difficulty
of
Breathing
,
or
any
other
remarkable
affection
of
the
Lungs
,
at
least
in
the
beginning
of
the
Distemper
.
But
it
must
be
confest
that
in
the
Progress
of
it
the
Lungs
seem
to
be
in
some
measure
affected
,
At
length
the
Lungs
seem
affected
in
some
measure
.
especially
where
the
Preternatural
Evacuations
,
which
are
the
cause
of
the
Distemper
,
are
stopt
by
Art
without
any
correction
or
sweetning
of
the
Mass
of
Blood
,
by
which
means
it
might
recover
its
Natural
,
Oily
,
Benign
Nature
,
and
such
as
renders
it
fit
for
Nourishment
.
In
which
case
there
is
no
reason
to
wonder
if
the
hot
and
sharp
Serum
of
the
Blood
continually
passing
,
after
the
other
Sluices
of
Nature
are
stopt
,
through
the
soft
and
glandulous
substance
of
the
Lungs
,
does
at
length
stuff
,
inflame
,
yea
,
and
at
last
exulcerate
them
too
;
whereby
it
comes
to
pass
,
that
this
Consumption
,
which
was
Originally
in
the
Habit
of
the
Body
,
does
a
little
before
Death
end
in
a
Consumption
of
the
Lungs
,
with
a
Cough
,
difficulty
of
Breathing
,
and
other
Pathognomonick
Signs
of
that
Distemper
.
And
therefore
I
have
often
observed
,
that
if
the
Appetite
and
Digestion
are
not
restored
by
such
Medicines
as
have
a
peculiar
quality
of
altering
the
Blood
,
and
strengthening
the
Stomack
,
so
that
the
Mass
of
Blood
may
thereupon
be
supplyed
and
filled
with
a
sweet
and
Oily
Juice
,
the
Consumption
is
not
cured
,
This
Distemper
sometimes
turns
to
a
Consumption
of
the
Lungs
.
but
at
length
is
changed
from
a
Consumption
in
the
Habit
of
the
Body
,
to
a
Fatal
Consumption
of
the
Lungs
.
This
Consumption
is
akin
to
that
which
is
Nervous
.
And
this
Consumption
is
in
truth
a-kin
to
the
Nervous
Consumption
,
which
I
have
before
mentioned
.
For
as
in
that
,
which
proceeds
from
a
Preternatural
state
of
the
Nervous
Juice
and
Spirits
,
the
Nutritious
Chyle
,
which
is
continually
carryed
into
the
Blood
,
is
rendred
less
fit
for
the
Nourishment
of
the
Parts
,
and
thereupon
as
the
Mass
of
Blood
is
filled
with
stale
and
dispirited
Chyle
,
such
as
is
unfit
for
Nourishment
,
and
not
craving
any
new
,
there
follows
a
loss
of
Appetite
,
and
a
sickness
in
the
Stomack
,
and
consequently
a
Consumption
of
the
whole
Body
,
and
at
length
a
fixed
Hectical
and
Colliquative
heat
in
the
solid
Parts
from
the
heat
of
the
Blood
and
Spirits
:
So
in
this
kind
of
Consumption
the
Nutritious
Juice
running
off
from
the
Mass
of
Blood
with
a
full
stream
,
the
Muscular
Parts
of
the
Body
being
thus
deprived
of
their
due
Nourishment
,
fall
into
an
Atrophy
;
whereupon
likewise
the
Mass
of
Blood
which
remains
,
for
want
of
new
Oily
Chyle
is
not
only
dispirited
,
and
rendred
unfit
for
Nourishment
,
but
a
preternatural
,
fixed
,
and
hectical
heat
is
kindled
not
only
in
the
Blood
,
but
also
in
the
Spirits
,
and
all
the
solid
Parts
;
whereupon
there
follows
a
Drought
and
want
of
Appetite
.
Which
kind
of
Consumption
is
that
,
which
we
are
now
in
the
first
place
professedly
to
treat
of
.
The
Cure
of
this
Consumption
is
to
be
altered
according
as
the
Evacuation
varies
.
But
because
the
Cure
of
this
kind
of
Consumption
is
to
be
altered
according
to
the
variety
of
the
Evacuations
,
which
are
the
cause
of
it
,
I
shall
add
nothing
concerning
the
general
Cure
of
it
,
but
refer
that
to
the
several
kinds
of
Evacuations
,
which
are
the
cause
of
this
Distemper
,
to
be
spoken
of
under
their
proper
Heads
.
Of
which
(
so
far
as
I
have
had
an
Opportunity
to
make
Observations
)
I
come
now
particularly
to
treat
.
CHAP.
III.
Of
a
Consumption
from
Bleeding
.
THat
which
here
first
offers
it self
,
is
a
Consumption
from
Bleeding
,
whether
it
be
at
the
Nose
,
or
from
the
Lungs
by
coughing
,
from
the
Throat
by
hawking
,
from
the
Stomack
by
vomiting
,
from
the
Kidneys
by
the
passages
of
Urine
,
from
the
Haemorrhoids
,
or
Vessels
of
the
Womb
in
the
ordinary
Monthly
Purgations
,
or
difficult
Labour
,
or
lastly
,
from
Wounds
,
where
there
happens
a
plentiful
and
long
flux
of
Blood
from
the
opening
of
the
large
Blood-Vessels
.
Moderate
and
frequent
bleeding
makes
People
grow
fat
.
For
although
frequent
and
moderate
Blood-letting
(
as
every
ignorant
Fellow
and
Barber
knows
)
will
make
one
grow
fat
;
forasmuch
as
the
emptying
the
Vessels
with
a
moderate
hand
does
make
room
for
a
greater
quantity
of
new
Chyle
,
whereupon
the
Mass
of
Blood
growing
richer
,
is
rendred
more
fit
for
Nourishment
,
and
consequently
the
Appetite
is
excited
:
But
an
immoderate
bleeding
impoverishes
the
blood
,
and
causes
a
Consumption
.
Yet
every
immoderate
and
long
Bleeding
impoverishes
the
Blood
,
and
creates
a
Hectical
heat
in
the
Spirits
and
solid
Parts
,
thereupon
destroying
the
Appetite
,
and
bringing
the
whole
Body
into
a
Consumption
and
Leanness
.
Here
the
bleeding
must
be
stopt
.
In
this
case
the
bleeding
must
be
stopt
as
soon
as
may
be
,
and
the
return
of
it
is
to
be
prevented
by
Incrassating
,
Opiate
,
and
Glutinous
Medicines
,
of
which
we
are
to
speak
more
fully
in
the
Chapter
of
Spitting
of
Blood
.
As
for
Example
:
The
manner
how
this
is
to
be
done
.
Let
strong
Ligatures
be
made
upon
the
Arms
and
Thighs
,
yea
,
if
it
be
necessary
,
and
the
strength
of
the
Patient
will
bear
it
,
let
a
Vein
be
opened
with
a
Lancet
,
and
Blood
taken
away
frequently
,
but
in
a
small
quantity
,
to
divert
the
present
Flux
of
Blood
,
and
to
prevent
the
return
of
it
.
If
the
Part
where
the
Blood
breaks
out
will
admit
of
it
,
let
Galen's
Styptick
Plaister
,
the
Royal
Styptick
,
cold
Oxycrate
,
Ink
,
the
ashes
of
Humane
Hair
lightly
burnt
in
a
Retort
,
and
made
into
the
form
of
a
Pultise
with
Vinegar
;
true
Bole
,
Dragon's
Blood
,
and
other
things
of
that
Nature
,
be
in
a
convenient
manner
presently
applyed
,
and
often
renewed
.
Inwardly
let
the
Patient
take
three
or
four
times
a
day
xx
.
or
xxx
.
drops
or
more
of
the
Royal
Styptick
in
a
draught
of
Milk-water
.
Also
v.
or
vj.
spoonfuls
of
the
clarified
Juices
of
Plantain
and
Nettles
;
or
let
him
frequently
take
the
following
Linctus
out
of
a
Spoon
.
Take
of
Syrup
of
Purslane
three
Ounces
,
true
Bole
,
Dragons-Blood
,
Troches
of
burnt
Ivory
,
sealed
Earth
,
of
each
two
Scruples
,
Japan
Earth
a
Dram
,
of
Gum
Tragacanth
dissolved
in
Plantain-water
,
a
sufficient
quantity
,
mix
them
up
into
a
Linctus
.
Or
let
him
take
the
quantity
of
a
Nutmeg
of
the
following
Electuary
.
Take
of
the
Conserve
of
red
Roses
an
Ounce
,
Troches
of
Amber
three
Drams
,
true
Bole
,
Dragons-blood
,
of
each
half
a
Dram
,
Syrup
of
Myrtles
a
sufficient
quantity
;
mix
them
up
into
an
Electuary
.
Let
him
likewise
take
every
Night
v.
or
vj.
Spoonfuls
of
the
following
Julep
,
shaking
the
Bottle
.
Take
of
Plantain-water
six
Ounces
,
small
Cinnamon-water
three
Ounces
,
distill'd
Vinegar
half
an
Ounce
,
true
Bole
,
Dragons-blood
,
of
each
half
a
Dram
,
London
Laudanum
three
Grains
,
Syrup
of
Myrtles
an
Ounce
and
half
,
mingle
them
,
and
make
a
Julep
.
After
the
bleeding
is
stopt
the
blood
must
be
supplyed
with
new
Chyle
.
The
Flux
of
Blood
being
thus
sufficiently
stopt
and
cur'd
,
we
are
to
use
our
most
diligent
Endeavours
that
the
Blood
may
be
quickly
replenished
with
such
new
Chyle
as
abounds
with
sweet
and
Nutritious
Juice
,
and
that
the
Feverish
heat
(
if
there
be
any
)
may
be
extinguisht
,
to
prevent
a
Consumption
.
And
therefore
the
Patient
is
to
be
nourished
with
the
frequent
taking
of
Jelly-Broaths
,
poached
Eggs
,
and
variety
of
Food
that
affords
good
Juices
,
and
is
both
easie
to
be
digested
,
and
most
grateful
to
the
Stomack
.
Nevertheless
he
is
to
abstain
from
Wine
,
and
from
things
that
are
salt
,
or
have
Spice
in
them
,
lest
they
increase
the
heat
of
the
Blood
,
which
was
before
too
hot
from
the
defect
of
its
Nutritious
Juice
.
And
because
this
sort
of
Patients
,
as
all
that
are
upon
the
Confines
of
a
Consumption
,
are
subject
to
Anger
,
to
Sadness
,
Hypochondriacal
Oppressions
,
Hysterick
Fits
,
and
to
a
want
of
Appetite
,
whereupon
they
can
neither
take
,
nor
digest
much
Food
,
and
consequently
uncapable
of
making
up
the
loss
of
that
Blood
which
has
been
spent
;
therefore
the
sick
Person
ought
to
be
diverted
and
humour'd
by
his
Friends
,
and
to
be
sent
as
soon
as
may
be
into
an
open
and
wholesome
Air
,
The
Patient
must
be
diver●ed
,
and
sent
into
the
Country
Air.
which
in
truth
I
have
,
being
taught
from
a
great
deal
of
Experience
,
observed
to
conduce
more
than
any
thing
of
Medicines
to
the
comforting
and
fortifying
of
the
Nerves
and
Spirits
,
to
the
recovery
of
an
Appetite
,
and
a
chearful
Mind
,
and
consequently
to
the
preventing
of
an
approaching
Consumption
.
But
if
the
Patient
seems
either
through
his
own
neglect
,
When
there
is
a
Hectical
heat
,
it
must
be
taken
off
with
the
Bark
.
or
the
sudden
advances
of
the
Distemper
,
to
be
affected
with
a
Hectical
Heat
,
and
some
degree
of
a
Consumption
from
his
bleeding
,
then
let
the
Physician
make
it
his
whole
business
perfectly
to
put
out
this
flame
as
soon
as
ever
he
can
with
the
help
of
the
Peruvian
Bark
given
in
a
large
quantity
,
the
efficacy
of
which
I
have
often
found
to
be
wonderful
in
this
case
.
Afterwards
,
What
is
afterwards
to
be
done
.
if
it
be
necessary
,
let
the
Patient
be
put
into
a
Milk
Diet
,
or
upon
the
use
of
the
Chalybeat
Waters
.
But
he
must
forbear
the
use
of
all
Purging
Medicines
.
And
some
benefit
may
be
reasonably
expected
from
the
giving
of
Crabs-Eyes
,
Coral
,
Pearl
,
and
other
such
kind
of
altering
and
sweetning
Medicines
.
A
History
.
Mr.
Hotchkins
,
a
Merchant
of
London
,
a
Man
that
was
Scorbutical
and
Hypochondriacal
,
was
subject
to
a
frequent
bleeding
at
the
Nose
from
the
twentieth
almost
to
the
thirtieth
Year
of
his
Age
,
so
that
he
sustain'd
a
great
loss
of
Blood
from
the
heat
of
his
Feverish
Blood
at
least
once
or
twice
a
Month
,
though
it
did
not
observe
any
certain
periods
,
till
at
length
the
Blood
that
was
let
out
with
a
Lancet
,
or
that
which
he
bled
at
his
Nose
,
did
appear
just
like
the
Water
that
Flesh
has
been
wash'd
in
.
From
the
return
of
which
bleeding
I
could
not
then
free
that
Excellent
Person
,
and
my
very
worthy
Friend
,
either
with
Phlebotomy
,
or
the
temperating
Juices
,
Opiate
,
and
Incrassating
Medicines
,
a
Milk
Diet
,
Antiscorbutick
,
and
Chalybeate
Remedies
,
or
any
other
manner
of
Medicines
.
From
which
he
first
fell
into
the
state
of
an
Atrophy
,
and
at
length
into
a
true
Consumption
of
the
Lungs
,
together
with
a
very
great
difficulty
of
Breathing
,
and
thereupon
falling
into
an
universal
colliquative
state
,
he
suffered
a
little
before
he
dyed
an
exulceration
of
the
Salivatory
Glands
after
an
extraordinary
swelling
of
them
.
By
the
opening
of
which
on
the
out-side
there
flow'd
out
so
great
,
and
such
a
continual
stream
of
the
Salivatory
Juice
,
as
very
much
hastened
the
Death
of
that
worthy
Man
,
that
was
before
brought
almost
to
the
state
of
a
Marasmus
by
the
Consumption
of
his
Lungs
,
which
was
caused
by
his
Bleeding
.
But
I
was
extreamly
troubled
that
I
did
not
at
that
time
know
the
Efficacy
of
the
Peruvian
Bark
,
in
suppressing
this
effervessence
of
the
Blood
,
upon
which
that
Bleeding
,
which
return'd
frequently
,
did
certainly
depend
;
for
from
the
use
of
this
Medicine
we
may
justly
expect
more
Service
in
the
preventing
of
a
Haemorrhage
proceeding
from
the
effervessence
of
the
Blood
,
than
from
a
Milk
Diet
,
or
any
other
manner
of
Medicines
.
CHAP.
IV.
Of
a
Consumption
from
a
Gonorrhoea
and
the
Whites
.
THIS
Consumption
seems
to
have
been
known
even
to
the
Ancients
,
This
Consumption
was
not
unknown
to
the
Ancients
.
under
the
name
of
a
Consumption
of
the
Back
,
when
it
proceeds
from
a
Gonorrhoea
.
Galen
also
notes
the
Story
of
the
Wife
of
Boethius
,
a
certain
Nobleman
of
Rome
,
who
fell
into
a
Consumptive
Dropsie
from
the
Empirical
suppression
of
the
Whites
,
that
had
flow'd
in
too
great
a
quantity
,
and
a
long
time
.
'T
is
very
true
indeed
that
a
Gonorrhoea
,
A
Venereal
Gonorrhoea
and
Whites
often
end
in
a
Consumption
of
the
Lungs
.
and
the
Whites
,
that
are
of
an
ill
Nature
,
and
Venereal
,
(
when
the
Impurity
proceeding
from
that
Venom
has
once
infected
the
Humors
)
do
often
terminate
in
a
Consumption
of
the
Lungs
,
unless
they
are
timely
and
perfectly
cur'd
.
But
of
this
kind
of
Consumption
,
and
of
the
Causes
,
Degrees
,
and
Cure
of
it
,
I
shall
Discourse
more
fully
in
its
proper
place
,
to
wit
,
in
the
latter
part
of
this
Treatise
,
when
I
shall
professedly
speak
of
a
Symptomatical
Consumption
of
the
Lungs
.
But
for
the
present
I
do
from
a
long
Experience
and
Observation
affirm
,
that
a
Consumption
does
often
arise
from
a
simple
or
benign
Gonorrhoea
and
Whites
,
A
Consumption
sometimes
proceed
from
a
simple
Gonorrhoea
,
&c.
and
therefore
this
sort
arising
from
the
continual
substraction
of
the
Nutritious
Juice
by
the
Seminal
Glands
,
must
be
reckoned
under
the
Head
of
an
Originary
Consumption
.
For
in
a
Gonorrhoea
and
the
Whites
,
sometimes
the
Flux
is
so
extraordinary
,
and
continues
so
long
,
that
the
Mass
is
thereby
plainly
dispirited
,
and
rendred
unfit
for
Nourishment
,
whereupon
the
Blood
being
loaded
with
Heterogeneous
and
disagreeable
Particles
,
grows
hot
,
and
at
length
a
Hectick
Disposition
is
by
degrees
brought
upon
the
solid
Parts
and
the
Habit
of
the
Body
,
which
is
the
same
sort
of
Consumption
that
we
are
now
treating
of
.
The
presaging
signs
of
this
Consumption
.
The
Symptoms
which
presage
this
Consumption
,
I
have
for
the
most
part
observed
to
be
these
,
to
wit
,
an
Hypochondriacal
Oppression
,
Melancholy
,
and
too
much
Thoughtfulness
,
with
a
decay
of
Strength
,
and
loss
of
Appetite
in
Men
that
are
affected
with
a
plentiful
Running
of
the
Reins
;
but
in
Women
that
have
been
long
afflicted
with
the
Whites
flowing
in
a
great
quantity
,
a
soft
and
blouted
Habit
of
the
Body
,
a
squalid
and
pale
Countenance
,
together
with
Hysterical
Fits
,
a
remarkable
Weariness
,
and
decay
of
Strength
;
all
which
Symptoms
proceed
from
the
same
cause
,
to
wit
,
from
the
poor
dispirited
Nature
of
the
Blood
,
caused
by
a
want
of
new
Chyle
,
whereby
not
only
the
Spirits
are
weakned
and
opprest
,
but
also
the
Habit
of
the
Body
is
rendred
Oedematous
from
the
waterish
disposition
of
the
Blood
,
as
it
is
full
of
old
and
dispirited
Chyle
.
And
therefore
the
Signs
which
presage
this
Consumption
are
,
as
I
said
before
,
Hypochondriacal
Oppressions
,
Hysterical
Affections
,
a
decay
and
want
of
Strength
,
a
blouted
habit
of
the
Body
,
and
a
want
of
Appetite
.
Which
Symptoms
in
progress
of
time
,
that
is
,
when
the
Distemper
comes
to
be
confirm'd
,
are
followed
also
by
some
others
,
as
a
Thirst
,
a
Hectical
disposition
,
Atrophy
,
and
wasting
of
the
Flesh
,
till
at
length
the
Body
is
plainly
brought
to
the
highest
degree
of
a
Consumption
,
and
that
very
often
without
any
Cough
,
or
any
other
remarkable
sign
of
a
Consumption
of
the
Lungs
.
This
Distemper
is
easily
cured
,
if
the
antecedent
cause
of
it
can
be
removed
,
that
is
,
if
the
Gonorrhoea
and
Whites
can
be
cured
.
When
confi●med
,
it
is
incurable
.
But
when
it
comes
once
to
be
confirmed
,
it
is
plainly
incurable
.
And
therefore
a
Prudent
and
Honest
Physician
,
that
is
carefully
concern'd
for
his
own
Reputation
,
will
not
do
well
to
undertake
the
Cure
of
it
,
but
ought
rather
to
take
his
leave
,
and
walk
off
from
such
a
Patient
,
after
he
has
made
a
Prognostick
of
his
Death
;
and
so
he
will
be
just
to
his
Art
,
and
may
satisfie
his
Conscience
,
though
he
loses
some
Fees
,
and
defrauds
his
own
Pocket
.
But
if
the
Physician
be
sent
for
in
time
,
What
a
Physician
is
to
do
in
the
Cure
of
it
,
when
he
is
sent
for
in
time
.
he
ought
to
do
all
he
can
by
all
proper
means
,
and
a
convenient
Method
to
stop
the
Gonorrhoea
,
or
Whites
,
which
are
the
cause
of
this
Consumption
.
Which
thing
we
shall
speak
of
at
some
other
time
,
and
shew
how
it
is
to
be
done
in
the
Chapters
of
a
Gonorrhoea
,
and
of
the
Whites
.
This
efflux
of
the
Nutritious
Juice
being
once
stopt
by
Art
,
we
must
endeavour
with
all
our
Power
to
replenish
the
dispirited
and
impoverisht
Blood
as
soon
as
may
be
,
with
new
,
oily
,
and
benign
Chyle
.
And
therefore
,
as
we
hinted
in
the
former
Chapter
,
such
Food
as
is
delicious
,
and
affords
a
good
Juice
,
and
is
most
grateful
to
the
Patient's
Palate
and
Stomack
,
must
be
given
often
in
a
day
,
though
in
a
little
quantity
at
a
time
.
And
that
his
Appetite
may
be
the
more
excited
,
let
him
be
advised
to
be
chearful
:
For
there
is
nothing
that
destroys
the
Appetite
,
and
confirms
a
Consumption
more
than
Grief
and
Sadness
.
Let
him
also
enjoy
the
advantage
of
an
open
and
benign
Air
,
which
is
very
beneficial
to
the
Nerves
,
and
consequently
to
the
Appetite
and
Stomack
.
Let
him
likewise
use
Exercise
every
day
,
and
rubbing
of
his
Body
even
to
the
procuring
of
moderate
Sweats
(
if
his
strength
will
bear
it
)
that
the
load
of
old
dispirited
,
and
unprofitable
Chyle
,
with
which
the
Blood-Vessels
and
Habit
of
the
Body
are
stufft
,
may
be
sweated
out
,
to
make
more
room
for
new
and
useful
Chyle
,
and
consequently
for
the
improvement
of
the
Appetite
in
the
Stomack
.
But
he
must
Religiously
abstain
from
the
liberal
use
of
Wine
,
Spirituous
Liquors
are
to
be
avoided
and
Spirituous
Liquors
,
which
are
wont
to
put
the
Blood
,
which
is
before
become
too
hot
,
No
considerable
Evacuations
are
to
be
made
.
into
a
greater
flame
.
Let
the
Physician
also
take
heed
he
does
not
prescribe
any
Purges
,
or
any
Medicines
whatsoever
,
to
procure
any
other
considerable
Evacuation
,
which
may
create
farther
Expences
to
Nature
,
when
she
is
already
weak
.
But
if
a
Hectical
heat
,
even
in
the
least
degree
be
kindled
in
the
solid
Parts
,
he
must
presently
endeavour
with
all
his
Industry
to
quench
this
flame
by
the
use
of
Asses
Milk
,
a
Milk
Diet
,
and
of
such
Mineral
Waters
as
are
Chalybeate
.
CHAP.
V.
Of
a
Consumption
proceeding
from
Apostemes
and
large
Vlcers
.
I
Have
always
observed
that
Apostemes
,
Large
Vlcers
in
any
part
may
cause
a
Consumption
.
and
large
Ulcers
,
let
them
happen
to
any
part
whatsoever
of
the
Body
(
whether
external
or
internal
)
if
they
continue
long
,
and
throw
out
much
Serum
,
or
waterish
Matter
,
have
at
length
rendred
the
Body
of
the
Patient
Consumptive
,
and
that
even
to
the
degree
of
a
Fatal
Consumption
;
and
I
can
say
,
I
have
taken
notice
that
these
kind
of
Ulcers
do
bring
on
a
Consumption
as
well
when
they
are
in
the
Muscles
of
the
Back
,
and
in
the
Testicles
,
yea
,
in
the
Knee
and
the
Foot
,
as
when
they
are
in
the
Kidneys
,
or
Liver
,
or
in
the
Lungs
themselves
.
Besides
that
,
I
have
often
observed
that
a
Consumption
of
the
Lungs
has
come
upon
these
large
and
old
Ulcers
.
The
cause
of
this
Consumption
without
all
question
is
the
long
and
plentiful
substraction
of
the
Nutritious
Juice
continually
flowing
out
of
the
Mass
of
Blood
by
the
Ulcers
;
The
reason
of
this
Consumption
.
whereby
the
Blood
,
which
remains
in
the
Vessels
being
deprived
of
its
Oily
,
Nutritious
Juice
,
does
grow
sour
,
and
contracts
a
Preternatural
heat
,
and
is
thereupon
rendred
unfit
for
the
Nourishment
of
the
Body
;
whereupon
a
Feverish
and
Hectical
heat
not
only
is
kindled
in
the
Blood
and
Spirits
,
but
also
remains
fixed
in
the
Habit
of
the
Body
,
and
the
solid
Parts
,
together
with
a
Thirst
,
a
decay
of
Strength
,
want
of
Appetite
,
sickness
of
the
Stomack
,
an
Atrophy
of
the
Parts
,
and
at
length
a
want
of
Sleep
,
Light-headedness
,
and
the
other
signs
of
a
Fever
,
until
the
sick
Person
,
being
brought
into
the
state
of
a
Marasmus
,
or
consummate
Consumption
,
does
miserably
end
his
days
,
though
for
the
most
part
without
a
difficulty
of
Breathing
,
Cough
,
or
any
other
Pathognomonick
sign
of
a
Consumption
of
the
Lungs
.
This
Consumption
may
be
costly
cur'd
,
if
the
Vlcers
are
heal'd
in
time
.
This
Consumption
(
as
we
have
observed
of
that
in
the
foregoing
Chapter
)
does
easily
admit
of
a
Cure
,
if
it
be
so
that
the
Ulcers
,
which
are
the
cause
of
it
,
can
be
timely
cured
by
the
internal
help
of
Physick
,
and
the
external
Applications
of
Surgery
,
that
is
,
before
the
Patient
is
fallen
into
any
degree
of
a
Marasmus
.
But
(
alas
!
)
the
Patient
too
often
in
this
case
being
deceived
by
the
fair
Promises
and
Encouragement
of
some
ill
Surgeons
,
does
not
send
for
the
Physician
,
till
such
time
as
it
is
more
proper
to
have
the
good
Counsel
of
some
Divine
about
the
future
state
of
his
Soul
,
or
the
Advice
of
a
Lawyer
about
making
his
Will
.
Where
the
Patient
is
too
far
gone
,
the
Physician
should
not
undertake
the
Cure
.
In
which
case
it
is
convenient
for
a
Prudent
Physician
,
after
he
has
foretold
the
Fatal
Event
of
it
,
rather
to
take
his
leave
of
the
Sick
Person
,
than
to
deceive
him
,
when
he
despairs
of
his
Recovery
,
with
the
hopes
of
an
impossible
Cure
.
What
is
to
be
done
,
when
the
Physician
is
sent
for
in
time
.
But
if
the
Physician
be
sent
for
in
time
,
before
the
Patient
be
too
far
gone
in
a
Consumption
,
and
Hectical
,
the
Cure
of
the
Ulcers
is
to
be
endeavoured
as
soon
as
may
be
,
and
to
be
pusht
on
with
all
speed
by
the
internal
help
of
the
Physical
Art
.
To
which
end
a
plentiful
use
of
the
Decoction
of
Sarsa
,
&c.
is
of
great
use
,
not
only
to
give
a
softness
to
the
Blood
,
that
the
Blood
being
freed
from
its
sharpness
and
preternatural
Heat
,
may
be
able
more
easily
to
assimilate
to
it self
the
fresh
Chyle
,
and
to
change
it
into
its
own
Nature
,
and
that
the
efflux
and
loss
of
the
Chyle
by
the
Ulcers
may
be
moderated
,
which
does
much
promote
the
Cure
of
the
Ulcers
;
for
which
reason
without
doubt
these
Decoctions
are
commonly
called
drying
;
but
also
to
carry
off
that
load
of
dispirited
,
and
unprofitable
Juices
,
which
lurk
in
the
Habit
of
the
Body
,
and
in
the
Vessels
,
by
the
pores
of
the
Skin
in
sweats
,
and
insensible
Breathings
.
It
has
been
my
Practice
to
use
the
following
Decoction
.
Take
of
the
best
Sarsaparilla
sliced
six
Ounces
,
A
Diet-drink
to
be
used
in
this
cose
.
China-roots
two
Ounces
,
Sassafras
Chips
,
red
Saunders
,
shavings
of
Hartshorn
,
of
Ivory
,
of
each
half
an
Ounce
,
Raisins
of
the
Sun
stoned
a
quarter
of
a
Pound
,
Liquorice
slic'd
an
Ounce
,
one
Nutmeg
slic'd
.
After
they
have
been
steep'd
a
convenient
time
in
six
quarts
of
Spring-water
,
boyl
it
with
the
Ingredients
to
three
quarts
,
adding
at
the
end
of
the
Decoction
(
if
there
be
the
least
suspicion
of
any
Mischief
in
the
Lungs
from
a
Cough
,
or
difficulty
of
Breathing
)
the
Leaves
of
Coltsfoot
,
Maidenhair
,
spotted
Lungwort
,
Tunhoof
,
Fluellin
,
Flowers
of
great
Daisies
,
of
each
a
handful
;
then
strain
it
,
and
let
the
Patient
drink
plentifully
of
this
Decoction
for
his
ordinary
Drink
.
Yea
,
if
the
Ulcers
are
old
,
If
the
Vlcers
are
stubborn
,
Lime-water
must
be
us'd
.
and
hard
to
be
cured
,
let
the
Sick
Person
also
drink
at
Physical
Hours
six
or
eight
Ounces
of
Lime-water
,
by
the
excellent
Salt
of
which
the
sharp
and
acid
Particles
of
the
Blood
being
precipitated
,
the
whole
Mass
becomes
more
mild
,
and
thereupon
does
more
easily
embrace
the
new
Chyle
,
and
change
it
into
its
own
Nature
,
whereby
the
Flux
of
the
Chyle
to
the
ulcerated
parts
is
rendred
less
,
and
consequently
the
Cure
of
the
Ulcers
by
the
Surgeon's
Art
is
more
quickly
perform'd
.
For
which
reason
this
Drink
is
also
thought
to
be
drying
.
And
here
I
shall
add
the
Prescription
for
that
Lime-water
which
I
commonly
use
.
A
Prescription
for
the
making
of
a
Lime-water
.
Take
of
the
best
Sarsaparilla
slic'd
six
Ounces
,
Currans
half
a
pound
,
after
they
have
been
steep'd
for
a
convenient
time
in
six
quarts
of
Spring-water
,
boyl
them
till
the
Liquor
comes
to
three
quarts
;
then
strain
it
.
Then
in
this
Decoction
quench
half
a
pound
of
Quick-Lime
,
and
after
it
is
clear'd
by
setling
,
and
impregnated
with
the
salt
of
the
Lime
,
let
it
be
poured
off
clear
,
and
kept
in
Glass
Bottles
for
use
.
Such
Purges
as
are
pretty
strong
must
be
given
every
fourth
or
fifth
Night
,
unless
there
be
a
manifest
Hectick
heat
.
Yea
,
if
there
be
not
a
manifest
Hectical
Disposition
,
let
the
Patient
during
the
use
of
these
Decoctions
be
Purged
every
fourth
or
fifth
day
,
and
that
not
only
with
gentle
Medicines
,
as
a
Decoction
of
Senna
with
Manna
,
&c.
but
also
with
such
as
are
stronger
,
as
with
half
a
Dram
of
Extractum
Rudii
,
or
a
Dram
of
the
lesser
Pil.
Cochiae
.
Yea
,
if
the
Patient
bears
Purging
well
,
and
it
be
necessary
,
he
may
ascend
to
the
use
of
Scammony
,
and
of
Rosin
of
Jalapp
it self
,
to
which
it
is
always
convenient
to
add
a
Dose
of
Calomelanos
.
Which
Medicine
,
by
correcting
and
altering
the
disposition
of
the
Blood
,
is
in
an
extraordinary
manner
serviceable
to
the
Cure
of
Ulcers
.
I
have
in
my
Practice
used
the
following
Prescription
.
In
the
form
of
a
Bolus
.
Take
of
Diagrydium
,
or
Rosin
of
Jalapp
sixteen
Grains
,
Calomelanos
five
and
twenty
Grains
,
or
half
a
Dram
,
Conserve
of
Damask-Roses
,
or
Syrup
of
Buckthorn-berries
a
sufficient
quantity
:
Mix
them
up
into
a
Bolus
.
Or
let
the
Patient
take
a
Mercurial
Purge
in
the
form
of
a
Pouder
in
a
Spoonful
of
Milk
,
Or
of
a
Pouder
.
observing
the
Rules
which
are
common
in
a
Purge
.
By
which
Medicine
the
load
of
dispirited
,
and
unprofitable
Chyle
,
which
was
retain'd
in
the
Blood
,
and
Habit
of
the
Body
,
is
in
an
extraordinary
manner
discharg'd
by
Stool
,
and
thereupon
the
Cure
of
the
Ulcers
is
hastened
.
Yea
,
if
the
strength
of
the
Patient
be
firm
,
If
the
strength
and
temper
of
the
Patient
allows
it
,
Salivation
.
and
no
degree
of
a
Hectical
disposition
has
yet
seized
him
,
a
Mercurial
Salivation
must
be
raised
by
the
help
not
only
of
Calomelanos
,
but
also
(
if
it
be
necessary
)
of
Turbith
Mineral
it self
.
Which
in
truth
is
the
last
Refuge
,
Which
is
the
last
,
and
most
powerful
Remedy
.
and
a
Powerful
Remedy
,
and
is
also
safe
enough
(
if
it
be
cautiously
given
)
in
the
Cure
of
old
and
obstinate
Ulcers
.
Here
also
internal
Balsamick
Medicines
may
be
prescrib'd
with
advantage
,
Balsamick
Medicines
.
such
as
the
Balsamick
Syrup
,
Leucatella's
Balsam
,
&c.
As
for
Example
:
Let
the
Patient
take
every
Night
,
Leucatella's
Balsam
,
Conserve
of
red
Roses
,
of
each
half
a
Dram
,
or
two
Scruples
with
three
or
four
drops
of
Balsam
of
Peru.
Or
a
spoonful
of
the
Balsamick
Syrup
truly
made
,
twice
or
thrice
a
day
,
either
by
it self
,
or
dissolv'd
in
a
draught
of
Sarsa
Drink
:
Or
half
a
Dram
of
Balsam
of
Tolu
made
up
into
Pills
at
Physical
Hours
,
drinking
a
draught
of
the
Sarsa
Drink
after
it
.
Or
if
there
be
no
Feverish
Heat
,
let
him
take
twice
a
day
eight
or
ten
drops
of
Natural
Balsam
mixt
with
a
little
Sugar-candy
.
But
when
the
Ulcer
comes
to
heal
,
Care
must
be
taken
,
that
a
Consumption
of
the
Lungs
does
not
follow
upon
healing
of
the
Vlcers
.
there
must
be
a
great
deal
of
care
taken
,
lest
a
true
Consumption
of
the
Lungs
follows
in
the
room
of
a
common
Consumption
from
the
substraction
and
loss
of
the
Chyle
,
which
indeed
does
very
often
happen
.
For
this
passage
,
by
which
the
Nutritious
Juice
uses
to
run
off
,
being
now
stopt
by
the
Surgeons
and
Physicians
Art
,
if
the
Blood
still
remains
dispirited
,
and
does
not
recover
its
former
Balsamick
and
Oily
Nature
,
it
is
wont
to
grow
more
hot
and
sharp
,
and
thereupon
that
sharp
and
hot
Nutritious
Juice
(
which
was
used
before
to
be
thrown
out
by
the
Ulcer
)
it
usually
comes
now
to
cast
off
upon
the
substance
of
the
Lungs
,
as
being
spungy
,
and
apt
to
receive
the
Humours
.
Whereupon
follows
not
only
a
stuffing
of
the
Lungs
,
and
upon
that
a
difficulty
of
Breathing
;
but
also
a
considerable
swelling
of
the
Glands
,
which
do
often
enough
happen
in
these
parts
,
and
upon
that
a
dry
and
troublesome
Cough
,
yea
,
a
Heat
and
Inflammation
,
and
thereupon
a
Fever
,
not
only
a
Hectical
one
,
but
also
a
Putrid
,
or
rather
Inflammatory
Fever
,
and
at
length
an
Apostem
,
and
Ulcers
,
with
a
Thirst
,
and
want
of
Appetite
;
all
which
do
at
last
end
in
a
fatal
and
confirm'd
Consumption
of
the
Lungs
.
The
Signs
which
threaten
it
must
be
attended
to
.
And
therefore
as
soon
as
ever
these
external
and
remote
Ulcers
begin
to
heal
,
the
Physician
ought
to
make
what
Observation
he
can
,
to
find
whether
the
least
degree
of
a
difficulty
of
Breathing
,
or
any
other
sign
of
an
Affection
of
the
Lungs
comes
upon
it
.
Yea
,
if
the
Appetite
continues
weak
,
or
if
but
the
least
degree
of
a
Preternatural
Heat
in
the
Habit
of
the
Body
does
appear
,
If
they
appear
,
what
is
to
be
done
.
which
may
give
us
the
least
occasion
to
suspect
a
Consumption
of
the
Lungs
,
the
first
Attack
and
Progress
of
it
ought
to
be
prevented
with
all
the
Physician
's
Power
,
in
the
manner
following
.
Let
several
Issues
be
made
,
the
Head
shaved
,
the
use
of
the
Balsamick
Remedies
before
mentioned
,
and
the
Sarsa
Drink
,
with
the
aforesaid
Vulnerary
Herbs
be
continued
;
or
for
the
farther
temperating
and
altering
of
the
Blood
,
let
the
Patient
be
put
into
a
Milk
Diet
,
and
kept
strictly
to
it
.
For
the
same
reason
the
Chalybeate
Mineral
Waters
are
here
also
of
great
use
.
Also
the
Physician
must
make
all
the
hast
he
can
,
and
disburden
the
Lungs
that
are
stufft
,
by
Pectoral
and
Pulmonary
Apozems
,
expectorating
Linctuses
,
and
other
Medicines
of
that
Nature
,
which
we
shall
afterwards
describe
in
the
Book
of
a
Consumption
of
the
Lungs
,
before
the
Tone
of
the
Parts
is
injured
,
and
a
Feverish
heat
is
brought
on
by
the
continual
stagnation
of
hot
and
sharp
Juices
.
Let
the
Patient
also
have
a
very
great
care
to
preserve
himself
from
Passions
of
his
Mind
,
Passions
of
the
Mind
,
Cold
,
and
violent
Excercise
are
to
be
avoided
.
and
Cold
,
and
use
no
violent
Exercises
;
let
him
also
abstain
from
the
use
of
Wine
,
and
Spirituous
Liquors
,
which
may
make
the
motion
of
the
Blood
to
and
through
the
Lungs
quicker
than
it
ought
to
be
,
and
kindle
a
Preternatural
heat
in
the
Blood
.
But
if
there
be
no
suspicion
of
the
Lungs
,
What
is
to
be
done
after
the
Vlcers
are
healed
,
when
there
is
no
suspicion
of
the
Lungs
.
when
the
Ulcer
comes
to
be
healed
,
let
the
Patient
be
enjoyn'd
to
be
chearful
,
let
him
be
plac'd
in
a
benign
and
open
Air
,
and
eat
plentifully
of
such
Food
as
affords
a
good
Juice
,
but
yet
is
mild
,
and
free
from
a
sharpness
;
and
lastly
,
let
him
use
moderate
Exercise
,
by
the
use
of
all
which
the
Blood
may
as
soon
as
is
possible
recover
its
former
Balsamick
,
Temperate
,
and
Oily
Nature
,
and
the
Appetite
of
the
Stomack
may
be
increased
.
By
which
Method
we
may
not
only
prevent
a
Consumption
that
is
coming
,
but
also
cure
one
that
is
begun
,
when
it
proceeds
from
external
Ulcers
,
as
I
have
before
discours'd
more
largely
in
the
former
Chapters
of
other
Original
Consumptions
caused
by
the
loss
and
want
of
the
Nutritious
Juice
.
An
History
.
Mr.
Wheatley's
Wife
near
St.
Sepulchres
in
London
,
about
Fifty
Years
old
,
having
been
tormented
for
the
space
of
two
Years
with
an
intolerable
pain
of
her
Loins
,
first
from
an
Inflammation
,
and
then
an
Aposteme
of
the
Muscles
of
the
Loins
following
upon
the
Inflammation
,
was
in
progress
of
time
by
the
uninterrupted
pain
racking
her
both
Night
and
Day
,
and
by
the
continual
loss
of
the
Nutritious
Juice
discharging
it self
daily
and
plentifully
into
this
Common-shore
,
put
into
a
Fever
,
and
at
length
brought
into
a
Consumption
,
and
that
even
to
the
degree
of
a
Marasmus
,
with
an
intolerable
Thirst
,
a
continual
Weakness
,
want
of
Appetite
,
and
want
of
Rest
,
yet
without
any
sign
of
a
Consumption
of
the
Lungs
;
so
that
the
poor
Woman
being
always
confin'd
to
her
Bed
,
lingred
a
long
time
,
crying
out
dreadfully
,
as
if
she
were
ready
to
expire
presently
.
By
reason
of
her
mean
Circumstances
she
did
not
ask
the
Advice
of
a
Physician
,
but
thinking
her
Distemper
to
be
the
Stone
in
the
Kidneys
,
she
miserably
tormented
her self
every
day
with
I
know
not
what
Medicines
to
break
and
dissolve
the
Stone
,
such
as
every
sorry
Woman
,
that
came
to
see
her
,
did
with
assurance
warrant
should
do
her
good
.
But
I
being
at
length
desired
by
the
most
Ingenious
Dr.
Tyson
to
go
and
see
her
,
and
together
with
him
observing
the
parts
of
the
Loins
to
be
swell'd
,
and
to
resist
a
Pressure
,
and
perceiving
the
fluctuation
of
purulent
Matter
under
our
fingers
,
when
we
prest
it
,
(
though
it
lay
somewhat
deep
by
reason
of
the
thickness
of
the
Muscles
,
and
of
the
Skin
)
with
the
consent
of
my
most
worthy
Colleague
,
I
ordered
that
after
the
application
of
a
Caustick
,
the
Tumour
should
be
opened
in
a
convenient
place
:
Which
was
no
sooner
done
,
but
a
great
quantity
,
first
of
clear
then
purulent
Matter
,
and
a
great
Number
of
little
Bags
filled
with
a
very
clear
Water
,
at
least
Five
Hundred
,
gusht
out
with
a
great
force
.
We
brought
away
for
three
Weeks
,
or
more
,
taking
out
the
Tent
every
day
,
a
great
deal
of
Matter
,
and
small
Bags
filled
with
Water
.
From
the
first
opening
of
the
Apostem
her
pains
were
very
much
abated
,
and
by
the
moderate
use
of
Syrup
of
Meconium
,
she
got
convenient
Rest
;
and
by
the
help
of
Surgery
outwardly
administred
,
and
the
continual
use
of
a
Decoction
of
Sarsa
given
inwardly
for
her
ordinary
Drink
,
the
Ulcer
within
the
space
of
a
Year
and
half
(
which
we
did
designedly
keep
open
so
long
with
a
Silver
Tent
that
was
hollow
quite
thorough
)
was
at
length
perfectly
healed
;
her
Hectick
Fever
and
Thirst
went
off
,
her
Strength
increased
,
her
Appetite
returned
,
and
she
was
plainly
freed
from
the
state
of
a
Marasmus
;
and
being
sent
into
the
Country
Air
,
such
as
was
open
and
benign
,
and
put
into
a
Milk
Diet
,
she
grew
fleshy
within
six
Weeks
,
and
recovered
without
any
sign
of
a
Consumption
;
and
being
yet
alive
after
Eight
Years
which
are
since
past
,
enjoys
her
Health
very
well
.
Several
Histories
of
this
Nature
I
do
designedly
omit
for
Brevity's
sake
.
CHAP.
VI.
Of
a
Consumption
happening
to
Nurses
from
the
giving
of
Suck
beyond
what
their
Strength
will
allow
.
What
the
Milk
is
.
MILK
is
nothing
but
the
Nutritious
Juice
continually
separated
from
the
Mass
of
Blood
by
the
Glandules
of
the
Breasts
.
And
therefore
if
by
reason
of
the
want
of
an
Appetite
there
be
more
Nutritious
Juice
suckt
out
of
the
Blood
through
the
Breasts
for
a
long
time
,
than
is
supplyed
to
the
Mass
of
Blood
by
the
new
Chyle
from
the
Lacteal
Vessels
,
When
,
and
how
the
giving
of
Suck
does
cause
a
Consumption
.
it
is
in
,
possible
but
an
impoverishment
of
the
Blood
should
follow
,
and
thereupon
an
Atrophy
of
the
Body
(
seeing
it
is
depriv'd
of
due
Nourishment
)
and
consequently
an
Hectical
heat
in
the
Blood
,
Spirits
,
and
Habit
of
the
Body
,
which
is
another
kind
of
Original
Consumption
proceeding
from
the
substraction
of
the
Nutritious
Juice
;
of
which
we
shall
now
treat
.
Yet
a
Consumptive
disposition
is
sometimes
cured
by
giving
of
Suck
.
Yet
I
must
ingeniously
declare
,
that
I
have
sometimes
observed
a
Consumptive
Disposition
cured
by
giving
of
Suck
,
and
that
not
only
in
my
most
dear
Wife
,
but
also
in
very
many
other
Women
.
As
for
Example
:
My
Neighbour
Mrs.
Wilson
,
who
at
other
times
is
Consumptive
,
and
goes
up
and
down
like
a
Ghost
,
does
always
grow
fat
all
the
time
she
gives
Suck
.
Yea
,
Mrs.
Thompson
upon
Snow-Hill
did
manifestly
fall
into
a
fatal
Consumption
in
the
Habit
of
her
Body
,
and
upon
that
into
a
Consumption
of
her
Lungs
from
the
sudden
weaning
of
her
Child
.
But
at
the
same
time
it
is
as
obvious
to
our
Observation
,
that
all
such
Nurses
as
grow
fat
in
this
manner
from
giving
of
Suck
,
But
such
Nurses
have
always
a
good
Stomack
.
have
a
good
Stomack
,
yea
,
that
during
the
time
of
their
giving
of
Suck
their
Appetite
is
very
much
increased
,
and
from
thence
it
is
very
easie
to
give
an
Account
for
this
appearance
;
to
wit
,
that
the
Appetite
being
increased
by
the
continual
drawing
off
of
the
Nutritious
Juice
by
the
Child's
Sucking
,
there
is
room
made
for
a
greater
quantity
of
new
and
oily
Chyle
,
by
which
the
Blood
is
every
day
enrich'd
,
which
does
conduce
more
to
the
Cure
of
a
Consumptive
Disposition
than
all
the
Medicines
in
the
World
.
But
if
the
Appetite
during
the
time
of
giving
Suck
grows
languid
,
and
thereupon
by
reason
of
the
little
Food
that
is
taken
in
,
a
less
quantity
of
new
Juice
is
supplyed
to
the
Blood
,
than
is
carried
off
by
the
Breasts
,
a
Hectical
Disposition
in
the
Blood
and
Spirits
must
inevitably
follow
;
and
an
Atrophy
,
or
Consumption
in
the
Habit
of
the
Body
,
and
that
for
the
Reasons
which
we
have
just
now
given
.
The
first
thing
that
presages
the
coming
of
this
Consumption
,
is
a
want
of
Appetite
;
The
presaging
signs
of
this
Consumption
.
and
therefore
I
give
this
Caution
to
all
Nurses
,
that
when
they
find
their
Appetite
to
abate
for
some
time
,
they
forthwith
wean
their
Children
.
The
second
sign
is
a
weakness
and
faintness
of
the
Spirits
,
proceeding
from
a
dispirited
and
impoverisht
state
of
the
Blood
.
A
third
sign
is
an
Hypochondriacal
Oppression
,
and
frequent
Fits
of
the
Mother
,
and
Choakings
.
Which
appearance
does
not
proceed
from
the
sucking
of
the
Child
,
drawing
the
Vapours
upward
(
as
is
commonly
thought
)
but
a
too
plentiful
substraction
,
and
too
great
an
expence
of
the
Nutritious
Juice
.
By
which
means
the
Spirits
themselves
become
in
the
same
manner
as
the
Blood
,
poor
and
windy
,
by
reason
they
have
lost
their
Natural
and
Original
Vigour
,
whereupon
there
follows
an
Obstruction
,
and
this
inordinate
and
ungovernable
motion
of
the
Spirits
in
the
Nerves
and
Fibres
of
the
Muscles
,
and
upon
that
Oppressions
,
and
Suffocative
,
and
Convulsive
Contractions
of
some
Parts
,
commonly
called
Hypochendriacal
and
Hysterical
.
This
Consumption
often
terminates
in
a
Consumptions
of
the
Lungs
.
These
presaging
Symptoms
in
the
Progress
of
the
Distemper
have
an
Atrophy
,
and
a
Hectical
heat
following
them
,
(
which
is
not
strange
)
and
do
often
terminate
in
a
Consumption
of
the
Lungs
,
together
with
a
Cough
,
shortness
of
Breath
,
&c.
Nevertheless
this
Consumption
is
Originally
in
the
Habit
of
the
Body
,
and
that
from
too
great
an
expence
of
the
Nutritious
Juice
.
And
is
then
fatal
.
This
Consumption
,
when
it
once
comes
to
the
degree
of
a
Marasmus
,
and
to
terminate
in
a
Consumption
of
the
Lungs
,
proves
plainly
fatal
and
incurable
.
The
Method
of
Cure
.
But
in
the
beginning
it
is
easily
cured
;
first
,
by
the
speedy
weaning
of
the
Child
,
whereby
the
cause
,
which
dispos'd
the
Person
to
it
,
is
removed
.
Secondly
,
by
giving
the
Patient
plentiful
Nourishment
of
such
Food
as
affords
a
good
Juice
.
Thirdly
,
by
exciting
and
restoring
the
Appetite
by
chearfulness
of
Mind
,
the
enjoyment
of
a
benign
and
open
Air
,
by
moderate
Exercise
,
&c.
Yea
,
and
lastly
,
if
her
Hectical
Disposition
requires
it
,
the
Sick
Woman
must
be
put
upon
the
use
of
a
Milk
Diet
,
A
Caution
.
or
of
the
Chalybeate
Waters
.
But
let
her
abstain
from
Wine
,
and
all
Evacuations
,
but
what
are
necessary
,
as
we
have
already
hinted
in
the
Cure
of
a
Consumption
proceeding
from
other
Evacuations
.
A
History
.
The
Wife
of
Mr.
Bird
my
very
good
Friend
,
who
lives
in
Fetter-Lane
,
being
about
three
and
thirty
Years
old
,
gave
Suck
to
a
lusty
Boy
for
the
space
of
a
Year
,
or
more
.
But
after
she
had
given
Suck
for
four
Months
she
lost
her
Stomack
,
and
took
very
little
Nourishment
at
any
time
,
and
thereupon
her
Strength
declin'd
,
and
she
was
troubled
with
Choakings
,
or
Hysterical
Passions
,
but
without
an
Atrophy
,
or
Cough
,
or
any
other
Distemper
.
Being
sufficiently
directed
by
these
things
,
(
I
going
at
that
time
by
chance
to
see
her
)
advised
her
to
wean
her
Child
without
any
delay
,
lest
she
should
fall
into
a
Consumption
:
But
she
however
persisting
in
the
giving
of
her
Child
Suck
,
when
she
had
lost
her
Stomack
,
did
at
length
fall
into
a
Consumption
or
Atrophy
of
her
Body
,
but
without
a
Cough
,
or
any
remarkable
Fever
.
But
yet
she
very
much
,
and
almost
continually
complain'd
of
a
dryness
,
and
very
troublesom
heat
about
the
Tonsils
and
Palate
of
her
Mouth
,
and
the
Parts
which
serve
for
swallowing
(
the
same
that
I
observed
to
happen
to
Mrs.
Thompson
,
and
to
almost
all
Women
that
have
a
Consumption
from
giving
of
Suck
.
)
Which
appearance
to
me
seemed
to
arise
from
the
impoverisht
and
heated
state
of
the
Blood
,
by
reason
of
too
great
an
expence
of
the
Milk
.
At
length
,
though
too
late
,
following
my
Advice
,
she
weaned
her
Child
,
and
made
use
of
a
Milk
Diet
,
and
the
Chalybeate
Waters
,
with
very
much
benefit
.
But
her
Appetite
not
being
restored
by
these
means
(
as
not
being
made
use
of
in
time
)
she
could
not
make
up
a
sufficient
quantity
of
new
Chyle
to
recruit
the
Mass
of
Blood
;
and
thereupon
loathing
all
sorts
of
Medicines
,
at
length
(
though
she
had
the
Advice
of
very
good
Physicians
)
falling
into
a
Consumption
of
her
Lungs
,
with
a
Cough
,
shortness
of
Breath
,
and
Hectick
Fever
,
she
dyed
plainly
choak'd
.
CHAP.
VII
.
Of
a
Consumption
from
a
Bloody-flux
,
and
from
a
Looseness
.
MANY
times
in
a
Scorbutical
Disposition
of
the
Body
,
A
sharpness
of
the
Blood
often
arises
from
the
Scurvy
.
the
Blood
grows
sharp
to
that
degree
,
that
being
disturbed
upon
every
little
occasion
,
it
cannot
assimilate
the
new
Chyle
to
it self
;
whereby
it
comes
to
pass
that
it
is
thrown
out
by
the
Glands
of
the
Intestines
in
a
continual
flux
like
a
stream
.
Which
Chyle
,
if
it
is
benign
,
and
more
mild
,
Which
in
a
lower
degree
causes
a
Looseness
:
In
a
higher
a
Bloody-flux
.
forms
a
Distemper
in
the
manner
of
a
Looseness
;
but
if
it
be
sharp
,
and
of
a
Malignant
Nature
,
produces
one
in
the
form
of
a
Bloody-flux
.
By
this
continual
efflux
of
the
Chyle
,
the
Blood
is
much
impoverisht
,
and
grows
hot
,
so
that
although
the
Bloody-flux
,
or
Looseness
be
overcome
by
the
use
of
Opiates
and
binding
Medicines
,
(
such
as
are
particularly
to
be
described
in
a
Chapter
of
a
Bloody-flux
,
Which
cause
a
Hectick
heat
,
&c.
and
Looseness
)
yet
a
Hectical
heat
still
remains
in
the
Blood
,
together
with
an
Atrophy
,
and
dryness
of
the
Skin
,
arising
from
the
impoverisht
and
dispirited
state
of
the
Blood
:
As
it
happened
to
mine
only
,
and
most
beloved
Son
,
and
to
very
many
others
.
And
this
Consumption
often
terminates
in
a
Consumption
of
the
Lungs
.
Which
Consumption
does
very
often
terminate
in
a
Consumption
of
the
Lungs
.
But
the
way
to
prevent
it
is
(
after
the
Looseness
and
Bloody-flux
are
cured
by
proper
Medicines
)
by
a
long
use
of
a
Milk
Diet
,
the
Peruvian
Bark
,
the
Mineral
Waters
,
which
are
Chalybeate
,
and
of
the
white
Decoction
for
ordinary
Drink
.
It
often
happens
to
Childr●n
〈…〉
of
their
Tee●●
.
This
Consumption
often
happens
to
Children
that
breed
their
Teeth
.
But
by
the
long
use
of
the
white
Drink
,
of
Pearl
Juleps
,
and
binding
Medicines
mixt
with
some
little
Opiate
,
it
is
easily
cured
.
History
1.
Mr.
Tindal's
only
Daughter
,
a
very
fine
Young
Woman
,
but
Scorbutical
,
and
something
Melancholick
,
about
Eighteen
Years
of
Age
,
upon
the
suppression
of
her
Monthly
Courses
,
fell
into
a
Colliquative
Looseness
,
with
Stools
that
came
away
like
Water
,
which
by
degrees
brought
her
in
the
space
of
a
Year
into
an
Universal
Atrophy
,
even
to
the
degree
of
a
Marasmus
,
but
without
any
sensible
Fever
,
or
Cough
,
or
shortness
of
Breath
,
or
any
other
sign
of
any
Distemper
of
the
Lungs
;
so
that
she
was
not
at
all
taken
for
a
Consumptive
Body
by
the
Physician
under
whose
care
she
was
before
I
was
concern'd
.
Being
called
to
go
and
see
her
,
as
one
that
had
only
a
Looseness
,
when
she
was
now
by
reason
of
her
Weakness
almost
always
confin'd
to
her
Bed
,
I
found
her
worn
away
clearly
with
a
Consumption
,
even
to
a
Marasmus
,
and
that
I
plainly
told
her
Friends
,
as
my
Opinion
,
although
her
Lungs
did
as
yet
seem
sound
,
neither
was
there
any
sign
of
a
Hectick
Fever
.
But
when
this
expensive
Looseness
,
which
the
former
Physician
for
want
either
of
skill
or
care
had
suffered
to
run
on
so
long
,
came
once
to
be
stopt
by
a
due
government
,
and
the
use
of
Efficacious
Medicines
,
presently
a
Hectick
Flame
began
to
be
kindled
in
the
Habit
of
her
Body
,
and
her
Lungs
also
began
to
be
affected
with
a
Cough
,
that
was
almost
perpetual
,
and
a
shortness
of
Breath
,
which
Symptoms
being
at
length
followed
by
Colliquative
Sweats
,
a
swelling
of
the
Legs
,
and
other
signs
of
a
Fatal
Consumption
of
the
Lungs
,
soon
brought
the
fair
Virgin
amidst
the
Lamentation
of
her
Friends
to
the
last
period
of
her
Life
.
Two
things
were
here
particularly
worthy
of
a
Remark
:
First
,
that
the
more
her
Looseness
was
stopt
,
so
much
the
more
always
were
her
Lungs
presently
affected
.
And
Secondly
,
that
although
this
Consumption
had
prevailed
upon
her
almost
for
the
space
of
a
Year
,
even
to
a
Marasmus
,
before
the
Lungs
did
seem
to
be
in
the
least
touch'd
,
yet
in
the
Body
,
when
it
came
to
be
opened
after
't
was
dead
,
the
Lungs
appeared
full
of
little
swellings
here
and
there
,
and
that
not
only
such
as
were
crude
and
hard
,
but
also
some
that
were
ripened
into
Apostemes
.
History
2.
My
only
Son
,
before
he
was
Eight
Years
old
,
whilst
I
was
out
of
Town
,
was
taken
with
a
most
severe
Bloody-flux
,
by
which
he
seemed
to
be
brought
into
a
Consumption
,
even
to
a
Marasmus
,
before
I
returned
.
But
after
the
Bloody-flux
was
plainly
overcome
by
the
diligent
use
of
all
sorts
of
convenient
Remedies
,
and
his
Body
,
with
respect
to
his
Stools
,
was
reduced
to
its
Natural
state
,
there
still
remained
a
Hectical
heat
,
a
dryness
of
his
Skin
,
a
quick
Pulse
,
with
other
signs
of
a
Hectical
heat
.
Moreover
his
Appetite
failed
him
very
much
,
a
dry
Cough
came
upon
him
,
and
a
thickness
of
Hearing
,
with
a
dulness
of
his
Brain
.
But
yet
with
the
choice
of
a
wholsom
Air
,
the
use
of
a
Milk
Diet
,
and
afterwards
of
the
Peruvian
Bark
,
and
of
a
Plentiful
Nourishment
,
which
afforded
a
good
Juice
,
he
recovered
a
good
Colour
,
and
his
Flesh
within
the
space
of
three
or
four
Months
,
without
any
other
inconvenience
but
only
that
he
has
been
ever
since
very
subject
to
an
Asthmatical
Cough
upon
the
least
occasion
.
CHAP.
VIII
.
Of
a
Consumption
from
a
Diabetes
,
or
too
great
a
Flux
of
Vrine
.
A
Diabetes
is
commonly
called
a
Dropsie
of
the
Chamber-pot
,
What
a
Diabetes
is
.
and
it
is
a
continual
Flux
of
the
Nutritious
Juice
running
down
through
the
Kidneys
,
The
Causes
of
it
.
which
for
the
most
part
happens
to
those
that
are
very
thoughtful
,
and
to
such
as
are
drinkers
of
French
Wines
,
and
Diuretick
Liquors
.
Whereupon
the
Urine
(
by
reason
of
the
great
quantity
of
new
Chyle
which
flows
to
it
,
and
mixes
it self
with
it
)
being
deprived
of
its
Saltness
,
becomes
sweet
,
even
like
Honey
.
A
Diabetes
causing
a
poorness
of
the
Blood
,
and
a
Hectical
heat
,
produces
a
Consumption
.
By
this
continual
efflux
of
the
Chyle
the
Blood
is
impoverisht
,
and
thereupon
the
Strength
of
the
Patient
grows
extreamly
languid
.
By
the
burning
Flame
of
the
Blood
a
Preternatural
Heat
is
kindled
in
the
solid
Parts
,
by
which
the
Nerves
are
weakned
,
and
upon
that
Convulsions
,
a
Giddiness
,
and
other
Affections
of
the
Nerves
do
follow
,
and
at
length
the
Muscular
Parts
being
deprived
of
their
Nutritious
Juice
,
do
fall
into
an
Atrophy
,
or
Consumption
:
As
it
happened
to
Mr.
Pettit's
Son
,
and
to
Mrs.
Wells
,
and
very
many
others
.
The
Method
of
Cure
.
The
way
of
Curing
this
Consumption
is
by
a
long
use
of
a
Milk
Diet
,
Conserve
of
red
Roses
,
Bole
Armenack
,
Gum
Arabick
,
Gum
Tragacanth
,
&c.
by
drinking
the
Bath
or
Islington
Waters
,
or
any
other
Mineral
Water
,
that
is
Chalybeate
,
for
a
long
time
.
But
the
Patient
must
abstain
from
Wine
,
especially
French
Wine
,
he
must
not
Bleed
,
nor
use
any
Purging
Medicines
,
except
Rhubarb
,
Myrobalanes
,
and
other
such
like
gentle
things
,
which
have
also
some
styptick
and
binding
Particles
,
of
the
Vertue
of
which
in
Curing
this
Distemper
,
I
shall
presently
give
a
very
Remarkable
History
.
History
1.
Mr.
Pettit's
Son
,
upon
a
Diabetes
,
which
they
had
a
long
time
neglected
the
Cure
of
,
was
not
only
frequently
troubled
with
Fits
of
the
Falling-Sickness
,
and
a
swimming
in
his
Head
,
but
also
in
the
Progress
of
the
Distemper
became
very
Consumptive
.
But
with
the
use
of
Tunbridge
Waters
,
a
Milk
Diet
,
and
Astringent
Electuaries
,
he
was
perfectly
recovered
,
and
is
now
after
Ten
Years
in
perfect
Health
.
History
2.
Mr.
Pettit
himself
,
the
Father
of
the
Patient
I
just
now
mentioned
,
living
in
Long-Lane
,
being
then
about
Seventy
Years
old
,
who
was
brought
by
a
Diabetes
into
a
high
Hectick
Fever
,
and
to
the
utmost
degree
of
a
Marasmus
,
and
kept
his
Bed
for
three
Weeks
,
got
well
off
his
Diabetes
and
Fever
,
and
at
length
his
Consumption
too
by
the
use
of
a
Milk
Diet
,
which
he
very
strictly
observed
,
and
of
Astringent
Juleps
and
Electuaries
,
and
is
now
,
as
far
as
I
know
,
after
five
Years
still
living
.
History
3.
Mr.
Wheeler
,
living
in
Prince's-Street
,
though
he
has
now
three
Girles
living
,
and
well
,
yet
he
lost
all
his
Sons
,
who
were
taken
off
in
their
first
Infancy
(
to
wit
,
as
soon
as
they
began
to
breed
their
Teeth
)
with
a
Consumption
from
a
Diabetes
.
As
for
the
Name
of
the
Distemper
,
that
he
was
ignorant
of
,
but
when
he
observed
that
he
lost
all
his
Sons
in
the
same
manner
,
and
that
they
were
extreamly
emaciated
with
a
continual
and
unquenchable
Thirst
,
and
a
strange
flooding
of
Urine
,
he
at
length
askt
my
Advice
for
his
fourth
,
who
at
that
time
was
breeding
of
his
Teeth
.
And
he
began
,
just
like
the
three
former
that
were
dead
,
to
be
very
thirsty
,
and
to
make
Water
at
the
same
immoderate
rate
,
that
they
had
done
,
whereby
his
Flesh
was
become
very
lank
,
and
a
Hectical
heat
began
to
arise
.
So
being
confirmed
in
my
Opinion
by
so
demonstrative
an
Argument
as
the
sweetness
of
his
Urine
,
being
like
Honey
,
I
pronounced
it
a
Consumption
from
a
Diebetes
,
caused
by
the
breeding
of
his
Teeth
;
which
could
not
possibly
admit
of
a
perfect
Cure
till
the
Child
had
bred
all
his
Teeth
.
Within
the
space
of
a
Month
or
two
the
poor
Infant
seemed
to
have
a
Hippocratical
Face
,
and
to
be
reduced
to
that
degree
of
a
Consumption
,
as
to
be
come
to
the
last
Scene
of
his
Tragedy
,
for
that
he
labour'd
under
a
Colliquation
as
well
by
a
Looseness
as
a
Diabetes
,
though
he
had
no
Cough
,
nor
any
other
Affection
of
his
Lungs
.
However
for
the
present
relief
of
the
Symptoms
,
I
order'd
a
Milk
Diet
to
be
strictly
observed
,
and
an
Astringent
Electuary
,
and
gave
Orders
that
for
his
Thirst
he
tory
ducts
to
no
purpose
,
is
restored
to
Nature
to
make
up
the
loss
which
the
Mass
of
Blood
sustains
.
When
a
Consumptive
disposition
is
to
be
expected
from
an
Artificial
Salivation
.
How
the
Patient
is
to
be
managed
in
this
case
.
It
is
also
as
certainly
true
,
that
every
Salivation
procured
by
Art
,
that
is
,
raised
with
Mercurial
Medicines
,
(
if
it
continues
long
)
does
bring
a
Hectical
and
Consumptive
Disposition
.
In
which
case
(
the
Salivation
being
ended
)
the
Patient
must
be
put
into
a
Milk
Diet
for
a
long
time
,
by
which
the
sharpness
of
the
Blood
may
be
corrected
,
and
a
Consumptive
Disposition
may
be
prevented
.
After
that
he
must
be
sent
into
an
open
and
benign
Air
,
and
be
nourisht
with
the
plentiful
use
of
such
Food
as
affords
good
Juice
;
and
besides
all
this
(
if
it
be
necessary
)
he
must
drink
the
Chalybeate
Waters
.
An
Observation
of
a
Consumption
from
an
Artificial
Salivation
.
I
met
with
a
very
Remarkable
Instance
of
this
kind
of
Consumption
in
Mr.
Daulton
an
Apothecary's
Daughter
,
who
from
a
Salivation
,
that
was
raised
with
Mercury
to
Cure
the
Kings-Evil
,
fell
as
soon
as
ever
the
Salivation
was
ended
,
into
a
fatal
Consumption
,
and
by
reason
of
the
great
expence
of
the
Humours
caused
by
her
spitting
,
she
could
never
be
restored
,
either
by
the
help
of
the
Air
,
or
by
a
Milk
Diet
,
or
any
other
Art
,
but
being
gradually
wasted
away
with
a
Consumption
,
after
a
Month
or
two
from
the
end
of
the
Salivation
,
she
dyed
without
any
sign
of
a
Consumption
of
the
Lungs
.
CHAP.
X.
Of
a
Consumption
proceeding
from
a
Dropsie
.
A
Dropsie
is
caused
by
a
Rupture
of
the
Lympheducts
,
or
of
the
Chyliferous
Vessels
,
The
cause
of
a
Dropsie
the
breaking
of
the
Lymphatick
,
or
Chyliferous
Vessels
.
whereby
the
Nutritious
Juice
(
which
is
Naturally
conveyed
by
these
Vessels
as
it
were
in
certain
continual
Streams
into
the
Mass
of
Blood
in
the
form
either
of
a
Lympha
,
or
of
Chyle
,
in
order
to
recruit
it
)
does
now
continually
flow
out
of
those
Vessels
,
and
distills
into
the
cavity
of
the
Belly
and
Breast
,
or
into
the
Limbs
themselves
,
and
Habit
of
the
Body
.
How
it
causes
a
Consumption
.
By
which
means
the
Blood
being
deprived
of
its
usual
recruits
of
Chyle
,
or
Lympha
,
or
of
both
,
is
very
much
impoverisht
,
and
thereupon
grows
sharp
and
hot
;
upon
which
consideration
no
one
has
reason
to
think
it
strange
that
a
Fever
does
arise
with
a
Drought
,
and
other
Symptoms
of
that
kind
,
as
also
a
Consumption
,
or
Atrophy
of
the
Parts
,
with
a
great
Weakness
following
upon
it
by
reason
of
the
want
of
fresh
Nutritious
Juice
;
and
finally
,
a
difficulty
of
Breathing
,
by
reason
of
the
distention
and
fulness
of
the
Muscles
,
that
serve
for
Respiration
,
from
the
Dropsical
Humour
which
is
contained
within
them
.
The
most
usual
cause
of
the
breaking
of
these
Vessels
,
The
usual
cause
of
their
rupture
.
is
the
swelling
of
the
Glands
of
the
Belly
,
or
of
the
Breast
,
or
Limbs
,
through
which
,
or
just
by
which
these
Vessels
have
their
course
,
and
by
which
they
are
propt
.
By
which
swellings
those
tender
Vessels
being
streightned
and
comprest
,
they
cannot
give
a
free
passage
either
to
the
Lympha
,
or
the
Chyle
,
and
thereupon
these
Vessels
being
distended
beyond
their
Natural
Tone
by
the
continual
flowing
in
of
fresh
Liquor
,
that
has
its
tendency
to
the
parts
of
the
Vessels
,
that
are
comprest
,
and
does
press
on
behind
the
Liquor
,
which
goes
before
it
,
and
stops
at
the
compressure
,
are
at
length
broken
.
This
Distemper
is
very
hard
to
be
cured
,
neither
indeed
is
there
any
possibility
of
doing
it
without
healing
and
closing
the
Breaches
in
the
Lympheducts
,
or
Lacteal
Vessels
,
and
consequently
taking
down
the
swelling
of
the
Glands
,
which
causes
the
rupture
of
the
small
Vessels
by
compressing
them
.
The
Indications
of
Cure
.
Therefore
in
this
case
the
Indications
of
Cure
are
these
which
follow
.
1.
To
evacuate
the
extravasated
Humours
.
First
,
to
bring
down
and
evacuate
that
load
of
the
Nutritious
Juice
that
is
extravasated
,
with
Cathartick
Medicines
,
that
purge
off
Water
,
as
Rosin
of
Jalap
,
Gum
Gottae
,
and
others
of
that
sort
,
which
are
more
particularly
to
be
specified
in
the
Chapter
of
a
Dropsie
;
as
also
by
Diureticks
,
as
Salt
of
Amber
,
Wood-Lice
,
&c.
2.
To
open
the
Obstructions
.
Secondly
,
to
open
the
Obstructions
of
the
swell'd
Glands
,
and
to
dissolve
their
swellings
,
which
cause
the
Obstruction
of
the
Chyle
,
and
upon
that
to
restore
and
strengthen
the
Tone
of
the
Parts
that
were
swell'd
,
by
a
long
continued
use
of
Chalybeates
.
Which
being
done
,
the
Sick
Person
must
be
plentifully
Nourisht
with
Food
that
affords
good
Juice
,
and
at
length
be
sent
into
a
free
and
benign
Air
,
and
drink
the
Chalybeate
Waters
,
not
only
for
the
farther
temperating
of
the
heat
and
sharpness
of
the
Blood
,
but
also
in
order
to
the
perfect
opening
of
the
Obstructions
of
the
Glands
.
But
in
this
case
we
must
carefully
abstain
from
a
Milk
Diet
,
because
it
does
stuff
the
Glands
,
that
are
already
obstructed
,
more
,
and
consequently
promote
the
cause
which
disposes
the
Patient
to
this
Distemper
.
A
History
.
The
Son
of
Thomas
Lechmere
,
Esq
being
about
two
Years
,
and
breeding
of
his
Teeth
,
fell
into
an
Inflammation
of
his
Lungs
upon
taking
of
cold
,
and
was
treated
very
ill
by
an
Apothecary
,
who
had
omitted
Bleeding
,
and
other
things
,
that
were
very
requisite
to
a
true
and
skilful
Method
of
Cure
.
But
at
length
I
and
my
Famous
Colleague
Dr.
Croen
,
though
we
were
called
in
late
,
recovered
him
in
some
measure
,
by
taking
away
some
Blood
,
and
the
application
of
Blisters
,
and
Liniments
,
that
were
convenient
for
his
Breast
,
as
also
by
giving
inwardly
such
Medicines
as
were
proper
for
his
Lungs
:
But
yet
he
continued
sickly
with
a
Cough
and
difficulty
of
Breathing
,
for
the
space
of
a
Twelve
Month
at
least
,
from
which
time
the
poor
Child
began
to
be
seized
with
a
Hectick
Fever
,
which
intermitted
every
day
,
which
although
it
was
several
times
taken
off
with
the
Peruvian
Bark
,
yet
soon
return'd
again
,
and
indeed
came
upon
him
by
uncertain
intervals
for
a
whole
Year
,
even
to
his
dying
day
.
But
at
the
very
beginning
of
the
Fever
his
Belly
began
to
be
distended
with
a
Dropsical
swelling
,
which
increased
strangely
every
day
;
his
Cough
and
shortness
of
Breath
at
the
same
time
growing
worse
:
All
which
Symptoms
were
at
length
accompanied
with
an
Atrophy
of
the
Parts
,
even
to
the
degree
of
a
Marasmus
.
But
yet
when
his
Body
was
a
perfect
Skeleton
,
and
the
Dropsie
at
a
high
Tide
(
which
was
very
remarkable
)
he
had
a
brisk
and
healthful
look
,
and
a
lovely
Countenance
,
without
the
least
Tincture
of
a
Yellowness
,
and
a
good
,
or
rather
greedy
Appetite
,
and
that
to
the
very
day
he
dyed
.
From
whence
I
did
rightly
conjecture
,
and
always
told
his
Friends
,
as
my
Opinion
,
that
his
Dropsie
was
truly
Chylous
,
caused
by
the
Chyle
flowing
into
the
cavity
of
the
Belly
by
the
Lacteal
Vessels
,
which
were
broke
by
some
Accident
,
and
that
the
Consumption
which
accompanied
it
was
not
a
true
Consumption
of
the
Lungs
,
but
such
as
proceeded
merely
from
an
inanition
,
that
is
,
the
draining
of
the
due
Nutritious
Juice
out
of
the
Lacteal
Vessels
,
upon
some
rupture
that
had
been
made
in
them
;
which
appeared
very
plainly
from
the
Event
.
For
in
Tapping
of
the
Child's
Belly
,
whilst
he
was
yet
alive
,
we
took
out
several
Pints
of
Milky
Chyle
,
and
very
sweet
,
such
as
is
found
in
the
Duct
it self
,
which
conveys
the
Chyle
.
But
when
we
opened
the
Body
after
he
was
dead
,
we
found
for
all
the
difficulty
of
Breathing
,
and
long
Cough
he
had
had
,
the
Lungs
themselves
sound
,
without
any
Distemper
,
but
only
that
in
the
hinder
part
near
the
Wind-Pipe
there
appeared
a
great
many
Glands
,
and
those
pretty
large
and
hard
,
which
made
a
hard
and
very
considerable
pressure
upon
the
Chyle-duct
it self
,
almost
in
that
Part
where
it
arrives
at
the
Subclavian
Vein
;
and
they
were
of
so
great
a
weight
and
bulk
,
that
it
seemed
very
difficult
,
if
not
plainly
impossible
for
the
Chyle
to
pass
into
the
Blood
by
reason
of
the
pressure
they
had
made
upon
the
Duct
,
which
had
straightned
it
,
as
if
it
had
been
tied
with
a
string
.
And
thereupon
without
doubt
it
came
to
pass
that
the
tender
and
thin
Lacteal
Vessels
which
are
in
the
Belly
(
the
Chyle
continually
pressing
,
and
not
finding
a
free
passage
above
by
the
Chyle-duct
)
being
distended
beyond
their
Tone
,
did
at
length
break
,
and
so
threw
the
Chyle
,
which
was
design'd
for
the
reparation
of
the
Blood
,
as
it
were
in
a
continued
stream
into
the
cavity
of
the
Belly
.
From
what
I
have
now
said
,
it
is
plain
almost
to
a
demonstration
,
first
,
that
these
Tubercles
,
or
tumify'd
Glands
of
the
Lungs
did
at
first
proceed
from
the
ill
Method
of
Curing
the
Inflammation
of
his
Lungs
,
that
is
,
for
want
of
timely
Bleeding
and
Expectoration
.
Secondly
,
that
as
the
troublesome
and
dry
Cough
was
caused
by
the
constriction
of
the
Vessels
of
the
Lungs
,
which
convey
the
Air
,
by
these
swellings
,
so
the
difficulty
of
Breathing
proceeded
from
the
pressure
of
the
extravasated
Chyle
below
the
Midriff
.
Thirdly
,
that
this
Consumption
was
not
a
true
Consumption
of
the
Lungs
;
because
tho'
there
were
Tubercles
or
Swellings
in
the
Lungs
,
yet
they
were
not
like
Apostemes
,
nor
Ulcerated
.
But
this
desperate
Consumption
did
really
proceed
from
that
Chylous
Dropsie
,
upon
which
that
Nutritious
Juice
,
which
ought
to
have
been
employ'd
for
the
reparation
of
the
Blood
,
and
the
Nutrition
of
the
Parts
,
was
continually
substracted
,
and
carried
another
way
.
Fourthly
,
that
this
Dropsie
did
proceed
from
a
rupture
of
the
small
Lacteal
Vessels
that
are
in
the
Belly
;
and
lastly
,
that
this
rupture
of
the
small
Lacteal
Vessels
was
caused
by
that
continual
pressure
,
which
the
swellings
in
the
Lungs
had
made
upon
the
upper
part
of
the
Chyle-duct
.
CHAP.
XI
.
Of
a
Consumption
caused
by
profuse
Sweats
.
Profuse
and
long
sweats
often
turn
Colliquative
.
SUch
Sweats
as
are
profuse
,
and
last
long
,
do
very
often
become
colliquative
,
that
is
,
they
carry
off
a
great
quantity
of
the
Nutritious
Particles
,
as
if
they
were
melted
,
and
more
fluid
than
ordinary
:
For
by
these
Sweats
not
only
the
load
of
old
,
dispirited
,
and
unprofitable
Chyle
,
but
also
a
great
quantity
of
that
Chyle
,
which
is
fresh
and
Oily
,
is
readily
cast
out
by
the
pores
of
the
Skin
,
by
reason
the
Blood
cannot
assimilate
it
from
its
own
too
great
and
Scorbutical
sharpness
,
which
it
had
contracted
by
degrees
.
From
whence
it
comes
to
pass
by
reason
of
the
continual
impoverishment
of
the
Blood
,
And
from
hence
a
Consumption
arises
.
that
not
only
the
Mass
of
that
becomes
sharp
,
and
grows
hot
with
a
Feverish
and
Hectick
flame
;
but
also
the
solid
Parts
of
the
Body
being
at
the
same
time
deprived
by
this
means
of
their
requisite
Nourishment
,
do
by
degrees
fall
into
an
Atrophy
,
and
perfectly
wast
.
Colliquative
Sweats
attend
every
Consumption
when
deplorable
.
This
Colliquative
Sweat
,
as
it
accompanies
every
Consumption
of
the
Lungs
in
the
deplorable
state
,
and
highest
degrees
of
it
,
that
is
,
when
it
is
now
hastening
to
a
fatal
period
;
so
it
is
found
in
the
lamentable
state
of
every
Distemper
,
and
the
sudden
ruin
of
Nature
always
follows
it
:
And
therefore
these
Dews
,
or
Colliquative
and
Oily
Sweats
are
commonly
called
clammy
Death-sweats
.
Sometimes
also
,
though
seldom
,
I●
the
Scurvy
Coll●qu●tive
Sweats
the
Original
of
an
Atrophy
.
I
have
observed
in
a
Scorbutical
Disposition
that
this
kind
of
Colliquative
Sweat
has
the
place
of
an
Original
Distemper
,
by
the
excess
of
which
I
have
seen
the
whole
Body
brought
into
a
Hectick
and
Consumptive
state
in
a
few
Weeks
:
Which
comes
to
pass
,
because
the
Mass
of
Blood
is
by
these
profuse
Sweats
continuing
long
,
reduced
to
an
impoverisht
state
,
and
rendred
unfit
for
Nourishment
:
Upon
which
there
necessarily
follows
a
Hectick
heat
,
and
an
Atrophy
of
the
Parts
,
with
a
great
Weakness
,
and
other
usual
Symptoms
of
a
Consumption
in
the
Habit
of
the
Body
.
I
have
a
mind
to
add
here
to
the
end
of
this
Chapter
an
Instance
or
two
of
this
Nature
,
by
the
relating
of
which
,
the
cure
of
this
Consumption
will
be
shewn
so
far
as
I
have
observed
,
and
am
able
to
give
an
Account
of
it
.
History
1.
Mr.
Luffe
,
a
Presbyter
,
being
about
Sixty
Years
Old
(
who
was
also
the
Father
of
Dr.
Luffe
,
a
Famous
Professor
of
Physick
at
Oxford
)
a
Man
that
had
for
many
Years
past
been
Scorbutical
,
and
Melancholick
,
was
frequently
subject
to
a
Giddiness
,
Palpitation
of
the
Heart
,
and
many
other
Affections
of
his
Brain
and
Nerves
.
But
above
all
he
was
wont
to
complain
of
Colliquative
Sweats
,
that
followed
him
continually
both
Night
and
Day
,
and
that
as
well
in
the
Winter
as
the
Summer
time
.
From
whence
it
came
to
pass
,
that
not
only
he
was
very
subject
to
take
cold
,
upon
which
he
always
felt
great
pains
in
his
Nervous
Parts
,
but
also
his
whole
Body
wasted
so
,
that
he
was
justly
to
be
reckoned
in
the
number
of
those
that
were
in
a
Consumption
.
However
with
Issues
made
between
his
Shoulders
,
and
the
use
of
a
Diet-drink
made
with
Antiscorbutick
Ingredients
steep'd
in
Ale
for
his
ordinary
Drink
,
and
especially
the
long
use
of
the
Mineral
Waters
,
both
the
Chalybeate
and
Purging
,
which
he
took
as
well
in
the
Winter
as
the
Summer
,
he
was
perfectly
freed
not
only
from
those
other
Distempers
which
affected
his
Nerves
,
but
also
from
these
Colliquative
Sweats
:
By
which
means
it
came
to
pass
,
that
he
lived
several
Years
in
the
latter
end
of
his
Old
Age
with
a
strong
Habit
of
Body
,
an
uninterrupted
Health
,
a
chearful
Mind
,
a
fresh
and
brisk
Look
,
as
if
he
began
to
grow
Young
again
.
History
2.
The
Wife
of
one
Mr.
Clapton
,
who
lived
in
Lothbury
,
being
about
Forty
Years
old
,
a
Woman
that
had
been
for
many
Years
very
Scorbutical
,
and
Asthmatical
,
a
Month
after
a
Lying
in
,
fell
in
the
Spring-time
into
most
violent
pains
a
little
above
the
Groin
.
To
whom
besides
the
outward
application
of
an
Anodyne
Liniment
,
I
gave
a
Draught
,
that
might
put
her
into
a
breathing
sweat
,
Of
Carduus-water
,
Treacle-water
,
Venice-Treacle
,
and
the
Syrup
of
Meconium
;
upon
which
it
happen'd
that
she
fell
and
dissolv'd
into
most
profuse
and
very
stinking
Sweats
,
which
though
they
took
some
of
the
Bed-cloaths
off
from
her
by
degrees
,
did
nevertheless
continue
for
a
fortnight
or
more
,
with
an
extraordinary
decay
of
her
Strength
,
and
a
pining
Consumtion
of
her
Body
.
Which
when
I
observed
,
I
forthwith
prescrib'd
such
Electuaries
and
temperate
Juleps
as
were
binding
,
and
proper
to
stop
the
pores
of
the
Skin
,
and
other
things
of
that
Nature
;
whereupon
her
Sweats
presently
decreas'd
,
but
although
the
pores
of
the
Skin
were
then
stopt
by
Art
,
yet
the
new
Chyle
,
which
by
reason
of
the
Acrimony
that
remain'd
in
the
Blood
,
was
not
so
well
assimilated
and
united
to
that
Mass
which
remain'd
,
being
mixt
with
it
,
the
fresh
Nutritious
Juice
attempted
to
find
out
a
new
way
,
and
to
discharge
it self
by
Stool
,
and
so
in
the
room
of
her
Colliquative
Sweats
there
succeeded
a
Looseness
that
was
as
Colliquative
as
they
were
,
together
with
griping
pains
,
the
Habit
of
her
Body
every
day
running
farther
into
a
Consumption
.
But
this
Door
being
in
like
manner
barricadoed
with
the
use
of
Opiates
and
Emplastick
Medicines
,
the
Nutritious
Juice
found
out
another
by
the
Kidneys
,
whereupon
the
poor
Woman
fell
into
a
Diabetes
,
which
still
promoted
her
Consumption
,
almost
to
the
degree
of
a
Marasmus
.
But
when
the
Diabetes
was
overcome
with
the
use
of
Gum
Arabick
,
Astringent
Electuaries
,
&c.
at
length
her
profuse
and
colliquative
Sweats
return'd
again
.
And
therefore
I
resolv'd
to
send
this
Miserable
and
Consumptive
Woman
into
the
fresh
and
open
Air
at
Hampstead
,
(
the
time
of
the
Year
encouraging
me
,
it
being
the
Spring
)
by
which
change
of
Air
(
the
pores
of
the
Skin
being
now
suddenly
stopt
)
the
Distemper
was
turn'd
into
an
extraordinary
Spitting
for
Twenty
days
or
more
,
her
Consumptive
Disposition
still
remaining
,
or
rather
increasing
;
but
with
the
plentiful
use
of
a
Milk
Diet
,
and
the
benefit
of
the
open
Air
,
the
Mass
of
Blood
being
softned
by
little
and
little
,
and
its
Acrimony
corrected
,
the
colliquation
also
of
the
Nutritious
Juice
was
by
degrees
overcome
;
and
thereupon
being
freed
not
only
from
her
Spitting
,
but
also
from
the
Consumptive
disposition
it self
,
she
improv'd
every
day
in
her
Flesh
and
Appetite
,
till
she
had
perfectly
recovered
them
:
A
large
Apostem
at
length
gathering
upon
her
Groin
,
where
the
pain
first
seized
her
,
which
was
opened
and
cured
by
a
Surgeon
.
And
by
this
means
the
Woman
lived
,
and
was
well
for
Ten
Years
,
or
more
,
though
she
afterwards
dyed
of
an
Asthma
.
History
3.
Mr.
Fortescue
,
a
Man
about
Sixty
Years
old
,
who
had
been
Scorbutical
for
many
Years
before
,
and
something
Asthmatical
,
was
for
three
or
four
Summers
troubled
with
a
continual
heat
and
burning
of
his
Loins
and
Limbs
.
Whereby
it
came
to
pass
,
that
he
was
plainly
exhausted
,
and
brought
almost
into
the
state
of
a
Marasmus
by
profuse
and
colliquative
Sweats
,
which
followed
him
more
especially
when
he
was
in
Bed
.
But
in
the
Winter
time
he
was
well
,
being
in
a
manner
freed
as
well
from
his
Heat
as
from
his
Sweats
,
tho'
he
never
mended
his
very
thin
,
Hippocratical
look
.
But
this
Summer
1688
,
the
burning
in
his
Loins
,
and
his
profuse
Sweats
grew
so
much
upon
him
,
that
he
could
not
lie
in
his
Bed
to
sleep
;
from
whence
at
length
it
came
to
pass
,
that
having
lost
his
Appetite
,
he
fell
into
a
Dropsical
and
Oedematous
swelling
of
his
Legs
.
After
many
things
had
been
tryed
in
vain
by
other
Physicians
,
at
length
I
was
call'd
,
and
quenching
the
flame
,
which
was
in
his
Blood
and
Spirits
,
by
the
use
of
the
Peruvian
Bark
,
I
also
brought
his
sweats
within
moderate
bounds
:
By
which
means
the
sick
Person
lying
in
Bed
as
he
ought
to
do
,
the
swelling
of
his
Legs
also
plainly
vanisht
,
though
he
still
appears
lean
and
Consumptive
.
The
APPENDIX
.
THIS
general
Consumption
proceeding
from
Evacuations
does
often
depend
upon
other
Distempers
;
This
Consumption
from
Evacuations
often
depends
upon
other
Distempers
,
as
,
A
Lientery
.
and
therefore
it
may
justly
be
called
a
general
Symptomatical
Consumption
.
As
first
,
upon
a
Lientery
,
to
wit
,
when
the
Faculty
of
the
Stomack
,
which
makes
the
Chyle
,
is
injured
by
a
Preternatural
disposition
of
the
Spittle
,
and
the
ill
Temper
of
the
Nervous
Liquor
:
Whereby
it
comes
to
pass
,
that
the
Blood
and
Habit
of
the
Body
(
since
the
Food
that
is
taken
is
carried
down
through
the
Guts
,
and
comes
away
as
it
went
in
without
any
alteration
)
cannot
receive
any
Recruits
from
the
Food
;
and
from
hence
there
necessarily
follows
an
Atrophy
caused
by
Inanition
.
Many
times
this
general
Consumption
proceeds
from
a
Preternatural
alteration
,
The
Celiack
Passion
.
or
obstruction
of
the
Gall
and
Pancreatick
Juice
,
or
else
of
the
Juice
,
which
is
naturally
,
and
uses
to
be
separated
by
the
small
Glands
,
planted
through
the
whole
Pipe
or
Duct
of
the
Intestines
,
and
which
serves
for
the
separation
of
the
Excrementitious
parts
of
the
Food
from
those
,
which
are
for
Nourishment
.
For
from
hence
it
comes
to
pass
,
that
the
Chylous
parts
of
the
Food
,
that
goes
down
out
of
the
Stomack
,
slipping
by
the
small
mouths
of
the
Milky
Vessels
,
are
thrust
out
together
with
the
dreggy
Excrements
by
Siege
;
and
that
either
in
white
Stools
,
and
such
as
are
plainly
Chylous
from
the
defect
,
or
preternatural
disposition
of
the
Choler
,
(
which
is
the
proper
Liquor
for
separating
the
Chyle
)
as
it
commonly
happens
in
the
Jaundice
,
together
with
a
great
weakness
of
the
Body
,
and
wasting
of
the
Flesh
:
Or
else
in
yellow
Stools
,
as
in
the
Celiack
Passion
,
which
either
is
from
an
Obstruction
of
the
Pancreatick
Juice
,
and
that
which
is
separated
by
the
Glands
of
the
Intestines
,
or
uses
to
happen
from
the
depravation
of
the
Nature
of
those
Juices
.
In
the
first
case
the
Urine
is
much
tinged
with
a
Yellow
,
or
Jaundice
colour
,
but
in
the
latter
it
is
quite
contrary
.
In
both
of
them
,
the
Chyle
not
being
separated
from
the
Excrementitious
parts
of
the
Food
,
the
Blood
is
depriv'd
of
its
due
recruits
,
upon
which
I
have
often
observed
that
an
Atrophy
,
or
Consumption
,
and
that
no
lingring
one
,
has
seized
the
sick
Persons
.
Scrophulous
Glands
in
the
Mesentery
Finally
,
this
general
Symptomatical
Consumption
is
sometimes
caused
by
many
and
large
Scrophulous
Kernels
preternaturally
situated
in
the
Mesentery
,
by
which
(
the
Milky
Veins
being
straightned
as
with
a
Thread
,
or
being
comprest
)
the
passage
of
the
Nutritious
Liquor
,
which
is
separated
in
the
Intestines
,
and
taken
in
by
the
mouths
of
the
Lacteal
Veins
into
the
Mass
of
Blood
,
is
either
totally
,
or
in
part
hindred
.
In
which
case
the
Stools
are
large
,
and
Chylous
,
the
Belly
grows
hard
,
and
is
swell'd
,
but
the
Urine
flows
in
a
very
little
quantity
,
yet
keeps
its
Natural
colour
.
Thereupon
,
the
Blood
not
being
every
day
replenished
with
new
Chyle
,
the
Muscular
Parts
are
deprived
of
their
due
Nourishment
,
and
daily
pine
away
,
and
at
length
are
wasted
to
the
degree
of
a
Marasmus
,
though
the
Appetite
at
the
same
time
be
greedy
,
and
the
Patient
continues
almost
always
free
from
any
thing
of
a
Fever
;
an
Instance
of
which
kind
I
once
met
with
in
a
Boy
about
four
Years
old
;
the
History
of
which
,
because
it
was
a
very
rare
case
,
I
shall
presently
relate
.
All
these
Symptomatical
Consumptions
are
plainly
incurable
,
In
the
Cure
of
these
Symptomatical
Consumptions
respect
must
be
first
had
to
the
Original
Di●●●se
.
unless
a
particular
respect
be
first
had
to
the
Distempers
upon
which
they
depend
,
but
if
these
are
once
remov'd
by
Art
,
this
kind
of
Consumption
ceases
of
its
own
accord
;
and
therefore
the
Cure
of
this
Consumption
is
to
be
sought
for
in
another
place
,
to
wit
,
in
the
Cure
of
those
Distempers
which
are
the
cause
of
it
.
History
1.
A
certain
Citizen's
Son
,
in
the
Street
commonly
called
Wood-street
,
being
about
four
Years
old
,
seem'd
without
any
Fever
or
Cough
to
be
brought
by
degrees
to
the
highest
degree
of
a
Marasmus
;
but
his
Belly
was
unequally
hard
and
swell'd
,
his
Urine
very
little
in
quantity
,
yet
of
a
good
colour
;
his
Stools
frequent
,
large
,
and
plainly
chylous
:
Nevertheless
his
Appetite
continued
good
,
or
rather
greedy
all
the
time
of
his
ilness
;
whereupon
I
did
easily
conjecture
that
the
passage
of
the
Chyle
through
the
Milky
Veins
was
much
hindred
by
the
many
and
very
large
Glandulous
Swellings
plac'd
up
and
down
in
his
Belly
,
and
that
his
Consumption
had
its
Origine
from
the
Evacuation
of
the
Chyle
caused
in
this
manner
.
I
ordered
the
Plaister
Diasaponis
to
be
apply'd
to
his
whole
Belly
,
and
the
following
Julep
to
be
given
him
plentifully
,
and
frequently
.
Take
Parsly-water
,
Fennel-water
,
of
each
four
Ounces
,
the
Magisterial
Water
of
Earth-worms
,
Syrup
of
the
five
opening
Roots
,
of
each
two
Ounces
,
of
the
purest
Salt
of
Amber
very
well
freed
from
the
Oyl
,
half
a
Dram
;
mix
them
,
and
make
a
Julep
.
This
Liquor
he
very
greedily
coveted
beyond
all
expectation
,
plainly
refusing
any
other
,
so
that
in
the
space
of
Four
and
Twenty
Hours
he
drank
up
double
the
quantity
of
the
Julep
that
was
prescrib'd
.
Upon
which
he
made
Water
at
a
strange
rate
,
and
had
fewer
,
and
less
chylous
Stools
,
the
swelling
of
his
Belly
falling
at
the
same
time
,
and
in
a
short
space
with
the
frequent
and
plentiful
use
of
this
Julep
,
and
torrefied
Rhubarb
made
up
into
the
form
of
a
Bolus
with
Diascordium
,
the
little
Boy
was
freed
from
his
Marasmus
beyond
the
expectation
of
all
his
Friends
.
History
2.
Very
lately
(
which
was
just
after
I
had
wrote
this
Treatise
)
I
was
called
to
go
see
Mr.
Gouge's
Son
at
the
Sign
of
the
Cornelian
Ring
in
the
Strand
,
a
Boy
about
six
Years
old
,
and
perfectly
reduced
to
a
Skeleton
by
a
Marasmus
:
As
soon
as
I
had
made
a
diligent
Enquiry
into
the
cause
of
this
Consumption
,
I
presently
found
his
Belly
,
which
was
very
much
,
and
unequally
tumifyed
,
every
where
full
of
swellings
,
which
were
disposed
here
and
there
in
clusters
,
which
yet
could
not
be
discerned
without
pressing
very
hard
with
ones
fingers
.
His
Stools
also
were
frequent
,
and
chylous
,
his
Urine
little
,
but
of
a
Natural
colour
;
he
had
no
Cough
,
breath'd
freely
enough
,
but
he
had
a
very
Melancholick
and
plainly
dead
Look
,
and
his
Countenance
was
squalid
and
pale
.
I
ordered
him
the
White
Drink
,
and
a
Bolus
with
Diascordium
,
and
torrefied
Rhubarb
,
of
each
half
a
Scruple
,
to
be
taken
once
a
Week
;
the
Plaister
Diasaponis
to
be
apply'd
to
his
Belly
,
and
the
Julep
I
just
now
mentioned
in
the
last
History
,
which
was
made
very
strong
of
the
Salt
of
Amber
,
to
be
drank
as
often
as
he
would
take
it
.
What
I
have
been
telling
of
the
former
Patient
,
the
same
thing
did
happily
fall
out
here
in
this
.
For
the
Boy
refusing
all
other
Liquors
,
did
covet
the
Julep
Day
and
Night
,
so
that
he
drank
almost
four
and
twenty
Ounces
every
day
.
By
which
means
it
came
to
pass
,
that
in
the
space
of
a
fortnight
or
less
his
Stools
were
brought
to
a
Natural
consistence
,
colour
,
and
quantity
.
His
Urine
also
flow'd
plentifully
.
The
swelling
of
his
Belly
went
down
to
a
Miracle
.
Neither
could
I
any
more
perceive
any
Swellings
that
lay
conceal'd
within
it
,
though
I
strictly
examin'd
with
my
fingers
.
His
Appetite
and
desire
of
Drink
were
Natural
,
and
as
they
ought
to
be
.
His
Flesh
likewise
seem'd
gradually
to
increase
every
day
.
And
now
his
Melancholy
and
Weariness
being
overcome
,
the
Boy
seems
to
recover
not
only
the
wonted
vigour
and
activity
of
his
Body
,
but
also
a
good
Look
,
and
a
fresh
Colour
in
some
measure
;
so
that
I
am
not
at
all
sollicitous
about
what
remains
to
compleat
the
Cure
.
A
TREATISE
OF
Consumptions
.
The
Second
BOOK
.
Of
an
Original
Consumption
of
the
Lungs
.
What
a
Consumption
of
the
Lungs
is
.
A
Consumption
of
the
Lungs
is
a
Consumption
of
the
whole
Body
with
a
Fever
,
proceeding
first
from
an
ill
Affection
,
and
at
length
an
Exulceration
of
the
Lungs
.
Which
indeed
is
the
most
Famous
Consumption
,
and
that
which
is
called
so
by
way
of
Eminence
,
and
of
which
Authors
use
to
treat
,
as
if
there
were
no
other
kind
of
Consumption
;
and
therefore
I
shall
now
speak
more
largely
of
it
.
It
is
either
Original
,
or
Symptomatical
.
This
Consumption
of
the
Lungs
is
either
Original
,
which
from
the
very
beginning
depends
upon
an
ill
disposition
,
and
an
Exulceration
of
the
Lungs
:
Or
Secundary
,
and
Symptomatical
,
when
ever
the
Lungs
receive
any
great
Injury
from
preceding
Distempers
.
But
seeing
that
we
ought
always
in
the
Cure
of
a
Symptomatical
Consumption
of
the
Lungs
to
have
a
particular
regard
to
the
Primary
Distemper
,
from
which
this
Consumption
has
its
Origine
;
and
the
Cure
of
it
does
require
a
variation
in
some
things
,
according
to
the
Nature
of
that
Distemper
,
I
shall
make
it
my
business
in
the
last
Book
of
this
Treatise
to
treat
of
the
Cure
of
this
kind
of
Consumptions
,
having
first
given
in
this
Second
Book
(
so
far
as
I
have
been
able
to
observe
)
a
general
Account
of
the
Nature
,
Causes
,
Differences
,
Diagnostick
,
and
Prognostick
Signs
,
Indications
of
Cure
,
and
the
Method
of
Curing
an
Original
Consumption
of
the
Lungs
.
CHAP.
I.
Of
the
Causes
of
an
Original
Consumption
of
the
Lungs
.
The
general
cause
of
a
Consumption
.
THE
cause
of
a
Consumption
of
the
Lungs
in
general
is
a
vitiated
disposition
of
the
Mass
of
Blood
,
and
of
the
Spirits
in
the
Nerves
,
contracted
gradually
from
several
Procatartick
or
predisposing
causes
,
in
which
the
sharp
or
Malignant
Serum
or
Water
of
the
Blood
being
separated
by
the
soft
and
Glandulous
substance
of
the
Lungs
,
does
stuff
,
inflame
,
and
at
length
also
exulcerate
the
Lungs
themselves
,
which
is
the
immediate
cause
of
this
Distemper
.
The
Procatarctick
causes
of
a
Consumption
.
First
,
the
stopping
of
Evacuations
.
The
Procatartick
causes
,
or
those
which
give
the
first
occasion
to
this
Disease
,
are
,
First
,
the
stopping
of
some
usual
and
necessary
Evacuations
,
as
the
Monthly
Courses
,
Child-bed
Purgations
,
Old
Sores
,
and
especially
Fistula's
,
Issues
,
Sweating
in
the
soles
of
the
Feet
,
or
any
other
parts
of
the
Body
,
a
Gonorrhoea
,
the
Whites
,
and
other
Evacuations
of
that
kind
,
when
they
are
stopt
without
correcting
or
removing
the
causes
upon
which
they
depend
:
From
whence
it
comes
to
pass
that
even
the
Blood
it self
is
polluted
and
distemper'd
by
those
Humours
,
which
are
condemned
by
Nature
to
be
thrown
off
,
or
banisht
,
but
by
some
Bars
and
Impediments
lying
in
their
way
are
stopt
,
and
retain'd
in
the
Mass
of
Blood
longer
than
is
convenient
.
2.
Passions
of
the
Mind
.
Secondly
,
troublesome
Passions
of
the
Mind
,
but
especially
Fear
,
Grief
,
Anger
,
too
much
Thinking
,
and
Sollicitude
,
as
also
unseasonable
and
too
long
Studies
,
with
other
things
of
this
Nature
;
which
contribute
very
much
to
this
Distemper
,
not
only
by
vitiating
the
Animal
Spirits
,
and
thereupon
hindring
the
Natural
Fermentation
of
the
Blood
,
but
also
by
fixing
almost
a
continual
Spasmodick
Contraction
,
or
Convulsion
upon
the
soft
substance
of
the
Lungs
.
Thirdly
,
3.
Intemperance
in
eating
and
drinking
.
a
too
plentiful
,
and
an
unseasonable
gorging
of
Meat
and
Drink
,
and
also
an
imprudent
choice
of
such
Meats
and
Liquors
,
as
abound
with
Excrementitious
parts
,
and
are
not
very
easie
to
be
digested
;
but
especially
the
drinking
too
much
Wine
,
and
Liquors
that
are
very
Spirituous
.
Which
when
it
is
joyn'd
with
Cares
and
Grief
,
and
other
such-like
Passions
of
the
Mind
(
so
far
as
I
have
been
able
to
observe
)
is
commonly
the
cause
of
a
Consumption
of
the
Lungs
.
For
the
Habit
of
the
Body
being
from
hence
filled
with
a
load
of
dispirited
and
unprofitable
Humours
,
as
it
is
,
when
it
is
Oedematous
,
the
whole
Mass
of
Blood
is
polluted
,
and
rendred
waterish
and
sharp
,
and
at
length
is
disposed
to
a
Hectical
heat
.
Fourthly
,
the
neglect
of
due
Exercise
,
4.
Want
of
due
Exercise
.
for
want
of
which
the
Excrements
,
which
ought
by
the
usual
Law
of
Nature
to
be
thrown
out
by
the
Skin
,
being
detained
in
the
Blood
,
are
wont
by
degrees
to
destroy
the
Crosis
or
mixture
of
it
.
For
want
of
this
the
Humours
also
are
wont
to
stagnate
in
the
Habit
of
the
Body
,
and
various
Obstructions
to
arise
here
and
there
in
the
small
Fibres
themselves
;
which
contribute
very
much
to
the
corrupting
of
the
Blood
,
and
the
weakning
of
the
Spirits
.
Fifthly
,
Night-studies
,
5.
Night
Studies
,
and
long
Watchings
.
and
long
Watchings
,
which
not
only
weaken
the
Animal
Spirits
,
which
are
necessary
for
the
Fermentation
of
the
Blood
,
but
also
keep
within
the
Body
those
Excrementitious
parts
,
which
are
wont
to
be
thrown
out
in
the
Bed
by
Sweat
,
or
Perspiration
;
and
who
will
think
it
strange
,
that
the
whole
Mass
is
by
degrees
vitiated
by
this
means
?
Sleeping
in
the
day
.
To
this
we
may
also
add
sleeping
in
the
Day
,
and
sleeping
much
,
but
especially
presently
after
eating
,
which
as
it
dispirits
the
Mass
of
Blood
,
and
fills
it
with
useless
Chyle
by
hindring
the
Digestion
of
the
Food
(
from
which
cause
frequent
and
troublesome
Coughs
are
wont
to
proceed
:
)
So
by
putting
the
Animal
Spirits
to
sleep
at
an
unseasonable
time
,
and
thereupon
hindring
the
Fermentation
and
Volatilization
of
the
new
Chyle
,
it
makes
the
whole
Mass
of
Blood
too
waterish
and
sharp
.
6.
An
ill
Air.
Sixthly
,
also
a
foggy
and
thick
Air
,
and
that
which
is
filled
with
the
smoak
of
Coals
,
does
extreamly
promote
a
Consumption
by
vitiating
the
Animal
Spirits
,
which
are
so
necessary
to
the
Natural
Fermentation
of
the
Blood
;
and
also
by
stuffing
and
weakning
the
Lungs
,
that
serve
for
Respiration
,
which
are
the
Seat
and
Theatre
of
this
Distemper
.
7.
An
Hereditary
Disposition
.
Seventhly
,
An
Hereditary
Disposition
from
the
Parents
does
very
often
bring
a
Consumption
of
the
Lungs
,
when
every
Body
knows
very
well
,
that
those
who
come
of
Consumptive
Parents
,
are
apt
to
fall
into
the
same
Distemper
.
8.
An
ill
formation
of
the
Breast
.
Eighthly
,
an
ill
formation
of
the
Breast
,
whether
it
be
Natural
or
Accidental
,
is
another
cause
of
this
Disease
.
I
call
that
Natural
,
where
the
Breast
is
narrow
,
the
Neck
long
,
and
the
Shoulder-blades
stand
out
like
Wings
:
And
that
I
call
Accidental
,
where
there
is
a
crookedness
,
or
distortion
of
the
Breast
,
whereby
not
only
the
parts
of
the
Breast
,
and
especially
the
Lungs
being
once
weakned
in
their
Tone
,
are
rendred
subject
to
the
Flux
of
Rheumes
;
but
also
the
Lungs
wanting
their
necessary
expansion
,
and
being
streightned
,
do
heap
up
in
themselves
,
and
retain
the
vitiated
Serum
of
the
Blood
,
from
whence
it
comes
to
pass
,
that
at
length
they
come
to
have
Obstructions
.
Ninthly
,
9.
Infection
.
This
Disease
is
also
propagated
by
Infection
.
For
this
Distemper
(
as
I
have
observed
by
frequent
Experience
)
like
a
Contagious
Fever
does
infect
those
that
lye
with
the
Sick
Person
with
a
certain
taint
.
Tenthly
,
10.
Chalky
stones
,
and
such
like
in
the
Lungs
,
also
Chalky
Stones
,
that
are
Preternaturally
bred
in
the
Lungs
;
or
Nails
,
and
other
hard
Bodies
slipping
down
into
the
Lungs
,
when
Persons
laugh
,
are
to
be
reckoned
among
the
Causes
of
a
Consumption
of
the
Lungs
.
By
which
not
only
a
troublesome
Cough
,
provoking
a
Flux
of
the
Humours
is
caused
,
but
also
Apostemes
and
Ulcers
,
where
also
for
the
most
part
a
spitting
of
Blood
preceding
does
dispose
the
Lungs
to
those
Apostemes
and
Ulcers
.
Of
which
I
shall
afterwards
give
some
Histories
.
Eleventhly
,
11.
Some
preceding
Distemper
.
Also
some
particular
Diseases
,
which
corrupt
and
overthrow
the
Nature
of
the
Blood
and
Spirits
,
do
occasion
this
Distemper
.
From
whence
there
follow
a
Symptomatical
Consumption
(
of
which
I
shall
make
it
my
business
to
discourse
in
the
end
of
this
Treatise
,
)
as
the
Scurvy
,
Kings-Evil
,
Convulsive
,
and
especially
Hysterical
Affections
,
if
they
have
been
of
a
long
continuance
;
also
Fevers
,
and
especially
Intermitting
,
and
Scarlet
Fevers
,
and
such
as
proceed
from
a
Surfeit
;
so
the
Small-Pox
,
Measles
,
Stone
in
the
Kidneys
,
the
French
Pox
,
an
Asthma
,
spitting
of
Blood
,
Inflammation
of
the
Lungs
,
Pleurisie
,
and
other
Distempers
of
the
Breast
ill
cured
;
likewise
the
Green-sickness
,
a
sixt
Melancholy
,
Gout
,
and
Rheumatism
.
The
more
immediate
cause
is
taking
of
cold
.
The
Body
being
thus
predispos'd
to
a
Consumption
by
these
and
other
such-like
Procatarctick
Causes
,
the
more
immediate
cause
of
this
Distemper
is
for
the
most
part
the
taking
of
Cold
,
from
whence
it
comes
to
pass
,
that
in
the
Body
disposed
in
such
a
manner
by
a
load
of
Humours
,
or
Water
continually
deriv'd
from
the
distemper'd
Habit
of
the
Body
into
the
Lungs
,
a
Cough
is
caused
,
that
is
not
easily
shaken
off
,
as
that
is
wont
to
be
,
which
happens
from
a
meer
accidental
Cold
,
where
the
Matter
is
concocted
within
a
few
days
into
a
putrid
Flegm
,
and
upon
that
is
all
perfectly
thrown
out
by
a
Cough
(
as
I
shall
shew
more
largely
in
the
Chapter
of
a
Catarrh
.
)
Moreover
from
a
stock
of
very
sharp
and
Malignant
Humours
,
which
were
gathered
before
in
the
Habit
of
the
Body
,
(
as
there
is
a
continual
supply
of
new
Matter
from
the
Circulation
of
the
Blood
)
there
is
a
continual
and
troublesome
Cough
produced
,
and
sticks
upon
the
Patient
to
his
dying
day
:
The
Serum
,
or
Water
of
the
Blood
being
separated
,
as
it
were
in
a
perpetual
stream
by
the
Glandulous
parts
of
the
Lungs
,
and
not
admitting
of
any
Concoction
until
the
Lungs
,
especially
the
Glandulous
parts
of
them
,
swell
from
their
being
stufft
,
and
grow
hard
,
and
at
length
the
Tone
of
the
parts
is
quite
destroyed
,
and
they
are
ulcerated
by
the
sharpness
of
the
Humour
,
that
is
separated
by
these
tender
and
soft
ways
:
Which
indeed
is
the
immediate
Cause
of
a
Consumption
of
the
Lungs
.
CHAP.
II.
Of
the
degrees
of
an
Original
Consumption
of
the
Lungs
,
and
the
Signs
which
give
us
warning
of
it
,
together
with
the
Preservatory
Indications
,
or
what
we
are
directed
to
do
in
order
to
prevent
it
.
THE
degrees
of
this
Distemper
are
these
which
follow
,
to
wit
,
first
,
The
first
degree
is
a
stuffing
of
the
Lungs
.
2.
A
Swelling
.
a
stuffing
of
the
Lungs
from
the
Serum
,
or
Water
of
the
Blood
,
that
is
plentifully
separated
in
them
.
Secondly
,
a
hard
Swelling
,
but
more
especially
in
the
Glandulous
parts
of
the
Lungs
arising
from
the
same
Serum
distending
those
parts
too
much
,
and
not
having
a
free
passage
out
of
them
.
Which
Tumour
I
take
to
be
the
crude
Tubercle
mentioned
by
Galen
;
which
Tubercles
,
or
crude
and
glandulous
Swellings
I
have
often
found
in
the
dead
Bodies
of
Consumptive
Persons
,
when
the
other
parts
of
the
Lungs
have
been
full
of
Apostemes
and
Ulcers
.
Thirdly
,
3.
An
Inflammation
.
an
Inflammation
of
the
Lungs
arising
from
the
heat
and
sharpness
of
this
Serum
.
And
lastly
,
4.
An
Impostumation
,
and
Exulceration
.
an
Impostumation
and
Exulceration
of
these
inflamed
Parts
,
when
the
Distemper
comes
once
to
its
height
and
extremity
.
The
signs
which
respect
a
Consumption
of
the
Lungs
,
are
either
the
Prognostick
,
or
Diagnostick
,
and
Pathognomonick
signs
:
Those
of
the
first
sort
are
these
which
follow
.
First
Prognostick
Sign
being
born
of
Consumptive
Parents
.
First
,
the
being
born
of
Consumptive
Parents
;
for
this
Distemper
(
so
far
as
I
have
been
able
to
observe
)
is
more
Hereditary
,
and
oftner
propagated
from
the
Parents
than
any
other
.
2.
An
ill
figure
of
the
Breast
.
3.
A
shrill
squeaking
Voice
.
Secondly
,
an
ill
conformation
and
figure
of
the
Breast
,
whether
it
be
Natural
,
or
Accidental
.
Thirdly
,
a
Voice
that
is
naturally
small
,
and
squeaking
,
or
at
least
so
by
use
,
and
a
habit
;
as
being
that
which
proceeds
either
from
a
Natural
weakness
of
the
Lungs
,
or
from
an
Obstruction
of
the
Glandulous
Coat
of
the
Wind-pipe
,
and
the
branches
of
it
,
caused
by
a
glutinous
and
tough
Phlegm
.
But
from
which
soever
of
these
Causes
that
appearance
arises
,
still
it
threatens
a
Consumption
of
the
Lungs
,
which
is
afterwards
like
to
follow
.
4.
A
white
soft
Skin
.
5.
A
blouted
habit
of
the
fleshy
parts
.
Fourthly
,
a
white
and
soft
Skin
,
together
with
a
thin
Habit
of
Body
.
Fifthly
,
a
soft
and
blouted
habit
of
the
Muscular
Parts
,
proceeding
from
their
being
much
stufft
with
old
and
dispirited
Nutritious
Juice
.
6.
Melancholick
Oppressions
about
the
Breast
.
Sixthly
,
long
Hypochondriacal
Oppressions
about
the
Region
of
the
Breast
,
that
feel
heavy
like
some
troublesome
weight
,
as
also
Hysterical
Choakings
,
that
are
frequent
,
of
long
continuance
,
and
unusual
,
being
in
the
same
places
.
7.
Thoughtfulness
,
and
some
Passions
of
the
Mind
.
8.
The
stopping
of
Customary
Evacuations
.
9.
Spitting
of
Blood
.
10.
The
hawking
of
black
and
tough
Phlegm
Seventhly
,
Thoughtfulness
,
Anxiety
,
Sadness
,
and
an
unusual
proneness
to
Anger
,
especially
if
they
be
without
any
evident
cause
.
Eighthly
,
the
stopping
of
customary
Evacuations
by
Issues
,
or
old
Sores
,
so
likewise
of
Child-bed
Purgations
,
the
Whites
,
and
all
others
of
this
Nature
.
Ninthly
,
spitting
of
Blood
,
though
it
be
accidental
.
Tenthly
,
the
hawking
of
black
and
tough
Phlegm
constantly
in
a
Morning
,
for
a
long
time
:
For
that
it
proceeds
from
those
Glands
being
filled
with
a
black
Humour
,
which
are
placed
in
the
Lungs
near
the
Wind-pipe
.
Which
Symptom
,
as
it
is
a
common
thing
with
those
that
have
the
Scurvy
or
Kings-Evil
,
so
it
does
in
progress
of
time
afford
us
a
Prospect
of
an
Asthmatical
Consumption
that
is
like
to
follow
.
Eleventhly
,
11.
A
sharp
and
salt
tast
of
the
Phlegm
.
a
salt
tast
of
the
Phlegm
that
is
hawk'd
up
;
which
discovers
a
saltness
and
sharpness
to
be
in
all
the
Serum
,
or
Water
of
the
Blood
.
Which
,
when
a
great
deal
of
it
passes
through
the
soft
substance
of
the
Lungs
,
and
is
separated
there
upon
the
getting
of
a
great
Cold
,
is
apt
to
inflame
and
ulcerate
them
in
a
strange
manner
.
Twelfthly
,
12.
A
proneness
to
spit
much
.
A
proneness
to
have
a
great
flux
of
Spittle
by
the
glandulous
Coat
of
the
Tongue
,
and
by
the
Salivatory
Ducts
and
Tonsils
,
and
that
whether
it
be
with
,
or
without
any
evident
cause
.
Which
Symptom
is
a
thing
that
is
very
common
with
those
that
have
the
Scurvy
,
and
such
as
are
Hypochondriacal
,
and
shews
a
Colliquative
disposition
of
the
Blood
:
That
is
,
that
it
cannot
by
reason
of
its
too
great
and
preternatural
sharpness
,
perfectly
assimilate
to
it self
the
new
Nutritious
Juice
,
nor
make
it
duly
mix
with
it self
,
and
therefore
throws
it
off
upon
these
Glandulous
Parts
,
and
consequently
does
in
progress
of
time
oblige
the
soft
substance
of
the
Lungs
to
receive
it
;
from
whence
a
Consumption
commonly
has
its
Original
.
13ly
,
13.
A
want
of
Appetite
,
that
lasts
long
.
A
want
of
Appetite
,
that
continues
long
,
and
still
grows
worse
without
any
other
Distemper
accompanying
of
it
;
so
that
the
sick
Person
,
unless
he
uses
much
Exercise
,
and
abstains
from
eating
a
great
while
,
and
pleases
his
own
Fancy
in
the
choice
of
such
Food
,
as
is
very
grateful
,
cannot
make
a
full
Meal
as
he
used
to
do
without
the
turning
of
his
Stomack
,
and
making
him
sick
:
Neither
indeed
can
he
digest
,
or
distribute
the
Food
,
which
he
takes
,
be
sure
if
he
eats
much
,
without
an
Oppression
at
his
Stomack
,
and
a
gravative
weariness
in
his
Limbs
.
Which
is
the
very
Symptom
that
opens
the
way
to
a
Consumption
:
For
it
proceeds
from
too
great
a
fulness
of
the
Vessels
,
and
the
whole
Habit
of
the
Body
,
caused
by
stale
and
dispirited
Nutritious
Juice
,
by
which
means
there
is
not
room
to
receive
new
Chyle
,
and
therefore
Nature
does
not
desire
it
.
Which
want
of
Appetite
does
yet
grow
worse
,
if
it
happens
so
that
a
flame
is
kindled
in
the
whole
Mass
of
Blood
by
the
present
Catarrh
from
the
continual
and
violent
motion
of
the
Lungs
,
and
by
reason
of
the
serous
and
colliquative
state
of
the
Blood
.
In
which
case
,
as
the
Thirst
increases
,
so
the
desire
of
Food
grows
less
:
Or
else
there
follows
an
universal
want
of
Appetite
from
too
great
a
fulness
of
the
Vessels
,
so
that
the
sick
Person
plainly
refuses
Drink
as
well
as
Food
.
14.
A
Chronical
heat
.
14ly
,
A
troublesome
and
Chronical
heat
,
at
least
in
the
soles
of
the
Feet
,
and
the
palms
of
the
Hands
,
especially
after
eating
,
together
with
a
Pulse
somewhat
quicker
than
it
ought
to
be
.
For
this
Symptom
shews
an
Inflammatory
and
Hectical
state
of
the
Spirits
,
and
consequently
a
sharp
,
serous
,
and
colliquative
disposition
of
the
Blood
,
from
which
causes
a
Consumption
of
the
Lungs
does
commonly
proceed
.
15.
A
streightness
of
the
Breast
,
and
shortness
of
breath
.
15ly
,
A
straightness
and
oppression
of
the
Breast
,
with
some
difficulty
and
shortness
of
Breath
almost
always
joyn'd
therewith
.
Which
Symptome
is
very
common
,
not
only
with
such
as
have
the
Kings-Evil
,
by
reason
of
the
swelling
of
the
Glands
of
the
Lungs
;
but
also
with
those
that
are
Scorbutical
and
Hypochondriacal
,
by
reason
of
the
constriction
of
the
Lungs
,
the
Diaphragm
,
and
other
Muscles
that
serve
for
Breathing
,
which
is
from
a
light
degree
of
a
Convulsive
Affection
of
the
Nerves
that
are
assign'd
for
their
motion
.
16ly
,
16.
A
disposition
to
Catarrhs
.
A
disposition
to
Catarrhs
,
that
is
,
when
the
sick
Person
is
frequently
subject
to
a
Cough
,
even
upon
every
little
occasion
,
yea
,
and
sometimes
without
any
evident
cause
.
For
this
Symptom
shews
a
sharpness
and
colliquative
state
of
the
Blood
.
From
whence
it
comes
to
pass
that
the
sharp
Serum
,
or
Water
of
the
Blood
,
supply'd
from
the
load
of
Humours
lurking
in
the
Habit
of
the
Body
,
uses
to
be
almost
continually
separated
,
and
thrown
out
by
the
glandulous
Coat
of
the
Wind-pipe
,
and
by
the
soft
substance
of
the
Lungs
.
Which
is
a
very
evident
sign
that
a
Consumption
of
the
Lungs
is
then
just
at
hand
,
which
will
most
certainly
seize
the
Patient
,
whenever
the
serous
part
of
the
Blood
has
contracted
so
great
a
sharpness
as
is
sufficient
to
inflame
or
exulcerate
the
Lungs
,
either
from
the
liberal
drinking
of
Spirituous
Liquors
,
or
from
taking
of
great
Cold
,
or
any
other
cause
.
17ly
,
17.
Any
of
those
Distempers
preceding
,
which
are
apt
to
dispose
to
it
.
All
those
Distempers
before
mentioned
,
as
the
Scurvy
,
Kings-Evil
,
a
Chronical
Green-sickness
,
an
Inflammation
of
the
Lungs
,
spitting
of
Blood
,
Pleurisy
,
Rheumatism
,
Asthma
,
&c.
which
are
wont
to
occasion
a
Consumption
of
the
Lungs
.
For
the
Body
being
in
this
manner
as
it
were
habitually
predisposed
,
a
Consumption
of
the
Lungs
,
and
that
many
times
an
incurable
one
,
does
very
frequently
seize
upon
the
Patient
upon
the
next
great
Cold
he
gets
.
And
indeed
almost
every
Catarrh
,
when
it
afflicts
the
Patient
,
does
at
the
same
time
threaten
a
Consumption
that
is
like
to
follow
.
To
prevent
a
Consumption
,
the
great
business
to
be
careful
in
the
six
non-natural
things
.
Therefore
in
the
preventing
of
a
Consumption
(
which
is
much
easier
than
the
Cure
of
it
)
the
great
business
whilst
the
Patients
remain
in
this
sickly
condition
,
is
to
take
all
possible
care
that
no
Error
be
committed
in
those
six
things
,
which
we
call
not
Natural
.
For
in
this
so
slippery
a
state
of
Health
they
are
wont
upon
every
little
occasion
of
this
Nature
to
fall
headlong
into
a
Fatal
Consumption
.
As
for
Example
:
First
,
1.
In
eating
and
drinking
.
they
ought
to
be
Prudent
in
the
choosing
of
their
Meat
and
Drink
,
that
the
Chylous
Liquor
may
be
made
to
abound
with
good
Juice
,
and
that
the
Nourishment
may
create
very
little
trouble
to
Nature
in
digesting
and
dispensing
of
it
.
Let
them
also
take
heed
they
do
not
eat
too
much
Food
,
though
it
be
such
as
affords
a
good
Juice
,
as
also
that
they
do
not
drink
too
much
Wine
and
strong
Liquors
.
2.
Sleep
.
Secondly
,
let
them
sleep
the
fore-part
of
the
Night
:
But
let
them
avoid
sleeping
in
the
day-time
,
yea
,
and
sleeping
too
long
in
the
Morning
;
because
such
sleep
is
wont
to
retain
and
heap
up
a
great
load
of
Humours
in
the
Habit
of
the
Body
.
3.
Exercise
.
Thirdly
,
let
them
every
day
use
moderate
Exercise
,
and
rubbing
for
a
good
while
together
,
to
fetch
out
the
dispirited
Humours
from
the
Habit
of
the
Body
by
the
pores
of
the
Skin
.
4.
Evacuations
.
Fourthly
,
let
them
strictly
avoid
all
strong
Purges
;
forasmuch
as
they
not
only
weaken
Nature
,
but
also
by
putting
the
Blood
into
too
great
a
motion
with
their
sharp
Particles
,
they
make
it
grow
acrious
and
hot
,
and
bring
it
into
a
more
Serous
and
Colliquative
state
;
upon
which
a
Catarrh
,
and
a
Consumption
of
the
Lungs
are
wont
to
follow
.
Fifthly
,
5.
Passions
of
the
Mind
.
let
the
Patient
by
all
Lawful
ways
industriously
lay
aside
Care
,
Melancholy
,
and
all
poring
of
his
Thoughts
as
much
as
ever
he
can
,
and
endeavour
to
be
chearful
.
For
I
have
very
often
observed
,
that
a
Consumption
of
the
Lungs
has
had
its
Origine
from
long
and
grievous
Passions
of
the
Mind
.
Sixthly
,
6.
The
Air.
let
the
Patient
enjoy
an
open
,
fresh
,
kindly
Air
,
and
such
as
is
free
from
the
smoak
of
Coals
,
which
may
not
only
cherish
the
Animal
Spirits
,
and
comfort
the
Nervous
Parts
,
and
consequently
restore
the
weak
Appetite
,
but
likewise
procure
quiet
(
at
least
in
some
measure
)
to
the
Lungs
.
But
there
must
be
great
care
taken
,
that
he
does
not
get
new
cold
.
For
the
Body
being
in
such
a
manner
filled
with
a
load
of
Humours
,
every
new
Catarrh
or
Cold
tends
to
a
Consumption
,
and
from
hence
come
all
our
Sorrows
.
And
here
I
shall
earnestly
beg
Pardon
for
being
too
quick
with
my
Pen
(
if
any
one
can
resent
it
as
preposterous
)
whilst
I
offer
something
more
in
this
Chapter
(
though
briefly
)
concerning
the
Indications
for
preventing
this
Distemper
,
and
that
before
the
Methodical
Thread
of
my
Discourse
brings
me
to
the
more
copious
subject
of
the
Indications
of
Cure
.
The
general
Indications
for
preventing
a
Consumption
in
this
sickly
state
,
are
chiefly
three
.
The
Indications
of
Cure
The
carrying
off
by
some
way
of
Evacuation
the
dispirited
Chyle
,
that
lurks
in
the
Habit
of
the
Body
.
The
tempering
of
the
Preternatural
and
Hectical
heat
in
the
Blood
and
Spirits
newly
caused
by
the
stagnation
of
the
Humours
.
And
lastly
,
the
strengthening
of
the
Tone
of
the
Parts
,
and
consequently
freeing
them
from
their
Obstructions
;
which
being
neglected
,
there
is
all
the
reason
to
fear
an
ill
Habit
of
Body
,
and
a
return
of
the
Preternatural
Heat
.
Gentle
Purges
to
evacuate
the
Humors
.
For
this
end
,
though
strong
Purges
(
as
I
have
before
hinted
)
are
in
this
case
to
be
condemned
,
yet
it
is
very
convenient
to
carry
off
the
load
of
Humours
by
Stool
gently
,
and
by
degrees
,
with
kindly
and
Stomatick
Purges
,
until
the
Body
is
freed
from
its
bloutiness
and
Obstructions
,
and
reduc'd
to
its
first
and
Natural
state
.
The
Purges
of
this
Nature
are
,
the
Stomack
Pills
with
Gums
,
Aloephangin
Pills
,
Aloes
prepared
with
juice
of
Roses
,
Mastick
Pills
,
Pill
Ruffi
,
the
bitter
Draught
with
Senna
,
&c.
But
I
prefer
the
Tinctura
Sacra
,
and
the
Purging
Mineral
Waters
before
any
other
sort
of
Purge
,
which
as
they
carry
off
the
vappid
Humours
by
little
and
little
with
ease
,
and
without
putting
them
into
too
great
a
motion
,
so
they
also
rather
temper
the
Heat
,
than
kindle
a
new
flame
in
the
Spirits
and
Blood
(
which
is
often
the
effect
of
other
Purges
)
and
strengthen
the
Tone
of
the
Stomack
,
which
in
this
case
is
weak
and
relaxt
,
and
withal
increase
the
Appetite
.
Diureticks
and
Diaphoreticks
for
the
same
end
.
For
the
same
purpose
likewise
such
Medicines
as
provoke
Urine
and
Sweat
,
are
of
great
use
in
order
to
the
more
effectual
carrying
off
of
the
nasty
Serum
of
the
Blood
.
But
a
Physician
must
be
very
prudent
in
the
choice
of
these
Medicines
.
But
in
choosing
of
these
Medicines
a
Physician
ought
always
to
be
very
cautious
and
prudent
,
preferring
those
which
communicate
the
least
heat
and
sharpness
to
the
Blood
before
others
.
For
Diureticks
,
I
prefer
before
any
others
,
Wood-Lice
,
raw
,
or
prepar'd
,
Turpentine
,
Leucatellus
Balsam
,
Balsam
of
Sulphur
,
and
other
Preparations
made
of
Turpentine
;
but
especially
the
Chalybeate
Mineral
Waters
,
Amongst
the
Diureticks
the
Chalybeate
Waters
are
the
best
.
and
amongst
them
Sadler's
Waters
at
Islington
;
the
Vertue
of
which
I
have
had
the
Experience
of
now
for
five
Years
,
not
only
in
many
others
,
but
also
in
my self
,
with
very
good
Success
,
because
that
they
are
impregnated
with
more
of
a
Mineral
Spirit
than
any
others
(
that
I
have
ever
yet
try'd
in
several
Parts
of
England
)
by
which
they
penetrating
like
Lightning
the
farthest
corners
of
the
Body
,
open
Obstructions
,
and
provoke
Urine
very
plentifully
;
and
yet
they
do
not
affect
those
that
drink
them
,
so
as
to
make
them
giddy
,
and
as
it
were
fuddled
,
to
oppress
the
Stomack
,
or
to
cause
a
great
heat
in
the
Hands
and
Feet
at
the
end
of
their
passing
off
,
so
much
as
other
Chalybeate
Waters
use
to
do
.
Among
those
Medicines
that
are
Diaphoretick
,
a
Decoction
of
Sarsa
deserves
the
preference
,
Amongst
the
Diaphoreticks
,
a
Decoction
of
Sarsa
.
which
not
only
causes
a
gentle
breathing
by
the
pores
of
the
Skin
,
but
also
tempers
and
softens
the
Mass
of
Blood
:
As
also
Ceruss
of
Antimony
,
Diaphoretick
Antimony
,
&c.
which
Antimonial
Medicines
provoke
Urine
as
well
as
sweat
.
If
the
Blood
seems
but
in
the
least
degree
to
grow
preternaturally
hot
,
If
the
Blood
be
at
all
preternaturally
hot
,
some
must
be
taken
away
.
it
is
convenient
in
the
very
beginning
to
take
away
a
moderate
quantity
of
it
,
in
order
to
cool
it
,
and
to
abate
the
fulness
of
the
Vessels
.
For
although
Bleeding
is
condemn'd
in
a
Consumption
,
when
it
is
once
confirm'd
,
because
the
use
of
it
at
that
time
not
only
affords
no
benefit
,
but
also
procures
the
sudden
destruction
of
Nature
:
Yet
nothing
does
conduce
more
to
the
preventing
,
or
extinguishing
of
that
Hectical
Flame
which
is
in
the
Blood
,
if
it
be
administred
time
enough
.
By
which
means
(
other
necessary
Medicines
being
also
given
in
a
due
Method
)
the
Inflammation
and
Swelling
,
and
consequently
the
Exulceration
of
the
Lungs
themselves
;
yea
,
and
the
Consumption
it self
,
together
with
a
Cough
,
difficulty
of
Breathing
,
and
the
rest
of
the
train
of
direful
Symptoms
may
be
happily
prevented
.
And
indeed
from
what
I
have
learnt
by
a
great
deal
of
Experience
,
I
do
not
doubt
but
many
fall
into
fatal
Consumptions
from
an
Inflammation
of
the
Lungs
,
Many
fall
into
Consumptions
for
want
of
due
Bleeding
.
a
Pleurisie
,
ordinary
Catarrhs
,
and
other
Distempers
of
that
kind
,
because
through
the
carelessness
of
the
Physician
,
or
the
Patient's
fear
,
and
the
timorousness
of
his
Friends
that
are
about
him
,
there
was
not
Blood
taken
away
in
due
time
,
or
so
often
as
there
should
be
,
or
in
a
sufficient
quantity
by
opening
a
Vein
.
From
whence
it
comes
to
pass
,
that
the
Blood
retaining
a
Hectical
heat
,
the
Lungs
for
a
long
time
remain
hotter
than
they
ought
to
be
,
and
upon
that
there
is
a
conflux
of
the
Humours
flowing
into
the
Part
affected
,
or
rather
a
plentiful
separation
of
the
new
Chyle
by
the
Glands
of
the
Lungs
:
From
which
there
follow
violent
and
dry
Coughs
,
Inflammations
,
and
at
length
(
when
the
Consumption
comes
to
its
height
)
Exulcerations
.
And
therefore
I
never
do
take
away
so
great
a
quantity
of
Blood
from
other
Persons
,
that
have
a
Fever
,
as
from
these
sickly
Consumptive
People
,
whenever
they
happen
to
be
Feverish
,
and
this
I
have
done
with
very
good
Success
,
so
that
I
do
not
remember
that
I
ever
yet
repented
of
doing
it
.
If
there
be
any
Hectick
heat
with
a
Catarrh
,
an
Opiate
must
be
given
.
If
the
Catarrh
has
but
the
least
degree
of
a
Hectical
heat
joyn'd
with
it
,
and
the
other
Circumstances
of
the
Patient
allow
it
,
the
frequent
use
of
an
Opiate
is
also
very
necessary
in
this
case
,
and
that
not
only
to
quiet
the
Lungs
,
which
at
this
time
are
heated
by
the
continual
and
violent
motion
of
the
Cough
,
but
also
to
temper
and
calm
the
whole
Mass
of
Blood
.
So
that
it
is
plainly
convenient
every
Night
,
or
every
other
Night
to
give
a
Grain
and
half
of
London
Laudanum
in
a
little
Conserve
of
Red
Roses
,
or
an
Ounce
of
the
Syrup
of
Meconium
with
three
Ounces
of
Milk-water
,
and
three
Drams
of
old
Epidomick
Water
,
or
twenty
Drops
of
Helmont's
Liquid
Laudanum
in
a
spoonful
of
the
Balsamick
Syrup
,
which
I
shall
afterwards
describe
;
or
half
a
Scruple
of
Hounds-tongue
Pill
,
or
the
Pill
of
Styrax
.
Yea
,
And
in
this
case
every
Purge
,
excepting
the
Mineral
Waters
,
should
have
an
Opiate
mixt
with
it
.
and
in
this
case
no
Purge
except
the
Purging
Mineral
Waters
ought
to
be
prescrib'd
without
mixing
an
Opiate
with
it
,
lest
the
Cough
and
Heat
should
happen
to
be
increased
by
too
great
a
Commotion
of
the
Humours
.
As
for
Example
:
Take
a
Scruple
or
half
a
Dram
of
Aloes
rosate
,
half
a
Scruple
,
or
twelve
Grains
of
Hounds-tongue
Pill
,
mix
them
,
and
make
them
up
into
four
Pills
to
be
gilded
,
and
taken
when
the
Patient
is
to
go
to
sleep
.
Or
,
Take
two
Ounces
and
a
half
,
or
three
Ounces
of
the
Sacred
Tincture
,
fifteen
or
twenty
Drops
of
Helmont's
Liquid
Laudanum
.
This
kind
of
Purges
may
be
ordered
every
third
or
fourth
Night
,
and
two
Quarts
of
the
Purging
Waters
the
following
Mornings
,
either
cold
or
boyl'd
,
according
to
the
Season
of
the
Year
.
Those
days
the
Patient
does
not
Purge
,
When
the
Patient
does
not
Purge
,
Diureticks
and
Diaphoreticks
are
to
be
taken
.
the
Physician
must
go
another
way
to
work
,
and
endeavour
to
carry
off
the
Humours
gently
by
the
Pores
of
the
Skin
,
and
by
the
Kidneys
,
and
do
it
with
the
use
of
such
Diuretick
and
Diaphoretick
Medicines
,
as
may
rather
abate
than
increase
the
Preternatural
heat
of
the
Blood
.
For
Example
:
Let
the
Patient
take
three
times
a
day
Fifty
Wood-lice
bruised
in
small
draught
of
Milk-water
,
Parsley
,
or
Fennel-water
,
sweetned
to
the
Palate
with
the
Syrup
of
the
five
opening
Roots
.
Or
,
Take
two
Drams
of
Wood-lice
prepar'd
,
a
Dram
of
Ceruss
of
Antimony
,
so
much
Turpentine
washt
in
Plantain-water
as
will
make
them
into
Pills
,
mix
them
,
and
make
them
into
Pills
of
a
middle
size
,
to
be
put
up
in
Pouder
of
Liquorice
,
of
which
let
him
take
three
three
times
a
day
at
Medicinal
hours
,
and
drink
after
them
half
a
pint
of
the
Decoction
of
Sarsa
and
China
,
keeping
himself
from
the
open
Air.
The
Chalybeate
Waters
are
excellent
in
this
case
.
But
for
this
purpose
I
generally
prefer
the
Chalybeate
Mineral
Waters
before
all
others
,
it
being
what
I
have
learnt
from
long
Experience
;
for
that
they
are
found
by
precipitating
the
serous
Liquor
out
of
the
whole
Habit
of
the
Body
by
the
Kidneys
in
a
great
quantity
,
and
tempering
the
Hectical
heat
of
the
Blood
and
Spirits
,
likewise
by
opening
Obstructions
,
and
restoring
the
due
Tone
of
the
Parts
to
perform
every
thing
that
is
requisite
to
a
preventive
Cure
,
even
Reason
it self
being
Judge
.
Which
I
have
also
found
by
much
Experience
ever
since
this
kind
of
Waters
here
near
us
(
that
is
,
at
Islington
)
have
first
come
into
Publick
use
with
the
Approbation
of
our
Famous
Colledge
.
Many
preserv'd
and
cured
by
them
.
And
by
the
help
of
these
I
have
seen
a
great
many
preserved
,
and
indeed
others
miraclulously
recover'd
from
a
Consumption
,
such
as
I
had
plainly
thought
could
never
be
cured
,
no
,
not
with
all
that
vast
stock
of
Medicines
,
which
are
Sold
either
in
the
Apothecary's
or
Chymists
Shops
,
and
the
most
approved
Method
of
giving
them
,
at
least
that
I
knew
,
unless
I
had
had
those
Waters
,
or
at
least
some
others
like
them
ready
for
my
purpose
:
I
shall
afterwards
at
the
end
of
this
Treatise
,
give
a
short
Account
of
some
few
Histories
,
out
of
many
,
that
are
pertinent
to
this
business
.
Here
also
Issues
made
in
the
Arms
,
Issues
.
or
between
●he
Shoulders
,
are
serviceable
for
abating
the
●uantity
of
the
Serous
Liquor
of
the
Blood
,
and
●onsequently
for
comforting
the
Brain
and
Nerves
,
and
tempering
the
Animal
Spirits
;
which
doubtless
contribute
very
much
to
the
ex●inguishing
of
the
Hectical
Flame
,
and
to
the
●revention
of
a
Consumption
.
Shaving
of
the
Head
.
And
perhaps
●ut
little
less
benefit
may
be
expected
from
the
●●equent
shaving
of
the
Head
:
When
by
this
the
●assage
of
the
Humours
through
that
very
thick
●kin
of
the
Head
is
rendred
more
free
,
the
use
●f
which
thing
in
relieving
obstinate
Catarrhs
,
〈◊〉
approved
almost
by
universal
Experience
.
But
alas
!
Physicians
seldom
consulted
for
the
preventing
of
a
Consumption
.
Physicians
have
very
seldom
an
oc●asion
to
give
their
Advice
about
preventing
this
Distemper
(
when
in
the
beginning
perhaps
it
●ay
be
cured
as
well
as
other
Diseases
,
although
●or
the
most
part
by
neglect
it
proves
fatal
)
●e
sick
Persons
seldom
imploring
Aesculapius
●elp
before
the
Distemper
has
run
on
so
far
as
〈◊〉
be
a
fatal
case
,
and
then
they
in
vain
expect
Miracles
from
the
Art
of
Physick
,
when
it
is
●ore
convenient
for
them
to
have
the
good
Counsel
of
a
Minister
about
the
future
Salva●●on
of
their
Souls
,
and
the
Advice
of
a
Lawyer
●bout
making
their
last
Will
.
Wherefore
I
●●all
spare
that
labour
,
which
will
be
to
so
little
●urpose
,
and
without
any
farther
delay
proceed
〈◊〉
the
Diagnostick
and
Pathognomonick
Signs
●f
this
Distemper
.
CHAP.
III.
Of
the
Diagnostick
and
Pathognomonick
Signs
of
the
beginning
of
a
Pulmonary
Consumption
.
THE
Diagnostick
and
Pathognomonick
signs
of
a
present
Consumption
,
The
signs
either
shew
the
beginning
or
confirmation
of
a
Consumption
.
are
either
such
as
discover
it
when
it
is
but
begun
,
or
when
it
is
once
confirm'd
,
and
deplorable
.
The
Pathognomonick
signs
of
the
beginning
of
a
Consumption
of
the
Lungs
are
,
First
,
a
Cough
,
which
one
may
,
and
that
by
very
certain
signs
distinguish
from
a
simple
Catarrh
,
how
violent
soever
,
and
Chronical
it
may
be
,
because
,
strictly
speaking
,
the
Part
affected
,
or
seat
and
source
of
both
Distempers
are
not
the
same
.
The
beginning
is
known
by
a
Cough
different
from
an
ordinary
Cough
.
For
a
Consumptive
Cough
proceeds
from
a
Glandulous
Swelling
,
or
Tubercle
of
the
Lungs
themselves
,
and
that
with
the
sense
as
it
were
of
some
heavy
weight
in
the
Breast
,
as
also
a
difficulty
of
Breathing
,
and
other
Symptoms
of
the
same
Nature
,
which
I
shall
by
and
by
particularly
,
though
briefly
,
run
thorough
.
But
on
the
contrary
,
a
simple
Catarrh
owes
its
Original
from
a
distillation
of
Rheum
cast
out
as
it
were
in
continual
drops
by
the
Uvula
and
Almonds
,
and
the
other
Glands
seated
in
the
upper
part
of
the
Wind-pipe
,
yea
,
and
by
all
the
glandulous
Coat
of
the
Wind-pipe
it self
.
For
the
Wind-pipe
by
a
certain
Providence
of
Nature
is
covered
on
the
inside
with
a
Nervous
Membrane
that
has
a
very
exquisite
sense
,
which
will
by
no
means
admit
of
any
thing
but
the
Air
it self
,
no
,
not
a
drop
of
the
clearest
Water
without
grievous
trouble
and
opposition
,
and
therefore
when
it
is
tickled
by
the
going
down
but
of
the
least
disagreeable
Particle
,
it
presently
endeavours
with
all
its
might
to
throw
it
up
again
by
Coughing
:
And
indeed
Nature
has
made
this
Provision
for
very
great
Reasons
.
For
if
a
free
and
quiet
passage
were
every
day
allowed
but
to
the
smallest
Body
,
or
Particles
,
that
are
heterogeneous
,
how
soon
would
there
be
an
end
of
Man's
Life
by
the
stuffing
of
the
small
branches
of
the
Wind-pipe
,
which
by
reason
of
the
straightness
of
the
passages
use
sometimes
to
be
stufft
,
and
Asthmatically
stopt
even
by
the
Air
it self
when
it
is
thicker
than
ordinary
.
But
how
fierce
soever
and
continual
this
Catarrhous
Cough
is
,
as
being
provok'd
by
a
tickling
from
a
continual
Excretion
and
Distillation
of
Rheum
from
the
Glands
in
the
Wind-pipe
,
yet
as
it
is
always
at
the
beginning
moist
,
and
joyned
with
a
great
flux
of
Humours
;
so
likewise
it
is
accompanied
with
no
weight
,
or
oppression
of
the
Lungs
,
or
shortness
of
Breath
,
which
for
the
most
part
are
obvious
to
our
Observation
in
a
Consumptive
Cough
,
and
that
in
the
very
beginning
.
Therefore
this
I
make
to
be
the
first
distinguishing
sign
of
a
Consumptive
Cough
;
to
wit
,
This
dry
Cough
from
Tuber●l●s
of
the
Lungs
.
that
it
is
dry
,
at
least
in
the
beginning
,
because
it
proceeds
from
a
swelling
of
the
Lungs
rather
than
from
any
thin
Rheum
owzing
out
of
the
Internal
Membrane
of
the
Wind-pipe
,
and
the
Glandules
seated
in
the
upper
part
of
it
.
Yet
it
cannot
be
denyed
but
these
Patients
in
the
beginning
of
this
Distemper
,
Yet
these
Patients
spit
a
great
deal
of
thin
Rheum
.
whenever
the
Lungs
happen
to
be
violently
moved
by
an
extream
and
deep
Cough
,
so
as
to
make
them
Vomit
(
either
after
eating
,
or
from
any
other
Accident
.
)
I
say
,
these
Patients
do
throw
out
a
great
plenty
of
thin
,
clear
Spittle
from
the
Salivatory
Ducts
,
and
likewise
hawk
up
from
the
Tonsils
some
Glutinous
Phlegm
,
that
is
sometimes
salt
,
sometimes
insipid
,
which
may
happen
also
to
those
that
are
well
sometimes
from
the
same
cause
,
to
wit
,
by
reason
the
Salivatory
Ducts
,
and
Glandulous
Parts
seated
in
the
Throat
are
squeez'd
,
and
as
it
were
milkt
by
this
violent
motion
.
But
yet
it
is
a
dry
Cough
.
But
nevertheless
this
Cough
is
to
be
reckoned
a
dry
one
,
because
there
is
no
Rheum
or
Phlegm
thrown
out
of
the
Wind-pipe
,
or
the
branches
of
it
.
And
it
is
as
true
that
this
dry
Cough
uses
sometimes
to
turn
to
a
Catarrhous
Cough
,
and
such
as
is
attended
with
a
flux
of
Rheum
,
as
the
Wind-pipe
and
the
branches
of
it
supply
a
continual
flux
of
Humour
,
which
is
sometimes
crude
,
sometimes
in
the
form
of
concocted
Phlegm
(
as
it
uses
to
be
in
a
true
and
genuine
Catarrh
.
)
Which
comes
to
pass
from
hence
,
because
the
Glandulous
Coat
of
the
Wind-pipe
it self
,
and
the
branches
of
it
being
irritated
by
this
long
and
violent
motion
of
the
Lungs
(
in
the
Nature
of
a
dry
Cough
)
caused
by
the
Swellings
dispersed
here
and
there
through
their
whole
substance
,
is
continually
emptied
of
its
Liquor
as
if
it
were
milkt
,
and
thereupon
does
throw
out
daily
an
abundance
of
Serum
,
or
Water
almost
in
the
same
manner
as
Milk
is
fetcht
out
of
the
Breasts
,
and
Spittle
from
the
Salivatory
Ducts
,
by
drawing
them
in
a
manner
continually
;
or
as
an
involuntary
flux
of
the
Seed
in
a
simple
Gonorrhoea
proceeds
from
the
Glandulous
seminal
Parts
by
frequent
fribling
.
How
it
may
be
distinguisht
from
a
true
Catarrh
.
But
yet
this
Consumptive
Cough
,
when
it
is
attended
with
a
Catarrh
,
may
be
distinguisht
from
a
genuine
Catarrh
especially
two
ways
:
First
,
in
that
a
Consumptive
Cough
is
from
the
very
beginning
dry
for
some
Months
(
and
sometimes
it
may
be
for
some
Years
;
)
whereas
a
simple
Catarrh
is
at
first
humorose
,
as
I
said
before
.
Secondly
,
in
that
a
simple
Catarrh
goes
off
in
a
few
Days
,
at
most
in
a
few
Weeks
;
to
wit
,
so
soon
as
ever
that
accidental
Feverish
Ferment
occasioned
by
taking
of
cold
does
by
degrees
once
cease
to
put
the
Mass
of
Blood
any
longer
into
an
extraordinary
motion
.
Which
being
once
done
,
the
Glandulous
Coat
of
the
Wind-pipe
does
no
more
separate
or
spew
out
any
Humour
,
but
what
it
does
Naturally
.
From
whence
it
comes
to
pass
,
that
what
remains
of
that
Rheum
,
which
is
separated
by
these
Glands
,
being
no
longer
attenuated
with
a
new
flux
of
the
Humours
,
is
by
degrees
concocted
by
the
Natural
heat
of
the
parts
into
a
Phlegm
that
resembles
purulent
Matter
,
and
is
cough'd
up
in
that
form
,
and
thereupon
the
Serum
or
Humour
being
thrown
out
when
it
is
first
separated
,
the
Glandules
quickly
recover
their
Natural
Tone
without
any
hard
Swelling
,
or
Tubercle
remaining
.
By
which
means
it
also
comes
to
pass
,
that
the
Cough
,
together
with
the
tickling
,
wheesing
,
shortness
of
Breath
,
&c.
cease
of
their
own
accord
.
But
on
the
contrary
,
in
a
Consumptive
Cough
,
as
the
lasting
and
inexhausted
Fountain
does
supply
a
distempered
Humour
to
the
Glandulous
Parts
from
the
Mass
of
Blood
,
predispos'd
by
a
long
abuse
of
those
six
things
,
which
we
call
not
Natural
,
and
put
continually
into
an
inordinate
motion
by
a
Feverish
Ferment
habitually
fixed
in
it
:
So
from
the
Swellings
dispersed
here
and
there
through
the
substance
of
the
Lungs
,
and
compressing
the
branches
of
the
Wind-pipe
,
not
without
some
trouble
,
the
Wind-pipe
it self
is
provok'd
to
cough
by
a
certain
continual
tickling
:
And
this
causes
as
continual
a
spewing
out
of
a
sharp
and
distemper'd
Humour
all
along
the
inside
of
the
Wind-pipe
,
until
at
length
those
Tubercles
growing
very
large
begin
to
be
inflam'd
,
and
to
turn
to
Apostemes
.
Whereupon
as
soon
as
any
one
of
the
Bags
,
or
Cavities
,
which
contain
the
Matter
breaks
,
there
is
plainly
in
coughing
(
if
there
be
a
passage
for
it
)
a
true
and
stinking
Corruption
thrown
out
from
these
ulcerated
Swellings
,
mixt
with
some
thin
Humour
,
or
Phlegm
,
that
is
plentifully
supplyed
from
the
Glandulous
Coat
of
the
Wind-pipe
.
Neither
indeed
can
the
Patient
(
when
the
Distemper
comes
to
be
a
Fatal
Case
)
be
ever
freed
from
this
Cough
by
any
Art
,
till
Death
effectually
stops
it
.
But
let
no
one
admire
how
those
Tubercles
,
or
Swellings
that
are
placed
in
the
Lobes
of
the
Lungs
far
from
the
top
of
the
Wind-pipe
,
can
provoke
this
dry
Cough
,
together
with
a
tickling
in
the
upper
part
thereof
;
when
he
may
every
day
observe
the
same
kind
of
Chronical
dry
Cough
caused
and
continued
a
long
time
by
chalky
stones
generated
in
the
substance
of
the
Lungs
.
Yea
,
and
once
I
observed
the
same
Symptom
to
happen
from
three
Nails
,
that
slipt
by
chance
(
as
the
Person
was
laughing
)
through
the
Wind-pipe
down
into
the
Lungs
,
and
to
continue
for
a
whole
Year
,
the
sick
Person
all
that
while
being
in
other
respects
very
well
.
How
the
Tubercles
,
which
are
remove
from
the
top
of
the
Wind-pipe
,
do
affect
that
part
.
And
indeed
the
thing
it self
shews
it
,
for
the
Wind-pipe
is
every
where
divided
through
all
the
Lobes
of
the
Lungs
into
many
branches
,
which
are
a
great
way
distant
from
one
another
,
so
that
the
very
fine
and
small
Pipes
of
those
branches
are
propagated
to
the
very
extremities
of
the
Lungs
by
the
continuity
of
those
Membranes
,
which
had
their
Original
from
the
beginning
or
upper
part
of
the
very
Wind-pipe
.
From
whence
it
necessarily
follows
,
that
as
those
Tubercles
,
in
what
part
soever
of
the
substance
of
the
Lungs
they
happen
to
be
bred
,
cannot
but
make
a
troublesome
compression
upon
some
of
these
small
Pipes
,
and
straighten
them
:
So
that
troublesome
sense
,
by
reason
of
the
continuity
of
the
Membranes
,
does
affect
the
upper
extremity
or
beginning
of
the
very
Wind-pipe
,
by
a
consent
of
parts
,
as
we
commonly
say
;
whereby
it
provokes
the
Wind-pipe
to
cast
out
its
Enemy
by
a
vain
and
dry
Cough
:
Just
as
we
see
every
day
in
a
Strangury
,
or
difficulty
in
making
Water
from
a
stone
pressing
uneasily
upon
the
Ureter
;
yea
,
if
it
be
the
very
Kidney
,
a
great
pain
felt
in
the
extremity
of
the
Yard
it self
,
from
the
continuity
of
the
Membrane
:
For
in
Nature's
endeavouring
to
expel
the
Stone
,
there
arises
a
Spasmodick
Contraction
of
the
whole
Urinary
passage
from
the
very
Kidneys
,
which
yet
does
very
much
affect
the
extremity
of
the
Yard
with
a
kind
of
heat
of
Urine
.
The
Nature
of
this
Cough
shews
it
to
be
from
the
Tubercles
.
And
even
the
Nature
of
this
Consumptive
Cough
does
likewise
favour
much
this
Opinion
,
whilst
it
yet
continues
to
be
dry
(
as
being
caused
only
by
Tubercles
)
and
before
a
disposition
to
a
Catarrh
does
in
progress
of
time
come
upon
it
.
For
as
it
is
dry
,
and
without
any
expectoration
,
so
it
is
not
great
,
nor
the
Fits
long
,
and
is
rather
made
of
its
own
accord
to
relieve
the
Oppression
of
the
Lungs
,
then
excited
by
a
violent
tickling
,
or
accompanied
with
that
great
straining
,
which
usually
accompanies
a
Catarrhous
and
fierce
Cough
,
that
is
caused
by
the
continual
excretion
of
a
Waterish
Humour
by
the
Wind-pipe
,
and
the
branches
of
it
.
But
if
any
one
should
be
inquisitive
about
the
Original
of
the
Tubercles
in
the
Lungs
,
A
general
Account
of
the
Original
of
the
Tubercles
in
the
Lungs
.
which
are
the
first
occasion
of
this
dry
and
truly
Consumptive
Cough
,
I
shall
give
this
general
Answer
:
That
the
substance
of
the
Lungs
not
only
seems
more
obnoxious
to
a
flux
of
Humours
(
as
the
Ancients
love
to
Phrase
it
)
than
any
other
parts
of
the
Body
,
from
the
continual
motion
of
these
parts
caused
in
respiration
;
but
also
by
reason
of
its
spungy
softness
(
because
it
consists
wholly
of
small
Bladders
and
Vessels
)
is
wont
to
suck
in
,
and
retain
the
Humours
.
And
therefore
,
when
all
the
internal
and
external
Parts
,
as
well
those
that
are
Muscular
,
as
those
that
are
Glandulous
,
are
very
often
affected
with
several
sorts
of
such
Swellings
,
why
should
it
be
strange
,
if
they
are
frequently
found
here
also
,
as
they
are
in
other
parts
of
the
Body
?
Yea
,
when
I
consider
with
my self
,
how
often
in
one
Year
there
is
cause
enough
ministred
for
producing
these
Swellings
,
even
to
those
that
are
wont
to
observe
the
strictest
Rules
of
Living
,
I
cannot
sufficiently
admire
that
any
one
,
at
least
after
he
comes
to
the
Flower
of
his
Youth
,
can
dye
without
a
touch
of
a
Consumption
.
And
without
doubt
the
breeding
of
these
Swellings
is
so
frequent
and
common
,
The
breeding
of
these
swellings
is
very
common
.
that
a
Consumption
of
the
Lungs
would
necessarily
be
the
common
Plague
of
Mankind
,
if
those
Swellings
did
not
vanish
,
or
were
not
removed
by
Art
as
easily
as
they
are
bred
at
first
:
And
indeed
I
have
been
used
to
think
,
not
without
Reason
,
that
as
the
more
Benign
Tubercles
are
wont
to
go
off
of
their
own
accord
,
and
that
quickly
,
so
none
of
them
lay
the
Foundation
of
this
great
Disease
,
And
when
they
are
Malignant
,
they
occasion
a
Consumption
.
of
which
I
am
now
treating
,
but
only
those
,
which
are
in
some
degree
Malignant
,
and
ill-natur'd
,
and
that
are
wont
to
putrefie
sooner
or
later
from
some
peculiar
quality
in
their
Nature
,
from
what
part
soever
of
the
Body
they
have
their
Original
.
But
that
I
may
more
particularly
say
something
of
the
beginning
and
rise
of
these
Tubercles
:
A
particular
Account
of
the
beginning
of
them
.
As
far
as
I
have
been
able
hitherto
to
learn
,
either
from
the
inspection
of
the
dead
Bodies
of
such
as
have
had
a
Consumption
,
or
by
Reasoning
;
a
crude
Tubercle
or
Swelling
is
bred
from
the
Obstruction
of
some
Glandulous
part
of
the
Lungs
;
to
wit
,
when
a
greater
quantity
of
Serum
,
or
Water
is
separated
from
the
Blood
,
than
is
thrown
out
by
the
Duct
of
the
Glandule
:
From
whence
it
comes
to
pass
,
that
as
the
Part
affected
being
too
much
distended
by
the
Humour
that
is
imprisoned
in
it
,
is
deprived
of
its
Natural
Tone
,
and
thereupon
is
no
longer
able
to
spew
or
throw
out
the
Serum
,
or
Water
that
flows
into
it
,
or
is
separated
;
so
likewise
the
Humour
,
that
is
so
shut
up
,
not
being
any
more
renewed
by
an
influx
of
fresh
Humor
,
does
by
degrees
grow
dry
and
hard
from
the
Natural
heat
of
the
Part
:
From
whence
arises
a
hardness
,
that
resists
a
pressure
,
or
a
Tubercle
(
of
which
we
are
now
speaking
)
which
in
progress
of
time
,
after
the
Natural
Tone
of
the
Part
is
in
this
manner
destroyed
,
is
wont
to
be
inflam'd
,
and
to
turn
to
an
Apostem
sooner
or
later
,
according
to
the
Nature
of
the
Lympha
,
or
included
Humor
,
and
of
the
Blood
,
from
which
it
is
separated
,
which
indeed
is
the
whole
immediate
cause
of
a
Consumption
of
the
Lungs
,
and
of
the
dry
Cough
which
attends
it
.
The
causes
of
that
Obstruction
,
which
produces
the
Tubercles
.
There
remains
yet
some
Enquiry
to
be
made
from
what
cause
this
Obstruction
,
or
Stagnation
of
the
Humour
in
the
Glandulous
parts
of
the
Lungs
does
proceed
.
And
this
is
sometimes
from
the
thickness
,
and
glutinous
quality
of
the
Lymphatick
Juice
,
that
is
separated
in
the
Glandules
;
from
whence
it
comes
to
pass
,
that
it
is
not
easily
driven
on
,
nor
thrown
out
by
the
very
small
and
straight
pore
or
passage
of
the
Glandule
:
And
this
is
wont
to
happen
to
those
that
have
the
Kings-Evil
swellings
,
and
such
as
have
the
Scurvy
,
by
reason
of
the
great
quantity
of
fixt
Salt
,
which
their
Blood
has
too
much
of
.
From
whence
it
comes
to
pass
,
that
Persons
so
distemper'd
are
more
subject
than
other
People
to
fixt
and
cold
Swellings
,
and
those
in
the
Lungs
as
well
as
in
other
parts
of
the
Body
,
and
sometimes
they
dye
of
a
very
Chronical
,
or
lingring
Consumption
.
Sometimes
also
there
is
so
great
a
quantity
of
Humour
separated
in
the
Glandules
from
a
violent
and
great
Catarrh
,
that
the
excerning
Faculty
or
Power
by
which
the
Part
empties
it self
,
is
plainly
unable
to
throw
it
out
.
From
whence
it
comes
to
pass
,
that
the
way
by
which
new
Serum
should
flow
into
it
being
stopt
,
the
Water
which
is
then
retain'd
within
the
Glandules
,
and
stagnates
there
,
does
by
the
Natural
heat
of
the
Part
gradually
turn
to
a
dryer
Matter
,
and
so
into
a
substance
that
looks
like
Honey
,
or
is
of
the
Nature
of
a
Suet
,
until
the
Tone
of
the
Part
being
at
length
perfectly
overthrown
by
being
too
much
distended
,
there
follows
an
Inflammation
,
and
an
Apostem
upon
it
.
And
for
this
reason
a
Consumption
of
the
Lungs
does
often
succeed
to
a
Catarrh
it self
,
when
a
dry
and
hesky
Cough
comes
in
the
room
of
that
which
was
Catarrhous
.
Which
dry
Cough
is
caused
by
a
Tubercle
,
or
Glandulous
Swelling
,
occasioned
by
a
Catarrh
upon
taking
of
Cold.
Moreover
it
is
easie
to
observe
that
a
dry
Cough
,
The
ill
Cure
of
a
Pleurisy
,
&c.
sometimes
occasions
them
.
and
a
very
Acute
Consumption
do
often
come
from
an
Inflammation
of
the
Lungs
,
a
Pleurisy
,
or
some
other
Disease
of
the
Lungs
;
to
wit
,
because
either
through
the
neglect
of
the
Physician
,
or
the
timorousness
of
the
Patient's
Friends
,
such
timely
,
or
frequent
,
or
such
plentiful
Bleeding
as
is
necessary
to
answer
to
the
greatness
of
the
Inflammation
,
is
omitted
.
From
whence
it
comes
to
pass
,
that
the
Tone
of
the
Parts
,
especially
those
that
are
Glandulous
,
being
destroyed
,
are
never
able
to
recover
their
Natural
state
again
;
but
here
and
there
,
in
those
places
where
the
Inflammation
has
before
for
some
time
prevailed
,
there
are
hard
Tubercles
to
be
found
dispersed
up
and
down
,
together
with
a
dry
Cough
,
and
a
continual
Hectick
Fever
;
from
whence
such
Patients
,
being
once
seized
with
a
very
Acute
Consumption
,
dye
within
a
few
Weeks
;
for
the
Lungs
having
been
before
inflamed
,
do
very
quickly
Apostemate
,
which
brings
on
the
last
Scene
of
this
Distemper
,
with
all
the
usual
and
fatal
Symptoms
accompanying
it
.
There
is
another
Error
in
the
Cure
of
this
kind
of
Distemper
no
less
fatal
,
and
that
is
,
Sometimes
from
the
want
of
Pectoral
Medicines
.
when
the
necessary
clearing
of
the
Lungs
from
the
Phlegm
,
with
which
the
Glandulous
Parts
especially
are
stufft
,
is
plainly
omitted
for
want
of
using
Pulmonary
and
Expectorating
Medicines
;
or
when
these
Remedies
are
administred
with
too
sparing
a
hand
.
And
much
more
,
Or
from
the
unseasonable
use
of
Opiates
.
when
that
plenty
of
Lymphatick
Juice
,
which
is
separated
in
the
Glandules
,
is
kept
lockt
up
there
by
the
unseasonable
,
and
indeed
fatal
use
of
Opium
,
given
in
order
to
ease
the
pain
.
From
whence
it
comes
to
pass
,
that
although
the
Patient
be
delivered
from
the
danger
of
the
present
Distemper
,
(
which
yet
is
very
seldom
the
effect
of
it
)
yet
by
those
Tubercles
,
or
Glandulous
Swellings
,
which
are
left
by
this
Method
,
a
ready
way
is
made
to
a
Fatal
and
Acute
Consumption
:
Which
shews
it self
first
by
a
Cough
,
shortness
of
Breath
,
and
a
Hectick
Fever
,
but
afterwards
does
quickly
bring
on
all
the
direful
and
fatal
Symptoms
of
this
Disease
.
The
most
usual
couse
is
some
Spasmodick
contraction
of
the
Lungs
.
But
the
most
usual
cause
of
these
Tubercles
is
some
little
Spasmodick
,
or
Convulsive
Contraction
of
the
Lungs
,
that
is
long
and
continual
,
with
the
sense
of
a
weight
and
oppression
,
caused
by
Grief
,
Fear
,
Cares
,
too
much
Thinking
,
and
other
such-like
Passions
of
the
Mind
.
For
as
the
soft
substance
of
the
Lungs
,
when
they
are
contracted
so
long
,
and
continually
comprest
or
squeez'd
together
,
is
wont
to
grow
hard
of
its
own
accord
;
so
likewise
the
Glandulous
Parts
of
them
being
once
deprived
of
their
usual
expansion
,
are
not
able
to
throw
,
or
spew
out
,
be
sure
in
a
sufficient
quantity
,
that
Lymphatick
Liquor
,
which
was
separated
in
them
.
Wherefore
no
body
has
any
reason
to
wonder
,
that
as
a
stuffing
of
their
whole
substance
,
so
likewise
a
hardness
in
the
Glands
themselves
,
that
resists
a
pressure
,
follows
upon
it
.
And
thereupon
it
is
easie
to
observe
,
that
as
Hypochondriacal
and
Hysterical
Persons
are
more
subject
than
other
People
to
a
Consumption
,
though
it
be
a
Chronical
and
lingring
one
;
so
likewise
that
Distemper
seizes
them
for
the
most
part
from
the
occasion
of
some
Misfortune
,
which
thing
does
first
cause
Fear
,
Grief
,
Thoughtfulness
,
or
some
other
grievous
Passions
of
the
Mind
,
and
that
long
and
fixt
.
Secondly
,
A
Consumptive
Cough
,
2.
A
Consumptive
Cough
is
moderate
in
the
day
time
in
the
very
beginning
.
as
it
is
for
the
most
part
dry
,
so
in
the
beginning
of
the
Distemper
,
at
least
in
the
day-time
,
it
is
mild
,
and
without
any
very
great
and
vehement
irritation
,
and
often
returns
by
long
and
uncertain
intervals
.
But
a
Catarrh
is
in
the
very
beginning
fierce
,
and
almost
continual
.
It
must
indeed
be
confest
that
both
Coughs
are
violent
and
troublesome
enough
in
the
night-time
;
to
wit
,
a
Catarrhous
Cough
,
because
all
separation
of
the
soul
Serum
by
the
glandulous
Coat
of
the
Wind-pipe
and
its
branches
is
more
plentiful
at
the
time
of
lying
down
in
our
Beds
;
but
a
Consumptive
Cough
,
because
the
Lungs
are
more
constring'd
and
straightned
in
this
posture
of
the
Body
.
Whereupon
as
the
branches
of
the
Wind-pipe
being
more
comprest
by
the
glandulous
Swellings
,
have
upon
this
occasion
more
trouble
from
their
compression
:
So
likewise
there
is
a
greater
quantity
of
glandulous
Liquor
at
such
a
time
prest
out
of
the
Glands
into
the
branches
of
the
Wind-pipe
,
by
which
the
Lungs
are
more
stufft
,
and
thereupon
are
likewise
more
provoked
to
cough
:
And
from
this
continual
motion
of
the
Lungs
caused
by
the
Cough
,
proceed
those
pertinacious
Watchings
,
which
contribute
more
than
a
little
to
the
increase
of
the
Fever
,
which
at
first
depended
upon
the
Colliquative
and
Tumultuos
state
of
the
Blood
.
Though
I
have
sometimes
observed
,
especially
in
Consumptive
Persons
,
that
have
been
Hypochondriacal
,
long
and
troublesome
Watchings
without
any
Cough
,
especially
after
their
first
sleep
.
3.
A
Vomiting
after
eating
,
discovers
a
Consumptive
Cough
.
Thirdly
,
as
there
is
almost
always
a
want
of
Appetite
,
and
a
Thirstiness
accompanying
a
Consumptive
Cough
,
so
likewise
a
Vomiting
after
eating
uses
commonly
to
follow
upon
it
;
so
that
usually
the
sick
Person
,
when
he
has
eaten
,
coughs
,
and
never
ceases
,
till
he
has
vomited
up
the
Food
he
has
taken
.
The
Causes
of
it
.
Which
Symptom
proceeds
not
only
from
a
weakness
of
the
Stomack
,
by
reason
that
the
Concocting
Faculty
is
impaired
by
the
distempered
state
of
that
Liquor
,
which
is
continually
thrown
into
the
cavity
of
the
Stomack
by
its
glandulous
Coat
for
the
sake
of
Fermentation
,
and
is
at
this
time
supplyed
from
the
Mass
of
a
Feverish
Blood
;
but
likewise
from
too
great
an
agitation
of
the
Stomack
,
caused
by
the
violent
motion
of
the
Lungs
coughing
just
by
it
:
For
as
soon
as
ever
the
Lungs
begin
to
be
swell'd
with
a
new
influx
of
fresh
Nutritious
Juice
conveyed
into
them
,
there
begins
to
be
a
plentiful
separation
and
excretion
of
the
Lymphatick
Liquor
by
the
small
Pipes
of
the
Lungs
,
and
the
glandulous
Coat
of
the
Wind-pipe
,
and
upon
that
a
continual
tickling
,
and
a
troublesome
and
violent
Cough
;
by
which
commotion
the
Stomack
being
by
reason
of
its
Vicinity
brought
into
a
consent
is
also
shaken
,
till
at
length
the
Natural
motion
of
it
being
perfectly
inverted
,
it
throws
up
by
Vomiting
whatever
was
contained
in
it
.
From
whence
it
comes
to
pass
,
that
the
stock
of
new
Chyle
being
in
this
manner
thrown
out
,
there
is
no
more
of
it
for
that
time
carryed
into
the
Lungs
,
and
so
the
Lungs
being
quiet
upon
it
,
as
not
being
irritated
any
more
by
an
influx
of
new
Chyle
,
the
Stomack
is
at
quiet
too
,
and
so
the
Cough
and
the
Vomiting
come
to
cease
together
,
until
the
Lungs
begin
to
be
irritated
again
from
the
taking
in
of
new
Food
.
This
is
one
of
the
most
certain
signs
of
a
Consumptive
Cough
.
And
verily
this
disposition
to
Vomit
being
joyned
with
a
Cough
,
I
reckon
one
of
the
most
certain
Pathognomonick
signs
of
a
Consumptive
Cough
.
For
although
I
have
known
some
that
have
been
in
a
Consumption
,
who
have
had
for
the
most
part
a
good
Stomack
,
(
that
is
,
when
the
Fever
,
that
has
gone
along
with
it
,
has
been
very
mild
)
yet
I
scarce
ever
met
with
any
,
but
had
this
disposition
to
Vomit
after
eating
joyned
together
with
a
Cough
.
Though
a
vomiting
does
attend
the
Chin-Cough
;
It
must
indeed
be
confest
that
this
Diagnostick
sign
is
not
proper
to
a
Consumptive
Cough
in
the
fourth
Mood
(
as
the
Logicians
use
to
speak
)
that
is
,
so
that
where-ever
this
is
found
joyned
with
a
Cough
,
that
Cough
is
a
Consumptive
one
.
For
although
all
Persons
,
who
are
in
a
Consumption
,
are
wont
in
that
manner
after
eating
,
to
vomit
up
what
they
have
taken
,
with
their
coughing
,
yet
the
same
thing
happens
likewise
every
day
to
Infants
,
and
Children
that
have
a
Chin-Cough
.
Yet
it
is
easie
to
distinguish
them
.
However
it
is
very
easie
by
the
Age
of
the
Patient
,
the
continuance
of
the
Symptom
,
the
fierceness
of
the
Cough
,
and
other
Circumstances
to
distinguish
this
Catarrhous
Cough
from
that
which
is
truly
Consumptive
.
Fourthly
,
Likewise
a
hoarse
,
4.
A
hoarse
,
or
squeaking
Voice
,
joyn'd
with
a
Cough
is
a
sign
that
it
is
Consumptive
.
or
shrill
and
squeaking
Voice
,
joyned
with
a
Cough
,
if
it
be
frequent
,
much
more
if
it
be
continual
,
and
Chronical
,
shews
it
to
be
plainly
a
Pulmonary
and
Consumptive
Cough
:
For
as
the
hoarseness
proceeds
from
a
roughness
of
the
Coat
which
covers
the
inside
of
the
Wind-pipe
,
which
being
continually
moistned
with
a
salt
Rheum
,
puts
the
whole
Pipe
or
Instrument
out
of
Tune
;
so
likewise
the
smalness
of
the
Voice
depends
upon
the
stuffing
of
the
small
Pipes
,
that
are
clogg'd
with
glutinous
Phlegm
.
5.
A
weight
in
the
breast
,
and
difficulty
of
breathing
shews
a
Consumptive
Cough
.
Fifthly
,
as
this
Cough
is
accompanyed
with
an
Oppression
of
the
Breast
like
a
weight
from
the
beginning
,
so
likewise
with
some
trouble
,
and
difficulty
in
breathing
,
and
a
shortness
of
Breath
,
especially
upon
walking
faster
than
ordinary
.
Which
as
it
proceeds
from
crude
and
harden'd
Tubercles
scatter'd
up
and
down
through
the
Lungs
,
so
likewise
from
the
small
Pipes
being
stufft
with
tough
and
glutinous
Phlegm
.
But
in
Scrophulous
,
Which
shortness
of
breath
is
more
remarkable
in
some
particular
Persons
.
Scorbutical
,
and
Asthmatical
Persons
,
that
are
in
a
Consumption
,
this
Symptom
by
reason
of
the
Convulsive
contraction
of
the
Nerves
of
the
Breast
,
is
more
remarkable
,
and
more
troublesome
than
it
uses
to
be
in
others
;
and
therefore
a
fresh
and
open
Air
,
and
such
as
is
free
from
the
smoak
of
Coals
,
is
more
beneficial
to
these
Patients
,
than
to
other
Consumptive
Persons
,
as
we
shall
shew
more
in
its
proper
place
.
6.
Fretfulness
and
Sadness
,
with
a
Cough
discover
it
to
be
Consumptive
.
Sixthly
,
when
some
of
the
Glandulous
parts
of
the
Lungs
happen
to
be
very
much
distended
by
the
long
gathering
of
the
Humour
,
which
could
not
find
a
way
out
by
the
small
Pipes
,
and
to
become
hard
,
there
grow
crude
Tubercles
scattered
here
and
there
in
the
soft
substance
of
the
Lungs
.
Whereupon
there
follows
not
only
some
difficulty
of
Breathing
,
and
a
shortness
of
Breath
,
but
also
an
Oppression
of
the
Breast
,
and
a
weight
under
the
short
Ribs
,
accompanyed
with
an
unusual
Fretfulness
,
Sadness
,
and
Thoughtfulness
.
Which
Symptoms
,
when
they
are
joyned
with
a
Cough
,
I
always
reckon
among
the
Pathognomonick
signs
of
a
Consumptive
Cough
.
Seventhly
,
7.
When
the
Patient
coughs
more
as
he
lyes
on
one
side
,
then
as
he
lyes
on
the
other
.
when
at
length
those
Glandulous
Parts
from
a
long
infarction
or
stuffing
of
the
Lungs
,
that
are
loaded
with
a
filthy
Serum
separated
in
the
Glandules
,
are
very
much
swelled
,
and
grow
hard
in
one
or
other
of
the
Lobes
,
(
this
Serous
Matter
being
then
contained
in
large
bags
)
that
Lobe
of
the
Lungs
which
is
affected
,
is
heavier
than
the
rest
,
and
there
is
a
greater
weight
evidently
perceived
in
that
part
of
the
Breast
;
from
whence
it
comes
to
pass
,
The
cause
of
this
.
that
the
Patient
likewise
coughs
more
when
he
lies
on
one
side
,
than
on
the
other
,
because
the
Glands
that
are
affected
,
are
comprest
more
in
one
posture
than
in
the
other
;
from
the
compression
of
which
there
follows
a
continual
spewing
out
of
Serum
,
or
Whey-like
Liquor
into
the
small
Pipes
of
the
Lungs
,
together
with
an
incessant
tickling
,
and
a
troublesome
Cough
.
And
this
likewise
is
always
to
be
reckoned
one
of
the
most
certain
signs
of
a
Consumptive
Cough
.
For
although
I
have
known
some
,
that
have
been
affected
in
this
manner
,
to
have
lived
several
Years
,
yet
they
always
remain
in
a
sickly
and
Consumptive
state
.
Eighthly
,
8.
When
the
Tubercles
Apostemate
,
there
arises
new
Symptoms
.
when
at
last
those
swell'd
Glands
of
the
Lungs
begin
to
be
inflam'd
,
and
to
turn
to
Apostemes
,
with
a
Collection
of
purulent
Matter
contained
in
their
proper
Bags
,
whether
they
are
of
the
Nature
of
a
Steatoma
,
where
the
Matter
is
like
Fat
,
or
of
a
Meliceris
,
where
the
Matter
is
of
the
colour
and
consistence
of
Honey
,
or
of
any
other
kind
of
Swelling
whatsoever
,
(
which
variety
proceeds
from
the
different
Nature
of
the
Serum
,
or
Water
of
the
Blood
,
as
we
shall
shew
afterwards
)
then
the
Consumption
begins
to
be
confirmed
,
and
to
become
Fatal
,
upon
which
there
follows
a
new
company
of
deadly
Symptoms
;
which
are
the
Diagnostick
signs
of
a
confirm'd
Consumption
,
of
which
I
shall
hasten
to
discourse
more
largely
by
and
by
,
as
soon
as
I
have
given
some
short
Account
of
the
two
other
signs
of
the
beginning
of
a
Consumption
,
viz.
a
Fever
,
and
the
wasting
of
the
Solid
Parts
.
The
Second
Pathognomonick
sign
of
a
Consumption
is
a
Fever
.
The
Second
Pathognomonick
sign
of
the
beginning
of
a
Consumption
,
is
a
Fever
,
which
does
,
at
least
in
some
degree
,
accompany
this
Distemper
,
when
it
first
seizes
the
Patient
,
together
with
the
loss
of
Appetite
,
some
Thirst
,
a
Urine
somewhat
high
colour'd
,
a
quick
Pulse
,
want
of
Sleep
,
a
heat
of
the
Parts
,
especially
the
extream
Parts
,
and
other
such-like
Symptomes
.
By
which
we
may
know
a
Consumptive
Cough
.
This
Fever
at
first
is
sometimes
moderate
.
And
by
this
means
a
Consumptive
Cough
may
almost
at
any
time
be
distinguisht
from
an
ordinary
Catarrh
.
Indeed
this
Fever
in
the
beginning
of
the
Distemper
is
very
moderate
in
Scorbutical
and
Phlegmatick
Persons
;
however
,
some
Preternatural
heat
(
if
they
make
a
diligent
Observation
)
may
be
discerned
,
especially
in
the
palms
of
the
Hands
,
and
the
soles
of
the
Feet
,
together
with
a
quickness
of
Pulse
,
and
sometimes
also
a
fixt
redness
in
the
Cheeks
,
more
especially
after
eating
.
But
this
Fever
is
purely
Hectical
,
and
continues
almost
always
alike
,
because
it
proceeds
from
the
Solid
Parts
,
and
the
disposition
of
the
Blood
,
by
reason
the
Mass
of
Blood
has
lost
its
due
mixture
,
and
runs
a
great
deal
of
it
into
a
Serous
Matter
,
which
is
occasioned
by
an
Acid
,
or
sharp
Ferment
that
is
in
it
,
and
is
continually
disturbing
,
Afterwards
it
increases
.
and
putting
it
upon
the
fret
.
It
is
very
true
,
this
Fever
is
in
progress
of
time
very
much
increased
by
the
continual
motion
of
the
Lungs
,
and
they
being
heated
with
the
Cough
,
and
the
want
of
Sleep
occasioned
by
it
;
as
likewise
by
the
addition
of
an
Inflammatory
and
Putrid
Fever
,
proceeding
from
the
Inflammation
of
the
Tubercles
of
the
Lungs
,
and
the
Apostemes
that
follow
upon
it
:
Of
which
we
shall
presently
Discourse
more
largely
when
we
come
to
speak
of
the
Diagnostick
signs
of
a
confirm'd
Consumption
.
The
Third
Diagnostick
sign
of
the
beginning
of
a
Consumption
,
is
a
wasting
,
The
Third
Diagnostick
sign
of
an
incipient
Consumption
is
a
wasting
of
the
Flesh
.
or
extenuation
of
the
Muscular
Parts
,
which
in
the
beginning
of
the
Distemper
is
very
slow
,
and
almost
insensible
(
the
Parts
at
this
time
rather
growing
loose
and
flabby
,
than
wasting
)
until
from
an
Inflammation
of
the
Tubercles
,
or
from
Apostemes
,
or
some
other
Accident
an
Inflammatory
or
Putrid
Fever
comes
to
be
joyn'd
to
the
Hectick
;
and
then
as
the
new
Fever
not
only
spoils
the
Appetite
and
Digestion
,
but
also
melts
down
the
Nutritious
Juice
,
and
throws
it
out
of
the
Blood
,
the
Consumption
increases
apace
,
so
that
within
a
few
Weeks
the
Patient
has
a
Hippocratick
Face
.
From
which
time
the
Diagnostick
signs
of
a
confirm'd
Consumption
appear
,
of
which
we
come
now
to
speak
.
CHAP
IV.
Of
the
Pathognomonick
signs
of
a
confirm'd
Consumption
of
the
Lungs
.
The
signs
of
a
confirm'd
Consumption
are
,
1.
A
new
Fever
.
THE
Pathognomonick
signs
of
a
confirm'd
Consumption
,
are
,
a
new
Fever
added
to
the
Hectick
,
and
that
first
,
Peripneumonical
from
an
Inflammation
of
the
Lungs
,
and
Continual
,
afterwards
Putrid
and
Intermitting
;
and
a
greater
colliquation
of
the
Blood
,
2.
A
greater
Colliquation
.
which
is
mightily
increased
by
the
new
Fever
,
and
discovers
it self
by
Prodigious
Sweats
,
a
Catarrhous
Cough
,
a
Looseness
,
Dropsie
,
Thrush
,
and
a
particular
soreness
of
the
Throat
in
swallowing
.
By
which
the
Patient
being
at
length
brought
to
the
last
degree
of
a
Consumption
,
is
reckoned
to
be
in
a
deplorable
Condition
,
even
by
those
that
understand
nothing
of
Physick
.
Of
all
which
signs
I
intend
particularly
,
though
briefly
,
to
subjoyn
my
Observations
.
The
causes
of
the
second
,
or
Inflammatory
Fever
.
And
first
,
of
the
Inflammatory
Fever
,
or
the
Fever
from
an
Inflammation
of
the
Lungs
.
This
Fever
has
its
beginning
from
an
Inflammation
of
the
Tubercles
of
the
Lungs
,
to
wit
,
when-ever
one
or
more
of
those
Tubercles
happen
to
be
inflamed
by
the
taking
of
Cold
,
the
liberal
drinking
of
Spirituous
Liquors
,
too
much
Exercise
,
or
from
any
other
such-like
Accident
,
which
by
putting
the
Blood
into
too
great
a
motion
,
may
make
it
too
hot
,
or
else
by
too
great
a
distention
of
the
Tone
of
the
Glands
,
or
from
the
peculiar
Nature
of
the
Humour
contained
in
the
Bags
,
and
its
disposition
to
ripen
,
this
Fever
(
which
I
use
properly
to
call
a
Peripneumonick
,
or
Inflammatory
Fever
)
cannot
but
arise
,
and
that
with
the
conjunction
of
a
difficulty
of
Breathing
,
(
the
expectoration
or
raising
being
then
stopt
,
though
the
Cough
continues
violent
)
and
oftentimes
also
of
a
pain
of
the
Side
,
a
Drought
,
Restlessness
,
want
of
Sleep
,
a
great
and
continual
Heat
,
and
other
Symptoms
of
a
Fever
from
an
Inflammation
of
the
Lungs
.
By
which
the
Patient
,
so
long
as
the
height
and
violence
of
it
continues
,
is
almost
always
confin'd
to
his
Bed
,
and
many
times
never
comes
out
of
it
again
.
And
indeed
this
Fever
is
to
be
treated
wholly
in
the
same
manner
as
other
Fevers
that
are
attended
with
an
Inflammation
of
the
Lungs
,
This
Fever
is
to
be
treated
like
other
Fevers
with
an
Inflammation
of
the
Lungs
.
that
is
,
with
a
very
thin
Diet
,
the
plentiful
use
of
Pectoral
and
Expectorating
Medicines
,
the
outward
application
of
Anodyne
Fomentations
and
Liniments
,
Pearl
Cordials
,
and
Temperate
Juleps
,
but
above
all
,
with
Bleeding
,
and
that
such
as
is
administred
in
due
time
,
frequently
,
and
plentifully
,
let
the
Patient
be
never
so
lean
and
Consumptive
.
For
by
this
means
only
is
it
possible
to
prevent
the
fatal
Event
of
the
Distemper
at
this
time
.
For
the
Blood
being
once
cooled
by
bleeding
in
time
,
and
in
a
sufficient
quantity
,
the
Fuel
,
which
would
maintain
the
Inflammation
,
is
taken
away
,
and
the
Flame
,
which
is
kindled
in
the
Tubercles
,
is
with
the
same
ease
extinguisht
in
a
day
or
two
.
But
if
this
be
neglected
,
the
Patient
dies
within
seven
days
with
an
Inflammation
upon
his
Lungs
,
and
all
the
Fatal
Symptoms
of
this
very
Acute
Distemper
,
which
many
times
happens
from
the
negligence
of
the
Physician
,
of
the
Patient
,
or
his
Friends
;
or
at
least
,
though
if
he
does
not
dye
so
quickly
,
yet
he
dyes
as
certainly
,
having
an
Aposteme
succeeding
to
the
Inflammation
of
the
Tubercle
about
the
seventh
day
,
and
from
thence
this
Acute
and
Inflammatory
Fever
turns
to
a
Putrid
Intermitting
Fever
,
which
though
it
be
Chronical
,
yet
is
altogether
as
Fatal
and
Incurable
.
This
Fever
sometimes
returns
often
in
a
Year
.
Sometimes
I
have
found
(
as
in
Mr.
Tibs
in
Pater-Noster-Row
,
and
in
a
certain
Merchant
in
Philpot-Lane
)
that
this
Peripneumonick
Fever
has
return'd
several
times
in
a
Year
,
to
wit
,
as
often
as
any
new
Tubercle
happened
to
be
inflam'd
,
whether
it
were
from
some
evident
cause
,
or
from
the
Natural
disposition
of
the
Tubercle
it self
to
ripen
,
Some
Apostemes
ripen
sooner
than
others
.
and
become
an
Aposteme
.
For
all
the
swell'd
Glands
are
not
disposed
to
an
Inflammation
at
the
same
instant
of
time
,
as
it
was
evidently
apparent
to
me
in
the
Body
of
Mr.
Davison
,
who
dyed
of
a
Fatal
,
though
a
Chronical
Consumption
,
when
we
came
to
open
it
.
For
in
the
Lungs
of
the
dead
Body
we
found
at
the
same
time
some
Tubercles
that
were
turned
to
Apostemes
,
and
others
that
were
inflam'd
;
and
lastly
,
some
that
were
crude
and
unripe
.
But
for
the
most
part
such
Consumptive
Persons
dye
of
a
Peripneumonick
Fever
proceeding
from
a
new
Inflammation
of
some
Tubercle
,
which
the
Patient
has
not
strength
enough
to
overcome
,
having
been
weaken'd
by
grapling
with
his
Distemper
before
.
The
degree
and
da●ger
of
the
Fever
answers
to
the
degree
of
the
Inflammation
.
As
the
duration
of
this
Fever
,
so
the
degree
and
danger
of
it
is
to
be
calculated
from
the
Inflammation
of
the
Tubercle
,
upon
which
it
depends
.
For
as
soon
as
the
Inflammation
goes
off
,
whether
it
be
of
its
own
accord
,
or
by
the
help
of
Physick
,
this
Fever
likewise
ceases
,
tho'
as
often
as
the
Part
that
is
inflam'd
happens
to
be
turned
to
an
Apostem
,
there
forthwith
comes
in
the
room
of
it
a
Putrid
Intermitting
Fever
,
arising
from
the
collection
of
Matter
.
And
generally
speaking
,
according
to
the
Nature
of
the
Swelling
,
and
its
disposition
sooner
or
later
to
ripen
into
purulent
Matter
,
the
Peripneumonick
Fever
it self
,
which
proceeds
from
it
,
is
sooner
or
later
cured
;
and
according
to
the
Malignity
of
the
Humour
,
and
the
bigness
and
number
of
the
Swellings
that
are
inflamed
,
it
is
more
or
less
Acute
and
Fatal
.
Whereupon
tho'
this
Fever
does
for
the
most
part
come
to
a
period
within
the
compass
of
seven
days
(
for
in
that
space
of
time
inflamed
Swellings
begin
to
turn
to
Apostemes
)
yet
Scrophulous
Tubercles
,
This
Fever
generally
terminates
in
seven
days
.
as
they
ripen
very
slowly
,
Where
the
Consumption
is
Scropholous
,
the
time
is
uncertain
.
so
they
bring
an
Inflammatory
Fever
,
which
,
though
it
be
almost
insensible
,
and
less
dangerous
,
yet
is
Chronical
,
and
ends
in
no
certain
number
of
days
.
But
by
how
much
the
Fever
is
more
Acute
,
so
much
the
shorter
it
is
;
and
by
how
much
the
more
moderate
,
so
much
the
longer
it
lasts
.
I
come
,
Secondly
,
to
speak
of
the
Putrid
Intermitting
Fever
of
Persons
in
a
Consumption
.
As
soon
as
these
inflamed
Swellings
of
the
Lungs
begin
to
be
Apostems
(
whether
it
be
for
want
of
Bleeding
in
time
,
A
Description
of
the
Putrid
Fever
in
a
Consumption
.
or
a
sufficient
quantity
,
or
from
the
Natural
disposition
of
the
Swellings
to
putrifie
)
this
Inflammatory
Fever
is
changed
into
a
Putrid
Intermitting
Fever
:
Whose
Fits
for
the
most
part
observe
no
certain
Order
at
first
,
but
the
cold
and
shivering
Fits
return
often
the
same
day
,
as
it
uses
to
be
when
purulent
Matter
is
breeding
.
But
when
the
Matter
is
once
perfectly
made
,
this
Fever
imitates
the
Type
of
a
Quotidian
,
and
sometimes
(
though
seldom
)
of
a
Tertian
,
and
that
at
a
certain
time
of
the
day
,
beginning
with
a
chilness
and
coldness
,
proceeding
with
a
great
heat
,
and
so
at
last
ending
in
profuse
and
colliquative
Night-sweats
.
During
the
time
of
the
chilness
and
hot
Fit
,
the
Cough
and
shortness
of
Breath
,
with
the
other
troublesom
Symptoms
are
increased
:
But
during
the
time
of
the
Sweat
,
and
the
abatement
of
the
Fever
(
the
Cough
and
other
Symptoms
being
mitigated
)
the
Patient
sleeps
quietly
,
recruits
his
Strength
,
and
flatters
himself
with
the
hopes
,
he
is
then
ready
to
have
,
of
his
Recovery
.
And
this
Putrid
Intermitting
Fever
I
always
reckon
one
of
the
most
certain
Pathognomonick
signs
of
a
confirm'd
Consumption
;
because
as
it
proceeds
from
purulent
Matter
bred
in
the
Lungs
,
so
it
is
an
Infallible
Evidence
of
corrupted
Lungs
.
And
from
thence
it
comes
to
pass
,
that
this
Putrid
Intermitting
Fever
uses
to
accompany
a
Consumption
(
whenever
this
Distemper
happens
to
be
Fatal
)
to
the
Patient's
dying
day
.
Whose
Fits
,
and
the
Colliquations
proceeding
from
them
,
are
greater
or
lesser
,
longer
or
shorter
,
according
to
the
greatness
and
number
of
the
Tubercles
that
are
ripened
into
Apostemes
.
This
Fever
not
to
be
cured
without
the
Cure
of
the
Vlcer
.
Neither
indeed
can
this
Fever
be
perfectly
cured
with
the
Peruvian
Bark
,
Poterius's
Antihectick
,
or
any
other
Specifick
Medicine
(
having
often
tryed
what
they
could
do
in
this
case
)
nor
by
any
other
Method
that
I
know
of
,
unless
the
Ulcer
be
so
benign
,
that
that
can
be
healed
by
the
help
of
Balsamick
Medicines
given
inwardly
,
and
the
Mass
of
Blood
it self
(
where
the
fuel
of
the
Distemper
lyes
)
can
be
brought
to
a
good
state
by
the
plentiful
use
of
temperating
and
altering
Medicines
;
Or
of
the
Distemper
upon
which
the
Consumption
depends
when
it
is
Symptomatical
.
The
colliquation
of
the
Nutritious
Juice
is
another
sign
of
a
Consumption
.
or
at
least
unless
the
Consumption
be
Symptomatical
,
and
depends
upon
some
other
Distemper
,
which
may
admit
of
a
perfect
Cure
with
the
use
of
Specificks
.
The
Second
Pathognomonick
sign
of
a
confirm'd
Consumption
,
or
that
plainly
discovers
it
to
be
such
,
is
a
great
and
continual
colliquation
or
melting
of
the
Nutritious
Juice
,
and
a
continual
and
plentiful
separation
and
running
off
of
it
from
the
Mass
of
Blood
by
all
the
ways
of
Evacuation
that
Nature
affords
;
from
whence
it
comes
to
pass
,
that
a
sudden
sinking
of
strength
,
and
a
Marasmus
with
a
Hippocratick
Face
follows
in
a
short
time
,
though
it
comes
gradually
.
This
Colliquation
is
proportionate
to
the
degree
of
the
Hectick
Fever
.
Indeed
I
must
confess
a
Consumption
has
from
the
beginning
always
something
of
a
Colliquation
joyned
with
it
proportionable
to
the
degrees
of
the
Hectick
Fever
,
from
which
it
proceeds
,
which
discovers
it self
by
Night-sweats
,
a
Looseness
,
or
some
other
way
.
Which
Colliquation
,
though
it
be
very
hard
to
be
cured
,
because
it
depends
upon
a
Hectick
Fever
,
that
is
incurable
,
yet
is
always
moderate
,
and
brings
but
a
very
slow
,
and
less
sensible
Consumption
,
till
first
a
Peripneumonick
Fever
from
the
Inflammation
of
the
Swellings
of
the
Lungs
,
and
then
a
Putrid
Intermitting
Fever
from
the
Exulceration
of
them
,
comes
upon
,
and
is
joyned
to
the
Hectick
.
And
then
indeed
as
the
Fever
,
so
the
Colliquation
which
proceeds
from
it
,
is
increased
.
For
the
Blood
being
then
continually
foul'd
by
purulent
Particles
communicated
to
it
,
as
it
circulates
through
the
Lungs
,
by
the
Swellings
that
are
ripened
,
Nature
when
she
is
so
much
loaded
,
and
opprest
with
such
Heterogeneous
Particles
,
that
she
cannot
bear
them
any
longer
,
rises
up
against
them
,
and
begins
a
Fight
(
or
Feverish
Fit
)
in
order
to
thrust
them
out
,
and
this
Combate
she
renews
every
day
.
In
the
beginning
of
this
Conflict
she
is
too
much
opprest
,
and
therefore
is
affected
with
a
chilness
and
coldness
;
but
as
soon
as
she
rallies
her
Force
,
and
begins
to
get
the
better
,
there
is
so
great
an
ebullition
and
commotion
made
in
the
whole
Mass
of
Blood
,
that
the
fresh
Nutritious
Juice
,
which
is
then
carried
into
the
Blood-Vessels
,
can
no
longer
unite
it self
to
the
Blood
,
but
is
thrust
forth
,
and
thrown
out
in
a
large
quantity
together
with
the
purulent
Particles
by
any
of
the
parts
of
the
Body
that
are
open
and
passable
,
as
if
they
were
melted
,
not
without
a
great
loss
of
Strength
,
nor
without
a
wasting
of
the
Body
,
that
is
by
this
means
continually
deprived
of
its
Food
,
which
should
restore
and
nourish
it
.
And
the
greater
the
Ulcers
are
in
magnitude
,
and
the
more
they
are
in
number
,
the
greater
quantity
of
Heterogeneous
Particles
are
mixed
with
the
Blood
as
a
Preternatural
Ferment
,
and
the
more
severe
is
the
Feverish
Fit
,
the
Colliquation
likewise
is
so
much
the
greater
,
and
the
Consumption
makes
so
much
the
quicker
dispatch
.
This
colliquated
matter
runs
off
first
by
the
Glands
of
the
Wind-pipe
and
the
Bronchia
.
1.
This
separation
of
the
colliquated
Matter
is
first
made
by
the
Wind-pipe
and
the
branches
of
it
,
by
which
the
Cough
,
that
at
first
was
dry
,
is
now
turned
to
such
a
one
as
is
attended
with
a
great
Catarrh
,
especially
when
the
Feverish
Fit
is
going
off
:
At
which
time
a
great
quantity
not
only
of
a
crude
thin
Matter
,
but
likewise
of
concocted
Phlegm
,
either
purulent
,
or
like
Pus
or
Matter
,
and
of
several
colours
is
thrown
out
of
the
Lungs
by
Coughing
,
until
the
Mass
of
Blood
,
having
thrown
out
that
heterogeneous
and
purulent
Ferment
,
or
Leaven
,
does
by
degrees
cool
,
and
come
to
be
quiet
.
And
this
Calm
lasts
no
longer
than
till
this
deceitful
and
uncertain
Truce
happens
to
be
broke
by
a
new
Fit
.
Secondly
,
Then
by
the
Pores
of
the
Skin
.
this
separation
of
the
colliquated
Humours
is
made
likewise
by
the
pores
of
the
Skin
in
large
and
colliquative
Sweats
.
For
these
Sweats
differ
in
their
degree
,
to
wit
,
according
to
the
different
degree
of
the
Colliquation
of
the
Blood
,
and
of
the
Fever
Fit
,
which
precedes
,
and
is
the
cause
of
it
.
For
the
Sweats
always
come
on
,
when
the
Putrid
Fever
is
going
off
,
to
wit
,
after
Midnight
.
For
this
Fever
(
whether
it
be
a
Tertian
or
Quotidian
)
comes
like
other
Intermitting
Fevers
at
a
certain
hour
(
which
is
about
Noon
,
or
a
little
after
)
with
a
manifest
chilness
,
but
then
proceeding
for
some
hours
with
a
burning
Heat
,
Drought
,
Restlesness
,
Vomiting
,
shortness
of
Breath
,
a
continual
,
fierce
,
and
violent
Cough
,
want
of
Sleep
,
yea
,
sometimes
also
Light-headedness
,
and
a
very
red
colour
in
the
Cheeks
,
proceeding
from
the
Oppression
of
the
Lungs
,
and
those
parts
that
are
seated
under
the
short
Ribs
:
But
at
length
,
to
wit
,
about
Midnight
,
it
ends
in
vast
and
colliquative
Sweats
.
At
which
time
the
Patient
sleeps
quietly
,
breaths
not
so
short
as
before
,
and
plentifully
coughs
up
concocted
Phlegm
without
any
difficulty
or
pains
,
having
the
Symptoms
of
the
Fever
all
gone
off
altogether
of
their
own
accord
.
For
at
this
time
the
stream
of
the
colliquated
Humour
is
turned
from
the
Lungs
,
and
carried
to
the
Pores
of
the
Skin
.
And
by
that
means
the
Patient
seems
all
the
Morning
to
be
free
from
a
Fever
,
his
Heat
is
moderate
,
and
his
Pulse
low
,
until
at
length
another
new
Fit
seizes
him
,
and
breaks
the
Treacherous
Peace
.
And
from
these
remissions
of
their
Fits
it
often
happens
that
these
kind
of
Consumptive
People
,
even
when
they
are
lookt
upon
as
deplorable
by
others
,
flatter
themselves
extreamly
with
the
hopes
of
their
Recovery
;
so
that
the
same
Persons
that
at
Night
use
to
think
themselves
irrecoverable
,
and
tell
those
about
them
they
should
certainly
dye
,
yet
the
next
Morning
they
always
pluck
up
their
Courage
,
and
in
vain
entertain
the
hopes
of
living
long
.
The
stopping
of
these
Sweats
does
no
ways
relieve
the
Patient
,
but
thereupon
the
Matter
runs
off
from
the
Blood
some
other
way
.
'T
is
true
indeed
,
these
Colliquative
Sweats
causing
a
great
expence
of
the
Nutritious
Juice
,
do
commonly
spur
on
the
Patient's
Consumption
,
and
quickly
make
him
a
Skeleton
.
And
yet
he
must
not
expect
any
relief
or
benefit
from
the
violent
stopping
of
them
,
either
by
the
change
of
Air
,
or
rising
out
of
Bed
in
the
Night
;
which
I
have
often
seen
prov'd
true
by
Experience
.
For
the
Blood
thereupon
growing
hot
,
does
not
melt
or
dissolve
ere
the
less
,
but
when
this
passage
of
the
colliquated
Humour
is
once
stopt
by
Art
,
Nature
presently
opens
some
new
Sluces
to
carry
that
troublesome
Load
another
way
,
(
though
it
may
be
more
inconvenient
)
as
either
into
the
cavity
of
the
Breast
,
As
into
the
cavity
of
the
Breast
or
Belly
,
&c.
from
whence
there
follows
a
Dropsie
of
the
Breast
,
with
an
increase
of
their
Cough
,
and
an
intolerable
difficulty
of
Breathing
;
or
into
the
cavity
of
the
Belly
,
and
into
the
Legs
and
Thighs
,
in
the
Nature
of
a
Dropsie
in
those
parts
;
or
else
by
the
Glandules
of
the
Guts
,
whereupon
there
arises
a
violent
Looseness
,
that
is
no
less
Colliquative
than
the
Sweats
themselves
:
Yea
,
and
sometimes
even
a
Bloody-flux
(
if
the
colliquated
Humour
be
very
sharp
)
attended
with
dreadful
Convulsions
and
Torments
of
the
Bowels
,
which
bids
defiance
to
all
the
Medicines
that
are
used
to
cure
a
Dysentery
;
as
I
found
in
the
deplorable
case
of
Mr.
Lechmere
,
and
likewise
some
other
Persons
that
have
been
in
a
Consumption
,
who
being
by
that
Symptom
thrown
into
the
last
degree
of
a
Consumption
,
with
a
Hippocratick
Face
,
dyed
as
quickly
as
they
did
miserably
.
But
this
Thread
of
my
Discourse
has
unexpectedly
brought
me
to
the
other
Diagnostick
signs
of
a
confirm'd
Consumption
,
of
which
I
must
likewise
say
something
briefly
.
Thirdly
,
The
colliquated
Matter
when
the
Consumption
is
confirm'd
is
exern'd
by
the
Guts
.
This
Colliquation
(
as
soon
as
the
Consumption
comes
once
to
be
confirmed
)
is
often
made
by
the
Glands
of
the
Guts
,
in
the
Nature
of
a
thin
and
waterish
Looseness
,
or
else
of
a
Bloody-Flux
.
For
the
Blood
when
it
cannot
in
this
colliquative
state
assimilate
the
fresh
Nutritious
Juice
to
it self
,
nor
unite
it
to
the
solid
Parts
,
by
reason
of
its
own
Preternatural
Heat
and
Sharpness
,
does
frequently
endeavour
to
drive
it
down
,
and
throw
it
out
as
an
unprofitable
Burden
by
these
Glandules
likewise
.
But
Nature
does
not
use
to
endeavour
the
expulsion
of
her
Enemy
this
way
,
unless
it
be
either
for
want
of
Care
,
or
designedly
that
the
High-way
by
the
Pores
of
the
Skin
is
stopt
,
or
at
least
,
when
this
way
alone
is
not
sufficient
to
serve
her
purpose
,
by
reason
of
the
greatness
of
the
Colliquation
.
And
therefore
a
Looseness
is
justly
to
be
reckoned
,
for
the
most
part
,
one
of
the
last
and
fatal
Diagnostick
signs
of
a
confirm'd
Consumption
.
For
excepting
only
the
case
of
such
Persons
as
have
the
Scurvy
with
their
Consumption
,
who
are
always
subject
to
Colliquations
of
the
Serum
by
the
Glands
of
the
Guts
,
and
Salivatory
Glands
,
a
Looseness
is
wont
to
arise
,
and
joyn
it self
to
a
Consumption
not
long
before
the
Patient
dyes
.
For
as
it
shews
Nature
to
be
in
a
very
great
flame
,
so
it
strangely
hastens
and
promotes
its
farther
Destruction
.
This
Looseness
is
proportionate
to
the
present
state
of
the
colliquated
Blood
.
This
Looseness
is
sometimes
moderate
,
in
as
much
as
it
is
always
proportionate
to
the
present
state
of
the
colliquated
Blood
,
but
in
others
it
is
violent
,
and
accompanied
with
racking
pains
,
which
usually
defies
the
power
of
Opiates
,
and
all
manner
of
Astringent
Medicines
;
or
at
least
returns
upon
taking
of
the
least
Cold
,
or
drinking
a
draught
of
Beer
,
or
omitting
the
use
of
Opiate
Medicines
.
And
so
long
as
the
Looseness
is
stopt
by
the
Narcotick
Power
of
Medicines
,
we
usually
have
a
difficulty
of
Breathing
,
in
which
the
Patient
is
almost
choak'd
,
or
a
Dropsie
,
or
some
other
Symptoms
no
less
troublesome
,
nor
less
dangerous
arise
.
For
the
Blood
being
once
brought
by
degrees
to
an
irreparable
and
incurable
state
of
Colliquation
,
the
crude
Nutritious
Juice
,
that
is
continually
carried
about
in
the
Mass
of
Blood
,
does
,
when
one
Door
is
shut
,
find
some
other
,
and
it
may
be
one
that
is
more
prejudicial
and
troublesome
to
the
Patient
.
The
colliquated
Humours
producing
a
Dropsie
,
is
another
sign
of
a
confirm'd
Consumption
.
Fourthly
,
But
when
in
this
colliquative
,
or
melting
state
of
the
Blood
,
the
Nutritious
Chyle
that
is
quite
dispirited
,
does
not
find
a
convenient
passage
through
the
Glands
of
the
Skin
,
by
reason
they
are
stopt
by
the
cold
of
the
ambient
Air
,
or
by
the
Glands
of
the
Guts
being
shut
up
by
the
use
of
too
many
Opiates
,
either
a
Dropsie
of
the
Breast
,
or
else
of
the
Belly
,
and
the
lower
Limbs
does
usually
follow
.
Yea
,
a
blouted
swelling
in
the
whole
Habit
of
the
Body
,
if
the
passages
into
the
aforesaid
Cavities
of
the
Body
,
and
the
lower
Limbs
,
are
either
by
Art
or
Accident
stopt
.
And
in
plain
terms
,
a
Dropsie
coming
upon
a
Consumption
,
of
what
kind
soever
it
be
,
And
not
only
of
a
confirm'd
but
of
a
deplorable
Consumption
.
is
to
be
reckoned
amongst
the
signs
not
only
of
a
confirm'd
,
but
likewise
of
a
deplorable
and
incurable
Consumption
.
And
that
not
only
because
it
shews
a
very
great
flame
in
the
Blood
,
and
that
the
state
of
it
is
extreamly
colliquative
;
but
likewise
because
the
Patient
by
reason
of
his
too
great
weakness
is
not
able
to
bear
such
an
Evacuation
of
the
extravasated
Serous-water
,
as
is
necessary
,
by
such
Medicines
as
purge
forth
Water
.
And
for
Diureticks
,
they
are
plainly
of
no
use
in
this
case
,
because
even
the
strongest
of
them
cannot
promote
a
Flux
of
Urine
,
but
rather
cause
a
greater
Colliquation
in
the
Blood
,
by
attenuating
,
and
heating
of
it
more
.
Whereupon
there
is
caused
a
greater
and
quicker
flux
of
the
Water
into
the
cavities
of
the
Body
,
and
into
the
lower
Limbs
,
where
it
has
a
free
passage
,
so
as
to
increase
the
Dropsie
.
Fifthly
,
and
lastly
,
At
last
the
colliquated
Humours
are
thrown
out
by
the
glands
of
the
Throat
.
In
this
universal
Colliquation
Nature
sinking
a
little
before
the
Person
dyes
,
makes
it
her
business
to
throw
out
the
Serum
,
or
Juice
that
is
full
of
distempered
and
purulent
Particles
,
by
the
Tonsils
,
and
other
Glands
,
that
are
seated
in
the
Throat
,
as
also
by
the
Salivatory
Ducts
of
the
Mouth
.
From
whence
arises
,
1.
A
heat
in
the
Throat
.
From
whence
there
are
wont
to
arise
two
new
Symptoms
,
and
they
very
troublesome
ones
;
to
wit
,
a
great
heat
about
the
Tonsils
,
and
the
Parts
that
serve
for
swallowing
.
Whereby
it
comes
to
pass
,
that
the
Patient
can
scarce
swallow
any
thing
but
with
grievous
pain
.
Which
Symptom
is
wont
to
proceed
from
a
light
Inflammation
of
these
parts
,
caused
not
only
by
the
perpetual
agitation
of
them
by
the
Cough
and
external
Cold
;
but
likewise
by
the
separation
and
spewing
out
of
the
Feverish
Serum
and
sharp
Matter
.
Secondly
,
2.
A
Thrush
.
long
and
troublesome
Thrushes
disperst
through
the
whole
Mouth
,
which
arise
from
the
distemper'd
state
of
the
Spittle
:
But
especially
if
the
Looseness
that
they
have
been
followed
with
,
has
been
violently
stopt
with
Opiates
,
and
Astringent
Medicines
.
For
hereupon
Nature
(
when
the
Door
by
which
the
Serum
uses
to
pass
,
is
once
stopt
)
endeavours
,
though
in
vain
,
to
force
out
her
Enemy
by
the
passages
of
the
Spittle
.
By
which
means
it
comes
to
pass
,
that
the
parts
of
the
Mouth
being
tinged
with
that
sharp
Humour
,
happen
to
be
inflam'd
and
ulcerated
with
the
Acrimony
of
that
distemper'd
and
feverish
Serum
,
which
is
separated
and
thrown
out
by
the
Glandulous
Membrane
of
the
Mouth
.
Which
indeed
is
the
immediate
cause
of
this
Symptom
,
which
how
troublesome
soever
it
is
,
does
nevertheless
plainly
defie
whatever
either
Art
or
Nature
can
do
,
because
the
stock
and
fuel
of
it
,
that
is
heaped
up
in
the
Mass
of
Blood
,
This
universal
Colliquation
quickly
brings
a
Marasmus
.
cannot
be
spent
.
Thirdly
,
this
universal
Colliquation
,
through
what
Sluces
soever
of
the
Body
it
happens
to
be
made
,
uses
very
quickly
to
bring
a
Marasmus
,
with
a
Hippocratick
Face
,
which
is
a
total
Consumption
of
the
Muscular
Flesh
,
from
the
defect
of
the
new
Nutritious
Juice
,
which
by
adhering
to
the
Solid
Parts
might
repair
the
continual
loss
that
they
sustain
.
And
when
the
thing
is
at
length
come
to
this
pass
,
there
are
no
hopes
of
the
Patient's
Life
.
And
therefore
this
Symptom
has
ever
been
reckoned
by
all
Persons
one
of
the
most
certain
signs
,
not
only
of
a
confirm'd
,
but
likewise
of
a
deplorable
Consumption
.
Observations
Besides
these
Diagnostick
signs
,
which
I
have
already
mentioned
,
it
may
perhaps
be
beneficial
to
add
likewise
my
Observations
concerning
the
Pulse
,
the
Urine
,
and
the
Matter
which
they
bring
up
in
their
coughing
,
in
the
several
degrees
of
this
grand
and
stubborn
Distemper
.
And
first
,
of
the
Pulse
:
1.
Of
the
Pulse
.
When
there
is
only
a
Hectick
Fever
.
In
the
beginning
of
a
Consumption
,
whilst
there
is
no
other
Fever
but
a
Hectick
,
as
the
preternatural
heat
is
continual
and
moderate
,
so
likewise
the
Pulse
is
somewhat
quicker
than
it
ought
to
be
,
according
to
the
degree
of
the
Fever
;
yet
for
the
most
part
it
always
observes
the
same
strokes
,
and
is
always
alike
,
but
only
that
after
eating
,
as
a
feverish
Heat
,
so
likewise
a
quickness
of
the
Pulse
may
more
easily
be
discerned
.
And
indeed
some
Persons
in
a
Consumption
,
that
are
more
cold
and
Phlegmatick
,
do
use
to
perceive
nothing
amiss
,
either
in
their
Pulse
or
Temper
at
any
time
but
only
then
.
When
there
is
an
Inflammatory
Fever
.
But
as
soon
as
ever
the
Peripneumonick
Fever
,
with
an
Inflammation
of
the
Lungs
seizes
them
,
the
Pulse
,
as
it
uses
to
happen
in
other
Peripneumonies
,
is
not
only
quick
,
but
also
hard
and
strong
,
yea
,
likewise
rises
up
more
in
one
place
than
in
another
,
so
as
to
feel
somewhat
like
a
Saw
,
when
one
feels
it
with
several
Fingers
together
.
Though
sometimes
,
by
reason
of
the
violence
of
the
Spasmodick
pain
caused
by
the
Inflammation
of
the
Tubercles
,
it
is
no
rare
thing
to
observe
a
weak
Pulse
,
together
with
a
coldness
of
the
Extream
Parts
for
a
time
,
which
may
employ
the
Sagacity
of
the
most
Skilful
Physician
,
to
know
whether
he
ought
to
prescribe
Bleeding
,
or
no.
For
as
the
taking
away
of
Blood
does
suddenly
destroy
Nature
,
and
ruin
the
Patient
whenever
the
weakness
of
the
Pulse
,
and
the
coldness
of
the
Extream
Parts
proceed
from
an
habitual
Weakness
:
So
Bleeding
by
abating
the
Inflammation
,
makes
the
Pulse
stronger
,
and
restores
heat
to
the
Extream
Parts
,
whenever
this
Weakness
proceeds
accidentally
from
a
painful
Spasm
of
the
Lungs
caused
only
by
an
Inflammation
,
which
is
often
immediately
relieved
by
Bleeding
.
When
there
is
a
Putrid
Intermitting
Fever
.
But
when
in
the
progress
of
the
Distemper
a
Putrid
Intermitting
Fever
comes
on
from
the
gathering
of
Matter
in
the
Lungs
,
the
Pulse
is
very
uncertain
,
to
wit
,
in
the
Morning
before
the
Fit
it
is
somewhat
quick
,
and
weak
;
quick
from
the
Hectick
Feverish
disposition
of
the
Blood
;
but
weak
from
the
exhausted
and
impoverisht
Habit
of
the
Body
at
this
time
for
want
of
the
reparation
,
which
should
be
made
by
due
and
sufficient
Nourishment
:
But
in
the
Fit
it
is
quick
and
strong
;
quick
from
the
Hectick
Fever
,
strong
from
the
present
Orgasm
,
or
preternatural
Commotion
of
the
Blood
.
But
when
the
Sweat
begins
to
come
on
,
both
the
preternatural
quickness
and
the
strength
of
the
Pulse
are
by
little
and
little
abated
,
until
the
strength
of
it
is
renewed
by
the
next
Fit
.
2.
Observations
of
the
Vrine
.
Secondly
,
the
Urine
,
when
the
Distemper
first
seizes
the
Patient
,
is
in
some
degree
less
than
usual
,
and
somewhat
high-coloured
,
according
to
the
degree
of
the
Hectick
Fever
,
and
being
exposed
to
the
Air
,
turns
thick
with
some
settling
at
the
bottom
,
as
abounding
with
more
Chylous
Particles
than
it
should
do
.
But
when
the
Tubercles
begin
once
to
be
inflam'd
,
it
is
very
red
,
and
high-colour'd
:
But
as
soon
as
the
Putrid
Fever
from
the
Apostemes
of
those
Tubercles
succeeding
the
Inflammation
of
them
comes
to
be
one
of
the
Symptoms
,
it
is
high-colour'd
,
as
it
uses
to
be
in
Intermitting
Fevers
,
and
thick
,
and
at
length
being
exposed
to
the
external
cold
,
has
a
white
settling
like
Meal
,
and
sometimes
a
little
red
;
for
the
Blood
in
this
Colliquative
state
separates
the
Nutritious
Juice
by
the
Glands
of
the
Kidneys
as
well
as
by
other
Glands
.
Though
it
must
be
confest
,
that
Persons
in
a
Consumption
,
that
are
Scorbutical
,
and
Hypochondriacal
,
but
especially
where
the
Nerves
are
affected
,
or
upon
drinking
of
French
Wine
,
or
other
Diuretick
Liquors
,
do
make
a
good
quantity
of
Urine
that
is
like
Water
,
thin
,
and
pale
at
some
times
,
after
which
there
presently
follows
a
high-colour'd
and
thick
Urine
.
Thirdly
,
3.
Observations
of
the
Matter
that
Consumptive
Persons
spit
.
that
which
Persons
in
a
Consumption
spit
at
first
(
that
is
,
when
the
stuffing
of
the
Lungs
gives
the
first
occasion
of
it
)
is
plentiful
,
sometimes
crude
,
sometimes
concocted
,
as
it
uses
to
be
in
a
common
Catarrh
.
Or
else
it
is
thin
and
waterish
,
because
for
the
most
part
(
to
wit
,
whilst
the
Cough
is
dry
)
it
is
thrown
out
of
the
Salivatory
Glands
from
the
extraordinary
shaking
of
them
by
Coughing
,
excepting
some
little
quantity
of
viscid
Phlegm
,
which
is
wont
to
be
hawk'd
out
of
the
Tonsils
.
But
in
the
progress
of
the
Distemper
,
especially
when
it
is
concocted
by
sleep
,
or
the
use
of
Opiates
,
it
is
of
an
ash-colour
,
or
yellow
,
or
greenish
;
the
like
Concoction
to
which
the
Serum
admits
in
the
Glands
of
the
Nose
,
or
Wind-pipe
,
in
the
latter
end
of
a
Catarrh
.
But
after
the
Lungs
are
ulcerated
,
if
the
purulent
Matter
not
being
contained
in
a
proper
Cystis
,
be
thrown
into
the
branches
of
the
Wind-pipe
,
that
which
they
spit
is
purulent
,
and
stinks
,
and
is
sometimes
also
mixt
with
streaks
of
Blood
,
like
that
which
uses
to
run
out
of
old
and
foul
Ulcers
.
But
we
must
not
make
a
Judgment
of
the
spitting
of
purulent
Matter
,
We
must
not
judge
of
purulent
Matter
by
the
yellow
or
greenish
colour
of
it
.
from
the
yellow
or
greenish
colour
of
it
:
For
this
kind
of
colour
not
only
the
Serum
,
that
comes
from
the
Glands
of
the
Lungs
has
,
but
likewise
that
which
is
separated
by
the
Glands
of
the
Nose
in
the
end
of
a
Catarrh
,
to
wit
,
as
soon
as
it
comes
to
be
concocted
.
Neither
is
that
that
Persons
spit
to
be
presently
taken
for
purulent
because
it
sinks
,
or
dissolves
in
warm
water
.
Nor
by
its
sinking
and
dissolving
in
warm
water
.
For
the
spitting
of
Scorbutical
Persons
,
because
it
is
much
impregnated
with
Salt
,
and
thereupon
glutinous
,
and
heavy
,
is
wont
to
dissolve
,
and
to
subside
in
hot
Water
,
How
true
Pus
may
be
known
.
though
the
Lungs
are
sound
.
But
true
Pus
or
Matter
may
be
known
by
these
three
signs
.
First
,
it
affects
the
Nose
with
a
stinking
smell
.
Secondly
,
though
it
be
something
thick
,
yet
it
is
not
at
all
glutinous
,
but
fluid
,
having
no
strings
or
ropiness
.
Thirdly
,
it
is
of
several
colours
,
to
wit
,
yellow
,
greenish
,
&c.
but
for
the
most
part
of
an
ash-colour
,
and
something
black
.
CHAP.
V.
Of
the
differences
of
an
Original
Consumption
of
the
Lungs
.
HEre
I
could
easily
make
several
Divisions
of
a
Consumption
of
the
Lungs
,
and
those
such
as
are
confirm'd
by
daily
Experience
;
but
,
because
they
neither
afford
any
light
to
the
forming
of
a
true
Notion
of
this
Distemper
in
general
,
nor
help
us
to
a
clearer
,
or
more
distinct
Understanding
of
the
general
Prognostick
Signs
and
Indications
of
Cure
,
I
shall
not
so
much
as
mention
them
,
at
least
in
this
place
.
But
yet
there
is
one
Division
of
a
Consumption
of
the
Lungs
,
which
is
into
an
Acute
,
The
Division
of
a
Consumption
into
Acute
and
Chronical
.
and
a
Chronical
Consumption
,
without
the
knowledge
of
which
,
a
Physician
must
needs
be
very
often
mistaken
,
as
well
in
the
making
of
his
Prognosticks
,
as
in
the
discovery
of
the
Indications
of
Cure
.
And
therefore
no
one
ought
to
think
it
improper
,
if
I
here
add
with
what
Brevity
I
can
,
my
Observations
for
a
fuller
explication
of
it
.
For
as
I
have
seen
some
taken
away
by
this
Distemper
within
the
space
of
one
,
or
at
most
of
a
few
Months
,
so
I
have
observed
a
great
many
others
,
that
were
far
gone
in
a
Consumption
,
by
due
care
,
and
by
making
use
of
proper
means
,
who
have
lived
,
though
in
a
sickly
and
crazy
state
,
for
many
Years
;
as
for
Example
,
Mr.
Haither
,
who
after
the
Cure
of
a
spitting
of
Blood
,
which
he
had
been
seized
withal
when
he
was
a
Youth
,
is
yet
living
in
the
fiftieth
Year
of
his
Age
,
though
in
the
whole
course
of
this
time
he
has
been
lean
,
troubled
with
a
Cough
,
and
often
had
touches
of
a
Fever
,
and
been
freed
from
several
Putrid
Fevers
by
our
Art
.
And
thus
my
dear
Father
,
who
himself
was
a
very
skilful
Physician
,
though
he
was
troubled
with
a
continual
Cough
,
a
difficulty
of
Breathing
,
frequent
Putrid
Fevers
,
a
light
degree
of
a
Hectical
Heat
,
though
continual
,
did
nevertheless
by
this
means
spin
out
his
Life
,
though
he
continued
sickly
,
from
the
thirtieth
to
the
sixtieth
Year
of
his
Age
;
and
at
last
did
not
dye
of
a
Consumption
of
his
Lungs
,
(
from
which
he
seemed
for
the
last
three
Years
of
his
Life
to
be
more
free
than
he
had
been
before
)
but
of
that
Epidemical
,
that
continued
Putrid
Fever
,
which
reigned
publickly
all
over
England
in
the
Year
1658.
The
same
thing
I
observed
in
Mrs.
Davison
,
a
Merchant's
Wife
in
London
,
for
the
space
of
fifteen
Years
,
and
in
a
certain
Merchant
that
lived
in
Philpot-Lane
,
who
after
several
Inflammatory
Fevers
,
that
returned
often
in
a
Year
from
every
little
occasion
,
at
length
happened
to
have
such
an
extraordinary
exulceration
of
his
Lungs
,
that
he
dyed
of
it
,
together
with
a
Dropsie
,
and
the
other
usual
Symptoms
of
a
Fatal
Consumption
of
the
Lungs
,
when
he
was
about
Sixty
Years
old
.
I
could
likewise
give
several
Histories
of
this
Nature
,
but
at
present
I
study
brevity
.
The
cause
of
this
difference
.
As
for
the
cause
of
this
difference
,
to
me
it
seems
to
proceed
from
the
different
disposition
of
the
Blood
,
and
of
that
Humour
,
which
is
supplyed
to
the
Tubercles
of
the
Lungs
,
and
differs
according
to
the
various
dyscrasy
of
the
Blood
.
For
if
the
stuffing
of
the
Lungs
,
and
the
Tubercles
,
which
arise
from
it
,
by
reason
of
some
peculiar
dyscrasy
of
the
Blood
,
have
their
Original
from
some
malignant
or
cancrous
Humour
,
or
a
Humour
that
is
apt
to
cause
a
Gangreen
,
(
as
I
remember
it
has
sometimes
happened
)
the
Distemper
is
not
only
certainly
Mortal
,
but
also
quick
,
and
very
Acute
,
and
such
as
carries
off
the
Patient
in
a
few
Months
,
and
it
may
be
Weeks
.
But
if
they
arise
from
some
benign
,
mild
,
and
cold
Humour
,
such
as
is
less
apt
for
Inflammation
and
Putrefaction
,
the
Patient
gains
a
longer
,
though
a
miserable
Truce
for
his
Life
.
But
if
the
Mass
,
that
is
contained
in
the
hardned
Glands
,
be
(
as
it
is
often
seen
in
some
Scorbutical
Persons
,
and
much
more
in
those
that
are
Scrophulous
)
either
not
at
all
,
or
at
least
but
more
slowly
disposed
to
an
Inflammation
and
Putrefaction
,
the
Distemper
is
very
Chronical
,
and
the
Patient
living
in
a
Consumptive
and
Sickly
state
for
many
Years
,
is
at
length
sometimes
seized
,
and
carryed
off
by
some
other
Disease
,
as
appears
plainly
from
the
instances
I
have
before
mentioned
.
For
so
long
as
the
Lungs
are
only
stufft
,
or
the
Tubercles
,
that
arise
from
that
stuffing
,
remain
in
a
crude
state
,
the
Person
's
Life
,
though
it
be
miserable
,
yet
is
not
brought
into
any
sudden
danger
,
though
he
is
troubled
with
an
Oppression
of
his
Breast
,
some
difficulty
of
Breathing
,
and
a
frequent
Cough
;
all
which
Symptoms
are
wont
to
be
increased
even
from
the
taking
of
the
least
Cold
,
or
the
committing
of
any
Error
in
his
Diet
,
and
that
with
the
addition
of
an
uncertain
Fever
for
a
time
.
Likewise
some
degree
of
a
continual
Hectical
Heat
may
be
perceived
in
the
Solid
Parts
,
but
especially
in
the
palms
of
the
Hands
,
and
the
soles
of
the
Feet
;
as
also
a
redness
in
the
Cheeks
,
especially
after
eating
,
and
the
drinking
of
Wine
.
The
Pulse
also
is
something
quick
,
and
sometimes
intermitting
;
the
Appetite
unconstant
,
and
for
the
most
part
weak
,
at
least
upon
the
taking
of
cold
.
There
is
likewise
rather
a
lankness
of
the
Muscular
Flesh
,
than
a
plain
Consumption
.
That
which
they
spit
is
sometimes
viscid
,
and
black
,
or
of
an
ash-colour
,
according
to
the
colour
of
the
Matter
contained
in
the
swelled
Glands
.
Many
times
too
a
spitting
of
Blood
uses
to
return
pretty
often
upon
the
least
occasion
.
Which
are
the
Symptoms
,
or
Diagnostick
signs
of
a
lingring
Consumption
of
the
Lungs
,
which
notwithstanding
a
Person
,
though
he
must
expect
to
be
always
crazy
and
sickly
,
may
many
times
live
a
long
time
;
but
't
will
not
be
safe
for
him
to
indulge
himself
in
the
free
use
of
Wine
and
Meats
without
any
distinction
,
and
the
choice
of
such
as
are
most
convenient
,
nor
of
several
other
things
,
that
conduce
to
the
pleasure
of
Humane
Life
,
as
others
do
.
But
as
soon
as
a
new
Inflammatory
,
or
Putrid
,
and
Colliquative
Fever
is
produced
by
the
Inflammation
and
Apostemation
of
these
Tubercles
,
all
the
Symptoms
of
a
confirmed
and
deplorable
Consumption
are
wont
to
follow
;
which
are
more
or
less
certainly
and
suddenly
,
according
to
the
Nature
of
the
Swellings
,
as
they
are
more
or
less
disposed
to
an
Inflammation
,
and
a
quick
Exulceration
.
And
here
perhaps
it
may
be
worth
the
while
to
add
farther
some
particular
Observations
.
As
for
Example
.
Observation
1.
T●●
Nature
of
the
S●●lling
makes
the
Fever
more
or
less
〈◊〉
.
First
,
As
the
Inflammatory
Fever
,
or
the
Putrid
which
arises
from
it
,
is
more
or
less
acute
and
dangerous
,
according
to
the
Nature
of
the
Swellings
,
as
they
are
more
or
less
Malignant
,
and
disposed
to
an
Inflammation
,
and
an
Exulceration
;
so
likewise
the
Consumption
from
thence
grows
more
or
less
quick
,
and
incurable
.
Secondly
,
The
frequent
taking
of
Cold
,
Observ
.
2.
Taking
of
Cold
,
&c.
make
a
Consumption
more
Acute
.
and
often
committing
of
Errors
in
their
Diet
,
Exercise
,
and
Passions
of
the
Mind
,
&c.
do
by
bringing
Inflammatory
and
Putrid
Fevers
,
that
return
in
the
same
manner
,
upon
the
Hectick
Heat
they
had
before
,
bring
this
Distemper
sooner
to
a
fatal
end
,
making
that
Acute
,
yea
,
very
Acute
,
which
otherwise
would
have
been
in
its
own
Nature
Chronical
.
Thirdly
,
The
Consumption
of
Young
Men
,
Observ
.
3.
A
Consumption
more
Acute
in
young
than
in
old
Persons
.
that
are
in
the
Flower
of
their
Age
,
when
the
heat
of
the
Blood
is
yet
brisk
,
and
therefore
more
disposed
to
a
Feverish
Fermentation
,
is
for
the
most
part
Acute
.
But
in
Old
Men
,
where
the
Natural
Heat
is
decayed
,
it
is
more
Chronical
.
Fourthly
,
Observ
.
4.
When
is
from
Acute
Distempers
,
it
is
Acute
.
A
Consumption
that
proceeds
from
Fevers
,
especially
such
as
are
from
an
Inflammation
of
the
Lungs
,
or
from
the
Suppression
of
Malignant
Ulcers
,
is
almost
always
Acute
:
But
when
it
depends
upon
a
Scrophulous
and
Scorbutical
disposition
,
so
in
a
cold
and
phlegmatick
Temper
,
it
is
Chronical
.
Fifthly
,
The
omission
of
Bleeding
,
Observ
.
5.
For
want
of
B●eeding
in
the
〈◊〉
Fever
makes
a
Consumption
to
be
Acute
.
or
taking
away
too
little
Blood
,
or
bleeding
too
late
in
the
Inflammatory
Fever
of
such
as
have
a
lingring
Consumption
,
makes
that
Consumption
,
which
otherwise
was
in
its
own
Nature
slow
and
lingring
,
very
Acute
,
and
presently
Mortal
;
because
the
parts
of
the
Lungs
,
that
are
stufft
and
harden'd
,
having
been
heated
for
some
time
,
do
from
that
grow
more
apt
to
he
inflamed
,
to
putrefie
,
and
to
be
exulcerated
.
CHAP.
VI.
Of
the
Prognostick
signs
of
an
Original
Consumption
of
the
Lungs
.
WHat
will
be
the
Event
of
this
Distemper
,
does
plainly
appear
in
the
several
Stages
or
Degrees
of
it
,
as
well
to
our
very
Reason
,
as
to
Experience
,
from
what
I
have
already
said
;
and
therefore
I
shall
not
propose
my
Prognosticks
,
though
found
out
by
much
Practice
and
Experience
,
after
the
usual
manner
,
that
is
,
like
a
Dictator
,
and
Magisteriously
,
any
further
than
as
they
are
confirmed
by
Reason
,
and
proved
the
Nature
of
the
thing
it self
.
As
for
instance
,
Every
Consumption
of
the
Lungs
is
Chronical
.
First
,
Every
Original
Consumption
of
the
Lungs
,
strictly
speaking
,
is
Chronical
,
though
when
we
compare
them
,
one
Consumption
may
be
more
quick
than
another
,
and
in
that
respect
may
be
said
to
be
Acute
.
But
let
it
be
whither
it
will
,
it
is
always
very
hard
to
Cure
,
because
it
depends
upon
a
load
of
Humours
,
and
a
stock
of
them
heaped
together
in
the
Habit
of
the
Body
,
which
cannot
be
emptied
,
or
drawn
out
by
any
sudden
Crisis
,
like
a
Fever
and
other
Distempers
,
that
are
properly
called
Acute
.
A
Consumption
in
the
beginning
is
curable
.
Secondly
,
But
yet
in
the
beginning
,
when
the
Lungs
are
only
stufft
,
yea
,
in
the
Second
degree
of
this
Distemper
,
when
the
Tubercles
are
already
bred
from
a
long
stuffing
,
and
whilst
they
remain
crude
,
and
not
so
subject
to
be
inflam'd
and
ulcerated
,
a
Consumption
does
admit
of
a
Cure
as
well
as
other
Distempers
,
but
especially
in
the
Spring-time
,
which
is
wont
mightily
to
conduce
to
this
Cure
,
whilst
the
Sun
is
advancing
towards
us
.
It
admits
of
a
Cure
,
I
say
,
either
true
,
or
at
least
palliative
,
according
to
the
Nature
of
the
Swelling
,
and
the
present
state
of
the
Blood
,
from
which
there
arises
a
Swelling
more
or
less
Malignant
,
and
apt
to
be
inflam'd
and
ulcerated
:
To
wit
,
a
true
Cure
,
as
often
as
these
Swellings
(
being
but
few
and
benign
)
happen
to
be
dissolved
by
the
Art
of
Physick
:
And
a
palliative
Cure
so
long
as
those
Swellings
can
but
be
kept
from
an
Inflammation
and
Exulceration
,
Though
the
Cure
is
sometimes
only
palliative
.
by
the
help
of
Balsamick
and
other
such-like
Medicines
.
By
which
means
it
comes
to
pass
,
that
the
Patient
,
though
he
is
sickly
,
and
subject
to
Fevers
,
even
upon
every
little
occasion
,
yet
is
able
to
do
his
ordinary
business
,
and
many
times
lives
to
grow
Old
.
The
Reasons
why
it
is
thought
incurable
.
And
this
Distemper
comes
to
be
reckoned
such
a
stubborn
and
incurable
Disease
,
either
because
the
Patient
being
deceived
by
the
flattering
Nature
of
the
Distemper
,
or
through
carelesness
,
and
the
fear
of
Charges
(
who
commonly
sets
a
lower
Price
upon
himself
than
any
thing
else
)
comes
to
desire
the
Physician
's
Advice
too
late
(
which
very
often
happens
;
)
or
else
lastly
,
through
the
Ignorance
of
the
Physician
,
who
not
having
a
true
Understanding
of
this
Distemper
in
the
several
degrees
of
it
,
knows
not
therefore
how
to
treat
it
in
a
due
Method
.
Thirdly
,
but
a
confirm'd
Consumption
,
A
confirm'd
Consumption
rarely
cured
.
together
with
the
Putrid
Fever
that
is
added
to
it
,
caused
by
an
Inflammation
,
or
Exulceration
of
the
Lungs
,
does
very
rarely
admit
of
a
perfect
Cure
.
But
yet
if
it
be
but
a
small
part
of
the
Lungs
that
is
ulcerated
,
and
the
Matter
be
benign
,
and
contained
in
a
proper
Bag
,
the
Life
of
the
Patient
may
be
preserved
many
Years
by
the
careful
management
of
himself
,
and
the
use
of
proper
Medicines
;
but
he
will
be
always
sickly
,
and
subject
to
a
Putrid
Fever
even
upon
the
least
occasion
.
The
more
Acute
,
the
harder
to
Cure
.
Fourthly
,
A
confirm'd
Consumption
,
by
how
much
the
more
Acute
it
is
,
by
so
much
the
more
difficult
it
is
to
cure
,
because
it
depends
upon
more
Malignant
Tubercles
,
and
is
accompanyed
with
a
greater
Colliquation
,
and
likewise
a
quicker
decay
,
and
loss
of
strength
.
An
hereditary
,
&c.
Consumption
generally
Mortal
.
Fifthly
,
If
a
Consumption
be
Hereditary
,
or
proceeds
from
an
ill
conformation
or
make
of
the
Breast
,
for
the
most
part
it
is
Mortal
,
because
the
cause
which
produces
it
,
lyes
beyond
the
reach
and
power
of
our
Art
.
Very
hard
to
Cure
,
when
't
is
got
by
Infection
.
Sixthly
,
A
Consumption
that
is
got
by
Infection
,
but
especially
whenever
that
Infection
is
derived
from
one
that
has
an
Acute
and
Malignant
Consumption
,
is
,
when
all
other
Circumstances
are
alike
,
more
difficult
to
cure
,
and
for
the
most
part
more
Acute
and
Fatal
than
other
Consumptions
.
A
Consumption
in
young
Persons
is
very
hard
to
Cure
.
Seventhly
,
A
Consumption
in
Young
Persons
(
by
reason
it
is
more
Acute
,
and
apt
to
bring
a
Putrid
Fever
sooner
)
is
harder
to
cure
,
than
when
it
falls
upon
one
that
is
of
a
greater
Age
,
where
the
Blood
as
it
is
less
disposed
to
be
hot
,
so
it
threatens
a
slower
Fever
,
and
not
so
sudden
a
destruction
as
in
the
flower
of
their
Age
,
where
all
the
Essays
of
Nature
are
made
with
strength
and
violence
.
It
cannot
be
owed
in
the
Autumn
,
or
Winter
.
Eigthly
,
A
Consumption
in
the
Autumn
,
or
Winter
,
though
it
may
be
relieved
by
a
careful
management
,
and
the
convenient
use
of
Medicines
,
yet
it
can
never
be
perfectly
cured
without
the
benefit
of
the
Spring
,
and
of
the
approaching
Sun
.
For
as
the
vesiculous
substance
of
the
Lungs
is
almost
continually
penetrated
by
the
Air
,
and
by
the
Decree
of
Nature
is
blown
up
in
the
farthest
corners
of
it
by
the
continual
succession
of
new
Air
,
that
is
driven
in
and
out
by
Respiration
,
so
the
present
state
of
the
Air
must
necessarily
be
of
very
great
moment
,
seeing
it
may
either
hinder
or
promote
the
Cure
of
this
Distemper
,
as
it
is
found
to
be
wholsomly
dry
and
warm
,
or
unwholsom
by
being
cold
and
cloudy
.
So
that
the
due
constitution
of
the
Air
contributes
not
only
to
the
Preservation
of
the
Lungs
,
when
they
are
out
of
Order
,
but
also
to
their
Cure
more
than
the
most
pompous
heap
of
Medicines
,
which
cannot
be
conveyed
into
the
Blood
,
and
the
Part
affected
so
continually
,
or
in
the
same
quantity
as
the
Air
is
.
And
therefore
't
is
usually
in
vain
to
expect
the
Cure
of
a
Consumption
in
the
Winter-time
,
and
in
Autumn
,
to
wit
,
whilst
the
state
of
the
Air
being
cold
,
thick
,
and
moist
,
and
consequently
unwholsom
,
does
continually
promote
the
Distemper
more
than
a
store
even
of
the
most
proper
Medicines
can
stop
and
check
it
,
when
the
edge
of
the
most
Powerful
Remedies
is
taken
off
,
and
their
Efficacy
weakned
in
this
manner
by
the
extreamly
incommodious
state
of
the
Air.
Ninthly
,
Every
Putrid
Fever
,
Every
Putrid
Fever
promotes
a
Consumption
.
though
it
proceeds
meerly
from
an
accidental
Catarrh
,
or
taking
of
Cold
,
does
by
heating
the
Lungs
,
mightily
promote
a
Consumption
;
but
especially
if
Bleeding
be
omitted
in
the
beginning
.
Tenthly
,
An
Original
Consumption
is
harder
to
cure
than
one
that
is
Symptomatical
.
An
Original
Consumption
of
the
Lungs
is
for
the
most
part
harder
to
cure
than
a
Symptomatical
Consumption
,
because
this
last
seems
to
arise
not
so
much
from
the
Habit
of
the
Body
,
as
by
Accident
;
and
many
times
the
Original
Distemper
,
from
which
it
takes
its
beginning
,
is
easily
cured
.
Though
I
must
confess
,
that
whenever
a
Consumption
happens
to
arise
from
a
Peripneumony
,
or
any
other
Distemper
of
the
Breast
ill
cured
,
from
the
drying
up
of
old
external
●ores
,
or
the
running
of
internal
Ulcers
,
it
is
a
very
hard
thing
to
cure
it
.
Every
Consumption
when
't
is
cured
is
opt
to
return
.
Eleventhly
,
Every
Consumption
though
it
be
cured
,
is
apt
to
return
,
and
he
that
has
once
been
in
a
Consumption
,
unless
he
governs
himself
very
regularly
,
falls
back
into
the
same
condition
,
even
upon
the
least
occasion
.
For
not
only
the
Lungs
,
being
already
impaired
by
a
former
Attack
from
the
Distemper
,
are
the
more
apt
to
receive
a
new
impression
,
but
there
is
likewise
found
a
greater
inclination
and
disposition
to
this
Distemper
from
the
Habit
of
the
Body
it self
in
these
,
than
in
other
Persons
.
Yea
,
moreover
,
even
after
the
most
perfect
Cure
of
a
Consumption
,
there
is
reason
to
suspect
that
there
are
some
crude
Tubercles
yet
remaining
,
which
at
length
may
by
often
meeting
with
an
occasion
be
inflamed
,
and
ripen
into
Apostemes
,
and
so
at
last
become
Ulcers
.
The
sooner
the
Cure
of
a
Consumption
is
begun
,
the
easier
it
is
.
Twelfthly
,
The
sooner
the
cure
of
a
Consumption
is
begun
,
the
better
it
usually
succeeds
;
and
from
hence
this
Distemper
especially
proves
fatal
,
because
the
Physician
is
consulted
when
't
is
too
late
;
it
being
a
common
thing
for
Patients
to
neglect
our
Advice
so
long
,
till
they
are
not
capable
of
any
of
those
Evacuations
,
and
several
other
Medicines
that
are
very
necessary
to
this
Cure
.
CHAP.
VII
.
Of
the
Indications
of
Cure
in
an
Original
Consumption
of
the
Lungs
.
IN
the
beginning
of
this
Distemper
,
to
wit
,
whilst
the
Lungs
are
only
stufft
,
and
being
filled
with
dispirited
Chyle
,
and
obstructed
(
with
the
Habit
of
the
whole
Body
at
the
same
pass
)
they
have
a
Hectical
Heat
,
and
spew
out
a
great
quantity
of
Serum
(
which
does
often
happen
in
a
Consumption
proceeding
from
a
Catarrh
,
and
taking
of
Cold
,
that
is
,
where
the
Body
has
been
so
predisposed
,
and
indeed
continues
a
long
time
before
the
Tubercles
,
and
the
dry
Cough
,
that
proceeds
from
them
,
are
produced
.
)
I
say
,
at
this
time
the
Indications
are
plainly
these
.
First
,
The
first
Indication
is
to
temper
the
heat
of
the
Spirits
,
&c.
This
is
to
be
done
by
alterative
Medicines
.
To
temper
the
heated
disposition
of
the
Spirits
,
by
procuring
a
quiet
and
chearful
Mind
,
and
to
mend
the
Mass
of
Blood
,
that
has
been
by
degrees
reduced
to
a
sharp
and
hectical
state
,
by
the
plentiful
use
of
alterative
Medicines
.
And
such
we
must
reckon
not
only
a
Milk
Diet
,
the
Chalybeate
Mineral
Waters
,
and
those
Medicines
that
are
commonly
called
Pectoral
,
as
being
soft
and
mucilaginous
,
and
so
obtunding
the
sharpness
of
the
Humours
,
but
also
Balsamicks
,
and
Specificks
,
which
have
a
respect
to
the
proper
Constitution
of
the
Patient
.
But
the
Remedies
of
this
Nature
must
be
taken
plentifully
,
and
so
must
be
given
(
as
much
as
can
be
)
in
the
manner
of
a
Diet
,
and
they
must
persist
in
the
use
of
them
for
a
long
time
:
For
the
sharp
and
distempered
state
of
the
Humours
,
which
has
been
contracted
by
little
and
little
,
is
not
corrected
without
a
long
and
plentiful
use
of
proper
Medicines
.
The
second
Indication
is
to
carry
off
the
ill
Humours
by
Evacuations
.
Secondly
,
Gently
to
carry
off
the
load
of
the
dispirited
and
diseased
Humours
lodged
in
the
Habit
of
the
Body
,
with
convenient
Medicines
,
as
Vomits
,
Purges
,
Diuretick
,
and
Sweating
Medicines
.
Which
must
be
always
gentle
.
But
all
manner
of
care
must
be
taken
in
the
choice
of
these
kind
of
Remedies
;
to
wit
,
that
they
be
very
gentle
and
benign
,
left
that
by
heating
the
Blood
,
and
putting
it
into
too
great
a
commotion
,
and
by
that
means
bringing
it
farther
into
a
colliquative
and
waterish
state
,
they
should
by
Accident
increase
the
Distemper
.
The
third
Indication
is
to
open
Obstructions
,
&c.
Thirdly
,
To
remove
Obstructions
,
and
to
strengthen
the
Tone
of
the
Parts
,
especially
of
the
Lungs
,
that
are
weakned
by
the
Humours
they
have
imbibed
,
and
disposed
to
a
Convulsive
Contraction
,
by
the
use
of
Steel
prepared
either
by
Art
or
Nature
,
of
Balsamick
Medicines
,
of
good
and
agreeable
Air
,
of
Volatile
Salts
,
and
other
things
of
this
kind
.
The
fourth
is
to
correct
the
Colliquative
state
of
the
blood
.
Fourthly
,
To
prevent
the
Hectick
and
Colliquative
Heat
,
or
Catarrhous
state
of
the
Blood
,
or
at
least
to
lessen
it
by
timely
and
plentiful
Bleeding
;
which
,
although
it
may
do
mischief
sometimes
in
a
confirm'd
Consumption
,
yet
in
the
beginning
of
one
it
is
very
beneficial
:
And
I
do
not
at
all
doubt
but
the
Tubercles
for
the
most
part
are
occasioned
by
the
neglect
of
it
,
or
for
want
of
Bleeding
to
a
sufficient
quantity
in
the
beginning
of
the
Distemper
,
whereby
the
Consumption
uses
to
run
presently
into
the
second
,
and
more
fatal
degree
.
The
fifth
is
to
concoct
and
thicken
the
Rheume
in
the
Lungs
.
Fifthly
,
To
take
all
the
care
that
we
possibly
can
of
the
Part
affected
,
to
wit
,
the
Lungs
,
by
hastening
(
as
much
as
may
be
)
the
concoction
of
the
thin
Rheum
,
that
flows
continually
into
them
,
whereby
the
troublesome
Cough
it self
,
together
with
the
cause
of
it
,
may
be
wholly
removed
.
What
Medicines
are
convenient
for
this
purpose
.
Which
is
done
not
only
by
alterative
and
mucilaginous
Medicines
,
commonly
called
Pectorals
(
which
being
taken
plentifully
,
do
by
taking
off
the
sharp
disposition
of
the
Blood
and
Humours
,
hinder
any
farther
colliquation
and
heat
in
them
;
by
which
means
the
new
influx
of
them
being
once
rendred
less
,
the
Humours
,
that
are
already
sticking
in
the
Lungs
,
may
be
more
easily
and
sooner
concocted
by
the
Natural
heat
of
the
Part
:
)
But
likewise
by
gentle
evacuating
Medicines
,
which
by
diverting
the
Humours
from
the
Lungs
,
do
for
the
Reason
already
mentioned
,
conduce
very
much
to
the
more
speedy
concoction
of
those
,
which
had
been
before
collected
.
But
above
all
by
the
prudent
and
alternate
use
of
cleansing
and
inciding
Medicines
,
as
there
shall
be
occasion
.
For
as
Incrassating
and
Opiate
Medicines
prudently
given
,
do
much
promote
the
concoction
of
the
Humour
,
that
is
already
fixt
in
the
Lungs
,
by
stopping
the
influx
of
fresh
Humours
into
them
,
at
least
for
a
time
;
so
likewise
by
that
respite
,
which
they
procure
to
the
Lungs
from
coughing
,
the
Lungs
themselves
,
not
being
for
that
time
so
much
distended
beyond
their
Tone
,
and
recovering
their
Natural
strength
,
are
very
much
comforted
.
But
by
the
use
of
Oily
and
Lubricating
Medicines
,
the
Humours
that
are
lodged
in
the
Lungs
,
and
concocted
,
are
more
easily
brought
up
by
Expectoration
.
And
if
in
their
concoction
they
happen
to
grow
more
hard
and
tough
than
they
should
be
,
they
may
with
the
help
of
cutting
,
and
cleansing
Medicines
be
brought
up
without
violent
straining
,
or
force
of
their
Cough
,
which
,
if
it
happens
,
may
raise
a
new
Flux
(
and
that
a
very
troublesome
one
)
of
thin
Rheum
,
from
the
Glandules
of
the
Wind-pipe
and
Lungs
,
like
the
sucking
of
a
Pump
.
In
the
second
degree
of
a
Consumption
the
Indications
are
almost
the
some
as
those
above
mentioned
.
In
the
Second
degree
of
this
Distemper
,
that
is
,
when
the
Tubercles
are
first
bred
in
the
Lungs
,
with
a
dry
and
troublesome
Cough
,
and
so
long
as
they
remain
crude
,
without
any
great
Inflammation
and
Exulceration
,
the
Indications
are
almost
the
same
as
before
,
excepting
that
they
must
insist
more
diligently
upon
a
very
plentiful
use
of
altering
Medicines
,
according
as
the
degree
of
the
Hectick
heat
is
increased
;
but
according
as
their
Weakness
,
and
the
Colliquation
of
the
Humours
are
greater
,
all
manner
of
Evacuations
must
be
made
more
cautiously
and
sparingly
;
but
especially
we
must
endeavour
all
we
can
to
dissolve
those
Swellings
with
the
use
of
Balsamicks
,
Chalybeates
,
Antiscorbutick
Medicines
,
of
Wood-lice
,
and
other
things
of
that
kind
.
But
in
the
last
degree
of
a
Consumption
there
are
new
Indications
.
But
as
soon
as
the
Distemper
comes
by
the
Inflammation
,
and
ripening
of
the
Tubercles
,
at
length
to
the
last
,
and
for
the
most
part
fatal
degree
of
a
confirm'd
Consumption
,
(
which
commonly
shews
it self
not
only
by
the
vast
increase
of
the
Colliquation
,
and
the
accession
of
a
new
Fever
,
not
only
an
Inflammatory
,
or
Peripneumonick
,
but
likewise
a
Putrid
Intermitting
Fever
)
there
presently
arise
new
Indications
of
Cure
.
1.
For
when
the
Lungs
are
affected
with
an
Inflammation
of
the
Tubercles
in
the
manner
of
a
Peripneumony
,
as
there
is
an
Indication
of
timely
Bleeding
,
and
of
Temperate
and
Cordial
Juleps
to
soften
the
Blood
,
and
to
keep
up
their
Strength
,
so
also
of
a
very
thin
Diet
,
and
a
plentiful
use
of
Pectoral
Medicines
(
but
especially
such
as
are
Oily
and
Mucilaginous
)
to
take
off
the
Convulsive
contraction
of
the
Lungs
,
by
their
Anodyne
Power
,
and
to
facilitate
and
promote
the
bringing
up
,
or
expectoration
of
the
Phlegm
out
of
the
stufft
Pipes
.
But
as
soon
as
the
Peripneumonick
Fever
happens
to
be
succeeded
by
a
Putrid
Intermitting
,
In
the
Putrid
Intermitting
Fever
all
Evacuations
are
to
be
avoided
.
and
extream
Colliquative
Fever
,
together
with
a
sudden
decay
of
Strength
after
the
Inflammation
of
the
Tubercles
turns
once
to
an
Exulceration
;
as
all
Evacuations
are
contradicted
by
that
Weakness
,
so
there
is
an
Indication
for
the
use
of
Temperate
Pectoral
Cordials
,
Pectorals
,
Opiates
,
Slippery
,
and
Cleansing
Medicines
.
We
must
likewise
endeavour
to
root
out
the
Putrid
Fever
,
which
,
although
some
deceitful
Truce
may
be
gained
with
the
use
of
the
Peruvian
Bark
,
The
Peruvian
Bark
must
be
given
.
yet
does
never
admit
of
a
perfect
Cure
without
the
Ulcers
are
healed
,
which
,
when
they
are
small
and
benign
,
is
not
altogether
impossible
with
the
help
of
a
convenient
Diet
,
and
good
Air
,
and
the
use
of
Balsamick
Medicines
.
But
however
that
may
be
,
we
may
endeavour
to
give
some
check
to
the
Colliquation
,
by
mitigating
the
Fever
Fit
,
and
to
alleviate
the
fatal
Symptoms
,
which
arise
on
every
hand
from
the
Colliquation
.
Of
which
I
shall
speak
more
largely
by
and
by
in
the
Method
of
Cure
.
The
Medicines
that
are
proper
in
this
Disease
,
What
Purging
Medicines
are
convenient
in
a
Consumption
.
are
,
First
,
Purging
Medicines
,
which
ought
always
to
be
mild
and
benign
,
as
Manna
,
Lenitive
Electuary
,
the
greater
Compound
Pouder
of
Senna
,
Aloes
prepared
with
the
Juice
of
Roses
,
Mastick
Pills
,
Pills
of
Amber
,
Alaephangine
Pills
,
Stomack-Pills
with
Gums
,
my
Magisterial
Stomack-Pills
(
by
the
Prudent
use
of
which
at
due
distances
my
most
dear
Father
,
who
was
himself
a
very
Skilful
Physician
,
for
the
space
of
Thirty
Years
,
lived
till
he
was
an
Old
Man
,
though
in
a
Consumptive
and
Sickly
state
)
the
description
of
which
I
am
willing
to
publish
out
of
his
own
Manuscript
,
for
the
Publick
Good
.
Take
of
the
finest
Aloes
an
Ounce
,
the
best
Myrrh
,
Mastick
,
of
each
half
an
Ounce
,
Cinnamon
,
Saffron
,
of
each
two
Drams
,
Cloves
,
Roman
Wormwood
,
Red
Roses
,
Nutmeg
,
Mace
,
Calamus
Aromaticus
,
of
each
a
Dram
,
of
the
best
Rhubarb
two
Drams
,
Galingale
,
Schaenanthus
,
Yellow
Saunders
,
Wood
of
Aloes
,
the
lesser
Cardamoms
,
of
each
half
a
Dram
,
of
Oriental
Musk
four
Grains
,
with
a
sufficient
quanty
of
Syrup
of
Wormwood
.
Make
them
up
into
a
Mass
for
Pills
,
according
to
Art
.
Likewise
the
Purging
Mineral
Waters
,
and
in
general
all
gentle
Purgers
,
that
are
grateful
to
the
Stomack
and
Nerves
,
and
which
cause
as
little
heat
as
may
be
in
the
Blood
and
Spirits
,
are
of
use
here
.
What
Vomits
may
be
given
.
To
this
Head
we
must
also
refer
Vomits
,
as
Honey
of
Squills
,
and
in
the
beginning
of
a
Consumption
especially
,
when
it
is
from
a
Surfeit
,
the
Infusion
of
Crocus
Metallorum
.
What
Diuretick
Medicines
are
proper
.
Secondly
,
Diureticks
,
as
the
Mineral
Waters
,
both
Chalybeate
,
and
Purging
,
Wood-lice
both
crude
and
prepared
,
the
four
greater
cold
Seeds
,
common
Turpentine
,
Natural
Balsam
,
Balsam
of
Tolu
,
of
Peru
;
and
Compound
Medicines
made
of
these
,
as
Balsam
of
Sulphur
made
with
Oyl
of
Turpentine
,
and
with
Oyl
of
Aniseeds
,
Dr.
Goddard's
Balsamick
Syrup
,
both
the
Simple
and
the
Anodyne
;
the
Roots
of
Fennel
,
Parsley
,
Eringo
,
and
those
either
raw
or
candied
,
of
Elecampane
,
the
Seeds
of
Mallows
,
of
Marsh-mallows
,
Plantain-leaves
,
Juniper-berries
,
Elder-berries
,
simple
Honey
,
Honey
of
Violets
,
Craw-fish
,
Syrup
of
Marsh-mallows
,
Sweet
Almonds
,
&c.
Thirdly
,
Diaphoreticks
,
The
Diapheretick
Medicines
that
proper
.
As
Sarsaparilla-roots
and
China
,
in
decoctions
,
Venice-Treacle
,
Laudanum
,
both
liquid
and
solid
,
Mithridate
,
Confection
of
Alkermes
,
Saffron
,
Sassafras-wood
,
Lignum
Vitae
,
Saunders
,
yellow
or
red
.
Fourthly
,
Pectorals
,
The
several
sorts
of
Pectoral
Medicines
,
As
those
that
are
soft
.
to
which
Head
I
use
to
refer
,
First
,
all
Simple
and
Compound
Medicines
,
which
by
taking
off
the
Acrimony
of
the
Humours
,
do
abate
the
Colliquative
state
of
the
Blood
,
whereby
it
comes
to
pass
,
that
the
Rheum
is
not
separated
so
plentifully
by
the
Wind-pipe
and
Glands
of
the
Lungs
.
As
for
Example
,
Coltsfoot
,
Maiden-hair
,
Alehoof
,
Brook-lime
,
Water-Cresses
,
Pine-tops
,
Scabious
,
spotted
Lungwort
,
the
Flowers
of
the
great
Daisie
,
of
Rosemary
,
Betony
,
Sage
,
Violets
,
of
Borrage
,
Bugloss
,
Lilly
of
the
Vallies
,
the
Roots
of
Polypody
,
the
Leaves
of
Yarrow
,
Mouse-ear
,
Burnet
,
Dandelion
,
Plantain
,
Self-heal
,
Sanicle
,
Fluellin
;
and
such
mild
Plants
abounding
with
a
Volatile
Salt
;
with
Syrups
,
and
other
Compound
Medicines
made
of
those
Simples
;
the
Leaves
of
the
Oak
of
Jerusalem
,
of
Sun-dew
,
Golden
Maiden-hair
,
and
other
Herbs
commonly
called
Vulnerary
,
which
by
altering
the
Mass
of
Blood
,
do
very
much
help
the
Concoction
of
the
Humours
,
that
are
lodged
in
the
Lungs
.
Likewise
the
Balsam
of
Tolu
,
of
Peru
,
Natural
Balsam
,
Storax
,
Benjamin
,
Gum
Elemi
,
Balsam
Capivi
,
with
other
Gums
and
Balsams
;
Brimstone
,
and
the
several
Preparations
of
it
;
Crabs-eys
,
Egg-shells
,
Chalk
,
Coral
,
Pearl
,
Wood-lice
;
the
four
greater
cold
Seeds
,
the
Seeds
of
Mallows
,
Marsh-mallows
,
and
Lettuce
:
the
Roots
of
China
,
Sarsaparilla
,
the
shavings
of
Hartshorn
and
Ivory
,
with
the
Compound
Medicines
made
of
them
,
such
as
Haly's
Pouder
,
the
Analeptick
,
or
Restorative
Antidote
,
the
Pectoral
Decoction
,
the
Decoction
of
Sarsa
,
and
China
;
Pectoral
and
Antiscorbutick
Ingredients
in
their
ordinary
Drink
,
Emulsions
of
the
four
cold
Seeds
made
with
Barley-water
,
a
Milk
Diet
,
but
especially
Asses
Milk
,
things
made
with
Barley
,
the
Chalybeate
Waters
,
Oysters
,
Snails
,
and
Medicines
made
of
these
.
These
that
are
lubricating
and
inciding
.
Secondly
,
Lubricating
and
cutting
Medicines
,
which
promote
the
Expectoration
of
the
Humours
,
that
stick
in
the
Lungs
;
as
Liquorice
,
Honey
,
Mead
,
common
Oyl
,
Oyl
of
Sweet
Almonds
,
but
especially
Linseed-Oyl
fresh
drawn
without
fire
,
Turpentine
,
Natural
Balsam
,
fresh
and
sweet
Butter
,
Almonds
,
Figs
,
Raisins
of
the
Sun
,
Dates
,
Sebestens
,
Jujubes
,
Juice
of
Liquorice
,
Gum
Ammoniack
,
Benjamin
,
Balsam
of
Tolu
,
Lohoch
Sanum
,
&
expertum
,
Lohoch
of
Foxes
Lungs
,
of
Coltsfoot
;
Sugar-candy
,
or
Loaf-Sugar
,
with
several
Linctuses
,
and
other
Medicines
in
which
that
is
an
Ingredient
,
such
as
the
Syrups
of
Hedg-Mustard
,
Maiden-hair
,
Colts-foot
,
simple
Syrup
of
Horehound
,
Syrup
of
the
Flowers
of
St.
John's
wort
,
of
the
five
opening
Roots
,
the
Balsamick
Syrup
,
Syrup
of
Jerusalem
Oak
,
of
Liquorice
,
Hyssop
,
Horehound
,
Marsh-mallows
,
Jujubes
,
Violets
,
as
also
Honey
of
Violets
,
the
Compound
Pouder
of
Orrice
,
Haly's
Pouder
,
Trochisci
Bechici
,
or
Cough-Lozenges
,
both
white
and
black
.
Those
that
are
Carminative
.
Thirdly
,
Carminatives
,
which
by
comforting
the
Nerves
,
and
freeing
them
from
Obstructions
,
do
remove
the
Convulsie
Constriction
of
the
Lungs
,
upon
which
there
follows
a
freer
Respiration
,
and
consequently
a
more
easie
Expectoration
;
as
Aqua
Mirabilis
,
Spirit
of
Hartshorn
,
of
Salt
Armoniack
,
the
Compound
Waters
of
Briony
and
Piony
,
Aniseeds
,
Fennel-seeds
,
Elecampane
and
Orrice-Roots
,
Orange-flowers
,
Rosemary-flowers
;
the
Leaves
of
Hyssop
,
Sun-dew
,
with
the
Waters
and
Syrups
made
of
them
;
Orange
and
Citron
Pills
candied
,
Bay-berries
,
Juniper-berries
,
Honey
,
Civet
,
Gum
Ammoniack
,
Benjamin
,
Cinnamon
,
Nutmeg
,
Mace
,
Balsam
of
Peru
,
Natural
Balsam
,
Syrup
of
Hedg-Mustard
,
of
Hyssop
,
the
Compound
Pouders
of
Orrice
,
of
Calamint
,
Treacle
,
Mithridate
,
Laudanum
,
and
others
of
that
kind
,
which
yet
must
be
used
very
cautiously
,
and
sparingly
,
and
not
without
urgent
Necessity
,
if
there
be
any
considerable
Fever
.
Fourthly
,
Those
that
are
Incrassating
and
agglutinating
.
Incrassating
and
Agglutinating
Medicines
,
which
conduce
very
much
to
the
speedy
Concoction
,
and
consequently
the
Expectoration
of
the
Serum
that
flows
into
the
Lungs
;
as
Comfrey
,
Alehoof
,
Yarrow
,
Dandelyon
,
Mouse-ear
,
Plantain
,
Self-heal
,
Sanicle
,
Scabious
,
and
in
general
all
Vulnerary
Herbs
;
the
Flowers
of
Red
Roses
,
of
Red
Poppies
,
English
Saffron
,
Liquorice
,
Saunders
,
yellow
and
red
;
Pectoral
Fruits
,
as
Raisins
of
the
Sun
,
Figs
,
Dates
,
Jujubes
,
Sebestens
,
Sweet
Prunes
,
Pine-Kernels
,
Fistick-Nuts
,
white
Poppy-seeds
,
the
four
greater
cold
Seeds
,
Seed
of
Henbane
,
with
the
Emulsions
and
Syrups
made
of
them
;
Sugar
penidate
,
Sugar
of
Roses
,
old
Conserve
of
Red
Roses
,
Juice
of
Liquorice
,
Starch
,
Honey
,
Olibanum
,
Gum
Arabick
,
Tragacanth
,
Syrups
of
Comfrey
,
Marsh
mallows
,
dryed
Roses
,
and
of
Liquorice
,
Lohoch
of
Fleawort-seed
,
of
Coleworts
,
Poppies
,
Purslane
,
of
Pines
,
Sanum
,
&
expertum
,
and
of
Raisins
,
Jelly
Broths
made
of
Calves-feet
,
&c.
Jellies
of
Hartshorn
and
Ivory
,
the
species
Diatragacanthi
frigidae
,
Haly's
Pouder
,
the
black
Lozenges
for
a
Cough
,
Mithridate
,
Diascordium
,
Venice-Treacle
,
Syrup
of
white
Poppy-heads
,
and
in
general
all
Opiates
,
as
Laudanum
,
both
solid
and
liquid
,
Hounds-tongue-pill
,
Styrax
Pill
,
Philonium
Persicum
,
and
Romanum
,
&c.
Which
by
stopping
the
present
influx
of
the
Humours
into
the
Lungs
(
as
the
Ancients
love
to
speak
)
do
likewise
contribute
very
much
to
the
Concoction
of
the
Humours
,
which
had
been
lodg'd
in
the
Lungs
before
.
And
therefore
without
the
cautious
and
prudent
use
of
them
there
is
no
great
matter
to
be
done
in
the
Cure
of
a
Consumption
.
And
lastly
,
Deobstruents
.
Fifthly
,
Such
Medicines
as
open
Obstructions
,
which
by
freeing
the
stufft
Glands
from
their
stoppages
,
do
lessen
them
.
As
the
Roots
of
Orice
,
Sarsa
,
China
,
Sassafras-wood
,
Saunders
,
Bay-berries
,
Juniper-berries
,
Gum
Ammoniack
,
Benjamin
,
Balsam
of
Tolu
,
of
Sulphur
,
of
Peru
,
Opobalsam
,
Steel
,
either
of
Nature's
Preparation
in
the
Mineral
Waters
,
or
prepared
by
Art
in
the
form
of
a
Syrup
,
or
Electuary
,
or
of
Pills
,
&c.
Wood-lice
;
with
many
other
Antiscorbutick
and
Antiscrophulous
Medicines
.
From
this
Treasure
of
Simple
and
Compound
Medicines
,
a
Prudent
Physician
ought
with
the
Direction
of
his
Judgment
and
Experience
,
to
compose
and
prescribe
divers
Medicines
in
the
several
degrees
of
the
Distemper
,
and
according
to
the
Exigence
of
the
Symptoms
,
as
there
shall
be
occasion
,
in
that
form
which
shall
be
most
grateful
to
the
Patient
,
that
he
may
be
always
able
to
answer
the
present
Indications
in
the
whole
course
of
the
Distemper
,
and
not
insist
,
like
a
Quack
,
upon
one
single
Medicine
,
as
a
Charm
for
the
Disease
.
The
Method
of
which
Rational
Cure
in
the
various
state
and
Symptoms
of
this
Distemper
as
it
proceeds
,
I
shall
immediately
propose
.
The
Chirurgical
Remedies
in
this
Distemper
are
Issues
,
Blisters
,
Shaving
of
the
Head
,
What
are
the
Chirurgical
Remedies
.
the
application
of
the
Head-Plaister
,
Betony-Plaister
,
or
any
other
of
the
like
Nature
as
also
Bleeding
;
of
the
Use
,
and
Reason
of
which
I
shall
Discourse
more
largely
in
the
following
Method
of
Cure
.
CHAP.
VIII
.
Of
the
Method
of
Cure
in
an
Original
Consumption
of
the
Lungs
.
In
the
Cure
of
a
Consumption
in
the
beginning
the
influx
of
Rheum
into
the
Lungs
must
be
stopt
.
IN
the
beginning
of
this
Distemper
(
to
wit
,
when
the
Lungs
,
the
Wind-pipe
,
and
Glandules
that
are
dispersed
through
all
that
Pipe
,
and
the
branches
of
it
,
are
at
first
only
stufft
by
the
constant
spewing
out
of
the
Serum
,
that
is
separated
from
the
Mass
of
Blood
,
and
they
are
troubled
with
a
continual
Cough
,
especially
in
the
Night
,
proceeding
from
thence
)
the
new
influx
of
Catarrhous
Rheum
into
these
parts
is
to
be
stopt
by
all
proper
means
,
and
the
Humours
that
are
already
lodg'd
there
,
must
be
concocted
as
soon
as
may
be
.
And
therefore
,
First
,
Some
Blood
must
be
taken
away
.
First
,
There
must
be
some
Blood
taken
from
the
Arm
,
(
especially
if
the
Patient
has
a
fulness
of
Blood
,
and
has
before
been
accustomed
to
Bleed
)
to
the
quantity
of
Six
,
Seven
,
Eight
,
or
Ten
Ounces
;
not
only
to
abate
the
Effervescence
,
and
consequently
the
Colliquation
of
the
Blood
;
but
likewise
to
prevent
the
Swelling
and
Inflammation
of
the
Lungs
themselves
,
and
to
take
away
the
Feverish
Heat
,
which
is
usually
caused
by
the
continual
agitation
of
the
parts
of
the
Breast
by
the
Cough
,
and
by
the
want
of
Rest
,
This
must
sometimes
be
done
more
than
once
.
which
follows
upon
it
.
This
opening
of
a
Vein
(
where
the
Indications
require
it
)
is
to
be
done
once
,
twice
,
or
thrice
,
at
due
intervals
;
especially
where
there
is
a
flux
of
colliquated
Serum
,
in
the
form
of
a
suffocative
Catarrh
,
together
with
a
plentiful
Expectoration
of
crude
Phlegm
,
that
comes
near
to
the
Nature
of
a
Rheum
;
or
where
there
is
a
very
Asthmatical
difficulty
of
Breathing
,
a
pain
of
the
Side
,
or
any
signs
of
a
Rheumatick
,
Pleuritick
,
or
Peripneumonick
disposition
;
or
lastly
,
where
a
Surfeit
,
or
a
too
plentiful
drinking
of
Wine
,
or
other
Spirituous
Liquors
have
preceded
.
And
indeed
I
do
not
at
all
doubt
but
Catarrhs
,
For
want
of
this
,
ordinary
Coughs
sometimes
turn
to
a
Consumption
.
and
ordinary
Coughs
do
very
often
turn
to
a
Consumption
of
the
Lungs
for
want
of
due
Bleeding
and
fanning
of
the
Blood
in
the
beginning
of
this
Distemper
:
And
moreover
we
have
reason
to
suspect
that
the
Concretion
,
or
hard
knots
in
the
Glandulous
parts
of
the
Lungs
,
and
the
Hectick
Heat
proceed
from
thence
.
Secondly
,
After
Bleeding
it
is
very
necessary
,
After
bleeding
a
Vomit
is
necessary
.
especially
if
the
Distemper
had
its
beginning
from
a
Surfeit
;
or
if
there
be
a
nauseating
and
disposition
to
Vomit
joyned
with
it
,
to
prescribe
a
gentle
Vomit
of
Honey
of
Squills
,
or
Oxymel
of
Squills
;
yea
,
and
sometimes
of
the
Infusion
of
Crocus
Metallorum
,
to
be
taken
in
a
moderate
quantity
.
By
which
Vomiting
not
only
the
Stomack
,
that
was
opprest
with
a
load
of
Humours
,
may
be
eased
,
and
the
sickness
of
the
Stomack
arising
from
thence
,
may
be
removed
,
and
the
Digestion
restored
(
all
which
are
to
be
highly
valued
;
)
but
likewise
the
heap
of
Humours
which
were
before
lodged
in
the
Lungs
,
uses
by
the
exagitation
or
shaking
of
these
parts
in
Vomiting
,
to
be
expectorated
very
considerably
,
not
without
a
remarkable
easing
of
that
heavy
weight
,
which
was
caused
by
that
load
.
And
I
have
not
only
seen
several
Empericks
boast
,
and
that
not
without
good
Success
,
that
they
could
cure
any
incipient
Consumption
this
way
,
but
likewise
I
my self
,
by
the
Direction
of
Reason
,
and
the
Encouragement
of
Experience
,
have
many
times
in
the
same
manner
stopt
the
Progress
of
a
Consumption
in
the
beginning
of
it
,
in
a
very
short
time
.
And
is
sometimes
to
be
repeated
.
This
Vomiting
(
especially
if
the
Patient
bears
it
well
,
and
finds
Relief
by
it
,
and
if
it
be
necessary
)
may
be
repeated
every
third
or
fourth
day
,
for
three
or
four
times
.
The
most
convenient
time
to
give
a
Vomit
.
The
most
convenient
time
to
give
a
Vomit
in
this
case
,
is
a
little
before
the
Evening
,
but
they
ought
to
bleed
first
the
day
before
,
for
fear
the
Blood
should
be
heated
by
the
violent
agitation
of
the
Parts
,
and
by
that
means
a
Fever
should
be
brought
on
,
or
increased
if
there
was
one
before
:
And
likewise
to
prevent
a
spitting
of
Blood
,
which
is
wont
to
arise
from
the
more
vehement
straining
of
the
parts
of
the
Breast
caused
at
this
time
by
Vomiting
before
the
Blood-Vessels
have
been
emptied
.
It
is
also
very
convenient
when
the
Vomit
has
done
working
,
When
the
Vomit
has
done
working
we
must
give
an
Opiate
.
to
Order
some
Opiate
,
not
only
to
temper
the
heat
of
the
Blood
excited
by
the
straining
and
agitation
,
but
likewise
to
hinder
a
new
influx
of
Rheum
into
the
Lungs
,
which
uses
to
arise
from
this
violent
agitation
of
the
parts
.
The
forms
of
the
Vomits
and
Opiates
,
which
I
commonly
use
in
this
case
,
are
these
which
follow
.
Take
of
Honey
of
Squills
half
an
Ounce
;
let
it
be
given
in
a
Draught
of
Posset-drink
,
and
repeated
twice
or
thrice
in
an
hour
,
if
the
Patient
does
not
Vomit
sufficiently
.
Which
is
a
Vomit
mighty
proper
for
Children
and
Young
People
,
being
gentle
,
and
very
grateful
.
Or
,
Take
Oxymel
of
Squills
,
Oyl
of
sweet
Almonds
,
of
each
an
Ounce
.
Mix
them
.
Let
the
Patient
take
it
dissolved
in
a
large
draught
of
Posset-drink
,
and
repeat
it
twice
or
thrice
in
an
hour
(
if
it
be
necessary
)
to
promote
his
Vomiting
.
Or
,
Take
of
the
Infusion
of
Crocus
Metallorum
seven
Drams
,
Syrup
of
Violets
two
Drams
:
mix
them
for
a
Vomit
.
And
in
the
time
of
its
working
(
if
it
be
needful
)
give
Oyl
of
sweet
Almonds
,
and
Oxymel
of
Squills
,
of
each
half
an
Ounce
,
in
a
draught
of
Posset-drink
once
or
twice
.
Salt
of
Vitriol
is
not
so
convenient
,
because
it
continually
twitches
,
and
irritates
with
its
stypticity
the
Glandulous
parts
about
the
Throat
,
and
so
uses
to
cause
a
greater
flux
of
Rheum
,
and
so
a
troublesom
and
long
Cough
after
the
Vomiting
is
over
.
The
forms
of
the
Opiates
to
be
given
after
Vomiting
,
are
these
which
follow
.
Take
Cordial
Milk-water
,
Carduus-water
,
of
each
an
Ounce
;
of
Barley
Cinnamon-water
half
an
Ounce
,
Syrup
of
white
Poppies
six
Drams
.
Mix
them
for
a
Draught
.
Or
,
Take
of
the
clear
Pectoral
Decoction
four
Ounces
,
of
Tincture
of
Saffron
two
Drams
,
of
Helmont's
Liquid
Laudanum
fifteen
drops
,
of
Syrup
of
Violets
two
Drams
.
Mix
them
for
a
Draught
.
Or
,
Take
of
Coltsfoot-water
two
Ounces
,
Oyl
of
sweet
Almonds
fresh
drawn
,
Syrup
of
white
Poppies
,
of
each
an
Ounce
.
Mix
them
.
Or
if
the
Patient
likes
the
form
of
a
Bolus
better
,
Take
old
Conserve
of
Red
Roses
,
Mithridate
,
or
Venice-Treacle
,
Conserve
of
Wood-Sorrel
,
of
each
half
a
Dram
,
of
London
Laudanum
half
a
Grain
.
Mix
them
into
the
form
of
a
Bolus
.
Or
,
let
him
take
in
the
form
of
Pills
,
half
a
Scruple
of
the
Cyncgloss
Pill
,
or
as
much
of
the
Storax
Pill
.
Gentle
Purges
are
convenient
.
Thirdly
,
it
is
convenient
also
gently
to
carry
down
the
load
of
Humours
by
Stool
and
Stomack-Purges
,
and
others
of
that
Nature
,
such
as
may
cause
but
a
very
little
Effervescence
,
and
Colliquation
of
the
Blood
.
As
for
Example
.
Take
the
best
Manna
,
Oyl
of
sweet
Almonds
,
of
each
an
Ounce
and
half
,
or
two
Ounces
,
dissolve
them
in
a
Pint
of
hot
Ptisane
.
Let
the
Patient
drink
half
of
it
in
his
Bed
,
the
other
half
,
half
an
hour
after
rising
out
of
his
Bed
.
Or
,
Take
of
the
best
Senna
two
Drams
,
Cassia
broken
with
the
Canes
,
Tamarinds
,
of
each
half
an
Ounce
,
of
Coriander-seed
prepared
,
half
a
Dram
;
boyl
them
in
a
sufficient
quantity
of
Spring-water
,
or
Barnet
,
or
any
other
Purging
Water
,
to
half
a
pint
.
Dissolve
in
the
Liquor
strained
an
Ounce
of
the
best
Manna
,
half
a
Dram
of
Salt
of
Prunella
.
Mix
them
.
Let
the
Patient
take
half
of
this
Potion
in
the
Morning
,
and
the
rest
half
an
hour
after
,
with
due
care
.
After
the
working
of
a
Purge
,
we
must
give
an
Opiate
that
Night
.
But
whenever
he
takes
a
Purge
,
that
Night
after
it
has
done
working
there
must
be
an
Opiate
given
,
as
after
the
Vomits
,
to
calm
the
Commotions
in
the
Blood
,
and
to
give
the
Lungs
some
quiet
,
for
fear
there
should
arise
a
new
influx
of
Humours
into
the
Lungs
from
the
agitation
of
the
Blood
by
the
Purges
.
And
for
the
same
Reason
it
is
convenient
to
mix
some
Opiate
with
Stomachick
Purges
,
to
be
taken
just
before
they
go
to
sleep
.
As
for
Example
.
Take
of
Rose-Aloes
a
Scruple
,
or
five
and
twenty
Grains
,
of
Hounds-Tongue
Pill
half
a
Scruple
.
Mix
them
,
and
make
them
into
four
Pills
to
be
gilt
;
which
must
be
repeated
every
other
Night
,
after
the
Patient
has
been
duly
blooded
.
This
Pill
commonly
goes
by
the
Name
of
the
Catarrh
Pill
amongst
Apothecaries
,
because
it
not
only
carries
the
Humours
down
by
stool
,
but
also
hinders
a
new
influx
of
them
into
the
Lungs
.
Or
,
Take
of
the
Stomack-Pill
with
Gums
,
Aloephangine
,
Mastick
Pill
,
or
Pills
of
Amber
,
half
a
dram
,
or
two
Scruples
,
of
London
Laudanum
one
Grain
;
mix
,
and
make
them
up
into
four
Pills
,
to
be
gilt
,
which
must
be
repeated
every
third
Night
,
for
three
times
.
Yea
,
if
the
flux
of
Rheum
be
violent
,
An
Opiate
must
be
given
every
Night
conditionally
,
and
a
shortness
of
Breath
,
or
weight
,
or
straightness
of
the
Breast
does
not
follow
upon
the
use
of
them
,
some
Opiate
must
be
given
every
Night
;
because
it
may
not
only
procure
sleep
,
and
so
hinder
the
Effervescence
of
the
Humours
and
Blood
;
but
also
by
stopping
a
new
influx
of
the
Humours
into
the
Lungs
,
may
promote
the
Incrassation
,
Concoction
,
and
Expectoration
of
those
Humours
,
which
are
already
lodged
there
.
So
that
I
can
from
Experience
confidently
affirm
,
that
although
Opiates
are
for
the
most
part
of
some
use
in
the
whole
course
of
the
Cure
of
a
Consumption
,
yet
they
are
more
safe
,
beneficial
,
and
necessary
in
the
beginning
,
and
without
the
use
of
them
no
great
matter
can
be
done
in
preventing
the
progress
of
this
Distemper
.
Fourthly
,
Diaphoreticks
are
very
useful
.
in
this
state
of
the
Disease
Diaphoretick
Medicines
are
likewise
very
profitable
,
because
they
plentifully
carry
off
the
Serum
,
which
is
continually
colliquated
from
the
Blood
,
by
the
Pores
of
the
Skin
,
whereby
it
comes
to
pass
that
the
flux
of
it
into
the
Lungs
being
lessened
,
that
which
was
fixed
there
before
,
is
more
easily
concocted
.
But
yet
in
the
use
of
Sudorifick
Medicines
,
we
must
diligently
observe
these
following
Rules
.
But
in
the
use
of
them
,
1.
An
Opiate
must
be
always
mixt
with
them
.
1.
That
Diaphoretick
Medicines
have
always
something
of
an
Opiate
in
them
,
lest
by
a
new
Colliquation
caused
in
the
Mass
of
Blood
by
them
a
fresh
stream
of
colliquated
Serum
(
by
the
Lungs
as
well
as
the
Pores
of
the
Skin
)
should
be
produced
,
and
the
Cough
too
thereupon
should
be
increased
.
Which
I
have
always
observed
to
happen
from
the
imprudent
use
of
Diaphoreticks
,
that
have
been
given
by
Women
,
and
Quacks
in
this
case
without
mixing
an
Opiate
with
them
.
But
now
with
a
convenient
quantity
of
Laudanum
mixt
with
a
Diaphoretick
,
the
Lungs
are
quiet
so
long
as
the
Sweat
lasts
.
Whereby
it
comes
to
pass
,
that
the
stream
of
the
Lympha
of
the
Blood
is
turned
from
the
Lungs
by
the
Pores
of
the
Skin
with
great
benefit
,
the
Cough
is
then
easie
,
and
the
Serum
that
is
lodged
in
the
Lungs
is
concocted
.
2.
We
choose
such
as
are
least
hot
.
2.
We
must
choose
such
Diaphoreticks
as
have
the
least
heat
,
such
as
may
cause
the
least
Effervescence
,
or
new
Commotion
in
the
Blood
,
that
the
old
load
of
Humours
that
had
been
collected
before
,
may
be
evacuated
by
the
Pores
of
the
Skin
without
breeding
more
of
them
by
a
new
Effervescence
.
3.
We
must
not
give
them
before
convenient
Evacuations
by
bleeding
,
&c.
3.
We
must
never
give
Diaphoretick
Medicines
before
the
use
of
Bleeding
,
Vomits
,
and
Purges
,
whenever
these
are
necessary
.
For
I
have
always
observed
a
new
Colliquation
to
arise
from
a
Commotion
of
the
Blood
,
that
has
been
made
before
the
Vessels
have
been
emptied
,
together
with
an
increase
of
the
Cough
,
and
other
Symptoms
,
that
depend
upon
it
;
yea
,
and
sometimes
with
new
Accidents
of
a
spitting
of
Blood
,
of
Rheumatick
and
Pleuritick
Pains
,
and
other
dreadful
Symptoms
.
The
Diaphoretick
Medicines
that
I
commonly
use
,
are
these
which
follow
.
Take
of
Venice-Treacle
half
a
Dram
,
or
two
Scruples
,
of
Old
Conserve
of
Red
Roses
half
a
Dram
;
mix
them
for
a
Bolus
.
Or
,
Take
Diascordium
,
Conserve
of
Wood-Sorrel
,
of
each
a
Dram.
Mix
them
together
.
Or
,
Take
of
Matthew's
Pills
fifteen
Grains
,
make
them
into
two
Pills
,
to
be
gilt
,
and
taken
when
the
Patient
should
go
to
sleep
.
Or
,
Take
of
the
Cynogloss
Pill
twelve
Grains
,
of
Antimonium
Diaphoreticum
a
Scruple
,
of
the
Tincture
of
Saffron
a
sufficient
quantity
.
Make
them
into
four
Pills
,
to
be
gilt
.
The
most
seasonable
time
to
give
these
Diaphoreticks
is
at
Night
,
What
is
the
best
time
to
give
Diaphoreticks
.
and
that
presently
after
an
Evacuation
by
Bleeding
,
Purging
,
or
Vomiting
,
because
they
procure
sleep
.
The
Patient
also
must
be
freed
from
his
Sweats
with
a
great
deal
of
care
,
lest
by
the
Pores
being
suddenly
stopt
in
this
colliquated
state
of
the
Blood
,
he
should
take
new
Cold
,
and
thereupon
the
Cough
and
other
Symptoms
should
be
increased
.
During
the
use
of
these
kind
of
Evacuations
,
Whilst
these
Evacuations
are
making
,
there
are
other
things
to
be
done
.
the
Application
of
Vesicatories
to
the
Arms
,
and
between
the
Shoulders
is
very
beneficial
for
diverting
the
violent
flux
of
the
Humours
from
the
Lungs
.
But
when
we
are
making
these
Evacuations
(
which
are
very
useful
for
lessening
the
colliquated
Serum
of
the
Blood
,
and
so
for
the
Concoction
of
the
Humours
,
that
are
already
lodged
in
the
Lungs
)
we
must
not
by
any
means
neglect
the
frequent
use
of
those
Medicines
which
are
commonly
called
Pectoral
,
or
Pulmonary
,
Pectoral
Medicines
must
be
given
plentifully
.
which
in
the
time
between
Evacuations
must
be
given
very
plentifully
,
as
it
were
in
the
manner
of
a
Diet
,
but
always
in
such
a
form
,
as
is
most
grateful
to
the
Patient
.
For
there
must
always
be
a
peculiar
respect
had
to
the
Stomack
,
(
which
in
this
Distemper
is
commonly
affected
with
a
Sickness
,
want
of
Appetite
,
and
Vomiting
)
lest
being
offended
with
the
form
,
and
tired
with
the
great
quantity
of
them
,
it
should
be
used
to
a
Habit
of
nauseating
,
and
throw
up
not
only
the
Medicines
,
but
also
the
most
grateful
Food
.
The
best
Medicines
in
the
beginning
of
this
Distemper
are
such
as
are
Incrassating
and
Lubricating
,
What
of
this
fort
are
best
in
the
beginning
.
which
by
softning
the
Serum
of
the
Blood
,
conduce
very
much
not
only
to
the
allaying
of
the
Cough
,
but
likewise
to
the
Concoction
and
Expectoration
of
the
Humours
,
that
cause
the
Cough
.
But
these
Incrassating
and
Expectorating
Medicines
may
be
given
sometimes
separately
,
but
for
the
most
part
mixt
together
in
a
compound
form
,
that
we
may
answer
both
Indications
at
once
.
So
for
Incrassating
Medicines
,
let
the
Patient
be
enjoyn'd
the
frequent
use
of
Sugar-candy
,
Saccharum
Penidiatum
,
and
Sugar
of
Roses
,
as
also
Old
Conserve
of
Red
Roses
,
Juice
of
Liquorice
,
the
black
Lozenges
for
a
Cough
,
which
must
be
often
and
gently
swallowed
down
,
that
they
may
retund
the
Acrimony
of
the
Humours
,
that
ouze
out
by
the
Wind-pipe
,
by
their
soft
,
mucilaginous
,
and
incrassating
quality
,
and
so
mitigate
the
troublesome
Cough
.
For
Lubricating
Medicines
,
let
the
Patient
plentifully
use
New
Butter
,
that
has
not
been
salted
,
in
all
his
Spoon-meat
,
Butter'd-Ale
,
and
(
if
he
bears
it
well
)
common
Sweet
Oyl
,
or
rather
Oyl
of
Sweet
Almonds
,
but
especially
Linseed-Oyl
fresh
drawn
without
Fire
,
of
which
let
him
take
a
Spoonful
every
hour
,
unless
there
be
a
Looseness
,
or
some
other
Symptom
that
forbids
it
.
Let
him
also
chew
Raisins
of
the
Sun
,
Figgs
,
&c.
But
the
Medicines
compounded
of
Lubricating
and
Incrassating
Ingredients
,
and
which
satisfie
both
Indications
now
mentioned
,
are
those
which
are
commonly
called
Pectorals
,
and
Expectorating
,
the
more
neat
forms
of
which
I
shall
very
willingly
subjoyn
.
Take
Oyl
of
Sweet
Almonds
,
Syrup
of
Maiden-hair
,
Jujubes
,
Violets
,
or
of
Marsh-mallows
,
of
each
an
Ounce
and
half
,
of
white
Sugar-candy
a
Dram
and
half
;
mix
them
very
well
for
a
Linctus
,
of
which
let
the
Patient
take
a
Spoonful
every
four
hours
,
and
drink
four
Ounces
of
the
following
Apozeme
warm
after
it
.
Take
of
the
Pectoral
Decoction
when
't
is
clear
,
a
pint
and
half
,
Tincture
of
Saffron
extracted
with
Treacle-water
,
Syrup
of
Maiden-hair
,
Scabious
,
or
Jujubes
,
of
each
an
Ounce
;
mix
them
,
and
make
an
Apozeme
.
If
you
have
a
mind
to
incrassate
more
,
Take
Oyl
of
sweet
Almonds
fresh
drawn
,
Syrup
of
Comfrey
,
red
Poppies
,
or
of
dryed
Roses
,
of
each
an
Ounce
and
half
,
of
Syrup
of
Meconium
half
an
Ounce
,
of
Sugar
of
Roses
a
Dram
and
half
;
mix
them
,
and
make
a
Linctus
.
But
if
you
have
a
mind
to
lubricate
more
,
Take
Linseed-Oyl
fresh
drawn
without
fire
,
Syrup
of
Liquorice
,
or
Honey
of
Violets
,
of
each
an
Ounce
and
half
,
of
white
Sugar-candy
a
Dram
and
half
;
mix
them
exactly
for
a
Linctus
,
to
be
taken
either
by
it self
,
or
dissolved
in
a
Draught
of
the
Apozeme
above-mentioned
.
If
a
Feverish
Heat
should
forbid
the
use
of
Hyssop
,
or
of
the
Tincture
of
Saffron
,
If
there
is
a
feverish
heat
,
hot
things
must
be
omitted
.
let
them
be
omitted
in
the
Apozeme
.
If
there
be
a
Looseness
,
such
things
as
will
make
them
laxative
must
be
omitted
.
If
a
Looseness
,
or
any
other
Symptom
forbid
their
use
,
let
the
Pectoral
Fruits
be
left
out
of
the
Apozeme
,
and
the
Oyl
out
of
the
Linctus's
;
or
else
instead
of
the
Medicines
just
now
mentioned
,
let
these
be
substituted
,
which
follow
.
Take
the
Lohoch
of
Poppies
,
Sanans
,
of
each
an
Ounce
and
half
,
Syrup
of
Purslane
,
of
dryed
Roses
,
of
each
an
Ounce
,
the
cold
species
of
Gum
Tragacanth
,
Haly's
Pouder
,
of
each
a
Dram
,
Saccharum
Penidiatum
,
or
Sugar
of
Roses
,
three
Drams
.
Mix
them
,
and
make
a
Linctus
,
to
be
taken
in
a
Spoon
,
or
with
a
Liquorice-stick
every
four
hours
,
or
oftner
if
the
Cough
requires
it
,
swallowing
it
gently
,
and
drinking
after
it
a
quarter
of
a
pint
of
the
following
Emulsion
warm
.
Take
the
four
greater
cold
Seeds
,
of
each
a
Dram
,
white
Poppy-seeds
,
Lettuce-seeds
,
of
each
two
Drams
,
Pine-Kernels
,
Fistick-Nuts
,
of
each
three
Drams
,
with
a
pint
of
the
Water
of
Red
Poppies
,
Red
Rose-water
,
Barley
Cinnamon-water
,
of
each
three
Ounces
.
Make
an
Emulsion
according
to
Art
,
to
be
sweetned
with
Saccharum
Penidiatum
.
Or
,
Take
the
Lohochs
of
Foxes
Lungs
,
of
Colts-foot
,
of
Purslane
,
of
each
an
Ounce
,
the
Syrups
of
Jujubes
,
Maiden-hair
,
of
each
an
Ounce
and
half
,
of
Flower
of
Brimstone
two
Drams
,
of
the
Tincture
of
Saffron
half
an
Ounce
,
the
cold
species
of
Tragacanth
,
the
could
species
of
Pearl
,
Haly's
Pouder
,
of
each
a
Dram
,
Saccharum
Penidiatum
half
an
Ounce
.
Mix
them
,
and
make
a
Linctus
,
to
be
taken
as
before
.
Take
Tacamabac
,
Balsam
of
Tolu
,
of
each
a
Dram
,
a
sufficient
quantity
of
the
Ingredients
of
the
Pectoral
Drink
;
boyl
them
in
a
sufficient
quantity
of
Spring-water
to
a
pint
and
half
,
with
the
Liquor
strained
,
and
a
Dram
of
each
of
the
four
greater
cold
Seeds
,
two
Drams
of
white
Poppy
seeds
,
and
as
much
Henbane
seed
,
seven
sweet
Almonds
blanch'd
,
Make
an
Emulsion
according
to
Art
,
to
be
sweetned
to
the
Palate
with
Saccharum
Penidiatum
.
But
if
there
be
a
greater
difficulty
of
Breathing
than
ordinary
from
the
toughness
of
the
Phlegm
,
let
the
following
Linctus
be
prescribed
.
Take
the
Lohochs
of
Raisins
,
of
Squills
,
of
each
an
Ounce
and
half
,
the
Syrups
of
Hedg-Mustard
,
of
Hyssop
,
of
Hore-hound
,
of
each
an
Ounce
and
half
,
the
species
of
Orrice
,
of
Calamint
,
Flower
of
Brimstone
,
of
each
a
Dram
and
half
,
of
the
Tincture
of
Saffron
half
an
Ounce
,
of
white
Sugar-candy
six
Drams
:
Mix
them
,
and
make
a
Linctus
,
to
be
taken
as
before
.
Yea
,
if
this
Symptom
be
very
urgent
,
there
may
be
added
a
Dram
of
Gum
Ammoniack
depurated
,
and
a
Dram
and
a
half
of
Flowers
of
Benjamin
,
to
the
Linctus
.
These
Intentions
(
to
wit
,
the
speedy
Concoction
of
that
Mass
which
is
lodg'd
in
the
Lungs
,
and
the
preventing
of
a
new
influx
of
it
)
are
likewise
satisfied
by
Compositions
made
of
Balsamick
and
Agglutinating
Medicines
.
As
for
Example
.
Take
the
Pulp
of
Conserve
of
Red
Roses
,
of
Wood-Sorrel
,
of
each
an
Ounce
and
half
,
of
Olibanum
three
Drams
,
of
Natural
Balsam
two
Scruples
;
mix
them
,
and
make
an
Electuary
,
of
which
let
the
Patient
take
the
quantity
of
a
Wallnut
three
times
a
day
at
Physical
hours
,
and
drink
after
it
a
quarter
of
a
Pint
of
the
following
Apozeme
warm
.
Take
the
Leaves
of
Yarrow
,
Mouse-ear
,
Burnet
,
Dandelion
,
spotted
Lung-wort
,
Jerusalem
Oak
,
Scabious
,
of
each
a
handful
,
Flowers
of
St.
John's
wort
,
Violets
,
great
Daisies
,
red
Poppies
,
of
each
half
a
handful
,
Jujubes
,
Dates
,
of
each
six
pair
,
of
Saffron
tyed
up
in
a
Cloath
half
a
dram
,
Anise-seeds
,
Juniper-berries
,
of
each
three
drams
;
steep
them
in
a
due
manner
,
and
boyl
them
in
a
sufficient
quantity
of
Spring-water
to
three
pints
.
In
the
Liquor
when
it
is
strained
,
dissolve
a
quarter
of
a
pound
of
the
Conserve
of
Red
Roses
(
which
being
in
this
manner
added
to
the
Apozeme
,
gives
it
a
Balsamick
,
and
very
grateful
taste
,
)
strain
it
again
,
and
then
add
Syrup
of
Corals
,
of
Jerusalem
Oak
,
of
Maiden-hair
,
of
each
an
Ounce
;
mix
them
,
and
make
an
Apozeme
for
use
.
Or
instead
of
the
former
Electuary
,
let
this
be
prescribed
which
follows
.
Take
of
the
Pulp
of
the
Conserve
of
Red
Roses
strained
through
a
sieve
,
two
Ounces
,
of
the
Conserve
of
the
Fruit
of
the
Dog-Rose
an
Ounce
,
of
Haly's
Pouder
a
Dram
,
of
Leucatellus
Balsam
half
an
Ounce
,
a
sufficient
quantity
of
the
Balsamick
Syrup
;
mix
them
,
and
make
an
Electuary
,
to
be
taken
as
before
.
Let
the
Patient
likewise
take
often
in
a
day
a
Spoonful
or
two
of
the
Balsamick
Syrup
,
(
which
is
very
grateful
to
the
Stomack
)
and
a
Scruple
of
Balsam
of
Tolu
,
made
up
into
little
Pills
,
with
every
Dose
of
the
Syrup
.
Every
Night
an
Opiate
must
be
given
.
Also
every
Night
,
when
there
are
not
some
other
Medicines
to
be
taken
(
if
nothing
forbids
it
)
it
is
convenient
to
give
xv
.
or
xx
.
Drops
of
Helmont's
Liquid
Laudanum
in
a
Spoonful
of
the
Balsamick
Syrup
.
For
this
end
likewise
't
will
be
well
to
prescribe
a
Dram
of
the
Flower
of
Brimstone
in
a
potch'd
Egg
,
or
a
sufficient
quantity
of
Honey
of
Rosemary-flowers
.
If
a
tickling
Cough
,
by
reason
of
the
Acrimony
,
and
thinness
of
the
Humour
separated
by
the
Wind-pipe
,
and
the
branches
of
it
,
be
very
troublesome
to
the
Patient
,
so
that
't
is
to
be
feared
the
Catarrhous
Cough
being
irritated
after
the
manner
of
Suction
,
or
drawing
the
Humour
more
into
those
parts
,
will
be
increased
,
let
the
following
Lozenges
be
always
at
hand
,
to
be
taken
at
pleasure
,
and
swallowed
gently
to
quiet
the
Cough
.
Take
of
the
Pulp
of
Marsh-mallow-Roots
prest
through
a
sieve
,
an
Ounce
,
Sugar
of
Pearl
,
Gum
Arabick
,
Tragacanth
,
white
Starch
,
all
dissolved
in
red
Poppy-water
,
of
each
two
Drams
,
of
Saccharum
Penidiatum
dissolved
in
Rose-water
a
sufficient
quantity
;
mix
them
,
and
make
them
into
Lozenges
of
a
Dram
weight
.
Likewise
when
the
Cough
is
very
troublesome
,
let
the
Patient
take
often
,
or
at
pleasure
,
a
piece
of
Sugar
of
Pearl
,
of
Roses
,
Penidiate
,
or
Loaf-Sugar
,
letting
it
dissolve
,
and
go
down
gently
.
The
Juice
and
Root
of
Liquorice
are
likewise
serviceable
to
this
end
.
But
if
the
Cough
be
long
and
violent
,
If
the
Cough
continues
obstinate
,
we
must
use
Balsamicks
.
and
does
not
yield
to
the
former
Remedies
,
so
that
from
the
Lungs
being
long
stufft
there
is
reason
to
suspect
that
Tubercles
will
at
length
breed
;
then
there
must
be
a
recourse
had
to
the
use
of
Balsamicks
.
As
for
Example
:
Let
the
Patient
take
three
times
a
day
at
Physical
hours
three
of
the
following
Pills
(
the
good
success
of
which
in
Consumptive
Coughs
I
have
now
experienced
for
many
Years
)
in
a
Spoonful
or
two
of
some
convenient
Linctus
,
drinking
after
them
a
draught
of
the
Pectoral
Apozeme
already
described
,
warm
.
Take
of
the
Pouder
of
Wood-lice
prepared
three
Drams
,
of
the
finest
Gum
Ammoniack
a
Dram
and
half
,
of
the
Flowers
of
Benjamin
two
Scruples
,
or
a
Dram
,
Extract
of
Saffron
,
Balsam
of
Peru
,
of
each
half
a
Scruple
,
of
Balsam
of
Sulphur
Terebinthinate
or
Anisate
,
a
sufficient
quantity
.
Mix
them
,
and
make
them
up
into
Pills
of
a
middle
size
,
to
be
gilt
,
or
put
up
in
Pouder
of
Liquorice
.
These
Pills
do
mightily
promote
the
Cure
of
this
Disease
,
not
only
in
the
beginning
,
but
also
in
the
progress
of
it
,
in
the
lingring
Consumption
of
such
as
are
Scorbutical
,
or
have
the
Kings-Evil
(
which
are
Consumptions
that
are
very
frequent
)
where
the
Fever
(
if
there
be
any
)
is
very
moderate
,
and
the
Phlegm
,
that
is
spit
up
,
is
somewhat
tough
,
like
that
in
Asthmatical
people
,
as
I
shall
shew
more
at
large
,
under
the
Heads
of
a
Scorbutical
Consumption
,
and
a
Consumption
from
the
Kings-Evil
.
A
Physician
must
give
Directions
about
the
Air
,
Eating
,
and
Drinking
,
&c.
But
a
Skilful
Physician
ought
in
this
Distemper
to
give
Directions
about
the
Air
,
Eating
,
and
Drinking
,
the
Passions
of
the
Mind
,
and
the
other
things
that
belong
to
the
Government
of
the
Patient
,
with
as
much
care
as
about
the
Medicines
.
For
without
a
careful
Ordering
,
and
a
cautious
Use
of
them
,
the
most
Noble
Remedies
signifie
nothing
in
the
Cure
of
a
Consumption
.
What
Air
is
proper
.
And
therefore
let
him
choose
an
Air
that
is
moderately
hot
and
dry
,
and
likewise
somewhat
thin
.
For
that
which
is
foggy
,
moist
,
or
polluted
with
the
smoak
of
Coals
,
by
continually
filling
the
Blood
with
unwholsom
Particles
,
and
causing
a
Commotion
in
it
,
does
keep
it
in
its
Colliquative
state
,
whereby
it
comes
to
pass
,
that
a
Catarrhous
Flux
of
Rheum
does
perpetually
fall
upon
the
Lungs
,
and
upon
the
Glandulous
Coat
of
the
Wind-pipe
;
and
thereupon
these
parts
being
continually
shaken
by
the
troublesome
Cough
,
the
Distemper
is
always
increased
,
notwithstanding
the
use
of
the
most
Efficacious
Medicines
.
For
no
Medicines
can
work
a
Cure
by
the
way
of
a
Charm
.
Let
the
Food
be
such
as
affords
a
good
Juice
,
What
kind
of
Food
is
to
be
ordered
.
by
which
as
few
Excrementitious
Particles
as
can
be
,
may
be
heaped
up
in
the
Blood
;
such
as
Mutton
,
Veal
,
Mountain-Birds
,
Fish
,
that
are
fryable
,
and
easily
broke
into
pieces
,
Craw-fish
,
&c.
Let
the
Patient
likewise
eat
Flesh
only
at
Dinner
,
and
content
himself
with
Panadoe
,
Water-gruel
,
Broths
,
potch'd
Eggs
,
&c.
at
Night
.
Let
the
quantity
of
his
Food
also
be
moderate
,
and
let
him
avoid
Gorging
till
he
can
eat
no
more
.
Let
him
drink
sparingly
,
and
let
that
be
not
too
strong
,
but
such
as
may
cause
the
least
effervescence
and
heat
of
the
Blood
,
as
small
Beer
,
&c.
Let
him
forbear
Wine
,
and
Spirituous
Liquors
,
but
especially
a
Debauch
,
and
Surfeit
proceeding
from
over-charging
the
Stomack
with
them
.
It
also
helps
to
promote
the
Cure
of
this
Distemper
,
to
alter
and
impregnate
ordinary
Beer
with
Pectoral
Herbs
,
and
other
Ingredients
,
which
have
a
respect
to
the
Distemper
,
from
whence
this
Consumption
had
its
Original
(
if
there
has
been
any
such
one
.
)
For
this
way
a
great
quantity
of
Medicines
are
conveyed
into
the
Blood
in
the
manner
of
a
Diet
,
without
making
the
Stomack
loath
them
,
or
spoyling
the
Appetite
;
to
which
a
prudent
Physician
ought
always
to
have
a
special
regard
.
For
Example
.
Take
of
the
best
Sarsa
sliced
eight
Ounces
,
of
China
cut
into
slices
four
Ounces
,
Polypody
of
the
Oak
,
Maiden-hair
,
Tunhoof
,
spotted
Lungwort
,
Coltsfoot
,
Scabious
,
Jerusalem
Oak
,
of
each
two
Handfuls
,
Flowers
of
Scabious
,
of
Water-Lillies
,
Rosemary
,
great
Daisies
,
St.
John's
wort
,
of
each
a
handful
,
of
Juniper-berries
four
Ounces
,
of
Raisins
of
the
Sun
stoned
six
Ounces
,
of
Liquorice
sliced
an
Ounce
,
of
Aniseeds
two
Drams
.
Make
a
Bag
for
four
Gallons
of
midling
Ale
,
and
let
the
Patient
use
it
for
ordinary
Drink
.
In
a
Scorbutical
and
Scrophulous
disposition
,
the
mild
,
and
more
gentle
sort
of
Simples
,
that
are
proper
for
the
Kings-Evil
and
Scurvy
,
must
also
be
added
,
of
which
I
shall
afterwards
speak
.
The
Patient
must
use
moderate
Exercise
every
day
.
Let
the
Patient
use
moderate
Exercise
,
and
Rubbing
every
day
,
but
especially
before
Meat
;
yet
he
must
by
all
means
have
a
care
he
does
not
get
any
new
cold
,
which
is
the
greatest
of
mischiefs
in
this
case
.
He
must
avoid
all
troublesome
Passions
.
Let
the
Patient
be
diverted
as
much
as
may
be
from
Anger
,
Grief
,
much
Thinking
,
and
all
other
troublesome
Passions
of
the
Mind
,
and
that
not
only
by
Admonitions
and
Advice
,
but
also
by
Society
,
and
the
Conversation
of
pleasant
Friends
.
Let
him
also
carefully
avoid
unseasonable
Studies
,
and
Watching
,
always
sleeping
(
as
much
as
is
possible
)
the
first
part
of
the
Night
.
CHAP.
IX
.
Of
the
Cure
of
a
Consumption
in
the
second
degree
of
it
,
to
wit
,
when
from
the
want
of
a
due
Expectoration
,
and
from
the
Matter
,
that
was
lodg'd
in
the
Lungs
,
thereupon
staying
long
in
them
,
some
crude
Tubercles
arising
from
the
knotty
Swelling
of
the
Glands
of
the
Lungs
,
happen
to
come
upon
a
long
Cough
.
IT
often
so
happens
to
Consumptive
Persons
,
Consumptive
Persons
seldom
ask
a
Physician
's
Advice
in
the
beginning
of
the
Distemper
.
that
either
from
Want
,
Covetousness
,
or
else
an
averseness
to
Physick
,
taking
the
beginning
of
a
Consumption
for
an
ordinary
Cold
,
that
will
go
away
of
its
own
accord
,
they
very
seldom
ask
the
Advice
of
Physicians
in
the
first
degree
of
the
Distemper
,
when
it
may
be
easily
cured
by
Evacuations
,
and
the
rest
of
that
Method
,
which
we
have
already
described
.
But
contenting
themselves
with
I
know
not
what
Receipts
of
Old
Women
and
Empiricks
,
they
squander
away
their
precious
Time
,
scarce
desiring
the
Assistance
of
a
Physician
,
until
by
reason
of
the
increase
of
the
Hectick
Fever
,
and
the
loss
of
their
strength
,
they
are
plainly
uncapable
of
the
Evacuations
,
which
we
have
before
prescribed
,
which
yet
are
very
necessary
to
the
just
and
regular
Cure
of
this
Distemper
.
Through
their
neglect
,
their
Lungs
come
to
be
knotted
.
From
which
neglect
it
often
comes
to
pass
,
that
the
Matter
having
stuck
a
long
time
in
the
Lungs
;
Tubercles
or
Glandulous
Swellings
are
by
degrees
bred
in
them
,
whereby
the
Cure
in
this
second
degree
of
the
Distemper
is
rendred
not
only
more
difficult
,
but
likewise
more
uncertain
;
the
Disease
admitting
no
Cure
,
or
at
least
but
a
palliative
one
.
And
from
hence
it
comes
to
pass
,
that
a
Consumption
has
so
ill
a
Name
,
At
first
a
Consumption
is
easily
cured
.
as
if
it
were
a
Distemper
altogether
incurable
in
its
own
Nature
,
when
(
as
far
as
I
apprehend
from
what
I
have
been
taught
by
Experience
)
it
does
admit
of
as
certain
a
Cure
as
other
Diseases
,
so
it
be
timely
treated
in
a
due
Method
.
Though
it
must
be
confest
that
as
other
evil
Affections
of
the
Body
,
Vnless
in
some
particular
cases
.
so
likewise
a
Consumption
where
it
seizes
the
Patient
by
Inheritance
,
if
it
arises
from
an
ill
conformation
of
the
Breast
,
or
depends
upon
an
inexhaustible
stock
of
Humours
,
contracted
by
a
long
and
habitual
use
of
the
six
things
,
which
we
call
not
Natural
:
Or
lastly
,
where
it
proceeds
from
a
peculiar
Malignity
,
a
Cancrous
,
or
Gangrenous
disposition
of
the
Blood
,
or
something
in
the
Nature
of
it
,
that
makes
it
apt
to
be
quickly
inflam'd
,
it
does
not
use
to
yield
to
any
Regular
Method
of
Cure
,
though
it
be
observed
never
so
early
:
But
every
day
it
runs
on
with
speed
to
the
third
degree
of
a
Consumption
,
notwithstanding
the
use
even
of
the
most
Generous
Medicines
.
The
time
from
whence
the
second
degree
of
a
Consumption
is
to
be
reckoned
.
But
this
second
degree
of
the
Distemper
is
to
be
reckoned
from
the
first
beginning
of
the
Tubercles
,
until
those
Swellings
in
the
Lungs
happen
to
be
very
much
inflamed
,
and
to
putrifie
;
that
is
,
so
long
as
they
remain
in
a
crude
state
.
The
Tubercles
are
not
all
of
the
same
Nature
.
For
these
Tubercles
are
not
all
of
the
same
Nature
,
but
they
assume
a
various
,
and
very
different
disposition
;
for
sometimes
they
are
Malignant
,
of
a
Cancrous
Nature
,
apt
to
Gangreen
,
and
threaten
a
sudden
Destruction
:
But
sometimes
though
they
are
more
benign
,
yet
they
are
of
the
Nature
of
Inflammations
,
Boyls
,
or
a
St.
Anthony's
Fire
,
accompanied
with
a
pain
,
and
Inflammatory
heat
,
and
subject
to
a
sudden
putrefaction
,
and
thereupon
from
their
first
breeding
they
cause
a
Peripneumonick
Fever
,
and
have
a
very
quick
tendency
to
Apostemes
.
Some
quickly
Apostemate
,
and
these
make
a
quick
transition
to
the
third
degree
.
So
that
as
in
this
quick
kind
of
Consumption
arising
from
Tubercles
of
this
Nature
,
there
is
no
room
for
this
second
degree
of
the
Disease
;
so
I
shall
not
here
say
any
thing
more
of
it
.
For
whatever
relates
to
the
Cure
of
it
,
is
to
be
spoken
of
in
the
third
degree
of
this
Distemper
,
to
wit
,
when
I
shall
particularly
make
it
my
business
to
treat
of
the
Peripneumonick
and
putrid
Colliquative
Fevers
of
Consumptive
persons
.
But
for
the
most
part
these
Tubercles
are
Glandulous
Tumours
of
a
Chronical
and
cold
Nature
,
For
the
most
part
they
are
Chronical
,
and
of
a
cold
Nature
.
and
somewhat
like
Kings-Evil
Swellings
,
having
their
Original
from
the
glutinousness
of
the
Humour
,
or
from
an
Obstruction
of
the
pore
or
duct
of
the
Glandules
;
from
whence
it
comes
to
pass
that
the
Humour
stagnating
within
them
,
is
gradually
concocted
by
the
Natural
heat
of
the
part
into
the
form
of
Chalk
,
or
into
a
substance
like
Suet
,
or
like
Honey
,
and
yet
is
always
contained
in
its
proper
Bag
;
and
thereupon
arises
immediately
that
hard
Swelling
,
which
I
call
a
crude
Tubercle
;
which
although
in
progress
of
time
it
may
grow
to
a
considerable
bigness
,
yet
is
not
presently
inflam'd
,
and
turn'd
to
Corruption
,
until
from
the
Acrimony
contracted
by
the
Humour
in
its
Bag
,
or
from
the
Tone
of
the
part
being
too
much
distended
,
there
comes
on
from
some
Accident
an
Inflammation
,
and
upon
that
an
Aposteme
.
So
long
as
this
crude
state
of
the
Tubercles
of
the
Lungs
lasts
,
the
Consumption
remains
in
its
second
degree
.
The
Diagnostick
signs
of
Tubercles
in
the
Lungs
,
are
,
1.
An
increase
of
the
Hectick
Fever
.
The
Diagnostick
signs
whereof
are
especially
to
be
taken
,
First
,
from
the
remarkable
increase
of
the
Hectick
Fever
,
which
at
this
time
does
often
begin
in
some
measure
to
imitate
a
Putrid
Intermitting
Fever
,
by
reason
of
the
Acrimony
that
is
at
length
procured
to
the
Matter
contained
in
the
Bags
.
2.
A
remarkable
wasting
of
the
Muscular
parts
.
3.
A
dry
Cough
.
Secondly
,
from
the
notable
increase
of
the
wasting
,
or
Consumption
of
the
Muscular
Flesh
,
which
now
at
least
begins
to
grow
lank
.
Thirdly
,
from
the
dryness
of
the
Cough
,
which
how
frequent
and
troublesome
soever
it
is
,
yet
is
not
accompanied
with
a
Catarrh
,
and
such
a
frequent
spitting
,
as
before
.
Fourthly
,
from
the
heavy
weight
and
oppression
which
are
always
felt
in
the
Breast
.
To
which
also
for
the
most
part
there
use
to
be
joyned
a
difficulty
,
shortness
,
and
trouble
in
Breathing
.
Purges
,
Vomits
,
and
Diaphoreticks
are
hurtful
at
this
time
.
In
this
degree
of
the
Distemper
all
Evacuations
by
Stool
,
by
Vomit
,
or
by
Sweat
are
mischievous
,
because
they
promote
the
Fever
,
and
quicken
the
pace
of
the
Consumption
.
Neither
is
Bleeding
convenient
,
unless
for
some
particular
Reasons
.
Neither
indeed
is
it
convenient
at
this
time
to
bleed
,
unless
it
be
to
prevent
an
Inflammation
of
the
Lungs
;
that
is
,
as
often
as
a
Pleuritick
pain
,
the
liberal
drinking
of
Spirituous
Liquors
,
the
taking
of
new
Cold
,
and
other
such-like
Occasions
give
a
Sagacious
Physician
ground
to
suspect
that
such
an
Inflammation
is
at
hand
.
And
then
too
by
reason
of
the
present
Consumption
and
Weakness
,
the
Blood
must
rather
be
cooled
by
drawing
it
off
with
a
sparing
Hand
,
than
taken
away
in
a
large
quantity
.
But
yet
he
must
diligently
persist
in
the
use
of
those
Altering
and
Pectoral
Medicines
,
which
have
been
already
described
(
so
far
as
the
Stomack
can
bear
them
.
)
But
the
chiefest
benefit
is
to
be
expected
from
the
long
use
of
Balsamick
Medicines
,
as
of
my
Balsamick
Pills
before
prescribed
,
But
Balsamicks
are
especially
proper
.
and
of
other
things
of
the
like
kind
(
so
there
be
no
considerable
Fever
:
)
And
by
this
means
I
have
(
with
the
Blessing
of
God
)
recovered
a
great
many
Consumptive
Persons
(
whose
Tubercles
seemed
to
be
of
a
cold
Nature
,
and
crude
,
and
so
the
Consumption
slow
,
and
Chronical
)
to
a
former
state
of
Health
,
and
the
Lives
of
some
I
have
preserved
several
Years
,
though
they
have
continued
sickly
.
In
a
Scorbutical
and
Hypochondriacal
disposition
it
is
proper
also
to
mix
Mynsycht's
Extract
,
or
some
other
Chalybeates
,
and
mild
Antiscorbuticks
with
these
Balsamick
Medicines
;
as
likewise
Remedies
against
the
Kings-Evil
in
a
Scrophulous
disposition
:
Of
which
I
shall
speak
more
afterwards
under
their
proper
Heads
.
But
now
besides
the
altering
Medicines
(
already
described
)
which
are
given
in
a
little
quantity
,
and
at
certain
hours
,
The
altering
Medicines
.
we
must
do
all
we
can
to
temper
the
Feverish
Heat
of
the
Blood
,
and
to
eradicate
the
inexhausted
stock
of
Humours
lurking
in
the
Habit
of
the
Body
,
together
with
the
Colliquation
arising
from
it
,
by
making
the
Patient
take
them
plentifully
,
and
continually
in
the
manner
of
a
Diet.
And
therefore
we
must
not
only
diligently
make
choice
of
such
Food
as
affords
good
Juice
,
and
corrects
the
sharpness
of
the
Humours
,
as
Partridges
,
and
Mountain-Birds
,
potch'd
Eggs
,
Oysters
,
the
Feet
of
Animals
,
together
with
Gelly-Broths
,
and
Gellies
made
of
them
;
also
Craw-fish
,
and
other
Testaceous
Fishes
,
with
Broths
artificially
made
of
them
;
some
forms
of
which
I
shall
afterwards
subjoyn
;
but
also
the
Chalybeate
Mineral
Waters
,
a
Pectoral
Mead
,
a
Milk
Diet
,
Asses
Milk
,
Milk-water
,
Pig-water
,
Snail-water
,
and
other
Liquors
,
that
soften
and
take
off
the
sharpness
of
the
Blood
,
must
be
ordered
to
be
taken
plentifully
in
the
manner
of
Drink
:
Likewise
Issues
,
shaving
of
the
Head
,
and
the
application
of
proper
Plaisters
are
of
great
advantage
.
Of
the
use
of
which
,
and
the
Cautions
that
are
to
be
taken
in
the
use
of
them
,
I
shall
briefly
and
particularly
propose
my
own
Observations
.
If
the
Hectick
heat
is
small
,
we
must
use
the
Chalybeate
Waters
And
first
,
if
the
Hectical
Heat
be
moderate
,
and
almost
insensible
,
from
whence
we
may
conjecture
that
those
fixt
Swellings
of
the
Lungs
are
crude
,
or
at
least
scrophulous
,
and
of
a
cold
Nature
,
that
they
are
stufft
with
a
chalky
,
fatty
,
or
any
other
such
kind
of
Matter
;
the
Patient
must
by
all
means
be
put
upon
the
use
of
the
Chalybeate
Mineral
Waters
in
the
Summer
time
.
And
by
this
means
I
have
relieved
a
great
many
of
this
kind
of
Consumptive
Persons
for
many
Years
,
restoring
their
Appetite
,
their
Flesh
,
and
Strength
,
abating
their
Hectick
Heat
,
and
Cough
,
and
giving
then
a
greater
freedom
of
Breathing
;
and
that
not
only
during
the
time
of
their
drinking
the
Waters
,
but
also
all
the
next
Winter
.
From
whence
we
have
reason
to
conclude
,
that
those
Swellings
,
if
they
are
not
perfectly
eradicated
by
the
use
of
the
Waters
,
at
least
are
lessened
,
and
the
Mass
of
Blood
mightily
temper'd
by
them
.
And
this
palliative
Cure
(
if
we
cannot
obtain
a
perfect
one
)
is
of
some
moment
.
For
although
the
Patient
prolongs
his
Life
in
a
state
somewhat
sickly
,
yet
still
he
lives
,
and
by
taking
due
care
is
able
to
do
his
usual
Business
,
and
to
have
a
moderate
Enjoyment
of
the
common
Delights
of
Humane
Life
.
But
I
have
seen
some
perfectly
recovered
from
an
evident
Consumption
by
the
use
of
these
Waters
,
and
made
sound
again
without
a
Relapse
;
a
History
or
two
of
whom
I
shall
faithfully
and
briefly
relate
in
the
Chapter
of
a
Hypochondriacal
Consumption
.
But
for
the
use
of
the
Chalybeate
Waters
,
I
would
recommend
the
following
Rules
strictly
to
be
observed
by
all
Consumptive
Persons
.
First
,
in
an
Acute
Consumption
,
to
wit
,
Rules
to
be
observed
in
the
use
of
the
Chalybeate
Waters
.
where
the
Lungs
are
evidently
putrefied
,
and
where
the
Fever
is
advanced
beyond
the
degree
of
a
Hectick
;
as
also
in
an
extream
Chronical
Consumption
,
where
the
Patient
is
come
to
some
degree
of
a
Marasmus
,
together
with
Colliquative
Sweats
,
a
Looseness
,
or
Dropsie
,
the
Waters
must
be
avoided
,
which
most
certainly
in
this
case
are
not
only
mischievous
,
but
also
deadly
.
Secondly
,
those
that
are
sick
of
a
Consumption
,
though
they
ought
to
spend
a
long
time
,
to
wit
,
the
greatest
part
of
the
Summer
,
in
the
use
of
the
Waters
,
that
the
Crasis
of
the
Blood
,
which
is
almost
quite
destroyed
,
may
by
degrees
be
restored
by
the
long
use
of
them
,
yet
they
must
drink
them
sparingly
every
day
,
and
in
a
less
quantity
than
others
are
wont
to
do
,
that
is
,
four
,
five
,
or
six
Pints
at
a
time
,
lest
by
too
great
a
distention
of
the
tender
Vessels
of
the
Lungs
,
there
comes
at
length
a
spitting
of
Blood
.
Thirdly
,
during
the
use
of
the
Waters
,
they
ought
to
take
more
care
,
lest
they
get
cold
,
and
commit
any
Errors
in
their
Diet
,
than
many
Persons
,
that
are
sick
of
other
Distempers
,
commonly
do
.
Fourthly
,
it
is
convenient
for
Consumptive
People
to
repeat
the
use
of
the
Waters
for
several
Years
in
the
Summer-time
,
though
after
they
have
been
used
to
them
it
is
not
necessary
to
drink
them
so
long
every
Year
,
as
at
first
.
Fifthly
,
neither
are
Consumptive
Persons
to
be
purged
during
the
use
of
them
,
as
other
Water-drinkers
use
to
be
.
But
if
they
are
subject
to
be
more
costive
than
they
should
be
,
it
is
convenient
before
they
fall
upon
the
use
of
the
Chalybeate
Waters
,
and
after
they
have
made
an
end
of
drinking
them
,
to
give
them
the
Purging
Mineral
Waters
in
a
moderate
quantity
,
and
to
repeat
them
every
three
or
four
days
,
till
they
have
taken
them
three
or
four
times
.
Sixthly
,
if
the
Waters
do
not
pass
off
in
a
sufficient
quantity
by
Urine
,
much
more
if
they
cause
a
Looseness
,
they
must
not
persist
any
long
time
in
the
use
of
them
,
unless
we
can
by
Art
provide
sufficiently
against
these
Inconveniences
.
To
take
off
,
and
prevent
a
Looseness
,
I
use
to
order
the
quantity
of
a
Wallnut
of
the
following
Electuary
every
Night
,
when
they
go
to
Bed
.
Take
the
pulp
of
Old
Conserve
of
Red
Roses
,
Marmalade
of
Quinces
,
of
each
half
an
Ounce
,
of
Troches
of
Amber
three
Drams
,
Bole
,
Dragons-blood
,
of
each
half
a
Dram
,
of
London
Laudanum
three
Grains
,
of
Syrup
of
Myrtils
enough
to
make
an
Electuary
.
To
promote
the
passing
of
the
Waters
by
Urine
,
they
must
dissolve
a
Scruple
of
the
finest
Salt
of
Amber
very
well
cleared
from
the
Oyl
in
the
first
draught
of
the
Waters
.
Seventhly
,
it
likewise
does
very
well
,
during
the
use
of
the
Chalybeate
Waters
,
to
order
their
ordinary
Drink
to
be
impregnated
with
a
Bag
of
Pectoral
Ingredients
;
to
which
may
also
be
added
such
as
are
proper
for
the
Scurvy
and
the
Kings-Evil
,
that
are
mild
,
if
the
Original
Distemper
requires
it
.
Secondly
,
If
the
Hectick
heat
is
great
,
and
the
Consumption
quick
,
we
must
rather
make
use
of
a
Milk
Diet.
The
Rules
that
are
to
be
observed
in
a
Milk
Diet.
but
if
the
Hectick
Heat
be
considerable
,
and
thereupon
the
Consumption
quick
in
its
Progress
,
it
is
better
to
temper
the
heat
with
a
Milk
Diet
,
than
with
the
Waters
.
But
about
a
Milk
Diet
we
must
observe
these
following
Rules
.
First
,
In
the
use
of
this
Diet
nothing
must
be
either
allowed
,
or
taken
for
Meat
and
Drink
,
but
Milk
,
and
things
made
of
Milk
(
except
Bread
.
)
But
they
must
take
this
Food
in
a
good
quantity
,
and
frequently
,
for
fear
the
parts
should
be
deprived
of
their
due
Nourishment
,
by
reason
of
the
thinness
of
it
.
Secondly
,
a
Course
of
the
Milk
Diet
ought
to
be
continued
a
Month
or
two
.
Thirdly
,
the
Spring
is
the
most
convenient
time
of
all
for
this
Diet
,
that
is
,
when
the
Flowers
and
Herbs
,
with
which
the
Beasts
are
fed
,
are
fresh
.
Thirdly
,
If
common
Milk
will
not
agree
,
we
must
use
only
Asse's
Milk
.
But
if
there
be
too
Acid
a
Ferment
in
the
Stomack
that
turns
common
Milk
into
a
hard
Curd
,
and
makes
it
uncapable
of
being
concocted
,
(
as
it
sometimes
happens
)
from
whence
their
commonly
follow
Vomitings
,
Gripes
,
and
a
Looseness
,
it
is
better
to
abstain
from
the
use
of
common
Milk
,
and
to
endeavour
to
temper
the
Blood
with
Asse's
Milk
;
concerning
the
use
of
which
these
following
things
are
also
to
be
observed
.
First
,
The
Rules
to
be
observed
in
the
use
of
Asse's
Milk
.
That
the
most
convenient
time
to
give
the
Asse's
Milk
is
early
●n
the
Morning
,
so
that
the
Patient
may
sleep
in
his
Bed
afterwards
,
and
then
again
at
five
a
Clock
●n
the
Afternoon
.
Secondly
,
That
nothing
else
of
a
different
Nature
is
to
be
taken
into
the
Stomack
either
in
the
form
of
Food
,
or
of
Medicine
before
the
Milk
is
concocted
.
Thirdly
,
The
Quantity
,
or
Dose
of
Milk
for
one
time
is
from
half
a
Pint
to
a
Pint
,
or
there-abouts
.
For
●he
Stomack
can
neither
receive
nor
digest
a
great
quantity
of
this
,
as
neither
of
common
Milk
,
but
uses
presently
to
cast
it
out
,
either
by
Vomiting
,
or
Stool
,
and
that
to
the
great
Prejudice
of
the
Patient
.
And
therefore
it
is
Prudently
advised
by
Physicians
,
that
the
Stomack
be
by
little
and
little
accustomed
to
this
kind
of
Nourishment
,
beginning
at
half
a
Pint
,
and
increasing
the
quantity
every
day
,
till
they
rise
to
a
Pint.
Fourthly
,
If
the
Patient
,
by
reason
of
the
Acid
Ferment
of
his
Stomack
,
be
subject
to
a
Looseness
from
the
use
of
Asse's
Milk
,
(
which
often
happens
)
the
Milk
must
be
sweetned
with
Sugar
of
Roses
,
and
milkt
upon
a
sprig
or
two
of
Mint
.
Yea
,
if
it
be
necessary
,
and
nothing
contraindicates
,
let
the
Patient
every
Night
take
a
Grain
of
London
Laudanum
,
or
a
Dose
of
the
Astringent
Electuary
,
which
I
have
already
mentioned
.
Fifthly
,
This
Milk
ought
always
to
be
given
in
its
own
Natural
Heat
as
it
comes
from
the
Ass.
For
if
it
has
been
once
cold
,
and
is
warmed
again
,
it
is
not
only
made
less
grateful
to
the
taste
,
and
to
the
Stomack
,
but
also
by
losing
its
Spirituous
part
,
it
loses
some
of
its
Vertue
.
Sixthly
,
During
the
use
of
the
Asse's
Milk
,
they
must
abstain
from
all
other
Medicines
,
(
which
is
a
Rule
ought
to
be
prescrib'd
as
well
in
every
Milk
Diet
)
excepting
Opiates
and
Astringents
,
if
they
should
be
necessary
to
prevent
a
Looseness
,
or
to
quiet
the
violent
Cough
in
the
Night-time
.
Seventhly
,
But
if
a
Looseness
that
is
caused
by
the
Milk
should
not
be
stopt
with
the
use
of
Laudanum
,
and
Astringent
Medicines
;
or
if
a
Vomiting
,
or
at
least
a
continual
Sickness
,
and
gravative
Oppression
of
the
Stomack
succeed
to
the
stopping
of
the
Looseness
(
which
are
certain
signs
that
the
milk
curdles
in
the
Stomack
.
)
Or
lastly
,
if
there
are
signs
of
a
Schirrous
,
and
very
obstructed
Liver
,
(
which
is
no
rare
thing
in
Scorbutical
and
Hypochondriacal
Persons
in
a
Chronical
Consumption
)
then
they
must
carefully
abstain
from
all
sorts
of
milk
:
For
the
use
of
milk
is
wont
by
increasing
the
Obstructions
of
the
Liver
,
to
bring
the
Jaundice
and
a
Dropsie
upon
the
Consumption
,
whereby
the
Original
Distemper
becomes
plainly
deplorable
.
Fourthly
,
If
Asse's
Milk
disagrees
with
them
too
,
then
we
must
use
Shell-fish
,
Testaceous
Medicines
,
&c.
Therefore
in
these
cases
it
is
better
to
alter
the
Blood
,
and
to
correct
the
Acrimony
of
it
with
the
plentiful
use
of
Shell-fish
,
and
of
Testaceous
Medicines
;
as
also
with
Jelly
Broths
made
of
the
Feet
of
Animals
,
and
drinking
a
good
quantity
of
Compound
Waters
made
with
Milk
,
of
a
Capon
,
a
Pig
,
Snails
,
and
other
things
of
that
Nature
.
The
Phlegmatick
Waters
of
Snails
&c.
must
not
be
used
,
where
there
is
an
Obstruction
of
the
Liver
.
Although
what
I
have
already
hinted
concerning
the
use
of
milk
,
is
also
true
of
these
Phlegmatick
Waters
,
to
wit
,
that
as
often
as
the
Liver
happens
to
be
before
obstructed
,
a
Jaundies
and
Dropsie
are
wont
to
follow
upon
the
plentiful
drinking
of
them
.
Therefore
in
this
kind
of
Icterical
,
and
Hydropical
Persons
it
is
more
convenient
to
endeavour
to
sweeten
the
Blood
in
the
manner
following
:
Let
them
feed
plentifully
upon
River
,
and
Sea
Craw-fish
,
Lobsters
,
and
in
general
all
sorts
of
Shell-fish
.
Which
sort
of
Food
being
taken
plentifully
,
does
very
much
temper
the
four
state
of
the
Blood
,
and
correct
the
Acid
Ferment
of
the
Stomack
.
And
of
these
Shell-fish
may
be
made
by
Art
very
pleasant
Broths
,
which
must
be
given
in
good
quantities
.
Take
of
Craw-fish
an
Hundred
,
Prescripts
for
making
of
Broths
.
beat
them
to
pieces
alive
,
and
then
boyl
them
in
two
Quarts
of
Spring-water
,
adding
when
they
are
almost
boyled
enough
,
two
or
three
blades
of
Mace
,
one
Nutmeg
sliced
,
and
half
a
pint
of
Malaga
Wine
.
Let
the
Broth
be
strained
for
use
.
Amongst
these
may
be
reckoned
Jellies
,
and
High
Broths
.
As
for
Example
:
Take
shavings
of
Harts-horn
,
of
Ivory
,
of
each
four
Ounces
,
two
blades
of
Mace
,
the
candied
peel
of
an
Orange
sliced
;
boyl
them
in
two
Quarts
of
Spring-water
to
a
Quart
,
or
a
Pint
and
half
.
Strain
it
,
and
let
the
Patient
,
when
he
pleases
,
take
three
or
four
spoonfuls
by
it self
,
or
with
warm'd
Broths
.
These
kind
of
Jellies
may
be
made
grateful
to
the
Patient's
Palate
,
by
adding
at
the
time
when
they
take
it
,
a
little
Syrup
of
Baum
,
of
Cloves
,
of
Rasberries
,
Acids
do
not
well
agree
with
Jellies
.
Oranges
,
or
Lemons
.
Though
it
must
be
confest
that
Acid
Syrups
do
not
so
well
agree
with
Jellies
,
because
they
do
in
some
measure
spoil
their
Vertue
.
For
an
Example
of
a
Jelly
Broth
,
take
this
which
follows
.
Take
one
Capon
drawn
,
and
cut
to
pieces
,
two
pair
of
Sheeps-feet
,
two
pair
of
Calves-feet
,
shavings
of
Ivory
,
of
Harts-horn
,
of
each
half
an
Ounce
,
two
blades
of
Mace
,
one
Nutmeg
sliced
,
of
yellow
Saunders
three
Drams
,
or
half
an
Ounce
.
Boyl
them
all
gently
in
a
Gallon
of
Spring-water
to
two
Quarts
,
adding
when
they
are
almost
boyled
enough
,
of
right
Malaga
Wine
a
pint
,
the
Flowers
of
great
Daisies
,
Colts-foot
,
Maiden-hair
,
spotted
Lungwort
,
of
each
a
handful
,
of
fat
Dates
eight
pair
,
of
Jujubes
twelve
pair
,
of
Sebestens
ten
pair
,
of
Raisins
of
the
Sun
stoned
three
Ounces
.
Strain
it
,
and
let
the
Patient
take
a
large
Draught
of
this
Broth
two
or
three
times
a
day
.
For
the
farther
tempering
of
the
sharpness
of
the
Blood
,
it
is
also
very
good
for
this
sort
of
Consumptive
Persons
,
that
are
troubled
with
Obstructions
,
to
use
prepared
Coral
,
Wood-lice
,
Pearl
,
Crabs-eyes
prepared
,
the
simple
Pouder
of
Crabs-claws
,
and
other
such-like
Testaceous
Medicines
,
which
must
be
taken
in
a
good
quantity
,
and
often
in
a
day
.
As
for
Example
:
Take
of
the
Cordial
Milk-water
,
Carduus-water
,
or
Black-Cherry-water
a
pint
,
of
small
Cinnamon-water
half
a
pint
,
of
prepared
Pearl
half
an
Ounce
,
of
Loaf-Sugar
two
Ounces
;
mix
them
,
and
make
a
Julep
,
of
which
let
the
Patient
take
a
quarter
of
a
Pint
(
shaking
the
Bottle
first
)
three
or
four
times
a
day
,
adding
(
if
his
Stomack
should
require
it
)
an
Ounce
or
two
of
Epidemick-water
,
Aqua
Mirabilis
,
Dr.
Stephens's
,
or
some
other
Spirituous
Water
.
Or
,
Take
Wood-lice
prepared
,
Crabs-eyes
prepared
,
the
simple
Pouder
of
Crabs-claws
,
red
Coral
,
of
each
a
Dram
,
of
the
Pouder
of
white
Amber
half
a
Dram.
Mix
them
,
and
divide
them
into
nine
Papers
,
of
which
let
him
take
one
three
times
a
day
in
a
Spoonful
of
the
Pearl
Julep
just
now
described
,
or
of
some
other
such-like
Julep
,
drinking
a
Draught
after
it
.
Fifthly
,
If
the
Patient
should
seem
to
be
plainly
free
from
Obstructions
of
his
Liver
,
and
so
be
neither
in
an
Hydropical
,
nor
an
Icterical
state
;
but
yet
the
Milk
Diet
before
described
should
not
be
very
convenient
,
by
reason
of
a
Looseness
,
and
the
Acid
Ferment
of
the
Stomack
,
besides
the
altering
Medicines
before
described
,
for
the
farther
tempering
of
the
sharpness
of
the
Humours
,
the
plentiful
use
of
a
Compound
distilled
Milk-water
,
Capon-water
,
Snail-water
,
Pig-water
,
&c.
may
be
enjoyned
with
Advantage
,
of
which
I
shall
in
the
next
place
give
some
Prescriptions
.
A
Milk-Water
.
Take
the
Leaves
of
Maiden-hair
,
Colts-foot
,
spotted
Lungwort
,
Fluellin
,
of
each
three
handfuls
,
Hyssop
,
Goats-rue
,
Minth
,
Wormwood
,
of
each
two
handfuls
,
Flowers
of
St.
John's
wort
,
Scabious
,
of
each
two
handfuls
,
of
English
Saffron
a
Dram
,
three
Nutmegs
sliced
,
Dates
,
fat
Figs
,
of
each
a
pound
,
of
Raisins
of
the
Sun
stoned
a
pound
;
let
them
be
all
cut
,
and
steep'd
in
three
Gallons
of
new
Cow's-milk
,
and
three
Quarts
of
Malaga
Wine
,
and
distil
them
in
an
ordinary
Still
,
so
that
half
of
the
Liquor
may
come
over
:
And
let
all
that
is
distilled
be
mingled
,
and
reserved
for
Use
.
If
it
be
a
Scorbutical
Consumption
,
let
Pine-tops
,
Brook-lime
,
Water-Cresses
,
Tun-hoof
,
with
others
of
the
milder
sort
of
Antiscorbuticks
be
added
in
the
Distillation
;
and
instead
of
Malaga
.
Wine
put
in
Brunswick
Mum.
But
if
it
be
a
Scrophulous
Consumption
,
put
in
three
Pints
of
Wood-lice
bruised
with
the
Herbs
,
and
likewise
other
Ingredients
that
are
proper
for
the
Kings-Evil
.
If
you
would
make
this
Water
not
only
Alterative
,
such
as
may
alter
the
Blood
,
but
likewise
Restaurative
,
you
may
add
a
Capon
,
or
a
Pig
in
a
second
Distillation
.
As
for
Example
:
Take
a
Capon
drawn
,
or
a
Pig
with
the
Bowels
taken
out
,
and
cut
it
to
pieces
,
of
the
Milk-water
above
described
a
Gallon
,
and
distill
them
so
that
three
parts
of
the
Liquor
may
come
over
.
A
Snail-Water
.
Take
Three
Hundred
Garden
Snails
cleansed
with
Salt
,
of
common
Milk
,
or
rather
of
the
Milk-water
before
described
,
three
Gallons
;
distil
them
in
an
ordinary
Still
with
a
gentle
fire
,
until
an
Acid
Liquor
begins
to
come
off
.
I
think
the
following
Magisterial
Water
of
Snails
likewise
also
,
which
I
use
to
make
,
is
not
to
be
despised
,
because
it
may
be
kept
for
Use
a
long
time
.
Take
of
New-Milk
two
Gallons
,
distil
it
with
Mint
,
Roman
Wormwood
,
of
each
two
handfuls
,
to
a
Gallon
.
Then
Take
of
Garden
Snails
washed
first
in
common
Water
,
and
then
in
Small-beer
,
half
a
Peck
,
of
Earth-Worms
slit
and
wash'd
a
pint
,
of
Angelica
a
handful
and
half
,
Agrimony
,
Betony
,
Rue
,
of
each
a
handful
.
Put
the
Herbs
in
the
bottom
;
upon
these
lay
the
Snails
and
Earth-Worms
,
and
upon
the
top
of
all
lay
of
shavings
of
Hartshorn
half
a
pound
,
of
Cloves
an
Ounce
,
of
Saffron
three
Drams
.
Infuse
them
in
two
Quarts
of
Syder
,
and
a
Quart
of
the
best
Malaga
Sack
,
and
then
distil
them
in
an
ordinary
Still
.
These
Liquors
must
be
drank
plentifully
,
The
Water
of
Snails
,
&c.
where
it
is
used
,
must
be
drank
freely
.
and
that
even
for
ordinary
Drink
,
mixt
with
an
equal
quantity
of
Milk
,
if
the
Stomack
will
bear
it
,
and
it
will
quench
the
Patient's
Thirst
enough
.
If
you
like
the
form
of
a
Julep
best
,
it
may
be
given
in
the
following
manner
.
Take
of
the
Pig-water
,
or
Capon-water
before
described
,
a
pint
,
of
Loaf-Sugar
a
sufficient
quantity
.
Boyl
them
up
into
the
form
of
a
Syrup
.
Take
of
the
Milk-water
,
or
Snail-water
a
pint
and
half
,
of
the
Magisterial
Syrup
just
now
described
four
Ounces
.
Mingle
them
,
and
make
a
Julep
,
of
which
let
the
Patient
drink
freely
whenever
he
pleases
.
Or
,
Take
of
the
Milk-water
,
or
Magisterial
Snail-water
a
Quart
,
of
Sugar
of
Pearl
ten
Drams
,
or
an
Ounce
and
half
.
Mix
them
,
and
make
a
Julep
,
of
which
let
him
drink
plentifully
,
and
frequently
.
If
there
be
a
difficulty
of
Breathing
,
rather
than
a
Hectical
Heat
,
we
must
use
a
Pectoral
Mead.
But
if
it
be
not
so
much
a
Hectical
Heat
,
as
a
difficulty
of
Breathing
that
troubles
the
Patient
,
(
as
it
often
happens
in
those
that
have
a
Scorbutical
Consumption
)
a
Pectoral
Mead
is
more
convenient
for
his
ordinary
Drink
,
than
distilled
Waters
,
that
have
a
great
deal
of
Phlegm
.
Of
which
we
have
an
Excellent
Recept
in
Riverius
,
in
his
Chapter
of
a
Consumption
;
and
every
where
else
amongst
Authors
.
And
therefore
I
shall
add
no
other
Description
of
it
in
this
place
.
CHAP.
X.
Of
the
Cure
of
an
Original
Consumption
of
the
Lungs
in
the
third
degree
of
it
,
to
wit
,
when
the
Patient
is
reduc'd
by
the
Inflammation
,
the
Apostemes
,
and
Exulceration
of
the
Glandulous
parts
of
the
Lungs
,
to
the
state
of
a
Marasmus
,
together
with
an
extraordinary
Weakness
,
a
Consumption
of
his
Flesh
,
an
increase
of
his
Hectick
Fever
,
and
likewise
the
Addition
of
a
Peripneumonick
and
Putrid
Fever
,
and
the
other
direful
Symptoms
,
which
are
wont
to
accompany
the
fatal
state
of
a
Consumption
.
WHEN
he
comes
once
to
this
Third
Degree
of
a
Consumption
,
A
Consumption
in
the
third
degree
is
very
seldom
cured
.
the
Patient
(
unless
the
Ulcers
are
very
small
,
and
benign
)
very
seldom
is
cured
,
or
lives
long
.
And
therefore
though
a
Prudent
and
Honest
Physician
,
when
he
is
called
to
Consumptive
Patients
in
this
degree
of
the
Distemper
,
ought
as
much
as
it
is
in
his
Power
to
mitigate
and
relieve
the
Symptoms
that
afflict
such
poor
Wretches
,
and
should
make
it
his
business
likewise
to
prescribe
such
Antiphthisical
Medicines
,
as
may
best
answer
the
present
Indications
,
and
be
most
agreeable
to
the
present
state
of
the
Patient
;
yet
he
ought
by
no
means
,
Therefore
a
Physician
must
be
very
careful
how
he
promises
a
Cure
.
though
there
should
be
some
hopes
from
the
abatement
of
the
Symptoms
to
flatter
him
,
to
injure
the
Reputation
of
Physick
,
and
his
own
too
,
by
promising
a
Recovery
of
his
Health
to
the
Patient
,
or
to
his
Friends
too
confidently
:
But
what
good
soever
he
should
with
the
greatest
Commiseration
and
Diligence
do
the
Patient
,
yet
he
must
always
pronounce
a
Fatal
Prognostick
of
his
Life
,
and
not
suffer
himself
to
be
deceived
with
the
vain
hopes
of
his
Friends
,
and
those
that
are
about
him
:
And
by
this
means
he
will
secure
as
well
the
Art
of
Physick
as
himself
from
Reflexions
.
The
Intentions
of
Cure
.
The
Intentions
of
Cure
in
this
degree
of
the
Distemper
are
these
four
.
First
,
we
must
take
care
of
the
Lungs
by
the
use
of
Pectoral
and
Antiphthisical
Medicines
;
and
promote
the
Cure
of
the
Ulcers
(
if
they
are
small
,
benign
,
and
curable
)
to
wit
,
so
far
as
the
present
weak
and
low
condition
of
the
Patient
can
bear
.
Secondly
,
the
Peripneumonick
,
or
Inflammatory
Fever
must
be
taken
off
as
often
as
it
happens
,
together
with
the
direful
Symptoms
of
it
.
Thirdly
,
the
Putrid
Fever
arising
from
the
Purulent
Matter
in
the
Lungs
,
must
be
relieved
.
Fourthly
,
and
lastly
,
we
must
help
those
troublesome
Symptoms
arising
from
the
Putrid
Fever
by
the
Colliquation
;
that
the
Patient
,
if
he
does
dye
,
may
at
least
obtain
an
easie
passage
out
of
this
World
.
What
we
must
give
with
respect
to
the
Lungs
.
As
for
what
concerns
the
first
,
the
Medicines
proper
in
this
degree
of
the
Consumption
,
are
such
as
are
Altering
,
Expectorating
,
and
Balsamick
or
Healing
;
not
too
hot
(
because
of
the
intense
degree
of
the
Fever
)
but
always
Cordial
,
because
of
the
Patient's
Weakness
.
Such
also
must
be
made
choice
of
as
are
most
grateful
,
and
may
be
given
in
the
least
quantity
,
because
of
the
weakness
of
their
Stomack
,
and
their
aptitude
to
Vomit
.
As
for
Example
:
Take
the
old
Conserve
of
Red
Roses
press'd
through
a
Sieve
,
of
Wood-sorrel
,
Leucatellus's
Balsam
,
of
each
an
Ounce
.
Mix
them
,
and
make
an
Electuary
,
of
which
let
him
take
the
quantity
of
a
Nutmeg
in
Wafers
Morning
and
Evening
.
Or
,
let
him
take
three
of
the
Balsamick
Pills
already
described
,
twice
a
day
.
Take
of
the
Cordial
Milk-water
,
or
the
Pectoral
Milk-water
already
described
,
eight
Ounces
,
Magisterial
Water
of
Snails
,
Barley
Cinnamon-water
,
of
each
three
Ounces
,
of
Aqua
Mirabilis
an
Ounce
,
of
prepared
Pearl
two
Drams
,
of
the
finest
Chalk
a
Dram
,
of
white
Sugar-candy
an
Ounce
,
or
ten
Drams
.
Mingle
them
,
and
make
a
Julep
,
of
which
let
the
Patient
take
four
or
five
Spoonfuls
after
every
Dose
of
the
Electuary
,
and
of
the
Pills
,
and
likewise
at
any
time
when
he
pleases
,
if
he
be
faint
.
Take
of
the
Balsamick
Syrup
(
which
is
very
grateful
to
the
Stomack
)
three
Ounces
,
of
the
Tincture
of
Saffron
made
with
Treacle-water
two
Drams
.
Mix
them
,
and
let
him
take
a
Spoonful
of
it
often
.
In
a
Spoonful
or
two
of
this
Mixture
may
likewise
be
given
six
or
seven
Drops
of
Opobalsam
twice
a
day
.
If
the
Cough
,
Sometimes
we
must
give
Opiates
;
and
want
of
Rest
be
very
urging
,
let
him
also
take
sometimes
,
when
he
should
go
to
Rest
,
Twelve
Drops
of
Helmont's
Liquid
Laudanum
.
But
very
cautiously
.
But
yet
when
the
Patient
is
in
this
weak
condition
,
Opiam
must
be
given
very
cautiously
,
sparingly
,
and
at
due
intervals
;
and
indeed
not
at
all
,
unless
there
be
a
great
Necessity
,
lest
a
sudden
and
unexpected
Death
should
follow
,
and
so
bring
a
Scandal
upon
Physick
.
Or
,
Take
of
Syrup
of
Maiden-hair
four
Ounces
,
of
Aqua
Mirabilis
half
an
Ounce
,
or
six
Drams
.
Mix
them
,
and
let
him
take
some
out
of
a
Spoon
,
or
with
a
Liquorice-stick
often
,
but
especially
when
his
Cough
is
troublesome
.
Here
likewise
Jellies
,
and
Jelly-Broths
are
to
be
prescribed
;
and
indeed
in
this
deplorable
state
we
must
fetch
our
Remedies
rather
out
of
the
Kitchen
,
than
out
of
the
Apothecary's
Shop
.
An
Account
of
the
Peripneumonick
Fever
.
As
for
the
Peripneumonick
Fever
,
that
always
proceeds
from
a
great
Inflammation
of
the
Tubercles
of
the
Lungs
;
and
therefore
it
is
wont
to
return
often
,
and
to
be
renewed
;
to
wit
,
as
often
as
any
new
Tubercle
happens
to
be
inflamed
,
either
of
its
own
accord
,
and
from
its
own
Nature
,
or
from
taking
of
Cold
,
or
any
other
Error
committed
in
their
management
.
So
long
as
the
Inflammation
lasts
this
Fever
constantly
remains
,
and
many
times
puts
a
sudden
and
unexpected
end
to
the
Patient's
Life
,
being
attended
with
the
successions
of
a
Chilness
,
that
comes
at
uncertain
times
,
and
a
great
Burning
,
with
Watchings
,
Restlessness
,
Light-headedness
,
Shortness
of
Breath
,
a
difficult
Expectoration
,
and
with
violent
and
wandring
Pains
of
the
Side
,
Breast
,
and
Shoulders
.
But
as
soon
as
the
Inflammation
begins
to
be
changed
into
an
Aposteme
which
(
if
the
Patient
lives
so
long
)
commonly
happens
about
the
seventh
day
of
the
Fever
,
that
continual
Inflammatory
Fever
is
succeeded
by
a
Putrid
Intermitting
Fever
,
a
Quotidian
,
or
Tertian
,
which
is
a
certain
sign
that
the
Tubercles
are
turned
into
purulent
Matter
,
and
without
the
healing
of
them
,
it
is
impossible
perfectly
to
eradicate
that
.
This
Inflammatory
Fever
,
What
is
requisite
in
this
Fever
.
as
all
others
of
the
same
Nature
requires
a
very
thin
Diet
,
together
with
a
due
Government
in
their
Beds
,
that
the
Body
be
kept
open
,
Cordial
and
Temperate
Juleps
,
Pectoral
Apozemes
,
with
Lubricating
and
Inciding
Lambitives
must
be
given
plentifully
to
facilitate
the
Expectoration
,
or
raising
of
the
Phlegm
too
much
thickned
by
the
Feverish
heat
,
to
take
off
the
painful
compression
of
the
Lungs
,
and
thereupon
to
quiet
the
insignificant
and
troublesome
Cough
:
Likewise
Diaphoreticks
,
that
are
a
little
Opiate
,
must
be
exhibited
at
due
intervals
,
to
promote
the
extrusion
of
the
Feverish
Matter
by
the
Pores
of
the
Skin
:
Also
Blistering-Plaisters
must
be
laid
on
,
and
external
Applications
made
for
the
relief
of
the
Brain
,
and
System
of
the
Nerves
,
which
otherwise
are
wont
in
a
short
time
to
suffer
much
from
this
kind
of
Fevers
.
Also
Liniments
,
and
outward
Fomentations
,
that
are
Anodyne
,
to
relieve
the
painful
and
Spasmodick
contraction
of
the
Muscles
,
and
Membranes
of
the
Breast
:
Bleeding
especially
is
necessary
.
But
above
all
Bleeding
,
and
that
in
due
time
,
to
a
good
quantity
,
and
(
if
there
be
occasion
)
repeated
,
according
to
the
strength
of
the
Patient
,
and
the
present
Effervescence
of
the
Blood
;
which
it
may
be
a
Consumptive
state
requires
more
than
that
which
is
Robust
.
And
by
this
means
I
have
seen
Mr.
Tibs
,
Dr.
Owen
,
and
our
Famous
Colleague
Dr.
Staines
,
and
several
others
,
even
in
their
very
Old
Age
recovered
from
several
of
this
kind
of
Fevers
,
returning
sometimes
twice
or
thrice
a
Year
(
though
it
has
been
only
to
their
former
sickly
state
;
)
and
that
as
easily
,
and
as
quickly
,
as
if
they
had
not
been
at
all
Consumptive
.
When
on
the
contrary
,
it
is
as
well
known
how
dangerous
this
kind
of
Peripneumonick
Fevers
very
often
are
to
the
strongest
Men
,
let
them
have
never
so
good
a
Habit
,
where
due
Bleeding
,
and
any
other
part
of
a
right
management
has
been
omitted
.
The
Peripneumonick
Fever
may
be
as
easily
cured
as
an
ordinary
Peripneumony
.
Therefore
though
a
Physician
must
make
a
Fatal
Prognostick
of
the
Consumption
it self
,
(
which
without
doubt
is
much
promoted
by
every
Fever
of
this
Nature
)
yet
he
may
set
himself
about
the
Cure
of
the
Peripneumony
with
as
much
hopes
(
if
he
be
but
sent
for
in
time
)
as
if
the
Patient
were
not
at
all
Consumptive
,
and
that
in
the
manner
following
.
Let
him
be
ordered
a
Diet
of
Water-gruel
,
Ptisans
,
roasted
Apples
,
Posset-Ale
,
with
Raisins
of
the
Sun
stoned
,
and
Liquorice
boyled
in
it
,
midling
Beer
warm'd
with
a
Toast
,
and
such-like
.
But
in
the
first
declension
of
the
Fever
,
let
it
be
of
Chicken-Broth
,
potch'd
Eggs
,
&c.
He
must
likewise
(
if
there
is
occasion
)
presently
have
a
Stool
procured
with
a
Clyster
made
of
Milk
,
in
which
Camomile-flowers
have
been
boyled
,
sweetned
with
brown
Sugar
,
which
(
as
often
as
it
shall
be
necessary
)
must
be
repeated
.
Then
let
Eight
or
Ten
Ounces
of
Blood
be
taken
from
the
Arm
of
that
side
where
the
pain
is
;
which
Bleeding
must
be
boldly
repeated
every
day
,
or
every
other
day
,
according
to
the
Effervescence
of
the
Blood
,
and
the
violence
of
the
pain
in
the
Side
,
and
the
difficulty
of
Breathing
,
so
far
as
the
strength
of
the
Patient
will
bear
it
,
that
the
progress
of
the
Inflammation
to
a
ripening
and
an
Aposteme
(
if
it
be
possible
)
may
be
prevented
.
In
the
mean
time
all
along
the
course
of
the
Disease
let
a
Spoonful
of
the
following
Linctus
be
given
dissolved
in
four
Ounces
of
the
Pectoral
Decoction
warm'd
,
every
third
,
All
the
time
of
this
Fever
we
must
use
Pectoral
Medicines
.
or
at
least
every
fourth
hour
.
Take
Oyl
of
sweet
Almonds
new
drawn
,
Syrup
of
Maiden-hair
,
of
each
an
Ounce
and
half
,
of
white
Sugar-candy
a
Dram
and
half
.
Mix
them
very
well
,
and
make
a
Linctus
.
Yea
,
if
the
toughness
of
the
Phlegm
,
the
difficulty
of
Breathing
,
and
the
increase
of
the
Pain
arising
thereupon
require
it
,
and
there
be
no
Looseness
to
forbid
it
,
let
new
Linseed-Oyl
fresh
drawn
without
any
Fire
,
be
put
in
the
stead
of
the
Oyl
of
sweet
Almonds
,
and
Syrup
of
Hedg-Mustard
,
or
of
the
five
opening
Roots
,
in
the
room
of
the
Syrup
of
Maiden-hair
.
Moreover
let
two
or
three
Ounces
of
Linseed-Oyl
be
likewise
ordered
to
be
taken
by
itself
every
four
hours
,
because
it
is
wonderfully
endowed
not
only
with
a
Lubricating
,
but
likewise
an
Anodyne
Quality
.
Take
of
the
clear
Pectoral
Drink
a
Pint
and
half
,
Tincture
of
Saffron
made
with
Treacle-water
,
and
Syrup
of
Maiden-hair
,
of
each
an
Ounce
:
Mix
them
,
and
make
an
Apozeme
for
the
Use
before
mentioned
.
For
refreshing
their
Spirits
,
Something
must
be
done
to
comfort
them
.
and
tempering
the
heat
of
the
Blood
,
let
four
or
five
Spoonfuls
of
the
following
Julep
be
ordered
to
be
taken
.
Take
of
the
Cordial
Milk-water
eight
Ounces
,
Barley
Cinnamon-water
,
Epidemick
Water
,
of
each
two
Ounces
,
of
Pearl
prepared
a
Dram
and
half
,
of
Loaf-Sugar
six
Drams
;
mix
them
for
a
Julep
.
At
the
time
they
should
go
to
Rest
let
the
following
Anodyne
and
Diaphoretick
Bolus
be
ordered
to
be
taken
with
a
draught
of
the
Pearl
Julep
,
but
especially
if
their
Body
be
too
loose
,
which
often
happens
in
this
state
of
the
Distemper
.
Take
of
Venice-Treacle
half
a
Dram
,
of
Gascoin
Pouder
a
Scruple
,
of
Syrup
of
Clove-gilly-flowers
a
sufficient
quantity
;
mix
them
,
and
make
a
Bolus
.
Something
to
preserve
the
Brain
.
For
the
security
of
the
Brain
,
and
the
System
of
the
Nerves
,
presently
after
Bleeding
let
Blistering-Plaisters
be
applyed
to
the
hinder
part
of
the
Neck
,
to
the
inside
of
the
Arms
and
Legs
;
and
the
Cephalick
Plaister
with
Euphorbium
to
the
soles
of
the
Feet
.
What
is
to
be
done
when
there
is
a
pain
in
the
Side
.
For
the
relieving
of
the
pain
in
the
side
,
caused
by
the
Spasms
of
the
Muscles
,
and
Membranes
of
the
Breast
,
let
the
following
Fomentation
and
Liniment
be
alternately
applyed
to
the
Parts
affected
.
Take
the
Roots
of
Parsley
,
of
Fennel
,
Linseed
,
Foenugreek-seed
,
of
each
two
Ounces
,
Camomile
flowers
,
Melilot-flowers
,
of
each
two
handfuls
;
mix
them
together
,
and
boyl
them
in
a
sufficient
quantity
of
Spring-water
,
let
the
Liquor
,
being
strained
,
be
put
into
a
new
Ox's
Bladder
,
till
it
is
half
full
,
and
let
it
be
applyed
hot
to
the
Parts
affected
,
when
the
pain
is
violent
.
When
the
Bladder
is
removed
,
lay
on
a
warm
Flannel
with
some
of
the
following
Liniment
.
Take
of
the
Oyntment
of
Marsh-mallows
half
an
Ounce
,
Oyl
of
white
Lillies
,
Oyl
of
Bricks
,
of
each
three
Drams
;
mix
them
,
and
make
a
Liniment
for
use
.
For
the
farther
tempering
of
the
Effervescence
of
the
Blood
,
and
the
heat
of
the
Lungs
,
the
following
Pouder
may
be
ordered
with
Advantage
.
Take
of
the
finest
Salt-Petre
two
Drams
,
of
white
Sugar-candy
half
an
Ounce
;
mix
them
,
and
then
divide
them
into
Eight
Papers
,
and
let
one
of
them
be
dissolved
in
every
draught
of
Beer
the
Patient
drinks
.
As
for
the
other
things
,
they
must
be
left
to
the
Judgment
of
the
Physician
that
is
with
him
,
to
be
prescribed
as
there
shall
be
occasion
.
As
for
what
concerns
the
Putrid
Fever
of
Consumptive
Patients
,
we
must
take
notice
,
A
Description
of
the
Putrid
Fever
that
although
they
being
treated
in
the
foregoing
Method
,
do
not
dye
of
a
Peripneumony
,
yet
the
Inflammation
of
the
Tubercles
of
the
Lungs
at
this
time
turning
to
an
Ulcer
(
which
very
often
happens
)
at
the
end
of
the
Inflammatory
Fever
,
there
presently
arises
a
Putrid
Intermitting
Fever
,
which
returns
at
certain
periods
every
day
,
or
every
other
day
,
with
a
Chilness
,
a
hot
Fit
,
and
then
Sweats
succeeding
one
another
;
for
the
Blood
in
its
Circulation
passing
now
through
these
purulent
Parts
,
is
filled
and
opprest
with
Heterogeneous
and
disagreeable
Particles
,
by
which
Nature
being
irritated
,
is
rouzed
,
and
forms
a
Feverish
Fit
every
day
,
or
every
other
day
,
to
expel
her
Enemy
.
Vnless
we
can
heal
the
Vlcers
,
Pectoral
Medicines
will
not
Cure
this
Fever
.
The
Peruvian
Bark
will
many
times
do
great
Service
.
Which
Fever
(
so
far
as
I
understand
)
it
is
impossible
perfectly
to
eradicate
with
the
help
of
Pectoral
and
Balsamick
Medicines
,
without
healing
(
as
often
as
they
are
small
and
benign
)
the
Ulcers
,
from
which
that
Fever
proceeds
.
Yet
I
have
very
often
found
with
very
good
Success
the
efficacy
of
the
Peruvian
Bark
,
in
taking
off
these
Fever
Fits
,
at
least
for
a
time
,
being
frequently
repeated
,
and
at
due
intervals
:
So
that
I
have
seen
the
Lives
of
some
Consumptive
Persons
,
that
have
been
lookt
upon
as
deplorable
,
by
the
frequent
use
of
it
prolonged
not
only
some
months
,
but
likewise
some
years
;
who
,
though
they
were
never
perfectly
recovered
from
a
sickly
state
,
yet
being
once
freed
from
their
Fever
by
the
use
of
the
Bark
,
could
do
their
ordinary
business
well
enough
.
Wherefore
I
look
upon
this
as
the
only
Febrifuge
in
this
case
,
that
has
hitherto
been
found
out
.
For
although
by
this
means
there
is
only
a
Treacherous
and
uncertain
Truce
obtained
,
because
the
Fever
is
wont
to
return
of
its
own
accord
,
or
upon
the
least
occasion
,
yet
by
this
temporary
suppression
of
the
Fever
,
the
Patient
is
not
only
immediately
freed
from
many
troublesome
and
grievous
Symptoms
for
a
time
,
but
likewise
recovers
his
lost
Strength
in
some
measure
,
and
moreover
gains
some
Opportunity
for
the
use
of
Balsamick
and
Pectoral
Medicines
,
which
by
healing
the
ulcerated
Tubercles
,
may
work
a
perfect
and
eradicative
Cure
of
the
Fever
.
We
must
mix
Balsami
ke
with
the
Bark
.
And
therefore
it
is
very
convenient
not
only
to
insist
diligently
upon
the
use
of
this
kind
of
Balsamick
Medicines
at
those
times
the
Patient
is
free
from
his
Fever
;
but
likewise
to
mix
them
with
the
Bark
it self
,
whenever
you
have
a
mind
to
repeat
it
,
in
the
manner
following
.
Take
of
the
Peruvian
Bark
beat
into
a
very
fine
Pouder
half
a
Dram
,
of
the
Balsamick
Syrup
a
sufficient
quantity
;
mix
them
up
into
a
Bolus
,
and
let
the
Patient
take
it
in
the
Morning
,
and
repeat
it
every
six
hours
for
three
days
one
after
another
,
drinking
three
or
four
Ounces
of
the
following
Apozeme
after
it
.
Take
of
the
Peruvian
Bark
grosly
pouder'd
three
Ounces
,
of
Balsam
of
Tolu
two
Drams
,
English
Saffron
,
Cochinel
,
of
each
a
Scruple
;
boyl
them
in
a
pint
of
the
clear
Pectoral
Decoction
to
six
Ounces
.
Then
strain
it
,
and
pour
on
another
pint
of
the
same
Decoction
,
so
repeating
the
Operation
thus
for
three
times
:
And
then
mix
all
the
strained
Liquors
together
,
and
add
Malaga
Wine
,
the
Balsamick
Syrup
,
of
each
four
Ounces
.
Mix
them
,
and
make
an
Apozeme
.
Let
the
use
of
this
Febrifuge
be
repeated
in
the
manner
just
now
prescribed
twice
a
month
,
The
Bark
must
be
repeated
.
Balsamick
and
Pectoral
Medicines
must
be
given
in
the
intervals
.
or
oftner
,
if
it
shall
seem
necessary
.
But
in
the
intervals
the
diligent
use
of
Balsamick
and
Pectoral
Medicines
ought
to
be
enjoyn'd
,
which
must
be
varied
according
to
the
Temperament
of
the
Patient
,
and
the
Nature
of
the
Disease
under
the
care
of
a
Judicious
Physician
.
If
the
Belly
should
be
too
loose
,
a
Grain
of
Laudanum
may
be
added
to
every
Night
-
Bolus
,
or
instead
of
the
Boluses
,
a
Physician
may
make
use
of
Pills
made
of
Diascordium
,
and
the
Pouder
of
the
Peruvian
Bark
,
so
that
every
Dose
may
contain
half
a
Dram
of
the
Pouder
.
And
in
this
manner
I
saw
Mr.
Houghton
an
Apothecary's
Wife
,
that
was
emaciated
with
a
deplorable
Consumption
,
preserved
a
Year
or
two
,
and
very
often
recovered
from
a
Putrid
Fever
caused
by
her
Consumption
,
by
the
care
of
my
Famous
Colleague
Dr.
Tyson
;
as
also
the
Wife
of
Mr.
Walker
,
a
Merchant
of
London
,
and
Mr.
Blakey
the
Minister's
Son
restored
from
a
Putrid
Consumptive
Fever
almost
to
a
perfect
Health
by
my
care
,
recovering
their
Strength
and
Appetite
;
and
so
several
others
,
whose
Histories
it
would
be
too
tedious
to
give
an
Account
of
in
this
place
.
Yet
I
will
ingenuously
confess
,
The
Bark
does
not
answer
so
well
here
,
as
in
Agues
.
that
I
have
not
observed
the
Bark
to
answer
its
end
so
certainly
and
constantly
in
a
Consumptive
Intermitting
Fever
,
as
in
a
plain
Ague
proceeding
meerly
from
a
morbid
disposition
of
the
Blood
:
But
where
I
have
found
it
to
do
little
or
no
good
,
I
have
always
suspected
that
the
Brain
,
and
System
of
the
Nerves
have
been
injured
,
and
that
the
Patient
has
been
more
apt
to
be
light-headed
,
and
more
subject
to
Spasms
than
he
had
been
before
.
CHAP.
XI
.
Of
the
Relief
of
the
Symptoms
of
a
Consumption
in
the
Third
Degree
of
it
.
AS
Nature
is
wont
to
be
irritated
by
the
mixture
of
purulent
and
heterogeneous
Particles
with
the
Blood
(
to
wit
,
as
soon
as
the
Tubercles
of
the
Lungs
happen
once
to
ripen
,
and
to
become
Apostemes
)
and
to
endeavour
the
extrusion
of
them
in
the
Periodick
Fits
of
an
Intermitting
Fever
,
by
the
Bowels
,
the
Cutaneous
Glands
,
Salivatory
Ducts
,
Stomack
,
Wind-pipe
,
&c.
by
what
passage
soever
there
is
a
vent
opened
,
according
to
the
Nature
of
the
Humours
,
and
the
tendency
of
Nature
,
together
with
an
extraordinary
Colliquation
,
and
a
sudden
sinking
of
their
Strength
:
Nature
to
her
violent
efforts
makes
〈◊〉
Symptoms
.
So
it
often
happens
,
that
Nature
being
then
spurr'd
on
too
far
by
that
irritation
,
does
in
expelling
the
colliquated
and
sharp
Serum
in
a
greater
quantity
,
than
is
convenient
,
form
some
new
Distempers
,
or
at
least
some
new
Symptoms
,
that
are
more
sharp
,
and
more
dreadful
than
the
Original
Disease
it self
;
such
as
a
Looseness
and
Bloody-flux
,
with
violent
Torture
in
the
Bowels
,
a
Cough
,
and
pertinacious
Watchings
,
profuse
and
colliquative
Sweats
,
almost
perpetual
Vomitings
,
Hiccough
,
Thrush
,
&c.
For
the
Relief
of
which
Symptoms
the
Art
of
Physick
may
do
something
,
though
it
should
be
unable
to
gratifie
the
Patient
with
a
perfect
Cure
.
But
by
what
means
,
and
by
what
Rules
a
Physician
ought
to
help
these
kind
of
Symptoms
,
I
shall
endeavour
particularly
to
shew
in
what
follows
.
And
first
,
Of
the
manner
of
Relieving
a
Looseness
,
Bloody-flux
,
and
Racking
Pains
of
the
Belly
.
All
the
time
this
Necessity
continues
Opiate
Medicines
must
be
given
,
not
only
frequently
,
In
case
of
a
Looseness
,
Opiates
must
be
given
.
but
likewise
in
a
good
quantity
.
For
as
these
dreadful
Symptoms
cannot
be
relieved
by
any
other
Medicine
,
so
likewise
,
as
long
as
these
Symptoms
last
,
as
the
Cough
is
commonly
more
moderate
,
so
their
Breath
is
more
free
and
easie
,
(
as
I
sometime
since
observed
in
Mr.
Lechmere
,
Mr.
Chadwel
,
and
several
others
)
the
Matter
,
which
used
to
irritate
and
load
the
Lungs
,
being
then
translated
to
other
parts
for
a
time
,
and
thereupon
the
use
of
Opiates
is
not
contraindicated
,
or
forbidden
by
any
present
Symptom
;
In
this
case
the
Patients
will
bear
them
.
from
whence
it
comes
to
pass
,
that
they
can
bear
a
convenient
Dose
of
Opium
without
any
prejudice
or
danger
.
As
long
as
these
Symptoms
last
the
Patient
must
abstain
from
the
use
of
all
sorts
of
Beer
,
and
content
himself
with
the
white
Drink
,
and
Milk
boyled
with
Water
,
instead
of
it
.
Let
him
also
take
every
four
hours
(
if
it
be
needful
)
the
quantity
of
a
Wallnut
of
my
Astringent
Electuary
,
already
described
when
we
spoke
of
the
use
of
Asse's
Milk
;
or
let
him
take
Twelve
Drops
of
Helmont's
liquid
Laudanum
in
a
draught
of
the
Pearl
Julep
.
To
Correct
also
the
sharpness
of
the
irritating
Hum●●r
,
that
is
wont
to
be
thrown
out
by
the
Glandulous
Coat
of
the
thick
Guts
,
and
to
restore
the
Tone
of
the
Parts
that
are
weaken'd
by
it
,
let
there
be
a
Clyster
given
every
day
(
as
a
Fomentation
to
the
Parts
)
of
Chicken-broth
,
or
the
Broth
of
a
Sheeps-Head
boyled
in
Water
with
the
Wool
upon
it
;
or
else
this
which
follows
:
Take
of
Milk
wherein
Steel
has
been
quenched
several
times
,
and
in
which
some
Red
Roses
have
been
boyled
six
Ounces
,
of
Diascordium
half
an
Ounce
;
mix
them
,
and
make
a
Clyster
.
When
the
Looseness
is
moderate
we
must
give
but
little
Opium
.
But
where
the
Looseness
is
moderate
,
and
where
the
Pains
are
not
great
,
but
especially
if
there
be
a
difficulty
of
Breathing
,
Opium
must
be
ordered
seldom
,
and
not
much
,
in
any
form
.
Because
for
the
most
part
upon
the
giving
of
it
,
as
the
Breast
uses
to
be
loaded
,
so
also
their
breathing
and
expectoration
become
more
difficult
,
and
their
Stomack
is
apt
to
be
sick
with
it
.
And
therefore
in
this
case
it
is
better
to
keep
the
Looseness
moderate
by
the
use
of
an
Opiate
every
third
or
fourth
Night
,
rather
than
to
stop
it
quite
,
After
an
Opiate
we
must
use
Expectorating
Medicines
plentifully
.
for
fear
a
greater
mischief
follows
upon
it
.
And
likewise
after
the
use
of
an
Opiate
Medicine
,
we
must
give
them
Expectorating
and
Lubricating
things
more
plentifully
,
lest
the
Matter
which
has
been
some
time
fixt
by
it
in
the
Lungs
,
be
too
hard
for
the
Patient
to
bring
up
.
Secondly
,
How
to
abate
the
continual
Cough
,
and
to
help
the
Patient
against
pertinacious
Watchings
.
As
a
Looseness
,
and
sometimes
also
an
implacable
Bloody-flux
,
together
with
dreadful
Tortures
do
often
come
upon
a
Consumption
,
from
the
Colliquation
of
the
distemper'd
and
sharp
Lympha
made
by
the
Bowels
,
which
are
wont
to
scour
in
Consumptive
Persons
,
that
have
a
Scorbutical
disposition
,
by
reason
of
the
peculiar
Tone
of
their
Guts
,
more
than
in
others
:
As
I
have
observed
in
very
many
,
who
have
been
taken
away
in
the
very
Flower
of
their
Age
by
a
Scorbutical
Consumption
,
attended
with
those
Racking
Symptoms
.
So
likewise
many
times
in
this
state
of
the
Disease
,
The
Cause
of
the
Cough
,
&c.
others
use
to
be
sufficiently
troubled
with
an
extraordinary
Colliquation
by
the
Wind-pipe
,
and
the
branches
of
it
,
caused
by
this
Putrid
Fever
;
whereupon
the
Cough
that
was
before
dry
and
moderate
,
now
becomes
violent
,
and
continually
troublesome
,
with
a
plentiful
spitting
,
sometimes
of
a
thin
Rheum
,
sometimes
of
a
discolour'd
,
glutinous
,
and
purulent
Phlegm
;
so
that
the
Patient
by
reason
of
his
Cough
troubling
him
both
Day
and
Night
,
is
wont
to
be
afflicted
with
almost
continual
Watchings
till
he
is
light-headed
.
These
Symptoms
too
are
not
to
be
relieved
without
the
use
of
Opium
.
These
Symptoms
require
Opium
.
Yet
it
must
be
cautiously
given
.
But
in
this
extream
degree
of
Weakness
it
must
be
allowed
with
a
great
deal
of
Caution
,
but
sparingly
,
and
not
without
manifest
Necessity
;
because
from
the
stuffing
of
the
Lungs
caused
by
it
,
there
is
wont
to
follow
a
very
great
difficulty
of
Breathing
,
a
weak
Pulse
,
and
a
faultering
of
the
Senses
,
together
with
a
coldness
of
the
extream
parts
,
so
that
the
Patient
to
the
disgrace
of
the
Physician
and
his
Art
,
does
not
seem
so
much
to
dye
,
as
to
be
kill'd
.
Therefore
in
this
case
I
commonly
use
the
following
Linctus
,
or
some
one
of
the
same
Nature
.
Take
Syrup
of
Marsh-mallows
,
of
Purslane
,
of
each
an
Ounce
and
half
,
Species
Diatragacanth
frigidae
,
Haly's
Pouder
,
of
each
two
Scruples
,
Syrup
of
Meconium
an
Ounce
and
half
.
Mix
them
,
and
make
a
Linctus
,
to
be
taken
out
of
a
Spoon
,
or
with
a
Liquorice-stick
,
when
the
Cough
is
troubelsome
,
swallowing
of
it
gently
.
Likewise
Aqua
Mirabilis
,
because
it
is
Aromatick
and
Carminative
,
being
mixt
with
Pectoral
Syrups
,
and
taken
down
gently
,
is
proper
to
quiet
the
Cough
.
Or
,
Take
of
the
Balsamick
Syrup
two
Ounces
,
of
Helmont's
Liquid
Laudanum
two
Scruples
;
mix
them
,
and
let
the
Patient
take
one
Spoonful
every
hour
,
or
every
two
hours
.
In
this
state
of
the
Disease
the
Patient
must
seldom
ascend
so
high
as
to
half
a
Scruple
or
twelve
Grains
of
the
Cynogloss-Pill
.
Here
likewise
the
Trochisci
bechici
,
or
Cough-Lozenges
,
both
the
white
and
black
,
or
any
others
of
that
kind
are
good
,
being
to
be
dissolved
gently
in
the
mouth
,
and
swallowed
down
when
the
Cough
is
troublesome
.
Of
moderating
the
vast
Colliquative
Sweats
.
From
the
first
of
the
Putrid
Fever
there
are
Sweats
.
These
Sweats
are
wont
to
accompany
a
Consumption
after
the
Putrid
Fever
arises
through
the
whole
course
of
the
Disease
,
and
(
as
I
hinted
before
)
do
very
much
relieve
the
Cough
,
Watchings
,
and
other
troublesome
Symptoms
;
and
therefore
so
long
as
they
are
moderate
,
Whilst
they
are
moderate
they
must
not
be
stopt
.
they
are
by
no
means
to
be
stopt
by
Art
,
for
fear
a
Looseness
,
or
some
other
more
troublesome
and
fatal
business
arise
upon
the
taking
away
of
this
Symptom
.
But
sometimes
(
when
the
Consumption
once
comes
near
to
its
fatal
Period
,
because
the
colliquative
state
of
the
Blood
is
at
this
time
so
much
increased
,
that
scarce
any
new
Nourishment
is
united
to
the
Solid
parts
,
or
retained
in
the
Mass
of
Blood
)
it
happens
that
these
Sweats
become
so
profuse
,
that
the
Patient
,
when-ever
he
falls
into
a
sleep
,
does
not
only
seem
to
lye
,
as
it
were
,
in
a
Flood
of
Water
,
which
he
finds
very
troublesome
,
but
likewise
from
a
great
sinking
of
his
Spirits
,
caused
by
those
vast
Sweats
,
as
soon
as
he
awakes
,
he
is
taken
with
some
degree
of
Swooning
.
In
which
case
his
sleeps
must
be
short
,
In
this
case
their
sleeps
must
be
shor●
and
(
if
there
be
occasion
)
he
must
be
awak'd
out
of
his
sleep
,
before
his
Spirits
are
too
languid
with
long
Sweating
.
Also
temperate
Pearl
Cordials
must
be
given
often
,
and
in
a
large
quantity
,
to
which
it
is
convenient
to
add
Chalk
,
Coral
,
Dragons-blood
,
and
other
Temperating
,
Astringent
,
and
Emplastick
Ingredients
,
which
may
in
some
measure
lock
up
and
mitigate
the
fluid
state
of
the
Blood
.
As
for
Example
:
Take
the
Waters
of
Tormentil
,
Plantain
,
Oak-buds
,
of
each
three
Ounces
,
of
small
Cinnamon-water
four
Ounces
,
of
Aqua
Mirabilis
an
Ounce
,
Pearl
,
and
Coral
prepared
,
Chalk
,
of
each
two
Scruples
,
true
Bole
,
Dragons-blood
,
of
each
half
a
Dram
,
of
Japan-Earth
a
Scruple
,
of
distilled
Vinegar
,
or
Spirit
of
Vitriol
a
sufficient
quantity
to
give
a
grateful
sharpness
,
of
Syrup
of
Myrtils
an
Ounce
and
half
;
mix
them
,
and
make
a
Julep
,
of
which
let
the
Patient
take
two
or
three
Ounces
every
third
or
fourth
hour
,
shaking
the
Bottle
.
Some
of
the
Bed-cloaths
also
must
be
taken
off
,
and
let
the
Patient
be
removed
into
a
thin
,
open
,
and
fresh
Air
;
let
him
always
sleep
in
a
large
Chamber
,
and
as
soon
as
he
begins
to
be
faint
,
let
the
Sweat
be
presently
wiped
off
with
dry
Linnen
Cloaths
,
and
the
Patient
be
removed
into
another
part
of
the
Bed
.
The
pores
of
the
Skin
being
in
this
manner
once
stopt
,
though
Nature
should
make
it
her
business
to
throw
out
some
part
of
the
colliquated
Humour
by
the
Bowels
,
or
any
other
passage
,
and
thereupon
new
Symptoms
should
arise
,
yet
it
is
better
for
the
Patient
to
labour
under
several
moderate
than
one
very
extream
Symptom
.
Of
extream
Vomiting
in
the
latter
end
of
a
Consumption
.
Consumptive
Persons
are
all
along
subject
to
Vomiting
.
Persons
in
a
Consumption
are
in
some
measure
subject
to
this
Symptom
through
the
whole
course
of
the
Disease
from
the
morbid
state
of
the
Blood
,
and
from
the
Tone
and
Ferment
of
the
Stomack
being
thereupon
perfectly
destroy'd
,
as
also
from
the
stuffing
of
the
Lungs
,
and
the
motion
of
the
Stomack
,
being
inverted
by
the
Cough
,
and
hawking
up
of
the
Phlegm
that
sticks
in
the
Lungs
(
as
I
have
shewed
before
.
)
But
about
the
end
of
a
Consumption
this
Symptom
is
sometimes
so
much
increased
,
Which
increases
towards
the
end
of
the
Consumption
.
that
scarce
any
Nutriment
can
be
retained
in
the
Stomack
;
but
the
Food
as
soon
as
it
is
taken
down
,
is
apt
to
be
thrown
up
again
by
the
Stomack
.
Though
there
is
not
much
to
be
done
by
Art
in
the
extremity
of
this
Symptom
,
yet
a
Physician
ought
to
give
his
helping
Hand
,
at
least
by
prudent
Counsel
,
if
he
cannot
by
Medicines
.
Therefore
first
,
let
the
Patient
be
ordered
to
take
(
though
often
)
but
a
very
little
quantity
of
Food
at
a
time
.
Secondly
,
let
him
be
indulg'd
the
use
of
Food
that
is
most
grateful
to
his
Stomack
,
so
it
be
such
as
affords
good
Juice
,
and
is
of
easie
digestion
.
Thirdly
,
let
him
(
as
much
as
ever
he
can
)
keep
from
Coughing
,
and
deep
hawking
up
of
Phlegm
that
lyes
low
,
and
let
him
likewise
forbear
sleeping
and
lying
down
presently
after
he
has
eaten
.
But
Medicines
can
scarce
do
any
good
in
this
deplorable
state
.
Of
relieving
a
Thrush
,
a
pain
in
the
Throat
,
and
Hiccough
in
the
end
of
a
Consumption
.
After
the
flame
of
the
Putrid
Fever
is
kindled
,
but
especially
when
the
exclusion
of
the
colliquated
Matter
by
the
Bowels
and
other
Doors
is
hindred
by
Art
,
it
sometimes
happens
that
Nature
endeavours
,
though
in
vain
,
the
extrusion
of
her
Enemy
by
the
Salivatory
Ducts
,
and
Glandulous
Membrane
of
the
Mouth
and
Gullet
.
From
whence
a
continual
troublesome
spitting
for
many
Weeks
arises
.
Secondly
,
by
reason
of
the
sharpness
of
the
Humour
separated
by
these
parts
,
there
follows
an
Inflammation
of
the
Membrane
,
not
only
of
the
Mouth
,
but
also
of
the
Gullet
and
Stomack
.
Thirdly
,
from
the
Inflammation
there
follows
an
Exulceration
,
and
thereupon
little
Ulcers
,
commonly
call'd
a
Thrush
,
attended
with
a
very
troublesome
pain
in
the
Throat
;
as
I
observed
in
Mrs.
Wells
,
and
some
other
Consumptive
Persons
,
who
were
wont
to
complain
of
this
Symptom
more
than
of
the
Original
Distemper
it self
.
Fourthly
,
and
lastly
,
a
very
troublesome
Hiccough
arising
from
the
Inflammation
and
Exulceration
of
the
Stomack
.
And
these
Symptoms
,
A
Thrush
and
Hiccough
are
always
fatal
.
as
they
are
wont
to
be
very
troublesome
,
so
sometimes
also
of
a
long
continuance
,
but
always
fatal
,
and
such
as
presage
the
Patient's
Death
;
neither
indeed
do
they
admit
of
any
Cure
:
For
that
the
cause
,
from
which
they
proceed
,
is
incurable
.
However
that
may
be
,
yet
an
honest
Physician
ought
here
also
as
much
as
it
is
in
his
power
,
to
give
a
helping
hand
with
the
use
of
Gargles
to
be
squirted
into
the
Mouth
and
Throat
with
a
Syringe
,
which
must
be
made
of
Cleansing
,
Soft
,
Astringent
,
and
Mucilaginous
Ingredients
:
Such
as
we
have
often
occasion
to
use
in
our
Practice
,
the
forms
of
which
we
meet
with
every
where
in
Authors
,
under
the
Head
of
a
Fever
.
But
yet
for
the
easing
of
this
kind
of
pain
in
the
Throats
of
Consumptive
Persons
,
the
keeping
the
backward
Glands
seated
in
the
Throat
continually
Night
and
Day
defended
from
the
external
Air
with
a
covering
of
Flannel
doubled
,
does
a
great
deal
of
good
;
from
whence
there
may
be
more
relief
expected
than
from
Gargles
,
or
Mucilages
.
A
TREATISE
OF
Consumptions
.
The
Third
BOOK
.
Of
a
Symptomatical
Consumption
of
the
Lungs
.
I
Call
that
a
Symptomatical
Consumption
of
the
Lungs
,
which
is
caused
by
,
What
a
Symptomatical
Consumption
is
.
and
depends
upon
some
other
preceding
Diseases
.
For
it
often
happens
so
,
that
from
Distempers
,
and
those
not
only
Chronical
,
but
also
Acute
;
and
that
whether
they
are
perfectly
cured
or
not
,
the
Mass
of
Blood
is
so
altered
by
the
preternatural
Ferment
preceding
,
that
there
remain
and
lurk
in
the
Blood
some
indelible
Impressions
,
and
the
Seeds
of
a
Consumption
,
that
will
afterwards
follow
,
which
by
degrees
shews
it self
by
a
Cough
,
and
other
usual
Signs
,
until
at
length
the
miserable
Patient
being
on
every
side
environed
with
the
Fatal
Symptoms
of
the
Disease
,
is
forced
to
submit
to
the
stroke
of
Death
.
Yea
,
sometimes
also
it
is
not
only
the
Distemper
,
but
likewise
the
Physician
himself
that
uses
to
be
the
occasion
of
this
Consumption
;
to
wit
,
when
being
greedy
of
Gain
,
and
a
little
present
Fame
,
he
does
in
a
perfunctory
manner
,
and
without
a
due
Method
and
necessary
Evacuations
,
rather
suppress
than
root
out
the
Ferment
of
the
preceding
Disease
;
whereupon
the
Patient
,
not
being
so
much
cured
,
as
translated
from
one
Distemper
to
another
,
after
some
space
of
time
spent
in
a
sickly
state
,
falls
into
an
Acute
and
Deplorable
Consumption
.
This
is
the
most
common
Consumption
.
And
indeed
this
kind
of
Consumption
(
as
far
as
I
have
been
able
to
observe
)
is
the
most
common
of
all
others
;
and
where
we
see
one
Original
Consumption
of
the
Lungs
,
which
depends
meerly
upon
an
alteration
of
the
Blood
predisposing
the
Patient
to
it
,
there
are
five
(
and
it
may
be
ten
)
to
be
found
,
which
proceed
from
Crapulous
and
Intermitting
Fevers
,
from
the
Small-Pox
,
Measles
,
Scarlet
Fevers
,
a
Pleurisie
,
Peripneumony
,
Melancholy
,
and
Hysterick
Affections
;
from
the
Kings-Evil
,
Scurvy
,
Green-Sickness
,
Asthma
,
Spitting
of
Blood
,
Stones
in
the
Lungs
,
and
sometimes
also
in
the
Kidneys
and
Bladder
;
from
the
French-Pox
,
Gout
,
stoppage
of
the
Monthly
Purgations
,
of
Issues
,
a
Gonorrhoea
,
and
of
Old
Ulcers
,
especially
such
as
are
Fistulous
and
Scrophulous
.
These
Consumptions
have
a
peculiar
disposition
.
Which
Symptomatical
Consumptions
,
besides
the
general
Nature
of
a
Consumption
,
use
to
have
likewise
a
proper
and
peculiar
Genius
,
or
Disposition
of
their
own
;
and
thereupon
they
are
to
be
distinguisht
amongst
themselves
as
by
particular
Marks
,
and
Pathognomonick
Signs
.
And
there
is
some
variation
to
be
made
in
the
Cure
proportionate
to
the
different
Nature
of
the
Distemper
.
And
a
Physician
can
scarcely
in
the
Cure
of
a
Symptomatical
Consumption
of
the
Lungs
rationally
satisfie
all
the
Indications
of
Cure
by
the
general
Method
already
described
,
so
as
to
obtain
a
happy
and
desired
event
of
things
,
Therefore
in
the
Cure
of
them
a
respect
must
be
had
to
the
Original
Distemper
.
unless
he
has
in
the
whole
course
of
his
Cure
as
well
a
peculiar
respect
to
the
Original
Distemper
,
by
mixing
Specificks
with
his
other
Medicines
,
as
to
the
Symptoms
in
the
Lungs
,
which
are
the
effects
of
it
,
by
Medicines
that
are
proper
for
a
Consumption
of
the
Lungs
,
which
we
have
already
described
.
Therefore
taking
it
for
granted
,
that
the
Description
and
Cure
of
an
Original
Consumption
the
Lungs
already
delivered
,
belong
likewise
to
of
these
Consumptions
,
that
I
may
not
draw
out
the
Thread
of
this
Discourse
to
too
tedious
a
length
by
Tautologies
,
I
thought
it
worth
my
while
briefly
to
add
under
their
proper
Heads
those
things
which
may
shew
the
various
Nature
of
these
Consumptions
,
their
Causes
,
Differences
,
Pathognomonick
Signs
,
and
Indications
of
Cure
,
by
which
a
Physician
with
his
Judgment
and
Sagacity
may
alter
the
general
Method
of
Cure
,
so
as
to
be
able
to
accommodate
his
Remedies
to
the
peculiar
Nature
of
the
Disease
,
and
to
answer
the
Indications
that
arise
from
it
.
CHAP.
I.
Of
a
Scrophulous
Consumption
.
This
Consumption
is
very
frequent
I
Shall
speak
of
this
kind
of
Consumption
in
the
first
place
,
because
it
occurs
most
frequently
in
our
Practice
:
For
I
remember
more
of
this
kind
of
Consumptive
Patients
that
I
have
cured
,
or
at
least
have
seen
cured
by
others
,
than
of
any
other
sort
.
For
in
a
Scrophulous
Consumption
the
Blood
,
by
reason
of
its
preternatural
Acrimony
,
being
as
it
were
coagulated
,
and
so
unable
perfectly
to
unite
the
new
Chyle
to
it self
,
and
the
solid
parts
,
is
wont
to
throw
it
in
a
greater
quantity
than
is
convenient
upon
the
Glandulous
Parts
,
where
the
small
Vessels
do
not
run
in
a
right
Line
as
in
the
Muscles
,
but
spirally
;
from
whence
it
comes
to
pass
,
that
the
Blood
is
wont
to
make
a
longer
stay
,
and
to
stagnate
longer
in
these
,
than
in
other
parts
,
and
so
to
make
a
more
plentiful
separation
of
the
Nutritious
Juice
in
them
;
whereby
it
comes
to
pass
,
that
these
parts
are
apt
to
swell
more
,
and
to
grow
larger
,
and
harder
than
others
.
And
what
happens
in
other
Glandulous
parts
,
happens
also
in
the
Lungs
themselves
,
which
are
every
where
full
of
innumerable
Glandules
,
but
of
some
more
conspicuous
ones
upon
the
Wind-pipe
,
and
the
branches
of
it
,
though
in
their
Natural
state
they
are
not
so
easily
discerned
:
So
that
't
is
no
wonder
if
those
that
have
the
Kings-Evil
,
who
are
frequenlty
subject
to
Glandulous
Swellings
in
other
parts
,
are
likewise
many
times
affected
with
such
kind
of
Tubercles
,
even
in
the
Lungs
themselves
,
the
substance
of
which
is
Naturally
spongy
,
and
apt
to
receive
the
Serous
Particles
of
the
Blood
,
that
are
here
plentifully
separated
by
their
continual
agitation
.
And
indeed
from
these
sixt
Swellings
in
the
Lungs
this
Scrophulous
Consumption
is
wont
to
proceed
:
The
most
certain
Diagnostick
Sign
of
which
is
to
be
taken
from
Glandulous
Swellings
in
the
External
Habit
of
the
Body
accompanying
of
it
,
The
Diagnostick
sign
of
it
.
or
at
least
preceding
it
;
as
also
from
an
Ophthalmy
and
Scab
,
that
often
return
,
and
from
other
such-like
Scrophulous
Affections
.
Though
I
think
I
must
freely
confess
,
that
sometimes
it
happens
so
that
the
Glandules
of
the
Lungs
only
,
and
no
others
are
affected
with
this
Humour
.
In
which
case
there
is
need
of
an
Experienced
and
Judicious
Physician
to
find
out
the
peculiar
Nature
of
this
Consumption
from
what
yet
remains
to
be
spoken
under
this
Head
Therefore
here
we
must
particularly
observe
,
The
Tubercles
here
are
either
Phlegmatick
;
That
these
Tubercles
of
the
Lungs
(
as
Scrophulous
Swellings
in
other
parts
)
are
either
crude
and
phlegmatick
,
and
so
no
ways
disposed
to
an
Inflammation
and
Maturation
:
Or
more
hot
.
Or
else
more
hot
,
which
will
be
seized
with
an
Inflammation
sooner
or
later
,
according
to
the
present
disposition
of
the
Blood
,
and
the
different
Nature
of
the
Matter
that
is
contained
in
the
Cystis
.
For
sometimes
,
to
wit
,
when
the
Matter
is
concocted
,
and
hardned
into
a
Chalky
,
or
Steatomatous
Substance
,
or
into
the
substance
of
a
Meliceris
,
(
which
it
most
commonly
is
)
the
Inflammation
,
and
the
Exulceration
,
that
proceeds
from
thence
,
are
not
only
some
considerable
time
before
they
happen
,
but
likewise
when
they
do
,
they
are
very
slow
,
Chronical
,
and
almost
insensible
.
But
whenever
the
Blood
,
When
the
Matter
is
of
a
hot
Nature
,
the
Swellings
are
apt
to
inflame
.
and
the
Matter
contained
in
the
Cystis
are
of
a
Nature
different
from
this
(
which
also
sometimes
,
though
seldom
,
happens
)
the
Swellings
are
very
apt
to
be
inflam'd
,
so
to
suppurate
,
and
to
turn
to
an
Ulcer
.
And
from
hence
arises
the
difference
in
Scrophulous
Consumptions
:
For
some
(
to
wit
,
whenever
the
Swellings
are
crude
,
and
not
apt
to
be
inflam'd
)
in
a
Consumptive
state
live
,
though
they
are
crazy
and
sickly
,
from
their
Childhood
till
they
are
old
,
with
a
Cough
that
is
almost
continual
,
and
troubles
them
both
Night
and
Day
,
Summer
and
Winter
,
with
a
weight
in
their
Breast
,
with
a
difficult
,
and
somewhat
Asthmatical
Respiration
,
but
yet
without
any
sensible
Fever
;
but
upon
the
taking
of
the
least
Cold
(
to
which
also
they
are
more
subject
than
other
People
)
they
are
wont
to
spit
a
great
deal
of
Phlegmatick
and
Serous
Matter
.
These
People
may
be
preserved
from
any
dangerous
,
or
fatal
Effects
of
their
Distemper
,
even
without
Physick
,
only
by
ordering
themselves
regularly
in
those
Six
Things
,
which
we
call
Non-natural
.
And
hence
it
comes
to
pass
,
that
they
seldom
desire
the
Help
of
a
Physician
in
this
sickly
crazy
state
,
being
better
contented
to
live
Miserably
,
A
Scrophulous
Consumption
is
curable
,
when
the
Tubercles
are
crude
.
than
Physically
.
But
for
my
part
I
do
not
question
,
but
by
the
frequent
changing
of
Air
,
and
making
choice
of
such
as
is
thin
and
clear
,
and
by
the
long
use
of
Balsamick
,
and
Mercurial
Medicines
,
of
Wood-lice
,
Chalybeates
,
but
especially
the
Mineral
Waters
,
and
of
other
Antiscrophulous
Remedies
,
these
Swellings
may
be
wasted
in
the
Lungs
as
well
as
in
other
parts
,
and
so
the
Patient
may
be
freed
from
a
Scrophulous
and
Consumptive
state
,
as
I
have
often
experienced
.
In
the
Cure
of
this
kind
of
Consumption
,
A
Milk
Diet
is
not
to
be
used
in
the
Cure
of
it
.
we
must
by
no
means
put
them
upon
the
use
of
a
Milk
Diet
;
because
it
is
wont
to
promote
and
increase
the
Obstructions
and
Swellings
,
that
proceed
from
a
Viscous
Humour
.
Likewise
those
Pectoral
Medicines
,
that
are
commonly
called
Expectoratives
and
Opiates
,
do
no
great
good
in
this
case
,
unless
it
be
upon
the
taking
of
new
Cold
,
to
mitigate
the
Symptoms
that
arise
from
it
,
as
a
Cough
,
Fever
,
difficulty
of
Breathing
,
want
of
Sleep
;
and
that
only
whilst
all
,
or
some
of
these
do
yet
remain
in
a
great
degree
,
and
violent
.
But
whenever
these
Tubercles
are
of
a
hotter
Nature
,
When
the
Tubercles
are
hot
,
the
Consumption
is
Acute
.
and
thereupon
more
subject
to
a
quick
Inflammation
and
Exulceration
,
this
Scrophulous
,
Consumption
is
very
Acute
,
and
terminates
in
a
few
Months
;
and
as
to
the
manner
of
Cure
,
differs
but
little
from
a
common
Consumption
.
Neither
are
we
to
make
any
other
Prognostick
in
this
than
in
another
Consumption
;
to
wit
,
that
it
differs
in
the
event
according
to
the
degree
and
progress
of
the
Disease
,
as
I
have
said
before
.
I
have
many
times
observed
this
kind
of
Acute
Consumption
to
proceed
from
the
stopping
and
drying
up
of
a
Scrophulous
Scab
;
The
Occasion
of
this
Consumption
.
as
the
other
more
Chronical
Consumption
is
wont
to
seize
upon
those
that
have
been
subject
to
cold
Swellings
of
the
Glands
.
What
is
to
be
done
in
the
hot
Swellings
.
In
the
beginning
of
these
more
hot
Swellings
,
liberal
and
frequent
Bleeding
is
for
the
most
part
more
necessary
than
in
other
Consumptions
;
by
which
means
the
Inflammation
and
Suppuration
of
the
Tubercle
may
perhaps
be
prevented
,
though
the
incipient
Tumour
,
that
is
begun
to
arise
,
may
neither
be
lessened
,
nor
perfectly
wasted
.
Here
also
it
is
convenient
to
add
your
Figwort
,
Dropwort
,
Wood-lice
,
and
other
Antiscrophulous
Ingredients
to
the
Pulmonary
Medicines
.
Here
likewise
the
Gums
and
Balsams
are
very
serviceable
:
As
also
my
Balsamick
Pills
before
mentioned
,
by
a
long
use
of
which
I
have
done
more
towards
the
perfect
Cure
of
very
many
of
this
kind
of
Consumptive
Patients
than
by
any
other
Pulmonary
Medicines
.
When
they
Apostemate
,
Specificks
do
no
good
.
But
if
these
hot
Swellings
begin
once
to
turn
to
an
Aposteme
,
Specificks
then
do
no
good
at
all
;
but
such
kind
of
Consumptive
Patients
must
be
treated
in
the
same
manner
as
other
Consumptive
Persons
,
to
wit
,
according
to
the
degree
and
progress
of
the
Disease
.
If
the
Swellings
are
of
a
middle
Nature
,
the
Consumption
is
so
too
.
But
if
these
Swellings
be
of
a
middle
Nature
,
so
that
though
they
are
apt
to
be
inflam'd
,
yet
't
is
but
slowly
as
they
concoct
the
Matter
contained
in
them
into
the
form
of
Chalk
,
into
the
Nature
of
a
Suet
,
or
a
substance
like
Honey
;
there
follows
thereupon
a
Consumption
partaking
likewise
of
a
middle
Nature
;
to
wit
,
a
Chronical
one
,
that
runs
on
for
many
Years
,
and
is
attended
with
a
gentle
and
moderate
degree
of
Symptoms
,
to
wit
,
with
a
continual
Cough
at
all
Seasons
of
the
Year
,
which
yet
is
moderate
,
and
not
very
dry
:
But
in
the
Winter
,
and
when
the
Air
is
thick
it
is
more
troublesome
;
a
very
mild
,
and
almost
insensible
Fever
,
plainly
of
a
Hectick
Nature
,
accompanied
rather
with
a
lankness
than
an
evident
Consumption
of
the
Flesh
,
as
also
with
a
delicate
Stomack
,
rather
than
a
want
of
Appetite
:
Which
indeed
is
the
most
common
Consumption
of
Old
Persons
,
and
often
occurs
in
Practice
.
These
Consumptive
Patients
with
due
care
rub
on
a
great
while
.
I
have
observed
that
this
sort
of
Consumptive
People
have
not
only
lived
a
great
many
Years
,
though
they
have
been
crazy
,
but
also
with
due
government
and
care
in
those
six
things
we
call
non-natural
,
have
followed
their
ordinary
Business
.
But
upon
committing
of
the
least
Error
either
in
the
quantity
or
quality
of
their
Food
,
or
in
the
time
of
Eating
and
Drinking
,
much
more
upon
a
Debauch
,
and
the
liberal
drinking
of
Spirituous
Liquors
,
or
upon
the
getting
of
Cold
,
they
are
very
subject
to
Putrid
Fevers
,
and
so
long
as
they
last
the
Patient's
Life
is
in
danger
;
and
the
Lungs
being
heated
suffer
more
Injury
from
thence
in
a
Week
,
than
otherwise
they
would
do
in
a
Year
.
For
the
Fever
that
seizes
this
kind
of
Consumptive
Persons
,
contrary
to
the
proper
Nature
of
the
Tubercles
,
is
Acute
.
But
though
in
the
beginning
that
,
or
even
the
Cough
,
and
other
Symptoms
of
the
Lungs
seem
to
be
mild
,
and
though
the
Habit
of
the
Body
be
never
so
much
emaciated
,
we
must
bleed
them
moderately
,
and
(
if
there
be
occasion
)
we
must
repeat
it
at
the
first
Invasion
of
the
Fever
;
and
with
all
the
Medicines
we
use
for
the
Fever
,
we
must
mix
such
Pectoral
and
Antiscrophulous
Ingredients
as
are
proper
;
by
which
means
I
have
with
the
Blessing
of
God
recovered
one
and
the
same
Consumptive
Person
(
as
Mr.
Andrews
,
and
a
certain
Merchant
in
Philpot-Lane
,
with
many
others
)
from
several
Putrid
Fevers
,
that
have
returned
the
same
Year
;
and
that
without
any
great
mischief
occasioned
to
the
Lungs
by
them
.
But
the
oftner
these
Fevers
return
,
so
much
the
sooner
does
the
Consumption
quicken
its
pace
towards
a
fatal
end
;
and
the
nearer
the
Consumptive
Person
is
to
this
Fatal
Day
,
the
oftner
are
these
Putrid
Fevers
apt
to
return
,
arising
from
the
least
occasion
:
The
Inflammation
of
any
new
Tubercle
(
as
it
seems
to
me
)
always
giving
the
occasion
of
this
kind
of
Putrid
Fever
.
The
Cure
of
this
Consumption
where
there
is
no
Putrid
Inflammatory
Fever
.
But
when
there
is
nothing
of
this
Fever
,
the
Cure
of
this
Consumption
may
be
very
well
performed
by
observing
those
necessary
Rules
,
which
concern
the
six
non-natural
things
,
and
that
perpetually
:
By
a
long
use
of
the
Mineral
Waters
in
the
Summer-time
,
unless
there
be
some
great
Obstruction
of
the
Liver
,
and
a
Dropsie
proceeding
from
it
.
In
the
Winter-time
by
a
frequent
and
long
use
of
my
Balsamick
Pills
,
as
also
of
the
Gums
,
and
other
Balsamick
Medicines
;
but
in
the
Spring
,
and
the
Autumn
,
with
a
Diet-drink
made
with
Wood-lice
,
Antiscrophulous
,
and
Pulmonary
Ingredients
steeped
in
Beer
,
which
must
be
prescribed
for
their
ordinary
Drink
.
And
by
these
means
I
have
recovered
even
some
,
that
have
been
old
;
but
a
great
many
others
,
as
Mr.
Tibbs
,
Mr.
Herbert
,
&c.
I
have
brought
to
a
better
state
of
Health
,
than
they
could
enjoy
for
a
great
many
Years
before
.
Expectorating
,
and
other
Pulmonary
Medicines
are
useful
to
this
kind
of
Consumptive
Patients
,
as
well
as
to
others
;
except
Opium
,
which
must
very
seldom
be
given
in
this
case
,
and
that
not
without
urgent
Necessity
,
because
of
its
fixing
and
stopping
Nature
.
But
these
Pectoral
Medicines
,
though
they
do
some
good
,
and
give
some
present
relief
,
yet
they
do
not
much
promote
the
Cure
of
the
Original
Distemper
without
Antiscrophulous
Medicines
,
and
the
other
things
I
have
now
mentioned
.
A
History
.
The
only
Son
of
Mr.
Davison
,
an
Eminent
Citizen
,
and
Merchant
of
London
,
that
had
been
troubled
from
his
Cradle
even
to
his
Youth
with
a
Purulent
Scab
scattered
up
and
down
his
whole
Body
,
and
often
returning
upon
him
,
proceeding
from
a
Scrophulous
Habit
,
being
quite
tired
and
uneasie
with
it
in
his
Youth
when
he
was
a
Lad
,
got
rid
of
it
with
I
know
not
what
Repercussive
Plaisters
and
Oyntments
,
that
he
made
use
of
by
the
Advice
of
some
Old
Women
.
Whereupon
presently
,
which
was
about
the
Year
1678.
he
was
troubled
with
a
dry
Cough
all
the
Summer
from
Tubercles
in
his
Lungs
,
occasioned
by
driving
in
of
his
Scab
;
which
nevertheless
he
wholly
neglected
for
a
Month
or
two
,
until
with
a
light
Inflammation
and
Exulceration
of
the
Swellings
in
the
beginning
of
the
Autumn
,
he
fell
into
a
Putrid
Intermitting
Fever
,
with
a
loss
of
Appetite
,
a
Thirst
,
and
other
Symptoms
of
that
kind
;
at
which
time
he
desired
my
Advice
,
and
with
the
help
of
the
Peruvian
Bark
,
of
Balsamick
and
Pectoral
Medicines
,
given
in
the
Country
Air
,
he
seemed
to
be
freed
from
his
Fever
,
and
in
some
measure
from
his
Cough
too
.
But
through
Impatience
,
and
his
aversness
to
Medicines
,
taking
no
further
care
of
himself
,
he
had
a
Fatal
Relapse
into
his
Fever
,
and
likewise
his
Consumptive
Cough
,
by
which
,
together
with
a
Looseness
,
profuse
Sweats
,
a
Dropsie
,
and
other
Symptoms
of
an
Invincible
Colliquation
,
he
was
carried
off
in
the
middle
of
the
Winter
following
.
In
the
Body
,
when
't
was
opened
,
we
found
all
the
Lobes
of
the
Lungs
here
and
there
bespatter'd
with
Tubercles
of
a
various
magnitude
;
some
that
were
small
,
and
newly
bred
;
others
that
were
pretty
large
,
though
they
were
crude
;
but
some
that
were
inflam'd
and
exulcerated
,
containing
in
them
a
purulent
Matter
,
that
was
of
the
consistence
of
Honey
.
This
I
took
to
be
a
Scrophulous
Consumption
of
the
Second
sort
,
that
is
,
Hot
and
Acute
.
CHAP.
II.
Of
a
Scorbutical
Consumption
.
There
is
a
Colliquative
Ferment
in
all
Scurvies
.
IN
all
Scurvies
,
but
especially
that
which
is
Saline
,
the
Blood
always
has
in
it
a
Ferment
,
which
causes
a
great
Colliquation
,
and
likewise
Secretion
of
the
Chylous
Lympha
in
the
Glands
;
but
especially
in
those
that
are
seated
about
the
Mouth
,
Jaws
,
and
Lungs
;
and
from
hence
it
comes
to
pass
that
this
kind
of
Patients
,
as
they
are
subject
to
great
Sweating
,
and
to
make
much
Urine
,
so
likewise
to
a
continual
spitting
by
the
Salivatory
Ducts
,
to
a
hawking
up
of
tough
Phlegm
from
the
Tonsils
,
and
to
a
frequent
Cough
,
proceeding
from
a
continual
spewing
out
of
a
Serous
Liquor
by
the
Glandulous
Coat
of
the
Wind-pipe
.
But
this
Scorbutical
Lympha
,
that
is
excern'd
by
the
Tonsils
and
the
other
Glands
,
though
it
admits
of
some
Concoction
,
yet
(
as
it
abounds
with
a
fixt
Salt
,
and
is
in
its
own
proper
Nature
glutinous
)
it
has
always
some
toughness
;
The
Cough
in
a
Scorbutical
Consumption
is
not
violent
.
and
hereupon
the
Cough
of
this
kind
of
Consumptive
Persons
,
though
it
be
continual
,
yet
is
not
so
violent
and
dry
as
it
uses
to
be
in
others
,
where
the
Serum
,
that
is
thrown
out
by
the
Glandules
is
thinner
;
whereupon
there
arises
a
fierce
and
troublesome
Cough
from
the
continual
spewing
out
of
that
Serum
by
the
Wind-pipe
;
or
at
least
a
perpetual
tickling
molests
them
from
the
swelling
of
its
Glandulous
Coat
,
whenever
the
Lympha
does
not
find
a
convenient
passage
out
of
the
Glandules
;
and
from
hence
for
the
most
part
there
arises
a
violent
and
dry
Cough
.
From
whence
it
comes
to
pass
that
in
a
Scorbutical
Consumption
,
by
reason
of
the
viscousness
of
the
Matter
that
is
separated
,
by
which
the
Coat
of
the
Wind-pipe
,
and
of
the
branches
of
it
,
is
rather
troublesomly
besmeared
,
than
irritated
,
the
Patient
is
not
so
much
provoked
to
Cough
,
as
he
makes
a
Cough
of
his
own
accord
to
bring
up
the
Phlegm
that
sticks
,
and
is
troublesome
to
him
;
But
Asthmatical
.
and
hereupon
this
kind
of
Cough
comes
near
to
the
Nature
of
an
Asthmatical
Cough
,
and
is
attended
with
a
greater
Wheesing
,
difficulty
of
Breathing
,
Constriction
,
and
weight
of
the
Lungs
,
than
we
use
to
observe
in
other
Consumptions
.
This
Consumption
is
very
Chronical
.
And
from
hence
also
a
Scorbutical
Consumption
proves
very
Chronical
,
and
never
threatens
a
sudden
Fatality
without
a
spitting
of
Blood
,
or
some
other
great
Symptom
coming
upon
it
.
This
kind
of
Consumptive
Patients
,
Every
little
Error
makes
these
Patients
Feverish
.
though
they
spin
out
their
Life
to
some
length
without
any
Medicines
,
only
by
a
due
government
and
care
in
those
six
things
,
called
non-natural
,
yet
they
live
sickly
,
and
upon
committing
the
least
Error
in
their
Diet
,
or
taking
of
Cold
,
they
are
wont
to
be
Feverish
,
and
to
lose
their
Stomack
.
The
Signs
,
that
presage
this
Consumption
,
The
signs
of
this
Consumption
.
are
especially
two
;
to
wit
,
a
frequent
eruption
of
Spots
scattered
up
and
down
upon
the
whole
Skin
like
the
Miliary
Shingles
,
and
a
perpetual
hawking
up
,
but
especially
in
a
Morning
,
of
Phlegm
,
that
is
salt
,
and
troublesome
,
thrown
out
by
the
Tonsils
,
which
is
many
times
accompanied
with
an
Exulceration
,
and
wasting
of
the
Gums
.
The
manner
how
it
is
to
be
cured
.
But
in
what
manner
the
Cure
of
this
Consumption
is
to
be
altered
from
the
General
Method
I
have
already
described
,
I
shall
here
briefly
observe
,
to
wit
,
Opium
is
hurtful
.
First
,
Opium
is
always
mischievous
,
unless
it
be
upon
the
taking
of
new
cold
,
and
then
only
it
must
be
given
to
mitigate
the
Symptoms
that
arise
from
it
;
because
it
makes
the
Phlegm
more
tough
,
and
hard
to
be
expectorated
.
Inciding
Medicines
are
bes●
of
Pectora●s
in
this
case
.
Secondly
,
Amongst
the
Pectoral
Medicines
,
those
that
are
cutting
and
cleansing
,
are
alway
,
to
be
preferred
,
for
helping
,
and
making
the
Expectoration
easie
,
or
at
least
they
must
be
mixt
with
others
;
as
Honey
,
Mead
,
Oxymel
,
Gums
,
and
Balsams
,
Wood-lice
,
Syrup
of
Hedg-Mustard
,
of
the
five
Opening
Roots
,
the
Balsamick
Syrup
.
But
above
all
,
I
commend
my
Balsamick
Pills
,
which
I
have
already
described
,
the
Use
and
Efficacy
of
which
in
a
Scorbutical
Consumption
I
have
often
had
Experience
of
.
Antiscorbuticks
must
be
mixt
with
the
Pectoral
Medicines
.
Thirdly
,
Antiscorbuticks
must
always
be
mixt
with
the
Pectoral
Medicines
,
that
at
the
same
time
,
when
the
flux
of
colliquated
Matter
is
expectorated
with
the
help
of
the
Pectoral
Medicines
,
the
Ferment
,
that
causes
this
Colliquation
,
may
be
destroyed
,
or
at
least
abated
by
the
Vertue
of
Antiscorbuticks
.
Otherwise
so
long
as
the
Cause
is
not
taken
away
,
the
Distemper
it self
cannot
admit
of
a
perfect
Cure
:
But
we
must
make
choice
of
the
milder
sort
of
Antiscorbuticks
,
such
as
may
cause
the
least
heat
and
disorder
in
the
Blood
;
as
Water-cresses
,
Brook-lime
,
Pine-tops
,
the
Leaves
of
Tun-hoof
,
red
Dock-roots
,
Male
Piony-roots
,
&c.
of
which
a
Bag
may
be
made
to
be
hung
in
Ale
for
ordinary
Drink
:
By
which
means
the
Volatile
Salt
of
the
Simples
(
in
which
the
Energy
of
the
Medicine
consists
)
is
better
preserved
,
than
in
Apozemes
,
and
so
the
Vertue
of
the
Medicine
is
more
freely
communicated
to
the
Blood
,
and
the
Appetite
is
less
injured
by
them
.
Fourthly
,
Steel
is
useful
.
Also
Steel
is
very
useful
in
the
Cure
of
this
Consumption
,
unless
it
runs
hastily
on
to
its
Fatal
Period
.
If
it
be
an
Acid
Scurvy
,
then
Salt
of
Steel
will
be
proper
,
a
Grain
or
two
of
which
may
be
mixt
with
every
Dose
of
the
Balsamick
Pills
.
If
it
be
a
Salt
Scurvy
,
Mynsicht's
Extract
,
which
we
have
already
taught
how
to
give
in
the
form
of
Pills
.
Especially
the
Chalybeate
Mineral
Waters
.
But
in
all
Scorbutical
Consumptions
the
Chalybeate
Mineral
Waters
are
to
be
preferred
before
any
Artificial
Preparation
of
Steel
in
the
Summer-time
(
if
it
be
so
the
Consumption
has
not
reached
to
the
third
degree
)
because
they
are
endued
with
an
extraordinary
power
,
not
only
to
open
the
Obstructions
of
the
Nerves
,
and
to
penetrate
and
dissolve
the
Tubercles
▪
but
likewise
to
temper
the
Hectical
Heat
in
the
Blood
and
Spirits
,
to
quench
the
Drought
,
restore
the
Appetite
,
and
to
procure
a
Briskness
and
Chearfulness
of
Mind
;
the
Efficacy
of
which
in
curing
this
kind
of
Consumptions
above
any
other
Method
of
using
Pectoral
Medicines
,
I
have
very
often
experienced
with
great
Success
.
And
therefore
I
shall
add
at
the
end
of
this
Chapter
a
History
or
two
of
their
extraordinary
Vertue
in
the
curing
of
a
Scorbutical
Consumption
.
But
the
use
of
them
ought
to
be
repeated
every
Year
,
because
this
Chronical
Distemper
does
not
use
to
be
overcome
with
one
blow
.
Fifthly
,
If
the
Patient
is
costive
,
What
is
to
be
done
if
the
Patient
is
Costive
.
the
Purging
Mineral
Waters
are
here
also
very
useful
,
as
also
any
Stomack-Pills
before
described
;
by
the
help
of
which
,
being
repeated
once
or
twice
a
Month
,
my
dear
Father
did
happily
prolong
his
Life
in
a
Scorbutical
Consumption
for
many
Years
.
Diversion
and
Chearfulness
necessary
for
these
Patients
.
Sixthly
,
The
Patient
must
recreate
his
Mind
,
and
all
Lawful
means
must
be
used
to
make
him
chearful
:
For
as
this
Distemper
for
the
most
part
takes
its
Original
,
so
likewise
its
fatal
Increase
from
Grief
,
and
disturbance
of
the
Mind
.
A
Milk
Diet
seldom
agrees
with
them
.
Seventhly
,
A
Milk
Diet
seldom
●…ees
with
this
kind
of
Consumptive
Persons
,
by
●eason
of
the
Acid
,
or
Salt
Ferment
of
their
Stomacks
;
and
generally
speaking
,
is
wont
to
disagree
as
well
with
Scorbutical
,
as
Hypochondriacal
Persons
.
The
use
of
Tobacco
is
to
be
much
suspected
.
Eighthly
,
The
taking
of
much
Tobacco
is
likewise
to
be
much
suspected
in
this
Consumption
;
because
not
only
it
increases
the
Ill
and
Salt
Ferment
of
the
Stomack
,
by
reason
of
the
abundance
of
Salt
that
is
contained
in
it
(
whereby
the
Colliquation
,
that
is
caused
by
a
Saltness
,
is
increased
;
)
but
also
because
that
Saline
Smoak
by
irritating
the
Salivatory
Ducts
,
does
promote
a
more
plentiful
excretion
of
the
Spittle
,
and
that
not
only
by
the
Glandulous
Coat
of
the
Mouth
,
but
also
by
the
Tonsils
,
and
the
whole
Trunk
of
the
Wind-pipe
,
even
to
the
very
Lungs
;
from
whence
it
comes
to
pass
,
that
as
the
troublesome
hawking
up
of
Phlegm
from
the
Tonsils
,
so
also
the
Cough
of
the
Lungs
is
wont
to
be
promoted
.
Finally
,
the
shaving
of
the
Head
and
many
Issues
are
here
very
advantageous
,
because
they
conduce
very
much
to
the
lessening
of
the
quantity
of
the
Serous
Liquor
,
that
abounds
in
this
Distemper
,
the
one
by
promoting
a
Perspiration
,
the
other
by
deriving
that
Liquor
to
themselves
.
A
History
.
Mr.
Hunt
,
a
Citizen
of
London
,
that
had
been
a
Scorbutical
and
Hypochondriacal
Man
,
lived
almost
from
his
Youth
to
the
Seventieth
Year
of
his
Age
in
a
Consumptive
state
,
doing
his
Business
well
enough
by
taking
care
,
and
rightly
managing
himself
without
the
help
of
Physick
,
till
he
was
above
Sixty
Years
old
,
from
which
time
being
very
much
emaciated
he
was
very
often
subject
to
a
Catarrhous
Cough
,
that
was
also
something
Asthmatical
,
to
a
want
of
Appetite
,
especially
in
the
Winter
,
and
likewise
to
a
light
Peripneumonical
Fever
from
a
slow
Inflammation
of
the
Tubercles
of
his
Lungs
:
From
which
he
was
easily
freed
by
the
Advice
of
a
Physician
.
He
also
had
three
Sons
,
all
which
,
though
they
were
Scorbutical
and
Hypochondriacal
by
Inheritance
,
yet
they
seemed
strong
and
lusty
even
to
the
Thirtieth
Year
of
their
Age.
About
which
time
they
were
all
one
after
another
seized
by
the
same
Right
of
Inheritance
with
a
Consumption
occasioned
by
Passions
of
the
Mind
,
and
the
drinking
of
Spirituous
Liquors
;
from
whence
it
came
to
pass
,
that
by
reason
of
their
neglect
of
a
due
Government
,
this
Distemper
(
which
was
so
Chronical
in
the
Father
)
was
Acute
enough
in
his
Sons
;
and
(
if
I
well
remember
)
carried
them
all
off
before
the
emaciated
Old
Man
dyed
.
One
of
these
Sons
,
to
wit
,
the
Eldest
,
after
he
had
continued
his
Hectical
Heat
for
some
Years
by
Cares
and
Drinking
,
falling
into
a
want
of
Appetite
,
Thirstiness
,
a
dry
Cough
,
and
heavy
Oppression
in
his
Breast
,
committed
himself
to
my
care
.
After
Bleeding
,
gentle
Purges
,
and
the
plentiful
use
of
Pectoral
and
Balsamick
Medicines
,
he
seemed
to
be
something
better
:
But
yet
his
Hectical
Heat
,
Cough
,
and
weakness
of
Appetite
still
continuing
,
I
sent
him
to
drink
Tunbridge
.
Waters
in
the
open
Country
Air
(
the
time
of
the
Year
favouring
that
Advice
)
I
expected
more
from
the
due
use
of
the
Waters
,
than
from
the
most
pompous
Apparatus
of
Medicines
:
For
although
he
did
not
stay
so
long
as
he
ought
to
drink
the
Waters
,
nor
fortified
himself
by
a
due
Government
,
yet
he
came
back
after
a
Month
recovered
in
his
Flesh
,
his
Looks
,
and
Appetite
;
and
almost
perfectly
freed
from
his
Cough
and
Hectical
Heat
too
,
till
the
next
Winter
entangling
himself
with
Cares
and
much
Business
,
and
falling
to
his
usual
drinking
of
Wine
,
he
felt
a
return
of
all
the
former
Symptoms
;
of
which
he
could
not
be
relieved
by
any
Prescriptions
of
the
most
able
Physicians
,
and
so
about
the
next
June
he
dyed
at
Ebisham
,
where
he
had
lived
for
some
time
for
the
benefit
of
the
Air.
His
Widdow
,
as
well
from
her
grief
for
the
Death
of
her
Husband
,
as
from
other
causes
,
as
from
taking
of
Cold
in
often
Watching
with
him
,
and
perhaps
by
Infection
too
(
because
she
lay
with
him
to
his
dying
day
)
but
especially
because
she
seemed
predisposed
to
a
Consumption
from
a
Salt
and
Scorbutical
Habit
of
Body
;
after
a
Month
began
to
have
a
dry
Cough
,
a
very
great
Hectical
Heat
,
an
extream
Thirst
,
and
almost
a
total
want
of
Appetite
,
together
with
a
squalid
Look
,
an
emaciated
Habit
of
Body
,
a
continual
Oppression
of
her
Lungs
,
a
Weakness
,
and
all
the
Symptoms
of
a
very
Acute
Consumption
:
So
that
(
if
I
must
speak
ingenuously
)
I
did
expect
that
she
would
within
a
Month
or
two
follow
the
lamentable
Fate
of
her
Husband
let
her
be
never
so
diligent
in
the
use
of
the
best
Medicines
of
the
Shops
that
I
had
any
knowledge
of
,
unless
the
extraordinary
heat
of
the
Blood
and
Lungs
could
be
extinguisht
by
a
great
plenty
of
some
diluting
and
temperating
Liquor
,
which
would
obtund
the
sharp
Salts
of
her
Blood
,
and
open
the
Obstructions
of
the
Nerves
at
the
same
time
.
And
therefore
after
a
light
Ventilation
by
taking
away
a
little
Blood
,
I
ordered
her
(
because
her
Body
had
been
costive
)
Ebisham
Waters
made
into
Posset-drink
,
by
way
of
Preparative
;
and
afterwards
,
that
she
should
drink
Sadler's
Waters
at
Islington
,
the
extraordinary
Vertue
of
which
to
extinguish
a
Hectical
Heat
,
I
had
that
very
Year
with
great
Success
found
in
my self
,
as
well
as
in
several
others
.
I
ordered
likewise
a
Pearl
Julep
,
her
Faintness
,
and
the
heat
of
her
Blood
and
Spirits
requiring
it
.
But
by
reason
of
the
sickness
and
weakness
of
her
Stomack
,
she
could
not
take
any
Linctuses
,
or
Pectoral
Apozemes
,
much
less
Balsamick
Medicines
.
And
because
of
her
great
difficulty
of
Breathing
,
I
was
very
doubtful
of
the
use
of
Opiates
.
And
thus
for
the
present
I
left
her
.
The
Purging
Mineral
Waters
she
took
once
or
twice
,
which
put
her
into
a
Looseness
,
that
held
her
for
three
Weeks
,
(
and
I
knew
nothing
of
it
)
her
Fever
still
flaming
,
and
her
Thirst
,
Cough
,
difficulty
of
Breathing
,
Consumption
,
Atrophy
,
Weakness
,
and
other
Symptoms
increasing
.
But
she
wholly
abstain'd
from
,
and
was
plainly
afraid
of
using
the
Islington
Waters
,
because
that
was
the
first
Year
they
were
found
out
,
and
there
were
a
great
many
Reports
spread
abroad
of
their
Mischievous
Nature
.
But
one
time
when
I
was
not
sent
for
,
going
to
visit
her
in
her
Chamber
,
to
know
certainly
what
Effects
the
Chalybeate
Waters
had
had
,
because
I
had
heard
nothing
either
from
her
,
or
from
her
Brother
the
Apothecary
;
I
found
her
in
a
worse
condition
than
ever
before
,
and
her
Fever
,
Cough
,
and
Atrophy
,
with
all
the
other
ill
Symptoms
before
mentioned
,
so
much
increased
by
a
Looseness
,
that
was
come
upon
her
,
and
had
now
continued
so
long
,
that
she
could
hardly
rise
out
of
her
Bed
.
But
at
last
being
prevailed
upon
by
the
Reasons
,
and
the
Experience
that
I
urged
I
had
lately
had
of
them
,
she
consented
to
try
the
Vertue
of
Islington
Waters
.
And
in
order
thereunto
,
I
ordered
a
Dose
of
my
Astringent
and
Opiate
Electuary
to
be
given
every
Night
for
her
present
Looseness
,
when
it
was
necessary
;
and
the
next
Morning
always
to
drink
a
Quart
,
three
Pints
,
two
Quarts
,
five
Pints
,
three
Quarts
of
the
Waters
in
Bed
;
and
likewise
for
her
present
use
a
little
warm'd
,
because
of
the
coldness
of
that
time
of
the
Year
(
for
it
was
past
the
middle
of
September
)
and
to
persist
in
the
use
of
them
a
Month
,
if
they
did
but
pass
well
by
Urine
,
and
not
work
or
go
off
by
Stool
;
and
that
she
should
be
of
good
Courage
if
her
Appetite
began
to
return
,
and
her
Thirst
,
with
the
other
Symptoms
of
her
Fever
were
abated
upon
the
use
of
them
;
but
if
it
happened
otherwise
,
that
she
should
let
me
know
it
,
that
I
might
presently
do
what
I
could
to
help
her
.
But
being
hindred
by
a
great
deal
of
Business
,
I
heard
no
more
of
her
till
three
Weeks
after
,
she
and
her
Brother
came
to
me
as
I
was
in
my
Study
,
she
being
now
plainly
free
from
her
Fever
,
Cough
,
and
Weakness
,
and
perfectly
recovered
from
her
Consumption
to
a
Miracle
;
and
making
no
more
complaint
but
of
too
great
a
greediness
of
her
Appetite
,
which
yet
I
promised
to
reduce
to
a
moderation
,
as
soon
as
she
had
got
up
the
Flesh
,
which
she
had
lost
,
by
the
long
use
of
good
Nourishment
,
the
truth
of
which
she
found
by
Experience
in
a
short
time
.
Neither
did
I
prescribe
any
Medicine
,
but
only
that
she
should
use
a
Diet-drink
made
with
Antiscorbutick
and
Pectoral
Ingredients
the
space
of
a
Month
for
her
ordinary
Drink
.
With
which
she
recovered
her
perfect
Health
,
and
is
yet
alive
,
and
continues
well
at
her
Father
Mr.
Minakin's
House
,
at
the
Sign
of
the
King's
Head
in
St.
Martins
,
near
Aldersgate
.
I
could
give
several
such
Instances
of
the
extraordinary
Efficacy
of
the
Chalybeate
Waters
in
Curing
a
Hectick
Fever
,
and
an
incipient
Scorbutical
Consumption
of
the
Lungs
,
but
that
I
endeavour
to
be
as
brief
as
I
can
.
CHAP.
III.
Of
an
Asthmatical
Consumption
.
THough
every
Scorbutical
Consumption
is
of
an
Asthmatical
Nature
,
yet
by
this
I
especially
understand
that
,
which
proceeds
from
a
true
Asthma
as
the
preceding
Cause
,
and
depends
wholly
upon
it
.
Every
Asthma
has
a
tendency
to
a
Consumption
.
For
every
Asthma
,
but
especially
that
which
is
Humerose
,
has
a
tendency
to
a
Consumption
;
because
in
this
Distemper
not
only
the
Lungs
are
very
often
straitned
,
and
drawn
together
in
the
Nature
of
Spasms
(
whereby
the
Tone
of
them
is
wont
to
be
injured
and
destroyed
,
and
a
thick
viscid
Humour
is
wont
to
be
prest
out
of
their
substance
into
the
branches
of
the
Wind-pipe
by
that
frequent
compression
,
which
sticking
fast
there
,
causes
a
Cough
,
Wheesing
,
and
difficulty
of
Breathing
)
but
likewise
from
the
previous
disposition
of
the
Blood
to
be
viscid
and
tenacious
,
the
Lungs
are
almost
always
knotted
from
the
very
beginning
of
this
Distemper
;
which
Knots
or
Tubercles
in
progress
of
time
are
wont
to
be
inflam'd
and
exulcerated
;
from
whence
there
follows
a
true
and
fatal
Asthmatical
Consumption
.
How
this
Consumption
is
distinguisht
from
others
.
But
this
Consumption
is
to
be
distinguished
from
others
especially
by
this
,
that
it
is
accompanied
through
the
whole
course
of
the
Disease
with
a
Wheesing
,
and
extream
difficulty
of
Breathing
,
because
the
Humour
,
that
is
continually
prest
out
of
the
Tubercles
and
substance
of
the
Lungs
into
the
Wind-pipe
,
and
branches
of
it
(
as
I
hinted
before
)
is
always
thick
and
viscid
,
sticking
tenaciously
and
troublesomly
to
the
sides
of
the
Wind-pipe
and
its
branches
like
Glew
,
and
so
hindring
the
free
passage
of
the
Air.
But
this
Consumption
,
This
Consumption
is
very
Chronical
.
though
it
is
usually
Fatal
and
Incurable
,
yet
in
its
own
Nature
it
is
very
Chronical
;
so
that
I
have
seen
some
,
who
,
though
they
have
been
in
an
Asthmatical
Consumption
,
yet
have
lived
several
Years
with
the
help
of
a
due
Government
,
and
of
a
thin
Air.
The
cause
of
which
thing
seems
to
me
to
be
the
toughness
and
viscidity
of
the
Humour
thrown
out
by
the
Lungs
in
this
Consumption
.
For
this
Humour
,
by
reason
of
the
great
quantity
of
Salt
contained
in
it
,
easily
and
quickly
admitting
some
concoction
,
though
into
a
viscid
Matter
,
loses
a
great
deal
of
its
corrosive
Acrimony
;
and
thereupon
becomes
more
benign
,
leaving
a
less
impression
behind
it
upon
the
Lungs
,
than
where
it
is
sharp
,
thin
,
and
perfectly
crude
,
and
admits
of
no
Concoction
at
all
.
Old
Age
is
such
a
Consumption
.
And
indeed
Old
Age
seems
to
me
to
be
this
kind
of
Chronical
and
Incurable
Consumption
;
because
all
Old
People
,
that
are
not
seized
with
some
Acute
Disease
,
languishing
in
this
manner
with
a
Consumption
,
do
at
length
come
to
the
period
of
their
Lives
,
but
not
without
such
fore-runners
,
as
a
Chronical
Cough
,
a
difficulty
of
Breathing
,
a
wasted
lean
Habit
of
Body
,
and
something
of
a
Hectick
Disposition
.
And
we
need
not
wonder
at
it
,
when
the
small
Fibres
of
the
Substance
of
the
Lungs
,
by
reason
of
a
great
Age
losing
their
tensness
,
are
wont
to
fall
together
;
from
whence
it
comes
to
pass
,
that
the
whole
Substance
of
the
Lungs
grows
slabby
like
a
Quagmire
,
from
the
Nutritious
Juice
being
seperated
,
and
stagnating
there
;
and
upon
that
there
is
that
plenty
of
viscid
Phlegm
,
a
Wheesing
,
Asthmatical
stuffing
of
the
Lungs
,
difficulty
of
Breathing
,
an
emaciation
of
the
whole
Body
,
and
a
Hectical
Disposition
.
And
why
should
I
use
many
words
,
when
there
follows
plainly
a
Consumption
of
Old
Age
?
Neither
is
a
Milk
Diet
nor
Opiates
convenient
in
this
Consumption
.
1.
A
Milk
Diet
is
seldom
convenient
in
this
Consumption
,
much
less
Opium
,
because
by
increasing
the
thickness
of
the
Humours
,
it
promotes
the
difficulty
of
Breathing
,
and
all
the
other
Symptoms
of
this
Consumption
;
so
that
I
have
sometimes
in
this
case
seen
the
Life
of
a
Patient
brought
into
sudden
danger
with
but
one
Grain
of
Opium
.
A
thin
Air
is
necessary
in
the
Cure
of
it
.
2.
A
thin
and
open
Air
is
more
necessary
in
the
Cure
of
this
Consumption
,
than
in
any
others
.
Neither
indeed
can
this
kind
of
Consumptive
Persons
live
long
with
the
use
even
of
the
most
Generous
Medicines
in
a
foggy
or
smoaky
Air.
Inciding
Medicines
are
the
best
sort
of
Pectorals
.
3.
Amongst
the
Expectorating
Medicines
the
best
are
such
as
are
Cleansing
and
Inciding
,
as
Honey
,
Mead
,
Syrup
of
Hedg-Mustard
,
of
the
five
Opening
Roots
,
of
Vinegar
:
We
must
avoid
,
at
least
we
must
be
very
cautious
in
giving
Incrassating
things
.
Balsams
,
Gums
,
Wood-lice
,
but
especially
my
Balsamick
Pills
,
are
here
of
great
use
:
As
also
Spirit
of
Harts-horn
,
of
Salt
Armoniack
,
&c.
whenever
the
Consumption
depends
upon
a
Convulsive
Asthma
.
What
is
to
be
done
in
violent
Asthmatick
Fits
.
4.
This
kind
of
Consumptive
Patients
are
many
times
taken
with
Fits
of
an
Asthma
to
a
great
Extremity
.
In
which
case
it
is
necessary
to
open
a
Vein
,
though
the
Patient
be
never
so
much
emaciated
;
and
it
is
as
convenient
to
give
Riverius's
Emetick
Mixture
of
equal
parts
,
of
Oxymel
of
Squills
,
and
strong
Cinnamon-water
,
or
something
of
that
Nature
;
and
to
repeat
it
often
,
because
it
takes
off
the
Spasmodick
contraction
of
the
Lungs
by
its
Carminative
Power
,
and
by
its
Abstersive
Faculty
it
cuts
and
brings
up
the
Phlegm
.
But
yet
we
must
bleed
them
sparingly
,
according
to
the
Patient's
strength
;
and
we
must
not
give
that
Mixture
of
Riverius
,
unless
there
is
an
absolute
Necessity
.
A
History
.
Mrs.
Sherwin
,
a
Virgin
,
that
had
been
for
many
Years
past
troubled
with
an
Asthma
,
especially
in
the
Winter
,
and
when
she
lived
in
London
;
with
the
help
of
a
due
Government
,
of
the
Country
Air
,
&c.
she
seemed
to
do
her
Business
well
enough
,
till
she
was
Forty
Years
old
,
or
there-abouts
.
From
which
time
she
began
to
be
somewhat
Consumptive
,
with
an
increase
of
her
Cough
,
and
her
difficulty
of
Breathing
growing
worse
and
worse
every
day
,
her
Appetite
likewise
being
spoiled
from
her
Feverish
Hectick
Heat
,
which
then
began
to
seize
her
.
But
with
using
the
Chalybeate
Waters
,
my
Stomack-Pills
,
my
Balsamick
Pills
,
and
other
Pectoral
Medicines
(
the
Country
Air
likewise
contributing
very
much
)
for
two
or
three
Years
she
seemed
much
relieved
,
and
almost
perfectly
recovered
.
But
at
length
upon
a
Peripneumony
arising
from
an
Inflammation
of
the
Tubercles
of
the
Lungs
,
she
fell
into
a
Colliquative
Fever
,
together
with
a
Looseness
,
Dropsie
,
Vomiting
,
profuse
Sweats
,
and
the
other
Symptoms
of
a
Fatal
Consumption
,
and
dyed
almost
in
the
Flower
of
her
Age
of
this
Consumption
,
which
I
call
a
Consumption
of
Old
Age
;
and
if
you
had
seen
her
before
she
dyed
,
you
would
have
taken
her
for
an
Old
Woman
.
When
the
Body
was
opened
,
we
found
the
Lungs
every
where
knotted
,
and
in
many
places
inflamed
,
yea
,
maturated
and
ulcerated
.
The
same
I
observed
in
Mr.
Baxter
,
an
eminent
Citizen
of
London
;
who
from
a
Chronical
Asthma
fell
at
last
into
a
fatal
Consumption
,
of
which
he
was
much
,
and
a
long
time
relieved
with
the
use
of
Spirit
of
Salt
Armoniack
,
and
Pectoral
Medicines
,
but
especially
Balsamicks
;
but
after
a
Year
or
two
,
his
difficulty
of
Breathing
being
very
much
increased
,
and
having
a
Looseness
come
upon
it
,
together
with
the
Gripes
,
a
Dropsie
,
and
other
Symptoms
of
a
fatal
Consumption
,
he
was
carried
off
.
But
the
Asthmatick
Fits
(
which
used
to
return
often
)
I
always
took
off
with
the
use
of
Riverius's
Mixture
(
when
he
once
grew
too
weak
to
bleed
)
with
very
good
Success
,
and
with
great
Relief
to
the
Patient
,
even
to
his
dying
day
.
Mr.
Rand
,
a
noted
Apothecary
of
London
,
rub'd
on
many
Years
in
the
state
of
an
Asthmatick
Consumption
(
though
he
was
emaciated
and
weak
)
with
the
plentiful
use
of
Spirit
of
Harts-horn
,
of
Pectoral
,
Chalybeate
,
and
Balsamick
Medicines
,
and
a
due
management
of
himself
in
those
six
things
,
which
we
call
not
Natural
.
And
although
he
was
often
in
a
Year
subject
to
a
light
Peripneumonical
Fever
from
a
new
Inflammation
of
the
Tubercles
of
his
Lungs
,
yet
with
Bleeding
,
and
a
due
management
,
and
the
use
of
Pectoral
Medicines
,
he
as
easily
escaped
:
But
the
extraordinary
benefit
of
Emetick
Medicines
I
often
found
in
him
,
whenever
he
seemed
to
be
in
very
great
danger
from
the
increase
of
his
Asthma
,
and
from
his
loss
of
Appetite
,
and
great
Weakness
following
upon
it
.
CHAP.
IV.
Of
a
Consumption
proceeding
from
Melancholy
,
as
also
from
an
Hysterical
and
Hypochondriacal
Affection
.
ANY
one
,
that
has
been
but
a
little
concerned
in
the
Practice
of
Physick
,
Hypochondriacal
and
Hysterical
Persons
are
often
Consumptive
for
a
long
time
,
and
at
last
dye
of
it
.
The
Reason
why
it
is
so
may
easily
observe
,
that
those
that
are
Hypochondriacal
and
Hysterical
,
do
often
live
a
long
time
in
a
Consumptive
state
,
and
at
length
being
seized
with
those
Symptoms
of
a
Consumption
of
the
Lungs
,
that
accompany
the
last
and
fatal
degree
of
it
,
they
dye
.
The
reason
of
which
thing
may
be
easily
gathered
from
the
Principles
which
I
have
already
mentioned
.
For
in
an
Hypochondriacal
and
Hysterical
Affection
,
the
Brain
,
and
the
whole
System
of
the
Nerves
are
always
distempered
;
and
thereupon
not
only
the
Animal
Spirits
do
degenerate
into
a
Windy
and
unquiet
Nature
,
but
also
the
whole
Mass
of
Blood
,
which
ought
to
be
duly
actuated
and
invigorated
by
those
Spirits
,
is
turned
into
a
crude
and
cachectical
load
.
And
indeed
we
have
reason
to
wonder
that
a
Consumption
does
not
always
follow
,
where
there
is
such
a
destruction
of
the
Tone
of
the
Nerves
,
and
from
such
a
disposition
of
the
Spirits
and
Blood
.
Moreover
every
one
knows
that
some
troublesome
Passions
of
the
Mind
do
for
the
most
part
precede
,
or
at
least
accompany
an
Hysterical
,
and
an
Hypochondriacal
Affection
.
From
which
(
as
I
have
already
observed
in
the
beginning
of
this
Discourse
)
a
Consumption
is
wont
oftner
to
take
its
Original
,
than
from
Cold
,
or
any
other
Occasion
.
Besides
those
that
are
Hysterical
and
Hypochondriacal
from
Fear
and
Anxious
Thoughts
,
are
very
often
subject
to
continual
Suffocations
,
and
Oppressions
of
their
Breast
(
which
are
nothing
but
Spasmodick
contractions
of
the
Muscles
of
the
Breast
and
Larynx
,
and
of
the
tender
Substance
of
the
Lungs
)
whereupon
their
Tone
being
once
weakned
and
destroyed
,
no
Body
can
think
it
strange
if
there
often
follows
a
Consumption
.
This
Consumption
is
for
the
most
part
Chronical
,
yet
fatal
.
But
this
Consumption
for
the
most
part
is
Chronical
,
because
it
depends
upon
a
morbid
disposition
of
the
Spirits
,
and
Humours
contracted
by
degrees
:
But
yet
for
the
most
part
it
is
Mortal
,
not
only
because
they
are
seldom
frighted
at
it
by
reason
of
the
insensible
Progress
of
it
,
until
the
Patient
,
that
had
been
a
long
time
sickly
,
falls
at
last
into
a
deep
Consumption
;
but
also
because
the
stock
of
Humours
,
upon
which
this
kind
of
Consumption
depends
,
is
plainly
not
to
be
exhausted
.
How
it
is
distinguisht
from
other
Consumptions
.
This
Consumption
may
be
distinguisht
from
other
Consumptions
especially
by
an
Oppression
of
the
Breast
,
and
an
unusual
Sadness
of
the
Mind
;
as
also
by
frequent
Hysterical
Choakings
,
Faintings
,
and
other
Nervous
Symptoms
.
The
Cure
is
almost
the
same
as
the
general
Method
.
But
the
Volatile
Spirits
and
Cephalicks
must
be
given
more
plentifully
in
this
Consumption
.
The
Cure
is
not
to
be
altered
much
from
the
General
Method
.
Yet
I
will
subjoyn
some
Observations
concerning
it
.
First
,
In
this
Consumption
,
because
the
great
Weakness
,
and
Obstruction
of
the
Nerves
require
it
,
we
must
allow
,
if
not
even
enjoyn
,
a
more
liberal
use
of
Spirit
of
Harts-horn
,
Spirit
of
Salt
Armoniack
,
Tincture
of
Castor
,
Hysterical
Water
,
and
Compound
Piony-water
,
and
other
things
of
that
Nature
,
than
we
use
to
do
in
other
Consumptions
;
the
extraordinary
Efficacy
of
which
in
relieving
the
Symptoms
of
this
kind
of
Consumptive
Persons
,
I
have
very
often
found
by
Experience
;
and
indeed
without
these
neither
their
Faintness
,
nor
Choakings
(
which
are
Symptoms
that
are
wont
very
frequently
to
affect
these
Patients
)
nor
indeed
the
Cough
it self
(
which
in
this
Consumption
does
for
the
most
part
proceed
from
the
Genus
Nervosum
)
can
be
mitigated
.
Secondly
,
The
Chalybeate
Waters
are
very
useful
.
Likewise
the
Mineral
Waters
are
very
useful
in
this
case
,
and
indeed
without
Chalybeate
Medicines
,
those
which
are
commonly
called
Pectoral
and
Antiphthisical
,
do
no
good
.
But
they
must
be
put
upon
the
use
of
this
kind
of
Medicines
in
time
,
before
there
appear
any
signs
of
an
Ulcer
of
the
Lungs
,
for
fear
the
Patient
should
find
more
hurt
than
good
from
them
,
when
Nature
is
once
by
degrees
reduced
to
such
a
colliquative
state
.
Thirdly
,
Neither
a
Milk
Diet
nor
Purges
are
convenient
.
As
a
Milk
Diet
seldom
is
convenient
for
this
kind
of
Consumptive
Patients
,
so
neither
for
the
same
Reasons
(
to
wit
,
the
weakness
of
their
Nerves
,
and
the
preternatural
sourness
of
their
Stomacks
)
do
Purges
do
any
good
,
especially
to
Hysterical
Women
,
unless
they
be
very
gentle
,
and
given
in
due
time
.
Fourthly
,
But
gentle
Vomits
,
Gentle
Vomits
are
very
beneficial
.
and
such
as
are
fitted
to
the
strength
of
the
Patient
in
the
beginning
of
the
Distemper
,
are
wont
to
help
this
kind
of
Consumptive
Persons
to
a
wonder
,
by
relieving
the
Brain
and
Nerves
.
Fifthly
,
Opiates
are
many
times
necessary
.
The
use
of
Opium
may
not
only
be
allowed
by
a
Physician
,
but
many
times
it
appears
plainly
necessary
,
perhaps
more
in
this
,
than
in
any
other
Consumption
of
the
Lungs
,
by
reason
of
the
grievous
Spasms
of
the
Stomack
,
Intestines
,
and
other
parts
,
which
are
wont
to
happen
to
this
kind
of
Consumptive
Persons
more
than
to
any
others
from
their
pertinacious
Watchings
,
and
other
Symptoms
,
by
reason
of
the
windy
and
explosive
state
of
the
Animal
Spirits
,
and
the
delirous
activity
and
working
of
their
Fancies
.
History
1.
Mr.
Richards
,
a
Citizen
of
London
,
that
lived
in
Southwark
,
a
Man
that
was
lean
,
and
of
a
truly
dry
and
cold
Temperament
(
as
the
Ancients
were
pleased
to
speak
)
somewhat
dull
and
Melancholy
from
his
very
childhood
,
before
the
fortieth
Year
of
his
Age
fell
into
a
Melancholy
Delirium
,
from
which
he
was
perfectly
freed
by
the
long
use
of
Chalybeate
Medicines
,
gentle
Purges
,
Antiscorbuticks
,
and
Cephalicks
;
the
taking
away
of
some
Blood
in
time
from
the
Jugular
and
Haemorrhoid
Veins
,
contributing
thereto
.
But
although
he
was
freed
from
his
Melancholy
,
yet
he
continued
lean
,
and
something
thoughtful
,
and
many
times
too
he
was
troubled
with
a
little
,
dry
Cough
,
which
he
had
been
subject
to
for
a
long
time
.
But
this
he
wholly
neglected
for
several
Years
,
till
at
length
being
frighted
with
the
loss
of
his
Appetite
,
with
his
Thirst
,
difficulty
of
Breathing
,
Weakness
,
colliquative
Sweats
,
a
violent
Bloody-flux
,
attended
with
horrid
Spasms
,
and
other
such-like
fatal
Symptoms
of
a
deplorable
Consumption
;
and
being
moved
with
the
present
sense
of
his
danger
,
he
in
vain
desired
my
Assistance
,
because
it
was
too
late
.
There
was
one
thing
very
remarkable
in
this
Patient
,
and
that
was
,
that
though
he
could
not
by
reason
of
his
great
difficulty
of
Breathing
bear
the
least
Dose
of
Opium
without
apparent
danger
of
his
Life
,
yet
from
that
time
that
the
racking
Pains
of
his
Bloody-flux
,
or
Spasms
of
his
Bowels
began
to
be
violent
,
he
seemed
to
be
plainly
freed
from
his
Cough
as
well
as
his
difficulty
of
Breathing
,
and
indeed
he
breathed
as
if
his
Lungs
had
been
perfectly
found
again
,
and
bore
the
plentiful
use
of
Opium
without
any
inconvenience
,
until
the
Bloody-flux
,
with
the
racking
Pains
being
once
overcome
with
the
long
use
of
it
,
his
difficulty
of
Breathing
,
together
with
the
Cough
that
was
as
troublesome
as
before
,
returned
,
as
if
that
Spasmodick
Vellication
of
the
Bowels
had
been
presently
changed
into
a
constriction
of
the
Lungs
and
Membranes
of
the
Breast
.
But
in
the
alternate
Succession
of
the
aforesaid
Symptoms
,
one
might
easily
see
the
Patient
declining
every
day
,
and
this
Chronical
Consumption
,
that
had
been
neglected
,
hastening
to
its
fatal
end
,
of
which
I
undertook
only
a
palliative
Cure
.
History
2.
Mr.
Pratt
,
who
lived
in
Pater-Noster-Row
,
being
lean
and
Melancholick
from
his
Childhood
,
of
a
cold
and
dry
Constitution
,
and
often
subject
to
a
Spasmodick
pain
of
his
Stomack
;
after
he
had
been
married
a
Year
or
two
fell
into
a
Consumption
of
his
Lungs
,
but
yet
a
slow
and
Chronical
one
,
accompanyed
with
a
dry
Cough
,
an
Oppression
and
Constriction
of
his
Lungs
,
as
also
a
loss
of
Appetite
;
but
yet
without
any
remarkable
degree
of
a
Fever
,
or
quickness
of
Pulse
,
by
reason
of
the
Natural
coldness
of
his
Constitution
.
For
a
Year
or
two
he
did
not
take
care
to
eradicate
the
Disease
,
contenting
himself
with
I
know
not
what
Receipts
of
some
Old
Women
to
help
his
Cough
;
till
at
length
having
some
apprehension
of
the
approaches
of
Death
from
the
total
loss
of
his
Appetite
,
from
a
difficulty
of
Breathing
,
a
Cough
,
Fever
,
and
an
universal
Colliquation
coming
upon
it
,
he
begged
my
Advice
,
when
it
was
too
late
,
at
the
very
beginning
of
the
Winter
.
Because
of
his
difficulty
of
Breathing
,
and
his
troublesome
Cough
,
I
sent
him
into
the
Country
Air
,
and
put
him
upon
the
use
of
Pectoral
and
Balsamick
Medicines
;
whereupon
he
seemed
for
a
Month
or
two
to
be
better
as
to
his
Appetite
,
Cough
,
and
Breathing
.
But
being
weary
of
the
Country
,
he
came
up
again
to
London
:
From
which
time
all
things
grew
worse
,
but
above
all
his
Cough
and
difficulty
of
Breathing
were
violent
upon
him
,
so
that
he
was
troubled
almost
with
continual
Watchings
.
At
length
of
a
sudden
,
and
without
any
evident
cause
,
he
was
taken
with
dreadful
Spasmodick
Pains
,
like
a
Cholick
of
the
Stomack
,
his
Body
being
at
the
same
time
lockt
up
,
so
that
every
moment
he
seemed
as
if
he
were
a
dying
with
the
violence
of
the
pain
.
From
which
time
he
was
perfectly
freed
from
his
Cough
and
difficulty
of
Breathing
,
fetching
his
Breath
as
well
as
if
his
Lungs
were
no
ways
affected
.
And
therefore
,
the
violent
Symptom
requiring
it
,
I
gave
not
only
Opiates
,
but
also
Catharticks
,
in
a
good
quantity
for
several
days
;
till
at
length
with
the
use
of
Liniments
,
Fomentations
,
Clysters
,
Purges
,
and
especially
the
frequent
repetition
of
Opiates
,
those
racking
Spasms
(
which
towards
the
latter
end
were
inconstant
,
moving
from
one
side
to
the
other
,
and
going
from
his
Stomack
to
the
Intestines
,
as
being
truly
of
a
Hypochondriacal
,
or
Spasmodick
Nature
)
were
plainly
overcome
.
After
this
for
some
Weeks
he
continued
free
from
the
Spasmodick
Constriction
and
streightness
of
his
Lungs
,
and
recovered
something
of
an
Appetite
,
and
of
his
Strength
;
so
that
I
my self
began
to
have
a
great
deal
of
hopes
that
he
would
quickly
recover
his
Health
,
and
thought
him
to
be
rather
Hypochondriacal
,
than
Consumptive
;
till
at
length
the
unexpected
return
of
his
difficulty
of
Breathing
,
Cough
,
and
the
other
fatal
Symptoms
of
a
Consumption
(
of
which
he
dyed
at
last
)
obliged
me
to
alter
my
Opinion
.
History
3.
Mrs.
Walker
,
a
Merchant's
Wife
of
London
,
about
the
Thirtieth
Year
of
her
Age
becoming
Hypochondriacal
and
Hysterical
from
many
preceding
Cares
,
and
Passions
of
her
Mind
,
at
length
fell
into
a
Hectick
Fever
,
with
a
Cough
,
difficulty
of
Breathing
,
pain
in
her
Side
,
and
Looseness
;
which
made
her
extreamly
weak
,
and
brought
her
almost
into
the
state
of
a
Marasmus
.
But
with
the
diligent
use
of
Opiates
,
Hysterick
Juleps
,
the
Peruvian
Bark
,
of
Pectoral
Antiscorbutick
,
and
Chalybeate
Medicines
,
and
repeated
Bleeding
,
she
was
restored
even
in
the
Winter-time
to
a
state
of
Health
,
beyond
the
expectation
of
all
her
Friends
.
But
two
or
three
Years
after
,
upon
the
Death
of
her
only
Daughter
,
and
her
Grief
which
was
occasioned
by
it
,
she
relapsed
.
From
which
she
recovered
again
in
the
Spring
with
the
timely
use
of
Islington
Waters
,
and
the
benefit
of
the
Country
Air.
From
which
time
she
gave
her self
to
the
drinking
of
too
much
Brandy
,
and
other
Spirituous
Liquors
,
to
keep
up
her
Spirits
;
with
the
liberal
drinking
of
which
,
as
she
plainly
lost
her
Appetite
,
so
at
length
,
that
is
,
after
a
Year
or
two
,
she
had
a
fatal
return
of
her
Consumption
that
Winter
,
together
with
a
flaming
Hectick
Fever
,
a
continual
Cough
,
difficulty
of
Breathing
,
Looseness
,
and
indeed
an
universal
Colliquation
.
Neither
would
she
ask
my
Advice
until
she
was
hardly
able
,
by
reason
of
her
Weakness
,
to
turn
her self
in
her
Bed
.
However
with
the
use
of
the
Peruvian
Bark
,
and
of
Opiates
,
I
plainly
freed
her
from
her
Fever
and
Looseness
.
But
yet
the
other
Pulmonary
Symptoms
increasing
every
day
,
she
was
carried
off
by
the
Consumption
returning
this
third
time
.
CHAP.
V.
Of
a
Consumption
caused
by
spitting
of
Blood
.
THAT
common
saying
amongst
Physicians
,
That
Purulent
Matter
follows
Blood
,
seems
to
have
had
its
Original
from
hence
,
because
an
Aposteme
of
the
Lungs
,
or
a
Pulmonary
Consumption
is
wont
to
follow
a
spitting
of
Blood
sooner
and
oftner
than
any
other
Distemper
.
Which
whether
it
happens
from
the
Crasis
of
the
Blood
being
spoyled
by
too
great
a
loss
of
it
,
or
from
a
plentiful
Flux
of
the
Humours
from
the
whole
Habit
of
the
Body
into
the
tender
Lungs
,
where
they
have
a
free
passage
;
or
from
the
Putrefaction
of
the
clotted
Blood
,
that
remains
in
the
Lungs
after
the
spitting
of
Blood
;
or
lastly
,
from
some
Ulcer
following
upon
the
erosion
of
the
Vessels
,
I
do
not
well
know
.
A
Consumption
usually
follows
a
spitting
of
Blood
.
A
Physician
must
endeavour
to
prevent
the
one
,
as
well
as
to
cure
the
other
.
But
this
we
may
almost
always
observe
,
that
where
a
spitting
of
Blood
has
preceded
,
a
Consumption
of
the
Lungs
is
wont
to
follow
.
And
therefore
a
Prudent
and
Honest
Physician
,
when
he
is
called
to
one
that
spits
Blood
,
ought
not
only
to
take
care
of
his
own
Reputation
,
and
the
Honour
of
Physick
,
by
making
a
Prognostick
at
first
of
the
Consumption
that
is
like
to
follow
,
but
also
as
far
as
he
is
able
by
necessary
Cautions
,
and
proper
Medicines
,
to
prevent
this
fatal
event
of
the
spitting
of
Blood
,
as
well
as
to
Cure
the
present
Distemper
,
at
least
not
to
do
or
attempt
any
thing
in
the
Cure
of
it
,
that
may
make
the
Patient
more
subject
to
a
Consumption
.
We
must
distinguish
between
an
Accidental
and
an
Habitual
Haemoptoë
.
And
here
it
is
necessary
to
distinguish
between
an
Accidental
and
Habitual
Spitting
of
Blood
.
I
call
that
Accidental
,
which
proceeds
meerly
from
some
Accident
;
as
from
Hollowing
,
or
speaking
too
loud
,
Exercise
,
or
a
violent
Cough
,
from
the
suppression
of
some
usual
Haemorrhage
,
from
Chalky
Stones
,
that
are
bred
in
the
Lungs
themselves
,
or
from
Pins
,
and
any
other
things
that
slip
down
into
them
from
without
.
That
I
call
Habitual
,
which
depends
upon
a
vitiated
,
sharp
,
and
fermenting
Disposition
of
the
Blood
;
so
that
the
stock
and
fuel
of
the
Disease
always
lurks
within
.
An
accidental
Haemoptoë
seldom
ends
in
a
Consumption
.
That
Accidental
spitting
of
Blood
,
as
it
seldom
returns
when
it
is
cured
after
letting
of
Blood
,
a
due
ordering
of
their
Diet
,
and
the
use
of
proper
Medicines
;
so
though
the
Bleeding
has
been
profuse
and
plentiful
,
yet
it
seldom
terminates
in
a
Consumption
;
but
the
Patient
being
once
by
degrees
freed
,
with
a
due
management
recovers
his
fresh
Colour
,
and
gets
his
Flesh
,
as
if
he
had
never
been
troubled
with
such
a
Flux
,
as
it
usually
happens
after
an
immoderate
Flux
of
the
Menses
,
and
other
Fluxes
of
that
kind
.
But
an
Habitual
spitting
of
Blood
,
as
it
depends
upon
an
intestine
motion
of
the
Blood
,
that
is
in
a
Ferment
,
and
upon
the
Acrimony
of
it
,
An
Habitual
Haemoptol●
hot
always
a
Fever
joyned
with
it
.
by
which
it
opens
the
Vessels
;
so
it
has
always
a
Fever
joyned
with
it
,
together
with
a
quick
Pulse
,
and
an
Urine
that
is
something
high-colour'd
,
and
is
likewise
wont
to
return
after
uncertain
intervals
;
to
wit
,
whenever
the
inconstant
Feverish
Fit
returns
,
from
the
force
of
the
Blood
,
that
is
in
a
violent
Ferment
,
the
tender
Vessels
of
the
Lungs
being
not
able
to
endure
this
quick
motion
of
the
Blood
,
are
wont
one
time
after
another
to
be
opened
,
and
then
there
follows
a
great
expense
of
that
red
Liquor
,
which
for
the
most
part
does
not
stop
till
the
Feverish
Orgasm
,
and
the
Intestine
motion
of
the
Blood
depending
thereupon
,
perfectly
ceases
,
either
with
the
help
of
Art
,
or
of
its
own
accord
,
at
least
with
the
lessening
the
quantity
of
the
Liquor
.
And
then
too
there
is
but
a
treacherous
Truce
,
until
the
next
time
that
the
Vessels
happen
to
be
too
much
distended
by
the
preternatural
motion
of
the
Blood
in
the
next
Fit
.
And
often
ends
in
a
Consumption
.
And
indeed
this
is
that
fatal
spitting
of
Blood
,
which
as
it
is
hard
to
Cure
,
and
often
comes
unexpectedly
upon
the
Patient
,
so
it
has
at
first
a
Putrid
,
then
a
Hectick
Fever
joyned
with
it
,
which
is
wont
very
often
to
terminate
in
an
Incurable
and
Fatal
Consumption
.
The
Grand
Antidote
for
this
spitting
of
Blood
is
the
Peruvian
Bark
,
The
Peruvian
Bark
is
the
great
Remedy
in
this
Haemoptoë
.
the
extraordinary
Vertue
of
which
both
to
extinguish
the
present
Feverish
Effervescence
of
the
Blood
,
and
to
prevent
the
return
of
it
,
I
have
always
experienced
with
very
great
Success
,
whenever
I
have
made
use
of
it
for
this
purpose
.
And
as
it
quickly
and
safely
stops
the
present
spitting
of
Blood
,
An
Haemoptoë
cured
this
way
does
not
end
in
a
Consumption
.
and
likewise
prevents
it
for
the
future
;
so
I
never
see
a
spitting
of
Blood
that
was
cured
this
way
,
end
in
a
Consumption
.
For
the
Flame
being
in
this
manner
perfectly
put
out
,
and
the
Fever
once
overcome
,
the
Blood
uses
presently
to
recover
its
Natural
state
,
so
that
there
cannot
remain
the
least
suspicion
of
a
Consumption
following
upon
it
.
For
a
Consumption
,
that
uses
to
follow
a
spitting
of
Blood
,
does
not
seem
to
have
its
Original
so
much
from
the
breaking
or
gaping
of
a
small
Vessel
,
as
from
the
inordinate
and
Hectical
state
of
the
Blood
.
And
therefore
though
a
Consumption
usually
follows
a
spitting
of
Blood
,
when
't
is
cured
the
common
way
,
that
is
,
by
frequent
Bleedings
,
Emplastick
Medicines
,
Opiates
,
&c.
which
rather
hinder
the
Eruption
of
Blood
by
force
,
than
alter
the
internal
state
of
the
Blood
:
Yet
no
one
will
wonder
if
the
Hectick
Flame
remaining
within
does
at
length
throw
the
Patient
into
a
Consumption
;
yet
whenever
the
present
Orgasm
of
the
Blood
is
so
overcome
by
repeated
bleeding
,
the
use
of
the
Temperate
Juices
,
of
Astringent
and
Opiate
Juleps
and
Electuaries
,
and
other
things
of
that
Nature
(
which
are
to
be
found
in
another
place
in
the
Chapter
of
a
Haemoptoë
,
or
spitting
of
Blood
)
that
we
have
an
Opportunity
to
give
the
Bark
totally
to
extinguish
the
Feverish
flame
,
and
to
open
the
Obstructions
,
which
otherwise
might
occasion
a
new
Effervescence
,
we
commonly
make
not
only
for
the
present
a
palliative
but
a
truly
,
eradicative
,
and
perfect
Cure
,
without
the
least
danger
of
the
return
of
the
spitting
of
Blood
,
or
of
a
Consumption
following
upon
it
.
For
the
flame
being
in
this
manner
perfectly
extinguisht
,
the
Blood
is
reduced
to
its
Natural
Motion
and
Crasis
,
whereupon
the
Appetite
presently
returns
,
the
Lungs
recover
their
Natural
Motion
and
Temperament
,
and
the
loss
of
the
Blood
is
by
degrees
repaired
;
until
at
length
the
Patient
obtains
,
though
by
little
and
little
,
his
former
strong
and
lusty
state
,
and
it
may
be
a
better
than
he
had
before
,
without
the
least
degree
of
a
Hectick
Heat
,
or
the
danger
of
a
Consumption
following
upon
his
Bleeding
.
In
this
Consumption
there
are
Tubercles
in
the
Lungs
.
But
if
either
through
the
Physicians
neglect
,
or
from
the
peculiar
Constitution
of
the
Patient
,
or
from
any
other
cause
,
it
so
happens
,
that
a
Consumption
of
the
Lungs
succeeds
to
a
spitting
of
Blood
,
the
whole
Lungs
,
or
at
least
one
of
the
Lobes
,
being
stufft
with
hard
Glandules
scattered
every
where
up
and
down
in
the
form
of
Tubercles
,
is
much
swelled
.
And
these
Tubercles
are
wont
sooner
or
later
to
turn
to
Apostems
,
and
to
be
ulcerated
,
and
from
thence
this
Consumption
has
its
Original
,
and
Progress
too
.
But
according
to
the
Magnitude
and
Number
of
these
Tubercles
,
The
Nature
of
which
makes
the
Consumption
various
.
and
their
disposition
to
a
more
quick
or
slower
putrefaction
,
this
Consumption
is
very
various
;
sometimes
slow
,
and
Chronical
;
sometimes
quick
and
Acute
,
yea
,
very
Acute
.
For
as
I
have
seen
some
Persons
that
have
been
in
a
Consumption
(
who
have
been
subject
to
a
frequent
spitting
of
Blood
from
the
least
occasion
)
live
several
Years
with
due
care
and
management
;
doing
likewise
their
business
,
though
they
have
been
sickly
,
with
a
Cough
,
and
some
degree
of
a
difficulty
of
Breathing
;
to
wit
,
whenever
the
Tubercles
of
the
Lungs
happen
to
be
few
,
small
,
and
not
apt
to
putrefie
;
or
whenever
the
spitting
of
Blood
proceeds
rather
from
Stones
that
are
bred
in
the
Lungs
,
or
from
some
external
Accident
,
than
from
an
Intestine
Hectical
motion
of
a
hot
Fermenting
Blood
:
So
I
have
observed
others
that
have
been
carried
off
with
a
quick
Death
within
the
space
of
a
few
Weeks
;
and
that
has
been
when
great
Haemorrhages
have
often
returned
upon
the
Patient
from
the
Commotion
of
the
Blood
boyling
vehemently
,
or
when
the
Tubercles
have
partaked
of
some
malignant
Nature
,
and
so
have
been
quickly
putrified
.
But
whatever
this
Haemoptoïcal
Consumption
has
been
,
whether
Acute
or
Chronical
,
This
Consumption
is
one
of
the
most
fatal
.
it
has
from
the
common
Observation
of
Physicians
been
always
reckoned
amongst
the
number
of
the
most
Fatal
and
Incurable
Consumptions
.
But
the
more
Acute
it
is
,
the
more
dangerous
it
is
wont
to
be
.
For
as
the
spitting
of
Blood
is
the
first
occasion
of
this
Consumption
,
so
likewise
it
is
very
apt
in
the
Progress
of
the
Distemper
to
return
often
,
either
from
the
taking
of
the
least
Cold
,
or
the
committing
any
Error
in
their
Diet
,
from
Passions
of
the
Mind
,
&c.
And
every
new
spitting
of
Blood
pushes
on
the
Consumption
to
a
Fatal
end
.
So
that
I
have
often
seen
this
kind
of
Consumptive
Persons
in
the
very
Haemoptoë
,
when
it
has
returned
upon
them
,
spit
out
their
very
Lives
in
that
stream
of
Blood
which
has
come
from
them
.
And
therefore
in
the
Cure
of
this
Consumption
,
Inciding
and
Lubricating
Medicines
are
not
good
in
the
Cure
.
Cleansing
,
Inciding
,
and
Lubricating
Remedies
must
be
avoided
,
or
at
least
used
very
cautiously
;
as
also
hot
and
penetrating
Liniments
and
Plaisters
,
that
are
outwardly
applyed
to
the
Breast
,
to
promote
Expectoration
.
But
Incrassatin
,
&c.
But
we
must
(
at
least
in
the
beginning
of
this
Disease
,
and
after
every
new
spitting
of
Blood
)
rather
insist
upon
the
use
of
Alterative
,
Incrassating
,
Agglutinating
,
and
Opiate
Medicines
;
as
also
a
Milk
Diet
,
Solid
or
Liquid
Laudanum
,
Syrup
of
Meconium
,
Syrup
of
Purslane
,
of
Marsh-Mallows
,
of
Ground-Ivy
(
the
plentiful
use
of
which
in
a
Consumption
from
spitting
of
Blood
I
would
recommend
above
all
other
things
)
Bole-Armenack
,
Coral
,
Dragons-Blood
,
Lapis
Haematites
,
Gordonius
Troches
,
Troches
of
Amber
:
Of
which
Electuaries
may
be
made
,
and
Compound
Medicines
in
other
forms
for
the
Patient
to
take
.
Of
which
it
will
be
proper
to
speak
more
largely
in
the
Chapter
of
an
Haemoptoë
.
But
in
the
Progress
of
the
Disease
,
when
once
there
is
not
so
much
fear
that
the
spitting
of
Blood
will
return
,
we
may
more
safely
answer
the
Indications
of
the
Disease
,
with
the
cautious
use
of
Lubricating
and
Expectorating
Medicines
.
Likewise
Balsamick
Medicines
are
here
of
great
use
;
as
the
Balsamick
Syrup
,
Balsam
of
Tolu
,
Capivi
,
of
Peru
,
Leucatellus
Balsam
,
or
Opobalsam
,
Balsam
of
Sulphur
Terebinthinate
,
and
Anisate
,
my
Balsamick
Pills
,
and
other
forms
compounded
of
these
Medicines
,
the
manner
of
giving
of
which
is
to
be
learnt
from
what
has
been
already
said
in
the
General
Method
of
Cure
.
Also
Issues
,
and
shaving
of
the
Head
are
very
Advantageous
in
this
Consumption
.
But
above
all
,
I
must
,
The
best
thing
in
the
Cure
of
this
Consumption
is
the
Peruvian
Bark
.
from
the
long
Experience
I
have
had
of
it
,
commend
in
this
Acute
and
Dangerous
Consumption
from
a
spitting
of
Blood
,
the
use
of
the
Peruvian
Bark
,
to
be
given
in
that
form
,
which
is
most
grateful
to
the
Patient
.
By
the
frequent
and
sufficient
repetition
of
which
we
may
expect
to
temper
the
Feverish
Heat
,
and
to
suppress
the
Intestine
motion
of
the
Blood
,
and
so
consequently
to
prevent
the
return
of
the
Haemoptoë
,
and
the
Progress
of
the
Consumption
,
more
than
with
a
Milk
Diet
,
with
Asse's
Milk
,
or
a
Magazine
of
Pectoral
Medicines
.
But
in
a
Chronical
and
slow
Consumption
,
In
this
Consumption
when
't
is
slow
the
Chalybeate
Waters
are
proper
.
or
rather
a
Consumptive
state
from
a
spitting
of
Blood
,
(
where
the
heat
of
the
Blood
from
the
Intestine
motion
of
it
does
not
use
to
be
so
great
)
the
Chalybeate
Mineral
Waters
are
of
great
use
,
if
they
are
drank
every
day
for
a
long
time
,
but
yet
in
a
small
quantity
.
They
must
be
order'd
to
be
taken
thus
in
a
little
quantity
,
and
to
be
drank
leisurely
every
day
,
lest
a
too
great
and
sudden
distention
of
the
tender
Vessels
of
the
Lungs
,
caused
by
drinking
a
great
quantity
of
Water
at
a
time
,
should
bring
a
fresh
spitting
of
Blood
.
But
the
small
quantity
of
Water
that
is
drank
at
a
time
must
be
made
up
by
the
length
of
the
time
that
is
every
Year
designed
for
the
drinking
of
those
Waters
.
By
which
means
likewise
the
Blood
perhaps
is
more
tempered
and
altered
,
than
by
drinking
a
great
quantity
in
a
shorter
space
of
time
.
History
1.
One
of
the
Masters
in
the
Hospital
of
Bridewell
,
that
had
committed
himself
to
my
care
a
Year
or
two
before
,
when
he
was
sick
of
a
Pestilential
Fever
,
that
went
up
and
down
attended
with
Swellings
in
the
Groin
,
and
Carbuncles
(
from
which
Venom
perhaps
his
Blood
had
not
yet
sufficiently
purged
it self
)
fell
about
the
35th
.
Year
of
his
Age
,
and
in
the
Year
1669.
into
a
very
great
Haemoptoë
,
by
which
he
had
lost
a
great
deal
of
Blood
before
he
sent
for
me
.
But
with
Bleeding
,
Ligatures
,
Astringent
Juleps
and
Electuaries
,
a
Milk
Diet
,
and
a
due
Government
in
all
things
,
the
Flux
was
perfectly
stopt
.
But
yet
he
still
continued
Hectical
,
and
was
troubled
with
an
ugly
Cough
.
And
therefore
I
ordered
him
to
continue
his
Milk
Diet
,
and
to
take
a
Dose
of
an
Opiate
Electuary
every
Night
.
And
to
prevent
a
Consumption
,
that
was
like
to
follow
,
I
directed
an
Issue
to
be
made
in
his
Arm
,
his
Head
to
be
shaved
,
and
the
Cephalick
Plaister
to
be
laid
upon
it
;
and
that
the
Patient
should
be
sent
into
the
Country
,
and
into
an
open
Air
,
and
that
he
should
use
there
the
Temperating
Juices
;
to
wit
,
of
Plantain
and
Nettles
,
at
least
twice
a
day
,
with
several
other
things
,
which
it
is
not
necessary
now
to
give
a
particular
Account
of
.
But
notwithstanding
all
this
,
his
Hectick
Heat
,
and
his
Cough
continually
troubled
him
,
and
his
spitting
of
Blood
returned
by
uncertain
periods
,
at
least
twice
a
Month
,
to
wit
,
about
the
Full
and
the
New
of
the
Moon
,
from
the
heat
and
motion
of
the
Blood
being
increased
,
the
Patient
continually
wasting
more
and
more
with
the
Fever
that
followed
him
,
till
at
length
being
brought
into
an
universal
Colliquative
state
with
a
Looseness
,
Sweats
,
a
Dropsie
,
&c.
and
being
troubled
with
a
very
great
difficulty
of
Breathing
,
he
ended
his
Life
.
For
at
that
time
I
did
not
know
the
Vertue
of
the
Peruvian
Bark
,
to
take
off
this
Hectick
Fever
,
from
which
that
Fatal
Colliquation
did
proceed
.
The
Body
being
opened
,
I
found
the
Lungs
strangely
swelled
,
and
every
where
in
all
the
Lobes
full
of
Tubercles
,
some
of
which
were
crude
,
others
ulcerated
.
History
2.
Mr.
Rookes
in
Cheapside
,
being
about
Forty
Years
old
,
from
a
multitude
of
Cares
and
hard
Drinking
seemed
to
be
continually
Hectical
for
Ten
Years
together
,
being
stufft
in
his
Lungs
,
troubled
with
a
Cough
,
and
enclin'd
to
a
Consumption
:
And
from
extraordinary
Exercise
,
and
excess
in
drinking
of
Spirituous
Liquors
,
he
fell
into
a
very
great
spitting
of
Blood
,
accompanyed
with
a
difficulty
of
Breathing
,
and
a
pain
in
his
Breast
:
And
the
poor
Man
had
it
return'd
upon
him
,
and
that
considerably
,
every
day
,
or
every
other
day
,
for
at
least
three
Weeks
,
and
that
notwithstanding
frequent
Phlebotomy
,
the
use
of
a
Milk
Diet
,
of
the
Tempering
Juices
,
Astringent
and
Opiate
Electuaries
,
and
Juleps
,
and
likewise
of
the
Royal
Styptick
Water
.
But
at
length
when
I
had
observed
not
only
by
the
quickness
of
his
Pulse
,
and
the
high
colour
of
his
Urine
,
but
also
from
his
very
Temper
,
that
a
remarkable
Fever
returning
often
by
uncertain
intervals
always
brought
on
his
spitting
of
Blood
,
I
gave
him
a
Dram
of
the
Peruvian
Bark
in
a
convenient
Draught
every
four
hours
:
To
which
I
always
took
care
there
should
be
more
or
less
Laudanum
added
,
according
as
he
could
bear
it
.
With
the
use
of
which
I
found
his
Fever
taken
off
without
any
more
to
do
,
and
without
any
return
of
his
spitting
of
Blood
,
and
that
his
Urine
was
come
to
its
Natural
colour
.
I
ordered
the
repeating
of
the
Cortex
again
and
again
at
due
intervals
,
and
took
care
he
should
have
Nourishment
agreeable
to
his
Appetite
(
which
now
was
better
than
it
was
before
he
spit
Blood
)
and
that
he
should
have
the
benefit
of
the
Country
Air.
Whereupon
(
which
is
strange
to
be
told
)
without
any
other
help
,
he
came
to
have
a
more
firm
and
strong
Habit
of
Body
,
his
Lungs
more
free
,
his
Breathing
more
easie
,
the
heat
of
his
Blood
less
,
and
his
Cough
too
more
moderate
now
for
a
Year
and
half
,
than
he
had
found
for
several
Years
before
his
spitting
of
Blood
;
his
Friends
admiring
at
it
,
who
expected
he
would
certainly
dye
of
a
Consumption
in
a
little
time
after
his
spitting
of
Blood
.
Which
was
so
much
the
more
wonderful
,
because
he
continued
as
careless
in
the
management
of
himself
in
the
six
non-natural
things
,
as
he
used
to
be
before
his
Haemoptoë
,
which
neglect
he
at
last
paid
for
with
the
loss
of
his
Life
.
For
with
the
very
great
Errors
he
had
lately
committed
,
he
fell
into
a
new
Consumption
,
and
that
a
threatning
and
fatal
one
,
which
at
length
carried
him
off
.
His
Body
being
opened
after
he
was
dead
,
we
found
the
substance
of
the
Liver
compact
and
close
,
as
if
it
had
been
parboyl'd
,
all
the
Lobes
of
the
Lungs
most
filthily
ting'd
with
a
black
colour
(
which
perhaps
was
occasioned
by
his
continual
smoaking
of
Tobacco
)
and
every
where
full
of
a
world
of
Tubercles
,
of
which
some
that
were
larger
,
were
full
of
purulent
Matter
,
others
of
a
substance
like
Honey
.
But
the
greatest
part
of
the
lesser
ones
,
which
were
disposed
in
Clusters
,
and
like
Grape-stones
through
all
the
substance
of
the
Lungs
,
contained
a
Steatomatose
Matter
in
them
.
All
the
Glandules
that
were
seated
near
the
Wind-pipe
were
very
black
,
and
had
in
them
a
Liquor
of
a
black
,
or
dark
colour
,
such
as
I
have
usually
observed
Scorbutical
and
Hypochondriacal
Persons
,
that
have
been
Consumptive
,
to
hawk
up
out
of
their
Throats
in
a
Morning
,
especially
those
that
have
been
used
to
smoak
much
Tobacco
,
or
have
lived
in
an
Air
that
has
been
filled
with
the
smoak
of
Coals
.
The
Prescription
for
the
Antipyretick
Draught
,
which
I
ordered
for
Mr.
Rooks
,
was
this
.
Take
of
the
Waters
of
Tormentil
,
of
Plantain
,
of
each
an
Ounce
,
Barley
Cinnamon-water
,
Syrup
of
Myrtils
,
of
each
half
an
Ounce
,
of
distilled
Vinegar
half
a
Dram
,
of
the
Jesuits
Pouder
a
Dram.
Mix
them
,
and
make
a
Draught
,
to
be
given
every
four
hours
,
till
he
has
taken
eight
Draughts
.
Once
or
twice
a
day
I
added
a
Grain
of
London
Laudanum
to
the
Draught
.
In
the
same
manner
I
cured
Mrs.
Martin
,
an
Old
Woman
,
almost
Seventy
Years
old
;
a
Goldsmith
in
St.
John's
,
Mr.
Bloomer's
Daughter
,
and
a
great
many
others
,
of
a
considerable
,
and
(
to
all
appearance
)
a
fatal
Haemoptoë
.
All
which
continue
well
,
as
yet
,
without
any
return
of
their
spitting
of
Blood
,
or
a
Consumption
following
upon
it
,
and
are
able
to
go
about
their
Business
,
whose
Histories
perhaps
it
would
be
too
long
and
tedious
to
give
a
particular
Account
of
.
History
3.
Mr.
Luff
,
the
Son
of
that
Reverend
Divine
which
I
have
already
mentioned
,
living
in
Milk-street
,
after
he
had
married
a
Virgin
that
was
Consumptive
(
and
as
I
remember
,
dyed
within
a
Year
after
she
was
married
,
with
an
universal
Colliquation
,
and
the
other
Symptoms
of
a
fatal
Consumption
of
the
Lungs
)
a
few
Months
after
her
Death
fell
into
a
Consumption
(
as
I
judg'd
)
by
Contagion
.
To
which
fatal
Disease
an
Haemoptoë
prepared
the
way
,
with
which
he
was
suddenly
taken
at
Exeter
,
and
that
in
the
Winter-time
,
and
he
lost
a
great
deal
of
Blood
.
But
as
soon
as
his
spitting
of
Blood
was
stopt
by
Phlebotomy
,
a
Milk
Diet
,
and
Incrassating
Medicines
,
and
he
had
recovered
his
strength
in
some
measure
,
being
dismist
by
his
Country
Physician
,
within
a
Fortnight
(
which
was
much
sooner
than
was
fit
)
he
came
back
to
London
on
Horse-back
,
and
presently
sent
for
me
.
But
alas
!
how
much
was
he
changed
from
what
he
was
before
!
I
found
the
poor
Patient
very
Feverish
,
and
always
Coughing
,
and
extreamly
wasted
with
a
Colliquation
,
that
was
now
begun
,
and
troubled
with
a
streightness
and
pains
in
his
Breast
.
I
found
it
to
be
a
mixt
Fever
,
partly
Peripneumonick
,
from
a
new
Inflammation
of
some
of
the
Tubercles
;
partly
Putrid
,
from
the
purulency
of
other
Glandules
,
which
had
begun
so
soon
to
be
ulcerated
.
I
judged
the
Distemper
to
be
a
very
Acute
Consumption
of
the
Lungs
from
a
spitting
of
Blood
,
which
as
it
was
contracted
by
Infection
,
so
it
was
rendred
more
hasty
and
violent
by
his
ill
Government
in
his
Journey
,
and
his
return
into
our
Air
,
that
is
filled
with
the
smoak
of
Coals
.
The
violence
of
the
Pain
,
and
Fever
requiting
it
,
I
presently
ordered
a
Vein
to
be
opened
,
but
I
took
away
but
a
little
Blood
,
because
of
the
Consumption
and
Colliquation
that
was
upon
him
.
Then
I
endeavoured
at
least
to
stave
off
this
hasty
Ruin
for
some
time
with
temperate
Juleps
and
Opiates
,
and
all
sorts
of
convenient
Pectoral
Medicines
,
Blisters
,
and
a
due
management
in
all
things
.
But
all
these
things
were
to
no
purpose
;
for
within
three
or
four
Weeks
he
departed
this
Life
,
with
all
the
Symptoms
of
a
very
Acute
Consumption
of
the
Lungs
.
CHAP.
VI.
Of
a
Consumption
caused
by
Stones
bred
in
the
Lungs
,
and
by
things
slipt
down
into
them
from
without
,
as
also
by
the
Stone
in
the
Kidneys
and
Bladder
.
Chalky
stones
are
often
bred
in
the
Lungs
.
I
Have
often
observed
Chalky
Stones
bred
in
the
Lungs
,
which
when
they
have
been
Angular
,
and
disturbed
with
the
shaking
of
the
Lungs
,
are
wont
to
tear
the
tender
substance
of
those
parts
;
from
whence
have
arisen
a
violent
and
dry
Cough
,
and
a
horrible
pain
in
the
Breast
,
like
that
in
a
Pleurisy
and
Peripneumony
;
sometimes
also
an
Haemoptoë
with
a
considerable
Flux
of
Blood
,
and
from
thence
Ulcers
,
with
the
usual
Signs
of
a
Consumption
of
the
Lungs
.
Therefore
when
these
horrid
Pains
happen
with
an
Haemoptoë
about
the
beginning
of
a
Consumption
,
When
we
may
judge
a
Consumption
to
be
from
them
.
we
may
justly
suspect
it
to
be
a
Consumption
from
Stones
in
the
Lungs
.
Although
we
cannot
pronounce
any
thing
certain
of
this
thing
,
till
a
Stone
or
two
have
been
cough'd
up
.
For
it
often
happens
that
these
Stones
passing
by
degrees
through
the
Lungs
,
do
at
length
get
into
the
branches
of
the
Wind-pipe
,
by
which
they
are
cough'd
up
,
and
that
seldom
without
a
great
flux
of
Blood
.
But
if
these
Stones
are
smooth
,
and
not
such
as
may
break
or
tear
the
substance
of
the
Lungs
,
they
do
not
dispose
the
Patient
much
to
a
Consumption
(
at
least
an
Acute
one
;
)
nor
indeed
do
they
occasion
any
great
mischief
more
than
a
dry
Cough
,
that
is
somewhat
troublesome
,
and
something
of
an
oppressing
weight
in
the
Breast
,
as
I
have
observed
in
several
long
ago
,
in
whose
Lungs
,
after
they
have
been
dead
,
I
have
found
many
of
these
smooth
Chalky
Stones
,
and
some
of
them
pretty
large
,
without
the
least
Tubercle
,
or
Ulcer
occasioned
by
them
:
Where
these
Stones
are
sharp
they
cause
a
Consumption
.
But
where
these
Stones
have
been
Angular
,
and
sharp
,
and
apt
to
break
and
tear
the
Lungs
,
they
have
caused
a
Pain
,
a
spitting
of
Blood
,
Ulcers
,
and
a
Consumption
it self
,
as
I
have
already
hinted
.
In
which
case
,
as
a
pain
does
precede
to
,
and
accompany
the
spitting
of
Blood
,
so
a
spitting
of
Blood
goes
before
,
and
accompanies
the
Ulcers
and
Consumption
.
What
I
have
now
said
of
Stones
,
The
same
is
true
of
Nails
,
&c.
is
likewise
true
of
Nails
,
Pins
,
and
other
things
,
that
slip
down
into
the
Lungs
as
People
laugh
.
For
unless
they
are
quickly
cough'd
up
again
,
they
prick
the
Lungs
,
and
cause
a
lancinating
pain
,
from
whence
a
spitting
of
Blood
,
Ulcers
,
and
a
Consumption
are
wont
to
proceed
.
Of
which
I
shall
add
a
remarkable
History
presently
at
the
end
of
this
Chapter
.
These
Ulcers
,
as
also
the
Consumption
,
The
Vlcers
they
cause
,
cannot
be
cured
before
they
are
brought
away
.
which
is
the
effect
of
them
(
which
we
may
likewise
observe
of
Ulcers
in
the
Kidneys
and
Bladder
)
can
never
be
cured
without
fetching
away
the
Stone
,
or
Nail
,
or
Pin
,
or
whatever
else
it
is
of
that
Nature
,
that
breeds
the
Ulcers
.
But
these
things
,
which
causing
a
continual
pricking
in
the
ulcerated
part
,
did
by
that
means
render
the
Cure
of
it
impossible
before
,
being
once
come
away
,
though
it
be
,
as
it
usually
is
with
a
great
Haemorrhage
,
yet
the
Ulcer
,
and
Consumption
of
the
Lungs
,
that
proceed
from
them
,
do
oftentimes
admit
of
an
easie
and
perfect
Cure
,
because
they
have
not
their
Original
so
much
from
a
predisposed
Habit
of
the
Body
,
as
from
a
meer
accidental
Distemper
of
one
single
part
.
Of
which
I
shall
relate
one
or
two
remarkable
Histories
at
the
end
of
this
Chapter
.
The
Cure
of
this
Consumption
.
In
the
Cure
of
this
kind
of
Ulcers
,
Opiate
and
Balsamick
Medicines
,
with
a
Milk
Diet
,
are
of
very
great
use
;
Opiates
to
obtund
the
sense
of
the
torn
and
stimulated
parts
,
and
to
keep
them
as
quiet
as
is
possible
,
whilst
the
Balsamicks
exert
their
Healing
Power
.
And
with
the
continual
use
of
Milk
the
Hectick
heat
of
the
Blood
,
contracted
in
this
Consumptive
state
,
is
to
be
allayed
.
But
although
these
sharp
Stones
can
neither
be
made
to
lye
quiet
in
that
part
of
the
Lungs
which
they
occupy
,
with
the
plentiful
use
of
Laudanum
,
nor
brought
away
with
the
use
of
Lubricating
Medicines
,
but
cause
an
Incurable
Consumption
,
and
spitting
of
Blood
,
and
that
such
a
one
as
returns
by
uncertain
Intervals
with
a
lancinating
pain
:
Yet
this
Consumption
is
in
its
own
Nature
slow
,
and
very
Chronical
,
as
a
Consumption
from
the
Stone
in
the
Kidneys
and
Bladder
uses
to
be
,
and
,
generally
speaking
,
every
Consumption
that
depends
meerly
upon
an
indisposition
or
Ulcer
of
some
particular
part
,
without
an
habitual
disposition
of
the
Blood
contracted
either
by
propagation
from
the
Parents
,
or
a
long
abuse
of
the
six
things
called
non-natural
.
But
whenever
a
heap
,
or
stock
of
predisposed
Humours
does
conspire
with
some
such
fatal
Cause
,
the
Consumption
which
proceeds
from
thence
,
is
not
only
fatal
from
the
very
beginning
,
but
also
quick
and
very
Acute
,
so
that
it
carries
off
the
Patient
within
a
few
Months
,
and
it
may
be
Weeks
.
I
shall
add
these
few
things
concerning
the
variation
of
Cure
in
this
kind
of
Consumption
.
First
,
Lubricating
Medicines
must
be
taken
plentifully
in
the
beginning
of
this
Distemper
;
yea
,
and
gentle
Vomits
;
by
which
means
we
may
endeavour
to
bring
away
the
Stone
,
or
any
other
things
that
have
slipt
down
into
the
Lungs
,
before
they
are
quite
fixt
there
by
their
lodging
long
in
the
part
,
and
before
the
Tone
of
the
Lungs
is
much
injured
by
them
.
Secondly
,
But
if
great
and
spasmodick
pains
are
excited
by
the
tearing
of
the
Lungs
,
caused
from
the
motion
of
these
sharp
bodies
,
we
must
expect
a
great
spitting
of
Blood
;
and
therefore
instead
of
Lubricating
Medicines
we
must
give
Laudanum
,
and
that
in
good
quantities
,
and
often
,
whereby
we
may
hinder
the
motion
of
the
Stone
for
the
present
,
abate
the
pain
,
and
prevent
the
spitting
of
Blood
.
For
in
this
case
letting
of
Blood
,
outward
Fomentations
,
and
Liniments
do
no
good
(
as
they
use
to
do
in
Pleuritick
and
Peripneumonick
pains
,
)
and
this
I
found
by
Experience
in
one
Mr.
Foster
,
and
in
many
others
.
'T
is
true
indeed
that
a
lingring
and
slow
Consumption
,
attended
with
a
difficulty
of
Breathing
,
and
other
such-like
Symptoms
will
follow
from
a
Stone
lying
in
this
manner
in
the
Lungs
,
which
I
have
often
observed
in
my
Practice
.
But
yet
a
lingring
and
uncertain
Consumption
is
better
than
an
Acute
one
,
accompanied
with
horrid
pains
,
that
certainly
and
quickly
terminates
in
Death
.
For
if
this
kind
of
Consumptive
People
take
such
care
of
their
Health
as
to
live
always
in
an
open
and
Country
Air
,
to
keep
from
taking
of
Cold
,
from
Drinking
,
and
too
much
Exercise
,
and
any
other
thing
,
that
may
disturb
the
Stones
again
,
that
are
fixt
,
and
lye
quiet
,
they
may
live
to
a
great
Age
,
and
do
their
Business
well
enough
.
Sometimes
the
Bleeding
must
be
permitted
a
while
.
Thirdly
,
But
if
there
follows
a
spitting
of
Blood
from
the
tearing
of
the
Lungs
,
it
ought
to
be
let
alone
for
a
while
.
For
in
this
Flux
,
the
Stones
,
or
any
other
things
that
have
slipt
down
into
the
Lungs
,
may
be
voided
.
But
if
the
Haemoptoë
is
great
and
dangerous
,
we
must
open
a
Vein
,
and
if
it
be
necessary
,
repeat
it
;
and
we
must
give
not
only
Opiate
Medicines
,
but
also
Astringents
in
the
form
of
Linctuses
,
Juleps
,
&c.
the
Lapis
Haematites
,
the
Royal
Styptick
Water
;
we
must
use
a
Milk
Diet
,
and
other
things
briefly
mentioned
before
in
the
former
Chapter
,
which
I
shall
hereafter
give
a
larger
Account
of
in
another
Book
,
if
I
have
an
Opportunity
to
treat
of
an
Haemoptoë
.
Balsamicks
must
be
plentifully
used
.
Fourthly
,
But
if
the
Lungs
happen
to
be
torn
,
and
to
be
ulcerated
from
the
motion
of
the
Stone
(
whether
it
be
voided
or
not
)
we
must
make
choice
of
Balsamick
Medicines
,
and
give
them
plentifully
;
of
which
I
have
given
several
forms
in
the
General
Method
of
Cure
.
A
Milk
Diet
is
not
convenient
,
where
there
are
Stones
in
the
Lungs
.
Fifthly
,
we
must
not
Order
a
Milk
Diet
in
a
Consumption
proceeding
from
Stones
in
the
Lungs
,
unless
there
is
a
great
necessity
;
because
it
is
apt
to
breed
some
new
Chalky
Stones
:
Whereby
it
comes
to
pass
,
that
the
Cure
of
one
Consumption
is
wont
to
lay
the
Foundation
of
another
.
The
Chalybeate
Waters
must
be
drank
in
little
quantities
.
Sixthly
,
Likewise
the
Chalybeate
Waters
,
though
they
may
be
good
in
this
Consumption
,
must
be
drank
in
a
little
quantity
at
a
time
,
for
fear
the
Stone
should
be
stir'd
again
by
the
too
great
distention
of
the
Vessels
of
the
Lungs
.
Whereby
it
comes
to
pass
,
that
the
return
of
the
pain
,
and
of
the
spitting
of
Blood
does
often
follow
upon
it
.
Seventhly
,
Sometimes
there
are
several
Stones
.
Sometimes
there
are
several
of
these
Stones
in
the
Lungs
;
so
that
after
one
or
two
,
or
it
may
be
a
third
has
been
voided
,
yet
the
Lungs
are
ulcerated
by
those
which
remain
behind
,
and
from
thence
there
follows
a
Consumption
.
As
I
remember
it
happened
to
Mr.
Plucknet
,
and
some
others
.
But
a
Consumption
of
the
Lungs
is
wont
to
proceed
not
only
from
a
Stone
in
the
Lungs
,
The
Stone
,
and
Vlcers
of
the
Kidneys
and
Bladder
do
often
cause
a
Consumption
.
and
an
Ulcer
there
following
upon
it
,
but
likewise
very
often
from
Ulcers
,
and
a
Calculous
disposition
of
the
Kidneys
and
Bladder
;
so
that
I
have
very
often
observed
those
that
have
had
the
Stone
,
to
dye
of
a
Consumption
.
But
this
Consumption
is
alwas
lingring
,
and
Chronical
;
and
is
to
be
cured
in
the
same
manner
as
an
ordinary
Consumption
,
How
this
Consumption
is
to
be
cured
.
only
we
must
avoid
those
Medicines
that
irritate
the
pains
of
the
Stone
,
as
my
Balsamick
Pills
,
&c.
But
the
Chalybeate
Waters
,
which
ease
those
pains
,
must
be
often
used
.
For
I
am
apt
to
think
that
those
who
have
the
Stone
,
do
not
fall
into
a
Consumption
so
often
from
the
long
and
tormenting
pain
,
as
from
a
want
of
the
due
secretion
of
the
Serum
,
and
an
alteration
of
the
Ferment
,
which
separates
it
in
the
Kidneys
,
following
upon
it
.
And
therefore
in
the
Cure
of
this
kind
of
Consumption
,
we
must
have
a
regard
not
only
to
the
Consumption
,
by
using
the
Pectoral
Medicines
I
have
before
mentioned
,
but
also
to
the
Disease
,
which
is
the
cause
of
this
Consumption
;
to
wit
,
the
Stone
of
the
Kidneys
and
Bladder
,
by
using
such
Medicines
as
may
lubricate
the
Urinary
Passages
,
and
expel
the
Stone
,
or
at
least
mitigate
the
pain
.
History
1.
Mr.
Plucknet
,
being
Forty
Years
old
,
or
thereabouts
,
a
strong
and
lusty
Man
;
but
one
that
had
for
many
Years
lived
irregularly
in
almost
all
the
six
non-natural
things
,
yet
found
no
other
mischief
from
it
besides
a
hesky
and
dry
Cough
,
which
he
had
now
been
used
to
for
a
long
time
without
any
great
trouble
;
at
length
upon
hard
Riding
,
and
taking
of
Cold
by
being
very
wet
with
the
Rain
,
he
fell
into
dreadful
pains
of
his
Breast
,
that
were
like
the
pains
in
a
Pleurisy
;
upon
which
there
came
a
great
and
long
spitting
of
Blood
,
with
a
Fever
,
and
a
Cough
almost
continually
troubling
him
.
I
could
do
no
good
with
External
Liniments
and
Expectorating
Medicines
,
until
I
came
at
length
to
the
use
of
Opiates
.
With
which
,
though
he
got
a
little
respite
,
and
a
treacherous
Truce
,
yet
he
could
get
no
perfect
Cure
.
For
as
his
Cough
,
so
the
Hectick
Fever
still
continued
,
with
which
he
every
day
by
degrees
pined
away
,
and
that
notwithstanding
the
plentiful
use
of
Balsamick
and
Pectoral
Medicines
,
of
Asse's
Milk
,
&c.
till
at
last
in
the
space
of
a
Year
he
appeared
in
a
deplorable
Consumptive
state
,
with
an
universal
Colliquation
made
by
the
Skin
,
by
Stool
,
by
his
Lungs
,
&c.
Which
Consumption
,
that
in
its
own
proper
Nature
was
lingring
and
Chronical
,
without
doubt
came
to
be
so
quick
and
hasty
from
a
long
predisposition
of
the
Humours
contracted
by
his
irregular
way
of
living
.
And
the
Fatal
Day
which
concluded
his
Life
,
was
not
a
little
hastened
,
by
reason
he
would
not
,
though
he
took
Medicines
,
submit
to
any
Government
during
the
use
of
them
:
Whereupon
in
this
Consumptive
state
there
being
some
new
Stones
moved
three
or
four
times
in
his
Lungs
with
hard
Riding
,
Drinking
,
and
often
taking
of
Cold
,
he
found
again
and
again
a
return
of
his
dreadful
Spasms
,
and
a
long
and
profuse
spitting
of
Blood
.
Which
continuing
upon
him
,
though
he
cough'd
up
several
Angular
Stones
,
yet
he
was
so
much
weakned
by
the
Spasms
,
and
lost
so
much
Blood
by
his
Haemoptoë
,
that
he
very
quickly
,
to
wit
,
in
the
space
of
a
Year
,
or
thereabouts
,
ran
the
whole
course
of
this
Distemper
,
even
to
the
fatal
period
of
it
,
as
if
his
Consumtion
had
been
in
its
own
Nature
plainly
Acute
.
History
2.
Mr.
Foster
,
an
Apothecary
of
London
,
who
,
setting
aside
a
hesking
and
dry
Cough
he
had
,
which
yet
was
not
very
troublesome
,
enjoyed
his
Health
very
well
for
several
Years
,
was
suddenly
taken
,
when
he
was
about
Thirty
Years
old
,
with
Spasms
in
his
Lungs
,
and
dreadful
pains
caused
thereby
,
as
also
a
spitting
of
Blood
from
the
disturbance
and
motion
of
some
sharp
Stones
in
the
substance
of
his
Lungs
.
For
the
relieving
of
which
Symptoms
we
did
very
little
good
with
Bleeding
,
external
Liniments
,
and
Pectoral
Medicines
given
inwardly
;
so
that
with
the
loss
of
his
Strength
and
Blood
,
caused
by
his
spitting
of
Blood
,
and
his
pains
returning
almost
every
day
,
and
by
his
want
of
Rest
,
and
Fever
that
attended
them
,
a
continual
Cough
,
&c.
he
was
brought
so
low
,
and
so
much
wasted
,
as
if
he
would
in
a
short
time
dye
of
a
Consumption
.
But
with
the
long
and
plentiful
use
of
Opium
in
the
open
Air
at
Highgate
,
whither
he
was
now
gone
for
the
Recovery
of
his
Health
,
he
was
at
the
same
time
freed
from
his
spitting
of
Blood
,
and
from
his
Pains
,
and
so
he
continued
;
recovering
his
Strength
thereupon
every
day
,
and
being
more
and
more
freed
from
his
Fever
and
Consumption
,
till
at
length
he
seemed
as
florid
in
his
Looks
,
and
as
plump
in
his
Flesh
as
he
was
before
he
spit
Blood
;
and
now
for
four
or
five
Years
past
he
has
followed
his
business
,
and
is
in
all
things
just
as
he
was
before
his
Distemper
,
but
only
having
some
degree
of
a
difficulty
of
Breathing
,
and
a
dry
Cough
,
he
cannot
bear
the
smoaky
Air
of
London
so
well
as
he
used
to
do
before
,
by
reason
of
the
stuffing
of
his
Lungs
,
caused
by
the
Stones
that
are
fixed
there
,
and
his
using
a
great
deal
of
Laudanum
.
History
3.
Almost
the
same
thing
happened
to
Mr.
Smyth
,
an
Apothecary
in
Aldermanbury
,
who
from
the
moving
of
some
Stones
in
the
substance
of
his
Lungs
(
several
of
which
he
had
cough'd
up
)
fell
into
a
spitting
of
Blood
,
which
often
returned
,
together
with
Spasmodick
Pains
,
and
from
thence
he
seemed
to
be
enclined
to
a
Consumption
of
his
Lungs
.
Which
nevertheless
after
the
voiding
of
the
Stones
,
he
was
very
easily
freed
from
with
the
use
of
a
Milk
Diet
,
Opiates
,
and
Balsamick
Medicines
;
and
now
having
had
his
Health
very
well
for
several
Years
,
he
goes
about
his
business
as
he
used
to
do
.
History
4.
A
Young
Man
,
living
near
Cripple-Gate
,
that
was
strong
,
and
every
way
sound
in
his
Entrails
,
as
he
was
doing
something
at
his
Trade
of
Whiting
,
by
which
he
got
a
convenient
Livelyhood
,
by
chance
with
laughing
heartily
let
three
Nails
,
which
he
held
in
his
Mouth
for
his
use
,
go
down
through
his
Wind-pipe
into
his
Lungs
.
Whereupon
being
seized
with
a
most
violent
Cough
and
continual
tickling
,
he
fell
into
a
very
great
spitting
of
Blood
.
From
which
Symptoms
,
I
know
not
by
what
means
,
he
got
himself
free
.
But
this
is
most
certain
,
that
though
those
Nails
never
came
up
again
,
either
of
their
own
accord
,
or
with
the
help
of
Art
,
yet
the
Young
Man
was
very
well
for
the
space
of
several
Months
,
following
his
Employment
as
before
.
Neither
did
he
(
as
he
told
me
)
find
himself
any
thing
worse
,
but
only
from
that
time
he
used
to
be
troubled
with
a
dry
and
hesking
Cough
,
and
likewise
with
some
Oppression
.
He
was
so
well
,
that
he
thought
himself
fit
for
a
Wife
,
and
he
did
Marry
one
.
But
upon
his
Wedding-day
,
whether
from
his
more
liberal
drinking
of
Wine
,
or
from
his
dancing
too
much
(
with
which
the
Nails
,
that
before
lay
unmov'd
,
and
as
it
were
buried
in
the
substance
of
the
Lungs
,
were
stirred
again
)
the
poor
Bridegroom
in
the
Evening
was
taken
with
dreadful
Spasms
,
and
a
most
Acute
pain
in
his
Breast
and
Side
,
and
withal
a
difficulty
of
Breathing
,
and
a
dry
,
but
very
troublesome
Cough
,
so
that
he
could
scarcely
lye
in
his
Bed
,
or
get
the
least
sleep
.
Whereupon
he
began
to
be
very
Feverish
,
though
his
extream
Parts
seemed
to
be
cold
from
the
violence
of
the
Spasmodick
pain
.
When
they
had
tryed
all
the
Old
Women's
,
and
Apothecary's
little
Receipts
in
vain
,
and
without
any
benefit
,
at
length
I
being
very
earnestly
entreated
,
went
about
the
third
day
of
his
illness
to
see
him
.
I
presently
apprehended
the
Distemper
to
be
plainly
Peripneumonick
,
and
therefore
I
ordered
plentiful
Bleeding
,
Fomentations
,
and
Liniments
externally
,
likewise
Linctuses
,
and
Pectoral
Apozemes
,
and
temperate
Juleps
of
Antispasmodick
Waters
to
be
given
inwardly
.
But
these
things
doing
no
good
,
I
ordered
again
and
again
some
more
Blood
to
be
taken
from
him
.
And
indeed
I
was
forced
for
many
days
continually
to
insist
upon
the
use
of
several
internal
and
external
Remedies
before
the
poor
Patient
found
the
least
ease
of
his
pain
:
But
at
length
when
his
pain
was
somewhat
mitigated
,
yet
I
could
hardly
with
my
Skill
promote
any
Expectoration
of
Phlegm
;
nor
wholly
remove
the
Fever
,
though
it
seemed
changed
from
the
Nature
of
an
Acute
and
Peripneumonick
,
into
a
lingring
and
Hectick
Fever
.
So
that
the
Patient
being
now
freed
from
the
violence
of
the
Symptoms
,
though
he
was
always
Feverish
,
yet
he
could
sleep
,
and
eat
his
Food
better
than
before
:
But
yet
he
grew
every
day
weaker
,
and
at
length
from
an
Universal
Colliquation
,
he
dyed
plainly
of
a
Consumption
within
the
space
of
a
Month
or
five
Weeks
.
Indeed
I
wonder'd
very
much
at
the
obstinateness
of
the
Pain
,
and
the
difficulty
of
his
Expectoration
;
and
therefore
,
being
directed
by
Hippocrates's
Aphorism
,
I
did
fore-tell
that
a
Consumption
from
an
Empyema
would
follow
.
But
I
never
did
so
much
as
dream
of
the
Original
cause
,
to
wit
,
the
Nails
,
which
were
slipt
down
into
his
Lungs
,
before
the
Patient's
Life
was
past
all
hopes
:
Otherwise
I
should
have
given
him
good
quantities
of
Laudanum
from
the
first
,
and
it
may
be
with
better
Success
.
The
Body
being
opened
after
he
was
dead
,
we
found
those
three
fatal
Nails
as
it
were
buried
together
in
one
bed
of
Matter
a
little
below
the
divarication
of
the
branches
of
the
Wind-pipe
,
and
the
Tone
of
the
Lungs
universally
impaired
by
the
Matter
,
which
by
degrees
had
crept
all
over
them
,
and
the
very
Membrane
which
covers
the
outside
of
the
Lungs
,
corroded
by
the
sharpness
of
the
Matter
;
whereupon
there
came
to
be
a
continual
dropping
or
distillation
of
the
purulent
Phlegm
into
the
cavity
of
the
Breast
,
out
of
which
(
to
the
best
of
my
remembrance
)
I
took
out
at
least
six-Pints
of
this
purulent
Liquor
.
Which
when
I
saw
,
I
no
longer
wondred
at
the
obstinateness
of
the
Pain
,
and
the
difficulty
of
his
Expectoration
,
which
accompanyed
that
Peripneumony
.
Nor
did
it
seem
strange
that
a
Peripneumony
caused
in
this
manner
,
should
terminate
in
a
Fatal
,
and
such
an
Acute
Consumption
.
CHAP.
VII
.
Of
a
Consumption
proceeding
from
the
French
Pox.
The
French
Disease
often
brings
on
Atrophy
.
'T
IS
certain
every
French
Pox
if
it
be
Chronical
,
accompanyed
with
a
virulent
Gonorrhoea
,
or
many
and
large
Ulcers
,
is
always
apt
to
bring
the
Patient
by
degrees
into
a
Consumptive
state
by
the
continual
substraction
of
the
Nutritious
Juice
from
the
Habit
of
the
Body
,
of
which
sort
of
Consumption
I
have
before
discoursed
in
the
First
Book
.
And
likewise
a
Consumption
of
the
Lungs
.
It
is
also
as
true
,
and
I
have
often
observed
in
my
Practice
,
that
a
true
Consumption
of
the
Lungs
has
had
its
Original
meerly
from
the
alteration
of
the
Blood
and
Humours
caused
by
the
French
Pox.
And
it
is
no
wonder
,
when
the
whole
Mass
of
Humours
is
so
manifestly
altered
,
and
brought
into
a
colliquative
state
by
the
Ferment
of
this
Distemper
(
which
is
evident
enough
from
the
Malignant
Swellings
,
Gonorrhoea's
,
and
Ulcers
,
that
commonly
accompany
this
Disease
)
if
these
kind
of
Venereal
Swellings
and
Ulcers
happen
sometimes
also
in
the
spongy
and
soft
Substance
of
the
Lungs
;
whereupon
a
true
Pulmonary
Consumption
must
necessarily
follow
.
Indeed
I
have
rather
wondred
that
we
ever
meet
with
the
French
Disease
,
especially
if
it
has
been
of
a
long
standing
,
or
ill
cured
,
without
an
Ulcer
in
the
Lungs
,
and
a
Consumption
proceeding
from
it
.
But
to
speak
the
truth
,
I
very
seldom
,
if
ever
,
observed
a
Consumption
of
the
Lungs
from
the
French
Pox
,
Which
is
rare
,
unless
the
Lungs
were
obstructed
before
,
or
from
ill
management
.
unless
it
has
been
where
the
Lungs
were
obstructed
,
and
disposed
to
a
Consumption
before
;
or
at
least
where
there
has
been
a
bad
management
,
and
ill-natur'd
Medicines
have
been
given
by
some
Quacks
;
and
the
often
taking
of
Cold
in
a
Sweating
Course
,
or
in
a
Salivation
,
has
been
joyn'd
with
the
French
Pox.
This
Consumption
(
if
it
be
treated
in
due
time
,
and
in
a
due
manner
)
is
as
easily
cured
as
any
other
.
This
Consumption
is
of
an
Asthmatick
Nature
.
For
(
as
far
as
I
have
observed
)
it
is
of
an
Asthmatick
Nature
,
and
is
wont
to
be
attended
with
tough
Phlegm
,
and
a
difficulty
of
Breathing
rather
than
a
violent
Cough
;
and
therefore
it
is
Chronical
,
and
ascends
slowly
and
by
degrees
to
its
highest
degree
;
from
whence
it
comes
to
pass
,
that
I
have
sometimes
observed
some
of
these
kind
of
Patients
to
live
several
Years
in
a
Sickly
and
Consumptive
state
.
Which
perhaps
may
be
partly
from
the
continual
use
of
the
Decoction
of
Sarsa
,
and
other
things
of
that
Nature
;
by
which
the
Malignant
Venom
of
the
Humour
,
though
it
is
not
perfectly
eradicated
,
is
in
some
measure
obtunded
.
For
I
do
not
doubt
but
the
peculiar
Nature
of
the
French
Pox
is
so
Venomous
,
that
unless
the
Malignity
of
the
Humour
happened
to
be
corrected
by
the
use
of
Calomelanos
,
a
Decoction
of
the
Woods
,
and
other
Medicines
prepared
by
Art
or
Nature
,
every
Consumption
from
a
French
Pox
in
its
own
proper
Nature
would
be
Acute
.
From
a
frequent
Experience
I
do
affirm
,
This
Consumption
is
not
to
be
cured
without
Antivenereal
Medicines
mixt
with
the
Pectoral
.
that
all
Pectoral
and
Pulmonary
Medicines
,
that
are
meerly
such
,
without
mixing
Antivenereal
Medicines
with
them
,
will
do
nothing
towards
the
perfect
Cure
of
this
Consumption
.
And
therefore
there
is
no
better
Method
can
be
thought
of
,
than
to
endeavour
the
healing
of
the
Ulcers
of
the
Lungs
,
and
the
restoring
of
the
Crasis
of
the
Blood
,
The
best
thing
is
a
Salivation
.
which
has
been
destroyed
by
the
Venereal
Ferment
,
by
a
Mercurial
Salivation
,
before
the
Patient
has
been
weakned
by
a
long
protraction
of
the
Distemper
,
and
so
is
unable
to
bear
such
a
continual
and
profuse
Evacuation
.
What
is
to
be
done
if
the
Patient
cannot
bear
that
.
But
if
the
Patient
,
by
reason
of
the
extenuated
Habit
of
his
Body
,
does
not
seem
to
have
strength
enough
for
this
Method
of
Cure
,
all
the
hope
that
remains
must
be
from
the
use
of
a
Restorative
Milk
Diet
;
and
then
from
a
strict
and
long
use
of
a
Decoction
of
Sarsa
,
and
of
my
Balsamick
Pills
,
giving
likewise
Purges
with
a
moderate
Dose
of
Calomelanos
mixt
with
them
.
Of
a
Cure
of
this
Nature
I
shall
not
think
much
here
to
give
an
extraordinary
Instance
.
A
History
.
A
Young
Girle
about
Twelve
Years
old
,
was
perswaded
by
the
Enticements
of
a
Lascivious
and
Wicked
Dancing
Master
,
that
was
infected
with
the
French
Pox
,
to
let
him
lye
with
her
:
Whereupon
she
likewise
by
Contagion
was
so
pepper'd
with
the
Venereal
Venom
,
that
notwithstanding
one
or
two
Salivations
,
which
had
been
raised
by
some
Empericks
,
and
other
Methods
of
Cure
that
had
been
tryed
in
the
space
of
four
Years
,
after
her
Uvula
was
eaten
away
,
and
after
other
marks
of
the
French
Pox
yet
remaining
,
she
fell
into
a
Consumption
of
her
Lungs
,
with
a
Hectick
Fever
,
an
Emaciation
of
her
whole
Body
,
a
continual
Cough
,
and
a
very
great
shortness
of
Breath
,
by
reason
of
the
toughness
of
the
Phlegm
stuffing
her
Pipes
.
Being
called
to
her
by
Mr.
Simons
,
a
skilful
and
noted
Surgeon
of
London
,
I
ordered
a
Dose
of
Calomelanos
with
Diagrydium
to
be
repeated
once
a
Week
;
and
on
those
days
she
did
not
Purge
,
to
have
three
of
my
Balsamick
Pills
given
her
three
times
a
day
,
and
the
following
Decoction
for
her
ordinary
Drink
.
With
the
use
of
which
,
continued
for
the
space
of
six
or
eight
Weeks
in
the
Spring-time
,
she
was
perfectly
,
and
without
any
relapse
,
freed
from
her
Consumption
,
as
well
as
from
the
Relicks
of
the
Pox.
Take
of
the
best
Sarsaparilla
six
Ounces
,
of
China-Roots
two
Ounces
,
Sassafras-Chips
,
red
Saunders
,
shavings
of
Harts-horn
,
of
Ivory
,
of
each
half
an
Ounce
,
of
Raisins
of
the
Sun
stoned
two
Ounces
,
Jujubes
,
Sebestens
,
of
each
an
Ounce
and
half
,
of
Liquorice
sliced
half
an
Ounce
:
After
a
due
Infusion
,
boyl
them
in
six
Quarts
of
Spring-water
to
three
Quarts
,
adding
when
they
are
almost
boyled
enough
,
Colts-foot
,
Maiden-hair
,
spotted
Lungwort
,
Sanicle
,
Ladies-Mantle
,
the
Flowers
of
the
great
Daisie
,
of
each
two
handfuls
;
then
strain
out
the
Liquor
,
and
add
three
Ounces
of
the
Balsamick
Syrup
.
Mingle
them
,
and
make
an
Apozeme
.
CHAP.
VIII
.
Of
a
Consumption
proceeding
from
the
Suppression
of
a
virulent
Gonorrhoea
,
of
the
Running
of
Old
Vlcers
,
but
especially
Fistula's
in
the
Fundament
,
and
Scrophulous
Vlcers
,
Issues
,
and
the
Whites
.
How
this
Consump
ion
is
caused
.
I
Have
also
observed
in
my
Practice
these
kind
of
Consumptions
;
which
are
not
caused
(
as
it
is
commonly
thought
)
by
the
translation
of
the
Purulent
Matter
into
the
Lungs
(
which
to
me
seems
impossible
;
)
but
by
the
Pollution
of
the
whole
Mass
of
Blood
by
the
violent
keeping
in
of
the
Excrementitious
Juice
,
which
used
to
be
continually
thrown
out
by
these
Ulcers
.
From
whence
it
comes
to
pass
,
that
the
Blood
being
in
this
manner
foul'd
,
does
make
it
its
business
to
cast
off
this
extraneous
and
excrementitious
Ferment
,
and
to
lodge
it
in
the
soft
substance
of
the
Lungs
as
it
circulates
through
them
,
which
many
times
according
the
Nature
of
the
Matter
is
disposed
to
a
speedy
Putrefaction
.
And
hereupon
that
Consumption
of
the
Lungs
,
which
I
make
it
my
business
to
treat
of
in
this
Chapter
,
though
it
be
sometimes
of
a
middle
Nature
,
This
Consumption
is
Acute
.
yet
for
the
most
part
it
is
Acute
;
yea
,
many
times
according
to
the
Nature
and
Disposition
of
the
Ulcer
of
the
Lungs
,
And
most
commonly
Mortal
.
which
causes
it
,
very
Acute
,
and
almost
always
Incurable
and
Mortal
,
because
it
depends
upon
an
inexhaustible
stock
of
Matter
lurking
in
the
Habit
of
the
Body
.
In
the
Cure
of
this
kind
of
Consumption
,
The
Cure
.
besides
the
General
Method
before
prescribed
,
I
shall
add
these
few
things
particularly
to
be
observed
.
First
,
The
former
,
and
accustomed
Ulcers
must
as
far
as
it
is
possible
be
revived
;
whereby
the
Humour
may
be
diverted
from
the
Lungs
,
and
be
evacuated
by
the
usual
and
less
dangerous
vents
,
though
it
may
seem
troublesome
.
Secondly
,
But
if
this
cannot
be
obtained
(
which
indeed
is
very
seldom
done
)
then
frequent
Issues
,
yea
,
and
Vesicatories
,
but
especially
applyed
near
the
place
which
Nature
first
assign'd
for
the
separation
of
this
Humour
,
ought
to
supply
this
defect
,
by
which
we
may
make
some
compensation
to
oppressed
Nature
,
and
particularly
derive
the
Matter
from
the
Lungs
.
Thirdly
,
In
the
beginning
of
this
Consumption
,
to
wit
,
when
the
Glands
of
the
Lungs
begin
to
swell
(
which
we
may
guess
at
by
the
Cough
,
difficulty
of
Breathing
,
and
Feverish
Heat
)
we
must
use
Bleeding
,
and
also
repeat
it
if
it
be
necessary
.
By
which
the
stagnation
of
the
Blood
,
which
arises
from
the
first
reception
of
the
Matter
into
the
Lungs
,
and
so
the
swelling
of
the
part
may
be
prevented
,
or
at
least
abated
.
Fourthly
,
Amongst
the
more
general
Pectoral
Medicines
already
described
,
I
would
commend
the
use
of
a
Milk
Diet
,
of
Asse's
Milk
,
the
Chalybeate
Mineral
Waters
(
if
they
are
drank
in
time
)
of
a
Pulmonary
Decoction
of
Sarsa
,
for
ordinary
Drink
,
of
the
Gums
,
Balsams
,
and
Wood-lice
,
but
especially
my
Balsamick
Pills
.
Fifthly
,
But
we
must
always
add
to
the
Pectoral
Medicines
also
those
things
which
have
a
respect
to
the
peculiar
Nature
of
the
Ulcer
,
or
Original
Distemper
.
A
History
.
Mr.
Simons
,
the
Famous
Surgeon
before
mentioned
,
had
(
as
he
told
me
himself
)
a
Fistula
in
his
Fundament
continually
weeping
for
the
space
of
Twenty
Years
,
which
he
did
industriously
preserve
instead
of
an
Issue
,
whilst
he
cured
very
many
in
other
Persons
,
because
it
did
seem
neither
very
troublesome
to
him
,
nor
at
all
dangerous
.
But
by
chance
this
accustomed
Ulcer
at
length
drying
up
of
its
own
accord
about
the
Sixtieth
Year
of
his
Age
,
he
presently
began
to
be
affected
with
an
Oppression
at
the
Breast
,
and
a
dry
and
troublesome
Cough
.
Which
Symptoms
for
several
Months
he
never
minded
,
till
being
rouz'd
from
this
stupid
Neglect
by
a
manifest
falling
away
in
his
Flesh
,
as
well
as
a
Hectick
Fever
;
also
by
a
frequent
want
of
Appetite
,
Sickness
,
Weakness
,
and
other
Signs
of
a
present
and
confirm'd
Consumption
,
he
desired
my
Advice
,
but
too
late
,
when
the
poor
Man
had
for
some
Weeks
,
and
that
in
the
Spring
too
,
laboured
under
a
great
Colliquation
,
both
by
a
Looseness
and
Sweats
,
brought
upon
him
by
a
Putrid
Intermitting
Fever
,
and
was
confin'd
to
his
Bed
in
a
weak
condition
.
I
did
endeavour
at
least
to
alleviate
the
Fever
by
the
use
of
the
Peruvian
Bark
;
to
abate
his
Looseness
with
Astringents
and
Opiates
,
to
remove
the
cause
of
the
Consumption
with
the
White
Drink
,
a
Pulmonary
Decoction
of
Sarsa
,
and
Lime-water
,
with
all
other
sorts
of
Pectoral
and
Specifick
Medicines
given
in
the
form
of
Linctuses
,
Electuaries
,
&c.
as
also
with
a
Milk
Diet
,
(
and
so
far
as
the
Looseness
would
give
me
leave
)
to
temper
the
heat
of
the
Blood
and
Spirits
with
Asse's
Milk
;
and
to
comfort
and
refresh
his
Spirits
with
Pearl
Juleps
,
Jelly-Broths
,
and
Jellies
.
But
all
was
in
vain
;
for
this
Excellent
Person
,
being
brought
into
the
state
of
a
Marasmus
by
this
Colliquative
Fever
,
yielded
to
Fate
in
the
space
of
two
or
three
Months
.
CHAP.
IX
.
Of
a
Consumption
proceeding
from
the
Green-Sickness
,
and
a
Suppression
of
the
Monthly
Purgations
in
Women
.
THIS
is
most
commonly
the
Original
of
Women's
Consumptions
,
Ab
Obstruction
of
the
Menses
is
commonly
the
Original
of
Consumptions
in
Women
.
and
I
have
very
seldom
seen
any
Woman
that
was
capable
of
the
Monthly
Purgations
,
either
Virgin
,
married
Woman
,
or
Widdow
,
who
ever
fell
into
a
Consumption
without
an
Obstruction
of
these
Purgations
coming
upon
it
,
either
in
the
beginning
,
or
at
least
in
the
progress
of
the
Distemper
.
Sometimes
't
is
the
effect
of
a
Consumption
.
'T
is
true
indeed
this
Obstruction
may
arise
in
the
progress
of
a
Consumption
from
the
impoverisht
state
of
the
Blood
,
by
reason
of
the
want
of
new
Nutritious
Juice
;
and
therefore
is
to
be
accounted
an
Effect
rather
than
the
Cause
of
this
Disease
.
But
many
times
the
occasion
of
it
.
But
many
times
it
is
the
occasion
of
a
Consumption
,
and
that
not
only
in
Virgins
and
Widdows
,
but
even
in
married
Women
.
For
when
there
is
an
Obstruction
of
these
Purgations
caused
by
Passions
of
the
Mind
,
taking
of
Cold
,
or
using
such
Food
as
breeds
a
bad
Juice
,
the
Mass
of
Blood
is
apt
to
be
foul'd
,
and
to
be
rendred
cachectick
by
those
Excrements
,
which
used
to
be
thrown
out
,
but
are
now
detained
in
it
:
By
which
Mass
of
Humours
now
gathered
in
the
Blood
the
Lungs
are
wont
to
be
stufft
,
and
thereupon
a
Cough
,
difficulty
of
Breathing
,
and
the
other
ordinary
Symptoms
of
a
Consumption
are
wont
to
arise
:
From
which
being
a
long
time
neglected
,
a
Consumption
of
a
peculiar
Nature
,
attended
with
prickings
,
and
dreadful
pains
in
the
Sides
does
many
times
arise
.
In
the
beginning
of
this
Distemper
,
Bleeding
,
What
is
to
be
done
in
the
beginning
of
this
Consumption
.
and
moderate
Purging
with
the
Sacred
Tincture
,
and
other
things
of
that
Nature
;
and
the
use
of
Chalybeate
Medicines
,
but
especially
my
Chalybeate
Electuary
,
which
I
may
afterwards
mention
in
the
Chapter
of
a
Chlorosis
,
&c.
are
convenient
to
provoke
the
Menses
,
and
to
correct
the
Cachectical
state
of
the
Blood
:
But
if
through
the
neglect
of
the
timely
use
of
these
things
,
the
Patient
is
already
brought
into
a
Consumptive
state
,
it
is
not
only
in
vain
to
try
any
of
these
things
(
because
we
cannot
expect
those
Purgations
in
this
impoverisht
state
of
the
Blood
)
but
also
very
prejudicial
to
the
Patient
to
give
them
.
For
it
is
to
no
purpose
to
diminish
the
stock
of
Blood
by
opening
a
Vein
;
and
with
the
use
of
Chalybeates
it
is
more
exagitated
and
grows
hot
.
Therefore
in
this
case
the
Patient
must
be
put
into
the
General
Method
of
Cure
used
in
a
Consumption
of
the
Lungs
,
and
already
described
;
and
the
Pains
of
the
Sides
must
be
eased
with
warm
Liniments
and
Fomentations
,
mentioned
in
another
place
.
But
the
Consumption
being
once
cured
,
and
the
Body
grown
lusty
again
,
the
Uterine
Vessels
being
replenish'd
with
Blood
and
Nutritious
Juice
,
are
wont
to
be
opened
of
their
own
accord
in
a
thin
Country
Air.
But
we
must
relieve
this
defect
of
Nature
(
if
she
is
still
deficient
after
the
Patient
is
recovered
)
with
the
help
of
Art
?
For
if
the
Obstruction
still
continues
,
the
Patient
will
quickly
grow
Cachectical
again
,
from
whence
we
may
justly
expect
a
return
of
the
Consumption
.
Therefore
in
this
case
let
the
Patient
be
kept
in
a
thin
Air
,
and
shake
off
all
Sadness
and
troublesome
Cares
;
let
her
use
Exercise
,
and
due
Frictions
;
as
also
bitter
,
Antiscorbutick
,
and
Chalybeate
Medicines
,
but
especially
the
Vitriolick
Mineral
Waters
,
if
it
be
a
proper
time
of
the
Year
for
them
.
This
Consumption
,
because
it
proceeds
from
a
Cachexy
,
is
for
the
most
part
Chronical
,
and
not
presently
Mortal
.
But
if
it
is
not
cured
in
the
beginning
,
it
is
very
difficult
,
if
ever
,
to
be
cured
;
and
indeed
the
Green-Sickness
of
Virgins
has
very
often
this
Fatal
Event
;
because
the
Symptoms
of
a
Consumption
and
a
Green-Sickness
are
so
much
alike
,
that
the
Common
People
seldom
perceive
when
one
comes
to
be
joyned
to
the
other
,
till
the
Consumption
is
come
almost
to
its
Third
and
Fatal
Degree
.
And
from
hence
it
is
that
I
am
wont
always
to
suspect
a
Chronical
Cough
that
attends
a
Chlorosis
.
A
History
.
Mrs.
Anderton
,
Madam
Davison's
Maid
,
a
pretty
Beautiful
Young
Woman
,
about
the
Seventeenth
Year
of
her
Age
,
from
the
Suppression
of
her
Menses
a
long
time
neglected
,
fell
into
the
Green-Sickness
,
with
the
usual
Symptoms
of
it
,
a
pale
Look
,
Head-ach
,
shortness
of
Breath
,
Weakness
,
Lassitude
,
a
slow
Fever
,
&c.
But
at
length
when
the
Maid
had
advanced
from
an
Oedematous
to
a
Consumptive
state
,
and
the
stuffing
of
her
Lungs
was
turned
to
a
troublesome
,
though
dry
Cough
,
it
gave
me
occasion
to
suspect
that
a
true
Pulmonary
Consumption
had
been
the
Product
of
the
Chlorosis
.
And
I
was
very
much
confirmed
in
this
Opinion
by
those
dreadful
Pains
in
her
left
Side
,
with
which
the
poor
Creature
had
been
almost
continually
rackt
to
the
highest
degree
for
several
days
;
which
I
could
not
ease
so
much
by
Bleeding
,
as
by
outward
Fomentations
and
Liniments
,
and
the
internal
use
of
Laudanum
.
Which
sort
of
painful
Spasms
in
the
Sides
I
have
observed
almost
always
to
have
accompanyed
,
or
at
least
to
have
been
the
fore-runners
of
a
Consumption
of
the
Lungs
,
whenever
this
Distemper
has
happened
to
have
its
Original
from
a
Green
Sickness
,
or
a
Melancholick
and
Thoughtful
Mind
.
A
long
time
before
her
Spasms
first
seized
her
,
she
was
confined
to
her
Bed
,
looking
as
if
she
had
almost
no
Blood
,
and
emaciated
almost
to
the
degree
of
a
Marasmus
,
troubled
with
a
Hectick
Fever
,
continually
languishing
,
and
without
any
Appetite
.
And
therefore
though
the
violence
of
the
Spasms
at
that
time
did
Indicate
it
,
yet
her
extenuated
Habit
,
and
the
little
stock
of
Blood
which
she
had
,
as
also
her
want
of
Strength
,
and
the
weakness
of
her
Pulse
did
forbid
Bleeding
.
However
we
bled
her
sparingly
,
again
and
again
,
and
then
those
painful
Spasms
being
taken
off
with
the
diligent
use
of
Pectoral
Remedies
mixt
with
Antispasmodicks
,
but
especially
with
repeated
Doses
of
Laudanum
added
to
Antihystericks
;
and
with
the
outward
application
of
Anodyne
Liniments
and
Fomentations
,
I
applyed
my self
to
the
Cure
of
the
Pulmonary
Consumption
with
the
General
Method
of
Diet
,
and
Medicines
too
,
already
described
,
with
very
good
Success
,
and
not
without
the
great
Applause
of
those
that
were
about
her
.
But
the
whole
Cure
was
compleated
and
finished
by
the
Restitution
of
her
Monthly
Purgations
,
with
the
long
use
of
Chalybeate
Medicines
in
the
form
of
an
Electuary
,
Pills
,
Wine
,
Syrup
,
&c.
which
I
always
ordered
to
be
mixt
with
her
Pectoral
Medicines
.
For
after
she
began
to
be
freed
from
her
Consumptive
state
,
and
the
Habit
of
her
Body
began
to
be
restored
,
and
the
Vessels
to
be
filled
with
good
Blood
,
it
was
an
easie
thing
to
open
their
Obstructions
with
those
very
Medicines
,
which
are
wont
to
be
tryed
without
any
Success
,
yea
,
with
Prejudice
to
the
Patient
,
when
she
is
in
a
Consumptive
,
and
emaciated
state
:
And
so
the
whole
business
being
crowned
by
gaining
of
this
Point
,
without
any
Relapse
into
a
Consumption
,
my
Patient
has
continued
fresh
and
lusty
for
Fifteen
Years
or
more
to
this
very
day
,
almost
always
enjoying
her
perfect
Health
,
having
been
in
that
time
a
Virgin
,
a
Wife
,
and
a
Widdow
.
CHAP.
X.
Of
a
Consumption
caused
by
a
Peripneumony
,
and
a
Pleurisy
.
IT
is
well
enough
known
to
all
those
that
have
but
a
little
Skill
in
Physick
,
A
Consumption
often
proceeds
from
a
Peripneumony
and
Pleurisy
.
that
a
Consumption
is
wont
to
arise
likewise
from
these
Distempers
very
often
.
And
this
happens
sometimes
from
the
Ignorance
or
Neglect
of
the
Physician
,
sometimes
from
the
perverseness
and
peculiar
Nature
of
the
Original
Distemper
,
or
a
previous
disposition
in
the
Patient
to
a
Consumption
:
Many
times
too
the
Patient
himself
,
and
his
Friends
that
are
about
him
,
are
to
be
blamed
,
who
not
observing
the
proper
Directions
of
the
Physician
,
in
Bleeding
so
often
as
is
necessary
,
in
the
seasonable
and
plentiful
administration
and
taking
of
Pectoral
Medicines
,
and
in
the
other
parts
of
a
due
management
,
do
many
times
lay
the
Foundation
of
a
Consumption
,
that
follows
afterwards
.
For
a
Consumption
follows
after
a
Peripneumony
and
a
Pleurisy
,
for
the
Reasons
following
.
First
,
The
first
Reason
why
it
does
so
.
When
the
Blood
is
left
in
a
Colliquative
state
by
these
Distempers
,
which
is
wont
to
happen
likewise
for
two
causes
;
to
wit
,
First
,
when
the
Patient
has
been
Habitually
predisposed
to
a
Consumption
by
a
propagation
from
the
Parents
,
or
by
a
long
abuse
of
the
six
non-naturals
;
in
which
case
the
Blood
and
Lungs
being
heated
and
inflamed
,
are
very
difficultly
brought
to
a
due
temper
;
for
the
Peripneumony
and
Pleurisy
being
once
conquered
,
the
putrid
heat
of
the
Blood
degenerates
into
a
Hectical
,
or
Habitual
heat
,
so
that
afterwards
the
Chyle
can
neither
be
perfectly
united
,
nor
amicably
mixt
with
the
Mass
of
Blood
:
And
from
this
Colliquative
state
of
the
Blood
a
Consumption
of
the
Lungs
must
necessarily
follow
.
Secondly
,
and
it
may
be
this
more
frequently
happens
from
the
perverseness
of
the
Patient
,
and
the
timorousness
of
his
Friends
,
and
those
that
are
about
him
;
and
perhaps
too
from
the
Ignorance
,
or
at
least
the
Negligence
of
the
Physician
,
when
timely
and
plentiful
Bleedings
,
which
are
not
only
necessary
to
relieve
the
Pain
,
but
also
absolutely
requisite
from
the
degree
and
exigence
of
the
Fever
,
and
the
Inflammatory
disposition
of
the
Blood
,
are
wholly
omitted
.
For
in
this
case
there
still
remains
a
Hectick
Heat
in
the
Habit
of
the
Patient
,
which
disposes
him
to
a
sudden
Consumption
,
after
a
due
Concoction
and
Expectoration
of
the
Matter
,
which
was
gathered
in
the
Lungs
.
The
second
Reason
want
of
due
Expectoration
.
Secondly
,
When
the
Matter
that
is
gathered
in
the
Lungs
is
not
at
all
concocted
and
expectorated
,
or
not
in
a
sufficient
quantity
,
or
at
least
not
so
soon
as
it
ought
to
be
.
And
this
is
wont
to
come
to
pass
from
several
causes
:
As
first
,
when
the
parts
of
the
Lungs
,
that
are
inflamed
,
are
the
Vesicles
,
or
Air-Glands
,
and
thereupon
the
Matter
,
that
is
lodged
in
them
,
though
it
be
concocted
as
it
should
be
,
yet
being
contained
in
its
proper
Cystises
,
does
not
find
a
passage
out
,
notwithstanding
the
most
diligent
use
of
Expectorating
Medicines
.
For
though
there
is
a
greater
quantity
of
purulent
Matter
concocted
and
gathered
in
the
Glandules
with
the
use
of
those
things
,
and
thereupon
there
follows
an
Aposteme
of
a
great
bigness
;
Which
occasions
an
Aposteme
.
yet
because
the
Matter
does
not
find
an
immediate
Vent
,
no
Expectoration
succeeds
,
and
so
the
Lungs
are
not
able
to
clear
themselves
;
whereby
it
comes
to
pass
,
that
after
the
Aposteme
is
broke
,
there
remains
a
foul
Ulcer
in
the
Lungs
,
proportionate
to
the
largeness
of
the
Aposteme
.
And
upon
this
breaking
of
the
Aposteme
,
the
Matter
that
is
contained
in
it
,
Which
when
it
brea
kt
,
empties
itself
either
outwardly
,
is
wont
to
empty
it self
either
outwardly
or
inwardly
,
according
to
the
Situation
of
the
suppurated
part
.
For
if
the
affected
Glandules
are
placed
near
the
branches
of
the
Wind-pipe
,
when
the
Cystis
is
broke
,
the
Matter
easily
finds
a
vent
into
the
Wind-pipe
:
And
many
times
the
Patient
is
suddenly
strangled
,
or
ready
to
be
choaked
with
the
violent
gushing
out
of
the
Matter
,
And
sometimes
the
Patient
is
suddenly
choaked
;
flowing
out
all
together
this
way
:
Which
I
sometime
since
found
in
Mr.
White's
Son
,
whose
case
I
shall
give
an
Account
of
in
the
end
of
this
Chapter
.
But
if
these
Glandules
are
placed
at
that
distance
,
Or
inwardly
.
that
the
Matter
cannot
find
a
passage
into
the
branches
of
the
Wind-pipe
it self
,
those
parts
do
in
progress
of
time
swell
to
a
great
bigness
,
whereupon
at
length
,
when
the
Cystis
breaks
,
the
Matter
diffusing
it self
every
where
through
the
whole
substance
of
the
Lungs
,
does
perfectly
destroy
their
Tone
.
Yea
,
sometimes
I
have
observed
the
Lungs
to
be
so
much
distended
with
it
,
that
partly
from
their
distention
,
and
partly
from
the
Acrimony
of
the
Matter
,
that
has
insinuated
it self
into
them
(
the
outward
Membrane
,
which
invests
the
Lungs
being
once
broken
,
or
eroded
)
the
matter
has
fallen
continually
,
and
plentifully
out
of
the
Lungs
into
the
Cavity
of
the
Breast
:
And
thereupon
in
the
dead
Body
,
when
it
has
been
opened
,
though
we
found
an
Ulcer
only
in
the
upper
part
of
the
Lungs
,
and
the
Tone
of
the
Lungs
every
where
corrupted
with
the
Matter
passing
through
them
,
yet
we
met
with
several
Pints
of
purulent
Matter
,
which
was
faln
into
the
Cavity
of
the
Breast
through
the
broken
Membrane
,
after
the
manner
of
an
Empyema
.
And
from
hence
it
came
to
pass
,
that
when
the
Physician
had
done
all
he
could
in
prescribing
,
and
the
Patient
had
been
as
diligent
in
the
taking
of
Expectorating
Medicines
,
yet
we
did
no
good
with
them
.
The
Expectoration
is
hindred
by
very
profuse
and
unseasonable
Bleedings
.
Secondly
,
When
with
unseasonable
,
and
very
profuse
Bleedings
the
Blood
is
grown
so
cold
,
that
the
suppuration
of
the
inflamed
part
is
either
hindred
,
or
at
least
comes
to
be
late
.
For
every
one
,
that
understands
any
thing
of
Surgery
or
Physick
,
knows
that
Bleeding
causes
a
suppuration
to
be
slower
than
otherwise
it
would
be
.
And
that
famous
Aphorism
of
Hippocrates
is
no
less
true
,
That
unless
those
that
have
a
Pleurisy
do
expectorate
in
fourteen
days
,
if
they
live
so
long
,
they
will
be
Empyical
upon
the
fortieth
day
;
so
great
a
quantity
of
true
Matter
being
in
that
space
of
time
collected
in
the
Lungs
,
that
by
reason
of
the
quantity
,
and
Acrimony
of
it
,
it
is
apt
to
make
its
way
through
the
broken
and
eroded
Membrane
of
the
Lungs
into
the
very
Cavity
of
the
Breast
.
From
the
want
of
Pectoral
Medicines
.
Thirdly
,
this
also
sometimes
happens
through
the
carelesness
of
the
Physician
,
or
else
the
perverseness
of
the
Patient
,
from
the
neglect
of
the
use
of
Expectorating
Medicines
in
the
beginning
of
a
Pleurisy
and
Peripneumony
.
Fourthly
,
in
fine
,
this
often
happens
to
Infants
for
want
of
Understanding
,
because
they
have
not
wit
enough
to
raise
and
spit
out
the
Purulent
Phlegm
which
is
lodged
in
their
Lungs
.
This
Consumption
is
always
very
Acute
,
This
Consumption
is
always
Acute
.
because
it
proceeds
from
an
Acute
Distemper
preceding
,
by
which
not
only
the
Patient
has
been
very
much
weakned
,
but
likewise
the
Mass
of
Blood
has
been
left
in
a
Colliquative
state
;
yea
,
and
very
often
there
has
happened
to
be
a
Collection
of
Matter
made
in
the
Lungs
.
So
that
this
Consumption
has
scarcely
gone
by
the
Name
of
a
Consumption
,
before
the
Patient
has
arrived
plainly
to
the
state
of
a
Marasmus
.
The
Cure
of
this
Consumption
,
when
't
is
from
a
Colliquative
state
of
the
Blood
.
If
this
Consumption
has
had
its
beginning
from
a
Colliquative
,
and
too
hot
a
state
of
the
Blood
,
caused
by
the
preceding
Distempers
,
we
must
not
only
continue
the
use
of
Expectorating
,
and
other
Antiphthisical
Medicines
,
(
which
yet
must
be
of
those
,
that
are
more
mild
,
and
not
very
hot
)
but
we
ought
also
to
prescribe
Temperate
Pearl
Juleps
to
be
taken
plentifully
to
temper
the
heat
of
the
Blood
;
as
also
Milk-water
,
Snail-water
,
yea
,
and
the
Chalybeate
Waters
,
if
it
be
a
time
of
the
Year
proper
for
the
use
of
them
;
but
above
all
we
must
have
recourse
to
Bleeding
(
however
the
Patient
is
weakned
,
and
his
Body
brought
into
a
Tabid
state
by
his
former
Distemper
)
and
that
not
once
only
,
but
frequently
;
and
we
must
repeat
it
too
(
if
it
be
necessary
)
not
with
too
sparing
a
Hand
.
But
if
this
Consumption
proceeds
from
the
breaking
of
the
Glandulous
Aposteme
emptying
it self
by
the
Wind-pipe
,
The
Cure
,
when
't
is
from
the
breaking
of
an
Aposteme
.
we
must
promote
the
Purgation
of
the
Lungs
by
this
High-way
with
the
plentiful
use
of
Expectorating
Medicines
.
And
if
there
is
any
fear
that
the
Patient
will
be
choak'd
after
the
first
breaking
of
the
Abscess
with
the
Matter
rushing
too
fast
,
and
in
too
great
a
quantity
into
the
branches
of
the
Wind-pipe
,
(
which
I
remember
happened
to
Mr.
White's
Son
,
and
to
some
others
)
we
must
hasten
the
Expectoration
by
giving
Oxymel
of
Squills
,
and
other
gentle
Vomits
;
and
then
provoking
them
to
Vomit
by
tickling
the
Tonsils
and
Uvula
with
a
Feather
dipt
in
Oyl
.
Whereby
it
comes
to
pass
,
that
a
violent
motion
of
the
Stomack
being
excited
in
Vomiting
,
the
Lungs
also
being
agitated
by
it
,
can
more
easily
free
themselves
from
that
glutinous
Matter
which
sticks
in
them
.
The
greatest
part
of
the
collected
Matter
being
in
this
manner
once
evacuated
,
that
which
remains
must
be
also
brought
away
with
the
diligent
use
of
Expectorating
Medicines
.
Which
being
done
,
the
Cure
in
progress
of
time
may
by
degrees
be
perfected
with
a
Milk
Diet
,
Temperate
Juleps
,
the
Balsamick
Medicines
before
described
,
and
with
the
Chalybeate
Waters
drank
in
the
Country
in
a
wholsom
Air.
When
a
Paracentesis
is
to
be
made
.
But
if
by
the
continuation
of
the
Hectick
heat
,
a
redness
in
the
Cheeks
coming
every
day
,
a
difficulty
of
Breathing
,
without
any
considerable
Cough
attending
them
;
but
especially
by
a
fulness
and
weight
in
one
or
both
the
Hypochondres
,
and
a
fluctuation
of
Matter
in
the
Breast
,
perceived
by
its
moving
from
one
side
to
another
,
this
Consumption
seems
to
have
been
occasioned
by
some
Matter
,
that
has
been
gathered
in
the
Glandulous
Apostems
of
the
Lungs
,
running
through
their
outward
Membrane
,
when
it
is
eroded
,
or
broken
,
into
the
Cavity
of
the
Breast
,
after
the
manner
of
an
Empyema
;
then
I
say
the
Matter
that
fluctuates
in
the
Breast
,
and
is
continually
dropping
out
of
the
Lungs
,
must
be
conveniently
taken
out
at
due
intervals
as
the
Patient
can
bear
it
,
by
a
Paracentesis
made
in
a
convenient
place
near
that
Hypochondre
where
the
greatest
weight
is
felt
.
The
rest
of
the
Cure
is
to
be
performed
with
the
plentiful
use
of
Wood-lice
,
Balsamick
Medicines
,
and
of
Temperate
Juleps
;
as
likewise
with
a
Milk
Diet
,
Decoctions
of
Sarsa
,
Chalybeate
Remedies
,
but
especially
the
Chalybeate
Waters
.
But
if
by
reason
of
the
weakness
of
the
Patient
,
When
there
is
Matter
in
the
Breast
,
and
a
Paracentesis
will
not
be
allowed
,
we
must
use
Diureticks
.
or
the
timorousness
of
them
that
are
about
him
,
we
may
not
be
allowed
to
make
a
Paracentesis
,
we
must
endeavour
to
evacuate
the
Matter
by
a
long
and
plentiful
use
of
Diuretick
Medicines
,
as
Wood-lice
,
Salt
of
Amber
,
my
Diuretick
and
Lubricating
Apozeme
,
which
I
shall
give
an
Account
of
presently
in
the
next
History
,
&c.
which
is
sometimes
done
with
good
,
though
more
uncertain
Success
(
as
I
found
in
Mr.
White's
Son
,
whose
Case
I
shall
think
it
worth
my
while
presently
to
subjoyn
.
How
the
Cure
must
be
compleated
.
)
Afterwards
the
Cure
must
be
compleated
with
a
Milk
Diet
,
the
use
of
Balsamick
and
Chalybeate
Remedies
,
and
likewise
with
Decoctions
of
Sarsa
impregnated
with
Pectoral
and
Vulnerary
Herbs
,
that
are
very
temperate
.
But
if
this
Consumption
proceeds
from
the
slowness
of
Expectoration
,
What
is
to
be
done
when
there
is
a
slow
Expectoration
from
the
Blood
being
too
much
cooled
,
&c.
caused
by
the
Blood
being
too
much
cooled
with
unseasonable
,
or
too
liberal
Bleeding
,
or
by
the
neglect
of
Expectorating
Medicines
,
we
must
enjoyn
the
plentiful
and
frequent
use
of
Lubricating
and
Balsamick
Medicines
,
and
especially
such
as
are
hot
,
and
endow'd
with
penetrating
Particles
;
as
Opobalsam
,
Balsam
of
Sulphur
Terebinthinate
and
Anisate
,
Linseed-Oyl
fresh
drawn
without
a
fire
,
an
Antiphthisical
Mead
,
and
other
things
of
the
same
Nature
.
History
1.
Mr.
White
,
who
lived
in
the
Burrough
of
Southwark
,
his
younger
Son
Samuel
,
about
the
Seventh
Year
of
his
Age
,
and
in
the
Year
1670.
fell
into
a
true
Pleurisy
,
with
an
Inflammatory
Fever
,
a
continual
,
but
dry
Cough
,
and
a
dreadful
pain
in
his
Side
.
After
they
had
first
tryed
several
things
for
three
days
without
any
benefit
,
at
length
I
was
called
,
and
ordered
about
six
Ounces
of
Blood
to
be
taken
immediately
from
his
left
Arm
,
because
his
pain
was
chiefly
in
that
Side
,
and
the
Parts
to
be
externally
anointed
with
an
Anodyne
Liniment
,
and
likewise
Expectorating
Medicines
to
be
given
inwardly
in
a
good
quantity
in
the
form
of
a
Linctus
and
Apozeme
.
They
had
a
great
deal
of
difficulty
to
make
the
Boy
take
internal
Medicines
.
But
the
Pain
,
and
his
Fever
being
sufficient
Reasons
for
the
doing
of
it
,
I
bled
him
once
every
day
for
five
days
successively
,
with
the
Advice
and
Consent
of
my
Famous
Colleague
Dr.
Micklethwait
.
And
for
the
farther
mitigating
of
the
pain
I
ordered
an
Anodyne
Fomentation
in
two
Oxe's
Bladders
to
be
alternately
applyed
,
with
a
Liniment
,
and
Blistering
Plaisters
to
be
put
upon
the
Neck
,
and
the
inside
of
the
Arms.
But
however
neither
the
Pain
,
nor
the
Fever
seem'd
to
abate
,
till
at
length
about
the
Ninth
day
of
the
Disease
,
Nature
of
her
own
accord
went
to
work
,
and
relieved
her self
by
a
bleeding
at
the
Nose
;
and
in
this
manner
at
the
same
hour
of
the
day
for
three
days
one
after
another
,
did
Nature
,
as
if
she
were
led
by
some
Benignity
,
continually
perform
the
Office
of
a
Surgeon
,
and
that
with
very
good
Success
;
for
as
the
Pain
,
so
likewise
the
Fever
went
almost
quite
off
.
But
an
Expectoration
could
not
be
procured
by
any
Art
through
the
whole
course
of
the
Distemper
.
Wherefore
being
moved
by
the
Authority
of
Hippocrates
,
I
declared
my
Opinion
openly
in
the
presence
of
his
Friends
,
that
an
Empyema
would
follow
afterwards
within
Forty
days
.
And
as
I
said
,
so
it
came
to
pass
:
For
the
poor
emaciated
Boy
lay
with
a
redness
in
his
Cheeks
,
that
returned
every
day
,
a
moderate
Hectick
Fever
,
a
continual
dry
Cough
,
and
shortness
of
Breath
,
gradually
wasting
every
day
until
the
fortieth
day
of
the
Disease
;
the
greatest
part
of
the
time
likewise
being
drawn
in
on
the
left
Side
,
he
complained
much
of
a
gravative
pain
under
the
short
Ribs
of
that
Side
.
On
the
fortieth
day
I
went
to
see
him
in
the
Morning
,
and
found
him
eating
of
a
little
Fish
or
two
,
and
more
chearful
than
ordinary
.
But
for
all
that
,
remembring
that
Prognostick
of
Hippocrates
concerning
the
fortieth
day
,
I
ordered
an
Emetick
Mixture
of
Salt
of
Vitriol
,
and
Oxymel
of
Squills
to
be
in
readiness
,
that
it
might
be
given
him
by
Spoonfuls
to
make
him
Vomit
,
if
upon
the
sudden
rupture
of
the
Aposteme
he
should
be
in
danger
of
being
choak'd
with
the
too
quick
passing
of
the
Matter
into
the
branches
of
the
Wind-pipe
.
I
had
scarce
been
gone
an
hour
but
the
Patient
wak'd
out
of
his
sleep
almost
strangled
;
and
in
that
manner
he
continued
for
the
space
of
four
hours
before
they
could
find
me
,
without
even
any
sensible
Respiration
,
or
Pulse
,
with
his
Eyes
set
,
and
his
Teeth
and
Hands
Spasmodically
shut
,
cold
,
and
e'en
dead
.
At
last
I
came
,
and
ordered
that
the
Mixture
(
which
I
had
before
taken
care
should
be
in
a
readiness
,
though
as
yet
by
reason
of
the
Fright
they
were
in
that
were
about
him
,
who
lookt
upon
him
to
be
dead
,
it
was
not
yet
gi-given
)
to
be
put
down
his
Throat
by
Spoonfuls
,
his
Mouth
being
opened
by
force
,
and
his
Tonsils
to
be
tickled
with
a
Feather
dipt
in
Oyl
;
with
which
being
in
a
short
time
provoked
to
Vomit
,
he
brought
up
not
only
crude
Chyle
out
of
his
Stomack
,
but
also
near
a
Pint
of
Pus
plainly
fetid
out
of
his
Lungs
;
and
thereupon
with
the
use
of
a
Cordial
Julep
both
his
Spasms
and
his
Strangulation
went
off
,
the
heat
of
the
Extream
Parts
too
,
and
his
Pulse
came
again
,
and
at
length
after
three
hours
he
began
to
mutter
some
incoherent
words
;
and
after
some
quiet
sleeps
he
came
to
himself
:
And
so
within
24
hours
he
was
hungry
,
and
asked
for
something
to
eat
,
to
the
great
Amazement
of
his
Friends
,
and
those
that
were
about
him
.
But
nevertheless
he
was
not
only
weak
,
and
confined
to
his
Bed
,
but
also
emaciated
,
and
Hectical
,
and
lay
continually
Coughing
,
and
fetching
his
Breath
very
short
from
the
weight
of
that
Matter
in
the
Cavity
of
his
Breast
,
which
prest
upon
his
Diaphragm
,
as
if
he
would
in
a
short
time
dye
of
a
Consumption
.
By
reason
of
the
Acute
Consumption
which
was
upon
him
,
and
his
Weakness
,
I
dare
not
try
to
evacuate
the
Matter
by
Catharticks
,
nor
to
let
it
out
by
a
Paracentesis
;
because
as
they
that
were
about
him
were
against
it
,
so
indeed
there
appeared
no
protuberance
in
the
Hypochondres
,
to
shew
the
right
place
where
the
aperture
should
be
made
.
And
therefore
for
the
present
I
resolved
to
bring
the
business
about
by
a
long
and
slow
Method
,
by
ordering
a
Milk
Diet
to
temper
his
Blood
,
and
the
frequent
use
of
the
following
Apozeme
,
partly
Pectoral
,
and
partly
Diuretick
,
with
which
(
if
it
were
possible
)
I
might
bring
away
the
Matter
by
the
Urinary
passages
without
any
loss
of
his
strength
:
The
form
of
the
Apozeme
was
this
which
follows
.
Take
the
Seeds
of
Mallows
,
of
Marsh-mallows
,
of
each
three
Drams
,
the
four
greater
cold
Seeds
,
of
each
a
Dram
,
of
red
Cicers
an
Ounce
,
of
Winter-Cherries
two
Drams
,
the
Leaves
of
Colts-foot
,
Maiden-hair
,
of
each
a
handful
,
seven
Figgs
,
fifteen
Sebestens
,
Liquorice
sliced
an
Ounce
,
boyl
them
in
two
Quarts
of
Spring-water
to
a
Quart.
To
the
Liquor
when
it
is
strained
add
of
Syrup
of
Marsh-mallows
an
Ounce
.
Mingle
them
,
and
make
an
Apozeme
.
With
this
Management
(
and
the
addition
of
a
Pearl
Julep
,
and
a
Pectoral
Linctus
)
his
strength
seemed
to
be
much
mended
.
But
upon
that
there
arose
an
Universal
Dropsie
,
which
increased
so
much
,
that
the
poor
Patient
seemed
every
day
ready
to
dye
for
want
of
Breath
.
But
with
the
plentiful
use
of
Salt
of
Amber
,
gentle
Purges
,
and
Chalybeate
Electuaries
(
Balsamick
and
Pectoral
Medicines
being
always
mixt
with
them
)
he
grew
perfectly
well
of
his
Consumption
and
Dropsie
both
,
with
the
help
of
the
Spring
,
and
Country
Air
,
and
is
yet
living
,
in
health
,
strong
,
and
lusty
,
following
his
Business
of
Merchandize
.
History
2.
Mr.
Gifford's
Daughter
in
Fleet-Lane
,
about
the
Eighth
Year
of
her
Age
was
taken
with
an
Inflammatory
Fever
,
a
Pain
in
her
Side
,
and
a
troublesome
and
dry
Cough
.
I
being
called
after
the
Second
or
Third
day
of
the
Disease
,
judging
by
the
Diagnostick
Signs
that
the
Patient
had
a
Pleurisy
,
ordered
a
Vein
to
be
opened
once
,
and
again
,
Liniments
and
Fomentations
to
be
applyed
externally
;
and
likewise
Expectorating
Medicines
to
be
given
her
plentifully
(
which
she
took
too
sparingly
:
)
I
ordered
likewise
Blisters
as
it
was
necessary
upon
the
account
of
her
Fever
,
and
the
Affection
of
her
Nerves
,
and
Pearl
Juleps
made
of
Cephalick
and
Cordial
Waters
.
After
the
use
of
these
things
,
the
Inflammatory
Fever
turned
to
a
Hectick
,
and
the
Convulsive
Pain
of
her
Side
into
a
Gravative
Pain
,
and
thereupon
all
the
Symptoms
appeared
more
mild
.
But
because
no
Phlegm
could
by
any
Art
be
brought
out
of
the
Lungs
by
Coughing
,
I
did
much
suspect
that
the
Putrid
Phlegm
which
had
been
concocted
in
the
Lungs
,
had
found
some
other
way
through
the
very
substance
of
them
into
the
Cavity
of
the
Breast
,
and
that
my
poor
Patient
would
at
last
dye
of
an
Empyical
Consumption
,
caused
by
the
Pleurisy
,
for
want
of
Expectoration
.
And
indeed
I
was
not
much
out
in
my
Conjecture
:
For
after
the
poor
Girle
had
lain
languishing
for
Twenty
days
after
the
end
of
the
true
Pleurisy
,
every
day
pining
away
with
a
continual
Hectick
Fever
,
a
redness
in
her
Cheeks
often
returning
,
the
palms
of
her
Hands
very
dry
,
with
a
dry
and
troublesome
Cough
,
pertinacious
Watchings
,
shortness
of
Breath
,
and
other
expensive
Symptoms
;
at
last
she
began
to
complain
of
a
gravative
pain
of
her
Side
about
the
left
Hypochondre
,
which
increased
so
one
day
after
another
,
that
at
last
she
could
not
be
moved
,
nor
set
upright
without
crying
out
.
But
after
the
Thirtieth
day
of
the
Disease
looking
upon
the
Part
affected
,
I
found
it
swelled
,
and
rising
a
little
with
a
point
.
But
yet
I
stay'd
till
the
fortieth
day
,
and
then
Mr.
Hollier
,
a
very
Skilful
Surgeon
,
being
called
in
,
we
took
out
by
degrees
the
putrid
Phlegm
by
a
Paracentesis
made
a
little
above
the
Diaphragm
in
the
space
of
a
Month
:
For
by
reason
of
the
emaciated
state
of
her
Body
she
could
not
bear
the
taking
away
of
much
at
a
time
.
But
for
a
Year
or
two
the
Wound
was
designedly
kept
open
in
the
same
part
,
like
as
an
Issue
.
In
the
mean
time
making
use
of
a
Milk
Diet
,
Balsamick
Medicines
,
Wood-lice
,
and
drinking
freely
and
a
long
time
a
Vulnerary
Decoction
of
Sarsa
,
&c.
(
with
the
help
of
the
Country
Air
)
interposing
likewise
at
due
intervals
,
and
according
to
the
strength
of
the
Patient
,
Purges
made
of
Calomelanos
and
Diagrydium
,
at
length
she
recovered
out
of
her
Consumptive
state
,
having
got
a
good
Colour
,
and
Flesh
,
and
so
she
continued
for
several
Years
without
the
least
Symptom
of
her
former
Distemper
,
but
only
that
she
was
somewhat
drawn
in
with
a
crookedness
on
the
Side
that
had
been
affected
,
to
her
dying
day
,
when
she
was
taken
off
by
a
Malignant
Fever
.
CHAP.
XI
.
Of
a
Consumption
proceeding
from
the
Gout
,
and
from
a
Rheumatism
.
There
is
a
Colliquation
in
a
Gout
and
Rheumatism
.
IN
a
Gout
and
Rheumatism
,
especially
that
which
is
true
,
and
Humorose
(
which
is
caused
by
a
sharp
Ferment
supplyed
from
the
Nerves
)
there
is
such
an
evident
Colliquation
in
the
whole
Mass
of
Blood
,
that
no
Body
can
reasonably
think
it
strange
,
that
a
Consumption
should
arise
from
these
Distempers
(
but
especially
when
they
are
stubborn
,
and
Chronical
,
and
return
often
.
)
And
hereupon
it
is
an
easie
matter
to
observe
,
that
a
Rheumatick
Pain
,
In
Rheumatick
Pains
there
is
a
Cough
.
coming
from
the
taking
of
Cold
,
seldom
if
ever
is
wont
to
seize
upon
the
Joynts
without
a
Pulmonary
Cough
.
And
as
I
have
seen
that
great
Man
,
the
Lord
Bridgman
,
Mr.
Philips
,
and
Mr.
Tibs
,
and
many
others
,
after
frequent
and
long
Fits
of
the
Gout
and
Rheumatism
,
dye
at
last
of
a
Consumption
or
Asthma
;
so
I
have
likewise
observed
,
that
sometimes
an
Acute
and
Fatal
Consumption
has
followed
upon
the
first
Fit
of
a
Rheumatism
.
This
Consumption
it
sometimes
Acute
.
This
Consumption
when
it
seizes
them
from
the
first
Invasion
of
a
Rheumatism
,
happens
sometimes
to
be
Acute
,
for
this
Reason
;
because
it
proceeds
from
a
Colliquation
of
the
Humours
in
an
Acute
Fit
of
a
Humorose
Rheumatism
.
And
therefore
because
it
partakes
of
the
Nature
of
an
ordinary
Consumption
,
And
must
be
treated
with
the
general
Method
.
it
ought
to
be
treated
wholly
in
the
General
Method
;
that
is
,
with
the
use
of
Lubricating
,
Incrassating
,
Opiate
,
and
other
Pectoral
Medicines
.
And
indeed
it
has
been
my
Practice
,
and
that
with
very
good
Success
,
to
prescribe
in
every
Rheumatick
Fit
the
plentiful
use
of
Pectoral
,
Lubricating
,
and
Incrassating
Apozemes
and
Linctuses
,
though
there
be
no
urgent
Cough
,
nor
difficulty
of
Breathing
,
not
only
to
temper
and
soften
the
Blood
,
but
likewise
to
prevent
a
Consumption
,
which
uses
often
to
be
the
effect
of
a
Rheumatism
.
But
whenever
this
Consumption
proceeds
from
an
old
Gout
,
or
a
Rheumatism
,
When
it
comes
from
an
old
Gout
,
&c.
't
is
Chronical
.
that
has
returned
frequently
,
it
is
plainly
Chronical
,
and
does
gradually
in
several
Years
create
trouble
to
the
Lungs
,
and
the
Parts
that
serve
for
Respiration
.
And
indeed
it
is
of
an
Asthmatick
kind
,
And
of
an
Asthmatick
kind
.
attended
rather
with
a
difficulty
of
Breathing
from
the
toughness
of
the
Phlegm
,
than
a
pertinacious
Cough
.
Because
it
seems
to
arise
rather
from
a
Stupor
of
the
Nerves
,
than
from
a
Colliquation
of
the
Humours
.
But
yet
this
Asthmatical
Consumption
to
me
seems
to
be
of
a
peculiar
Nature
,
But
of
a
peculiar
Nature
.
because
it
is
not
at
all
relieved
by
the
choice
of
a
good
Air.
For
I
have
observed
,
that
this
kind
of
Consumptive
Persons
,
though
they
be
likewise
Asthmatical
,
breath
as
well
in
a
foggy
and
smoaky
Air
,
as
in
that
which
is
thin
and
open
.
And
from
thence
also
it
comes
to
pass
,
that
Lubricating
,
and
Expectorating
Medicines
do
no
good
in
this
case
,
though
Incrassating
,
and
Opiate
Medicines
are
fatally
Mischievous
.
But
there
is
more
Relief
to
be
expected
from
the
frequent
and
plentiful
giving
of
Spirit
of
Hartshorn
,
of
Salt
Armoniack
,
and
Chymical
Oyl
of
Juniper
,
and
other
things
of
that
Nature
,
that
excite
the
Spirits
,
and
comfort
the
Nerves
,
than
from
any
Opiates
,
or
Pectoral
Medicines
.
As
the
Consumption
proceeds
,
the
Pains
abate
.
The
more
this
Asthmatical
Consumption
grows
upon
the
Patient
,
the
more
the
Rheumatick
Pains
and
Swellings
are
wont
to
abate
.
And
a
true
and
genuine
Humorose
Rheumatism
,
long
before
it
becomes
Mortal
,
degenerates
into
a
Nervous
Rheumatism
,
attended
with
pains
running
up
and
down
,
but
with
no
evident
Swelling
.
When
a
Rheumatick
Consumption
is
incurable
.
This
Rheumatick
Consumption
,
proceeding
from
a
Chronical
Rheumatism
,
and
happening
to
those
that
are
Old
,
(
so
far
as
I
understand
)
is
plainly
incurable
.
For
it
is
a
sign
that
Nature
absolutely
sinks
,
and
is
now
overcome
in
the
last
Scene
of
a
Rheumatism
.
Gentle
Vomits
are
good
Gentle
Vomits
repeated
at
due
intervals
(
especially
if
the
Patient
bears
them
well
,
and
they
are
not
given
when
't
is
too
late
)
do
much
towards
the
promoting
of
the
Cure
of
this
Consumption
;
because
they
open
the
Obstructions
of
the
Brain
and
Nerves
,
and
abate
the
Rheumatick
pains
,
by
taking
off
the
stiffness
,
and
Stupor
of
the
Nervous
parts
;
from
whence
it
comes
to
pass
,
that
a
great
part
of
the
Procatartick
Cause
,
or
that
which
feeds
the
Distemper
,
is
taken
away
.
Bleeding
does
good
in
the
beginning
.
Likewise
Bleeding
in
the
beginning
of
this
Consumption
(
before
the
Habit
of
the
Body
is
too
much
extenuated
)
does
a
great
deal
of
good
,
not
only
by
abating
the
Hectick
heat
,
and
the
Rheumatick
pains
,
but
also
by
relieving
the
difficulty
of
Breathing
.
When
the
Distemper
is
improved
,
it
is
hurtful
.
But
in
the
progress
of
the
Distemper
,
when
a
great
Emaciation
has
before
seized
the
whole
Habit
of
the
Body
,
as
I
have
often
observed
Nature
to
be
more
weakned
,
so
their
Respiration
to
be
rendred
more
difficult
with
Bleeding
.
And
indeed
I
do
not
at
all
doubt
,
but
this
Asthmatical
Consumption
does
often
proceed
from
Bleeding
profusely
,
and
the
often
repeating
of
it
in
the
Fits
of
a
Rheumatism
;
the
Crasis
of
the
Blood
being
thereby
destroy'd
,
and
the
whole
Mass
of
it
impoverisht
,
as
it
uses
to
happen
in
all
immoderate
Haemorrhages
.
I
have
likewise
very
often
by
Experience
found
the
extraordinary
Vertue
of
the
Peruvian
Bark
in
extinguishing
the
Colliquative
Hectick
Flame
,
which
has
been
kindled
in
the
Blood
,
The
Peruvian
Bark
does
well
.
and
is
left
there
by
its
Rheumatick
state
,
which
Flame
,
unless
it
is
taken
away
either
by
some
Art
,
or
by
Nature
,
does
most
certainly
prepare
the
way
to
this
Pulmonary
Consumption
.
I
have
observed
likewise
that
Chalybeate
Medicines
do
for
the
same
Reason
conduce
very
much
in
the
beginning
of
this
Distemper
,
So
Chalybeate
Medicines
.
at
least
to
the
gaining
of
some
respite
,
if
not
to
a
perfect
Cure
;
but
especially
the
Chalybeate
Waters
,
if
it
be
not
too
late
when
they
are
drank
,
if
they
pass
plentifully
enough
by
Urine
.
The
use
also
of
Natural
and
Artificial
Baths
,
And
Baths
.
if
they
are
used
before
the
Habit
of
the
Body
is
too
much
extenuated
,
is
wont
to
promote
the
Cure
of
this
Consumption
very
much
at
the
beginning
,
by
opening
the
Obstructions
of
the
Nervous
parts
every
where
.
A
Milk
Diet
is
likewise
very
beneficial
at
the
first
Invasion
of
this
Distemper
,
And
a
Milk
Diet
at
the
beginning
.
by
lessening
the
flame
that
is
kindled
in
the
Blood
,
and
correcting
the
preternatural
Acrimony
of
it
.
Though
it
must
be
confest
it
does
not
so
well
agree
with
these
Patients
in
the
progress
of
the
Distemper
,
when
once
there
comes
to
be
a
difficulty
of
Breathing
;
because
it
uses
to
cause
a
greater
toughness
of
the
Phlegm
,
that
is
lodged
in
the
branches
of
the
Wind-pipe
.
And
it
may
be
this
Conjecture
is
grounded
upon
very
good
Reason
,
to
wit
,
that
the
using
of
Milk
too
much
in
a
Rheumatism
,
does
very
much
dispose
the
Patient
to
this
Asthmatical
Consumption
.
History
1.
Mrs.
Laurence
,
about
the
Five
and
Thirtieth
Year
of
her
Age
,
at
which
time
too
she
was
big
with
Child
,
fell
into
an
Universal
Rheumatism
,
and
committed
her self
to
the
care
of
a
certain
Apothecary
for
several
Months
;
till
at
length
with
a
Cough
,
difficulty
of
Breathing
,
Hectick
Fever
,
Emaciation
,
and
other
Symptoms
of
this
kind
,
which
she
then
had
upon
her
,
it
was
uncertain
whether
she
would
dye
of
a
Rheumatism
,
or
of
a
Consumption
;
the
Rheumatism
(
which
before
was
a
genuine
one
)
being
degenerated
into
a
Nervous
Rheumatism
,
attended
with
a
rigidity
,
and
a
wandring
pain
in
the
Limbs
,
but
with
no
Swelling
.
At
which
time
,
being
the
25th
.
of
October
,
1686.
I
being
sent
for
,
ordered
an
Electuary
with
the
following
Julep
to
temper
the
Rheumatick
and
Hectick
heat
of
the
Blood
and
Spirits
,
and
to
allay
the
Hysterical
Affections
arising
from
thence
.
Take
the
Old
Conserve
of
Red
Roses
,
of
Hipps
strained
through
a
Sieve
,
of
each
an
Ounce
,
Lavender-flowers
pouder'd
,
Magistery
of
Coral
,
of
each
a
Dram
,
of
Syrup
of
Corals
a
sufficient
quantity
.
Mix
them
,
and
make
an
Electuary
,
of
which
let
her
take
the
quantity
of
a
Nutmeg
every
six
hours
.
Take
the
Waters
of
Rue
,
Black-Cherries
,
of
each
four
Ounces
,
of
Barley
Cinnamon-water
three
Ounces
,
the
Compound
Waters
of
Piony
,
of
Briony
,
of
each
an
Ounce
and
half
,
of
prepared
Pearl
a
Dram
and
half
,
of
fine
Sugar
a
sufficient
quantity
to
sweeten
them
.
Mingle
them
,
and
make
a
Julep
,
of
which
let
her
take
four
or
five
Spoonfuls
after
every
Dose
of
the
Electuary
,
and
likewise
at
other
times
when
she
has
a
mind
to
it
.
To
help
the
pains
and
stiffness
of
her
Joynts
,
I
ordered
that
same
Night
Blistering-Plaisters
to
be
applyed
to
the
inside
of
her
Arms
,
near
the
Arm-pits
;
and
I
tryed
a
gentle
Evacuation
by
Stool
with
two
Ounces
of
Tinctura
Sacra
,
which
she
bore
well
.
I
ordered
the
following
Paregorick
Draught
to
be
taken
when
she
was
to
go
to
Rest
.
Take
of
Red
Poppy-water
three
Ounces
,
Barley-Cinnamon-water
an
Ounce
,
of
Compound
Piony-water
two
Drams
,
Salt
of
Wormwood
six
Grains
,
Syrup
of
Meconium
six
Drams
:
Mix
them
,
and
make
a
Draught
.
October
28.
I
gave
her
the
following
Vomit
.
Take
of
the
Infusion
of
Crocus
Metallorum
an
Ounce
,
Syrup
of
Violets
two
Drams
.
Mix
them
,
and
let
them
be
given
for
a
Vomit
about
five
a
Clock
in
the
Afternoon
with
due
care
and
management
;
and
(
if
it
be
necessary
)
let
her
take
between
her
Vomiting
a
Scruple
of
Salt
of
Vitriol
twice
or
thrice
in
a
Draught
of
warm
Posset-Ale
.
I
ordered
also
the
following
Paregorick
Draught
to
be
taken
when
the
Vomit
had
done
working
.
Take
of
Mint-water
half
an
Ounce
,
Dr.
Stephen's
Water
three
Drams
,
Barley-Cinnamon-water
,
the
Cordial
Milk-water
,
of
each
an
Ounce
,
of
Meconium
six
Drams
.
Mix
them
,
and
make
a
Draught
.
From
the
Vomit
she
found
an
Universal
Relief
,
and
that
not
only
from
the
Symptoms
of
her
Consumption
,
but
also
of
her
Rheumatism
.
And
therefore
after
three
days
I
ordered
the
repetition
of
the
Vomit
;
and
then
I
endeavoured
to
extinguish
the
Hectick
flame
,
which
had
been
kindled
in
the
Blood
by
the
Rheumatism
,
and
thereby
to
take
care
of
her
Lungs
,
which
had
been
injured
by
it
,
in
the
manner
following
.
Take
a
sufficient
quantity
of
the
Ingredients
of
the
Pectoral
Decoction
,
of
the
Peruvian
Bark
an
Ounce
,
Balsam
of
Tolu
a
Dram
;
boyl
them
in
a
sufficient
quantity
of
Spring-water
to
a
pint
and
half
;
to
the
Liquor
when
it
is
strained
add
distilled
Treacle-water
,
the
Balsamick
Syrup
,
of
each
an
Ounce
and
half
.
Mix
them
,
and
make
an
Apozem
,
of
which
let
her
take
four
Ounces
three
times
a
day
for
six
days
together
,
taking
always
in
the
Night-draught
fifteen
drops
of
Helmont's
Liquid
Laudanum
,
if
any
Gripes
,
or
Looseness
,
or
want
of
Rest
should
trouble
her
.
When
she
had
done
using
the
Apozeme
,
I
ordered
the
Emetick
Potion
to
be
repeated
,
and
afterwards
,
sc.
Novemb.
13.
I
prescribed
the
following
Pills
.
Take
of
the
Peruvian
Bark
finely
pouder'd
an
Ounce
,
Mucilage
of
Gum
Tragacanth
a
sufficient
quantity
:
Mix
them
,
and
make
them
into
Pills
of
a
middle
size
,
to
be
gilt
,
of
which
let
her
take
six
Morning
and
Evening
,
from
day
to
day
.
With
the
use
of
which
she
grew
perfectly
well
,
being
plainly
freed
not
only
from
the
pains
,
and
stiffness
of
her
Limbs
,
but
likewise
from
her
Cough
,
difficulty
of
Breathing
,
Oppression
,
Fever
,
and
all
the
other
Symptoms
of
a
Pulmonary
Consumption
.
Her
Appetite
also
returned
,
and
at
length
she
likewise
recovered
her
Strength
,
and
her
Flesh
,
and
still
enjoys
very
good
Health
,
without
any
return
of
her
Rheumatism
,
or
Consumption
.
History
2.
Mrs.
Covert
,
a
Virgin
,
about
the
Eighteenth
Year
of
her
Age
fell
into
a
Continual
Fever
,
which
at
length
was
followed
by
another
that
was
Intermittent
,
which
continued
for
the
space
of
Eleven
or
Twelve
Months
.
But
this
went
away
of
its
own
accord
,
only
a
Humorose
Rheumatism
succeeded
to
it
.
But
the
Fever
and
Rheumatism
in
process
of
time
being
(
I
know
not
by
what
means
)
in
some
measure
overcome
,
yet
the
poor
Virgin
remained
continually
Hectical
,
Coughing
,
Short
breath'd
,
very
much
Emaciated
,
and
pale
as
if
she
had
no
Blood
in
her
,
presenting
in
a
manner
an
Hippocratical
Face
.
Moreover
the
Tendons
of
her
Muscles
were
almost
universally
stiff
by
reason
of
a
preternatural
thickness
and
hardness
in
them
,
the
Trophies
of
her
former
Rheumatism
,
so
that
all
her
Joynts
,
not
only
the
lesser
ones
of
her
Feet
and
Hands
,
but
also
the
larger
being
plainly
unable
to
do
their
Office
,
or
at
least
doing
it
with
a
great
deal
of
difficulty
and
pain
,
she
continued
almost
always
fixt
to
her
Chair
or
Bed
like
an
Image
.
She
was
likewise
many
times
seized
with
wandring
,
and
shifting
,
spasmodick
,
and
dreadful
pains
up
and
down
all
about
her
Breast
,
and
troubled
with
Hysterical
Faintings
,
and
Fits
of
a
Fever
often
returning
at
uncertain
times
.
To
all
these
Symptoms
there
were
joyned
a
continual
languishing
Weakness
,
a
want
of
Appetite
,
and
a
suppression
of
her
Courses
.
The
universal
Habit
of
her
Body
too
seemed
to
me
to
be
very
Scorbutical
.
A
case
verily
(
if
any
is
so
)
very
deplorable
,
which
yet
(
with
the
Blessing
of
God
)
I
did
help
by
our
Art
in
the
following
manner
.
Going
to
see
this
poor
Virgin
on
the
Thirtieth
day
of
May
1683.
to
temper
the
Scorbutical
sharpness
of
her
Blood
,
and
to
ease
in
some
measure
her
wandring
Pains
,
which
as
they
had
continued
a
long
time
,
so
they
did
not
a
little
wear
out
oppressed
Nature
,
I
ordered
Calomelanos
,
Diagrydium
,
of
each
fourteen
Grains
,
Syrup
of
Succory
with
Rhubarb
a
sufficient
quantity
.
Mix
them
,
and
make
a
Bolus
,
to
be
taken
in
the
Morning
with
due
care
.
I
likewise
ordered
two
Scruples
of
Wood-lice
prepared
,
and
Crabs-eyes
prepared
,
mixt
together
,
to
be
given
three
times
a
day
at
Physical
hours
in
a
spoonful
of
the
following
Julep
,
drinking
three
or
four
spoonfuls
of
it
after
them
.
Take
the
Waters
of
Baum
,
Black-Cherries
,
the
Cordial
Milk-water
,
of
each
four
Ounces
,
Barley
Cinnamon-water
,
Epidemick-water
,
of
each
three
Ounces
,
of
Sugar
of
Pearl
six
Drams
.
Mix
them
,
and
make
a
Julep
.
I
also
ordered
the
following
Bag
to
be
hung
in
three
Gallons
of
midling
Ale
for
her
ordinary
Drink
.
Take
the
Roots
of
sharp
pointed
Dock
,
of
Male-Piony
,
of
each
two
Ounces
,
Garden
and
Sea
Scurvy-grass
,
of
each
three
handfuls
,
Brook-lime
,
Water-cresses
,
Tun-hoof
,
Pine-tops
,
of
each
two
handfuls
,
of
Aniseeds
an
Ounce
.
Mix
them
,
and
make
a
Bag.
On
the
Second
of
June
,
because
the
form
of
a
Pouder
was
not
so
grateful
to
her
,
and
that
I
might
promote
the
opening
of
Obstructions
,
instead
of
the
Pouder
I
substituted
the
following
Electuary
.
Take
the
Conserves
of
Hipps
and
Red
Roses
,
of
each
half
an
Ounce
,
of
Wood-lice
prepared
a
Dram
and
half
,
Crabs-eyes
prepared
two
Scruples
,
Salt
of
Steel
twelve
Grains
,
Syrup
of
Steel
a
sufficient
quantity
.
Mix
them
,
and
make
an
Electuary
,
of
which
let
her
take
the
quantity
of
a
Nutmeg
every
six
hours
,
drinking
a
Draught
of
the
Julep
after
it
.
I
ordered
likewise
a
Scruple
of
the
Stomack-Pills
with
Gums
to
be
taken
the
Night
following
.
June
5th
.
because
the
form
of
an
Electuary
did
not
please
her
,
I
substituted
a
Chalybeate
Syrup
in
the
room
of
it
for
the
same
intention
.
And
because
she
was
not
easie
to
work
upon
,
I
ordered
instead
of
the
former
,
the
following
Pills
to
be
made
up
.
For
the
Syrup
,
Take
of
the
Chalybeate
Wine
a
Quart
,
Tincture
of
Saffron
,
of
Castor
,
of
each
an
Ounce
,
of
fine
Sugar
a
sufficient
quantity
.
Boyl
them
to
the
consistence
of
a
Syrup
.
Let
her
take
two
spoonfuls
of
it
in
the
Morning
,
and
at
five
a
Clock
in
the
Afternoon
on
those
days
she
does
not
Purge
,
by
it self
,
or
diluted
with
Carduus-water
.
For
the
Pills
,
Take
the
Stomack-Pills
with
Gums
,
Aloes
Rosate
,
of
each
fifteen
Grains
,
of
Salt
of
Wormwood
four
Grains
,
Elixir
Proprietatis
a
sufficient
quantity
.
Mix
them
,
and
make
them
into
four
Pills
,
to
be
taken
on
the
Morrow
Night
,
without
any
strict
Confinement
.
I
likewise
ordered
the
Tendons
,
that
were
indurated
and
contracted
by
reason
of
their
thickness
,
so
as
to
be
painful
,
to
be
anointed
twice
a
day
with
Oyl
of
Amber
,
and
Compound
Spirit
of
Lavender
,
o●
each
equal
quantities
before
a
good
Fire
,
and
to
put
a
Flannel
upon
them
.
Though
the
swelling
of
the
Tendons
seemed
to
be
lessened
,
and
her
stiff
Joynts
to
be
rendred
something
more
fit
for
motion
with
the
use
of
these
things
,
yet
the
System
of
the
Nerves
seemed
now
and
then
to
be
grievously
affected
from
her
Hysterical
Fainting
Fits
often
returning
.
And
therefore
on
the
Ninth
of
June
I
ordered
four
or
five
Spoonfuls
of
the
following
Julep
to
be
given
her
when
she
was
faint
.
Take
the
Waters
of
Bawm
,
Black-Cherries
,
of
each
three
Ounces
,
the
Compound
Waters
of
Bryony
and
Piony
,
of
each
an
Ounce
,
of
Tincture
of
Caster
a
Dram
,
Spirit
of
Salt
Armoniack
half
a
Dram
,
Compound
Syrup
of
Piony
ten
Drams
.
Mix
them
,
and
make
a
Julep
.
I
repeated
the
Bag
of
Antiscorbutick
Ingredients
,
and
ordered
the
Purging
Pills
to
be
taken
every
fourth
Night
.
The
Nerves
having
been
relieved
three
or
four
times
with
the
use
of
the
Julep
,
that
had
been
prescribed
,
I
observed
besides
her
continual
Hectick
Heat
,
sometimes
also
a
Fit
of
a
true
Intermitting
Fever
,
seizing
her
first
with
a
chilness
,
and
going
off
with
profuse
Sweats
,
though
't
was
by
uncertain
intervals
.
And
thereupon
I
did
not
without
reason
suspect
that
her
loss
of
Appetite
,
her
continual
Hectick
Fever
,
and
Universal
Weakness
,
did
proceed
from
this
Feverish
Ferment
lurking
within
,
which
had
never
yet
been
thrown
out
of
the
Mass
of
Blood
;
and
which
hitherto
had
so
like
a
Proteus
in
various
shapes
deceived
my
sight
.
And
therefore
now
I
go
,
and
encounter
this
Enemy
with
all
the
Power
of
the
Peruvian
Bark
:
For
I
promised
my self
(
and
my
hopes
were
not
frustrated
,
as
the
Event
did
afterwards
prove
)
that
when
this
Enemy
was
vanquisht
,
the
state
of
her
Health
would
be
very
much
restored
upon
it
;
however
Baths
,
Fomentations
,
and
other
things
of
that
kind
would
be
of
great
use
to
extirpate
fully
the
Trophies
of
the
Gout
,
which
were
left
in
her
knotted
and
weakned
Joynts
.
And
therefore
,
June
13.
I
ordered
the
following
Draught
to
be
given
,
and
to
be
repeated
every
four
hours
,
for
seven
or
eight
times
.
Take
Baum-water
,
Black-Cherry-water
,
of
each
an
Ounce
,
Epidemick-water
,
Syrup
of
Clove-Gilly-flowers
,
of
each
two
Drams
,
of
the
Peruvian
Bark
finely
pouder'd
a
Dram
;
mix
them
,
and
make
a
Draught
.
I
ordered
likewise
the
following
Julep
to
be
taken
by
spoonfuls
when
she
was
faint
.
Take
of
Carduus-water
six
Ounces
,
Barley-Cinnamon-water
four
Ounces
,
strong
Piony-water
two
Ounces
,
prepared
Pearl
a
Dram
and
half
,
white
Sugar
five
Drams
.
Mix
them
,
and
make
a
Julep
.
June
15.
Take
of
the
Peruvian
Bark
finely
pouder'd
five
Drams
,
the
Mucilage
of
Gum
Tragacanth
a
sufficient
quantity
:
Make
them
up
into
Pills
of
a
middle
size
to
be
gilt
,
of
which
let
her
take
six
at
four
a
Clock
in
the
Afternoon
,
and
when
she
goes
to
Rest
from
day
to
day
,
taking
every
Morning
the
Chalybeate
Syrup
before
ordered
.
Let
the
Bag
of
Antiscorbutick
Ingredients
be
likewise
renewed
.
But
though
the
Patient
was
perfectly
freed
from
the
Fever
Fits
,
yet
still
her
sickness
at
her
Stomack
,
and
want
of
Appetite
continued
,
together
with
her
Weakness
,
and
the
other
Trophies
of
her
inveterate
Enemy
.
And
therefore
though
I
changed
the
form
of
the
Medicine
,
yet
I
still
pursued
the
Enemy
,
that
was
now
plainly
upon
its
flight
,
with
the
Bark
,
in
the
manner
following
.
Take
of
the
Ingredients
of
the
Purging
bitter
Decoction
a
sufficient
quantity
,
Salt
of
Wormwood
half
a
Dram
,
the
Peruvian
Bark
pouder'd
half
an
Ounce
:
Infuse
them
in
a
due
manner
,
and
boyl
them
in
a
sufficient
quantity
of
Spring-water
to
twelve
Ounces
.
Let
her
take
four
Ounces
of
the
Liquor
prest
out
hard
from
the
Ingredients
,
every
Morning
,
and
repeat
it
for
three
days
together
,
continuing
the
use
of
the
Chalybeate
Syrup
at
Four
a
Clock
in
the
Afternoon
.
June
27.
I
ordered
the
following
Bolus
to
be
taken
every
six
hours
,
with
four
Ounces
of
the
following
Apozem
,
for
three
days
together
.
Take
of
the
Peruvian
Bark
finely
pouder'd
half
a
Dram
,
Syrup
of
Mugwort
a
sufficient
quantity
;
mix
them
,
and
make
a
Bolus
.
Take
of
the
Peruvian
Bark
pouder'd
half
an
Ounce
,
infuse
and
boyl
it
in
Carduus-water
and
White-Wine
,
of
each
a
sufficient
quantity
,
to
twelve
Ounces
.
Strain
it
out
for
use
.
July
6.
Because
the
Nervous
Parts
seemed
still
to
be
somewhat
affected
,
I
ordered
her
three
of
the
following
Pills
to
be
taken
three
times
a
day
at
Physical
hours
,
and
to
drink
four
Ounces
of
the
Tincture
of
the
Bark
just
before
prescribed
.
Take
of
the
Pouder
of
the
Peruvian
Bark
two
Drams
,
Troches
of
Myrrh
a
Dram
,
Castor
,
Ens
Veneris
,
of
each
two
Scruples
,
the
Mucilage
of
Gum
Tragacanth
a
sufficient
quantity
.
Mix
them
,
and
make
them
into
Pills
of
a
middle
size
,
to
be
guilt
.
With
this
plentiful
use
of
the
Bark
,
though
it
was
given
in
several
forms
,
my
Patient
was
in
a
wonderful
manner
recover'd
to
a
state
of
Health
,
so
as
to
be
every
way
well
,
and
was
perfectly
freed
from
all
the
Symptoms
of
her
Consumption
and
Rheumatism
;
but
only
that
the
Tendons
and
Joynts
,
especially
those
of
her
Hands
,
continued
stiff
,
and
likewise
something
swell'd
,
and
she
did
not
yet
gather
Flesh
enough
.
And
therefore
when
I
had
by
way
of
Preparation
taken
care
to
Purge
her
with
fifteen
Grains
of
Extractum
Rudii
,
and
a
Scruple
of
the
Fetid
Pill
,
I
sent
her
down
to
the
Bath
to
use
those
Waters
,
both
outwardly
by
bathing
,
and
inwardly
by
drinking
them
for
six
Weeks
,
ordering
the
Tendons
,
and
Joynts
that
were
swell'd
at
the
end
of
every
bathing
,
to
be
embrocated
for
a
good
while
and
freely
with
the
Waters
of
the
King's
Bath
,
and
the
same
Parts
(
when
she
was
laid
in
her
Bed
,
and
disposed
to
sweat
)
to
be
a
good
while
anointed
with
the
following
Liniment
.
Take
Oyntment
of
Marsh-mallows
,
Nerve
Oyntment
,
of
each
an
Ounce
,
Oyl
of
Scorpions
,
of
white
Lillies
,
of
each
half
an
Ounce
,
of
Chymical
Oyl
of
Aniseeds
three
Drams
:
Mix
them
,
and
make
a
Liniment
.
And
for
fear
she
should
be
faint
in
the
use
of
the
Bath
,
she
had
the
following
Cordial
in
readiness
,
to
be
taken
by
spoonfuls
at
any
time
when
she
pleased
.
Take
the
Epidemick-Water
,
Dr.
Stephens
's
Water
,
of
each
half
a
Pint
,
of
Syrup
of
Clove-Gillyflowers
two
Ounces
.
Mix
them
,
and
make
a
Cordial
Julep
.
In
the
Month
of
September
my
Patient
returned
from
the
use
of
the
Bath
,
having
found
a
great
deal
of
Benefit
:
But
especially
her
Tendons
and
Joynts
,
that
were
affected
,
were
very
much
restored
by
it
;
to
promote
the
Cure
of
which
yet
farther
,
I
advised
her
to
use
one
of
our
Bagnio's
here
at
London
twice
or
thrice
a
Week
,
together
with
the
following
Medicines
.
Sept.
4.
1683.
Take
of
the
best
Sarsaparilla
four
Ounces
,
China-Roots
an
Ounce
and
half
,
shavings
of
Ivory
,
of
Hartshorn
,
of
each
three
Drams
,
of
Raisins
of
the
Sun
stoned
two
Ounces
,
Liquorice
sliced
half
an
Ounce
,
after
a
due
Infusion
boyl
them
in
four
quarts
of
Spring-water
to
two
quarts
.
Let
her
take
half
a
Pint
of
the
Liquor
strained
thrice
a
day
at
Physical
hours
.
Take
Ceruss
of
Antimony
,
Wood-lice
prepared
,
of
each
a
Dram
and
half
.
Mix
them
together
for
six
Papers
,
of
which
let
her
take
one
three
times
a
day
with
every
Draught
of
the
Decoction
before
prescribed
,
but
especially
when
she
goes
into
the
Bagnio
.
As
soon
as
she
had
made
an
end
of
using
the
Bagnio
,
I
endeavoured
to
promote
a
gentle
Diaphoresis
every
Night
with
the
use
of
the
following
Draught
.
Sept.
12.
1683.
Take
Carduus-water
,
distilled
Treacle-water
,
of
each
an
Ounce
,
of
Ceruss
of
Antimony
a
Scruple
,
Syrup
of
Violets
two
Drams
.
Mix
them
,
and
make
a
Draught
,
to
be
repeated
for
Ten
Nights
together
.
With
the
use
of
which
her
Joynts
and
Tendons
received
a
great
deal
of
benefit
.
But
at
length
for
fear
the
Patient's
relapse
into
an
Intermitting
Fever
at
the
end
of
the
Year
(
of
which
I
had
a
great
and
reasonable
Suspicion
)
should
frustrate
the
perfecting
of
her
Cure
,
I
advised
her
to
repeat
the
use
of
the
Peruvian
Bark
for
several
days
,
to
be
taken
every
fourth
or
fifth
hour
,
in
the
form
of
the
following
Apozem
.
Sept.
20.
1683.
Take
of
the
Peruvian
Bark
pouder'd
an
Ounce
,
boyl
it
in
Carduus-water
and
White-wine
,
of
each
an
equal
quantity
to
a
pint
and
half
,
and
then
let
it
be
prest
out
very
hard
.
Lastly
,
For
the
getting
of
her
Flesh
again
,
and
the
farther
tempering
of
her
Hectick
heat
,
I
advised
her
to
go
into
a
strict
Milk
Diet
,
to
be
used
for
six
Weeks
in
the
Country
Air.
With
the
use
of
which
she
grew
plump
,
and
recovered
her
perfect
Health
,
her
Monthly
Purgations
then
at
length
returning
with
a
florid
colour
,
which
before
this
had
been
quite
stopt
for
four
Years
,
by
reason
of
the
emaciated
and
thin
Habit
of
her
Body
.
But
the
next
Year
,
which
was
1684
in
the
Month
of
June
,
because
of
some
stiffness
,
which
remained
in
the
Tendons
of
her
Wrists
,
and
of
one
Foot
,
she
went
again
to
the
Bath
,
and
afterwards
repeated
the
Milk
Diet.
From
which
time
to
this
present
she
has
enjoyed
perfect
Health
;
and
likewise
having
been
married
,
has
had
Children
.
With
almost
the
same
Method
I
happily
cured
Mr.
Overton
,
living
without
Newgate
,
beyond
the
Expectation
of
all
his
Friends
;
who
with
a
long
Rheumatism
was
at
length
brought
plainly
into
a
Tabid
state
,
with
a
difficulty
of
Breathing
,
a
violent
and
perpetual
Cough
,
a
continual
Hectick
Fever
,
a
spitting
of
Matter
like
Pus
,
and
the
other
signs
of
a
Fatal
Consumption
of
the
Lungs
.
Whose
Case
I
here
forbear
to
recite
for
Brevity's
sake
.
History
3.
Mrs.
Lane
,
a
Barber's
Wife
,
whose
Husband
lived
in
Cow-Lane
,
being
about
Five
and
Thirty
Years
old
,
when
she
had
lived
in
a
Consumptive
state
,
Emaciated
,
and
Coughing
,
for
several
Years
past
,
fell
in
the
Month
of
April
,
1684.
into
a
true
Rheumatism
,
with
violent
Pains
,
and
inflam'd
Swellings
,
which
yet
were
moving
suddenly
from
one
Joynt
to
another
;
with
a
Fever
likewise
,
that
was
evidently
of
a
remitting
kind
,
accompanying
of
it
;
which
had
the
Type
of
a
Tertian
(
which
I
have
very
often
observed
to
be
the
Nature
especially
peculiar
to
a
Rheumatick
Fever
.
)
In
which
case
,
whenever
a
new
Fever-Fit
seizes
the
Patient
,
the
Rheumatick
Pain
and
Swelling
,
which
before
were
almost
quieted
,
are
wont
to
be
renewed
in
the
Parts
that
were
before
affected
,
or
else
by
a
Metastasis
of
the
Matter
(
as
the
Ancients
love
to
speak
)
to
be
translated
to
some
other
Joynts
.
But
the
Fits
were
very
long
,
lasting
for
the
space
of
Twelve
or
Sixteen
hours
,
and
attended
with
a
want
of
sleep
,
light-headedness
,
great
tumbling
and
tossing
,
heat
,
and
a
very
Feverish
Pulse
.
All
which
Symptoms
used
to
be
followed
,
and
go
off
with
great
Sweats
.
But
at
the
beginning
of
every
Fit
I
observed
that
her
Rheumatick
Pains
always
grew
more
sharp
in
the
Joynts
affected
,
or
else
seized
some
other
Joynts
that
were
free
before
.
So
that
a
new
Rheumatism
seemed
to
come
with
every
Fever-Fit
.
Being
called
in
the
time
of
her
Fit
,
I
endeavoured
to
satisfie
the
present
Indications
with
Bleeding
,
Blisters
,
an
Anodyne
Draught
,
Tincture
of
Roses
,
a
Pectoral
Linctus
,
and
a
Pearl
Julep
.
And
indeed
all
the
Symptoms
going
off
at
the
end
of
the
Fit
,
when
I
came
to
see
my
Patient
the
next
day
,
I
reckon'd
the
Distemper
was
overcome
,
and
removed
with
those
things
I
had
ordered
,
till
at
length
by
the
return
of
the
Fever
,
and
Rheumatick
Fit
the
next
Night
,
I
plainly
understood
how
vainly
I
had
hitherto
flattered
my self
.
And
therefore
according
to
the
urgency
of
the
Symptoms
that
indicated
it
,
I
bled
her
again
,
ordering
the
repetition
of
the
Hypnotick
Draught
,
and
likewise
the
application
of
an
Anodyne
Cataplasm
to
the
Joynts
,
that
were
affected
with
extream
pain
from
the
Rheumatism
.
But
after
I
found
the
Type
of
the
Fever
and
Rheumatism
for
two
or
three
times
,
to
be
plainly
a
Tertian
;
and
that
notwithstanding
the
Method
I
had
before
prescribed
,
all
things
continually
grew
worse
,
the
very
System
of
the
Nerves
being
now
at
length
seized
with
Spasms
,
but
especially
in
the
time
of
the
Fit
;
and
her
Mouth
being
likewise
ulcerated
with
a
Thrush
,
being
led
by
a
happy
Conjecture
,
I
betook
my self
in
this
deplorable
case
to
the
use
of
the
Peruvian
Bark
;
prescribing
a
Dram
to
be
given
every
third
or
fourth
hour
,
when
her
Fit
was
off
.
With
the
use
of
which
in
the
space
of
Twenty
Four
hours
,
she
was
freed
both
from
her
Rheumatism
and
Fever
,
without
any
other
Remedy
,
and
was
well
after
her
manner
,
that
is
,
Consumptively
;
but
yet
she
was
less
opprest
in
her
Lungs
,
than
she
had
been
before
she
fell
sick
.
But
as
soon
as
she
got
rid
of
her
Pain
and
Fever
,
she
wholly
neglected
her
Chronical
Consumption
(
which
likewise
seemed
to
be
helpt
with
the
Bleedings
,
the
use
of
the
Bark
,
and
the
other
Medicines
before
prescribed
)
refusing
all
sorts
of
Medicines
;
and
thereupon
after
a
Year
or
two
she
dyed
of
that
Chronical
Consumption
of
the
Lungs
.
CHAP.
XII
.
Of
a
Consumption
proceeding
from
Fevers
,
especially
such
as
are
from
Surfeits
,
Scarlate
,
and
Intermitting
Fevers
;
as
also
from
the
Small-Pox
and
Measles
.
A
Consumption
often
proceeds
from
these
Acute
Diseases
.
I
Have
very
often
seen
a
Consumption
of
the
Lungs
take
its
Original
from
these
Acute
Diseases
.
Neither
indeed
have
we
any
reason
to
think
it
strange
that
a
heat
kindled
in
the
Humours
by
a
Putrid
Fever
is
wont
to
degenerate
so
easily
into
a
Hectick
,
or
Habitual
heat
seated
in
the
Spirits
,
and
solid
Parts
of
the
Body
.
For
when
the
Spirits
and
Humours
in
the
Habit
of
the
Body
have
been
a
long
time
fed
,
or
nourisht
by
the
Blood
too
much
inflamed
and
heated
,
they
do
not
easily
shake
off
that
Preternatural
Heat
.
And
what
wonder
is
it
if
from
this
Hectical
and
fixt
Flame
a
Colliquation
and
Consumption
are
apt
to
follow
?
Especially
from
the
Small-Pox
,
&c.
And
this
is
wont
to
happen
especially
in
the
Small-Pox
,
Measles
,
and
in
Scarlate
,
and
Crapulous
Fevers
.
Because
in
these
Diseases
there
is
so
great
a
Colliquation
of
the
Humours
follows
,
caused
by
that
sharp
heat
that
attends
them
,
that
it
can
hardly
be
stopt
afterwards
;
whereupon
the
new
Chyle
afterwards
cannot
be
united
,
or
assimilated
to
the
Solid
Parts
.
And
from
hence
it
comes
to
pass
,
that
the
Preternatural
Heat
of
the
Parts
is
not
always
quite
extinguisht
by
the
critical
eruption
made
in
the
former
Diseases
,
but
there
still
remains
a
Hectick
heat
in
the
Solid
Parts
,
together
with
a
dry
Cough
,
with
other
signs
of
the
Serous
,
and
Colliquative
state
of
the
Blood
(
after
the
other
Distempers
are
cured
)
which
even
presages
a
Consumption
that
is
to
follow
.
The
most
usual
fore-runner
of
this
Consumption
is
a
light
Peripneumonick
Affection
,
What
is
the
usual
fore-runner
of
this
Consumption
.
or
Scrophulous
Tubercles
bred
in
the
Lungs
themselves
;
which
are
always
wont
to
arise
first
in
the
declension
of
the
former
Diseases
.
From
whence
it
comes
to
pass
,
that
not
only
a
Feverish
Heat
is
kindled
again
,
but
it
likewise
returns
attended
with
a
Cough
,
difficulty
of
Breathing
,
want
of
Rest
,
a
Thirst
,
want
of
Appetite
;
yea
,
and
sometimes
with
a
pain
in
the
Breast
,
and
other
signs
of
an
incipient
Consumption
.
This
Consumption
for
the
most
part
is
Acute
.
For
this
Consumption
for
the
most
part
is
quick
,
and
Acute
,
because
it
comes
upon
Nature
when
she
is
already
weakned
by
the
former
Distemper
;
neither
can
it
be
prevented
,
Bleeding
is
necessary
as
well
to
prevent
as
to
Cure
it
.
or
cured
any
way
without
timely
and
repeated
Bleedings
,
though
the
state
of
the
Patient
seems
never
so
weak
.
And
indeed
the
neglect
of
Bleeding
,
or
doing
of
it
too
late
,
or
too
sparingly
in
the
declension
of
the
preceding
or
Original
Disease
,
uses
for
the
most
part
to
be
the
occasion
of
this
Consumption
.
But
when
we
have
bled
the
Patient
as
often
,
After
which
Expectorating
and
Balsamick
Medicines
must
be
used
.
and
as
much
as
we
ought
to
do
,
the
rest
of
the
Cure
is
to
be
performed
with
the
diligent
use
of
Expectorating
,
and
Balsamick
Medicines
,
already
described
in
the
General
Method
;
as
also
of
a
Milk
Diet
,
and
Temperate
Juleps
.
What
I
have
said
of
a
Consumption
coming
after
the
Measles
,
Small-Pox
,
as
also
Scarlate
,
and
Crapulous
Fevers
,
(
all
which
Diseases
are
of
one
and
the
same
kind
,
to
wit
,
of
a
Serose
,
and
Colliquative
Nature
)
the
same
may
likewise
be
affirmed
with
the
same
Reason
of
all
Scorbutical
and
Chronical
Fevers
;
as
also
,
generally
speaking
,
of
any
kind
of
Fevers
,
that
have
terminated
without
a
fair
and
due
Crisis
.
For
the
Feverish
Ferment
being
in
this
manner
rather
deprest
by
force
,
than
overcome
,
there
succeeds
a
mild
Hectical
Heat
to
the
former
Putrid
Flame
,
which
will
afterwards
introduce
a
Consumption
after
it
.
And
therefore
even
in
the
declension
of
these
Fevers
,
In
the
declension
of
some
Fevers
we
must
bleed
.
what
sort
soever
they
are
of
,
we
ought
to
bleed
,
and
then
finish
the
rest
of
the
Cure
in
the
manner
as
I
have
hinted
in
this
Paragraph
.
Malignant
Fevers
may
bring
a
Consumption
.
And
I
do
not
doubt
but
that
even
Malignant
and
Pestilential
Fevers
,
which
are
wont
to
have
a
Critical
termination
by
Apostemes
and
Ulcers
,
may
likewise
bring
a
Consumption
by
throwing
the
Feverish
Matter
by
the
way
of
a
Crisis
upon
the
tender
Substance
of
the
Lungs
,
from
whence
Swellings
,
and
ill-natur'd
Ulcers
arising
,
are
apt
to
bring
a
very
Acute
Consumption
.
But
the
Cure
of
it
must
be
performed
with
the
timely
and
diligent
use
of
Expectorating
,
Absterging
,
and
Balsamick
Medicines
before
described
;
by
which
means
we
may
as
soon
as
is
possible
clear
the
Lungs
.
Observations
concerning
a
Consumption
from
Intermitting
Fevers
.
But
here
I
have
a
mind
to
add
some
few
things
particularly
of
the
Original
of
a
Consumption
proceeding
from
Intermitting
Fevers
.
Scil.
Observ
.
1
First
,
That
I
have
observed
a
Consumption
to
have
its
Original
from
no
other
Fever
more
frequently
than
from
an
Intermitting
one
.
Which
to
me
seems
to
happen
for
two
Reasons
.
First
,
because
this
Fever
either
from
its
own
peculiar
Nature
(
because
it
has
an
inexhausted
Source
in
the
Habit
of
the
Body
)
or
from
the
neglect
of
giving
Efficacious
Medicines
in
time
,
and
in
a
good
quantity
,
is
very
Chronical
,
and
many
times
though
it
is
driven
away
,
returns
again
;
and
from
thence
it
comes
to
pass
that
at
length
a
Hectical
,
and
continual
heat
is
brought
upon
the
Spirits
and
Solid
Parts
by
this
Putrid
Heat
prevailing
for
a
long
time
;
and
thereupon
there
must
necessarily
follow
a
Serous
Colliquation
of
the
Humours
,
together
with
a
Cough
,
and
the
other
Symptoms
that
accompany
a
Consumption
.
Secondly
,
because
this
sort
of
Patients
,
having
no
suspicion
that
this
kind
of
Distemper
will
be
Mortal
,
as
they
commonly
make
slight
of
it
,
so
they
are
wont
to
neglect
themselves
,
not
only
endeavouring
to
Cure
themselves
with
I
know
not
what
Receipts
of
Old
Women
,
(
from
whence
it
comes
to
pass
,
that
under
the
pretence
of
Curing
the
Fever
,
they
many
times
procure
an
Inflammatory
and
Venomous
disposition
to
the
Blood
and
Humours
)
but
likewise
very
often
exposing
themselves
carelesly
to
the
cold
Air
,
even
in
the
time
of
the
Fit
,
and
getting
one
Cold
after
another
,
they
at
length
suffer
for
their
carelesness
and
ignorance
,
by
a
Consumption
caused
by
the
often
taking
of
Cold
,
and
the
neglecting
of
it
too
in
this
distemper'd
state
of
the
Humours
.
Which
Consumption
is
wont
to
go
by
the
less
infamous
Name
of
a
Catarrh
with
these
poor
Patients
;
till
at
length
through
their
Negligence
it
becomes
incurable
.
And
therefore
I
would
give
this
Advice
to
all
Persons
,
that
they
do
not
from
a
false
Opinion
of
the
Innocent
Nature
of
this
Disease
,
trust
to
the
Receipts
of
Quacks
,
and
Old
Women
;
but
that
they
would
immediately
make
it
their
business
to
Cure
it
perfectly
,
and
in
due
time
,
with
the
plentiful
use
of
the
Peruvian
Bark
(
the
only
mighty
Antidote
of
this
Distemper
)
and
to
prevent
the
return
of
the
Fever
by
repeating
the
use
of
it
.
For
a
frequent
relapse
into
this
kind
of
Fever
does
threaten
a
Consumption
as
well
as
if
it
were
plainly
continual
.
I
likewise
advise
these
Patients
out
of
the
same
good
will
to
have
a
great
care
of
taking
of
Cold
so
long
as
the
Distemper
continues
,
but
especially
in
the
time
of
the
Fit
.
Observ
.
2
Secondly
,
This
Consumption
is
for
the
most
part
Chronical
,
and
continues
for
the
space
of
a
Year
,
or
more
,
before
it
comes
to
its
helght
,
partaking
in
this
respect
of
the
Nature
of
the
Original
Disease
,
upon
which
it
depends
.
Observ
.
3
Thirdly
,
The
Pathognomonick
Sign
of
this
Consumption
is
,
that
from
the
first
beginning
of
the
Disease
there
is
a
Feverish
Paroxysm
every
day
,
or
each
day
,
or
every
third
day
,
according
to
the
peculiar
Nature
of
the
Original
Distemper
,
always
joyned
with
the
Hectick
Fever
,
together
with
a
Cough
,
difficulty
of
Breathing
,
and
the
other
ordinary
signs
of
a
Pulmonary
Consumption
.
Observ
.
4
Fourthly
,
In
the
Cure
of
this
Consumption
the
Peruvian
Bark
ought
always
to
be
mixt
in
good
quantities
with
the
Pectoral
Medicines
.
For
though
I
have
freed
several
from
a
deplorable
Consumption
of
this
kind
in
three
Weeks
or
a
Month
in
the
Spring-time
with
an
Ounce
or
two
of
the
Peruvian
Bark
without
any
Pulmonary
Medicine
,
and
without
a
relapse
(
of
a
Cure
of
which
kind
I
shall
not
think
much
to
add
an
Instance
or
two
by
and
by
:
)
Yet
I
never
my self
cured
any
one
of
this
sort
of
Consumptive
Patients
,
nor
do
I
remember
one
cured
by
any
other
even
with
the
most
diligent
use
of
Antiphthisical
Medicines
without
mixing
the
Bark
with
them
.
History
1.
Mr.
Thompson
a
Painter
,
living
in
St.
Nicholas
Lane
near
Lumbard-street
,
about
the
Year
1674.
in
the
beginning
of
the
Month
of
October
,
at
Midnight
,
after
the
eating
too
freely
of
Salmon
,
and
his
Wife
at
the
same
hour
were
taken
in
their
Beds
with
a
Quotidian
Ague
,
or
as
I
think
a
Treble
Quartane
.
The
Wife
was
ill
treated
by
an
Apothecary
with
I
know
not
what
Medicines
so
long
,
that
though
she
seemed
freed
from
the
stated
Fits
of
the
Fever
before
January
,
yet
by
reason
of
her
Weakness
she
kept
her
Bed
,
and
lay
as
if
she
were
just
ready
to
dye
.
For
her
Pulse
was
very
weak
,
and
quick
,
she
was
troubled
with
frequent
Swoonings
,
pertinacious
Watchings
,
almost
a
continual
Sickness
,
and
Vomitings
,
had
large
and
Colliquative
Sweats
,
a
great
Thirst
,
a
plentiful
Spitting
,
a
continual
Restlesness
,
and
extraordinary
Affections
of
her
Nerves
like
Hysterical
,
and
no
Stomack
.
The
poor
sick
Woman
,
that
now
expected
to
dye
every
moment
,
earnestly
wish'd
for
the
return
of
her
former
Fever
,
so
she
were
upon
that
Condition
freed
from
her
present
Miseries
.
Having
given
her
the
bitter
Decoction
with
Senna
twice
for
that
purpose
,
as
I
would
have
it
,
I
brought
her
former
Fever
again
with
its
true
Periodick
Fits
.
And
then
in
the
time
between
the
Fits
I
ordered
the
Peruvian
Bark
in
several
forms
to
a
good
quantity
,
to
wit
,
an
Ounce
and
half
.
With
the
compleat
use
of
which
she
perfectly
recovered
without
the
least
return
of
her
Distemper
,
or
the
Symptoms
of
it
.
Neither
did
I
order
her
any
thing
more
besides
Hysterick
Juleps
and
Opiates
,
as
the
Symptoms
required
.
But
the
Husband
,
because
he
was
of
a
strong
Habit
of
Body
,
and
engaged
in
much
Business
,
but
especially
because
he
observed
his
Wife
to
grow
every
day
worse
with
the
Medicines
which
were
unskilfully
given
her
by
the
Apothecary
,
look'd
out
for
no
help
for
himself
,
either
from
a
Physician
or
the
Apothecary
,
expecting
that
the
Spring
being
now
approaching
,
his
Distemper
would
go
away
of
it self
.
And
every
day
after
his
Fit
was
,
off
he
did
his
Business
both
at
home
and
abroad
(
his
Fever
in
the
mean
time
keeping
its
simple
form
with
one
and
the
same
tenour
in
its
stated
Fits
and
Intermissions
all
this
while
.
)
But
at
length
after
his
Wife
was
well
,
when
he
found
himself
every
day
to
grow
weaker
and
weaker
with
his
Distemper
,
he
was
about
to
desire
my
help
;
but
both
the
approaching
of
the
Spring-time
,
and
a
hurry
of
great
Business
diverted
him
from
this
Prudent
Resolution
.
'T
is
true
indeed
,
according
to
the
Opinion
he
had
before
,
about
the
beginning
of
the
next
Spring
his
Fever
in
its
simple
form
left
him
of
its
own
accord
;
but
still
he
had
no
Stomack
,
his
Strength
was
gone
,
the
Habit
of
his
Body
lean
and
pale
,
his
Pulse
always
quick
and
weak
;
he
had
a
great
Thirst
,
a
shortness
of
Breath
,
a
dry
Cough
,
that
troubled
him
continually
both
Day
and
Night
,
with
all
the
other
Symptoms
of
an
Incipient
Consumption
.
At
length
he
comes
to
me
,
both
he
and
his
Wife
imploring
my
help
,
and
much
lamenting
his
delay
.
Presently
I
well
enough
thought
I
had
sufficient
reason
to
believe
that
this
Incipient
Consumption
was
the
true
Off-spring
of
his
former
Proteus-like
Disease
;
and
therefore
I
ordered
almost
nothing
of
common
Antiphthisical
or
Pectoral
Medicines
,
with
the
help
of
which
I
thought
it
almost
impossible
that
the
Patient
,
who
was
now
almost
brought
into
the
state
of
a
Marasmus
,
should
be
restored
to
his
former
Health
.
But
I
concluded
that
the
whole
Cure
was
to
be
performed
with
the
use
of
the
Peruvian
Bark
,
by
which
means
the
Fever
being
once
perfectly
conquered
,
I
rightly
judged
that
the
other
Symptoms
would
go
away
of
their
own
accord
,
as
the
Event
it self
did
happily
prove
.
And
therefore
I
made
it
my
business
only
to
make
the
form
of
the
Medicine
as
grateful
as
I
could
,
lest
I
should
have
the
Fancy
of
the
Patient
to
strive
with
as
well
as
his
Disease
.
And
therefore
I
ordered
the
Pouder
of
the
Peruvian
Bark
in
the
form
of
Tablets
,
in
the
manner
following
.
Take
of
the
Pouder
of
the
Peruvian
Bark
an
Ounce
and
half
,
Sugar-candy
dissolved
in
eight
Ounces
of
Wormwood-water
,
thickned
with
the
Mucilage
of
Gum
Tragacanth
.
Mix
them
,
and
make
them
into
Tablets
,
so
that
every
one
may
weigh
two
Drams
;
let
him
eat
one
four
times
a
day
,
drinking
four
Ounces
of
the
clear
Pectoral
Decoction
after
it
.
When
he
had
taken
all
the
Tablets
,
presently
that
Hectick
Fever
(
which
as
it
was
the
Genuine
Off-spring
of
the
Intermitting
Fever
,
so
it
still
partook
of
the
Nature
of
its
Parent
)
plainly
went
away
,
together
with
his
Cough
,
difficulty
of
Breathing
,
and
the
other
Company
of
Fatal
Symptoms
of
a
Consumption
;
but
only
that
his
Appetite
was
not
yet
perfectly
restored
,
neither
had
he
got
his
Flesh
,
by
reason
of
the
shortness
of
the
time
.
And
therefore
,
the
time
of
the
Year
enclining
me
to
it
,
I
sent
him
presently
into
the
Country
Air
;
out
of
which
after
the
space
of
two
or
three
Weeks
,
he
returned
strong
and
plump
,
having
got
a
good
Colour
,
and
a
great
Stomack
,
and
enjoys
very
good
Health
to
this
very
day
.
History
2.
A
certain
Norway
Merchant
,
that
lived
at
Newington
on
the
other
side
of
the
Thames
,
that
Year
when
Mr.
Talbor
was
very
Famous
for
the
liberal
use
of
the
Peruvian
Bark
in
the
Cure
of
Intermitting
Fevers
;
and
likewise
that
same
Month
,
wherein
I
had
recovered
the
same
Merchant's
Wife
beyond
the
expectation
of
all
those
that
were
about
her
of
a
Remitting
Fever
,
accompanied
with
very
direful
Symptoms
with
the
use
of
the
Peruvian
Bark
amongst
other
Remedies
;
when
he
himself
was
taken
with
a
true
and
benign
Tertian
Ague
:
Leaving
his
Friend
,
and
his
known
and
familiar
ordinary
Physician
,
he
went
with
the
Croud
to
Mr.
Talbor
,
and
having
paid
five
Guinea's
,
he
had
an
Ounce
of
the
Bark
for
a
great
Secret
;
which
when
he
had
taken
,
he
presently
was
well
recovered
.
But
there
being
no
care
taken
by
that
Emperick
to
prevent
the
return
of
the
Fever
,
after
two
,
or
at
most
three
Weeks
,
the
Distemper
at
length
returned
,
of
which
he
was
freed
again
and
again
,
with
repeating
the
use
of
the
Bark
,
but
not
without
giving
in
hand
the
former
extravagant
Price
every
time
it
returned
.
The
Gentleman
being
saving
,
chose
rather
to
pass
the
remaining
part
of
the
Winter
under
the
miserable
Symptoms
of
this
Fever
,
than
to
be
always
draining
his
Pocket
in
this
manner
,
hoping
in
the
mean
time
that
his
Distemper
would
at
least
leave
him
the
next
Spring
of
its
own
accord
.
But
with
the
long
continued
course
of
this
Fever
(
which
perhaps
the
frequent
taking
of
Cold
in
the
time
of
the
Fit
,
and
the
Old
Women's
and
Quacks
Receipts
,
that
were
none
of
the
wholsomest
(
all
which
he
was
wont
to
use
very
greedily
,
and
without
distinction
)
did
promote
.
)
I
say
,
with
the
long
continuance
of
this
Ague
,
there
seemed
at
the
beginning
of
the
Spring
to
be
kindled
a
continual
Hectick
Heat
in
the
intervals
of
the
Fits
of
the
Putrid
Fever
,
attended
with
a
great
Cough
,
difficulty
of
Breathing
,
Colliquative
Sweats
,
a
continual
Thirst
,
Nauseating
,
and
other
Symptoms
of
this
kind
.
Whereupon
before
the
end
of
June
,
at
which
time
he
desired
my
help
,
thinking
he
should
soon
dye
of
a
Consumption
;
he
was
so
weak
,
and
emaciated
,
that
he
had
perfectly
a
Hippocratical
Face
,
and
when
I
first
saw
him
I
should
plainly
have
thought
him
past
Cure
,
if
this
Consumption
had
proceeded
from
any
other
cause
than
an
Intermitting
Fever
.
But
yet
I
did
rightly
judge
a
Consumption
arising
in
this
manner
,
though
to
all
outward
appearance
deplorable
,
to
be
curable
,
because
it
was
in
my
Power
,
at
least
at
this
time
of
the
Year
,
to
give
that
great
Antidote
,
the
Peruvian
Bark
,
in
that
manner
as
not
only
to
take
off
the
Intermitting
Fever
,
but
also
to
prevent
the
return
of
it
.
Whereupon
I
did
not
at
all
doubt
but
when
the
Fuel
was
once
taken
away
,
the
Hectical
Flame
would
soon
be
extinguisht
of
its
own
accord
,
together
with
the
whole
Company
of
Pulmonary
Symptoms
depending
thereon
.
Which
Conjecture
of
mine
was
very
quickly
proved
to
be
true
by
the
happy
Event
.
For
the
Fits
of
the
Intermitting
Fever
being
once
taken
away
by
giving
an
Ounce
of
the
Peruvian
Bark
in
the
form
of
Pills
,
in
the
space
of
four
or
five
days
,
the
Hectick
Fever
also
vanisht
of
its
own
accord
;
likewise
the
Cough
,
with
the
other
Pulmonary
Symptoms
was
much
lessened
,
and
his
Appetite
much
increased
.
But
when
the
return
of
the
Original
Distemper
was
prevented
by
repeating
the
use
of
the
same
Bark
,
all
the
Symptoms
of
the
Consumption
vanisht
within
the
space
of
a
Month
,
even
without
a
Grain
of
Pectoral
Medicines
.
And
my
Patient
(
as
far
as
I
know
)
to
this
very
day
looks
well
,
and
is
lusty
.
History
3.
Mr.
Lane
,
a
Vintner
at
the
Sign
of
the
Queen's
Head
in
Southwark
,
a
Man
that
was
truly
robust
,
and
tall
,
about
the
middle
of
his
Age
,
in
the
beginning
of
the
Autumn
,
in
the
Year
1668.
was
seized
with
a
violent
Quartan
Ague
;
he
presently
committed
himself
to
the
care
of
a
Skilful
Physician
,
who
treated
him
with
the
usual
Remedies
,
and
in
the
old
Method
,
to
wit
,
with
Bleeding
,
Vomiting
,
frequent
Purging
,
Febrifuge
Juleps
,
and
tedious
Deobstruent
and
Altering
Apozems
.
But
yet
he
grew
every
day
worse
;
at
length
his
Ague
was
doubled
,
yea
,
trebled
,
so
that
he
was
no
day
free
from
his
Fever
;
and
about
the
end
of
December
his
Fits
were
so
long
,
that
almost
presently
after
one
was
off
another
came
on
:
He
was
so
weak
too
,
that
he
could
scarcely
rise
out
of
his
Bed
;
and
his
Stomack
was
so
weak
,
that
he
hardly
could
eat
so
much
as
Water-gruel
.
He
was
continually
,
and
extreamly
Thirsty
,
because
he
never
seemed
to
be
free
from
his
Original
Fever
,
or
the
Hectick
,
which
was
come
upon
it
;
and
therefore
being
restless
,
he
was
continually
tossing
himself
up
and
down
in
his
Bed
.
And
moreover
there
appeared
Purple
Scorbutical
Spots
,
and
those
very
large
,
every
where
almost
all
over
his
Body
,
but
especially
in
his
Breast
and
Limbs
:
His
Legs
and
Thighs
,
as
also
his
Belly
and
Breast
,
were
very
much
swelled
,
like
those
that
have
the
Dropsie
.
His
Cough
was
troublesome
,
and
continual
,
and
his
breathing
difficult
,
and
very
unequal
.
So
that
the
Patient
at
the
first
sight
seemed
to
me
to
have
not
only
an
Intermittent
Fever
,
but
also
a
continual
Hectick
,
arising
from
the
former
;
and
upon
that
to
have
fallen
into
a
Pulmonary
Consumption
,
and
an
Universal
Dropsie
.
When
it
was
so
,
that
they
plainly
had
no
hopes
of
the
Patient's
Life
,
I
was
at
last
sent
for
by
his
Friends
,
not
so
much
to
Cure
his
Fever
(
which
they
judged
to
be
incurable
before
the
Spring
Weather
came
)
as
to
give
him
some
help
against
his
Consumption
,
Dropsie
,
and
Scurvy
,
Distempers
that
raged
so
violently
,
that
they
seemed
to
threaten
almost
immediate
Death
.
But
the
Patient
himself
loathing
even
Food
it self
,
though
the
most
delicious
,
much
more
Medicines
,
with
the
great
quantity
of
which
his
Stomack
had
been
long
burdened
,
did
with
a
great
deal
of
difficulty
consent
that
I
should
attempt
his
Cure
with
any
kind
of
Medicines
.
But
at
length
his
Friends
with
much
entreaty
obtained
this
of
him
,
that
he
would
for
three
or
four
days
take
my
Specifick
Pills
made
of
the
Peruvian
Bark
,
only
for
a
Tryal
.
In
which
time
having
taken
six
Drams
of
the
Pouder
,
he
presently
escaped
the
next
Fit
.
The
next
day
,
when
I
came
to
see
my
Patient
,
I
found
him
plainly
Triumphing
over
his
Enemy
,
eating
a
potch'd
Egg
,
and
ready
to
ride
out
in
a
Coach
,
which
was
now
at
the
Door
,
in
order
to
follow
his
necessary
Occasions
.
But
which
seemed
much
more
wonderful
to
me
,
as
all
the
Spots
were
disappeared
,
so
likewise
that
Dropsical
Swelling
went
away
without
even
any
sensible
Evacuation
.
Also
his
difficulty
of
Breathing
and
Cough
,
with
the
other
Symptoms
of
an
incipient
Consumption
,
seemed
to
be
very
much
abated
,
and
they
decreased
every
day
,
till
at
last
the
Patient
had
by
little
and
little
recovered
his
former
state
of
Health
.
'T
is
true
indeed
,
this
Fever
after
a
Month
returned
in
the
form
of
a
simple
Quartan
,
and
continued
till
he
had
had
almost
four
Fits
.
But
yet
it
went
quite
away
without
the
use
of
any
Remedies
,
or
the
former
Symptoms
following
upon
it
;
from
which
time
the
Patient
enjoyed
his
Health
very
well
,
till
at
length
after
one
Year
,
and
some
part
of
another
,
he
dyed
of
a
Bleeding
at
the
Nose
.
CHAP.
XIII
.
Of
an
Icterical
,
or
Hepatick
Consumption
.
THE
Blood
,
as
soon
as
it
has
here
and
there
in
its
Circulation
distributed
the
new
Chylous
Parts
,
and
those
that
are
fit
for
Nourishment
,
becomes
plainly
sharp
,
as
if
it
were
imbued
with
a
Ferment
,
from
the
Saline
and
Acrious
Particles
,
which
by
the
Law
of
Nature
it
still
contains
in
it self
(
to
the
end
that
from
thence
the
Bile
,
and
other
necessary
Ferments
of
the
Body
may
be
supplyed
,
and
every
day
renewed
.
)
And
therefore
by
the
same
Sagacity
of
Nature
there
is
Provision
made
that
after
she
has
in
this
manner
done
what
is
sufficient
for
the
necessary
Ferments
,
the
Acrious
and
superfluous
remainders
should
as
Excrements
be
forthwith
thrust
and
thrown
out
by
the
pores
of
the
Skin
,
by
the
Kidneys
,
the
Glandules
of
the
great
Guts
,
and
the
other
Avenues
,
or
Emunctories
of
the
Body
;
lest
the
Mass
of
Blood
it self
being
burdened
,
and
opprest
with
this
kind
of
Particles
,
and
thereupon
brought
into
a
distemper'd
state
,
should
not
be
able
to
perform
its
Natural
Office
.
From
what
I
have
now
said
it
is
evident
to
Reason
how
many
ways
a
Jaundies
is
wont
to
occasion
a
Consumption
.
How
a
Jaundies
causes
a
Consumption
.
For
whether
it
be
Accidental
,
as
when
it
proceeds
from
an
Obstruction
of
the
Natural
course
of
the
Bile
from
the
Gall-Bladder
into
the
Cavity
of
the
Duodenum
,
caused
by
a
Stone
,
or
the
glutinousness
of
the
parts
of
the
Bile
;
or
whether
it
be
more
Habitual
,
coming
from
a
defective
separation
of
the
Bilious
parts
in
the
Liver
,
caused
by
a
Schirrous
hardness
or
an
Exulceration
of
that
part
,
there
are
two
things
,
which
must
necessarily
be
the
Effects
of
it
;
to
wit
,
a
want
of
Bile
in
the
Intestines
,
and
too
great
a
congestion
of
it
in
the
Blood
.
By
the
first
of
these
,
Nature
for
want
of
a
due
Menstruum
in
the
Volatilization
of
the
Chyle
is
hindred
from
the
convenient
separation
of
the
Excrementious
from
the
Chylous
parts
:
From
whence
it
comes
to
pass
,
that
the
Excrements
of
the
Guts
containing
in
them
both
parts
,
are
voided
of
a
white
colour
,
together
with
a
manifest
faintness
and
weakness
of
the
Patient
,
even
from
the
very
beginning
of
the
Distemper
.
Because
by
this
continual
Substraction
of
the
new
Chyle
there
is
caused
by
degrees
an
Universal
Atrophy
;
which
I
have
already
hinted
in
the
Appendix
to
the
First
Book
.
But
by
the
latter
the
Mass
of
Blood
itself
is
altered
and
distempered
,
as
being
too
much
saturated
with
Bilious
Particles
,
that
are
sharp
and
pungent
.
Which
discovers
itself
not
only
by
an
Universal
Itching
excited
in
the
Habit
of
the
Body
,
but
also
by
a
yellow
Tincture
coming
upon
all
the
Skin
,
and
by
the
very
red
and
yellowish
colour
of
the
Urine
.
From
this
Collection
of
sharp
and
bilious
Particles
in
the
blood
(
at
least
when
it
happens
to
be
long
,
and
Habitual
)
no
Body
must
think
it
strange
if
even
the
very
Mass
of
Blood
is
vitiated
,
and
contracts
a
Hectical
Heat
;
and
any
one
may
as
easily
observe
how
soon
the
Lungs
,
being
from
thence
affected
with
a
Hectical
Heat
,
are
apt
to
be
stufft
,
to
swell
,
to
be
inflamed
,
and
putrefie
.
So
that
the
Jaundies
,
whenever
it
is
Chronical
and
Habitual
,
by
gradually
spoyling
the
Crasis
of
the
Blood
,
is
wont
likewise
to
bring
a
Chronical
Consumption
of
the
Lungs
.
Which
also
is
not
a
little
promoted
by
the
Oppression
of
the
Hypochondres
,
This
Consumption
is
promoted
by
an
Oppression
of
the
H●pochondres
.
which
continually
creates
a
weight
in
them
,
caused
by
the
preternatural
thickness
and
compactness
of
the
Liver
;
to
wit
,
whenever
the
Jaundies
is
Chronical
;
and
likewise
from
the
Colick
of
the
Stomack
,
or
those
dreadful
Spasmodick
Pains
,
which
are
wont
to
return
often
,
from
the
Obstruction
of
the
Gall-duct
by
a
Stone
,
or
the
Glutinousness
Viscidity
of
the
Bile
;
or
else
from
an
Inflammation
and
Exulceration
of
the
Liver
itself
,
to
wit
,
whenever
this
Distemper
is
Accidental
,
and
more
Acute
.
For
as
it
is
impossible
but
the
Lungs
must
be
much
injured
by
the
consent
they
have
with
the
Liver
that
lyes
so
near
to
them
,
and
must
likewise
necessarily
partake
with
it
of
the
Spasmodick
Contraction
in
the
manner
of
Hysterical
Suffocations
;
whereupon
their
tender
Substance
must
needs
be
very
much
injured
,
and
changed
from
their
Natural
Tone
by
that
frequent
Constriction
;
to
wit
,
in
an
Accidental
Jaundies
:
So
likewise
whenever
it
is
Habitual
,
the
Hypochondriacal
Melancholy
,
which
is
wont
always
to
accompany
the
Gravative
Oppression
caused
by
the
Obstruction
of
the
Liver
,
does
dispose
Persons
to
a
Consumption
of
the
Lungs
it
may
be
more
than
any
other
Passions
of
the
Mind
.
A
Consumption
is
seldom
caused
by
an
Accidental
Jaundies
.
'T
is
true
indeed
that
I
have
very
seldom
met
with
a
Consumption
of
the
Lungs
proceeding
from
an
Accidental
Jaundies
,
whether
this
Disease
has
had
its
Original
from
the
Obstruction
of
the
Bile-duct
,
or
from
an
Inflammation
and
Exulceration
of
the
Liver
it self
:
For
by
reason
of
the
violent
Colick
,
or
Spasmodick
Pain
,
and
the
Acute
Inflammatory
Fever
,
which
are
wont
for
the
most
part
to
accompany
this
Jaundice
,
the
Patient
very
seldom
happens
to
live
so
long
,
that
the
Blood
can
undergo
so
great
an
alteration
from
the
Bilious
Particles
preternaturally
heaped
up
in
it
,
as
to
be
disposed
to
form
a
Consumption
of
so
Chronical
a
Nature
.
But
before
it
is
possible
for
the
Blood
to
undergo
such
an
alteration
as
is
able
to
produce
so
great
an
Effect
,
either
the
Distemper
is
taken
off
from
the
Patient
by
Art
,
or
the
Patient
is
killed
by
the
Distemper
.
But
no
Disease
comes
more
frequently
upon
a
Chronical
Jaundies
.
But
there
is
no
Disease
does
come
more
frequently
than
a
Consumption
upon
a
Chronical
and
Habitual
Jaundies
,
proceeding
from
a
Schirrousness
,
or
too
great
a
Compactness
and
hardness
of
the
Substance
of
the
Liver
;
which
Consumption
for
the
most
part
is
wont
to
terminate
in
a
Fatal
Dropsie
.
For
as
this
is
a
Disease
of
several
Years
,
because
it
is
attended
with
no
very
great
Symptom
;
so
the
Bile
which
is
thereupon
preternaturally
heaped
up
in
the
Blood
,
though
it
is
not
in
so
great
a
quantity
as
in
an
Accidental
Jaundies
,
yet
by
its
long
stay
in
,
and
frequent
cohobations
with
it
(
if
I
may
speak
)
it
does
more
effectually
alter
the
whole
Mass
,
and
disorder
it
;
and
it
is
no
wonder
if
the
tender
Substance
of
the
Lungs
does
at
length
get
some
fatal
Mischief
from
it
.
The
Evident
or
Procatarctick
Causes
of
this
Consumption
,
The
Procatarctick
causes
of
this
Consumption
.
are
,
commonly
frequent
and
long
Debauches
,
and
the
more
grievous
Passions
of
the
Mind
succeeding
alternately
one
another
.
By
the
first
,
the
Substance
of
the
Liver
,
and
perhaps
the
Lungs
too
happens
almost
always
to
be
too
much
heated
and
stuff●
with
superfluous
Juice
;
and
by
the
latter
it
happens
to
be
spasmodically
girt
,
or
comprest
.
By
both
together
the
Liver
(
and
it
may
be
the
Lungs
too
)
is
rendred
too
close
or
compact
in
its
substance
,
if
it
does
not
also
become
Schirrous
,
or
inflam'd
and
ulcerated
.
And
from
hence
there
must
necessarily
follow
too
great
a
Collection
of
Bile
in
the
Blood
,
and
thereupon
a
Morbid
alteration
of
it
,
an
Oppression
of
the
Hypochondres
,
a
Melancholy
,
with
the
other
signs
just
now
mentioned
,
which
tend
to
a
Consumption
of
the
Lungs
.
And
hereupon
I
use
to
call
this
a
Crapulous
Consumption
.
For
it
is
well
known
even
to
any
one
that
has
had
but
a
little
Experience
in
the
Practice
of
Physick
,
how
from
anxious
Care
,
and
other
troublesom
Passions
of
the
Mind
,
and
much
and
accustomed
drinking
alternately
succeeding
one
another
,
some
happen
often
to
pay
dear
for
their
ill-spent
Life
,
by
an
untimely
and
miserable
loss
of
it
caused
by
this
kind
of
Consumption
;
to
which
an
Ascites
,
and
sometimes
an
Anasarca
is
wont
to
be
joyned
not
long
before
they
dye
.
The
Diagnostick
Signs
of
this
Consumption
are
to
be
taken
from
three
Heads
;
to
wit
,
The
Diagnostick
Signs
of
this
Consumption
are
taken
,
1.
From
the
Vrine
.
from
the
Urine
,
the
Skin
,
and
the
Hypochondres
.
First
,
for
the
Urine
,
that
is
very
little
in
quantity
,
very
full
of
contents
,
and
of
a
very
red
and
yellowish
colour
like
Mum.
'T
is
true
indeed
the
Urine
of
all
Persons
in
a
Consumption
,
by
reason
of
the
Fever
,
is
high
colour'd
,
and
but
little
in
quantity
,
and
likewise
by
reason
of
the
present
Colliquation
full
of
Contents
;
and
in
this
manner
it
is
wont
to
appear
in
Putrid
Intermitting
Fevers
.
But
in
an
Hepatick
,
or
Icteritious
Consumption
all
those
appearances
are
always
found
in
a
much
greater
degree
;
and
by
how
much
the
more
the
Substance
of
the
Liver
is
obstructed
,
and
the
greater
the
Collection
of
the
Bile
in
the
Blood
thereupon
is
,
by
so
much
the
more
intense
they
always
are
.
For
by
the
mixture
of
the
Bile
the
Serous
or
Urinary
part
of
the
Blood
,
as
it
uses
to
be
imbued
with
a
very
deep
red
and
yellowish
Tincture
,
so
it
is
apt
to
be
coagulated
,
and
to
pre●ipitate
its
heterogeneous
parts
;
from
whence
we
may
deduce
the
reason
why
the
Urine
of
this
sort
of
Consumptive
Persons
uses
to
be
so
little
in
quantity
,
and
so
full
of
Contents
,
as
well
as
red
and
yellowish
;
also
the
colour
of
the
Skin
is
yellowish
.
I
do
confess
indeed
that
the
Skin
of
all
Persons
that
are
in
a
Consumption
,
growing
thick
from
the
contraction
of
the
Parts
,
so
far
as
the
Emaciation
has
prevailed
,
loses
its
wonted
lustre
;
but
in
this
Consumption
,
besides
the
paleness
,
and
that
squalidness
of
the
Countenance
,
there
is
a
different
and
uncertain
yellowness
more
manifest
one
day
than
another
;
2.
From
the
Skin
.
but
especially
about
the
Neck
,
Back
,
and
some
other
parts
of
the
Body
,
that
are
covered
with
a
thicker
Skin
;
though
it
is
not
so
deep
as
it
uses
to
be
in
an
Accidental
Jaundies
,
where
there
is
a
much
greater
quantity
of
Bile
heaped
up
in
the
Blood
by
the
total
Obstruction
of
the
Bile-duct
,
than
where
it
is
only
imperfectly
separated
from
the
Blood
by
reason
of
the
Obstruction
of
the
Glands
of
the
Liver
.
3.
From
the
Hypochondres
Thirdly
,
there
is
always
the
sense
of
a
gravative
Oppression
in
the
Hypochondres
joyn'd
with
a
Melancholy
proceeding
from
the
Obstruction
of
the
Liver
,
and
the
bulk
of
it
being
enlarged
thereupon
;
which
very
often
grows
so
hard
,
and
is
so
much
increased
in
its
Magnitude
,
that
from
thence
not
only
the
right
Hypochondre
happens
to
be
much
distended
and
elevated
,
but
likewise
a
Swelling
,
as
it
were
hard
and
renitent
,
may
be
perceived
in
it
,
even
by
the
external
touch
.
This
Consumption
is
always
Chronical
,
This
Consumption
is
always
Chronical
.
and
of
several
Years
,
because
it
proceeds
from
a
slow
and
lingring
cause
.
That
which
the
Persons
in
this
Consumption
spit
is
likewise
more
viscid
and
plentiful
,
as
it
uses
to
be
in
every
slow
Consumption
.
As
this
Consumption
begins
with
a
want
of
Appetite
,
and
a
loathing
of
Food
,
It
ends
in
an
Ascites
.
so
it
almost
always
ends
in
a
slow
and
painful
Ascites
;
to
wit
,
as
soon
as
the
Liver
is
grown
so
hard
from
the
progress
of
the
Disease
,
that
the
Lymphatick
Vessels
,
which
creep
upon
it
,
happen
from
their
Constriction
to
be
broken
;
to
which
also
a
frequent
Bleeding
at
the
Nose
,
proceeding
from
the
circulation
being
hindred
in
other
parts
by
the
same
Obstructions
,
uses
almost
always
to
be
joyned
.
And
though
this
Consumption
may
be
curable
,
when
a
Skilful
Physician
is
sent
for
in
time
by
a
Patient
,
that
will
be
Obedient
to
Rules
,
yet
there
is
no
Consumption
more
Fatal
than
this
is
,
when
once
there
comes
a
Dropsie
upon
it
from
the
Rupture
of
the
Lympheducts
caused
by
the
hardness
of
the
Liver
.
Nor
indeed
can
the
miserable
Patient
have
so
much
as
an
easie
Death
,
by
reason
of
the
dreadful
and
continual
Pains
,
his
shortness
of
Breath
,
and
the
other
Symptoms
,
that
are
wont
to
accompany
this
lingring
Dropsie
.
The
General
Indications
of
Cure
are
only
two
;
to
wit
,
the
restitution
of
the
Lungs
,
The
Indications
of
Cure
.
that
are
distempered
,
to
a
sound
state
;
and
the
taking
away
of
the
cause
,
by
which
the
Lungs
happened
to
be
ill
affected
.
The
first
Indication
we
may
satisfie
with
the
use
of
Pulmonary
Remedies
,
already
mentioned
in
the
Second
Book
in
the
General
Method
.
But
we
must
answer
the
second
Indication
with
the
help
of
Hepaticks
,
Diureticks
,
Chalybeates
,
and
other
such-like
Medicines
,
which
by
removing
the
Obstructions
of
the
Liver
,
may
restore
the
due
and
free
secretion
of
the
bilious
Particles
from
the
Mass
of
Blood
,
and
promote
the
Excretion
of
the
Bile
into
the
Intestines
by
the
Bile-duct
;
by
which
means
the
cause
of
the
Atrophy
,
and
likewise
of
this
Symptomatical
Consumption
of
the
Lungs
may
be
perfectly
removed
.
But
in
what
manner
the
General
Method
of
the
Cure
of
a
Consumption
is
to
be
altered
by
the
mixing
of
Hepaticks
with
Pulmonary
Medicines
(
that
we
may
satifie
both
Indications
)
I
had
rather
shew
by
some
Examples
,
than
by
the
description
of
a
new
Method
,
least
I
should
seem
to
spin
out
this
Discourse
to
too
tedious
a
length
.
And
therefore
I
will
presently
give
a
History
or
two
relating
particularly
to
this
business
,
only
premising
first
this
general
Observation
,
The
Pectoral
Medicines
we
use
must
be
always
Inciding
,
Abstersive
,
and
Carminative
.
which
it
is
convenient
to
have
in
our
Eye
through
the
whole
Method
of
Cure
in
this
Consumption
;
and
that
is
that
for
Pectoral
Medicines
we
must
always
make
choice
of
those
that
are
Inciding
,
Abstersive
,
and
Carminative
;
plainly
avoid
Incrassating
things
,
and
use
Mucilaginous
Medicines
,
mixed
with
other
altering
Medicines
moderately
;
being
directed
thus
to
do
,
not
only
by
the
toughness
of
the
Phlegm
(
which
this
kind
of
Consumptive
Patients
with
all
that
they
can
do
can
hardly
expectorate
or
hawk
up
;
)
but
also
by
the
obstructed
state
of
the
Liver
it self
;
where
indeed
in
this
case
the
first
Seeds
of
this
Consumption
are
lurking
:
And
from
thence
it
comes
to
pass
,
that
though
this
Consumption
,
when
it
is
but
beginning
,
may
sometimes
admit
of
a
perfect
Cure
only
with
the
use
of
Inciding
and
Chalybeate
Medicines
,
which
by
removing
the
Obstructions
of
the
Liver
,
and
consequently
by
taking
away
the
Procatartick
cause
of
the
Disease
,
do
likewise
sufficiently
provide
for
the
Lungs
,
which
have
not
yet
received
so
much
Mischief
,
but
it
may
go
off
,
and
vanish
of
its
own
accord
after
there
is
no
more
Fuel
supplyed
from
a
distempered
Liver
.
But
this
Consumption
is
never
cured
with
Pectoral
Medicines
alone
.
We
must
abstain
from
Incrassating
Medicines
.
Yet
I
never
saw
this
kind
of
Consumption
cured
by
Pulmonary
Medicines
alone
;
but
I
have
always
observed
that
it
has
been
very
much
,
and
quickly
confirmed
even
to
a
fatal
degree
with
the
plentiful
use
of
Incrassating
Medicines
,
and
of
all
those
things
,
which
increase
the
Obstructions
of
the
Liver
.
And
therefore
as
common
Milk
,
and
all
things
made
of
it
,
yea
,
and
Asse's
Milk
it self
,
much
more
a
strict
Milk
Diet
,
is
not
convenient
in
the
Cure
of
this
Consumption
.
So
likewise
for
the
same
Reason
it
is
best
to
abstain
from
all
use
of
Laudanum
and
any
sort
of
Opiates
,
unless
there
is
a
great
necessity
to
give
them
.
How
the
Patient
is
to
govern
himself
.
The
Patient
must
carefully
avoid
Sadness
,
which
does
always
promote
the
constriction
of
the
parts
of
the
Liver
.
He
must
likewise
live
in
a
thin
and
open
Air
,
and
there
use
moderate
Exercise
every
day
,
all
which
do
very
much
help
to
remove
the
Obstructions
of
the
Liver
.
But
above
all
things
the
long
use
of
bitter
,
and
Chalybeate
Medicines
does
promote
this
Cure
;
and
especially
the
Chalybeate
Waters
,
if
the
Obstructions
are
not
come
to
that
height
as
to
hinder
the
passing
off
of
the
Waters
by
Urine
.
But
if
it
be
so
,
we
must
Religiously
abstain
from
the
use
of
them
,
lest
the
Distemper
be
quickly
rendred
incurable
,
by
bringing
a
Dropsie
sooner
than
it
would
otherwise
have
happened
.
History
1.
Mr.
Dell
,
about
the
Twentieth
Year
of
his
Age
,
when
he
had
for
several
Years
before
been
troubled
with
a
difficulty
of
Breathing
,
an
Asthmatick
Cough
,
together
with
other
signs
of
a
Chronical
Consumption
of
the
Lungs
,
and
had
been
affected
with
somewhat
a
yellowish
Tincture
in
his
Skin
,
and
had
his
Urine
of
the
same
colour
,
with
other
signs
of
an
obstructed
Liver
,
fell
at
length
into
an
Inflammatory
Fever
,
accompanyed
with
dreadful
pains
of
his
Breast
,
a
Thirst
,
want
of
Rest
,
and
likewise
a
little
Tincture
of
Blood
in
what
he
spit
,
and
other
signs
of
the
Inflammation
of
the
Tubercles
of
the
Lungs
,
and
he
desired
my
help
.
Presently
by
looking
on
his
Urine
,
which
was
of
a
very
red
yellowish
colour
,
and
likewise
full
of
Contents
like
Mum
;
as
also
from
a
light
yellowness
of
his
Skin
(
though
I
had
never
seen
the
Young
Man
before
this
,
that
I
know
of
)
I
rightly
guest
that
the
Peripneumonick
Fever
came
by
some
Accident
upon
the
Patient
,
that
was
before
in
the
state
of
an
Icteritious
or
Hepatick
Consumption
.
And
therefore
the
first
day
,
which
was
the
9th
.
of
Nov.
1688.
I
ordered
Ten
Ounces
of
Blood
to
be
presently
taken
away
from
the
right
Arm
,
and
four
Ounces
of
the
following
Apozeme
to
be
given
with
a
Spoonful
of
a
Linctus
very
often
.
Take
Oyl
of
sweet
Almonds
,
Syrup
of
Hedge-Mustard
,
of
each
two
Ounces
,
of
white
Sugar-candy
two
Drams
;
mix
them
exactly
,
and
make
a
Linctus
.
Take
of
the
Pectoral
Decoction
depurated
a
Quart
,
Ticture
of
Saffron
,
the
Syrup
of
the
five
opening
Roots
,
of
each
an
Ounce
and
half
;
mingle
them
,
and
make
an
Apozeme
.
To
ease
the
pain
of
his
Breast
and
Side
,
I
ordered
the
following
Fomentation
to
be
applyed
hot
to
the
Parts
affected
,
when
the
Pain
was
great
,
being
first
put
into
an
Oxe's
Bladder
,
so
that
the
Bladder
should
be
but
half
full
.
Take
Parsley-Roots
,
Fennel-Roots
,
Linseed
,
Fenugreek-seeds
,
of
each
two
Ounces
,
the
Flowers
of
Camomile
,
of
Melilote
,
of
each
two
handfuls
;
boyl
them
in
a
sufficient
quantity
of
Spring-water
for
a
Fomentation
.
I
took
care
that
when
the
Bladder
was
removed
,
a
Flannel
should
be
rub'd
warm
with
the
following
Liniment
,
and
put
upon
the
Parts
affected
.
Take
of
the
Oyntment
of
Marsh-mallows
half
an
Ounce
,
Oyl
of
white
Lillies
,
Oyl
of
Bricks
,
of
each
three
Drams
;
mix
them
,
and
make
a
Liniment
.
To
comfort
his
Spirits
I
ordered
the
following
Cordial
Julep
to
be
taken
by
Spoonfuls
at
any
time
.
Take
Baum-water
,
Black-Cherry-water
,
of
each
three
Ounces
,
of
Epidemick-water
two
Ounces
,
of
Syrup
of
Clove-gillyflowers
ten
Drams
;
mix
them
,
and
make
a
Julep
.
Nov.
10.
His
Fever
being
yet
very
high
,
and
his
Pain
very
violent
,
I
again
ordered
Eight
Ounces
of
Blood
to
be
taken
from
the
same
Arm
,
at
which
he
had
been
bled
before
;
and
because
of
his
great
Thirst
fifteen
Grains
of
the
finest
Salt
of
Nitre
,
and
half
a
Dram
of
white
Sugar
mixt
together
,
to
be
dissolved
in
every
draught
of
Beer
that
he
took
;
likewise
a
Clyster
of
Milk
and
Sugar
,
with
Camomile-flowers
boyled
in
the
Milk
to
be
given
,
if
he
had
not
a
Stool
of
his
own
accord
;
and
(
if
the
Pain
required
it
)
a
Plaister
of
equal
quantities
of
Paracelsus
and
De
Minio
Plaisters
to
be
spread
upon
Leather
,
and
to
be
applyed
to
the
Parts
affected
;
likewise
when
he
was
to
go
to
Rest
(
if
his
Pain
were
still
very
great
)
fifteen
Drops
of
Helmont's
Liquid
Laudanum
,
to
be
given
in
a
little
Draught
of
the
Julep
,
and
an
Ounce
of
Stone-Horse
dung
to
be
infused
cold
in
the
Pectoral
Apozeme
.
With
the
use
of
which
things
he
seemed
to
be
something
better
,
his
Fever
being
now
very
much
abated
;
but
then
having
made
a
diligent
inspection
of
his
Urine
,
Skin
,
and
Stools
,
I
was
more
certain
of
the
Obstruction
of
his
Liver
.
And
therefore
in
the
stead
of
the
former
Apozeme
,
I
ordered
that
which
follows
with
a
Linctus
,
to
be
taken
to
the
quantity
of
four
Ounces
every
four
hours
.
Take
a
sufficient
quantity
of
the
Ingredients
of
the
Pectoral
Decoction
,
the
Roots
of
Parsley
,
Fennel
,
Succory
,
Grass
,
of
each
two
Ounces
,
the
Roots
of
Turmerick
,
the
inner
Bark
of
the
Barberry-tree
,
of
each
an
Ounce
,
the
shavings
of
Harts-horn
,
of
Ivory
,
of
each
half
an
Ounce
,
of
Currans
two
Ounces
,
of
Saffron
tyed
up
in
a
Cloth
half
a
Dram
;
boyl
them
in
a
sufficient
quantity
of
Spring-water
to
a
Quart
,
adding
when
they
have
done
boyling
half
a
Pint
of
the
best
White-wine
:
To
the
Liquor
when
it
is
strained
add
of
the
Magisterial
Water
of
Earth-worms
three
Ounces
,
the
Syrup
of
the
five
Opening
Roots
,
the
Traumatick
Decoction
,
of
each
two
Ounces
;
mix
them
,
and
make
an
Apozem
.
I
likewise
ordered
two
Ounces
and
a
half
of
Tinctura
Sacra
to
be
given
when
he
went
to
Rest
,
with
which
he
had
two
Stools
the
next
Morning
with
relief
.
And
therefore
Nov.
11th
.
I
ordered
the
use
of
the
Apozem
to
be
continued
,
the
Tincture
to
be
repeated
when
he
went
to
Rest
,
and
two
Quarts
of
the
Purging
Mineral
Waters
boyled
to
three
Pints
,
and
turned
with
half
a
Pint
of
Milk
,
to
be
given
to
drink
the
next
Morning
;
and
in
the
room
of
the
former
Julep
I
substituted
the
following
to
be
drank
plentifully
.
Take
Parsley-water
,
Fennel-water
,
of
each
four
Ounces
,
the
Magisterial
Water
of
Earth-worms
,
Syrup
of
the
five
Opening
Roots
,
of
each
two
Ounces
.
Mix
them
,
and
make
a
Julep
.
Nov.
13.
With
this
Method
all
the
Symptoms
began
to
be
abated
,
and
he
did
not
make
such
a
Jaundies
Urine
as
he
did
before
.
And
thereupon
I
ordered
a
continuation
of
the
Apozeme
,
Linctus
,
and
Julep
,
which
were
last
prescribed
,
and
the
repetition
of
the
Tinctura
Sacra
when
he
went
to
Rest
;
and
likewise
for
the
farther
opening
of
the
Obstructions
of
the
Liver
,
three
of
the
following
Pills
to
be
given
every
four
hours
in
a
Spoonful
of
the
Linctus
,
with
a
Draught
of
the
Apozeme
.
Take
the
Pouder
of
Wood-lice
prepared
,
Goose-dung
,
of
each
a
Dram
,
of
Saffron
half
a
Scruple
,
of
the
Syrup
of
the
five
Opening
Roots
a
sufficient
quantity
.
Mix
them
,
and
make
them
into
Pills
of
a
moderate
size
,
to
be
gilt
.
Nov.
14.
After
I
had
taken
this
care
for
the
relief
of
his
obstructed
Liver
with
good
Success
,
I
began
,
as
the
thing
required
,
to
take
more
particular
care
of
his
Lungs
,
which
had
suffered
very
much
from
the
defect
of
this
Entrail
,
because
his
Chronical
Cough
,
as
also
his
difficulty
of
Breathing
proceeding
from
the
toughness
of
the
Phlegm
,
with
which
the
branches
of
the
Wind-pipe
were
stufft
,
did
continually
put
me
in
mind
of
this
part
of
my
business
;
but
especially
when
both
were
now
not
a
little
increased
by
a
Peripneumonick
Affection
he
had
so
lately
had
.
And
therefore
besides
the
continuing
of
the
use
of
the
Abstersive
Linctus
,
and
the
Apozeme
made
of
Pectorals
,
Hepaticks
,
and
Diureticks
,
and
likewise
of
the
Julep
,
and
the
repeating
of
the
Tinctura
Sacra
when
he
went
to
Rest
;
I
ordered
three
of
the
following
Pills
to
be
taken
in
a
Spoonful
of
the
Linctus
three
times
a
day
with
a
Draught
of
the
Apozeme
.
Take
of
Wood-lice
prepared
three
Drams
;
of
Gum
Ammoniack
depurated
a
Dram
and
half
,
Flowers
of
Benjamin
a
Dram
,
Extract
of
Saffron
,
Balsam
of
Peru
,
of
each
half
a
Scruple
,
of
Balsam
of
Sulphur
Terebinthinate
a
sufficient
quantity
;
mix
them
,
and
make
them
into
Pills
of
a
middle
size
,
to
be
gilt
.
Nov.
15.
I
ordered
him
to
insist
upon
the
same
things
,
and
after
Midnight
to
repeat
the
Tinctura
Sacra
,
and
the
Purging
Waters
next
Morning
.
In
which
manner
he
proceeded
by
my
Order
to
the
Nineteeth
day
,
but
only
in
the
stead
of
the
Tincture
I
substituted
half
a
Dram
of
the
Stomack-Pills
with
Gums
,
because
of
the
loathing
of
that
Medicine
,
which
he
began
now
to
have
from
the
long
use
of
it
.
Nov.
19.
I
ordered
the
repeating
of
the
Stomack-Pills
,
and
the
Purging
Waters
every
third
day
for
three
times
,
and
that
he
should
persist
in
the
use
of
the
Linctus
,
Apozeme
,
and
Balsamick
Pills
for
eight
days
.
Decemb.
10.
He
came
to
me
into
my
Study
,
strong
,
fresh-colour'd
,
and
lusty
,
and
much
more
free
from
the
unhealthful
Symptoms
of
his
Lungs
and
Liver
,
than
he
had
been
for
many
Years
past
.
But
that
this
Chronical
Mischief
might
be
perfectly
eradicated
,
I
ordered
a
Pint
of
the
Tinctura
Sacra
,
that
he
might
take
six
or
seven
Spoonfuls
every
fourth
Night
,
and
that
he
should
take
during
the
use
of
that
four
Ounces
of
the
Pectoral
and
Hepatick
Apozeme
before
described
,
three
times
a
day
at
Physical
hours
on
the
intermediate
days
.
Moreover
I
seriously
advised
him
to
use
a
Diet-drink
made
of
Antiscorbutick
,
Hepatick
,
and
Pectoral
Ingredients
steep'd
in
Beer
,
and
Sadler's
Chalybeate
Waters
at
Islington
the
Spring
and
Summer
following
.
History
2.
Mr.
Maddox
,
a
Man
at
least
Fifty
Years
old
,
Gouty
,
and
Hypochondriacal
;
from
long
Cares
,
and
troublesome
Passions
of
his
Mind
,
and
from
the
hard
drinking
of
Spirituous
Liquors
,
which
he
had
used
himself
to
,
fell
by
degrees
into
a
want
of
Appetite
,
a
disposition
to
Vomiting
,
a
stuffing
of
his
Lungs
,
together
with
a
Cough
;
and
likewise
an
Obstruction
of
his
Liver
,
and
a
Consumption
of
his
whole
Body
.
But
I
being
called
on
the
third
day
of
August
in
the
Year
1688.
found
him
labouring
under
a
Costiveness
of
his
Belly
,
and
a
Spasmodick
,
and
very
dreadful
pain
of
his
Back
and
Side
,
for
several
days
,
not
without
the
manifest
signs
of
a
Fever
,
and
a
Languor
upon
him
,
which
now
were
come
to
that
height
,
that
they
plainly
despaired
even
of
his
very
Life
.
At
first
I
thought
the
pain
arose
from
a
Stone-Colick
,
and
thereupon
I
ordered
Ten
Ounces
of
Blood
to
be
taken
from
his
Arm
(
being
induced
to
do
it
not
only
by
the
present
Fever
,
but
likewise
for
fear
of
an
Inflammation
of
the
Intestines
that
might
follow
by
reason
of
the
violent
pain
)
I
ordered
the
Parts
affected
to
be
anoynted
warm
with
the
Oyntment
of
Marsh-mallows
,
Oyl
of
white
Lillies
,
and
Oyl
of
Bricks
mixt
together
,
and
Pills
of
half
a
Dram
of
Extractum
Rudii
,
and
a
Grain
and
half
of
London
Laudanum
,
to
be
given
him
in
his
Bed
,
that
he
might
get
some
sleep
;
likewise
a
temperate
Cordial
Julep
to
be
given
him
often
to
drink
to
comfort
him
.
And
I
ordered
that
if
there
were
occasion
a
Stool
should
be
procured
after
eight
hours
with
a
Clyster
of
Milk
and
Sugar
with
Camomile-flowers
boyled
in
the
Milk
;
but
when
the
Purge
had
once
done
working
,
they
were
to
give
him
Twenty
Drops
of
Liquid
Laudanum
in
a
small
Draught
of
the
Cordial
at
the
time
he
should
go
to
Rest
.
But
these
things
having
no
effect
either
to
give
him
any
Stools
,
or
the
easing
of
his
Pain
,
on
the
6th
.
of
August
I
prescribed
a
Mucilaginous
and
Lubricating
Apozeme
to
be
drank
often
,
and
for
three
Nights
together
half
a
Dram
of
the
Stomack-Pills
with
Gums
,
and
a
Grain
and
a
half
of
London
Laudanum
,
and
the
next
Mornings
two
Quarts
of
the
Purging
Mineral
Waters
.
Aug.
17.
I
ordered
the
repetition
of
the
Pills
when
he
went
to
Rest
,
and
likewise
of
the
Waters
the
next
Morning
;
and
that
he
should
drink
the
Waters
boyled
,
dissolving
an
Ounce
and
half
of
the
choicest
Manna
in
the
last
Draught
.
But
for
all
this
the
Spasmodick
pain
of
his
Back
,
and
his
Costiveness
continued
.
And
thereupon
,
Aug.
18.
I
ordered
four
Spoonfuls
of
Elixir
Salutis
,
and
Thirty
Drops
of
Liquid
Laudanum
to
be
given
when
he
went
to
Rest
;
and
that
he
should
take
three
Ounces
of
the
following
Apozeme
warm
every
three
hours
,
until
he
had
had
some
good
large
Stools
.
Take
of
Senna
half
an
Ounce
,
Coriander-seed
prepared
,
Salt
of
Tartar
,
of
each
two
Scruples
,
boyl
them
in
a
Pint
and
half
of
the
Purging
Mineral
Waters
to
a
Pint
,
dissolving
in
them
when
they
are
strained
,
two
Ounces
of
the
best
Manna
.
With
the
use
of
which
he
at
length
began
to
have
too
many
Stools
,
that
is
,
more
than
he
could
bear
;
but
without
any
relief
of
his
Pain
,
which
was
so
violent
,
that
it
could
hardly
be
quieted
even
with
the
use
of
Laudanum
it self
,
though
by
degrees
I
went
as
high
as
Forty
,
Fifty
,
Sixty
Drops
,
which
yet
I
was
forced
to
repeat
every
Night
.
Aug.
21.
Being
called
a
second
time
to
go
see
him
,
by
the
little
yellowish
colour
of
his
Skin
I
understood
well
enough
that
the
first
Original
of
all
this
mischief
was
not
in
the
Kidneys
,
but
had
layn
in
his
obstructed
Liver
;
and
that
neither
the
progress
of
his
Consumption
could
be
prevented
,
nor
that
horrid
Pain
,
that
moved
up
and
down
between
his
Back
,
Sides
,
and
Belly
,
could
be
removed
unless
we
had
a
due
respect
first
to
this
part
.
And
I
did
not
make
any
matter
that
the
pain
was
felt
in
the
lower
parts
of
the
Belly
,
just
by
the
Region
of
the
Kidneys
and
Bladder
,
and
a
great
way
below
the
seat
of
the
Liver
,
because
I
had
often
observed
this
same
thing
before
in
those
that
had
the
Jaundies
,
whom
I
had
often
heard
complaining
and
crying
out
by
reason
of
the
violent
pain
which
they
felt
in
the
lower
parts
of
the
Belly
,
when
in
truth
the
cause
was
remote
in
the
right
Hypochondre
.
Which
appearance
it
is
no
hard
matter
to
Account
for
;
to
wit
,
that
as
the
substance
of
the
Liver
,
according
to
my
Hypothesis
and
Observation
,
by
reason
of
its
preternatural
closeness
and
density
,
is
almost
deprived
of
Sense
;
so
likewise
for
the
same
reason
it
affords
a
very
difficult
passage
to
the
Blood
,
Lympha
,
and
other
Juices
,
that
passed
through
it
;
so
that
the
Vessels
,
which
tend
hither
from
the
lower
parts
of
the
Belly
,
must
necessarily
be
distended
beyond
their
Natural
Tone
,
and
be
rendred
varicous
;
and
thereupon
suffer
a
great
deal
,
till
at
length
with
the
use
of
Hepatick
and
Deobstruent
Medicines
the
Substance
of
the
Liver
had
recovered
its
loose
and
Natural
Tone
.
From
this
Hypothesis
for
three
weeks
I
ordered
two
Ounces
and
a
half
of
Tinctura
Sacra
to
be
given
every
Night
when
he
went
to
Rest
(
to
which
being
forced
,
I
allowed
Thirty
,
Forty
,
and
at
length
Fifty
Drops
of
Liquid
Laudanum
to
be
always
added
by
reason
of
the
violence
of
the
pain
.
)
I
likewise
ordered
the
Purging
Apozem
,
with
the
addition
of
an
Ounce
and
half
of
Syrup
of
Buckthorn
,
to
be
repeated
every
fourth
Morning
,
and
four
Ounces
of
the
following
Diuretick
Apozem
to
be
given
every
four
hours
on
the
days
between
.
Take
the
Roots
of
Succory
,
Grass
,
Parsley
,
Fennel
,
of
each
two
Ounces
,
the
Roots
of
Turmerick
,
the
inner
Bark
of
the
Barbery-tree
,
of
each
an
Ounce
,
shavings
of
Hartshorn
,
of
Ivory
,
of
each
half
an
Ounce
,
of
Currans
two
Ounces
,
of
Saffron
tyed
up
in
a
Linnen
Cloth
,
and
often
squeezed
,
half
a
Scruple
,
of
Aniseeds
half
a
Dram
;
boyl
them
in
a
sufficient
quantity
of
Spring-water
to
a
Quart
,
adding
when
they
are
almost
boyled
enough
half
a
Pint
of
White-wine
.
Add
to
the
Liquor
,
when
't
is
strained
,
of
the
Magisterial
Water
of
Earth-worms
three
Ounces
,
the
Juice
of
two
Lemons
,
of
the
Syrup
of
the
five
opening
Roots
three
Ounces
.
Mix
them
,
and
make
an
Apozem
.
I
advised
him
likewise
to
take
an
Ounce
and
half
of
the
Steel
Wine
sweetned
with
a
little
brown
Sugar
every
Morning
.
After
Eight
or
Ten
days
were
now
past
,
as
his
Pain
began
to
abate
,
so
he
likewise
began
to
go
to
Stool
more
easily
.
And
therefore
first
I
left
out
the
Syrup
of
Buckthorn
from
the
Purging
Apozem
.
And
at
length
,
Aug.
30.
in
the
room
of
the
Purging
Apozem
I
substituted
six
Pints
of
the
Purging
Waters
crude
,
with
which
he
now
went
to
Stool
well
enough
,
and
therefore
I
took
care
they
should
be
repeated
every
third
Morning
.
Sept.
6.
Because
of
his
Faintness
,
caused
by
his
frequent
Purging
(
from
that
time
he
began
to
have
so
many
Stools
)
I
ordered
the
omission
of
the
Purging
Waters
for
the
future
,
and
prescribed
the
following
Cordial
Julep
to
be
given
often
.
Take
of
Dr.
Stephens
's
Water
two
Ounces
,
of
the
Epidemick-water
an
Ounce
,
of
Black-Cherry-water
four
Ounces
,
of
Syrup
of
Clove-gillyslowers
ten
Drams
.
Mix
them
,
and
make
a
Julep
.
Sept.
12.
When
now
at
length
my
Patient
began
plainly
to
loath
the
Tinctura
Sacra
by
reason
of
the
long
use
of
it
,
instead
of
that
,
and
the
Laudanum
mixt
with
it
,
I
substituted
the
Stomack-Pills
with
Gums
,
Cynogloss-Pill
,
of
each
twelve
Grains
,
to
be
made
into
three
Pills
,
which
I
ordered
to
be
repeated
every
Night
.
And
because
I
now
perceived
by
the
plenty
,
and
less
high
colour
of
his
Urine
,
that
the
Obstructions
of
his
Liver
were
in
some
measure
opened
,
I
ordered
four
of
the
following
Pills
to
be
taken
every
Morning
for
the
farther
promoting
of
Urine
.
Take
of
the
Pouder
of
Wood-lice
half
a
Dram
,
of
Salt
of
Amber
very
well
cleared
from
the
Oyl
fifteen
Grains
,
of
Syrup
of
Marsh-mallows
a
sufficient
quantity
;
mix
them
,
and
make
them
into
Pills
of
a
middle
size
,
to
be
gilt
.
Sept.
18.
When
by
the
Tincture
of
his
Urine
being
brought
almost
to
its
Natural
colour
,
I
rightly
conjectured
that
the
Liver
was
in
a
manner
restored
to
its
Natural
Tone
,
I
advised
my
Patient
that
he
should
try
to
open
the
Obstructions
that
remained
,
and
to
precipitate
the
Reliques
of
the
Morbifick
Matter
by
Urine
with
the
use
of
Sadler's
Chalybeate
Waters
at
Islington
.
But
when
after
the
tryal
of
a
day
or
two
,
I
was
well
enough
satisfied
that
the
obstructed
parts
were
not
yet
opened
so
much
as
to
give
the
Waters
liberty
to
pass
freely
by
the
Kidneys
,
because
the
Serum
of
the
Blood
being
held
by
the
bilious
Particles
,
and
too
much
saturated
with
them
,
and
as
it
were
coagulated
,
by
reason
of
the
preternatural
viscousness
contracted
thereupon
,
could
not
yet
be
readily
strained
through
the
Pores
of
the
Glandules
of
the
Kidneys
,
I
altered
my
mind
,
and
instead
of
the
Waters
,
I
prescribed
the
following
Julep
to
be
drank
often
and
plentifully
,
and
two
Drams
of
the
following
Chalybeate
Electuary
to
be
given
every
Morning
,
expecting
from
the
former
of
them
a
more
plentiful
flux
of
Urine
,
and
from
the
latter
a
farther
opening
of
the
Obstructions
;
whilst
at
the
same
time
I
persisted
to
make
the
Tone
of
his
Stomack
more
firm
,
and
his
Body
more
soluble
by
repeating
the
Tinctura
Sacra
every
third
Night
.
Neither
did
the
Event
deceive
my
Expectation
.
The
Julep
was
this
:
Take
Parsley
water
,
Fennel-water
,
of
each
a
Pint
,
the
Magisterial
Water
of
Earth-worms
,
the
Syrup
of
the
five
opening
Roots
,
of
each
six
Ounces
.
Mix
them
.
The
Electuary
was
this
:
Take
of
the
filings
of
Steel
prepared
two
Drams
,
Saffron
,
Mace
,
of
each
a
Scruple
,
Conserve
of
Hipps
,
of
the
Flowers
of
Succory
,
of
each
an
Ounce
and
half
,
of
Syrup
of
Citron-peel
a
sufficient
quantity
.
Mix
them
,
and
make
an
Electuary
.
With
the
use
of
these
things
my
Patient
plainly
recovered
,
being
freed
not
only
from
his
Pains
,
and
his
disposition
to
Vomit
,
but
likewise
from
the
stuffing
of
his
Lungs
,
which
he
used
to
have
,
from
his
Cough
and
difficulty
of
Breathing
;
as
also
from
the
yellowish
Tincture
of
his
Skin
,
and
from
all
the
other
signs
both
of
the
Obstructions
of
his
Liver
,
and
the
Distemper
of
his
Lungs
.
For
he
got
a
very
good
Appetite
again
,
with
which
he
soon
was
freed
from
his
Consumptive
as
well
as
his
Jaundies
state
,
and
continues
hitherto
well
,
and
strong
.
However
when
I
dismist
him
,
that
I
might
quite
pluck
up
the
Roots
of
this
Chronical
Mischief
,
which
had
been
a
long
time
fixt
,
Sept.
24.
1688.
I
wrote
him
this
last
Bill
for
his
use
,
which
,
being
now
almost
well
,
he
was
not
so
conformable
to
,
as
he
used
to
be
to
the
former
,
because
perhaps
he
did
not
think
it
so
necessary
.
Take
of
Tinctura
Sacra
a
Pint
:
Let
him
take
six
or
seven
Spoonfuls
every
third
Night
.
Take
of
Extractum
Ecphracticum
without
Aloes
an
Ounce
and
half
;
make
it
into
Pills
of
a
middle
size
,
to
be
gilt
,
of
which
let
him
take
three
twice
a
day
every
day
,
sc.
in
the
Morning
,
and
at
four
of
the
Clock
in
the
Afternoon
.
History
3.
Mr.
Dent
,
living
in
White-cross-street
,
used
to
desire
my
Help
and
Advice
for
several
Years
,
whenever
he
,
or
any
of
his
Family
were
sick
;
a
Man
truly
Honest
,
but
somewhat
Melancholy
,
and
thereupon
given
to
drink
hard
at
Nights
,
and
that
very
late
,
sitting
long
at
it
to
exhilerate
his
oppressed
mind
.
With
which
he
fell
into
a
gross
,
and
as
it
were
a
callous
Habit
of
Body
.
But
at
length
about
the
Fiftieth
Year
of
his
Age
he
used
to
complain
by
long
and
uncertain
intervals
of
a
Vertiginous
Affection
of
his
Head
:
And
after
three
or
four
of
these
Fits
(
one
or
two
of
which
came
near
to
an
Apoplexy
)
being
advised
,
and
earnestly
entreated
by
his
most
dear
and
observant
Wife
,
at
length
he
consented
to
commit
this
business
to
my
care
;
a
Man
that
abhorred
Physick
as
much
as
any
one
.
But
with
the
taking
away
of
Blood
from
the
Jugular
Vein
,
and
the
application
of
a
large
Blistering
Plaister
to
his
Neck
,
and
likewise
the
giving
of
him
a
gentle
Vomit
,
and
after
that
a
Purge
or
two
,
together
with
Cephalick
Juleps
between
whiles
;
being
once
freed
from
the
present
Symptoms
,
he
plainly
refused
Chalybeates
,
and
other
Medicines
,
that
were
proper
to
open
the
Obstructions
in
the
Viscera
,
with
which
we
might
take
care
of
his
Health
for
the
future
.
From
which
neglect
it
happened
that
in
the
space
of
a
Year
or
two
he
had
a
relapse
again
and
again
.
But
at
length
a
certain
Chymical
Emperick
,
that
could
boast
sufficiently
,
having
given
him
I
know
not
what
Chalybeate
Arcanum
,
without
any
preceding
Evacuation
,
it
happened
so
that
the
Disease
was
quickly
translated
from
his
Brain
to
his
Lungs
and
Diaphragm
in
the
Nature
of
a
dry
Asthma
;
so
that
he
,
who
was
wont
to
complain
of
a
Giddiness
before
,
did
now
much
more
lament
his
perpetual
Strangulation
or
Choaking
,
which
indeed
was
visible
enough
in
the
Face
of
the
Patient
to
the
very
Spectators
,
because
not
only
he
had
now
plainly
lost
the
Natural
fresh
colour
of
his
Face
with
his
Skin
growing
thick
;
but
likewise
his
Cheeks
,
and
very
Lips
instead
of
their
wonted
Rosy
hew
were
basely
ting'd
with
a
nasty
black
and
blew
colour
,
looking
something
pale
,
as
if
the
Patient
had
hung
in
a
Halter
a
good
while
:
Also
his
Eyes
,
and
almost
all
his
Skin
were
lightly
ting'd
with
a
Jaundies
colour
,
his
Urine
also
looking
yellow
after
the
manner
of
those
that
have
the
Jaundies
;
and
as
it
was
very
little
in
quantity
,
so
likewise
always
very
full
of
contents
,
or
setlings
.
There
was
also
almost
a
perpetual
Cough
,
but
yet
not
so
very
violent
,
because
it
proceeded
from
a
tough
Phlegm
.
But
his
Stomack
was
quite
gone
,
and
he
had
also
a
great
Thirst
,
with
other
Symptoms
of
a
Hectick
Fever
.
And
in
this
miserable
and
lamentable
state
he
continued
almost
for
the
space
of
two
Years
,
desiring
the
Care
and
Assistance
sometimes
of
one
,
sometimes
of
another
Physician
,
but
not
long
observant
of
the
Directions
and
Advice
of
any
,
till
at
length
about
three
Months
before
he
dyed
,
when
he
was
plainly
worn
away
with
a
Marasmus
from
an
Universal
Colliquation
,
made
by
a
plentiful
spitting
of
Putrid
Phlegm
,
vast
Sweats
,
a
Looseness
,
and
very
troublesome
Dropsical
Swellings
of
his
Leggs
and
Belly
,
he
again
,
though
't
was
now
too
late
,
with
Tears
and
Entreaties
committed
himself
to
my
care
,
and
was
extreamly
troubled
that
being
tired
with
Medicines
in
the
beginning
of
his
Distemper
,
he
had
so
soon
withdrawn
himself
from
my
Care
and
Advice
,
when
he
had
found
a
great
deal
of
benefit
from
Bleeding
,
the
repeated
use
of
Riverius's
Mixture
,
and
other
gentle
Emeticks
,
and
Purges
,
of
my
Balsamick
Pills
,
of
Inciding
and
Absterging
Linctuses
,
and
Pectoral
Apozems
,
change
of
Air
,
and
other
such-like
things
,
though
he
was
not
yet
recovered
to
a
perfect
state
of
Health
;
seeing
that
now
by
reason
of
his
Tabid
Disposition
,
and
Universal
Colliquation
,
he
was
altogether
unable
to
bear
those
Evacuations
,
that
were
necessary
.
Nevertheless
so
far
as
I
was
able
,
I
gave
my
helping
Hand
to
this
miserable
Patient
;
and
first
,
I
endeavoured
to
lessen
the
Dropsical
Swelling
by
Purging
off
the
Humour
with
the
following
Cathartick
Bolus
.
Take
the
Conserve
of
the
Flowers
of
Succory
,
Pouder
of
Rhubarb
,
of
each
a
Scruple
,
of
Rosin
of
Jalap
half
a
Scruple
,
Salt
of
Wormwood
five
Grains
,
Syrup
of
Succory
with
Rhubarb
a
sufficient
quantity
.
Mix
them
,
and
make
a
Bolus
.
He
bore
the
working
of
the
first
Bolus
very
well
;
but
yet
by
reason
of
my
Patient's
Weakness
,
and
his
Fever
,
I
was
afraid
to
repeat
that
Bolus
so
often
as
the
Dropsie
required
it
.
I
likewise
in
vain
endeavoured
to
promote
a
flux
of
Urine
with
a
Diuretick
Julep
of
Parsley-water
,
Fennel-water
,
the
Magisterial
Water
of
Earth-worms
,
the
Syrup
of
the
five
Opening
Roots
,
Salt
of
Amber
,
&c.
With
the
use
of
which
the
Fever
seemed
to
be
something
increased
,
which
at
length
I
took
off
,
at
least
for
some
time
,
with
the
use
of
the
Peruvian
Bark
.
But
when
I
found
his
Appetite
was
not
restored
by
it
,
I
did
not
expect
so
much
from
that
Medicine
.
And
therefore
I
endeavoured
to
open
the
Obstructions
of
his
Liver
(
in
which
I
did
rightly
suspect
the
Original
mischief
of
his
Distemper
to
lye
)
with
the
plentiful
use
of
my
Hepatick
,
and
Diuretick
Apozem
before
mentioned
,
and
the
most
convenient
Chalybeate
Medicines
;
as
also
to
take
care
of
his
Lungs
with
my
Balsamick
Pills
,
Linctuses
,
and
Pectoral
Apozemes
.
With
the
use
of
which
he
seemed
to
breath
better
,
and
to
be
less
Feverish
,
and
also
to
have
his
Skin
and
Urine
less
ting'd
with
a
yellow
colour
.
But
his
Colliquation
still
persisting
,
and
his
Dropsie
increasing
upon
him
,
and
when
we
were
in
the
midst
of
the
Winter
too
,
I
plainly
despaired
of
his
Recovery
;
and
therefore
I
sent
him
,
as
he
himself
desired
,
into
the
Country
,
and
an
open
Air
,
that
he
might
there
at
least
have
an
easie
Death
,
so
far
as
his
Symptoms
would
admit
of
it
:
Where
in
the
space
of
a
Month
or
five
Weeks
,
being
wasted
by
that
Universal
Colliquation
,
he
went
out
by
degrees
like
a
Candle
;
complaining
more
than
of
any
other
Symptoms
of
this
,
to
wit
,
a
dreadful
,
and
as
it
were
a
Spasmodick
Pain
,
reaching
from
the
right
Hypochondre
through
a
great
part
of
the
Belly
;
which
indeed
I
could
neither
remove
nor
mitigate
,
either
with
Liniments
,
or
Anodyne
Fomentations
,
or
any
other
way
:
Which
kind
of
Symptom
I
have
almost
always
found
in
other
such-like
Patients
;
which
thing
it
was
a
very
easie
matter
to
account
for
from
the
Body
being
opened
after
he
was
dead
.
For
the
Sternum
being
taken
off
,
and
the
Breast
opened
,
we
first
saw
the
Lungs
,
very
much
enlarged
in
their
bigness
,
and
now
changed
in
their
colour
,
from
that
which
was
Natural
to
a
black
,
or
cineritious
colour
,
sticking
almost
every
where
very
firmly
to
the
sides
of
the
Breast
,
and
in
all
the
Lobes
full
of
Tubercles
,
in
some
places
maturated
,
but
in
others
crude
.
From
whence
it
is
evident
enough
,
that
this
was
a
true
Consumption
of
the
Lungs
,
though
a
Symptomatical
one
.
Also
the
Liver
it self
,
as
it
appeared
much
larger
than
it
ought
to
be
,
(
by
which
means
pressing
the
Diaphragm
underneath
,
without
doubt
it
did
not
a
little
promote
that
continual
Suffocation
with
which
the
Patient
was
troubled
,
let
him
be
in
what
Air
he
would
)
so
likewise
the
substance
of
it
appeared
more
hard
and
compact
than
usual
,
and
what
it
should
be
,
as
if
it
had
been
plainly
parboyl'd
;
and
the
branches
also
of
the
Vena
Portae
running
from
the
Hypogastrium
to
the
Liver
,
were
every
where
distended
beyond
their
Natural
Tone
,
and
varicous
.
From
all
which
it
is
as
easie
to
deduce
the
cause
of
this
Chronical
Icteritious
disposition
,
which
here
first
gave
the
occasion
of
the
Consumption
,
and
of
that
horrid
Pain
,
which
reached
from
the
Hypochondre
through
the
Belly
;
which
I
observed
not
only
this
Patient
,
but
also
Mr.
Maddox
before
mentioned
,
Mrs.
James
,
Mr.
Freestone
in
Bucklersbury
,
and
almost
all
others
that
have
been
ill
in
this
manner
,
to
complain
of
with
great
cries
so
earnestly
and
continually
,
as
if
they
had
been
troubled
with
no
other
Symptom
.
But
in
some
this
pain
rather
occupies
the
Region
of
the
Kidneys
and
Loyns
,
being
like
a
Nephritick
pain
,
or
a
Scorbutical
pain
of
the
Loyns
,
as
it
happened
to
Mr.
Maddox
,
and
Mr.
Freestone
:
But
in
others
it
is
seated
in
the
fore-part
of
the
Belly
,
and
especially
the
Hypogastrium
,
in
the
form
of
a
true
Colick
;
in
which
manner
the
Patient
of
whom
we
are
now
speaking
,
was
affected
.
From
this
as
it
were
kind
of
compactness
and
hardness
of
the
Substance
of
the
Liver
so
preternaturally
swelled
,
and
from
the
remarkable
varication
of
the
branches
of
the
Vena
Portae
following
thereupon
as
the
Aetiology
of
this
Chronical
Icteritious
Disposition
,
by
which
my
Patient
was
first
disposed
to
a
Consumption
,
does
appear
plain
enough
to
Reason
,
and
in
a
manner
to
Sense
too
:
So
no
less
evident
is
the
Original
of
that
horrid
pain
,
which
occupyed
the
parts
of
the
Belly
,
and
perhaps
too
of
that
Remarkable
Ascites
,
by
which
without
doubt
the
fatal
day
of
his
Death
was
much
hastened
.
As
for
that
Chronical
Icteritious
Disposition
,
no
one
can
think
it
strange
,
when
this
great
Instrument
of
the
separation
of
the
Bile
is
quite
deprived
of
its
Natural
laxity
,
if
by
the
constriction
and
compression
of
its
Substance
following
thereupon
it
is
rendred
unfit
for
the
performance
of
its
Function
;
to
wit
,
the
secretion
of
the
bilious
parts
from
the
Blood
,
and
the
excerning
of
them
into
the
Bile-duct
,
and
Gall-bladder
for
great
uses
,
for
which
they
are
appointed
by
Nature
:
From
whence
there
must
necessarily
follow
too
great
a
congestion
,
or
heaping
up
of
Bile
in
the
Blood
it self
,
and
thereupon
also
a
yellowish
Tincture
of
the
Skin
,
an
Urine
very
high-colour'd
,
yellow
,
and
full
of
Contents
,
somewhat
a
whitish
colour
of
their
Stools
,
together
with
a
Faintness
,
Weakness
,
and
the
other
usual
Symptoms
of
a
Jaundies
.
And
it
may
be
from
this
compression
of
the
Substance
of
the
Liver
,
and
the
varication
of
the
Vena
Portae
caused
thereby
,
it
happened
that
the
Lymphatick
Vessels
which
arise
from
the
Liver
,
or
the
conglobate
Glands
seated
in
the
Sinus
of
it
,
just
at
the
entrance
of
the
Vena
Portae
,
were
broken
;
from
whence
also
it
is
easie
to
give
the
reason
of
that
Dropsical
Swelling
,
which
came
upon
this
Patient
about
the
end
of
his
Icteritious
Consumption
,
as
it
uses
to
happen
to
almost
all
others
that
are
affected
in
that
manner
.
Finally
,
as
for
that
horrid
pain
,
which
is
wont
to
accompany
this
Distemper
,
we
must
observe
that
every
Jaundies
,
of
what
sort
soever
it
is
,
whether
Accidental
or
Habitual
,
has
always
this
kind
of
Spasmodick
pain
joyned
with
it
;
but
with
this
difference
,
that
as
an
Accidental
Jaundies
proceeds
meerly
from
an
Obstruction
of
the
Porus
Bilarius
,
or
the
Ductus
Communis
,
caused
by
a
stone
,
or
the
glutinousness
of
the
Bile
;
so
it
causes
a
very
Acute
Disease
attended
with
a
dangerous
Fever
,
and
dreadful
Spasmodick
pains
,
even
so
great
as
to
make
them
swoon
;
which
pain
indeed
is
wont
nevertheless
to
be
circumscribed
by
the
Region
of
the
Stomack
,
and
by
the
Shoulder-blades
,
like
a
Colick
of
the
Stomack
:
Because
these
Parts
that
are
near
are
wont
to
have
very
painful
Spasms
by
the
consent
they
have
with
that
tender
Duct
,
which
at
this
time
is
distended
much
beyond
is
Natural
Tone
by
the
Bile
,
or
by
Stones
:
When
on
the
contrary
,
in
an
Habitual
Jaundies
,
though
there
is
always
felt
from
the
very
beginning
of
the
Disease
a
certain
dull
and
gravative
pain
in
the
Region
of
the
Liver
(
as
I
remember
it
happened
often
to
Mrs.
James
,
and
some
others
;
)
to
wit
,
as
soon
as
the
substance
of
this
Entrail
begins
to
be
deprived
of
its
Natural
laxity
,
and
to
be
too
compact
.
Yet
there
is
no
Acute
and
Spasmodick
pain
like
the
former
but
only
in
the
parts
of
the
Belly
below
the
Navel
,
in
the
manner
of
a
true
Colick
;
or
in
the
Region
of
the
Loyns
in
the
form
of
a
Nephritick
pain
,
and
that
not
long
before
they
dye
,
that
is
not
long
before
the
Liver
it self
happens
at
length
to
be
constring'd
to
such
a
degree
from
the
compression
of
its
Substance
being
much
increased
,
that
the
Blood
can
very
difficultly
if
at
all
pass
through
it
out
of
the
Vena
Portae
:
Whereupon
who
can
wonder
if
the
very
Vessels
being
once
distended
beyond
their
Natural
Tone
by
the
pressure
of
the
subsequent
Blood
,
do
by
degrees
grow
very
large
,
if
it
is
not
prevented
by
an
immoderate
flux
of
the
internal
Haemorrhoids
(
to
which
this
sort
of
Patients
are
very
subject
)
or
by
some
other
Rupture
,
or
else
opening
of
the
Vessels
.
So
Vessalius
,
in
the
15th
.
Chapter
of
the
Fifth
Book
,
observed
in
one
that
had
the
Jaundies
,
and
was
carried
off
with
the
flowing
of
the
Haemorrhoids
,
the
Liver
very
much
swelled
,
and
the
branch
of
the
Vena
Portae
all
along
the
Duct
of
the
Intestinum
Rectum
enlarged
so
as
to
be
an
Inch
in
Diameter
.
Likewise
Guarinonius
in
584th
.
Consultation
affirms
,
That
in
Hypochondriacal
Persons
he
himself
has
often
found
the
obstructed
Veins
of
the
Mesentery
so
much
dilated
,
that
they
looked
more
like
Intestines
than
Veins
.
'T
is
true
indeed
,
this
pain
is
not
perceived
in
the
Vessels
themselves
,
that
are
preternaturally
distended
or
swelled
;
for
the
Veins
and
Arteries
(
as
Gallen
,
in
the
xij
.
Chapt.
of
his
First
Book
of
the
use
of
the
Parts
,
affirms
)
have
no
sense
if
they
are
cut
,
or
burnt
,
or
tyed
hard
with
strings
.
To
which
Opinion
I
very
readily
assent
,
as
being
perswaded
of
the
truth
of
it
from
the
frequent
Observation
of
Varices
,
which
I
remember
to
have
often
happened
in
Cancrous
Breasts
,
and
in
the
Legs
of
Women
with
Child
:
All
which
seemed
to
be
affected
with
a
very
obtuse
or
no
pain
from
these
Varices
,
though
they
were
grown
never
so
big
;
which
pain
too
always
seemed
to
me
to
proceed
rather
from
a
preternatural
distention
of
the
external
Skin
,
and
a
pressing
upon
the
Muscular
flesh
under
them
caused
by
the
larger
Varices
,
than
from
the
sense
of
the
Vessels
themselves
,
that
were
so
varicous
.
And
it
may
be
that
dreadful
pain
in
the
lower
part
of
the
Belly
,
which
is
wont
to
accompany
an
Icterical
Consumption
,
of
which
we
are
now
speaking
,
may
be
thought
to
be
caused
in
the
same
manner
.
For
as
soon
as
the
substance
of
the
Liver
happens
to
be
so
constringed
and
thickned
,
that
being
now
deprived
of
its
Natural
laxity
,
it
does
very
difficultly
,
if
at
all
admit
the
passage
of
the
Blood
through
it
;
the
Vena
Portae
,
and
the
branches
of
it
,
which
bring
the
Blood
back
to
this
part
,
must
necessarily
at
length
be
much
swelled
,
and
rendred
varicous
by
the
continual
drift
of
fresh
Blood
,
by
reason
of
the
stop
that
is
here
put
to
it
.
Which
being
so
,
though
the
Veins
themselves
,
according
to
Galen's
Opinion
,
are
not
affected
with
any
dolorifick
sense
,
yet
none
ought
to
think
it
strange
that
from
a
distention
,
and
a
Solutio
continui
made
in
the
Membranes
,
through
which
these
varicous
Vessels
creep
,
there
proceeds
this
dreadful
and
spasmodick
pain
,
which
can
be
removed
only
with
the
use
of
Chalybeate
and
Diuretick
Medicines
,
endued
with
subtle
and
penetrating
parts
;
and
that
a
long
and
constant
use
of
them
,
which
may
be
sufficient
to
open
the
Obstructions
of
the
Liver
.
Which
Obstructions
being
once
removed
,
and
thereupon
the
Varices
going
down
of
their
own
accord
,
the
Membranes
,
through
which
they
creep
,
may
by
knitting
together
again
be
quickly
freed
from
this
Spasmodick
Pain
.
And
in
vain
,
even
for
the
abating
of
the
pain
,
are
outward
and
warm
applications
made
,
to
wit
,
of
Fomentations
,
and
Anodyne
Liniments
,
which
are
wont
to
be
of
very
great
use
in
Pleuritick
,
Colick
,
and
other
Spasmodick
Pains
,
because
the
Blood
contained
in
the
Varices
is
more
agitated
and
heated
by
external
warmth
;
whereupon
a
greater
varication
or
preternatural
distention
of
the
Vessels
with
an
increase
of
the
pain
must
necessarily
follow
.
But
I
have
observed
that
Oxycrate
,
the
Cerote
of
Saunders
,
Oyntment
of
Roses
,
and
other
such-like
Styptick
and
cooling
things
,
and
those
applyed
cold
,
have
much
better
answered
the
end
.
But
above
all
things
,
Opium
given
inwardly
,
as
it
is
the
last
,
so
it
is
likewise
the
only
,
at
least
the
greatest
Relief
and
Refuge
for
this
pain
.
This
too
is
given
in
vain
if
it
be
in
a
little
quantity
.
For
no
Dose
will
truly
answer
our
end
,
unless
it
be
so
great
as
may
be
able
to
cause
some
kind
of
numbness
or
insensibility
in
the
distended
Membranes
as
well
as
in
the
other
parts
of
the
Body
.
Which
I
have
often
found
in
Mr.
Maddox
,
and
other
Patients
in
the
like
case
;
whose
Pains
I
could
not
so
much
as
abate
,
even
with
Laudanum
it self
,
till
I
began
to
prescribe
three
or
four
Grains
every
time
.
'T
is
true
indeed
the
Original
Disease
,
and
these
Symptomatical
Pains
proceeding
from
it
,
do
afford
different
Indications
.
For
as
much
as
these
Pains
are
abated
by
Opiates
,
so
much
the
Obstruction
,
or
Constriction
of
the
Substance
of
the
Liver
,
which
gave
the
first
occasion
of
the
pain
,
is
increased
and
confirmed
.
And
indeed
what
is
done
by
Chalybeates
in
the
Day-time
,
is
in
some
measure
undone
by
Opiates
in
the
Night
.
However
,
forasmuch
as
the
Vital
Indication
requires
it
,
oppressed
and
languishing
Nature
must
be
supported
with
necessary
Opiates
.
For
they
being
now
almost
ready
to
expire
with
the
continual
Fatigue
of
these
Spasms
,
there
cannot
be
room
to
use
either
Chalybeates
,
or
any
other
kind
of
convenient
Medicines
.
And
therefore
in
this
case
,
though
the
use
of
Opium
,
which
is
very
necessary
(
and
which
ought
to
be
compensated
with
the
more
diligent
,
and
longer
use
of
Deobstruent
and
Attenuating
Medicines
)
may
be
permitted
at
due
intervals
by
a
Prudent
Physician
,
yet
we
must
not
give
even
the
least
Grain
of
Laudanum
without
urgent
necessity
,
because
the
Original
Distemper
does
plainly
contraindicate
the
use
of
it
.
History
4.
The
Wife
of
Mr.
Prestbury
,
that
lived
in
Black-Fryars
,
who
was
now
some
Months
gone
with
Child
,
really
an
honest
Woman
,
but
somewhat
anxious
and
thoughtful
,
at
length
from
Cares
,
and
various
Passions
of
her
Mind
fell
into
the
Jaundies
from
a
deficient
secretion
of
the
Bile
,
caused
by
as
it
were
a
kind
of
Schirrous
hardness
and
closeness
of
the
Substance
of
the
Liver
it self
.
But
from
the
long
neglecting
of
her
Jaundies
she
became
not
only
tabid
and
emaciated
by
the
long
substraction
of
the
Nutritious
Juice
;
but
likewise
began
to
want
an
Appetite
,
to
have
a
Thirst
,
and
something
of
a
Hectick
heat
,
to
be
troubled
with
a
difficulty
of
Breathing
,
a
Cough
,
and
other
signs
of
an
incipient
Consumption
of
the
Lungs
;
insomuch
that
even
I
my self
thought
she
would
in
a
short
time
dye
of
a
Consumption
,
unless
there
could
be
some
help
given
her
to
open
the
Obstructions
of
her
Liver
time
enough
:
And
therefore
when
for
fear
of
a
Miscarriage
,
I
dare
order
neither
Tinctura
Sacra
,
nor
the
Purging
Mineral
Waters
,
nor
any
other
Purging
Medicine
,
on
the
third
day
of
May
this
present
Year
I
ordered
four
Ounces
of
the
Aperitive
Apozem
already
described
to
be
given
her
every
sixth
hour
for
ten
days
together
,
adding
likewise
twice
a
day
an
Ounce
of
the
Chalyheate
Wine
to
the
Draught
.
But
when
by
reason
of
some
Natural
Antipathy
which
she
had
against
Saffron
,
she
could
neither
bear
that
,
not
Turmerick-Roots
,
nor
it
may
be
some
other
things
that
were
Ingredients
in
these
Medicines
,
but
as
soon
as
they
were
taken
she
threw
them
up
again
,
and
that
not
without
signs
of
a
sudden
Miscarriage
.
May
25.
I
set
my self
to
answer
the
former
Indications
by
some
new
Prescript
made
for
the
same
intentions
in
the
manner
following
.
Take
the
Pouder
of
Wood-lice
,
Goose-dung
,
of
each
two
Drams
,
of
Salt
of
Steel
a
Scruple
,
Syrup
of
the
five
Opening
Roots
a
sufficient
quantity
:
Mix
them
,
and
make
them
into
Pills
of
a
middle
size
to
be
gilt
,
of
which
let
her
take
three
thrice
a
day
at
Physical
hours
,
and
drink
four
Ounces
of
the
following
Apozeme
after
every
Dose
.
Take
the
Roots
of
Succory
,
Grass
,
Parsley
,
Fennel
,
Asparagus
,
of
each
two
Ounces
,
of
the
inner
Bark
of
the
Barberry-tree
an
Ounce
,
shavings
of
Hartshorn
,
Ivory
,
of
each
half
an
Ounce
,
of
Currans
two
Ounces
,
boyl
them
in
a
sufficient
quantity
of
Spring-water
to
a
Pint
and
half
,
adding
when
they
are
almost
boyled
half
a
Pint
of
White-wine
.
To
the
Liquor
when
it
is
strained
add
the
Magisterial
Water
of
Earth-worms
,
Syrup
of
Hedg-Mustard
,
of
each
three
Ounces
,
the
Juice
of
one
Lemon
.
Mix
them
,
and
make
an
Apozeme
.
Take
Parsley-water
,
Fennel-water
,
of
each
four
Ounces
,
the
Magisterial
Water
of
Earth-worms
,
strong
Piony-water
,
of
each
an
Ounce
,
of
the
Syrup
of
the
five
Opening
Roots
an
Ounce
and
half
.
Mix
them
,
and
make
a
Julep
,
of
which
let
her
take
four
or
five
spoonfuls
when
she
is
faint
.
With
the
long
use
of
which
(
the
Country
Air
likewise
contributing
something
)
she
became
plainly
freed
not
only
from
her
Jaundies
,
but
also
from
her
Consumption
,
and
the
Morbid
Symptoms
of
her
Lungs
,
and
that
without
one
Grain
of
Pectoral
Medicines
;
and
now
at
length
having
recovered
her
wonted
Temper
and
Appetite
,
she
is
very
well
.
CHAP.
XIV
.
Of
a
Consumption
of
the
Lungs
proceeding
from
Internal
Vlcers
of
the
Viscera
,
and
Membranous
Parts
.
I
Have
,
as
well
from
Reason
as
Experience
,
proved
in
the
First
Book
,
that
there
is
a
Flame
kindled
in
the
solid
Parts
,
from
the
long
and
plentiful
substraction
of
the
Nutritious
Juice
caused
by
old
and
large
Ulcers
,
which
are
wont
to
discharge
continually
a
great
quantity
of
gleety
Matter
in
what
part
soever
of
the
Body
they
happen
to
be
seated
,
whether
inward
or
outward
,
and
thereupon
the
Patient
is
rendred
Tabid
.
I
have
likewise
sufficiently
shewn
in
the
8th
.
Chapter
of
this
Book
,
that
a
Consumption
of
the
Lungs
is
very
often
occasioned
from
the
healing
of
this
kind
of
Ulcers
,
but
especially
if
they
have
been
customary
,
and
of
a
long
continuance
,
or
else
Malignant
,
or
Fistulous
.
A
true
Consumption
of
the
Lungs
often
proceede
from
Internal
Vlcers
.
But
because
I
have
observed
,
not
only
that
Patients
being
brought
into
the
state
of
an
Universal
Atrophy
,
have
at
length
been
rendred
Tabid
,
but
have
likewise
many
times
from
thence
been
affected
with
a
Consumption
of
the
Lungs
from
the
beginning
by
a
long
continuance
of
Ulcers
bred
in
the
Viscera
,
and
Internal
Membranous
Parts
,
but
especially
in
those
,
that
are
reckoned
the
more
Noble
,
and
of
greater
use
;
such
as
the
Liver
,
Kidneys
,
Testicles
,
Ovaries
,
the
Womb
,
and
the
Vagina
Uteri
,
the
Urinary
Bladder
,
Stomack
,
Intestines
,
&c.
from
long
substraction
of
the
Nutritious
Juice
,
as
frequently
as
from
the
healing
of
them
;
I
shall
think
fit
in
this
place
to
add
also
,
though
briefly
,
the
Observations
,
which
my
Practice
has
offered
to
me
,
concerning
the
peculiar
Nature
of
this
kind
of
Consumption
.
Neither
has
any
one
reason
to
think
it
strange
;
This
is
not
strange
upon
several
Considerations
.
that
this
kind
of
Ulcers
,
especially
if
they
have
been
Chronical
,
can
occasion
a
true
Consumption
of
the
Lungs
:
I
say
,
no
one
has
reason
to
think
it
strange
,
that
seriously
considers
with
himself
how
great
and
continual
an
expence
there
is
of
the
Nutritious
Juice
,
that
is
wont
to
be
discharg'd
by
this
kind
of
Ulcers
;
and
how
great
an
impoverishment
of
the
whole
Mass
of
Blood
,
together
with
an
Acrimony
following
upon
it
,
from
this
substraction
of
the
Chyle
that
is
designed
for
the
reparation
of
it
;
and
how
great
a
wasting
,
or
Atrophy
of
the
Parts
proceeding
from
thence
;
thereupon
how
great
an
excandescence
or
intestine
motion
of
the
Blood
and
Spirits
,
and
finally
,
how
great
a
Flame
there
is
,
with
a
fixt
heat
in
the
whole
Habit
of
the
Body
,
together
with
an
Universal
Colliquation
of
the
Nutritious
Juice
from
the
Mass
of
Blood
(
to
which
by
reason
of
its
preternatural
Heat
and
Acrimony
it
could
not
be
perfectly
united
)
made
by
every
Avenue
,
where
it
has
the
liberty
of
passing
.
But
to
be
Ingenious
,
and
to
speak
the
whole
truth
,
I
have
been
ready
to
wonder
rather
that
in
this
Universal
Flame
and
Colliquation
,
the
Lungs
(
whose
Substance
is
Naturally
so
Tender
,
Vesiculous
,
and
Spongy
,
and
thereupon
as
it
is
apt
to
be
very
soon
affected
with
a
Hectical
Heat
,
so
it
is
also
ready
to
be
as
soon
corrupted
by
the
purulent
Particles
,
which
are
translated
thither
by
the
Circulation
of
the
Blood
,
and
in
every
considerable
Colliquation
more
susceptive
of
the
Humours
,
than
any
other
part
)
can
ever
be
long
free
from
a
touch
of
a
Consumption
.
A
Consumption
from
Vlcers
in
parts
remote
from
the
heart
ends
in
an
Vlcer
of
the
Lungs
.
And
indeed
to
speak
the
truth
of
this
case
,
whenever
these
Ulcers
happen
to
be
bred
in
the
Bladder
,
Womb
,
Vagina
Uteri
,
the
Ovaries
,
or
Kidneys
,
or
other
Entrails
,
or
Membranous
Parts
,
that
are
remote
from
the
Heart
,
and
so
of
less
note
,
as
I
have
always
observed
the
Consumption
that
is
caused
by
them
,
to
be
more
Chronical
;
so
I
have
observed
that
a
little
before
Death
it
certainly
terminates
in
a
true
Consumption
of
the
Lungs
,
proceeding
by
degrees
from
a
stuffing
of
the
Lungs
to
Tubercles
,
and
those
such
as
at
length
become
ripe
,
and
ulcerate
,
together
with
a
troublesom
Cough
,
a
shortness
of
Breath
,
an
universal
Colliquation
,
and
the
other
signs
of
this
Fatal
Disease
.
In
a
Consumption
from
Vlcers
in
the
Liver
,
&c.
Death
prevents
this
.
But
yet
in
a
more
Acute
and
hasty
Consumption
,
proceeding
from
an
Exulceration
of
the
Liver
,
Stomack
,
and
other
Entrails
,
or
Membranous
Parts
seated
nearer
to
the
Heart
it self
,
I
have
found
in
the
Bodies
of
such
Persons
,
that
have
been
opened
when
they
have
been
dead
,
the
Lungs
not
so
much
exulcerated
,
as
discolour'd
,
stufft
,
and
sticking
to
the
sides
of
the
Cavity
of
the
Breast
;
and
at
length
(
that
is
,
when
they
have
been
very
ill
affected
)
full
of
crude
Tubercles
:
Because
by
reason
they
dyed
quickly
,
there
was
not
time
enough
for
the
Lungs
to
receive
any
deep
impressions
from
this
Phthisical
Malignity
;
the
Patient
being
taken
off
by
a
quick
Death
from
the
Original
Consumption
before
the
Tubercles
of
the
Lungs
could
be
ripen'd
,
or
the
Consumption
of
the
Lungs
could
be
advanced
beyond
its
first
or
second
degree
.
But
in
this
very
Acute
Consumption
I
have
found
plainly
the
same
,
if
not
more
violent
Symptoms
,
than
in
a
true
Pulmonary
Consumption
that
has
been
Mortal
;
the
same
fierce
and
troublesome
Cough
,
the
same
difficulty
of
Breathing
,
though
they
proceeded
meerly
from
a
stuffing
of
the
Lungs
,
and
crude
Tubercles
bred
in
them
;
but
first
an
Inflammatory
Fever
,
and
afterwards
a
Putrid
and
Intermitting
Fever
,
attended
with
an
Universal
Colliquation
,
Light-headedness
,
and
other
more
direful
and
fatal
Symptoms
than
in
an
Original
Consumption
of
the
Lungs
;
I
speak
of
those
which
arise
from
an
Inflammation
and
Exulceration
of
the
Viscera
,
or
Membranous
Parts
,
that
are
very
Noble
.
So
that
it
is
a
very
hard
matter
to
distinguish
this
Consumption
from
an
Original
Consumption
of
the
Lungs
,
unless
it
be
by
the
more
intense
degree
of
the
Symptoms
,
and
by
some
Pathognomonick
signs
,
which
discover
the
Part
that
is
primarily
affected
.
Every
Pulmonary
Consumption
of
this
sort
is
very
hard
to
Cure
,
These
Consumptions
are
very
hard
to
Cure
.
because
it
springs
from
a
certain
Fountain
,
that
is
for
ever
running
.
For
the
Internal
Ulcers
,
which
gave
the
first
Occasion
to
this
Consumption
,
can
very
seldom
be
perfectly
cured
,
as
lying
beyond
the
Sphere
of
Surgery
.
And
not
to
be
cured
without
healing
the
Original
Vlcer
.
And
indeed
to
Cure
this
Consumption
perfectly
,
without
healing
of
the
Ulcers
,
from
from
which
it
takes
its
Original
,
is
the
same
thing
as
to
take
away
an
Effect
whilst
the
Cause
of
that
Effect
remains
.
It
is
true
indeed
that
so
often
as
these
Ulcers
happen
to
be
small
and
benign
,
and
are
likewise
placed
in
the
Kidneys
,
Bladder
,
Testicles
,
Ovaries
,
the
Vagina
Uteri
,
or
in
other
Membranous
Parts
and
Entrails
,
that
are
more
remote
from
the
Heart
;
as
the
Ulcers
themselves
(
which
here
assume
the
Nature
of
a
Cause
)
do
sometimes
admit
of
a
perfect
Cure
,
so
likewise
the
Pulmonary
Consumption
it self
,
which
depends
upon
them
,
may
as
well
be
cured
.
But
this
Consumption
,
whether
it
be
capable
of
a
Cure
or
not
,
does
nevertheless
almost
always
assume
the
Nature
of
a
Chronical
Disease
in
some
measure
.
And
from
hence
I
have
found
some
of
this
sort
of
Patients
for
several
Months
,
When
this
Consumption
is
Chronical
.
yea
,
and
sometim●
several
Years
languishing
with
a
Consumption
,
pining
away
by
degrees
,
and
dissolv'd
by
Colliquations
;
but
especially
when
the
source
of
the
Disease
has
been
in
one
of
the
Kidneys
,
the
Bladder
,
or
Vagina
Uteri
,
that
have
been
ulcerated
.
A
Consumption
proceeding
from
an
Ulcer
of
the
Ovaries
in
Women
,
or
the
Testicles
in
Men
,
I
have
observed
to
have
been
of
a
middle
Nature
,
but
for
the
most
part
to
carry
off
the
Patient
within
the
space
of
a
Year
:
But
that
which
arises
from
an
Exulceration
of
the
Womb
it self
,
When
Acute
.
the
Stomack
,
Liver
,
or
other
Entrails
,
or
Membranous
Parts
of
the
greatest
note
,
I
have
observed
to
put
an
end
to
the
Patient's
Life
in
the
space
of
a
very
few
Months
,
or
even
Weeks
,
after
the
manner
of
a
very
Acute
Consumption
;
because
it
has
been
immediately
attended
,
first
,
with
an
extraordinary
Inflammatory
Fever
,
and
after
that
with
a
Putrid
Intermitting
Fever
,
and
an
universal
Colliquation
,
together
with
a
want
of
Rest
,
Light-headedness
,
Spasms
,
and
other
direful
Symptoms
of
the
Nerves
.
But
yet
by
reason
of
the
sudden
Destruction
brought
on
from
the
Nature
of
the
Original
Disease
,
I
have
found
by
inspecting
into
Bodies
after
they
have
been
dead
,
that
the
Lungs
have
not
been
so
much
affected
,
as
they
used
to
be
in
other
Consumptions
,
that
are
more
Chronical
;
to
wit
,
where
by
reason
that
the
Original
Distemper
has
suffered
the
Patient
to
live
long
enough
,
the
Lungs
have
happen'd
not
only
to
be
stufft
,
but
likewise
to
have
Tubercles
bred
in
them
,
and
those
Tubercles
at
length
have
happen'd
to
turn
to
Apostems
.
But
,
generally
speaking
,
The
more
Acute
it
is
,
the
harder
to
Cure
.
as
every
Consumption
of
this
kind
is
very
hard
to
Cure
,
so
it
is
so
much
the
harder
as
it
is
more
Acute
,
because
it
has
its
Original
from
more
considerable
Ulcers
.
Neither
indeed
does
it
ever
admit
of
a
perfect
Cure
without
the
healing
of
the
Ulcers
whatever
they
are
,
and
in
whatsoever
Entrail
or
Membranous
Part
those
Ulcers
are
bred
,
which
gave
the
first
occasion
to
this
Disease
.
From
what
I
have
now
said
,
it
is
plain
enough
even
to
Reason
what
are
the
Indications
of
Cure
in
this
kind
of
Consumptions
,
which
likewise
the
happy
Success
of
our
Practice
is
wont
daily
to
present
to
our
very
sight
;
that
is
,
whenever
the
Distemper
does
in
its
own
Nature
admit
of
a
Cure
.
The
Indications
of
Cure
And
they
must
respect
the
Original
Disease
as
well
as
the
Lungs
themselves
,
first
,
by
promoting
as
much
as
we
can
the
healing
of
the
Ulcers
,
in
what
part
soever
of
the
Body
they
have
been
bred
,
with
the
plentiful
use
of
Balsamick
and
Vulnerary
Medicines
;
which
indeed
ought
to
be
of
the
milder
sort
,
lest
by
increasing
the
Feverish
Flame
,
that
is
already
kindled
in
the
Blood
,
they
should
do
more
hurt
than
good
.
Secondly
,
by
taking
timely
care
of
the
Lungs
with
the
use
of
Pulmonary
Remedies
,
to
wit
,
Opiate
and
Expectorating
Medicines
given
alternately
;
by
which
the
mischief
which
they
have
got
,
may
be
taken
off
,
or
at
least
as
little
as
may
be
promoted
by
the
Original
Distemper
.
Thirdly
,
by
mixing
always
with
the
Pectoral
and
Balsamick
Medicines
those
things
which
may
restore
and
confirm
the
Tone
of
the
Part
,
which
was
first
of
all
affected
,
and
which
have
a
particular
respect
to
it
;
as
Uterines
,
Hepaticks
,
Diureticks
,
and
other
such-like
Medicines
,
as
the
case
may
require
.
Fourthly
,
by
tempering
the
Hectick
heat
,
which
is
already
kindled
in
the
Blood
and
Spirits
,
with
a
strict
Milk
Diet
,
the
Chalybeate
Mineral
Waters
,
Vulnerary
Decoctions
of
Sarsa
,
Lime-water
,
and
other
things
of
the
like
Nature
(
so
far
as
the
present
state
of
the
Patient
can
bear
them
;
)
as
also
by
taking
off
the
Putrid
Intermitting
Fever
with
the
plentiful
use
of
the
Peruvian
Bark
,
and
with
repeating
of
it
often
enough
at
due
intervals
:
And
lastly
,
by
relieving
with
the
most
diligent
application
the
most
urgent
Symptoms
,
and
those
which
weaken
the
Patient
most
,
whether
they
arise
from
the
Original
Ulcer
,
or
from
the
Lungs
.
As
for
Example
.
The
Method
of
Cure
.
If
the
Original
Ulcer
is
so
benign
and
small
,
that
there
appear
any
hopes
of
a
perfect
Cure
,
and
it
has
not
continued
so
long
,
that
the
Patient
is
brought
very
weak
with
it
;
and
if
it
is
not
seated
in
so
Noble
a
Part
,
as
to
make
us
fear
the
sudden
destruction
of
the
Person
from
an
Acute
Consumption
,
it
is
plainly
convenient
in
the
very
beginning
of
the
Cure
to
endeavour
the
healing
of
the
Original
Ulcer
,
by
giving
Calomelanos
plentifully
,
and
that
not
only
mixt
with
Purges
,
and
therefore
at
due
intervals
,
but
likewise
by
it self
in
Doses
repeated
quickly
one
after
the
other
,
with
a
design
to
raise
a
Salivation
;
by
which
(
if
the
Patient
has
strength
enough
to
bear
so
great
an
Evacuation
,
and
it
be
convenient
in
other
respects
)
we
shall
take
much
better
Measures
,
as
for
the
healing
of
the
Ulcer
,
so
likewise
for
the
preventing
of
the
Consumption
,
which
is
like
to
follow
,
than
by
any
other
Apparatus
of
Medicines
.
But
if
that
be
contraindicated
by
the
Patient's
Weakness
,
the
intense
degree
of
the
Fever
,
and
the
very
Acute
Nature
of
the
Consumption
,
at
least
as
Antimonial
,
so
Mercurial
Medicines
may
be
so
disposed
at
due
intervals
in
the
Method
of
Cure
,
that
they
may
successfully
exert
their
extraordinary
Healing
Vertue
without
any
expensive
Evacuation
excited
thereby
.
As
for
Example
:
Let
the
Patient
take
every
Night
xv
.
or
xx
.
Grains
of
Antimonium
Diaphoreticum
in
a
little
bit
of
Old
Conserve
of
Red
Roses
mixt
with
Leucatellus's
Balsam
.
And
every
third
or
fourth
Morning
a
Scruple
,
or
half
a
Dram
of
Mercurius
Dulcis
in
a
spoonful
of
Milk
.
Let
him
also
drink
a
Vulnerary
Decoction
of
Sarsa
,
described
in
another
place
,
for
his
ordinary
Drink
,
adding
always
at
the
time
when
he
takes
it
,
of
the
Balsamick
Syrup
so
much
as
will
serve
to
make
a
Draught
of
it
grateful
to
the
Patient's
Palate
.
My
Balsamick
Pills
are
likewise
very
good
in
this
case
,
being
ordered
so
that
the
Patient
may
take
three
of
them
every
day
at
Physical
hours
;
drinking
after
them
four
or
six
Ounces
of
the
Traumatick
Decoction
,
and
the
Pectoral
Decoction
mixt
in
equal
quantities
.
Here
likewise
it
is
very
convenient
to
temper
the
Hectical
heat
of
the
Blood
with
a
Milk
Diet
ordered
in
the
strictest
manner
,
or
else
(
if
other
things
do
not
contradict
,
and
it
is
a
proper
time
of
the
Year
for
it
)
with
a
long
use
of
the
Chalybeate
Mineral
Waters
,
the
Vertue
of
which
,
especially
in
curing
a
Consumption
proceeding
from
an
Exulceration
of
the
Kidneys
and
Bladder
,
I
have
often
tryed
with
good
Success
.
Neither
is
it
of
less
use
,
as
well
to
temper
the
Acrimony
,
and
heat
of
the
Blood
,
as
to
carry
down
the
load
of
Purulent
and
Heterogeneous
Particles
heaped
up
in
the
Mass
of
Blood
,
to
give
at
Physical
hours
an
Emulsion
made
of
fifty
or
sixty
Wood-lice
,
and
four
Ounces
of
the
Vulnerary
Decoction
of
Sarsa
sweetned
with
the
Balsamick
Syrup
;
or
with
two
Ounces
of
the
Pectoral
Decoction
,
and
as
much
of
the
Traumatick
Decoction
.
The
Peruvian
Bark
is
likewise
of
very
great
Efficacy
in
this
case
to
relieve
the
Putrid
Intermitting
Fever
,
caused
by
the
mixture
of
the
Purulent
and
Heterogeneous
Particles
,
that
are
sent
into
the
Mass
of
Blood
from
the
Original
Ulcer
.
Which
we
must
repeat
often
at
due
intervals
for
this
end
,
thereby
to
obtain
some
respite
,
as
well
to
support
and
relieve
languishing
Nature
,
as
for
the
use
of
Balsamick
Medicines
,
and
other
things
of
that
Nature
,
which
respect
the
Original
Distemper
.
History
1.
Mr.
Neast
,
a
Presbyterian
Minister
of
London
,
and
my
very
good
Friend
,
whilst
he
lived
at
Oxford
was
suddenly
taken
about
the
Eight
and
Twentieth
Year
of
his
Age
with
a
dreadful
Colick
with
taking
a
great
deal
of
Pains
in
Ringing
;
caused
without
doubt
by
the
motion
of
a
Stone
out
of
the
Gall-bladder
into
the
Duct
,
which
goes
towards
the
Intestines
.
From
which
he
was
freed
I
know
not
by
what
means
;
yet
he
continued
free
from
the
return
of
any
such
kind
of
Fit
till
he
was
almost
Forty
Years
old
,
and
the
Year
1670.
From
which
time
almost
for
the
full
space
of
Ten
Years
,
to
wit
,
to
his
dying
day
,
he
used
oftentimes
in
a
Year
to
be
taken
with
,
and
to
be
a
long
time
ill
of
this
dreadful
Distemper
,
with
a
violent
pain
in
his
Side
,
a
high
Fever
,
and
other
usual
Symptoms
from
any
violent
Motion
,
the
taking
of
Cold
,
a
draught
of
Sack
,
or
any
other
the
least
occasion
.
But
when
I
was
first
called
to
go
see
him
,
mistaking
the
Distemper
for
a
Pleurisie
,
I
endeavoured
in
vain
to
free
him
from
his
painful
Spasms
with
repeated
Bleeding
,
a
Fomentation
,
and
Anodyne
Liniments
,
as
also
with
Pectoral
Medicines
;
till
at
length
upon
a
more
attentive
Inspection
,
and
Observation
,
as
well
of
his
high-colour'd
and
yellowish
Urine
,
as
of
his
whitish
Stools
,
and
of
his
Skin
being
lightly
ting'd
with
a
Jaundies
colour
,
I
reasonably
altered
my
Opinion
,
and
upon
that
I
took
off
the
Racking
Fit
with
the
repeated
use
of
the
Tinctura
Sacra
,
given
with
Liquid
Laudanum
at
the
time
of
going
to
Rest
,
and
of
the
Purging
Mineral
Waters
boyl'd
,
and
turn'd
with
Milk
,
given
him
to
take
the
following
Mornings
.
And
in
this
manner
I
used
afterwards
to
take
it
off
easily
,
and
that
in
a
little
time
.
But
though
his
Fits
were
by
this
means
brought
to
be
shorter
,
yet
with
the
frequent
return
of
them
(
because
so
long
as
this
Spasmodick
Constriction
continued
upon
the
Bile-duct
,
which
was
at
the
same
time
plugg'd
up
with
a
Stone
,
the
usual
Excretion
,
or
Passage
of
the
Bile
into
the
Intestines
being
thereby
hindred
,
and
so
the
Nutritious
part
of
the
Aliment
being
driven
down
into
the
thick
Guts
with
the
Excrements
,
there
was
very
little
if
any
thing
supplyed
for
the
reparation
of
the
Blood
.
)
I
say
,
with
the
frequent
return
of
these
Fits
,
the
Patient
did
by
degrees
continually
wast
away
from
the
detraction
of
the
due
Nutritious
Juice
,
having
likewise
Tremblings
come
upon
him
,
and
Spasms
in
the
Nervous
Parts
frequently
recurring
.
Which
I
now
observing
,
to
prevent
the
sudden
Destruction
of
Nature
,
amongst
other
things
I
ordered
the
use
of
Chalybeate
Medicines
,
but
especially
the
Vitriolick
Waters
every
Year
,
from
which
I
hoped
there
would
follow
the
opening
of
the
Obstructions
,
and
the
restitution
of
the
Tone
of
the
Liver
,
which
was
much
spoyl'd
.
But
at
length
,
to
wit
,
about
the
Year
1680.
my
Patient
being
taken
with
a
most
violent
Colick
,
together
with
an
Inflammatory
Fever
,
though
he
was
treated
with
Bleeding
,
and
a
due
Regimen
,
yet
at
last
his
Fever
turning
into
a
Putrid
Intermitting
Fever
,
which
was
a
Quotidian
,
notwithstanding
the
use
of
the
Peruvian
Bark
,
Pectoral
Medicines
,
and
Temperate
Juleps
,
and
likewise
the
application
of
Blisters
,
and
the
giving
of
other
things
,
which
either
I
or
my
Famous
Colleague
Dr.
Pagett
thought
might
be
most
Efficacious
,
this
Excellent
Person
within
the
space
of
six
Weeks
dyed
deeply
Consumptive
,
being
delirous
in
his
Fever-Fits
,
and
always
miserably
troubled
with
an
Asthmatick
Cough
,
in
the
same
manner
as
those
that
are
affected
with
a
true
Pulmonary
Consumption
,
and
likewise
worn
to
nothing
with
an
universal
Colliquation
.
The
Body
being
opened
when
he
was
dead
,
we
found
the
Gall-bladder
very
much
distended
like
a
Purse
with
Stones
of
a
different
Magnitude
without
even
the
least
drop
of
Bile
in
it
.
Likewise
in
the
Concave
part
of
the
Liver
,
just
at
the
entrance
of
the
Vena
Portae
was
found
a
large
Aposteme
,
which
contained
in
it
almost
a
Pint
of
true
Pus
.
But
for
all
his
great
Cough
,
and
difficulty
of
Breathing
,
we
did
not
find
the
Lungs
affected
with
any
Tubercles
,
at
least
that
were
maturated
,
though
we
found
them
ting'd
with
several
colours
,
and
stufft
,
and
adhering
to
the
sides
of
the
Breast
.
Whereupon
the
Colick
of
his
Stomack
,
which
frequently
returned
,
seemed
to
me
to
have
its
Original
from
the
moving
of
the
Stones
out
of
the
Gall-bladder
:
The
Universal
,
and
Habitual
Consumption
from
the
frequent
Obstruction
of
the
Bile
caused
by
that
Colick
;
the
fatal
Fever
,
which
was
first
Inflammatory
,
and
afterwards
Putrid
and
Intermitting
,
together
with
the
universal
Colliquation
,
and
Marasmus
following
upon
it
from
the
Inflammation
and
Exulceration
of
the
Liver
;
finally
,
the
Cough
and
difficulty
of
Breathing
from
a
more
light
Symptomatical
Affection
of
the
Lungs
;
but
such
as
by
reason
of
the
hasty
and
acute
Nature
of
the
Original
Disease
(
however
that
dreadful
Cough
seemed
to
be
Asthmatical
)
was
not
advanced
beyond
the
first
degree
of
a
Pulmonary
Consumption
.
History
2.
The
Wife
of
Mr.
Greaves
,
living
in
Paster-Noster-Row
,
who
,
when
she
was
a
Virgin
used
to
be
very
Cachectical
,
a
few
Months
after
she
was
married
,
and
before
the
Twentieth
Year
of
her
Age
,
began
to
be
Melancholy
,
and
to
have
Oppressions
at
her
Breast
:
Her
Belly
likewise
swell'd
,
but
yet
more
on
one
side
than
on
the
other
:
Her
Appetite
was
plainly
lost
,
her
Thirst
increased
,
and
a
Consumption
together
with
a
Hectick
Fever
at
length
prevailed
so
much
upon
her
,
that
having
at
length
wholly
given
over
the
vain
hopes
of
being
with
Child
,
I
was
sent
for
,
though
too
late
,
to
visit
this
miserable
Patient
:
Whom
I
found
in
a
Tabid
state
,
and
afflicted
every
day
with
a
Putrid
Intermitting
Fever
,
which
moreover
was
accompanyed
with
the
Gripes
,
vast
Colliquative
Sweats
,
a
Dropsical
Swelling
of
the
Legs
as
well
as
of
the
Belly
,
a
perpetual
Catarrhous
Cough
,
a
shortness
of
Breath
,
and
the
other
usual
Symptoms
of
a
Fatal
Consumption
of
the
Lungs
.
With
which
the
Patient
being
at
length
brought
into
the
state
of
a
Marasmus
in
the
space
of
six
Weeks
or
somewhat
more
,
notwithstanding
the
plentiful
use
of
Pulmonary
and
Uterine
Medicines
,
of
the
Peruvian
Bark
,
Laudanum
,
Pearl
Juleps
,
Vesicatories
,
and
other
Remedies
respecting
the
Original
Disease
as
well
as
the
various
Symptoms
proceeding
from
it
,
and
she
wasting
away
by
degrees
,
went
off
plainly
in
the
same
manner
,
as
those
use
to
do
,
who
dye
of
a
Consumption
of
the
Lungs
.
The
Body
being
opened
after
she
was
dead
,
we
found
the
Lungs
,
contrary
to
our
Expectation
,
not
very
much
affected
with
the
Stigmes
of
a
Consumption
.
For
though
we
found
them
stufft
,
adhering
to
the
Ribs
,
and
ting'd
with
several
Colours
,
yet
(
so
far
as
I
remember
)
there
were
no
Tubercles
,
either
crude
or
ripe
,
found
in
them
:
But
the
Substance
of
one
Ovary
was
plainly
eaten
away
and
consumed
by
an
Exulceration
;
and
the
outward
Membrane
in
a
wonderful
manner
distended
with
a
Dropsical
Humour
,
so
that
we
took
out
of
it
,
which
now
took
up
the
greatest
part
of
the
Belly
,
several
Pints
of
Water
somewhat
purulent
,
together
with
a
great
quantity
of
little
Bones
,
and
small
Fibres
,
or
(
as
I
judg'd
)
threads
which
had
made
up
the
Glandulous
Substance
that
look'd
like
yellow
Hair
.
From
whence
it
seemed
plain
to
me
that
that
Mortal
Fever
,
accompanyed
with
the
fatal
Colliquation
(
though
this
Consumption
was
Pulmonary
only
Secondarily
and
Symptomatically
;
and
the
Cough
(
and
in
some
measure
the
difficulty
of
Breathing
too
)
had
their
rise
from
the
stuffing
and
adhesion
of
the
Lungs
)
had
its
Original
from
the
Inflammation
and
Exulceration
of
the
Ovary
it self
.
By
which
Colliquative
Fever
,
as
also
by
the
substraction
of
the
Nutritious
Juice
by
the
large
Dropsical
Swelling
of
the
Ovary
such
a
quick
Consumption
,
and
so
grievous
a
difficulty
of
Breathing
were
caused
,
that
her
Life
being
thereby
brought
all
of
a
sudden
into
extream
danger
,
there
was
not
time
enough
given
for
that
Consumption
which
was
imprest
upon
the
Lungs
to
be
advanced
beyond
the
first
degree
of
a
Pulmonary
Consumption
,
though
there
seemed
to
be
all
the
usual
Symptoms
of
a
Fatal
Consumption
of
the
Lungs
.
History
3.
A
certain
Merchant
of
London
before
the
Fortieth
Year
of
his
Age
(
when
he
had
now
lived
almost
two
Years
somewhat
sickly
,
and
with
little
and
uncertain
Appetite
,
which
perhaps
he
procured
to
himself
by
his
immoderate
use
of
Wine
and
Women
)
at
length
asked
my
Advice
about
a
Swelling
,
and
a
painful
Inflammation
arising
from
thence
,
with
which
the
right
Testicle
had
been
now
affected
for
almost
the
space
of
three
Months
,
and
that
(
as
he
told
me
)
occasioned
by
some
Contusion
he
had
got
in
Riding
.
Indeed
that
Swelling
to
me
seemed
to
be
a
kind
of
Sarcocele
.
The
Testicle
swell'd
to
the
bigness
of
ones
fist
.
There
was
likewise
no
small
Inflammation
upon
the
Scrotum
it self
,
as
well
as
upon
the
Testicle
.
But
with
repeated
Bleedings
,
the
application
of
Cataplasms
made
of
Barley-meal
and
Oxycrate
(
the
Parts
affected
being
likewise
kept
up
with
a
Truss
to
prevent
the
flux
of
Humours
into
the
place
)
frequent
Purging
with
Calomelanos
and
Confectio
Hamech
,
and
also
drinking
plentifully
of
Emulsions
of
the
four
greater
cold
Seeds
made
with
Barley-water
,
and
of
a
Decoction
of
Sarsa
and
China
ordered
for
his
common
Drink
,
the
painful
Inflammation
plainly
vanish'd
.
But
the
Swelling
still
continued
,
though
without
any
pain
,
and
the
bigness
of
it
was
uncertain
,
being
sometimes
greater
,
sometimes
less
,
and
easily
yielding
to
a
pressure
of
ones
fingers
;
so
that
at
length
the
Judgment
of
two
very
skilful
Surgeons
being
taken
,
and
that
Swelling
being
supposed
to
be
a
Hydrocele
,
it
was
justly
thought
fit
to
open
it
.
But
when
it
was
solemnly
opened
with
an
Incision-Knife
,
there
came
out
scarce
any
Water
,
and
no
Matter
.
Also
the
whole
Substance
of
the
Testicle
seemed
to
have
been
eaten
away
,
and
perish'd
for
some
time
,
but
the
Investing
Coats
were
hard
and
incrassated
,
so
that
the
Testicle
being
once
opened
look'd
like
an
empty
Egg-shell
,
or
rather
a
Pomegranate-shell
,
when
the
Meat
,
or
that
which
was
contained
in
it
,
is
taken
out
.
From
the
Fistulous
state
of
this
Swelling
it
came
to
pass
that
the
Surgeons
being
deceived
,
and
taking
it
,
because
it
yielded
to
the
pressure
of
their
Fingers
,
for
a
Hydrocele
,
opened
it
by
Incision
,
though
indeed
after
they
had
once
opened
it
,
it
soon
appeared
to
be
in
truth
a
Venereal
Fistula
,
proceeding
from
some
virulent
and
old
Gonorrhoea
,
that
had
been
ill
cured
.
But
from
that
Wound
there
arose
a
large
Ulcer
,
which
every
day
ran
a
great
quantity
of
Ichorous
,
or
gleety
Matter
.
Which
though
many
times
it
deluded
us
for
several
times
with
the
vain
hopes
of
Curing
it
,
having
ordered
the
Sarsa
Drink
now
again
for
his
ordinary
Drink
,
when
at
the
same
time
he
was
purged
with
the
bitter
Decoction
repeated
at
due
intervals
,
that
is
,
so
often
as
there
was
occasion
,
and
every
Night
he
had
a
Paregorick
Draught
given
him
with
Syrup
of
Diacodium
.
But
yet
from
an
unexpected
flux
of
the
Humours
,
(
which
(
as
I
always
told
the
Surgeons
)
it
was
impossible
to
prevent
without
castration
or
cutting
out
of
the
Fistulous
Testicle
)
the
Ulcer
very
often
broke
out
again
;
so
that
the
Patient
being
quickly
brought
into
a
Tabid
and
Hectick
state
by
the
contiual
and
plentiful
substraction
of
the
Nutritious
Juice
through
the
Wound
,
and
the
expences
arising
from
it
,
which
Nature
was
not
able
to
bear
,
as
he
began
to
have
a
great
Thirst
,
so
likewise
to
lose
his
Stomack
,
and
at
length
to
be
afflicted
with
a
troublesome
Cough
,
a
shortness
of
Breath
,
and
the
other
usual
Symptoms
of
the
Lungs
when
they
are
distemper'd
;
continually
wasting
away
more
and
more
with
the
sudden
Ruin
of
Nature
,
which
was
much
promoted
by
the
Fits
of
a
Putrid
Intermitting
Fever
coming
upon
all
;
which
returned
every
day
at
a
stated
hour
with
a
Chilness
,
Heat
,
and
Sweats
succeeding
one
another
;
till
at
length
the
Patient
being
brought
to
the
utmost
degree
of
a
Marasmus
,
was
forced
to
yield
to
Fate
.
With
the
repeated
use
of
the
Peruvian
Bark
I
very
often
took
off
his
Putrid
Fever
,
which
nevertheless
(
the
cause
of
it
still
remaining
in
the
Wound
)
returned
as
often
,
after
the
interval
of
a
Week
or
two
.
Likewise
the
Hectick
heat
,
which
was
kindled
in
his
Blood
,
was
much
mitigated
with
the
use
of
a
Milk
Diet
,
of
Asses
Milk
,
and
by
the
benefit
of
the
open
Country
Air
;
though
it
could
never
be
perfectly
extinguished
,
because
the
Procatartick
Cause
of
it
,
to
wit
,
the
Malignant
and
Incurable
Ulcer
was
plainly
too
much
for
the
Art
of
Surgery
.
Whereupon
at
last
,
the
ulcerated
part
being
gangren'd
,
after
he
had
lain
six
Months
,
he
was
reduced
to
a
very
Skeleton
,
and
carryed
off
not
only
with
an
Universal
Consumption
,
but
also
a
true
Consumption
of
the
Lungs
,
though
it
was
a
Symptomatical
one
.
History
4.
Mr.
Nye
,
the
Son
of
Philip
Nye
,
the
Famous
Nonconformist
Minister
(
as
they
are
called
)
when
he
had
now
about
the
Thirtieth
Year
of
his
Age
been
troubled
almost
continually
for
the
space
of
a
Year
with
a
Swelling
,
that
grew
in
his
Stomack
,
a
Cardialgia
,
and
Vomiting
,
(
from
which
Symptoms
he
could
not
be
freed
neither
by
the
frequent
use
of
Calomelanos
,
the
Purging
Mineral
Waters
,
Chalybeates
,
Wood-lice
,
the
Decoctions
of
Sarsa
,
prepared
Coral
,
Pearl
,
Crabs-eyes
prepared
,
nor
of
other
Medicines
of
all
sorts
,
ordered
even
by
the
most
learned
and
skilful
Physicians
)
at
length
the
Swellings
beginning
to
be
inflamed
and
ulcerated
,
he
being
presently
taken
with
an
Inflammatory
Fever
,
which
was
afterwards
succeeded
by
a
Putrid
Intermitting
Fever
,
he
not
only
ran
apace
into
a
Consumptive
state
with
an
Universal
Colliquation
,
but
also
being
troubled
with
a
pertinacious
Cough
,
a
difficulty
of
Breathing
,
and
all
the
other
Symptoms
of
a
very
Acute
Consumption
of
the
Lungs
;
at
length
he
sent
for
me
,
though
't
was
to
no
purpose
.
For
I
found
him
Sick
in
Bed
,
in
the
last
degree
of
a
Symptomatical
Consumption
of
the
Lungs
,
which
as
it
was
in
its
own
Nature
fatal
,
so
likewise
very
quick
.
And
therefore
when
I
had
once
given
him
my
helping
Hand
as
much
as
I
could
for
the
Relief
of
the
urgent
Symptoms
,
I
presently
took
my
leave
of
him
,
having
first
made
a
Prognostick
of
his
Death
.
Neither
indeed
did
this
miserable
Patient
continue
many
days
.
But
not
having
the
liberty
of
opening
the
Body
after
he
was
dead
,
though
there
were
all
the
Symptoms
of
a
Pulmonary
Consumption
,
yet
as
it
did
not
appear
to
me
as
an
Eye-witness
,
so
I
cannot
confidently
affirm
how
much
the
Lungs
themselves
had
happened
to
be
affected
and
injured
thereby
.
History
5.
A
certain
Old
Gentlewoman
,
a
Lawyer
's
Wife
,
that
lived
in
Shoe-Lane
,
when
(
as
she
told
me
)
she
had
for
the
space
of
Twenty
Years
been
hardly
able
to
sleep
half
an
hour
at
a
time
by
reason
of
a
violent
and
continual
pain
in
making
of
Water
;
with
which
,
and
with
other
direful
Symptoms
accompanying
of
it
she
having
been
very
much
and
continually
weakned
(
and
that
notwithstanding
she
had
taken
the
Advice
of
the
most
able
Physicians
)
and
thereupon
being
brought
at
length
into
a
plain
Consumptive
and
Hectick
state
,
and
being
continually
confin'd
to
her
Bed
by
reason
of
her
Weakness
,
she
sent
for
me
not
long
before
she
dyed
;
now
when
by
reason
of
the
loss
of
her
Appetite
,
she
had
for
a
long
time
abhorred
Food
as
well
as
Physick
When
I
came
I
found
her
really
an
extraordinary
Woman
,
that
adorn'd
her
Old
Age
with
Fortitude
and
Prudence
beyond
what
is
common
to
that
Sex
;
but
yet
(
as
I
guest
even
at
the
first
sight
by
her
extream
Emaciation
,
Cough
,
Fever
,
and
difficulty
of
Breathing
)
I
found
her
lying
very
miserably
in
the
last
degree
of
a
Consumption
.
Because
she
was
obliged
almost
perpetually
to
conflict
not
only
with
the
usual
Symptoms
of
a
Pulmonary
Consumption
,
and
a
Hectick
Fever
,
but
also
with
a
frequent
and
dreadful
Spasmodick
Colick
of
her
Stomack
,
from
the
motion
of
some
Stones
out
of
the
Gall-Bladder
,
as
likewise
with
a
continual
pain
in
making
of
Water
,
caused
by
a
Stone
,
and
an
Ulcer
of
the
Kidneys
.
From
whence
it
came
to
pass
,
that
her
Urine
when
't
was
first
made
,
was
whitish
,
and
afterwards
had
a
very
great
,
a
fetid
,
and
truly
purulent
Sediment
.
But
upon
looking
on
the
Urine
,
I
presently
found
there
was
a
pretty
large
Ulcer
caused
by
a
Stone
in
the
Kidney
affected
,
and
I
did
think
that
a
Pulmonary
Consumption
had
been
brought
on
Symptomatically
by
that
Ulcer
.
Nature
having
been
now
for
some
time
weakned
,
opprest
,
and
sinking
under
so
many
,
and
such
great
Evils
,
it
happened
likewise
that
her
Brain
,
and
the
whole
Genus
Nervosum
were
so
remarkably
and
continually
affected
,
that
laying
aside
all
her
other
Complaints
of
her
Consumption
,
Ulcer
,
and
Stone
,
she
desired
only
this
,
that
I
would
do
something
to
help
her
against
her
Swoonings
,
and
Faintness
,
which
often
returned
,
as
also
against
delirousness
,
and
the
cold
and
hot
Vapours
,
(
as
she
called
them
)
which
did
continually
both
Night
and
Day
alternately
succeed
each
other
,
which
seemed
to
be
more
troublesome
to
her
than
all
the
other
miserable
Symptoms
.
Presently
I
did
all
I
could
to
relieve
those
troublesome
Symptoms
with
the
use
of
Spirit
of
Hartshorn
,
of
Salt
Armoniack
,
Tincture
of
Castor
,
Antihysterick
Juleps
,
and
other
things
of
that
Nature
.
Neither
indeed
did
I
plainly
neglect
her
distempered
Lungs
,
and
her
ulcerated
Kidneys
,
(
where
the
first
Original
of
this
Distemper
lay
)
but
I
took
care
of
these
too
,
with
the
use
of
Emulsions
,
Balsamick
and
Pectoral
Medicies
,
that
is
,
so
far
as
the
extenuated
Habit
of
her
Body
,
and
of
her
bad
Stomack
would
bear
.
But
yet
all
these
things
were
now
ordered
to
no
purpose
.
For
as
the
Ulcer
of
her
Kidney
was
now
for
a
long
time
become
plainly
incurable
;
so
likewise
the
Secundary
Affections
of
the
Lungs
and
Genus
Nervosum
,
which
were
the
Effects
of
it
,
seemed
to
be
rather
the
Trophies
of
conquer'd
and
yielding
Nature
,
than
either
accidental
Oppressions
,
or
any
accidental
Diseases
,
that
Art
could
overcome
.
But
a
little
before
she
dyed
,
when
Death
seemed
to
be
near
at
hand
,
this
Virago
desired
me
very
earnestly
,
and
indeed
made
me
promise
that
I
would
take
care
that
her
Body
should
be
opened
after
she
was
dead
,
that
for
the
good
of
the
Living
,
she
might
,
when
she
was
dead
,
be
serviceable
to
that
Art
of
Physick
,
from
which
she
received
no
Benefit
whilst
she
lived
.
The
Husband
having
given
leave
(
though
with
much
ado
)
that
the
Body
should
be
examined
after
she
was
dead
,
she
was
opened
very
Solemnly
,
several
Eminent
Physicians
being
present
.
The
first
thing
that
was
Remarkable
was
,
that
though
all
the
Limbs
,
and
the
Face
of
this
Tabid
Woman
were
emaciated
,
yet
the
Adipose
Membrane
of
the
Belly
was
strangely
thick
with
Fat
,
as
it
commonly
happens
to
Calculous
Persons
,
it
may
be
from
a
slower
motion
of
the
Blood
through
the
Neighbouring
Parts
,
and
a
smaller
secretion
of
the
Serum
by
the
Kidneys
than
there
ought
to
be
;
but
we
found
the
outward
Membrane
of
the
left
Kidney
sticking
firmly
to
it
,
as
being
something
swelled
from
its
Distemper
.
But
the
Substance
of
it
being
opened
it
looked
like
a
Honey-Comb
,
being
every
where
full
of
Stones
and
Cavities
,
or
certain
little
Cells
,
out
of
which
some
Stones
had
been
formerly
extruded
,
but
without
the
least
Exulceration
.
But
the
right
Kidney
we
found
like
a
Purse
not
only
full
of
Stones
and
Matter
,
but
likewise
very
much
distended
,
the
whole
Substance
also
,
which
had
been
contained
within
the
investing
Membranes
,
having
been
before
by
degrees
corrupted
and
consumed
,
and
likewise
the
Membranes
themselves
being
filled
with
abundance
of
Stones
and
Serous
Pus
,
such
as
we
likewise
found
in
the
Bladder
,
and
such
as
she
used
commonly
to
void
with
her
Urine
.
From
which
the
cause
of
that
Chronical
Dysury
and
Consumption
,
with
which
she
had
been
so
long
afflicted
,
was
very
evident
.
Also
the
Emulgent
Veins
,
which
carryed
back
the
Blood
from
the
Kidneys
,
by
reason
of
the
mighty
Calculous
disposition
of
the
Blood
,
with
which
this
Miserable
Old
Woman
was
affected
,
were
(
which
was
very
strange
)
like
stony
Pipes
covered
on
the
inside
with
a
plain
calculous
Crust
.
Moreover
we
found
the
Gall-Bladder
full
of
Stones
,
from
the
motion
of
which
that
Cholick
of
her
Stomack
,
accompanyed
with
dreadful
Spasms
,
with
which
she
was
often
troubled
,
did
without
doubt
take
its
Original
.
Yet
we
did
not
find
that
the
Lungs
themselves
were
any
where
exulcerated
,
but
almost
every
where
full
of
crude
Tubercles
,
and
Chalky
Stones
.
From
which
the
cause
of
her
continual
Cough
,
shortness
of
Breath
,
and
the
other
Pulmonary
Affections
did
appear
to
our
very
sight
.
Yet
I
do
not
at
all
doubt
but
that
in
progress
of
time
those
Tubercles
might
have
ripened
;
and
by
that
means
this
Incipient
Consumption
of
the
Lungs
might
have
gone
on
to
a
Confirm'd
and
Deplorable
Consumption
,
if
an
untimely
Death
,
procured
by
other
causes
,
had
not
prevented
it
.